2022-08-12T08:20:12-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2020-10-01 410730602 LAKE REGION HEALTHCARE CORPORATION LAKE 2187368000 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 CAMIE PATTERSON CFO 2187368000 2022-08-11 1 CAMIE PATTERSON 999009999 DARRYN MCGARVEY P00958683 6123764500 2022-08-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KENT MATTSON 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 143206633 0 X WWW.LRHC.ORG X 1951 MN WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 15 11 984 59 181783 0 9364831 1013555 121227432 129751270 1357528 1665073 12379665 9891097 144329456 142320995 126724 82163 0 0 50632434 51091964 0 0 0 82764775 87820471 133523933 138994598 10805523 3326397 168669550 173065629 64305293 57174844 104364257 115890785 X WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 0 0 90511674 648395 99479016 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. OUR PURPOSE IS TO MEET THE HEALTH CARE NEEDS OF THE PEOPLE IN WEST CENTRAL MINNESOTA. WE WILL CREATE AN EXCEPTIONAL, INNOVATIVE, AND PERSONAL HEALTHCARE EXPERIENCE THAT ALLOWS PEOPLE TO EXCEL AND OUR COMMUNITIES TO THRIVE. OUR CORE VALUES INCLUDE EXCELLENCE, PERSON-CENTERED, RESPECT, INTEGRITY, INNOVATION, COLLABORATION & STEWARDSHIP. 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. 27419160 30135682 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. 117930834 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 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 82 0 984 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 11 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X X LAKE REGION HEALTHCARE CORPORATION 2187368000 712 S CASCADE ST FERGUS FALLS MN 56537 CRYSTAL ADAMS TRUSTEE 4.00 1.50 X 0 660 0 RICHARD LAMBERT TRUSTEE 4.00 1.50 X 0 660 0 GENE WENSTROM TRUSTEE 4.00 2.50 X 0 660 0 JOHN ERICKSON BOARD CHAIR 8.00 X X 0 0 0 CARRIE BRIMHALL VICE CHAIR 5.00 X X 0 0 0 LAUREL NELSON TREASURER 5.00 X X 0 0 0 SCOTT BAUER TRUSTEE 4.00 X 0 0 0 DEB FERGUSON TRUSTEE 4.00 X 0 0 0 CHUCK MCFARLANE TRUSTEE 4.00 X 0 0 0 MATTHEW MOUSER MD TRUSTEE 4.00 X 0 0 0 JERRY NESS TRUSTEE 4.00 X 0 0 0 ERIN PETERSON MD TRUSTEE 4.00 X 0 0 0 STEPHEN RUFER PAST CHAIR 4.00 X 0 0 0 NAOMI SCHMID MD TRUSTEE 4.00 X 0 0 0 WADE SWENSON MD TRUSTEE 4.00 X 0 0 0 REBECCA BOESL TRUSTEE 4.00 X 0 0 0 JEANNE ENNEN TRUSTEE 4.00 1.50 X 0 660 0 KENT MATTSON CEO 40.00 X 434466 0 50008 ROBERTA YOUNG CNO 40.00 X 57691 0 4808 DANIELLE LESMEISTER PRAIRIE RIDGE CEO 1.00 40.00 X 151446 0 16685 WADE JYRKAS CIO 40.00 X 126360 0 16017 KATIE JOHNSON VP OF MARKETING & COMMUNIC 40.00 X 116843 0 15944 LUKE DRAXTEN VP OF PHYSICIAN SERVICES 40.00 X 113437 0 15651 CAMIE PATTERSON CFO 40.00 X 263799 0 13224 FRITZ KARSNIA ANESTHESIA DIRECTOR 40.00 X 278211 0 18456 JASON ZOSEL CRNA 40.00 X 245961 0 20681 JEFFERY OLSON CRNA 40.00 X 252994 0 17444 KYLE ELLISON CRNA 40.00 X 250120 0 17661 TYLER SCOTT CRNA 40.00 X 249975 0 13218 KYLE RICHARDS FORMER CEO 0.00 0.00 X 375000 0 0 2916303 2640 219797 27 1 1 0 LAKE REGION MEDICAL GROUP 712 S CASCADE STREET FERGUS FALLS MN 56538 PHYSICIAN SERVICES 2417956 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 58480 LAB SERVICES 1467584 VIRTUAL RADIOLOGIC PROFESSIONALS 25983 NETWORK PL CHICAGO IL 60673 RADIOLOGY SERVICES 573296 CHANGE HEALTHCARE PO BOX 98347 CHICAGO IL 60693 IT SERVICES 560353 SODEXO CTM INC PO BOX 415000 NASHVILLE TN 37241 BIO-MEDICAL SERVICES 523300 31 341163 672392 1013555 PATIENT CARE SERVICES 623000 129751270 129614698 136572 129751270 1053061 1053061 2504379 61097 2443282 2443282 2443282 612700 823853 0 824541 612700 -688 612012 612012 OUTSIDE SERVICE REVENU 623000 5409251 5409251 OPTICAL SALES 446199 834942 45211 789731 GAIN/LOSS ON JOINT VEN 900099 571661 571661 631961 631961 7447815 142320995 129614698 181783 11510959 X 82163 82163 1264042 1264042 40530407 27470213 13060194 88850 60220 28630 6356694 4308364 2048330 2851971 1932975 918996 186873 186873 122820 122820 36533705 36533705 1029192 697553 331639 418502 418502 2078210 1819809 258401 102267 81261 21006 1057775 869389 188386 5031480 3689276 1342204 730258 730258 SUPPLIES 26401418 26401418 REPAIRS AND MAINTENANCE 5442368 4765675 676693 BAD DEBTS 4703926 4703926 MN HEALTH SURCHARGE 2397645 2397645 1584032 1386984 197048 138994598 117930834 21063764 0 29074060 23271617 223712 224505 22281448 21862005 10009670 10105640 2464656 2568390 1311932 2095950 137540266 80639093 58696518 56901173 30936254 39538407 2050202 2314823 11621098 14183119 168669550 173065629 16081485 14097338 36782887 34642689 11440921 8434817 64305293 57174844 X 0 0 0 0 104364257 115890785 104364257 115890785 168669550 173065629 3326397 8200131 0 X X 0 1 X 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 6968 0 0 0 6968 0 PART II-B, LINE 1: LAKE REGION HEALTHCARE PAID A PERCENT OF THEIR MHA DUES FOR LOBBYING PURPOSES. 3078849 3078849 90742291 46907091 43835200 161387 70892 90495 43174169 33661110 9513059 383570 383570 56901173 FUNDED DEPRECIATION 13990237 WORKERS COMPENSATION INSURANCE DEPOSITS 129503 DUE FROM AFFILIATES 63379 14183119 THIRD PARTY PAYOR SETTLEMENTS 8434817 8434817 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 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. 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 469000 469000 0.00340 19176568 11404121 7772447 0.05590 19645568 11404121 8241447 0.05930 47122 47122 0.00030 699356 699356 0.00500 8110 8110 0.00010 754588 754588 0.00540 20400156 11404121 8996035 0.06470 2656 2656 0.00000 11282 11282 0.00010 43950 43950 0.00030 699356 699356 0.00500 63045 63045 0.00050 820289 820289 0.00590 4703926 25620234 24231568 1388666 X 1 1 1 LRH RAD ONC SERVICES RADIATION ONCOLOGY 0.50000 0.00000 0.50000 1 1 LAKE REGION HEALTHCARE CORPORATION 712 S CASCADE STREET FERGUS FALLS MN 56537 WWW.LRHC.ORG 00437 X X X 5 PROVIDER-BASED CLINICS AND 1 CANCER CENTER LAKE REGION HEALTHCARE CORPORATION 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HTTPS://WWW.LRHC.ORG/HEALTH-WELLNESS/LOCAL-HEALTH-RESOURCES/ 1 18 1 HTTPS://WWW.LRHC.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH/ 0 1 X 175.000000000000 215.000000000000 X X X 1 1 X X X 1 X HTTPS://WWW.LRHC.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/ X HTTP://WWW.LRHC.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/ X HTTP://WWW.LRHC.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-SERVICES/ X X X X X 1 X 0 X X X 1 X 0 1 LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 5: LAKE REGION HEALTHCARE CORPORATION - LAKEREGION REFERRED TO THE MOBILIZING FOR ACTION THROUGH PLANNING ANDPARTNERSHIP (MAPP) FRAMEWORK FOR GUIDANCE IN THE COMMUNITY HEALTH NEEDSASSESSMENT PROCESS. THIS COMMUNITY-WIDE PLANNING AND ACTION ORIENTEDPROCESS WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITYHEALTH OFFICIALS IN PARTNERSHIP WITH THE PUBLIC HEALTH PRACTICE PROGRAMOFFICE OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION. MAPP IS ACOMMUNITY-DRIVEN PROCESS ROOTED ON PARTNERSHIP DEVELOPMENT. ASSESSMENT OFNEEDS AND ASSETS AND STRATEGIC PLANNING ON HOW TO EFFICIENTLY USEAVAILABLE RESOURCES TO ADDRESS THE PRIORITIZED HEALTH NEEDS. LRH COMPLETEDTWO ASSESSMENTS IN THE MAPP PROCESS: COMMUNITY THEMES AND STRENGTHS, ANDCOMMUNITY HEALTH STATUS. LRH ALSO HAD INPUT FROM COMMUNITY PARTNERS ANDSTAKEHOLDERS, ESPECIALLY PUBLIC HEALTH AND THOSE REPRESENTING THEUNDESERVED AND LOW-INCOME POPULATIONS. LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 11: IN THE MOST RECENTLY CONDUCTED COMMUNITYHEALTH NEEDS ASSESSMENT, LAKE REGION HEALTHCARE CORPORATION IDENTIFIED THEFOLLOWING SIGNIFICANT NEEDS: MENTAL HEALTH, SUBSTANCE ABUSE, RESOURCENAVIGATION AND CHRONIC DISEASES.IN FEBRUARY 2020, INITIAL COMMUNICATION CAME FROM THE MINNESOTA DEPARTMENTOF HEALTH REGARDING PREPARATION FOR THE SURGE OF COVID-19. INITIAL WORKINCLUDED SITUATIONAL AWARENESS, INVENTORY OF PERSONAL PROTECTIVE EQUIPMENT(PPE) IN STORAGE, ACTIVATION OF THE HIGH CONSEQUENCE INFECTIOUS DISEASEPLAN, AND COMMUNICATION THROUGHOUT ALL LEVELS OF THE ORGANIZATION. MANYMEASURES WERE IMPLEMENTED TO ENSURE HEALTHCARE WORKER AND PATIENT SAFETYTHROUGHOUT THE PANDEMIC THROUGH EDUCATION, INCREASED MONITORING ANDTESTING, AND UPDATING THE HOSPITAL'S FACILITIES TO INHIBIT THE SPREAD OFCOVID-19 AND MANAGE THE INCREASE IN PATIENTS DUE TO THE DISEASE. DESPITE AHIGH NUMBER OF HOSPITALIZATIONS, THERE WERE VERY FEW HIGH-RISK EXPOSURESOF HEALTHCARE WORKERS OR PATIENTS, PRIMARILY RELATED TO UNIVERSAL PPEUTILIZATION.MENTAL HEALTH - .TO HELP US IMPROVE DEPRESSIONMANAGEMENT, WE IMPLEMENTED A PROCESS TO INCREASE THE DEPRESSION SCREENINGUSING THE PATIENT HEALTH QUESTIONNAIRE -9 (PHQ-9) SCREENING TOOL AT OURCLINICS.UNDERSTANDING THE EXTENSIVENESS OF THE ISSUE OF MENTAL HEALTH, WE WANTEDTO ENSURE THAT WE CONTINUE TO COLLABORATE WITH OUR COMMUNITY PARTNERS ANDSTAKEHOLDERS TO HELP IDENTIFY OPPORTUNITIES TO IMPROVE ACCESS TO QUALITYMENTAL HEALTH CARE. CURRENTLY THESE DICUSSIONS ARE LED BY PRODUCTIVE ALTERNATIVES INC AND OTTER TAIL COUNTY DEPARTMENT OF HUMAN SERVICES AND INCLUDES REPRESENTATIVES FROM LAW ENFORCEMENT, OTHER HEALTH CARE SYSTEMS, SUBSTANCE ABUSE AND MENTAL HEALTH PROVIDERS AND OTHER INTERSESED STAEKHOLDERS. THE GROUP MET MONTHLY IN 2021 AND LAKE REGION HEALTHCARE PLANS ON CONTINUING TO BE PART OF THIS CONVERSATION AND HELP THE COMMUNITY HAVE IMPROVED ACCESS TO QUALITY MENTAL HEALTH CARE. IN ADDITION TO THESE PROGRAMS TO STRENGTHEN MENTAL HEALTH INITIATIVESWITHIN THE COMMUNITY, IN FISCAL YEAR 2021, LAKE REGION HEALTHCARECORPORATION CONTINUED TO REFER APPROPRIATEPRENATAL OR POSTPARTUM PATIENTS TO THE COUNTY'S HOME VISITING PROGRAM, ANDPROMOTE THRIVE AND PERSON-CENTERED ACTIVITIES AMONG STAFF, PROVIDERS,AND THE COMMUNITY.SUBSTANCE ABUSE - CHEMICAL DEPENDENCE WAS ONE OF THE CONCERNS FREQUENTLYBROUGHT UP IN OUR FOCUS GROUP SESSIONS. AS IS THE CASE ACROSS THE ENTIRECOUNTRY, ADDICTION TO OPIOIDS, HEROIN AND METHAMPHETAMINE IS ALSO AGROWING THREAT IN OUR COMMUNITY. AS PART OF OUR RESPONSE, LAKE REGIONHEALTHCARE IS ONE OF EIGHT PILOT SITES ACROSS THE STATE FOLLOWING THETACKLING OPIOID USE WITH NETWORKS (TOWN) MODEL FUNDED THROUGH THEMINNESOTA DEPARTMENT OF HEALTH TO HELP PREVENT OPIOID MISUSE AND OVERDOSE.THE TOWN MODEL INTEGRATES PREVENTION AND TREATMENT STRATEGIES AT THEHEALTH CARE SYSTEM AND IN SURROUNDING COMMUNITY TO: (1) CREATE COORDINATEDCLINICAL CARE TEAMS, (2) IMPROVE THE PRESCRIBING CULTURE BY PROVIDINGEDUCATION TO PROVIDERS AND PHARMACISTS ON APPROPRIATE OPIOID AND NALOXONEPRESCRIBING AND DISPENSING, (3) INCREASE COORDINATION ACROSS COMMUNITYSECTORS AND REDUCE TREATMENT GAPS FOR INDIVIDUALS WITH OPIOID USE DISORDERBY STRENGTHENING PARTNERSHIPS WITH LAW ENFORCEMENT AND OTHER COMMUNITYSECTORS AND (4) INCREASE REFERRALS FOR NEEDED SERVICES BY BRINGINGTOGETHER INTERDISCIPLINARY AND INTERAGENCY TEAMS TO BE REPRESENTED IN EACHCOMMUNITY TASK FORCE. LAKE REGION HEALTHCARE ENGAGED AND EDUCATED ITS PROVIDERS ON MINNESOTA AND CDC OPIOID PRESCRIBING GUIDELINES, ENCOURAGED THE USE OF THE CONTROLLED SUSBTANCE CARE PLAN FOR PATIENTS ON CHRONIC OPIOID THERAPY OR WITH CONCOMITANT USE OF BENZODIAZEPINES, AND COLLABORATED WITH COMMUNITY PARTNERS TO IDENTIFY AND IMPLEMENT POTENTIAL EFFECTIVE ENVIRONMNETAL STRATEGIES TO ADDRESS OPIOID ABUSE/MISUSE THROUGH THE OTTER TAIL COUNTY OPIOID ABUSE PREVENTION TASK FORCE. ADDITIONALLY, LAKE REGION HEALTHCARE CORPORATION ESTABLISHED ANOPIOID SAFETY PROGRAM LED BY THE OPIOID SAFETY STEERING COMMITTEEIN NOVEMBER 2019 TO ENSURE RESPONSIBLE OPIOID PRESCRIBING AND SYSTEMATIC MONITORING. ANOTHER STRATEGY OF LAKE REGION HEALTHCARE IN FISCAL YEAR 2021 WAS TOEXPAND ACCESS TO NALOXONE THROUGH EDUCATING PROVIDERS ON RECOMMENDATIONSREGARDING WHEN TO PRESCRIBE OR CO-PRESCRIBE NALOXONE AND HOST COMMUNITYNARCAN TRAINING. RESOURCES FOR THESE PROGRAMS WERE DIVERTED TO RESPOND TOTHE COVID-19 PANDEMIC AND WE WERE NOT ABLE TO PREPARE AND PRESENT PROVIDEREDUCATION ON NALOXONE PRESCRIBING GUIDELINES. WE ARE CURRENTLY WORKINGWITH OUR PHARMACY DEPARTMENT TO DEVELOP EDUCATION MATERIALS TO BE SHAREDWITH ALL THE PROVIDERS AS PART OF THEIR ANN8UAL EDUCATION IN 2022.SIMILARLY, WE WERE NOT ABLE TO HOST COMMUNITY TRAININGS ON NARCAN ANDOPIOID AWARENESS. DEPENDING ON THE COVID SITUATION IN OUR COMMUNITY, WEHOPE TO BE ABLE TO WORK WITH COMMUNITY PARTNERS AND FACILITATE COMMUNITYEDUCATION SESSIONS IN CALENDAR YEAR 2022.RESOURCE NAVIGATION - IN ALL FIVE FOCUS GROUP SESSIONS WE FACILITATED, THEAVAILABILITY OF A VARIETY OF HEALTH CARE SERVICES, COMMUNITY-BASEDRESOURCES AND SOCIAL SERVICES WAS HIGHLIGHTED AS AN ASSET IN THECOMMUNITY. HOWEVER, MOST COMMUNITY MEMBERS ARE NOT AWARE OF THE RESOURCESAVAILABLE OR DO NOT KNOW HOW TO ACCESS THEM. THIS LIMITED AWARENESS OFSERVICES AND RESOURCES MAY LEAD TO COMMUNITY MEMBERS NOT SEEKING NEEDEDSERVICES, IMPACTING HEALTH AND LEADING TO POORER HEALTH OUTCOMES ANDQUALITY OF LIFE.ONE OF THE MAIN STRATEGIES TO STRENGTHEN RESOURCE NAVIGATION IS TOOPTIMIZE ACCESS TO HEALTH CARE THROUGH ENHANCING AWARENESS OF COMMUNITY RESOURCES AND HEALTHCARE/SUPPORT SERVICES. IN FISCAL YEAR 2021, WE PLANNEDTO DO THIS THROUGH PILOTING A MONTHLY RESOURCE SERIES, PILOTING A FLOATSOCIAL WORKER PROGRAM AT THE CLINIC, DEVELOPING A COMMUNITY RESOURCE LINK,AND CONSIDERING SCREENING PATIENTS FOR SOCIAL NEEDS. IN ORDER TO MEET THESOCIAL WORKER NEEDS OF THE WHOLE ORGANIZATION, THE FLOAT SOCIAL WORKPROGRAM WAS ESTABLISHED IN OCTOBER 2019. HOWEVER DUE TO INSUFFICIENT STASFFING, THE PROGRAM WAS SUSPENDED. NEVERTHELESS, LAKE REGION HEALTHCARE SOCIAL WORKERS CONTINUE TO ASSIST AND SUPPORT AS MANY CLINIC PATIENTS AS THEY CAN. DUE TO THE COVID-19 PANDEMIC,SOCIAL GATHERING RESTRICTIONS WERE PUT IN PLACE AND RESOURCES WEREREALLOCATED TO FOCUS ON PLANNING, PREPARING AND RESPONDING TO THEPANDEMIC. THEREFORE, WE WERE NOT ABLE TO COORDINATE THE RESOURCE SERIES INTHE PAST YEAR AS WE HAD HOPED. IN ADDITION, WORKFORCE SHORTAGE CONTINUES TO IMPACT MANY SECTORS IN OUR COMMUNITY THIS PAST YEAR FURTHER STRAINING ALREADY LIMITED RESOURCES. DUE TO THE SITUATION, IT WAS DECIDED THAT THE MONTHLY RESOURCE SERIES ACTIVITY IS NOT FEASIBLE AT THE MOMENT. HOWEVER, DURING THIS TIME OF CRISIS, OURCOMMUNITY PARTNERS CONTINUED TO WORK ALONGSIDE EACH OTHER, CONNECTING ANDCOLLABORATING TO EDUCATE AND INFORM EACH OTHER ABOUT AVAILABLE COMMUNITYRESOURCES AS WELL AS COVID-SPECIFIC RESOURCES AND INFORMATION.LAKE REGION HEALTHCARE CONTINUES TO SCREEN NEWLY ENROLLED HEALTH CARE HOME PATIENTS AS WELL AS PATIENTS ENROLLED IN THE MEDICATION FOR OPIOID USE DISORDER PROGRAM FOR SOCIAL NEEDS. DUE TO THE PLANNED TRANSITION TO A NEW ELECTRONIC HEALTH RECORD SYSTEM IN 2022, THE PLAN TO ROLL OUT THE SOCIAL NEEDS SCREENING TOOL TO A LARGER SET OF THE PATIENT POPULATION HAS BEEN PUT ON HOLD. CHRONIC DISEASES - CHRONIC DISEASES SUCH AS HEART DISEASE, CANCER,DIABETES AND OBESITY, ARE AMONG THEMOST COMMON, COSTLY AND PREVENTABLE ILLNESSES IN OUR SERVICE AREA ANDACROSS THE COUNTRY. CANCER AND HEART DISEASE ARE THE TOP TWO CAUSES OFDEATH IN OTTER TAIL COUNTY. THE MOST PREVALENT CANCER DIAGNOSIS IN THECOUNTY ARE LUNG AND COLORECTAL CANCERS WHILE BREAST CANCER IS THE MOSTCOMMON CANCER AMONG WOMEN IN OUR COMMUNITY. OBESITY WHICH IS NOWRECOGNIZED AS A CHRONIC DISEASE ALSO EXACERBATES MANY OTHER CHRONICDISEASES, SUCH AS CARDIOVASCULAR DISEASE AND DIABETES. ACCORDING TO THEPARTNERSHIP4HEALTH SURVEY CONDUCTED IN 2018, CLOSE TO 40% OF OTTER TAILCOUNTY ADULTS ARE CONSIDERED TO BE OBESE WHILE 72.5% ARE EITHER OVERWEIGHTOR OBESE.TO ENCOURAGE HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION IN THESERVICE AREA, LRH WORKED TO CREATE A HEALTHY ENVIRONMENT BY CONTINUING TOLEAD THE ANNUAL COMMUNITY HEALTH EXPO, SUPPORT LIVE WELL FERGUS FALLS ANDTHEIR INITIATIVES, EXPAND SHOP WITH THE DOC PROGRAM TO IMPROVE ACCESS TOHEALTHY FOOD CHOICES, ESTABLISH WALK WITH THE DOC PROGRAM TO INCREASEACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES, AND ADVOCATE FOR LOCALBUSINESSES TO ADOPT WORKSITE WELLNESS INITIATIVES. AFTER BEING CANCELED LAST YEAR DUE TO COVID-19, THE 8TH ANNUAL COMMUNITY HEALTH EXPO WAS HELD IN APRIL WITH 325 PARTICIPANTSDUE TO THE COVID-19 PANDEMIC AND STAFFING ISSUES, SHOP WITH THE DOC HAS BEEN TEMPORARILY SUPSENDED ALONG WITH THE LAUNCH OF THE WALK WITH THE DOC PROGRAM. LAKE REGION HEALTHCARE ALONGWITH PARTNERSHIP4HEAL 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. 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 2020 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 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 4: THE FOOTNOTE TO THE FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS LOCATED IN FOOTNOTE 1 ON PAGE 10 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 2020 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: ONE OF LAKE REGION HEALTHCARE'S GUIDING PRINCIPLES IS TO PROVIDE A HEALTHCARE SYSTEM THAT IS RESPECTFUL AND RESPONSIVE TO THEIR CUSTOMERS' NEEDS. IT IS ASSESSED ON A CONTINUAL BASIS. PERIODICALLY, LAKE REGION HEALTHCARE WORKS WITH OTTERTAIL COUNTY DEPARTMENT OF HEALTH TO PERFORM A FORMAL NEEDS ASSESSMENT OF THE COMMUNITY IT SERVES. PART VI, LINE 3: FOR THE UNINSURED AND SELF-PAY DISCOUNT, OUTPATIENT OR CLINIC SERVICES PATIENTS ARE SENT A LETTER AFTER ESTABLISHING THEIR FINANCIAL STATUS AS SELF PAY. THE LETTER INFORMS THEM THAT THERE IS A DISCOUNT PROGRAM THAT MAY BE AVAILABLE TO THEM IF THEY ARE WITHOUT INSURANCE. 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 AN DIF 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: LAKE REGION HEALTHCARE FOUNDATION RECEIVES DONATIONS, MEMORIALS, PLEDGES, AND LEADS FUNDRAISING EVENTS. THE FUNDS RECEIVED ARE GRANTED TO LAKE REGION HEALTHCARE AND COMMUNITY ORGANIZATIONS TO SUPPORT PROVIDING QUALITY HEALTHCARE IN THE COMMUNITIES IN OUR SERVICE AREA. 0 FERGUS FALLS 544 EDUCATION FOUNDATION 518 FRIBERG AVENUE FERGUS FALLS MN 56537 411978590 501(C)(3) 6300 N/A N/A COMMUNITY BENEFIT GREATER FERGUS FALLS CORPORATION 403 SOUTH UNION AVENUE SUITE 10 FERGUS FALLS MN 56537 831284758 501(C)(3) 15000 N/A N/A COMMUNITY BENEFIT WEST CENTRAL INITIATIVE 1000 WESTERN AVE FERGUS FALLS MN 56537 833891315 501(C)(3) 20000 N/A N/A COMMUNITY BENEFIT 3 0 X X X X X X 1 1 0 0 0 1 0 0 0 KENT MATTSON CEO 460000 0 0 0 -25534 0 20500 0 29508 0 484474 0 0 0 KYLE RICHARDS FORMER CEO 0 0 0 0 375000 0 0 0 0 0 375000 0 0 0 FRITZ KARSNIA ANESTHESIA DIRECTOR 278211 0 0 0 0 0 0 0 18456 0 296667 0 0 0 CAMIE PATTERSON CFO 263799 0 0 0 0 0 0 0 13224 0 277023 0 0 0 JEFFERY OLSON CRNA 252994 0 0 0 0 0 0 0 17444 0 270438 0 0 0 KYLE ELLISON CRNA 250120 0 0 0 0 0 0 0 17661 0 267781 0 0 0 JASON ZOSEL CRNA 245961 0 0 0 0 0 0 0 20681 0 266642 0 0 0 TYLER SCOTT CRNA 249975 0 0 0 0 0 0 0 13218 0 263193 0 0 0 DANIELLE LESMEISTER PRAIRIE RIDGE CEO 151446 0 0 0 0 0 0 0 16685 0 168131 0 0 0 PART I, LINES 4A-B KYLE RICHARDS RECEIVED $367,500 IN SEVERANCE PAY. 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 1 THERE IS AN EXECUTIVE COMMITTEE LIMITED TO SEVEN TRUSTEES, AND THESE TRUSTEES SHALL BE: (1) THE PRESIDENT (2) THE VICE PRESIDETN (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 NAOMI SCHMID, MATTHEW MOUSER, ERIN PETERSON, AND WADE SWENSON ARE AFFILIATED WITH COMPANIES THAT HAVE A BUSINESS RELATIONSHIP WITH LAKE REGION HEALTHCARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 3 LAKE REGION HEALTHCARE CORPORATION 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 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 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. 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 462,583. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 462,583. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 30,472,779. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,472,779. COLLECTION FEES: PROGRAM SERVICE EXPENSES 143,012. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 143,012. OUTSIDE LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 209,966. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 209,966. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,120,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,120,900. STUDENT PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 124,465. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,465. FORM 990, PART XII, LINE 2C: THE PROCESS FOR SELECTION AND OVERSIGHT OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART XII, LINE 3B: SINGLE AUDIT WILL BE COMPLETED BY 6/30/22 DEADLINE 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 MEDICAL BUILDING 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 472843862 PROVIDE REAL AND PERSONAL PROPERTY FOR LAKE REGION HEALTHCARE CORPORATION MN 183000 24644661 LAKE REGION HEALTHCARE CORPORATION 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 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 0 PRAIRIE RIDGE FOUNDATION 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 455092280 FUNDRAISING MN 501(C)(3) LINE 7 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 0 WEST CENTRAL LINEN SERVICES 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411411129 LAUNDRY & LINEN MN N/A UNRELATED -4388 285981 0 0 LRH RAD ONC SERVICES 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 271322270 RADIATION & ONCOLOGY SERVICES MN LAKE REGION HEALTHCARE RELATED 565912 1574260 0 1 LAKE REGION HOME MEDICAL SUPPLY 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 464182501 MEDICAL EQUIPMENT SALES MN N/A RELATED 81215 273908 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 LRH RAD ONC SERVICES Q 1481783 PATIENT BILLING SERVICES WEST CENTRAL LINEN SERVICES M 207126 LAUNDRY SERVICES LAKE REGION HEALTHCARE FOUNDATION Q 255124 OPERATING EXPENSES LAKE REGION HOME MEDICAL SUPPLY O 256940 EMPLOYEE WAGES PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES Q 3888639 OPERATING EXPENSES LRHC LONG-TERM CARE FACILITIES INC Q 560456 OPERATING EXPENSES