LAKE REGIONAL HEALTH SYSTEM: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: LAKE REGIONAL HEALTH SYSTEM (EIN 23-7339737)
Tax period: 2022-05-01 to 2023-04-30
Filed: 2024-03-11
IRS object ID: 202420719349300242
Schema version: 2022v5.0
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	2024-03-11T12:38:22-05:00	ReturnTs
Tax Period End	2023-04-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS 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	2022-05-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	237339737	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN MCROBERTS	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	4178658701	PhoneNum
Signature	2023-09-06	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KEVIN	PersonFirstNm
Person Last	MCROBERTS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

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

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KEVIN MCROBERTS	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$258,220,185	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	1885	TotalEmployeeCnt
Total Volunteers	61	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,673,424	PYContributionsGrantsAmt
CY Contributions Grants	$163,961	CYContributionsGrantsAmt
PY Program Service Revenue	$223,943,699	PYProgramServiceRevenueAmt
CY Program Service Revenue	$237,343,871	CYProgramServiceRevenueAmt
PY Investment Income	$8,335,603	PYInvestmentIncomeAmt
CY Investment Income	$3,183,365	CYInvestmentIncomeAmt
PY Other Revenue	-$11,917,524	PYOtherRevenueAmt
CY Other Revenue	-$324,110	CYOtherRevenueAmt
PY Total Revenue	$228,035,202	PYTotalRevenueAmt
CY Total Revenue	$240,367,087	CYTotalRevenueAmt
PY Grants And Similar Paid	$29,414	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$75,851	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$100,316,444	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$108,352,698	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$121,582,880	PYOtherExpensesAmt
CY Other Expenses	$127,544,009	CYOtherExpensesAmt
PY Total Expenses	$221,928,738	PYTotalExpensesAmt
CY Total Expenses	$235,972,558	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,106,464	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,394,529	CYRevenuesLessExpensesAmt
Total Assets BOY	$261,905,281	TotalAssetsBOYAmt
Total Assets EOY	$251,009,196	TotalAssetsEOYAmt
Total Liabilities BOY	$95,846,084	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$90,720,379	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$166,059,197	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$160,288,817	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	$113,816,239	ExpenseAmt
Revenue	$148,878,789	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 372,932 OUTPATIENT SERVICE VISITS. THE HOSPITAL PROVIDED COVID-19 TESTING AND IP TREATMENT SERVICES DURING ITS 2023 FISCAL YEAR.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$55,883,463	ExpenseAmt
Revenue	$60,482,008	RevenueAmt
Desc	LAKE REGIONAL HEALTH SYSTEM PROVIDES INPATIENT SERVICES TO THE COMMUNITY AND SURROUNDING RURAL AREAS. THE HOSPITAL PROVIDED 18,677 INPATIENT DAYS, 2,329 SKILLED NURSING FACILITY INPATIENT DAYS AND 1,147 NURSERY PATIENT DAYS FOR A TOTAL OF 22,153 INPATIENT DAYS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$9,559,215	ExpenseAmt
Revenue	$23,262,311	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 39,984 VISITS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$6,068,101	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$75,851	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$4,720,763	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$185,327,018	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
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	108	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1885	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

Field	Value	IRS element (for citing)
Person	KEVIN MCROBERTS	PersonNm
Phone	5733488000	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
KEVIN BYRNE DO
BOARD MEMBER	1.0	40.0	Yes (X)	$0	$969,318	$17,780
HARBAKSH SANGHA
PHYSICIAN	40.0	0.0		$929,060	$0	$18,274	Yes (X)
JOHN PATTON
BOARD MEMBER BEG 07/22	1.0	40.0	Yes (X)	$0	$811,694	$14,801
JOHN BRAND
PHYSICIAN	40.0	0.0		$643,359	$0	$20,208	Yes (X)
JOSH BRICKNER DO
BOARD MEMBER END 10/22	1.0	40.0	Yes (X)	$0	$622,040	$13,462
PATRICK O'NEIL
PHYSICIAN	40.0	0.0		$559,866	$0	$16,389	Yes (X)
KEVIN MCROBERTS
CEO	40.0	1.0		$519,638	$0	$17,080		Yes (X)
ANGELA BRECKENRIDGE
PHYSICIAN	40.0	0.0		$506,956	$0	$1,199	Yes (X)
MICHELLE HELTON
PHYSICIAN	40.0	0.0		$471,620	$0	$17,524	Yes (X)
JEFFREY JONES
CHIEF OF STAFF	1.0	40.0	Yes (X)	$0	$470,731	$14,047
HENRY ZEISEL
CFO	40.0	2.0		$394,830	$0	$54,775		Yes (X)
MELISSA HUNTER
COO	40.0	0.0		$385,480	$0	$45,613			Yes (X)
PATRICK NEECE
CIO	40.0	0.0		$280,275	$0	$40,898			Yes (X)
THOMAS WILLIAMS
VP OF HUMAN RESOURCES	40.0	0.0		$209,180	$0	$32,062			Yes (X)
MICHAEL BURCHAM
LRMG ADMINISTRATION	40.0	0.0		$212,820	$0	$11,585			Yes (X)
JENNIFER BETHUREM
VP OF PUBLIC AFFAIRS	40.0	0.0		$185,606	$0	$27,572			Yes (X)
GRANT BARNUM DO
BOARD MEMBER END 06/22	40.0	1.0	Yes (X)	$13,867	$0	$69
ALAN MEAD MD
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
CHARLES MCELYEA
ASSISTANT SECRETARY	1.0	1.0	Yes (X)	$0	$0	$0		Yes (X)
COREY TEN BENSEL
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
DENNIS MICHAELREE
SECRETARY	1.0	1.0	Yes (X)	$0	$0	$0		Yes (X)
GREGORY ANDERSON
BOARD MEMBER	1.0	0.0	Yes (X)	$0	$0	$0
JAMES JUDAS JR
PRESIDENT END 6/22/B. MEMBER	1.0	1.0	Yes (X)	$0	$0	$0		Yes (X)
JASON HULETT
MEMBER END 06/22/VICE PRES	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
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
KAREN FAIFERLICK
VICE PRES END 06/22/PRESIDENT	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
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
WAYNE COMPTON
TREASURER	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,312,557	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,873,783	TotReportableCompRltdOrgAmt
Total Other Compensation	$363,338	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	144	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
R3 DYNAMICS
PO BOX 640	ST PETERS	MO	63376	COLLECTION	$1,308,059
SHABAZ RIAZ
3610 HARBOR LND	QUINCY	IL	62305	CONTRACT LABOR	$483,023
ARMSTRONG TEASDALE LLP
7700 FORSYTH BLVD STE 1800	ST LOUIS	MO	63105	PROFESSIONAL FEES	$473,760
FORVIS LLP
910 E ST LOUIS ST STE 200	SPRINGFIELD	MO	658062523	PROFESSIONAL FEES	$465,348
CCS SALYER LLC
45211 HELM ST	PLYMOUTH	MI	48170	PATIENT CARE	$355,792

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$163,961	AllOtherContributionsAmt
Total Contributions	$163,961	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE	624100	$232,649,366	$232,649,366
CAFETERIA INCOME	722320	$1,496,388	$1,496,388
OTHER INCOME	900099	$3,198,117	$3,198,117

Field	Value	IRS element (for citing)
Total Program Service Revenue	$237,343,871	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,254,204	TotalRevenueColumnAmt
Exclusion	$3,254,204	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$715,840	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,146,518	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$430,678	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$430,678	TotalRevenueColumnAmt
Exclusion	-$430,678	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$16,091,475	SecuritiesAmt
Other	$544,266	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$16,339,589	SecuritiesAmt
Other	$366,991	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$248,114	SecuritiesAmt
Other	$177,275	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$70,839	TotalRevenueColumnAmt
Exclusion	-$70,839	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CHANGE IN INTEREST IN EQUITY INVESTEES	Desc
Business	900099	BusinessCd
Total Revenue Column	$106,568	TotalRevenueColumnAmt
Exclusion	$106,568	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$106,568	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$240,367,087	TotalRevenueColumnAmt
Related Or Exempt Func Income	$237,343,871	RelatedOrExemptFuncIncomeAmt
Exclusion	$2,859,255	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	$49,610	TotalAmt
Program Services	$49,610	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$26,241	TotalAmt
Program Services	$26,241	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,431,350	TotalAmt
Program Services	$981,747	ProgramServicesAmt
Management And General	$1,449,603	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$191,023	TotalAmt
Program Services	$191,023	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$85,025,102	TotalAmt
Program Services	$66,472,922	ProgramServicesAmt
Management And General	$18,552,180	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,257,472	TotalAmt
Program Services	$1,848,013	ProgramServicesAmt
Management And General	$409,459	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,401,844	TotalAmt
Program Services	$9,611,086	ProgramServicesAmt
Management And General	$2,790,758	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,045,907	TotalAmt
Program Services	$4,674,105	ProgramServicesAmt
Management And General	$1,371,802	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$366,148	TotalAmt
Management And General	$366,148	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$218,231	TotalAmt
Management And General	$218,231	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$203,944	TotalAmt
Management And General	$203,944	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$36,716,548	TotalAmt
Program Services	$23,824,076	ProgramServicesAmt
Management And General	$12,892,472	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$57,100	TotalAmt
Management And General	$57,100	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,505,184	TotalAmt
Program Services	$6,998,446	ProgramServicesAmt
Management And General	$3,506,738	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,031	TotalAmt
Management And General	$9,031	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,205,439	TotalAmt
Program Services	$2,580,018	ProgramServicesAmt
Management And General	$625,421	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$577,075	TotalAmt
Program Services	$381,360	ProgramServicesAmt
Management And General	$195,715	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$91,092	TotalAmt
Program Services	$72,609	ProgramServicesAmt
Management And General	$18,483	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$133,548	TotalAmt
Program Services	$106,988	ProgramServicesAmt
Management And General	$26,560	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,351,797	TotalAmt
Program Services	$8,163,442	ProgramServicesAmt
Management And General	$3,188,355	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,816,936	TotalAmt
Program Services	$88,009	ProgramServicesAmt
Management And General	$2,728,927	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$51,840,752	$51,840,752
PROVIDER TAX	$8,178,794	$6,552,194	$1,626,600
CAFETERIA/VENDING	$1,003,115	$803,615	$199,500
MISCELLANEOUS	$269,275	$60,762	$208,513

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$235,972,558	TotalAmt
Program Services	$185,327,018	ProgramServicesAmt
Management And General	$50,645,540	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,333	BOYAmt
EOY	$132,545	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$31,533,189	BOYAmt
EOY	$7,363,040	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,505,922	BOYAmt
EOY	$28,383,086	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,015,348	BOYAmt
EOY	$5,643,190	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,604,060	BOYAmt
EOY	$4,095,644	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$264,890,182	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$171,735,060	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$78,838,367	BOYAmt
EOY	$93,155,122	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$104,319,271	BOYAmt
EOY	$103,626,709	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,083,469	BOYAmt
EOY	$3,376,570	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,182,905	BOYAmt
EOY	$2,025,485	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,816,417	BOYAmt
EOY	$3,207,805	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$261,905,281	BOYAmt
EOY	$251,009,196	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,613,243	BOYAmt
EOY	$25,733,741	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,561,144	BOYAmt
EOY	$60,243,884	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$547,407	BOYAmt
EOY	$222,546	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,124,290	BOYAmt
EOY	$4,520,208	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$95,846,084	BOYAmt
EOY	$90,720,379	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	$164,733,388	BOYAmt
EOY	$159,334,067	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,325,809	BOYAmt
EOY	$954,750	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$166,059,197	BOYAmt
EOY	$160,288,817	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$261,905,281	BOYAmt
EOY	$251,009,196	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,394,529	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,509,624	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,655,285	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$9,250	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$15,868	OtherActivitiesAmt
Total Lobbying Expenditures	$25,118	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE C, PART II-B, LINE 1(H)	RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, ETC: LAKE REGIONAL HEALTH SYSTEM PARTICIPATED IN THE FOLLOWING DURING THE YEAR: $ 9,250 RURAL REFERRAL CENTER/SOLE COMMUNITY HOSPITAL COALITION
SCHEDULE C, PART II-B, LINE 1(I)	OTHER LOBBYING ACTIVITIES: A PORTION OF THE DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. $15,868 MISSOURI HOSPITAL ASSOCIATION

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$954,750	BeginningYearBalanceAmt
Investment Earnings Or Losses	$44,184	InvestmentEarningsOrLossesAmt
Other Expenditures	$44,184	OtherExpendituresAmt
End Year Balance	$954,750	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
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	$114,433,336	OtherCostOrOtherBasisAmt
Depreciation	$83,369,669	DepreciationAmt
Book Value	$31,063,667	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$122,264,207	OtherCostOrOtherBasisAmt
Depreciation	$84,308,681	DepreciationAmt
Book Value	$37,955,526	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,021,030	OtherCostOrOtherBasisAmt
Depreciation	$4,056,710	DepreciationAmt
Book Value	$16,964,320	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$93,155,122	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
EST AMT DUE TO 3RD PTY PYRS	$4,320,208
MALPRACTICE PAYABLE	$200,000

Field	Value	IRS element (for citing)
Total Liability	$4,520,208	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	INTENDED USE 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 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 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	$4,948,568	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,948,568	NetCommunityBenefitExpnsAmt
Total Expense	0.02100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,655,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,547,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,108,059	NetCommunityBenefitExpnsAmt
Total Expense	0.02170	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,604,180	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,547,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,056,627	NetCommunityBenefitExpnsAmt
Total Expense	0.04270	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,316	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,794	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,522	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$986,381	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$986,381	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$189,511	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$189,511	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,263,208	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,794	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,237,414	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,867,388	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,573,347	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,294,041	NetCommunityBenefitExpnsAmt
Total Expense	0.04800	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$22,109,839	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,052,733	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$53,031,097	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$55,773,870	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,742,773	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
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	SEE PART V SUPPLEMENTAL INFO	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V SUPPLEMENTAL INFO	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	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	SEE PART V SUPPLEMENTAL INFO	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V SUPPLEMENTAL INFO	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V SUPPLEMENTAL INFO	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY REPRESENTATION: 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 7A	CHNA WEBSITE: HTTPS://WWW.LAKEREGIONAL.COM/ABOUT-US/REPORTS/
SCHEDULE H, PART V, LINE 10A	IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.LAKEREGIONAL.COM/ABOUT-US/REPORTS/
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING IDENTIFIED NEEDS: 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 13H	FACTORS USED IN DETERMINING BASIS FOR AMOUNTS CHARGED TO PATIENTS: FINANCIAL ASSISTANCE WILL BE CONSIDERED ON CATASTROPHICALLY NEEDY PATIENTS ON A CASE-BY-CASE BASIS. THE HOSPITAL WILL USE PRESUMPTIVE ELIGIBILITY WHEN A PATIENT IS PROVEN TO HAVE THE FOLLOWING CIRCUMSTANCES: -HOMELESS OR RECEIVING CARE 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, LINES 16A, 16B, & 16C	URL: HTTP://LAKEREGIONAL.COM/PATIENTS/PATIENT-RESOURCES/FINANCIAL-SERVICES/ UNINSURED-PATIENTS/DEFAULT.ASPX
SCHEDULE H, PART V, SECTION B, LINE 16I	LEP TRANSLATIONS: THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER IRC SECTION 501(R). HOWEVER, A SPANISH TRANSLATION IS AVAILABLE.
SCHEDULE H, PART V, SECTION B, LINE 16J	OTHER METHODS OF PUBLICIZING CHARITY CARE POLICY: ALL PATIENTS THAT ARE IN A ROOM HAVE ACCESS TO A BINDER THAT EXPLAINS THE FINANCIAL ASSISTANCE POLICY.

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 (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSE: THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A).
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1, 3, AND 6.
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE: THE 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, 2023. 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, SECTION A, LINE 3	BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: LINE 3 WAS DETERMINED BY TAKING THE BAD DEBT EXPENSE (LINE 2) TIMES THE PERCENT OF PERSONS BELOW THE POVERTY LEVEL BASED ON US CENSUS BUREAU DATA.
SCHEDULE H, PART III, SECTION A, 4	BAD DEBT EXPENSE 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, SECTION B, LINE 8	COMMUNITY BENEFIT: MEDICARE DATA COMPUTED USING THE MEDICARE COST REPORT FILED WITH CMS WAS UTILIZED FOR THE COMPUTATIONS IN PART III, SECTION B. MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT, AS LRHS IS CLASSIFIED AS A RURAL REFERRAL CENTER AND SOLE COMMUNITY HOSPITAL, AND ALTERNATIVELY COULD QUALIFY AS A MEDICARE-DEPENDENT HOSPITAL. THIS DEMONSTRATES THAT LRHS IS THE ONLY REASONABLE SOURCE OF HOSPITAL CARE AVAILABLE TO MEDICARE BENEFICIARIES IN OUR SERVICE AREA, AND LIKEWISE TREATS ALL BENEFICIARIES IN OUR SERVICE AREA THAT PRESENT THEMSELVES FOR CARE, DESPITE KNOWING WE WILL GENERALLY LOSE MONEY FOR CARING FOR MEDICARE PATIENTS. ADDITIONALLY, SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART VI, SECTION C, LINE 9B	COLLECTION POLICY: COLLECTION ACTIVITY WILL BE SUSPENDED DURING THE CONSIDERATION OF COMPLETED FINANCIAL ASSISTANCE APPLICATION OR AN APPLICATION FOR ANY OTHER HEALTHCARE BRACKET (I.E. MEDICARE, MEDICAID, ETC.) A NOTE WILL BE ENTERED INTO THE PATIENT'S ACCOUNT TO SUSPEND COLLECTION ACTIVITY UNTIL THE FINANCIAL ASSISTANCE PROCESS IS COMPLETE. IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY, THE AGENCY WILL BE NOTIFIED TO SUSPEND COLLECTION EFFORTS UNTIL A DETERMINATION IS MADE. THIS NOTIFICATION WILL BE DOCUMENTED IN THE ACCOUNT NOTES. THE PATIENT WILL BE NOTIFIED VERBALLY THAT THE COLLECTION ACTIVITY WILL BE SUSPENDED DURING CONSIDERATION. IF A FINANCIAL ASSISTANCE DETERMINATION ALLOWS FOR A PERCENT REDUCTION BUT LEAVES THE PATIENT WITH A SELF-PAY BALANCE, PAYMENT TERMS WILL BE ESTABLISHED ON THE BASIS OF DISPOSABLE INCOME.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIBED IN SCHEDULE H, PART V, SECTION B, 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.

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	8	RecipientCnt
Cash Grant	$26,241	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THE ORGANIZATION HAS AN AGREEMENT WITH MHA, AND DUE TO INCREASED PAYMENTS UNDER THE FEDERAL REIMBURSEMENT ALLOWANCE PROGRAM, THE ORGANIZATION MADE CHARITABLE CONTRIBUTIONS TO THE MHA CENTER FOR EDUCATION. THE CONTRIBUTIONS ARE USED FOR FUNDING SCHOLARSHIPS TO MEDICAL, NURSING AND ALLIED HEALTH PROFESSIONALS, AND WORKFORCE INITIATIVES TO ADDRESS THE SHORTAGES OF NURSING AND ALLIED HEALTH PROFESSIONALS AND HOSPITAL EMPLOYEES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	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 (16 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
JEFFREY JONES
CHIEF OF STAFF	$0	$458,856	$0	$10,000	$0	$1,875	$0	$12,200	$0	$1,847	$0	$484,778	$0	$0
KEVIN BYRNE DO
BOARD MEMBER	$0	$954,727	$0	$10,000	$0	$4,591	$0	$12,200	$0	$5,580	$0	$987,098	$0	$0
JOSH BRICKNER DO
BOARD MEMBER END 10/22	$0	$600,976	$0	$0	$0	$21,064	$0	$12,200	$0	$1,262	$0	$635,502	$0	$0
JOHN PATTON
BOARD MEMBER BEG 07/22	$0	$800,499	$0	$10,000	$0	$1,195	$0	$12,200	$0	$2,601	$0	$826,495	$0	$0
HENRY ZEISEL
CFO	$373,870	$0	$18,375	$0	$2,585	$0	$49,685	$0	$5,090	$0	$449,605	$0	$0	$0
JENNIFER BETHUREM
VP OF PUBLIC AFFAIRS	$176,777	$0	$8,450	$0	$379	$0	$24,756	$0	$2,816	$0	$213,178	$0	$0	$0
KEVIN MCROBERTS
CEO	$479,134	$0	$16,580	$0	$23,924	$0	$12,200	$0	$4,880	$0	$536,718	$0	$0	$0
MELISSA HUNTER
COO	$357,160	$0	$11,451	$0	$16,869	$0	$42,360	$0	$3,253	$0	$431,093	$0	$0	$0
MICHAEL BURCHAM
LRMG ADMINISTRATION	$196,226	$0	$0	$0	$16,594	$0	$8,438	$0	$3,147	$0	$224,405	$0	$0	$0
PATRICK NEECE
CIO	$267,122	$0	$12,587	$0	$566	$0	$38,746	$0	$2,152	$0	$321,173	$0	$0	$0
THOMAS WILLIAMS
VP OF HUMAN RESOURCES	$199,411	$0	$9,191	$0	$578	$0	$27,301	$0	$4,761	$0	$241,242	$0	$0	$0
ANGELA BRECKENRIDGE
PHYSICIAN	$503,836	$0	$0	$0	$3,120	$0	$0	$0	$1,199	$0	$508,155	$0	$0	$0
HARBAKSH SANGHA
PHYSICIAN	$906,465	$0	$0	$0	$22,595	$0	$12,200	$0	$6,074	$0	$947,334	$0	$0	$0
JOHN BRAND
PHYSICIAN	$415,561	$0	$227,374	$0	$424	$0	$12,200	$0	$8,008	$0	$663,567	$0	$0	$0
MICHELLE HELTON
PHYSICIAN	$419,260	$0	$52,005	$0	$355	$0	$12,200	$0	$5,324	$0	$489,144	$0	$0	$0
PATRICK O'NEIL
PHYSICIAN	$454,181	$0	$83,964	$0	$21,721	$0	$12,200	$0	$4,189	$0	$576,255	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	REIMBURSEMENT POLICY: THE ORGANIZATION HAS A WRITTEN POLICY FOR REIMBURSEMENT RELATED TO TRAVEL FOR COMPANIONS. DIRECTORS AND KEY EMPLOYEES ARE ELIGIBLE TO RECEIVE THIS BENEFIT. THE ORGANIZATION PROVIDES ONE TYPE OF GROSS UP PAYMENT FOR THE CEO'S AUTO ALLOWANCE. THE CEO IS THE ONLY PERSON THAT RECEIVES THIS BENEFIT. THIS PAYMENT IS REPORTED AS TAXABLE COMPENSATION ON THE CEO'S W-2 FORM EACH YEAR. THE AUTO ALLOWANCE FOR 2022 WAS $3,884.
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: $ 17,238 JENNIFER BETHUREM 30,160 MELISSA HUNTER 27,474 PATRICK NEECE 18,750 THOMAS WILLIAMS 37,485 HENRY ZEISEL
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 (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO
A	431178966	2021-08-18	$60,252,593	DEFEASE 2012, FUND 2016 & CAPITAL	false	false	false
HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF MO
B	431178966	2020-02-01	$8,000,000	REFUND & REDEEM 2010 BOND	Yes (true)	false	false	60636AFK4

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$60,252,593	$0	$3,091,348	$12,414,490	$874,760	$0	$0	$43,871,995	$0	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$6,500,000	$0	$8,000,000	$0	$7,955,000	$45,000	$0	$0	$0	$0	$0	$0	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

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	$62,183	WAGES	Yes (true)
SHERRIE WILLIAMS
VP TOM WILLIAMS SPOUSE	$128,840	WAGES	Yes (true)
LAKE OZARK ANESTHESIA ASSOC
OWNED BY ALAN MEAD	$2,441,692	PHYSICIAN SERVICES	Yes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 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 4A-C	PROGRAM SERVICE ACCOMPLISHMENTS: THE HOSPITAL PROVIDES CHARITY CARE IN SUPPORT OF ITS MISSION. THE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED IN NET PATIENT SERVICE REVENUE. IN ADDITION, THE HOSPITAL PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER CERTAIN GOVERNMENT REIMBURSED PUBLIC AID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS WHICH ARE LESS THAN ESTABLISHED CHARGES FOR THE SERVICES PROVIDED TO THE RECIPIENTS AND MANY TIMES THE PAYMENTS ARE LESS THAN THE COST OF RENDERING THE SERVICES PROVIDED. UNCOMPENSATED CHARGES RELATED TO THESE SERVICES INCLUDE CHARITY CARE, BAD DEBT, UNPAID MEDICARE, FREE MEDICAL SERVICES, HEALTH PROFESSIONALS EDUCATION, FINANCIAL CONTRIBUTIONS, AND TAXES. IN ADDITION TO UNCOMPENSATED CHARGES, THE HOSPITAL ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND CRITICAL SERVICE WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF-SUPPORTING OR FINANCIALLY VIABLE. SUCH PROGRAMS INCLUDE HEALTH SCREENING AND ASSESSMENTS, PRENATAL EDUCATION AND CARE, COMMUNITY EDUCATIONAL SERVICES, AND VARIOUS SUPPORT GROUPS.
FORM 990, PART III, LINE 4D	OTHER PROGRAM SERVICES: OTHER SERVICES INCLUDE MANAGEMENT FEES, CAFETERIA INCOME, INCOME FOR THE AUXILIARY, AND OTHER PROGRAM SERVICE ACTIVITIES.
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIP: OFFICERS KEVIN MCROBERTS AND HENRY ZEISEL AS WELL AS BOARD MEMBERS CHARLES MCELYEA AND DENNIS MICHAELREE ARE ALL BOARD MEMBERS OF LAKE REGIONAL MEDICAL MANAGEMENT (LRMM), A RELATED TAXABLE ORGANIZATION. OFFICER HENRY ZEISEL AND BOARD MEMBER JAMES JUDAS JR ARE BOARD MEMBERS OF LAKE REGIONAL HEALTH FOUNDATION, A RELATED TAX EXEMPT ORGANIZATION. KEVIN BYRNE, DO, JOHN PATTON, DO, JOSH BRICKNER, AND JEFFREY JONES ARE ALSO EMPLOYED BY LRMM.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE 990 WAS THOROUGHLY REVIEWED BY THE 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, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: EACH YEAR, ALL MEMBERS OF THE BOARD OF DIRECTORS, SENIOR MANAGEMENT, AND THE DEPARTMENT HEADS ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND PROPERLY DISCLOSE ANY ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST. A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO EACH DIRECTOR AT THE TIME OF APPOINTMENT, TO EACH NEW PRINCIPAL OFFICER AND EMPLOYEE AT THE TIME OF EMPLOYMENT, AND ANNUALLY TO EVERY INTERESTED PERSON. EACH INTERESTED PERSON IS REQUIRED TO SUBMIT A STATEMENT TO THE CEO ANNUALLY VERIFYING THE UNDERSTANDING WITH THE POLICY AND STATING THAT ALL CONFLICTS HAVE BEEN DISCLOSED, OR THAT NO CONFLICTS EXIST. THE CEO SUBMITS HIS ANNUAL STATEMENT TO THE CHAIRMAN OF THE BOARD. IN THE EVENT AN INTERESTED PERSON DEVELOPS A POTENTIAL CONFLICT OF INTEREST, THE PERSON MUST IMMEDIATELY UPON LEARNING ABOUT THE POTENTIAL CONFLICT DISCLOSE THE NATURE OF THE CONFLICT TO THE BOARD OF DIRECTORS. THE PERSON THEN LEAVES THE BOARD OR COMMITTEE MEETING WHILE THE ISSUE IS DISCUSSED AMONG REMAINING BOARD MEMBERS TO DETERMINE WHETHER A CONFLICT EXISTS BY MAJORITY VOTE. IF A CONFLICT DOES EXIST, A SEPARATE PERSON IS ASSIGNED TO INVESTIGATE ALTERNATIVES TO THE CONFLICT AND DETERMINE IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS POSSIBLE. IF THIS IS NOT POSSIBLE, THE BOARD THEN DECIDES BY MAJORITY VOTE IF THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE, AND WHETHER IT SHOULD OR SHOULD NOT BE ENTERED. IF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE PERSON WILL BE INFORMED OF 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, SECTION B, LINE 15B	COMPENSATION DETERMINATION: 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, SECTION C, LINE 19	GOVERNING DOCUMENT AVAILABILITY: CERTAIN ASPECTS OF THE FINANCIAL STATEMENTS ARE AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT WHICH CAN BE FOUND ON THE ORGANIZATION'S WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART VII	BOARD MEMBER COMPENSATION: GRANT BARNUM, DO, IS PAID AS A PHYSICIAN OF LAKE REGIONAL MEDICAL MANAGEMENT. BOARD MEMBERS DO NOT RECEIVE ANY COMPENSATION FOR THEIR SERVICES PROVIDED AS A MEMBER OF THE BOARD DIRECTORS.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $ (8,655,285) TRANSFERS TO AFFILIATES
FORM 990 PART IX LINE 11G	DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:19040144
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:7341683
FORM 990 PART IX LINE 11G	DESCRIPTION:AGENCY FEES TOTAL FEES:4034031
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION TOTAL FEES:3644965
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:2537634
FORM 990 PART IX LINE 11G	DESCRIPTION:LABORATORY FEES TOTAL FEES:118091

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	12 A 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 IMAGIN	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$942,742	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,925,533	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	431473438	EIN
Primary Activities	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 CORP	EntityTypeTxt
Share Of Total Income	$19,675,545	ShareOfTotalIncomeAmt
Share Of EOY Assets	$6,959,356	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
LAKE REGIONAL MEDICAL MANAGEMENT
B	$14,075,941	FMV
LAKE REGIONAL IMAGING PARTNERS
K	$78,694	FMV
LAKE REGIONAL MEDICAL MANAGEMENT
L	$1,256,502	FMV
LAKE REGIONAM IMAGING PARTNERS
L	$1,503,410	FMV
LAKE REGIONAL MEDICAL MANAGEMENT
P	$2,147,806	FMV
LAKE REGIONAL HEALTH FOUNDATION
R	$588,673	FMV