2025-08-04T12:41:54-05:00 2024-09-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-10-01 410730602 LAKE REGION HEALTHCARE CORPORATION LAKE 2187368000 712 SOUTH CASCADE STREET FERGUS FALLS MN 56537 CHRIS JOHNSON CFO 2187368000 2025-07-31 1 0 ANN NEIL P01817922 6123764500 2025-07-31 2023 2025-03-06 01:10:19Z KENT MATTSON 712 SOUTH CASCADE STREET FERGUS FALLS MN 56537 186501420 0 X WWW.LRHC.ORG X 1951 MN WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 15 15 965 53 98110 0 1980060 569610 138584222 155341843 2429295 6559279 6514570 6067924 149508147 168538656 207165 103829 0 0 59374409 61302860 0 0 0 102067463 107729921 161649037 169136610 -12140890 -597954 155566956 158258533 51313843 52243612 104253113 106014921 X WE PARTNER TO ENRICH LIFE THROUGH HEALTH. 0 0 110343407 103829 118920930 LAKE REGION HEALTHCARE CORPORATION IS A NOT-FOR-PROFIT PROVIDER OF HEALTH CARE SERVICES OPERATING A 108-BED HOSPITAL COMPRISED OF A 94-BED ACUTE HOSPITAL, A 14-BED PSYCHIATRIC UNIT, AND MULTIPLE CLINIC SITES. OUT PURPOSE IS TO MEET THE HEALTH CARE NEEDS OF THE PEOPLE IN WEST CENTRAL MINNESOTA. OUR VISION IS TO BE MINNESOTA'S PREEMINENT REGIONAL HEALTH CARE PARTNER. OUR CORE VALUES INCLUDE INTEGRITY, TEAMWORK, COMPASSION, AND EXCELLENCE. LAKE REGION HEALTHCARE CORPORATION IS A PROVIDER OF QUALITY HEALTH CARE SERVICES, AS NOTED BY OUR ACCREDITATION BY THE JOINT COMMISSION. SERVICES THAT LAKE REGION HEALTHCARE PROVIDES INCLUDE MEDICAL/SURGICAL, PEDS, OB GYN, ICCU, RADIOLOGY/INTERVENTIONAL RADIOLOGY, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH THERAPY, RESPIRATORY CARE, SOCIAL WORK, SURGERY, ONCOLOGY, BIRTHING SUITES, CARDIAC REHAB/ECP, EMERGENCY SERVICES, COMMUNITY WELLNESS, AND LABORATORY. 33195425 0 36117296 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. 143538832 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 127 0 1 965 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X X X LAKE REGION HEALTHCARE CORPORATION 2187368000 712 S CASCADE ST FERGUS FALLS MN 56537 JOHN ERICKSON BOARD CHAIR 8.00 0.00 X X 0 0 0 CRYSTAL ADAMS SECRETARY 6.00 1.50 X X 0 0 0 LAUREL NELSON TREASURER 5.00 0.00 X X 0 0 0 CHAD MILLER TRUSTEE 4.00 0.00 X 0 0 0 CHUCK MCFARLANE TRUSTEE 4.00 0.00 X 0 0 0 DEB FERGUSON TRUSTEE 4.00 0.00 X 0 0 0 ERIN SMITH TRUSTEE 4.00 0.00 X 0 0 0 JEANNE ENNEN TRUSTEE 4.00 1.50 X 0 0 0 JESS STEINBRENNER TRUSTEE 4.00 0.00 X 0 0 0 JUSTIN ANDERSON TRUSTEE 4.00 0.00 X 0 0 0 LARRY GOETZINGER TRUSTEE 4.00 0.00 X 0 0 0 MATTHEW MOUSER MD TRUSTEE 4.00 0.00 X 0 0 0 REBECCA BOESL TRUSTEE 4.00 0.00 X 0 0 0 SCOTT BAUER TRUSTEE 4.00 0.00 X 0 0 0 TINDY RUND TRUSTEE 4.00 0.00 X 0 0 0 KENT MATTSON CEO 39.00 1.00 X 526180 0 58305 CAMIE PATTERSON CFO 39.00 1.00 X 512768 0 14367 ROBERTA YOUNG CNO 40.00 0.00 X 299389 0 20940 KATHY BURVILLE VP OF AMBULATORY SERVICES 40.00 0.00 X 192208 0 30775 DEB PELCH VP OF AMBULATORY SERVICES/CARE CENTER 40.00 0.00 X 166110 0 11418 CHRIS JOHNSON CFO 40.00 0.00 X 0 0 0 PATRICIA ROTH CNO 40.00 0.00 X 0 0 0 DANIELLE LESMEISTER ADMINISTRATOR OF PATIENT CARE 0.00 40.00 X 160565 0 24967 ANN HIEDEMAN VP OF HUMAN RESOURCES 40.00 0.00 X 152873 0 23626 CHELSEY JOHNSON PLASTIC SURGEON 40.00 0.00 X 1211082 0 13158 FRITZ KARSNIA CRNA 40.00 0.00 X 303045 0 27326 JASON ZOSEL CRNA 40.00 0.00 X 300412 0 27436 TYLER SCOTT CRNA 40.00 0.00 X 299235 0 12632 ROBERT KARI CRNA 40.00 0.00 X 296306 0 25938 4420173 0 290888 61 0 1 0 LAKE REGION MEDICAL GROUP 712 S CASCADE STREET FERGUS FALLS MN 56537 PHYSICIAN SERVICES 24940298 MEDICAL SOLUTIONS LLC 1010 NORTH 102ND STREET OMAHA NE 68114 CONTRACTED LABOR 3138378 SANFORD 2301 EAST 60TH ST N SIOUX FALLS SD 57104 IT/EMR SERVICES 2139732 LOCUMTENENSCOM 2575 NORTHWINDS PKWY ALPHARETTA GA 30009 PHYSICIAN SERVICES 2083521 VIRTUAL RADIOLOGIC PROFESSIONALS 3600 MINNESOTA DRIVE SUITE 800 EDINA MN 55435 RADIOLOGY PHYSICIAN SERVICES 1291647 35 74374 495236 569610 PATIENT CARE SERVICES 623000 155341843 155038226 303617 155341843 1885677 1885677 284436 120626 163810 163810 163810 22168503 17449840 45061 4718663 -45061 4673602 4673602 49988 347237 -297249 -297249 OUTSIDE SERVICE REVENU 623000 4844188 4844188 OPTICAL SALES 456199 714161 91742 622419 CAFETERIA REVENUE 623000 478381 478381 164633 164633 6201363 168538656 155038226 98110 12832710 X 103829 103829 2117790 2117790 48966876 33884258 15082618 579167 408450 170717 6174044 4281138 1892906 3464983 2359044 1105939 279630 279630 290425 290425 94977 94977 49375567 49375567 636086 433047 203039 795198 635818 159380 9600 9600 1999968 1240150 759818 214856 79765 135091 38993 38993 993176 815260 177916 6406836 4428424 1978412 890946 890946 SUPPLIES 29640117 29640117 REPAIRS AND MAINTENANCE 6717571 5617044 1100527 BAD DEBTS 4900869 4900869 MN HEALTH SURCHARGE 2766146 2766146 1678960 1678960 169136610 143538832 25597778 0 324648 3482719 46420 46354 28986042 31450807 2417161 2443038 2722688 2540415 839708 1257731 143799436 81707911 63487339 62091525 37362135 23587632 6358969 14491337 13021846 16866975 155566956 158258533 14814477 18183260 36499366 32428204 0 1632148 51313843 52243612 X 0 0 0 0 104253113 106014921 104253113 106014921 155566956 158258533 X -597954 2541966 -182204 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 9092 0 0 0 9092 0 PART II-B, LINE 1: LAKE REGION HEALTHCARE PAID PERCENT OF THEIR MHA AND AHA DUES FOR LOBBYING PURPOSES. 3078849 3078849 93883058 51594227 42288831 161387 93544 67843 46675767 30020140 16655627 375 375 62091525 14346828 C EMPLOYEE DEFERRED COMPENSATION INVE 144509 C 14491337 FUNDED DEPRECIATION 16034873 WORKERS COMPENSATION INSURANCE DEPOSITS 150305 DUE FROM AFFILIATES 274356 THIRD PARTY PAYOR SETTLEMENTS 407441 16866975 THIRD PARTY PAYOR SETTLEMENTS 1632148 1632148 X PART X, LINE 2: LRHC IS ORGANIZED AS A MINNESOTA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THIS ENTITY IS REQUIRED ANNUALLY TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THIS ENTITY MAY BE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. LRHC FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. MEDICAL BUILDING IS A MINNESOTA LIMITED LIABILITY COMPANY SOLELY OWNED BY LRHC AND RECOGNIZED BY THE IRS FOR U.S. FEDERAL INCOME TAX PURPOSES AS A PASS-THROUGH ENTITY AND IS TREATED AS A "DISREGARDED ENTITY" FOR TAX PURPOSES AND WILL BE INCLUDED IN SCHEDULE R OF LRHC'S IRS FORM 990. THE CORPORATION BELIEVES THAT IT HAS APPROPRAITE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE, IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 1 X 1 X 175.000000000000 1 X 215.000000000000 1 1 0 0 603000 603000 0.00370 21039880 15088048 5951832 0.03620 21642880 15088048 6554832 0.03990 58207 58207 0.00040 1135274 1135274 0.00690 20355 18637 1718 0.00000 4690 4690 0.00000 1218526 18637 1199889 0.00730 22861406 15106685 7754721 0.04720 13984 13984 0.00010 92754 92754 0.00060 106738 106738 0.00070 1 4900869 0 21546413 21893892 -347479 X 1 1 1 1 LAKE REGION HEALTHCARE CORPORATION 712 S CASCADE STREET FERGUS FALLS MN 56537 WWW.LRHC.ORG 00437 X X X LAKE REGION HEALTHCARE CORPORATION 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.LRHC.ORG/HEALTH-WELLNESS/LOCAL-HEALTH-RESOURCES/ 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 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 1 X 0 X X X X 1 X 0 1 LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 5: LAKE REGION HEALTHCARE CORPORATION - LAKE REGION 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 FOR 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. LRH COMPLETED TWO ASSESSMENTS IN THE MAPP PROCESS: COMMUNITY THEMES AND STRENGTHS, AND COMMUNITY HEALTH STATUS. LRH ALSO HAD INPUT FROM COMMUNITY PARTNERS AND STAKEHOLDERS, ESPECIALLY PUBLIC HEALTH AND THOSE REPRESENTING THE UNDESERVED AND LOW-INCOME POPULATIONS. LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 6A: PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 7D: CHNA REPORT AND IMPLEMENTATION STRATEGY: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/CEE4AD46EA4D4F208A1A078FB0F1955C/2022-2024-CHIP_FINAL.PDF LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 11: IN THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, LAKE REGION HEALTHCARE CORPORATION IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS: (1) 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. WE ARE AN ACTIVE PARTICIPANT IN THE OTTER TAIL COUNTY SUICIDE PREVENTION COALITION AND THE MDH ZERO SUICIDE LEARNING COHORT. 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. ADDITIONALLY, WE PARTNERED WITH OTTER TAIL COUNTY PUBLIC HEALTH TO PROMOTE CREDIBLE MIND, A DIGITAL PLATFORM THAT PROVIDES PERSONALIZED, EXPERT-CURATED, AND EVIDENCE-BASED MENTAL WELLNESS RESOURCES.HEALTH EDUCATION AND PREVENTATIVE SERVICES: TO PROMOTE INDIVIDUAL AND COMMUNITY HEALTH, WE ARE FOCUSING ON EDUCATION, PATIENT ACTIVATION, AND CARE COORDINATION. LAKE REGION HEALTHCARE CORPORATION CONTINUED TO REFER APPROPRIATE PRENATAL OR POSTPARTUM PATIENTS TO THE COUNTY'S HOME VISITING PROGRAM TO GIVE NEW AND EXPECTANT PARENTS AND BABIES THE SUPPORT THEY NEED FOR IMPROVED HEALTH AND WELLBEING. IN ADDITION, LRHC USED 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 EARLY CHILDHOOD INITIATIVE TO DISTRIBUTE THE 3RD BIRTHDAY CARD TO PROMOTE EARLY CHILDHOOD SCREENINGS 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, LRH HAS WORKED TO CREATE A HEALTHY ENVIRONMENT THAT FOSTERS WELLNESS AND SUPPORTS HEALTHY BEHAVIORS. INITIATIVES INCLUDE OFFERING FREE "I CAN PREVENT DIABETES" CLASSES, EXPANDING THE LIFESTYLE MEDICINE PROGRAM, PROVIDING FOOD PREPARATION CLASSES, AND OFFERING OPPORTUNITIES TO PURCHASE COMMUNITY-SUPPORTED AGRICULTURE. LRH ALSO PILOTED SHARED MEDICAL APPOINTMENTS FOR PATIENTS WITH OBESITY AND DIABETES. THIS INITIATIVE WAS WELL-RECEIVED BY BOTH PATIENTS AND PROVIDERS, AND WE ARE PLANNING TO EXPAND THE PROGRAM TO OFFER MORE SHARED APPOINTMENTS.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, IMPLEMENTED SOCIAL DETERMINANT OF HEALTH NEEDS SCREENING, AND PROVIDED COMPREHENSIVE TRANSITIONAL CARE FROM INPATIENT TO OTHER SETTINGS.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, LRHC CONTINUES TO EXPAND ITS MEDICATION FOR OPIOID USE DISORDER (MOUD) CLINIC, ADDING MORE PROVIDERS TO BE ABLE TO SERVE MORE PATIENTS. LRH CONTINUES TO LEAD AND FACILITATE THE OTTER TAIL COUNTY OPIOID ABUSE PREVENTION TASK FORCE TO DISCUSS PATTERNS, TRENDS, ISSUES, AND NEW OR UNDERUTILIZED SERVICES AND RESOURCES IN THE COMMUNITY. WE ARE ALSO ACTIVE MEMBERS OF THE OTTER TAIL COUNTY OPIOID SETTLEMENT ADVISORY COUNCIL.MORE DETAIL ON THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AS WELL AS THE STRATEGIES AND ACTIVITIES DEVELOPED TO ADDRESS THEM CAN BE FOUND ON LAKE REGION HEALTHCARE'S WEBSITE AT HTTPS://WWW.LRHC.ORG/HEALTH-WELLNESS/LOCAL-HEALTH-RESOURCES/ LAKE REGION HEALTHCARE CORPORATION PART V, SECTION B, LINE 24: THE FAP POLICY DOES NOT APPLY TO ELECTIVE SERVICES; THEREFORE, FAP ELIGIBLE INDIVIDUALS WERE CHARGED THE GROSS AMOUNT FOR 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 6 1 - MAIN FERGUS FALLS CLINIC 111 WEST VERNON AVENUE FERGUS FALLS MN 56537 CLINIC 2 - CANCER CENTER 908 SOUTH CASCADE STREET FERGUS FALLS MN 56537 CANCER TREATMENT CENTER 3 - WALK-IN CLINIC 2311 WEST LINCOLN AVENUE FERGUS FALLS MN 56537 CLINIC 4 - BARNESVILLE AREA CLINIC 209 SECOND STREET SOUTHEAST BARNESVILLE MN 56514 CLINIC 5 - BATTLE LAKE CLINIC 410 LAKE AVENUE SOUTH BATTLE LAKE MN 56515 CLINIC 6 - ASHBY CLINIC 110 COUNTY ROAD 82 EAST ASHBY MN 56309 CLINIC 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 2024 COST REPORT. THE COST METHODOLOGY USED TO DETERMINE THE AMOUNTS IN LINE 7E, 7F, AND 7I ARE THE ACTUAL COSTS INCURRED AND RECORDED IN THE GENERAL LEDGER AND FINANCIAL STATEMENTS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,900,869. PART II, COMMUNITY BUILDING ACTIVITIES: IN THE PAST YEAR, LRHC HAS PARTICIPATED IN A COMMUNITY GROUP FOCUSED ON DEVELOPING A COMMUNITY VISION AND ECONOMIC DEVELOPMENT. LRHC ALSO ALLOWED COMMUNITY GROUPS TO USE MEETING ROOMS FREE OF CHARGE TO ASSIST IN THEIR MISSIONS, ALONG WITH VARIOUS CASH DONATIONS GIVEN TO COMMUNITY ORGANIZATIONS. PART III, LINE 2: BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS. PART III, LINE 3: THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. PART III, LINE 4: THE FOOTNOTE TO THE FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS LOCATED IN FOOTNOTE 1 ON PAGE 12 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE RELATED COSTS IS AN ADJUSTED MEDICARE COST TO CHARGE RATIO BASED ON THE 2024 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, LAKE REGION HEALTHCARE FOLLOWS UP WITH A PHONE CALL TO SEE IF THEY RECEIVED THE LETTER AND DISCUSS THE PATIENTS' OPTIONS. ONCE IN THE COLLECTION PROCESS, PATIENTS WILL BE ASSESSED AS TO WHETHER OR NOT THEY WOULD BE ELIGIBLE FOR THE UNINSURED/SELF-PAY DISCOUNT. INPATIENTS ARE VISITED BY A PATIENT FINANCIAL SERVICES STAFF MEMBER TO EXPLAIN THE UNINSURED/SELF PAY DISCOUNT AND IF ELIGIBLE, GIVEN AN APPLICATION FOR THE COMMUNITY CARE PROGRAM. FINANCIAL SERVICES PAMPHLETS EXPLAIN BOTH PROGRAMS AND ARE DISPERSED AROUND THE FACILITY. PROGRAM INFORMATION CAN ALSO BE ACCESSED ON LAKE REGION HEALTHCARE'S WEBSITE. EMPLOYEES AMONGST THE PATIENT DEPARTMENTS WORK WITH THE BUSINESS OFFICE TO BE SURE THAT EVERYONE WHO MAY BE ELIGIBLE RECEIVES THE APPROPRIATE INFORMATION. THE COLLECTION AGENCIES THAT ARE CONTRACTED WITH LAKE REGION HEALTHCARE ARE ALSO AWARE AND OFFER EITHER PROGRAM IF APPROPRIATE. PART VI, LINE 4: LAKE REGION HEALTHCARE PROVIDES PRIMARY AND SECONDARY HEALTHCARE SERVICES IN A RURAL AREA OF WEST CENTRAL MINNESOTA WITH A POPULATION OF APPROXIMATELY 100,000 PEOPLE. THE AVERAGE AGE OF THE POPULATION IS OLDER THAN BOTH THE STATE AND NATIONAL AVERAGES, WHICH LEADS TO A HIGHER THAN NORMAL PERCENTAGE OF OLDER PATIENTS WHOM THE HOSPITAL SERVES. APPROXIMATELY TWO-THIRDS OF THE PATIENT DAYS AT LAKE REGION HEALTHCARE ARE USED BY MEDICARE-AGED PATIENTS. PART VI, LINE 5: THE MOST TANGIBLE WAY THAT LAKE REGION HEALTHCARE PROVIDES COMMUNITY BENEFITS IS THROUGH COMMUNITY PROGRAMS AND SERVICES. IT PROVIDES THESE SERVICES AS A RESPONSIBLE MEMBER OF THE COMMUNITY. EDUCATIONAL PROGRAMS, HEALTHCARE SCREENINGS, SUPPORT GROUPS, AND OTHER COMMUNITY SERVICES ARE PROVIDED BY LAKE REGION HEALTHCARE TO IMPROVE THE HEALTHCARE AND QUALITY OF LIFE FOR THE PEOPLE IN THE COMMUNITY. THE MAJORITY OF THE 15 VOTING MEMBERS OF THE BOARD IS COMPRISED OF PERSONS WHO RESIDE WITHIN THIS SERVICE AREA. THE BOARD CONSISTS OF HOMEMAKERS, FARMERS, AND BUSINESS OWNER. LAKE REGION HEALTHCARE ALSO HAS AN OPEN MEDICAL STAFF AVAILABLE FOR ALL QUALIFIED PHYSICIANS. LAKE REGION HEALTHCARE BUDGETS FOR PROGRAMS WHICH ENCOURAGE INDIVIDUALS TO PRACTICE HEALTHCARE LIFESTYLES, AS WELL AS PROVIDES SUPPORT PROGRAMS WHICH BENEFIT THE ECONOMIES AND COMMUNITIES OF THEIR SERVICE AREA. PART VI, LINE 6: THE LAKE REGION HEALTHCARE (LRH) ENTERPRISE IS AN INDEPENDENT, COMMUNITY OWNED AND GOVERNED, NON-PROFIT HEALTHCARE ORGANIZATION HEADQUARTERED IN FERGUS FALLS. WITH FACILITIES IN NINE COMMUNITIES, WE ARE A MIDSIZED RURAL HEALTH SYSTEM PRIMARILY THAT SERVES FIVE COUNTIES IN WEST CENTRAL MINNESOTA AND EASTERN NORTH DAKOTA. THE ENTERPRISE OPERATES TWO HOSPITALS (IN FERGUS FALLS AND ELBOW LAKE), 10 CLINICS, A CANCER CENTER, A SENIOR LIVING COMMUNITY (MILL STREET RESIDENCE), AND VARIOUS OTHER HEALTH AND WELLNESS RELATED VENTURES. WITH OVER 1,100 EMPLOYEES AND 120 PHYSICIANS AND ADVANCE PRACTICE PROVIDERS, WE ARE DEDICATED TO SERVING THE HEALTHCARE NEEDS OF OUR COMMUNITIES CLOSE TO HOME AND DELIVERING SPECIALTY AND SUB-SPECIALTY SERVICES AT OUR LOCATIONS IN FERGUS FALLS, ELBOW LAKE, ASHBY, BARNESVILLE, BATTLE LAKE, EVANSVILLE, HERMAN, HOFFMAN, AND MORRIS, MN. IN EACH OF THE COMMUNITIES WE SERVE AND THE GREATER SERVICE AREA IN TOTAL, WE PROMOTE THE HEALTH OF THE PEOPLE IN OUR REGION THROUGH THE DONATION OF FINANCIAL AND HUMAN RESOURCES AND PROGRAMMING SUPPORT TO ACTIVITIES THAT PROMOTE HEALTHY EATING, PHYSICAL ACTIVITY, AND MENTAL HEALTH RESILIENCE. THESE EVENTS INCLUDE LRH SPONSORED EVENTS LIKE THE LAKE REGION RUN AND THE PEBBLE LAKE YOUTH TRIATHLON AS WELL AS COMMUNITY-LED EVENTS LIKE THE ASHBY 10K, THE PRAIRIE PURSUIT AND THE CENTRAL LAKES CYCLE DUATHLON. ALL OF THE WORK WE DO AND ACTIVITIES WE SUPPORT ARE AIMED AT ACHIEVING OUR MISSION OF PARTNERING TO ENRICH LIFE THROUGH HEALTH. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 FERGUS FALLS 544 EDUCATION FOUNDATION 518 FRIBERG AVENUE FERGUS FALLS MN 56537 411978590 501(C)(3) 5200 0 N/A N/A COMMUNITY BENEFIT CITY OF FERGUS FALLS 112 WASHINGTON AVE W FERGUS FALLS MN 56537 416005153 GOV 40550 0 N/A N/A COMMUNITY BENEFIT FERGUS FALLS AREA CHAMBER OF COMMERCE 202 S COURT STREET FERGUS FALLS MN 56537 410192908 501(C)(6) 5450 0 N/A N/A COMMUNITY BENEFIT 2 1 PART I, LINE 2: THE LAKE REGION HEALTHCARE FINANCE TEAM MAINTAINS A RECORD OF ALL GRANTS ISSUED AND PLEDGES MADE. GRANT ELIGIBILITY AND SELECTION CRITERIA ARE DESCRIBED IN OUR DONATION POLICY AS FOLLOWS: TAX-EXEMPT, NONPROFIT ORGANIZATIONS ARE ELIGIBLE. CONTRIBUTIONS ARE NOT GENERALLY GIVEN FOR TRAVEL OR TRAVEL-RELATED EXPENSES; TO INDIVIDUALS; TO ORGANIZATIONS BASED OUTSIDE OF OUR REGION; TO ORGANIZATIONS OF PRIMARILY POLITICAL FOCUS OR ORGANIZATIONS THAT DISCRIMINATE ON THE BASIS OF AGE, SEX, RACE, COLOR, NATIONAL ORIGIN, RELIGION, CREED OR SEXUAL ORIENTATION. LAKE REGION HEALTHCARE BELIEVES IN BEING A GOOD COMMUNITY PARTNER BY SUPPORTING VARIOUS CHARITABLE CAUSES THROUGHOUT OUR SERVICE AREAS. WE REGARD PARTNERSHIPS WITH NONPROFIT ORGANIZATIONS AS AN IMPORTANT INVESTMENT IN THE FUTURE OF COMMUNITIES WE SERVE AND THE VITALITY OF OUR ORGANIZATION. OVER TIME, WE HAVE PARTICIPATED IN AND ASSISTED WITH MANY COMMUNITY PROJECTS AND FESTIVALS, EDUCATIONAL PROGRAMS, YOUTH SPORTS ACTIVITIES, LOCAL GOVERNMENT, HEALTH PROGRAMS, AND NONPROFIT ORGANIZATIONS. TO ACHIEVE THE GREATEST BENEFIT FROM AVAILABLE FUNDING, WE GENERALLY FOCUS ON EVENTS OR PROGRAMS THAT DIRECTLY IMPACT THE COMMUNITIES WE SERVE. IN ADDITION, BECAUSE OUR DOLLARS ARE LIMITED, WE NARROW OUR FOCUS FURTHER BY SUPPORTING MAINLY THOSE REQUESTS THAT IMPACT HEALTH AND WELLNESS, CHILDREN AND EDUCATION, AND THE ARTS. X X X X X X 0 0 0 0 0 1 0 0 0 CHELSEY JOHNSON PLASTIC SURGEON 1211082 0 0 0 0 0 0 0 13158 0 1224240 0 0 0 KENT MATTSON CEO 381440 0 144740 0 0 0 23000 0 35305 0 584485 0 0 0 CAMIE PATTERSON CFO 512768 0 0 0 0 0 0 0 14367 0 527135 0 0 0 FRITZ KARSNIA CRNA 303045 0 0 0 0 0 0 0 27326 0 330371 0 0 0 JASON ZOSEL CRNA 300412 0 0 0 0 0 0 0 27436 0 327848 0 0 0 ROBERT KARI CRNA 296306 0 0 0 0 0 0 0 25938 0 322244 0 0 0 ROBERTA YOUNG CNO 299389 0 0 0 0 0 0 0 20940 0 320329 0 0 0 TYLER SCOTT CRNA 299235 0 0 0 0 0 0 0 12632 0 311867 0 0 0 KATHY BURVILLE VP OF AMBULATORY SERVICES 192208 0 0 0 0 0 0 0 30775 0 222983 0 0 0 DANIELLE LESMEISTER ADMINISTRATOR OF PATIENT CARE 160565 0 0 0 0 0 0 0 24967 0 185532 0 0 0 DEB PELCH VP OF AMBULATORY SERVICES/CARE CENTE 166110 0 0 0 0 0 11418 0 0 0 177528 0 0 0 ANN HIEDEMAN VP OF HUMAN RESOURCES 152873 0 0 0 0 0 0 0 23626 0 176499 0 0 0 PART I, LINE 6 LRHC HAS IMPLEMENTED AN INCENTIVE COMPENSATION PROGRAM FOR CERTAIN EXECUTIVE LEADERSHIP POSITIONS WITHIN THE ORGANIZATION. CERTAIN MEASURES AND GOALS NEED TO BE MET IN ORDER FOR THE COMPENSATION TO BE PAID OUT IN WHOLE, SUCH AS MEETING FINANCIAL PERFORMANCE EXPECTATIONS AND QUALITY METRICS AND SUCCESSFUL IMPLEMENTATION OF STRATEGIC GOALS. THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS PERFORMANCE ANNUALLY AND DETERMINES ANY AMOUNTS OF COMPENSATION THAT IS AWARDED. A CITY OF FERGUS FALLS MN 416005153 2021-10-01 21000000 TO IMPLEMENT A NEW EHR AND PURCHASE MEDICAL EQUIPMENT 0 0 0 A 8350379 21000000 56000 11189869 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 1A THERE IS AN EXECUTIVE COMMITTEE LIMITED TO SEVEN TRUSTEES, AND THESE TRUSTEES SHALL BE: (1) THE PRESIDENT (2) THE VICE PRESIDENT (3) THE SECRETARY (4) THE TREASURER (5) THE PAST PRESIDENT AND (6 AND 7) THE BOARD WILL DESIGNATE TWO BOARD MEMBERS AT LARGE TO SERVE ON THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL MEET AT LEAST FOUR TIMES EACH YEAR, ONCE IN EACH CALENDAR QUARTER. ITS MEETINGS MAY BE JOINT MEETINGS WITH THE BOARD OF TRUSTEES. UNLESS ITS AUTHORITY IS EXPRESSLY LIMITED BY THE BOARD, THE EXECUTIVE COMMITTEE SHALL EXERCISE THE FULL POWER OF THE BOARD ON THE BASIS OF BYLAW PROVISIONS AND WITHOUT SPECIFIC DELEGATION OF SUCH AUTHORITY BY THE BOARD, BUT ONLY IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 MATTHEW MOUSER, MD, AND REBECCA BOESL ARE AFFILIATED WITH COMPANIES THAT HAVE A BUSINESS RELATIONSHIP WITH LAKE REGION HEALTHCARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 4 LAKE REGION HEALTHCARE CORPORATION AMENDED GOVERNANCE DOCUMENTS THAT WENT INTO EFFECTIVE NOVEMBER 2023 TO REFLECT THE AFFILIATION WITH PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES, INC AS THEIR SOLE MEMBER. PRAIRIE RIDGE MAY ALSO OPERATE UNDER THE ASSUMED NAME "LAKE REGION HEALTHCARE". FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE COMPLETED FORM 990, WITH SUPPORTING SCHEDULES AND FOOTNOTES, WERE DISTRIBUTED TO ALL LRHC BOARD MEMBERS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE DETAILED AND CONSCIENTIOUS REVIEW BY ALL BOARD MEMBERS AND OPPORTUNITY FOR FEEDBACK AND CORRECTION. ALL QUESTIONS, CONCERNS, OR OTHER FEEDBACK FROM BOARD MEMBERS WERE DIRECTED TO THE LRHC CHIEF FINANCIAL OFFICER AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE, SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED CONSCIENTIOUS REVIEW BY ALL EXECUTIVE OR FINANCE COMMITTEE MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURES ARE COLLECTED FROM ALL INTERESTED PERSONS, OFFICERS, AND TRUSTEES ANNUALLY ASSESS WHETHER OR NOT THERE ARE ANY CONFLICTS OF INTEREST ACCORDING TO THE CONFLICTS OF INTEREST POLICY. IT IS CONSISTENTLY MONITORED DURING THE YEAR TO BE SURE THAT THE WRITTEN POLICY IS BEING FOLLOWED. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE OFFICERS OF LAKE REGION HEALTHCARE IS REVIEWED ANNUALLY, OUTSIDE INDEPENDENT COMPENSATION CONSULTANTS ARE ENGAGED FOR FAIR MARKET ASSESSMENTS, AS WELL AS MHA SALARY SURVEYS. COMPENSATION IS PRESENTED FOR APPROVAL TO THE EXECUTIVE COMMITTEE. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. 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 630,127. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 630,127. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 39,313,260. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,313,260. COLLECTION FEES: PROGRAM SERVICE EXPENSES 352,227. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 352,227. OUTSIDE LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 311,143. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 311,143. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,606,512. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,606,512. STUDENT PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 162,298. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 162,298. FORM 990, PART XI, LINE 9: NET ASSET RELEASED FROM RESTRICTIONS 34,587. INTERCOMPANY TRANSFERS -216,791. 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. MEDICAL BUILDING 712 S CASCADE STREET FERGUS FALLS MN 56537 472843862 PROVIDE REAL AND PERSONAL PROPERTY FOR LAKE REGION HEALTHCARE CORPORATION MN 0 0 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 1 LRHC LONG-TERM CARE FACILITIES INC 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411817549 ASSISTED LIVING MN 501(C)(3) LINE 10 LAKE REGION HEALTHCARE CORPORATION 1 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 411763968 HEALTHCARE SERVICES MN 501(C)(3) LINE 3 LAKE REGION HEALTHCARE CORPORATION 1 PRAIRIE RIDGE FOUNDATION 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 455092280 FUNDRAISING MN 501(C)(3) LINE 7 PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES 1 RURAL HEALTH ALLIANCE LLC 1210 BROADWAY STE 240 271 ALEXANDRIA MN 56308 020738699 EQUIPMENT SALES MN N/A 0 0 WEST CENTRAL LINEN SERVICES 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411411129 LAUNDRY & LINEN MN LAKE REGION HEALTHCARE CORPORATION C 38917 372011 0.50000 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 LAKE REGION HEALTHCARE FOUNDATION Q 262212 OPERATING EXPENSES PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES Q 6900758 OPERATING EXPENSES LRHC LONG-TERM CARE FACILITIES INC Q 511347 OPERATING EXPENSES WEST CENTRAL LINEN SERVICES M 307321 COST OF SERVICES LAKE REGION HEALTHCARE FOUNDATION C 74374 FMV PRAIRIE RIDGE HOSPITAL & HEALTH SERVICES P 2247294 OPERATING EXPENSES