Community Benefit Insight - Tax-exempt hospital

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Prairie Ridge Hospital And Health Services Inc

Prairie Ridge Hospital

1411 Highway 79 East
Elbow Lake, MN 56531

Bed count	10	Medicare provider number	241379	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 411763968

Display data for year:

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

15.07%

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	$ 88,000 0.46 %
Medicaid as % of operating expenses	$ 1,459,657 7.68 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 31,400 0.17 %
Subsidized health services as % of operating expenses	$ 1,233,180 6.49 %
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.	$ 52,015 0.27 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 1,897 0.01 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (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
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	$ 1,897 0.01 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 1,820 95.94 %
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	$ 77 4.06 %
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	$ 402,981 2.12 %
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 $ 15239295 including grants of $ 0) (Revenue $ 17998889)
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, ASHBY, EVANSVILLE, HOFFMAN, A SEPARATE PHYSICIAN CLINIC IN HERMAN, AND A PROVIDER-BASED SURGERY DEPARTMENT IN MORRIS, MINNESOTA.

Facility Information

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

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 11: IN THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, LAKE REGION HEALTHCARE CORPORATION IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS: MENTAL HEALTH, HEALTH EDUCATION AND PREVENTATIVE SERVICES; NUTRITION, PHYSICAL ACTIVITY, AND OBESITY; ACCESS TO HEALTH AND SOCIAL SERVICES; 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. ANOTHER FOCUS IS IMPROVING EMPLOYEE ENGAGEMENT AND WELLNESS FOR OUR EMPLOYEES. CURRENTLY THESE DICUSSIONS ARE LED BY PRODUCTIVE ALTERNATIVES INC AND OTTER TAIL COUNTY DEPARTMENT OF HUMAN SERVICES AND INCLUDES REPRESENTATIVES FROM LAW ENFORCEMENT, OTHER HEALTH CARE SYSTEMS, SUBSTANCE ABUSE AND MENTAL HEALTH PROVIDERS AND OTHER INTERSESED STAEKHOLDERS. THE GROUP MET MONTHLY IN 2022 AND PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES PLANS ON CONTINUING TO BE PART OF THIS CONVERSATION AND HELP THE COMMUNITY HAVE IMPROVED ACCESS TO QUALITY MENTAL HEALTH CARE. 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.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. USED VARIOUS TOOLS TO FACILITATE PATIENT OUTREACH. PRHHS CONTINUED TO ENCOURAGE ANNUAL WELLNESS VISITS AND CANCER SCREENINGS AS PART OF THIS INITIATIVE.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) 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. THE ENTERPRISE ALONG WITH PARTNERSHIP4HEALTH AND OTHER MEMBERS OF LIVE WELL FERGUS FALLS WERE STILL ABLE TO WORK TO PROMOTE WORKSITE WELLNESS TO OTHER BUSINESSES IN THECOMMUNITY.IN ADDITION TO CREATING A HEALTHY ENVIRONMENT THROUGH COMMUNITY PROGRAMS, PRHHS WORKED TO IMPROVE ACCESS TO QUALITY PREVENTIVE SERVICES, THROUGH COUNSELING AND EDUCATION ON FOOD AND NUTRITION AND IMPROVING COMPREHENSIVE CARE FOR PATIENTS WITH DIABETES.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 AND TOBACCO USE: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. THE WORK OF THE STEERING COMMITTEE WAS PUT ON HOLD TO REALLOCATE RESOURCES TOWARDS COVID-19 RESPONSE, BUT BECAME OPERATIVE AGAIN IN CY 2022. EDUCATION AND COMMUNITY TRAININGS ON NARCAN AND OPIOD AWARENESS IS AN ACTIVITY TAKING PLACE TO INCREASE KNOWLEDGE AROUND OPIOID USE.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.

Supplemental Information

Schedule H (Form 990) Part VI

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 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 2022 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 6:
LAKE REGION HEALTHCARE FOUNDATION RECEIVES DONATIONS, MEMORIALS, PLEDGES, AND LEADS FUNDRAISING EVENTS. THE FUNDS RECEIVED ARE GRANTED TO LAKE REGION HEALTHCARE AND COMMUNITY ORGANIZATIONS TO SUPPORT PROVIDING QUALITY HEALTHCARE IN THE COMMUNITIES IN OUR SERVICE AREA.

PART VI, LINE 7, REPORTS FILED WITH STATES
MN

Operating expenses	$ 19,002,259
Total amount spent on community benefits as % of operating expenses	$ 2,864,252 15.07 %