Horizon Annual Report 2021

ImpactANNUAL REPORT 2021 SEE THE IMPACT. BE THE IMPACT. 1Annual Report 2021 •

OUR MISSION To inspire and empower our patients by providing funding for accessible and affordable health care now and into the future. Northwest McIntosh Aberdeen Isabel Bison Northeast Faith La Plant Eagle Butte Bryant Huron De Smet Lake Preston Fort Wessington Howard Eastern Thompson Springs Woonsocket Southwest Central Martin Plankinton White River Mission Yankton Alcester Southeast Elk Point Key Medical & Behavioral Dental Outreach Clinic Administration OUR VISION To establish a $25 million endowment ($2 million annually) to transform patient lives in rural communities by keeping health care locally based, where the need is greatest. 2 • Impact

On the Horizon SAVE THE 2 Mission Statement DATE 2 Map Giving Toothsday 4 Our Retiring Leader November 30, 2021 John Mengenhausen’s 38 years at the helm of Horizon 3Annual Report 2021 • 8 Rooted in Rural Program 10 ‘A Godsend’ After a 30-year battle with drug addiction, Lyle Driemeyer found hope at Horizon Health 12 Foundation Donor List 13 Financials 13 Dollars Raised 13 Contributors by Source 14 Disbursements 14 Donor Growth 14 Donor Source 15 Horizon Health Foundation Board of Directors 16 When Mom Is a Mentor Jean Thompson and Misty Rudebusch are heroes at Horizon 20 ere When You Need It The employee emergency fund provides a safety net 21 Horizon Health Care Board of Directors 22 Saved by 340B Horizon helps when prescription costs skyrocket 23 Leave a Legacy On the cover: medical director Misty Rudebusch is featured on page 16.

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Our Retiring Leader: ‘If Horizon Wasn’t There…?’ T here was a hard-working Along the way, he married Roslyn one to keep the doors open and man- carpenter in the little Miner Sletten, a young woman from Viborg. age the books until the funding runs County town of Howard in out.” the 1960s. One sad day, two John soon found good work at a city workers were in a manhole be- Sioux Falls accounting firm, but he His first lessons in health care low the street when they succumbed and Roslyn wanted to raise their came from sitting just beyond the re- to sewer gas. Both died before they family in a smaller town. In 1980 they ceptionist’s desk in Howard. “I could could be rescued, and the entire returned to John’s hometown and he hear all the conversations,” he says. “I town mourned. bought the Main Street practice of a learned about making appointments. retiring bookkeeper. I learned about Medicare and Medic- In the days that followed the ca- aid. It all started right there.” tastrophe, the carpenter did what he Mengenhausen joined the volun- could to help his town heal; he took teer fire department, became active That was 38 years ago. The door is on the role of city street superinten- in the local church and soon he and still open to patients at the Howard dent. Roslyn had three children — Jeff, Ju- medical clinic — plus there’s a dental lie and Jared. clinic down the street and another 30 ***** clinics in small South Dakota towns In 1983 the clinic manager walked that might not have health care if John Mengenhausen, that carpen- into the bookkeeping office and told John Mengenhausen had not said ter’s son, must have been paying young Mengenhausen that he was yes to serving his hometown. attention to his dad’s efforts. He left leaving for a job in Madison. “We Howard to serve in the U.S. Army, are operating on a two-year federal and then returned to South Dakota grant,” he said, “and we need some- ***** to study bookkeeping and business at Nettleton College in Sioux Falls. John Mengenhausen (opposite page) Mengenhausen will retire this year. retires this year after 38 years of grow- One of his final and most important ing Horizon Health. challenges is to help the Horizon 5Annual Report 2021 •

Health Care board of directors find impossible to operate a one-man or tors. Mengenhausen replied that he their next leader — a task none have one-woman clinic.” considered them partners, not ene- had to tackle because of his long, mies — and through the years, that groundbreaking career. Horizon staffers serve small farm attitude has garnered respect, sup- and ranch towns, reservation com- port and results for rural people. Today Horizon Health is a $30 munities and other outposts that million-plus enterprise and a major almost certainly wouldn’t otherwise Horizon has also worked with player in South Dakota health care, have a health care worker within an university medical schools in South with a service territory of 28,000 hour’s drive. Dakota, Minnesota, Arizona and Ne- square miles. braska — welcoming dental, nurs- “If Horizon wasn’t there, would ing and medical students to its rural Horizon’s mission has been to fill anybody be there?” asks Mengen- communities. “We all recognize that the gaps in health care — whether hausen, rhetorically. “That’s been my the bigger hospitals can’t have a clin- the gap is due to geography, pover- driving force. We’ve had tough con- ic in every town,” he says. The U.S. ty or something else. For example, versations at times about whether Congress also saw that in the 1980s Horizon staffers provide service to we need to close this site or that site. and began to expand the federal the youth treatment facility at Plank- Maybe we could save money if we Community Health Centers that had inton, and to communities on seven did. But to me it’s always been more originally been created to serve poor of South Dakota’s nine reservations. than that.” urban neighborhoods. But most of the 28,000 patients who Mengenhausen became involved “When we did major projects we never just as the concept came to rural really wanted to ask our communities and America. He is a founding board patients for help. But I came to believe that member and past president of the if we are truly their partners then we need Community Health Association of to encourage that spirit of giving back.” the Dakotas, as well as the Commu- nity Health Association of Mountain walked through the 32 clinic doors ***** Plains States. He also served as presi- last year are people who live and dent of the national association from work in some of the West’s most rural Mengenhausen knew intuitively that August 2001 to August 2002. places. his patients would be best served if Horizon could build relationships, His involvement and experience Every Horizon community is dif- especially with South Dakota’s “big gave him opportunities to work with ferent, but there’s a pattern to how three” health care systems — Ave- politicians and health care leaders Horizon came to serve them. “Often, ra, Sanford and Monument. “There from across the United States. It also there was a physician or dentist there were times when we had to show that led to job offers, including a chance trying to do it all,” Mengenhausen we were not their competitors,” he to serve in Washington. “Roslyn re- says. “As the town doctors grew older, says. minded me that we thought Sioux they wanted to serve their neighbors’ Falls was too big,” he laughs. medical needs but the complexity A leader from one of the systems of state and federal rules, technol- once called to ask why Horizon was He’s still the son of that carpen- ogy and insurance made it nearly making so many referrals to his doc- ter — a small town bookkeeper who couldn’t say no to an opportunity to provide health care for his friends and neighbors. ***** The challenge has never been easy. Today’s farm economy, rising pre- 6 • Impact

Roslyn and John Mengenhausen at a clinic open house in 1978 (left). Always part of HONOR the community, administrative staff and clinicians donned football and cheerleading JOHN uniforms during Howard High School’s homecoming parade in 1985 (right). Join us June miums and deductibles in the health zle — good schools, housing, restau- 4th for a insurance industry and the uncertain- rants or a pleasant walk down Main ties of federal funding are major con- Street — then you’re in trouble.” golf tourna- cerns today. Recruiting and retaining ment at the health care workers in small towns is He has also encouraged Horizon’s Howard Golf also a big responsibility. 285 workers to get involved in their Course. For communities. “Paint a house. Serve a more infor- However, Mengenhausen never felt meal. Clean a yard,” he says. “Then go mation or to the burden was all on his shoulders. beyond that and serve on the school register call “This has always been a community ef- board or the ambulance service.” (605) 772- fort,” he says. In that spirit, nearly five years ago 4553. He says Horizon’s 12-member he started the Horizon Foundation. board is the best example. Federal “For a number of years, when we did 7Annual Report 2021 • rules require that 51 percent of the major projects we never really wanted board be users of the service. “I be- to ask our communities and patients lieve 100 percent of our members use for help. But I came to believe that if Horizon,” he says, “and they truly rep- we are truly their partners then we resent our rural communities. I have need to encourage that spirit of giving a farmer, an attorney, a banker, a bar- back.” tender, an insurance agent. They are real South Dakotans.” The son of the carpenter knows how to build communities. Over the past He also finds support beyond the four decades, John Mengenhausen’s board. “We keep reminding our com- example of leadership has spread munity leaders that they have to help across rural South Dakota. That bodes us recruit and retain,” he says. “When well for the families who rely on Hori- it comes to economic development, if zon Health. you are missing any piece of the puz-

Rooted in Rural Program Horizon struggles to com- The Fund for Medical The Fund for pete nationally and within South Dakota for the very Excellence Dental Excellence limited health care provid- er resources, to be able to *Endowment of $2 million to *Endowment of $2 million to serve our local rural pop- fund $100,000/year fund $100,000/year ulations with the best and brightest practitioners. The Fund for Medical Excellence The Fund for Dental Excellence is used provides a lasting legacy to Horizon for programs that assist Horizon Health 8 • Impact Health Care communities across Care in the recruitment and retention South Dakota, and the nearly 28,000 of dentists. It is also used for other en- patients who trust them with their deavors which are deemed to ensure medical care each year. The Fund for dental excellence for our patients. Medical Excellence ensures Horizon keeps pace with the rapidly chang- The Fund for Dental Excellence Pro- ing health care environment, antic- gram helps provide a lasting legacy to ipates the community’s needs, assists Horizon Health Care, our communities across South Dakota, and the patients in the recruitment and retention of who trust us with their dental care each physicians to rural communi- year. It also enables Horizon to keep ties, and is used for other pace with the rapidly changing health endeavors to ensure care environment, and anticipates the medical excellence community’s needs. for our patients. The Fund for Professional Enrich- ment & Education *Endowment of $1 million to fund $50,000/year Horizon Health Care knows the value of investing in employee education and development. The Fund for Profession- al Enrichment and Education and the Clinical Scholarship Program help sup- port clinical and non-clinical employ- ees with educational endeavors en- abling them to reach their career goals. Recipients will be awarded with grants and scholarships toward devel- opment in their respective fields and careers. These programs will make a di- rect impact on our communities, offer- ing the assistance deserving staff needs in order to afford higher education and in developing our next generation of leaders.

“Growing up in a small rural community in THE Southwest Minnesota, I knew that coming NEED back to a rural community was something I wanted to pursue, but dental student loans For Your can be a burden and figuring out how to pay back the debt can be overwhelming. Support One of the biggest challenges in recruitment is the In the last continuously increasing student loan debt. three years, Horizon Recruitment of health professionals for rural South Dakota can paid roughly be very challenging. There have been multiple dental clinics in $500,000 for small rural communities that have had to shut their doors be- recruitment cause they were unable to recruit dentists back into their com- and retention munities. This creates challenges for members of the community, efforts especially those that are unable to travel far or are unable to specifically tied afford care elsewhere. Thank your for your interest in the new to providers. Rooted In Rural campaign to help us remove this barrier to care They need for our patients across South Dakota.” $200,000 for recruitment — Dr. Michelle Scholtz, DDS, Chief Dental Officer and retention PRAIRIE WINDS DENTAL, HOWARD efforts for providers and “I am a single mother with three kids. Without Hori- $50,000 for zon’s support I would not be able to continue my ed- the clinical ucation to obtain a Masters in Addiction Studies with recruitment program. co-occurring disorder specialization. 9Annual Report 2021 • This education will give me the tools needed to meet the growing demands in alcohol and drug prevention, education, counseling and treatment for Horizon patients. Horizon is progressive and committed to their patients. They provide rural communities with access to high-quality, affordable primary health care services and be- havioral health. I’m so grateful — thanks for believing in me!” Angela Steffensen, Licensed Social Worker DE SMET

Lyle Driemeyer, Jr. recovered from a 30-year addiction with help from Angela Steffensen, a licensed social worker at Horizon’s De Smet location. 10 • Impact

‘A Godsend’ After a 30-year battle with drug addiction, Lyle Driemeyer found hope at Horizon Health. L yle Driemeyer, Jr., was 14 years caught in a fire. He suffered severe medicine — has especially made a old when he went to an AC/ burns over 80 percent of his body. As difference. “I looked into Angela’s DC concert. As he enjoyed the medics treated him, they discovered eyes and I knew I had to trust her if music, a woman handed him a drink no pills would alleviate his pain. He’d I was going to make it. I’ve been to and a handful of pills. That moment become immune to them. other behavioral health places, but led to a 30-year battle against drug Angela’s different. She has taken the addiction, but thanks to the services He tried several treatment institu- time to just be there for me.” provided through Horizon Health, tions but kept falling into old habits. Driemeyer is well on the road to re- Then, one morning, it all changed. “I Driemeyer has been clean for covery. had blacked out and didn’t remem- more than a year, but drugs have tak- ber the night before,” he recalls. “I en a heavy toll on his mind and body. As Driemeyer became more ad- had done a lot of meth. I went into “I hurt a lot now,” he says. “The meth dicted in the weeks and years after my friend’s room and told him I was and drugs ruined my body. Some- that concert, his life began to revolve done. I couldn’t do this anymore.” times my brain is like a TV screen around drugs. He experimented with when it’s all snowy.” pain pills, heroin and cocaine, but This time, he was physically and methamphetamines became a con- mentally ready for treatment. He Driemeyer continues to take posi- stant. His outlook turned dark. learned about Horizon’s Yankton tive steps in his new life, and Angela clinic while going through treatment is right there beside him. “Angela is Driemeyer’s addiction and risky at Lewis and Clark Behavioral Health a godsend. I still have drug dealers lifestyle carried life-altering conse- in Yankton. He says the entire staff coming to my door, even though I’m quences. He served time in prison has made him feel comfortable since clean. She helps me work through it. but was still able to find drugs be- his first visit, but Angela Steffensen — They need more places like Horizon hind bars. In the midst of a particu- a licensed social worker in De Smet out there and more people like An- larly dark moment, Driemeyer was who sees Driemeyer through tele- gela.” Watch Lyle’s story here: www.horizonhealthfoundation.com/lylestory 11Annual Report 2021 •

Donors Teresa and Douglas Lange Mark and Jessica Lindskov Thanks to these wonderful donors we are able to help… Daysha Marrow Judy Martin MEMORIAL GIFTS Gary and Sue Bubbers Matt Culhane — Northwestern Mutual Ann Buckmiller Erin McCollum Circle of Friends ($100 - $249) Dannica and Barry Callies Jessica and Evan Meyer David Carmon Jenna Mikkelson In memory of Connie Pardy Kimberly and John Christensen Duane and Shirley Miller Greg and Chrysti Protsch Nancy Church Kristen and Chad Morrow Joya and Cameron Clairmont Shelby and Tanner Nash In memory of Eunice Schwader Clint and Narcel Clark National Honor Society — Howard High Greg and Chrysti Protsch Patrick and Bobbie Clark Nancy Claussen School In memory of Verna Jacobs Casey and Dr. Ashley Crabtree Laura Neises Mary Ann Kane Po Dee Andrea Nelson Amber Eggert Kathy Nelson HONOR GIFTS Harold and Debra Eggert Ku Nu Sharon and John Egleston Kristi and Albert Oliver Circle of Friends ($100 - $249) Paul and Kimberly Halverson Justin and Kandy Palmquist Theresa and Jay Hammerquist Echo and Bryce Petersen In honor of John Propin Alexander and Shawna Harkias Ross and Katie Petrick Christine Crist and Allen Dougan Leighah Hertel Lindsey and Wade Porch Todd and Julie Porch In honor of Tracy Pardy Rick and Pam Hiltunen Alex and Trisha Protsch Judith Payne and Dennis Doerr Joyce Hitchcock Dawn and Joel Rassel Taylor Hodges Tom and Darla Reisch DONORS Daniel Honomichl Katlyn and Ben Rostyne Mariah Hossle Sandra Roy Circle of Friends ($100 - $249) Krissy and Russel Johnson Jerry and Stephanie Sauder Terry and Stacy Kampsho Carol Schae er Anonymous (4) Kerry and Stacy Karlson Kevin and Ashley Schwader Vicki Aldridge James Knapp Marcia and Doyle Simon Norman Andenas and Dr. Cecelia Jennifer and Bryan Kneebone Kelli Smith Jim and Deanne Krantz Alberta Stevens Wittmayer Michael and Angel Krempges Shane and Jennifer Sto erahn Gary Anderson Beverly and Lynn Stradinger Yolanda and Hector Beltran Matt Tevald Joel Berg Dr. Nick and Alyssa Anne Thome Joan and Gary Biever Jean Thompson Marilyn Black Heidi Tobin Michele and Wayne Block Jacqueline and Cody Torkelson Anita Brick Barbara and Rollin Walter Lisa Brown Susan and Dale Westover Bobbi and Jason White 12 • Impact Michelle and Curt Wiedman Bob and Stacy Wingen Wes and Julie Wingen Bruce Wolkow Woonsocket Community Club Elizabeth and Donald Zavesky

Partners Circle ($250 - $499) Scott Vaske A View of Lisa Virchow the Horizon Anonymous (2) Jessica and Greg Weber Kimberly Ball Len and Amanda Wonnenberg We are extremely thankful for the gen- Dr. Steven and Debra Baune erosity and support of our donors, vol- Wendy and Arden Bergeleen Ambassadors Circle unteers and partners. Without you, our Becky Bertrand ($500 - $999) work would not be possible. Laura and Nicholas Bird Trent and Nicole Bruce Anonymous (2) TOTAL DOLLARS RAISED Mike and Kristi Burke Donna and Dale Beckmann Richard and Karen Butler Joshua Bosma 700000 Mark Cali Robyn and Thane Brooks Toni and Aaron Carlson Christine Crist and Allen Dougan 600000 Devon and Wesley Clubb Warren and Kim Eggert Soliris Almestica Colon Brianna Mae and Eric Feldhaus 500000 Haley Coss Dr. Gregory and Lois Gauthier Carrie and Matt Culhane Elinita Digno and Alex Haberer 400000 Debra and Joe Douglas Mary and Craig Hanson Pamela and Merle Eichstadt Melissa and Randy Hofer 300000 Brenda and Reed Engle Lorinda and Randy Holland Lori and Jon Feller Mary Honomichl 200000 Lacey Finkbeiner Diane and Kimber Inch Rosemary and Daryl Jensen James and Barbara Jessen 100000 Constance Johnson Jennalee and Beau Olsen Jacqueline Kelly Judith Payne and Dennis Doerr 0 2016 2017 2018 2019 2020 Angela and Shane Kolb Karen and Dale Pearson Recorded Revenue Production Revenue Michelle Kral Cheri Pudwill Heather Larson Joan Rice CONTRIBUTIONS Alice and Earl Maier Springs Food Market MidPrairie Appraisals LLC Diane and Terry Stangohr BY SOURCE Dennis and Connie Nelsen Luella Teveldal Amy and Steve Noonan Virginia and Terry Wingen Recorded Revenue Production Revenue Adam and Melissa Palmquist Dr. Danny Wolfgram Scott and Val Parsley (Cash & securities, (Conditional Greg and Chrysti Protsch Inspiration Circle non-cash gifts, pledges, revoca- Dennis and Linda Riegert ($1,000 - $4,999) unconditional Rob Stiehl - State Farm ble pledges) Sally and Frederick Rosin Anonymous pledges, irrevoca- Misty and Myron Rudebusch Amanda Adams and Dustin Konda ble pledges) Dave Schmidt Alcester Community Foundation Brenda Schneider Alcester Lions Club 100% .93% $4,150 Diane Schreur Dr. Tony and Kay Berg 6.45% $28,650 John and Dani Schwader James and Bernice Burg Max and Julie Schwader Dave and Lavon Callies 29.52% 100% Carla and Tim Schweitzer Melissa and Cordell Davis 80% $131,150.70 $249,781 Dan and Deb Specht Delta Dental of South Dakota Angela Ste ensen 60% Kris and Harvey Strohfus Foundation 63.1% L David Taylor Adam and Lexy Eggert Meghan Torgerson Wade and Nancy Erickson $280,350.87 Michelle Udelhoven Doug Eidahl and Catherine Friesen 40% FoxPrint Printing and Graphics HenkinSchultz 20% 0% $249,781 $444,301.57 Civic Group Foundation Business/Corp. Individuals 13Annual Report 2021 •

DONOR SOURCE Donors Innovator’s Circle ($50,000 - $99,999) Business/Corp. 8.8% Civic Group 0.6% Traci and Eric Holmquist Dream Builders Circle Foundation Jodi Jung ($100,000+) 7.1% Lindsey Karlson Tonya and Nick Koepsell Dr. Thomas and Kathy Dean Individual 83.6% Christina and Marty Konechne Drs. Lance and Ruth Lim Lifetime Giving Society DONOR GROWTH Pam Locken $5,000 - $9,999 Patrick Maroney 1200 1043 Madison Physical Therapy James and Bernice Burg 1000 923 Midstate Communications City of Woonsocket Clayton and Salina Nelson Creative Printing, Inc 800 Matthew and Paula Pardy Delta Dental of South Dakota 700 Tracy and Pat Pardy Delta Dental of South Dakota William and Lois Perrine 600 Pro Ex Extrusion, Inc Foundation Promotion and Advancement of Local Jodi Jung 400 350 Kibble Equipment Opportunities (PALO) Christina and Marty Konechne 200 Quality Quick Print Pam Locken 70 Roses Etc Midstate Communications Rusty’s Food Store Tracy and Pat Pardy 0 2016 2017 2018 2019 2020 The Rowe and Reynolds Charitable Rivers Edge Bank, FDIC Scott and Jennifer Weatherill DISBURSEMENTS Fund How we used our funds Dr. Michelle and Benjamin Scholtz $10,000 - $24,999 Ryan and Joleene Spader Community Scott and Jennifer Weatherill Alcester Community Foundation Capital Building Support — Wessington Springs Area Community First Dakota National Bank Project — $6,000 $600 Jans Corporation Foundation Drs. Lance and Ruth Lim Capital Assistance to Les and Marcia Lindskov Equipment — Employees — Impact Circle ($5,000 - $9,999) Patrick Maroney $75,466.93 $34,086.95 John and Roslyn Mengenhausen City of Woonsocket Northwestern Energy Assistance Jans Corporation South Dakota Community Foundation to Patients— Gary and Debra McKellips West River Telephone Company $28,494.07 John and Roslyn Mengenhausen Woods, Fuller, Shultz, & Smith P.C. Fundraising Expense Patient Education Humanitarian Circle $25,000 - $99,999 — $4,783.13 & Training — ($10,000 - $24,999) $1,289.97 Alliance Communications 14 • Impact Alliance Communications Golden West Telecommunications First Dakota National Bank Dale and Diane Jans Northwestern Energy SDN Communications South Dakota Community Foundation Woods, Fuller, Shultz & Smith P.C. $100,000 - $249,999 Visionaries Circle Gary and Debra McKellips ($25,000 - $49,999) Morningside Manor Corporation Golden West Telecommunications $250,000 - $499,999 SDN Communications Dr. Thomas and Kathy Dean

“At Horizon, OUR everybody will be served BOARD regardless of their ability to pay. & STAFF That’s one of the things that attracted me the most. They’re set up to help Secretary/ everyone, regardless of who you are. Treasurer Like the Smiles for Miles program — we give examinations to kids that need Pam Locken, Isabel it, because if you have poor dental Krissy Stocklin-Johnson, Faith health, it’s hard to have good Gary McKellips, Alcester health otherwise.” Jim Burg, Wessington Springs — Jim Burg Doug Eidahl, Roslyn “I live Chrysti Protsch, Howard in Sioux Falls now, but originally I was Jessica Lindskov, Isabel from Howard, so I know what Patrick Maroney, Sioux Falls affordable health care means to rural communities. They’re not going to last Board Chairman & CEO without it. Horizon Health Founda- tion raises money to keep this great John Mengenhausen, Howard service sustainable.” — Patrick Maroney Chief Philanthropy Officer Philanthropy is not about money … it's Tracy Pardy about feeling the pain of others and caring enough about their needs to help. Development Officer — Timothy Pina Brianna Mae Feldhaus Database & Development Coordinator Adam Eggert 15Annual Report 2021 •

16 • Impact

When Mom is a Mentor By Lexy Eggert As a third-generation health in Howard died from sewer gas It was there, between her math care provider, Misty Rude- while working on a street project. and history assignments, where busch was absorbing les- She says she’ll never forget how she recognized the difference sons and advice in health care the community responded to the that her mom and the clinic staff long before she began her medi- crisis. were making in people’s lives cal career. each day. That’s when Thompson’s moth- Rudebusch, Horizon’s medical er and Rudebusch’s grandmother, Inspired by the dedicated care- director, grew up watching her Jean Leary, decided to return to givers in her life, Rudebusch set mother and grandmother serve school to pursue a psychiatric off to obtain a nursing degree their friends and neighbors at the nursing career. Thompson wast- from South Dakota State Univer- local clinic. ed no time following in her foot- sity in Brookings. She received steps. In 1978, just three days her Physician Assistant (PA) de- Her mother, Jean Thompson, after her college graduation, she gree at USD’s Sanford School of learned at a young age that rural became the first full-time provid- Medicine and earned a Master’s South Dakotans have a way of er at then-Miner County Health in PA studies from the University banding together. When she was Care Center in Howard. of Nebraska. a teenager in the 1960s, her father Ed Leary and another city worker Many of Thompson’s former Following her education, patients fondly remember a Rudebusch returned to Brook- Mother-daughter duo Jean young Rudebusch at the clinic af- ings where she began her med- Thompson and Misty Rudebusch ter school doing homework and ical practice in general surgery, continue a Horizon family tradition. waiting for her mom’s shift to end. urgent care and women’s health. 17Annual Report 2021 •

“If you’ll sit and talk to people, they will tell you what’s wrong,” Jean Thompson told her daughter. “But you have to sit and give them time and listen. Sometimes it takes them awhile.” A family of clinicians (left): Jean Thompson, Jean Leary and Misty Rudebusch. Jean Leary (right) in Huron at the Bradfield Leary Center, named for her and Ella Bradfield for their work in mental health. In 2004, she once again followed in cause they are unfamiliar with med- many times, Rudebusch has carried her mother’s footsteps and returned ical terminology. Fortunately, she on the legacy that her mother creat- to her hometown of Howard to serve had the perfect mentor to turn to for ed for Horizon Health Care over 40 as a primary care provider at the lo- advice. years ago. cal Avera Clinic. “If you’ll sit and talk to people, they Thompson also instilled the idea As she began to see patients, will tell you what’s wrong,” Thomp- that being a health care provider is she remembered those times she son told her daughter. “But you have not just an 8-5 job, but a true com- watched her mom interact with pa- to sit and give them time and listen. mitment to the community. tients at the clinic or around town. “I Sometimes it takes them awhile.” recalled that people really talked to “My mother was the provider that her. She has a way of making people That advice still holds true in people knew they could turn to any open up,” Rudebusch says. “It made Rudebusch’s style of practice today. time, any place,” says Rudebusch. “I them feel good and I think it made “That was the best advice I ever re- learned at a young age that being a mom feel good. I knew I wanted to ceived from anyone.” provider in a small community may be that same provider and my pa- mean stops for advice at the grocery tients to feel the way hers did.” In 2016, Rudebusch’s medical ca- store or a phone call right at dinner. reer came full circle when she joined But that’s part of what made her spe- She also soon recognized that Horizon Health Care (formerly the cial and inspired me to be the provid- most patients struggle to articulate Miner County Health Care Center). er I am today.” their symptoms to caregivers be- Back within the same walls where she had observed her mother so Even with her new duties as med- 18 • Impact

Jean Thompson (left) imparted many health care lessons to her daughter, Misty NEXT Rudebusch, and often led by example. “People really talked to her,” Rudebusch GENER says. “She has a way of making people open up. It made them feel good.” ATION HEALTH ical director, she still follows her have a much greater access to health mother’s advice and gives patients care, but Thompson notes that in ru- A donation the time to share their story. ral South Dakota there are usually no to the alternatives. If Horizon’s caregivers “I’ve never had anyone at Horizon were not there, there’d likely be no Fund for say we’re spending too much time one. Professional with patients,” she says. “If a patient Enrichment calls and says, ‘I need to see you to- “Horizon fulfills a real need,” she and Educa- day,’ then I’ll see them today.” says, and the Horizon Health Foun- dation makes the mission possible tion helps Thompson has also found her way by helping with charity care, educa- Horizon back to Horizon and is able to con- tion, screening programs and equip- employees tinue the work she started in her ear- ment purchases for the rural clinics. reach their ly days. The legacy that began with career goals. her mother has also impacted the Thompson and Rudebusch find it next generation in her family, with especially rewarding to work togeth- 19Annual Report 2021 • one granddaughter (Rudebusch’s er as mother and daughter at Hori- niece) being a nurse at a local hos- zon — but both note that the almost pital and another granddaughter 300 staff members, though spread (Rudebusch’s daughter) pursuing throughout South Dakota, share a her doctorate in physical therapy. mission that bonds them like family. Thompson says she’s proud of all It’s a mission that both ladies have the caregivers and team members helped build and will continue to in- across Horizon Health Care’s 22 fluence in the years to come. communities. People in urban areas

Heidi Tobin lives on a farm south of De Smet with boyfriend Kyle Hapney and her boys, Ryder Tobin (4) and Ace Hapney (1). THERE WHEN YOU NEED IT The employee emergency fund provides a safety net UNEXPECTED BILLS can be crip- port of the Horizon Health Foundation and other donations. Any full- or part- pling for South Dakota families who don’t time employee of Horizon Health who have funds readily available. But Horizon has been employed for at least six months Health’s Employee Emergency Fund pro- and faces a time of unexpected financial vides a safety net that helps sta mem- hardship is eligible to apply for $500. bers navigate those stressful situations. “That gave me a good portion of my car payment,” says Tobin, who has been with Heidi Tobin, who works as Horizon Horizon for nearly five years. “It was a big Health’s human resources assistant in relief. I am definitely one of those South Howard, had just given birth to a little boy. Dakotans who don’t like to ask for help. It As she and her boyfriend, Kyle Hapney, was a big step for me, but it’s just a relief worked to pay the medical bills, her car to know that it’s out there when we need began having problems. “It was going to it. I’m grateful.” be a $1,200 repair and they needed most of that money before I could take my car In 2020, the Horizon Health Founda- o the lot,” Tobin says. tion awarded $11,500 from its Employee Emergency Fund to 23 employees. So, she turned to the Employee Emer- gency Fund, maintained through the sup- 20 • Impact

COMMUNITY HEALTH CENTER Board Chair Board of Directors Ryan Jensen, Wessington Springs Years on Board: 1 Horizon Health Care’s current board of directors boasts a strong history of health center knowledge, with 152 years of combined Immediate Past Chair service as health center board members. Samantha Plank, Mission HORIZON is Years on Board: 8 governed by a volunteer community board of directors. e Board Vice-Chair 12 board members are health center pa- tients that represent the communities and Brenda Schneider, McIntosh Years on Board: 17 populations served. Secretary Health center governing boards hold regularly scheduled monthly meetings and hold the authority Echo Petersen, Plankinton of establishing/approving policies regarding the con- Years on Board: 22 duct of the health center and its employees. Other responsibilities include: oversight of the Chief Ex- Treasurer ecutive Officer, approval of budget and oversight Jess Lindskov, Isabel of financial management practices, and en- Years on Board: 3 suring the health center is operating in compliance with federal, state and Sally Rosin, Bryant local laws and regulations. Years on Board: 22 What At least Jerry Miller, Burbank makes a Years on Board: 8 CHC board 51% unique? Dennis Nelsen, Elk Point of Horizon’s board members Years on Board: 5 must be patients served by Horizon, and must, as a group, Tristin Gruenhagen, De Smet represent the individuals who are Years on Board: 24 served by Horizon in terms of demographic factors, such as Romana Olivo, Huron Years on Board: 2 race, ethnicity and gender. Margie Larson, Woonsocket Years on Board: 21 Dave Schmidt, Lake Preston Years on Board: 19 21Annual Report 2021 •

The Meyer family includes (back row, left to right) Jeremy and Jeramiah; (middle, left to right) Georgia, Danielle and Brent; (front, left to right) Wyatt, Morgan, Terrance and Bethany. SAVED BY 340B Horizon helps when prescription cost skyrocket MILLIONS OF AMERICAN adults are at uninsured patients through partnerships with local pharmacies in and around South Dakota. It high risk for type 2 diabetes, a disease in which dropped the prices of Meyer’s prescriptions to the body struggles to convert glucose into energy just $8 a month. It was a potentially lifesaving because its cells have grown resistant to insu- move for the stay-at-home mother of seven. lin, the chemical produced in the pancreas that “Otherwise there’s just no way I’d be able to take makes the process happen. Type 2 diabetes runs my medicines,” she says. “I couldn’t a ord them.” in Danielle Meyer’s family, so it wasn’t a com- plete surprise when she was diagnosed in 2012 at Meyer regularly sees Leonard Wonnenberg age 28. What was surprising was the staggering PA-C at Horizon’s James Valley Community cost of medicines required to treat the illness. Health Center in Huron. He’s working with Her doctor ordered two prescriptions, each Meyer to create a plan that’s helping keep her of which cost $550 a month. With no health blood sugars in control. “He’s great,” Meyer says. insurance, Meyer turned to Horizon Health and “He’s got answers to all of my questions, and if he its 340B Prescription Drug Program, a federal doesn’t know he finds out. We’ve worked out a assistance program that allows Horizon to o er diet and exercise plan, and with a little boost from discounted medications to underinsured and the medicine it’s been working well so far.” 22 • Impact

WHAT LEGACY FIVE WILL YOU LEAVE? YEARS OF GOOD Do you believe in keeping rural HEALTH health care in South Dakota The Horizon Health and your community? Foundation One of the easiest ways to do that is celebrates by putting a gift in your will. its birthday on May 16, Bequests Are One of the 2021. Easiest Gifts to Make. 23Annual Report 2021 • With the help of an advisor, you can include language in your will or trust designating the “Horizon Health Foundation” as beneficiary. There are several ways to make a gift to benefit rural health care in your will or trust: • A Dollar Amount • A Percentage of Your Estate/Assets • A Specific Asset • The Residual of Your Estate The Benefits of Making A Charitable Bequest A charitable bequest allows you to make a meaningful and lasting impact for health care in your rural community. A bequest may also be an effec- tive way to lessen the burden of taxes on your family and estate. Whether you wish to provide unrestricted support or have your estate gift directed to a specific program, area, or your community clinic, our office can work with you to ensure your intentions are honored. Other Options: IRAs and Insurance Policies Retirement assets like an IRA or 401(k) are excellent options to help you fulfill your charitable intentions. In some circumstances, retirement as- sets left to family will be significantly depleted through estate and income taxes. By designating the “Horizon Health Foundation” beneficiary of all or part of your IRA, the full value of the gift is transferred to the Founda- tion tax free at your death and your estate receives a charitable deduc- tion. Designating the “Horizon Health Foundation” beneficiary of all or a portion of a life insurance policy is another easy option. For more information on the benefits of making a charitable bequest or for sample bequest language to complete your charitable plan, please visit our website at: https://horizonhealthfoundation.com/donate/life- time-legacy or call Tracy Pardy today at (605) 772-5902.

125 S. Main Street, Howard, SD 57349 HorizonHealthFoundation.com (605) 772-4553 What is a COMMUNITY HEALTH CENTER? Community Health Centers are nonprofit, community-driven primary care clinics that provide high-quality pri- mary and preventive care to all individuals, regardless of their insurance status or ability to pay. Health Cen- ters are located in underserved and low-income urban and rural areas, providing access to affordable, quality health care for those who need it most. The centers serve as essential medical homes where patients find services that promote health, diagnose and treat disease, and manage chronic conditions and disabilities. Health Centers serve all populations with limited access to health care: Rural and frontier areas • Veterans • Uninsured • Medicare • Medicaid Limited English proficiency • Low-income In rural communities, health centers support a community’s ability to retain local health care options, supporting access to health care where rural Dakotans live and work.