2020-08-11T10:19:36-07:00 2019-09-30 990 2018-10-01 411677288 LAKE REGION HEALTHCARE FOUNDATION LAKE 2187368000 712 S CASCADE ST FERGUS FALLS MN 56537 CAMIE PATTERSON CFO 2187368000 2020-08-11 66.228.239.135 2018 2020-09-23 17:36:50Z KENT MATTSON 712 S CASCADE ST FERGUS FALLS MN 56537 2412289 0 X X 2000 MN THE MISSION OF LAKE REGION HEALTHCARE FOUNDATION IS TO GATHER, STEWARD AND DISTRIBUTE RESOURCES NEEDED TO SUPPORT AND ADVANCE THE MISSION OF LAKE REGION HEALTHCARE AND ITS AFFILIATES. 16 14 0 16 0 0 233758 223883 0 0 219468 313076 3822 23950 457048 560909 67943 123265 0 0 0 0 0 0 0 9979 18379 77922 141644 379126 419265 11969520 11917114 8162525 8162400 3806995 3754714 THE PURPOSE OF THE LAKE REGION HEALTHCARE FOUNDATION IS TO RECEIVE GIFTS AND DONATIONS TO HELP LAKE REGION HEALTHCARE FULFILL IT'S MISSION OF PROVIDING QUALITY HEALTHCARE SERVICES IN A CARING MANNER TO EVERY INDIVIDUAL THEY SERVE. 0 0 137219 123265 302571 LAKE REGION HEALTHCARE FOUNDATION RECEIVED DONATIONS AND MEMORIALS FROM INDIVIDUALS AND BUSINESSES. IT ALSO RECEIVES PLEDGES AND PAYMENTS OF THOSE PLEDGES. THE FOUNDATION USES IT'S FUNDS FOR A VARIETY OF PURPOSES WHICH AID LAKE REGION HEALTHCARE AND THE COMMUNITY IN PROVIDING QUALITY HEALTHCARE. 0 0 0 137219 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 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 0 0 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 0 0 0 MN X LAKE REGION HEALTHCARE CORPORATION 2187368000 712 S CASCADE ST FERGUS FALLS MN 56537 ANDREW YAGGIE CHAIR 2.0 0 X X 0 0 0 DIC PICKETT SECRETARY/TREASURER 2 0 X X 0 0 0 MARK HELLAND DIRECTOR 2 0 X 0 0 0 ED MORGAN DIRECTOR - PARTIAL YEAR 2 0 X X 0 0 0 JOHN ERICKSON DIRECTOR 2 9 X 0 0 0 CRYSTAL ADAMS DIRECTOR 2 5.5 X 0 0 0 TODD MCGOVERN DDS DIRECTOR 2 0 X 0 0 0 KATHY BURGAU DIRECTOR 2 0 X 0 0 0 STEVE RUFER DIRECTOR 2 6.00 X 0 0 0 GARY SPIES DIRECTOR 2 6.5 X 0 0 0 LAUREL NELSON DIRECTOR 2 6.00 X 0 0 0 DEB FERGUSON DIRECTOR 2 5 X 0 0 0 JERRY NESS DIRECTOR 2 4 X 0 0 0 CARRIE BRIMHALL DIRECTOR 2 5 X 0 0 0 CEDAR WALTERS DIRECTOR - PARTIAL YEAR 2 0 X 0 0 0 SCOTT DeBRITO DIRECTOR - PARTIAL YEAR 2 0 X 0 0 0 KYLE RICHARDS CEO 0 40 X X 0 345582 39576 KENT MATTSON CLO 0 40 X X 0 304552 38256 0 650134 77832 0 1 1 0 0 0 0 0 0 0 223883 0 223883 0 258338 0 0 258338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1884487 0 1829749 0 54738 0 54738 0 0 54738 45581 0 21631 23950 0 23950 0 0 0 0 0 0 0 0 0 0 0 0 0 560909 0 0 337026 123265 123265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3600 0 3600 0 0 0 0 0 0 0 6771 6771 0 0 0 0 0 0 0 0 0 0 825 0 825 0 0 0 0 0 0 0 0 0 0 0 0 0 4573 4573 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 1826 1826 0 0 MEALS 784 784 0 0 0 0 0 0 141644 137219 4425 0 1254094 319684 0 0 93296 93285 -4646 39527 0 0 0 0 8162400 8162400 0 0 360 1025 2464016 3301193 0 0 0 0 0 0 0 0 11969520 11917114 125 0 0 0 0 0 0 0 0 0 0 0 8162400 8162400 0 0 8162525 8162400 X 2615765 2379599 1191230 1375115 0 0 3806995 3754714 11969520 11917114 X 419265 -86292 0 0 0 -385254 X 0 1 X 1 0 X X 1 LAKE REGION HEALTHCARE CORPORATION 410730602 3 1 440769 0 1 440769 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 Schedule A, Part IV, Section A, Line 6 LAKE REGION HEALTHCARE FOUNDATION PROVIDED GRANTS TO THE FOLLOWING GROUPS/ORGANIZATIONS: DALTON FIRE AND RESCUE ($762); FERGUS FALLS AREA HABITAT FOR HUMANITY INC ($5,000); MINNESOTA STATE COMMUNITY AND TECHNICAL COLLEGE-FERGUS FALLS ($1,000); CAMPBELL IMPROVEMENT COMMITTEE ($3,000); INDEPENDENT SCHOOL DISTRICT 544 ($1,500); OTTER TAIL NORDIC SKI ASSN ($2,000); A PLACE TO BELONG ($20,000); BATTLE LAKE YOUTH CENTER INC ($25,000); BIO GIRLS OF FERGUS FALLS ($2,000); SHATTER THE SILENCE ($1,500); YMCA ($3,000). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32 0 253468 0 69583 0 1375115 0 1 1 333523 0 0 0 0 0 333523 0 227386 227386 560909 163275 0 0 0 21631 21631 141644 0 0 0 141644 Schedule D, Part XI, Line 4b THERE WERE DIRECTED CONTRIBUTIONS OF $249,028, PRESENT VALUE PLEDGE ALLOWANCE OF $(11), AND FUNDRAISING EXPENSE OF $(21,631). Schedule D, Part XII, Line 2d THERE WAS FUNDRAISING EXPENSES OF $21,631. GALA 40561 0 40561 0 69 210 4271 450 361 0 0 40561 0 40561 0 69 210 4271 450 361 5361 35200 1 LAKE REGION HEALTHCARE CORPORATION 712 S CASCADE ST FERGUS FALLS MN 56537 410730602 55515 0 FAIR MARKET VALUE TO ENHANCE PATIENT SERVICES PROVIDED AT LAKE REGION HEALTHCARE, THE SUPPORTING ORGANIZATION A PLACE TO BELONG 109 N COURT STREET FERGUS FALLS MN 56537 411874230 20000 0 FAIR MARKET VALUE TO SUPPORT THE MISSION OF THE ORGANIZATION WITHIN IN THE COMMUNITY THAT LAKE REGION HEALTHCARE FOUNDATION SERVES BATTLE LAKE YOUTH CENTER 304 N JEFFERSON AVE PO BOX 687 BATTLE LAKE MN 56515 474745427 25000 0 FAIR MARKET VALUE TO PURCHASE FURNISHINGS FOR A CHILD CARE CENTER 3 0 Schedule I, Part I, Line 2 GRANTS AWARDED BY LAKE REGION HEALTHCARE FOUNDATION HAVE TO MEET CERTAIN GUIDELINES WHICH INCLUDE (1) REQUEST MUST BE FOR HEALTH-RELATED PROGRAMS FOR PROJECTS, AND MUST BENEFIT INDIVIDUALS WITHIN THE LRHC SERVICE AREA. (2) NO REQUESTS WILL BE ACCEPTED ON BEHALF OF AN INDIVIDUAL OR FAMILY. (3) NO GRANTS WILL BE MADE TO INSTITUTIONS WHICH IN POLICY OR PRACTICE DISCRIMINATE ON THE BASIS OF RACE, CREED, GENDER, OR SEXUAL ORIENTATION. (4) ANY PUBLISHED ARTICLES, PRESS RELEASES, OR INFORMATION RELATED TO THE GRANT RELEASED SHOULD STATE THAT THE PROJECTS WAS FUNDED FULLY OR PARTIALLY BY DONATIONS TO THE LAKE REGION HEALTHCARE FOUNDATION. (5) FUNDS AWARDED MUST BE EXPENSED ONLY FOR THE STATED PURPOSE ON THE APPLICATION. (6) FUNDS MUST BE DISTRIBUTED WITHIN ONE CALENDAR YEAR OF THE AWARD. (7) DISBURSEMENTS MAY BE DISCONTINUED IF THE PROGRAM OF PROJECT IS DISCONTINUED, OR ITS ORIGINAL PURPOSE IS ALTERED. 0 0 0 0 0 0 1 0 0 KYLE RICHARDS CEO 0 345582 0 0 0 0 0 19000 0 20576 0 385158 0 0 KENT MATTSON CLO 0 304552 0 0 0 0 0 19000 0 19256 0 342808 0 0 Schedule J, Part I, Line 6 LAKE REGION HEALTHCARE HAS IMPLEMENTED AN INCENTIVE COMPENSATION PROGRAM FOR CERTAIN ADMINISTRATIVE POSITIONS WITHIN THE ORGANIZATION. CERTAIN MEASURES AND GOALS NEED TO BE MET IN ORDER FOR THE COMPENSATION TO BE PAID OUT IN PART OR IN WHOLE, SUCH AS MEETING FINANCIAL PERFORMANCE EXPECTATIONS, 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. Form 990, Part VI, Section A, Line 6 LAKE REGION HEALTHCARE IS THE SOLE MEMBER. Form 990, Part VI, Section A, Line 7a THE BOARD OF TRUSTEES OF LAKE REGION HEALTHCARE, THE SUPPORTED ORGANIZATION, HAS THE AUTHORITY TO APPOINT AND REMOVE THE ORGANIZATION'S BOARD OF DIRECTORS. Form 990, Part VI, Section A, Line 7b THE BOARD OF TRUSTEES OF LAKE REGION HEALTHCARE, THE SUPPORTED ORGANIZATION, HAS THE AUTHORITY TO MAKE AND APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE ORGANIZATION. Form 990, Part VI, Section B, Line 11b COPIES OF THE COMPLETED 990, WITH SUPPORTING SCHEDULES AND FOOTNOTES, WILL BE DISTRIBUTED TO ALL THE FOUNDATION BOARD MEMBERS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE DETAILED AND CONSCIENTIOUS REVIEW BY ALL BOARD MEMBERS, CHIEF EXECUTIVE OFFICER, AND CHIEF FINANCIAL OFFICER TO ENABLE AN OPPORTUNITY FOR FEEDBACK FROM AND CORRECTIONS. ALL QUESTIONS, CONCERNS, OR OTHER FEEDBACK FROM BOARD MEMBERS WILL BE DIRECTED TO THE CHIEF FINANCIAL OFFICER AND INCORPORATED TO THE 990 AS APPROPRIATE. Form 990, Part VI, Section B, Line 12c 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 POLICY IS BEING FOLLOWED. Form 990, Part VI, Section C, Line 19 THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, Line 9 THERE WAS A TOTAL OF $(385,254) OF RELATED COMPANY TRANSFERS. LAKE REGION HEALTHCARE CORPORATION 712 S CASCADE ST FERGUS FALLS MN 56537 410730602 HOSPITAL MN 501(C)(3) 170(b)(1)(A)(iii) N/A 0 LRHC LONG TERM CARE FACILITIES INC 712 S CASCADE ST FERGUS FALLS MN 56537 411817549 ASSISTED LIVING MN 501(C)(3) 509(a)(2) LAKE REGION HEALTHCARE 0 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 411763968 HEALTHCARE SERVICES MN 501(C)(3) 170(b)(1)(A)(iii) LAKE REGION HEALTHCARE 0 PRAIRIE RIDGE FOUNDATION 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 455092280 FOUNDATION MN 501(C)(3) 170(b)(1)(A)(vi) LAKE REGION HEALTHCARE 0 LRH RAD ONC SERVICES 712 S CASCADE ST FERGUS FALLS MN 56538 271322270 RADIATION ONCOLOGY SERVICES MN N/A Excluded 0 0 0 0 LAKE REGION HOME MEDICAL 712 S CASCADE ST FERGUS FALLS MN 56538 464182501 MEDICAL EQUIPMENT SALES MN N/A Excluded 0 0 0 0 WEST CENTRAL LINEN SERVICES 712 S CASCADE ST FERGUS FALLS MN 56537 410730602 LINEN SERVICES MN N/A Excluded 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 LAKE REGION HEALTHCARE CORPORATION p 385254 OPERATING EXPENSES LAKE REGION HEALTHCARE CORPORATION b 55515 GRANT AMOUNT REQUESTED