2019-03-15T15:51:53-05:00 2018-04-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-05-01 237339737 LAKE REGIONAL HEALTH SYSTEM % DAVID HALSELL LAKE 5733488000 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 DAVID HALSELL SENIOR VP/CFO 2019-01-18 true Brian D Todd P00422601 4178658701 167.68.126.162 43032920190745000223 2019-03-15 P 35B2FEF9FD89B74F90B63698513A1BB518488CA1 39CBA67CBDC84C24964593991C1F330368A3BFFE 2017 2019-02-21 02:37:17Z DANE HENRY 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 291426094 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. 15 10 1335 243 0 261698 275452 186779689 190885327 4153398 6129110 -6345799 -9172258 184848986 188117631 144459 40584 0 0 73114485 75769289 0 0 0 100133592 110481049 173392536 186290922 11456450 1826709 223999712 224704276 75146434 75136318 148853278 149567958 X TO PROVIDE EXCEPTIONAL HEALTHCARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. true false 84477511 110399794 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 310,973 OUTPATIENT SERVICE VISITS. 57834109 65852509 LAKE REGIONAL HEALTH SYSTEM PROVIDES INPATIENT SERVICES TO THE COMMUNITY AND SURROUNDING RURAL AREAS. THE HOSPITAL PROVIDED 16,603 INPATIENT DAYS, 3,192 SKILLED NURSING FACILITY INPATIENT DAYS AND 1,244 NURSERY PATIENT DAYS FOR A TOTAL OF 21,039 INPATIENT DAYS. 9946366 8405593 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 36,549 VISITS. 6425235 40584 6227431 158683221 true true false true false false false false false false true false false false true false false true false false false false false false true false true true true true true true false false false false false false false false true true true false false false false true true true false false true 110 0 true 1335 true false false false false false true true false false false false X 15 10 true false false false false false false true true false true true true true true true true true true true true true X DAVID HALSELL 5733488000 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 X COREY TEN BENSEL PRESIDENT 1.0 0.0 X X 0 0 0 JAMES JUDAS JR VICE PRESIDENT 1.0 0.0 X X 0 0 0 ROBERT SCHWENDINGER SECRETARY 1.0 1.0 X X 0 0 0 WAYNE COMPTON TREASURER 1.0 0.0 X X 0 0 0 CHARLES MCELYEA ASSISTANT SECRETARY 1.0 1.0 X X 0 0 0 GREG ANDERSON BOARD MEMBER 1.0 0.0 X 0 0 0 GRANT BARNUM DO BOARD MEMBER 40.0 0.0 X 273341 0 20791 DENNIS MICHAELREE BOARD MEMBER 1.0 1.0 X 0 0 0 KEVIN BYRNE DO BOARD MEMBER 1.0 40.0 X 0 114895 27 JOHN CAINE BOARD MEMBER 1.0 0.0 X 0 0 0 KAREN FAIFERLICK BOARD MEMBER 1.0 0.0 X 0 0 0 ALAN MEAD MD BOARD MEMBER 1.0 0.0 X 0 0 0 JOHN PARRISH BOARD MEMBER 1.0 1.0 X 0 0 0 LARRY SHIELDS BOARD MEMBER 1.0 0.0 X 0 0 0 JOHN PATTON DO BOARD MEMBER/CHIEF OF STAFF 1.0 40.0 X 0 433416 1130 MICHAEL HENZE CEO END 12/17 40.0 0.0 X 679396 0 19659 DAVID HALSELL CFO 40.0 1.0 X 326357 0 17789 SCOTT POEST CHIEF INFORMATION OFFICER 40.0 0.0 X 221255 0 32437 DANE HENRY CEO BEG 09/17 40.0 1.0 X 139172 0 36361 PATRICK O'NEIL VP - MEDICAL AFFAIRS 40.0 0.0 X 399899 0 16392 KEVIN MCROBERTS SENIOR VP OF OPERATIONS 40.0 0.0 X 288086 0 39749 PATRICIA MUXLOW SENIOR VP OF CLINICAL SERVICES 40.0 0.0 X 183892 0 11581 THOMAS WILLIAMS VP OF EMPLOYEE & COMMUNITY DEV 40.0 0.0 X 182835 0 29312 MELISSA HUNTER SENIOR VP OF CLINICAL 40.0 0.0 X 150352 0 27701 ANDREW REVELLE PHYSICIAN 40.0 0.0 X 357575 0 5497 BECKY WATSON PHYSICIAN 40.0 0.0 X 387539 0 5384 JOSHUA BRICKNER PHYSICIAN 40.0 0.0 X 527873 0 4930 MICHAEL WANG PHSICIAN 40.0 0.0 X 600628 0 5177 SHARI NEILL PHYSICIAN 40.0 0.0 X 338856 0 18000 5057056 548311 291917 68 false true false REHABVISIONS INC 11623 ARBOR ST OMAHA NE 68114 MEDICAL SERVICES 2979928 LAKE OZARKS ANESTHESIA ASSOC PO BOX 214 OSAGE BEACH MO 65065 PHYSICIANS SERVICES 1044000 CORNERSTONE ADVISORS GROUP LLC PO BOX 419695 BOSTON MA 02241 ADVISORY SERVICES 846381 BOYCE BYNUM PATHOLOGY PO BOX 7406 COLUMBIA MO 65205 PROFESSIONAL SERVICE 656135 HMN ARCHITECTS INC 7400 WEST 110TH ST STE 200 OVERLAND PARK KS 66210 PROFESSIONAL SERVICE 599658 26 224151 51301 39700 275452 PATIENT SERVICE 624100 184657896 184657896 MANAGEMENT FEES 541610 1606849 1606849 CAFETERIA INCOME 900099 1135631 1135631 ELECTRONIC HEALTH RECORDS 642100 749327 749327 AUXILIARY INCOME 900099 151159 151159 2584465 2584465 190885327 4097356 4097356 0 0 1351478 1067349 284129 0 284129 284129 103837044 312997 101731415 386872 2105629 -73875 2031754 2031754 80521 224151 122827 -42306 -42306 0 0 0 0 0 0 CHANGE IN INTEREST IN EQUITY INVESTEES 900099 -9414081 -9414081 -9414081 188117631 190885327 -3043148 X 28584 28584 12000 12000 0 0 3096357 1877623 1218734 137524 137524 59183753 51497914 7685839 1503854 1295193 208661 7619361 6570099 1049262 4228440 3627783 600657 0 194771 194771 173172 173172 0 0 210517 210517 22434864 12920137 9514727 69864 69864 9434056 6071501 3362555 7712 7712 0 3139262 2713714 425548 387831 259127 128704 0 140729 93882 46847 1661540 1436859 224681 0 7025373 6075369 950004 1479029 109852 1369177 MEDICAL SUPPLIES & DRUGS 31630884 31630884 BAD DEBT 23374088 23374088 PROVIDER TAX 8189231 8189231 CAFETERIA/VENDING 806888 697777 109111 121238 64080 57158 186290922 158683221 27607701 0 6173 6573 49447825 24433727 0 0 18822848 20908820 0 0 0 0 0 0 5839977 5218586 2468619 2766646 202125724 136394111 58255218 65731613 82605507 100045883 4547501 3611205 0 0 0 0 2006044 1981223 223999712 224704276 16475139 14931716 0 0 0 0 43443397 45864167 0 0 0 0 2116815 1762094 0 0 13111083 12578341 75146434 75136318 X 147898528 148613208 0 0 954750 954750 148853278 149567958 223999712 224704276 1826709 -1112029 X false true X true false X false false false false false false false true 5552 true 10655 16207 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: $ 5,552 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. $ 10,655 MISSOURI HOSPITAL ASSOCIATION 6170799 6170799 99093484 69120187 29973297 85662270 64585431 21076839 11199171 2688493 8510678 65731613 0 EST AMT DUE TO 3RD PTY PYRS 12578341 12578341 165646424 65260 -23603816 -23538556 189184980 -1067349 -1067349 188117631 163819715 65260 1067349 1132609 162687106 210517 23393299 23603816 186290922 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: $ (23,374,088) BAD DEBT EXPENSE ( 210,517) INVESTMENT MANAGEMENT FEES ( 19,211) AUXILIARY EXPENSES -------------- $ (23,603,816) TOTAL SCHEDULE D, PART XI, LINE 4B OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT LINE 1: $ ( 1,067,349) RENTAL EXPENSES SCHEDULE D, PART XII, LINE 2D OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 1,067,349 RENTAL EXPENSES SCHEDULE D, PART XII, LINE 4B OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 23,374,088 BAD DEBT EXPENSE 19,211 AUXILIARY EXPENSES ------------- $ 23,393,299 TOTAL GOLF TOURNAMENT 191207 166307 24900 16860 1570 1800 14934 4884 10697 ANNUAL BALL 104219 53344 50875 29547 5600 32667 1 9246 4500 4746 144 1159 2965 304672 224151 80521 16860 1714 1800 45640 10484 46329 122827 -42306 true true X true X true X true true false false 3362821 3362821 0.02060 24849674 22897213 1952461 0.01200 28212495 22897213 5315282 0.03260 49253 49253 0.00030 482144 482144 0.00300 10527442 10104352 423090 0.00260 202747 202747 0.00120 11261586 10104352 1157234 0.00710 39474081 33001565 6472516 0.03970 false 23374088 3763228 52061777 52604911 -543134 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 15 true false false true X SEE PART V SUPPLEMENTAL INFO X true 15 true SEE PART V SUPPLEMENTAL INFO false true X 200. 400. 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 true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY REPRESENTATION: PHONE INTERVIEWS WERE CONDUCTED WITH 25 COMMUNITY STAKEHOLDERS. PARTICIPANTS WERE IDENTIFIED BASED ON THEIR INVOLVEMENT IN LOCAL BUSINESSES, GOVERNMENTS, SCHOOLS OR IN SERVING LOW-INCOME POPULATIONS. STAKEHOLDERS INCLUDED PUBLIC HEALTH EXPERTS, CLINICIANS AND INDIVIDUALS WHO PROVIDE SERVICES TO THE MEDICALLY UNDERSERVED. SCHEDULE H, PART V, LINE 7A CHNA WEBSITE: HTTPS://WWW.LAKEREGIONAL.COM/MEDIA/1047/2015-CHNA-REPORT.PDF SCHEDULE H, PART V, LINE 10A IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.LAKEREGIONAL.COM/MEDIA/2333/2018_CHNA_IMPLEMENTATION_PLAN.PDF 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 OZARKS 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 CENTER 54 HOSPITAL DRIVE 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) LESS BAD DEBT EXPENSE OF $23,374,088. 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 HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, WHICH IS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. DELINQUENT RECEIVABLES ARE WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. LINE 2 WAS DETERMINED BY TAKING THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS PER THE AUDITED FINANCIAL STATEMENTS. 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: BAD DEBT EXPENSE IS EXPLAINED ON LAKE REGIONAL HEALTH SYSTEM'S INDEPENDENT AUDITOR'S REPORT AND CONSOLIDATED FINANCIAL STATEMENTS FOR APRIL 30, 2018, PAGE 9. 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 PROFILE 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 THE 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 2010 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 2010. 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 = $41,350, MILLER = $37,853 AND MORGAN = $32,621. THE CAMDEN COUNTY 2015 ANNUAL UNEMPLOYMENT RATE AT 10.9%, ABOVE THE STATE (7.2%) AND NATIONAL (6.8%) AVERAGES. CAMDEN COUNTY HAS APPROXIMATELY 16.08% OF PERSONS BELOW POVERTY LEVEL. THE IMMEDIATE 3-COUNTY AREA OF CAMDEN, MILLER, AND MORGAN ESTIMATES UNINSURED INDIVIDUALS AT 42.19%. 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 HEALTHY KIDS, HEALTHY FAMILIES AND HEALTHY 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 PURSUING NURSING CAREERS IS 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 RADIOLOGISTS. true MHA CENTER FOR EDUCATION PO BOX 60 JEFFERSON CITY MO 65102 430898947 501(C)(3) 11922 FUND CAMDENTON R-III SCHOOL DISTRICT PO BOX 1409 CAMDENTON MO 65020 446004944 STATE OF MO 8712 CLASSROOM IMPACT GRANTS 2 SCHOLARSHIPS 9 12000 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. THE ORGANIZATION ALSO MAKES CONTRIBUTIONS TO VARIOUS LOCAL PROGRAMS WHEN REQUESTED BY THE ORGANIZATION AND APPROVED FOR A LOCAL NEED. SCHOLARSHIPS ARE PAID OUT TO STUDENTS PURSUING NURSING CAREERS THROUGH THE ETHEL RAYBURN NURSING SCHOLARSHIP PROGRAM. SCHOLARSHIPS WERE ALSO PAID AS MATCHING FUNDS. X X true true X X X X X false true false false false false false false false MICHAEL HENZE CEO END 12/17 447890 0 110001 0 121505 0 15095 0 4564 0 699055 0 67813 0 PATRICK O'NEIL VP - MEDICAL AFFAIRS 361187 0 21757 0 16955 0 15095 0 1297 0 416291 0 0 0 DAVID HALSELL CFO 239752 0 38053 0 48552 0 15095 0 2694 0 344146 0 24843 0 KEVIN MCROBERTS SENIOR VP OF OPERATIONS 239235 0 37497 0 11354 0 34484 0 5265 0 327835 0 0 0 PATRICIA MUXLOW SENIOR VP OF CLINICAL SERVICES 128741 0 22692 0 32459 0 9892 0 1689 0 195473 0 13360 0 SCOTT POEST CHIEF INFORMATION OFFICER 185845 0 28902 0 6508 0 27228 0 5209 0 253692 0 0 0 THOMAS WILLIAMS VP OF EMPLOYEE & COMMUNITY DEV 160828 0 21150 0 857 0 23912 0 5400 0 212147 0 0 0 MELISSA HUNTER SENIOR VP OF CLINICAL 144532 0 4476 0 1344 0 21688 0 6013 0 178053 0 0 0 DANE HENRY CEO BEG 09/17 138867 0 0 0 305 0 36000 0 361 0 175533 0 0 0 GRANT BARNUM DO BOARD MEMBER 251281 0 0 0 22060 0 15095 0 5696 0 294132 0 0 0 ANDREW REVELLE PHYSICIAN 294911 0 19013 0 43651 0 0 0 5497 0 363072 0 0 0 BECKY WATSON PHYSICIAN 365601 0 0 0 21938 0 0 0 5384 0 392923 0 0 0 JOSHUA BRICKNER PHYSICIAN 509498 0 0 0 18375 0 0 0 4930 0 532803 0 0 0 MICHAEL WANG PHSICIAN 578186 0 0 0 22442 0 0 0 5177 0 605805 0 0 0 JOHN PATTON DO BOARD MEMBER/CHIEF OF STAFF 0 402968 0 29511 0 937 0 0 0 1130 0 434546 0 0 SHARI NEILL PHYSICIAN 270884 0 67547 0 425 0 18000 0 0 0 356856 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. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE FOLLOWING PEOPLE PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN AND RECEIVED AN EXECUTIVE 457(F) TAXABLE DISTRIBUTION: $ 24,843 DAVID HALSELL $ 67,813 MICHAEL HENZE $ 13,360 PATRICIA MUXLOW THE FOLLOWING PEOPLE HAD A DEFERRED CONTRIBUTION TO A 457(F) NONQUALIFIED RETIREMENT PLAN: $ 36,000 DANE HENRY $ 13,480 MELISSA HUNTER $ 19,389 KEVIN MCROBERTS $ 14,803 SCOTT POEST $ 15,480 THOMAS WILLIAMS A HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO 431178966 60635R8G5 2010-10-20 28426416 REFUND 1996 & 1998 REVENUE BONDS false false false B HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO 431178966 60636AFK4 2012-12-18 24701264 REFUND 2003 REVENUES BONDS false false false C HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO 431178966 2016-10-03 17000000 CAPITAL CONSTRUCTION PROJECTS false false false A 13590000 0 28426416 0 0 28188586 237830 0 0 0 0 0 2010 true false true true B 3700000 0 24701264 0 0 24320921 380343 0 0 0 0 0 2012 true false true true C 1428833 0 17000000 0 0 2226625 0 0 0 10914221 3859154 0 true false false true A 0 B false false false false 0 false false false true C false false false false 0 false false false true A true false false 0 true JP MORGAN CHASE BANK 17.7 false true true B false false false true false false 0 false 0 false true C false true false false true false 0 false 0 false true A true B true C true SCHEDULE K, PART IV, LINE 2C, COLUMN B REBATE COMPUTATION: THE REBATE COMPUTATION WAS PERFORMED AS OF DECEMBER 1, 2017. 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. SHERRIE WILLIAMS FAMILY MEMBER T. WILLIAMS 84665 WAGES false MITCHELL SHIELDS FAMILY MEMBER L SHIELDS 52869 WAGES false LAKE OZARK ANESTHESIA ASSOC INC SEE PART V 1181000 PHYSICIAN SERVICES false SCHEDULE L, PART IV, LINE 3 BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: ALAN MEAD, MD, IS A CURRENT BOARD MEMBER AND IS THE SOLE OWNER OF LAKE OZARK ANESTHESIA & ASSOC INC, WHICH PROVIDES PHYSICIANS SERVICES AS AN INDEPENDENT CONTRACTOR. X LIVE AUCTION 15 15200 COST X SILENT AUCTION 178 19500 COST X FLOWERS 1 5000 COST false true false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS LISTED IN COLUMN B IS BASED ON THE NUMBER OF CONTRIBUTORS. 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 30 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 HAS 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-LICENSED 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 FIFTEEN-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 2 SIGNIFICANT PROGRAM SERVICES BEGAN DURING THE YEAR: DURING THE FISCAL YEAR, LAKE REGIONAL HEALTH SYSTEM OPENED LAKE REGIONAL HOSPICE. LAKE REGIONAL HOSPICE HELPS PATIENTS LIVE AS FULLY AS POSSIBLE, SURROUNDED BY FAMILY AND FRIENDS, THROUGH THE END OF LIFE. THE GOAL OF HOSPICE IS TO IMPROVE QUALITY OF LIFE BY PROVIDING COMFORT AND SYMPTOM MANAGEMENT, INCLUDING PAIN CONTROL. FORM 990, PART III, LINES 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 ELECTRONIC HEALTH RECORDS INCENTIVES, MANAGEMENT FEES, CAFETERIA INCOME, INCOME FROM THE AUXILIARY, AND OTHER PROGRAM SERVICE ACTIVITIES. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP: OFFICERS DANE HENRY AND DAVID HALSELL AS WELL AS BOARD MEMBERS JOHN PARRISH, CHARLES MCELYEA, ROBERT SCHWENDINGER, AND DENNIS MICHAELREE ARE ALL BOARD MEMBERS OF LAKE REGIONAL MEDICAL MANAGEMENT (LRMM), A RELATED TAXABLE ORGANIZATION. JOHN PATTON, DO, AND KEVIN BYRNE, 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 DIRECTOR OF ACCOUNTING, CFO AND CEO. 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 THE 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 15A COMPENSATION DETERMINATION: THE ORGANIZATION USED INTEGRATED HEALTHCARE STRATEGIES, 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 FEBRUARY 2018. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION DETERMINATION: THE ORGANIZATION USED INTEGRATED HEALTHCARE STRATEGIES, AN INDEPENDENT ORGANIZATION, TO HELP EVALUATE AND SET THE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION DELIBERATIONS WERE DOCUMENTED IN THE MINUTES OF BOTH THE COMPENSATION COMMITTEE AND THE BOARD. THE REPORT IS DATED FEBRUARY 2018. 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. JOHN PATTON, DO, IS PAID AS CHIEF OF STAFF AND RECEIVES COMPENSATION FROM LAKE REGIONAL MEDICAL MANAGEMENT (LRMM), A RELATED TAXABLE ORGANIZATION. KEVIN BYRNE, DO, IS PAID AS A PHYSICIAN BY LRMM. BOARD MEMBERS DO NOT RECEIVE ANY COMPENSATION FOR THEIR SERVICES PROVIDED AS A MEMBER OF THE BOARD OF DIRECTORS. FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:10752690 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:7941728 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:1728581 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING SERVICES TOTAL FEES:869995 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY FEES TOTAL FEES:739854 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION TOTAL FEES:286422 FORM 990 PART IX LINE 11G DESCRIPTION:TECHNICIAN FEES TOTAL FEES:105220 FORM 990 PART IX LINE 11G DESCRIPTION:LABORATORY FEES TOTAL FEES:10374 LAKE REGIONAL IMAGING PARTNERS 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 202107048 DAIGNOSTIC IMAGIN MO LRHS RELATED 599160 2591289 false 0 true 0.51000 LAKE REGIONAL MEDICAL MANAGEMENT 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 431473438 PHYSICIAN SERVICE MO LRHS C-CORP 23192382 5537825 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 A/J 595204 FMV LAKE REGIONAL MEDICAL MANAGEMENT B 8605000 FMV LAKE REGIONAL IMAGING PARTNERS LLC K 78694 FMV LAKE REGIONAL MEDICAL MANAGEMENT L 383306 FMV LAKE REGIONAL MEDICAL MANAGEMENT P 4861884 FMV LAKE REGIONAL IMAGING PARTNERS LLC L 1426300 FMV