2019-09-23T12:46:13-07:00 2018-09-30 990 2017-10-01 411677288 LAKE REGION HEALTHCARE FOUNDATION LAKE 2187368000 712 S CASCADE ST FERGUS FALLS MN 56537 Kyle Richards CEO 2187368000 2019-09-23 66.228.239.135 2017 2019-02-21 02:37:17Z ANDREW YAGGIE 717 EAST GUSTAVUS AVE FERGUS FALLS MN 56537 457799 0 X X 2000 MN 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. 18 14 0 0 0 0 476973 233758 0 0 242202 219468 -13238 3822 705937 457048 26963 67943 0 0 0 0 0 0 0 4057 9979 31020 77922 674917 379126 11633227 11969520 8162439 8162525 3470788 3806995 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 74322 67943 237560 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 74322 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 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 X 18 14 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 0 0 0 0 MN X LAKE REGION HEALTHCARE CORPORATION 2187368000 712 S CASCADE ST PO BOX 728 FERGUS FALLS MN 565380728 ANDREW YAGGIE CHAIR 2 0 X 0 0 0 DIC PICKETT SECRETARY/TREASURER 2 0 X 0 0 0 MARK HELLAND DIRECTOR 2 0 X 0 0 0 ED MORGAN DIRECTOR 2 0 X 0 0 0 JOHN ERICKSON DIRECTOR 2 7 X 0 0 0 CRYSTAL ADAMS DIRECTOR 2 4 X 0 0 0 DAVE BICKETT DIRECTOR - PARTIAL YEAR 2 0 X 0 0 0 TODD MCGOVERN DDS DIRECTOR 2 0 X 0 0 0 KATHY BURGAU DIRECTOR 2 0 X 0 0 0 LINDA MATTER PHD DIRECTOR 2 0 X 0 0 0 LARRY DORN FORMER CHAIR - PARTIAL YEAR 2 0 X X 0 0 0 STEVE RUFER DIRECTOR 2 6.0 X 0 0 0 SOLVEIG HALBAKKEN DIRECTOR - PARTIAL YEAR 2 0 X 0 0 0 GARY SPIES DIRECTOR 2 6.5 X 0 0 0 LAUREL NELSON DIRECTOR 2 6 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 KYLE RICHARDS CEO 0 40 X X 0 169547 40778 0 169547 40778 0 1 1 0 0 0 0 0 0 0 233758 0 233758 0 0 0 0 0 219488 0 0 219488 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121 0 141 0 -20 0 -20 0 0 -20 4432 0 610 3822 0 3822 0 0 0 0 0 0 0 0 0 0 0 0 0 457048 0 0 223290 67943 67943 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 0 0 0 0 0 0 0 0 0 0 0 0 540 540 0 0 0 0 0 0 0 0 0 0 0 0 0 0 692 692 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 3215 3215 0 0 MEALS EXPENSE 1932 1932 0 0 77922 74322 3600 0 662444 1254094 0 0 114039 93296 406802 -4646 0 0 0 0 8162400 8162400 0 0 610 360 0 2286932 2464016 0 0 0 0 0 0 0 0 11633227 11969520 39 125 0 0 0 0 0 0 0 0 0 0 8162400 8162400 0 0 0 8162439 8162525 X 3470788 2615765 0 1191230 0 0 3470788 3806995 11633227 11969520 X 379126 40323 0 0 0 -83242 X 0 1 X 1 0 X X 1 LAKE REGION HEALTHCARE CORPORATION 410730602 3 1 83242 0 1 83242 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: A PLACE TO BELONG ($5,000); ASHBY COMMUNITY CLUB ($750); BIO GIRLS OF FERGUS FALLS ($2,000); FERGUS FALLS AREA YMCA ($2,000); FERGUS FALLS OTTER GOLF ($1,000); FERGUS FALLS POLICE DEPARTMENT ($1,000); FIRE STAR GYMNASTICS BOOSTER CLUB ($5,000); LUTHERAN SOCIAL SERVICE OF MINNESOTA ($2,500); OTTER TAIL COUNTY PUBLIC HEALTH/SAFE COMMUNITIES COLITION ($1,000); BIKE ALLIANCE OF MN ($1,500); RINGDAHL EMS-COMMUNITY PARAMEDICS ($7,000); SHATTER THE SILENCE ($1,500). 26 0 205752 0 57663 0 1191230 0 1 1 450900 0 0 0 0 0 450900 0 6148 6148 457048 78533 0 0 0 611 611 77922 0 0 0 77922 Schedule D, Part XI, Line 4b THERE WERE TOTAL CONTRIBUTIONS OF $5,000, PRESENT VALUE PLEDGE ALLOWANCE OF $1,757 AND FUNDRAISING EXPENSE OF ($611). Schedule D, Part XII, Line 2d THERE WAS FUNDRAISING EXPENSES FOR $611. 1 LAKE REGION HEALTHCARE 412 S CASCADE ST FERGUS FALLS MN 56537 410730602 46500 FAIR MARKET VALUE TO ENHANCE PATIENT SERVICES PROVIDED AT LAKE REGION HEALTHCARE, THE SUPPORTING ORGANIZATION. 1 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 WITHING 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 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 OR PROJECT IS DISCONTINUED, OR ITS ORIGINAL PURPOSE IS ALTERED. 0 0 0 0 0 0 1 0 0 KYLE RICHARDS CEO 0 169547 0 0 0 0 0 27500 0 13278 0 210325 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 AURHORITY TO MAKE AND APPROVE CHANGES TO THE ARTICLES OF INNCORPORATION AND BYLAWS OF THE ORGANIZATION. Form 990, Part VI, Section A, Line 9 MARK HELLAND, 510 NORTH UNION AVE, FERGUS FALLS, MN 56537; ED MORGAN, 17081 SWAN VIEW TRAIL, FERGUS FALLS, MN 56537; ANDREW YAGGIE, 717 EAST GUSTAVUS AVE, FERGUS FALLS, MN 56537; CRYSTAL ADAMS, 30145 290TH AVE, WENDELL, MN 56590; DAVE BICKETT, 17266 CO HWY 29, FERGUS FALLS, MN 56537; TODD MCGOVERN, DDS, 1910 CONNELL DR, FERGUS FALLS, MN 56537; DIC PICKETT, 703 BIRCH AVE W, FERGUS FALLS, MN 56537; KATHY BURGAU, 18305 CO HWY 33, FERGUS FALLS, MN 56537; LINDA MATTER, PhD, 23003 BIRCHWOOD ESTATES, FERGUS FALLS, MN 56537; JOHN ERICKSON, 1098 WESTSIDE DR, FERGUS FALLS, MN 56537; STEVE RUFER, 3110 PEBBLE SHORES DR, FERGUS FALLS, MN 56537; SOLVEIG HALBAKKEN (PARTIAL YEAR), 1417 HOOT LAKE DR, FERGUS FALLS, MN 56537; GARY SPIES, 2806 LAKEWOOD DRIVE, FERGUS FALLS, MN 56537; LAUREL NELSON, PO BOX 635, FERGUS FALLS, MN 56538; DEB FERGUSON; LARRY DORN (PARTIAL YEAR), 205 WEST VASA, FERGUS FALLS, MN 56537; JERRY NESS, 24491 TWILIGHT LN, PELICAN RAPIDS, MN 56572; CARRIE BRIMHALL, 27430 RIVERSIDE DR, FERGUS FALLS, MN 56537 Form 990, Part VI, Section B, Line 11b COPIES OF THE COMPLETED 990, WITH SUPPORTING SCHEDULES AND FOODNOTES, WILL BE DISTRIBUTED TO ALL THE FOUNDATION BOARD MEMBERS SUFFICIENLTY IN ADVANCE OF THE FILING DEADLINE TO ENABLE DETAILED AND CONSCIENTIOUS REVIEW BY ALL BOARD MEMBERS, CHIEF EXECUTIVE OFFICER, AND CHIEF STRATEGY AND LEGAL OFFICER TO ENABLE AN OPPORTUNITY FOR FEEDBACK AND CORRECTIONS. ALL QUESITONS, 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 $(83,242) OF UNRELATED 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 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 LAKE REGION HEALTHCARE CORPORATION p 83242 OPERATING EXPENSES