2024-11-15T15:20:50-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-01-01 460350240 PRAIRIE LAKES HEALTHCARE FOUNDATION PRAI 6058827718 401 9TH AVENUE NW WATERTOWN SD 57201 LYNN SEVERSON CFO 6058827718 2024-11-14 1 0 RYAN M STRUSZ P01604381 6123764500 2024-11-14 2023 2024-10-15 13:58:12Z LISA DAHL 401 9TH AVENUE NW WATERTOWN SD 57201 601564 0 1 X WWW.PRAIRIELAKES.COM X 1978 SD TO RAISE FUNDS TO SUPPORT AND ADVANCE THE HEALTH SERVICES AVAILABLE TO THE WATERTOWN, SD AREA. 12 11 0 50 0 0 154786 190582 0 0 154591 231710 5997 79988 315374 502280 121247 315838 0 0 124223 143741 0 0 0 56450 54223 301920 513802 13454 -11522 5170385 5300211 57766 61938 5112619 5238273 X HEALTHCARE IS A VITAL COMPONENT OF A COMMUNITY'S QUALITY OF LIFE. PRAIRIE LAKES HEALTHCARE FOUNDATION EXISTS TO RAISE FUNDS WITH WHICH TO SUPPORT AND ADVANCE THE HEALTH SERVICES AVAILABLE TO THE WATERTOWN AREA THROUGH PRAIRIE LAKES HEALTHCARE SYSTEM. 0 0 262559 262559 THE FOUNDATION PROMOTES COMMUNITY HEALTH AND WELLNESS EDUCATION TO PROMOTE THE WELL-BEING OF THE GENERAL PUBLIC. THE FOUNDATION DISTRIBUTES THE NET ASSETS TO ACCOMPLISH THE OBJECTIVE IDENTIFIED ABOVE. THE FOUNDATION RECENTLY PREPARED A SPENDING PLAN TO CONTRIBUTE TO VARIOUS PROJECTS IN THE NEXT YEAR. 42645 42645 THE SUZANNE JACOBSON MEMORIAL FUND (SJMF) WAS ESTABLISHED IN HONOR OF A WATERTOWN PHYSICIAN ASSISTANT, SUZANNE JACOBSON. SUZANNE SPENT HER ADULT LIFE INVOLVED IN THE HEALING ARTS. THROUGH HER HEALTHCARE CAREER SHE POSITIVELY IMPACTED THE LIVES OF MANY PEOPLE THOUGH HER CARE, CONCERN AND PROFESSIONALISM. SUZANNE LOST A LONG BATTLE WITH CANCER IN 1998. HER FAMILY AND FRIENDS ESTABLISHED THE SJMF AS A WAY TO CONTINUE HER CARING BY HELPING PEOPLE WITH A LIFE THREATENING ILLNESS THAT FACE MEDICAL FINANCIAL STRESS. SINCE ITS INCEPTION IN 1999, THE SJMF HAS PROVIDED APPROXIMATELY $524,091 THROUGH 881 GRANTS. THESE GRANTS ARE DISTRIBUTED THROUGHOUT A 10 COUNTY SERVICE AREA IN NORTHEAST SOUTH DAKOTA AND NORTHWEST MINNESOTA.THROUGH THIS SPECIAL MEMORIAL FUND, $500 OR $1,000 IS AVAILABLE TO INDIVIDUALS MEETING FUND CRITERIA. AN INDIVIDUAL MUST HAVE A LIFE THREATENING ILLNESS AND MEET FINANCIAL NEED TO RECEIVE A GRANT. THE SUZANNE JACOBSON MEMORIAL FUND (SJMF) CAN ASSIST WITH FUNDS FOR EXPENSES SUCH AS MEDICAL BILLS, TRANSPORTATION COSTS, GROCERIES, RENT, MEDICATIONS, AND UTILITIES. EACH APPLICANT MUST COMPLETE AN APPLICATION, WHICH IS REQUIRED BY LAW. A COMMITTEE VOTES ON WHO RECEIVES A GRANT BASED ON NEED AND ELIGIBILITY. NON-IDENTIFYING APPLICANT INFORMATION IS PRESENTED TO COMMITTEE MEMBERS AND STRICT CONFIDENCE IS EXERCISED THROUGHOUT THE SELECTION PROCESS.THE SJMF DESIGNATES A WEEK IN JUNE AS YELLOW ROSE WEEK IN WATERTOWN AND SURROUNDING COMMUNITIES SUCH AS MILBANK, SISSETON, CLARK, CLEAR LAKE, SOUTH SHORE AND WAVERLY. VOLUNTEERS SELL YELLOW ROSES TO RAISE MONEY FOR THIS FUND. YELLOW ROSE WEEK IS THE PRIMARY MEANS OF FINANCING THE SJMF. DURING YELLOW ROSE WEEK OTHER FUNDRAISERS MAY OCCUR. 10634 10634 THE FOUNDATION SUPPORTED THE CANCER CENTER, KIDNEY DIALYSIS, CHRISTY KINNEY "PAY IT FORWARD AND CARING CLUB HOUSE THIS YEAR WITH SEVERAL GRANTS. 0 0 0 THE BASH (BUILDING A SUPERIOR HOSPITAL) GALA EVENT IS HELD ANNUALLY. A PARTICULAR CAUSE IS SELECTED TO RAISE MONEY FOR RELATED TO IMPROVING AND ENHANCING HEALTHCARE SERVICES THROUGH PRAIRIE LAKES HEALTHCARE SYSTEM. THIS EVENT IS PARTIALLY SUPPORTED THROUGH DONATIONS AND IS COORDINATED BY THE OFFICE OF THE FOUNDATION AND A COMMITTEE OF PRAIRIE LAKES HEALTHCARE SYSTEM VOLUNTEERS AND COMMUNITY INDIVIDUALS. BASH CAUSE FOR 2023 WAS KIDNEY DIALYSIS 0 0 0 315838 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X LYNN SEVERSON 6058827718 401 9TH AVE NW WATERTOWN SD 57201 X RIED HOLIEN VICE PRESIDENT 1.00 X X 0 0 0 MICHAEL JOHNSON SECRETARY/TREASURER 1.00 X X 0 0 0 CARINA LITTLE DIRECTOR 1.00 X 0 0 0 CHRIS CARTER DIRECTOR 1.00 X 0 0 0 JOHN HOLLEY DIRECTOR 1.00 X 0 0 0 CLARK LIKNESS MD DIRECTOR 1.00 X 0 0 0 PAM RAEDER DIRECTOR 1.00 X 0 0 0 JOSH HOGUE DIRECTOR 1.00 X 0 0 0 VICTORIE KINGSLIEN DIRECTOR 1.00 X 0 0 0 PAUL MACEK EX OFFICIAL 1.00 X 0 0 0 DAN RADERSCHADT EFFECTIVE 3123 PRESIDENT 1.00 X X 0 0 0 JEFFREY BRINDLE MD TERM END 3123 DIRECTOR 1.00 X 0 0 0 JOHN ALLEN EX OFFICIAL 1.00 X 0 0 0 TIM TOOMEY DIRECTOR 1.00 X 0 0 0 LUANN STRAIT DIRECTOR 1.00 X 0 0 0 LISA DAHL EXECUTIVE DIRECTOR 40.00 X 0 0 0 0 0 0 0 0 0 0 0 16785 173797 190582 99878 99878 146973 15141 131832 131832 131832 114066 16785 42402 71664 71664 50065 41741 8324 8324 502280 0 0 311698 264069 264069 51769 51769 129754 129754 13987 13987 23414 23414 5186 5186 5266 5266 9472 9472 1062 1062 8929 8929 DUES, BOOKS, SUBSCRIPTI 894 894 513802 315838 197964 0 9784 18107 711495 704710 344600 309614 43915 34986 4383395 4533343 21796 9065 5170385 5300211 57766 61938 57766 61938 X 4324036 4312514 788583 925759 5112619 5238273 5170385 5300211 -11522 137176 0 X 0 0 0 X 225539 203084 217568 154786 190582 991559 225539 203084 217568 154786 190582 991559 991559 58453 51421 55844 83519 99878 349115 11112 11112 1351786 180938 0.73350 0.74330 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING EVENT REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 344600 309614 34986 34986 BASH 130851 16785 114066 3500 1347 18805 2250 16500 130851 16785 114066 3500 1347 18805 2250 16500 42402 71664 1 PRAIRIE LAKES HEALTHCARE SYSTEM INC 401 9TH AVE NW WATERTOWN SD 57201 460391067 501(C)(3) 264069 0 GENERAL OPERATIONS 1 0 CHRISTY KINNEY "PAY IT FORWARD" 2 4574 SUZANNE JACOBSON MEMORIAL 5 42645 CARING CLUB HOUSE 13 4550 PART I, LINE 2: THE FUNDS ARE GENERALLY TRANSFERRED AFTER THE HOSPITAL HAS ALREADY PAID FOR THE DESIGNATED PROJECT. THE FUNDS GENERALLY DON'T COVER THE TOTAL COST OF THE PROJECT. WE MONITOR THE INVOICES ASSOCIATED WITH THE PROJECT, SO THEY AREN'T FUNDING MORE THAN THE COST. THE FOUNDATION DOES NOT MAKE DONATIONS DIRECTLY AVAILABLE TO INDIVIUDALS QUALIFYING FOR ASSISTANCE, INSTEAD CHECKS ARE MADE OUT TO PHARMACIES, LANDLORDS, GROCERY STORE/GIFT CARDS, POWER COMPANIES, GAS STATION CARDS, MORTGAGE COMPANIES, FUNERAL HOMES, ETC. IN ORDER TO ENSURE FUNDS ARE COVERING THE ASSISTANCE REQUESTED AND APPROVED. IN ORDER TO RECEIVE ASSISTANCE FROM THE FUND, RECIPIENTS FILL OUT AN APPLICATION, WHICH IS THEN REVIEWED BY THE SJMF COMMITTEE AND APPROVED OR DENIED. 0 0 0 0 0 0 0 0 0 FORM 990, PART VII, SECTION A, LINE 5: LISA DAHL, EXECUTIVE DIRECTOR, IS COMPENSATED BY AN UNRELATED ORGANIZATION (PRAIRIE LAKES HEALTH CARE SYSTEM, INC.) FOR SERVICES RENDERED TO PRAIRIE LAKES HEALTHCARE FOUNDATION. DURING CALENDAR YEAR 2023, LISA DAHL HAD REPORTABLE COMPENSATION OF $81,450.39. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE FOUNDATION. THE FUNCTION AND POWERS OF THE EXECUTIVE COMMITTEE SHALL ACT IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD AND SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL ADVISE AND COUNSEL SUPPORT STAFF ON SPECIAL ISSUES THAT MAY ARISE IN CONNECTION WITH THE FOUNDATION. ONE FOUNDATION BOARD MEMBER IS ALSO A MEMBER OF THE PRAIRIE LAKES HEALTHCARE SYSTEM BOARD OF DIRECTORS AND IS APPOINTED BY THE SYSTEM BOARD. FORM 990, PART VI, SECTION A, LINE 7A ONE FOUNDATION BOARD MEMBER IS APPOINTED BY THE PRAIRIE LAKES HEALTHCARE SYSTEM BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM WAS REVIEWED BY THE CFO IN DETAIL, UPON APPROVAL, IT WAS THEN SHARED ELECTRONICALLY WITH THE BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST WILL BE DEEMED TO EXIST WHENEVER AN OFFICER OR DIRECTOR IS IN THE POSITION TO APPROVE OR INFLUENCE FOUNDATION POLICIES OR ACTIONS WHICH INVOLVE OR ULTIMATELY HARM OR BENEFIT FINANCIALLY (A) THE INDIVIDUAL; (B) ANY MEMBER OF HIS IMMEDIATE FAMILY, (C) ANY ORGANIZATION IN WHICH HE OR AN IMMEDIATE FAMILY MEMBER IS A DIRECTOR, OFFICER, MEMBER OR HAS A SUBSTANTIAL FINANCIAL INTEREST. SERVICE ON THE BOARD OF ANOTHER NOT-FOR-PROFIT CORPORATION DOES NOT CONSTITUTE A CONFLICT OF INTEREST AND EMPLOYMENT BY THE PRAIRIE LAKES HEALTHCARE SYSTEM BOARD OF DIRECTORS SHALL NOT CONSTITUTE A CONFLICT OF INTEREST. AN OFFICER OR DIRECTOR SHALL DISCLOSE A CONFLICT OF INTEREST (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING HIS/HER DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE, (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT, AND (C) AS SOON AS POSSIBLE AFTER THE OFFICER OR DIRECTOR LEARNS OF THE CONFLICT. THE OFFICER OR DIRECTOR WITH THE CONFLICT SHALL ABSTAIN FROM VOTING ON ANY MATTERS FOR WHICH THE CONFLICT EXISTS AND THE REASON FOR THE ABSTENTION SHALL BE NOTED IN THE MINUTES OF THE MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.