Impact Report_2018 - Online

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Wow, what a year all because of YOU! We have seen significant growth throughout the past two years since our incorporation as a non-profit. YOU are one of 700 donors that joined the Horizon Health Foundation. Together with your gifts, we helped 180 patients in our rural/frontier and urban communities. 700 donors 180 patients helped 8 patients received a lifesaving colonoscopy 27 families helped through the Charity Care program 103 gas cards disbursed to help patients get to and from appointments 6 employees helped through our Employee Emergency fund Our Impact Goal in 2019 is to double the number of people we can help in our rural, frontier and urban communities. *2018 helped 180 patients 2018 IMPACT CONTRIBUTORS 1 Content: Tracy Pardy, Adam Eggert, & Lexy Eggert Design & Layout: Laura Bird

OUR MISSION is to inspire and empower our patients by providing funding for accessible and affordable health care now and into the future. OUR VISION is to establish a $25 million endowment ($2 million annually) to transform patients lives in rural communities by keeping health care locally based, where the need is greatest. “As we express our gratitude, we must never forget that the I’m energetic, inspired, passionate and engaged. highest appreciation is not to utter words, but live by them.” I don’t just raise money; I want to create change -John F. Kennedy that transforms our communities, our patients, and our clinics. You are 1 of 700 donors that made an The Horizon Health Foundation is pleased to present our impact to 180 patients in our rural South Dakota 2018 Annual Report. As we enter 2019, we are inspired by communities in 2018. We have much work to do in the enthusiasm and generosity of our donors and partners each of our communities with a goal of doubling the and we are grateful for the opportunities to make a difference number of patients to help in 2019 to 360! in the communities we serve. I’m excited to share that Horizon Health Care Everyone has a story. Throughout the year I had the approved the new position of Fundraising Officer. opportunity to meet with donors and I’m privileged to hear With her passion and knowledge of our organization, how Horizon has touched each one. Some donors gave to we are excited to introduce Brianna Feldhaus for Horizon because they were patients at one time. Others the position. Brianna is excited to connect with our gave in honor of the care a friend or loved one received. donors and continue to focus on our annual giving Still, others gave because they were inspired by a story programs to meet the needs of our patients. I will they heard of the care received by a community member or continue to build relationships with all of you while because they want quality affordable health care to remain focusing on our VISION so together we can ensure in their community. Donors make possible our daily work of our communities have healthcare now and into the improving the quality of life in our community for so many future. people; we are grateful to you all. It is with gratitude for you, that I say thank you for all “I have one life and one chance to make it count for you have done so we can continue our mission of something. My faith demands that I do whatever I can, inspiring and empowering our patients by providing wherever I am, whenever I can, for as long as I can with funding for accessible and affordable health care. whatever I have to try to make a difference.” -Jimmy Carter Sincerely, Thank you, John Mengenhausen Tracy F. Pardy CEO, Horizon Health Care Executive Director Board Chairman, Horizon Health Foundation Horizon Health Foundation 2

WHAT AN AMAZING YEAR WE’VE HAD! The Jans Family Dale, Diane, Stacey & Brian In July 2018, we celebrated a Grand Opening & Ribbon Cutting ceremony in our new building in Howard, SD. We are forever grateful to the Jans Family for their donation of a permanent home for the Foundation to grow in! HDoarikzootnasLtiaefuftaerneapnitcGtuorevedrwnoitrhMfoartmt MericShoeulsth. 3

HORIZON NURSE SAVES TWO LIVES...GAINS A FAMILY Sharon Egleston, a nurse at Horizon’s Mission Community Health Center has touched many lives over the course of her career. However, one of those lives recently brought her the most rewarding experience she could’ve dreamed of – a new daughter, Zoe. One day, the clinic received a call from the local shelter stating that they had a young woman who was pregnant and in need of OB care, but had no means of payment. Sharon asked for her to come in and take a pregnancy test, so she could apply for Medicaid, which she agreed to. Through funds available from the Horizon Health Foundation, the patient “My husband and I will be was able to establish eternally grateful because an OB care plan with the Mission Community we now have a beautiful, Health Center team. healthy, and loved baby girl. During her visits, she began to share her In our opinion, God used the story. A victim of human Foundation and Horizon to trafficking, this young bring us our daughter so that woman knew that she we could start a family. I don’t didn’t want to have an think I could ever thank them abortion, but could not enough for this precious gift.” face keeping the child -Sharon Egleston IMCT“O’OHSMTOAHEWSEMERTIVRHOEAOYRCOOLDUE,.” due to the trauma she had sustained. Personally, Sharon and her husband have struggled with infertility and miscarriages for years and had begun to research adoption. As the young woman was reviewing her own options and looking for the best possible future for her unborn child, a worker at the shelter informed her that the nurse, who had been caring for her at the clinic, and her husband were unable to have children and may be interested in adoption. During her next visit to the clinic, the young woman approached Sharon and asked if her and her husband would like to adopt her baby. Shocked at the turn of events, Sharon discussed with her husband and they agreed that they wanted to pursue the adoption. Now, months later, the Eglestons are eternally grateful for the beautiful daughter they have been given – only because a patient was able to receive the care she needed through Horizon Health Care and the Horizon Health Foundation. 4

HORIZON EMPLOYEES RAISE NEARLY $125,000 IN 3 YEARS In October 2018, OF HEALTHCARE EMPLOYEES, THEthe Horizon Health Foundation kicked off HEART their third Employee Giving Campaign, “Growing for Good.” Through this campaign, Horizon Health Care employees across the state were challenged to raise $45,000. Employees shattered last year’s total of $43,000 and raised over $48,000. Since launching the Employee Giving Campaign in 2016, total contributions have exceeded over $124,000. All donations raised through the employee campaign will be designated to the Horizon Health Foundation’s funds of behavioral health, dental care, cancer care, charity care, diabetes, employee emergency, service area clinics, and the Horizon Impact – our greatest needs fund. Donations raised will be used to benefit Horizon’s patients and local clinics in these fund areas. The annual Employee Giving Campaign is led by a committee made up of Horizon employees from across the organization. Lacey Finkbeiner of Isabel, SD, is one of the individuals who has been involved since the first campaign. “Being a donor and committee member of the Horizon Health Foundation has been a true enlightening experience since day one,” said Finkbeiner, Clinical Informatics Coordinator. “Knowing the impact of my donation to help a child receive dental care, a woman to receive an annual wellness exam, or a patient offered the means to get them to their specialist appointment helps ease my comfort of mind that Horizon is truly working to keep our communities well. To see the passion of the organization and employees within Horizon is truly a blessing to each and every one of our communities.” EMPLOYEE GIVING $46,673 CASH PLEDGES $38,926 $32,134 $1,645 $4,405 $1,095 CY17 CY18 CY19 5

FOUNDATION PARTNERS WITH FIRST BANK & TRUST The Horizon Health The Horizon Health Foundation has two endowment types Foundation is poised and for donors to invest in: ready to begin making a big Named Endowments & The Horizon IMPACT Endowment impact across our state. We are very happy to partner A Named Endowment is a donor-established fund of cash, with First Bank & Trust to securities or other assets that provides income for the maintenance manage our endowment of programs, services or activities of Horizon Health Foundation funds. to support Horizon Health Care. patient programs. A gift of ten thousand dollars is the minimum required amount to establish a In the fall of 2018, the Foundation board began working with Adam named endowment, however, this amount may be achieved in any appropriate manner over a period of five years. Donors may Dentlinger, Chief Investment Officer. We approved our Investment designate particular areas for expenditure of the earnings of a named endowment, consistent with fulfillment of the mission. Policy, and held a brief education The Horizon IMPACT Endowment is the Foundation’s unrestricted session on investing mutual funds fund. Gifts of any size may be made to the Horizon IMPACT Endowment fund, and the income of which may be used for equipment, for the long term. Adam has over programming, capital needs, operational expense, or other stated uses, as determined by the Horizon Health Foundation Board. a decade of service in the wealth These funds may be contributed by way of an individual gift, estate or management industry. First Bank trust gift, corporate gift, memorial or honor fund (as a collection of gifts) or a special event. & Trust has a team of 14 wealth A named endowment is a great way to memorialize a loved one or leave management advisers managing a lasting legacy. You can create criteria on how your dollars are spent. over $1.6B in assets and serving over 80 nonprofits. All of this together with the fact that their rates are very fair, is what led the Horizon Health Foundation Board of Directors to choose First Bank Adam Dentlinger & Trust to manage our assets. Chief Investment Officer Your planned gift to one of our endowments can replace your current giving! Estate Gift Amount Endowed Payout Rate Replaces Annual Gift of (estimated) $25,000 = $1,000 Annual Distribution $50,000 x4% = $2,000 Annual Distribution $75,000 x4% = $3,000 Annual Distribution $100,000 x4% = $4,000 Annual Distribution $250,000 x4% = $10,000 Annual Distribution $500,000 x4% = $20,000 Annual Distribution $1,000,000 x4% = $40,000 Annual Distribution x4% Please remember Horizon Health Foundation in your will and please notify us when you do. Leave a lasting mark through an endowment that leaves the world a better place. You can make all the difference! To learn more, please contact Tracy Pardy at 605.772.4553 or [email protected]. 6

DISTRIBUTIONS & FUNDS...THANK YOU! We are extremely thankful for the generosity and support of our donors, volunteers and partners. Without you, our work is not possible! HORIZON HEALTH FOUNDATION FUNDS $414,504.89 CASH & PLEDGE GIFTS Horizon IMPACT $38,814.44 Greatest needs of Horizon Health Care CASH PLEDGES patients (Unrestricted) Behavioral Health $1,663.00 Assists with education, care & support Cancer Care $27,025.59 $111,535.01 $69,122.45 Primarily assists with cancer screenings, $93,393.00 treatment, and education including breast, colorectal, prostate, and other screenings Charity Care $2,827.50 Provides support for those unable to pay for CY18 CY17 medically necessary care and associated costs Dental Care $11,399.00 Assists with greatest needs of dental patients including treatment, equipment, and education Diabetes $2,702.00 HOW WE USED OUR FUNDS Covers services such as diabetes education, diabetic prescriptions, and supplies Employee Emergency $12,260.39 2018 Provides financial assistance to employees Assistance to Fundraising Patients Expenses experiencing a hardship $7,413.02 $36,390.50 ENDOWMENTS $10,000.00 $100.00 Maroney Family Endowment Horizon IMPACT Endowment CLINIC FUNDS Greatest needs for community clinic Capital Item Donations Alcester $307,175.00 $6,000.00 Aurora County $609.00 Education & Training Bryant $335.00 $3,125.00 Assistance to De Smet $600.00 2017 Employees $2,500.00 Eagle Butte $35.00 Capital Item Assistance to Donations Patients Elk Point $11.00 $37,798.00 $2,653.00 Faith $418.22 Fundraising Expenses Howard $1,333.33 $2,227.43 Isabel $8,080.00 James Valley $973.00 Jerauld County $1,185.00 Lake Preston $879.00 Mellette County $100.00 Mission $45.00 McIntosh $575.50 Woonsocket $50.00 *If your community clinic is not listed, it is because no one from that community has designated their funds to starting one. Contact us if you would like to designate your dollars to starting a fund in your community. 7 *Balance as of December 2018

CELEBRATING OUR PARTNERS...THANK YOU! WE ARE THANKFUL TO YOU, ONE OF OUR 700 DONORS, FOR YOUR SUPPORT. Gifts to the Horizon Health Foundation support Horizon Health Care’s work in the communities we serve and around the state of South Dakota. It takes just one person to change one life! Horizon Health Foundation Donors by Region Northwest McIntosh Donors - 74 Isabel La Plant Aberdeen Bison Eagle Northeast Faith Butte Donors - 43 Bryant Huron De Smet Lake Preston Eastern Donors - 387 Fort Wessington Woonsocket Thompson Springs Howard Southwest White River Plankinton Southeast Donors - 36 Mission Donors - 33 Central Martin Donors - 87 Yankton Alcester Elk Point Other SD Locations Out of State 8 Donors - 23 Donors - 17

CELEBRATING OUR PARTNERS...2018 DONORS Individual Donors Bradley Sneesby Ambassadors Circle Wayne and Vicki Soren ($500 - $999) Circle of Friends Katie and Nathan Stearns ($100 - $249) Kris and Harvey Strohfus Anonymous L. David Taylor Amanda Adams Anonymous (2) Leland and Jean Thompson Robyn and Thane Brooks Yolanda and Hector Beltran Heidi Tobin Dave and Lavon Callies Dr. Tony Berg Scott Vaske Larry Gauger Thomas Bielawski Lisa Virchow Melissa and Randy Hofer Joan and Gary Biever Mike Warne Lindsey Karlson Laura and Nicholas Bird Bobbi and Jason White Tonya and Nick Koepsell Janelle Bridges Michelle and Curt Wiedman Tracy and Pat Pardy Dannica and Barry Callies Nancy and Glen Wienk William and Lois Perrine Katie and Aaron Callies Wes and Julie Wingen Cheri and Scott Pudwill Patrick and Bobbie Clark Leonard and Amanda Wonnenberg Joan Rice Devon Clubb Kimberly and Shane Sumpter Jeffrey Davis Partners Circle Brent and Nancy Thiel Michael and Tara Eggleston ($250 - $499) Virginia and Terry Wingen Pamela and Merle Eichstadt Janell and Jay Yohner Roberta Elkins Donna and Dale Beckmann Mark and Julie Fickbohm Wendy and Arden Bergeleen Inspiration Circle Troy and Kristin Fox Joshua Bosma ($1,000 - $4,999) Catherine Friesen Richard and Karen Butler Stacy Giblin Christine Crist and Allen Dougan Dr. Steven and Debra Baune Harlan and Maysel Goltz Melissa and Cordell Davis Jim and Bernice Burg Paul and Kimberly Halverson Debra and Joe Douglas Adam and Lexy Eggert Mary Hawbecker Sharon and John Egleston Wade and Nancy Erickson Geralyn and William Hahne Brenda and Reed Engle Traci and Eric Holmquist Shaylee Hill Brianna and Eric Feldhaus Jodi Jung Jeremy and Renee Hinker Lori and Jon Feller Christina and Marty Konechne Lorinda and Randy Holland Lacey Finkbeiner Drs. Lance and Ruth Lim Scott and Kim Jensen Mary and Craig Hanson Pam Locken James Knapp Rosemary and Daryl Jensen Clayton and Salina Nelson Amanda and Robby Kohnen Kris and Russel Johnson Dr. Michelle and Benjamin Scholtz Janet and Richard Kolousek Angela and Shane Kolb Ryan and Joleene Spader Jerry and Pauline Krogman Michelle Kral Scott and Jennifer Weatherill Todd and Sukyung Lee Alice and Earl Maier Les and Marcia Lindskov Kathy Nelson Impact Circle Mark and Jessica Lindskov Amy and Steve Noonan ($5,000 - $9,999) Karen and Darcy Mickelson Judith Payne and Dennis Doerr Kristen and Chad Morrow Scott and Val Parsley John and Roslyn Mengenhausen Amy and Mark Neises Chrysti and Greg Protsch Laura Neises Dennis and Linda Riegert Humanitarian Circle Sarah Newton Sally and Frederick Rosin ($10,000 - $24,999) Randy and Linda Parry Diane Schreur Leo and Yvonne Poncelet Tracy and Jim Schurdevin Patrick Maroney Lindsey Porch Max and Julie Schwader Dawn and Joel Rassel Stephen and Dawn Stocklin Visionaries Circle Mary Reider Beverly and Lynn Stradinger ($25,000 - $49,999) Tom and Darla Reisch Terri and Jay Thompson Misty and Myron Rudebusch Anna Waldner Innovator’s Circle Perry and Wendy Sand Jessica and Greg Weber ($50,000 - $99,999) Jerry and Stephanie Sauder Brenda Schneider *Italicized indicates Horizon Employees Dream Builders Circle Marcia and Doyle Simon ($100,000+) Gary and Debra McKellips 9

CELEBRATING OUR PARTNERS...2018 DONORS Honor Gifts Corporations, Foundations, and Organizations Circle of Friends ($100 - $249) Circle of Friends In honor of Margaret Halverson ($100 - $249) Corson News, LLC Paul and Kimberly Halverson In honor of Tracy Pardy Partners Circle ($250 - $499) Judith Payne and Dennis Doerr Concordance Healthcare Solutions, LLC Dawson’s Corner Pantry Memorial Gifts Fidelity Abstract & Title Company Good Samaritan Society - Howard Circle of Friends Howard Cold Storage and Lockers ($100 - $249) Howard High School - National Honor Society In memory of Sigurd and Rigmor Andenas Howard Physical Therapy Patterson Dental Supply, Inc. Norman Andenas & Dr. Cecelia Wittmayer Rusty’s Food Store In memory of Linda Gauger Ambassadors Circle Larry Gauger ($500 - $999) In memory of Mary C. Gohring Dakotaland Federal Credit Union De Smet Farm Mutual Insurance Co. Kenneth Gohring GF Advertising Services In memory of Steve Locken Lyle Signs, Inc. St John’s Teens for Christ Kathy Nelson The Main Stop, LLC Les and Marcia Lindskov Whispering Winds Ambassadors Circle ($500 - $999) Inspiration Circle In memory of Steve Locken ($1,000 - $4,999) Pam Locken American Bank & Trust Inspiration Circle Creative Printing, Inc. ($1,000 - $4,999) Delta Dental of South Dakota Foundation In memory of Roger and Clarice Maroney Howard School District Patrick Maroney Midstate Communications Rivers Edge Bank, FDIC Wells Fargo Foundation Woods, Fuller, Schultz, & Smith P.C. Impact Circle ($5,000 - $9,999) Jans Corporation Dream Builders Circle ($100,000+) Morningside Manor Corporation 10

CELEBRATING OUR PARTNERS...2018 DONORS Lifetime Giving Society 1978 Founders Society Recognizes donors whose accumulated Established in honor of the year Horizon Health giving has reached $5,000 or more. Care, Inc. was founded. Members of the 1978 Founders Society have named the Horizon Health ($5,000 - $9,999) Foundation as the beneficiary of a planned gift. Rivers Edge Bank, FDIC Les and Marcia Lindskov Please remember Horizon Health Foundation in Jans Corporation your will and please tell us when you do. Creative Printing, Inc. ($10,000 - $24,999) John and Roslyn Mengenhausen Patrick Maroney ($25,000 - $99,999) Dale and Diane Jans ($100,000 - $249,999) Gary and Debra McKellips Morningside Manor Corporation ($250,000 - $999,999) ($1,000,000+) Photo courtesy of Fox Print (Tea, SD). 11

IMPACTING SOUTH DAKOTA FAMILIES...CHARITY CARE In 2017, Horizon Health Care in conjunction with the Horizon Health Foundation created a new Charity Care Program. This program supports patients who struggle due to unforeseen circumstances in their life. For example, a man who was diagnosed with a brain tumor, had several surgeries that left him with enormous medical bills, and then lost his house and belongings in a fire was helped by the Charity Care Program. These patients were willing to share how this new program Three young kids, a two-hour commute, and college classes would keep any has made an impact on their lives, but due to sensitivity mom busy. Unexpected medical bills added even more chaos to this family of have asked to keep their identity confidential.. five. The Charity Care Program provided peace of mind by covering a portion of their medical bills. Because of generous donors, the Foundation has utilized $15,000 27toimpact patients! Wade Erickson “This program has truly been a blessing to multiple families that have come upon unexpected financial struggles for various reasons, but Chief Financial Officer continued to make every effort to satisfy their financial obligations. We understand that unforeseen circumstances arise for everyone at one time or another in their life and with the help of the Horizon Health Foundation and the Charity Care Program, we are able to ease some of the stress during a family’s difficult times.” -Wade Erickson, CFO, Horizon Health Care If there is ever a time to help make an IMPACT in someone’s life, now is the time through the Charity Care Program. Gifts of any size can make a difference! PAT MARONEY...MARONEY FAMILY ENDOWMENT The Maroney Family 1967. Pat’s parents, Roger and Clarice, ran the Oasis Bar (now Endowment is the the Longbranch Bar) in Howard and in 1945, purchased Mary first endowment to be Ann’s Café, and changed the name to Maroney’s Bar. Pat owned established through the Maroney’s Bar for more than forty years, taking over the business HorizonHealthFoundation from his father, who owned the bar for twenty-three years prior. since the Foundation’s “My family and I spent approximately seventy years in business in conception in 2016. The Howard,” said Maroney. “We strived to do everything we could to endowment will be used promote the well-being of Howard and Miner County.” to support the greatest needs of Horizon Health “I am most proud of the relationship we built with our customers, Care’s patients residing in Miner County. we were proud to call them friends,” said Maroney. “My parents, Pat, Clarice & Roger Maroney Roger and Clarice, would consider our efforts a legacy that has Photo from 1957 to be remembered. That is the main reason I have funded the first Pat and the Maroney endowment for the Horizon Health Foundation, so that they can family have been faithful supporters of the community and many local organizations since moving to Howard in 1945. Pat, maintain the current level of health care they provide to rural South a graduate of St. Agatha High School in 1961, attended Dakota State University in Madison, SD, and returned to Howard in Dakota. Howard and Miner County are very fortunate to have the key elements to remain sustainable, such as quality health and dental care, and the jobs created by Horizon Health Care.” 12

GIVING SOUTH DAKOTA KIDS A SMILE...GIVING TUESDAY 2018 The days after Thanksgiving are commonly known for shopping deals across the state, but this year it was the Tuesday after Thanksgiving that has left a memorable impact across South Dakota. Horizon Health Foundation, in conjunction with South FOR Dakota Gives, raised over $17,600 on November 27th during South Dakota’s inaugural “Day of Giving” Giving MILES Tuesday event. Delta Dental of South Dakota also partnered with the Foundation to support the event. Horizon Health Foundation, one of nearly 300 participating nonprofits taking part in the event, succeeded their goal of $10,000 during the one-day event. “We are so thankful to all of our friends that took action and made a donation on Giving Tuesday to support children in need of dental care across South Dakota. Each donor and gift will make an impact in a child’s life and we thank you for that,” said Tracy Pardy, Executive Director of the Horizon Health Foundation. All funds raised from the event will benefit Horizon Health Care’s annual “Smiles for Miles” program, which is a month-long promotion in October at all eight Horizon dental clinics, allowing children ages 0-5 to receive a free dental exam, cleaning and fluoride treatment. The Smiles for Miles program encourages early prevention oral health care among children in our communities. Giving Tuesday is a global day of giving that harnesses the collective power of individuals, communities, and organizations to encourage philanthropy and to celebrate generosity. 13

GIVING SOUTH DAKOTA KIDS A SMILE...GIVING TUESDAY 2018 “Our twin boys, who are 4 years old, have had so many problems with cavities. If I would’ve taken advantage of this program and got them in sooner when they were younger, Dr. Nick could have caught a lot of their cavities before they had gotten so big. I think offering this program to families will help parents out in getting their kids in at a younger age! Thank you to Horizon Health Care for offering the program!” Christina Roduner, Mom WESSINGTON SPRINGS, SD 5 Donors 3 Donors SMILES FOR MILES $233.00 $11,000.00 DONORS SMILES FOR MILES 108 Donors CLUBS $3,121.42 42 Donors $2,156.42 18 Donors 85 Donors Individuals $14,458.00 $4,234.85 Employees Golden Smile Club Golden Toothbrush Club Businesses/ Corporations Foundations PARTNERSHIPS We were thrilled to partner with Wells Fargo Bank, Henry Schein Dental, Patterson Dental and Delta Dental of South Dakota. Together they donated over $7,000 to give kids a smile! 14

GIVING SOUTH DAKOTA KIDS A SMILE...GIVING TUESDAY 2018 $17,624 24raised in hours 130Over donors 43% new donors 30Nearly people volunteered by answering the phone to record gifts, calling donors to thank them, dressing in costume, and assisting with behind-the-scenes operations 15

GIVING SOUTH DAKOTA KIDS A SMILE...GIVING TUESDAY 2018 SAVE THE DATE! GIVING TUESDAY - DECEMBER 3, 2019 FOR MILES - -1 2 3 1 9 GdSuivmSriiWnnoigguleetTohwusuDeirlFlsa2bdokneaodrytgaMAievknviiniendlgenustas.l 16 Mark your calendar and join us for the event as a volunteer or donor!

A GIFT OF NEARLY $500,000 FOR THE COMMUNITY One only needs to sit in a room with the benefactors of the Alcester Dental Project to know they are a progressive group that cares for the people of their community. Through the Alcester Community Foundation, Alcester Lions Club, Morningside Manor Corporation, Gary and Debra McKellips, and Horizon Health Care a total of $423,000 has been committed to remodel the Alcester Dental Clinic, purchase new equipment, and help recruit a dentist. CURRENT Main Entry Bathroom Old Dark Room Bathroom Sterilization Room Alcester Dent DDS Office Clinic Hygiene Room Old Panoramic X- Spare Room Emergency Ray Room Evacuation Ma DDS Room Reception Area Please note this diagram is not to scal Nitrous & Oxygen Waiting Room Tanks/Pumps Legend Fire Extinguisher EXIT Hallway Hallway Waiting Room Nitrous & Oxygen Alcester Dental Tanks/Pumps Clinic Reception Area Bathroom Old Panoramic X- Emergency Sterilization Room Ray Room Evacuation Map Spare Room DDS Room Hygiene Room Please note this diagram is not to scale. DDS Office Legend Fire Extinguisher EXIT Old Dark Room Bathroom Main Entry 17

ALCESTER INVESTORS JOIN TOGETHER “We understand how important dental COMMUNITY PROFILE care is, not only for your teeth, but how Alcester population: 876 (177 children) poor oral care can affect your overall Union County population: 15,840 health. Regular checkups are critical, so the convenience of a local dentist office is very important. A dental office is a The Alcester Dental project will greatly benefit necessary business service for Alcester the Alcester community and surrounding area by and all communities. It provides local convenient care by reducing out of town providing access to local dental care. trips for the elderly, minimizes time away “The Board of Directors of the Morningside from work by local employees, and actually Corporation is excited to have the opportunity contributes to the business community by bringing to support the Horizon Health Foundation’s people to town for care. Finally, when families look at mission of providing healthcare to residents relocating, they will want a community with complete of South Dakota. Our contribution will help health and dental care. We wanted Alcester to have the insure dental care will be provided locally to latest in equipment and building functionality.” the residents of the Alcester Care and Rehab Center, as well as the Alcester and Hudson - Gary and Debra McKellips communities and surrounding area.” Investors of the Alcester Dental Project Tom Walsh, Board President Morningside Manor Corporation The remodeled building will include three dental suites, a revised layout, new reception area, new lab and the building will also be ADA Compliant. PROPOSED REMODEL 18

STUDENTS RAISE NEARLY $13,000 FOR PATIENTS In October 2018, high school students from Howard High School and De Smet High School joined forces with the Horizon Health Foundation to raise awareness and nearly $13,000 for patients affected by cancer in their respective counties. All funds were raised through t-shirt sales and went to the Foundation’s Cancer Care fund. (TSU2C)Tigers Step Up 2 CancerHoward High School’s 2nd Annual $7,123 Raised for patients in Miner County, including a $2,500 matching gift from Rivers Edge Bank, FDIC 19

STUDENTS RAISE NEARLY $13,000 FOR PATIENTS De Smet High School’s 1st Annual (BBB@C)Bulldogs Bark Back @ Cancer $5,741 Raised for patients in Kingsbury County, including a $3,000 matching gift from American Bank & Trust 20

HORIZON HEALTH FOUNDATION STAFF TRACY PARDY, Executive Director Background: I grew up in Onida, SD with my loving grandparents who raised me from the age 5. Perhaps this is where I learned the ways of the world, my love for cooking from scratch, and a fondness for the elderly. Adam, Jo, Tracy & Brianna I began my career in Philanthropy 18 years ago working in higher education, and the past 8 years in healthcare. I am incredibly lucky to have this dream career - to meet people all across the state that want to help change lives. I received my Bachelor of Arts Degree in Organizational Management from Ashford University and currently serve as the Vice President for the South Dakota Chapter of the Association of Fundraising Professionals. Family: Husband, Patrick, son, Tucker (6 - Kindergarten), and Stepchildren: Zach (Senior), Kayla (SDSU Pharmacy), Nick and Shelby (farming/ banking) Interests: I enjoy life, it’s a gift! First and foremost, my favorite is spending time with my family and close friends. My passion is food and wine - I enjoy relaxing with a nice cabernet while reading through cookbooks to discover new dishes and then preparing them for my family and friends. I enjoy the beautiful South Dakota outdoors - whether exploring during a hike, at the river or along the beach, or taking in the seasons. Mostly, I believe in channeling my inner childhood by turning into a T-Rex while chasing my son around the house! :-) ADAM EGGERT, Database/Development Assistant Background: I grew up in Howard, SD graduating from Howard High School in 2001. After high school, I attended Southeast Technical Institute for Business/Financial Services. Prior to Horizon, I spent the previous 11 years in the banking/credit union industry in a variety of positions ranging from teller to loan officer. My wife and I recently got married in September 2018 and we live in Howard. Family: Wife, Lexy and cat, Summer Interests: Golf, Golf, and more Golf! I also enjoy spending time with family, and attending or watching any sporting events. BRIANNA FELDHAUS, Fundraising Officer Background: After graduating from Howard High School, I went to the University of South Dakota, earning a Bachelor of Arts in Communications Studies, Criminal Justice, and Spanish; all while working in Residence Life as an RA and with the Medical School as an Administrative Assistant. Then I transitioned to the University of Kansas, receiving a Master’s of Science in Policy and Administration; while again working in Residence Life as a Hall Director and also with Legal Student Services as a Clerk. After graduating I continued to work for university systems within Residence Life until the summer of 2015 when I transitioned to Horizon Health Care as a Recruiter working within the Human Resources Department. Family: Husband, Eric Interests: Enjoying the great outdoors, watching the Food Network Channel, and dreaming up the next ‘Field to Plate’ locally sourced dish. I also enjoy helping around the family farm (cattle and grain). Why did you choose to join the Foundation? The opportunity to have a larger platform to empower and inspire our patients by providing funding that serves our communities that would otherwise not have access to healthcare. I believe everyone should have access to high quality affordable healthcare, and the opportunity to be Horizon Health Foundation’s first Fundraising Officer is very humbling and gratifying! JO RICE, Senior Administrative Assistant Background: I was born and raised in Flandreau, SD and currently reside in Howard, SD. My career has channeled around the health care services both in Flandreau and Howard. I moved to White River, SD for four years and was working at the medical clinic at the time Horizon Health Care, Inc., purchased that facility. This is my 19th year of employment with Horizon. Family: Four children: one daughter, Karla; three sons Kevin, Duane, and David. Ten grandchildren and 4 great- grandchildren. My siblings consist of one brother and two sisters. Interests: I love to read; and like anyone with children, grandchildren and great grandchildren partaking in all activities that comes their way. 21

HORIZON HEALTH FOUNDATION BOARD OF DIRECTORS OFFICERS: The Horizon Health Foundation Board of Directors shapes the Foundation’s direction through its mission, HOWARD development plans, budget, and key policies. Our board ensures that the leadership, resources, and John Mengenhausen finances in place match the Foundation’s vision. The Foundation Board meets formally six times each year, Board Chairman as well as between the regular meetings as needed to conduct the Foundation’s business. MEMBERS: DE SMET ERWIN WESSINGTON SPRINGS Jodi Jung Doug Kazmerzak Jim Burg Board Vice Chair/Treasurer Board Member Board Member ISABEL FAITH ALCESTER Pam Locken Krissy Stocklin-Johnson Gary McKellips Board Secretary Board Member Board Member 22

HORIZ N Health Foundation Horizon Health Foundation 125 S Main St Howard, SD 57349 SEE THE IMPACT. BE THE IMPACT. 605.772.4553 | www.horizonhealthfoundation.com | www.facebook.com/horizonhealthfoundation