2024-08-14T15:01:07-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2022-10-01 410730602 LAKE REGION HEALTHCARE CORPORATION LAKE 2187368000 712 SOUTH CASCADE STREET FERGUS FALLS MN 56537 KENT MATTSON CEO 2187368000 2024-08-13 1 0 ANN NEIL P01817922 6123764500 2024-08-13 2022 2024-08-08 14:25:15Z KENT MATTSON 712 SOUTH CASCADE STREET FERGUS FALLS MN 56537 166971300 0 X WWW.LRHC.ORG X 1951 MN WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 14 14 980 32 282747 0 4329876 1980060 134539509 138584222 6562522 2429295 6521953 6514570 151953860 149508147 87134 207165 0 0 54363008 59374409 0 0 0 87748212 102067463 142198354 161649037 9755506 -12140890 165940026 155566956 53897891 51313843 112042135 104253113 X WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 0 0 105613532 207165 106207273 LAKE REGION HEALTHCARE CORPORATION IS A NOT-FOR-PROFIT PROVIDER OF HEALTH CARE SERVICES OPERATING A 108-BED HOSPITAL COMPRISED OF A 94-BED ACUTE HOSPITAL, A 14-BED PSYCHIATRIC UNIT, AND MULTIPLE CLINIC SITES. OUT PURPOSE IS TO MEET THE HEALTH CARE NEEDS OF THE PEOPLE IN WEST CENTRAL MINNESOTA. OUR VISION IS TO BE MINNESOTA'S PREEMINENT REGIONAL HEALTH CARE PARTNER. OUR CORE VALUES INCLUDE INTEGRITY, TEAMWORK, COMPASSION, AND EXCELLENCE. LAKE REGION HEALTHCARE CORPORATION IS A PROVIDER OF QUALITY HEALTH CARE SERVICES, AS NOTED BY OUR ACCREDITATION BY THE JOINT COMMISSION. SERVICES THAT LAKE REGION HEALTHCARE PROVIDES INCLUDE MEDICAL/SURGICAL, PEDS, OB GYN, ICCU, RADIOLOGY/INTERVENTIONAL RADIOLOGY, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH THERAPY, RESPIRATORY CARE, SOCIAL WORK, SURGERY, ONCOLOGY, BIRTHING SUITES, CARDIAC REHAB/ECP, EMERGENCY SERVICES, COMMUNITY WELLNESS, AND LABORATORY. 31994042 0 32173907 LAKE REGION HEALTHCARE OFFERS CLINICAL SERVICES IN FOUR COMMUNITIES AND A WALK-IN CLINIC. SPECIALTIES OFFERED THROUGH CLINIC SERVICES INCLUDE CARDIOLOGY, OB GYN, PEDIATRICS, OPHTHALMOLOGY, FAMILY MEDICINE, INTERNAL MEDICINE, UROLOGY, DERMATOLOGY, ENT, ALLERGY, AUDIOLOGY, PODIATRY, PULMONOLOGY, SPORTS MEDICINE, SURGERY, AND ORTHOPEDICS. 137607574 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 146 0 1 980 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X X X LAKE REGION HEALTHCARE CORPORATION 2187368000 712 S CASCADE ST FERGUS FALLS MN 56537 JOHN ERICKSON BOARD CHAIR 8.00 0.00 X X 0 0 0 LAUREL NELSON TREASURER 5.00 0.00 X X 0 0 0 CRYSTAL ADAMS SECRETARY 6.00 1.50 X X 0 0 0 SCOTT BAUER TRUSTEE 4.00 0.00 X 0 0 0 REBECCA BOESL TRUSTEE 4.00 0.00 X 0 0 0 MATTHEW MOUSER MD TRUSTEE 4.00 0.00 X 0 0 0 LARRY GOETZINGER TRUSTEE 4.00 0.00 X 0 0 0 JUSTIN ANDERSON TRUSTEE 4.00 0.00 X 0 0 0 JERRY NESS TRUSTEE 4.00 0.00 X 0 0 0 JEANNE ENNEN TRUSTEE 4.00 1.50 X 0 0 0 ERIN SMITH TRUSTEE 4.00 0.00 X 0 0 0 ERIN PETERSON MD TRUSTEE 4.00 0.00 X 0 0 0 DEB FERGUSON TRUSTEE 4.00 0.00 X 0 0 0 CHUCK MCFARLANE TRUSTEE 4.00 0.00 X 0 0 0 CHAD MILLER TRUSTEE 4.00 0.00 X 0 0 0 CARRIE BRIMHALL TRUSTEE 4.00 0.00 X 0 0 0 WADE JYRKAS CIO 40.00 0.00 X 137556 0 15498 ROBERTA YOUNG CNO 40.00 0.00 X 288269 0 12693 KENT MATTSON CEO 39.00 1.00 X 510000 0 139482 CAMIE PATTERSON CFO 39.00 1.00 X 531347 0 17526 KATIE JOHNSON VP OF MARKETING & MISSION ENGAGEMENT 40.00 0.00 X 129539 0 15576 KATHY BURVILLE VP OF AMBULATORY SERVICES 40.00 0.00 X 161694 0 15911 DANIELLE LESMEISTER ADMINISTRATION OF PATIENT CARE 0.00 40.00 X 164448 0 15630 TYLER SCOTT CRNA 40.00 0.00 X 289613 0 9172 CHELSEY JOHNSON PLASTIC SURGEON 40.00 0.00 X 704901 0 9618 JEFFREY OLSON CRNA 40.00 0.00 X 282762 0 14609 HENRIK BJORNDAHL CRNA 40.00 0.00 X 280586 0 14609 FRITZ KARSNIA CRNA 40.00 0.00 X 308515 0 15033 3789230 0 295357 58 0 1 0 LAKE REGION MEDICAL GROUP 712 S CASCADE STREET FERGUS FALLS MN 56537 PHYSICIAN SERVICES 28946278 MEDICAL SOLUTIONS LLC 1010 NORTH 102ND STREET OMAHA NE 68114 CONTRACTED LABOR 4162689 LOCUMTENENSCOM 2575 NORTHWINDS PKWY ALPHARETTA GA 30009 PHYSICIAN SERVICES 3379272 SANFORD 2301 EAST 60TH ST N SIOUX FALLS SD 57104 IT/EMR SERVICES 2299034 COMPHEALTH 7259 S BINGHAM JCT BLVD MIDVALE UT 84047 PHYSICIAN SERVICES 2039387 37 1668719 23409 287932 1980060 PATIENT CARE SERVICES 623000 138584222 138381180 203042 138584222 1905050 1905050 542528 67594 474934 474934 474934 17919804 17394709 850 525095 -850 524245 524245 OUTSIDE SERVICE REVENU 623000 4920481 4920481 OPTICAL SALES 456199 695687 79705 615982 CAFETERIA REVENUE 623000 480300 480300 -56832 -56832 6039636 149508147 138381180 282747 8864160 X 207165 207165 2237239 2237239 46439127 32278047 14161080 429350 310979 118371 6922948 4742613 2180335 3345745 2292024 1053721 100125 100125 166760 166760 103968 103968 50268540 50268540 652542 447028 205514 839533 641446 198087 2426887 1501074 925813 277031 117093 159938 56512 56512 1100468 869005 231463 6103784 3966757 2137027 1035553 1035553 SUPPLIES 24353314 24353314 REPAIRS AND MAINTENANCE 6405388 6343366 62022 BAD DEBTS 4136805 4136805 MN HEALTH SURCHARGE 2288451 2288451 1751802 1751802 161649037 137607574 24041463 0 3681710 324648 44381 46420 22514017 28986042 2019224 2417161 2593400 2722688 1530535 839708 152951872 89464533 60592144 63487339 43274242 37362135 17883115 6358969 11807258 13021846 165940026 155566956 13421268 14814477 40476623 36499366 53897891 51313843 X 0 0 0 0 112042135 104253113 112042135 104253113 165940026 155566956 X -12140890 4282951 68917 X X 0 1 X 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 7435 0 0 0 7435 0 PART II-B, LINE 1: LAKE REGION HEALTHCARE PAID A PERCENT OF THEIR MHA DUES FOR LOBBYING PURPOSES. 1 3078849 3078849 92872394 51509305 41363089 161387 87895 73492 56839242 37867333 18971909 63487339 FUNDED DEPRECIATION 12783057 WORKERS COMPENSATION INSURANCE DEPOSITS 175830 DUE FROM AFFILIATES 57950 THIRD PARTY PAYOR SETTLEMENTS 5009 13021846 X PART X, LINE 2: LRHC IS ORGANIZED AS A MINNESOTA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THIS ENTITY IS REQUIRED ANNUALLY TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THIS ENTITY MAY BE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. LRHC FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. MEDICAL BUILDING IS A MINNESOTA LIMITED LIABILITY COMPANY SOLELY OWNED BY LRHC AND RECOGNIZED BY THE IRS FOR U.S. FEDERAL INCOME TAX PURPOSES AS A PASS-THROUGH ENTITY AND IS TREATED AS A "DISREGARDED ENTITY" FOR TAX PURPOSES AND WILL BE INCLUDED IN SCHEDULE R OF LRHC'S IRS FORM 990. THE CORPORATION BELIEVES THAT IT HAS APPROPRAITE 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 CORPORATION 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. 1 1 X 1 X 175.000000000000 1 X 215.000000000000 1 1 0 0 515000 515000 0.00320 21591536 14400487 7191049 0.04450 22106536 14400487 7706049 0.04770 59822 59822 0.00040 871624 871624 0.00540 16674 12640 4034 0.00000 8805 8805 0.00010 956925 12640 944285 0.00590 23063461 14413127 8650334 0.05360 2 13846 13846 0.00010 138051 138051 0.00090 2 151897 151897 0.00100 1 4136805 0 19548647 21221075 -1672428 X 1 1 1 LRH RAD ONC SERVICES RADIATION ONCOLOGY 0.50000 0.00000 0.50000 1 1 LAKE REGION HEALTHCARE CORPORATION 712 S CASCADE STREET FERGUS FALLS MN 56537 WWW.LRHC.ORG 00437 X X X 5 PROVIDER-BASED CLINICS AND 1 CANCER CENTER LAKE REGION HEALTHCARE CORPORATION 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.LRHC.ORG/HEALTH-WELLNESS/LOCAL-HEALTH-RESOURCES/ 1 21 1 HTTPS://WWW.LRHC.ORG/HEALTH-WELLNESS/LOCAL-HEALTH-RESOURCES/ 0 1 X 175.000000000000 215.000000000000 X X X 1 1 X X X 1 X HTTPS://WWW.LRHC.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/ X HTTP://WWW.LRHC.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/ X HTTP://WWW.LRHC.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/ X X X X X 1 X 0 X X X X 1 X 0 1 LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 5: LAKE REGION HEALTHCARE CORPORATION - LAKE REGION REFERRED TO THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK FOR GUIDANCE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THIS COMMUNITY-WIDE PLANNING AND ACTION ORIENTED PROCESS WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS IN PARTNERSHIP WITH THE PUBLIC HEALTH PRACTICE PROGRAM OFFICE OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION. MAPP IS A COMMUNITY-DRIVEN PROCESS ROOTED ON PARTNERSHIP DEVELOPMENT. ASSESSMENT OF NEEDS AND ASSETS AND STRATEGIC PLANNING ON HOW TO EFFICIENTLY USE AVAILABLE RESOURCES TO ADDRESS THE PRIORITIZED HEALTH NEEDS. LRH COMPLETED TWO ASSESSMENTS IN THE MAPP PROCESS: COMMUNITY THEMES AND STRENGTHS, AND COMMUNITY HEALTH STATUS. LRH ALSO HAD INPUT FROM COMMUNITY PARTNERS AND STAKEHOLDERS, ESPECIALLY PUBLIC HEALTH AND THOSE REPRESENTING THE UNDESERVED AND LOW-INCOME POPULATIONS. LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 6A: PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 11: IN THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, LAKE REGION HEALTHCARE CORPORATION IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS: (1) MENTAL HEALTH, (2) HEALTH EDUCATION AND PREVENTIVE SERVICES, (3) NUTRITION, PHYSICAL ACTIVITY AND OBESITY, (4) ACCESS TO HEALTH AND SOCIAL SERVICES, AND (5) SUBSTANCE AND TOBACCO USE. MENTAL HEALTH: TO HELP US IMPROVE ACCESS TO MENTAL HEALTH EDUCATION, RESOURCES, AND SERVICES, WE ARE FOCUSING ON RECRUITING AND RETAINING MENTAL HEALTH PROVIDERS TO OUR COMMUNITY. WE CONTINUE TO UTILIZE THE DEPRESSION SCREENING PROTOCOL AND ARE COLLABORATING WITH COMMUNITY PARTNERS TO IDENTIFY GAPS AND OPPORTUNITIES IN THIS AREA. ANOTHER FOCUS IS PROMOTING THRIVE AND OTHER EMPLOYEE ENGAGEMENT ACTIVITIES TO INCREASE SOCIAL CONNECTEDNESS AND IMPROVE OVERALL MENTAL WELLBEING AND RESILIENCY AMONG STAFF AND PROVIDERS.HEALTH EDUCATION AND PREVENTATIVE SERVICES: - TO PROMOTE INVIDIVUAL AND COMMUNITY HEALTH, WE ARE FOCUSING ON EDUCATION, PATIENT ACTIVATION, AND CARE COORDINATION. LAKE REGION HEALTHCARE CORPORATION CONTINUED TO REFER APPROPRIATE PRENATAL OR POSTPARTUM PATIENTS TO THE COUNTY'S HOME VISITING PROGRA TO GIVE NEW AND EXPECTANT PARENTS AND BABIES THE SUPPORT THEY NEED FOR IMPROVED HEALTH AND WELLBEING. IN ADDITION, LRHC USED VARIOUS TOOLS SUCH AS MAIL, PHONE CALLS, TEXT MESSAGING AND THE PATIENT PORTAL TO FACILITATE PATIENT OUTREACH AND ENCOURAGE ADHERENCE TO RECOMMENDED PREVENTIVE CARE SERVICES. NUTRITION, PHYSICAL ACTIVITY, AND OBESITY: TO ENCOURAGE HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION, LRH HAS WORKED TO CREATE A HEALHY ENVIRONMNET THT FOSTERS WELLNESS AND SUUPPORTS HEALTHY BEHAVIORS. LRH CONTINUED TO LEAD IN THIS EFFORT BY HOSTING THE ANNUAL COMMUNITY HEALTH EXPO, OFFERING THE "I CAN PRVENT DIABTES' PROGRAM FOR FREE, AND ENHANCING BOTH THE LIFESTYLE MEDICINE PROGRAM AND EMPLOYEE WELLNESS INITIATIVES. ACCESS TO HEALTH AND SOCIAL SERVICES: TO IMPROVE THE NUMBER OF PATIENTS CONNECTED TO APPROPRIATE HEALTH CARE AND COMMUNITY RESOURCES, WE EXPANDED OUR CARE COORDINATION PROGRAM, IMPLEMENTED SOCIAL HEALTH NEEDS SCREENING, AND PROVIDED COMPREHENSIVE TRANSITIONAL CARE FROM INPATIENT TO OTHER SETTINGS. WE ALSO CONTINUED TO RECRUIT PROVIDERS AND ADDED 14 PROVIDERS IN THE PAST 2 YEARS, IMPROVING ACCESS TO HEALTHCARE SERVICES IN OUR COMMUNITY. SUBSTANCE AND TOBACCO USE: CHEMICAL DEPENDENCE WAS ONE OF THE CONCERNS FREQUENTLY BROUGHT UP IN OUR FOCUS GROUP SESSIONS. AS IS THE CASE ACROSS THE ENTIRE COUNTRY, ADDICTION TO OPIOIDS, HEROIN AND METHAMPHETAMINE IS ALSO A GROWING THREAT IN OUR COMMUNITY. AS PART OF OUR RESPONSE, LAKE REGIONHEALTHCARE IS ONE OF EIGHT PILOT SITES ACROSS THE STATE FOLLOWING THE TACKLING OPIOID USE WITH NETWORKS (TOWN) MODEL FUNDED THROUGH THE MINNESOTA DEPARTMENT OF HEALTH TO HELP PREVENT OPIOID MISUSE AND OVERDOSE. THE TOWN MODEL INTEGRATES PREVENTION AND TREATMENT STRATEGIES AT THE HEALTH CARE SYSTEM AND IN SURROUNDING COMMUNITY TO: (1) CREATE COORDINATED CLINICAL CARE TEAMS, (2) IMPROVE THE PRESCRIBING CULTURE BY PROVIDING EDUCATION TO PROVIDERS AND PHARMACISTS ON APPROPRIATE OPIOID AND NALOXONE PRESCRIBING AND DISPENSING, (3) INCREASE COORDINATION ACROSS COMMUNITY SECTORS AND REDUCE TREATMENT GAPS FOR INDIVIDUALS WITH OPIOID USE DISORDER BY STRENGTHENING PARTNERSHIPS WITH LAW ENFORCEMENT AND OTHER COMMUNITY SECTORS AND (4) INCREASE REFERRALS FOR NEEDED SERVICES BY BRINGING TOGETHER INTERDISCIPLINARY AND INTERAGENCY TEAMS TO BE REPRESENTED IN EACH COMMUNITY TASK FORCE. LAKE REGION HEALTHCARE ENGAGED AND EDUCATED ITS PROVIDERS ON MINNESOTA AND CDC OPIOID PRESCRIBING GUIDELINES, ENCOURAGED THE USE OF THE CONTROLLED SUSBTANCE CARE PLAN FOR PATIENTS ON CHRONIC OPIOID THERAPY OR WITH CONCOMITANT USE OF BENZODIAZEPINES, AND COLLABORATED WITH COMMUNITY PARTNERS TO IDENTIFY AND IMPLEMENT POTENTIAL EFFECTIVE ENVIRONMNETAL STRATEGIES TO ADDRESS OPIOID ABUSE/MISUSE THROUGH THE OTTER TAIL COUNTY OPIOID ABUSE PREVENTION TASK FORCE. LAKE REGION HEALTHCARE CORPORATION EXPANDED ITS A MEDICATION FOR OPIOID USE DISORDER (MOUD) PROGRAM TO INCLDUE THE ELBOW LAKE CLINIC. ADDITIONALLY, TO INCREASE ACCESS TO NALOXONE, BOTH THE FERGUS FALLS AND ELBOW LAKE SITES ARE NOW DESIGNATED NALOXONE ACCESS POINTS. INDIVIDUALS CAN VISIT EITHER FAICILTY TO OBTAIN NALOXONE FOR FREE AND RECEIVE EDUCATION ON ITS USE AND APPLICATION. MORE DETAIL ON THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AS WELL AS THE STRATEGIES AND ACTIVITIES DEVELOPED TO ADDRESS THEM CAN BE FOUND ON LAKE REGION HEALTHCARE'S WEBSITE AT HTTPS://WWW.LRHC.ORG/HEALTH-WELLNESS/LOCAL-HEALTH-RESOURCES/ LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 24: THE FAP POLICY DOES NOT APPLY TO ELECTIVE SERVICES; THEREFORE, FAP ELIGIBLE INDIVIDUALS WERE CHARGED THE GROSS AMOUNT FOR ALL ELECTIVE SERVICES. 6 1 - MAIN FERGUS FALLS CLINIC 111 WEST VERNON AVENUE FERGUS FALLS MN 56537 CLINIC 2 - CANCER CENTER 908 SOUTH CASCADE STREET FERGUS FALLS MN 56537 CANCER TREATMENT CENTER 3 - WALK-IN CLINIC 2311 WEST LINCOLN AVENUE FERGUS FALLS MN 56537 CLINIC 4 - BARNESVILLE AREA CLINIC 209 SECOND STREET SOUTHEAST BARNESVILLE MN 56514 CLINIC 5 - BATTLE LAKE CLINIC 410 LAKE AVENUE SOUTH BATTLE LAKE MN 56515 CLINIC 6 - ASHBY CLINIC 110 COUNTY ROAD 82 EAST ASHBY MN 56309 CLINIC PART I, LINE 7: THE COST METHODOLOGY USED TO DETERMINE THE AMOUNTS IN LINE 7A-7D AND 7G IS THE ADJUSTED MEDICARE COST TO CHARGE RATIO ON THE 2023 COST REPORT. THE COST METHODOLOGY USED TO DETERMINE THE AMOUNTS IN LINE 7E, 7F, AND 7I ARE THE ACTUAL COSTS INCURRED AND RECORDED IN THE GENERAL LEDGER AND FINANCIAL STATEMENTS. PART II, COMMUNITY BUILDING ACTIVITIES: IN THE PAST YEAR, LRHC HAS PARTICIPATED IN A COMMUNITY GROUP FOCUSED ON DEVELOPING A COMMUNITY VISION AND ECONOMIC DEVELOPMENT. LRHC ALSO ALLOWED COMMUNITY GROUPS TO USE MEETING ROOMS FREE OF CHARGE TO ASSIST IN THEIR MISSIONS, ALONG WITH VARIOUS CASH DONATIONS GIVEN TO COMMUNITY ORGANIZATIONS. PART III, LINE 2: BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS. PART III, LINE 4: THE FOOTNOTE TO THE FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS LOCATED IN FOOTNOTE 1 ON PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE RELATED COSTS IS AN ADJUSTED MEDICARE COST TO CHARGE RATIO BASED ON THE 2023 COST REPORT. PART III, LINE 9B: THE COLLECTION POLICY STATES THAT CERTAIN INDIVIDUALS WITH VERY LIMITED MEANS MAY NOT BE ABLE TO MEET THE ACCEPTABLE PAYMENT GUIDELINES. WHEN THIS OCCURS, THE COLLECTION STAFF WILL EXHAUST EVERY CONSIDERATION TO RESOLVE THE ACCOUNTS, SUCH AS APPLICATIONS FROM MEDICAL AND GENERAL ASSISTANCE AND THE HOSPITAL CHARITY CARE PROGRAM. APPLICATIONS FOR CHARITY CARE ARE PROVIDED UPON REQUEST OR WHEN A PATIENT DEMONSTRATES THE NEED FOR THE CHARITY CARE PROGRAM ASSISTANCE. PART VI, LINE 2: ONE OF LAKE REGION HEALTHCARE'S GUIDING PRINCIPLES IS TO PROVIDE A HEALTHCARE SYSTEM THAT IS RESPECTFUL AND RESPONSIVE TO THEIR CUSTOMERS' NEEDS. IT IS ASSESSED ON A CONTINUAL BASIS. PERIODICALLY, LAKE REGION HEALTHCARE WORKS WITH OTTERTAIL COUNTY DEPARTMENT OF HEALTH TO PERFORM A FORMAL NEEDS ASSESSMENT OF THE COMMUNITY IT SERVES. PART VI, LINE 3: FOR THE UNINSURED AND SELF-PAY DISCOUNT, LAKE REGION HEALTHCARE FOLLOWS UP WITH A PHONE CALL TO SEE IF THEY RECEIVED THE LETTER AND DISCUSS THE PATIENTS' OPTIONS. ONCE IN THE COLLECTION PROCESS, PATIENTS WILL BE ASSESSED AS TO WHETHER OR NOT THEY WOULD BE ELIGIBLE FOR THE UNINSURED/SELF-PAY DISCOUNT. INPATIENTS ARE VISITED BY A PATIENT FINANCIAL SERVICES STAFF MEMBER TO EXPLAIN THE UNINSURED/SELF PAY DISCOUNT AN DIF ELIGIBLE, GIVEN AN APPLICATION FOR THE COMMUNITY CARE PROGRAM. FINANCIAL SERVICES PAMPHLETS EXPLAIN BOTH PROGRAMS AND ARE DISPERSED AROUND THE FACILITY. PROGRAM INFORMATION CAN ALSO BE ACCESSED ON LAKE REGION HEALTHCARE'S WEBSITE. EMPLOYEES AMONGST THE PATIENT DEPARTMENTS WORK WITH THE BUSINESS OFFICE TO BE SURE THAT EVERYONE WHO MAY BE ELIGIBLE RECEIVES THE APPROPRIATE INFORMATION. THE COLLECTION AGENCIES THAT ARE CONTRACTED WITH LAKE REGION HEALTHCARE ARE ALSO AWARE AND OFFER EITHER PROGRAM IF APPROPRIATE. PART VI, LINE 4: LAKE REGION HEALTHCARE PROVIDES PRIMARY AND SECONDARY HEALTHCARE SERVICES IN A RURAL AREA OF WEST CENTRAL MINNESOTA WITH A POPULATION OF APPROXIMATELY 100,000 PEOPLE. THE AVERAGE AGE OF THE POPULATION IS OLDER THAN BOTH THE STATE AND NATIONAL AVERAGES, WHICH LEADS TO A HIGHER THAN NORMAL PERCENTAGE OF OLDER PATIENTS WHOM THE HOSPITAL SERVES. APPROXIMATELY TWO-THIRDS OF THE PATIENT DAYS AT LAKE REGION HEALTHCARE ARE USED BY MEDICARE-AGED PATIENTS. PART VI, LINE 5: THE MOST TANGIBLE WAY THAT LAKE REGION HEALTHCARE PROVIDES COMMUNITY BENEFITS IS THROUGH COMMUNITY PROGRAMS AND SERVICES. IT PROVIDES THESE SERVICES AS A RESPONSIBLE MEMBER OF THE COMMUNITY. EDUCATIONAL PROGRAMS, HEALTHCARE SCREENINGS, SUPPORT GROUPS, AND OTHER COMMUNITY SERVICES ARE PROVIDED BY LAKE REGION HEALTHCARE TO IMPROVE THE HEALTHCARE AND QUALITY OF LIFE FOR THE PEOPLE IN THE COMMUNITY. THE MAJORITY OF THE 15 VOTING MEMBERS OF THE BOARD IS COMPRISED OF PERSONS WHO RESIDE WITHIN THIS SERVICE AREA. THE BOARD CONSISTS OF HOMEMAKERS, FARMERS, AND BUSINESS OWNER. LAKE REGION HEALTHCARE ALSO HAS AN OPEN MEDICAL STAFF AVAILABLE FOR ALL QUALIFIED PHYSICIANS. LAKE REGION HEALTHCARE BUDGETS FOR PROGRAMS WHICH ENCOURAGE INDIVIDUALS TO PRACTICE HEALTHCARE LIFESTYLES, AS WELL AS PROVIDES SUPPORT PROGRAMS WHICH BENEFIT THE ECONOMIES AND COMMUNITIES OF THEIR SERVICE AREA. PART VI, LINE 6: THE LAKE REGION HEALTHCARE (LRH) ENTERPRISE IS AN INDEPENDENT, COMMUNITY OWNED AND GOVERNED, NON-PROFIT HEALTHCARE ORGANIZATION HEADQUARTERED IN FERGUS FALLS. WITH FACILITIES IN NINE COMMUNITIES, WE ARE A MIDSIZED RURAL HEALTH SYSTEM PRIMARILY THAT SERVES FIVE COUNTIES IN WEST CENTRAL MINNESOTA AND EASTERN NORTH DAKOTA. THE ENTERPRISE OPERATES TWO HOSPITALS (IN FERGUS FALLS AND ELBOW LAKE), 10 CLINICS, A CANCER CENTER, A SENIOR LIVING COMMUNITY (MILL STREET RESIDENCE), AND VARIOUS OTHER HEALTH AND WELLNESS RELATED VENTURES. WITH OVER 1,100 EMPLOYEES AND 120 PHYSICIANS AND ADVANCE PRACTICE PROVIDERS, WE ARE DEDICATED TO SERVING THE HEALTHCARE NEEDS OF OUR COMMUNITIES CLOSE TO HOME AND DELIVERING SPECIALTY AND SUB-SPECIALTY SERVICES AT OUR LOCATIONS IN FERGUS FALLS, ELBOW LAKE, ASHBY, BARNESVILLE, BATTLE LAKE, EVANSVILLE, HERMAN, HOFFMAN, AND MORRIS, MN. IN EACH OF THE COMMUNITIES WE SERVE AND THE GREATER SERVICE AREA IN TOTAL, WE PROMOTE THE HEALTH OF THE PEOPLE IN OUR REGION THROUGH THE DONATION OF FINANCIAL AND HUMAN RESOURCES AND PROGRAMMING SUPPORT TO ACTIVITIES THAT PROMOTE HEALTHY EATING, PHYSICAL ACTIVITY, AND MENTAL HEALTH RESILIENCE. THESE EVENTS INCLUDE LRH SPONSORED EVENTS LIKE THE LAKE REGION RUN AND THE PEBBLE LAKE YOUTH TRIATHLON AS WELL AS COMMUNITY-LED EVENTS LIKE THE ASHBY 10K, THE PRAIRIE PURSUIT AND THE CENTRAL LAKES CYCLE DUATHLON. ALL OF THE WORK WE DO AND ACTIVITIES WE SUPPORT ARE AIMED AT ACHIEVING OUR MISSION OF PARTNERING TO ENRICH LIFE THROUGH HEALTH. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 FERGUS FALLS 544 EDUCATION FOUNDATION 518 FRIBERG AVENUE FERGUS FALLS MN 56537 411978590 501(C)(3) 10300 0 N/A N/A COMMUNITY BENEFIT FERGUS FALLS HOCKEY ASSOCIATION PO BOX 691 FERGUS FALLS MN 56538 237097408 501(C)(3) 5100 0 N/A N/A COMMUNITY BENEFIT GREATER FERGUS FALLS CORPORATION 403 SOUTH UNION AVENUE SUITE 10 FERGUS FALLS MN 56537 831284758 501(C)(3) 15000 0 N/A N/A COMMUNITY BENEFIT CITY OF FERGUS FALLS 112 WASHINGTON AVE W FERGUS FALLS MN 56537 416005153 GOV 60000 0 N/A N/A COMMUNITY BENEFIT FERGUS FALLS AREA CHAMBER OF COMMERCE 202 S COURT STREET FERGUS FALLS MN 56537 410192908 501(C)(6) 5600 0 N/A N/A COMMUNITY BENEFIT 4 1 PART I, LINE 2: THE LAKE REGION HEALTHCARE FINANCE TEAM MAINTAINS A RECORD OF ALL GRANTS ISSUED AND PLEDGES MADE. GRANT ELIGIBILITY AND SELECTION CRITERIA ARE DESCRIBED IN OUR DONATION POLICY AS FOLLOWS: TAX-EXEMPT, NONPROFIT ORGANIZATIONS ARE ELIGIBLE. CONTRIBUTIONS ARE NOT GENERALLY GIVEN FOR TRAVEL OR TRAVEL-RELATED EXPENSES; TO INDIVIDUALS; TO ORGANIZATIONS BASED OUTSIDE OF OUR REGION; TO ORGANIZATIONS OF PRIMARILY POLITICAL FOCUS OR ORGANIZATIONS THAT DISCRIMINATE ON THE BASIS OF AGE, SEX, RACE, COLOR, NATIONAL ORIGIN, RELIGION, CREED OR SEXUAL ORIENTATION. LAKE REGION HEALTHCARE BELIEVES IN BEING A GOOD COMMUNITY PARTNER BY SUPPORTING VARIOUS CHARITABLE CAUSES THROUGHOUT OUR SERVICE AREAS. WE REGARD PARTNERSHIPS WITH NONPROFIT ORGANIZATIONS AS AN IMPORTANT INVESTMENT IN THE FUTURE OF COMMUNITIES WE SERVE AND THE VITALITY OF OUR ORGANIZATION. OVER TIME, WE HAVE PARTICIPATED IN AND ASSISTED WITH MANY COMMUNITY PROJECTS AND FESTIVALS, EDUCATIONAL PROGRAMS, YOUTH SPORTS ACTIVITIES, LOCAL GOVERNMENT, HEALTH PROGRAMS, AND NONPROFIT ORGANIZATIONS. TO ACHIEVE THE GREATEST BENEFIT FROM AVAILABLE FUNDING, WE GENERALLY FOCUS ON EVENTS OR PROGRAMS THAT DIRECTLY IMPACT THE COMMUNITIES WE SERVE. IN ADDITION, BECAUSE OUR DOLLARS ARE LIMITED, WE NARROW OUR FOCUS FURTHER BY SUPPORTING MAINLY THOSE REQUESTS THAT IMPACT HEALTH AND WELLNESS, CHILDREN AND EDUCATION, AND THE ARTS. X X X X X X 0 0 0 0 0 1 0 0 0 CHELSEY JOHNSON PLASTIC SURGEON 704901 0 0 0 0 0 0 0 9618 0 714519 0 0 0 KENT MATTSON CEO 510000 0 0 0 0 0 121850 0 17632 0 649482 0 0 0 CAMIE PATTERSON CFO 376555 0 154792 0 0 0 0 0 17526 0 548873 0 0 0 FRITZ KARSNIA CRNA 308515 0 0 0 0 0 0 0 15033 0 323548 0 0 0 ROBERTA YOUNG CNO 257177 0 31092 0 0 0 0 0 12693 0 300962 0 0 0 TYLER SCOTT CRNA 289613 0 0 0 0 0 0 0 9172 0 298785 0 0 0 JEFFREY OLSON CRNA 282762 0 0 0 0 0 0 0 14609 0 297371 0 0 0 HENRIK BJORNDAHL CRNA 280586 0 0 0 0 0 0 0 14609 0 295195 0 0 0 DANIELLE LESMEISTER ADMINISTRATION OF PATIENT CARE 164448 0 0 0 0 0 0 0 15630 0 180078 0 0 0 KATHY BURVILLE VP OF AMBULATORY SERVICES 161694 0 0 0 0 0 0 0 15911 0 177605 0 0 0 WADE JYRKAS CIO 137556 0 0 0 0 0 0 0 15498 0 153054 0 0 0 PART I, LINE 6 LRHC HAS IMPLEMENTED AN INCENTIVE COMPENSATION PROGRAM FOR CERTAIN EXECUTIVE LEADERSHIP POSITIONS WITHIN THE ORGANIZATION. CERTAIN MEASURES AND GOALS NEED TO BE MET IN ORDER FOR THE COMPENSATION TO BE PAID OUT IN WHOLE, SUCH AS MEETING FINANCIAL PERFORMANCE EXPECTATIONS AND QUALITY METRICS AND SUCCESSFUL IMPLEMENTATION OF STRATEGIC GOALS. THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS PERFORMANCE ANNUALLY AND DETERMINES ANY AMOUNTS OF COMPENSATION THAT IS AWARDED. A CITY OF FERGUS FALLS MN 416005153 2021-10-01 21000000 TO IMPLEMENT A NEW EHR AND PURCHASE MEDICAL EQUIPMENT 0 0 0 A 2859855 21000000 56000 11189869 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 1A THERE IS AN EXECUTIVE COMMITTEE LIMITED TO SEVEN TRUSTEES, AND THESE TRUSTEES SHALL BE: (1) THE PRESIDENT (2) THE VICE PRESIDENT (3) THE SECRETARY (4) THE TREASURER (5) THE PAST PRESIDENT AND (6 AND 7) THE BOARD WILL DESIGNATE TWO BOARD MEMBERS AT LARGE TO SERVE ON THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL MEET AT LEAST FOUR TIMES EACH YEAR, ONCE IN EACH CALENDAR QUARTER. ITS MEETINGS MAY BE JOINT MEETINGS WITH THE BOARD OF TRUSTEES. UNLESS ITS AUTHORITY IS EXPRESSLY LIMITED BY THE BOARD, THE EXECUTIVE COMMITTEE SHALL EXERCISE THE FULL POWER OF THE BOARD ON THE BASIS OF BYLAW PROVISIONS AND WITHOUT SPECIFIC DELEGATION OF SUCH AUTHORITY BY THE BOARD, BUT ONLY IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 MATTHEW MOUSER, MD, AND REBECCA BOESL ARE AFFILIATED WITH COMPANIES THAT HAVE A BUSINESS RELATIONSHIP WITH LAKE REGION HEALTHCARE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE COMPLETED FORM 990, WITH SUPPORTING SCHEDULES AND FOOTNOTES, WERE DISTRIBUTED TO ALL LRHC BOARD MEMBERS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE DETAILED AND CONSCIENTIOUS REVIEW BY ALL BOARD MEMBERS AND OPPORTUNITY FOR FEEDBACK AND CORRECTION. ALL QUESTIONS, CONCERNS, OR OTHER FEEDBACK FROM BOARD MEMBERS WERE DIRECTED TO THE LRHC CHIEF FINANCIAL OFFICER AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE, SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED CONSCIENTIOUS REVIEW BY ALL EXECUTIVE OR FINANCE COMMITTEE MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURES ARE COLLECTED FROM ALL INTERESTED PERSONS, OFFICERS, AND TRUSTEES ANNUALLY ASSESS WHETHER OR NOT THERE ARE ANY CONFLICTS OF INTEREST ACCORDING TO THE CONFLICTS OF INTEREST POLICY. IT IS CONSISTENTLY MONITORED DURING THE YEAR TO BE SURE THAT THE WRITTEN POLICY IS BEING FOLLOWED. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE OFFICERS OF LAKE REGION HEALTHCARE IS REVIEWED ANNUALLY, OUTSIDE INDEPENDENT COMPENSATION CONSULTANTS ARE ENGAGED FOR FAIR MARKET ASSESSMENTS, AS WELL AS MHA SALARY SURVEYS. COMPENSATION IS PRESENTED FOR APPROVAL TO THE EXECUTIVE COMMITTEE. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 LAKE REGION HEALTHCARE'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,945,195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,945,195. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 38,533,797. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,533,797. COLLECTION FEES: PROGRAM SERVICE EXPENSES 323,679. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 323,679. OUTSIDE LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 260,310. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 260,310. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,046,609. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,046,609. STUDENT PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 158,950. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,950. FORM 990, PART XI, LINE 9: NET ASSET RELEASED FROM RESTRICTIONS 68,917. FORM 990, PART XII, LINE 3B: SINGLE AUDIT WILL BE COMPLETED BY 6/30/24 DEADLINE FORM 990, HEADER, LINE C: LAKE REGION HEATLHCARE ALSO DOES BUSINESS AS: LAKE REGION HEALTHCARE CLINIC SERVICES - ASHBY CLINIC, LAKE REGION HEALTHCARE CLINIC SERVICES - BATTLE LAKE, LAKE REGION HEALTHCARE CLINIC SERVICES - FERGUS FALLS, LAKE REGION HOSPITAL, AND LAKE REGION HEALTHCARE - WALK-IN CLINIC. MEDICAL BUILDING 712 S CASCADE STREET FERGUS FALLS MN 56537 472843862 PROVIDE REAL AND PERSONAL PROPERTY FOR LAKE REGION HEALTHCARE CORPORATION MN 0 0 LAKE REGION HEALTHCARE CORPORATION LAKE REGION HEALTHCARE FOUNDATION 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411677288 FUNDRAISING MN 501(C)(3) LINE 12A, I LAKE REGION HEALTHCARE CORPORATION 1 LRHC LONG-TERM CARE FACILITIES INC 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411817549 ASSISTED LIVING MN 501(C)(3) LINE 10 LAKE REGION HEALTHCARE CORPORATION 1 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 411763968 HEALTHCARE SERVICES MN 501(C)(3) LINE 3 LAKE REGION HEALTHCARE CORPORATION 1 PRAIRIE RIDGE FOUNDATION 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 455092280 FUNDRAISING MN 501(C)(3) LINE 7 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1 LRH RAD ONC SERVICES 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 271322270 RADIATION & ONCOLOGY SERVICES MN LAKE REGION HEALTHCARE RELATED -464530 0 1 0.50000 RURAL HEALTH ALLIANCE LLC 1210 BROADWAY STE 240 271 ALEXANDRIA MN 56308 020738699 EQUIPMENT SALES MN N/A 0 0 WEST CENTRAL LINEN SERVICES 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411411129 LAUNDRY & LINEN MN LAKE REGION HEALTHCARE CORPORATION C 17025 325131 0.50000 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 LRH RAD ONC SERVICES Q 364189 PATIENT BILLING SERVICES LAKE REGION HEALTHCARE FOUNDATION Q 66571 OPERATING EXPENSES PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES Q 4543983 OPERATING EXPENSES LRHC LONG-TERM CARE FACILITIES INC Q 786423 OPERATING EXPENSES WEST CENTRAL LINEN SERVICES M 253722 COST OF SERVICES LRH RAD ONC SERVICES K 253389 FMV LAKE REGION HEALTHCARE FOUNDATION C 1688725 FMV PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES P 110165 OPERATING EXPENSES