2025-07-31T15:18:24-05:00 2024-09-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-10-01 411763968 PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES INC PRAI 2186857300 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 CHRIS JOHNSON CFO 2186857300 2025-07-31 1 0 ANN NEIL P01817922 6123764500 2025-07-31 2023 2025-03-06 01:10:19Z LAKE REGION HEALTHCARE CHRIS JOHNSON 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 21401473 0 X WWW.LRHC.ORG X 1993 MN WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 7 7 146 7 0 0 898146 92293 18335685 20926083 113233 147597 318743 228190 19665807 21394163 1380 13166 0 0 6469005 6453625 0 0 0 13399909 13558130 19870294 20024921 -204487 1369242 30267986 31525290 21423216 20704178 8844770 10821112 WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 0 0 16722882 13166 20926083 PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES (PRHHS) MAINTAINS AND OPERATES A HOSPITAL AND AMBULATORY OUTPATIENT FACILITY FOR THE CARE AND TREATMENT OF THE SICK, DISEASED, DISABLED, AGED, OR INDIGENT PERSONS AND PARTICIPATES IN VARIOUS ACTIVITIES TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. PRHHS OPERATES VARIOUS PROVIDER-BASED CLINICS IN ELBOW LAKE, MORRIS, EVANSVILLE, A SEPARATE PHYSICIAN CLINIC IN HERMAN, AND A PROVIDER-BASED SURGERY DEPARTMENT IN MORRIS, MINNESOTA. 16722882 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 23 0 1 146 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X X PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES 2186857300 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 DUSTIN SPERR CHAIR 2.50 0.00 X X 0 0 0 JAY MCNAMAR PAST CHAIR 1.50 0.00 X X 0 0 0 RICHARD LAMBERT VICE CHAIR/SECRETARY 1.50 4.00 X X 0 0 0 CRYSTAL ADAMS DIRECTOR 1.50 6.00 X 0 0 0 JEANNE ENNEN DIRECTOR 1.50 0.00 X 0 0 0 LARRY GOETZINGER DIRECTOR 1.50 4.00 X 0 0 0 JEFF DREIER DIRECTOR 1.50 0.20 X 0 0 0 KENT MATTSON CEO 1.00 39.00 X 0 526180 58305 CAMIE PATTERSON CFO 1.00 39.00 X 0 512768 14367 CHRIS JOHNSON CFO 1.00 39.00 X 0 0 0 DANIELLE LESMEISTER ADMINISTRATOR OF PATIENT CARE 40.00 0.00 X 0 160565 24967 ROBERTA YOUNG CNO 1.00 39.00 X 0 299389 20940 KATHY BURVILLE VP OF AMBULATORY SERVICES 1.00 39.00 X 0 192208 30774 DEB PELCH VP OF AMBULATORY, PROFESSIONAL SERIVCES, AND CANCE 1.00 39.00 X 0 166110 11418 ANN HIEDEMAN VP OF HUMAN RESOURCES 1.00 39.00 X 0 152873 23626 JANESSA SPLICHAL RN - OUTPATIENT SUPERVISOR 40.00 0.00 X 103348 0 1389 JAYSON THOMPSON PHARMACY MANAGER 40.00 0.00 X 153326 0 8147 MICHELLE WENDT REGISTERED NURSE 40.00 0.00 X 103463 0 1620 SARA ANDERSON REGISTERED NURSE 36.00 0.00 X 103056 0 2084 463193 2010093 197637 4 0 1 0 LAKE REGION HEALTHCARE CORPORATION 712 S CASCADE STREET FERGUS FALLS MN 56538 PROFESSIONAL/PHYSICIAN SERVICES 4705035 MCKESSON DRUG DC 8152 3230 SPRUCE ST LITTLE CANADA MN 55117 MEDICAL SUPPLIES 738783 SONRISA MEDICAL CARE PA 19796 510TH AVENUE MORRIS MN 56267 PHYSICIAN SERVICES 455588 MEDICAL SOLUTIONS LLC 1010 N 102ND STREET SUITE 300 OMAHA NE 68114 PROFESSIONAL SERVICES 367149 WEST CENTRAL INTERNAL MEDICINE PO BOX 410 MORRIS MN 56267 PHYSICIAN SERVICES 344585 13 41323 50970 92293 PATIENT SERVICE REVENUE 623000 19791998 19791998 PHARMACY 340B REVENUE 623000 1134085 1134085 20926083 154907 154907 7310 -7310 -7310 -7310 CAFETERIA REVENUE 623000 80331 80331 MISCELLANEOUS REVENUE 623000 74929 74929 OUTSIDE SERVICES REVENUE 623000 45672 45672 27258 27258 228190 21394163 20926083 0 375787 X 13166 13166 5357844 3874257 1483587 63201 45701 17500 643642 465418 178224 388938 281240 107698 278 278 122179 122179 6024210 5140458 883752 79969 57825 22144 464270 335712 128558 542878 465374 77504 37923 33373 4550 687282 575725 111557 1528750 1364242 164508 126468 126468 MEDICAL SUPPLIES 1984566 1984566 REPAIRS AND MAINTENANCE 688370 688370 BAD DEBT 481442 481442 RENT EXPENSE 273176 273176 516369 516369 20024921 16722882 3302039 0 2174292 935122 371227 207017 5562535 4539977 251028 320401 99937 192560 31534997 17816511 14999442 13718486 2784994 3456499 44985 61490 3979546 8093738 30267986 31525290 1868862 1661153 19188761 18345157 365593 697868 21423216 20704178 X 8514684 10401017 330086 420095 8844770 10821112 30267986 31525290 X 1369242 576027 31073 X X 0 1 X 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1134 1134 0 PART II-B, LINE 1: PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES PAID PERCENT OF THEIR MHA AND AHA DUES FOR LOBBYING PURPOSES. 330086 90009 420095 291003 39083 330086 345150 -54147 291003 288938 56212 345150 262506 26432 288938 0.00000 0.54720 0.45280 0 0 546767 546767 21790852 10997339 10793513 650893 592309 58584 8546485 6226863 2319622 13718486 FUNDED DEPRECIATION 262613 FUNDS HELD BY TRUSTEE 1140246 DUE FROM AFFILIATES 5854434 PATRONAGE CREDIT ASSETS 383836 ROU ASSETS 452609 8093738 THIRD PARTY SETTLEMENTS 686850 DUE TO AFFILIATES 11018 697868 X PART V, LINE 4: ENDOWMENT FUNDS ARE INTENDED TO EARN INVESTMENT INCOME. THE INVESTMENT INCOME IS INTENDED TO BE USED FOR FUNDING CAPITAL EXPENDITURES. PART X, LINE 2: PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES (PRHHS) IS ORGANIZED AS A MINNESOTA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). PRHHS IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, PRHHS IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. PRHHS HAS DETERMINED THEY ARE NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. PRHHS BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. PRHHS WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 1 X 1 X 175.000000000000 1 X 215.000000000000 1 0 0 83000 83000 0.00410 2058074 631212 1426862 0.07130 2141074 631212 1509862 0.07540 121623 30168 91455 0.00460 2397731 1847061 550670 0.02750 2519354 1877229 642125 0.03210 4660428 2508441 2151987 0.10750 2600 2600 0.00010 2600 2600 0.00010 1 481442 0 4078878 4054388 24490 X 1 1 1 1 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 WWW.LRHC.ORG 00154 X X X X PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X SEE PART V, LINE 7D X 1 21 1 SEE PART V, SECTION B, LINE 7D 0 1 X 175.000000000000 215.000000000000 X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 1 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 5: PRHHS REFERRED TO THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK FOR GUIDANCE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THIS COMMUNITY-WIDE PLANNING AND ACTION-ORIENTED PROCESS WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS IN PARTNERSHIP WITH THE PUBLIC HEALTH PRACTICE PROGRAM OFFICE OF THE CENTERS OF DISEASE CONTROL AND PREVENTION. MAPP IS A COMMUNITY-DRIVEN PROCESS ROOTED ON PARTNERSHIP DEVELOPMENT, ASSESSMENT OF NEEDS AND ASSETS, AND STRATEGIC PLANNING ON HOW TO EFFICIENTLY USE AVAILABLE RESOURCES TO ADDRESS THE PRIORITIZED HEALTH NEEDS. PRHHS COMPLETED TWO ASSESSMENTS IN THE MAPP PROCESS: COMMUNITY THEMES AND STRENGTHS, AND COMMUNITY HEALTH STATUS. PRHHS ALSO HAD INPUT FROM COMMUNITY PARTNERS AND STAKEHOLDERS, ESPECIALLY PUBLIC HEALTH AND THOSE REPRESENTING THE UNDERSERVED AND LOW-INCOME POPULATIONS. PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 6A: LAKE REGION HEALTHCARE CORPORATION PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 7D: CHNA REPORT AND IMPLEMENTATION STRATEGY IS LOCATED ON THE HOSPITAL'S WEBSITE:HOSPITAL WEBSITE: WWW.LRHC.ORG/HEALTH-WELLNESS/LOCAL-HEALTH-RESOURCES/CHNA - HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/LAKE-REGION-V8-SITE-364/MEDIA/892384A8AD554B0EAFC29782991B28B0/2022-2024-CHNA-REPORT_FINAL.PDFIMPLEMENTATION STRATEGY -HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/LAKE-REGION-V8-SITE-364/MEDIA/D73DBACCA8D9447CBB0E1BDB4E8426EE/PRH-CHIP-2022-2024-FINAL.PDFPRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES, INC AND LAKE REGION HEALTHCARE CORPORATION COLLABORATED ON A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN AUGUST 2022 TO BETTER UNDERSTAND THE HEALTH NEEDS OF THEIR RESIDENTS. THESE HOSPITALS ARE RELATED ORGANIZATIONS THAT SHARE A WEBSITE, WWW.LRHC.ORG PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 11: IN THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, PRAIRIE RIDGE HEALTHCARE IN COLLABORATION WITH LAKE REGION HEALTHCARE IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS: (1) MENTAL HEALTH, (2) HEALTH EDUCATION AND PREVENTIVE SERVICES, (3) NUTRITION, PHYSICAL ACTIVITY, AND OBESITY, (4) ACCESS TO HEALTH AND SOCIAL SERVICES, AND (5) SUBSTANCE AND TOBACCO USE. MENTAL HEALTH: TO HELP US IMPROVE ACCESS TO MENTAL HEALTH EDUCATION, RESOURCES, AND SERVICES, WE ARE FOCUSING ON RECRUITING AND RETAINING MENTAL HEALTH PROVIDERS TO OUR COMMUNITY. WE CONTINUE TO UTILIZE THE DEPRESSION SCREENING PROTOCOL AND ARE COLLABORATING WITH COMMUNITY PARTNERS TO IDENTIFY GAPS AND OPPORTUNITIES IN THIS AREA. PRH IS INVOLVED IN THE GRANT COUNTY EARLY CHILDHOOD INITIATIVES TO IDENTIFY OPPORTUNITIES TO COLLABORATE AND IMPROVE THE OVERALL HEALTH AND MENTAL WELLBEING OF CHILDREN IN GRANT COUNTY. ANOTHER FOCUS IS PROMOTING THRIVE AND OTHER EMPLOYEE ENGAGEMENT ACTIVITIES TO INCREASE SOCIAL CONNECTEDNESS AND IMPROVE OVERALL MENTAL WELLBEING AND RESILIENCY AMONG STAFF AND PROVIDERS. WE ESTABLISHED A SUICIDE PREVENTION WORKGROUP, AN INTERDISCIPLINARY TEAM THAT MEETS REGULARLY TO ASSESS AND IMPROVE INTERNAL SYSTEMS, PROCESSES, POLICIES, AND PRACTICES RELATED TO SUICIDE PREVENTION.HEALTH EDUCATION AND PREVENTIVE SERVICES: TO PROMOTE INDIVIDUAL AND COMMUNITY HEALTH, WE ARE FOCUSING ON EDUCATION, PATIENT ACTIVATION, AND CARE COORDINATION. WE HAVE A CARE COORDINATOR IN OUR ELBOW LAKE AND MORRIS CLINICS TO SUPPORT PATIENTS WITH COMPLEX NEEDS. PRH ALSO USES VARIOUS TOOLS SUCH AS MAIL, PHONE CALLS, TEXT MESSAGING, AND THE PATIENT PORTAL TO FACILITATE PATIENT OUTREACH AND ENCOURAGE ADHERENCE TO RECOMMENDED PREVENTIVE CARE SERVICES. WE PARTNERED WITH THE GRANT COUNTY EARLY CHILDHOOD INITIATIVE TO DISTRIBUTE THE 3RD BIRTHDAY CARE TO PROMOTE EARLY CHILDHOOD SCREENING TO FAMILIES OF 3-YEAR OLD OR SOON-TO-BE 3-YEAR OLD-CHILDREN.NUTRITION, PHYSICAL ACTIVITY, AND OBESITY: TO ENCOURAGE HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION IN THE SERVICE AREA, THE ENTERPRISE (LAKE REGION HEALTHCARE AND PRAIRIE RIDGE HEALTHCARE) HAS WORKED TO CREATE A HEALTHY ENVIRONMENT THAT FOSTERS WELLNESS AND SUPPORTS HEALTHY BEHAVIORS. WE ADDED HEALTHY FOOD OPTIONS AND SMALLER PORTIONS OF THE SPECIAL OF THE DAY AT A LOWER COST AT THE ELBOW LAKE MEDICAL CENTER CAFETERIA. ADDITIONALLY, WE CONTINUE TO OFFER "I CAN PREVENT DIABETES" CLASSES FOR FREE AND HAVE ENHANCED THE OFFERINGS OF OUR LIFESTYLE MEDICINE PROGRAM. ACCESS TO HEALTH AND SOCIAL SERVICES: TO IMPROVE THE NUMBER OF PATIENTS CONNECTED TO APPROPRIATE HEALTH CARE AND COMMUNITY RESOURCES, WE EXPANDED OUR CARE COORDINATION PROGRAM TO OUR ELBOW LAKE AND MORRIS CLINICS AND IMPLEMENTED SOCIAL HEALTH NEEDS SCREENING. PRH PARTNERED WITH HORIZON PUBLIC HEALTH AND PRIMEWEST TO PROVIDE FREE NUTRITION STABILITY BOXES TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY TO ADDRESS THEIR ACUTE NEED AND REFER THEM TO LOCAL FOOD SHELVES FOR ADDITIONAL SUPPORT. WE ARE EXPLORING EXPANDING THIS PROJECT. SUBSTANCE AND TOBACCO USE: CHEMICAL DEPENDENCE WAS ONE OF THE CONCERNS FREQUENTLY BROUGHT UP IN OUR FOCUS GROUP SESSIONS. AS IS THE CASE ACROSS THE ENTIRE COUNTRY, ADDICTION TO OPIOIDS, HEROIN AND METHAMPHETAMINE IS ALSO A GROWING THREAT IN OUR COMMUNITY. AS PART OF OUR RESPONSE, WE ESTABLISHED A MEDICATION FOR OPIOID USE DISORDER (MOUD) PROGRAM IN ELBOW LAKE AND IS PLANNING TO BEGIN OFFERING IT IN THE MORRIS CLINIC IN SPRING 2025. PRH IS ALSO AN ACTIVE PARTNER OF THE GRANT COUNTY OPIOID ADVISORY COUNCIL AND THE GRANT COUNTY DRUG COURT TEAM.MORE DETAIL ON THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AS WELL AS THE STRATEGIES AND ACTIVITIES DEVELOPED TO ADDRESS THEM CAN BE FOUND ON LAKE REGION HEALTHCARE'S WEBSITE AT HTTPS://WWW.LRHC.ORG/HEALTH-WELLNESS/LOCAL-HEALTH-RESOURCES/ PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 16J: THE HOSPITAL PROVIDED A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WITH THE PATIENT BILLING INVOICES, POSTED A SUMMARY IN THE EMERGENCY ROOMS AND WAITING ROOMS, AS WELL AS THE ADMISSION OFFICE AND THEIR WEBSITE. THE FULL POLICY IS AVAILABLE UPON REQUEST. PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 24: THE FAP POLICY DOES NOT APPLY TO ELECTIVE SERVICES; THEREFORE, FAP ELIGIBLE INDIVIDUALS WERE CHARGED THE GROSS AMOUNT OF ALL ELECTIVE SERVICES. PART V, LINE 16A, FAP WEBSITE: HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/LAKE-REGION-V8-SITE-364/MEDIA/C9DCB2D7188A4DC48A78B4A359BC73B1/22025-LRH-FINANCIAL-ASSISTANCE-POLICY.PDF PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/LAKE-REGION-V8-SITE-364/MEDIA/3F028D94C4D043F8A23860FEBCA4C413/LRH-03183-APPLICATION-FOR-FINANCIAL-ASSISTANCE.PDF PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/LAKE-REGION-V8-SITE-364/MEDIA/2525636FA6CC42699098DB1797D30C7A/LRH-06091-FINANCIAL-ASSISTANCE-SUMMARY.PDF 5 1 - ELBOW LAKE CLINIC 1411 HIGHWAY 79 E ELBOW LAKE MN 56531 PHYSICIAN CLINIC 2 - MORRIS CLINIC 114 MAIN AVENUE HOFFMAN MN 56339 PHYSICIAN CLINIC 3 - EVANSVILLE CLINIC 649 1/2 STATE STREET EVANSVILLE MN 56326 PHYSICIAN CLINIC 4 - HERMAN CLINIC 204 5TH STREET EAST HERMAN MN 56248 PHYSICIAN CLINIC 5 - HOFFMAN CLINIC 114 MAIN AVENUE HOFFMAN MN 56339 PHYSICIAN CLINIC PART I, LINE 7: CHARITY CARE WAS CONVERTED TO COST BY MULTIPLYING THE RATIO OF COST TO CHARGES FOR PRHHS BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CHARITY CARE TO ITS PATIENTS. MEDICAID IS REPORTED AT COST ACCORDING TO THE AMOUNTS ON THE MEDICAID COST REPORT. COMMUNITY HEALTH IMPROVEMENT SERVICES AND DONATIONS ARE REPORTED BASED ON ACTUAL EXPENSES RECORDED TO THE GENERAL LEDGER. SUBSIDIZED HEALTH SERVICES ARE REPORTED ACCORDING TO COSTS ALLOCATED TO THE RELEVANT COST CENTERS ON THE MEDICARE COST REPORT. PART I, LN 7 COL(F): THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. PART 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 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE RELATED COSTS IS AN ADJUSTED MEDICARE COST TO CHARGE RATIO BASED ON THE FISCAL YEAR 2024 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 2018 AND 2021, THE ORGANIZATION ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY BASED ON FEEDBACK FROM PHYSICIANS. PART VI, LINE 3: INFORMATION REGARDING CHARITY CARE IS AVAILABLE IN ADMISSION AREAS AND IN CLINIC PATIENT ROOMS. IF A PATIENT IS PAST DUE ON A BILL, AN ADDITIONAL NOTIFICATION IS GIVEN TO THE PATIENT TO CONTACT THE HOSPITAL TO DISCUSS PAYMENT OPTIONS, INCLUDING CHARITY CARE. THE HOSPITAL PROVIDES COUNSELING TO PATIENTS TO HELP THEM QUALIFY FOR MEDICAID. PART VI, LINE 4: PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES AREA INCLUDES GRANT COUNTY AND SURROUNDING COUNTIES IN MINNESOTA. THE AVERAGE AGE OF THE POPULATION IS OLDER THAN BOTH THE STATE AND NATIONAL AVERAGES, WHICH LEADS TO HIGHER THAN NORMAL PERCENTAGE OF OLDER PATIENTS WHOM THE HOSPITAL SERVES. THE NEAREST HOSPITAL IS APPROXIMATELY 20 MILES FROM PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES MAIN CAMPUS. PART VI, LINE 5: THE MOST TANGIBLE WAY PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES PROVIDES COMMUNITY BENEFITS IS THROUGH COMMUNITY PROGRAMS AND SERVICES. IT PROVIDES THESE SERVICES AS A RESPONSIBLE MEMBER OF THE COMMUNITY. EDUCATIONAL PROGRAMS, HEALTHCARE SCREENING, SUPPORT GROUPS, SCHOOL HEALTH SERVICES, AND OTHER COMMUNITY SERVICES ARE PROVIDED BY PRAIRIE RIDGE HOSPITAL TO IMPROVE THE HEALTHCARE AND QUALITY OF LIFE FOR THE PEOPLE IN THE COMMUNITY. PART VI, LINE 6: PRAIRIE RIDGE HEALTHCARE FOUNDATION RECEIVES DONATIONS, MEMORIALS, AND PLEDGES. THE FUNDS RECEIVED ARE GRANTED TO PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES TO SUPPORT PROVIDING QUALITY HEALTHCARE IN THE COMMUNITIES IN OUR SERVICE AREA. PART VI, LINE 7, REPORTS FILED WITH STATES MN 0 0 0 0 0 0 1 0 0 KENT MATTSON CEO 0 381440 0 144740 0 0 0 23000 0 35305 0 584485 0 0 CAMIE PATTERSON CFO 0 512768 0 0 0 0 0 0 0 14367 0 527135 0 0 ROBERTA YOUNG CNO 0 299389 0 0 0 0 0 0 0 20940 0 320329 0 0 KATHY BURVILLE VP OF AMBULATORY SERVICES 0 192208 0 0 0 0 0 0 0 30774 0 222982 0 0 DANIELLE LESMEISTER ADMINISTRATOR OF PATIENT CARE 0 160565 0 0 0 0 0 0 0 24967 0 185532 0 0 DEB PELCH VP OF AMBULATORY, PROFESSIONAL SERIV 0 166110 0 0 0 0 0 0 0 11418 0 177528 0 0 ANN HIEDEMAN VP OF HUMAN RESOURCES 0 152873 0 0 0 0 0 0 0 23626 0 176499 0 0 JAYSON THOMPSON PHARMACY MANAGER 153326 0 0 0 0 0 0 0 8147 0 161473 0 0 0 PART I, LINE 3 COMPENSATION FOR MANAGEMENT OF PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES REVIEWED ANNUALLY AND COMPARED TO SALARY SURVEYS FOR SIMILAR ORGANIZATIONS. COMPENSATION IS PRESENTED FOR APPROVAL BY THE EXECUTIVE COMMITTEE. PART I, LINE 6 LRHC HAS IMPLEMENTED AN INCENTIVE COMPENSATION PROGRAM FOR CERTAIN EXECUTIVE LEADERSHIP POSITIONS WITHIN THE ORGANIZATION. CERTAIN MEASURES AND GOALS NEED TO BE MET IN ORDER FOR THE COMPENSATION TO BE PAID OUT IN WHOLE, SUCH AS MEETING FINANCIAL PERFORMANCE EXPECTATIONS AND QUALITY METRICS AND SUCCESSFUL IMPLEMENTATION OF STRATEGIC GOALS. THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS PERFORMANCE ANNUALLY AND DETERMINES ANY AMOUNTS OF COMPENSATION THAT IS AWARDED. FORM 990, PART VI, SECTION A, LINE 1A THE FINANCE COMMITTEE IS AN ENTERPRISE COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 6 LAKE REGION HEALTHCARE CORPORATION ("LAKE REGION"), A MINNESOTA NONPROFIT CORPORATION, IS THE SOLE CORPORATE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A LAKE REGION HAS RESERVED EXCLUSIVELY TO ITSELF THE POWER TO APPOINT BOARD MEMBERS FROM A SLATE OF CANDIDATES NOMINATED BY THE CORPORATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B LAKE REGION HAS RESERVED EXCLUSIVELY TO ITSELF THE FOLLOWING RESERVED POWERS: A) APPROVAL OF OPERATING AND CAPITAL BUDGET RECOMMENDED BY THE CORPORATION'S BOARD; B) APPROVAL OF STRATEGIC CAPITAL PLAN RECOMMENDED BY THE CORPORATION'S BOARD; C) APPROVAL OF ANY RECOMMENDATIONS BY THE CORPORATION'S BOARD TO SUBSTANTIALLY CHANGE ITS PURPOSE OR MISSION OR TRANSFER OF ASSETS; D) AMENDMENT OF ARTICLES OF INCORPORATION, BYLAWS, AND OTHER CORPORATE DOCUMENTS; E) APPROVAL OF CONTRACTS INVOLVING PHYSICIANS OR OTHER PROVIDERS, FOR COMPLIANCE PURPOSES ONLY; F) BOARD MEMBER APPOINTMENT, FOR A SLATE OF CANDIDATES NOMINATED BY THE CORPORATION'S BOARD; G) APPROVAL OF INCURRENCE OF DEBT IN EXCESS OF THRESHOLDS ESTABLISHED BY LAKE REGION POLICY; H) APPROVAL OF JOINT VENTURES OR PARTNERSHIPS PROPOSED TO BE ENTERED INTO BY THE CORPORATION; AND I) APPROVAL OF THE CREATION BY THE CORPORATION OF ANY NEW CORPORATION, LIMITED LIABILITY COMPANY, OR OTHER ENTITY. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS REVIEWED BY BOTH LRHC AND PRHHS CEOS, THEN FOLLOWED BY A REVIEW BY THE PRHHS BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS. BOARD MEMBERS, OFFICERS, AND MANAGEMENT PERSONNEL ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS. ANY POTENTIAL CONFLICTS ARE REVIEWED AT THAT TIME, AND ANY ACTUAL CONFLICTS ARE NOTED IN THE MEETING MINUTES. ANY PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON ALL MATTERS RELATED TO THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO AND OTHER OFFICERS IS SUBJECT TO REVIEW BY AN EXTERNAL CONSULTANT AND DETERMINED BASED ON RELEVANT MARKET DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G COLLECTION FEES: PROGRAM SERVICE EXPENSES 13,714. MANAGEMENT AND GENERAL EXPENSES 5,252. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,966. OUTSIDE LAUNDRY FEES: PROGRAM SERVICE EXPENSES 24,880. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,880. MISC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,294,083. MANAGEMENT AND GENERAL EXPENSES 878,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,172,583. PHYSICIAN SERVICE FEE: PROGRAM SERVICE EXPENSES 2,109,647. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,109,647. ON CALL PHYSICIAN FEE: PROGRAM SERVICE EXPENSES 659,185. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 659,185. PHARMACY SERVICE FEE: PROGRAM SERVICE EXPENSES 38,949. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,949. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS 31,073. FORM 990, PART XII, LINE 3B: SINGLE AUDIT WILL BE COMPLETED BY 6/30/25 DEADLINE. PRAIRIE RIDGE FOUNDATION INC 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 455092280 FUNDRAISING MN 501(C)(3) LINE 7 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1 LAKE REGION HEALTHCARE CORPORATION 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 410730602 HOSPITAL MN 501(C)(3) LINE 3 N/A 0 LAKE REGION HEALTHCARE FOUNDATION 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411677288 FUNDRAISING MN 501(C)(3) LINE 12A, I LAKE REGION HEALTHCARE CORPORATION 0 LRHC LONG-TERM CARE FACILITIES INC 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411817549 ASSISTED LIVING MN 501(C)(3) LINE 10 LAKE REGION HEALTHCARE CORPORATION 0 RURAL HEALTH ALLIANCE LLC 1210 BROADWAY STE 240 271 ALEXANDRIA MN 56308 020738699 EQUIPMENT SALES MN PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES INC RELATED 30200 76031 0 1 0.11110 WEST CENTRAL LINEN SERVICES 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411411129 LAUNDRY AND LINEN MN N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 PRAIRIE RIDGE FOUNDATION Q 102477 OPERATING EXPENSES