LAKE REGIONAL HEALTH SYSTEM: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LAKE REGIONAL HEALTH SYSTEM (EIN 23-7339737)
- Tax period
- 2012-05-01 to 2013-04-30
- Filed
- 2013-12-13
- IRS object ID
- 201323479349300732
- Schema version
- 2012v2.3
- 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) |
|---|---|---|
| Timestamp | 2013-12-13T13:28:34-06:00 | Timestamp |
| Tax Period End Date | 2013-04-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237339737 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKE REGIONAL HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DAVID HALSELL | InCareOfName |
| Name Control | LAKE | NameControl |
| Phone | 5733488000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 54 HOSPITAL DRIVE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | OSAGE BEACH | City |
| State | MO | State |
| ZIP Code | 65065 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID HALSELL | Name |
| Title | SENIOR VP / CFO | Title |
| Phone | 5733488000 | Phone |
| Date Signed | 2013-10-31 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Brian D Todd | Name |
| Phone | 4178658701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL E HENZE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 54 HOSPITAL DRIVE | AddressLine1 |
| City | OSAGE BEACH | City |
| State | MO | State |
| ZIP Code | 65065 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 143964282 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LAKEREGIONAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | LAKE REGIONAL HLTH SYSTEM PROVIDES AN EXTENSIVE VARIETY OF OUTPATIENT & INPATIENT HLTH CARE SERVICES AS WELL AS AN EMERGENCY DEPARTMENT TO RESIDENTS & VISITORS OF THE LAKE REGION. SEE SCHEDULE O FOR MORE INFO. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1142 | TotalNbrEmployees |
| Total Nbr Volunteers | 350 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 388577 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1228229 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 165010891 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 146334557 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2372881 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2564570 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -4579770 | OtherRevenuePriorYear |
| Other Revenue Current Year | -7442092 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 163192579 | TotalRevenuePriorYear |
| Total Revenue Current Year | 142685264 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 69466 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 35503 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 63940768 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 60310138 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 94730010 | OtherExpensePriorYear |
| Other Expenses Current Year | 85695998 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 158740244 | TotalExpensesPriorYear |
| Total Expenses Current Year | 146041639 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4452335 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3356375 | RevenuesLessExpensesCY |
| Total Assets BOY | 182513513 | TotalAssetsBOY |
| Total Assets EOY | 180227561 | TotalAssetsEOY |
| Total Liabilities BOY | 73122740 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 71313744 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 109390773 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 108913817 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE EXCEPTIONAL HEALTH CARE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 56159051 | Expense |
| Revenue | 66766171 | Revenue |
| Description | 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 224,332 OUTPATIENT SERVICES VISITS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 48660216 | Expense |
| Revenue | 54748259 | Revenue |
| Description | LAKE REGIONAL HEALTH SYSTEM PROVIDES INPATIENT SERVICES TO THE COMMUNITY AND SURROUNDING RURAL AREAS. THE HOSPITAL PROVIDED 20,549 INPATIENT DAYS, 3,676 SKILLED NURSING FACILITY INPATIENT DAYS AND 1,150 NURSERY PATIENT DAYS FOR A TOTAL OF 25,375 INPATIENT DAYS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8052617 | Expense |
| Revenue | 18638377 | Revenue |
| Description | 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 35,351 VISITS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 10534881 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 35503 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 6181750 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 123406765 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 88 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1142 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID HALSELL | NamePerson |
| Telephone Number | 5733488000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 54 HOSPITAL DR | AddressLine1 |
| City | OSAGE BEACH | City |
| State | MO | State |
| ZIP Code | 65065 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| KEVIN BYRNE DO | |||||||||
| PRESIDENT | 1.0 | 0.0 | X | X | |||||
| CHARLES MCELYEA | |||||||||
| ASSISTANT SECRETARY | 1.0 | 1.0 | X | X | |||||
| ROBERT G SCHWENDINGER | |||||||||
| SECRETARY | 1.0 | 1.0 | X | X | |||||
| GREG GAGNON | |||||||||
| DIRECTOR ENDING 11/2012 | 1.0 | 1.0 | X | X | |||||
| GREG ANDERSON | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| SUSAN BROWN | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| JOHN CAINE | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| WAYNE COMPTON | |||||||||
| TREASURER | 1.0 | 0.0 | X | X | |||||
| ROBERT MASON DO | |||||||||
| DIRECTOR | 1.0 | 40.0 | X | 0 | 93745 | 3870 | |||
| GRANT BARNUM DO | |||||||||
| DIRECTOR | 1.0 | 40.0 | X | 0 | 247595 | 27193 | |||
| JOHN PARRISH | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | ||||||
| LARRY SHIELDS | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| DENNIS MICHAELREE | |||||||||
| VICE PRESIDENT | 1.0 | 1.0 | X | X | |||||
| JIM JUDAS | |||||||||
| DIRECTOR BEGINNING 04/2013 | 1.0 | 0.0 | X | ||||||
| COREY TEN BENSEL | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| MICHAEL VIERRA MD | |||||||||
| CHIEF OF STAFF BEG 10/2012 | 1.0 | 0.0 | X | X | |||||
| ANDREW MCKIBBEN | |||||||||
| DIRECTOR THROUGH 10/2012 | 1.0 | 0.0 | X | 0 | 0 | 0 | |||
| MICHAEL HENZE | |||||||||
| CEO | 40.0 | 0.0 | X | 477730 | 0 | 77886 | |||
| VICKI L FRANKLIN | |||||||||
| SENIOR VP/COO | 40.0 | 0.0 | X | 261608 | 0 | 17513 | |||
| M DANIEL PROBSTFIELD | |||||||||
| SENIOR VP/CFO ENDING 02/2013 | 40.0 | 0.0 | X | 287664 | 0 | 17340 | |||
| JANICE L DUNGAN | |||||||||
| SENIOR VP - CLINICAL SERVICES | 40.0 | 0.0 | 232574 | 0 | 16101 | X | |||
| F JOE BUTTS | |||||||||
| SENIOR VP - FACILITY SERVICES | 40.0 | 0.0 | 235312 | 0 | 19320 | X | |||
| KEVIN G MCROBERTS | |||||||||
| SENIOR VP - BUSINESS DEVELOP. | 40.0 | 0.0 | 215009 | 0 | 35013 | X | |||
| ROBERT HYATT MD | |||||||||
| SENIOR VP - MEDICAL AFFAIRS | 40.0 | 0.0 | 414358 | 0 | 17160 | X | |||
| SCOTT POEST | |||||||||
| CIO | 40.0 | 0.0 | 164528 | 0 | 23898 | X | |||
| THOMAS MYLER | |||||||||
| DIRECTOR OF PHARMACY | 40.0 | 0.0 | 174895 | 0 | 13774 | X | |||
| MICHAEL DOW | |||||||||
| CLINICAL COORDINATOR | 40.0 | 0.0 | 167061 | 0 | 11956 | X | |||
| STEVEN GROTEWIEL | |||||||||
| DIRECTOR OF DIAGNOSTIC IMAGING | 40.0 | 0.0 | 188739 | 0 | 7173 | X | |||
| JOE SCOTT | |||||||||
| PHARMACIST | 40.0 | 0.0 | 156900 | 0 | 11042 | X | |||
| ERIC KAUFFMAN | |||||||||
| PHARMACIST | 40.0 | 0.0 | 153062 | 0 | 7390 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3129440 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 341340 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 306629 | TotalOtherCompensation |
| Number Individuals GT100 K | 46 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| NATIONAL THERAPEUTIC ASSOC | |
| MEDICAL SERVICES | 2721882 |
| LAKE OZARK ANESTHESIA ASSOC | |
| PHYSICIAN SERVICES | 652000 |
| HEALOGICS WOUND CARE HYPERBARIC | |
| MEDICAL SERVICES | 567192 |
| ARMSTRONG TEASDALE LLP | |
| LEGAL SERVICES | 539418 |
| CAMDEN EMERGENCY GROUP LLC | |
| MEDICAL SERVICES | 459633 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| Fundraising Events | 187105 | FundraisingEvents |
| All Other Contributions | 1041124 | AllOtherContributions |
| Noncash Contributions | 64512 | NoncashContributions |
| Total Contributions | 1228229 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE | 624100 | 140152807 | 140152807 |
| ELECTRONIC HEALTH RECORDS | 624100 | 1518297 | 1518297 |
| MANAGEMENT FEES | 541610 | 1385649 | 1385649 |
| CAFETERIA INCOME | 722210 | 940609 | 940609 |
| AUXILIARY INCOME | 900099 | 243730 | 243730 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2093465 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2093465 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 146334557 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2570937 | TotalRevenueColumn |
| Exclusion | $2,570,937 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1032172 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1163411 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -131239 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -131239 | TotalRevenueColumn |
| Exclusion | -$131,239 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1295 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7662 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -6367 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -6367 | TotalRevenueColumn |
| Exclusion | -$6,367 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 97907 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 187105 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 107945 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -10038 | TotalRevenueColumn |
| Exclusion | -$10,038 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CHANGE IN INTEREST IN EQUITY INVESTEES | 900099 | -5573797 | -$5,573,797 |
| LOSS ON EXTINGUISHMENT OF DEBT | 900099 | -1727018 | -$1,727,018 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -7300815 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 142685264 | TotalRevenueColumn |
| Related Or Exempt Function Income | 146334557 | RelatedOrExemptFunctionIncome |
| Exclusion | -$4,877,522 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19003 | Total |
| Program Services | 19003 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16500 | Total |
| Program Services | 16500 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2513014 | Total |
| Program Services | 1652394 | ProgramServices |
| Management And General | 860620 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155364 | Total |
| Program Services | 155364 | ProgramServices |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45062814 | Total |
| Program Services | 37666511 | ProgramServices |
| Management And General | 7396303 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1186829 | Total |
| Program Services | 1037374 | ProgramServices |
| Management And General | 149455 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7753489 | Total |
| Program Services | 6423700 | ProgramServices |
| Management And General | 1329789 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3638628 | Total |
| Program Services | 3013512 | ProgramServices |
| Management And General | 625116 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 486289 | Total |
| Management And General | 486289 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 160354 | Total |
| Management And General | 160354 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168552 | Total |
| Management And General | 168552 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16304881 | Total |
| Program Services | 9075675 | ProgramServices |
| Management And General | 7229206 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26388 | Total |
| Management And General | 26388 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6185458 | Total |
| Program Services | 4712805 | ProgramServices |
| Management And General | 1472653 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39928 | Total |
| Management And General | 39928 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1596351 | Total |
| Program Services | 1361695 | ProgramServices |
| Management And General | 234656 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 220157 | Total |
| Program Services | 123770 | ProgramServices |
| Management And General | 96387 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49444 | Total |
| Program Services | 6045 | ProgramServices |
| Management And General | 43399 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2283318 | Total |
| Program Services | 2039910 | ProgramServices |
| Management And General | 243408 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7849500 | Total |
| Program Services | 7012721 | ProgramServices |
| Management And General | 836779 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1091405 | Total |
| Management And General | 1091405 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | 22330784 | 22330784 | |
| BAD DEBT | 17430838 | 17430838 | |
| PROVIDER TAX | 8580320 | 8580320 | |
| CAFETERIA/VENDING | 801361 | 715934 | 85427 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90670 | Total |
| Program Services | 31910 | ProgramServices |
| Management And General | 58760 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 146041639 | Total |
| Program Services | 123406765 | ProgramServices |
| Management And General | 22634874 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2568 | BOY |
| EOY | 2568 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31952018 | BOY |
| EOY | 22033442 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 944000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14684518 | BOY |
| EOY | 15435079 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4617959 | BOY |
| EOY | 4878771 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 963701 | BOY |
| EOY | 1228772 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 151522923 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 99175259 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57230634 | BOY |
| EOY | 52347664 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63858177 | BOY |
| EOY | 76641769 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5125960 | BOY |
| EOY | 5217093 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4077978 | BOY |
| EOY | 1498403 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 182513513 | BOY |
| EOY | 180227561 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13045665 | BOY |
| EOY | 11111316 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49175000 | BOY |
| EOY | 48438885 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3776066 | BOY |
| EOY | 3493269 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7126009 | BOY |
| EOY | 8270274 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73122740 | BOY |
| EOY | 71313744 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109373515 | BOY |
| EOY | 107969817 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17258 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 944000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109390773 | BOY |
| EOY | 108913817 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 182513513 | BOY |
| EOY | 180227561 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -3356375 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 2879419 | ReconciliationUnrealizedInvest |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $15,250 | RalliesDemonstrationsAmount |
| Other Activities | true | OtherActivities |
| Other Activities | $18,444 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 33694 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, ETC. | SCHEDULE C, PART II-B, LINE 1(H) | LAKE REGIONAL HEALTH SYSTEM PARTICIPATED IN THE FOLLOWING DURING THE YEAR: $ 8,750 MEDICARE RURAL HOSPITAL COALITION 6,500 RURAL REFERRAL CENTER/SOLE COMMUNITY HOSPITAL COALITION ----- $15,250 TOTAL |
| OTHER LOBBYING ACTIVITIES | SCHEDULE C, PART II-B, LINE 1(I) | A PORTION OF THE DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. $13,950 MISSOURI HOSPITAL ASSOCIATION 4,494 AMERICAN HOSPITAL ASSOCIATION ------- $18,444 TOTAL |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 530500 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 4322066 | OtherCostOrOtherBasis |
| Book Value | 4852566 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 84886199 | OtherCostOrOtherBasis |
| Depreciation | 51914535 | Depreciation |
| Book Value | 32971664 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 58865995 | OtherCostOrOtherBasis |
| Depreciation | 45233041 | Depreciation |
| Book Value | 13632954 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2918163 | OtherCostOrOtherBasis |
| Depreciation | 2027683 | Depreciation |
| Book Value | 890480 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 52347664 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | EST AMT DUE TO 3RD PTY PYRS | Description |
| Amount | $8,270,274 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 8270274 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 129117072 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2879419 | NetUnrealizedGainsInvestments |
| Other Revenues | -17611022 | OtherRevenues |
| Revenue Not Rptd F990 | -14731603 | RevenueNotRptdF990 |
| Revenue Subtotal | 143848675 | RevenueSubtotal |
| Other Revenues Not Included | -1163411 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -1163411 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 142685264 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 129594028 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1163411 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1163411 | ExpensesNotRptdF990 |
| Expenses Subtotal | 128430617 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 168552 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 17442470 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 17611022 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 146041639 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| UNCERTAIN TAX POSITIONS | SCHEDULE D, PART X, LINE 2 | 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. |
| OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 | SCHEDULE D, PART XI, LINE 2D | $(17,430,838) BAD DEBT EXPENSE (168,552) INVESTMENT MANAGEMENT FEES (11,632) AUXILIARY EXPENSES ------------ $(17,611,022) TOTAL |
| OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 | SCHEDULE D, PART XI, LINE 4B | $(1,163,411) RENTAL EXPENSES |
| OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25 | SCHEDULE D, PART XII, LINE 2D | $ 1,163,411 RENTAL EXPENSES |
| OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 | SCHEDULE D, PART XII, LINE 4B | $ 17,430,838 BAD DEBT EXPENSE 11,632 AUXILIARY EXPENSES ------------ $ 17,442,470 TOTAL |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNUAL BALL | NameOfEvent1 |
| Gross Receipts Event1 | 99476 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 44226 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 55250 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 27492 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 5400 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 20344 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF TOURNAMENT | NameOfEvent2 |
| Gross Receipts Event2 | 181749 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 142629 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 39120 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 22361 | CashPrizesEvent2 |
| Non Cash Prizes Event2 | 5015 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 2594 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 17372 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 1350 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 4596 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 281225 | GrossReceiptsTotal |
| Charitable Contributions Total | 186855 | CharitableContributionsTotal |
| Gross Revenue Total Events | 94370 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 22361 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 5015 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 2594 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 44864 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 6750 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 24940 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 106524 | DirectExpenseSummaryEvents |
| Net Income Summary | -12154 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3542777 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3542777 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02730 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19559254 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14960654 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4598600 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03550 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23102031 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14960654 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8141377 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06280 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 165041 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21078 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 143963 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 227623 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 227623 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9103601 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8620822 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 482779 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 155518 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 155518 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9651783 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8641900 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1009883 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00780 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32753814 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23602554 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9151260 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07060 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 37118 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 37118 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 49118 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 49118 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $17,430,838 | BadDebtExpenseAmount |
| Amount Attributable To | 2492610 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 55518477 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 66699502 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -11181025 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKE REG IMAGING PTR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | DIAGNOSTIC IMAGING SERVICES | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.51000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.49000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKE REGIONAL HEALTH SYSTEM | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 54 HOSPITAL DR | AddressLine1 |
| City | OSAGE BEACH | City |
| State | MO | State |
| ZIP Code | 65065 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LAKEREGIONAL.COM | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKE REGIONAL HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PERCENT OF TOTAL EXPENSE | SCHEDULE H, PART I, LINE 7, COLUMN F | 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. |
| COSTING METHODOLOGY | SCHEDULE H, PART I, LINE 7G | THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1, 3 AND 6. |
| BAD DEBT AND COSTING METHODOLOGY | SCHEDULE H, PART III, SECTION A, LINE 4 | 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. LINE 3 WAS DETERMINED BY TAKING THE BAD DEBT EXPENSE (LINE 2) TIMES THE PERCENT OF PERSONS BELOW THE POVERTY LEVEL FOR 2007-2011 BASED ON US CENSUS BUREAU DATA. BAD DEBT EXPENSE IS EXPLAINED ON LAKE REGIONAL HEALTH SYSTEM, INDEPENDENT AUDITOR'S REPORT AND CONSOLIDATED FINANCIAL STATEMENTS FOR APRIL 30, 2013, PAGE 7. |
| COMMUNITY BENEFIT | SCHEDULE H, PART III, SECTION B, LINE 8 | 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. EFFECTIVE OCTOBER 1, 2012, LRHS IS NOW DESIGNATED AS A SOLE COMMUNITY HOSPITAL. THIS DEMONSTRATES THAT LRHS IS THE ONLY REASONABLE SOURCE OF HOSPITAL CARE AVAILABLE 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 OBLIGATED TO PROVIDE. THUS, IT IS IMPLICIT THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. |
| COLLECTION POLICY | SCHEDULE H, PART III, SECTION C, LINE 9B | 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. |
| COMMUNITY REPRESENTATION | SCHEDULE H, PART V, SECTION B, LINE 3 | 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. |
| NEEDS ADDRESSED IN COMMUNITY HEALTH NEEDS ASSESSMENT | SCHEDULE H, PART V, SECTION B, LINE 7 | 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 WAS DEVELOPED TO ADDRESS HEART DISEASE, DIABETES AND CANCER SCREENING. WE WILL CONTINUE TO WORK TOWARD ADDRESSING SMOKING/TOBACCO USE AND MENTAL HEALTH ISSUES. |
| FACTORS USED IN DETERMINING BASIS FOR AMOUNTS CHARGED TO PATIENTS | SCHEDULE H, PART V, SECTION B, LINE 12H | TO OBTAIN PRICING FOR GROSS CHARGES, LRHS USES REGIONAL COMPARATIVE PRICING DATA FROM MEDASSETS WHICH IS OUR STANDARD FOR DEFENSIBLE PRICING. |
| OTHER METHODS OF PUBLICIZING CHARITY CARE POLICY | SCHEDULE H, PART V, SECTION B, LINE 14G | ALL PATIENTS THAT ARE IN A ROOM HAVE ACCESS TO A BINDER THAT EXPLAINS THE FINANCIAL ASSISTANCE POLICY. |
| METHOD FOR DETERMINING MAX AMOUNTS CHARGED TO FAP ELIGIBLE PATIENTS | SCHEDULE H, PART V, SECTION B, LINE 20D | 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. |
| NEEDS ASSESSMENT | SCHEDULE H, PART VI, LINE 2 | HIDI DATA: 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. COMMUNITY HEALTH NEEDS ASSESSMENT EXECUTIVE SUMMARY THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN 2012 BY LAKE REGIONAL HEALTH SYSTEM IN OSAGE BEACH, MO. THIS ASSESSMENT REVIEWED THE HEALTH NEEDS OF AREA RESIDENTS USING A SEVEN STEP PROCESS: (1) DEFINING THE COMMUNITY, (2) ANALYZING SELECTED DATA TO IDENTIFY THE KEY DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH CHARACTERISTICS OF THE THREE-COUNTY SERVICE AREA, (3) IDENTIFYING DEMAND FOR HEALTH CARE SERVICES, (4) INTERVIEWING COMMUNITY STAKEHOLDERS, (5) CONDUCTING A SURVEY AMONG AREA RESIDENTS, (6) PRIORITIZING COLLECTED DATA, AND (7) DEVELOPING STRATEGIES TO ADDRESS IDENTIFIED HEALTH NEEDS. THE COMMUNITY IS DEFINED AS ZIP CODES WITHIN A 25-MILE RADIUS OF LAKE REGIONAL HEALTH SYSTEM LOCATED ENTIRELY WITHIN CAMDEN, MILLER OR MORGAN COUNTIES, WHERE MARKET SHARE IS AT LEAST 10 PERCENT. THE SURVEY AREA INCLUDES 24 ZIP CODES. COMMUNITY HEALTH ASSESSMENT PROCESS IN MAY 2012, THE PUBLIC RELATIONS DEPARTMENT BEGAN COLLECTING AND REVIEWING EXISTING DEMOGRAPHIC AND SOCIOECONOMIC DATA ABOUT THE COMMUNITY. STAFF INTERVIEWED PUBLIC HEALTH EXPERTS AT LOCAL COUNTY HEALTH DEPARTMENTS AND LAKE REGIONAL PRIMARY AND ACUTE CARE MANAGERS. KEY HEALTH CONCERNS IDENTIFIED THROUGH THESE INTERVIEWS INCLUDED CONGESTIVE HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, DIABETES AND MENTAL HEALTH. THIS INPUT WAS USED TO DEVELOP THE COMMUNITY HEALTH NEEDS ASSESSMENT QUESTIONNAIRE. INTERVIEWS WERE CONDUCTED WITH 25 COMMUNITY STAKEHOLDERS TO PROVIDE KEY INSIGHTS INTO THE PUBLIC'S PERCEPTION OF THE COMMUNITY'S HEALTH AND WELLNESS NEEDS. PARTICIPANTS WERE IDENTIFIED BASED ON THEIR INVOLVEMENT IN LOCAL BUSINESSES, GOVERNMENTS, SCHOOLS OR IN SERVING LOW-INCOME POPULATIONS. IN JUNE AND JULY 2012, THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS CONDUCTED TO YIELD INFORMATION ABOUT THE OVERALL HEALTH OF THE COMMUNITY. SURVEY TOPICS INCLUDED DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS, BEHAVIORAL RISK FACTORS, HEALTH CONDITIONS AND ACCESS TO HEALTH CARE. A TOTAL OF 657 SURVEYS WERE COLLECTED THROUGH A COMBINED METHOD OF PAPER AND ONLINE SURVEYS. PAPER SURVEYS WERE DISSEMINATED AT SUPPORT GROUPS, COMMUNITY EVENTS, COUNTY HEALTH DEPARTMENT SITES, A FREE CLINIC SITE, AND LAKE REGIONAL PRIMARY CARE CLINICS. LAKE REGIONAL STAFF WERE AVAILABLE TO HELP RESPONDENTS COMPLETE SURVEYS, AS NECESSARY, TO OVERCOME LITERACY ISSUES. NOTICE OF THE SURVEY WAS SHARED WITH THE COMMUNITY THROUGH LOCAL NEWSPAPERS, RADIO STATIONS AND COMMUNITY GROUPS. PRIORITIZATION PROCESS LAKE REGIONAL'S COMMUNITY BENEFIT COMMITTEE MET IN SEPTEMBER 2012 TO PRIORITIZE THE DATA COLLECTED FROM RESEARCH, INTERVIEWS WITH PUBLIC HEALTH EXPERTS AND COMMUNITY SURVEYS. 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. IMPLEMENTATION PLAN 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. PROGRAM SPECIFICS ARE OUTLINED IN THE "COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN." FOLLOWING APPROVAL OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN BY THE LAKE REGIONAL HEALTH SYSTEM BOARD OF DIRECTORS ON DEC. 7, 2012, THE ASSESSMENT REPORT WILL BE MADE AVAILABLE TO THE PUBLIC ONLINE AT LAKEREGIONAL.COM. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SCHEDULE H, PART VI, LINE 3 | 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. |
| COMMUNITY INFORMATION | SCHEDULE H, PART VI, LINE 4 | 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. |
| PROMOTION OF COMMUNITY HEALTH | SCHEDULE H, PART VI, LINE 5 | 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. |
| AFFILIATED HEALTH CARE SYSTEM | SCHEDULE H, PART VI, LINE 6 | 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) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHA CENTER FOR EDUCATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 6766 | AddressLine1 |
| City | JEFFERSON CITY | City |
| State | MO | State |
| ZIP Code | 651020060 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 430898947 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 19003 | AmountOfCashGrant |
| Purpose Of Grant | SCHOLARSHIP FUND | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | NURSING SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 6 | NumberOfRecipients |
| Amount Of Cash Grant | 16500 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. | Identifier |
| Return Reference | SCHEDULE I, PART 1, LINE 2 | ReturnReference |
| Explanation | 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. 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GRANT BARNUM DO | ||||||||||||||
| DIRECTOR | 0 | 246958 | 0 | 0 | 0 | 637 | 0 | 23113 | 0 | 4080 | 0 | 274788 | 0 | 0 |
| MICHAEL HENZE | ||||||||||||||
| CEO | 370452 | 0 | 65402 | 0 | 41876 | 0 | 73377 | 0 | 4509 | 0 | 555616 | 0 | 0 | 0 |
| VICKI L FRANKLIN | ||||||||||||||
| SENIOR VP/COO | 190005 | 0 | 26117 | 0 | 45486 | 0 | 16004 | 0 | 1509 | 0 | 279121 | 0 | 0 | 0 |
| M DANIEL PROBSTFIELD | ||||||||||||||
| SENIOR VP/CFO ENDING 02/2013 | 213757 | 0 | 28695 | 0 | 45212 | 0 | 16004 | 0 | 1336 | 0 | 305004 | 0 | 0 | 0 |
| JANICE L DUNGAN | ||||||||||||||
| SENIOR VP - CLINICAL SERVICES | 183360 | 0 | 22128 | 0 | 27086 | 0 | 14926 | 0 | 1175 | 0 | 248675 | 0 | 0 | 0 |
| F JOE BUTTS | ||||||||||||||
| SENIOR VP - FACILITY SERVICES | 177688 | 0 | 22059 | 0 | 35565 | 0 | 16005 | 0 | 3315 | 0 | 254632 | 0 | 0 | 0 |
| KEVIN G MCROBERTS | ||||||||||||||
| SENIOR VP - BUSINESS DEVELOP. | 167567 | 0 | 21278 | 0 | 26164 | 0 | 29957 | 0 | 5056 | 0 | 250022 | 0 | 0 | 0 |
| ROBERT HYATT MD | ||||||||||||||
| SENIOR VP - MEDICAL AFFAIRS | 303749 | 0 | 40420 | 0 | 70189 | 0 | 16005 | 0 | 1155 | 0 | 431518 | 0 | 0 | 0 |
| SCOTT POEST | ||||||||||||||
| CIO | 142734 | 0 | 16772 | 0 | 5022 | 0 | 21093 | 0 | 2805 | 0 | 188426 | 0 | 0 | 0 |
| THOMAS MYLER | ||||||||||||||
| DIRECTOR OF PHARMACY | 166710 | 0 | 6492 | 0 | 1693 | 0 | 7073 | 0 | 6701 | 0 | 188669 | 0 | 0 | 0 |
| MICHAEL DOW | ||||||||||||||
| CLINICAL COORDINATOR | 166763 | 0 | 0 | 0 | 298 | 0 | 6976 | 0 | 4980 | 0 | 179017 | 0 | 0 | 0 |
| STEVEN GROTEWIEL | ||||||||||||||
| DIRECTOR OF DIAGNOSTIC IMAGING | 182357 | 0 | 5749 | 0 | 633 | 0 | 6357 | 0 | 816 | 0 | 195912 | 0 | 0 | 0 |
| JOE SCOTT | ||||||||||||||
| PHARMACIST | 136260 | 0 | 0 | 0 | 20640 | 0 | 6341 | 0 | 4701 | 0 | 167942 | 0 | 0 | 0 |
| ERIC KAUFFMAN | ||||||||||||||
| PHARMACIST | 149855 | 0 | 0 | 0 | 3207 | 0 | 5758 | 0 | 1632 | 0 | 160452 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| REIMBURSEMENT POLICY | SCHEDULE J, PART I, LINE 1A | 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. |
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B | THE FOLLOWING PEOPLE PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN AND RECEIVED AN EXECUTIVE 457(F) CONTRIBUTION: $16,478 VICKI L FRANKLIN $17,525 M. DANIEL PROBSTFIELD $13,669 F. JOE BUTTS $13,809 JANICE DUNGAN $24,684 ROBERT HYATT THE FOLLOWING PEOPLE HAD A DEFERRED CONTRIBUTION TO A 457(F) NONQUALIFIED RETIREMENT PLAN: $57,373 MICHAEL E. HENZE $13,953 KEVIN MCROBERTS $11,200 SCOTT POEST |
| COMPENSATION PAID OR ACCRUED CONTINGENT ON NET EARNINGS | SCHEDULE J, PART I, LINES 6A & 6B | THE CEO AND SENIOR MANAGEMENT ARE ELIGIBLE FOR INCENTIVE COMPENSATION AS PART OF THEIR OVERALL COMPENSATION PLAN. TARGETED BENCHMARKS INCLUDE CONSOLIDATED OPERATING MARGIN, PATIENT SATISFACTION, EMPLOYEE SATISFACTION, CLINICAL OUTCOMES, PATIENT SAFETY AND INDIVIDUAL GOALS. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF MO | ||||||||
| A | 431178966 | 60635R8G5 | 2010-10-20 | 28426416 | REFUND 1996 & 1998 REVENUES BONDS | false | false | false |
| HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF MO | ||||||||
| B | 431178966 | 60636AFK4 | 2012-12-18 | 24701264 | REFUND 2003 REVENUES BONDS | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 1725000 | 0 | 28426416 | 2875426 | 0 | 28188586 | 237830 | 0 | 0 | 0 | 0 | 0 | 1998 | true | false | true | true |
| B | 75000 | 0 | 24701264 | 1692250 | 0 | 24320921 | 380343 | 0 | 0 | 0 | 0 | 0 | 2012 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers |
|---|---|
| A | 0 |
| B | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | true | false | false | true | JPMORGAN CHASE BANK | 12.82 | false | false | true |
| 0 | ||||||||||
| B | false | true | false | false | false | 0 | false | true | ||
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | true |
| B | true |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GIC FAIR MARKET VALUE | Identifier |
| Return Reference | SCHEDULE K, PART IV, LINE 4D COLUMN A | ReturnReference |
| Explanation | 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. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| LAKE REGIONAL MEDICAL MANAGEMENT | |||
| COMMON DRTRS - SEE PART V | 9744191 | CONTRIBUTIONS, REIMBURSEMENTS | false |
| MITCHELL SHIELDS | |||
| FAMILY MEMBER L SHIELDS | 40093 | EMPLOYMENT | false |
| CENTRAL BANK OF LAKE OF THE OZARKS | |||
| SEE PART V | 242058 | BANKING FEES | false |
| JULIE FRANKLIN | |||
| FAMILY MEMBER V FRANKLIN | 35945 | EMPLOYMENT | false |
| BARBA PROBSTFIELD | |||
| FAM MEMBER D PROBSTFIELD | 79326 | EMPLOYMENT | false |
Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INTERESTED PERSONS RELATIONSHIP | SCHEDULE L, PART IV, COLUMN B | GREG GAGNON, BOARD MEMBER, WAS THE BANK PRESIDENT AT CENTRAL BANK OF LAKE OF THE OZARKS. JIM JUDAS, BOARD MEMBER, IS NOW THE BANK PRESIDENT AT CENTRAL BANK OF LAKE OF THE OZARKS. ROBERT MASON, BOARD DIRECTOR, IS ALSO A BOARD DIRECTOR AT THE BANK. |
| SHARED DIRECTORS | SCHEDULE L, PART IV | INTERESTED PERSON, COLUMN A: LAKE REGIONAL MEDICAL MANAGEMENT RELATIONSHIP, COLUMN B: CHARLES MCELYEA, ROBERT G. SCHWENDINGER, GREG GAGNON, JOHN PARRISH, AND DENNIS MICHAELREE ARE OFFICERS OR DIRECTORS OF BOTH LAKE REGIONAL MEDICAL MANAGEMENT AND LAKE REGIONAL HEALTH SYSTEM. ROBERT G. SCHWENDINGER, JOHN PARRISH, DENNIS MICHAELREE, AND CHARLES MCELYEA WERE DETERMINED TO BE NON-INDEPENDENT MEMBERS OF LAKE REGIONAL HEALTH SYSTEM BASED SOLELY ON THEIR ROLE AS COMMON OFFICERS OR DIRECTORS OF LAKE REGIONAL MEDICAL MANAGEMENT AND LAKE REGIONAL HEALTH SYSTEM. LAKE REGIONAL MEDICAL MANAGEMENT IS AN ACTIVE, WHOLLY-OWNED FOR-PROFIT SUBSIDIARY. IT OPERATES SEVEN PRIMARY CARE MEDICAL CLINICS, THREE RETAIL PHARMACIES, AND FIFTEEN SPECIALTY CLINICS. LAKE REGIONAL HEALTH SYSTEM VIEWS THE COMMON OFFICERS AND DIRECTORS AS AN IMPORTANT ROLE IN HELPING BOTH ORGANIZATIONS IN ACHIEVING THEIR MISSIONS WHILE SERVING THE COMMUNITY. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 46 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 14009 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | SILENT AUCTION | 190 | 28653 | COST |
| X | LIVE AUCTION | 14 | 16850 | COST |
| X | FLOWERS | 1 | 5000 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART I, LINE 1 | 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 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 1,300 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. EFFECTIVE OCTOBER 1, 2012, 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. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINES 4A-C | 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. |
| OTHER PROGRAM SERVICES | FORM 990, PART III, LINE 4D | OTHER SERVICES INCLUDE ELECTRONIC HEALTH RECORDS INCENTIVES, MANAGEMENT FEES, CAFETERIA INCOME, INCOME FROM THE AUXILIARY, AND OTHER PROGRAM SERVICE ACTIVITIES. |
| FAMILY AND BUSINESS RELATIONSHIPS | FORM 990, PART VI, SECTION A, LINE 2 | F JOE BUTTS, M DANIEL PROBTSFIELD, VICKI L FRANKLIN, AND MICHAEL HENZE HAVE A BUSINESS RELATIONSHIP. MICHAEL HENZE & F JOE BUTTS HAVE A BUSINESS RELATIONSHIP. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINE 11B | 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 NECESSARY CHANGES WERE MADE, THE MEMBERS OF THE BOARD OF DIRECTORS WERE PROVIDED A COPY. AT THE DECEMBER 2013 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. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR, ALL MEMBERS OF THE BOARD OF DIRECTORS, SENIOR MANAGEMENT, AND 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. |
| COMPENSATION DETERMINATION | FORM 990, PART VI, SECTION B, LINES 15A & 15B | DURING 2011, THE ORGANIZATION USED IHSTRATEGIES, AN INDEPENDENT ORGANIZATION, TO HELP THEM EVALUATE AND SET THE COMPENSATION FOR THE ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION DELIBERATIONS WERE DOCUMENTED IN THE MINUTES OF BOTH THE COMPENSATION COMMITTEE AND THE BOARD. |
| GOVERNING DOCUMENT AVAILABILITY | FORM 990, PART VI, SECTION C, LINE 19 | 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. |
| BOARD MEMBER COMPENSATION | FORM 990, PART VII | 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. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | THE ORGANIZATION'S TOTAL OTHER FEES FOR SERVICES ON THE STATEMENT OF FUNCTIONAL EXPENSES IS COMPRISED OF THE FOLLOWING: $9,297,518 CLINICAL SERVICES 6,029,626 OUTSIDE SERVICES 977,737 COLLECTION AGENCIES --------- $16,304,881 TOTAL |
Schedule R IRS990ScheduleR
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKE REGIONAL IMAGING PARTNERS | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 54 HOSPITAL DRIVE | AddressLine1 |
| City | OSAGE BEACH | City |
| State | MO | State |
| ZIP Code | 65065 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202107048 | EIN |
| Primary Activity | DIAGNOSTIC IM | PrimaryActivity |
| Legal Domicile State | MO | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LRHS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 1175122 | ShareOfTotalIncome |
| Share Of EOY Assets | 2833192 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | true | GeneralOrManagingPartner |
| Percentage Ownership | 0.51000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKE REGIONAL MEDICAL MANAGEMENT | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 54 HOSPITAL DRIVE | AddressLine1 |
| City | OSAGE BEACH | City |
| State | MO | State |
| ZIP Code | 65065 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431473438 | EIN |
| Primary Activity | PHYSICIAN SER | PrimaryActivity |
| Legal Domicile State | MO | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LRHS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | 35341697 | ShareOfTotalIncome |
| Share Of EOY Assets | 7545576 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | true | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| LAKE REGIONAL MEDICAL MANAGEMENT | ||
| A/J | 979062 | FMV |
| LAKE REGIONAL MEDICAL MANAGEMENT | ||
| B | 6560000 | FMV |
| LAKE REGIONAL IMAGING PARTNERS LLC | ||
| K | 78694 | FMV |
| LAKE REGIONAL MEDICAL MANAGEMENT | ||
| L | 781344 | FMV |
| LAKE REGIONAL IMAGING PARTNERS LLC | ||
| L | 1158834 | FMV |
| LAKE REGIONAL MEDICAL MANAGEMENT | ||
| P | 4030435 | FMV |
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