2022-03-14T09:53:43-05:00 2021-04-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2020-05-01 237339737 LAKE REGIONAL HEALTH SYSTEM % HENRY ZEISEL LAKE 5733488000 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 HENRY ZEISEL CFO 4178658701 2021-12-06 true HENRY ZEISEL XXX-XX-XXXX Brian D Todd P00422601 4178658701 2021-12-06 2 2020 2022-09-23 18:48:47Z HENRY ZEISEL 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 333883274 false X WWW.LAKEREGIONAL.COM X 1973 MO LAKE REGIONAL HEALTH SYSTEM PROVIDES AN EXTENSIVE VARIETY OF OUTPATIENT AND INPATIENT HEALTHCARE SERVICES AS WELL AS AN EMERGENCY DEPARTMENT TO RESIDENTS AND VISITORS. 16 11 1309 19 0 0 438642 1198988 181058758 228362044 6586226 14600624 -11758397 -10748498 176325229 233413158 96432 40351 0 0 86643773 90176105 0 0 0 102547253 114723512 189287458 204939968 -12962229 28473190 242984688 256437931 99394887 84374940 143589801 172062991 X TO PROVIDE EXCEPTIONAL HEALTHCARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 98495083 141130769 LAKE REGIONAL HEALTH SYSTEM PROVIDES OUTPATIENT SERVICES SUCH AS DIAGNOSTIC IMAGING, LABORATORY AND PHYSICAL THERAPY SERVICES TO THE COMMUNITY AND SURROUNDING RURAL AREAS. THE HOSPITAL PROVIDED A TOTAL OF 306,448 OUTPATIENT SERVICE VISITS. THE HOSPITAL PROVIDED COVID-19 TESTING AND IP TREATMENT SERVICES DURING ITS 2021 FISCAL YEAR. 46751458 61744711 LAKE REGIONAL HEALTH SYSTEM PROVIDES INPATIENT SERVICES TO THE COMMUNITY AND SURROUNDING RURAL AREAS. THE HOSPITAL PROVIDED 17,444 INPATIENT DAYS, 2,706 SKILLED NURSING FACILITY INPATIENT DAYS AND 1,107 NURSERY PATIENT DAYS FOR A TOTAL OF 21,257 INPATIENT DAYS. 6771776 17641346 LAKE REGIONAL HEALTH SYSTEM'S EMERGENCY DEPARTMENT IS A LEVEL III TRAUMA CENTER (GRANTED THROUGH A SPECIAL STATE CREDENTIALING PROCESS REQUIRING EXTENSIVE EDUCATION AND SERVICE REVIEW) PROVIDING 24-HOUR EMERGENCY MEDICAL SERVICE TO A FIVE COUNTY AREA. THE UNIVERSITY OF MISSOURI STAFF FOR LIFE HELICOPTER IS BASED HERE. THE EMERGENCY DEPARTMENT PROVIDED 30,908 VISITS. 9336483 40351 7845219 161354800 true true false true false false false false false true true false false false true false false true false false false false false false false false true true false true true true false false false false false false false false true true false false false false false true true true false false true 84 0 true 1309 true false false false false false false false false false false false false X 16 11 true false false false false false false true true false true true true true true true true true true true true true X HENRY ZEISEL 5733488000 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 X HARBAKSH SANGHA PHYSICIAN 40.0 0.0 X 873173 0 21807 KEVIN BYRNE DO BOARD MEMBER 1.0 40.0 X 0 863563 22813 DANE HENRY CEO 40.0 1.0 X 691572 0 17317 MICHAEL WANG PHYSICIAN 40.0 0.0 X 600170 0 20735 MARGARET COPLIN PHYSICIAN 40.0 0.0 X 569891 0 20998 JOSH BRICKNER CHIEF OF STAFF BEG 10/20 1.0 40.0 X 0 485514 18779 JOHN PATTON DO CHIEF 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143589801 172062991 242984688 256437931 X 28473190 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 8250 true 20469 28719 false SCHEDULE C, PART II-B, LINE 1(H) RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, ETC: LAKE REGIONAL HEALTH SYSTEM PARTICIPATED IN THE FOLLOWING DURING THE YEAR: $ 8,250 RURAL REFERRAL CENTER/SOLE COMMUNITY HOSPITAL COALITION SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: A PORTION OF THE DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. $ 20,469 MISSOURI HOSPITAL ASSOCIATION 954750 4268 4268 954750 954750 31695 31695 954750 954750 44184 44184 954750 954750 37739 37739 954750 954750 47450 47450 954750 1.00000 false false 6759299 6759299 112483474 78430840 34052634 93902122 72285803 21616319 6385558 1337402 5048156 67476408 0 EST AMT DUE TO 3RD PTY PYRS 3933820 CONTRACT PAYABLE 21278296 MALPRACTICE PAYABLE 200000 LEASE PAYABLE 1115288 PAYROLL PAYABLE 1138286 27665690 234105272 -12670 -12670 234117942 -704784 -704784 233413158 206248600 1321302 1321302 204927298 1710 10960 12670 204939968 SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS: THE ENDOWMENT FUND WAS ESTABLISHED BASED ON A CONTRIBUTION TO LAKE REGIONAL HEALTH SYSTEM. THIS CONTRIBUTION INCLUDED THE DONOR RESTRICTION THAT THE ENDOWMENT WOULD BE ESTABLISHED WITH THE INTENTION OF GENERATING INVESTMENT INCOME TO BE USED IN THE DAILY OPERATIONS OF THE ORGANIZATION AND THE PRINCIPLE OF THE ENDOWMENT FUND WOULD REMAIN IN PERPETUITY. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D OTHER REVENUE INCLUDED ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12: $ (1,710) INVESTMENT MANAGEMENT FEES (10,960) AUXILIARY EXPENSES -------------- $ (12,670) TOTAL SCHEDULE D, PART XI, LINE 4B OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT LINE 1: $ (1,321,302) RENTAL EXPENSES 616,518 RESTRICTED CONTRIBUTIONS -------------- $ (704,784) TOTAL SCHEDULE D, PART XII, LINE 2D OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 1,321,302 RENTAL EXPENSES SCHEDULE D, PART XII, LINE 4B OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 10,960 AUXILIARY EXPENSES true true X true X false true true true false false 9495304 9495304 0.04630 28073873 24167847 3906026 0.01910 37569177 24167847 13401330 0.06540 12038 15706 -3668 238928 238928 0.00120 259236 259236 0.00130 510202 15706 494496 0.00250 38079379 24183553 13895826 0.06790 false 24377541 3724888 57333845 52973075 4360770 X true true LAKE REG IMAGING PTR DIAGNOSTIC IMAGING SERVICES 0.51 0.49 1 1 LAKE REGIONAL HEALTH SYSTEM 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 WWW.LAKEREGIONAL.COM 291-35 X X X LAKE REGIONAL HEALTH SYSTEM 1 false false true X X X X X X X X X 18 true false false true X SEE PART V SUPPLEMENTAL INFO X true 18 true SEE PART V SUPPLEMENTAL INFO false true X 200. 0. X X X true true X X X true X SEE PART V SUPPLEMENTAL INFO X SEE PART V SUPPLEMENTAL INFO X SEE PART V SUPPLEMENTAL INFO X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY REPRESENTATION: PHONE INTERVIEWS WERE CONUCTED WITH 25 COMMUNITY STAKEHOLDERS. PARTICIPANTS WERE IDENTIFIED BASED ON THEIR INVOLVEMENT IN LOCAL BUSINESSES, GOVERNEMTNS, SCHOOLS OR IN SERVINCE LOW INCOME POPULATIONS. STAKEHOLDERS INCLUDED PUBLIC HEALTH EXPERTS, CLINICIANS AND INDIVIDUALS WHO PROVIDED SERVICES TO THE MEDICALLY UNDERSERVED. SCHEDULE H, PART V, LINE 7A CHNA WEBSITE: HTTPS://WWW.LAKEREGIONAL.COM/ABOUT-US/REPORTS/ SCHEDULE H, PART V, LINE 10A IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.LAKEREGIONAL.COM/ABOUT-US/REPORTS/ SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING IDENTIFIED NEEDS: LAKE REGIONAL PRIORITIZED THE DATA COLLECTED. COMMON THEMES WERE IDENTIFIED, SCORED AND WEIGHTED. BASED ON THIS METHODOLOGY, TOP COMMUNITY HEALTH PRIORITIES INCLUDED MENTAL HEALTH, SUBSTANCE ABUSE AND ABILITY TO PAY/LACK OF INSURANCE. GOALS RELATED TO MENTAL HEALTH ISSUES INCLUDED CERTIFYING KEY HOSPITAL AND CLINIC STAFF IN MENTAL HEALTH FIRST AID (MHFA); REACHING 200 COMMUNITY MEMBERS IN LAKE REGIONAL'S PRIMARY SERVICE AREA DURING MENTAL HEALTH AWARENESS DAY EVENTS IN CAMDEN, MILLER AND MORGAN COUNTIES AND REDUCING PREVENTABLE ED VISITS/HOSPITAL READMISSIONS RELATED TO BEHAVIORAL HEALTH ISSUES. TO REDUCE ADVERSE EVENTS ASSOCIATED WITH OPIOID USE, LAKE REGIONAL HAS IMPLEMENTED AN OPIOID STEWARDSHIP PROGRAM IN THE EMERGENCY DEPARTMENT AND ORTHOPEDICS; JOINED THE OZARK RURAL HEALTH NETWORK RURAL COMMUNITY OPIOID RESPONSE PLANNING WORKPLAN; AND OFFERED FREE EDUCATION TO THE COMMUNITY, INCLUDING SCHOOL-AGE CHILDREN. TO ADDRESS ABILITY TO PAY ISSUES, LAKE REGIONAL IS WORKING TO INCREASE COMMUNITY AWARENESS OF FINANCIAL ASSISTANCE PROGRAMS, AS WELL AS FREE, LOW-COST AND SLIDING SCALE CLINICS AND SERVICES. SCHEDULE H, PART V, SECTION B, LINE 13H FACTORS USED IN DETERMINING BASIS FOR AMOUNTS CHARGED TO PATIENTS: FINANCIAL ASSISTANCE WILL BE CONSIDERED ON CATASTROPHICALLY NEEDY PATIENTS ON A CASE-BY-CASE BASIS. THE HOSPITAL WILL USE PRESUMPTIVE ELIGIBILITY WHEN A PATIENT IS PROVEN TO HAVE THE FOLLOWING CIRCUMSTANCES: -HOMELESS OR RECEIVING CARE FROM A HOMELESS CLINIC -PARTICIPATION IN WOMEN'S INFANTS AND CHILDREN'S PROGRAMS (WIC) -FOOD STAMP ELIGIBILITY -ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN) -LOW INCOME/SUBSIDIZED HOUSING (SECTION 8) IS PROVIDED AS A VALID ADDRESS -PATIENT IS DECEASED WITH NO KNOWN ESTATE -INCARCERATED PRISONERS NOT EXPECTED TO BE RELEASED SOON -MENTALLY INCAPACITATED SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C URL: HTTP://LAKEREGIONAL.COM/PATIENTS/PATIENT-RESOURCES/FINANCIAL-SERVICES/ UNINSURED-PATIENTS/DEFAULT.ASPX SCHEDULE H, PART V, SECTION B, LINE 16I LEP TRANSLATIONS: THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER IRC SECTION 501(R). HOWEVER, A SPANISH TRANSLATION IS AVAILABLE. SCHEDULE H, PART V, SECTION B, LINE 16J OTHER METHODS OF PUBLICIZING CHARITY CARE POLICY: ALL PATIENTS THAT ARE IN A ROOM HAVE ACCESS TO A BINDER THAT EXPLAINS THE FINANCIAL ASSISTANCE POLICY. 5 LAKE REGIONAL IMAGING PARTNERS 54 HOSPITAL DR OSAGE BEACH MO 65065 IMAGING CENTER ELDON REHAB THERAPY 304 EAST 4TH STREET ELDON MO 65026 REHAB THERAPY LAKE OZARK REHAB THERAPY 1870 BAGNELL DAM BLVD LAKE OZARK MO 65049 REHAB THERAPY LAURIE REHAB THERAPY 156 MISSOURI BLVD LAURIE MO 65038 REHAB THERAPY CAMDENTON REHAB THERAPY 1930 N BUSINESS ROUTE 5 CAMDENTON MO 65020 REHAB THERAPY SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A). SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1, 3, AND 6. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEMS DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED APRIL 30, 2021. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: LINE 3 WAS DETERMINED BY TAKING THE BAD DEBT EXPENSE (LINE 2) TIMES THE PERCENT OF PERSONS BELOW THE POVERTY LEVEL BASED ON US CENSUS BUREAU DATA. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENTS ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: MEDICARE DATA COMPUTED USING THE MEDICARE COST REPORT FILED WITH CMS WAS UTILIZED FOR THE COMPUTATIONS IN PART III, SECTION B. MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT, AS LRHS IS CLASSIFIED AS A RURAL REFERRAL CENTER AND SOLE COMMUNITY HOSPITAL, AND ALTERNATIVELY COULD QUALIFY AS A MEDICARE-DEPENDENT HOSPITAL. THIS DEMONSTRATES THAT LRHS IS THE ONLY REASONABLE SOURCE OF HOSPITAL CARE AVAILABLE TO MEDICARE BENEFICIARIES IN OUR SERVICE AREA, AND LIKEWISE TREATS ALL BENEFICIARIES IN OUR SERVICE AREA THAT PRESENT THEMSELVES FOR CARE, DESPITE KNOWING WE WILL GENERALLY LOSE MONEY FOR CARING FOR MEDICARE PATIENTS. ADDITIONALLY, SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: COLLECTION ACTIVITY WILL BE SUSPENDED DURING THE CONSIDERATION OF COMPLETED FINANCIAL ASSISTANCE APPLICATION OR AN APPLICATION FOR ANY OTHER HEALTHCARE BRACKET (I.E. MEDICARE, MEDICAID, ETC.) A NOTE WILL BE ENTERED INTO THE PATIENT'S ACCOUNT TO SUSPEND COLLECTION ACTIVITY UNTIL THE FINANCIAL ASSISTANCE PROCESS IS COMPLETE. IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY, THE AGENCY WILL BE NOTIFIED TO SUSPEND COLLECTION EFFORTS UNTIL A DETERMINATION IS MADE. THIS NOTIFICATION WILL BE DOCUMENTED IN THE ACCOUNT NOTES. THE PATIENT WILL BE NOTIFIED VERBALLY THAT THE COLLECTION ACTIVITY WILL BE SUSPENDED DURING CONSIDERATION. IF A FINANCIAL ASSISTANCE DETERMINATION ALLOWS FOR A PERCENT REDUCTION BUT LEAVES THE PATIENT WITH A SELF-PAY BALANCE, PAYMENT TERMS WILL BE ESTABLISHED ON THE BASIS OF DISPOSABLE INCOME. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIBED IN SCHEDULE H, PART V, SECTION B, LRHS USES DATA COMPILED BY AN INDEPENDENT ENTITY, HOSPITAL INDUSTRY DATA INSTITUTE (HIDI), ON INPATIENT AND OUTPATIENT PROVIDER USE DIVIDED BY DEMOGRAPHIC AND GEOGRAPHIC SUBSET. LRHS CONSIDERS ITS PRIMARY MARKET AREA TO BE A 25 MILE RADIUS. THE HIDI DATA PROVIDES THE SERVICES USED BY ZIP CODE AND BY PROVIDER TO HELP DETERMINE MEDICAL NEEDS THAT WE ARE NOT MEETING IN OUR COMMUNITY. OTHER COMMUNITY DATA IS COLLECTED AT HEALTH FAIRS AND SCREENINGS AS WELL AS CIVIC ORGANIZATIONS. THESE SURVEYS PROFILES PARTICIPANTS BY ZIP CODE AND IDENTIFY DESIRED SERVICES. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SIGNAGE WILL BE POSTED IN ALL PATIENT INTAKE AREAS, INCLUDING, BUT NOT LIMITED TO, THE EMERGENCY ROOM AND THEY ADMISSION/PATIENT REGISTRATION AREAS. ALL PUBLIC INFORMATION AND/OR FORMS REGARDING THE PROVISIONS OF FINANCIAL ASSISTANCE WILL USE LANGUAGES THAT ARE APPROPRIATE FOR LRHS SERVICE AREA IN ACCORDANCE WITH THE STATE'S LANGUAGE ASSISTANCE SERVICES ACT. THIS POLICY WILL BE MADE AVAILABLE IN SPANISH. THE FINANCIAL ASSISTANCE APPLICATION IS POSTED ON THE LRHS WEBSITE. LRHS HAS FINANCIAL COUNSELORS IN THE PATIENT FINANCIAL SERVICE DEPARTMENT. THESE COUNSELORS MEET WITH SELF PAY PATIENTS WHEN THEY ARE IN THE FACILITY TO DISCUSS THE POLICY, AS WELL AS EDUCATE PATIENTS ON ASSISTANCE THEY MAY BE ELIGIBLE FOR UNDER FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: LRHS IS LOCATED IN OSAGE BEACH, MISSOURI, AND SERVES THE AREA SURROUNDING THE LAKE OF THE OZARKS, A 54,000 ACRE MAN-MADE LAKE LOCATED IN CENTRAL MISSOURI. LRHS' SERVICE AREA ENCOMPASSES A THREE COUNTY AREA: CAMDEN, MILLER, AND MORGAN COUNTIES. THE OVERALL SERVICE AREA 2018 POPULATION IS ESTIMATED AT 89,315. IN ADDITION TO THE RESIDENT POPULATION OF NEARLY 90,000, IN THE OVERALL SERVICE AREA, THE EVER-INCREASING VISITOR POPULATION IS A SIGNIFICANT FACTOR FOR THIS POPULAR TOURIST DESTINATION. THE LAKE OF THE OZARKS CONVENTION AND VISITORS BUREAU ESTIMATES THAT 5.0 MILLION VISITORS WILL TRAVEL TO THE REGION IN 2018. THE PROJECTED POPULATION GROWTH OF LRHS' SERVICE AREA AND ESPECIALLY THE CONTINUING MIGRATION INTO THE LAKE AREA OF RETIREES AND THE EVER-INCREASING VISITOR POPULATION, IS A SIGNIFICANT FACTOR IN THE RISING NEED FOR ACCESSIBLE AND EXPANDED MEDICAL SERVICES FOR THE LAKE AREA. THE MEDIAN HOUSEHOLD INCOME FOR EACH COUNTY IS AS FOLLOWS: CAMDEN = $46,747, MILLER = $40,057 AND MORGAN = $32,807. THE CAMDEN COUNTY 2018 ANNUAL UNEMPLOYMENT RATE AT 5.6%, ABOVE THE STATE (3.8%) AND NATIONAL (4.2%) AVERAGES. CAMDEN COUNTY HAS APPROXIMATELY 18.21% OF PERSONS BELOW POVERTY LEVEL. THE IMMEDIATE 3-COUNTY AREA OF CAMDEN, MILLER, AND MORGAN ESTIMATES UNINSURED INDIVIDUALS AT 18.1%. THERE ARE NO OTHER HOSPITALS WITHIN A 25-MILE RADIUS. USING HOSPITAL INDUSTRY DATA INSTITUTE DATA, THE LRHS MARKET IS PRIMARILY SHARED WITH 4 HOSPITALS IN THE AREA. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: LRHS SHOWS ITS SUPPORT OF THE COMMUNITY BY PROVIDING A TRIM KIDS PROGRAM. TRIM KIDS IS A 12-WEEK PLAN TO BUILD HEALTH KIDS, HEALTH FAMILIES AND HEALTH COMMUNITIES. THE TRIM KIDS PROGRAM IS A PROVEN, PRACTICAL GUIDE FOR PARENTS TO TAKE SPECIFIC SEQUENTIAL STEPS TO ENCOURAGE HEALTHY HABITS IN THEIR CHILDREN SUCH AS MAKING HEALTHY FOOD CHOICES AND ONGOING PHYSICAL ACTIVITY. THE PROGRAM IS FACILITATED BY A DIETITIAN, EXERCISE PHYSIOLOGIST, REGISTERED NURSE AND BEHAVIOR MODIFICATION PROFESSIONAL ASSOCIATED WITH LRHS. LRHS' WORKFORCE DEVELOPMENT PROGRAM INCLUDES A TWO-DAY CAREER CAMP FOR STUDENTS 10-14. THE STUDENTS LEARN ABOUT CAREERS IN NURSING, REHAB THERAPIES, LABORATORY, SURGERY AND RESPIRATORY THERAPY. CAMP INSTRUCTORS ALSO COVER TOPICS SUCH AS PATIENT CONFIDENTIALITY, INFECTION CONTROL, DISASTER MANAGEMENT, DATA MANAGEMENT, PROFESSIONAL SCHOOLS IN MISSOURI AND SCHOLARSHIP OPPORTUNITIES. ANOTHER WORKFORCE DEVELOPMENT PROGRAM AVAILABLE TO HIGH SCHOOL STUDENTS AND ADULTS INTERESTED IN PURSING NURSING CAREERS IN A FIVE-DAY NURSING CAMP. PARTICIPANTS GAIN AN UNDERSTANDING OF NURSING FUNDAMENTALS AS THEY VISIT NURSING UNITS, JOB SHADOW EXPERIENCED NURSES, LEARN ABOUT STATE-OF-THE-ART EQUIPMENT, RECEIVE CPR TRAINING, PARTICIPATE IN DISASTER MANAGEMENT TRAINING AND INTERACT WITH STAFF. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: THE AFFILIATED HEALTH CARE SYSTEM OF THE ORGANIZATION INCLUDES LAKE REGIONAL MEDICAL MANAGEMENT AND LAKE REGIONAL IMAGING PARTNERS. A WHOLLY OWNED SUBSIDIARY, LAKE REGIONAL MEDICAL MANAGEMENT, INC., D/B/A LAKE REGIONAL MEDICAL GROUP (MEDICAL MANAGEMENT), OPERATES MEDICAL CLINICS AND RETAIL PHARMACIES IN CAMDEN, MILLER AND MORGAN COUNTIES. THE ORGANIZATION HAS A 51% OWNERSHIP OF LAKE REGIONAL IMAGING PARTNERS, LLC (IMAGING PARTNERS). IMAGING PARTNERS IS A LIMITED LIABILITY COMPANY THAT OPERATES AN IMAGING CENTER IN OSAGE BEACH, MISSOURI, WHICH OFFERS CLOSED HYBRID MRI SERVICES, PET AND CT SCANS, ULTRASOUND SERVICES AND RADIOGRAPHY IMAGING SERVICES. THE 49% MINORITY INTEREST IN IMAGING PARTNERS IS OWNED BY A GROUP OF LOCAL RADIOLOGIST. true SCHOLARSHIPS 69 40351 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THE ORGANIZATION HAS AN AGREEMENT WITH MHA, AND DUE TO INCREASED PAYMENTS UNDER THE FEDERAL REIMBURSEMENT ALLOWANCE PROGRAM, THE ORGANIZATION MADE CHARITABLE CONTRIBUTIONS TO THE MHA CENTER FOR EDUCATION. THE CONTRIBUTIONS ARE USED FOR FUNDING SCHOLARSHIPS TO MEDICAL, NURSING AND ALLIED HEALTH PROFESSIONALS, AND WORKFORCE INITIATIVES TO ADDRESS THE SHORTAGES OF NURSING AND ALLIED HEALTH PROFESSIONALS AND HOSPITAL EMPLOYEES. X X true true X X X X X false true false false false true false false false GRANT BARNUM DO BOARD MEMBER 261905 0 0 0 23525 0 14824 0 4453 0 304707 0 0 0 KEVIN BYRNE DO BOARD MEMBER 0 857711 0 0 0 5852 0 14824 0 7989 0 886376 0 0 JOHN PATTON DO CHIEF OF STAFF END 09/20 0 480191 0 0 0 829 0 14824 0 1279 0 497123 0 0 JOSH BRICKNER CHIEF OF STAFF BEG 10/20 0 466011 0 0 0 19503 0 14824 0 3955 0 504293 0 0 HARBAKSH SANGHA PHYSICIAN 869148 0 0 0 4025 0 14824 0 6983 0 894980 0 0 0 MICHAEL WANG PHYSICIAN 576566 0 0 0 23604 0 14824 0 5911 0 620905 0 0 0 MARGARET COPLIN PHYSICIAN 566184 0 0 0 3707 0 14824 0 6174 0 590889 0 0 0 PATRICK O'NEIL PHYSICIAN 454550 0 0 0 888 0 14824 0 3215 0 473477 0 0 0 DANE HENRY CEO 551799 0 137960 0 1813 0 14824 0 2493 0 708889 0 0 0 HENRY ZEISEL CFO 301899 0 15750 0 1710 0 0 0 1346 0 320705 0 0 0 TOM WILLIAMS VP OF EMPLOYEE & COMMUNITY DEV 175882 0 23395 0 303 0 10384 0 5693 0 215657 0 0 0 MICHAEL BURCHAM VP OF PHYSICIAN PRACTICE 180516 0 25950 0 35214 0 12474 0 3407 0 257561 0 0 0 MELISSA HUNTER SENIOR VP OF CLINICAL 214605 0 32407 0 6205 0 13276 0 3838 0 270331 0 0 0 KEVIN MCROBERTS SENIOR VP OF OPERATIONS 286806 0 54262 0 21223 0 11824 0 5832 0 379947 0 0 0 PATRICK NEECE CIO 248870 0 43992 0 394 0 0 0 2151 0 295407 0 0 0 JASON BLAIR PHYSICIAN 338985 0 24499 0 33361 0 0 0 26609 0 423454 0 0 0 SCHEDULE J, PART I, LINE 1A REIMBURSEMENT POLICY: THE ORGANIZATION HAS A WRITTEN POLICY FOR REIMBURSEMENT RELATED TO TRAVEL FOR COMPANIONS. DIRECTORS AND KEY EMPLOYEES ARE ELIGIBLE TO RECEIVE THIS BENEFIT. THE ORGANIZATION PROVIDES ONE TYPE OF GROSS UP PAYMENT FOR THE CEO'S AUTO ALLOWANCE. THE CEO IS THE ONLY PERSON THAT RECEIVES THIS BENEFIT. THIS PAYMENT IS REPORTED AS TAXABLE COMPENSATION ON THE CEO'S W-2 FORM EACH YEAR. THE AUTO ALLOWANCE FOR 2020 WAS $4,807. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING PEOPLE PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN AND HAD A DERFERRED CONTRIBUTION TO A 457(F) NONQUALIFIED RETIREMENT PLAN: $ 14,258 MICHAEL BURCHAM SCHEDULE J, PART I, LINE 6A COMPENSATION CONTINGENT ON REVENUES OF THE ORGANIZATION: INDIVIDUALS RECEIVING INCENTIVE COMPENSATION ON PART II OF SCHEDULE J ARE ELIGIBLE TO RECEIVE THESE PAYMENTS IN AN AMOUNT THAT IS A PERCENTAGE OF BASE COMPENSATION FOR MEETING CERTAIN PERFORMANCE CRITERIA, INCLUDING SPECIFIED OPERATING MARGIN TARGETS. A HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO 431178966 60636AFK4 2012-11-18 24701264 REFUND 2003 REVENUE BOND false false false B HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO 431178966 2016-01-03 17000000 CAPITAL CONSTRUCTION PROJECTS false false false C HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO 431178966 2020-02-01 8000000 REFUND & REDEEM SERIES 2010 BOND true false false A 6250000 0 24701264 0 0 24320921 380343 0 0 0 0 0 2010 true false true true B 4348865 0 17000000 0 0 2266625 0 0 0 14773375 0 0 2018 true false true true C 2500000 0 8000000 0 0 7955000 45000 0 0 0 0 0 true false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A true false false false false false 0 0 false true B true false false false true false 0 0 false true C true false false false false false 0 0 false true A true B true C true SCHEDULE K, PART IV, LINE 5D GIC FAIR MARKET VALUE: THE GUARANTEED INVESTMENT CONTRACT FOR THE 2010 BONDS WAS ORIGINALLY ENTERED INTO WITH RESPECT TO THE 1998 BONDS. THE TAXPAYER BELIEVES THE BIDDING PROCEDURES ESTABLISHED BY 1.148-5(D)(6)(III) OF THE REGULATIONS WERE FOLLOWED BUT HAS BEEN UNABLE TO LOCATE COPIES OF THE BID SOLICITATION FORMS AND RELATED MATERIALS REQUIRED TO BE RETAINED UNDER THE REGULATION SAFE HARBOR. MITCH SHIELDS FAMILY MEMBERS OF L SHIELD 62505 WAGES false SHERRIE WILLIAMS VP TOM WILLIAMS SPOUSE 109684 WAGES false LAKE OZARK ANESTHESIA ASSOC INC OWNED BY ALAN MEAD 1433448 PHYSICIAN SREVICES false FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: OUR MISSION: PROVIDE EXCEPTIONAL HEALTHCARE. OUR VISION: TO BE THE FIRST CHOICE FOR HEALTH CARE. OUR CORE COMPETENCIES: AGILITY, COMMUNITY FOCUS, SERVICE EXCELLENCE. OUR VALUES: INTEGRITY, PATIENT CENTERED, CLINICAL EXCELLENCE, COMMITMENT TO COMMUNITY. THE SYSTEM WAS ORGANIZED IN 1973 FOR THE PURPOSE OF ESTABLISHING A NEW HOSPITAL FOR MEDICAL AND SURGICAL CARE AND FOR THE TREATMENT OF PERSONS RESIDING OR VISITING IN THE LAKE OF THE OZARKS AREA OF CENTRAL MISSOURI. IN THE MORE THAN 40 YEARS SINCE THEN, THE SYSTEM HAS EVOLVED TO PROVIDE MORE COMPREHENSIVE HEALTH CARE, INCLUDING ADDING CARDIAC-CARE, OUTPATIENT SERVICES, CANCER AND ORTHOPEDIC PROGRAMS AND CONTINUALLY EXPANDING SERVICES AND FACILITIES OVER THE YEARS. IT IS NOW DESIGNATED AS A REGIONAL REFERRAL CENTER BY MEDICARE AND HAD NEARLY 1,400 EMPLOYEES. ITS BOARD HAD ADOPTED GOVERNANCE BEST PRACTICES AND A WIDE-RANGING CORPORATE COMPLIANCE PROGRAM. BASED ON PERIODIC COMMUNITY ASSESSMENTS, THE BOARD HAD ALSO COMMITTED TO ENHANCED UNCOMPENSATED CARE POLICIES AND NUMEROUS COMMUNITY PROGRAMS (E.G. HEALTH SCREENINGS, WELLNESS ENHANCED AND RELATED CARE PROGRAMS). THE SYSTEM IS ORGANIZED AS A COMMUNITY-BASED NONPROFIT PUBLIC BENEFIT CORPORATION UNDER THE LAWS OF THE STATE OF MISSOURI. THE SYSTEM OWNS AND OPERATES A 116-LICEENSED BED ACUTE CARE HOSPITAL (THE "HOSPITAL") LOCATED ON HIGHWAY 54 IN OSAGE BEACH, MISSOURI. THE HOSPITAL IS LICENSED BY THE MISSOURI DEPARTMENT OF HEALTH AND ACCREDITED BY THE JOINT COMMISSION. THE HOSPITAL IS DESIGNATED AS A SOLE COMMUNITY HOSPITAL, MEANING THAT THE HOSPITAL IS THE PRIMARY HEALTH CARE PROVIDER FOR A MAJORITY OF MEDICARE PATIENTS WITHIN A 35-MILE RADIUS OF THE HOSPITAL. THE CORPORATION HAS ONE ACTIVE, WHOLLY-OWNED FOR-PROFIT SUBSIDIARY, LAKE REGIONAL MEDICAL MANAGEMENT, INC. ("LRMM"), WHICH OPERATES FOUR RETAIL PHARMACIES AND FIFTEEN SPECIALTY CLINICS. OPERATIONS OF LRMM ARE GOVERNED BY A SEPARATE BOARD OF DIRECTORS. THE SYSTEM IS CURRENTLY GOVERNED BY A SIXTEEN-MEMBER BOARD OF DIRECTORS (THE "BOARD"). THE BOARD HAS GENERAL RESPONSIBILITY FOR THE BUSINESS AND AFFAIRS OF THE SYSTEM, AND MAY DO AND PERFORM ALL ACTS NECESSARY TO CARRY OUT ITS PURPOSES. UNDER THE TERMS OF THE BYLAWS, THE MEMBERS OF THE BOARD SERVE THREE-YEAR STAGGERED TERMS, AND NEW MEMBERS ARE ELECTED BY THE CURRENT BOARD MEMBERS. THE OFFICERS OF THE BOARD ARE ELECTED BY THE BOARD FOR TWO-YEAR TERMS. BOARD MEMBERS SERVE IN A VOLUNTARY CAPACITY AND RECEIVE NO REMUNERATION FOR SERVICE RENDERED IN SUCH CAPACITY. FORM 990, PART III, LINE 4A-C PROGRAM SERVICE ACCOMPLISHMENTS: THE HOSPITAL PROVIDES CHARITY CARE IN SUPPORT OF ITS MISSION. THE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED IN NET PATIENT SERVICE REVENUE. IN ADDITION, THE HOSPITAL PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER CERTAIN GOVERNMENT REIMBURSED PUBLIC AID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS WHICH ARE LESS THAN ESTABLISHED CHARGES FOR THE SERVICES PROVIDED TO THE RECIPIENTS AND MANY TIMES THE PAYMENTS ARE LESS THAN THE COST OF RENDERING THE SERVICES PROVIDED. UNCOMPENSATED CHARGES RELATED TO THESE SERVICES INCLUDE CHARITY CARE, BAD DEBT, UNPAID MEDICARE, FREE MEDICAL SERVICES, HEALTH PROFESSIONALS EDUCATION, FINANCIAL CONTRIBUTIONS, AND TAXES. IN ADDITION TO UNCOMPENSATED CHARGES, THE HOSPITAL ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND CRITICAL SERVICE WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF-SUPPORTING OR FINANCIALLY VIABLE. SUCH PROGRAMS INCLUDE HEALTH SCREENING AND ASSESSMENTS, PRENATAL EDUCATION AND CARE, COMMUNITY EDUCATIONAL SERVICES, AND VARIOUS SUPPORT GROUPS. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: OTHER SERVICES INCLUDE MANAGEMENT FEES, CAFETERIA INCOME, INCOME FOR THE AUXILIARY, AND OTHER PROGRAM SERVICE ACTIVITIES. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP: OFFICERS DANE HENRY AND HENRY ZEISEL AS WELL AS BOARD MEMBERS CHARLES MCELYEA AND DENNIS MICHAELREE ARE ALL BOARD MEMBERS OF LAKE REGIONAL MEDICAL MANAGEMENT (LRMM), A RELATED TAXABLE ORGANIZATION. KEVIN BYRNE, DO AND JOHN PATTON, DO ARE ALSO EMPLOYED BY LRMM. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE 990 WAS THOROUGHLY REVIEWED BY THE MANAGER OF ACCOUNTING AND CFO. AFTER ANY CHANGES WERE MADE, THE MEMBERS OF THE BOARD OF DIRECTORS WERE PROVIDED A COPY. THE 990 WAS PRESENTED TO THE BOARD BY THE INDEPENDENT ACCOUNTANTS WHO PREPARED THE 990, AND THE BOARD HAD THE OPPORTUNITY TO ASK ANY QUESTIONS BEFORE THE 990 WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: EACH YEAR, ALL MEMBERS OF THE BOARD OF DIRECTORS, SENIOR MANAGEMENT, AND THE DEPARTMENT HEADS ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND PROPERLY DISCLOSE ANY ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST. A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO EACH DIRECTOR AT THE TIME OF APPOINTMENT, TO EACH NEW PRINCIPAL OFFICER AND EMPLOYEE AT THE TIME OF EMPLOYMENT, AND ANNUALLY TO EVERY INTERESTED PERSON. EACH INTERESTED PERSON IS REQUIRED TO SUBMIT A STATEMENT TO THE CEO ANNUALLY VERIFYING THE UNDERSTANDING WITH THE POLICY AND STATING THAT ALL CONFLICTS HAVE BEEN DISCLOSED, OR THAT NO CONFLICTS EXIST. THE CEO SUBMITS HIS ANNUAL STATEMENT TO THE CHAIRMAN OF THE BOARD. IN THE EVENT AN INTERESTED PERSON DEVELOPS A POTENTIAL CONFLICT OF INTEREST, THE PERSON MUST IMMEDIATELY UPON LEARNING ABOUT THE POTENTIAL CONFLICT DISCLOSE THE NATURE OF THE CONFLICT TO THE BOARD OF DIRECTORS. THE PERSON THEN LEAVES THE BOARD OR COMMITTEE MEETING WHILE THE ISSUE IS DISCUSSED AMONG REMAINING BOARD MEMBERS TO DETERMINE WHETHER A CONFLICT EXISTS BY MAJORITY VOTE. IF A CONFLICT DOES EXIST, A SEPARATE PERSON IS ASSIGNED TO INVESTIGATE ALTERNATIVES TO THE CONFLICT AND DETERMINE IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS POSSIBLE. IF THIS IS NOT POSSIBLE, THE BOARD THEN DECIDES BY MAJORITY VOTE IF THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE, AND WHETHER IT SHOULD OR SHOULD NOT BE ENTERED. IF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE PERSON WILL BE INFORMED OF THIS BASIS FOR SUCH BELIEF AND WILL BE GIVEN AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE PERSON'S RESPONSE AND CONDUCTING FURTHER INVESTIGATION, THE ORGANIZATION DETERMINES THAT THE PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, APPROPRIATE CORRECTIVE ACTION WILL BE TAKEN. ADDITIONALLY, THE ORGANIZATION HAS IMPLEMENTED A TAX COMPLIANCE QUESTIONNAIRE THAT ASKS DETAILED QUESTIONS, AND PROVIDES RESPONDENTS WITH APPROPRIATE DEFINITIONS AND INSTRUCTIONS, TO ENABLE THE ORGANIZATION TO GATHER INFORMATION REQUIRED TO ANSWER QUESTIONS ON THE 990 RELATING TO THE FOLLOWING AREAS: 1) THE NUMBER OF INDEPENDENT VOTING BOARD MEMBERS, 2) RELATIONSHIPS BETWEEN INTERESTED PERSONS, 3) LOANS TO OR FROM INTERESTED PERSONS, 4) GRANTS OR ASSISTANCE BENEFITING INTERESTED PERSON, AND 5) BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION DETERMINATION: THE ORGANIZATION USED GALLAGHER BENEFIT SERVICES, AN INDEPENDENT ORGANIZATION, TO HELP EVALUATE AND SET THE COMPENSATION FOR THE ORGANIZATION'S CEO. THE COMPENSATION DELIBERATIONS WERE DOCUMENTED IN THE MINUTES OF BOTH THE COMPENSATION COMMITTEE AND THE BOARD. THE REPORT IS DATED SEPTEMBER 2020. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: CERTAIN ASPECTS OF THE FINANCIAL STATEMENTS ARE AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT WHICH CAN BE FOUND ON THE ORGANIZATION'S WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART VII BOARD MEMBER COMPENSATION: GRANT BARNUM, DO, IS PAID AS A PHYSICIAN OF LAKE REGIONAL MEDICAL MANAGEMENT. BOARD MEMBERS DO NOT RECEIVE ANY COMPENSATION FOR THEIR SERVICES PROVIDED AS A MEMBER OF THE BOARD DIRECTORS. FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:16435707 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:11865693 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY FEES TOTAL FEES:1576227 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING SERVICES TOTAL FEES:1151245 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:1507394 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION TOTAL FEES:666796 FORM 990 PART IX LINE 11G DESCRIPTION:LABORATORY FEES TOTAL FEES:3964 LAKE REGIONAL IMAGING CENTER 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 202107048 DIAGNOSTIC IMAGIN MO LRHS RELATED 885667 2181689 false 0 true 0.51000 LAKE REGIONAL MEDICAL MANAGEMENT 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 431473438 PHYSICIAN MO LRHS CCORP 1.00000 true true true false false false false false false false true true true false false true true false false false LAKE REGIONAL MEDICAL MANAGEMENT B 16036275 FMV LAKE REGIONAL IMAGING PARTNERS K 78694 FMV LAKE REGIONAL MEDICAL MANAGEMENT L 959216 FMV LAKE REGIONAL MEDICAL MANAGEMENT P 2185918 FMV LAKE REGIONAL IMAGING PARTNERS L 1473772 FMV