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Nonprofiteer
← LAKE REGIONAL HEALTH SYSTEM

Form 990 for tax year 2024

Filed by LAKE REGIONAL HEALTH SYSTEM.

Totals

Total revenue
$273,472,502
Total expenses
$271,886,626
Contributions and grants received
$2,859,721
Grants paid
$61,244
Program service revenue
$271,396,052
Investment income
$4,561,115
Other revenue
-$5,344,386
Total assets, end of year
$268,997,350
Total liabilities, end of year
$107,258,575
Net assets or fund balances, end of year
$161,738,775
Program services expenses (Part IX)
$214,471,413
Management and general expenses
$57,415,213
Fundraising expenses
$0
Program service expenses (Part III)
$214,471,413

Program services were 78.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $432,196

  • 1e · Government grants (contributions)

    $1,800,000

  • 1f · All other contributions, gifts and grants

    $627,525

  • 2a · Program service revenue: PATIENT SERVICE

    total $264,376,240 · related or exempt $264,376,240

  • 2b · Program service revenue: CAFETERIA INCOME

    total $1,640,585 · related or exempt $1,640,585

  • 2c · Program service revenue: AUXILIARY INCOME

    total $3,666,912 · related or exempt $3,666,912

  • 2d · Program service revenue: OTHER INCOME

    total $1,712,315 · related or exempt $1,712,315

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $5,302,115 · excluded $5,302,115

  • 6a · Gross rents

    real property $77,171

  • 6b · Less rental expenses

    real property $625,918

  • 6c · Rental income or loss

    real property -$548,747 · personal property $0

  • 6d · Net rental income or loss

    total -$548,747 · excluded -$548,747

  • 7a · Gross sales of assets other than inventory

    securities $38,689,127 · other assets $85,951

  • 7b · Less cost or other basis and sales expenses

    securities $38,453,979 · other assets $1,062,099

  • 7c · Gain or loss

    securities $235,148 · other assets -$976,148

  • 7d · Net gain or loss

    total -$741,000 · excluded -$741,000

  • 11a · Other revenue: CHANGE IN INTEREST IN EQUITY INVESTEES

    total -$4,795,639 · excluded -$4,795,639

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    -$4,795,639

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $48,744 · program services $48,744

  • 2 · Grants to domestic individuals

    total $12,500 · program services $12,500

  • 5 · Compensation of officers, directors and key employees

    total $3,105,324 · program services $1,297,438 · management and general $1,807,886

  • 6 · Compensation of disqualified persons

    total $478,070 · program services $478,070

  • 7 · Other salaries and wages

    total $98,293,378 · program services $75,851,394 · management and general $22,441,984

  • 8 · Pension plan contributions

    total $3,136,100 · program services $2,600,136 · management and general $535,964

  • 9 · Other employee benefits

    total $17,377,504 · program services $13,759,713 · management and general $3,617,791

  • 10 · Payroll taxes

    total $6,878,122 · program services $5,402,765 · management and general $1,475,357

  • 11b · Fees: legal

    total $233,137 · management and general $233,137

  • 11c · Fees: accounting

    total $508,919 · management and general $508,919

  • 11f · Fees: investment management

    total $223,797 · management and general $223,797

  • 11g · Fees: other

    total $38,876,163 · program services $24,063,477 · management and general $14,812,686 · fundraising $0

  • 12 · Advertising and promotion

    total $515,980 · program services $182,351 · management and general $333,629

  • 13 · Office expenses

    total $7,248,190 · program services $4,983,981 · management and general $2,264,209

  • 14 · Information technology

    total $15,198 · management and general $15,198

  • 16 · Occupancy

    total $2,209,044 · program services $1,667,816 · management and general $541,228

  • 17 · Travel

    total $420,935 · program services $283,747 · management and general $137,188

  • 19 · Conferences, conventions and meetings

    total $112,767 · program services $80,998 · management and general $31,769

  • 20 · Interest

    total $2,096,218 · program services $1,646,580 · management and general $449,638

  • 22 · Depreciation, depletion and amortization

    total $13,140,785 · program services $9,636,866 · management and general $3,503,919

  • 23 · Insurance

    total $4,575,960 · program services $890,379 · management and general $3,685,581

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

    total $61,961,266 · program services $61,655,920 · management and general $305,346

  • 24b · Other expenses: PROVIDER TAX

    total $8,617,315 · program services $8,617,315 · management and general $0

  • 24c · Other expenses: CAFETERIA/VENDING

    total $1,400,239 · program services $1,099,523 · management and general $300,716

  • 24d · Other expenses: DUES AND SUBSCRIPTIONS

    total $379,811 · program services $195,084 · management and general $184,727

  • 24e · All other expenses

    total $21,160 · program services $16,616 · management and general $4,544 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $773,457 · end of year $642,245

  • 2 · Savings and temporary cash investments

    beginning of year $6,442,269 · end of year $1,917,062

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $28,961,187 · end of year $35,654,767

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $1,593,047

  • 8 · Inventories for sale or use

    beginning of year $6,146,650 · end of year $6,750,935

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,160,699 · end of year $3,786,597

  • 10a · Land, buildings and equipment: cost or other basis

    $253,078,749

  • 10b · Land, buildings and equipment: accumulated depreciation

    $158,050,456

  • 10c · Land, buildings and equipment, net

    beginning of year $91,491,025 · end of year $95,028,293

  • 11 · Investments: publicly traded securities

    beginning of year $109,248,401 · end of year $117,924,319

  • 12 · Investments: other securities

    beginning of year $498,050 · end of year -$5,334,110

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $868,065 · end of year $0

  • 15 · Other assets

    beginning of year $7,627,252 · end of year $11,034,195

  • 17 · Accounts payable and accrued expenses

    beginning of year $29,952,132 · end of year $31,115,451

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $411,156

  • 20 · Tax-exempt bond liabilities

    beginning of year $58,347,226 · end of year $57,321,871

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $140,499 · end of year $2,297,152

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $7,260,298 · end of year $16,112,945

  • 27 · Net assets without donor restrictions

    beginning of year $158,562,150 · end of year $160,784,025

  • 28 · Net assets with donor restrictions

    beginning of year $954,750 · end of year $954,750

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2024

Mission

TO PROVIDE EXCEPTIONAL HEALTHCARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

Activities or mission (Part I)

LAKE REGIONAL HEALTH SYSTEM PROVIDES AN EXTENSIVE VARIETY OF OUTPATIENT AND INPATIENT HEALTHCARE SERVICES AS WELL AS AN EMERGENCY DEPARTMENT TO RESIDENTS AND VISITORS.

  • 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.

    Expenses $154,419,417 · Revenue $195,405,157

  • 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.

    Expenses $40,749,569 · Revenue $51,565,250

  • 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.

    Expenses $17,157,713 · Revenue $21,711,684

  • OTHER SERVICES INCLUDE MANAGEMENT FEES, CAFETERIA INCOME, INCOME FOR THE AUXILIARY, AND OTHER PROGRAM SERVICE ACTIVITIES.

    Expenses $2,144,714 · Grants $61,244 · Revenue $2,713,961

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Alan Mead MD

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Charles McElyea

    ASSISTANT SECRETARY

    Total calculated
    $1,074
    From this org
    $1,074
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • Dennis Michaelree

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Jason Hulett

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Wayne Compton

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Corey Ten Bensel

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Gregory Anderson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • James Judas Jr

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Jeffery Jones

    CHIEF OF STAFF END 07/24

    Total calculated
    $533,657
    From this org
    $0
    From related orgs
    $504,480
    Other
    $29,177
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $493,230 related
    Bonus
    $0 + $11,250 related
    Other
    $0
    Deferred
    $0 + $26,988 related
    Nontaxable benefits
    $0 + $2,189 related
    Filer's total
    $0 + $533,657 related
  • John Caine

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • John Parrish

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • John Patton

    BOARD MEMBER

    Total calculated
    $783,636
    From this org
    $0
    From related orgs
    $731,647
    Other
    $51,989
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $716,382 related
    Bonus
    $0 + $13,333 related
    Other
    $0 + $1,932 related
    Deferred
    $0 + $13,800 related
    Nontaxable benefits
    $0 + $38,189 related
    Filer's total
    $0 + $783,636 related
  • Karen Faiferlick

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Kevin Byrne Do

    BOARD MEMBER

    Total calculated
    $1,010,326
    From this org
    $0
    From related orgs
    $969,173
    Other
    $41,153
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $953,700 related
    Bonus
    $0 + $9,928 related
    Other
    $0 + $5,545 related
    Deferred
    $0 + $13,800 related
    Nontaxable benefits
    $0 + $27,353 related
    Filer's total
    $0 + $1,010,326 related
  • Larry Shields

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Mark Rector

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • W Todd Cooper

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Dennis Lockard

    CFO END 07/24

    Total calculated
    $0
    Hours/week
    40 + 2 related
  • Kevin McRoberts

    CEO

    Total calculated
    $804,226
    From this org
    $658,715
    From related orgs
    $0
    Other
    $145,511
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $564,235
    Bonus
    $0
    Other
    $94,480
    Deferred
    $107,751
    Nontaxable benefits
    $37,760
    Filer's total
    $804,226
  • Paula Littleton

    CFO, BEG. 07/2024

    Total calculated
    $245,055
    From this org
    $165,518
    From related orgs
    $0
    Other
    $79,537
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $125,479
    Bonus
    $25,000
    Other
    $15,039
    Deferred
    $64,146
    Nontaxable benefits
    $15,391
    Filer's total
    $245,055
  • Jaren Pippitt

    CHIEF ADMINISTRATIVE OFFICER

    Total calculated
    $450,924
    From this org
    $365,023
    From related orgs
    $0
    Other
    $85,901
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $359,023
    Bonus
    $0
    Other
    $6,000
    Deferred
    $49,696
    Nontaxable benefits
    $36,205
    Filer's total
    $450,924
  • Jennifer Bethurem

    VP OF PUBLIC AFFAIRS

    Total calculated
    $255,578
    From this org
    $193,840
    From related orgs
    $0
    Other
    $61,738
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $193,191
    Bonus
    $0
    Other
    $649
    Deferred
    $26,480
    Nontaxable benefits
    $35,258
    Filer's total
    $255,578
  • Melissa Hunter

    COO

    Total calculated
    $492,138
    From this org
    $403,793
    From related orgs
    $0
    Other
    $88,345
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $352,631
    Bonus
    $0
    Other
    $51,162
    Deferred
    $49,680
    Nontaxable benefits
    $38,665
    Filer's total
    $492,138
  • Patrick Neece

    CIO

    Total calculated
    $459,199
    From this org
    $382,810
    From related orgs
    $0
    Other
    $76,389
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $303,107
    Bonus
    $0
    Other
    $79,703
    Deferred
    $41,203
    Nontaxable benefits
    $35,186
    Filer's total
    $459,199
  • Thomas Williams

    VP OF HUMAN RESOURCES

    Total calculated
    $397,130
    From this org
    $323,133
    From related orgs
    $0
    Other
    $73,997
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $257,345
    Bonus
    $0
    Other
    $65,788
    Deferred
    $35,532
    Nontaxable benefits
    $38,465
    Filer's total
    $397,130
  • Amy Thompson

    PHYSICIAN

    Total calculated
    $546,317
    From this org
    $513,019
    From related orgs
    $0
    Other
    $33,298
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $499,281
    Bonus
    $12,500
    Other
    $1,238
    Deferred
    $13,800
    Nontaxable benefits
    $19,498
    Filer's total
    $546,317
  • Harbaksh Sangha

    PHYSICIAN

    Total calculated
    $877,977
    From this org
    $823,889
    From related orgs
    $0
    Other
    $54,088
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $701,186
    Bonus
    $97,771
    Other
    $24,932
    Deferred
    $13,800
    Nontaxable benefits
    $40,288
    Filer's total
    $877,977
  • Joshua Brickner

    PHYSICIAN

    Total calculated
    $654,337
    From this org
    $604,684
    From related orgs
    $0
    Other
    $49,653
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $507,337
    Bonus
    $73,814
    Other
    $23,533
    Deferred
    $13,800
    Nontaxable benefits
    $35,853
    Filer's total
    $654,337
  • Michelle Helton

    PHYSICIAN

    Total calculated
    $550,328
    From this org
    $505,640
    From related orgs
    $0
    Other
    $44,688
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $493,108
    Bonus
    $12,000
    Other
    $532
    Deferred
    $13,800
    Nontaxable benefits
    $30,888
    Filer's total
    $550,328
  • Shahid Waheed

    PHYSICIAN

    Total calculated
    $716,046
    From this org
    $701,374
    From related orgs
    $0
    Other
    $14,672
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $669,069
    Bonus
    $15,000
    Other
    $17,305
    Deferred
    $13,800
    Nontaxable benefits
    $872
    Filer's total
    $716,046
  • Henry Zeisel

    Former CFO

    Total calculated
    $317,904
    From this org
    $317,904
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $317,904
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $317,904

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Travel for companions
  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • LAKE REGIONAL HEALTH FOUNDATION

    501(c)(3) · SUPPORT · MO · controlled entity

    Directly controlled by LRHS

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • LAKE REGIONAL IMAGING CENTER

    Related · DIAGNOSTIC IMAGING · MO · 51% owned

    Directly controlled by LRHS

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • LAKE REGIONAL MEDICAL MANAGEMENT

    C Corporation · PHYSICIANS · MO · 100% owned · share of income $16,409,938 · share of assets $4,028,615 · controlled entity

    Directly controlled by LRHS

Provenance

Return type
form_990
Tax year
2024
Filed
16 March 2026
IRS schema version
2024v5.1
Source object
202600759349300520

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