UNIVERSITY HOSPITALS HEALTH SYSTEM INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (EIN 34-1425870)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-13
IRS object ID: 201533179349309008
Schema version: 2014v5.0
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 F
Schedule H
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-13T16:24:12-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1001 Lakeside Ave Suite 200	AddressLine1Txt
City	Cleveland	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	441141152	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	341425870	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Lake Hospital System Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LAKE	BusinessNameControlTxt
Phone	4403541991	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7590 Auburn Road	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44077	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Michael E Kittoe	PersonNm
Person Title	Senior VP Finance & CFO	PersonTitleTxt
Phone	4403541991	PhoneNum
Signature	2015-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ZACHARY FORTSCH	PreparerPersonNm
PTIN	P00052725	PTIN
Phone	2165231900	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	Cynthia Moore-Hardy	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7590 Auburn Road	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44077	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$514,014,984	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.lakehealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	To provide health care services to the residents of Lake County and neighboring communities in partnership with those who share a commitment to local access, healing with compassion and superior quality.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	3042	TotalEmployeeCnt
Total Volunteers	926	TotalVolunteersCnt
Total Gross UBI	$1,518,121	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,399,033	PYContributionsGrantsAmt
CY Contributions Grants	$2,673,507	CYContributionsGrantsAmt
PY Program Service Revenue	$334,131,502	PYProgramServiceRevenueAmt
CY Program Service Revenue	$357,227,642	CYProgramServiceRevenueAmt
PY Investment Income	$5,173,201	PYInvestmentIncomeAmt
CY Investment Income	$10,369,637	CYInvestmentIncomeAmt
PY Other Revenue	$9,901,395	PYOtherRevenueAmt
CY Other Revenue	$8,814,622	CYOtherRevenueAmt
PY Total Revenue	$350,605,131	PYTotalRevenueAmt
CY Total Revenue	$379,085,408	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$137,000,217	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$135,754,688	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$208,126,992	PYOtherExpensesAmt
CY Other Expenses	$224,911,350	CYOtherExpensesAmt
PY Total Expenses	$345,127,209	PYTotalExpensesAmt
CY Total Expenses	$360,666,038	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,477,922	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$18,419,370	CYRevenuesLessExpensesAmt
Total Assets BOY	$538,843,712	TotalAssetsBOYAmt
Total Assets EOY	$552,445,897	TotalAssetsEOYAmt
Total Liabilities BOY	$278,825,573	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$296,169,541	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$260,018,139	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$256,276,356	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	It is Lake Hospital System's mission to provide comprehensive health care services to the residents of Lake County and neighboring communities in partnership with those who share a commitment to local access, healing with compassion and superior quality.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$314,162,665	ExpenseAmt
Revenue	$357,803,642	RevenueAmt
Desc	As an independent, community-based hospital system, Lake Hospital System, Inc., DBA Lake Health, has had a long-standing tradition of providing services and programs based on the health care needs of the communities that we serve. We are guided by our mission to provide local access, healing with compassion and superior quality and our core values - respect, innovation, teamwork, stewardship, and integrity. Lake Health's growth as a community-based health care system continues to build on its long history of providing progressive, personalized care that you normally wouldn't expect to find at a community hospital. Guided by a collaborative health needs assessment conducted in cooperation with the Lake County General Health District, Lake Health has developed (refer to Sch O, pg. 74 for additional information)program services and partnerships to address the most pressing health issues. The high priority areas include obesity, inactive lifestyles, and smoking. Lake Health is comprised of 12 facilities in Lake, Geauga, and Cuyahoga counties, which include the following:1. TriPoint Medical Center (full-service, acute care hospital)2. West Medical Center (full-service, acute care hopsital)3. Mentor Campus (outpatient lab and diagnostics, physician offices, cancer services)4. Chardon Campus (urgent care, outpatient lab and diagnostics, physician offices)5. Willowick Campus (urgent care, outpatient lab and diagnostics, physician offices)6. Tyler Blvd. Urgent Care (urgent care, occupational health)7. Madison Campus (free-standing ER, outpatient lab and diagnostics, physician offices, physical therapy)8. Clinic at Madison (walk-in care located in Walmart Supercenter)9. Painesville Quick Care Center (walk-in care)10. Willoughby Hills Diagnostics (outpatient imaging)11. Mentor Physical Therapy (physical therapy)12. Willoughby Physical Therapy (physical therapy)Accessibility is key to our mission. We have contracted with most insurance providers to ensure a vast array of primary care physicians and specialists. Lake Health also operates three full-service emergency departments within Lake County at TriPoint Medical Center in Concord Township, West Medical Center in Willoughby, and the free-standing Madison Emergency Department within the Madison Campus. These emergency departments are open to all persons, regardless of ability to pay. For the twelfth year in a row, we were honored as one of Northcoast 99's "Best Places to Work in Northeast Ohio." Our growth as a hospital system reflects the many ways we are building on our mission and how we aspire to be more than your typical community hospital. We want our patients to receive superior patient care without having to leave the community, and that's why we are committed to bringing the best resources together to provide an expanded level of community care. Lake Health provides services and programs based on the health care needs of the communities we serve. In fact, taking health programs and screenings to where people live, work and play is fundamental to our mission. In 2014, we provided just under $23,200,000 in financial assistance and certain other community benefits at cost through our health system operations in Lake and Geauga counties. This includes over 250 community education programs. We also contributed over $348,000 in 2014 in cash and in-kind donations to civic and community events, programs, and partnerships with a health and wellness focus. Some of the programs and events are highlighted below. Many of them are facilitated through our Health Promotion Department and/or our community outreach coordinator. Community Programs and Events:-American Heart Walk-Hands-only CPR training-Cardiac Health Education Programs-Baby Talk programs including Childbirth Preparation, Infant Care, Breastfeeding Program, Sibling Program, Infant and Child CPR, TEEN Childbirth Preparation, Caring for Kids, and Car Seat Checks. -Get Healthy Lake County B Fit 4 Life-Healthy Heart Program-LifeCycles for Women lectures-Senior Connection Lunch & Learn programs-Support Groups which include Breast Cancer, Diabetes, Mended Hearts Cardiac, Pulmonary, and Stroke-Participation in the United Way Day of Caring-Women's Health Screening ProjectLake Health joined forces with Lake Metroparks, Lake County YMCA, and the Lake County General Health District again in 2014 to continue B Fit 4 Life (formerly Get Healthy Lake County), a countrywide initiative that features education, prevention, and wellness programs to enhance and improve the quality of life in Lake County and neighboring communities. The initiative includes the B Fit 4 Life Corporate Challenge in which area businesses vie for the most points as their employees exercise their way to better health.	Desc
Total Program Service Expenses	$314,162,665	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	308	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3042	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	4403541984	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7590 Auburn Road	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44077	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Thomas P Jubeck
Chair	0.10	Yes (X)	Yes (X)	$0	$0	$0
Michael E Mayher
Vice Chair	0.10	Yes (X)	Yes (X)	$0	$0	$0
Paul C Sirko
Secretary/Treasurer	0.10	Yes (X)	Yes (X)	$0	$0	$0
Kathleen Bates
Trustee	0.10	Yes (X)		$0	$0	$0
I James Hackenberg Esq
Trustee	0.10	Yes (X)		$0	$0	$0
Frank Myers DO
Trustee	0.10	Yes (X)		$0	$0	$0
Susan Tullai-McGuinness RN PhD
Trustee	0.10	Yes (X)		$0	$0	$0
John F Platz
Trustee	0.10	Yes (X)		$0	$0	$0
Robert G Schiebli
Trustee	0.10	Yes (X)		$0	$0	$0
Richard S Morrison
Trustee	0.10	Yes (X)		$0	$0	$0
Don Brinberg MD
Trustee	0.10	Yes (X)		$0	$0	$0
Cynthia Moore-Hardy
President & CEO	40.00		Yes (X)	$699,316	$0	$496,827
Michael E Kittoe
Senior VP Finance & CFO	38.00		Yes (X)	$397,371	$0	$101,202	2.00
Steven R Karns
Senior VP Administrative Services	40.00			$285,524	$0	$215,416		Yes (X)
Richard D Cicero
Senior VP Business Development	37.00			$249,087	$0	$97,437	3.00	Yes (X)
Michael Goler MD
Senior VP Medical Affairs	39.00			$363,256	$0	$19,888	1.00	Yes (X)
Mary L Ogrinc
Chief Nursing Officer	40.00			$270,123	$0	$170,593		Yes (X)
Joyce A Taylor
VP Quality Services	40.00			$218,829	$0	$27,185			Yes (X)
Cynthia J Racer
VP Clinical Services	40.00			$173,366	$0	$9,695			Yes (X)
Craig J Ghidotti
VP Human Resources	40.00			$160,374	$0	$16,449			Yes (X)
Andrea Wasdovich-Duffner
VP Perioperative & Acute Care	40.00			$166,582	$0	$19,981			Yes (X)
Jerrold Peters
VP Information Technology	40.00			$162,818	$0	$42,162			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,146,646	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,216,835	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	54	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Siemens Corporation
PO Box 120001 Dept 0733	Dallas	TX	75312	Medical Services	$5,201,295
Sodexo Inc & Affiliates
PO Box 905374	Charlotte	NC	28290	Facilities Services	$3,011,474
Crothall Healthcare Inc
13028 Collections Drive	Chicago	IL	60693	Facilities Services	$2,815,985
Community Hospitalist LLC
30680 Bainbridge Road	Solon	OH	44139	Medical Services	$1,399,524
Paris Healthcare Linen Service
PO Box 1043	DuBois	PA	15801	Hospital Linen Services	$1,301,292

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	223	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,097,507	RelatedOrganizationsAmt
Government Grants	$576,000	GovernmentGrantsAmt
Noncash Contributions	$900,000	NoncashContributionsAmt
Total Contributions	$2,673,507	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Patient Care	Desc
Business	621110	BusinessCd
Total Revenue Column	$357,227,642	TotalRevenueColumnAmt
Related Or Exempt Func Income	$355,846,346	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,381,296	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$357,227,642	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,523,981	TotalRevenueColumnAmt
Exclusion	$6,523,981	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$230,585	TotalRevenueColumnAmt
Exclusion	$230,585	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,481,678	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,481,678	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,481,678	TotalRevenueColumnAmt
Unrelated Business Revenue	$136,825	UnrelatedBusinessRevenueAmt
Exclusion	$2,344,853	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$138,544,647	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$134,929,576	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,615,071	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,615,071	TotalRevenueColumnAmt
Exclusion	$3,615,071	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CMS Incentive Payments	621110	$1,849,405	$1,849,405
Related Sales and Services	621110	$1,250,376	$1,250,376
Purchase Discounts	621110	$563,132	$563,132

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,670,031	TotalRevenueColumnAmt
Exclusion	$2,670,031	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,332,944	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$379,085,408	TotalRevenueColumnAmt
Related Or Exempt Func Income	$355,846,346	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,518,121	UnrelatedBusinessRevenueAmt
Exclusion	$19,047,434	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,650,725	TotalAmt
Management And General	$2,650,725	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$110,226,820	TotalAmt
Program Services	$95,166,825	ProgramServicesAmt
Management And General	$15,059,995	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,290,952	TotalAmt
Program Services	$1,931,497	ProgramServicesAmt
Management And General	$359,455	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,702,316	TotalAmt
Program Services	$10,980,008	ProgramServicesAmt
Management And General	$1,722,308	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,883,875	TotalAmt
Program Services	$6,646,879	ProgramServicesAmt
Management And General	$1,236,996	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,124,510	TotalAmt
Program Services	$1,176,218	ProgramServicesAmt
Management And General	$2,948,292	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,433,931	TotalAmt
Program Services	$860,359	ProgramServicesAmt
Management And General	$573,572	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$110,824	TotalAmt
Management And General	$110,824	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,293,083	TotalAmt
Management And General	$1,293,083	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$50,610,351	TotalAmt
Program Services	$41,931,908	ProgramServicesAmt
Management And General	$8,678,443	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,155,751	TotalAmt
Program Services	$2,640,865	ProgramServicesAmt
Management And General	$514,886	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,580,095	TotalAmt
Program Services	$6,582,816	ProgramServicesAmt
Management And General	$997,279	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,304,441	TotalAmt
Program Services	$7,125,029	ProgramServicesAmt
Management And General	$1,179,412	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,666,884	TotalAmt
Program Services	$13,218,961	ProgramServicesAmt
Management And General	$1,447,923	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$753,271	TotalAmt
Program Services	$645,956	ProgramServicesAmt
Management And General	$107,315	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$113,977	TotalAmt
Program Services	$55,732	ProgramServicesAmt
Management And General	$58,245	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,309,291	TotalAmt
Program Services	$5,196,269	ProgramServicesAmt
Management And General	$113,022	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,374,500	TotalAmt
Program Services	$18,790,339	ProgramServicesAmt
Management And General	$6,584,161	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,878,004	TotalAmt
Program Services	$4,309,605	ProgramServicesAmt
Management And General	$568,399	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$47,284,062	$47,284,062
Bad Debt	$43,988,130	$43,988,130
Hospital Franchise Fee	$4,638,037	$4,638,037
Membership Dues	$769,387	$697,345	$72,042

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$522,821	TotalAmt
Program Services	$295,825	ProgramServicesAmt
Management And General	$226,996	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$360,666,038	TotalAmt
Program Services	$314,162,665	ProgramServicesAmt
Management And General	$46,503,373	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,052,187	BOYAmt
EOY	$6,255,246	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,957,265	BOYAmt
EOY	$43,502,059	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,683,797	BOYAmt
EOY	$4,365,790	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,417,365	BOYAmt
EOY	$11,907,809	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$516,102,902	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$278,486,204	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$241,593,845	BOYAmt
EOY	$237,616,698	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$225,600,779	BOYAmt
EOY	$234,599,585	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,538,474	BOYAmt
EOY	$14,198,710	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$538,843,712	BOYAmt
EOY	$552,445,897	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$27,414,562	BOYAmt
EOY	$31,092,559	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$689,036	BOYAmt
EOY	$558,402	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$213,176,282	BOYAmt
EOY	$209,877,015	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,545,693	BOYAmt
EOY	$54,641,565	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$278,825,573	BOYAmt
EOY	$296,169,541	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$260,018,139	BOYAmt
EOY	$256,276,356	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$260,018,139	BOYAmt
EOY	$256,276,356	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$538,843,712	BOYAmt
EOY	$552,445,897	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$18,419,370	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,384,163	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$20,776,990	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$21,347	OtherActivitiesAmt
Total Lobbying Expenditures	$21,347	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II-B, Line 1b	Paid wages of VP, Governmental Affairs and Public Relations, in the context of networking and maintaining relationships with individuals and entities that create, influence, vote, or otherwise determine policy for the healthcare industry and hospitals specifically.
Part II-B, Line 1g	Occurs in the routine course of business for educational, compliance, and policy issues relative to Lake Health for the VP, Governmental Affairs and Public Relations.
Part II-B, Line 1i	Membership dues paid to Hospital industry Associations and Organizations, the percentage of which is reported under IRS rules as lobbying expense.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,690,654	BeginningYearBalanceAmt
Contributions	$318,956	ContributionsAmt
Investment Earnings Or Losses	$123,314	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$10,000	GrantsOrScholarshipsAmt
Other Expenditures	$624,402	OtherExpendituresAmt
End Year Balance	$4,498,522	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,014,355	BeginningYearBalanceAmt
Contributions	$919,340	ContributionsAmt
Investment Earnings Or Losses	$479,684	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$24,327	GrantsOrScholarshipsAmt
Other Expenditures	$698,398	OtherExpendituresAmt
End Year Balance	$4,690,654	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,906,425	BeginningYearBalanceAmt
Contributions	$271,543	ContributionsAmt
Investment Earnings Or Losses	$209,789	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,373,402	OtherExpendituresAmt
End Year Balance	$4,014,355	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,629,760	BeginningYearBalanceAmt
Contributions	$403,229	ContributionsAmt
Investment Earnings Or Losses	-$24,347	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,102,217	OtherExpendituresAmt
End Year Balance	$4,906,425	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,225,581	BeginningYearBalanceAmt
Contributions	$262,613	ContributionsAmt
Investment Earnings Or Losses	$104,682	InvestmentEarningsOrLossesAmt
Other Expenditures	$963,116	OtherExpendituresAmt
End Year Balance	$5,629,760	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.65180	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.34820	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,956,999	OtherCostOrOtherBasisAmt
Book Value	$12,956,999	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$187,717,122	OtherCostOrOtherBasisAmt
Depreciation	$55,210,648	DepreciationAmt
Book Value	$132,506,474	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,481,715	OtherCostOrOtherBasisAmt
Depreciation	$1,334,043	DepreciationAmt
Book Value	$1,147,672	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$283,291,560	OtherCostOrOtherBasisAmt
Depreciation	$214,849,634	DepreciationAmt
Book Value	$68,441,926	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,655,506	OtherCostOrOtherBasisAmt
Depreciation	$7,091,879	DepreciationAmt
Book Value	$22,563,627	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$237,616,698	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Third Party Settlements	$2,765,198
Workers Compensation Liability	$1,972,978
Deferred Compensation	$2,981,662
Lease Obligation	$2,384,338
Accrued Self-Insurance	$1,041,692
Physician Agreements	$344,798
Interest Rate Swap	$43,150,899

Field	Value	IRS element (for citing)
Total Liability	$54,641,565	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4:	FormAndLineReferenceDesc
Explanation	Lake Health's permanent endowment and temporarily restricted endowment funds are held by the Lake Hospital Foundation, Inc. dba Lake Health Foundation (the "Foundation), a related organization. The Foundation's mission is to secure financial and non-financial support to use in realizing Lake Health's vision of providing health care for the community. The Foundation's sole member is Lake Health.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,	RegionTxt
Type Of Activities Conducted	Investment	TypeOfActivitiesConductedTxt
Region Total Expenditures	$120,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$120,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$120,000	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,845,766	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,189,426	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,656,340	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,364,037	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,218,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,145,487	NetCommunityBenefitExpnsAmt
Total Expense	0.04750	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,209,803	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,407,976	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,801,827	NetCommunityBenefitExpnsAmt
Total Expense	0.05760	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,406,626	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,406,626	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$397,552	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$397,552	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,804,178	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,804,178	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,013,981	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,407,976	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,606,005	NetCommunityBenefitExpnsAmt
Total Expense	0.06540	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$43,988,131	BadDebtExpenseAmt
Reimbursed By Medicare	$80,730,204	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$80,038,517	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$691,687	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Mentor Surgery Center LLC
Outpatient surgical center	0.42000	0.00000	0.58000
2 Lake West Medical Specialists LLC
Medical Office Building	0.12000	0.00000	0.88000
3 Concord Medical Campus Physician Building LLC
Medical Office Building	0.51470	0.00000	0.48530
4 Mentor Medical Campus Physician Building LLC
Medical Office Building	0.40390	0.00000	0.39610
5 Lake PHO Inc
Physician services	0.50000	0.00000	0.50000

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
LakeWest Medical Center
1	36000 Euclid Avenue	Willoughby	OH	44094	Yes (X)	Yes (X)	Yes (X)
TriPoint Medical Center
2	7590 Auburn Rd	Concord	OH	44077	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LakeWest & TriPoint Medical Centers	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.lakehealth.org/about/health-needs-assessment	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.lakehealth.org/About/Health-Needs-Assessment	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
LakeWest & TriPoint Medical Centers	Part V, Section B, Line 5: Lake Health identified community health needs by undergoing a needs assessment process. This process incorporated a comprehensive review by Lake Health's Senior Leadership Team along with secondary and primary data input compiled using the expertise of Dixon Hughes Goodman, LLP ("DHG") and Artower Advisory Services, LLC ("Artower"). The collective Community Health Needs Assessment ("CHNA") team reviewed several sources of quantitative health, as well as social and demographic data specific to Lake Health's service area. Lake Health also took advantage of this opportunity to collaborate with its administrators, physicians, public health agencies, and local organizations in identifying and addressing the needs of the community.
LakeWest & TriPoint Medical Centers	Part V, Section B, Line 6a: As allowed by IRS guidelines, Lake Health decided to produce a joint CHNA report for its two Lake County hospitals, West Medical Center and TriPoint Medical Center. Guidelines state that collaborating facilities must define their communities to be the same and conduct a joint CHNA process.
LakeWest & TriPoint Medical Centers	Part V, Section B, Line 11: In acknowledging the wide range of priority health issues that emerged from the CHNA process, Lake Health will focus on those most within its immediate ability to influence.
LakeWest & TriPoint Medical Centers	Part V, Section B, Line 22d: Uninsured patients who do not qualify for Lake Health's financial assistance program are billed for gross charges and are offered a 30% prompt pay discount if payment is received within 30 days of the first patient statement or a payment plan is agreed upon. The maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care are the amounts generally billed to individuals who have insurance covering such care.
Part V, Section B, Line 16	Financial Assistance Policy Website Availability
LakeWest & TriPoint Medical Centers Part V, Section B, line 16b website:	https://www.lakehealth.org/Patients/Financial-Information/Financial-Aid-App

Field	Value	IRS element (for citing)
Facility	46	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (46 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Mentor Medical Campus
9485 Mentor Avenue Suite 101	Mentor	OH	44060	General Medical & Surgical Center-Outpatient
Madison Medical Campus
6270 North Ridge Rd	Madison	OH	44057	General Medical & Emergency Department
Lake County Family Practice
9500 Mentor Avenue Suite 100	Mentor	OH	44060	Physician Office
Willowick Urgent Care
29804 Lakeshore Blvd	Willowick	OH	44095	Urgent Care Center
Lyndhurst Diagnostic Center
5183 Mayfield Rd	Lyndhurst	OH	44124	Diagnostic Center
Tyler Urgent Care
7956 Tyler Blvd	Mentor	OH	44060	Urgent Care Center
LHPG OBGYN Women's Health Specialist
35040 Chardon Rd Bldg VII Suite 205	Willoughby Hills	OH	44094	Physician Office
Willoughby Hills Diagnostic Center
34600 Chardon Rd Unit H	Willoughby Hills	OH	44094	Diagnostic Center
Mentor Diagnostic Center
8401 Mentor Ave Suite B	Mentor	OH	44060	Diagnostic Center
LHPG Mentor IMED
9485 Mentor Avenue Suite 210	Mentor	OH	44060	Physician Office
LHPG Mentor Pediatrics
9485 Mentor Avenue Suite 101	Mentor	OH	44094	Physician Office
LHPG North Coast Family Practice
7580 Auburn Rd Suite 202	Concord	OH	44077	Physician Office
Chardon Urgent Care
510 Fifth Avenue	Chardon	OH	44024	Urgent Care Center
LHPG Madison Family Practice
6270 North Ridge Rd	Madison	OH	44057	Physician Office
LHPG OBGYN - Willow Medical
36001 Euclid Avenue Suite C-10	Willoughby	OH	44094	Physician Office
LHPG Willoughby IMED
36100 Euclid Avenue Suites 240 260	Willoughby	OH	44094	Physician Office
Lake Wellness and Rehabilitation
9170 Mentor Avenue	Mentor	OH	44060	Rehabilitation Clinic
LHPG Willoughby Pediatrics
36100 Euclid Avenue Suite 300	Willoughby	OH	44094	Physician Office
LHPG Madison Pediatrics
6270 North Ridge Rd	Madison	OH	44057	Physician Office
LHPG Willoughby Hills IMED
2747 SOM Center Rd Unit D	Willoughby Hills	OH	44094	Physician Office
LHPG Chardon Family Practice
510 Fifth Avenue Suite 130	Chardon	OH	44024	Physician Office
LHPG Mentor Family Practice
6990 Lindsay Drive 3	Mentor	OH	44060	Physician Office
LHPG Mentor General Surgery
9500 Mentor Avenue Suite 300	Mentor	OH	44060	Physician Office
LHPG Willowick Family Practice
29804 Lakeshore Blvd	Willowick	OH	44095	Physician Office
Madison Quick Clinic
6067 North Ridge Rd	Madison	OH	44057	Quick Clinic
LHPG Plastic Surgery
9500 Mentor Avenue Suite 200	Mentor	OH	44060	Physician Office
LHPG General Surgery
36060 Euclid Avenue Suite 204	Willoughby	OH	44094	Physician Office
LHPG Thomas Family Practice - Mentor
8316 Yellowbrick Rd	Mentor	OH	44060	Physician Office
LHPG Chardon Pediatrics
510 Fifth Avenue Suite 120	Chardon	OH	44024	Physician Office
Lake Wellness and Rehabilitation
34881 Euclid Ave	Willoughby	OH	44094	Rehabilitation Clinic
LHPG Orthopedic Surgery
36060 Euclid Avenue Suite 203	Willoughby	OH	44094	Physician Office
Painesville Quick Clinic
74 S Park Place	Painesville	OH	44077	Quick Clinic
LHPG Thomas Family Practice - Euclid
26151 Euclid Ave	Euclid	OH	44132	Physician Office
LHPG West Cardio Electrophysiology
36100 Euclid Avenue Suite 400	Willoughby	OH	44094	Physician Office
LHPG West IMED
36100 Euclid Avenue Suite 210	Willoughby	OH	44094	Physician Office
Middlefield Quick Clinic
15050 S Springdale Avenue	Middlefield	OH	44062	Quick Clinic
LHPG Mentor OBGYN
9485 Mentor Avenue Suite 202	Mentor	OH	44060	Physician Office
Painesville IMED
1223 Mentor Ave	Painesville	OH	44077	Physician Office
LHPG Sports Medicine & Rehab
36060 Euclid Avenue Suite 105	Willoughby	OH	44094	Physician Office
LHPG Integrative Medicine
9500 Mentor Avenue Suite 360	Mentor	OH	44060	Physician Office
Mentor Medical Physician Building
9485 Mentor Avenue Suites 200 203	Mentor	OH	44060	Physician Office
Hackett Medical Building
8300 Tyler Rd	Mentor	OH	44060	Physician Office
LHPG OBGYN
36001 Euclid Avenue Suite C-7	Willoughby	OH	44094	Physician Office
LHPG Bariatric Surgery
36100 Euclid Avenue Suite 170	Willoughby	OH	44094	Physician Office
LHPG Orthopedic Surgery
7580 Auburn Rd Suite 202	Concord	OH	44077	Physician Office
LHPG Vascular Surgery
36001 Euclid Avenue Suite B-1 B-3	Willoughby	OH	44094	Physician Office

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	The following steps will be followed to evaluate patient's requests for consideration under the Uninsured/Uncompensated Care Guidelines: Financial Interview: A hospital representative will discuss with patients their individual financial position and obtain from them information regarding their finances. This information will be recorded on the HCAP application. Patients will be requested to supply copies of their two most recent pay stubs for all family members employed, copies of the previous year's tax return and any other pertinent documentation supporting their financial position. Evaluation Process: The hospital representative will complete the Financial Interview Form. The hospital representative will evaluate the application to determine whether the patient may be eligible for welfare or Medicaid coverage. If this coverage is available, the representative will make arrangements with the patient for completion of the Medicaid eligibility forms. If welfare or Medicaid eligibility is not available, the patient will be sent an application and will be considered for uncompensated care. A copy of the application will be forwarded to the Patient Accounting department. Determination of Eligibility: The Patient Accounting department will review the application and the patient's qualification status under the uninsured/uncompensated care guidelines. If the patient qualifies for uninsured/uncompensated care and services are provided, then the adjustment will be recorded as an adjustment from charges for Lake Hospital's Uninsured/Uncompensated Charity Care. Patients Not Eligible: Patients who are determined not to be eligible under the guidelines will be requested to pay a deposit equal to 50% of the estimated patient responsibility for either the elective inpatient or outpatient services, and to make arrangements for a payment plan to satisfy the remaining balance after services are provided. Eligibility: Each admission represents a separate financial encounter and will be evaluated with new data to determine if a change has taken place. Each outpatient application will be reviewed to determine if there has been any change in financial status. A new application will be required each month.
Part I, Line 7:	A cost-to-charge ratio is used. This ratio takes the total costs, including allocated costs from overhead departments, of providing patient care divided by total gross revenue.
Part I, Line 7g:	Subsidized health services include various free community screening events for health conditions such as blood pressure, cholesterol, bone density, prostate cancer, skin cancer, heart disease and obesity.Part I, Line 7, Column (f):Explanation: An estimated provision for uncollectible accounts is recorded that results in net patient service revenue being reported at the estimated amounts expected to be collected. Patient accounts receivable are reduced by an allowance for uncollectible accounts. The estimation of the allowance for uncollectible accounts is based primarily on the type and age of the patient accounts receivable and the effectiveness of collection efforts. The policy is to reserve a portion of all self-pay receivables, including amounts due from the uninsured and amounts related to co-payments and deductibles, as these charges are recorded. Patient accounts receivable balances and the effectiveness of the reserve policies are reviewed on a monthly basis, and various analytics support the basis for the estimates. Routine hindsight procedures are performed to evaluate historical write-off and collection experience to determine the reasonableness of the process for estimating the allowance for bad debt. Charity care and other community benefits as a percentage of expense is calculated using total expenses from Form 990, Part IX less bad debt expense of $43,988,130 from Part IX.
Part II, Community Building Activities:	Community advisory groups have been in place for 10 years. These distinct groups represent women, seniors and past patients of the system. Each group is made up of approximately 20 members. Quarterly meetings are held in which education is followed by input on specific programs or improvements being considered. The groups are moderated by a third-party facilitator to avoid biasing the groups. The information from these groups has been used to inform Lake Health management on issues ranging from way-finding to program needs. Coalition BuildingLake Health is involved in many community coalitions and partnerships to improve the health of individuals in the service area. Some of these include participation in the Lake County Strategic Plan, ACHIEVE (a community coalition to improve the environment in Lake County), and United Way programs designed to improve health, particularly in vulnerable communities.
Part III, Line 2:	Bad debt is estimated using a hind sight analysis on previous years accounts receivable. Those percentages are then applied to current year accounts receivable by payor to estimate the amount of uncollectible. Anything over 365 days is fully reserved.
Part III, Line 4:	The allowance for uncollectible accounts was approximately $24.2 million and $22.8 million at December 31, 2014 and 2013, respectively. The System's allowance for uncollectible accounts covered approximately 80.6% and 79.6% of combined self-pay and self-pay after insurance patient accounts receivable at December 31, 2014 and 2013, respectively. Write-offs were $42.7 million in 2014 compared to $49.1 million in 2013.
Part III, Line 8:	Based on a cost to charge ratio determined in accordance with Medicare cost report requirements, the costs of providing care to the Medicare population in 2014 was $80,038,517. The payments related to these services were $80,730,204 leaving a Medicare surplus of $691,687 for the year.
Part III, Line 9b:	Provisions On Collection Practices For Qualified Patients:Patients who do not have the means to pay for services provided at Lake Hospital System request to be considered under the Uninsured/Uncompensated Charity Care Guidelines. These guidelines define Lake Hospital System's commitment to providing care to patients who are in the greatest financial need. Patients who do not have insurance coverage, or whose out of pocket responsibility is substantial after insurance coverage, or whose income level is at or below 250% of the Federal Income Poverty Guidelines, are eligible to apply for uninsured charity care assistance. The uninsured/uncompensated charity care program does not relieve nor forgive point-of-service copayments that the patient may be required to pay under the terms of their insurance benefit plan. Per visit copayments will be collected at the point of service in compliance with the insurance benefit terms. ProcedureEligibility for Lake's uninsured/uncompensated care is determined by the following two-part test. The Lake Hospital Systems Uninsured/Uncompensated Care Program requires patients to meet at least one condition in both part one and part two: Part One: Insurance Test1. Patient does not have governmental or private insurance coverage; or2. Patient's insurance does not cover the medically necessary service; or3. Patient's insurance benefits are exhausted (i.e. Lifetime Reserve Days, Medicare); or4. Patient has or will obtain medically necessary services from the Hospital for which they do not have the financial means to pay; or5. Patient is responsible for co-payments and deductibles, carries no secondary insurance coverage and only source of income is Social Security.Part Two: Income test (relative to Lake Hospital charges)1. Family income is compared to the Federal Poverty Income Guidelines (family includes patient, patient's spouse, and all of the patient's children, natural or adoptive, under the age of eighteen who live in the home). The schedule shown below will be used to compare family income to a sliding scale based upon the Federal Poverty Income Guidelines. If family income is at or below the designated threshold, the patient is eligible for the percent charity discount associated with that level of income; or 2. The relationship between the patient's medical bills, family income and family assets (including, but not limited to such items as bank accounts, trusts, property, home equity, estate or investments) indicates that the pursuit of payment would adversely affect the well being of the patient and family members, and where the payment of Lake Hospital's bill would result in undue hardship; or3. Patient's family income exceeds 250% of the Federal Income Poverty Guidelines, however patient has supplied information to support exceptional living circumstances (i.e. terminal illness, excessive medical bills and/or medications, etc.) or 100% of incurred charges greater than 25% of annual family income (including bank accounts, trusts and investments, but excluding primary residence). Before Uninsured/Uncompensated Care can be awarded, the following conditions must be met: 1. If Lake Hospital determines that the patient is potentially eligible for medical assistance, the patient must cooperate with Lake Hospital's efforts to establish eligibility for government assistance programs. 2. If Lake Hospital awards Uninsured/Uncompensated Care, it will only cover the services provided under the account number(s) shown on the accompanying application. 3. Proof of income and financial documentation will be requested. (See Hospital Care Assurance Policy.)
Part VI, Line 2:	As an independent, community-based hospital system, Lake Health has had a long-standing tradition of providing services and programs based on the health care needs of the communities we serve. We are guided by our mission to provide local access, healing with compassion and superior quality and our core values - respect, innovation, teamwork, stewardship and integrity. Guided by a collaborative health needs assessment conducted in cooperation with the Lake County General Health District, Lake Health has developed programs, services and partnerships to address the most pressing health issues. The high priority areas include obesity, inactive lifestyles, and smoking. Programs designed to address weight management span from early childhood through mature adults. Get Healthy Lake County is now in its tenth year of operation and has nearly 2,500 members. Our growth as a health system reflects the many ways we are building on our mission and how we aspire to be more than your typical community hospital. We want our patients and their families to receive superior care without having to leave the community. That's why we are committed to offering the best resources to provide an expanded level of care to meet the needs of the community.
Part VI, Line 3:	1. Signage posted at facility access points for patients who cannot afford to pay for medical care. 2. Charity/HCAP application forms given to self-pay patients at time of registration. Explanation of assistance provided to complete application if needed. 3. Uninsured inpatients are visited bedside to assist with the completion of the Charity/HCAP application and also to provide application assistance with other programs such as Medicaid, food stamps, etc. 4. Uninsured patients who receive outpatient services are contacted by phone to assist with the Charity/HCAP application and other programs listed above. 5. Charity/HCAP application appears on the back of all patient statements. 6. Charity/HCAP application appears on Lake Health website
Part VI, Line 4:	Lake Health's primary service area is Lake County (population about 230,000) and selected zip codes in its secondary service areas (Cuyahoga, Ashtabula, and Geauga counties with a population in the defined zip codes of 268,113).
Part VI, Line 5:	Prior to 1985, Lake Health's facilities were publicly operated as Lake County Memorial Hospitals. However, in 1985 the board of county commissioners and hospital trustees agreed to privatize the hospital to ensure the viability of a technologically progressive hospital system for Lake County residents. County commissioners serve as members of the Lake Hospital Corporation and, as such, appoint the community leaders who serve on the system's governing board. Lake Health has an open medical staff with privileges available to all qualified physicians in the area. Over 550 physicians comprise Lake Health's medical staff. Lake Health's commitment to the community is readily apparent in the Board of Trustees which is comprised solely of community members, appointed by the County Commissioners. All proceeds are reinvested in capital or other programs and services designed to meet the communities we serve. Lake Health provides services and programs based on the health care needs of the communities we serve. In fact, taking health programs and screenings to where people live, work, and play is fundamental to our mission. In 2013, we provided just under $23,844,000 in financial assistance and certain other community benefits at cost through our health system operations in Lake, Geauga, and Cuyahoga counties. This includes community education programs, excluding blood drives. During these community events and health fairs, we performed over 2,268 blood pressure checks, cholesterol screenings, glucose, heel screenings, skin cancer screenings, and prostate cancer screenings for free or at low cost. Lake Health's commitment to health improvement services that provide a demonstrated community benefit can be broadly categorized into three areas: Community Health Education, Community-Based Clinical Services, and Cash and In-Kind Gifts. Some of the programs and events are highlighted below. Community Health EducationLake Health has an extensive community health program that provides health screenings, physician lectures, self-help, and exercise programs in multiple community locations throughout Lake County and surrounding areas. Our support groups help meet educational and emotional needs related to a variety of conditions. We also partner with many local organizations, including the United Way, the American Red Cross, the American Heart Association, the Arthritis Foundation, the Lake County Y, and the Lake Metroparks to inrease awareness of health issues in the community. These programs and services include:A. Community Calendars and Newsletters:The Best of Health MagazineCalendar of Events in the News-HeraldHealth Talks in the News-Herald (weekly)B. Education on Specific Disease Conditions:Senior Connection Lunch and LearnsCommunity Health Lecture SeriesLifeCycles for Women Lecture SeriesRunner's ClinicOrthopedic and Spine Center SymposiumArthritis ExpoKnow Your Numbers (cardiac event)Diabetes Education eventC. Health Promotion and Wellness Programs:B Fit 4 LifeD. Education to the Public about Health Issues:Information through media releasesE. School Health Education Programs:Healthy Heart School ProgramF. Web-based Consumer Health Information:Regarding Health E-NewsletterConstant Contact E-blastsG. Social Media Consumer Health Information:Facebook posts and remindersTwitter posts and remindersYouTube videosI. Self-Help:Boning Up on OsteoporosisWeight 4 Life Weight Management ProgramOne of the many ways Lake Health is building the community is through strong partnerships with others who share our commitment to local access, healing with compassion, and superior quality. Lake Health joined forces with Lake Metroparks, Lake County YMCA, and the Lake County Health District to launch B Fit 4 Life.
Part VI, Line 6:	Lake Hospital System, Inc. dba Lake Health is the primary healthcare-providing entity which operates two hospital facilities and several other outpatient, urgent care and physician clinics throughout Lake County and the surrounding community. Lake Health is the sole member of Lake Health Foundation, Inc. dba Lake Health Foundation, a not-for-profit organization which is the fundraising arm of Lake Health. Lake Health is also the sole member of PrimeHealth, Inc. dba Lake Health Physician Grouop ("LHPG") which employs Lake Health's network of physicians. Lake Health is a 50% shareholder in Lake PHO, Inc. dba Lake Health PHO ("the PHO") which is a physician credentialing and membership organization. Physicians must be a member of the PHO in order to practice medicine at a Lake Health hospital or physician clinic. The Lake Health / University Hospitals Seidman Cancer Center is a joint venture between Lake Health and University Hospitals Health System of Cleveland that provides cancer treatment in Mentor, Ohio. Mentor Surgery Center, LLC, Mentor Medical Campus Physician Building, LLC, Lake West Medical Specialists, Inc., and Concord Medical Campus Physicians Building, Inc. are entities in which Lake Health owns a minority stake. These entities lease medical office space at which both Lake Health and non-affiliated practitioners practice.
Part VI, Line 7, Reports Filed With States	OH

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
Cynthia Moore-Hardy
President & CEO	$682,235	$0	$0	$0	$17,081	$0	$487,654	$0	$9,173	$0	$1,196,143	$0	$0	$0
Michael E Kittoe
Senior VP Finance & CFO	$376,762	$0	$9,993	$0	$10,616	$0	$95,308	$0	$5,894	$0	$498,573	$0	$0	$0
Steven R Karns
Senior VP Administrative Services	$275,469	$0	$0	$0	$10,055	$0	$210,217	$0	$5,199	$0	$500,940	$0	$0	$0
Richard D Cicero
Senior VP Business Development	$239,585	$0	$0	$0	$9,502	$0	$89,724	$0	$7,713	$0	$346,524	$0	$0	$0
Michael Goler MD
Senior VP Medical Affairs	$338,512	$0	$0	$0	$24,744	$0	$11,960	$0	$7,928	$0	$383,144	$0	$0	$0
Mary L Ogrinc
Chief Nursing Officer	$259,569	$0	$0	$0	$10,554	$0	$165,927	$0	$4,666	$0	$440,716	$0	$0	$0
Joyce A Taylor
VP Quality Services	$196,451	$0	$15,662	$0	$6,716	$0	$23,000	$0	$4,185	$0	$246,014	$0	$0	$0
Cynthia J Racer
VP Clinical Services	$167,622	$0	$0	$0	$5,744	$0	$2,597	$0	$7,098	$0	$183,061	$0	$0	$0
Craig J Ghidotti
VP Human Resources	$154,741	$0	$0	$0	$5,633	$0	$8,215	$0	$8,234	$0	$176,823	$0	$0	$0
Andrea Wasdovich-Duffner
VP Perioperative & Acute Care	$160,886	$0	$0	$0	$5,696	$0	$13,000	$0	$6,981	$0	$186,563	$0	$0	$0
Jerrold Peters
VP Information Technology	$157,490	$0	$0	$0	$5,328	$0	$35,743	$0	$6,419	$0	$204,980	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Lake Hospital System, Inc.'s CEO, Cynthia Moore-Hardy, received the following taxable benefit in 2014: -Social club dues of $10,481
Part I, Lines 4a-b	Line 4a: Michael Goler received a severance payment of $17,500 Line 4b: The following people were credited with the listed contributions to their respective 457(f) accounts in 2014. The amounts reflected on this schedule relate to an employee retention program that vest over a three year period: - Cynthia Moore-Hardy, President & CEO: $452,987 - Michael E. Kittoe, Senior VP Finance & CFO: $60,573 - Steven R. Karns, Senior VP Administrative Services: $184,482 - Richard D. Cicero, Senior VP Business Development: $77,256 - Mary L. Ogrinc, Chief Nursing Officer: $129,870 - Jerrold Peters, VP Information Technology: $33,300
Part I, Line 7	Michael E. Kittoe received a discretionary bonus of $9,333 determined by Leadership. Joyce A. Taylor received a discretionary bonus of $15,662 determined by Leadership.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
County of Lake Ohio Series 2008
A	346001618	50943PBL2	2008-06-26	$187,820,719	See Part VI	0	0	0
County of Lake Ohio Series 2012
B	346001618	NoneAvail	2012-06-15	$145,275,000	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$121,011,290	$188,051,290	$2,057,642	$1,808,396	$57,940	$183,896,741	2009	Yes (1)	0	Yes (1)	Yes (1)
B	$3,060,000	$145,275,000		$511,289		$144,763,711	2012	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	Yes (1)	0	0	0	Yes (1)
B	0	0	Yes (1)	Yes (1)	0	0	0	Yes (1)

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	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	Yes (1)	0	0	0	Yes (1)
B	0	Yes (1)	0	0	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: County of Lake, Ohio Series 2008 Date the Rebate Computation was Performed: 10/01/2012
Schedule K, Part I, Line A, Column (f)	Description of purpose: Construct a hospital; refunding of Series 2004 (issued on 08/15/2004) and Series 2007 (issued on 08/15/2007).
Schedule K, Part I, Line B, column (f)	Description of purpose: Construct a hospital; refunding of Series 2002 (issued on 12/01/2002), Series 2008A (issued on 08/15/2008) and Series 2008B (issued on 08/15/2008).
Schedule K, Part I, Column (e) & Schedule K, Part, II, Line 3: The	difference between issue price in Part I, Column (e) and the total proceeds of issue in Part II, Line 3 is investment income earned on bond escrow before the bond proceeds were expended.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Capital Equipment	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$900,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Book Value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Column (b):	FormAndLineReferenceDesc
Explanation	is the number of contributions.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, line 11	The process followed before filing the Lake Hospital Systems, Inc. Form 990 includes a detailed review completed by an independent outside CPA firm, presentation to and review by the LHS CFO and CEO, presentation and review by the LHS Finance Committee, and presentation to the LHS Board of Trustees.
Form 990, Part VI, Section B, line 12c	The Lake Hospital System, Inc. Board of Trustees completes a conflict of interest questionnaire annually, which is then reviewed by the LHS CFO and Director of the Board of Trustees. Board Members will excuse themselves from the Board Meeting when a topic of potential conflict is presented and return to the meeting following the completion of discussion, motion, and vote. Compliance with the LHS Conflict of Interest Policy is monitored and enforced by the Board Chair, Committee Chairs, and the Director responsible for Board of Trustees matters.
Form 990, Part VI, Section B, line 15	The process for determining compensation of the Lake Hospital System, Inc. CEO, other officers, and key employees includes market research, review, and assessment by an independent consulting firm to make a recommendation to the LHS Board of Directors. The Board reviews the report provided in conjunction with annual performance assessments, and utilizes this information to determine compensation level. In addition, the procedure for other officers and key employees includes review by the CEO.
Form 990, Part VI, Section C, line 19	Lake Hospital System, Inc. makes its Form 990, Form 990-T, and Form 1023 available to the public upon request, for the same period of time as set forth in the Internal Revenue Code section 6104(d). Lake Hospital System, Inc. makes available governing documents, conflict of interest policy, and financial statements to the public upon request, for the same period of time as set forth in the Internal Revenue Code section 6104(d), in addition to filing quarterly financial information with Nationally Recognized Municipal Securities Information Repositories for compliance with bond issues and annual financial information with the Attorney General of the State of Ohio. Governing documents for LHS are available through the website of the Ohio Secretary of State.
Form 990, Part IX, line 11g	Medical Services: Program service expenses 41,931,908. Management and general expenses 8,678,443. Fundraising expenses 0. Total expenses 50,610,351.
Form 990, Part XI, line 9:	Net change in unrealized gain/loss on other than trading investments 572,778. Net loss from affiliated entities -450,949. Derivative instruments loss -16,546,152. Cash payments on swaps -5,304,709. Underwriting support of Foundation -485,318. hey 1,437,360.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7590 Auburn Rd	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44077	ZIPCd

Field	Value	IRS element (for citing)
Primary Activities	Physician services	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Lake Hospital System Inc	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Lake Health University Hospitals Seidman Cancer Center
9485 Mentor Avenue	Mentor	OH	44060	311565964	Treatment of cancer patients	OH	501(c)(3)	Line 3	Lake Hospital System Inc	Yes (1)
Lake Hospital Foundation
7590 Auburn Rd	Concord	OH	44077	341425872	Fundraising for benefit of Lake Hospital System, Inc.	OH	501(c)(3)	Line 11a, I	Lake Hospital System Inc	Yes (1)
PrimeHealth Inc
7590 Auburn Rd	Concord	OH	44077	341778204	Physician corporation	OH	501(c)(3)	Line 3	Lake Hospital System Inc	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
Mentor Surgery Center LLC
9485 Mentor Avenue	Mentor	OH	44060	341863257	Outpatient Surgery	OH	Lake Hospital System Inc	Related	$249,226	$1,473,471	0	Yes (1)	0.42000
Lake West Medical Specialists LLC
180-A Mentor Avenue	Painesville	OH	44077	341964657	Office Space	OH	Lake Hospital System Inc	Excluded	$30,460	$511,201	0	Yes (1)	0.12000
Concord Medical Campus Physician Building LLC
7580 Auburn Road Suite 103	Concord	OH	44077	260550261	Office Space	OH	Lake Hospital System Inc	Excluded	$218,262	$8,290,506	0	0	0.51470	$218,262

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd
Interlake Health Corporation
7590 Auburn Rd	Concord	OH	44077	341510475	Healthcare	OH	Lake Hospital System Inc	C	$186	$186,199	1.00000	Yes (1)
LHS Assurance Ltd
				980456229	Insurance company		Lake Hospital System Inc	C	$3,864,843	$19,684,508	1.00000	Yes (1)	23 Lime Tree Bay Ave Governors Sq	Grand Cayman	CJ	CJ
Lake PHO Inc
7590 Auburn Rd	Concord	OH	44077	341696001	Physician services	OH		C	$257,355	$1,209,176	0.50000	0					N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Concord Medical Campus Physician Building LLC
A	$101,235	Book value
Lake Hospital Foundation
C	$1,597,507	Book value
LHS Assurance Ltd
C	$500,000	Book value
Lake Health University Hospitals Seidman Cancer Center
J	$851,341	Book value
Mentor Surgery Center LLC
J	$480,804	Book value
Concord Medical Campus Physician Building LLC
K	$1,219,707	Book value
Lake Health Foundation
M	$313,875	Book value
Prime Health Inc
P	$25,877,954	Book value
Mentor Surgery Center LLC
Q	$72,502	Book value
Lake Health University Hospitals Seidman Cancer Center
Q	$51,877	Book value
Lake West Medical Specialists
Q	$150,572	Book value