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      <Form990PartVIISectionAGrp>
        <PersonNm>Jessica Remington</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Donnenwerth</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rebecca Lamberty</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robin Hoeg</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sara Gabrick thru Feb</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Andrew Millis MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>George Ripeckyj MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Hans Serleth MD</PersonNm>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Winona Health Foundation endowments have multiple purposes; all of which deliver on the mission to inspire, recognize and empower the caregiver in all of us. The largest fund is the Ben &amp; Adith Miller Patient Care Fund that pays the medical bills of Winona Health patients/residents who are under or uninsured. Other funds include the Senior Services Fund which is made up of the Glenn Fund for home care/hospice licensure and training, the Hospice Fund for general hospice services, the Alzheimer Fund for Alzheimer-related projects, and funds for unrestricted use by Winona Senior Services. There are also funds for general operating expenses.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Corporation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Corporation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.</ExplanationTxt>
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        <FAPAppAvailableOnWebsiteURLTxt>See Part V, Section C</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>See Part V, Section C</FAPSummaryOnWebsiteURLTxt>
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        <FormAndLineReferenceDesc>Winona Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 5: Winona County Health and Human Services is the county's governmental public health authority. During its most recent Community Health Needs Assessment (CHNA), Winona Health did take into account input from individuals and organizations representing the broad interests of the community, including medically underserved, low income, and minority populations.In 2025, Winona Health and Winona County Health &amp; Human Services, the county's governmental public health authority, jointly conducted the CHNA and collaborated throughout survey development, data collection, and prioritization. Input was collected through a countywide mailed survey (1,005 responses), translated surveys for non English speakers (209 responses), and five listening sessions held from July 17, 2025 to July 31, 2025, offered both in person and virtually. These methods enabled broad community participation across all demographics. To ensure representation of medically underserved, minority, immigrant, and low income residents, Winona Health partnered with Project FINE, a nonprofit serving immigrants and refugees. Project FINE translated the CHNA survey into Hmong and Spanish, administered 209 additional surveys, and co hosted two culturally tailored listening sessions. These efforts intentionally captured input from Hmong, Latino, and newcomer communities whose perspectives may not be reflected in traditional data sources. Additional community perspectives were obtained through listening sessions involving representatives from organizations serving vulnerable or underserved groups, including: Winona Community HUB, Winona Community Warming Center, Winona Volunteer Services, Family &amp; Children's Center, Winona County Criminal Justice Coordinating Council, Winona Family YMCA, Winona Friendship Center, Engage Winona, and others. These organizations provided insight on needs related to housing insecurity, food insecurity, mental health, chronic disease, youth risk behaviors, and barriers to careThe CHNA also incorporated community concerns expressed through survey responses and discussions, representing perspectives from residents across income levels, ages, racial/ethnic groups, and living situations.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Winona Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 6b: The assessment was done collaboratively between Winona Health and Winona County Health &amp; Human Services.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Winona Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 11: Winona Health's 2025 Community Health Needs Assessment conducted in tax year 2024, identified four significant community health needs. Based on countywide surveys, translated surveys of Hmong and Spanish speaking residents, secondary data, and five community listening sessions, the following priority needs were determined:1. Creating Access to Care - Residents reported barriers including lack of insurance, inability to obtain timely appointments, transportation challenges, cost of care, and limited access to internet or digital tools needed for virtual care2. Supporting Mental Wellness, Recovery, and Responsible Engagement with Substances - The CHNA found high levels of poor mental health, delays in accessing behavioral health services, stigma, and concerns related to alcohol, nicotine, and substance use. 3. Making the Healthy Choice the Easy Choice - Increasing rates of overweight/obesity, food insecurity, limited access to affordable healthy foods, and barriers to physical activity were identified as priority issues4. Preventing and Managing Chronic Disease - Chronic conditions such as hypertension, diabetes, high cholesterol, and obesity remain prevalent; disparities in preventive screenings were noted, especially among residents whose primary language is not English.Winona Health's 2025 CHNA identified the four priority needs above that the hospital will address. However, several additional needs emerged during the CHNA process that the facility will not directly address because they fall outside the hospital's mission, authority, or resource capacity. These needs are recognized as important; however, they are not addressed directly by Winona Health because they require long term system changes, specialized agencies, or resources outside the hospital's scope. The hospital instead collaborates with appropriate partners while focusing its Implementation Strategy on the four significant needs within its capacity. These needs include: * Housing quality and safety issues, such as mold, radon, lead paint, inadequate heat, and general home repair needs. These issues require housing agencies or environmental health authorities and are outside the scope of hospital operations. * Economic and social service needs, including the need for rental assistance, utility shutoff prevention, income support, and employment services. These needs are more appropriately addressed by community organizations and county/state human services programs * Transportation needs unrelated to medical care, such as transportation for shopping, work, or daily living activities. While medical related transportation is partially supported by partners, Winona Health is not positioned to lead non medical transportation programs. * Public safety, discrimination, and legal needs, including concerns about violence, harassment, interactions with law enforcement, or discrimination based on age, race, gender, or language. These require legal, judicial, or public safety systems rather than healthcare interventions. * Community infrastructure and recreation needs, such as expanding bike paths, recreational facilities, or large scale environmental improvements. These fall under city, county, or state planning and are beyond the hospital's ability to implement. Winona Health took the following key actions during the current tax year to address the priority needs identified in its most recent CHNA:Expanded access to care through financial assistance via the Ben &amp; Adith Miller Patient Care Fund, MNsure navigator services for insurance enrollment, and continued operation of School Based Health Clinics providing medical care regardless of ability to pay. Strengthened mental health and substance use support by continuing the Intensive Outpatient Program (IOP), providing a Community Mental Health Navigator, and offering on site school based mental health counseling. Promoted healthy behaviors through partnership with the Statewide Health Improvement Partnership (SHIP), operating the Winona Community HUB to deliver health education and resource coordination, and supporting access to preventive services in school clinics.Advanced chronic disease prevention and management through preventive screening promotion, Intensive Behavioral Therapy for weight management, and Community HUB support connecting residents to primary care and self management resources.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Winona Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 13h: Amount generally billed (AGB) will not be more than the amount generally billed to individuals with insurance. Winona Health has chosen to calculate the AGB annually using a look-back method based on the previous fiscal year's (October to September) contractual rates for Medicare and all private health insurers, divided by total gross revenue. The calculations for the AGB rate through 10/31/26 will be a 28.8% (percent) discount to the charges billed to patients eligible for financial assistance based on Winona Health's Fiscal Year 2025.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Line 7 and 10:</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.winonahealth.org/wp-content/uploads/2025/09/2025-CHNA-Report-and-Appendices.pdfhttps://www.winonahealth.org/wp-content/uploads/2025/12/WC-CHNA-Implementation-Plan-2025.pdf</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Line 16a-c:</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.winonahealth.org/wp-content/uploads/2025/06/WH-028-Financial-Assistance-and-Payment-Rev.-11-2024-signed.pdfhttps://www.winonahealth.org/wp-content/uploads/2990A-Financial-Assistance-Application-031423.pdfhttps://www.winonahealth.org/patients-and-visitors/patients/billing-insurance/financial-assistance-program/</ExplanationTxt>
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            <BusinessNameLine1Txt>1 - Winona Home Medical</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>930 Parks Avenue</AddressLine1Txt>
            <CityNm>Winona</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55987</ZIPCd>
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          <FacilityTxt>Durable Medical Equipment</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - Winona Health Rehabilitation Services</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>902 Parks Avenue</AddressLine1Txt>
            <CityNm>Winona</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55987</ZIPCd>
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          <FacilityTxt>Rehabilitation Services (2nd floor of the Winona Family YMCA)</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - Winona Health Rushford Clinic</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>109 W Jessie St</AddressLine1Txt>
            <CityNm>Rushford</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55971</ZIPCd>
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          <FacilityTxt>Clinic</FacilityTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6a:</FormAndLineReferenceDesc>
        <ExplanationTxt>The community benefit report is included in the annual report which is posted on the Winona Health website: https://www.winonahealth.org/.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b and subsidized health services line 7g was calculated using the costing methods to prepare the cost reports. Line 7e Community health improvement services, line 7f health professions education, and line 7i cash and in-kind donations were actual expenses compiled using the expenses tracked and compiled by Winona Health staff.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Community Building Activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>Winona Health supports community building activities in a variety of ways. Whether via community boards, mental health coalitions, community support activities, or wellbeing collaboratives, Winona Health operates as a cornerstone of the community. Winona Health is one of the largest employers in the area, and operates as a trusted resource in the community. As a result, leadership and caregivers are often tapped to lead and participate in activities that advance the health of our community and create a place where all people can thrive. Winona Health supports and encourages these activities, and provides resources as able. This all aligns with Winona Health's mission of "inspiring, recognizing, and empowering the caregiver in all of us."</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The corporation determines its estimate of implicit price concessions based on its historical collection experience with each class of patients and residents.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>WHS estimates that 40% of implicit price concession accounts would likely qualify for the Organization's charity care guidelines if the patient would have been identified and followed through on the application process. This percentage is based on historical knowledge of those who were provided applications and those who completed and submitted application to qualify.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The footnote to the organization's financial statements that describes implicit price concessions is located on page 13-14 of the attached financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>WHS provides services to patients under the Medicare program knowing they will not recover all the costs associated with providing these services. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall is considered a community benefit. The Organization reported only those allowable costs and Medicare reimbursements reported in the Medicare cost report for the year.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the Hospital would have a greater loss from Medicare services of $774,963.Medicare fee schedule revenue $550,291Medicare estimated costs of care relating to payments $1,325,255Net (Shortage) ($774,963)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>In keeping with the mission, vision and values of Winona Health Services, our Organization is committed to giving a patient every opportunity to pay their medical debt in full or to make arrangements based on organizational policy. When a patient is in the process of applying for financial assistance, whether charity care or an interest free payment plan, there will be no collection efforts. Collection efforts include phone contacts, letters, patient interviews and filing a judgement against the patient and potential garnishment of wages. After a determination of financial assistance, any personal portion due follows the same collection procedures as other accounts. Accounts will be recalled from collection if an application is completed within 240 days of the date of the first invoice.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Winona Health Services (WHS) uses a variety of methods to listen to its customers, and the methodologies vary by customer groups. WHS uses point of care feedback comment cards, focus groups, advisory committees comprised of community individuals, and web and consumer newsletter surveys to capture feedback from patients/residents and community. Immediate feedback is obtained from patients/residents and community through pre- and post-service calls, rounding, and informal surveys. WHS also works with local non-profit organizations gathering feedback from local agencies and their boards to ensure community needs are being met.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>WHS places pamphlets that contain information about our charity care programs and policies throughout the Organization, including all patient access areas. In addition, information can be found on our statement, website or by calling the WHS business office either locally or toll-free. WHS also has a plain language brochure which explains options for financial assistance, charity care, government program assistance, and our uninsured discount program. In addition, the WHS social services department may meet with in-house or recently discharged patients to go over all the payment options which include charity care, governmental programs, or other alternative payment options. WHS works with the county to help initiate a screening process for applying for governmental programs by offering the patients an opportunity to lock in an effective date for those programs if subsequently found eligible. WHS also is contracted with MNSure and has Certified Application Counselors onsite to assist patients in applying for insurance coverage through the State run exchange.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>WHS defines its primary service area as the zip code of Winona and the immediate surrounding area with a population base of approximately 35,000 residents. Its secondary service area encompasses a 20-mile radius from Winona representing another 12,000 residents. WHS is located between two large, well-known tertiary health care centers, Mayo Clinic and Emplify Health. WHS has focused on fulfilling its community need: a full primary care facility. WHS defines itself as a primary care health system and provides its patients and residents connections to tertiary level services to meet their needs regionally or nationally, as the patient chooses. In 2020, Winona had a median household income of $60,020 and 11% of persons were below the poverty level. The majority of our patients live in Winona which has a population of over 26,772 people. Approximately 18.1% of our patients are uninsured and/or Medicaid recipients.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>As the sole community hospital, WHS offers emergency and urgent care, primary care for all ages, surgical and specialty care, inpatient care, and senior services. Our Board is comprised of physicians and primarily community members. The Board and medical staff are involved in our strategic planning which focuses on the health of our community members. As an integrated rural healthcare system, WHS continues to thrive because of its ongoing commitment to its mission: To inspire, recognize, and empower the caregiver in all of us. WHS' services address the spectrum of the community's primary healthcare needs from birth through end-of-life. To meet the needs of our community, services include a 49-bed acute care hospital, emergency department, urgent care, multispecialty clinic, outpatient diagnostic center, ambulance services, 80-bed skilled nursing facility, and two memory care residences. Additionally, WHS has a hospice program to assist in management of patient care in the community. WHS also operates a 53-unit assisted living residence in Winona, an onsite retail pharmacy, rehabilitation services (housed in the Winona Family YMCA adjacent to the hospital campus), and a satellite primary care clinic in the community of Rushford. WHS continues to be one of the city's largest employers, and benefits from the efforts of over 200 community volunteers. Because of WHS' non-profit status, excess funds are reinvested and used for patient care and facility upgrades to continue supporting our community and mission.To meet the needs of our community, the Hospital extends privileges to medical staff that are qualified through licensure in the state of Minnesota. In a normal year, staff actively participate in several on-site and off-site health fairs offering free blood pressure checks, glucose screenings and expertise on health questions, as well as offering free community health talks for community members on certain health topics.Additional programs that benefit the community include:Health Professional Training: WHS works closely with nurse and health professional education programs at Winona State University, St. Mary's University, Viterbo College, and Minnesota State College Southeast, in addition to several others regional universities and technical schools. Along with training nursing students on site, WHS also offers training and internship opportunities for other students going into fields of athletic training, social work, dietetics, lab, radiology, physical therapy, respiratory therapy and health care administration. Shadowing opportunities have also been made available for high school students who are interested in health care careers. WHS also hosts medical students, as part of their medical residencies, who are interested in working in a rural community.Preventive Care: WHS encourages preventive care through a number of resources. My Winona Health is a free web-tool that allows patients to have access to their Winona Health Services records anytime, anywhere with an internet connection. Patients can document their health history, access information on their acute and chronic conditions, receive lab and imaging test results, and track on preventative services. Winona Health Services offers a number of educational opportunities for the community, from CPR classes to free or low-cost screenings. Community Health Talks provide individuals with educational information on a variety of health topics and are free throughout the year. The Winona Health Services Occupational Health department presents various preventive programs geared toward business leaders and HR professionals. The staff also participates in many community collaborative healthcare events.Employee Health: The Healthy U Program is WHS' workplace wellbeing program that is designed to support and encourage caregivers and their families to live a life of wellbeing. The program reinforces the emphasis on prevention, mental health and weight management, and provides support and resources. Additionally, WHS caregivers and their families are able to support their healthy habits through a subsidy to the Winona Family YMCA.Emergency Care: WHS provides 24-hour-a-day, 365-days-per-year emergency care to the community. It employs full-time physicians and several mid-level providers as the service continues to grow. Winona Health Services has excellent relations with neighboring tertiary facilities and transports patients as needed to La Crosse and Rochester.Community Relations &amp; Education: Caregivers actively participate in several on-site and off-site health promotion activities. Examples of this include, but not limited to, offering blood pressure screenings, providing a free skin cancer screening day where community members had the opportunity to schedule a screening with a provider in our dermatology department, having dietitians go to local schools and offer nutrition education to students, as well as offering a variety of other free community health talks and health education for community members. WHS employees are also involved in several non-profit committees, donating their time to support our community. Additional regular community education programming includes free or reduced-fee classes on childbirth and parenting, support groups for breastfeeding, cardio-pulmonary resuscitation, first aid, and smoking cessation. WHS volunteers offer free healthcare directives educational sessions throughout the year.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7, Reports Filed With States</FormAndLineReferenceDesc>
        <ExplanationTxt>MN</ExplanationTxt>
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        <DeferredCompensationFlngOrgAmt>24123</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>31356</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>318747</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Donnenwerth</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10120</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22954</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>38057</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>313281</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robin Hoeg</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8183</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13521</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>23707</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sara Gabrick thru Feb</PersonNm>
        <TitleTxt>Chief Nursing Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>215298</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6877</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>13208</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jessica Remington</PersonNm>
        <TitleTxt>CFO/Treasurer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8266</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7208</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>256916</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rebecca Lamberty</PersonNm>
        <TitleTxt>Chief Administrative Offic</TitleTxt>
        <BaseCompensationFilingOrgAmt>204327</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>22886</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12330</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2342</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>241885</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals received employer contributions to a supplemental non-qualified retirement plan, which is available to executive, physicians, and mid-level providers as determined by the Board of Directors. It is funded by employer contributions, and employees are vested within five years. An alternative plan is available which is funded by employee contributions and not subject to forfeiture. CY2024 Matthew Broghammer, MD $27,256 Katrina Hammel, MD $4,923 Andrew Millis, MD $54,211 George Ripeckyj, MD $42,920 Hans Serleth, MD $24,302 Chad Weaver, MD $40,052</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <NameOfInterested>
          <PersonNm>Krista Brand</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Daughter of COO</RelationshipDescriptionTxt>
        <TransactionAmt>111679</TransactionAmt>
        <TransactionDesc>Employee compensation &amp; benefits</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Courtney Wieser</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Daughter of COO</RelationshipDescriptionTxt>
        <TransactionAmt>41927</TransactionAmt>
        <TransactionDesc>Employee compensation &amp; benefits</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Joy Boldt</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Sister of COO</RelationshipDescriptionTxt>
        <TransactionAmt>67579</TransactionAmt>
        <TransactionDesc>Employee compensation &amp; benefits</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Kelly Filzen</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Daughter of CEO</RelationshipDescriptionTxt>
        <TransactionAmt>69296</TransactionAmt>
        <TransactionDesc>Employee compensation &amp; benefits</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Kris Walters</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Sister of COO</RelationshipDescriptionTxt>
        <TransactionAmt>45049</TransactionAmt>
        <TransactionDesc>Employee compensation &amp; benefits</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee has the authority to act on behalf of the governing board in between board meetings. The Executive Committee consists of the Board Chair, Board Vice Chair, the chair of each Standing Committee, the President/CEO of the organization, and one at-large board member.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals have business relationships: Hugh Miller and Todd Paulson Matthew Broghammer, Nicholas Modjeski and E. Allen Beguin Fatima Said and David Vaselaar</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The return is reviewed initially by the CFO and CEO. It is then reviewed by the Executive Committee before it is filed. In addition, the Form 990 is available to the full governing board prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy that covers senior leaders, directors, officers, and board committee members is reviewed annually. If there are any reportable items are disclosed, the CEO reviews any disclosures for potential conflicts. Any conflicts are brought to the Board for discussion. If a board member has a potential conflict, they must abstain from voting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee has a process in place for determining annual compensation for the CEO based on results of a compensation study, which is completed by an independent consultant every 3 years. An annual review is conducted and documented, with final decisions made by the full board. The same consultant provides market reviews and recommendations for the senior leadership team. This is reviewed by the executive compensation committee; however, the CEO is responsible for adjustments made for this team.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy and financial statements available upon request. The financial statements are also attached to the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Collection Agency Fees: Program service expenses 284,269. Management and general expenses 0. Fundraising expenses 0. Total expenses 284,269. Consulting Fees: Program service expenses 33,003. Management and general expenses 429,753. Fundraising expenses 0. Total expenses 462,756. Contracted Physician Fees: Program service expenses 2,198,901. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,198,901. Contracted Services: Program service expenses 5,265,784. Management and general expenses 2,864,091. Fundraising expenses 0. Total expenses 8,129,875. Provider Recruiting: Program service expenses 306,344. Management and general expenses 0. Fundraising expenses 0. Total expenses 306,344. Repair and Maintenance: Program service expenses 1,405,358. Management and general expenses 9,849. Fundraising expenses 0. Total expenses 1,415,207. Purchased Services: Program service expenses 540,027. Management and general expenses 0. Fundraising expenses 0. Total expenses 540,027.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Winona Senior Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>855 Mankato Avenue</AddressLine1Txt>
          <CityNm>Winona</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55987</ZIPCd>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Winona Health Foundation</BusinessNameLine1Txt>
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          <CityNm>Winona</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55987</ZIPCd>
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        <EIN>411879744</EIN>
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        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
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          <StateAbbreviationCd>MN</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>Emergency services</PrimaryActivitiesTxt>
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      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
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      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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          <BusinessNameLine1Txt>Winona Senior Services Inc</BusinessNameLine1Txt>
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        <InvolvedAmt>156682</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Due to/from net change in balance</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Winona Senior Services Inc</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
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        <MethodOfAmountDeterminationTxt>Due to/from net change in balance</MethodOfAmountDeterminationTxt>
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</Return>