LAKE REGIONAL HEALTH SYSTEM: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: LAKE REGIONAL HEALTH SYSTEM (EIN 23-7339737)
Tax period: 2023-05-01 to 2024-04-30
Filed: 2025-03-14
IRS object ID: 202510739349300016
Schema version: 2023v6.0
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 H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-03-14T16:43:09+00:00	ReturnTs
Tax Period End	2024-04-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E St Louis 200 PO Box 1190	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-05-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	237339737	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Lake Regional Health System	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LAKE	BusinessNameControlTxt
Phone	5733488000	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAULA LITTLETON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5733488388	PhoneNum
Signature	2025-03-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum
Preparation	2025-03-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$287,700,868	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.lakeregional.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1973	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	LAKE REGIONAL HEALTH SYSTEM PROVIDES AN EXTENSIVE VARIETY OF OUTPATIENT AND INPATIENT HEALTHCARE SERVICES AS WELL AS AN EMERGENCY DEPARTMENT TO RESIDENTS AND VISITORS.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	1797	TotalEmployeeCnt
Total Volunteers	61	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$163,961	PYContributionsGrantsAmt
CY Contributions Grants	$8,248,686	CYContributionsGrantsAmt
PY Program Service Revenue	$237,343,871	PYProgramServiceRevenueAmt
CY Program Service Revenue	$242,148,511	CYProgramServiceRevenueAmt
PY Investment Income	$3,183,365	PYInvestmentIncomeAmt
CY Investment Income	$9,451,812	CYInvestmentIncomeAmt
PY Other Revenue	-$324,110	PYOtherRevenueAmt
CY Other Revenue	-$2,370,096	CYOtherRevenueAmt
PY Total Revenue	$240,367,087	PYTotalRevenueAmt
CY Total Revenue	$257,478,913	CYTotalRevenueAmt
PY Grants And Similar Paid	$75,851	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$56,623	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$108,352,698	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$118,502,299	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$127,544,009	PYOtherExpensesAmt
CY Other Expenses	$134,325,519	CYOtherExpensesAmt
PY Total Expenses	$235,972,558	PYTotalExpensesAmt
CY Total Expenses	$252,884,441	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,394,529	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,594,472	CYRevenuesLessExpensesAmt
Total Assets BOY	$251,009,196	TotalAssetsBOYAmt
Total Assets EOY	$255,217,055	TotalAssetsEOYAmt
Total Liabilities BOY	$90,720,379	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$95,700,155	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$160,288,817	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$159,516,900	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE EXCEPTIONAL HEALTHCARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$136,484,811	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$162,183,346	RevenueAmt
Desc	LAKE REGIONAL HEALTH SYSTEM PROVIDES OUTPATIENT SERVICES SUCH AS DIAGNOSTIC IMAGING, LABORATORY AND PHYSICAL THERAPY SERVICES TO THE COMMUNITY AND SURROUNDING RURAL AREAS. THE HOSPITAL PROVIDED A TOTAL OF 392,229 OUTPATIENT SERVICE VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$49,678,660	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$55,538,135	RevenueAmt
Desc	LAKE REGIONAL HEALTH SYSTEM PROVIDES INPATIENT SERVICES TO THE COMMUNITY AND SURROUNDING RURAL AREAS. THE HOSPITAL PROVIDED 17,617 INPATIENT DAYS, 2,418 SKILLED NURSING FACILITY INPATIENT DAYS AND 1,032 NURSERY PATIENT DAYS FOR A TOTAL OF 21,067 INPATIENT DAYS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$9,440,389	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$22,276,014	RevenueAmt
Desc	LAKE REGIONAL HEALTH SYSTEM'S EMERGENCY DEPARTMENT IS A LEVEL III TRAUMA CENTER (GRANTED THROUGH A SPECIAL STATE CREDENTIALING PROCESS REQUIRING EXTENSIVE EDUCATION AND SERVICE REVIEW) PROVIDING 24-HOUR EMERGENCY MEDICAL SERVICE TO A FIVE COUNTY AREA. THE UNIVERSITY OF MISSOURI STAFF FOR LIFE HELICOPTER IS BASED HERE. THE EMERGENCY DEPARTMENT PROVIDED 38,899 VISITS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$3,030,927	ExpenseAmt
Grant	$56,623	GrantAmt
Revenue	$2,151,016	RevenueAmt
Desc	OTHER SERVICES INCLUDE MANAGEMENT FEES, CAFETERIA INCOME, INCOME FOR THE AUXILIARY, AND OTHER PROGRAM SERVICE ACTIVITIES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$3,030,927	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$56,623	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$2,151,016	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$198,634,787	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	146	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1797	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5733488000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHARLES MCELYEA
ASSISTANT SECRETARY	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DENNIS MICHAELREE
SECRETARY	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JASON HULETT
VICE PRESIDENT	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
KAREN FAIFERLICK
PRESIDENT	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
WAYNE COMPTON
TREASURER	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ALAN MEAD MD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
COREY TEN BENSEL
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
GREGORY ANDERSON
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
JAMES JUDAS JR
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
JEFFREY JONES
CHIEF OF STAFF	1.0	40.0	Yes (X)		$0	$511,247	$15,037
JOHN CAINE
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
JOHN PARRISH
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
JOHN PATTON
BOARD MEMBER	1.0	40.0	Yes (X)		$0	$725,994	$15,795
KEVIN BYRNE DO
BOARD MEMBER	1.0	40.0	Yes (X)		$0	$931,985	$18,834
LARRY SHIELDS
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
MARK RECTOR
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
DENNIS LOCKARD
INTERIM CFO BEG 11/23	40.0	2.0		Yes (X)	$111,589	$0	$0
HENRY ZEISEL
CFO END 10/23	40.0	2.0		Yes (X)	$587,418	$0	$17,030
KEVIN MCROBERTS
CEO	40.0	2.0		Yes (X)	$584,663	$0	$99,638
JENNIFER BETHUREM
VP OF PUBLIC AFFAIRS	40.0	0.0			$201,367	$0	$29,067	Yes (X)
MELISSA HUNTER
COO	40.0	0.0			$377,632	$0	$51,070	Yes (X)
PATRICK NEECE
CIO	40.0	0.0			$315,928	$0	$43,453	Yes (X)
THOMAS WILLIAMS
VP OF HUMAN RESOURCES	40.0	0.0			$240,335	$0	$35,928	Yes (X)
AMY THOMPSON
PHYSICIAN	40.0	0.0			$532,481	$0	$18,634		Yes (X)
CHRISTINE LIVEK
PHYSICIAN	40.0	0.0			$519,987	$0	$15,749		Yes (X)
HARBAKSH SANGHA
PHYSICIAN	40.0	0.0			$978,658	$0	$138,824		Yes (X)
MICHELLE HELTON
PHYSICIAN	40.0	0.0			$509,590	$0	$18,530		Yes (X)
SHAHID WAHEED
PHYSICIAN	40.0	0.0			$704,863	$0	$16,632		Yes (X)
GRANT BARNUM DO
FORMER BOARD MEMBER	40.0	0.0			$146,676	$0	$0			Yes (X)
JOSH BRICKNER DO
FORMER BOARD MEMBER	40.0	0.0			$0	$579,125	$14,727			Yes (X)
MICHAEL BURCHAM
FORMER LRMG ADMINISTRATION	0.0	0.0			$187,727	$0	$924			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,998,914	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,748,351	TotReportableCompRltdOrgAmt
Total Other Compensation	$549,872	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	169	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
R3 DYNAMICS
PO BOX 640	ST PETERS	MO	63376	COLLECTION	$1,346,009
WYRICK MECHANICAL LLC
43352 HWY CC	RUSSELLVILLE	MO	65074	REPAIRS	$1,046,261
HAMMES COMPANY HEALTHCARE
1400 N WATER STREET	MILWAUKEE	WI	53202	CONSULTING	$587,434	SUITE 500
CCS SALYER LLC
45211 HELM ST	PLYMOUTH	MI	48170	PATIENT CARE	$530,584
ALL-STAR RECRUITING LOCUMS LLC
800 FAIRWAY DRIVE	DEERFIELD BEACH	FL	33441	RECRUITING SERVICE	$445,366	STE 300

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	25	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,305,808	RelatedOrganizationsAmt
Government Grants	$4,000,000	GovernmentGrantsAmt
All Other Contributions	$2,942,878	AllOtherContributionsAmt
Total Contributions	$8,248,686	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE	624100	$234,989,329	$234,989,329
CAFETERIA INCOME	722320	$1,851,290	$1,851,290
AUXILIARY INCOME	900099	$2,696,711	$2,696,711
OTHER INCOME	900099	$2,611,181	$2,611,181

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$242,148,511	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,931,120	TotalRevenueColumnAmt
Exclusion	$3,931,120	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$93,806	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$634,450	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$540,644	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$540,644	TotalRevenueColumnAmt
Exclusion	-$540,644	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$35,106,897	SecuritiesAmt
Other	$1,300	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$29,581,845	SecuritiesAmt
Other	$5,660	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,525,052	SecuritiesAmt
Other	-$4,360	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,520,692	TotalRevenueColumnAmt
Exclusion	$5,520,692	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CHANGE IN INTEREST IN EQUITY INVESTEES	Desc
Business	900099	BusinessCd
Total Revenue Column	-$1,829,452	TotalRevenueColumnAmt
Exclusion	-$1,829,452	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$1,829,452	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$257,478,913	TotalRevenueColumnAmt
Related Or Exempt Func Income	$242,148,511	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$7,081,716	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$43,590	TotalAmt
Program Services	$43,590	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$13,033	TotalAmt
Program Services	$13,033	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,695,118	TotalAmt
Program Services	$1,113,003	ProgramServicesAmt
Management And General	$1,582,115	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$158,139	TotalAmt
Program Services	$158,139	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$94,682,224	TotalAmt
Program Services	$72,248,710	ProgramServicesAmt
Management And General	$22,433,514	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,177,238	TotalAmt
Program Services	$1,847,906	ProgramServicesAmt
Management And General	$329,332	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,060,752	TotalAmt
Program Services	$9,881,224	ProgramServicesAmt
Management And General	$2,179,528	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,728,828	TotalAmt
Program Services	$5,507,351	ProgramServicesAmt
Management And General	$1,221,477	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$281,200	TotalAmt
Management And General	$281,200	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$349,208	TotalAmt
Management And General	$349,208	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$207,256	TotalAmt
Management And General	$207,256	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$36,080,195	TotalAmt
Program Services	$22,953,246	ProgramServicesAmt
Management And General	$13,126,949	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$93,457	TotalAmt
Management And General	$93,457	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,837,707	TotalAmt
Program Services	$6,880,681	ProgramServicesAmt
Management And General	$3,957,026	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$13,981	TotalAmt
Management And General	$13,981	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,427,648	TotalAmt
Program Services	$2,646,239	ProgramServicesAmt
Management And General	$781,409	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$601,507	TotalAmt
Program Services	$346,125	ProgramServicesAmt
Management And General	$255,382	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$90,531	TotalAmt
Program Services	$66,825	ProgramServicesAmt
Management And General	$23,706	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,991,668	TotalAmt
Program Services	$1,564,207	ProgramServicesAmt
Management And General	$427,461	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,120,829	TotalAmt
Program Services	$9,392,359	ProgramServicesAmt
Management And General	$3,728,470	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,916,790	TotalAmt
Program Services	$97,789	ProgramServicesAmt
Management And General	$2,819,001	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$54,200,678	$54,200,678
PROVIDER TAX	$8,683,809	$8,683,809
CAFETERIA/VENDING	$1,236,469	$971,092	$265,377
MISCELLANEOUS	$192,586	$18,781	$173,805

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$252,884,441	TotalAmt
Program Services	$198,634,787	ProgramServicesAmt
Management And General	$54,249,654	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$132,545	BOYAmt
EOY	$773,457	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,363,040	BOYAmt
EOY	$6,442,269	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,383,086	BOYAmt
EOY	$28,961,187	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,643,190	BOYAmt
EOY	$6,146,650	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,095,644	BOYAmt
EOY	$3,160,699	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$275,926,120	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$184,435,095	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$93,155,122	BOYAmt
EOY	$91,491,025	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$103,626,709	BOYAmt
EOY	$109,248,401	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,376,570	BOYAmt
EOY	$498,050	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,025,485	BOYAmt
EOY	$868,065	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,207,805	BOYAmt
EOY	$7,627,252	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$251,009,196	BOYAmt
EOY	$255,217,055	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$25,733,741	BOYAmt
EOY	$29,952,132	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$60,243,884	BOYAmt
EOY	$58,347,226	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$222,546	BOYAmt
EOY	$140,499	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,520,208	BOYAmt
EOY	$7,260,298	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$90,720,379	BOYAmt
EOY	$95,700,155	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$159,334,067	BOYAmt
EOY	$158,562,150	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$160,288,817	BOYAmt
EOY	$159,516,900	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$251,009,196	BOYAmt
EOY	$255,217,055	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,594,472	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,008,268	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$7,374,657	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$12,500	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$23,039	OtherActivitiesAmt
Total Lobbying Expenditures	$35,539	TotalLobbyingExpendituresAmt
Not Described Section501c3	Yes (true)	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1h RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, ETC	LAKE REGIONAL HEALTH SYSTEM PARTICIPATED IN THE FOLLOWING DURING THE YEAR: $12,500 RURAL REFERRAL CENTER/SOLE COMMUNITY HOSPITAL COALITION
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	A PORTION OF THE DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. $16,698 MISSOURI HOSPITAL ASSOCATION $6,340 AMERICAN HOSPITAL ASSOCIATION

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$954,750	BeginningYearBalanceAmt
Investment Earnings Or Losses	$34,282	InvestmentEarningsOrLossesAmt
Other Expenditures	$34,282	OtherExpendituresAmt
End Year Balance	$954,750	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$954,750	BeginningYearBalanceAmt
Investment Earnings Or Losses	$29,036	InvestmentEarningsOrLossesAmt
Other Expenditures	$29,036	OtherExpendituresAmt
End Year Balance	$954,750	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$954,750	BeginningYearBalanceAmt
Investment Earnings Or Losses	$46,470	InvestmentEarningsOrLossesAmt
Other Expenditures	$46,470	OtherExpendituresAmt
End Year Balance	$954,750	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$954,750	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,268	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,268	OtherExpendituresAmt
End Year Balance	$954,750	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$954,750	BeginningYearBalanceAmt
Investment Earnings Or Losses	$31,695	InvestmentEarningsOrLossesAmt
Other Expenditures	$31,695	OtherExpendituresAmt
End Year Balance	$954,750	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,171,609	OtherCostOrOtherBasisAmt
Book Value	$7,171,609	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$131,612,630	OtherCostOrOtherBasisAmt
Depreciation	$86,318,408	DepreciationAmt
Book Value	$45,294,222	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$128,839,744	OtherCostOrOtherBasisAmt
Depreciation	$93,820,417	DepreciationAmt
Book Value	$35,019,327	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,302,137	OtherCostOrOtherBasisAmt
Depreciation	$4,296,270	DepreciationAmt
Book Value	$4,005,867	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$91,491,025	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
EST AMT DUE TO 3RD PTY PYRS	$5,601,316
MALPRACTICE PAYABLE	$200,000
ROU LIABILITIES	$1,458,982

Field	Value	IRS element (for citing)
Total Liability	$7,260,298	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE ENDOWMENT FUND WAS ESTABLISHED BASED ON A CONTRIBUTION TO LAKE REGIONAL HEALTH SYSTEM. THIS CONTRIBUTION INCLUDED THE DONOR RESTRICTION THAT THE ENDOWMENT WOULD BE ESTABLISHED WITH THE INTENTION OF GENERATING INVESTMENT INCOME TO BE USED IN THE DAILY OPERATIONS OF THE ORGANIZATION AND THE PRINCIPLE OF THE ENDOWMENT FUND WOULD REMAIN IN PERPETUITY.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,908,537	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,908,537	NetCommunityBenefitExpnsAmt
Total Expense	0.0234	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,737,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,882,624	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,854,485	NetCommunityBenefitExpnsAmt
Total Expense	0.0350	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$47,645,646	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,882,624	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,763,022	NetCommunityBenefitExpnsAmt
Total Expense	0.0584	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,755	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,305	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$491,935	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$491,935	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$181,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$181,113	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$773,803	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$762,353	NetCommunityBenefitExpnsAmt
Total Expense	0.0030	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$48,419,449	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,894,074	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,525,375	NetCommunityBenefitExpnsAmt
Total Expense	0.0614	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$21,292,360	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,900,760	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$53,955,042	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$58,008,412	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,053,370	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Field	Value	IRS element (for citing)
Primary Activities	DIAGNOSTIC IMAGING SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.0051	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.0049	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.LAKEREGIONAL.COM/ABOUT-US/REPORTS/	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.LAKEREGIONAL.COM/ABOUT-US/REPORTS/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.lakeregional.com/patients-and-visitors/patients/billing-and-insurance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.lakeregional.com/patients-and-visitors/patients/billing-and-insurance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.lakeregional.com/patients-and-visitors/patients/billing-and-insurance/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - LAKE REGIONAL HEALTH SYSTEM. FROM MAY TO JULY 2021, A TOTAL OF 724 COMMUNITY SURVEYS WERE COLLECTED ONLINE AND VIA PAPER COPY. THE SURVEY WAS INTENDED TO YIELD INFORMATION ABOUT THE OVERALL HEALTH OF THE COMMUNITY. SURVEY TOPICS INCLUDE DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS, BEHAVIORAL RISK FACTORS, HEALTH CONDITIONS, RESPONSE TO COVID-19, AND ACCESS TO HEALTH CARE. NOTICE OF THE SURVEY WAS SHARED WITH THE COMMUNITY THROUGH LOCAL MEDIA AND SOCIAL MEDIA. TO REACH LOW-INCOME, MEDICALLY UNDERSERVED AND CHRONICALLY ILL POPULATIONS, A PAPER VERSION OF THE SURVEY WAS DISTRIBUTED AT SUPPORT GROUPS, COMMUNITY EVENTS, COUNTY HEALTH DEPARTMENT SITES, A FREE CLINIC SITE, A FEDERALLY-QUALIFIED HEALTH CENTER AND LAKE REGIONAL PRIMARY CARE CLINICS. THE ONLINE SURVEY WAS SHARED WITH LAKE-AREA COMMUNITY PARTNERS, INCLUDING SCHOOL DISTRICTS; POPULATION HEALTH PARTNERS, INCLUDING COUNTY HEALTH DEPARTMENTS; AND BUSINESS PARTNERS, INCLUDING CHAMBERS OF COMMERCE. LAKE REGIONAL EMPLOYEES ALSO PARTICIPATED IN THE SURVEY. ADDITIONALLY, DIRECT INTERVIEWS WITH LOCAL FIRST RESPONDERS, BUSINESS OWNERS, SCHOOL HEALTH COORDINATORS, AND OTHER HEALTH ORGANIZATION REPRESENTATIVES ALSO WERE RECORDED.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - LAKE REGIONAL HEALTH SYSTEM. LAKE AREA COMMUNITY HEALTH PARTNERS MET IN AUGUST 2021 TO REVIEW THE DATA COLLECTED FROM SECONDARY RESEARCH AND THE COMMUNITY NEEDS ASSESSMENT SURVEY. THE COMMITTEE INCLUDED LAKE REGIONAL EMPLOYEES; LOCAL HEALTH DEPARTMENT ADMINISTRATORS; AND A REPRESENTATIVE FROM A FEDERALLY-QUALIFIED HEALTH CENTER. COMMON THEMES WERE IDENTIFIED, SCORED AND WEIGHTED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. THE TOP COMMUNITY HEALTH PRIORITIES IDENTIFIED WERE: - MENTAL HEALTH - ACCESS TO HEALTH CARE - ABILITY TO PAY AND/OR LACK OF INSURANCE MENTAL HEALTH WAS CITED AS THE HIGHEST PRIORITY NEED TO BE ADDRESSED. THE AREA FACES LIMITED RESOURCES FOR TREATMENT OF MENTAL HEALTH, INCLUDING LACK OF ACCESS TO BEHAVIOR HEALTH SPECIALISTS. GOALS RELATED TO MENTAL HEALTH INCLUDED: - INCREASE STAFF AND COMMUNITY KNOWLEDGE ABOUT RISK FACTORS AND WARNING SIGNS OF MENTAL ILLNESS, AS WELL AS HOW TO INTERACT WITH A PERSON IN CRISIS. - OFFER MONTHLY SUPPORT GROUP MEETINGS TO ASSIST INDIVIDUALS IN ENHANCING COPING SKILLS FOLLOWING PHYSICAL, MENTAL AND/OR EMOTIONAL TRAUMA, THROUGH EDUCATION, MUTUAL SUPPORT AND INFORMATION SHARING IN A CONFIDENTIAL SETTING. - CONNECT BEHAVIORAL HEALTH PATIENTS TO COUNSELING AND COMMUNITY RESOURCES. - ACCESS TO HEALTH CARE WAS CITED AS ONE OF THE MOST PRESSING HEALTH CONCERNS AS IT RELATES TO LACK OF HEALTH PROVIDERS OR RECEIVING MEDICAL ATTENTION IN A TIMELY MANNER. GOALS RELATED TO ACCESS TO HEALTH CARE INCLUDED: - EXPANSION IN LACLEDE COUNTY, INCLUDING BUILDING A NEW CLINIC INCLUDING SPECIALTY, REHAB, AND OTHER SERVICES. - OUTREACH SERVICES IN LACLEDE COUNTY, INCLUDING CARDIAC AND ORTHOPEDIC SERVICES CURRENTLY AND PLANS TO ADD GASTROENTEROLOGY, NEPHROLOGY, AND SLEEP MEDICINE. - TELEHEALTH EXPANSION AND PROMOTION AT ALL SPECIALTY AND PRIMARY CARE CLINICS. - ABILITY TO PAY FOR HEALTH CARE AND LACK OF INSURANCE WAS CITED AS ANOTHER ONE OF THE MOST PRESSING HEALTH CONCERNS AND RELATES TO ECONOMIC FACTORS INCLUDING LOW-PAYING JOBS, SEASONAL EMPLOYMENT, HIGH HEALTH-CARE COSTS, LIMITED LOW-COST HOUSING AND AFFORDABILITY OF BASIC NECESSITIES. GOALS RELATED TO ABILITY TO PAY INCLUDED: - EDUCATE LAKE REGIONAL STAFF AND COMMUNITIES REGARDING ASSISTANCE PROGRAMS, AS WELL AS FREE, LOW-COST, AND SLIDING SCALE CLINICS AND SERVICES. - OFFERING FINANCIAL ASSISTANCE THROUGH COMMERCE BANK HEALTH SERVICES FINANCING PROGRAM. - MISSOURI HEALTHNET EXPANSION AND ENROLLMENT
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - LAKE REGIONAL HEALTH SYSTEM. FINANCIAL ASSISTANCE WILL BE CONSIDERED ON CATASTROPHICALLY NEEDY PATIENTS ON A CASE-BY-CASE BASIS. THE HOSPITAL WILL USE PRESUMPTIVE ELIGIBILITY WHEN A PATIENT IS PROVEN TO HAVE THE FOLLOWING CIRCUMSTANCES: -HOMELESS OR RECEIVING CARE FORM A HOMELESS CLINIC -PARTICIPATION IN WOMEN'S INFANTS AND CHILDREN'S PROGRAMS (WIC) -FOOD STAMP ELIGIBILITY -ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN) -LOW INCOME/SUBSIDIZED HOUSING (SECTION 8) IS PROVIDED AS A VALID ADDRESS -PATIENT IS DECEASED WITH NO KNOWN ESTATE -INCARCERATED PRISONERS NOT EXPECTED TO BE RELEASED SOON -MENTALLY INCAPACITATED
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - LAKE REGIONAL HEALTH SYSTEM. ALL PATIENTS THAT ARE IN A ROOM HAVE ACCESS TO A BINDER THAT EXPLAINS THE FINANCIAL ASSISTANCE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 2	Facility , 2 - LAKE REGIONAL HEALTH SYSTEM. LEP TRANSLATIONS: THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER IRC SECTION 501(R). HOWEVER, A SPANISH TRANSLATION IS AVAILABLE.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
LAKE REGIONAL IMAGING PARTNERS
54 HOSPITAL DR	OSAGE BEACH	MO	65065	IMAGING CENTER
ELDON REHAB THERAPY
304 EAST 4TH STREET	ELDON	MO	65026	REHAB THERAPY
LAKE OZARK REHAB THERAPY
1870 BAGNELL DAM BLVD	LAKE OZARK	MO	65049	REHAB THERAPY
LAURIE REHAB THERAPY
156 MISSOURI BLVD	LAURIE	MO	65038	REHAB THERAPY
CAMDENTON REHAB THERAPY
1930 N BUSINESS ROUTE 5	CAMDENTON	MO	65020	REHAB THERAPY

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7 PERCENT OF TOTAL EXPENSE	THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A).
Schedule H, Part I, Line 7 COSTING METHODOLOGY	THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1, 3, AND 6
Schedule H, Part III, Line 9b COLLECTION POLICY	COLLECTION ACTIVITY WILL BE SUSPENDED DURING THE CONSIDERATION OF COMPLETED FINANCIAL ASSISTANCE APPLICATION OR AN APPLICATION FOR ANY OTHER HEALTHCARE BRACKET (I.E. MEDICARE, MEDICAID, ETC.) A NOTE WILL BE ENTERED INTO THE PATIENT'S ACCOUNT TO SUSPEND COLLECTION ACTIVITY UNTIL THE FINANCIAL ASSISTANCE PROCESS IS COMPLETE. IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY, THE AGENCY WILL BE NOTIFIED TO SUSPEND COLLECTION EFFORTS UNTIL A DETERMINATION IS MADE. THIS NOTIFICATION WILL BE DOCUMENTED IN THE ACCOUNT NOTES. THE PATIENT WILL BE NOTIFIED VERBALLY THAT THE COLLECTION ACTIVITY WILL BE SUSPENDED DURING CONSIDERATION. IF A FINANCIAL ASSISTANCE DETERMINATION ALLOWS FOR A PERCENT REDUCTION BUT LEAVES THE PATIENT WITH A SELF-PAY BALANCE, PAYMENT TERMS WILL BE ESTABLISHED ON THE BASIS OF DISPOSABLE INCOME.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEMS DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED APRIL 30, 2024. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	LINE 3 WAS DETERMINED BY TAKING THE BAD DEBT EXPENSE (LINE 2) TIMES THE PERCENT OF PERSONS BELOW THE POVERTY LEVEL BASED ON US CENSUS BUREAU DATA.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENTS ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	MEDICARE DATA COMPUTED USING THE MEDICARE COST REPORT FILED WITH CMS WAS UTILIZED FOR THE COMPUTATIONS IN PART III, SECTION B. MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT, AS LRHS IS CLASSIFIED AS A RURAL REFERRAL CENTER AND SOLE COMMUNITY HOSPITAL, AND ALTERNATIVELY COULD QUALIFY AS A MEDICARE-DEPENDENT HOSPITAL. THIS DEMONSTRATES THAT LRHS IS THE ONLY REASONABLE SOURCE OF HOSPITAL CARE AVAILABLE TO MEDICARE BENEFICIARIES IN OUR SERVICE AREA, AND LIKEWISE TREATS ALL BENEFICIARIES IN OUR SERVICE AREA THAT PRESENT THEMSELVES FOR CARE, DESPITE KNOWING WE WILL GENERALLY LOSE MONEY FOR CARING FOR MEDICARE PATIENTS. ADDITIONALLY, SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
Schedule H, Part V, Section B, Line 16a FAP website	- LAKE REGIONAL HEALTH SYSTEM: Line 16a URL: https://www.lakeregional.com/patients-and-visitors/patients/billing-and-insurance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- LAKE REGIONAL HEALTH SYSTEM: Line 16b URL: https://www.lakeregional.com/patients-and-visitors/patients/billing-and-insurance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- LAKE REGIONAL HEALTH SYSTEM: Line 16c URL: https://www.lakeregional.com/patients-and-visitors/patients/billing-and-insurance/;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIBED IN SCHEDULE H, PART V, SECTION B, A SECONDARY DATA REPORT WAS COMPILED FROM WWW.EXPLOREMOHEALTH.ORG, WHICH SUPPLIES COUNTY HEALTH DATA WITH ZIP CODE LEVEL DATA AND ANALYSIS FROM THE WASHINGTON SCHOOL OF MEDICINE AND HOSPITAL INDUSTRY DATA INSTITUTE. THIS REPORT REFERENCES SEVERAL SOURCES INCLUDING BUT NOT LIMITED TO THE U.S. CENSUS BUREAU, MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES, AND CENTERS FOR DISEASE CONTROL AND PREVENTION. PRIMARY DATA COLLECTION INVOLVED CONDUCTING A NEEDS ASSESSMENT SURVEY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	SIGNAGE WILL BE POSTED IN ALL PATIENT INTAKE AREAS, INCLUDING, BUT NOT LIMITED TO, THE EMERGENCY ROOM AND THEY ADMISSION/PATIENT REGISTRATION AREAS. ALL PUBLIC INFORMATION AND/OR FORMS REGARDING THE PROVISIONS OF FINANCIAL ASSISTANCE WILL USE LANGUAGES THAT ARE APPROPRIATE FOR LRHS SERVICE AREA IN ACCORDANCE WITH THE STATE'S LANGUAGE ASSISTANCE SERVICES ACT. THIS POLICY WILL BE MADE AVAILABLE IN SPANISH. THE FINANCIAL ASSISTANCE APPLICATION IS POSTED ON THE LRHS WEBSITE. LRHS HAS FINANCIAL COUNSELORS IN THE PATIENT FINANCIAL SERVICE DEPARTMENT. THESE COUNSELORS MEET WITH SELF PAY PATIENTS WHEN THEY ARE IN THE FACILITY TO DISCUSS THE POLICY, AS WELL AS EDUCATE PATIENTS ON ASSISTANCE THEY MAY BE ELIGIBLE FOR UNDER FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS.
Schedule H, Part VI, Line 4 Community information	LRHS IS LOCATED IN OSAGE BEACH, MISSOURI, AND SERVES THE AREA SURROUNDING THE LAKE OF THE OZARKS, A 54,000 ACRE MAN-MADE LAKE LOCATED IN CENTRAL MISSOURI. LRHS' SERVICE AREA ENCOMPASSES A FOUR COUNTY AREA: CAMDEN, LACLEDE, MILLER, AND MORGAN COUNTIES. THE OVERALL SERVICE AREA 2019 POPULATION IS ESTIMATED AT 96,469. IN ADDITION TO THE RESIDENT POPULATION OF NEARLY 100,000, 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 ANNUALLY. 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 = $53,478, LACLEDE = $47,257, MILLER = $47,171 AND MORGAN = $39,003. THE CAMDEN COUNTY 2022 ANNUAL UNEMPLOYMENT RATE AT 2.8%, BELOW THE STATE (3.4%) AND NATIONAL (3.6%) AVERAGES. CAMDEN COUNTY HAS APPROXIMATELY 14.8% OF PERSONS BELOW POVERTY LEVEL. THE IMMEDIATE 4-COUNTY AREA OF CAMDEN, LACLEDE, MILLER, AND MORGAN ESTIMATES UNINSURED INDIVIDUALS AT 34.25%. THERE ARE NO OTHER HOSPITALS WITHIN A 25-MILE RADIUS. USING HOSPITAL INDUSTRY DATA INSTITUTE DATA, THE LRHS MARKET IS PRIMARILY SHARED WITH 4 HOSPITALS IN THE AREA.
Schedule H, Part VI, Line 5 Promotion of community health	LRHS SHOWS ITS SUPPORT OF THE COMMUNITY BY PROVIDING A TWO-DAY CAREER CAMP FOR STUDENTS 10-14. THE STUDENTS LEARN ABOUT CAREERS IN NURSING, REHAB THERAPIES, LABORATORY, SURGERY AND RESPIRATION THERAPIES, AND LABORATORY. CAMP INSTRUCTORS ALSO COVER TOPICES SUCH AS PATIENT CONFIDENTIALITY, INFECTION CONTROL, DISASTER MANAGEMENT, DATA MANAGEMENT, PROFESSIONAL SCHOOLS IN MISSOURI AND SCHOLARSHIP OPPORTUNITIES. ANOTHER APPROACH TO SUPPORTING THE COMMUNITY IS THORUGH LRHS'S COLLARBORATION WITH LAKE AREA COMMUNITY PARTNERS (INCLUDING SCHOOL DISTRICTS, POPULATION HEALTH PARTNERS SUCH AS THE COUNTY HEALTH DEPARTMENTS AND BUSINESS PARTNERS SUCH AS THE CHAMBER OF COMMERCE) TO CREATE AN ACTIONABLE PLAN ADDRESSING THE COMMUNITY'S KEY HEALTH NEEDS. THIS OCCURS DURING OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. ACTION PLANS ARE CREATED AND MAINTAINED TO ENSURE WORK IS BEING DONE TO IMPROVE THE ISSUES IDENTIFIED.
Schedule H, Part VI, Line 6 Affiliated health care system	THE AFFILIATED HEALTH CARE SYSTEM OF THE ORGANIZATION INCLUDES LAKE REGIONAL MEDICAL MANAGEMENT AND LAKE REGIONAL IMAGING PARTNERS. A WHOLLY OWNED SUBSIDIARY, LAKE REGIONAL MEDICAL MANAGEMENT, INC., D/B/A LAKE REGIONAL MEDICAL GROUP (MEDICAL MANAGEMENT), OPERATES MEDICAL CLINICS AND RETAIL PHARMACIES IN CAMDEN, MILLER AND MORGAN COUNTIES. THE ORGANIZATION HAS A 51% OWNERSHIP OF LAKE REGIONAL IMAGING PARTNERS, LLC (IMAGING PARTNERS). IMAGING PARTNERS IS A LIMITED LIABILITY COMPANY THAT OPERATES AN IMAGING CENTER IN OSAGE BEACH, MISSOURI, WHICH OFFERS CLOSED HYBRID MRI SERVICES, PET AND CT SCANS, ULTRASOUND SERVICES AND RADIOGRAPHY IMAGING SERVICES. THE 49% MINORITY INTEREST IN IMAGING PARTNERS IS OWNED BY A GROUP OF LOCAL RADIOLOGISTS. Lake Regional Health Foundation (the "Foundation") is a wholly owned subsidiary of the Health System. The Foundation is a not-for-profit entity whose sole purpose is to support the Health System's fundraising efforts to assist with educational and healthcare needs.

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	5	RecipientCnt
Cash Grant	$13,033	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
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 AND HOSPITAL EMPLOYEES.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOSH BRICKNER DO
FORMER BOARD MEMBER	$0	$556,092	$0	$0	$0	$23,033	$0	$13,200	$0	$1,527	$0	$593,852	$0	$0
GRANT BARNUM DO
FORMER BOARD MEMBER	$146,676	$0	$0	$0	$0	$0	$0	$0	$0	$0	$146,676	$0	$0	$0
KEVIN BYRNE DO
BOARD MEMBER	$0	$911,441	$0	$15,000	$0	$5,544	$0	$13,200	$0	$5,634	$0	$950,819	$0	$0
JOHN PATTON
BOARD MEMBER	$0	$714,734	$0	$10,000	$0	$1,260	$0	$13,200	$0	$2,595	$0	$741,789	$0	$0
JEFFREY JONES
CHIEF OF STAFF	$0	$494,346	$0	$15,000	$0	$1,901	$0	$13,200	$0	$1,837	$0	$526,284	$0	$0
KEVIN MCROBERTS
CEO	$518,185	$0	$40,500	$0	$25,978	$0	$94,706	$0	$4,932	$0	$684,301	$0	$0	$0
HENRY ZEISEL
CFO END 10/23	$340,826	$0	$30,457	$0	$216,135	$0	$13,200	$0	$3,830	$0	$604,448	$0	$0	$0
MICHAEL BURCHAM
FORMER LRMG ADMINISTRATION	$86,950	$0	$0	$0	$100,777	$0	$0	$0	$924	$0	$188,651	$0	$0	$0
MELISSA HUNTER
COO	$336,289	$0	$24,505	$0	$16,838	$0	$48,035	$0	$3,035	$0	$428,702	$0	$0	$0
THOMAS WILLIAMS
VP OF HUMAN RESOURCES	$224,363	$0	$15,234	$0	$738	$0	$31,438	$0	$4,490	$0	$276,263	$0	$0	$0
JENNIFER BETHUREM
VP OF PUBLIC AFFAIRS	$186,971	$0	$14,006	$0	$390	$0	$26,249	$0	$2,818	$0	$230,434	$0	$0	$0
PATRICK NEECE
CIO	$292,930	$0	$22,322	$0	$676	$0	$41,287	$0	$2,166	$0	$359,381	$0	$0	$0
HARBAKSH SANGHA
PHYSICIAN	$954,226	$0	$0	$0	$24,432	$0	$132,200	$0	$6,624	$0	$1,117,482	$0	$0	$0
MICHELLE HELTON
PHYSICIAN	$493,131	$0	$16,000	$0	$459	$0	$13,200	$0	$5,330	$0	$528,120	$0	$0	$0
SHAHID WAHEED
PHYSICIAN	$677,558	$0	$10,000	$0	$17,305	$0	$13,200	$0	$3,432	$0	$721,495	$0	$0	$0
AMY THOMPSON
PHYSICIAN	$516,261	$0	$15,000	$0	$1,220	$0	$13,200	$0	$5,434	$0	$551,115	$0	$0	$0
CHRISTINE LIVEK
PHYSICIAN	$494,903	$0	$17,500	$0	$7,584	$0	$13,200	$0	$2,549	$0	$535,736	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	REIMBURSEMENT POLICY: THE ORGANIZATION HAS A WRITTEN POLICY FOR REIMBURSEMENT RELATED TO TRAVEL FOR COMPANIONS. DIRECTORS AND KEY EMPLOYEES ARE ELIGIBLE TO RECEIVE THIS BENEFIT. THE ORGANIZATION PROVIDES ONE TYPE OF GROSS UP PAYMENT FOR THE CEO'S AUTO ALLOWANCE. THE CEO IS THE ONLY PERSON THAT RECEIVES THIS BENEFIT. THIS PAYMENT IS REPORTED AS TAXABLE COMPENSATION ON THE CEO'S W-2 FORM EACH YEAR. THE AUTO ALLOWANCE FOR 2023 WAS $3,770.
Schedule J, Part I, Line 4a Severance or change-of-control payment	The following people received a severance or change-of-control payment: $ 97,230 Michael Burcham 211,935 Henry Zeisel
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE FOLLOWING PEOPLE PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN AND HAD A DEFERRED CONTRIBUTION TO A 457(F) NONQUALIFIED RETIREMENT PLAN: CONTRIBUTIONS: $18,100 JENNIFER BETHUREM 35,835 MELISSA HUNTER 28,848 PATRICK NEECE 21,656 THOMAS WILLIAMS 81,506 KEVIN MCROBERTS
Schedule J, Part I, Line 5a COMPENSATION CONTINGENT ON REVENUES OF THE ORGANIZATION	INDIVIDUALS RECEIVING INCENTIVE COMPENSATION ON PART II OF SCHEDULE J ARE ELIGIBLE TO RECEIVE THESE PAYMENTS IN AN AMOUNT THAT IS A PERCENTAGE OF BASE COMPENSATION FOR MEETING CERTAIN PERFORMANCE CRITERIA, INCLUDING SPECIFIED REVENUE TARGETS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	431178966	BondIssuerEIN
Bond Issued	2021-08-18	BondIssuedDt
Issue Price	$60,252,593	IssuePriceAmt
Purpose	DEFEASE 2012, FUND 2016 & CAPITAL	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$60,252,593	TotalProceedsAmt
Capitalized Interest	$3,091,348	CapitalizedInterestAmt
Refunding Escrow	$12,414,490	RefundingEscrowAmt
Issuance Costs From Proceeds	$874,760	IssuanceCostsFromProceedsAmt
Capital Expenditures	$43,871,995	CapitalExpendituresAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MITCH SHIELDS
FAMILY MEMBER OF L SHIELDS	$40,473	WAGES	false
SHERRIE WILLIAMS
VP TOM WILLIAMS SPOUSE	$118,665	WAGES	false
LAKE OZARK ANESTHESIA & ASSOC
OWNED BY ALAN MEAD	$2,427,170	PHYSICIAN SERVICES	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	OUR MISSION: PROVIDE EXCEPTIONAL HEALTHCARE. OUR VISION: TO BE THE FIRST CHOICE FOR HEALTH CARE. OUR CORE COMPETENCIES: AGILITY, COMMUNITY FOCUS, SERVICE EXCELLENCE. OUR VALUES: INTEGRITY, PATIENT CENTERED, CLINICAL EXCELLENCE, COMMITMENT TO COMMUNITY. THE SYSTEM WAS ORGANIZED IN 1973 FOR THE PURPOSE OF ESTABLISHING A NEW HOSPITAL FOR MEDICAL AND SURGICAL CARE AND FOR THE TREATMENT OF PERSONS RESIDING OR VISITING IN THE LAKE OF THE OZARKS AREA OF CENTRAL MISSOURI. IN THE MORE THAN 40 YEARS SINCE THEN, THE SYSTEM HAS EVOLVED TO PROVIDE MORE COMPREHENSIVE HEALTH CARE, INCLUDING ADDING CARDIAC-CARE, OUTPATIENT SERVICES, CANCER AND ORTHOPEDIC PROGRAMS AND CONTINUALLY EXPANDING SERVICES AND FACILITIES OVER THE YEARS. IT IS NOW DESIGNATED AS A REGIONAL REFERRAL CENTER BY MEDICARE AND HAS NEARLY 1,400 EMPLOYEES. ITS BOARD HAD ADOPTED GOVERNANCE BEST PRACTICES AND A WIDE-RANGING CORPORATE COMPLIANCE PROGRAM. BASED ON PERIODIC COMMUNITY ASSESSMENTS, THE BOARD HAS ALSO COMMITTED TO ENHANCED UNCOMPENSATED CARE POLICIES AND NUMEROUS COMMUNITY PROGRAMS (E.G. HEALTH SCREENINGS, WELLNESS ENHANCED AND RELATED CARE PROGRAMS). THE SYSTEM IS ORGANIZED AS A COMMUNITY-BASED NONPROFIT PUBLIC BENEFIT CORPORATION UNDER THE LAWS OF THE STATE OF MISSOURI. THE SYSTEM OWNS AND OPERATES A 116-LICEENSED BED ACUTE CARE HOSPITAL (THE "HOSPITAL") LOCATED ON HIGHWAY 54 IN OSAGE BEACH, MISSOURI. THE HOSPITAL IS LICENSED BY THE MISSOURI DEPARTMENT OF HEALTH AND ACCREDITED BY THE JOINT COMMISSION. THE HOSPITAL IS DESIGNATED AS A SOLE COMMUNITY HOSPITAL, MEANING THAT THE HOSPITAL IS THE PRIMARY HEALTH CARE PROVIDER FOR A MAJORITY OF MEDICARE PATIENTS WITHIN A 35-MILE RADIUS OF THE HOSPITAL. THE CORPORATION HAS ONE ACTIVE, WHOLLY-OWNED FOR-PROFIT SUBSIDIARY, LAKE REGIONAL MEDICAL MANAGEMENT, INC. ("LRMM"), WHICH OPERATES FOUR RETAIL PHARMACIES AND FIFTEEN SPECIALTY CLINICS. OPERATIONS OF LRMM ARE GOVERNED BY A SEPARATE BOARD OF DIRECTORS. THE SYSTEM IS CURRENTLY GOVERNED BY A SIXTEEN-MEMBER BOARD OF DIRECTORS (THE "BOARD"). THE BOARD HAS GENERAL RESPONSIBILITY FOR THE BUSINESS AND AFFAIRS OF THE SYSTEM, AND MAY DO AND PERFORM ALL ACTS NECESSARY TO CARRY OUT ITS PURPOSES. UNDER THE TERMS OF THE BYLAWS, THE MEMBERS OF THE BOARD SERVE THREE-YEAR STAGGERED TERMS, AND NEW MEMBERS ARE ELECTED BY THE CURRENT BOARD MEMBERS. THE OFFICERS OF THE BOARD ARE ELECTED BY THE BOARD FOR TWO-YEAR TERMS. BOARD MEMBERS SERVE IN A VOLUNTARY CAPACITY AND RECEIVE NO REMUNERATION FOR SERVICE RENDERED IN SUCH CAPACITY.
Form 990, Part III, Line 4 PROGRAM SERVICE ACCOMPLISHMENTS	THE HOSPITAL PROVIDES CHARITY CARE IN SUPPORT OF ITS MISSION. THE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED IN NET PATIENT SERVICE REVENUE. IN ADDITION, THE HOSPITAL PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER CERTAIN GOVERNMENT REIMBURSED PUBLIC AID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS WHICH ARE LESS THAN ESTABLISHED CHARGES FOR THE SERVICES PROVIDED TO THE RECIPIENTS AND MANY TIMES THE PAYMENTS ARE LESS THAN THE COST OF RENDERING THE SERVICES PROVIDED. UNCOMPENSATED CHARGES RELATED TO THESE SERVICES INCLUDE CHARITY CARE, BAD DEBT, UNPAID MEDICARE, FREE MEDICAL SERVICES, HEALTH PROFESSIONALS EDUCATION, FINANCIAL CONTRIBUTIONS, AND TAXES. IN ADDITION TO UNCOMPENSATED CHARGES, THE HOSPITAL ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND CRITICAL SERVICE WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF-SUPPORTING OR FINANCIALLY VIABLE. SUCH PROGRAMS INCLUDE HEALTH SCREENING AND ASSESSMENTS, PRENATAL EDUCATION AND CARE, COMMUNITY EDUCATIONAL SERVICES, AND VARIOUS SUPPORT GROUPS.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 3,030,927 including grants of $ 56,623)(Revenue $ 2,151,016) OTHER SERVICES INCLUDE MANAGEMENT FEES, CAFETERIA INCOME, INCOME FOR THE AUXILIARY, AND OTHER PROGRAM SERVICE ACTIVITIES.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	OFFICERS KEVIN MCROBERTS, MELISSA HUNTER, AS WELL AS BOARD MEMBERS CHARLES MCELYEA AND DENNIS MICHAELREE ARE ALL BOARD MEMBERS OF LAKE REGIONAL MEDICAL MANAGEMENT (LRMM), A RELATED TAXABLE ORGANIZATION. BOARD MEMBER JAMES JUDAS JR IS A BOARD MEMBERS OFLAKE REGIONAL HEALTH FOUNDATION, A RELATED TAX EXEMPT ORGANIZATION. KEVIN BYRNE, DO, JOHN PATTON, DO, AND JEFFREY JONES ARE ALSO EMPLOYED BY LRMM - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE 990 WAS THOROUGHLY REVIEWED BY THE MANAGER OF ACCOUNTING AND CFO. AFTER ANY CHANGES WERE MADE, THE MEMBERS OF THE BOARD OF DIRECTORS WERE PROVIDED A COPY. THE 990 WAS PRESENTED TO THE BOARD BY THE INDEPENDENT ACCOUNTANTS WHO PREPARED THE 990, AND THE BOARD HAD THE OPPORTUNITY TO ASK ANY QUESTIONS BEFORE THE 990 WAS FILED.
Form 990, Part VI, Line 12c Conflict of interest policy	EACH YEAR, ALL MEMBERS OF THE BOARD OF DIRECTORS, SENIOR MANAGEMENT, AND THE DEPARTMENT HEADS ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND PROPERLY DISCLOSE ANY ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST. A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO EACH DIRECTOR AT THE TIME OF APPOINTMENT, TO EACH NEW PRINCIPAL OFFICER AND EMPLOYEE AT THE TIME OF EMPLOYMENT, AND ANNUALLY TO EVERY INTERESTED PERSON. EACH INTERESTED PERSON IS REQUIRED TO SUBMIT A STATEMENT TO THE CEO ANNUALLY VERIFYING THE UNDERSTANDING WITH THE POLICY AND STATING THAT ALL CONFLICTS HAVE BEEN DISCLOSED, OR THAT NO CONFLICTS EXIST. THE CEO SUBMITS HIS ANNUAL STATEMENT TO THE CHAIRMAN OF THE BOARD. IN THE EVENT AN INTERESTED PERSON DEVELOPS A POTENTIAL CONFLICT OF INTEREST, THE PERSON MUST IMMEDIATELY UPON LEARNING ABOUT THE POTENTIAL CONFLICT DISCLOSE THE NATURE OF THE CONFLICT TO THE BOARD OF DIRECTORS. THE PERSON THEN LEAVES THE BOARD OR COMMITTEE MEETING WHILE THE ISSUE IS DISCUSSED AMONG REMAINING BOARD MEMBERS TO DETERMINE WHETHER A CONFLICT EXISTS BY MAJORITY VOTE. IF A CONFLICT DOES EXIST, A SEPARATE PERSON IS ASSIGNED TO INVESTIGATE ALTERNATIVES TO THE CONFLICT AND DETERMINE IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS POSSIBLE. IF THIS IS NOT POSSIBLE, THE BOARD THEN DECIDES BY MAJORITY VOTE IF THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE, AND WHETHER IT SHOULD OR SHOULD NOT BE ENTERED. IF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE PERSON WILL BE INFORMED OF THIS BASIS FOR SUCH BELIEF AND WILL BE GIVEN AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE PERSON'S RESPONSE AND CONDUCTING FURTHER INVESTIGATION, THE ORGANIZATION DETERMINES THAT THE PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, APPROPRIATE CORRECTIVE ACTION WILL BE TAKEN. ADDITIONALLY, THE ORGANIZATION HAS IMPLEMENTED A TAX COMPLIANCE QUESTIONNAIRE THAT ASKS DETAILED QUESTIONS, AND PROVIDES RESPONDENTS WITH APPROPRIATE DEFINITIONS AND INSTRUCTIONS, TO ENABLE THE ORGANIZATION TO GATHER INFORMATION REQUIRED TO ANSWER QUESTIONS ON THE 990 RELATING TO THE FOLLOWING AREAS: 1) THE NUMBER OF INDEPENDENT VOTING BOARD MEMBERS, 2) RELATIONSHIPS BETWEEN INTERESTED PERSONS, 3) LOANS TO OR FROM INTERESTED PERSONS, 4) GRANTS OR ASSISTANCE BENEFITING INTERESTED PERSON, AND 5) BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE ORGANIZATION USED ARTHUR J GALLAGHER & CO, AN INDEPENDENT ORGANIZATION, TO HELP EVALUATE AND SET THE COMPENSATION FOR THE ORGANIZATION'S CEO. THE COMPENSATION DELIBERATIONS WERE DOCUMENTED IN THE MINUTES OF BOTH THE COMPENSATION COMMITTEE AND THE BOARD. THE REPORT IS DATED NOVEMBER 2022.
Form 990, Part VI, Line 19 Required documents available to the public	CERTAIN ASPECTS OF THE FINANCIAL STATEMENTS ARE AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT WHICH CAN BE FOUND ON THE ORGANIZATION'S WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE GENERAL PUBLIC.
Form 990, Part IX, Line 11g Other Fees	OUTSIDE SERVICES - Total Expense: 14603935, Program Service Expense: 9944974, Management and General Expenses: 4658961, Fundraising Expenses: ; AGENCY FEES - Total Expense: 4154800, Program Service Expense: 4132650, Management and General Expenses: 22150, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 6740830, Program Service Expense: 6740830, Management and General Expenses: 0, Fundraising Expenses: ; CONTRACT SERVICES - Total Expense: 5686349, Program Service Expense: 674142, Management and General Expenses: 5012207, Fundraising Expenses: ; COLLECTION - Total Expense: 3064546, Program Service Expense: 0, Management and General Expenses: 3064546, Fundraising Expenses: ; OTHER FEES - Total Expense: 1685920, Program Service Expense: 1324080, Management and General Expenses: 361840, Fundraising Expenses: ; LAB FEES - Total Expense: 143815, Program Service Expense: 136570, Management and General Expenses: 7245, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATES - -7374657;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	881797380	EIN
Primary Activities	SUPPORT	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	Type I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	$1,478,885	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,951,479	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.5100	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$17,551,287	ShareOfTotalIncomeAmt
Share Of EOY Assets	$6,917,452	ShareOfEOYAssetsAmt
Ownership	1.0000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
LAKE REGIONAL MEDICAL MANAGEMENT
R	$7,471,502	FMV
LAKE REGIONAL IMAGING PARTNERS
K	$78,694	FMV
LAKE REGIONAL MEDICAL MANAGEMENT
L	$1,256,502	FMV
LAKE REGIONAL IMAGING PARTNERS
L	$1,563,216	FMV
LAKE REGIONAL HEALTH FOUNDATION
S	$96,845	FMV
LAKE REGIONAL HEALTH FOUNDATION
C	$1,035,808	FMV