2025-04-15T14:11:16-05:00 2024-05-31 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-06-01 731719218 MADELIA HEALTH FOUNDATION MADE 5076423255 121 DREW AVE SE MADELIA MN 56062 ALEXANDRA KIECKER EXECUTIVE DIRECTOR 5076423255 2025-04-15 1 1 RYAN ENGEBRETSON P01585625 6123764500 2025-04-14 2023 2025-03-06 01:10:19Z ALEXANDRA KIECKER 121 DREW AVE SE MADELIA MN 56062 154609 0 X WWW.MADELIAHEALTH.ORG X 2004 MN IN COLLABORATION WITH PHILANTHROPY, FUNDRAISING AND SERVICE, MADELIA HEALTH FOUNDATION EXISTS TO SUPPORT CONTINUAL IMPROVEMENT OF HEALTHCARE FOR THE PATIENTS AND COMMUNITIES WE SERVE. MADELIA HEALTH FOUNDATION HAS TWO MAJOR FUNDRAISERS WHICH SUPPORT VARIOUS PROJECTS, EQUIPMENT AND INITIATIVES. ONE, THE FALL GALA, (HELD EVERY OTHER YEAR) AND THE OTHER, THE GOLF OUTING HELD EACH YEAR IN EARLY JUNE. ALTHOUGH THE FOUNDATION HAS ADDED SEVERAL OTHER GIVING OPPORTUNITIES AND COMMUNITY EVENTS IN RECENT YEARS, THESE SIGNATURE EVENTS ARE KEY TO PROVIDING FINANCIAL SUPPORT FOR LOCAL HEALTHCARE. 13 12 0 32 0 0 103358 108823 0 0 27538 27445 0 -534 130896 135734 7772 273977 0 0 58836 66096 0 0 116390 12836 57716 79444 397789 51452 -262055 1122696 614778 111495 0 1011201 614778 X MADELIA HEALTH FOUNDATION EXISTS TO BE STEWARDS OF DONATIONS GIVEN TO SUPPORT THE STATE-OF-THE-ART HEALTH SERVICES PROVIDED BY MADELIA HEALTH. THE FOUNDATION SERVES AS THE BRIDGE BETWEEN MADELIA HEALTH, ITS PATIENTS, AREA FRIENDS AND SUPPORTERS. 0 0 262547 261755 0 TOTAL DONATIONS TO THE FOUNDATION IN FISCAL 2024 WERE JUST OVER $149,935. THE MADELIA HEALTH FOUNDATION SUCCESSFULLY HOSTED THREE MAJOR FUNDRAISING EVENTS - THE GOLF OUTING, FALL GALA, AND TREE OF REMEMBRANCE - TO SUPPORT SURGICAL EQUIPMENT UPGRADES FOR MADELIA HEALTH'S EXPANDING SURGICAL SERVICES. THESE EVENTS ENGAGED COMMUNITY MEMBERS AND DONORS, STRENGTHENING FINANCIAL SUPPORT FOR CRITICAL HEALTHCARE ADVANCEMENTS.IN ADDITION TO SURGICAL EQUIPMENT UPGRADES, THE FOUNDATION FUNDED SEVERAL ESSENTIAL MEDICAL EQUIPMENT REQUESTS, INCLUDING:LANGUAGELINE INTERPRETING EQUIPMENT - ENHANCING ACCESSIBILITY FOR NON-ENGLISH-SPEAKING PATIENTS.VITAL SIGNS MONITOR - IMPROVING PATIENT ASSESSMENT CAPABILITIES.LEAD ANALYZER - SUPPORTING PEDIATRIC AND COMMUNITY HEALTH EFFORTS.CONCUSSION SOFTWARE PROGRAM - BENEFITING MADELIA SCHOOLS AND PHYSICAL THERAPY PATIENTS.THE FOUNDATION ALSO PROMOTED COMMUNITY WELLNESS THROUGH ITS ANNUAL 5K RUN/WALK AND 1-MILE FUN WALK, ENCOURAGING PARTICIPATION IN HEALTHY PHYSICAL ACTIVITIES.BY SERVING AS A BRIDGE BETWEEN MADELIA HEALTH, ITS PATIENTS, AND THE SURROUNDING COMMUNITY, THE FOUNDATION CONTINUES TO ENHANCE HEALTHCARE ACCESS, QUALITY, AND EDUCATION IN OUR REGION. 6000 6000 0 ADDITIONALLY, THE FOUNDATION REMAINS COMMITTED TO FOSTERING THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS. IN 2024, THE SCHOLARSHIP PROGRAM RECEIVED 16 APPLICATIONS AND AWARDED $6,000 IN FUNDING TO SUPPORT SEVEN STUDENTS' HEALTHCARE EDUCATION. EACH OF THE FOUNDATION'S FOUR ANNUAL SCHOLARSHIPS IS RENEWABLE FOR UP TO FOUR YEARS, ENSURING SUSTAINED EDUCATIONAL SUPPORT FOR ASPIRING MEDICAL PROFESSIONALS. 6222 6222 0 "ASK FOR ANYTHING" GRANTS PROVIDED FUNDING FOR HOMECARE BACKPACKS AND AN EKG MACHINE FOR THE ST. JAMES CLINIC. 274769 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 1 0 0 0 0 0 0 0 X 13 12 0 0 1 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 MN X ALEXANDRA KIECKER 5076425224 121 DREW AVE SE MADELIA MN 56062 DAVID WALZ MH CEO 0.20 40.00 X X 0 222379 54872 BRUCE CARVEN MH CFO (UNTIL 10/06/23) 0.20 40.00 X 0 138315 13200 JORDAN RICHARDSON MH CFO 0.20 40.00 X 0 74011 3873 JAKE REDDEN FORMER CEO 0.20 40.00 X 0 69583 0 ALEXANDRA KIECKER VICE CHAIR/EXECUTIVE DIRECTOR 32.00 0.00 X X 0 55102 2338 WENDY HENNIGAR DIRECTOR 0.20 1.00 X 0 1200 0 JIM HOPMAN CHAIR 0.20 0.00 X X 0 0 0 JENNIFER BUTLER VICE CHAIR 0.20 0.00 X X 0 0 0 MELANIE KNAAK-GUYER TREASURER 0.20 0.00 X X 0 0 0 GLENDA ARNDT SECRETARY 0.20 0.00 X X 0 0 0 ANDREW ARDUSER DIRECTOR 0.20 0.00 X 0 0 0 EMMA ASKELAND DIRECTOR (UNTIL 4/27/24) 0.20 0.00 X 0 0 0 PHIL CARTER DIRECTOR 0.20 0.00 X 0 0 0 JACOB DENN DIRECTOR 0.20 0.00 X 0 0 0 KELSEY FORBES DIRECTOR 0.20 0.00 X 0 0 0 CONNIE MILLER DIRECTOR 0.20 0.00 X 0 0 0 CARINA PACE DIRECTOR 0.20 0.00 X 0 0 0 0 560590 74283 0 1 1 0 0 79455 29368 12726 108823 27445 27445 17146 79455 18272 -1126 -1126 1195 603 592 592 135734 0 0 26911 X 264977 264977 9000 9000 60041 60041 1322 1322 31 31 4702 4702 725 725 5905 5905 5620 5620 1693 1693 35927 35927 4642 4642 767 767 462 462 1950 1950 MN FILING FEE 25 25 397789 274769 6630 116390 383116 76877 0 0 739580 537901 1122696 614778 111495 111495 0 X 651252 254829 359949 359949 1011201 614778 1122696 614778 -262055 21042 -155410 0 X 0 0 0 X X X 1 MADELIA HEALTH INC 410758512 3 1 264977 0 1 264977 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 6: SCHOLARSHIPS ARE AWARDED TO INDIVIDUALS IN THE HEALTHCARE FIELD WHICH SUPPORTS MADELIA HEALTH'S MISSION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 427523 817 6000 422340 415694 390 18439 7000 427523 359949 55745 415694 359949 61458 421407 235949 124000 359949 0.00000 0.41000 0.59000 0 0 0 PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUNDS ARE TO BE PERIODICALLY DETERMINED BY THE FOUNDATION BOARD OF DIRECTORS TO SUPPORT THE PURPOSE OF THE FOUNDATION. BOOTS & BLING 68261 57860 10401 357 3471 885 8939 GOLF OUTING 23201 19756 3445 80 1340 16 1972 1 5139 1839 3300 55 1157 96601 79455 17146 80 55 1697 3487 885 12068 18272 -1126 1 MADELIA HEALTH 121 DREW AVE SE MADELIA MN 56062 410758512 501(C)(3) 264977 0 N/A N/A FUNDING FOR EQUIPMENT, SUPPLIES, IMPROVEMENTS 1 0 SCHOLARSHIPS 7 6000 0 N/A N/A PART I, LINE 2: ALL GRANTS ARE MADE TO A RELATED ORGANIZATION THAT IS UNDER COMMON MANAGEMENT WHO REGULARLY MONITORS THE ACTIVITIES, REVENUES AND EXPENDITURES OF THE RELATED ORGANIZATION. SCHOLARHIPS ARE AWARDED TO INDIVIDUALS IN THE HEALTHCARE FIELD WHICH SUPPORT MADELIA HEALTH'S MISSION. 1 0 0 0 0 0 0 0 0 DAVID WALZ MH CEO 0 202379 0 20000 0 0 0 52500 0 2372 0 277251 0 0 BRUCE CARVEN MH CFO (UNTIL 10/06/23) 0 135997 0 2318 0 0 0 10439 0 2761 0 151515 0 0 JAKE REDDEN FORMER CEO 0 0 0 0 0 69583 0 0 0 0 0 69583 0 0 PART I, LINE 3 COMPENSATION FOR THE CEO IS DETERMINED BY MADELIA HEALTH. MADELIA HEALTH ENSURES THAT THE COMPENSATION PAID TO ITS CEO BE CONSISTENT WITH POLICY AND PROVIDE EQUITABLE STANDARDS FOR WAGE AND BENEFITS BASED ON ANNUAL REGIONAL SURVEY OF COMPARABLE ENTITIES. THE GOVERNING BOARD REVIEWS ANNUALLY THE CEO'S PERFORMANCE AND THE BASIS IS THE ANNUAL MN HOSPITAL ASSOCIATON SURVEY. THE BOARD DETERMINES THE CEO'S BASE SALARY, IN ITS SOLE DISCRETION. THE CEO EVALUATES COMPENSATION OF OTHER OFFICERS AND EMPLOYEES ANNUALLY BASED ON THEIR PERFORMANCE. ANNUAL INCREASES ARE BASED ON A REGIONAL SURVEY OF COMPARABLE ENTITIES WITH SIMILAR POSITIONS ALONG WITH YEARS OF SERVICE AND NUMBER SUPERVISED. THE SURVEY RESULTS AND THE EMPLOYEES PERFORMANCE ARE EVALUATED FOR AN INCREASE IF DEEMED APPROPRIATE. PART I, LINE 4A JAKE REDDEN RECEIVED SEVERANCE PAYMENT OF $69,583 IN 2023. THIS AMOUNT WAS INCLUDED IN W-2 WAGES. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE EXECUTIVE DIRECTOR, THE SECRETARY, AND THE TREASURER AS EX OFFICIO VOTING MEMBERS THEREOF. THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE THE FULL AUTHORITY OF THE BOARD EXCEPT AS OTHERWISE LIMITED BY LAW, BY THE BOARD, OR BY THESE BYLAWS. THE EXECUTIVE COMMITTEE SHALL TRANSACT THE BUSINESS OF THE FOUNDATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS SECTION 3.06 REGULAR MEETINGS WAS CHANGED FROM "THE ANNUAL MEETING OF THE BOARD SHALL BE HELD AT THE SAME LOCATION AND ON THE SAME DAY AS THE ANNUAL MEETING OF THE HOSPITAL BOARD OF DIRECTORS." TO "THE ANNUAL MEETING OF THE BOARD SHALL BE HELD WITHIN THIRTY (30) DAYS OF THE ANNUAL MEETING OF THE HOSPITAL BOARD OF DIRECTORS." FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE FOUNDATION IS MADELIA HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER IS ALLOWED TO ELECT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS SUBSEQUENT TO FILING THE FORM 990 WITH THE IRS. THE FORM 990 WILL BE PRESENTED BY FINANCE AT THE REGULAR MEETING OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL MEMBERS OF THE BOARD AND CORPORATE OFFICERS, AGENTS AND EMPLOYEES OF THE FOUNDATION. IT IS THE OBLIGATION OF THE FOUNDATION'S MANAGEMENT TO PUBLICIZE THIS POLICY TO ALL SUCH PARTIES ON A RECURRING BASIS. THE CONFLICT OF INTEREST POLICY AND AN ANNUAL DISCLOSURE STATEMENT ARE CIRCULATED TO DIRECTORS AND OFFICERS TO ASSIST THEM IN CONSIDERING SUCH DISCLOSURES, BUT DISCLOSURE IS APPROPIRATE WHENEVER A CONFLICT MAY OCCUR. THE WRITTEN NOTICES OF DISCLOSURE OF CONFLICTS OR DUALITIES OF INTEREST ARE FILED WITH THE EXECUTIVE DIRECTOR OR ANY OTHER OFFICER. IF A CONFLICT OF INTEREST EXISTS, THE CONFLICTED INDIVIDUAL REFRAINS FROM BOTH DISCUSSION AND VOTING ON THE MATTER. FORM 990, PART VI, SECTION C, LINE 19 MADELIA HEALTH FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT THE ANNUAL CORPORATION MEETING AND UPON REQUEST. FORM 990, PART IX, LINE 5 TO LINE 10: MADELIA HEALTH FOUNDATION DOES NOT HAVE ANY EMPLOYEES. THE SALARY AND BENEFITS EXPENSES ON PAGE 10 OF THE 990 ARE AMOUNTS THAT ARE ALLOCATED TO MADELIA HEALTH FOUNDATION FROM MADELIA HEALTH FOR THE FOUNDATION'S PORTION OF THE EXPENSES. MADELIA HEALTH 121 DREW AVENUE SE MADELIA MN 56062 410758512 HOSPITAL MN 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1