2026-08-12T15:14:43-05:00 2025-09-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2024-10-01 411763968 PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES INC PRAI 2186857300 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 CHRIS JOHNSON CFO 2186857300 2026-08-11 1 1 JUSTIN HARTERT P02236744 5074467100 2026-08-11 2024 2025-03-06 01:10:19Z LAKE REGION HEALTHCARE KENT MATTSON 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 24704981 0 X WWW.LRHC.ORG X 1993 MN WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 7 7 139 7 0 0 92293 428060 20926083 23789558 147597 252107 228190 235256 21394163 24704981 13166 7755 0 0 6453625 7114986 0 0 0 13558130 15852531 20024921 22975272 1369242 1729709 31525290 32243278 20704178 19307161 10821112 12936117 WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 0 0 19368766 7755 23789558 PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES (PRHHS) MAINTAINS AND OPERATES A HOSPITAL AND AMBULATORY OUTPATIENT FACILITY FOR THE CARE AND TREATMENT OF THE SICK, DISEASED, DISABLED, AGED, OR INDIGENT PERSONS AND PARTICIPATES IN VARIOUS ACTIVITIES TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. LAKE REGION HEALTHCARE CORPORATION OPERATES VARIOUS PROVIDER-BASED CLINICS IN ELBOW LAKE, MORRIS, EVANSVILLE, A SEPARATE PHYSICIAN CLINIC IN HERMAN, AND A PROVIDER-BASED SURGERY DEPARTMENT IN MORRIS, MINNESOTA. 19368766 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 24 0 1 139 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X X PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES 2186857300 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 DUSTIN SPERR CHAIR 2.50 0.00 X X 0 0 0 JAY MCNAMAR PAST CHAIR 1.50 0.00 X X 0 0 0 RICHARD LAMBERT VICE CHAIR/SECRETARY 1.50 4.00 X X 0 0 0 CRYSTAL ADAMS DIRECTOR 1.50 6.00 X 0 0 0 JEANNE ENNEN DIRECTOR 1.50 0.00 X 0 0 0 LARRY GOETZINGER DIRECTOR 1.50 4.00 X 0 0 0 JEFF DREIER DIRECTOR 1.50 0.20 X 0 0 0 KENT MATTSON CEO 1.00 39.00 X 0 685803 84286 CHRIS JOHNSON CFO 1.00 39.00 X 0 117164 13027 DEB PELCH VP OF AMBULATORY, PROFESSIONAL SERIVCES, AND CANCE 1.00 39.00 X 0 211686 24247 ANN HIEDEMAN VP OF HUMAN RESOURCES 1.00 39.00 X 0 200712 53273 WADE JYRKAS VP OF INFORMATION SYSTEMS 1.00 39.00 X 0 165593 35711 PATRICIA ROTH CNO (THRU 07/2025) 1.00 39.00 X 0 255350 34915 DANIELLE LESMEISTER ADMINISTRATOR OF PATIENT CARE 40.00 0.00 X 0 154055 29223 JANESSA SPLICHAL RN - OUTPATIENT SUPERVISOR 40.00 0.00 X 107806 0 1671 JAYSON THOMPSON PHARMACY MANAGER 40.00 0.00 X 162435 0 21771 MICHELLE WENDT REGISTERED NURSE 40.00 0.00 X 103600 0 5995 JUDITH HALEY CLINIC PRACTICE MANAGER 40.00 0.00 X 100269 0 29741 474110 1790363 333860 4 0 1 0 LAKE REGION HEALTHCARE CORPORATION 712 S CASCADE STREET FERGUS FALLS MN 56538 PROFESSIONAL/PHYSICIAN SERVICES 5397875 MEDICAL SOLUTIONS LLC 1010 N 102ND STREET SUITE 300 OMAHA NE 68114 PROFESSIONAL SERVICES 527091 WEST CENTRAL INTERNAL MEDICINE PO BOX 410 MORRIS MN 56267 PHYSICIAN SERVICES 344190 SONRISA MEDICAL CARE PA 19796 510TH AVENUE MORRIS MN 56267 PHYSICIAN SERVICES 335119 DMS IMAGING INC PO BOX 670747 DALLAS TX 752670747 PROFESSIONAL SERVICES 303312 13 176216 251844 428060 PATIENT SERVICE REVENUE 623000 22447005 22447005 PHARMACY 340B REVENUE 623000 1342553 1342553 23789558 248107 248107 1960 0 1960 1960 1960 4000 0 4000 4000 4000 MISCELLANEOUS REVENUE 623000 95870 95870 CAFETERIA REVENUE 623000 72333 72333 OUTSIDE SERVICES REVENUE 623000 44246 44246 20847 20847 233296 24704981 23789558 0 487363 X 7755 7755 5833154 4258159 1574995 74478 54323 20155 784591 571306 213285 422763 308354 114409 57629 57629 77723 77723 7387165 6354715 1032450 68257 49785 18472 519737 379085 140652 554979 475886 79093 55686 47444 8242 661435 554073 107362 1430318 1268279 162039 126468 126468 MEDICAL SUPPLIES 2571479 2571479 REPAIRS AND MAINTENANCE 919092 919092 BAD DEBT 619503 619503 RENT EXPENSE 260696 260696 542364 542364 22975272 19368766 3606506 0 935122 847473 207017 209092 4539977 4619618 320401 302080 192560 293224 31976382 19043039 13718486 12933343 3456499 3884759 61490 66857 8093738 9086832 31525290 32243278 1661153 1782130 18345157 17499983 697868 25048 20704178 19307161 X 10401017 12455188 420095 480929 10821112 12936117 31525290 32243278 X 1729709 234185 151111 X X 0 1 X 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1470 1470 0 PART II-B, LINE 1: PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES PAID PERCENT OF THEIR MHA AND AHA DUES FOR LOBBYING PURPOSES. 420095 60834 480929 330086 90009 420095 291003 39083 330086 345150 -54147 291003 288938 56212 345150 0.00000 0.47730 0.52270 0 0 546767 546767 21856449 11858698 9997751 687208 619696 67512 8885958 6564645 2321313 12933343 FUNDED DEPRECIATION 243654 FUNDS HELD BY TRUSTEE 1190493 DUE FROM AFFILIATES 6926518 PATRONAGE CREDIT ASSETS 388613 ROU ASSETS 287445 THIRD PARTY RECEIVABLE 28885 ASSETS LIMITED AS TO USE 21224 9086832 THIRD PARTY SETTLEMENTS 25000 DUE TO AFFILIATES 48 25048 X PART V, LINE 4: ENDOWMENT FUNDS ARE INTENDED TO EARN INVESTMENT INCOME. THE INVESTMENT INCOME IS INTENDED TO BE USED FOR FUNDING CAPITAL EXPENDITURES. PART X, LINE 2: PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES (PRHHS) 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). PRHHS IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, PRHHS IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. PRHHS HAS DETERMINED THEY ARE NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. PRHHS BELIEVES IT HAS APPROPRIATE 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. PRHHS 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 0 0 125000 125000 0.00560 1942238 455185 1487053 0.06650 2067238 455185 1612053 0.07210 156878 36264 120614 0.00540 1103921 1103921 0.04940 2507167 1908001 599166 0.02680 58695 58695 0.00260 3826661 1944265 1882396 0.08420 5893899 2399450 3494449 0.15630 1560 1560 0.00010 7755 7755 0.00030 9315 9315 0.00040 1 619503 0 5535298 5503501 31797 X 1 1 1 1 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 WWW.LRHC.ORG 00154 X X X X PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1 0 0 1 X X X X X X X X X 24 1 1 0 1 X SEE PART V, LINE 7D X 1 24 1 SEE PART V, SECTION B, LINE 7D 0 1 X 175.000000000000 215.000000000000 X X X 1 1 X X X 1 X SEE PART V, LINE 16J X SEE LINE 16J X SEE LINE 16J X X X X X X 1 X 0 X X X X 1 X 0 1 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 5: LAKE REGION HEALTHCARE CORPORATION (LRH) INCORPORATED INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH, AS PART OF ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). LRH USED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK, A COMMUNITY-DRIVEN AND ACTION-ORIENTED PLANNING PROCESS THAT EMPHASIZES STAKEHOLDER ENGAGEMENT, TO GUIDE THE DEVELOPMENT OF ITS CHNA. AS PART OF THIS PROCESS, LRH COMPLETED TWO OF THE FOUR MAPP ASSESSMENTS, GATHERING INPUT FROM COMMUNITY PARTNERS AND STAKEHOLDERS, INCLUDING PUBLIC HEALTH LEADERS AND REPRESENTATIVES OF UNDERSERVED AND LOW-INCOME POPULATIONS. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT WAS CONDUCTED THROUGH TWO FOCUS GROUP SESSIONS HELD IN NOVEMBER 2024 INVOLVING THESE STAKEHOLDERS. LRH ALSO COMPLETED THE COMMUNITY HEALTH STATUS ASSESSMENT BY COLLECTING AND ANALYZING DATA FROM MULTIPLE PUBLIC HEALTH AND DEMOGRAPHIC SOURCES, INCLUDING THE US CENSUS, MN DEMOGRAPHIC CENTER, MN STUDENT SURVEY, AND CDC PLACES BETWEEN SEPTEMBER 2024 AND APRIL 2025. TOGETHER, THESE TWO ASSESSMENTS ENSURED THAT THE CHNA REFLECTED BOTH COMMUNITY PERSPECTIVES AND POPULATION HEALTH DATA. PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 6A: LAKE REGION HEALTHCARE CORPORATION PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON OUR WEBSITE AT: HTTPS://WWW.LRHC.ORG/HEALTH-WELLNESS/LOCAL-HEALTH-RESOURCES/CHNA DIRECT LINK: HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/LAKE-REGION-V8-SITE-364/MEDIA/49F7D958B94B4023B2294F89BC1A6F9D/2025-CHNA_FINAL.PDFIMPLEMENTATION STRATEGY: HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/LAKE-REGION-V8-SITE-364/MEDIA/4C1360345B804ADA936A789DADD9324C/2025-CHIP_FINAL_021226.PDFPRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES, INC AND LAKE REGION HEALTHCARE CORPORATION COLLABORATED ON A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN FALL 2024 TO BETTER UNDERSTAND THE HEALTH NEEDS OF THEIR RESIDENTS. THESE HOSPITALS ARE RELATED ORGANIZATIONS THAT SHARE A WEBSITE, WWW.LRHC.ORG. PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 11: IN THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, PRAIRIE RIDGE HEALTHCARE IN COLLABORATION WITH LAKE REGION HEALTHCARE 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. PRH IS INVOLVED IN THE GRANT COUNTY EARLY CHILDHOOD INITIATIVES TO IDENTIFY OPPORTUNITIES TO COLLABORATE AND IMPROVE THE OVERALL HEALTH AND MENTAL WELLBEING OF CHILDREN IN GRANT COUNTY. 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. WE ESTABLISHED A SUICIDE PREVENTION WORKGROUP, AN INTERDISCIPLINARY TEAM THAT MEETS REGULARLY TO ASSESS AND IMPROVE INTERNAL SYSTEMS, PROCESSES, POLICIES, AND PRACTICES RELATED TO SUICIDE PREVENTION.HEALTH EDUCATION AND PREVENTIVE SERVICES: TO PROMOTE INDIVIDUAL AND COMMUNITY HEALTH, WE ARE FOCUSING ON EDUCATION, PATIENT ACTIVATION, AND CARE COORDINATION. WE HAVE A CARE COORDINATOR IN OUR ELBOW LAKE AND MORRIS CLINICS TO SUPPORT PATIENTS WITH COMPLEX NEEDS. PRH ALSO USES 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. WE PARTNERED WITH THE GRANT COUNTY EARLY CHILDHOOD INITIATIVE TO DISTRIBUTE THE 3RD BIRTHDAY CARE TO PROMOTE EARLY CHILDHOOD SCREENING TO FAMILIES OF 3-YEAR OLD OR SOON-TO-BE 3-YEAR OLD-CHILDREN.NUTRITION, PHYSICAL ACTIVITY, AND OBESITY: TO ENCOURAGE HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION IN THE SERVICE AREA, THE ENTERPRISE (LAKE REGION HEALTHCARE AND PRAIRIE RIDGE HEALTHCARE) HAS WORKED TO CREATE A HEALTHY ENVIRONMENT THAT FOSTERS WELLNESS AND SUPPORTS HEALTHY BEHAVIORS. WE ADDED HEALTHY FOOD OPTIONS AND SMALLER PORTIONS OF THE SPECIAL OF THE DAY AT A LOWER COST AT THE ELBOW LAKE MEDICAL CENTER CAFETERIA. ADDITIONALLY, WE CONTINUE TO OFFER "I CAN PREVENT DIABETES" CLASSES FOR FREE AND HAVE ENHANCED THE OFFERINGS OF OUR LIFESTYLE MEDICINE PROGRAM. 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 TO OUR ELBOW LAKE AND MORRIS CLINICS AND IMPLEMENTED SOCIAL HEALTH NEEDS SCREENING. PRH PARTNERED WITH HORIZON PUBLIC HEALTH AND PRIMEWEST TO PROVIDE FREE NUTRITION STABILITY BOXES TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY TO ADDRESS THEIR ACUTE NEED AND REFER THEM TO LOCAL FOOD SHELVES FOR ADDITIONAL SUPPORT. WE ARE EXPLORING EXPANDING THIS PROJECT. 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, WE ESTABLISHED A MEDICATION FOR OPIOID USE DISORDER (MOUD) PROGRAM IN ELBOW LAKE AND IS PLANNING TO BEGIN OFFERING IT IN THE MORRIS CLINIC IN SPRING 2025. PRH IS ALSO AN ACTIVE PARTNER OF THE GRANT COUNTY OPIOID ADVISORY COUNCIL AND THE GRANT COUNTY DRUG COURT TEAM.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/ PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT:HTTPS://WWW.LRHC.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/FINANCIAL ASSISTANCE POLICY DIRECT LINK:HTTPS://MHSMN.ORG/WP-CONTENT/UPLOADS/2025/07/FINANCIAL-ASSISTANCE-POLICY.PDFFINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/LAKE-REGION-V8-SITE-364/MEDIA/CA9A5BA64F204D14AAD0D91C2EA52622/2026-LRH-06091-FINANCIAL-ASSISTANCE-SUMMARY.PDFFINANCIAL ASSISTANCE POLICY APPLICATION DIRECT LINK:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/LAKE-REGION-V8-SITE-364/MEDIA/E2D73CDBAC9D4462B489154C5E0BFA1D/2026-LRH-03183-APPLICATION-FOR-FINANCIAL-ASSISTANCE.PDFTHE HOSPITAL PROVIDED A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WITH THE PATIENT BILLING INVOICES, POSTED A SUMMARY IN THE EMERGENCY ROOMS AND WAITING ROOMS, AS WELL AS THE ADMISSION OFFICE AND THEIR WEBSITE. THE FULL POLICY IS AVAILABLE UPON REQUEST. PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 24: THE FAP POLICY DOES NOT APPLY TO ELECTIVE SERVICES; THEREFORE, FAP ELIGIBLE INDIVIDUALS WERE CHARGED THE GROSS AMOUNT OF ALL ELECTIVE SERVICES. 4 1 - ELBOW LAKE CLINIC 1411 HIGHWAY 79 E ELBOW LAKE MN 56531 PHYSICIAN CLINIC 2 - MORRIS CLINIC 114 MAIN AVENUE HOFFMAN MN 56339 PHYSICIAN CLINIC 3 - EVANSVILLE CLINIC 649 1/2 STATE STREET EVANSVILLE MN 56326 PHYSICIAN CLINIC 4 - HERMAN CLINIC 204 5TH STREET EAST HERMAN MN 56248 PHYSICIAN CLINIC PART I, LINE 7: CHARITY CARE WAS CONVERTED TO COST BY MULTIPLYING THE RATIO OF COST TO CHARGES FOR PRHHS BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CHARITY CARE TO ITS PATIENTS. MEDICAID IS REPORTED AT COST ACCORDING TO THE AMOUNTS ON THE MEDICAID COST REPORT. COMMUNITY HEALTH IMPROVEMENT SERVICES AND DONATIONS ARE REPORTED BASED ON ACTUAL EXPENSES RECORDED TO THE GENERAL LEDGER. SUBSIDIZED HEALTH SERVICES ARE REPORTED ACCORDING TO COSTS ALLOCATED TO THE RELEVANT COST CENTERS ON THE MEDICARE COST REPORT. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 619,503. PART II, COMMUNITY BUILDING ACTIVITIES: PRHHS HAS 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 AS CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS. A PAYMENT ON ACCOUNT PREVIOUSLY WRITTEN OFF REDUCES BAD DEBT EXPENSE IN THE CURRENT YEAR. PART III, LINE 3: THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS CAN BE FOUND ON PAGE 11 OF THE ATTACHED AUDITED 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 FISCAL YEAR 2025 COST REPORT. PART III, LINE 9B: FOR PATIENTS UNABLE TO MEET THE COLLECTION GUIDELINES OF PRHHS, NOTICE OF THE CHARITY CARE PROGRAM AND APPROPRIATE FORMS (INCLUDING THE FINANCIAL DISCLOSURE STATEMENT) WILL BE SUPPLIED TO THE PATIENT FOR COMPLETION AND CONSIDERATION IN SATISFYING THE BALANCE REMAINING DUE. ONCE THE PATIENT BEGINS THE APPLICATION PROCESS, PRHHS CEASES ALL COLLECTION ACTION ON THE AMOUNTS BEING CONSIDERED FOR FINANCIAL ASSISTANCE. IF THERE IS A PAYMENT MADE ON THE ACCOUNT DURING THE APPLICATION PROCESS, THE PAYMENT IS APPLIED DIRECTLY TO THE ACCOUNT BALANCE. INDIVIDUALS ARE GIVEN 240 DAYS TO COMPLETE THE FAP APPLICATION. PART VI, LINE 2: IN ADDITION TO THE CHNA PROCESS THAT TOOK PLACE IN TAX YEARS 2021 AND 2024, THE ORGANIZATION ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY BASED ON FEEDBACK FROM PHYSICIANS. PART VI, LINE 3: INFORMATION REGARDING CHARITY CARE IS AVAILABLE IN ADMISSION AREAS AND IN CLINIC PATIENT ROOMS. IF A PATIENT IS PAST DUE ON A BILL, AN ADDITIONAL NOTIFICATION IS GIVEN TO THE PATIENT TO CONTACT THE HOSPITAL TO DISCUSS PAYMENT OPTIONS, INCLUDING CHARITY CARE. THE HOSPITAL PROVIDES COUNSELING TO PATIENTS TO HELP THEM QUALIFY FOR MEDICAID. PART VI, LINE 4: PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES AREA INCLUDES GRANT COUNTY AND SURROUNDING COUNTIES IN MINNESOTA. THE AVERAGE AGE OF THE POPULATION IS OLDER THAN BOTH THE STATE AND NATIONAL AVERAGES, WHICH LEADS TO HIGHER THAN NORMAL PERCENTAGE OF OLDER PATIENTS WHOM THE HOSPITAL SERVES. THE NEAREST HOSPITAL IS APPROXIMATELY 20 MILES FROM PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES MAIN CAMPUS. PART VI, LINE 5: THE MOST TANGIBLE WAY PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES PROVIDES COMMUNITY BENEFITS IS THROUGH COMMUNITY PROGRAMS AND SERVICES. IT PROVIDES THESE SERVICES AS A RESPONSIBLE MEMBER OF THE COMMUNITY. EDUCATIONAL PROGRAMS, HEALTHCARE SCREENING, SUPPORT GROUPS, SCHOOL HEALTH SERVICES, AND OTHER COMMUNITY SERVICES ARE PROVIDED BY PRAIRIE RIDGE HOSPITAL TO IMPROVE THE HEALTHCARE AND QUALITY OF LIFE FOR THE PEOPLE IN THE COMMUNITY. PART VI, LINE 6: PRAIRIE RIDGE HEALTHCARE FOUNDATION RECEIVES DONATIONS, MEMORIALS, AND PLEDGES. THE FUNDS RECEIVED ARE GRANTED TO PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES TO SUPPORT PROVIDING QUALITY HEALTHCARE IN THE COMMUNITIES IN OUR SERVICE AREA. PART VI, LINE 7, REPORTS FILED WITH STATES MN 0 0 0 0 0 0 1 0 0 KENT MATTSON CEO 0 541063 0 144740 0 0 0 23500 0 60786 0 770089 0 0 PATRICIA ROTH CNO (THRU 07/2025) 0 255350 0 0 0 0 0 0 0 34915 0 290265 0 0 ANN HIEDEMAN VP OF HUMAN RESOURCES 0 200712 0 0 0 0 0 0 0 53273 0 253985 0 0 DEB PELCH VP OF AMBULATORY, PROFESSIONAL SERIV 0 211686 0 0 0 0 0 0 0 24247 0 235933 0 0 WADE JYRKAS VP OF INFORMATION SYSTEMS 0 165593 0 0 0 0 0 0 0 35711 0 201304 0 0 JAYSON THOMPSON PHARMACY MANAGER 162435 0 0 0 0 0 0 0 21771 0 184206 0 0 0 DANIELLE LESMEISTER ADMINISTRATOR OF PATIENT CARE 0 154055 0 0 0 0 0 0 0 29223 0 183278 0 0 PART I, LINE 3 COMPENSATION FOR MANAGEMENT OF PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES REVIEWED ANNUALLY AND COMPARED TO SALARY SURVEYS FOR SIMILAR ORGANIZATIONS. COMPENSATION IS PRESENTED FOR APPROVAL BY THE EXECUTIVE COMMITTEE. 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. FORM 990, PART VI, SECTION A, LINE 1A THE FINANCE COMMITTEE IS AN ENTERPRISE COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 6 LAKE REGION HEALTHCARE CORPORATION ("LAKE REGION"), A MINNESOTA NONPROFIT CORPORATION, IS THE SOLE CORPORATE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A LAKE REGION HAS RESERVED EXCLUSIVELY TO ITSELF THE POWER TO APPOINT BOARD MEMBERS FROM A SLATE OF CANDIDATES NOMINATED BY THE CORPORATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B LAKE REGION HAS RESERVED EXCLUSIVELY TO ITSELF THE FOLLOWING RESERVED POWERS: A) APPROVAL OF OPERATING AND CAPITAL BUDGET RECOMMENDED BY THE CORPORATION'S BOARD; B) APPROVAL OF STRATEGIC CAPITAL PLAN RECOMMENDED BY THE CORPORATION'S BOARD; C) APPROVAL OF ANY RECOMMENDATIONS BY THE CORPORATION'S BOARD TO SUBSTANTIALLY CHANGE ITS PURPOSE OR MISSION OR TRANSFER OF ASSETS; D) AMENDMENT OF ARTICLES OF INCORPORATION, BYLAWS, AND OTHER CORPORATE DOCUMENTS; E) APPROVAL OF CONTRACTS INVOLVING PHYSICIANS OR OTHER PROVIDERS, FOR COMPLIANCE PURPOSES ONLY; F) BOARD MEMBER APPOINTMENT, FOR A SLATE OF CANDIDATES NOMINATED BY THE CORPORATION'S BOARD; G) APPROVAL OF INCURRENCE OF DEBT IN EXCESS OF THRESHOLDS ESTABLISHED BY LAKE REGION POLICY; H) APPROVAL OF JOINT VENTURES OR PARTNERSHIPS PROPOSED TO BE ENTERED INTO BY THE CORPORATION; AND I) APPROVAL OF THE CREATION BY THE CORPORATION OF ANY NEW CORPORATION, LIMITED LIABILITY COMPANY, OR OTHER ENTITY. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS REVIEWED BY THE CEO, THEN FOLLOWED BY A REVIEW BY THE PRHHS BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS. BOARD MEMBERS, OFFICERS, AND MANAGEMENT PERSONNEL ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS. ANY POTENTIAL CONFLICTS ARE REVIEWED AT THAT TIME, AND ANY ACTUAL CONFLICTS ARE NOTED IN THE MEETING MINUTES. ANY PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON ALL MATTERS RELATED TO THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO AND OTHER OFFICERS IS SUBJECT TO REVIEW BY AN EXTERNAL CONSULTANT AND DETERMINED BASED ON RELEVANT MARKET DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G COLLECTION FEES: PROGRAM SERVICE EXPENSES 13,314. MANAGEMENT AND GENERAL EXPENSES 4,940. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,254. OUTSIDE LAUNDRY FEES: PROGRAM SERVICE EXPENSES 25,620. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,620. PHYSICIAN SERVICE FEE: PROGRAM SERVICE EXPENSES 2,828,693. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,828,693. ON CALL PHYSICIAN FEE: PROGRAM SERVICE EXPENSES 627,645. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 627,645. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,769,333. MANAGEMENT AND GENERAL EXPENSES 1,027,510. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,796,843. PHARMACY SERVICE FEES: PROGRAM SERVICE EXPENSES 90,110. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,110. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS 151,111. FORM 990, PART XII, LINE 3B: SINGLE AUDIT WILL BE COMPLETED BY 6/30/26 DEADLINE. PRAIRIE RIDGE FOUNDATION INC 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 455092280 FUNDRAISING MN 501(C)(3) LINE 7 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1 LAKE REGION HEALTHCARE CORPORATION 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 410730602 HOSPITAL MN 501(C)(3) LINE 3 N/A 0 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 0 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 0 RURAL HEALTH ALLIANCE LLC 1210 BROADWAY STE 240 271 ALEXANDRIA MN 56308 020738699 EQUIPMENT SALES MN PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES INC RELATED 45973 143091 0 1 0.11110 WEST CENTRAL LINEN SERVICES 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411411129 LAUNDRY AND LINEN MN N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 1 PRAIRIE RIDGE FOUNDATION Q 102477 OPERATING EXPENSES