2024-08-15T12:01:42-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2022-10-01 411817549 LRHC LONG TERM CARE FACILITIES INC LRHC 2187368000 712 S CASCADE ST FERGUS FALLS MN 565370728 JOAN GRASSWICK BOARD CHAIR 2187368000 2024-08-15 1 0 ANN NEIL P01817922 6123764500 2024-08-15 2022 2024-08-08 14:25:15Z MILL STREET RESIDENCE KENT MATTSON 712 S CASCADE ST FERGUS FALLS MN 565370728 3133246 0 X HTTP://WWW.MILLSTREET.ORG/ X 1995 MN SAFE, GRACIOUS RESIDENTIAL LVING WITH DIGNITY AND RESPECT. 5 5 77 4 0 0 52053 1299 2371388 2690856 -249107 40267 11554 7457 2185888 2739879 0 0 0 0 1595537 1697822 0 0 0 937072 934771 2532609 2632593 -346721 107286 3561055 3417062 1521876 1197100 2039179 2219962 X OUR GOAL IS TO PROVIDE OUR TENANTS WITH A GRACIOUS LIFESTYLE IN A SAFE, SECURE, RESIDENTIAL SETTING. WE WILL PROMOTE PROGRAMS WHICH ENCOURAGE YOU TO PRACTICE A HEALTHY LIFESTYLE. WE WILL TREAT THOSE WE SERVE WITH DIGNITY AND RESPECT. YOUR RIGHT TO PRIVACY WILL ALWAYS BE PROTECTED AND WE WILL ENCOURAGE EVERYONE TO MAKE THEIR OWN CHOICES WHEN IT COMES TO CARE AND LIFESTYLE. 0 0 2480177 0 2690856 MILL STREET RESIDENCE IS THE AREA'S PREMIER PROVIDER OF ASSISTED LIVING SERVICES. WE PROVIDE OUR TENANTS WITH A WIDE RANGE OF PERSONAL CARE AND NURSING SERVICES. IN ORDER TO OFFER A PREDICTABLE FEE STRUCTURE FOR ALL OUR TENANTS, WE HAVE DEVELOPED A LEVEL OF CARE PROGRAM TO ADDRESS INDIVIDUAL HEALTH AND SERVICE NEEDS. SERVICES INCLUDED IN EACH LEVEL OF CARE MAY INCLUDE ANY COMBINATION OF THE FOLLOWING: RN SUPERVISION AND OVERSIGHT, WEEKLY WELLNESS CLINIC, ROUTINE COMMUNICATION RELATED TO CHANGES IN HEALTH OR CARE LEVEL NEEDS, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, WEEKLY MEDICATION SETUP, MEDICATION REMINDERS AND/OR ADMINISTRATION, FOOT CARE, ONE PERSON ASSISTANCE WITH TRANSFERS, ASSISTANCE WITH SHOWER OR WHIRLPOOL BATH, BLOOD DRAWS FOR LAB WORK, MONITORING OF BLOOD SUGARS, ESCORTS TO MEALS AND ACTIVITIES AND ASSISTANCE WITH TOILETING AND CONTINENCE NEEDS. 2480177 1 0 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 1 77 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 MN X X LAKE REGION HEALTHCARE CORPORATION 2187368000 712 S CASCADE ST FERGUS FALLS MN 56537 DEB FERGUSON TRUSTEE 1.00 0.00 X 0 0 0 LAUREL NELSON TRUSTEE 1.00 7.00 X 0 0 0 JOHN ERICKSON TRUSTEE 1.00 8.00 X 0 0 0 JOAN GRASSWICK CHAIR 1.00 0.00 X X 0 0 0 SUSIE BERG TRUSTEE 1.00 0.00 X 0 0 0 KENT MATTSON CEO 1.00 40.00 X 0 510000 139482 0 510000 139482 1 0 1 0 0 1299 1299 RENT 623000 1854863 1854863 TENANT FEE/EXPENSE 623000 835993 835993 2690856 28080 28080 405554 393367 12187 12187 12187 MISCELLANEOUS REVENUE 623000 7457 7457 7457 2739879 2690856 0 47724 1387894 1296270 91624 11483 9944 1539 197780 184828 12952 100665 94533 6132 12915 12915 2423 2423 94965 94965 3266 3266 39563 37139 2424 16920 16920 221466 218969 2497 11036 3270 7766 36842 36842 183804 171670 12134 SUPPLIES 177466 177466 REPAIRS AND MAINTENANCE 99891 99891 LICENSES 18512 18512 MISCELLANEOUS 12160 12150 10 3542 3542 2632593 2480177 152416 0 198863 153231 -24168 -14280 3812 4508 6487728 3927109 2492702 2560619 889846 712984 3561055 3417062 323187 289526 1162827 872543 35862 35031 1521876 1197100 X 2039179 2219962 2039179 2219962 3561055 3417062 107286 86087 -12590 0 X 0 1 X 1 0 X 261 420 13472 52053 1299 67505 2571012 2496706 2271442 2076182 2690856 12106198 2571273 2497126 2284914 2128235 2692155 12173703 0 2237202 2237202 2237202 2237202 9936501 128286 143131 328091 28080 627588 128286 143131 328091 28080 627588 9212 13661 6809 11554 7457 48693 2708771 2653918 2619814 2139789 2727692 12849984 0.77330 0.94240 0.04880 0.05350 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2018 AMOUNT: $ 9,212. 2019 AMOUNT: $ 13,661. 2020 AMOUNT: $ 6,809. 2021 AMOUNT: $ 11,554. 2022 AMOUNT: $ 7,457. 344538 344538 5673116 3587746 2085370 376896 246185 130711 93178 93178 0 2560619 INTERCOMPANY PAYABLE 35031 35031 X PART X, LINE 2: LRHC LONG-TERM CARE FACILITIES, INC. 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). LRHC LONG-TERM CARE FACILITIES, INC. 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 LONG-TERM CARE FACILITIES, INC. HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED A FORM 990-T WITH THE IRS. THE ENTITY 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 ENTITY WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITES IN INCOME TAX EXPENSE, IF SUCH INTEREST AND PENALTIES ARE INCURRED. X X X X X X 0 0 0 0 0 0 1 0 0 KENT MATTSON CEO 0 510000 0 0 0 0 0 121850 0 17632 0 649482 0 0 PART I, LINE 3 COMPENSATION FOR MANAGEMENT OF LRHC LONG TERM CARE FACILITIES IS REVIEWED ANNUALLY AND COMPARED TO SALARY SURVEYS FOR SIMILAR ORGANIZATIONS. COMPENSATION IS PRESENTED FOR APPROVAL BY THE EXECUTIVE COMMITTEE. PART I, LINE 6 LAKE REGION HEALTHCARE 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 PART OR IN WHOLE; SUCH AS MEETING FINANCIAL PERFORMANCE EXPECTATIONS, 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 BOARD OF DIRECTORS OF THIS CORPORATION SHALL BE COMPOSED EXCLUSIVELY OF PERSONS WHO ARE FROM TIME TO TIME APPOINTED BY THE BOARD OF TRUSTEES OF LAKE REGION HOPSITAL CORPORATION. WITH THE OFFICERES OF THIS CORPORATION SHALL BE: (1) THE CHAIRMAN (2) THE PRESIDENT (3) A SECRETARY (4) A TREASURER. THE BOARD OF DIRECTORS SHALL MEET REGULARLY, AT SUCH TIMES AND PLACES FOR THE PURPOSE OF TRANSACTING ANY BUSINESS THAT MAY PROPERLY COME BEFORE THE BOARD OF DIRECTORS OF THIS CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE COMPLETED FORM 990 WITH SUPPORTING SCHEDULES AND FOOTNOTES WILL BE DISTRIBUTED TO ALL BOARD MEMBERS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE DETAILED AND CONSCIENTIOUS REVIEW BY ALL BOARD MEMBERS AND OPPORTUNITY FOR FEEDBACK AND CORRECTIONS. ALL QUESTIONS, CONCERNS, OR OTHER FEEDBACK FROM BOARD MEMBERS WILL BE DIRECTED TO THE CHIEF FINANCIAL OFFICER AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. ALL CORRECTIONS OR CHANGES ARE NOTED AND ADDRESSED. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ANNUALLY ASSESS WHETHER OR NOT THERE ARE ANY CONFLICTS OF INTEREST ACCORDING TO THE CONFLICT OF INTEREST POLICY. IT IS CONSISTENTLY MONITORED DURING THE YEAR TO ADHERE TO THE POLICY. 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 2023. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. LAKE REGION HEALTHCARE 712 S CASCADE STREET FERGUS FALLS MN 56537 410730602 HOSPITAL MN 501(C)(3) 3 N/A 0 LAKE REGION HEALTHCARE FOUNDATION 712 S CASCADE STREET FERGUS FALLS MN 56537 411677288 FOUNDATION MN 501(C)(3) 12, TYPE 1 LAKE REGION HEALTHCARE 0 PRAIRIE RIDGE FOUNDATION 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 455092280 FOUNDATION MN 501(C)(3) 12, TYPE 1 PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES 0 PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES 1411 HIGHWAY 79 EAST ELBOW LAKE MN 56531 411763968 HEALTHCARE SERVICES MN 501(C)(3) 3 LAKE REGION HEALTHCARE 0 LRH RAD ONC SERVICES LLC 712 S CASCADE STREET FERGUS FALLS MN 56538 271322270 RADIATION ONCOLOGY SERVICES MN N/A 0 0 RURAL HEALTH ALLIANCE LLC 1210 BROADWAY STE 240 271 ALEXANDRIA MN 56508 020738699 EQUIPMENT SALES MN N/A 0 0 WEST CENTRAL LINEN SERVICES 712 SOUTH CASCADE STREET FERGUS FALLS MN 56538 411411129 LAUNDRY AND LINEN MN N/A C 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 LAKE REGION HEALTHCARE P 786423 OPERATING EXPENSES LAKE REGION HEALTHCARE FOUNDATION C 55800 CASH