2026-08-11T08:05:16-05:00 2025-09-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2024-10-01 410730602 LAKE REGION HEALTHCARE CORPORATION LAKE 2187368000 712 SOUTH CASCADE STREET FERGUS FALLS MN 56537 CHRIS JOHNSON CFO 2187368000 2026-08-06 1 1 JUSTIN HARTERT P02236744 5074467100 2026-08-05 2024 2025-03-06 01:10:19Z KENT MATTSON 712 SOUTH CASCADE STREET FERGUS FALLS MN 56537 195122898 0 X WWW.LRHC.ORG X 1951 MN WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 15 15 949 65 19934 0 569610 847232 155341843 164381894 6559279 6169140 6067924 7323950 168538656 178722216 103829 205988 0 0 61302860 67486772 0 0 0 107729921 109645157 169136610 177337917 -597954 1384299 158258533 156787516 52243612 49730966 106014921 107056550 X WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 0 0 115515245 205988 126138997 LAKE REGION HEALTHCARE CORPORATION IS A NOT-FOR-PROFIT PROVIDER OF HEALTH CARE SERVICES OPERATING A 108-BED HOSPITAL COMPRISED OF A 94-BED ACUTE HOSPITAL, A 14-BED PSYCHIATRIC UNIT, AND MULTIPLE CLINIC SITES. OUT PURPOSE IS TO MEET THE HEALTH CARE NEEDS OF THE PEOPLE IN WEST CENTRAL MINNESOTA. OUR VISION IS TO BE MINNESOTA'S PREEMINENT REGIONAL HEALTH CARE PARTNER. OUR CORE VALUES INCLUDE INTEGRITY, TEAMWORK, COMPASSION, AND EXCELLENCE. LAKE REGION HEALTHCARE CORPORATION IS A PROVIDER OF QUALITY HEALTH CARE SERVICES, AS NOTED BY OUR ACCREDITATION BY THE JOINT COMMISSION. SERVICES THAT LAKE REGION HEALTHCARE PROVIDES INCLUDE MEDICAL/SURGICAL, PEDS, OB GYN, ICCU, RADIOLOGY/INTERVENTIONAL RADIOLOGY, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH THERAPY, RESPIRATORY CARE, SOCIAL WORK, SURGERY, ONCOLOGY, BIRTHING SUITES, CARDIAC REHAB/ECP, EMERGENCY SERVICES, COMMUNITY WELLNESS, AND LABORATORY. 34751307 0 37947330 LAKE REGION HEALTHCARE OFFERS CLINICAL SERVICES IN FOUR COMMUNITIES AND A WALK-IN CLINIC. SPECIALTIES OFFERED THROUGH CLINIC SERVICES INCLUDE CARDIOLOGY, OB GYN, PEDIATRICS, OPHTHALMOLOGY, FAMILY MEDICINE, INTERNAL MEDICINE, UROLOGY, DERMATOLOGY, ENT, ALLERGY, AUDIOLOGY, PODIATRY, PULMONOLOGY, SPORTS MEDICINE, SURGERY, AND ORTHOPEDICS. 150266552 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 65 0 1 949 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X X X LAKE REGION HEALTHCARE CORPORATION 2187368000 712 S CASCADE ST FERGUS FALLS MN 56537 JOHN ERICKSON BOARD CHAIR 8.00 1.50 X 0 0 0 CRYSTAL ADAMS SECRETARY 6.00 0.00 X 0 0 0 LAUREL NELSON TREASURER 5.00 0.00 X 0 0 0 CHAD MILLER TRUSTEE 4.00 0.00 X 0 0 0 CHUCK MCFARLANE TRUSTEE 4.00 0.00 X 0 0 0 DEB FERGUSON TRUSTEE 4.00 0.00 X 0 0 0 ERIN SMITH TRUSTEE 4.00 0.00 X 0 0 0 JEANNE ENNEN TRUSTEE 4.00 1.50 X 0 0 0 JESS STEINBRENNER TRUSTEE 4.00 0.00 X 0 0 0 JUSTIN ANDERSON TRUSTEE 4.00 0.00 X 0 0 0 LARRY GOETZINGER TRUSTEE 4.00 0.00 X 0 0 0 MATTHEW MOUSER MD TRUSTEE 4.00 0.00 X 0 0 0 REBECCA BOESL TRUSTEE 4.00 0.00 X 0 0 0 SCOTT BAUER TRUSTEE 4.00 0.00 X 0 0 0 TINDY RUND TRUSTEE 4.00 0.00 X 0 0 0 KENT MATTSON CEO 39.00 1.00 X 685803 0 84285 KATHY BURVILLE VP OF AMBULATORY SERVICES (THRU 05/2025) 39.00 1.00 X 85489 0 30825 DEB PELCH EVP OF PROFESSIONAL SERVICES 39.00 1.00 X 211686 0 24247 CHRIS JOHNSON CFO 39.00 1.00 X 117164 0 13027 PATRICIA ROTH CNO (THRU 07/2025) 39.00 1.00 X 255350 0 34915 MOLLY REAGAN INTERIM CNO 39.00 1.00 X 0 0 0 DANIELLE LESMEISTER ADMIN OF PATIENT CARE (THRU 07/2025) 39.00 1.00 X 154055 0 29223 ANN HIEDEMAN VP OF HUMAN RESOURCES 39.00 1.00 X 200712 0 53273 WADE JYRKAS VP OF INFORMATION SYSTEMS 39.00 1.00 X 165593 0 35711 CHELSEY JOHNSON PLASTIC SURGEON 40.00 0.00 X 1425160 0 40713 FRITZ KARSNIA CRNA 40.00 0.00 X 309850 0 64124 DENISE NELSON CRNA 40.00 0.00 X 312365 0 23385 TYLER SCOTT CRNA 40.00 0.00 X 316226 0 36545 ROBERT KARI CRNA 40.00 0.00 X 308566 0 65719 4548019 0 535992 79 0 1 0 LAKE REGION MEDICAL GROUP 712 S CASCADE STREET FERGUS FALLS MN 56537 PHYSICIAN SERVICES 33071116 SANFORD 2301 EAST 60TH ST N SIOUX FALLS SD 57104 IT/EMR SERVICES 1854840 VIRTUAL RADIOLOGIC PROFESSIONALS 3600 MINNESOTA DRIVE SUITE 800 EDINA MN 55435 RADIOLOGY PHYSICIAN SERVICES 1822315 MEDICAL SOLUTIONS LLC 1010 NORTH 102ND STREET OMAHA NE 68114 CONTRACTED LABOR 1535292 LOCUMTENENSCOM 2575 NORTHWINDS PKWY ALPHARETTA GA 30009 PHYSICIAN SERVICES 1287316 35 604959 242273 847232 PATIENT CARE SERVICES 623000 164381894 164086327 295567 164381894 2224875 2224875 302629 88053 214576 214576 214576 19797397 15762975 90157 4034422 -90157 3944265 3944265 69346 459497 -390151 -390151 OUTSIDE SERVICE REVENU 623000 5775237 5775237 OPTICAL SALES 456199 790672 114518 676154 CAFETERIA REVENUE 623000 517285 517285 416331 416331 7499525 178722216 164086327 19934 13768723 X 205988 205988 2188835 2188835 53082943 36766139 16316804 654142 461131 193011 7808582 5634370 2174212 3752270 2368143 1384127 238544 238544 222337 222337 96758 96758 47498887 47498887 728749 496132 232617 812942 650555 162387 10100 10100 2041738 1252319 789419 268915 97513 171402 75086 75086 1005467 848511 156956 6596386 4783611 1812775 1075967 1075967 SUPPLIES 32336006 32336006 REPAIRS AND MAINTENANCE 6463039 5617044 845995 BAD DEBTS 5638750 5638750 MN HEALTH SURCHARGE 2878118 2878118 1657368 1657368 177337917 150266552 27071365 0 3482719 4613518 46354 46400 31450807 29378384 2443038 2589622 2540415 2537894 1257731 2545288 145535057 86876319 62091525 58658738 23587632 37062099 14491337 738611 16866975 18616962 158258533 156787516 18183260 21351534 32428204 28365895 1632148 13537 52243612 49730966 X 0 0 0 0 106014921 107056550 106014921 107056550 158258533 156787516 1384299 -342670 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 10978 0 0 0 10978 0 PART II-B, LINE 1: LAKE REGION HEALTHCARE PAID PERCENT OF THEIR MHA AND AHA DUES FOR LOBBYING PURPOSES. 3078849 3078849 95899894 53988893 41911001 161387 99192 62195 46227854 32788234 13439620 167073 167073 58658738 FUNDED DEPRECIATION 18075752 WORKERS COMPENSATION INSURANCE DEPOSITS 153365 DUE FROM AFFILIATES 387845 18616962 THIRD PARTY PAYOR SETTLEMENTS 13537 13537 X PART X, LINE 2: LRHC 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). THIS ENTITY IS REQUIRED ANNUALLY TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THIS ENTITY MAY BE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. LRHC FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. MEDICAL BUILDING IS A MINNESOTA LIMITED LIABILITY COMPANY SOLELY OWNED BY LRHC AND RECOGNIZED BY THE IRS FOR U.S. FEDERAL INCOME TAX PURPOSES AS A PASS-THROUGH ENTITY AND IS TREATED AS A "DISREGARDED ENTITY" FOR TAX PURPOSES AND WILL BE INCLUDED IN SCHEDULE R OF LRHC'S IRS FORM 990. THE CORPORATION BELIEVES THAT IT HAS APPROPRAITE 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. THE CORPORATION 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 1 0 0 783000 783000 0.00460 20943917 13349253 7594664 0.04420 21726917 13349253 8377664 0.04880 241638 241638 0.00140 1103921 1103921 0.00640 13325 18637 0 0.00000 58695 58695 0.00030 1417579 18637 1404254 0.00810 23144496 13367890 9781918 0.05690 19591 19591 0.00010 73874 73874 0.00040 93465 93465 0.00050 1 5638750 0 21604452 22032319 -427867 X 1 1 1 1 LAKE REGION HEALTHCARE CORPORATION 712 S CASCADE STREET FERGUS FALLS MN 56537 WWW.LRHC.ORG 00437 X X X LAKE REGION HEALTHCARE CORPORATION 1 0 0 1 X X X X X X X X X 24 1 1 0 1 X SEE PART V, SECTION B, 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 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 LAKE REGION HEALTHCARE CORPORATION 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. LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 6A: PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES LAKE REGION HEALTHCARE CORPORATION 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 THE FALL OF 2024 TO BETTER UNDERSTAND THE HEALTH NEEDS OF THEIR RESIDENTS. THESE HOSPITALS ARE RELATED ORGANIZATIONS THAT SHARE A WEBSITE, WWW.LRHC.ORG. LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 11: IN THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, LAKE REGION HEALTHCARE CORPORATION IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS: (1) HEALTHY LIVING, (2) MENTAL HEALTH AND BEHAVIORAL ISSUES, (3) SOCIAL DETERMINANTS OF HEALTH, AND (4) COORDINATION OF RESOURCES. HEALTHY LIVING: TO IMPROVE OVERALL WELLBIENG, WE ARE FOCUSING ON THE PREVENTION, MANAGEMENT, AND TREATMENT OF CHRONIC DISEASES WHILE CREATING ENVIRONMENTS AND SYSTEMS THAT SUPPORT WHOLE-PERSON CARE AND LONG-TERM HEALTH. WE ARE DELIVERING EVIDENCE-BASED PATIENT EDUCATION ON HEALTHY EATING, PHYSICAL ACTIVITY, CANCER SCREENING, AND TOBACCO CESSATION. WE ARE ALOS EXPANDING LAKE REGION TAKES ROOT, OUR COMMUNITY GARDEN INITIATIVE, ALONG WITH OUR LIFESTYLE MEDICINE PROGRAMMING. IN ADDITION, WE ARE STRENGTHENING REFERRAL PATHWAYS TO CONNECT PATIENTS WITH APPROPRIATE SERVICES AND SUPPORT FOR CHRONIC DISEASE MANAGEMENT. FINALLY, WE ARE LEVERAGING EHR DATA TO DRIVE TARGETED OUTREACH, IMPROVE INTERVENTIONS, AND BETTER MEET PATIENT NEEDS. MENTAL HEALTH AND BEHAVIORAL ISSUES: TO ADDRESS MENTAL AND BEHAVIORAL NEEDS, WE ARE EXPANDING ACCESS TO MENTAL HEALTH SERVICES BY RECRUITING QUALIFIED MENTAL HEALTH PROVIDERS. WE ARE ALSO OPTIMIZING THE MENTAL HEALTH SCREENING PROCESS TO ENSURE TIMELY IDENTIFICATION, INTERVENTION, AND FOLLOW-UP FOR INDIVIDUALS AT-RISK. IN ADDITION, WE ARE WORKIGN TO ESTABLISH SUPPORT GROUPS FOCUSED ON MENTAL AND EMOTIONAL WELLBEING TO STRENGTHEN RESILIENCE AND FOSTER SOCIAL CONNECTION. FINALLY, WE ARE PRIORITIZING THE MENTAL HEALTH AND WELLBEING OF OUR EMPLOYEES AND PROVIDERS BY CREATING A SUPPORTIVE WORKPLACE ENVIRONMENT THAT PROMOTES WELLNESS, BALANCE, AND ACCESS TO RESOURCES. SOCIAL DETERMINANTS OF HEALTH: TO ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH) WE ARE ENHANCING OUR SCREENING PRORCESS TO BETTER IDENTIFY INVIDIUALS WHO MAY NEED ADDITIONAL SUPPORT. WE ARE ALSO STRENGTHENING CLINICAL-COMMUNITY LINKAGES ACROSS HEALTHCARE, PUBLIC HEALTH AND SOCIAL SERVICE SECORS TO ADDRESS ROOT TO ENSURE PATIENTS ARE CONNECTED TO APPROPRIATE SERVICES AND RESOURCES THAT SUPPORT OVERALL WELLBEING AND ADVANCE HEALTH EQUITY. COORDINATION OF RESOURCES: TO IMPROVE COORDINATION OF RESOURCES, WE ARE STRENGTHENING CONNECTIONS AND EXPANDING NETWORKS AMONG HEALTHCARE, PUBLIC HEALTH, SOCIAL SERVICES, AND OTHER COMMUNITY-BASED ORGANIZATIONS TO BETTER ALIGN RESOURCES AND STREAMLINE REFERRAL NAVIGATION. WE ARE ALSO LEVERAGING A VARIETY OF OUTREACH PLATFORMS TO INCREASE AWARENESS OF AVAILABLE RESOURCES, PARTICULARLY OUR CARE COORDINATION SERVICES. THESE EFFORTS ARE DESIGNED TO ENHANCE ACCESS TO SUPPORT SERVICES, REDUCE INEFFICIENCIES, AND PROMOTE A MORE COORDINATED, WHOLE-PERSON APPROACH TO CARE.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/ LAKE REGION HEALTHCARE CORPORATION 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. LAKE REGION HEALTHCARE CORPORATION 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. 7 1 - MAIN FERGUS FALLS CLINIC 111 WEST VERNON AVENUE FERGUS FALLS MN 56537 CLINIC 2 - CANCER CENTER 908 SOUTH CASCADE STREET FERGUS FALLS MN 56537 CANCER TREATMENT CENTER 3 - WALK-IN CLINIC 2311 WEST LINCOLN AVENUE FERGUS FALLS MN 56537 CLINIC 4 - BARNESVILLE AREA CLINIC 209 SECOND STREET SOUTHEAST BARNESVILLE MN 56514 CLINIC 5 - BATTLE LAKE CLINIC 410 LAKE AVENUE SOUTH BATTLE LAKE MN 56515 CLINIC 6 - ASHBY CLINIC 110 COUNTY ROAD 82 EAST ASHBY MN 56309 CLINIC 7 - CHIROPRACTIC CLINIC 301 E LINCOLN AVE FERGUS FALLS MN 56537 CHIROPRACTIC CLINIC PART I, LINE 7: THE COST METHODOLOGY USED TO DETERMINE THE AMOUNTS IN LINE 7A-7D AND 7G IS THE ADJUSTED MEDICARE COST TO CHARGE RATIO ON THE 2025 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. 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 $ 5,638,750. PART II, COMMUNITY BUILDING ACTIVITIES: 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. PART III, LINE 2: BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS. 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 FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS LOCATED IN FOOTNOTE 1 ON PAGE 12 OF THE ATTACHED 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 2025 COST REPORT. PART III, LINE 9B: 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. PART VI, LINE 2: LAKE REGION HEALTHCARE PARTICIPATES IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CONDUCTED BY OTTER TAIL COUNTY PUBLIC HEALTH AND HORIZON PUBLIC HEALTH AND REVIEWS THE RESULTING CHNA REPORTS. IN ADDITION, LRH ANALYZES INTERNAL DATA FROM THE EHR TO IDENTIFY TRENDS IN PATIENT POPULATIONS, SERVICE UTILIZATION, CHRONIC DISEASE PREVALENCE, AND EMERGIN HELATH CONCERNS. THIS ONGOING ANALYSIS HELPS LRH MONITOR CHANGES IN COMMUNITY HEALTH NEEDS, IDENTIFY GAPS IN CARE, AND GUIDE STRATEGIC PLANNING AND PROGRAM DEVELOPMENT. PART VI, LINE 3: FOR THE UNINSURED AND SELF-PAY DISCOUNT, 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 AND IF 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. PART VI, LINE 4: 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. PART VI, LINE 5: 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. PART VI, LINE 6: THE LAKE REGION HEALTHCARE (LRH) ENTERPRISE IS AN INDEPENDENT, COMMUNITY OWNED AND GOVERNED, NON-PROFIT HEALTHCARE ORGANIZATION HEADQUARTERED IN FERGUS FALLS. WITH FACILITIES IN NINE COMMUNITIES, WE ARE A MIDSIZED RURAL HEALTH SYSTEM PRIMARILY THAT SERVES FIVE COUNTIES IN WEST CENTRAL MINNESOTA AND EASTERN NORTH DAKOTA. THE ENTERPRISE OPERATES TWO HOSPITALS (IN FERGUS FALLS AND ELBOW LAKE), 10 CLINICS, A CANCER CENTER, A SENIOR LIVING COMMUNITY (MILL STREET RESIDENCE), AND VARIOUS OTHER HEALTH AND WELLNESS RELATED VENTURES. WITH OVER 1,100 EMPLOYEES AND 120 PHYSICIANS AND ADVANCE PRACTICE PROVIDERS, WE ARE DEDICATED TO SERVING THE HEALTHCARE NEEDS OF OUR COMMUNITIES CLOSE TO HOME AND DELIVERING SPECIALTY AND SUB-SPECIALTY SERVICES AT OUR LOCATIONS IN FERGUS FALLS, ELBOW LAKE, ASHBY, BARNESVILLE, BATTLE LAKE, EVANSVILLE, HERMAN, HOFFMAN, AND MORRIS, MN. IN EACH OF THE COMMUNITIES WE SERVE AND THE GREATER SERVICE AREA IN TOTAL, WE PROMOTE THE HEALTH OF THE PEOPLE IN OUR REGION THROUGH THE DONATION OF FINANCIAL AND HUMAN RESOURCES AND PROGRAMMING SUPPORT TO ACTIVITIES THAT PROMOTE HEALTHY EATING, PHYSICAL ACTIVITY, AND MENTAL HEALTH RESILIENCE. THESE EVENTS INCLUDE LRH SPONSORED EVENTS LIKE THE LAKE REGION RUN AND THE PEBBLE LAKE YOUTH TRIATHLON AS WELL AS COMMUNITY-LED EVENTS LIKE THE ASHBY 10K, THE PRAIRIE PURSUIT AND THE CENTRAL LAKES CYCLE DUATHLON. ALL OF THE WORK WE DO AND ACTIVITIES WE SUPPORT ARE AIMED AT ACHIEVING OUR MISSION OF PARTNERING TO ENRICH LIFE THROUGH HEALTH. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 LAKE REGION HEALTHCARE FOUNDATION 712 S CASCADE ST FERGUS FALLS MN 56537 411677288 501(C)(3) 56700 0 N/A N/A COMMUNITY BENEFIT ASHBY LEGACY FUND 225 6TH ST SUITE 1400 MINNEAPOLIS MN 55402 882211346 501(C)(3) 20000 0 N/A N/A COMMUNITY BENEFIT FERGUS FALLS AREA CHAMBER OF COMMERCE 202 S COURT STREET FERGUS FALLS MN 56537 410192908 501(C)(3) 5450 0 N/A N/A COMMUNITY BENEFIT FERGUS FALLS 544 EDUCATION FOUNDATION 518 FRIBERG AVE FERGUS FALLS MN 56537 411978590 501(C)(6) 5200 0 N/A N/A COMMUNITY BENEFIT 3 1 PART I, LINE 2: THE LAKE REGION HEALTHCARE FINANCE TEAM MAINTAINS A RECORD OF ALL GRANTS ISSUED AND PLEDGES MADE. GRANT ELIGIBILITY AND SELECTION CRITERIA ARE DESCRIBED IN OUR DONATION POLICY AS FOLLOWS: TAX-EXEMPT, NONPROFIT ORGANIZATIONS ARE ELIGIBLE. CONTRIBUTIONS ARE NOT GENERALLY GIVEN FOR TRAVEL OR TRAVEL-RELATED EXPENSES; TO INDIVIDUALS; TO ORGANIZATIONS BASED OUTSIDE OF OUR REGION; TO ORGANIZATIONS OF PRIMARILY POLITICAL FOCUS OR ORGANIZATIONS THAT DISCRIMINATE ON THE BASIS OF AGE, SEX, RACE, COLOR, NATIONAL ORIGIN, RELIGION, CREED OR SEXUAL ORIENTATION. LAKE REGION HEALTHCARE BELIEVES IN BEING A GOOD COMMUNITY PARTNER BY SUPPORTING VARIOUS CHARITABLE CAUSES THROUGHOUT OUR SERVICE AREAS. WE REGARD PARTNERSHIPS WITH NONPROFIT ORGANIZATIONS AS AN IMPORTANT INVESTMENT IN THE FUTURE OF COMMUNITIES WE SERVE AND THE VITALITY OF OUR ORGANIZATION. OVER TIME, WE HAVE PARTICIPATED IN AND ASSISTED WITH MANY COMMUNITY PROJECTS AND FESTIVALS, EDUCATIONAL PROGRAMS, YOUTH SPORTS ACTIVITIES, LOCAL GOVERNMENT, HEALTH PROGRAMS, AND NONPROFIT ORGANIZATIONS. TO ACHIEVE THE GREATEST BENEFIT FROM AVAILABLE FUNDING, WE GENERALLY FOCUS ON EVENTS OR PROGRAMS THAT DIRECTLY IMPACT THE COMMUNITIES WE SERVE. IN ADDITION, BECAUSE OUR DOLLARS ARE LIMITED, WE NARROW OUR FOCUS FURTHER BY SUPPORTING MAINLY THOSE REQUESTS THAT IMPACT HEALTH AND WELLNESS, CHILDREN AND EDUCATION, AND THE ARTS. X X X X X X 0 0 0 0 0 1 0 0 0 CHELSEY JOHNSON PLASTIC SURGEON 1425160 0 0 0 0 0 0 0 40713 0 1465873 0 0 0 KENT MATTSON CEO 541063 0 144740 0 0 0 23500 0 60785 0 770088 0 0 0 ROBERT KARI CRNA 308566 0 0 0 0 0 0 0 65719 0 374285 0 0 0 FRITZ KARSNIA CRNA 309850 0 0 0 0 0 0 0 64124 0 373974 0 0 0 TYLER SCOTT CRNA 316226 0 0 0 0 0 0 0 36545 0 352771 0 0 0 DENISE NELSON CRNA 312365 0 0 0 0 0 0 0 23385 0 335750 0 0 0 PATRICIA ROTH CNO (THRU 07/2025) 255350 0 0 0 0 0 0 0 34915 0 290265 0 0 0 ANN HIEDEMAN VP OF HUMAN RESOURCES 200712 0 0 0 0 0 0 0 53273 0 253985 0 0 0 DEB PELCH EVP OF PROFESSIONAL SERVICES 211686 0 0 0 0 0 0 0 24247 0 235933 0 0 0 WADE JYRKAS VP OF INFORMATION SYSTEMS 165593 0 0 0 0 0 0 0 35711 0 201304 0 0 0 DANIELLE LESMEISTER ADMIN OF PATIENT CARE (THRU 07/2025) 154055 0 0 0 0 0 0 0 29223 0 183278 0 0 0 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. A CITY OF FERGUS FALLS MN 416005153 2021-10-01 21000000 TO IMPLEMENT A NEW EHR AND PURCHASE MEDICAL EQUIPMENT 0 0 0 A 11341740 21000000 56000 11189869 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 1A THERE IS AN EXECUTIVE COMMITTEE LIMITED TO SEVEN TRUSTEES, AND THESE TRUSTEES SHALL BE: (1) THE PRESIDENT (2) THE VICE PRESIDENT (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 EXERCISE 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. FORM 990, PART VI, SECTION A, LINE 2 MATTHEW MOUSER, MD, AND REBECCA BOESL ARE AFFILIATED WITH COMPANIES THAT HAVE A BUSINESS RELATIONSHIP WITH LAKE REGION HEALTHCARE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 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. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025. FORM 990, PART VI, SECTION C, LINE 19 LAKE REGION HEALTHCARE'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE CONSULTING FEES: PROGRAM SERVICE EXPENSES 800,468. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 800,468. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 40,308,170. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,308,170. COLLECTION FEES: PROGRAM SERVICE EXPENSES 289,311. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 289,311. OUTSIDE LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 302,732. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 302,732. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,660,516. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,660,516. STUDENT PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 137,690. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,690. FORM 990, HEADER, LINE C: 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. 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 1 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 1 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 411763968 HEALTHCARE SERVICES MN 501(C)(3) LINE 3 LAKE REGION HEALTHCARE CORPORATION 1 PRAIRIE RIDGE FOUNDATION 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 455092280 FUNDRAISING MN 501(C)(3) LINE 7 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1 RURAL HEALTH ALLIANCE LLC 1210 BROADWAY STE 240 271 ALEXANDRIA MN 56308 020738699 EQUIPMENT SALES MN N/A 0 0 WEST CENTRAL LINEN SERVICES 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411411129 LAUNDRY & LINEN MN LAKE REGION HEALTHCARE CORPORATION C -21357 449238 0.50000 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 LAKE REGION HEALTHCARE FOUNDATION Q 316491 OPERATING EXPENSES PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES Q 5397875 OPERATING EXPENSES LRHC LONG-TERM CARE FACILITIES INC Q 384442 OPERATING EXPENSES WEST CENTRAL LINEN SERVICES M 302731 COST OF SERVICES LAKE REGION HEALTHCARE FOUNDATION C 604959 FMV PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES P 9255407 OPERATING EXPENSES