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        <ReportableCompFromRltdOrgAmt>660</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GENE WENSTROM</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>660</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAMIE PATTERSON</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN ERICKSON</PersonNm>
        <TitleTxt>BOARD CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>8.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARRIE BRIMHALL</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAUREL NELSON</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT BAUER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEB FERGUSON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHUCK MCFARLANE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW MOUSER MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY NESS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIN PETERSON MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN RUFER</PersonNm>
        <TitleTxt>PAST CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NAOMI SCHMID MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WADE SWENSON MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2845097</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1980</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>188378</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>32</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LAKE REGION MEDICAL GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>712 S CASCADE STREET</AddressLine1Txt>
            <CityNm>FERGUS FALLS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56538</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>29896976</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAYO COLLABORATIVE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 9146</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>58480</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAB SERVICES</ServicesDesc>
        <CompensationAmt>766188</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HTK INC DBA HAILEY SAULT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>394 SOUTH LAKE AVE SUITE 207</AddressLine1Txt>
            <CityNm>DULUTH</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55802</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING SERVICES</ServicesDesc>
        <CompensationAmt>503455</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO CTM INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 415000</AddressLine1Txt>
            <CityNm>NASHVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37241</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MAINTENANCE SERVICES</ServicesDesc>
        <CompensationAmt>474716</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WITTKIEFFER INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2015 SPRING ROAD SUITE 150</AddressLine1Txt>
            <CityNm>OAK BROOK</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60523</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INTERIM CFO SERVICES</ServicesDesc>
        <CompensationAmt>466934</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>23</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>121235</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>9110225</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>133371</AllOtherContributionsAmt>
      <TotalContributionsAmt>9364831</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>121227432</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>121090702</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>136730</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>121227432</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>973061</TotalRevenueColumnAmt>
        <ExclusionAmt>973061</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1041971</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>47743</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>994228</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>994228</TotalRevenueColumnAmt>
        <ExclusionAmt>994228</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2608946</SecuritiesAmt>
        <OtherAmt>401339</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2560922</SecuritiesAmt>
        <OtherAmt>64896</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>48024</SecuritiesAmt>
        <OtherAmt>336443</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>384467</TotalRevenueColumnAmt>
        <ExclusionAmt>384467</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OUTSIDE SERVICE REVENU</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>6054049</TotalRevenueColumnAmt>
        <ExclusionAmt>6054049</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>RECOVERY OF CERNER IMP</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5000000</TotalRevenueColumnAmt>
        <ExclusionAmt>5000000</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OPTICAL SALES</Desc>
        <BusinessCd>446199</BusinessCd>
        <TotalRevenueColumnAmt>690560</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>73110</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>617450</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>-359172</TotalRevenueColumnAmt>
        <ExclusionAmt>-359172</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>11385437</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>144329456</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>121090702</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>209840</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>13664083</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>126724</TotalAmt>
        <ProgramServicesAmt>126724</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1210267</TotalAmt>
        <ManagementAndGeneralAmt>1210267</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>40587660</TotalAmt>
        <ProgramServicesAmt>27796728</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12790932</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>593950</TotalAmt>
        <ProgramServicesAmt>400261</ProgramServicesAmt>
        <ManagementAndGeneralAmt>193689</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5349463</TotalAmt>
        <ProgramServicesAmt>3557929</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1791534</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2891094</TotalAmt>
        <ProgramServicesAmt>1948297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>942797</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>115226</TotalAmt>
        <ManagementAndGeneralAmt>115226</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>132662</TotalAmt>
        <ManagementAndGeneralAmt>132662</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>34614058</TotalAmt>
        <ProgramServicesAmt>34614058</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>964434</TotalAmt>
        <ProgramServicesAmt>649928</ProgramServicesAmt>
        <ManagementAndGeneralAmt>314506</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>416939</TotalAmt>
        <ManagementAndGeneralAmt>416939</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>2798915</TotalAmt>
        <ProgramServicesAmt>2450903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>348012</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>111336</TotalAmt>
        <ProgramServicesAmt>33504</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77832</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>1228229</TotalAmt>
        <ProgramServicesAmt>833580</ProgramServicesAmt>
        <ManagementAndGeneralAmt>394649</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>5019321</TotalAmt>
        <ProgramServicesAmt>3604377</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1414944</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>703224</TotalAmt>
        <ProgramServicesAmt>703224</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>23203828</TotalAmt>
        <ProgramServicesAmt>23203828</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>5407895</TotalAmt>
        <ProgramServicesAmt>4668006</ProgramServicesAmt>
        <ManagementAndGeneralAmt>739889</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>4268025</TotalAmt>
        <ProgramServicesAmt>4268025</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MN HEALTH SURCHARGE</Desc>
        <TotalAmt>2252967</TotalAmt>
        <ProgramServicesAmt>2252967</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1527716</TotalAmt>
        <ProgramServicesAmt>1337772</ProgramServicesAmt>
        <ManagementAndGeneralAmt>189944</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>133523933</TotalAmt>
        <ProgramServicesAmt>112450111</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21073822</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>7337818</BOYAmt>
        <EOYAmt>29074060</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>92628</BOYAmt>
        <EOYAmt>223712</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>24264142</BOYAmt>
        <EOYAmt>22281448</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>8994567</BOYAmt>
        <EOYAmt>10009670</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>2234324</BOYAmt>
        <EOYAmt>2464656</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1520720</BOYAmt>
        <EOYAmt>1311932</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>135122915</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>76426397</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>60266694</BOYAmt>
        <EOYAmt>58696518</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>34374432</BOYAmt>
        <EOYAmt>30936254</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>1450999</BOYAmt>
        <EOYAmt>2050202</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>420271</BOYAmt>
        <EOYAmt>11621098</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>140956595</BOYAmt>
        <EOYAmt>168669550</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>14557165</BOYAmt>
        <EOYAmt>16081485</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>35865525</BOYAmt>
        <EOYAmt>36782887</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>145724</BOYAmt>
        <EOYAmt>11440921</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>50568414</BOYAmt>
        <EOYAmt>64305293</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrgDoesNotFollowFASB117Ind>X</OrgDoesNotFollowFASB117Ind>
      <CapStkTrPrinCurrentFundsGrp>
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        <FormAndLineReferenceDesc>LAKE REGION HEALTHCARE CORPORATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <ExplanationTxt>PART V, SECTION B, LINE 11: IN THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, LAKE REGION HEALTHCARE CORPORATION IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS: MENTAL HEALTH, SUBSTANCE ABUSE, RESOURCE NAVIGATION AND CHRONIC DISEASES. IN FEBRUARY 2020, INITIAL COMMUNICATION CAME FROM THE MINNESOTA DEPARTMENT OF HEALTH REGARDING PREPARATION FOR THE SURGE OF COVID-19. INITIAL WORK INCLUDED SITUATIONAL AWARENESS, INVENTORY OF PERSONAL PROTECTIVE EQUIPMENT (PPE) IN STORAGE, ACTIVATION OF THE HIGH CONSEQUENCE INFECTIOUS DISEASE PLAN, AND COMMUNICATION THROUGHOUT ALL LEVELS OF THE ORGANIZATION. MANY MEASURES WERE IMPLEMENTED TO ENSURE HEALTHCARE WORKER AND PATIENT SAFETY THROUGHOUT THE PANDEMIC THROUGH EDUCATION, INCREASED MONITORING AND TESTING, AND UPDATING THE HOSPITAL'S FACILITIES TO INHIBIT THE SPREAD OF COVID-19 AND MANAGE THE INCREASE IN PATIENTS DUE TO THE DISEASE. DESPITE A HIGH NUMBER OF HOSPITALIZATIONS, THERE WERE VERY FEW HIGH-RISK EXPOSURES OF HEALTHCARE WORKERS OR PATIENTS, PRIMARILY RELATED TO UNIVERSAL PPE UTILIZATION.MENTAL HEALTH - IN 2020, LAKE REGION HEALTHCARE SUCCESSFULLY RECRUITED 3 NEW PSYCHIATRIC PRACTITIONERS, 2 PSYCHIATRISTS, AND 1 NURSE PRACTITIONER. THE ADDITION OF THESE PROVIDERS GREATLY IMPROVED ACCESS FOR OUR PATIENTS AND COMMUNITY MEMBERS. ADDITIONALLY, TO HELP US IMPROVE DEPRESSION MANAGEMENT, WE IMPLEMENTED A PROCESS TO INCREASE THE DEPRESSION SCREENING USING THE PATIENT HEALTH QUESTIONNAIRE -9 (PHQ-9) SCREENING TOOL AT OUR CLINICS. UNDERSTANDING THE EXTENSIVENESS OF THE ISSUE OF MENTAL HEALTH, WE WANTED TO ENSURE THAT WE CONTINUE TO COLLABORATE WITH OUR COMMUNITY PARTNERS AND STAKEHOLDERS TO HELP IDENTIFY OPPORTUNITIES TO IMPROVE ACCESS TO QUALITY MENTAL HEALTH CARE. DUE TO COVID-19, WE WERE ONLY ABLE TO MEET WITH COMMUNITY PARTNERS ONCE IN 2020. HOWEVER, WE PLAN ON CONTINUING TO BE PART OF THIS CONVERSATION AND HELP THE COMMUNITY HAVE ACCESS TO QUALITY MENTAL HEALTH CARE.IN ADDITION TO THESE PROGRAMS TO STRENGTHEN MENTAL HEALTH INITIATIVES WITHIN THE COMMUNITY, IN FISCAL YEAR 2020, LAKE REGION HEALTHCARE CORPORATION WORKED TO TRAIN COMMUNITY MEMBERS ON QPR (QUESTION, PERSUADE, AND REFER) GATE KEEPER TRAINING FOR SUICIDE PREVENTION, REFER APPROPRIATE PRENATAL OR POSTPARTUM PATIENTS TO THE COUNTY'S HOME VISITING PROGRAM, AND PROMOTE THRIVE AND PERSON-CENTERED CARE ACTIVITIES AMONG STAFF, PROVIDERS, AND THE COMMUNITY.SUBSTANCE ABUSE - 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 REGION HEALTHCARE 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.ADDITIONALLY, LAKE REGION HEALTHCARE CORPORATION WORKED TO ESTABLISH AN OPIOID SAFETY PROGRAM LED BY THE OPIOID SAFETY STEERING COMMITTEE ESTABLISHED IN NOVEMBER 2019, ENGAGE AND EDUCATE PROVIDERS ON MINNESOTA AND CDC OPIOID PRESCRIBING GUIDELINES, ENCOURAGE THE USE OF THE CONTROLLED SUBSTANCE CARE PLAN FOR PATIENTS ON CHRONIC OPIOID THERAPY OR WITH CONCOMITANT USE OF BENZODIAZEPINES, AND COLLABORATE WITH COMMUNITY PARTNERS TO IDENTIFY AND IMPLEMENT POTENTIAL EFFECTIVE ENVIRONMENTAL STRATEGIES TO ADDRESS OPIOID ABUSE/MISUSE THROUGH THE OTTER TAIL COUNTY OPIOID ABUSE PREVENTION TASK FORCE. ANOTHER STRATEGY OF LAKE REGION HEALTHCARE IN FISCAL YEAR 2020 WAS TO EXPAND ACCESS TO NALOXONE THROUGH EDUCATING PROVIDERS ON RECOMMENDATIONS REGARDING WHEN TO PRESCRIBE OR CO-PRESCRIBE NALOXONE AND HOST COMMUNITY NARCAN TRAINING. RESOURCES FOR THESE PROGRAMS WERE DIVERTED TO RESPOND TO THE COVID-19 PANDEMIC AND WE WERE NOT ABLE TO PREPARE AND PRESENT PROVIDER EDUCATION ON NALOXONE PRESCRIBING GUIDELINES. WE ARE CURRENTLY WORKING WITH OUR PHARMACY DEPARTMENT TO DEVELOP EDUCATION MATERIALS TO BE SHARED WITH ALL THE PROVIDERS AS PART OF THEIR ANN8UAL EDUCATION IN 2021. SIMILARLY, WE WERE NOT ABLE TO HOST COMMUNITY TRAININGS ON NARCAN AND OPIOID AWARENESS. DEPENDING ON THE COVID SITUATION IN OUR COMMUNITY, WE HOPE TO BE ABLE TO WORK WITH COMMUNITY PARTNERS AND FACILITATE COMMUNITY EDUCATION SESSIONS IN CALENDAR YEAR 2021.RESOURCE NAVIGATION - IN ALL FIVE FOCUS GROUP SESSIONS WE FACILITATED, THE AVAILABILITY OF A VARIETY OF HEALTH CARE SERVICES, COMMUNITY-BASED RESOURCES AND SOCIAL SERVICES WAS HIGHLIGHTED AS AN ASSET IN THE COMMUNITY. HOWEVER, MOST COMMUNITY MEMBERS ARE NOT AWARE OF THE RESOURCES AVAILABLE OR DO NOT KNOW HOW TO ACCESS THEM. THIS LIMITED AWARENESS OF SERVICES AND RESOURCES MAY LEAD TO COMMUNITY MEMBERS NOT SEEKING NEEDED SERVICES, IMPACTING HEALTH AND LEADING TO POORER HEALTH OUTCOMES AND QUALITY OF LIFE.ONE OF THE MAIN STRATEGIES TO STRENGTHEN RESOURCE NAVIGATION IS TO OPTIMIZE ACCESS TO HEALTH CARE THROUGH ENHANCING AWARENESS OF COMMUNITY RESOURCES AND HEALTHCARE/SUPPORT SERVICES. IN FISCAL YEAR 2020, WE PLANNED TO DO THIS THROUGH PILOTING A MONTHLY RESOURCE SERIES, PILOTING A FLOAT SOCIAL WORKER PROGRAM AT THE CLINIC, DEVELOPING A COMMUNITY RESOURCE LINK, AND CONSIDERING SCREENING PATIENTS FOR SOCIAL NEEDS. IN ORDER TO MEET THE SOCIAL WORKER NEEDS OF THE WHOLE ORGANIZATION, THE FLOAT SOCIAL WORK PROGRAM WAS ESTABLISHED IN OCTOBER 2019. DUE TO THE COVID-19 PANDEMIC, SOCIAL GATHERING RESTRICTIONS WERE PUT IN PLACE AND RESOURCES WERE REALLOCATED TO FOCUS ON PLANNING, PREPARING AND RESPONDING TO THE PANDEMIC. THEREFORE, WE WERE NOT ABLE TO COORDINATE THE RESOURCE SERIES IN THE PAST YEAR AS WE HAD HOPED. HOWEVER, DURING THIS TIME OF CRISIS, OUR COMMUNITY PARTNERS CONTINUED TO WORK ALONGSIDE EACH OTHER, CONNECTING AND COLLABORATING TO EDUCATE AND INFORM EACH OTHER ABOUT AVAILABLE COMMUNITY RESOURCES AS WELL AS COVID-SPECIFIC RESOURCES AND INFORMATION.CHRONIC DISEASES - CHRONIC DISEASES SUCH AS HEART DISEASE, CANCER, DIABETES AND OBESITY, ARE AMONG THEMOST COMMON, COSTLY AND PREVENTABLE ILLNESSES IN OUR SERVICE AREA AND ACROSS THE COUNTRY. CANCER AND HEART DISEASE ARE THE TOP TWO CAUSES OF DEATH IN OTTER TAIL COUNTY. THE MOST PREVALENT CANCER DIAGNOSIS IN THE COUNTY ARE LUNG AND COLORECTAL CANCERS WHILE BREAST CANCER IS THE MOST COMMON CANCER AMONG WOMEN IN OUR COMMUNITY. OBESITY WHICH IS NOW RECOGNIZED AS A CHRONIC DISEASE ALSO EXACERBATES MANY OTHER CHRONIC DISEASES, SUCH AS CARDIOVASCULAR DISEASE AND DIABETES. ACCORDING TO THE PARTNERSHIP4HEALTH SURVEY CONDUCTED IN 2018, CLOSE TO 40% OF OTTER TAIL COUNTY ADULTS ARE CONSIDERED TO BE OBESE WHILE 72.5% ARE EITHER OVERWEIGHT OR OBESE.TO ENCOURAGE HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION IN THE SERVICE AREA, LRH WORKED TO CREATE A HEALTHY ENVIRONMENT BY CONTINUING TO LEAD THE ANNUAL COMMUNITY HEALTH EXPO, SUPPORT LIVE WELL FERGUS FALLS AND THEIR INITIATIVES, EXPAND SHOP WITH THE DOC PROGRAM TO IMPROVE ACCESS TO HEALTHY FOOD CHOICES, ESTABLISH WALK WITH THE DOC PROGRAM TO INCREASE ACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES, AND ADVOCATE FOR LOCAL BUSINESSES TO ADOPT WORKSITE WELLNESS INITIATIVES. DUE TO COVID-19, THE HEALTH EXPO WAS CANCELLED, AND THE SHOP WITH THE DOC AND WALK WITH THE DOC PROGRAMS WERE EXTREMELY LIMITED. HOWEVER, LAKE REGION HEALTHCARE ALONG WITH PARTNERSHIP4HEALTH AND OTHER MEMBERS OF LIVE WELL FERGUS FALLS WERE STILL ABLE TO WORK TO PROMOTE WORKSITE WELLNESS TO OTHER BUSINESSES IN THE COMMUNITY.IN ADDITION TO CREATING A HEALTHY ENVIRONMENT THROUGH COMMUNITY PROGRAMS, LRH WORKED TO IMPROVE ACCESS TO QUALITY PREVENTIVE SERVICES, THROUGH OFFERING I CAN PREVENT DIABETES CLASSES FOR FREE, GROWING THE LIFESTYLE MEDICINE PROGRAM, UTILIZING PRE-VISIT PLANNING FOR CANCER SCREENING REMINDERS, SENDING OUT TARGETED MAILINGS TO EDUCATE PARENTS AND PROMOTE HPV VACCINATION, AND SENDING OUT REMINDERS TO IMPROVE COMPLETION OF HPV SERIES. DUE TO LIMITATIONS STEMMING FROM THE COVID-19 PANDEMIC, MOST OF THESE PROGRAMS WERE CUT SHORT OR UNABLE TO GET GOING. WE WILL FURTHER EVALUATE THE PROGRAMS AND PERFORMANCE METRICS IN 2021 FOR FUTURE UPDATE.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/COMMUNITY-HEALTH/.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>LAKE REGION HEALTHCARE CORPORATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST METHODOLOGY USED TO DETERMINE THE AMOUNTS IN LINE 7A-7D AND 7G IS THE ADJUSTED MEDICARE COST TO CHARGE RATIO ON THE 2019 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOOTNOTE TO THE FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS LOCATED IN FOOTNOTE 1 ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED TO DETERMINE THE RELATED COSTS IS AN ADJUSTED MEDICARE COST TO CHARGE RATIO BASED ON THE 2019 COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE UNINSURED AND SELF-PAY DISCOUNT, OUTPATIENT OR CLINIC SERVICES PATIENTS ARE SENT A LETTER AFTER ESTABLISHING THEIR FINANCIAL STATUS AS SELF PAY. THE LETTER INFORMS THEM THAT THERE IS A DISCOUNT PROGRAM THAT MAY BE AVAILABLE TO THEM IF THEY ARE WITHOUT INSURANCE. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>LAKE REGION HEALTHCARE FOUNDATION RECEIVES DONATIONS, MEMORIALS, PLEDGES, AND LEADS FUNDRAISING EVENTS. THE FUNDS RECEIVED ARE GRANTED TO LAKE REGION HEALTHCARE AND COMMUNITY ORGANIZATIONS TO SUPPORT PROVIDING QUALITY HEALTHCARE IN THE COMMUNITIES IN OUR SERVICE AREA.</ExplanationTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>264192</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFERY OLSON</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>264070</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOY LINDGREN</PersonNm>
        <TitleTxt>CMO (THRU JAN 2020)</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>263458</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TYLER SCOTT</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <BaseCompensationFilingOrgAmt>259286</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>259825</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LUCIA ANDERSON</PersonNm>
        <TitleTxt>CNO/DIRECTOR OF SURGICAL SVCS</TitleTxt>
        <BaseCompensationFilingOrgAmt>215086</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>228139</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIELLE LESMEISTER</PersonNm>
        <TitleTxt>PRAIRIE RIDGE CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>150674</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>162576</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS AN EXECUTIVE COMMITTEE LIMITED TO SEVEN TRUSTEES, AND THESE TRUSTEES SHALL BE: (1) THE PRESIDENT (2) THE VICE PRESIDETN (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 EXERCIST 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JOHN ERICKSON, MATTHEW MOUSER, ERIN PETERSON, AND WADE SWENSON ARE AFFILIATED WITH COMPANIES THAT HAVE A BUSINESS RELATIONSHIP WITH LAKE REGION HEALTHCARE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>LAKE REGION HEALTHCARE CORPORATION HIRED WITT/KIEFFER, INC. TO PROVIDE AN INTERIM CHIEF FINANCIAL OFFICER (CFO). THE INTERIM CFO WAS RESPONSIBLE FOR OVERSEEING THE FINANCIAL OPERATIONS OF THE ORGANIZATION AND RELATED ORGANIZATIONS. WITT/KIEFFER, INC. EMPLOYED CAMIE PATTERSON TO PROVIDE THESE SERVICES, AND WITT/KIEFFER, INC. RECEIVED $466,934 IN COMPENSATION FOR THE SERVICES PROVIDED BY CAMIE. CAMIE PATTERSON WAS HIRED TO BE THE FULL-TIME CFO FOR LAKE REGION HELATHCARE CORPORATION AND ALL RELATED ORGANIZATIONS IN APRIL OF 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>LAKE REGION HEALTHCARE'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMIE PATTERSON, CFO, WAS CONTRACTED AS INTERIM CFO FOR LAKE REGION HEALTHCARE CORPORATION AND RELATED ORGANIZATIONS THROUGH CALENDAR YEAR 2019, SO NO WAGES WERE REPORTED ON PART VII OF THE FORM 990. CAMIE WAS HIRED AS THE PERMANENT CFO FOR LAKE REGION HEALTHCARE CORPORATION AND ALL RELATED ORGANIZATIONS IN APRIL 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSIDE CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,122,088. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,122,088. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 30,397,957. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,397,957. COLLECTION FEES: PROGRAM SERVICE EXPENSES 234,457. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 234,457. OUTSIDE LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 206,451. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 206,451. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,441,473. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,441,473. STUDENT PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 211,632. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 211,632.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR SELECTION AND OVERSIGHT OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REQUIRED AUDIT RESULTING FROM THE FEDERAL AWARD WAS NOT REQUIRED UNTIL AFTER FISCAL YEAR-END. THE ORGANIZATION INTENDS TO UNDERGO THE REQUIRED AUDIT IN THE SUBSEQUENT YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, HEADER, LINE C:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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          <StateAbbreviationCd>MN</StateAbbreviationCd>
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      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LRH RAD ONC SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>458503</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>PATIENT BILLING SERVICES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WEST CENTRAL LINEN SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>198931</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>LAUNDRY SERVICES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LAKE REGION HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>78956</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>OPERATING EXPENSES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LAKE REGION HOME MEDICAL SUPPLY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>401459</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>EMPLOYEE WAGES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PRAIRIE RIDGE HOSPITAL &amp; HEALTH SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>4238559</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>OPERATING EXPENSES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LRHC LONG-TERM CARE FACILITIES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>695336</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>OPERATING EXPENSES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>