2026-03-16T09:42:27+00:00 2025-04-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-05-01 237339737 Lake Regional Health System LAKE 5733488000 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 PAULA LITTLETON CFO 5733488388 2026-03-16 true Brian Todd P00422601 4178658701 2026-03-16 2024 2025-03-06 01:10:19Z KEVIN MCROBERTS 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 313614498 false X www.lakeregional.com X 1973 MO LAKE REGIONAL HEALTH SYSTEM PROVIDES AN EXTENSIVE VARIETY OF OUTPATIENT AND INPATIENT HEALTHCARE SERVICES AS WELL AS AN EMERGENCY DEPARTMENT TO RESIDENTS AND VISITORS. 16 12 1894 65 0 0 8248686 2859721 242148511 271396052 9451812 4561115 -2370096 -5344386 257478913 273472502 56623 61244 0 118502299 129268498 0 0 134325519 142556884 252884441 271886626 4594472 1585876 255217055 268997350 95700155 107258575 159516900 161738775 X TO PROVIDE EXCEPTIONAL HEALTHCARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false true 154419417 0 195405157 LAKE REGIONAL HEALTH SYSTEM PROVIDES INPATIENT SERVICES TO THE COMMUNITY AND SURROUNDING RURAL AREAS. THE HOSPITAL PROVIDED 16,881 INPATIENT DAYS, 2,642 SKILLED NURSING FACILITY INPATIENT DAYS AND 1,102 NURSERY PATIENT DAYS FOR A TOTAL OF 20,625 INPATIENT DAYS. 40749569 0 51565250 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 399,682 OUTPATIENT SERVICE VISITS. 17157713 0 21711684 LAKE REGIONAL HEALTH SYSTEM'S EMERGENCY DEPARTMENT IS A LEVEL III TRAUMA CENTER (GRANTED THROUGH A SPECIAL STATE CREDENTIALING PROCESS REQUIRING EXTENSIVE EDUCATION AND SERVICE REVIEW) PROVIDING 24-HOUR EMERGENCY MEDICAL SERVICE TO A FIVE COUNTY AREA. THE UNIVERSITY OF MISSOURI STAFF FOR LIFE HELICOPTER IS BASED HERE. THE EMERGENCY DEPARTMENT PROVIDED 38,777 VISITS. 2144714 61244 2713961 OTHER SERVICES INCLUDE MANAGEMENT FEES, CAFETERIA INCOME, INCOME FOR THE AUXILIARY, AND OTHER PROGRAM SERVICE ACTIVITIES. 2144714 61244 2713961 214471413 true true false true false false false false false true true false false false true false false true false false false false false false false false true true true true true true false false false false false false false false true true false false false false false true true true false false true 141 0 true 1894 true false false false false false false false false false false false false X 16 12 true false false false false false false true true false true true true true true true true true true true true true X KEVIN MCROBERTS 5733488000 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 ALAN MEAD MD VICE PRESIDENT 1.0 0.0 X X 0 0 0 CHARLES MCELYEA ASSISTANT SECRETARY 1.0 0.0 X X 1074 0 0 DENNIS MICHAELREE SECRETARY 1.0 0.0 X X 0 0 0 JASON HULETT PRESIDENT 1.0 0.0 X X 0 0 0 WAYNE COMPTON TREASURER 1.0 0.0 X X 0 0 0 COREY TEN BENSEL BOARD MEMBER 1.0 0.0 X 0 0 0 GREGORY ANDERSON BOARD MEMBER 1.0 0.0 X 0 0 0 JAMES JUDAS JR BOARD MEMBER 1.0 1.0 X 0 0 0 JEFFERY JONES CHIEF OF STAFF END 07/24 1.0 40.0 X 0 504480 29177 JOHN CAINE BOARD MEMBER 1.0 0.0 X 0 0 0 JOHN PARRISH BOARD MEMBER 1.0 0.0 X 0 0 0 JOHN PATTON BOARD MEMBER 1.0 40.0 X 0 731647 51989 KAREN FAIFERLICK BOARD MEMBER 1.0 0.0 X 0 0 0 KEVIN BYRNE DO BOARD MEMBER 1.0 40.0 X 0 969173 41153 LARRY SHIELDS BOARD MEMBER 1.0 0.0 X 0 0 0 MARK RECTOR BOARD MEMBER 1.0 0.0 X 0 0 0 W TODD COOPER BOARD MEMBER 1.0 0.0 X 0 0 0 DENNIS LOCKARD CFO END 07/24 40.0 2.0 X 0 0 0 KEVIN MCROBERTS CEO 40.0 2.0 X 658715 0 145511 PAULA LITTLETON CFO, BEG. 07/2024 40.0 2.0 X 165518 0 79537 JAREN PIPPITT CHIEF ADMINISTRATIVE OFFICER 40.0 0.0 X 365023 0 85901 JENNIFER BETHUREM VP OF PUBLIC AFFAIRS 40.0 0.0 X 193840 0 61738 MELISSA HUNTER COO 40.0 0.0 X 403793 0 88345 PATRICK NEECE CIO 40.0 0.0 X 382810 0 76389 THOMAS WILLIAMS VP OF HUMAN RESOURCES 40.0 0.0 X 323133 0 73997 AMY THOMPSON PHYSICIAN 40.0 0.0 X 513019 0 33298 HARBAKSH SANGHA PHYSICIAN 40.0 0.0 X 823889 0 54088 JOSHUA BRICKNER PHYSICIAN 40.0 0.0 X 604684 0 49653 MICHELLE HELTON PHYSICIAN 40.0 0.0 X 505640 0 44688 SHAHID WAHEED PHYSICIAN 40.0 0.0 X 701374 0 14672 Henry Zeisel Former CFO 0.0 0.0 X 317904 0 0 5960416 2205300 930136 166 true true false LAKE OZARK ANESTHESIA & ASSOCIATES 5151 OSAGE BEACH PKWY OSAGE BEACH MO 65065 ANESTHESIA 3785608 KEYBRIDGE MEDICAL REVENUE MANAGEMENT 2348 BATON ROUGE AVE LIMA OH 45805 REVENUE MANAGEMENT 1121959 ASCLEPIUS CARDIOLOGY INC 8465 W SAHARA AVE STE 111-606 LAS VEGAS NV 87117 CARDIOLOGY 1103104 WYRICK MECHANICAL LLC 43352 HWY CC RUSSELLVILLE MO 65074 REPAIRS 876701 R3 DYNAMICS LLC PO BOX 640 ST PETERS MO 63376 COLLECTION 703768 33 432196 1800000 627525 2859721 PATIENT SERVICE 624100 264376240 264376240 CAFETERIA INCOME 722320 1640585 1640585 AUXILIARY INCOME 900099 3666912 3666912 OTHER INCOME 900099 1712315 1712315 0 0 0 0 271396052 5302115 5302115 77171 625918 -548747 0 -548747 -548747 38689127 85951 38453979 1062099 235148 -976148 -741000 -741000 CHANGE IN INTEREST IN EQUITY INVESTEES 900099 -4795639 -4795639 0 0 0 0 -4795639 273472502 271396052 0 -783271 X 48744 48744 12500 12500 3105324 1297438 1807886 478070 478070 98293378 75851394 22441984 3136100 2600136 535964 17377504 13759713 3617791 6878122 5402765 1475357 233137 233137 508919 508919 223797 223797 38876163 24063477 14812686 0 515980 182351 333629 7248190 4983981 2264209 15198 15198 2209044 1667816 541228 420935 283747 137188 112767 80998 31769 2096218 1646580 449638 13140785 9636866 3503919 4575960 890379 3685581 MEDICAL SUPPLIES & DRUGS 61961266 61655920 305346 PROVIDER TAX 8617315 8617315 0 CAFETERIA/VENDING 1400239 1099523 300716 DUES AND SUBSCRIPTIONS 379811 195084 184727 21160 16616 4544 0 271886626 214471413 57415213 0 773457 642245 6442269 1917062 0 0 28961187 35654767 0 0 0 0 0 1593047 6146650 6750935 3160699 3786597 253078749 158050456 91491025 95028293 109248401 117924319 498050 -5334110 0 868065 0 7627252 11034195 255217055 268997350 29952132 31115451 0 0 0 411156 58347226 57321871 0 0 0 0 140499 2297152 0 0 7260298 16112945 95700155 107258575 X 158562150 160784025 954750 954750 0 0 0 0 0 0 159516900 161738775 255217055 268997350 X 1585876 3059382 -2423383 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 12500 true 15117 27617 false Schedule C, Part II-B, Line 1h RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, ETC LAKE REGIONAL HEALTH SYSTEM PARTICIPATED IN THE FOLLOWING DURING THE YEAR: $12,500 RURAL REFERRAL CENTER/SOLE COMMUNITY HOSPITAL COALITION Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE DUES PAID TO THE MISSOURI HOSPITAL ASSOCIATION AND ARE USED FOR LOBBYING PURPOSES. 954750 44961 44961 954750 954750 34282 34282 954750 954750 29036 29036 954750 954750 46470 46470 954750 954750 4268 4268 954750 0.0 1.0 0.0 false false 7154089 7154089 130521074 86717631 43803443 93522244 67426083 26096161 21881342 3906742 17974600 95028293 Federal Income Taxes EST AMT DUE TO 3RD PTY PYRS 14758536 MALPRACTICE PAYABLE 200000 ROU LIABILITIES 1154409 16112945 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part V, Line 4 Intended uses of endowment funds THE ENDOWMENT FUND WAS ESTABLISHED BASED ON A CONTRIBUTION TO LAKE REGIONAL HEALTH SYSTEM. THIS CONTRIBUTION INCLUDED THE DONOR RESTRICTION THAT THE ENDOWMENT WOULD BE ESTABLISHED WITH THE INTENTION OF GENERATING INVESTMENT INCOME TO BE USED IN THE DAILY OPERATIONS OF THE ORGANIZATION AND THE PRINCIPLE OF THE ENDOWMENT FUND WOULD REMAIN IN PERPETUITY. true true X true X false 6232282 0 6232282 0.02292 40764176 38006140 2758036 0.01014 0 0 0 0.0 0 0 46996458 38006140 8990318 0.03307 0 0 0 0.0 0 0 0 0.0 30906910 13951811 16955099 0.06236 0 0 0 0.0 48744 0 48744 0.00018 0 0 30955654 13951811 17003843 0.06254 0 0 77952112 51957951 25994161 0.09561 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 34378391 5698218 55279966 57562496 -2282530 X true true LAKE REG IMAGING PTR DIAGNOSTIC IMAGING SERVICES 0.0051 0.0 0.0049 1 1 LAKE REGIONAL HEALTH SYSTEM 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 WWW.LAKEREGIONAL.COM 291-35 X X X LAKE REGIONAL HEALTH SYSTEM 1 false false true X X X X X X X X X 24 true false false true X HTTPS://WWW.LAKEREGIONAL.COM/ABOUT-US/REPORTS/ true 24 true HTTPS://WWW.LAKEREGIONAL.COM/ABOUT-US/REPORTS/ false true X 200.0 0.0 X X X true true X X X true X HTTPS://WWW.LAKEREGIONAL.COM/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-INSURANCE/ X HTTPS://WWW.LAKEREGIONAL.COM/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-INSURANCE/ X HTTPS://WWW.LAKEREGIONAL.COM/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-INSURANCE/ X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - LAKE REGIONAL HEALTH SYSTEM. FROM JUNE 3, 2024 TO JULY 31, 2024, THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS CONDUCTED TO YIELD INFORMATION ABOUT THE OVERALL HEALTH OF THE COMMUNITY. SURVEY TOPICS INCLUDED DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS, BEHAVIORAL RISK FACTORS, HEALTH CONDITIONS, AND ACCESS TO HEALTH CARE. A TOTAL OF 679 SURVEYS WERE COLLECTED THROUGH A COMBINATION OF PAPER AND ONLINE SURVEYS. NOTICE OF THE SURVEY WAS SHARED WITH THE COMMUNITY THROUGH RADIO STATIONS AND COMMUNITY GROUPS. A LINK TO THE ONLINE SURVEY WAS EMAILED TO INDIVIDUALS AND ORGANIZATIONS IDENTIFIED AS COMMUNITY PARTNERS, POPULATION HEALTH PARTNERS AND BUSINESS PARTNERS IN THE LAKE REGIONAL SERVICE AREA. THIS GROUP INCLUDED THE LAKE AREA COMMUNITY HEALTH PARTNERS, LAKE REGIONAL HEALTH SYSTEM EMPLOYEES, AREA SCHOOL DISTRICTS, HEALTH DEPARTMENTS, EMERGENCY MEDICAL SERVICES, LAW ENFORCEMENT PERSONNEL, COMPETING CLINICS, THE MINISTERIAL ALLIANCE AND LOCAL HEALTH ADVOCACY GROUPS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - LAKE REGIONAL HEALTH SYSTEM. LAKE AREA COMMUNITY HEALTH PARTNERS MET IN AUGUST OF 2024 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 REPRESENTATIVES OF FEDERALLY-QUALIFIED HEALTH CENTERS. COMMON THEMES WERE IDENTIFIED, SCORED AND WEIGHTED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. THE TOP COMMUNITY HEALTH PRIORITIES IDENTIFIED WERE: - MENTAL HEALTH - ABILITY TO PAY/LACK OF INSURANCE - LAKE OF MEDICAL SPECIALISTS 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 BEHAVIORAL HEALTH SPECIALISTS. GOALS RELATED TO MENTAL HEALTH INCLUDE: - COLLABORATE WITH KEY EXTERNAL PARTNERS TO IDENTIFY AND BRING AWARENESS TO MENTAL HEALTH RESOURCES AND TRAINING OPPORTUNITIES, INCLUDING AREA SUPPORT GROUPS. REDUCE PREVENTABLE ED VISITS/HOSPITAL READMISSIONS RELATED TO BEHAVIORAL HEALTH ISSUES. - CONTINUE EFFORTS TO EDUCATE LRHS STAFF AND COMMUNITY MEMBERS TO TOPICS RELATED TO MENTAL ILLNESS AND COMMUNITY SUPPORT RESOURCES, INCLUDING EXPANDING TRAINING RELATED TO DEI INITIATIVES SUCH AS CPI (NON-COMBATIVE, DE-ESCALATION TRAINING), OFFERING A CERTIFIED THERAPY DOG PROGRAM FOR STAFF, WELLNESS INITIATIVES AND INTERNAL CHALLENGES TO ENCOURAGE STRESS MANAGEMENT TECHNIQUES, AND ACTIVE ENGAGEMENT WITH THE HEALTH EQUITY COMMITTEE. - 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. - CONNECT PATIENTS IN A MENTAL HEALTH CRISIS TO QLER ON-DEMAND TELEPSYCHIATRY. 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 HEALTHCARE COSTS, LIMITED LOW-COST HOUSING AND AFFORDABILITY OF BASIC NECESSITIES. - INCREASE ACCESS TO HEALTH CARE AND TELEHEALTH OPTIONS. - FORM PARTNERSHIPS WITH OTHER HEALTHCARE FACILITIES. - CONTINUE TO EXPAND SERVICE IN LACLEDE COUNTY. LACK OF MEDICAL SPECIALISTS WAS RANKED DUE TO DEFICITS IN THE NUMBER OF SPECIALISTS AVAILABLE TO TREAT THE DEFINED POPULATION. ANOTHER BARRIER TO THOSE IS THE ACCESS TO HEALTH CARE THAT CAN CONTRIBUTE TO HEALTH ISSUES LATER IN LIFE. - PROPER SIGNAGE IN 100% OF LRHS CLINICS AND TRAIL 100% OF NE EMPLOYEES WHO TAKE PATIENT PAYMENTS. - 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. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - LAKE REGIONAL HEALTH SYSTEM. FINANCIAL ASSISTANCE WILL BE CONSIDERED ON CATASTROPHICALLY NEEDY PATIENTS ON A CASE-BY-CASE BASIS. THE HOSPITAL WILL USE PRESUMPTIVE ELIGIBILITY WHEN A PATIENT IS PROVEN TO HAVE THE FOLLOWING CIRCUMSTANCES: -HOMELESS OR RECEIVING CARE FORM A HOMELESS CLINIC -PARTICIPATION IN WOMEN'S INFANTS AND CHILDREN'S PROGRAMS (WIC) -FOOD STAMP ELIGIBILITY -ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN) -LOW INCOME/SUBSIDIZED HOUSING (SECTION 8) IS PROVIDED AS A VALID ADDRESS -PATIENT IS DECEASED WITH NO KNOWN ESTATE -INCARCERATED PRISONERS NOT EXPECTED TO BE RELEASED SOON -MENTALLY INCAPACITATED Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - LAKE REGIONAL HEALTH SYSTEM. ALL PATIENTS THAT ARE IN A ROOM HAVE ACCESS TO A BINDER THAT EXPLAINS THE FINANCIAL ASSISTANCE POLICY. Schedule H, Part V, Section B, Line 16 Facility , 2 Facility , 2 - LAKE REGIONAL HEALTH SYSTEM. LEP TRANSLATIONS: THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER IRC SECTION 501(R). HOWEVER, A SPANISH TRANSLATION IS AVAILABLE. 5 LAKE REGIONAL IMAGING PARTNERS 54 HOSPITAL DR OSAGE BEACH MO 65065 IMAGING CENTER ELDON REHAB THERAPY 304 EAST 4TH STREET ELDON MO 65026 REHAB THERAPY LAKE OZARK REHAB THERAPY 1870 BAGNELL DAM BLVD LAKE OZARK MO 65049 REHAB THERAPY LAURIE REHAB THERAPY 156 MISSOURI BLVD LAURIE MO 65038 REHAB THERAPY CAMDENTON REHAB THERAPY 1930 N BUSINESS ROUTE 5 CAMDENTON MO 65020 REHAB THERAPY Schedule H, Part I, Line 7 PERCENT OF TOTAL EXPENSE THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A). Schedule H, Part I, Line 7 COSTING METHODOLOGY THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1, 3, AND 6 Schedule H, Part III, Line 9b COLLECTION POLICY COLLECTION ACTIVITY WILL BE SUSPENDED DURING THE CONSIDERATION OF COMPLETED FINANCIAL ASSISTANCE APPLICATION OR AN APPLICATION FOR ANY OTHER HEALTHCARE BRACKET (I.E. MEDICARE, MEDICAID, ETC.) A NOTE WILL BE ENTERED INTO THE PATIENT'S ACCOUNT TO SUSPEND COLLECTION ACTIVITY UNTIL THE FINANCIAL ASSISTANCE PROCESS IS COMPLETE. IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY, THE AGENCY WILL BE NOTIFIED TO SUSPEND COLLECTION EFFORTS UNTIL A DETERMINATION IS MADE. THIS NOTIFICATION WILL BE DOCUMENTED IN THE ACCOUNT NOTES. THE PATIENT WILL BE NOTIFIED VERBALLY THAT THE COLLECTION ACTIVITY WILL BE SUSPENDED DURING CONSIDERATION. IF A FINANCIAL ASSISTANCE DETERMINATION ALLOWS FOR A PERCENT REDUCTION BUT LEAVES THE PATIENT WITH A SELF-PAY BALANCE, PAYMENT TERMS WILL BE ESTABLISHED ON THE BASIS OF DISPOSABLE INCOME. Schedule H, Part I, Line 7 COSTING METHODOLOGY THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $15,232,733. LAKE REGIONAL HEALTH YSTEM PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. LAKE REGIONAL HEALTH SYSTEM CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEMS DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED APRIL 30, 2025. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology LINE 3 WAS DETERMINED BY TAKING THE BAD DEBT EXPENSE (LINE 2) TIMES THE PERCENT OF PERSONS BELOW THE POVERTY LEVEL BASED ON US CENSUS BUREAU DATA. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND ON THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE." Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE DATA COMPUTED USING THE MEDICARE COST REPORT FILED WITH CMS WAS UTILIZED FOR THE COMPUTATIONS IN PART III, SECTION B. MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT, AS LRHS IS CLASSIFIED AS A RURAL REFERRAL CENTER AND SOLE COMMUNITY HOSPITAL, AND ALTERNATIVELY COULD QUALIFY AS A MEDICARE-DEPENDENT HOSPITAL. THIS DEMONSTRATES THAT LRHS IS THE ONLY REASONABLE SOURCE OF HOSPITAL CARE AVAILABLE TO MEDICARE BENEFICIARIES IN OUR SERVICE AREA, AND LIKEWISE TREATS ALL BENEFICIARIES IN OUR SERVICE AREA THAT PRESENT THEMSELVES FOR CARE, DESPITE KNOWING WE WILL GENERALLY LOSE MONEY FOR CARING FOR MEDICARE PATIENTS. ADDITIONALLY, SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. Schedule H, Part V, Section B, Line 16a FAP website - LAKE REGIONAL HEALTH SYSTEM: Line 16a URL: HTTPS://WWW.LAKEREGIONAL.COM/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-INSURANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - LAKE REGIONAL HEALTH SYSTEM: Line 16b URL: HTTPS://WWW.LAKEREGIONAL.COM/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-INSURANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - LAKE REGIONAL HEALTH SYSTEM: Line 16c URL: HTTPS://WWW.LAKEREGIONAL.COM/PATIENTS-AND-VISITORS/PATIENTS/BILLING-AND-INSURANCE/; Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIBED IN SCHEDULE H, PART V, SECTION B, A SECONDARY DATA REPORT WAS COMPILED FROM WWW.EXPLOREMOHEALTH.ORG, WHICH SUPPLIES COUNTY HEALTH DATA WITH ZIP CODE LEVEL DATA AND ANALYSIS FROM THE WASHINGTON SCHOOL OF MEDICINE AND HOSPITAL INDUSTRY DATA INSTITUTE. THIS REPORT REFERENCES SEVERAL SOURCES INCLUDING BUT NOT LIMITED TO THE U.S. CENSUS BUREAU, MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES, AND CENTERS FOR DISEASE CONTROL AND PREVENTION. PRIMARY DATA COLLECTION INVOLVED CONDUCTING A NEEDS ASSESSMENT SURVEY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance SIGNAGE WILL BE POSTED IN ALL PATIENT INTAKE AREAS, INCLUDING, BUT NOT LIMITED TO, THE EMERGENCY ROOM AND THEY ADMISSION/PATIENT REGISTRATION AREAS. ALL PUBLIC INFORMATION AND/OR FORMS REGARDING THE PROVISIONS OF FINANCIAL ASSISTANCE WILL USE LANGUAGES THAT ARE APPROPRIATE FOR LRHS SERVICE AREA IN ACCORDANCE WITH THE STATE'S LANGUAGE ASSISTANCE SERVICES ACT. THIS POLICY WILL BE MADE AVAILABLE IN SPANISH. THE FINANCIAL ASSISTANCE APPLICATION IS POSTED ON THE LRHS WEBSITE. LRHS HAS FINANCIAL COUNSELORS IN THE PATIENT FINANCIAL SERVICE DEPARTMENT. THESE COUNSELORS MEET WITH SELF PAY PATIENTS WHEN THEY ARE IN THE FACILITY TO DISCUSS THE POLICY, AS WELL AS EDUCATE PATIENTS ON ASSISTANCE THEY MAY BE ELIGIBLE FOR UNDER FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS. Schedule H, Part VI, Line 4 Community information LAKE REGIONAL HEALTH SYSTEM IS LOCATED IN THE CITY OF OSAGE BEACH, MISSOURI, IN CAMDEM COUNTY. THE HOSPITAL SERVES MULTIPLE, MOSTLY RURAL COMMUNITIES SURROUNDING THE LAKE OF THE OZARKS, INCLUDING POPULATIONS LOCATED IN LACLEDE COUNTY TO THE SOUTH, MORGAN COUNTY TO THE NORTH AND MILLER COUNTY TO THE EAST. THE LAKE OF THE OZARKS IS ONE OF THE LARGEST MAN-MADE LAKES IN THE UNITED STATES. WITH MORE THAN 1,150 MILES OF SHORELINE, THE LAKE ENCOMPASSES 54,000 ACRES. THE OVERALL SERVICE AREA POPULATION 2020 POPULATION IS ESTIMATED AT 124,512. IN ADDITION TO THE RESIDENT POPULATION OF NEARLY 125,000, 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 3.0 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 = $59,834, LACLEDE = $49,202, MILLER = $53,490 AND MORGAN = $48,841. THE CAMDEN COUNTY 2024 ANNUAL UNEMPLOYMENT RATE AT 4.2%, ABOVE THE STATE (3.7%) AND BELOW NATIONAL (5.8%) AVERAGES. CAMDEN COUNTY HAS APPROXIMATELY 13.5% OF PERSONS BELOW POVERTY LEVEL. THE IMMEDIATE 4- COUNTY AREA OF CAMDEN, LACLEDE, MILLER, AND MORGAN ESTIMATES UNINSURED INDIVIDUALS AT 34.25%. THERE ARE NO OTHER HOSPITALS WITHIN A 25-MILE RADIUS. USING HOSPITAL INDUSTRY DATA INSTITUTE DATA, THE LRHS MARKET IS PRIMARILY SHARED WITH 4 HOSPITALS IN THE AREA. Schedule H, Part VI, Line 5 Promotion of community health LRHS SHOWS ITS SUPPORT OF THE COMMUNITY BY PROVIDING A TWO-DAY CAREER CAMP FOR STUDENTS 10-14. THE STUDENTS LEARN ABOUT CAREERS IN NURSING, REHAB THERAPIES, LABORATORY, SURGERY AND RESPIRATION THERAPIES, AND LABORATORY. CAMP INSTRUCTORS ALSO COVER TOPICES SUCH AS PATIENT CONFIDENTIALITY, INFECTION CONTROL, DISASTER MANAGEMENT, DATA MANAGEMENT, PROFESSIONAL SCHOOLS IN MISSOURI AND SCHOLARSHIP OPPORTUNITIES. ANOTHER APPROACH TO SUPPORTING THE COMMUNITY IS THORUGH LRHS'S COLLARBORATION WITH LAKE AREA COMMUNITY PARTNERS (INCLUDING SCHOOL DISTRICTS, POPULATION HEALTH PARTNERS SUCH AS THE COUNTY HEALTH DEPARTMENTS AND BUSINESS PARTNERS SUCH AS THE CHAMBER OF COMMERCE) TO CREATE AN ACTIONABLE PLAN ADDRESSING THE COMMUNITY'S KEY HEALTH NEEDS. THIS OCCURS DURING OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. ACTION PLANS ARE CREATED AND MAINTAINED TO ENSURE WORK IS BEING DONE TO IMPROVE THE ISSUES IDENTIFIED. Schedule H, Part VI, Line 6 Affiliated health care system THE AFFILIATED HEALTH CARE SYSTEM OF THE ORGANIZATION INCLUDES LAKE REGIONAL MEDICAL MANAGEMENT AND LAKE REGIONAL IMAGING PARTNERS. A WHOLLY OWNED SUBSIDIARY, LAKE REGIONAL MEDICAL MANAGEMENT, INC., D/B/A LAKE REGIONAL MEDICAL GROUP (MEDICAL MANAGEMENT), OPERATES MEDICAL CLINICS AND RETAIL PHARMACIES IN CAMDEN, MILLER AND MORGAN COUNTIES. THE ORGANIZATION HAS A 51% OWNERSHIP OF LAKE REGIONAL IMAGING PARTNERS, LLC (IMAGING PARTNERS). IMAGING PARTNERS IS A LIMITED LIABILITY COMPANY THAT OPERATES AN IMAGING CENTER IN OSAGE BEACH, MISSOURI, WHICH OFFERS CLOSED HYBRID MRI SERVICES, PET AND CT SCANS, ULTRASOUND SERVICES AND RADIOGRAPHY IMAGING SERVICES. THE 49% MINORITY INTEREST IN IMAGING PARTNERS IS OWNED BY A GROUP OF LOCAL RADIOLOGISTS. LAKE REGIONAL HEALTH FOUNDATION (THE "FOUNDATION") IS A WHOLLY OWNED SUBSIDIARY OF THE HEALTH SYSTEM. THE FOUNDATION IS A NOT-FOR-PROFIT ENTITY WHOSE SOLE PURPOSE IS TO SUPPORT THE HEALTH SYSTEM'S FUNDRAISING EFFORTS TO ASSIST WITH EDUCATIOAL AND HEALTHCARE NEEDS. true MISSOURI HOSPITAL ASSOCIATION PO BOX 60 JEFFERSON CITY MO 65102 440610607 501(C)(6) 26774 SUPPORT CAMDENTON R-III SCHOOLS 172 DARE BLVD CAMDENTON MO 65020 431911038 8000 SUPPORT 0 2 SCHOLARSHIPS 5 12500 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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. THE ORGANIZATION GRANTED $12,500 IN SCHOLARSHIPS TO EMPLOYEES FOR RELATED EDUCATIONAL EXPENSES. X X true true X X X X X true true false false false true false false false KEVIN BYRNE DO BOARD MEMBER 0 953700 0 9928 0 5545 0 13800 0 27353 0 1010326 0 0 JOHN PATTON BOARD MEMBER 0 716382 0 13333 0 1932 0 13800 0 38189 0 783636 0 0 JEFFERY JONES CHIEF OF STAFF END 07/24 0 493230 0 11250 0 0 0 26988 0 2189 0 533657 0 0 Henry Zeisel Former CFO 0 0 0 0 317904 0 0 0 0 0 317904 0 0 0 KEVIN MCROBERTS CEO 564235 0 0 0 94480 0 107751 0 37760 0 804226 0 65190 0 PAULA LITTLETON CFO, BEG. 07/2024 125479 0 25000 0 15039 0 64146 0 15391 0 245055 0 0 0 JAREN PIPPITT CHIEF ADMINISTRATIVE OFFICER 359023 0 0 0 6000 0 49696 0 36205 0 450924 0 0 0 MELISSA HUNTER COO 352631 0 0 0 51162 0 49680 0 38665 0 492138 0 26781 0 PATRICK NEECE CIO 303107 0 0 0 79703 0 41203 0 35186 0 459199 0 78945 0 THOMAS WILLIAMS VP OF HUMAN RESOURCES 257345 0 0 0 65788 0 35532 0 38465 0 397130 0 62875 0 JENNIFER BETHUREM VP OF PUBLIC AFFAIRS 193191 0 0 0 649 0 26480 0 35258 0 255578 0 0 0 HARBAKSH SANGHA PHYSICIAN 701186 0 97771 0 24932 0 13800 0 40288 0 877977 0 0 0 SHAHID WAHEED PHYSICIAN 669069 0 15000 0 17305 0 13800 0 872 0 716046 0 0 0 AMY THOMPSON PHYSICIAN 499281 0 12500 0 1238 0 13800 0 19498 0 546317 0 0 0 MICHELLE HELTON PHYSICIAN 493108 0 12000 0 532 0 13800 0 30888 0 550328 0 0 0 JOSHUA BRICKNER PHYSICIAN 507337 0 73814 0 23533 0 13800 0 35853 0 654337 0 0 0 Schedule J, Part I, Line 1a Travel for companions REIMBURSEMENT POLICY: THE ORGANIZATION HAS A WRITTEN POLICY FOR REIMBURSEMENT RELATED TO TRAVEL FOR COMPANIONS. DIRECTORS AND KEY EMPLOYEES ARE ELIGIBLE TO RECEIVE THIS BENEFIT. THE ORGANIZATION PROVIDES ONE TYPE OF GROSS UP PAYMENT FOR THE CEO'S AUTO ALLOWANCE. THE CEO IS THE ONLY PERSON THAT RECEIVES THIS BENEFIT. THIS PAYMENT IS REPORTED AS TAXABLE COMPENSATION ON THE CEO'S W-2 FORM EACH YEAR. THE AUTO ALLOWANCE FOR 2024 WAS $5,162. Schedule J, Part I, Line 4a Severance or change-of-control payment The following people received a severance or change-of-control payment: $317,904 Henry Zeisel Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING PEOPLE PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN AND HAD A DEFERRED CONTRIBUTION TO A 457(F) NONQUALIFIED RETIREMENT PLAN: CONTRIBUTIONS: $35,880 MELISSA HUNTER 29,713 PATRICK NEECE 22,405 THOMAS WILLIAMS 83,951 KEVIN MCROBERTS 49,073 PAULA LITTLETON 18,643 JENNIFER BETHUREM 35,896 JAREN PIPPIT THE FOLLOWING PEOPLE PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN AND HAD A VESTED AMOUNT INCLUDED IN THEIR W2 DURING THE CURRENT YEAR: $26,781 MELISSA HUNTER 78,945 PATRICK NEECE 62,875 THOMAS WILLIAMS 65,190 KEVIN MCROBERTS Schedule J, Part I, Line 5a COMPENSATION CONTINGENT ON REVENUES OF THE ORGANIZATION INDIVIDUALS RECEIVING INCENTIVE COMPENSATION ON PART II OF SCHEDULE J ARE ELIGIBLE TO RECEIVE THESE PAYMENTS IN AN AMOUNT THAT IS A PERCENTAGE OF BASE COMPENSATION FOR MEETING CERTAIN PERFORMANCE CRITERIA, INCLUDING SPECIFIED REVENUE TARGETS. A HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO 431178966 000000000 2021-08-18 60252593 DEFEASE 2012, FUND 2016 & CAPITAL false false false A 620000 60252593 3091348 12414490 874760 43871995 true false true true A false false false false false false 0 0 0.0 false false 0 false true A false true false false false false 0 false false false 0 false false true A true SHERRIE WILLIAMS VP TOM WILLIAMS SPOUSE 119246 WAGES false LAKE OZARK ANESTHESIA & ASSOC OWNED BY ALAN MEAD 3785608 PHYSICIAN SERVICES false COURTNEY MCROBERTS CEO KEVIN MCROBERTS SPOUCE 40920 WAGES false Form 990, Part III, Line 1 ORGANIZATION'S MISSION OUR MISSION: PROVIDE EXCEPTIONAL HEALTHCARE. OUR VISION: TO BE THE FIRST CHOICE FOR HEALTH CARE. OUR CORE COMPETENCIES: AGILITY, COMMUNITY FOCUS, SERVICE EXCELLENCE. OUR VALUES: INTEGRITY, PATIENT CENTERED, CLINICAL EXCELLENCE, COMMITMENT TO COMMUNITY. THE SYSTEM WAS ORGANIZED IN 1973 FOR THE PURPOSE OF ESTABLISHING A NEW HOSPITAL FOR MEDICAL AND SURGICAL CARE AND FOR THE TREATMENT OF PERSONS RESIDING OR VISITING IN THE LAKE OF THE OZARKS AREA OF CENTRAL MISSOURI. IN THE MORE THAN 40 YEARS SINCE THEN, THE SYSTEM HAS EVOLVED TO PROVIDE MORE COMPREHENSIVE HEALTH CARE, INCLUDING ADDING CARDIAC-CARE, OUTPATIENT SERVICES, CANCER AND ORTHOPEDIC PROGRAMS AND CONTINUALLY EXPANDING SERVICES AND FACILITIES OVER THE YEARS. IT IS NOW DESIGNATED AS A REGIONAL REFERRAL CENTER BY MEDICARE AND HAS NEARLY 1,400 EMPLOYEES. ITS BOARD HAD ADOPTED GOVERNANCE BEST PRACTICES AND A WIDE-RANGING CORPORATE COMPLIANCE PROGRAM. BASED ON PERIODIC COMMUNITY ASSESSMENTS, THE BOARD HAS ALSO COMMITTED TO ENHANCED UNCOMPENSATED CARE POLICIES AND NUMEROUS COMMUNITY PROGRAMS (E.G. HEALTH SCREENINGS, WELLNESS ENHANCED AND RELATED CARE PROGRAMS). THE SYSTEM IS ORGANIZED AS A COMMUNITY-BASED NONPROFIT PUBLIC BENEFIT CORPORATION UNDER THE LAWS OF THE STATE OF MISSOURI. THE SYSTEM OWNS AND OPERATES A 116-LICEENSED BED ACUTE CARE HOSPITAL (THE "HOSPITAL") LOCATED ON HIGHWAY 54 IN OSAGE BEACH, MISSOURI. THE HOSPITAL IS LICENSED BY THE MISSOURI DEPARTMENT OF HEALTH AND ACCREDITED BY THE JOINT COMMISSION. THE HOSPITAL IS DESIGNATED AS A SOLE COMMUNITY HOSPITAL, MEANING THAT THE HOSPITAL IS THE PRIMARY HEALTH CARE PROVIDER FOR A MAJORITY OF MEDICARE PATIENTS WITHIN A 35-MILE RADIUS OF THE HOSPITAL. THE CORPORATION HAS ONE ACTIVE, WHOLLY-OWNED FOR-PROFIT SUBSIDIARY, LAKE REGIONAL MEDICAL MANAGEMENT, INC. ("LRMM"), WHICH OPERATES FOUR RETAIL PHARMACIES AND FIFTEEN SPECIALTY CLINICS. OPERATIONS OF LRMM ARE GOVERNED BY A SEPARATE BOARD OF DIRECTORS. THE SYSTEM IS CURRENTLY GOVERNED BY A SIXTEEN-MEMBER BOARD OF DIRECTORS (THE "BOARD"). THE BOARD HAS GENERAL RESPONSIBILITY FOR THE BUSINESS AND AFFAIRS OF THE SYSTEM, AND MAY DO AND PERFORM ALL ACTS NECESSARY TO CARRY OUT ITS PURPOSES. UNDER THE TERMS OF THE BYLAWS, THE MEMBERS OF THE BOARD SERVE THREE-YEAR STAGGERED TERMS, AND NEW MEMBERS ARE ELECTED BY THE CURRENT BOARD MEMBERS. THE OFFICERS OF THE BOARD ARE ELECTED BY THE BOARD FOR TWO-YEAR TERMS. BOARD MEMBERS SERVE IN A VOLUNTARY CAPACITY AND RECEIVE NO REMUNERATION FOR SERVICE RENDERED IN SUCH CAPACITY. Form 990, Part III, Line 4 PROGRAM SERVICE ACCOMPLISHMENTS THE HOSPITAL PROVIDES CHARITY CARE IN SUPPORT OF ITS MISSION. THE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED IN NET PATIENT SERVICE REVENUE. IN ADDITION, THE HOSPITAL PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER CERTAIN GOVERNMENT REIMBURSED PUBLIC AID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS WHICH ARE LESS THAN ESTABLISHED CHARGES FOR THE SERVICES PROVIDED TO THE RECIPIENTS AND MANY TIMES THE PAYMENTS ARE LESS THAN THE COST OF RENDERING THE SERVICES PROVIDED. UNCOMPENSATED CHARGES RELATED TO THESE SERVICES INCLUDE CHARITY CARE, BAD DEBT, UNPAID MEDICARE, FREE MEDICAL SERVICES, HEALTH PROFESSIONALS EDUCATION, FINANCIAL CONTRIBUTIONS, AND TAXES. IN ADDITION TO UNCOMPENSATED CHARGES, THE HOSPITAL ALSO COMMITS SIGNIFICANT TIME AND RESOURCES TO ENDEAVORS AND CRITICAL SERVICE WHICH MEET OTHERWISE UNFILLED COMMUNITY NEEDS. MANY OF THESE ACTIVITIES ARE SPONSORED WITH THE KNOWLEDGE THAT THEY WILL NOT BE SELF-SUPPORTING OR FINANCIALLY VIABLE. SUCH PROGRAMS INCLUDE HEALTH SCREENING AND ASSESSMENTS, PRENATAL EDUCATION AND CARE, COMMUNITY EDUCATIONAL SERVICES, AND VARIOUS SUPPORT GROUPS. Form 990, Part III, Line 3 Significant changes in program services LAKE REGIONAL HEALTH SYSTEM CLOSED ITS HOME HEALTH SERVICES IN APRIL OF 2025. Form 990, Part III, Line 4d Description of other program services (Expenses $ 2,144,714 including grants of $ 61,244)(Revenue $ 2,713,961) OTHER SERVICES INCLUDE MANAGEMENT FEES, CAFETERIA INCOME, INCOME FOR THE AUXILIARY, AND OTHER PROGRAM SERVICE ACTIVITIES. Form 990, Part VI, Line 15 COMPENSATION REVIEW THE ORGANIZATION USED ARTHUR J GALLAGHER & CO, AN INDEPENDENT ORGANIZATION, TO HELP EVALUATE AND SET THE COMPENSATION FOR THE ORGANIZATION'S EXECUTIVE LEADERSHIP. THE COMPENSATION DELIBERATIONS WERE DOCUMENTED IN THE MINUTES OF BOTH THE COMPENSATION COMMITTEE AND THE BOARD. THE REPORT IS DATED OCTOBER 2024. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons OFFICERS KEVIN MCROBERTS, MELISSA HUNTER, AS WELL AS BOARD MEMBERS CHARLES MCELYEA AND DENNIS MICHAELREE ARE ALL BOARD MEMBERS OF LAKE REGIONAL MEDICAL MANAGEMENT (LRMM), A RELATED TAXABLE ORGANIZATION. BOARD MEMBER JAMES JUDAS JR IS A BOARD MEMBERS OF LAKE REGIONAL HEALTH FOUNDATION, A RELATED TAX EXEMPT ORGANIZATION. KEVIN BYRNE, DO, JOHN PATTON, DO, AND JEFFREY JONES ARE ALSO EMPLOYED BY LRMM - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE 990 WAS THOROUGHLY REVIEWED BY THE MANAGER OF ACCOUNTING AND CFO. AFTER ANY CHANGES WERE MADE, THE MEMBERS OF THE BOARD OF DIRECTORS WERE PROVIDED A COPY. THE 990 WAS PRESENTED TO THE BOARD BY THE INDEPENDENT ACCOUNTANTS WHO PREPARED THE 990, AND THE BOARD HAD THE OPPORTUNITY TO ASK ANY QUESTIONS BEFORE THE 990 WAS FILED. Form 990, Part VI, Line 12c Conflict of interest policy EACH YEAR, ALL MEMBERS OF THE BOARD OF DIRECTORS, SENIOR MANAGEMENT, AND THE DEPARTMENT HEADS ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND PROPERLY DISCLOSE ANY ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST. A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO EACH DIRECTOR AT THE TIME OF APPOINTMENT, TO EACH NEW PRINCIPAL OFFICER AND EMPLOYEE AT THE TIME OF EMPLOYMENT, AND ANNUALLY TO EVERY INTERESTED PERSON. EACH INTERESTED PERSON IS REQUIRED TO SUBMIT A STATEMENT TO THE CEO ANNUALLY VERIFYING THE UNDERSTANDING WITH THE POLICY AND STATING THAT ALL CONFLICTS HAVE BEEN DISCLOSED, OR THAT NO CONFLICTS EXIST. THE CEO SUBMITS HIS ANNUAL STATEMENT TO THE CHAIRMAN OF THE BOARD. IN THE EVENT AN INTERESTED PERSON DEVELOPS A POTENTIAL CONFLICT OF INTEREST, THE PERSON MUST IMMEDIATELY UPON LEARNING ABOUT THE POTENTIAL CONFLICT DISCLOSE THE NATURE OF THE CONFLICT TO THE BOARD OF DIRECTORS. THE PERSON THEN LEAVES THE BOARD OR COMMITTEE MEETING WHILE THE ISSUE IS DISCUSSED AMONG REMAINING BOARD MEMBERS TO DETERMINE WHETHER A CONFLICT EXISTS BY MAJORITY VOTE. IF A CONFLICT DOES EXIST, A SEPARATE PERSON IS ASSIGNED TO INVESTIGATE ALTERNATIVES TO THE CONFLICT AND DETERMINE IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS POSSIBLE. IF THIS IS NOT POSSIBLE, THE BOARD THEN DECIDES BY MAJORITY VOTE IF THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE, AND WHETHER IT SHOULD OR SHOULD NOT BE ENTERED. IF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE PERSON WILL BE INFORMED OF THIS BASIS FOR SUCH BELIEF AND WILL BE GIVEN AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE PERSON'S RESPONSE AND CONDUCTING FURTHER INVESTIGATION, THE ORGANIZATION DETERMINES THAT THE PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, APPROPRIATE CORRECTIVE ACTION WILL BE TAKEN. ADDITIONALLY, THE ORGANIZATION HAS IMPLEMENTED A TAX COMPLIANCE QUESTIONNAIRE THAT ASKS DETAILED QUESTIONS, AND PROVIDES RESPONDENTS WITH APPROPRIATE DEFINITIONS AND INSTRUCTIONS, TO ENABLE THE ORGANIZATION TO GATHER INFORMATION REQUIRED TO ANSWER QUESTIONS ON THE 990 RELATING TO THE FOLLOWING AREAS: 1) THE NUMBER OF INDEPENDENT VOTING BOARD MEMBERS, 2) RELATIONSHIPS BETWEEN INTERESTED PERSONS, 3) LOANS TO OR FROM INTERESTED PERSONS, 4) GRANTS OR ASSISTANCE BENEFITING INTERESTED PERSON, AND 5) BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS. Form 990, Part VI, Line 19 Required documents available to the public CERTAIN ASPECTS OF THE FINANCIAL STATEMENTS ARE AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT WHICH CAN BE FOUND ON THE ORGANIZATION'S WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE GENERAL PUBLIC. Form 990, Part IX, Line 11g Other Fees OUTSIDE SERVICES - Total Expense: 17266667, Program Service Expense: 12782784, Management and General Expenses: 4483883, Fundraising Expenses: ; AGENCY FEES - Total Expense: 1749510, Program Service Expense: 1669363, Management and General Expenses: 80147, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 8989360, Program Service Expense: 8989360, Management and General Expenses: 0, Fundraising Expenses: ; CONTRACT SERVICES - Total Expense: 6183197, Program Service Expense: 530839, Management and General Expenses: 5652358, Fundraising Expenses: ; COLLECTION - Total Expense: 4111307, Program Service Expense: 0, Management and General Expenses: 4111307, Fundraising Expenses: ; OTHER FEES - Total Expense: 486122, Program Service Expense: 1131, Management and General Expenses: 484991, Fundraising Expenses: ; LAB FEES - Total Expense: 90000, Program Service Expense: 90000, Management and General Expenses: 0, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO AFFILIATES - -2423383; Total - -2423383; LAKE REGIONAL HEALTH FOUNDATION 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 881797380 SUPPORT MO 501(c)(3) Type I LRHS true LAKE REGIONAL IMAGING CENTER 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 202107048 DIAGNOSTIC IMAGING MO LRHS Related false false 0.5100 LAKE REGIONAL MEDICAL MANAGEMENT 54 HOSPITAL DRIVE OSAGE BEACH MO 65065 431473438 PHYSICIANS MO LRHS C Corporation 16409938 4028615 1.0000 true true false true false false false false false false true true true false false true true false true true LAKE REGIONAL MEDICAL MANAGEMENT R 2406897 FMV LAKE REGIONAL IMAGING PARTNERS K 78694 FMV LAKE REGIONAL MEDICAL MANAGEMENT L 1256502 FMV LAKE REGIONAL IMAGING PARTNERS L 1039622 FMV LAKE REGIONAL HEALTH FOUNDATION C 432196 FMV LAKE REGIONAL HEALTH FOUNDATION R 415710 FMV