Community Benefit Insight - Tax-exempt hospital

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Lake Region Healthcare Corporation

Lake Region Healthcare

712 South Cascade Street
Fergus Falls, MN 56538

Bed count	100	Medicare provider number	240052	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 410730602

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

6.8%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 442,000 0.31 %
Medicaid as % of operating expenses	$ 8,700,258 6.12 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 473,293 0.33 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 50,733 0.04 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 4,320 0.00 %
Community building* as % of operating expenses	$ 89,520 0.06 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	2
Physical improvements and housing	0
Economic development	2
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 89,520 0.06 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 18,750 20.95 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 70,770 79.05 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 2,900,467 2.04 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 92185448 including grants of $ 87134) (Revenue $ 103105993)
LAKE REGION HEALTHCARE CORPORATION IS A NOT-FOR-PROFIT PROVIDER OF HEALTH CARE SERVICES OPERATING A 108-BED HOSPITAL COMPRISED OF A 94-BED ACUTE HOSPITAL, A 14-BED PSYCHIATRIC UNIT, AND MULTIPLE CLINIC SITES. OUR PURPOSE IS TO MEET THE HEALTH CARE NEEDS OF THE PEOPLE IN WEST CENTRAL MINNESOTA. WE WILL CREATE AN EXCEPTIONAL, INNOVATIVE, AND PERSONAL HEALTHCARE EXPERIENCE THAT ALLOWS PEOPLE TO EXCEL AND OUR COMMUNITIES TO THRIVE. OUR CORE VALUES INCLUDE EXCELLENCE, PERSON-CENTERED, RESPECT, INTEGRITY, INNOVATION, COLLABORATION & STEWARDSHIP. LAKE REGION HEALTHCARE CORPORATION IS A PROVIDER OF QUALITY HEALTH CARE SERVICES, AS NOTED BY OUR ACCREDITATION BY THE JOINT COMMISSION. SERVICES THAT LAKE REGION HEALTHCARE PROVIDES INCLUDE MEDICAL/SURGICAL, PEDS, OB GYN, ICCU, RADIOLOGY/INTERVENTIONAL RADIOLOGY, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH THERAPY, RESPIRATORY CARE, SOCIAL WORK, SURGERY, ONCOLOGY, BIRTHING SUITES, CARDIAC REHAB/ECP, EMERGENCY SERVICES, COMMUNITY WELLNESS, AND LABORATORY.

4B (Expenses $ 27926205 including grants of $ 0) (Revenue $ 31234421)
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.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

LAKE REGION HEALTHCARE CORPORATION
PART V, SECTION B, LINE 5: LAKE REGION HEALTHCARE CORPORATION - LAKEREGION REFERRED TO THE MOBILIZING FOR ACTION THROUGH PLANNING ANDPARTNERSHIP (MAPP) FRAMEWORK FOR GUIDANCE IN THE COMMUNITY HEALTH NEEDSASSESSMENT PROCESS. THIS COMMUNITY-WIDE PLANNING AND ACTION ORIENTEDPROCESS WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITYHEALTH OFFICIALS IN PARTNERSHIP WITH THE PUBLIC HEALTH PRACTICE PROGRAMOFFICE OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION. MAPP IS ACOMMUNITY-DRIVEN PROCESS ROOTED ON PARTNERSHIP DEVELOPMENT. ASSESSMENT OFNEEDS AND ASSETS AND STRATEGIC PLANNING ON HOW TO EFFICIENTLY USEAVAILABLE RESOURCES TO ADDRESS THE PRIORITIZED HEALTH NEEDS. LRH COMPLETEDTWO ASSESSMENTS IN THE MAPP PROCESS: COMMUNITY THEMES AND STRENGTHS, ANDCOMMUNITY HEALTH STATUS. LRH ALSO HAD INPUT FROM COMMUNITY PARTNERS ANDSTAKEHOLDERS, ESPECIALLY PUBLIC HEALTH AND THOSE REPRESENTING THEUNDESERVED AND LOW-INCOME POPULATIONS.

LAKE REGION HEALTHCARE CORPORATION
PART V, SECTION B, LINE 6A: PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES

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: 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. ANOTHER FOCUS IS IMPROVING EMPLOYEE ENGAGEMENT AND WELLNESS FOR OUR EMPLOYEES.HEALTH EDUCATION AND PREVENTATIVE SERVICES BUILDING AWARENESS AND OFFERING CONVENIENT ACCESS TO SERVICES IN OUR COMMUNITY, TO IN TURN INCRESE UTILIZATION OF THE RECOMMENDED PREVENTATIVE CARE SERVICES. LAKE REGION HEALTHCARE CORPORATION CONTINUED TO REFER APPROPRIATE PRENATAL OR POSTPARTUM PATIENTS TO THE COUNTY'S HOME VISITING PROGRAM, ANDPROMOTE THRIVE AND PERSON-CENTERED ACTIVITIES AMONG STAFF, PROVIDERS,AND THE COMMUNITY. NUTRITION, PHYSICAL ACTIVITY, AND OBESITY - TO ENCOURAGE HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION IN THE SERVICE AREA, LRH WORKED TO CREATE A HEALTHY ENVIRONMENT BY CONTINUING TO LEAD THE ANNUAL COMMUNITY HEALTH EXPO, SUPPORT LIVE WELL FERGUS FALLS AND THEIR INITIATIVES, EXPAND SHOP WITH THE DOC PROGRAM TO IMPROVE ACCESS TO HEALTHY FOOD CHOICES, ESTABLISH WALK WITH THE DOC PROGRAM TO INCREASEACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES, AND ADVOCATE FOR LOCAL BUSINESSES TO ADOPT WORKSITE WELLNESS INITIATIVES. LAKE REGION HEALTHCARE ALONG WITH PARTNERSHIP4HEALTH AND OTHER MEMBERS OF LIVE WELL FERGUS FALLS WERE STILL ABLE TO WORK TO PROMOTE WORKSITE WELLNESS TO OTHER BUSINESSES IN THE COMMUNITY. IN ADDITION TO CREATING A HEALTHY ENVIRONMENT THROUGH COMMUNITY PROGRAMS,LRH WORKED TO IMPROVE ACCESS TO QUALITY PREVENTIVE SERVICES, THROUGH OFFERING ""I CAN PREVENT DIABETES"" CLASSES FOR FREE, GROWING THE LIFESTYLE MEDICINE PROGRAM, UTILIZING PRE-VISIT PLANNING.ACCESS TO HEALTH AND SOCIAL SERVICES TO IMPROVE THE NUMBER OF PATIENTS CONNECTED TO APPROPRIATE HEALTH CARE AND COMMUNITY RESOURCES, WE EXPANDED CARE COORDINATION RESOURCES, IMPLEMENTED SOCIAL HEALTH NEEDS SCREENING, AND PROVIDED COMPREHENSIVE TRANSITIONAL CARE FROM INPATIENT TO OTHER SETTINGS. WE ALSO CONTINUED TO RECRUIT AND RETAIN PROVIDERS TO IMPROVE ACCESS TO HEALTH RESOURCES IN OUR COMMUNITY.SUBSTANCE ABUSE - 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, LAKE REGIONHEALTHCARE IS ONE OF EIGHT PILOT SITES ACROSS THE STATE FOLLOWING THE TACKLING OPIOID USE WITH NETWORKS (TOWN) MODEL FUNDED THROUGH THE MINNESOTA DEPARTMENT OF HEALTH TO HELP PREVENT OPIOID MISUSE AND OVERDOSE. THE TOWN MODEL INTEGRATES PREVENTION AND TREATMENT STRATEGIES AT THE HEALTH CARE SYSTEM AND IN SURROUNDING COMMUNITY TO: (1) CREATE COORDINATED CLINICAL CARE TEAMS, (2) IMPROVE THE PRESCRIBING CULTURE BY PROVIDING EDUCATION TO PROVIDERS AND PHARMACISTS ON APPROPRIATE OPIOID AND NALOXONE PRESCRIBING AND DISPENSING, (3) INCREASE COORDINATION ACROSS COMMUNITY SECTORS AND REDUCE TREATMENT GAPS FOR INDIVIDUALS WITH OPIOID USE DISORDER BY STRENGTHENING PARTNERSHIPS WITH LAW ENFORCEMENT AND OTHER COMMUNITY SECTORS AND (4) INCREASE REFERRALS FOR NEEDED SERVICES BY BRINGING TOGETHER INTERDISCIPLINARY AND INTERAGENCY TEAMS TO BE REPRESENTED IN EACH COMMUNITY TASK FORCE. LAKE REGION HEALTHCARE ENGAGED AND EDUCATED ITS PROVIDERS ON MINNESOTA AND CDC OPIOID PRESCRIBING GUIDELINES, ENCOURAGED THE USE OF THE CONTROLLED SUSBTANCE CARE PLAN FOR PATIENTS ON CHRONIC OPIOID THERAPY OR WITH CONCOMITANT USE OF BENZODIAZEPINES, AND COLLABORATED WITH COMMUNITY PARTNERS TO IDENTIFY AND IMPLEMENT POTENTIAL EFFECTIVE ENVIRONMNETAL STRATEGIES TO ADDRESS OPIOID ABUSE/MISUSE THROUGH THE OTTER TAIL COUNTY OPIOID ABUSE PREVENTION TASK FORCE. ADDITIONALLY, LAKE REGION HEALTHCARE CORPORATION ESTABLISHED AN OPIOID SAFETY PROGRAM LED BY THE OPIOID SAFETY STEERING COMMITTEE IN NOVEMBER 2019 TO ENSURE RESPONSIBLE OPIOID PRESCRIBING AND SYSTEMATIC MONITORING. ANOTHER STRATEGY OF LAKE REGION HEALTHCARE IN FISCAL YEAR 2022 WAS TOEXPAND ACCESS TO NALOXONE THROUGH EDUCATING PROVIDERS ON RECOMMENDATIONS REGARDING WHEN TO PRESCRIBE OR CO-PRESCRIBE NALOXONE AND HOST COMMUNITY NARCAN TRAINING. RESOURCES FOR THESE PROGRAMS WERE DIVERTED TO RESPOND TO THE COVID-19 PANDEMIC AND WE WERE NOT ABLE TO PREPARE AND PRESENT PROVIDER EDUCATION ON NALOXONE PRESCRIBING GUIDELINES. WE ARE CURRENTLY WORKINGWITH OUR PHARMACY DEPARTMENT TO DEVELOP EDUCATION MATERIALS TO BE SHARED WITH ALL THE PROVIDERS AS PART OF THEIR ANNUAL EDUCATION IN 2022. SIMILARLY, WE WERE NOT ABLE TO HOST COMMUNITY TRAININGS ON NARCAN AND OPIOID AWARENESS. DEPENDING ON THE COVID SITUATION IN OUR COMMUNITY, WE HOPE TO BE ABLE TO WORK WITH COMMUNITY PARTNERS AND FACILITATE COMMUNITY EDUCATION SESSIONS IN CALENDAR YEAR 2022.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.

Supplemental Information

Schedule H (Form 990) Part VI

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 2021 COST REPORT. THE COST METHODOLOGY USED TO DETERMINE THE AMOUNTS IN LINE 7E, 7F, AND 7I ARE THE ACTUAL COSTS INCURRED AND RECORDED IN THE GENERAL LEDGER AND FINANCIAL STATEMENTS.

PART II, COMMUNITY BUILDING ACTIVITIES:
IN THE PAST YEAR, LRHC HAS PARTICIPATED IN A COMMUNITY GROUP FOCUSED ON DEVELOPING A COMMUNITY VISION AND ECONOMIC DEVELOPMENT. LRHC ALSO ALLOWED COMMUNITY GROUPS TO USE MEETING ROOMS FREE OF CHARGE TO ASSIST IN THEIR MISSIONS, ALONG WITH VARIOUS CASH DONATIONS GIVEN TO COMMUNITY ORGANIZATIONS.

PART III, LINE 2:
BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS.

PART III, LINE 4:
THE FOOTNOTE TO THE FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS LOCATED IN FOOTNOTE 1 ON PAGE 11 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 2021 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 FORTHE UNINSURED/SELF-PAY DISCOUNT. INPATIENTS ARE VISITED BY A PATIENTFINANCIAL SERVICES STAFF MEMBER TO EXPLAIN THE UNINSURED/SELF PAY DISCOUNTAN DIF ELIGIBLE, GIVEN AN APPLICATION FOR THE COMMUNITY CARE PROGRAM.FINANCIAL SERVICES PAMPHLETS EXPLAIN BOTH PROGRAMS AND ARE DISPERSEDAROUND THE FACILITY. PROGRAM INFORMATION CAN ALSO BE ACCESSED ON LAKEREGION HEALTHCARE'S WEBSITE. EMPLOYEES AMONGST THE PATIENT DEPARTMENTSWORK WITH THE BUSINESS OFFICE TO BE SURE THAT EVERYONE WHO MAY BE ELIGIBLERECEIVES THE APPROPRIATE INFORMATION. THE COLLECTION AGENCIES THAT ARECONTRACTED WITH LAKE REGION HEALTHCARE ARE ALSO AWARE AND OFFER EITHERPROGRAM 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.

Operating expenses	$ 142,198,354
Total amount spent on community benefits as % of operating expenses	$ 9,670,604 6.80 %