STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

LAKE REGION HEALTHCARE CORPORATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LAKE REGION HEALTHCARE CORPORATION (EIN 41-1763968)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-12
IRS object ID
202102249349302265
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-12T16:03:30-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 S 6TH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411763968EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIE RIDGE HOSPITAL AND HEALTHBusinessNameLine1Txt
Business Name Line2SERVICES INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPRAIBusinessNameControlTxt
Phone2186857300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11411 HIGHWAY 79 EASTAddressLine1Txt
CityELBOW LAKECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56531ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCAMIE PATTERSONPersonNm
Person TitleCFOPersonTitleTxt
Phone2186857300PhoneNum
Signature2021-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDARRYN MCGARVEYPreparerPersonNm
PTINP00958683PTIN
Phone6123764500PhoneNum
Preparation2021-07-30PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDANIELLE LESMEISTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11411 HIGHWAY 79 EASTAddressLine1Txt
CityELBOW LAKECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56531ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$23,600,925GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PRAIRIEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionAN ACUTE CARE HOSPITAL AND AMBULATORY OUTPATIENT FACILITY.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee162TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$114,772PYContributionsGrantsAmt
CY Contributions Grants$4,084,337CYContributionsGrantsAmt
PY Program Service Revenue$17,668,283PYProgramServiceRevenueAmt
CY Program Service Revenue$18,569,925CYProgramServiceRevenueAmt
PY Investment Income$126,163PYInvestmentIncomeAmt
CY Investment Income$91,272CYInvestmentIncomeAmt
PY Other Revenue$320,688PYOtherRevenueAmt
CY Other Revenue$311,120CYOtherRevenueAmt
PY Total Revenue$18,229,906PYTotalRevenueAmt
CY Total Revenue$23,056,654CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,381,215PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,350,925CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,394,676PYOtherExpensesAmt
CY Other Expenses$13,489,333CYOtherExpensesAmt
PY Total Expenses$19,775,891PYTotalExpensesAmt
CY Total Expenses$19,840,258CYTotalExpensesAmt
PY Revenues Less Expenses-$1,545,985PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,216,396CYRevenuesLessExpensesAmt
Total Assets BOY$29,440,814TotalAssetsBOYAmt
Total Assets EOY$36,243,282TotalAssetsEOYAmt
Total Liabilities BOY$23,225,110TotalLiabilitiesBOYAmt
Total Liabilities EOY$26,615,805TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,215,704NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,627,477NetAssetsOrFundBalancesEOYAmt
MissionSERVING THE HEALTHCARE NEEDS OF THE PEOPLE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$16,754,280ExpenseAmt
Grant$0GrantAmt
Revenue$18,569,925RevenueAmt
DescPRAIRIE 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.Desc
Total Program Service Expenses$16,754,280TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee162EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2186857300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11411 HIGHWAY 79 EASTAddressLine1Txt
CityELBOW LAKECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56531ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
KYLE RICHARDS
FORMER LRH CEO (THRU DEC 2019)0.0040.00Yes (X)$0$400,749$59,544
KENT MATTSON
LRH CEO0.0040.00Yes (X)$0$359,820$33,514
CAMIE PATTERSON
CFO1.0039.00Yes (X)$0$0$0
DANIELLE LESMEISTER
CEO40.000.00Yes (X)$0$150,674$11,902
BARBARA MOORE
PHYSICAL THERAPIST40.000.00$110,780$0$0Yes (X)
GENE WENSTROM
CHAIR2.504.20Yes (X)$660$0$0Yes (X)
JAY MCNAMAR
VICE CHAIR/SECRETARY1.500.00Yes (X)$660$0$0Yes (X)
CRYSTAL ADAMS
DIRECTOR1.506.00$660$0$0Yes (X)
JEFF DREIER
DIRECTOR1.500.20$660$0$0Yes (X)
JEANNE ENNEN
DIRECTOR1.500.00$660$0$0Yes (X)
RICHARD LAMBERT
DIRECTOR1.504.00$660$0$0Yes (X)
DUSTIN SPERR
DIRECTOR2.500.00$660$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$115,400TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$911,243TotReportableCompRltdOrgAmt
Total Other Compensation$104,960TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LAKE REGION HEALTHCARE CORPORATION
712 S CASCADE STREETFERGUS FALLSMN56538PROFESSIONAL/PHYSICIAN SERVICES$4,238,559
WEST CENTRAL INTERNAL MEDICINE
PO BOX 410MORRISMN56267PHYSICIAN SERVICES$439,779
DMS IMAGING INC
PO BOX 670747DALLASTX75267RADIOLOGY SERVICES$316,143
MORRIS ELECTRONIC INC
511 ATLANTIC AVENUEMORRISMN56267IT SERVICES$274,117
SONRISA MEDICAL CARE PA
19796 510TH AVENUEMORRISMN56267PHYSICIAN SERVICES$198,008
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$4,014,094GovernmentGrantsAmt
All Other Contributions$70,243AllOtherContributionsAmt
Total Contributions$4,084,337TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENU623000$16,981,577$16,981,577
PHARMACY 340B REVENUE623000$1,588,348$1,588,348
FieldValueIRS element (for citing)
Total Program Service Revenue$18,569,925TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$131,943TotalRevenueColumnAmt
Exclusion$131,943ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$500,000SecuritiesAmt
Other$3,600OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$544,271SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$44,271SecuritiesAmt
Other$3,600OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$40,671TotalRevenueColumnAmt
Exclusion-$40,671ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS REVENUE623000$168,089$168,089
CAFETERIA REVENUE623000$90,980$90,980
OUTSIDE SERVICES REVEN623000$30,310$30,310

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,741TotalRevenueColumnAmt
Exclusion$21,741ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$311,120OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,056,654TotalRevenueColumnAmt
Related Or Exempt Func Income$18,569,925RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$402,392ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$172,569TotalAmt
Management And General$172,569ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,943,102TotalAmt
Program Services$3,734,891ProgramServicesAmt
Management And General$1,208,211ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$95,848TotalAmt
Program Services$72,420ProgramServicesAmt
Management And General$23,428ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$785,256TotalAmt
Program Services$593,321ProgramServicesAmt
Management And General$191,935ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$354,150TotalAmt
Program Services$267,587ProgramServicesAmt
Management And General$86,563ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,612TotalAmt
Management And General$7,612ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$82,619TotalAmt
Management And General$82,619ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,392,266TotalAmt
Program Services$5,798,043ProgramServicesAmt
Management And General$594,223ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$155,645TotalAmt
Program Services$117,602ProgramServicesAmt
Management And General$38,043ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$139,635TotalAmt
Management And General$139,635ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$496,164TotalAmt
Program Services$406,265ProgramServicesAmt
Management And General$89,899ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,459TotalAmt
Program Services$28,866ProgramServicesAmt
Management And General$5,593ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$783,069TotalAmt
Program Services$641,187ProgramServicesAmt
Management And General$141,882ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,619,015TotalAmt
Program Services$1,538,657ProgramServicesAmt
Management And General$80,358ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$100,110TotalAmt
Program Services$100,110ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$2,328,769$2,328,769
REPAIRS & MAINTENANCE$434,188$355,519$78,669
BAD DEBTS$301,402$301,402
RENT EXPENSE$243,382$199,284$44,098

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$370,998TotalAmt
Program Services$270,357ProgramServicesAmt
Management And General$100,641ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,840,258TotalAmt
Program Services$16,754,280ProgramServicesAmt
Management And General$3,085,978ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,113,319BOYAmt
EOY$9,417,661EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$567,875BOYAmt
EOY$568,814EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,151,969BOYAmt
EOY$4,514,583EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$215,478BOYAmt
EOY$198,434EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$147,127BOYAmt
EOY$132,974EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$30,160,812LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,340,085LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,897,768BOYAmt
EOY$16,820,727EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,420,448BOYAmt
EOY$3,127,543EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$43,209BOYAmt
EOY$42,788EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$883,621BOYAmt
EOY$1,419,758EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$29,440,814BOYAmt
EOY$36,243,282EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,269,958BOYAmt
EOY$2,592,683EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$20,955,152BOYAmt
EOY$20,426,548EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,596,574EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,225,110BOYAmt
EOY$26,615,805EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,953,198BOYAmt
EOY$9,338,539EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$262,506BOYAmt
EOY$288,938EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,215,704BOYAmt
EOY$9,627,477EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,440,814BOYAmt
EOY$36,243,282EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,216,396ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$168,945NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$26,432OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$262,506BeginningYearBalanceAmt
Investment Earnings Or Losses$26,432InvestmentEarningsOrLossesAmt
End Year Balance$288,938EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$253,400BeginningYearBalanceAmt
Investment Earnings Or Losses$9,106InvestmentEarningsOrLossesAmt
End Year Balance$262,506EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$301,626BeginningYearBalanceAmt
Investment Earnings Or Losses$26,774InvestmentEarningsOrLossesAmt
Other Expenditures$75,000OtherExpendituresAmt
End Year Balance$253,400EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$283,824BeginningYearBalanceAmt
Investment Earnings Or Losses$17,802InvestmentEarningsOrLossesAmt
End Year Balance$301,626EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$270,034BeginningYearBalanceAmt
Investment Earnings Or Losses$13,790InvestmentEarningsOrLossesAmt
End Year Balance$283,824EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.87400PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.12600TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$570,277OtherCostOrOtherBasisAmt
Book Value$570,277BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,276,865OtherCostOrOtherBasisAmt
Depreciation$6,937,914DepreciationAmt
Book Value$14,338,951BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$625,516OtherCostOrOtherBasisAmt
Depreciation$429,759DepreciationAmt
Book Value$195,757BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,670,154OtherCostOrOtherBasisAmt
Depreciation$5,972,412DepreciationAmt
Book Value$1,697,742BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,000OtherCostOrOtherBasisAmt
Book Value$18,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,820,727TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescTHIRD-PARTY PAYOR SETTLEMENTSDesc
Amt$3,596,574Amt
FieldValueIRS element (for citing)
Total Liability$3,596,574TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other175.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other215.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$120,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$120,000NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,418,391TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,822,532DirectOffsettingRevenueAmt
Net Community Benefit Expns$595,859NetCommunityBenefitExpnsAmt
Total Expense0.03050TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,538,391TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,822,532DirectOffsettingRevenueAmt
Net Community Benefit Expns$715,859NetCommunityBenefitExpnsAmt
Total Expense0.03660TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$90,680TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,750DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,930NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,776TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,776NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,969,896TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,104,450DirectOffsettingRevenueAmt
Net Community Benefit Expns$865,446NetCommunityBenefitExpnsAmt
Total Expense0.04430TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$80TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$80NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,084,432TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,142,200DirectOffsettingRevenueAmt
Net Community Benefit Expns$942,232NetCommunityBenefitExpnsAmt
Total Expense0.04820TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,622,823TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,964,732DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,658,091NetCommunityBenefitExpnsAmt
Total Expense0.08480TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,795TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,795NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$221TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$221NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,016TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,016NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$301,402BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,510,359ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,499,287CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$11,072MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIE RIDGE HOSPITAL & HEALTH SERVICESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11411 HIGHWAY 79 EASTAddressLine1Txt
CityELBOW LAKECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56531ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PRAIRIEHEALTH.ORGWebsiteAddressTxt
State License00154StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Other5 PROVIDER-BASED CLINICSOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIE RIDGE HOSPITAL & HEALTH SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.PRAIRIEHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/OwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.PRAIRIEHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care175.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care215.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.PRAIRIEHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.PRAIRIEHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.PRAIRIEHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PRAIRIE RIDGE HOSPITAL & HEALTH SERVICESPART 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 SERVICESPART 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 SERVICESPART 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 SERVICESPART 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.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - HERMAN CLINICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 5TH STREET EASTAddressLine1Txt
CityHERMANCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56248ZIPCd
FieldValueIRS element (for citing)
FacilityPHYSICIAN CLINICFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $ 301,402.
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 2020 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 STATESMN

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KYLE RICHARDS
FORMER LRH CEO (THRU DEC 2019)$0$388,500$0$0$0$12,249$0$46,123$0$13,421$0$460,293$0$0
KENT MATTSON
LRH CEO$0$359,820$0$0$0$0$0$19,500$0$14,014$0$393,334$0$0
DANIELLE LESMEISTER
CEO$0$150,674$0$0$0$0$0$0$0$11,902$0$162,576$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3LAKE 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 6LAKE REGION HEALTHCARE CORPORATION ("LAKE REGION"), A MINNESOTA NONPROFIT CORPORATION, IS THE SOLE CORPORATE MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ALAKE 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 7BLAKE 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 8BCURRENTLY 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 11BTHE 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 12CTHE 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A:CAMIE PATTERSON, CFO, WAS CONTRACTED AS INTERIM CFO BY LAKE REGION HEALTHCARE CORPORATION, A RELATED ORGANIZATION, THROUGH CALENDAR YEAR 2019, SO NO WAGES WERE REPORTED ON PART VII OF THE FORM 990. CAMIE WAS HIRED AS THE PERMANENT CFO FOR LAKE REGION HEALTHCARE CORPORATION AND ALL RELATED ORGANIZATIONS, INCLUDING PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES, IN APRIL 2020.
FORM 990, PART IX, LINE 11GPHYSICIAN SERVICE FEES: PROGRAM SERVICE EXPENSES 2,883,971. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,883,971. ON CALL PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 482,880. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 482,880. COLLECTION FEES: PROGRAM SERVICE EXPENSES 5,879. MANAGEMENT AND GENERAL EXPENSES 1,902. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,781. OUTSIDE LAUNDRY FEES: PROGRAM SERVICE EXPENSES 18,628. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,628. MISC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,360,241. MANAGEMENT AND GENERAL EXPENSES 590,952. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,951,193. OUTSIDE CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 4,231. MANAGEMENT AND GENERAL EXPENSES 1,369. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,600. PHARMACY SERVICE FEES: PROGRAM SERVICE EXPENSES 42,213. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,213.
FORM 990, PART XI, LINE 9:ENDOWMENT EARNINGS 26,432.
FORM 990, PART XII, LINE 2C:THE PROCESS FOR SELECTION AND OVERSIGHT OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PRAIRIE RIDGE FOUNDATION INC
1411 HIGHWAY 79 EASTELBOW LAKEMN56531455092280FUNDRAISINGMN501(C)(3)LINE 7PRAIRIE RIDGE HOSPITAL & HEALTH SERVICESYes (1)
LAKE REGION HEALTHCARE CORPORATION
712 SOUTH CASCADE STREETFERGUS FALLSMN56538410730602HOSPITALMN501(C)(3)LINE 30N/A
LAKE REGION HEALTHCARE FOUNDATION
712 SOUTH CASCADE STREETFERGUS FALLSMN56538411677288FUNDRAISINGMN501(C)(3)LINE 12A, ILAKE REGION HEALTHCARE CORPORATION0
LRHC LONG-TERM CARE FACILITIES INC
712 SOUTH CASCADE STREETFERGUS FALLSMN56538411817549ASSISTED LIVINGMN501(C)(3)LINE 10LAKE REGION HEALTHCARE CORPORATION0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
LRH RAD ONC SERVICES
712 SOUTH CASCADE STREETFERGUS FALLSMN56538271322270RADIATION & ONCOLOGY SERVICESMNN/AEXCLUDED00
LAKE REGION HOME MEDICAL SUPPLY
712 SOUTH CASCADE STREETFERGUS FALLSMN56538464182501MEDICAL EQUIPMENT SALESMNN/AEXCLUDED00
WEST CENTRAL LINEN SERVICES
712 SOUTH CASCADE STREETFERGUS FALLSMN56538411411129LINEN SERVICESMNN/AEXCLUDED00
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd