2025-08-13T09:41:17-05:00 2024-09-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-10-01 391656161 PRAIRIE RIDGE HEALTH FOUNDATION INC PRAI 9206231217 1515 PARK AVENUE COLUMBUS WI 53925 LORI MCNULTY SECRETARY/TREASURER 9206231217 2025-08-07 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-08-07 2023 2025-03-06 01:10:19Z KRISTI LINE 1515 PARK AVENUE COLUMBUS WI 53925 500962 0 X WWW.PRAIRIERIDGE.HEALTH/ABOUT/FOUNDATION X 1989 WI TO EXCLUSIVELY BENEFIT, SUPPORT, PROMOTE, AND ASSIST PRAIRIE RIDGE HEALTH, INC. 9 9 0 99 0 0 254153 351462 0 0 55929 69816 9911 3020 319993 424298 127652 163497 0 0 0 0 0 0 5423 15767 21996 143419 185493 176574 238805 1699491 2233920 26002 22534 1673489 2211386 PRAIRIE RIDGE HEALTH FOUNDATION WILL BE AN AMBASSADOR AND LIAISON BETWEEN PRAIRIE RIDGE HEALTH AND THE COMMUNITIES IT SERVES. WE WILL AID IN INCREASING THE QUALITY AND WELL-BEING OF THOSE WE CARE FOR BY RAISING, RECOGNIZING AND MANAGING CHARITABLE GIFTS AND BEQUESTS. 0 0 163497 163497 0 TO EXCLUSIVELY BENEFIT, SUPPORT, PROMOTE AND ASSIST PRAIRIE RIDGE HEALTH, INC. THE FOUNDATION FUNDRAISED AND GRANTED FUNDS TO COVER EQUIPMENT AND PROGRAMMING NEEDS FOR PRAIRIE RIDGE HEALTH. GRANTS THAT WERE ISSUED WERE FOR THE FOLLOWING EQUIPMENT AND SUPPLIES: STRESS TEST EQUIPMENT, AUDIO BOOTH, MAMMOGRAPHY KITS, LSI SYSTEM, ZEBRA SCANNERS, ED TRAUMA ROOM PARTITION, WOUND CARE SUPPLIES, BARIATRIC RECLINER, AED TRAINERS, VITAL SIGN MACHINE, PEDIATRIC SUPPLIES, MEDICAL SURGICAL FAMILY LOUNGE FURNISHINGS, HILL-ROM VEST SYSTEM, AND FETAL MONITORS. GRANTS WERE ALSO ISSUED TO SUPPORT THE FOLLOWING PROGRAMS: BLOOD BANK, HUNGER CARE, WIG PROGRAM, PATIENT ASSISTANCE AND PSYCHIATRIC WELLNESS. 163497 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WI X MELISSA MANGAN 9206231368 1515 PARK AVENUE COLUMBUS WI 53925 JULIE BERGHOLZ CHAIR 2.00 X X 0 0 0 JILENE HUIZENGA VICE-CHAIR 1.00 X X 0 0 0 LORI MCNULTY SECRETARY/TREASURER 1.00 X X 0 0 0 RYAN ALVIN DIRECTOR 1.00 X 0 0 0 SHELDON BENZINE DIRECTOR (THRU JAN 2024) 1.00 X 0 0 0 ANN BERG DIRECTOR 1.00 X 0 0 0 ANNE DONAHUE DIRECTOR 1.00 X 0 0 0 N CHARLES EGGERT DIRECTOR 1.00 X 0 0 0 DEB KREBS DIRECTOR 1.00 X 0 0 0 MARK MICKELSON DIRECTOR (FROM JAN 2024) 1.00 X 0 0 0 KRISTI LINE EXECUTIVE DIRECTOR 40.00 X 0 108150 13817 0 108150 13817 0 0 0 0 0 72041 279421 351462 69816 69816 65454 72041 65593 -139 -139 14230 11071 3159 3159 424298 0 0 72836 159097 159097 4400 4400 16186 16186 5810 387 5423 185493 163497 16573 5423 4763 6792 360381 397625 11584 5000 1270228 1764868 51600 58050 935 1585 1699491 2233920 26002 22534 26002 22534 X 759881 937926 913608 1273460 1673489 2211386 1699491 2233920 238805 299092 0 X 0 1 X 1 0 X 294129 113596 181115 254153 351462 1194455 294129 113596 181115 254153 351462 1194455 147359 1047096 42691 40548 102142 55929 69816 311126 20833 28241 17726 9911 3020 79731 1585312 0.66050 0.60100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 706495 138391 194513 1039399 604511 12663 89321 706495 744571 9564 -149624 604511 583281 6704 154586 744571 496979 34815 51487 583281 0.00000 0.50165 0.49835 0 0 0 X PART V, LINE 4: THE FOUNDATION'S ENDOWMENTS CONSIST OF FIVE FUNDS, FOUR FUNDS ESTABLISHED TO BENEFIT THE HOSPITAL: WOMEN'S HEALTH, INFRASTRUCTURE IMPROVEMENTS, COMMUNITY HEALTH, AND GENERAL OPERATIONS OF THE HOSPITAL AND ONE ESTABLISHED FOR HEALTHCARE SCHOLARSHIPS. EACH FUND IS MAINTAINED BY THE FOUNDATION IN VARIOUS INVESTMENTS, AND THE FOUNDATION IS RESPONSIBLE FOR ALL INVESTMENT DECISIONS. PART X, LINE 2: THE ORGANIZATION 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 ORGANIZATION 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. GOLF OUTING 43922 9782 34140 315 1830 5382 4530 12776 I CARE I GIVE 44163 38819 5344 2935 3456 9256 2 49410 23440 25970 12118 5951 7045 137495 72041 65454 315 16883 5382 13937 29077 65594 -140 1 PRAIRIE RIDGE HEALTH INC 1515 PARK AVENUE COLUMBUS WI 53925 391140373 501(C)(3) 159097 0 PURCHASE EQUIPMENT AND OTHER PATIENT RELATED ITEMS 1 0 PART I, LINE 2: RECORDS ARE MAINTAINED FOR ALL BOARD APPROVALS FOR FUNDS DESIGNATED TO THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS BY RESOLUTION MAY DESIGNATE ONE OR MORE COMMITTEES, EITHER STANDING OR SPECIAL. EACH COMMITTEE SHALL CONSIST OF TWO OR MORE MEMBERS OF THE BOARD OF DIRECTORS AND SUCH OTHER PERSONS AS MAY BE NOMINATED BY THE CHAIR AND RATIFIED BY THE BOARD OF DIRECTORS. THESE COMMITTEES SHALL HAVE AND MAY EXERCISE, WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE FOUNDATION, EXCEPT ACTION IN RESPECT TO ELECTION OF OFFICERS OR COMMITTEES CREATED. FORM 990, PART VI, SECTION A, LINE 6 THE FOUNDATION HAS A SINGLE CLASS OF VOTING MEMBERS AND THE SOLE MEMBER OF THAT CLASS IS PRAIRIE RIDGE HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS MAY BE TAKEN ONLY BY THE BOARD OF DIRECTORS, WITH THE APPROVAL OF THE MEMBER: - AMENDMENT OF THE ARTICLES OF INCORPORATION OF THIS FOUNDATION. - AMENDMENT OF THE BYLAWS OF THIS FOUNDATION. - MERGER, CONSOLIDATION, OR DISSOLUTION OF THIS FOUNDATION. - THE CREATION OF ANY SUBSIDIARIES OR AFFILIATES OF THIS FOUNDATION. - ANY OTHER ACTION EXPRESSLY REQUIRING MEMBER APPROVAL UNDER THE ARTICLES OF INCORPORATION OR THESE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS IS GIVEN THE OPPORTUNITY TO REVIEW THE RETURN BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. THE FORM 990 IS REVIEWED BY EITHER THE SENIOR ACCOUNTANT OR FINANCE MANAGER OF PRAIRIE RIDGE HEALTH, INC. FOR COMPLETION AND ACCURACY AND THEN ALSO BY THE CHIEF FINANCIAL OFFICER OF PRAIRIE RIDGE HEALTH, INC. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS CHECKS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. SHOULD ANY POTENTIAL CONFLICT ARISE AT ANY TIME, EACH DIRECTOR AND OFFICER SHALL PROMPTLY DISCLOSE SUCH CONFLICT IN WRITING TO THE EXECUTIVE DIRECTOR OF THE FOUNDATION, WHO IN TURN SHALL PROMPTLY TRANSMIT THE CHANGE IN DISCLOSURE TO THE SECRETARY/TREASURER AND THE CHAIRPERSON OF THE BOARD OF DIRECTORS FOR REVIEW. IF A CONFLICT IS DEEMED TO EXIST, THE INDIVIDUAL WITH THE CONFLICT WOULD BE ASKED TO NOT VOTE ON THE MATTER OR LEAVE THE MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PRAIRIE RIDGE HEALTH INC 1515 PARK AVENUE COLUMBUS WI 53925 391140373 HEALTH CARE SERVICES WI 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0