LAKE REGIONAL HEALTH SYSTEM: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: LAKE REGIONAL HEALTH SYSTEM (EIN 23-7339737)
Tax period: 2016-05-01 to 2017-04-30
Filed: 2018-03-09
IRS object ID: 201810689349300416
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-03-09T10:09:03-06:00	ReturnTs
Tax Period End	2017-04-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-05-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	237339737	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LAKE REGIONAL HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% DAVID HALSELL	InCareOfNm
Business Name Control	LAKE	BusinessNameControlTxt
Phone	5733488000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	54 HOSPITAL DRIVE	AddressLine1Txt
City	OSAGE BEACH	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65065	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID HALSELL	PersonNm
Person Title	SENIOR VP/CFO	PersonTitleTxt
Signature	2017-08-28	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	43032920180685000041	FederalOriginalSubmissionId
Federal Original Submission Id	2018-03-09	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	35B2FEF9FD89B74F90B63698513A1BB518488CA1	AtSubmissionCreationDeviceId
At Submission Filing Device Id	AE6E5E46D41BC60DF08B4BEE75B34EFCBA1C7A6F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL HENZE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	54 HOSPITAL DRIVE	AddressLine1Txt
City	OSAGE BEACH	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65065	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$308,327,885	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.LAKEREGIONAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1973	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	LAKE REGIONAL HEALTH SYSTEM PROVIDES AN EXTENSIVE VARIETY OF OUTPATIENT & INPATIENT HEALTHCARE SERVICES AS WELL AS AN EMERGENCY DEPARTMENT TO RESIDENTS & VISITORS.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1294	TotalEmployeeCnt
Total Volunteers	236	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$254,863	PYContributionsGrantsAmt
CY Contributions Grants	$261,698	CYContributionsGrantsAmt
PY Program Service Revenue	$174,373,296	PYProgramServiceRevenueAmt
CY Program Service Revenue	$186,779,689	CYProgramServiceRevenueAmt
PY Investment Income	$4,083,753	PYInvestmentIncomeAmt
CY Investment Income	$4,153,398	CYInvestmentIncomeAmt
PY Other Revenue	-$4,667,022	PYOtherRevenueAmt
CY Other Revenue	-$6,345,799	CYOtherRevenueAmt
PY Total Revenue	$174,044,890	PYTotalRevenueAmt
CY Total Revenue	$184,848,986	CYTotalRevenueAmt
PY Grants And Similar Paid	$23,626	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$144,459	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$69,782,802	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$73,114,485	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$95,599,612	PYOtherExpensesAmt
CY Other Expenses	$100,133,592	CYOtherExpensesAmt
PY Total Expenses	$165,406,040	PYTotalExpensesAmt
CY Total Expenses	$173,392,536	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,638,850	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$11,456,450	CYRevenuesLessExpensesAmt
Total Assets BOY	$206,613,366	TotalAssetsBOYAmt
Total Assets EOY	$223,999,712	TotalAssetsEOYAmt
Total Liabilities BOY	$71,983,919	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$75,146,434	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$134,629,447	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$148,853,278	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE EXCEPTIONAL HEALTHCARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$77,490,647	ExpenseAmt
Revenue	$102,934,826	RevenueAmt
Desc	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 299,864 OUTPATIENT SERVICE VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$56,291,374	ExpenseAmt
Revenue	$61,399,721	RevenueAmt
Desc	LAKE REGIONAL HEALTH SYSTEM PROVIDES INPATIENT SERVICES TO THE COMMUNITY AND SURROUNDING RURAL AREAS. THE HOSPITAL PROVIDED 17,127 INPATIENT DAYS, 2,993 SKILLED NURSING FACILITY INPATIENT DAYS AND 1,280 NURSERY PATIENT DAYS FOR A TOTAL OF 21,400 INPATIENT DAYS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$9,147,168	ExpenseAmt
Revenue	$16,252,867	RevenueAmt
Desc	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 37,654 VISITS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$6,151,606	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$144,459	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$6,192,275	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$149,080,795	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	121	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1294	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID HALSELL	PersonNm
Phone	5733488000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	54 HOSPITAL DRIVE	AddressLine1Txt
City	OSAGE BEACH	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65065	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DENNIS MICHAELREE
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
COREY TEN BENSEL
PRESIDENT BEGINNING 06/16	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JAMES JUDAS JR
VICE PRESIDENT BEGINNING 06/16	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
WAYNE COMPTON
TREASURER	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
ROBERT SCHWENDINGER
SECRETARY	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
CHARLES MCELYEA
ASSISTANT SECRETARY	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
GREG ANDERSON
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
GRANT BARNUM
BOARD MEMBER	40.0	0.0	Yes (X)	$227,072	$0	$4,611
KEVIN BYRNE
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
JOHN CAINE
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
KAREN FAIFERLICK
BOARD MEMBER BEGINNING 06/16	1.0	0.0	Yes (X)	$0	$0	$0
ALAN MEAD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
PATRICK O'NEIL
CHIEF OF STAFF/DIRECTOR	40.0	0.0	Yes (X)	$394,054	$0	$33,571
JOHN PARRISH
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
LARRY SHIELDS
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
MICHEAL HENZE
CHIEF EXECUTIVE OFFICER	40.0	0.0		$896,780	$0	$364,645	Yes (X)
DAVID HALSELL
CHIEF FINANCIAL OFFICER	40.0	0.0		$297,432	$0	$28,459	Yes (X)
SCOTT POEST
CHIEF INFORMATION OFFICER	40.0	0.0		$268,222	$0	$10,742	Yes (X)
ROBERT W HYATT
SENIOR VP OF MEDICAL AFFAIRS	40.0	0.0		$420,197	$0	$39,019		Yes (X)
KEVIN MCROBERTS
SENIOR VP OF OPERATIONS	40.0	0.0		$336,999	$0	$15,426		Yes (X)
PATTY MUXLOW
SENIOR VP OF CLINICAL SERVICES	40.0	0.0		$210,822	$0	$23,198		Yes (X)
TOM WILLIAMS
VP OF EMPLOYEE & COMMUNITY DEV	40.0	0.0		$168,142	$0	$10,330		Yes (X)
MICHAEL WANG
DOCTOR	40.0	0.0		$598,943	$0	$15,399			Yes (X)
JOSHUA BRICKNER
DOCTOR	40.0	0.0		$459,755	$0	$11,991			Yes (X)
TRENT RUSSELL
DOCTOR	40.0	0.0		$426,186	$0	$13,071			Yes (X)
MARIA BERNABE
DOCTOR	40.0	0.0		$350,622	$0	$1,219			Yes (X)
BECKY WATSON
DOCTOR	40.0	0.0		$339,982	$0	$13,549			Yes (X)
F JOE BUTTS
FORMER VP FACILITIES	0.0	0.0		$123,029	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,518,237	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$585,230	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	74	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CORNERSTONE ADVISORS GROUP
PO BOX 569	GOERGETOWN	CT	06829	CONSULTING	$1,079,130
SHAHBAZ RIAZ
3610 HARBOR LND	QUINCY	IL	62305	PHYSICIAN	$372,710
FAHAD OMAR
3500 SCOTT BLVD UNIT 11B	COLUMBIA	MO	65203	PHYSICIAN	$317,047
BOYCE BYNUM PATHOLOGY
PO BOX 7406	COLUMBIA	MO	65205	PATHOLOGY SERVICES	$313,974
WYRICK MECHANICAL LLC
43352 HWY CC	RUSSELLVILLE	MO	65074	CONTRACT LABOR	$285,006

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
Fundraising	$207,388	FundraisingAmt
All Other Contributions	$54,310	AllOtherContributionsAmt
Noncash Contributions	$42,770	NoncashContributionsAmt
Total Contributions	$261,698	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE	624100	$180,587,414	$180,587,414
ELECTRONIC HEALTH RECORDS	624100	$645,143	$645,143
MANAGEMENT FEES	541610	$1,769,360	$1,769,360
CAFETERIA INCOME	900099	$942,691	$942,691
AUXILIARY INCOME	900099	$194,510	$194,510

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,640,571	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,640,571	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$186,779,689	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,833,119	TotalRevenueColumnAmt
Exclusion	$2,833,119	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,204,011	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$982,336	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$221,675	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$221,675	TotalRevenueColumnAmt
Exclusion	$221,675	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$123,711,928	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$122,390,892	SecuritiesAmt
Other	$757	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,321,036	SecuritiesAmt
Other	-$757	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,320,279	TotalRevenueColumnAmt
Exclusion	$1,320,279	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$86,425	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$207,388	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$104,914	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$18,489	TotalRevenueColumnAmt
Exclusion	-$18,489	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CHANGE IN INTEREST IN EQUITY INVESTEES	900099	-$6,115,662	-$6,115,662
LOSS ON EXTINQUISHMENT OF DEBT	900099	-$433,323	-$433,323

Field	Value	IRS element (for citing)
Other Revenue Total	-$6,548,985	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$184,848,986	TotalRevenueColumnAmt
Related Or Exempt Func Income	$186,779,689	RelatedOrExemptFuncIncomeAmt
Exclusion	-$2,192,401	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$119,959	TotalAmt
Program Services	$119,959	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$24,500	TotalAmt
Program Services	$24,500	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,749,451	TotalAmt
Program Services	$2,162,135	ProgramServicesAmt
Management And General	$1,587,316	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$265,651	TotalAmt
Program Services	$265,651	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$55,233,557	TotalAmt
Program Services	$47,797,863	ProgramServicesAmt
Management And General	$7,435,694	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,618,738	TotalAmt
Program Services	$1,618,738	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,220,838	TotalAmt
Program Services	$7,016,563	ProgramServicesAmt
Management And General	$1,204,275	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,026,250	TotalAmt
Program Services	$3,434,513	ProgramServicesAmt
Management And General	$591,737	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$134,367	TotalAmt
Management And General	$134,367	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$159,018	TotalAmt
Management And General	$159,018	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$198,275	TotalAmt
Management And General	$198,275	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,745,791	TotalAmt
Program Services	$12,357,080	ProgramServicesAmt
Management And General	$7,388,711	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$58,840	TotalAmt
Program Services	$219	ProgramServicesAmt
Management And General	$58,621	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,359,946	TotalAmt
Program Services	$5,512,020	ProgramServicesAmt
Management And General	$2,847,926	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,565	TotalAmt
Management And General	$8,565	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,950,503	TotalAmt
Program Services	$2,637,374	ProgramServicesAmt
Management And General	$313,129	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$307,981	TotalAmt
Program Services	$176,851	ProgramServicesAmt
Management And General	$131,130	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$149,550	TotalAmt
Program Services	$93,944	ProgramServicesAmt
Management And General	$55,606	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,486,208	TotalAmt
Program Services	$1,327,774	ProgramServicesAmt
Management And General	$158,434	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,387,596	TotalAmt
Program Services	$5,706,660	ProgramServicesAmt
Management And General	$680,936	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,324,449	TotalAmt
Program Services	$120,738	ProgramServicesAmt
Management And General	$1,203,711	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$31,434,828	$31,434,828
BAD DEBT EXPENSE	$18,496,715	$18,496,715
PROVIDER TAX	$8,039,968	$8,039,968
CAFETERIA/VENDING	$762,186	$680,935	$81,251

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$128,806	TotalAmt
Program Services	$55,767	ProgramServicesAmt
Management And General	$73,039	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$173,392,536	TotalAmt
Program Services	$149,080,795	ProgramServicesAmt
Management And General	$24,311,741	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,668	BOYAmt
EOY	$6,173	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$43,179,842	BOYAmt
EOY	$49,447,825	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$19,049,550	BOYAmt
EOY	$18,822,848	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,635,891	BOYAmt
EOY	$5,839,977	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,281,202	BOYAmt
EOY	$2,468,619	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$187,892,890	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$129,637,672	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$53,056,415	BOYAmt
EOY	$58,255,218	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$76,835,641	BOYAmt
EOY	$82,605,507	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$5,126,034	BOYAmt
EOY	$4,547,501	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,443,123	BOYAmt
EOY	$2,006,044	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$206,613,366	BOYAmt
EOY	$223,999,712	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,076,036	BOYAmt
EOY	$16,475,139	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$40,293,453	BOYAmt
EOY	$43,443,397	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,778,620	BOYAmt
EOY	$2,116,815	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,835,810	BOYAmt
EOY	$13,111,083	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$71,983,919	BOYAmt
EOY	$75,146,434	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$133,674,697	BOYAmt
EOY	$147,898,528	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$954,750	BOYAmt
EOY	$954,750	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$134,629,447	BOYAmt
EOY	$148,853,278	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$206,613,366	BOYAmt
EOY	$223,999,712	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$11,456,450	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,767,381	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$6,750	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$13,904	OtherActivitiesAmt
Total Lobbying Expenditures	$20,654	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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: $ 6,750 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. $ 13,904 MISSOURI HOSPITAL ASSOCIATION

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,819,802	OtherCostOrOtherBasisAmt
Book Value	$5,819,802	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$92,244,074	OtherCostOrOtherBasisAmt
Depreciation	$66,815,293	DepreciationAmt
Book Value	$25,428,781	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,921,767	OtherCostOrOtherBasisAmt
Depreciation	$60,351,507	DepreciationAmt
Book Value	$13,570,260	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,907,247	OtherCostOrOtherBasisAmt
Depreciation	$2,470,872	DepreciationAmt
Book Value	$13,436,375	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$58,255,218	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	EST AMT DUE TO 3RD PTY PYRS	Desc
Amt	$13,111,083	Amt

Field	Value	IRS element (for citing)
Total Liability	$13,111,083	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$167,156,017	TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts	$81,000	DonatedServicesAndUseFcltsAmt
Other Revenue	-$18,756,305	OtherRevenueAmt
Revenue Not Reported	-$18,675,305	RevenueNotReportedAmt
Revenue Subtotal	$185,831,322	RevenueSubtotalAmt
Other Revenues Not Included	-$982,336	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$982,336	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$184,848,986	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$155,699,567	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$81,000	DonatedServicesUseFcltsAmt
Other Expenses Included	$982,336	OtherExpensesIncludedAmt
Expenses Not Reported	$1,063,336	ExpensesNotReportedAmt
Expenses Subtotal	$154,636,231	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$198,275	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$18,558,030	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$18,756,305	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$173,392,536	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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: $ (18,496,715) BAD DEBT EXPENSE (198,275) INVESTMENT MANAGEMENT FEES (61,315) AUXILIARY EXPENSES -------------- $ (18,756,305) TOTAL
SCHEDULE D, PART XI, LINE 4B	OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT LINE 1: $ ( 982,336) RENTAL EXPENSES
SCHEDULE D, PART XII, LINE 2D	OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 982,336 RENTAL EXPENSES
SCHEDULE D, PART XII, LINE 4B	OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 18,496,715 BAD DEBT EXPENSE 61,315 AUXILIARY EXPENSES ------------- $ 18,558,030 TOTAL

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$187,540	GrossReceiptsEvent1Amt
Charitable Contri Event1	$159,610	CharitableContriEvent1Amt
Gross Revenue Event1	$27,930	GrossRevenueEvent1Amt
Cash Prizes Event1	$18,510	CashPrizesEvent1Amt
Non Cash Prizes Event1	$12,490	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$1,800	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$16,830	FoodAndBeverageEvent1Amt
Entertainment Event1	$2,200	EntertainmentEvent1Amt
Other Direct Expenses Event1	$6,283	OtherDirectExpensesEvent1Amt
Event2	ANNUAL BALL	Event2Nm
Gross Receipts Event2	$95,803	GrossReceiptsEvent2Amt
Charitable Contri Event2	$43,428	CharitableContriEvent2Amt
Gross Revenue Event2	$52,375	GrossRevenueEvent2Amt
Food And Beverage Event2	$29,970	FoodAndBeverageEvent2Amt
Entertainment Event2	$9,000	EntertainmentEvent2Amt
Other Direct Expenses Event2	$2,591	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$10,620	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$4,500	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$6,120	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$5,240	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$293,963	GrossReceiptsTotalAmt
Charitable Contributions Tot	$207,538	CharitableContributionsTotAmt
Gross Revenue Total Events	$86,425	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$18,510	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$12,490	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$1,800	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$46,800	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$11,200	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$14,114	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$104,914	DirectExpenseSummaryEventsAmt
Net Income Summary	-$18,489	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,721,198	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,721,198	NetCommunityBenefitExpnsAmt
Total Expense	0.02400	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,666,078	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,236,856	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,429,222	NetCommunityBenefitExpnsAmt
Total Expense	0.03510	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,387,276	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,236,856	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,150,420	NetCommunityBenefitExpnsAmt
Total Expense	0.05910	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,572	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,572	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$444,420	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$444,420	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,657,251	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,342,097	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$315,154	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$144,459	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$144,459	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,291,702	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,342,097	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$949,605	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,678,978	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,578,953	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,100,025	NetCommunityBenefitExpnsAmt
Total Expense	0.06520	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$18,496,715	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,589,540	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$60,627,865	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$64,960,940	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,333,075	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	LAKE REG IMAGING PTR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	DIAGNOSTIC IMAGING SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.51	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.49	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LAKE REGIONAL HEALTH SYSTEM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	54 HOSPITAL DRIVE	AddressLine1Txt
City	OSAGE BEACH	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65065	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.LAKEREGIONAL.COM	WebsiteAddressTxt
State License	291-35	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LAKE REGIONAL HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V SUPPLEMENTAL INFO	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V SUPPLEMENTAL INFO	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V SUPPLEMENTAL INFO	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 SCHEUDULE H, PART V, LINE 10A IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.LAKEREGIONAL.COM/MEDIA/1795/2015_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 HEART DISEASE, SMOKING/TOBACCO USE, CANCER, DIABETES AND MENTAL HEALTH. A CHRONIC DISEASE SELF MANAGEMENT PROGRAM HAS BEEN DEVELOPED USING THE EVIDENCE BASED STANFORD UNIVERSITY MODEL IN PARTNERSHIP WITH THE CAMDEN AND MILLER COUNTY HEALTH DEPARTMENTS AND THE KATY TRAIL HEALTH CENTER IN MORGAN COUNTY TO ADDRESS HEART DISEASE, DIABETES AND CANCER SCREENING. WE WILL CONTINUE TO WORK TOWARD ADDRESSING SMOKING/TOBACCO USE AND MENTAL HEALTH ISSUES.
SCHEDULE H, PART V, SECTION B, LINE 13H	FACTORS USED IN DETERMINING BASIS FOR AMOUNTS CHARGED TO PATIENTS: TO OBTAIN PRICING FOR GROSS CHARGES, LRHS USES REGIONAL COMPARATIVE PRICING DATA FROM MEDASSETS WHICH IS OUR STANDARD FOR DEFENSIBLE PRICING.
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 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.
SCHEDULE H, PART V, SECTION B, LINE 22D	MAXIMUM AMOUNTS CHARGED: ANY FAP-ELIGIBLE INDIVIDUAL WOULD RECEIVE A 100% DISCOUNT AND THEREFORE WOULD NOT BE CHARGED MORE THAN AMOUNTS GENERALLY BILLED.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $18,496,715.
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 WORKSHEETS 1, 3 AND 6.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: LAKE REGIONAL HEALTH SYSTEM CONDUCTED COMMUNITY BUILDING ACTIVITIES BY PROVIDING THE FOLLOWING: -MEETING SPACE, STAFF TIME, AND FOOD FOR A CAREER CAMP THAT RUNS TWO DAYS IN THE SUMMER FOR KIDS.
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, 2017, 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 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 A 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 PROVISION 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 SERVICES 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 WAS 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MHA CENTER FOR EDUCATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 60	AddressLine1Txt
City	JEFFERSON CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65102	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	430898947	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$11,438	CashGrantAmt
Purpose Of Grant	FUND	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	11	RecipientCnt
Cash Grant	$24,500	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GRANT BARNUM
BOARD MEMBER	$209,072	$0	$0	$0	$18,000	$0	$0	$0	$4,611	$0	$231,683	$0	$0	$0
PATRICK O'NEIL
CHIEF OF STAFF/DIRECTOR	$380,375	$0	$13,679	$0	$0	$0	$28,600	$0	$4,971	$0	$427,625	$0	$0	$0
MICHAEL WANG
DOCTOR	$580,579	$0	$0	$0	$18,364	$0	$10,600	$0	$4,799	$0	$614,342	$0	$0	$0
JOSHUA BRICKNER
DOCTOR	$453,107	$0	$0	$0	$6,648	$0	$10,600	$0	$1,391	$0	$471,746	$0	$0	$0
TRENT RUSSELL
DOCTOR	$419,538	$0	$0	$0	$6,648	$0	$10,600	$0	$2,471	$0	$439,257	$0	$0	$0
MARIA BERNABE
DOCTOR	$350,622	$0	$0	$0	$0	$0	$0	$0	$1,219	$0	$351,841	$0	$0	$0
BECKY WATSON
DOCTOR	$330,265	$0	$0	$0	$9,717	$0	$10,600	$0	$2,949	$0	$353,531	$0	$0	$0
MICHEAL HENZE
CHIEF EXECUTIVE OFFICER	$795,884	$0	$55,424	$0	$45,472	$0	$360,412	$0	$4,233	$0	$1,261,425	$0	$0	$0
DAVID HALSELL
CHIEF FINANCIAL OFFICER	$253,744	$0	$22,174	$0	$21,514	$0	$23,660	$0	$4,799	$0	$325,891	$0	$0	$0
ROBERT W HYATT
SENIOR VP OF MEDICAL AFFAIRS	$362,646	$0	$26,903	$0	$30,648	$0	$36,927	$0	$2,092	$0	$459,216	$0	$0	$0
KEVIN MCROBERTS
SENIOR VP OF OPERATIONS	$315,338	$0	$19,775	$0	$1,886	$0	$10,455	$0	$4,971	$0	$352,425	$0	$0	$0
PATTY MUXLOW
SENIOR VP OF CLINICAL SERVICES	$190,422	$0	$14,973	$0	$5,427	$0	$21,465	$0	$1,733	$0	$234,020	$0	$0	$0
SCOTT POEST
CHIEF INFORMATION OFFICER	$244,392	$0	$15,805	$0	$8,025	$0	$8,301	$0	$2,441	$0	$278,964	$0	$0	$0
TOM WILLIAMS
VP OF EMPLOYEE & COMMUNITY DEV	$153,008	$0	$13,411	$0	$1,723	$0	$5,531	$0	$4,799	$0	$178,472	$0	$0	$0
F JOE BUTTS
FORMER VP FACILITIES	$0	$0	$0	$0	$123,029	$0	$0	$0	$0	$0	$123,029	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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: F. JOE BUTTS $123,029 THE FOLLOWING PEOPLE HAD A DEFERRED CONTRIBUTION TO A 457(F) NONQUALIFIED RETIREMENT PLAN: DAVID HALSELL $23,660 MICHAEL HENZE $65,205 ROBERT HYATT $26,327 PATRICIA MUXLOW $12,880

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HEALTH AND EDUCATION FACILITIES AUTHORITY OF MO
A	431178966	60635R8G5	2010-10-20	$28,426,416	REFUND 1996 & 1998 REVENUE BONDS	false	false	false
HEALTH & EDUCATIONAL FACILITIES OF MO
B	431178966	60636AFK4	2012-12-18	$24,701,264	REFUND 2003 REVENUES BONDS	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO
C	431178966		2016-10-03	$17,000,000	CAPITAL CONSTRUCTION PROJECTS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,845,000	$0	$28,426,416	$0	$0	$28,188,586	$237,830	$0	$0	$0	$0	$0	2010	Yes (true)	false	Yes (true)	Yes (true)
B	$695,000	$0	$24,701,264	$0	$0	$24,320,921	$380,343	$0	$0	$0	$0	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$17,000,000	$0	$0	$2,226,625	$0	$0	$0	$14,773,375	$0	$0		Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Private Bus Use By OthersPrivateBusUseByOthersPct
A	0
B	0
C	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	Yes (true)	JP MORGAN CHASE BANK	12.82	false	Yes (true)	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0			false	Yes (true)
0
C	false	Yes (true)	false	false	Yes (true)	false	false	0			false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART IV, LINE 2C	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MITCHELL SHIELDS
FAMILY MEMBER L SHIELDS	$56,645	WAGES	false
SHERRIE L WILLIAMS
FAMILY MEMBER TOM WILLIAM	$85,977	WAGES	false

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	SILENT AUCTION	207	$18,470	COST
Yes (X)	LIVE AUCTION	14	$19,300	COST
Yes (X)	FLOWERS	1	$5,000	COST

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN B	FormAndLineReferenceDesc
Explanation	NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS LISTED IN COLUMN B IS BASED ON THE NUMBER OF CONTRIBUTORS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 HAS NEARLY 1,400 EMPLOYEES. ITS BOARD HAS 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, 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 RELATING 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 SERVICES 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 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 THE 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 PERSONS, 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 NOVEMBER 2014.
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 NOVEMBER 2014.
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. PATRICK O'NEIL IS PAID AS CHIEF OF STAFF OF LAKE REGIONAL HEALTH SYSTEM. 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:PROFESSIONAL FEES TOTAL FEES:9503808
FORM 990 PART IX LINE 11G	DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:5957277
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:1596684
FORM 990 PART IX LINE 11G	DESCRIPTION:BILLING FEES TOTAL FEES:1018556
FORM 990 PART IX LINE 11G	DESCRIPTION:AGENCY FEES TOTAL FEES:933000
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION TOTAL FEES:492301
FORM 990 PART IX LINE 11G	DESCRIPTION:LABORATORY FEES TOTAL FEES:129704
FORM 990 PART IX LINE 11G	DESCRIPTION:TECHNICIAN FEES TOTAL FEES:114461

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LAKE REGIONAL IMAGING PARTNERS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	54 HOSPITAL DRIVE	AddressLine1Txt
City	OSAGE BEACH	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65065	ZIPCd

Field	Value	IRS element (for citing)
EIN	202107048	EIN
Primary Activities	DIAGNOSTIC IMAGIN	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LRHS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$1,115,724	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,553,100	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LAKE REGIONAL MEDICAL MANAGEMENT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	54 HOSPITAL DRIVE	AddressLine1Txt
City	OSAGE BEACH	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65065	ZIPCd

Field	Value	IRS element (for citing)
EIN	431473438	EIN
Primary Activities	PHYSICIAN SERVICE	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LRHS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	CORPORATION	EntityTypeTxt
Share Of Total Income	$17,735,934	ShareOfTotalIncomeAmt
Share Of EOY Assets	$6,235,872	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
LAKE REGIONAL MEDICAL MANAGEMENT
A/J	$508,871	FMV
LAKE REGIONAL MEDICAL MANAGEMENT
B	$6,585,000	FMV
LAKE REGIONAL MEDICAL MANAGEMENT
P	$4,581,730	FMV
LAKE REGIONAL IMAGING PARTNERS
L	$1,421,870	FMV
LAKE REGIONAL IMAGING PARTNERS
K	$78,694	FMV
LAKE REGIONAL MEDICAL MANAGEMENT
L	$383,306	FMV