2015-10-28T11:39:51-05:00 2014-12-31 450250958 EIDE BAILLY LLP 4310 17TH AVE S PO BOX 2545 FARGO ND 581082545 990 2014-01-01 455092280 Prairie Ridge Foundation Inc PRAI 2186857339 1411 Highway 79 E Elbow Lake MN 56531 Missy Amundson Executive Director 2186857339 2015-10-26 1 LISA CHAFFEE CPA P00193453 7012398500 2015-10-26 2014 2016-02-25 16:41:14Z Missy Amundson 1411 Highway 79 E Elbow Lake MN 56531 54387 0 X www.prairiehealth.org X 2011 MN Fundraising to support PRHHS in its mission of serving the healthcare needs of the people. 7 7 0 7 0 0 294249 54387 0 0 0 0 0 0 294249 54387 0 570384 0 0 13036 21247 300 0 0 10708 27872 24044 619503 270205 -565116 688186 626823 142272 646025 545914 -19202 X It is the mission of PRF to partner with and support PRHHS in its mission of serving the healthcare needs of the people. 1 0 611284 570384 In 2013 the Prairie Ridge Foundation (PRF) started the process of Fundraising with the goal of partnering with and supporting Prairie Ridge Hospital and Health Services (PRHHS) in its mission of "Serving the healthcare needs of the people". This fundraising was done through an employee campaign as well as a public campaign. 611284 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 MN X Missy Amundson 2186857339 1411 Highway 79 E Elbow Lake MN 56531 Scott Swenson President 0.10 0.00 X X 0 0 0 Gene Wenstrom Vice President 0.10 1.00 X X 0 1200 0 Jeff Dreier Secretary/Treasurer 0.10 0.00 X X 0 0 0 Dr Larry Rapp Director 0.10 0.00 X 0 0 0 Larry Goetzinger Director 0.10 0.00 X 0 0 0 Muriel Krusemark Director 0.10 0.00 X 0 0 0 Alan Brutlag Director 0.10 0.00 X 0 0 0 Missy Amundson Executive Director 16.00 24.00 X 0 37171 10206 0 38371 10206 0 0 0 0 0 54387 54387 54387 0 0 0 570384 570384 21247 21247 8219 8219 5128 5128 2257 2257 1617 1617 384 384 941 941 1324 1324 Bad Debt 4909 4909 Misc Fitness Center Exp 2599 2599 Repairs and Maintenance 494 494 619503 611284 8219 0 357822 193893 330364 252474 180456 0 180456 688186 626823 92929 148189 142272 404907 142272 646025 X -142410 -33202 688324 14000 545914 -19202 688186 626823 -565116 0 X 0 1 X 1 0 X 394075 294249 54387 742711 394075 294249 54387 742711 313510 429201 742711 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 54863 54863 70461 70461 55132 55132 180456 Due to Prairie Ridge Hospital and Health Services 404907 404907 X 5705 0 5705 48682 48682 54387 619503 0 619503 0 619503 Part X, Line 2: The Foundation 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). The Foundation is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Foundation is subject to income tax on net income that is derived from business activities that are unrelated to their exempt purpose. The Foundation has determined they are not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. The Foundation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Foundation 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. Part XI, Line 4b - Other Adjustments: Contributions included in Changes in Net Assets on the Financial Statements 48,682. 1 Prairie Ridge Hospital and Health Services Inc 1411 Highway 79 E Elbow Lake MN 56531 411763968 501(c)(3) 570384 Building Project Contributions Transfer 1 0 Part I, Line 2: The purpose of Prairie Ridge Foundation is to support the mission of Prairie Ridge Hospital and Health Services. There is one board member serving on both boards which helps ensure the appropriate use of the grant funds. Form 990, Part III, line 2 In 2014, PRF created a disregarded entity, Prairie Ridge Fitness, LLC, to own and operate a community fitness center. The Prairie Ridge Fitness did not start operations until 2015. Prairie Ridge Fitness, LLC is the only Fitness Center available in Elbow Lake MN. Through the CHNA done for Prairie Ridge Hospital and Health Services, having a fitness center in town was a need that was identified. Prairie Ridge Fitness offers cardio, strength training, classes, personal training and is open 24/7. We offer a variety of classes to fit the needs of everyone from beginners to advanced and from the young to seniors. Prairie Ridge Fitness works with many insurance companies and participates in their discount programs. We work with public health and the assistance programs for those who may not be able to afford it. We also work with the diabetic and Physical Therapy programs at Prairie Ridge Hospital to insure these patients can access the Fitness Center. This activity is related to the exempt purpose of Prairie Ridge Foundation. Form 990, Part VI, Section A, line 1 The duly-elected officers of the Corporation shall constitute the Executive Committee of the Corporation. The Executive Committee has the limited authority designated by Resolutions of the Board of Directors. The Executive Committee shall act only in the intervals between meetings of the Board and at all times is subject to the control and direction of the Board, and within the specific delegation of such authority by the Board. Form 990, Part VI, Section A, line 7a The Board of Prairie Ridge Hospital and Health Services, a related organization, appoints the board members. The Board of Prairie Ridge Hospital and Health Services also fills vacancies and has the ability to remove board members. Form 990, Part VI, Section A, line 7b The sale, lease, exchange, mortgage, encumbrance or disposal of all or substantially all of the property and assets of the Organization including goodwill is subject to approval by the Board of Directors of Prairie Ridge Hospital and Health Services, a related organization. Prairie Ridge Hospital and Health Services must also approve all amendments to the Articles of Incorporation and Bylaws. Form 990, Part VI, Section A, line 8b The Bylaws allow for an Executive Committee, but the committee did not meet in 2014. Form 990, Part VI, Section B, line 11 The Form 990 was reviewed and approved by the Executive Director. The Form 990 was provided to the full governing board before filed with the IRS. Form 990, Part VI, Section B, line 15 The Executive Director compensation was determined by the Prairie Ridge Hospital and Health Services CEO based on comparability data provided by the Medi-Sota survey. This process takes place annually. Form 990, Part VI, Section C, line 19 The governing documents and financial statements are available upon request. Prairie Ridge Fitness LLC 1411 Highway 79 E Elow Lake MN 56531 Fitness Center ND 0 256542 Prairie Ridge Hospital and Health Services Inc 1411 Highway 79 E Elbow Lake MN 56531 411763968 Hospital and outpatient facility MN 501(c)(3) Line 3 N/A 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0