2016-01-19T16:15:09-06:00 2015-04-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2014-05-01 237339737 LAKE REGIONAL HEALTH SYSTEM % DAVID HALSELL LAKE 5733488000 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 DAVID HALSELL SENIOR VP/CFO 5733488000 2015-12-14 true Brian D Todd P00422601 4178658701 2015-10-07 2014 2016-04-25 22:37:26Z MICHAEL E HENZE 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 181582347 false X WWW.LAKEREGIONAL.COM X 1973 MO LAKE REGIONAL HEALTH SYSTEM PROVIDES AN EXTENSIVE VARIETY OF OUTPATIENT & INPATIENT HLTH CARE SERVICES AS WELL AS AN EMERGENCY DEPARTMENT TO RESIDENTS & VISITORS TO THE LAKE REGION. 15 12 1114 359 0 0 341782 275265 154800801 177229314 4715947 5415774 -5394899 -3542468 154463631 179377885 21538 29401 0 0 60204919 67743147 0 0 0 89215383 97577184 149441840 165349732 5021791 14028153 190034361 202194325 75089707 73073467 114944654 129120858 X TO PROVIDE EXCEPTIONAL HEALTHCARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 68475334 93919763 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 269,582 OUTPATIENT SERVICE VISITS. 57851720 71720545 LAKE REGIONAL HEALTH SYSTEM PROVIDES INPATIENT SERVICES TO THE COMMUNITY AND SURROUNDING RURAL AREAS. THE HOSPITAL PROVIDED 17,578 INPATIENT DAYS, 3,204 SKILLED NURSING FACILITY INPATIENT DAYS AND 1,011 NURSERY PATIENT DAYS FOR A TOTAL OF 21,793 INPATIENT DAYS. 9101958 5122896 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 34,911 VISITS. 6790232 29401 6466110 142219244 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 116 0 true 1114 true false false false false false true true false false false false X 15 12 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 DENNIS MICHAELREE PRESIDENT 1.0 1.0 X X 0 0 0 ROBERT G SCHWENDINGER SECRETARY 1.0 1.0 X X 0 0 0 CHARLES MCELYEA ASSISTANT SECRETARY 1.0 1.0 X X 0 0 0 WAYNE COMPTON TREASURER 1.0 1.0 X X 0 0 0 ROBERT MASON DIRECTOR 1.0 40.0 X 0 63045 0 GRANT BARNUM DIRECTOR 1.0 40.0 X 0 173264 2787 MICHAEL VIERRA MD CHIEF OF STAFF 1.0 0.0 X X 0 0 0 JIM JUDAS DIRECTOR 1.0 0.0 X 0 0 0 JOHN PARRISH DIRECTOR 1.0 1.0 X 0 0 0 JOHN CAINE DIRECTOR 1.0 0.0 X 0 0 0 GREG ANDERSON DIRECTOR 1.0 0.0 X 0 0 0 LARRY SHIELDS DIRECTOR 1.0 0.0 X 0 0 0 SUSAN BROWN DIRECTOR 1.0 0.0 X 0 0 0 KEVIN BYRNE DO DIRECTOR 1.0 0.0 X 0 0 0 CORY TEN BENSEL VICE PRESIDENT 1.0 0.0 X X 0 0 0 MICHAEL HENZE CEO 40.0 0.0 X 502897 0 72665 DAVID W HALSELL CFO 40.0 0.0 X 259624 0 20580 ROBERT HYATT MD SENIOR VP - MEDICAL AFFAIRS 40.0 0.0 X 399259 0 10830 KEVIN MCROBERTS SENIOR VP - BUSINESS DEVELOPME 40.0 0.0 X 214738 0 25932 SCOTT POEST CIO 40.0 0.0 X 181904 0 20551 FLAVEL JOE BUTTS SENIOR VP- FCTY SRVCS END 6/14 40.0 0.0 X 225772 0 8608 JANICE L DUNGAN SENIOR VP - CNL SRVS END 12/14 40.0 0.0 X 211090 0 9057 JOSHUA PALMER BRICKNER DOCTOR 40.0 0.0 X 255935 0 760 PATRICK O'NEIL DOCTOR 40.0 0.0 X 254468 0 10472 TRENT RUSSELL DOCTOR 40.0 0.0 X 335593 0 11160 BECKY SIMPSON DOCTOR 40.0 0.0 X 234219 0 9710 MICHAEL WANG DOCTOR 40.0 0.0 X 425770 0 12987 VICKI FRANKLIN FORMER COO 0.0 0.0 X 159770 0 179 3661039 236309 216278 58 true true false REHABVISIONS MEDICAL SERVICES 3144240 LAKE OZARK ANESTHESIA ASSOC INC PHYSICIAN SERVICES 624000 HEALOGICS WOUND CARE MEDICAL SERVICES 512342 LAKE OF THE OZARKS RADIOLOGY PHYSICIAN SERVICES 428143 LABORATORY CORPORATION OF AMERICA PHYSICIAN SERVICES 427857 18 195282 79983 60240 275265 PATIENT SERVICE 624100 170763204 170763204 ELECTRONIC HEALTH RECORDS 624100 1266571 1266571 MANAGEMENT FEES 541610 1609558 1609558 CAFETERIA INCOME 900099 870279 870279 AUXILIARY INCOME 900099 229464 229464 2490238 2490238 177229314 5506167 5506167 0 0 1018998 1102281 -83283 0 -83283 -83283 527837 367007 455839 529398 71998 -162391 -90393 -90393 87139 195282 116944 -29805 -29805 0 0 CHANGE IN INTEREST IN EQUITY INVESTEES 900099 -3429380 -3429380 -3429380 179377885 177229314 1873306 X 19807 19807 9594 9594 0 0 2175782 1320016 855766 241123 241123 52282952 44877245 7405707 1824220 1612252 211968 7234285 6155288 1078997 3984785 3387774 597011 0 452541 452541 229092 229092 0 0 192467 192467 19868269 12092349 7775920 61487 9748 51739 6225527 4657275 1568252 12240 12240 0 2737452 2450618 286834 249517 152245 97272 0 138633 99926 38707 1868585 1669388 199197 0 7586786 6778013 808773 1109875 1109875 MEDICAL SUPPLIES & DRUGS 27578314 27578314 BAD DEBT 19775859 19775859 PROVIDER TAX 8592419 8592419 CAFETERIA/VENDING 748481 668691 79790 149640 71300 78340 165349732 142219244 23130488 0 2668 5668 27224093 44853213 0 0 17741342 16166379 0 0 0 0 0 0 5638075 5577811 1555097 2115615 165552455 115005971 50638274 50546484 81356835 76837985 4965815 4509279 0 0 0 0 912162 1581891 190034361 202194325 14580313 15430191 0 0 0 0 45796005 43077064 0 0 0 0 5912144 5361562 0 0 8801245 9204650 75089707 73073467 X 113989904 128166108 0 0 954750 954750 114944654 129120858 190034361 202194325 14028153 148051 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 6500 true 32833 39333 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: $6,500 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. $ 28,321 MISSOURI HOSPITAL ASSOCIATION 4,512 AMERICAN HOSPITAL ASSOCIATION -------- $ 32,833 TOTAL 5352936 5352936 88187210 59852855 28334355 65382342 52962805 12419537 6629967 2190311 4439656 50546484 0 EST AMT DUE TO 3RD PTY PYRS 9204650 9204650 160561423 70935 -19989678 -19918743 180480166 -1102281 -1102281 179377885 146533270 70935 1102281 1173216 145360054 192467 19797211 19989678 165349732 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: $(19,775,859) BAD DEBT EXPENSE (192,467) INVESTMENT MANAGEMENT FEES (21,352) AUXILIARY EXPENSES ------------ $(19,989,678) TOTAL SCHEDULE D, PART XI, LINE 4B OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT LINE 1: $(1,102,281) RENTAL EXPENSES SCHEDULE D, PART XII, LINE 2D OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 1,102,281 RENTAL EXPENSES SCHEDULE D, PART XII, LINE 4B OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 19,775,859 BAD DEBT EXPENSE 21,352 AUXILIARY EXPENSES ------------ $ 19,797,211 TOTAL ANNUAL BALL 84046 37071 46975 26453 3050 26066 GOLF TOURNAMENT 191911 157911 34000 10036 14271 2400 16242 2200 14721 1 6464 300 6164 1505 282421 195282 87139 10036 14271 2400 42695 5250 42292 116944 -29805 true true X true X true X true true false false 2686340 2686340 0.01850 20236990 13105653 7131337 0.04900 22923330 13105653 9817677 0.06750 115789 26950 88839 0.00060 303700 303770 0.00210 122102 0.00080 541591 26950 392609 0.00350 23464921 13132603 10210286 0.07100 294 9732 0.00010 10026 0.00010 false 19775859 3183913 59916847 64778331 -4861484 X true true LAKE REG IMAGING PTR DIAGNOSTIC IMAGING SERVICES 0.51000 0.49000 1 1 LAKE REGIONAL HEALTH SYSTEM 54 HOSPITAL DR 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 12 true false false true X www.lakeregional.com/about/default.aspx X true 12 true www.lakeregional.com/about/default.asp false false true X 200. 300. X X X true true 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 true X false X 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, 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-RESOURCE/FINANCIAL-SERVICES/ UNINSURED-PATIENTS/DEFAULT.ASPX SCHEDULE H, PART V, SECTION B, LINE 16I 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 20D METHOD FOR DETERMINING MAX AMOUNTS CHARGED TO FAP ELIGIBLE PATIENTS: THE DISCOUNTS FOR ALL INDIVIDUALS THAT QUALIFY FOR FREE OR DISCOUNTED CARE ARE DETERMINED USING THE FEDERAL POVERTY GUIDELINE MATRIX IN LRHS POLICY #112-190-2 UNCOMPENSATED CARE. THE DISCOUNT RANGES FROM 100% TO 35%. 35% APPROXIMATES THE AVERAGE WRITE OFF FOR COMMERCIAL PAYORS. 5 LAKE REGIONAL IMAGING PARTNERS 54 HOSPITAL DR OSAGE BEACH MO 65065 IMAGING CENTER ELDON REHAB THERAPY 304 EAST 4TH STREET ELDON MO 65026 REHAB THERAPY LAKE OZARK REHAB THERAPY 1870 BAGNELL DAM BLVD LAKE OZARK MO 65049 REHAB THERAPY LAURIE REHAB THERAPY 156 MISSOURI BLVD LAURIE MO 65038 REHAB THERAPY CAMDENTON REHAB THERAPY 1930 N BUSINESS ROUTE 5 CAMDENTON MO 65020 REHAB THERAPY SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) LESS BAD DEBT EXPENSE OF 19,775,859. 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 AND STAFF TIME TO THE TRIM KIDS GROUP. -MEETING SPACE AND A MENTOR TO NURSING CAREER CAMPS, WHICH IS FOR HIGH SCHOOL STUDENTS AND ADULTS THAT IS TWO DAYS IN THE WINTER AND FIVE DAYS IN THE SUMMER. -MEETING SPACE, STAFF TIME, AND FOOD FOR A CARREER 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 FOR 2009-2013 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, 2015, 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 DATAINSTITUTE (HIDI), ON INPATIENT AND OUTPATIENT PROVIDER USE DIVIDED BYDEMOGRAPHIC 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 SECONDARY SERVICE INCLUDES LACLEDE AND PULASKI COUNTIES. THE OVERALL SERVICE AREA 2010 POPULATION IS ESTIMATED AT 177,760. IN ADDITION TO THE RESIDENT POPULATION OF NEARLY 178,000, 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 = $44,617, LACLEDE = $37,294, MILLER = $35,838, MORGAN = $36,696 AND PULASKI = $43,155. THE CAMDEN COUNTY 2011 ANNUAL UNEMPLOYMENT RATE WAS 10.7%, ABOVE THE STATE (8.6%) AND NATIONAL (8.9%) AVERAGES. CAMDEN COUNTY HAS APPROXIMATELY 11.8% OF PERSONS BELOW POVERTY LEVEL. THE IMMEDIATE 3-COUNTY AREA OF CAMDEN, MILLER, & MORGAN ESTIMATES UNINSURED INDIVIDUALS AT 23.27%. 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) 19807 0 FUND 1 SCHOLARSHIPS 12 9594 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THE ORGANIZATIONS 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 RECIPIENT OF THE SCHOLARSHIP MUST SUBMIT THEIR GRADES TO LAKE REGIONAL HEALTH SYSTEM. IN ORDER FOR THE GRADES TO BE GIVEN TO THE STUDENT, THEIR TUITION MUST BE PAID IN FULL. X X true true X X X X X false true false false false false false false false GRANT BARNUM DIRECTOR 0 161058 0 0 0 12206 0 0 0 2787 0 176051 0 0 JOSHUA PALMER BRICKNER DOCTOR 255935 0 0 0 0 0 0 0 760 0 256695 0 0 0 PATRICK O'NEIL DOCTOR 249995 0 0 0 4473 0 7758 0 2714 0 264940 0 0 0 TRENT RUSSELL DOCTOR 329392 0 0 0 6201 0 10200 0 960 0 346753 0 0 0 BECKY SIMPSON DOCTOR 214699 0 0 0 19520 0 8819 0 891 0 243929 0 0 0 MICHAEL WANG DOCTOR 407925 0 0 0 17845 0 10200 0 2787 0 438757 0 0 0 MICHAEL HENZE CEO 396287 0 59250 0 47360 0 69450 0 3215 0 575562 0 0 0 DAVID W HALSELL CFO 221881 0 20817 0 16926 0 16800 0 3780 0 280204 0 0 0 ROBERT HYATT MD SENIOR VP - MEDICAL AFFAIRS 313547 0 29571 0 56141 0 10200 0 630 0 410089 0 0 0 KEVIN MCROBERTS SENIOR VP - BUSINESS DEVELOPME 193510 0 19270 0 1958 0 22152 0 3780 0 240670 0 0 0 SCOTT POEST CIO 162590 0 15048 0 4266 0 18071 0 2480 0 202455 0 0 0 FLAVEL JOE BUTTS SENIOR VP- FCTY SRVCS END 6/14 197305 0 0 0 28467 0 8608 0 0 0 234380 0 0 0 JANICE L DUNGAN SENIOR VP - CNL SRVS END 12/14 196936 0 0 0 14154 0 8702 0 355 0 220147 0 0 0 VICKI FRANKLIN FORMER COO 139876 0 0 0 19894 0 0 0 179 0 159949 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 TEH CEO'S W-2 FORM EACH YEAR. SCHEDULE J, PART 1, 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: $14,011 F. JOE BUTTS $14,154 JANICE DUNGAN $16,890 VICKI FRANKLIN $25,301 ROBERT HYATT THE FOLLOWING PEOPLE HAD A DEFERRED CONTRIBUTION TO A 457(F) NONQUALIFIED RETIREMENT PLAN: $16,800 DAVID HALSELL $59,250 MICHAEL E. HENZE $14,511 KEVIN MCROBERTS $11,704 SCOTT POEST A HEALTH AND EDUCATION FACILITIES AUTHORITY OF MO 431178966 60635R8G5 2010-10-20 28426416 REFUND 1996 & 1998 REVENUE BONDS false false false B HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF MO 431178966 60636AFK4 2012-12-18 24701264 REFUND 2003 REVENUES BONDS false false false A 1845000 0 28426416 2875426 0 28188586 237830 0 0 0 0 0 true false true true B 695000 0 24701264 1692250 0 24320921 380343 0 0 0 0 0 true false true true A 0 B 0 A false true false false false false 0 true JP MORGAN CHASE BANK 12.82 false true true B false true false false false false 0 false 0 false true A true B true SCHEDULE K, PART IV, LINE 5D, COLUMN A 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. MITCHELL SHIELDS FAMILY MEMBER L SHIELDS 47524 EMPLOYMENT false JULIE FRANKLIN FAMILY MEMBER V FRANKLIN 33710 EMPLOYMENT false X LIVE AUCTION 21 35825 COST X SILENT AUCTION 174 19415 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 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 SEVEN PRIMARY CARE MEDICAL CLINICS, THREE 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 A, LINE 2 BUSINESS RELATIONSHIPS: F. JOE BUTTS AND MICHAEL HENZE HAVE A BUSINESS RELATIONSHIP. 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. AT THE DECEMBER 2015 BOARD MEETING, 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 CEO FOR CONSIDERATION. 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 THE ORGANIZATION USED INTEGRATED HEALTHCARE STRATEGIES, AN INDEPENDENT ORGANIZATION, TO HELP EVALUATE AND SET THE COMPENSATION FOR THE ORGANIZATION'S CEO FOR THE CURRENT FISCAL YEAR. 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 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: BOARD MEMBER ROBERT MASON, DO, IS PAID AS A PRN EMPLOYEE OF LAKE REGIONAL MEDICAL MANAGEMENT AND RECEIVES NO OTHER BENEFITS. GRANT BARNUM, DO, IS PAID AS A PHYSICIAN OF LAKE REGIONAL MEDICAL MANAGEMENT. BOARD MEMBERS DO NOT RECEIVE ANY COMPENSATION FOR THEIR SERVICES PROVIDED AS A MEMBER OF THE BOARD DIRECTORS. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: THE ORGANIZATION'S TOTAL OTHER FEES FOR SERVICES ON THE STATEMENT OF FUNCTIONAL EXPENSES IS COMPRISED OF THE FOLLOWING: $ 10,379,041 OUTSIDE SERVICES 8,647,901 CLINICAL SERVICES 567,701 COLLECTION AGENCIES 273,626 AGENCY STAFFING ------------ $19,868,269 TOTAL LAKE REGIONAL IMAGING PARTNERS 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 202107048 DIAGNOSTIC IMAGIN MO LRHS RELATED 915435 3019247 false 0 true 0.51000 LAKE REGIONAL MEDICAL MANAGEMENT 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 431473438 PHYSICIAN SER MO LRHS C-CORPORATION 15765289 5210592 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 434766 FMV LAKE REGIONAL MEDICAL MANAGEMENT B 3860000 FMV LAKE REGIONAL IMAGING PARTNERS LLC K 78694 FMV LAKE REGIONAL MEDICAL MANAGEMENT L 439477 FMV LAKE REGIONAL IMAGING PARTNERS LLC L 1264911 FMV LAKE REGIONAL MEDICAL MANAGEMENT P 5103281 FMV