2018-08-13T09:29:16-07:00 2017-09-30 990 2016-10-01 411677288 LAKE REGION HEALTHCARE FOUNDATION LAKE 2187368000 712 S CASCADE ST FERGUS FALLS MN 565380728 Kyle Richards CEO 2187368000 2018-08-13 2016 2022-09-23 18:48:47Z Larry Dorn 712 S CASCADE ST FERGUS FALLS MN 56537 2083978 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. 16 12 0 132 0 0 92995 476973 0 0 621716 242202 2349 -13238 717060 705937 40764 26963 0 0 0 0 0 0 0 22290 4057 63054 31020 654006 674917 20967853 11633227 8168236 8162439 12799617 3470788 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 31020 26963 35951 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 31020 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 16 12 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 0 0 0 0 MN X X LAKE REGION HEALTHCARE CORPORATION 2187368000 712 S CASCADE ST PO BOX 728 FERGUS FALLS MN 565380728 LARRY DORN CHAIRMAN 2 5 X 0 0 0 SOLVEIG HALBAKKEN VICE CHAIR 2 6.5 X 0 0 0 DIC PICKETT SECRETARY/TREASURER 2 0 X 0 0 0 MARK HELLAND TRUSTEE 2 0 X 0 0 0 STEPHEN RUFER TRUSTEE 2 6.5 X 0 0 0 ANDREW YAGGIE TRUSTEE 2 0 X 0 0 0 GARY SPIES TRUSTEE 2 6.5 X 0 0 0 JOHN ERICKSON TRUSTEE 2 6 X 0 0 0 LARRY SCHULZ FORMER TRUSTEE 0 40 X X 0 467314 37987 ED MORGAN TRUSTEE 2 0 X 0 0 0 LINDA MATTER PHD TRUSTEE 2 0 X 0 0 0 DAVE BICKETT TRUSTEE 2 0 X 0 0 0 TODD MCGOVERN DDS TRUSTEE 2 0 X 0 0 0 LAUREL NELSON TRUSTEE 2 5 X 0 0 0 CRYSTAL ADAMS TRUSTEE 2 4 X 0 0 0 KATHY BURGAU TRUSTEE 2 0 X 0 0 0 KYLE RICHARDS CEO 0 40 X 0 0 0 KATIE JOHNSON VP OF MARKETING 5 35 X 0 119207 13799 0 586521 51786 0 1 1 0 0 0 0 0 0 0 476973 0 476973 0 316092 0 0 316092 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1285816 0 1359706 0 -73890 0 -73890 0 0 -73890 1557 0 15921 -14364 0 -14364 0 0 0 0 0 0 3540 2414 1126 1126 0 0 0 705937 1126 0 227838 26963 26963 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 3600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 591 591 0 0 0 0 0 0 0 0 0 0 0 0 0 0 525 525 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 Expense 289 289 0 0 Service Charges 52 52 0 0 Bad Debts -1000 -1000 0 0 31020 31020 0 0 576331 662444 0 0 136998 114039 6802 406802 0 0 0 0 8162400 8162400 0 0 510 610 12084812 2286932 0 0 0 0 0 0 0 0 20967853 11633227 5836 39 0 0 0 0 0 0 0 0 0 0 8162400 8162400 0 0 8168236 8162439 X 12799617 3470788 0 0 0 0 12799617 3470788 20967853 11633227 X 674917 236410 0 0 0 -10240156 X 0 1 X 1 0 X X 1 LAKE REGION HEALTHCARE CORPORATION 410730602 3 1 10240155 0 1 10240155 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 A TOTAL OF $9,085.15 WAS GIVEN TO LOCAL COMMUNITY ORGANIZATIONS; BIO GIRLS OF FERGUS FALLS - $3,085.15, GLACIAL EDGE CHAPTER OF NORTH COUNTRY TRAIL ASSOCIATION - $3,500, OTTER TAIL NORDIC SKI ASSN. - $1,000, PEDAL FERGUS FALLS - $1,500. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3823 0 84 0 0 0 3908 0 1 1 713480 0 0 0 0 0 713480 0 -7543 -7543 705937 57750 0 0 0 26730 26730 31020 0 0 0 31020 Schedule D, Part XI, Line 4b THERE WERE TOTAL CONTRIBUTIONS OF $5,000, PRESENT VALUE AND PLEDGE ALLOWANCE ADJUSTMENT OF $5,792, FUNDRAISING EXPENSE OF $(15,921), AND COST OF GOODS SOLD OF $(2,414). Schedule D, Part XII, Line 2d THERE WAS COST OF GOODS SOLD OF $2,414, FUNDRAISING EXPENSE OF $15,921, AND RELATED COMPANY TRANSFERS OF $8,395 WITH LAKE REGION RADIATION ONCOLOGY's DEPARTMENT. THE OPERATIONS OF LAKE REGION RADIATION ONCOLOGY ARE INCLUDED IN THE STATEMENT OF OPERATIONS TO ACCOUNT FOR THE JOINT VENTURE OPERATIONS UNDER THE EQUITY METHOD PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, BUT ARE NOT INCLUDED IN THE OPERATING EXPENSES ON THE AUDITED FINANCIAL STATEMENTS. 1 LAKE REGION HEALTHCARE 712 S CASCADE ST FERGUS FALLS MN 56537 411817549 103070 0 TO ENHANCE PATIENT SERVICES PROVIDED AT LAKE REGION HEALTHCARE 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 OR 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 PROJECT 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 0 0 0 LARRY SCHULZ FORMER TRUSTEE 0 416793 0 50521 0 0 0 18000 0 19987 0 505301 0 0 KATIE JOHNSON VP OF MARKETING 0 105332 0 13875 0 0 0 0 0 13799 0 133006 0 0 KYLE RICHARDS CEO 0 0 0 0 0 0 0 0 0 0 0 0 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 A SOLE MEMBER. Form 990, Part VI, Section A, Line 7a THE BOARD OF TRUSTEES OF LAKE REGION HEALTHCARE, THE SUPPORTED ORGANIZATION, HAS THE AUTHOIRTY 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 A, Line 9 DIC PICKETT, 703 BIRCH AVE W, FERGUS FALLS, MN 56537; MARK HELLAND, 510 NORTH UNION AVE, FERGUS FALLS, MN 56537; STEPHEN RUFER, 3110 PEBBLE SHORES DR, FERGUS FALLS, MN 56537; ANDREW YAGGIE, 717 EAST GUSTAVUS AVE, FERGUS FALLS, MN 56537; GARY SPIES, 2806 LAKEWOOD DRIVE, FERGUS FALLS, MN 56537; JOHN ERICKSON, 1098 WESTSIDE DR, FERGUS FALLS, MN 56537; ED MORGAN, 17081 SWAN VIEW TRAIL, FERGUS FALLS, MN 56537; LINDA MATTER, 23003 BIRCHWOOD ESTATES, FERGUS FALLS, MN 56537; DAVE BICKETT, 17266 CO HWY 29, FERGUS FALLS, MN 56537; TODD MCGOVERN, 1910 CONNELL DR, FERGUS FALLS, MN 56537; LAUREL NELSON, PO BOX 635, FERGUS FALLS, MN 56538; CRYSTAL ADAMS, 30145 290TH AVE, WENDELL, MN 56590; KATHY BURGAU, 18305 CO HWY 33, FERGUS FALLS, MN 56537. 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 STRATEGY AND LEGAL 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 $(10,240,156) OF RELATED COMPANY TRANSFERS. LAKE REGION HEALTHCARE CORPORATION 712 S CASCADE ST PO BOX 728 FERGUS FALLS MN 565380728 410730602 HOSPITAL MN 501(C)(3) 170(b)(1)(A)(iii) N/A 0 LRHC LONG TERM CARE FACILITIES INC 712 S CASCADE ST PO BOX 728 FERGUS FALLS MN 565380728 411817549 ASSISTED LIVING MN 501(C)(3) 509(a)(2) LAKE REGION HEALTHCARE CORPORATION 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 CORPORATION 0 PRAIRIE RIDGE FOUNDATION 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 455092280 FOUNDATION MN 501(C)(3) 170(b)(1)(A)(vi) PRAIRIE REIDGE HOSPITAL & HEALTH SERVICES 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 137401 OPERATING EXPENSES LAKE REGION HEALTHCARE CORPORATION d 10102754 Loan Amount