2022-08-12T08:26:16-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2020-10-01 411763968 PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES INC PRAI 2186857300 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 CAMIE PATTERSON CFO 2186857300 2022-08-11 1 CAMIE PATTERSON 999009999 DARRYN MCGARVEY P00958683 6123764500 2022-08-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z PRAIRIE RIDGE HEALTHCARE DANIELLE LESMEISTER 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 18758462 0 X WWW.PRAIRIEHEALTH.ORG X 1993 MN WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 7 7 158 0 0 0 4084337 352033 18569925 18048286 91272 85467 311120 272676 23056654 18758462 0 0 0 0 6350925 6060197 0 0 0 13489333 13450435 19840258 19510632 3216396 -752170 36243282 34170156 26615805 24882699 9627477 9287457 WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 0 0 15997551 18758462 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. PRHHS OPERATES VARIOUS PROVIDER-BASED CLINICS IN ELBOW LAKE, MORRIS, ASHBY, EVANSVILLE, HOFFMAN, A SEPARATE PHYSICIAN CLINIC IN HERMAN, AND A PROVIDER-BASED SURGERY DEPARTMENT IN MORRIS, MINNESOTA. 15997551 1 1 0 0 0 0 0 0 0 1 1 0 0 0 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 27 0 1 158 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 1 1 MN X X PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES 2186857300 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 GENE WENSTROM CHAIR 2.50 4.20 X X 660 0 0 JAY MCNAMAR VICE CHAIR/SECRETARY 1.50 X X 660 0 0 CRYSTAL ADAMS DIRECTOR 1.50 6.00 X 660 0 0 JEFF DREIER DIRECTOR 1.50 0.20 X 660 0 0 JEANNE ENNEN DIRECTOR 1.50 X 660 0 0 RICHARD LAMBERT DIRECTOR 1.50 4.00 X 660 0 0 DUSTIN SPERR DIRECTOR 2.50 X 605 0 0 KENT MATTSON LRH CEO 1.00 39.00 X 0 434466 50008 CAMIE PATTERSON CFO 1.00 39.00 X 0 263799 13224 DANIELLE LESMEISTER CEO 40.00 X 0 57691 16685 JAY THOMPSON PHARMICIST 1.00 40.00 X 112400 0 0 116965 755956 79917 1 0 1 0 LAKE REGION HEALTHCARE CORPORATION 712 S CASCADE STREET FERGUS FALLS MN 56538 PROFESSIONAL/PHYSICIAN SERVICES 4585812 LORANT DIVALD MD 24 E 7TH ST MORRIS MN 56267 SURGERY SERVICES 403856 WEST CENTRAL INTERNAL MEDICINE PO BOX 410 MORRIS MN 56267 PHYSICIAN SERVICES 367481 SONRISA MEDICAL CARE PA 19796 510TH AVENUE MORRIS MN 56267 PHYSICIAN SERVICES 306762 DMS IMAGING INC PO BOX 670747 DALLAS TX 75267 RADIOLOGY SERVICES 286554 5 120629 231404 352033 PATIENT SERVICE REVENU 623000 17214481 17214481 PHARMACY 340B REVENUE 623000 833805 833805 18048286 85467 85467 CAFETERIA REVENUE 623000 93821 93821 MISCELLANEOUS REVENUE 623000 88219 88219 OUTSIDE SERVICES REVEN 623000 71670 71670 18966 18966 272676 18758462 18048286 0 358143 X 183680 183680 4863469 3588610 1274859 70054 51691 18363 592565 437236 155329 350429 258571 91858 1067 1067 92268 92268 6259626 5694356 565270 123721 91290 32431 532895 532895 557790 456725 101065 63174 61103 2071 755997 619020 136977 1612824 1531820 81004 89707 89707 MEDICAL SUPPLIES 1842581 1842581 REPAIRS & MAINTENANCE 495940 406082 89858 BAD DEBTS 338860 338860 RENT EXPENSE 263519 215773 47746 420466 314126 106340 19510632 15997551 3513081 0 9417661 8127711 568814 569515 4514583 4260405 198434 200511 132974 138382 30553477 14952910 16820727 15600567 3127543 3623730 42788 46946 1419758 1602389 36243282 34170156 2592683 2572381 20426548 19814422 3596574 2495896 26615805 24882699 X 9338539 8942307 288938 345150 9627477 9287457 36243282 34170156 X -752170 355941 56209 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 288938 56212 345150 262506 26432 288938 253400 9106 262506 301626 26774 75000 253400 283824 17802 301626 0 0 527767 527767 21294865 7981455 13313410 625516 497241 128275 8052763 6474214 1578549 52566 52566 15600567 THIRD-PARTY PAYOR SETTLEMENTS 2495896 2495896 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 99000 99000 0.00520 2300411 1245239 1055172 0.05500 2399411 1245239 1154172 0.06020 102626 41560 61066 0.00320 50722 50722 0.00260 2055916 1152720 903196 0.04710 80 80 0.00000 2209344 1194280 1015064 0.05290 4608755 2439519 2169236 0.11310 520 520 0.00000 124 124 0.00000 644 644 0.00000 1 338860 0 4831112 4766239 64873 X 1 1 1 1 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 WWW.PRAIRIEHEALTH.ORG 00154 X X X X 5 PROVIDER-BASED CLINICS PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HTTPS://WWW.PRAIRIEHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 1 18 1 HTTPS://WWW.PRAIRIEHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 175.000000000000 215.000000000000 X X X 1 1 X X X X 1 X HTTPS://WWW.PRAIRIEHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.PRAIRIEHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.PRAIRIEHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X 1 X 0 1 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 5: PRHHS REFERRED TO THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK FOR GUIDANCE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THIS COMMUNITY-WIDE PLANNING AND ACTION-ORIENTED PROCESS WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS IN PARTNERSHIP WITH THE PUBLIC HEALTH PRACTICE PROGRAM OFFICE OF THE CENTERS OF DISEASE CONTROL AND PREVENTION. MAPP IS A COMMUNITY-DRIVEN PROCESS ROOTED ON PARTNERSHIP DEVELOPMENT, ASSESSMENT OF NEEDS AND ASSETS, AND STRATEGIC PLANNING ON HOW TO EFFICIENTLY USE AVAILABLE RESOURCES TO ADDRESS THE PRIORITIZED HEALTH NEEDS. PRHHS COMPLETED TWO ASSESSMENTS IN THE MAPP PROCESS: COMMUNITY THEMES AND STRENGTHS, AND COMMUNITY HEALTH STATUS. PRHHS ALSO HAD INPUT FROM COMMUNITY PARTNERS AND STAKEHOLDERS, ESPECIALLY PUBLIC HEALTH AND THOSE REPRESENTING THE UNDERSERVED AND LOW-INCOME POPULATIONS. PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 11: IN THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES (PRHHS) IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS: MENTAL HEALTH AND CHEMICAL DEPENDENCY, SOCIOECONOMIC ISSUES, AND TRANSPORTATION. IN FEBRUARY 2020, INITIAL COMMUNICATION CAME FROM THE MINNESOTA DEPARTMENT OF HEALTH REGARDING PREPARATION FOR THE SURGE OF COVID-19. INITIAL WORK INCLUDED SITUATIONAL AWARENESS, INVENTORY OF PERSONAL PROTECTIVE EQUIPMENT (PPE) IN STORAGE, ACTIVATION OF THE HIGH CONSEQUENCE INFECTIOUS DISEASE PLAN, AND COMMUNICATION THROUGHOUT ALL LEVELS OF THE ORGANIZATION. ADDITIONAL MEASURES WERE IMPLEMENTED TO ENSURE HEALTHCARE WORKER AND PATIENT SAFETY THROUGHOUT THE PANDEMIC THROUGH EDUCATION, INCREASED MONITORING AND TESTING, AND UPDATING THE HOSPITAL'S FACILITIES TO INHIBIT THE SPREAD OF COVID-19 AND MANAGE THE INCREASE IN PATIENTS DUE TO THE DISEASE. DURING PARTS OF 2020, PRAIRIE RIDGE HEALTHCARE WAS ABLE TO BE A "COVID MANAGED" SITE. LAKE REGION HEALTHCARE, A RELATED HOSPITAL ORGANIZATION, WORKED TO SCHEDULE NON-EMERGENT SURGICAL CASES AT PRAIRIE RIDGE, AND PRAIRIE RIDGE UTILIZED LAKE REGION HEALTHCARE FOR THEIR COVID-POSITIVE PATIENTS NEEDING HOSPITALIZATION. DESPITE A HIGH NUMBER OF HOSPITALIZATIONS, THERE WERE VERY FEW HIGH-RISK EXPOSURES OF HEALTHCARE WORKERS OR PATIENTS, PRIMARILY RELATED TO UNIVERSAL PPE UTILIZATION.MENTAL HEALTH AND CHEMICAL DEPENDENCE - BASED ON CONSENSUS FROM PARTNERS, IT WAS DECIDED THAT MENTAL HEALTH AND CHEMICAL DEPENDENCE SHOULD BE GROUPED TOGETHER BECAUSE THEY USUALLY GO HAND IN HAND. MENTAL HEALTH ENCOMPASSES MENTAL ILLNESS, BRAIN HEALTH, MENTAL WELL-BEING AND THE ASSOCIATED STIGMA. WHILE CHEMICAL DEPENDENCY IS THE MISUSE AND ABUSE OF ALCOHOL, TOBACCO, ILLICIT DRUGS, PRESCRIPTION MEDICATIONS AND OTHER DRUGS HARMFUL TO ONE'S HEALTH AND WELLBEING. BOTH OF THESE ISSUES ARE EXTENSIVE AND PREVALENT AMONG YOUTH AND ADULT RESIDENTS OF OUR COMMUNITY.ONE GOAL OF PRHHS DURING FISCAL YEAR 2020 IS TO PREVENT AND TREAT MENTAL ILLNESS AND SUBSTANCE ABUSE AS WELL AS PROVIDE SUPPORT FOR PEOPLE SEEKING TREATMENT OR ARE IN RECOVERY IN THE SURROUNDING COMMUNITIES. PRAIRIE RIDGE HEALTHCARE FACILITATED AN ACE WORKSHOP TARGETED FOR PROVIDERS IN OCTOBER 2019. THIS WORKSHOP WAS WELL-RECEIVED AND WELL ATTENDED. WE HAD PLANNED ON FACILITATING OTHER ACE WORKSHOPS IN OUR LOCAL SCHOOLS THAT WILL BE MORE COMMUNITY-FOCUSED IN 2020. HOWEVER, DUE TO COVID-19 AND THE RESULTING SCHOOL CLOSURES/LIMITED OPENINGS AND PUBLIC GATHERING RESTRICTIONS, THIS PLAN WAS PUT ON HOLD. WE ARE HOPING THAT AS THINGS START TO RETURN TO NORMAL, WE WILL BE ABLE TO FACILITATE AT LEAST ONE WORKSHOP IN SCHOOL YEAR 2021-2022. ADDITIONALLY, DUE TO COVID-19, EXPERIENTIAL EDUCATION AND COMMUNICATING EMPATHY TRAINING FOR PRH PROVIDERS AND STAFF WAS POSTPONED AND IS TENTATIVELY SLATED TO START IN FY 2021.PRAIRIE RIDGE HEALTHCARE ALONG WITH LAKE REGION HEALTHCARE ADOPTED AN ENTERPRISE-WIDE CENTERED ON YOU INITIATIVE IN 2020. CENTERED ON YOU AIMS TO UPHOLD THE ENTERPRISE'S COMMITMENT TO A PERSON-CENTERED APPROACH AND BEING THE BEST PLACE TO GIVE AND RECEIVE CARE. ONE COMPONENT OF THIS INITIATIVE IS TO CONDUCT AN EMPLOYEE ENGAGEMENT SURVEY PERIODICALLY TO ASSIST WITH GROWTH AND IMPROVEMENT FOR THE ORGANIZATION. THE RESULTS OF THE SURVEY WILL BE USED TO GUIDE FUTURE INITIATIVES AND ACTION PLANS TO PROMOTE AND SUPPORT EMPLOYEE ENGAGEMENT AND TO ENSURE THAT EACH EMPLOYEE FEELS LIKE A VALUED MEMBER OF THE ORGANIZATION. THE INITIAL SURVEY WAS SENT OUT IN JUNE 2020 TO 141 PRH EMPLOYEES. SURVEY RESPONSE RATE WAS 67%. THE SURVEY QUESTION IDENTIFIED AS A MEASURE THAT BEST CORRELATES TO THIS PARTICULAR STRATEGY WAS: I FEEL SUPPORTED BY THOSE I WORK WITH DAILY. OF THOSE PRH EMPLOYEES WHO RESPONDED TO THIS SURVEY QUESTION, 23.7% STRONGLY AGREE WHILE 46.4% AGREE WITH THIS STATEMENT.AN ENTERPRISE-WIDE (LAKE REGION HEALTHCARE AND PRAIRIE RIDGE HEALTHCARE) OPIOID SAFETY PROGRAM WAS ESTABLISHED IN NOVEMBER 2019 LED BY A MULTI-DISCIPLINARY OPIOID SAFETY STEERING COMMITTEE TO ENSURE RESPONSIBLE OPIOID PRESCRIBING AND SYSTEMATIC MONITORING. THE FOLLOWING SUBCOMMITTEES WERE FORMED, EACH TASKED WITH IDENTIFYING OPIOID PRACTICE PATTERNS AND DEVELOPING PROCEDURES AND PROGRAMMING TO ENHANCE PATIENT SAFETY AND MITIGATE OPIOID-RELATED RISKS IN THEIR PARTICULAR DOMAIN: (1) ACUTE PAIN MANAGEMENT, (2) AMBULATORY PAIN MANAGEMENT, (3) SUBSTANCE USE DISORDER SERVICES, (4) NON-PHARMACOLOGICAL PAIN MANAGEMENT, (5) CONTROLLED SUBSTANCE DIVERSION PREVENTION AND (6)OPPORTUNITIES, PERFORMANCE IMPROVEMENT AND EDUCATION.AN ANNUAL EDUCATION PACKET WAS SENT TO ALL PROVIDERS AT THE END OF THE CALENDAR YEAR 2020, WHICH PROVIDERS ARE REQUIRED TO ACKNOWLEDGE AS HAVING READ THROUGH THE DOCUMENTS. EDUCATION INCLUDED INFORMATION ON THE MN OPIOID PRESCRIBING IMPROVEMENT PROGRAM AS WELL AS LAKE REGION HEALTHCARE'S OPIOID ABUSE PREVENTION INITIATIVE INCLUDING ITS MEDICATION-ASSISTED TREATMENT PROGRAM. RESOURCE PERMITTING, PRAIRIE RIDGE HEALTHCARE HOPES TO REPLICATE SOME OF THESE ACTIVITIES.DUE TO RESOURCES BEING DIVERTED TO RESPOND TO THE COVID-19 PANDEMIC, WE WERE NOT ABLE TO PUT TOGETHER PROVIDER EDUCATION ON NALOXONE PRESCRIBING GUIDELINES. WE ARE CURRENTLY WORKING WITH OUR PHARMACY DEPARTMENT TO DEVELOP EDUCATION MATERIALS TO BE SHARED WITH ALL THE PROVIDERS AS PART OF THEIR ANNUAL EDUCATION IN 2021. AFTER DISCUSSION WITH SOME MEMBERS OF THE CHNA STEERING COMMITTEE, WE WILL BE REVISING ONE OF THE DATA COLLECTED FOR THE ACTIVITY, EDUCATE PROVIDERS ON RECOMMENDATIONS REGARDING WHEN TO PRESCRIBE OR CO-PRESCRIBE NALOXONE, TO BETTER CAPTURE OUR PROGRESS AND IMPACT. INSTEAD OF THE NUMBER OF PATIENTS PRESCRIBED NALOXONE, WE WILL BE TRACKING THE PERCENTAGE OF PATIENTS WHO ARE PRESCRIBED CHRONIC OPIOIDS WITH A NALOXONE PRESCRIPTION.DUE TO THE COVID PANDEMIC AND THE RESTRICTIONS PLACED ON PUBLIC GATHERING AS WELL AS CONSTRAINED RESOURCES, WE WERE NOT ABLE TO HOST COMMUNITY TRAININGS ON NARCAN AND OPIOID AWARENESS. DEPENDING ON THE STATUS OF COVID-19 IN OUR COMMUNITY, WE HOPE TO BE ABLE TO WORK WITH COMMUNITY PARTNERS AND FACILITATE COMMUNITY EDUCATION SESSIONS IN CALENDAR YEAR 2021.SOCIOECONOMIC ISSUES THE PREVALENCE OF POVERTY IN THE COMMUNITY AND ITS IMPACT ON HEALTH WAS ANOTHER ISSUE THAT WAS EVIDENT THROUGHOUT THE CHNA REPORT. MEDIAN HOUSEHOLD AND PER CAPITA INCOMES IN GRANT AND STEVENS COUNTIES WERE SIGNIFICANTLY LOWER THAN THE STATE'S AVERAGE. IN 2017, 17.2% OF STEVENS COUNTY RESIDENTS WERE LIVING IN POVERTY, WHICH IS ALMOST TWICE THAT OF GRANT COUNTY AT 9.9%. IN GENERAL, INDIVIDUALS LIVING AT OR BELOW POVERTY LEVEL STRUGGLE TO MEET THEIR BASIC NEEDS. THEREFORE, THEY TEND TO BE IN POORER HEALTH, FOOD INSECURE AND EXPERIENCE CHRONIC STRESS AND SUBSTANDARD HOUSING. DURING THE FOCUS GROUP SESSION, PARTICIPANTS DISCUSSED CLIENTS OR PEOPLE THEY KNOW WHO STRUGGLE TO AFFORD FOOD, PERSONAL HYGIENE PRODUCTS, MEDICATIONS AND NEEDED MEDICAL DEVICES OR SERVICES, THAT THEY OFTEN GO WITHOUT.TO HELP ADDRESS SOCIAL DETERMINANTS OF HEALTH TO CREATE AN ENVIRONMENT THAT PROMOTES HEALTH AND HEALTH EQUITY IN GRANT AND STEVENS COUNTIES, PRHHS PLANS TO PARTNER WITH A LOCAL CHURCH TO ESTABLISH RUBY'S PANTRY AND PARTNER WITH AREA SCHOOLS TO ESTABLISH A HYGIENE CLOSET. AFTER DISCUSSIONS ABOUT STRATEGIES TO INCLUDE IN OUR CHIP, WE LEARNED THAT OUR LOCAL CHURCH, ELBOW LAKE BAPTIST CHURCH, IS SPONSORING A RUBY'S POP-UP PANTRY IN OUR COMMUNITY. IN 2020, THE POP-UP PANTRY WAS ESTABLISHED. RUBY'S PANTRY PARTNERS WITH FOOD MANUFACTURERS, DISTRIBUTORS AND PRODUCERS TO GATHER THEIR SURPLUS AND OVERAGES. THEY THEN SORT OUT THE FOOD FOR DISTRIBUTION AND DELIVER IT TO POP-UP PANTRY LOCATIONS ACROSS MN AND WI. THERE IS NO INCOME OR RESIDENCY REQUIREMENT TO RECEIVE FOOD BUNDLES. FOR A $20 DONATION A PERSON WILL RECEIVE AN ABUNDANCE OF GROCERIES. WE STARTED COLLECTING DONATIONS FOR HYGIENE PRODUCTS TO DONATE TO AREA SCHOOLS. HOWEVER, DUE TO COVID-19 AND CLOSURE OF IN-PERSON CLASSES, WE ENDED UP DONATING THE ITEMS TO THE GRANT COUNTY FOOD SHELF. WE ARE LOOKING TO START COLLECTING DONATIONS AGAIN IN FUTURE YEARS WITH THE PLAN ON DELIVERING THEM TO OUR LOCAL SCHOOLS.TRANSPORTATION - TRANSPORTATION CONTINUES TO PRESENT AS A BARRIER TO ACCESSING HEALTHCARE AND OTHER NEEDED SERVICES IN OUR COMMUNITY, THUS AFFECTING OVERALL HEALTH AND WELLNESS. HOWEVER, DUE TO RESOURCE CONSTRAINTS AND BECAUSE IT IS BEING ADDRESSED BY OTHER ORGANIZATIONS IN OUR COMMUNITY, PRAIRIE RIDGE HEALTHCARE DECIDED NOT TO DIRECTLY ADDRESS THIS ISSUE. WE DO CONTINUE TO EDUCATE OUR PATIENTS REGARDING TRANSPORTATION OPTIONS AND ASSIST THEM IN COORDINATING THEIR TRANSPORTATION TO AND FROM PRAIRIE RIDGE HEALTHCARE WHENEVER POSSIBLE.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.PRAIRIEHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/. PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 16J: THE 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. 1 1 - 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 $ 338,860. 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 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS CAN BE FOUND ON PAGE 9 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 2021 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 2015 AND 2018, 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 7, REPORTS FILED WITH STATES MN 0 0 0 0 0 0 0 0 0 KENT MATTSON LRH CEO 0 434466 0 0 0 0 0 20500 0 29508 0 484474 0 0 CAMIE PATTERSON CFO 0 263799 0 0 0 0 0 0 0 13224 0 277023 0 0 FORM 990, PART VI, SECTION A, LINE 3 LAKE REGION HEALTHCARE CORPORATION, A RELATED ORGANIZATION OF PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES, HIRED WITT/KIEFFER, INC. TO PROVIDE AN INTERIM CHIEF FINANCIAL OFFICER (CFO). THE INTERIM CFO WAS RESPONSIBLE FOR OVERSEEING THE FINANCIAL OPERATIONS OF THE ORGANIZATION AND ALL RELATED ORGANIZATIONS. WITT/KIEFFER, INC. EMPLOYED CAMIE PATTERSON TO PROVIDE THESE SERVICES, AND WITT/KIEFFER, INC. RECEIVED $466,934 IN COMPENSATION FOR THE SERVICES PROVIDED BY CAMIE. CAMIE PATTERSON WAS HIRED TO BE THE FULL-TIME CFO FOR LAKE REGION HELATHCARE CORPORATION AND ALL RELATED ORGANIZATIONS IN APRIL OF 2020. 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 A, LINE 8B CURRENTLY THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS REVIEWED BY BOTH LRHC AND PRHHS CEOS, 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 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 PHYSICIAN SERVICE FEES: PROGRAM SERVICE EXPENSES 2,779,561. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,779,561. ON CALL PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 736,116. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 736,116. COLLECTION FEES: PROGRAM SERVICE EXPENSES 9,555. MANAGEMENT AND GENERAL EXPENSES 3,395. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,950. OUTSIDE LAUNDRY FEES: PROGRAM SERVICE EXPENSES 19,827. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,827. MISC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,051,293. MANAGEMENT AND GENERAL EXPENSES 545,045. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,596,338. OUTSIDE CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 47,374. MANAGEMENT AND GENERAL EXPENSES 16,830. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,204. PHARMACY SERVICE FEES: PROGRAM SERVICE EXPENSES 50,630. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,630. FORM 990, PART XI, LINE 9: ENDOWMENT EARNINGS 56,209. FORM 990, PART XII, LINE 2C THE PROCESS FOR SELECTION AND OVERSIGHT OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. 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 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 LRH RAD ONC SERVICES 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 271322270 RADIATION & ONCOLOGY SERVICES MN N/A EXCLUDED 0 0 LAKE REGION HOME MEDICAL SUPPLY 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 464182501 MEDICAL EQUIPMENT SALES MN N/A EXCLUDED 0 0 WEST CENTRAL LINEN SERVICES 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411411129 LINEN SERVICES MN N/A EXCLUDED 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0