LAKELAND REGIONAL MEDICAL CENTER INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- LAKELAND REGIONAL MEDICAL CENTER INC (EIN 59-2650456)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-08-13
- IRS object ID
- 202412269349302376
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-13T17:05:47-05:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 621517792 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PYA PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 North Tampa Street Ste 1850 | AddressLine1Txt |
| City | Tampa | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592650456 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Regional Medical Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 8636871100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1324 Lakeland Hills Boulevard | AddressLine1Txt |
| City | Lakeland | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33805 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lance Green | PersonNm |
| Person Title | EVP/Chief Financial Officer | PersonTitleTxt |
| Phone | 8636871100 | PhoneNum |
| Signature | 2024-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Deborah O Ernsberger | PreparerPersonNm |
| PTIN | P00364912 | PTIN |
| Phone | 8134243700 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Danielle Drummond | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1324 Lakeland Hills Boulevard | AddressLine1Txt |
| City | Lakeland | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33805 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,158,223,255 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.myLRH.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1914 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | See Schedule OLakeland Regional Health's strategic imperative is to develop as a nationally recognized, fiscally strong and growing collaborative regional health system that improves lives by offering safe, high quality, equitable and affordable healthcare, while demonstrating an equal commitment to the promotion of individual and community health, wellness and disease prevention. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 7349 | TotalEmployeeCnt |
| Total Volunteers | 120 | TotalVolunteersCnt |
| Total Gross UBI | $4,084 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,742,589 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,894,743 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,016,430,537 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,153,296,494 | CYProgramServiceRevenueAmt |
| PY Investment Income | $111,117 | PYInvestmentIncomeAmt |
| CY Investment Income | $32,018 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,028,284,243 | PYTotalRevenueAmt |
| CY Total Revenue | $1,158,223,255 | 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 | $453,974,053 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $477,447,192 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $505,802,560 | PYOtherExpensesAmt |
| CY Other Expenses | $561,824,057 | CYOtherExpensesAmt |
| PY Total Expenses | $959,776,613 | PYTotalExpensesAmt |
| CY Total Expenses | $1,039,271,249 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $68,507,630 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $118,952,006 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,047,675,429 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,118,251,093 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $663,481,552 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $652,759,835 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $384,193,877 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $465,491,258 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | See Schedule OLakeland Regional Health's strategic imperative is to develop as a nationally recognized, fiscally strong and growing collaborative regional health system that improves lives by offering safe, high quality, equitable and affordable healthcare, while demonstrating an equal commitment to the promotion of individual and community health, wellness and disease prevention. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $929,221,636 | ExpenseAmt |
| Revenue | $1,143,378,322 | RevenueAmt |
| Desc | See Schedule O for Program Services Statement | Desc |
| Total Program Service Expenses | $929,221,636 | 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 |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | 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 | Yes (1) | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 125 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 7349 | 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 | 0 | ForeignFinancialAccountInd |
| 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | George Eighmy | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8636871101 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 S Florida Ave 3rd Floor | AddressLine1Txt |
| City | Lakeland | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Clayton Hollis | ||||||||||
| Chair | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dale Dreyer | ||||||||||
| Vice Chair | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| John Attaway Jr | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sylvia Blackmon-Roberts | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kimberly Elmhorst | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ed Garcia MD | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Matt Green | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jack Harrell III | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Anne Kerr PhD | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Cory Petcoff | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Bill Pou | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Preziosi MD | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Weymon Snuggs | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Tracy Wilson | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Danielle Drummond | ||||||||||
| President/Chief Exec. Officer | 50.00 | 1.00 | $1,468,000 | $0 | $75,274 | Yes (X) | ||||
| Lance Green | ||||||||||
| EVP - Chief Financial Officer | 50.00 | 1.00 | $694,982 | $0 | $105,647 | Yes (X) | ||||
| Sarah Bhagat | ||||||||||
| COO/SVP Ambulatory Oper. & Organization | 50.00 | $508,535 | $0 | $71,150 | Yes (X) | |||||
| Stacy Bolton | ||||||||||
| VP - CIO/Chief Technology Officer | 50.00 | $421,260 | $0 | $93,417 | Yes (X) | |||||
| Timothy Boynton | ||||||||||
| VP of Development/Chief Public Relations | 50.00 | 1.00 | $419,226 | $0 | $70,177 | Yes (X) | ||||
| Francisco J Chebly | ||||||||||
| Executive Director LRH Phy | 50.00 | $506,899 | $0 | $162,081 | Yes (X) | |||||
| Scott Dimmick | ||||||||||
| SVP - Chief Human Resources Officer | 50.00 | $493,421 | $0 | $77,507 | Yes (X) | |||||
| Hal Escowitz | ||||||||||
| Chief Quality & Medical In | 50.00 | $555,676 | $0 | $175,045 | Yes (X) | |||||
| Caroline Gay | ||||||||||
| Former SVP - Chief Analytics Officer | 50.00 | 1.00 | $453,422 | $0 | $4,620 | Yes (X) | ||||
| Graham Greene | ||||||||||
| Chief Academic Officer | 50.00 | $0 | $712,858 | $54,783 | Yes (X) | |||||
| Terry Hamilton | ||||||||||
| EVP - Chief Operating Officer | 50.00 | $760,671 | $0 | $135,719 | Yes (X) | |||||
| Jonn Hoppe | ||||||||||
| EVP - Chief Legal Officer | 50.00 | $741,414 | $0 | $85,324 | Yes (X) | |||||
| Ana Kalman | ||||||||||
| VP - CIO/Chief Applications Officer | 50.00 | $461,555 | $0 | $81,542 | Yes (X) | |||||
| Deana L Nelson | ||||||||||
| SVP - Administration & Corporate In | 50.00 | $482,887 | $0 | $59,194 | Yes (X) | |||||
| April Novotny | ||||||||||
| VP - Chief Nurse Executive | 50.00 | $368,030 | $0 | $73,361 | Yes (X) | |||||
| Patrick Phillips | ||||||||||
| SVP - Business Development/Chief Strategy | 50.00 | $429,693 | $0 | $98,942 | Yes (X) | |||||
| Timothy Regan | ||||||||||
| President/Chief Medical Officer | 50.00 | $880,527 | $0 | $67,019 | Yes (X) | |||||
| Michael Spake | ||||||||||
| SVP - External Affairs/Chief Compliance Officer | 50.00 | $447,874 | $0 | $58,287 | Yes (X) | |||||
| Anas Bizanti MD | ||||||||||
| Internal Medicine Residency Associate Program Dire | 50.00 | $370,583 | $0 | $42,461 | Yes (X) | |||||
| Donald Davis MD | ||||||||||
| General Surgery Residency Program Director | 50.00 | $548,764 | $0 | $36,742 | Yes (X) | |||||
| Nancy Finnigan DO | ||||||||||
| Designated Institutional Officer/Nephrology | 50.00 | $433,172 | $0 | $49,408 | Yes (X) | |||||
| Sowsan Rasheid MD | ||||||||||
| General Surgery Residency Associate Program Direct | 50.00 | $454,274 | $0 | $33,683 | Yes (X) | |||||
| Marcos Sosa MD | ||||||||||
| OBGYN Residency Program Director | 50.00 | $334,784 | $0 | $28,595 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,235,649 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $712,858 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,739,978 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 892 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| Creative Contractors Inc | |||||
| 101 Creative Way | Clearwater | FL | 33759 | Construction Contractor | $33,945,606 |
| Cerner Corporation | |||||
| PO Box 412702 | Kansas City | MO | 641412702 | Software Maintenance & Support | $16,376,738 |
| VAYA WORKFORCE SOLUTIONS LLC | |||||
| DEPT CH18001 | PALATINE | IL | 600558001 | Contract Labor | $16,159,383 |
| Nemours Foundation | |||||
| 10140 Centurion Pkwy N | Jacksonville | FL | 322560532 | Professional Services | $5,297,595 |
| University Medical Services | |||||
| PO Box 917492 | Orlando | FL | 32891 | Neuro Professional Services | $4,975,991 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 364 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,507,084 | RelatedOrganizationsAmt |
| Government Grants | $387,659 | GovernmentGrantsAmt |
| Total Contributions | $4,894,743 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient Service Revenu | 621990 | $885,258,542 | $885,258,542 | ||
| Medicare/Medicaid | 621990 | $245,326,458 | $245,326,458 | ||
| GME Startup Funding | 561000 | $9,900,000 | $9,900,000 | ||
| Cafeteria Revenue | 722514 | $6,110,742 | $6,110,742 | ||
| Other Operating Revenu | 561000 | $5,489,985 | $5,471,813 | $4,084 | $14,088 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,210,767 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,210,767 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,153,296,494 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $32,018 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $32,018 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,018 | TotalRevenueColumnAmt |
| Exclusion | $32,018 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,158,223,255 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,153,278,322 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,084 | UnrelatedBusinessRevenueAmt |
| Exclusion | $46,106 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,869,353 | TotalAmt |
| Program Services | $8,233,735 | ProgramServicesAmt |
| Management And General | $1,635,618 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,221,222 | TotalAmt |
| Program Services | $331,748,980 | ProgramServicesAmt |
| Management And General | $41,472,242 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,316,272 | TotalAmt |
| Program Services | $12,397,613 | ProgramServicesAmt |
| Management And General | $1,918,659 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,813,287 | TotalAmt |
| Program Services | $45,735,278 | ProgramServicesAmt |
| Management And General | $7,078,009 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,227,058 | TotalAmt |
| Program Services | $23,578,102 | ProgramServicesAmt |
| Management And General | $3,648,956 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,336,749 | TotalAmt |
| Management And General | $1,336,749 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,000 | TotalAmt |
| Management And General | $332,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,376,823 | TotalAmt |
| Program Services | $44,281,552 | ProgramServicesAmt |
| Management And General | $15,095,271 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,032,326 | TotalAmt |
| Program Services | $958,069 | ProgramServicesAmt |
| Management And General | $74,257 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,456,805 | TotalAmt |
| Program Services | $2,742,306 | ProgramServicesAmt |
| Management And General | $3,714,499 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,954,593 | TotalAmt |
| Program Services | $31,934,608 | ProgramServicesAmt |
| Management And General | $4,019,985 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,486,732 | TotalAmt |
| Program Services | $9,314,239 | ProgramServicesAmt |
| Management And General | $1,172,493 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,661 | TotalAmt |
| Program Services | $15,709 | ProgramServicesAmt |
| Management And General | $218,952 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,548,315 | TotalAmt |
| Program Services | $10,257,129 | ProgramServicesAmt |
| Management And General | $1,291,186 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,384,244 | TotalAmt |
| Program Services | $51,856,461 | ProgramServicesAmt |
| Management And General | $6,527,783 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,460,212 | TotalAmt |
| Management And General | $19,460,212 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Patient Supplies & Phar | $217,277,135 | $217,277,135 | |
| Bad Debts | $97,224,202 | $97,224,202 | |
| HCCB Indigent Assessmen | $26,642,576 | $26,642,576 | |
| Repairs & Maintenance | $14,411,789 | $13,760,772 | $651,017 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,664,895 | TotalAmt |
| Program Services | $1,263,170 | ProgramServicesAmt |
| Management And General | $401,725 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,039,271,249 | TotalAmt |
| Program Services | $929,221,636 | ProgramServicesAmt |
| Management And General | $110,049,613 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,850 | BOYAmt |
| EOY | $9,351 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,064,282 | BOYAmt |
| EOY | $126,575,437 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,638,514 | BOYAmt |
| EOY | $19,484,003 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,316,662 | BOYAmt |
| EOY | $17,988,468 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,668,343,321 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $881,634,418 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $749,315,228 | BOYAmt |
| EOY | $786,708,903 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,730,880 | BOYAmt |
| EOY | $18,926,847 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,085,649 | BOYAmt |
| EOY | $42,530,642 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,510,364 | BOYAmt |
| EOY | $106,027,442 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,047,675,429 | BOYAmt |
| EOY | $1,118,251,093 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,537,687 | BOYAmt |
| EOY | $38,766,675 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,025,821 | BOYAmt |
| EOY | $480,740,377 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,668,044 | BOYAmt |
| EOY | $133,152,783 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $663,481,552 | BOYAmt |
| EOY | $652,759,835 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $348,435,736 | BOYAmt |
| EOY | $430,422,234 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,758,141 | BOYAmt |
| EOY | $35,069,024 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $384,193,877 | BOYAmt |
| EOY | $465,491,258 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,047,675,429 | BOYAmt |
| EOY | $1,118,251,093 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $118,952,006 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,375,273 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$40,029,898 | 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 | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $128,590 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $128,590 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Lakeland Regional Medical Center, Inc. provided payment to an independent lobbying firm to notify the Medical Center of any pending legislation that affects hospitals and healthcare. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,538,285 | BeginningYearBalanceAmt |
| End Year Balance | $1,538,285 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,538,285 | BeginningYearBalanceAmt |
| End Year Balance | $1,538,285 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,538,285 | BeginningYearBalanceAmt |
| End Year Balance | $1,538,285 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,538,285 | BeginningYearBalanceAmt |
| End Year Balance | $1,538,285 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,538,285 | BeginningYearBalanceAmt |
| End Year Balance | $1,538,285 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| 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 | $240,975,832 | OtherCostOrOtherBasisAmt |
| Book Value | $240,975,832 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $445,978,447 | OtherCostOrOtherBasisAmt |
| Depreciation | $199,548,464 | DepreciationAmt |
| Book Value | $246,429,983 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,055,565 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,055,565 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $931,551,255 | OtherCostOrOtherBasisAmt |
| Depreciation | $680,030,389 | DepreciationAmt |
| Book Value | $251,520,866 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,782,222 | OtherCostOrOtherBasisAmt |
| Book Value | $47,782,222 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $786,708,903 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $7,613,812 |
| Due to Affiliates | $97,128,894 |
| Net ROU ASSETS | $401,215 |
| Estimated Third Party Settlements | $883,521 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $106,027,442 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| FL Medical Assistance Assessment | $17,436,691 |
| Employee Compensation | $54,203,097 |
| Malpractice Claims | $50,575,818 |
| Workers Compensation | $2,828,040 |
| Other Long Term Liabilities | $53,963 |
| Bond Interest Payable | $7,400,256 |
| Short-Term Right of Use Liability | $654,918 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $133,152,783 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,058,875,000 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,375,273 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $674 | OtherRevenueAmt |
| Revenue Not Reported | $2,375,947 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,056,499,053 | RevenueSubtotalAmt |
| Other Revenues Not Included | $101,724,202 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $101,724,202 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,158,223,255 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $942,046,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $942,046,000 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $97,225,249 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $97,225,249 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,039,271,249 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The purpose of the Organization's Endowment funds is to grow the corpus and use the unrestricted earnings from the invested endowment fund to support the Medical Center's mission. |
| Part X, Line 2: | The Parent, Medical Center, and Foundation have been recognized by the Internal Revenue Service as tax-exempt organizations as described in Section 501(c)(3) of the Internal Revenue Code of 1986. Income earned in furtherance of the organizations' tax-exempt purposes is exempt from federal and state income taxes. Income taxes related the Health System's ownership interests in joint venture partnerships are not material to the Health System. U.S. GAAP requires the Health System's management to evaluate tax positions taken by the Health System and recognize a tax liability (or asset) if the Health System has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Health System has analyzed its tax positions and has concluded that as of September 30, 2023, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) in the consolidated financial statements or disclosure in the notes to the consolidated financial statements. The Health System is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Health System believes it is no longer subject to income tax examination for tax years prior to 2019. |
| Part XI, Line 2d - Other Adjustments: | Other Adjustment 674. |
| Part XI, Line 4b - Other Adjustments: | Bad Debts Netted with Revenue on Audited Financials 97,224,202. Related Transactions 4,500,000. |
| Part XII, Line 4b - Other Adjustments: | Bad Debts Netted with Revenue on Audited Financials 97,224,202. Other Adjustment 1,047. |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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 | $15,629,064 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,629,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01660 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $154,259,030 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $82,605,297 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $71,653,733 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07610 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,702,421 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,630,552 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,071,869 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00750 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $179,590,515 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $85,235,849 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $94,354,666 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,433,811 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,537,647 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,896,164 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,433,811 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,537,647 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,896,164 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $252,024,326 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $148,773,496 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $103,250,830 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10960 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $97,224,202 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $162,721,161 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $154,362,203 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $8,358,958 | 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 |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Regional Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1324 Lakeland Hills Blvd | AddressLine1Txt |
| City | Lakeland | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33805 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
| Other | Pediatrics Emergency Department | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Regional Medical Center | 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 |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | mylrh.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | mylrh.org | StrategyWebsiteURLTxt |
| 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | mylrh.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | mylrh.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | mylrh.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Lakeland Regional Medical Center | Part V, Section B, Line 3j: Since our last Community Health Needs Assessment (2018-2021), so much in our community, state, and world has changed. Between the COVID-19 pandemic that changed the way we sought, delivered, and advanced healthcare to the unrest that followed incidents of social injustice, we learned to face extraordinary challenges in new ways with the constant goal of building a stronger, healthier tomorrow for every Polk County resident.Upon review of our County's current health data and as a result of the CHNA process, Lakeland Regional Health has identified the following areas of need:1. Cultural Competency2. Access to Quality, Coordinated Care3. Cancer Screening and Prevention4. Diabetes5. Heart Disease and Stroke6. Injury Prevention7. Mental Healthcare8. Obesity, Nutrition, and Physical ActivityIn response to the identified areas of need, the following initiatives and anticipated outcomes were established:1. CULTURAL COMPETENCEInitiatives and Actions: - Recruit and retain top diverse talent.- Develop an intentional curriculum for team members that works to enhance cultural competency and awareness.- Launch a Diversity Advisory Council that works to advance commitment to eliminating bias, advocates for the underserved, and establishes processes and procedures to reinforce cultural competency in patient care.- Further develop community partnerships that work to foster health equity and improve pathways to care.Anticipated Impact:- Greater understanding of health equity in our community.- Creation of an environment where all people feel a sense of belonging, are valued and respected, and have access to the same opportunities.2. ACCESS TO QUALITY, COORDINATED CAREInitiatives and Actions:- Increase capacity by attracting and retaining diverse, adaptable and highly qualified providers and team members.- Establish a Graduate Medical Education program that will foster health and healing, engage a diverse community and work collaboratively for positive medical and social transformation.- Establish new locations and optimize existing sites of service to provide clinical services in convenient, easily accessible locations.- Collaborate with local, regional and national partner organizations and affiliates to continue to expand and strengthen healthcare services to provide convenient access and highest quality outcomes.- Engage community members in education regarding their access to primary care.Anticipated Impact:- Care that is convenient as well as culturally sensitive and appropriate.- Increased patient satisfaction.- Reduction of barriers that impact a patient's ability to achieve health and wellbeing.- Increased compliance with preventive care recommendations (screenings, immunizations, lifestyle changes).- Reduction in the percentage of community members who delay obtaining needed medical care.3. CANCER SCREENING AND PREVENTIONInitiatives and Actions:- Engage with community partners to improve cancer screening rates in order to facilitate early detection of cancer.- Empower community members to engage in cancer prevention and early detection through use of cancer screenings. - Provide resources for community providers and community members experiencing cancer-related illness.- Increase education outreach opportunities through programs such as ShopTalk and the Congregational Health Partnership program. - Increase participation in the tobacco cessation program held in collaboration with Tobacco Free Florida. The program encourages participants to work on the process and problems of quitting, both individually and as part of a group.- Increase the number of adolescents aged 9-14 years who are up to date with the HPV vaccine series. (In partnership with the American Cancer Society, Florida Department of Health in Polk, Central Florida Healthcare).Anticipated Impact:- Increased compliance with preventive care recommendations (screenings and lifestyle changes).- Decreased cancer incidence and/or rate of late-stage cancer diagnoses.- Increased public awareness of cancer prevention strategies.- Increased focus on barriers that prevent timely and equitable cancer prevention, early detection, and treatment.4. DIABETESInitiatives and Actions:- Increase knowledge of and access to diabetes education programs.- Increase access to the Diabetes Prevention Program (DPP) for high-risk community members.- Provide education outreach opportunities through programs such as ShopTalk and the Congregational Health Partnership Program.- Continue to offer glucose screenings throughout the community and provide education about diabetes, pre-diabetes, risk factors, and early intervention.- Explore ways to assist providers and team members in providing culturally appropriate education to diabetic patients.Anticipated Impact:- Increased knowledge of available resources.- Increased referrals to diabetes education classes and to the Diabetes Prevention Program (DPP).- Decrease new incidences of diabetes.- Reduction in hospitalization rates due to diabetes.5. HEART DISEASE AND STROKEInitiatives and Actions:- Provide health education through community health events and in the media to encourage healthy behaviors and recognition of signs and symptoms of heart disease and stroke.- Continue to provide blood pressure screenings at community events and in faith-based organizations through the Congregational Health Partnership program.- Increase the number of community residents who know how to perform CPR and use an automated external defibrillator or AED.- Provide support programs and education on cardiovascular health, stroke prevention and recovery.- Increase knowledge and awareness of self-monitoring practices and signs/symptoms.- Reduced mortality rates for cardiovascular disease.Anticipated Impact:- Increased knowledge and awareness of self-monitoring practices and signs/symptoms.- Reduced mortality rates for cardiovascular disease.6. INJURY PREVENTIONInitiatives and Actions:- Continue to participate in the Coalition on Injury Prevention. The Coalition provides injury prevention education and activities by leveraging partnerships, community effort, support networks and community events.- Increase the use of safety equipment and knowledge of preventing childhood injuries (i.e. helmet safety, car seat safety,drowning prevention) across the county.- Continue to provide Stop the Bleed education to community residents.- Provide resources for community providers and members experiencing cancer-related illness, asthma and diabetes.Anticipated Impact:- Increased awareness and knowledge of injury prevention activities.- Increased participation in education/prevention programs.7. MENTAL HEALTHCAREInitiatives and Actions: - Construct the new Center for Behavioral Health and Wellness by 2022.- Increase integration of physical and behavioral health services through streamlined access to behavioral health resources across organization service lines including primary care.- Reduce deaths by suicide by increasing ability for patients to get care before it reaches crisis in addition to education and advocacy in the community.- Coordinate and work collaboratively with community stakeholders to expand access to a continuum of behavioral health services.- Conduct community-wide awareness campaigns aimed at reducing stigma and enhancing access to community education programs.Anticipated Impact:- Increased capacity for inpatient services.- Creation of new and expanded outpatient services that support a more comprehensive care continuum.- Increased awareness of the treatment of mental health.- Improved coordination among healthcare providers, community resources and programs.- Reduction in the percentage of residents who delay obtaining needed behavioral health and substance abuse intervention and care.- Reduction in stigma surrounding mental illness.OBESITYInitiatives and Actions:- Create innovative prevention and wellness initiatives and outreach efforts to improve overall population health status in our community.- Promote weight management programs and services.- Partner with community organizations and surrounding neighborhoods to implement impactful community education that increases knowledge and skills that promote healthy lifestyles for community residents.- Reduce cancer risk and increase support for cancer survivors by providing free and low-cost physical activity opportunities that allow participants to maintain a healthy weight, eat a healthy diet, and be physically active.- Continue to implement the Congregational Health Partnership program and annual FitChurch Challenge program (with the addition of FitKids curriculum).- Develop interactive childhood obesity education that promotes healthy nutrition, increased physical activity, and decreased screen time. |
| Lakeland Regional Medical Center | Part V, Section B, Line 5: The health of Polk County residents is influenced by many factors. In order to gain a broad perspective of these factors, the potential barriers they may create and to determine the priorities for the 2022-2025 Community Health Needs Assessment, Lakeland Regional Health and AdventHealth utilized a process that included the review of existing secondary data and collection of primary data through a number of focus groups. During focus groups and a community dialogue session, we looked to our community residents and partners to represent their respective communities and provide feedback on how health systems could most effectively address specific areas of need.The assessment was performed by reviewing data from sources including:1. United States Census Bureau2. Centers for Disease Control and Prevention3. Florida Health Assessment Resource Tool Set (CHARTS)4. Florida Behavioral Risk Factor Surveillance System (BRFSS)5. Community Commons6. Robert Wood Johnson Foundation County Health RankingsOver 900 community members participated in the 2022-2025 Community Health Needs Assessment survey. The survey was available both online and in hard copy in the following languages: English, Spanish and Creole. The survey opened on March 17, 2021, and closed on June 30, 2021. |
| Part V, Section B, Line 22b: | To be eligible for a 100% Financial Assistance Adjustment (i.e., full write-off), the patient's Household Income must be less than or equal to 200% of the current FPG (adjusted for family size). If the patient's Household Income is greater than 200% and less than or equal to 400% of the current FPG (adjusted for family size), the patient will receive a Financial Assistance Adjustment that is based upon LRMC's Amounts Generally Billed (AGB) percentage. By January 28th of each year, the AGB percentage will calculated by dividing the sum of allowed amounts for claims for services allowed by Medicare Fee-For-Service and all private health insurers during the prior twelve-month period ended September 30 by the gross charges for such claims. No individual eligible under this Financial Assistance Policy will be given a Financial Assistance Adjustment which is less than amount calculated using the AGB percentage. The AGB percentage in effect is 20%, thus the Financial Assistance Adjustment based on the AGB percentage is 80%. In all situations described in this paragraph, the Financial Assistance Adjustment will be applied to the outstanding balance of an account after payments by third parties, if any.The Financial Assistance Adjustment based on the AGB percentage will also be applied to the outstanding balance, after payments by insurance, if any, of patients with Catastrophic Medical Expenses, as defined above, who are not eligible for financial assistance based on the other provisions of this policy. Uninsured patients of LRMC who are not eligible for financial assistance based on the other provisions of the policy will also receive an Uninsured Discount based on the AGB percentage. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Hollis Cancer Center | ||||
| 3525 Lakeland Hills Blvd | Lakeland | FL | 33805 | Outpatient Clinic (Chemo/RadTx/Infusion Therapy) |
| 2 - LRMC Morrell Internal Medicine Clinic | ||||
| 300 Parkview Place | Lakeland | FL | 33805 | Outpatient Clinic |
| 3 - Lakeland Regional Rehab & Sports Clinic | ||||
| 3030 Harden Blvd | Lakeland | FL | 33803 | Outpatient Clinic |
| 4 - Lakeland Reg Health Ctr for Wound Care | ||||
| 3030 Harden Blvd | Lakeland | FL | 33803 | Outpatient Clinic |
| 5 - Lakeland Regional Rehab & Sports Clinic | ||||
| 2125 Sleepy Hills Rd | Lakeland | FL | 33810 | Outpatient Clinic |
| 6 - Cardiac Rehabilitation | ||||
| 3525 Lakeland Hills Blvd | Lakeland | FL | 33805 | Outpatient Clinic |
| 7 - Rheumatology Clinic | ||||
| 3030 Harden Blvd | Lakeland | FL | 33803 | Outpatient Clinic |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Lakeland Regional Medical Center determines the cost of charity by calculating a ratio of cost to charges as derived from the Medicare Cost Report and then multiplying that ratio by the gross uncompensated charges associated with providing care to charity patients. Similarly, the cost of subsidized health services is based on the unreimbursed cost of caring for the patients' services less the cost associated with Bad Debt, Charity, Medicaid and other means-tested government programs. The actual expenses paid for providing community health improvements and community benefits operations less any payments received for those activities is reflected above. |
| Part I, Line 7g: | Subsidized health services are clinical services that are essential to meet the health care needs of the entire community and are provided with a financial loss to Lakeland Regional Medical Center (LRMC). The financial loss is measured after removing losses associated with Bad Debt, Charity, Medicaid and other means-tested government programs. LRMC operates one of the busiest Emergency Departments in the nation with over 200,000 emergency visits each year prior to the COVID-19 pandemic. We treat all patients regardless of their ability to pay for the care they receive. In addition, we staff a Level II Trauma Center to provide critical care access to residents of Lakeland and surrounding communities. The cost of providing emergency and trauma care 24 hours each day exceeds the payments LRMC receives for providing that care. LRMC also operates the only inpatient Behavioral Health Unit in Lakeland to provide care for the mentally ill population who have nowhere else to go for essential inpatient psychiatric care. |
| Part I, Ln 7 Col(f): | There is $97,224,202 of bad debt expense which is included in Form 990, Part IX, Line 24(b). This amount was removed in the calculation of the Percent of Total Expense on Schedule H Line 7f. |
| Part II, Community Building Activities: | Lakeland Regional Medical Center is the only hospital in Lakeland and serves as a tertiary referral hospital serving the broader Polk County, Florida. As the only state-designated trauma center for Polk, Highlands, and Hardee counties, we provide critical access and care to the area's most seriously injured residents. A shortage of primary care physicians and mental health services has resulted in our ER becoming the highest volume ER in the nation, offering essential medical care to many underserved residents in our community.Ongoing education programs for diabetes and cardiac rehab are designed to help patients with chronic conditions maintain their health and avoid repeated hospitalizations. Support groups assist those living with chronic and life-threatening illnesses to access resources and critical peer support. Education and screening programs have identified those at risk of various conditions, allowing them to seek treatment. Participation in and support of community events helps to ensure a vibrant community and a positive quality of life for our employees as well as our patient-base. |
| Part III, Line 2: | LRMC follows the guidance provided in the Healthcare Financial Management Association Principles and Practices Board "Statement 15: Valuation and Financial Statement Presentation of Charity Care and Bad Debts by Institutional Healthcare Providers" in determining bad debt expenses. Bad debt expense results when a patient who does not meet the criteria for Charity Care and who has been determined to have the financial capacity to pay for healthcare services and is unwilling to settle the claim. The hospital utilizes an overall ratio of cost to charges from the applicable Medicare cost report and this is applied to the bad debt expense. |
| Part III, Line 4: | The consolidated, audited financial statements of Lakeland Regional Health Systems, Inc. and Subsidiaries are attached to this return and contain language addressing Bad Debts on pages 9 thru 11. |
| Part III, Line 8: | Medicare allowable costs are determined using the approved standardized Medicare Cost Report methodology. The Medicare cost is derived using the Medicare Cost-to-Charge ratio from the Medicare cost report times the Medicare charges for service. |
| Part III, Line 9b: | LRH will not engage in the following collection activities for any patients (even if they do not qualify for financial assistance): - Place a lien on an individual's property- Foreclose on an individual's real property- Attach or seize an individual's bank account or any other personal property- Commence a civil action against an individual- Cause an individual's arrest- Cause an individual to be subject to a writ of body attachment- Garnish an individual's wages- Demand payment for a prior bill as condition of receiving future services at LRMC. This prohibition does not apply to office-based services provided by LRHS.LRMC or its representatives (i.e., a collection agency) may report a patient to a credit bureau if the patient has received a written notice (and an attempt has been made to provide oral notification) specifying the date, which shall be not less than 30 days after the date of the notice, after which credit bureau reporting may occur. Credit Bureau reporting may not occur earlier than 240 days after the date the patient received the first billing statement for the care provided. These limitations do not apply to LRHS. |
| Part VI, Line 2: | Lakeland Regional Medical Center collaborates with medical staff, community leaders and the Polk County Health Department to determine the health needs of the citizens of Lakeland and Polk County, Florida. LRMC sponsors various Medical Staff Committees where community health needs are frequently discussed. Our senior management and staff identify unmet community health needs through participation in community coalitions, partnerships, boards, committees, and advisory groups. Using available data on the demographics and service utilization for our primary and secondary markets, the LRMC executive team and Board develop a comprehensive annual Strategic Plan to address the healthcare needs of the community. For the 2022-2025 CHNA, stakeholders representing broad interests of the community served by Lakeland Regional Health attended a dialogue session to discuss the overall health of the community, available health services, in addition to opportunities to bridge gaps and access to current services. Following the community dialogue session, the data review process involved the formal prioritization method known as the Prioritization Matrix, which included ranking health priorities based on the six primary criteria: alignment with the health system's mission; existing programs; ability to impact within three years; financial resources required; human resources required and the availability of measurable outcomes to assess effectiveness of the intervention/plan.In 2012, LRMC opened a primary health clinic to provide a medical home for the uninsured and underinsured population. This clinic is designed to both improve the quality of care for low income patients and also reduce visits to the emergency room. In the fall of 2012 and continuing through 2015, LRMC partnered with the Polk County Health Department, Peace River Center and the Polk Healthcare Plan as part of the state Low Income Pool for primary care to offer a patient-centered, primary care integrated medical home within the I-4 corridor of Polk County. Beginning in 2016 and through 2018, LRMC continued its partnership with the Polk HealthcarePlan and Peace River to provide primary care and mental health screenings to the indigent population of Polk County and members of the Polk Healthcare Plan which was partially subsidized by a grant funded by Polk County. In 2023, Morrell Internal Medicine Clinic (formerly Family Health Center) had 5,747 visits in which patients and their families were able to receive primary care. |
| Part VI, Line 3: | For scheduled admissions, LRMC conducts a pre-admission interview to discuss the financial plan with the patient, the guarantor, and/or his or her legal representative. If a pre-admission interview is not possible, this interview is conducted upon admission. In the case of an emergency admission, LRMC's evaluation of payment alternatives does not take place until the required stabilizing medical care has been provided. Identification of patients eligible for assistance can take place at any time during the rendition of services or during the patient account collection process (including bad debt).Those patients who may qualify for financial assistance from a government program are referred to the appropriate program, such as Medicaid or the Polk Healthcare Plan. LRMC provides on-site access to Medicaid eligibility specialists to assist patients in qualifying for governmental medical assistance programs. All patients identified as potential financial assistance recipients are offered the opportunity to apply for financial assistance. If this evaluation is not conducted until after the patient leaves, or in the case of outpatients or emergency patients, an LRMC representative mails a financial assistance application to the patient. For the first 120 days after the date of service, the hospital will notify an individual about the Financial Assistance Policy. The patient will receive at least three billing statements that include language about applying for financial assistance. The hospital will accept and process any financial assistance applications submitted by an individual for up to 240 days after the patient received the first billing statement for the care. |
| Part VI, Line 4: | The Lakeland Urban Area is considered the primary service area and the remainder of Polk County is considered the secondary/extended service area. Polk County has a population of over 800,000 with 20% of residents being over the age of 65 and 16% of residents living below the Federal Poverty Level. Children under 18 years of age make up 22% of the population. Located between Orange and Hillsborough Counties, it is the fourth (4th) largest county in Florida consisting of 1,798.1 square miles. Lakeland is the largest city in Polk County and is located between Tampa and Orlando on Interstate 4. The unemployment rate for Polk County was 4.1% as of March 2024. 2022 census data reflects a population that is 27% Hispanic or Latino and 17% Black. |
| Part VI, Line 5: | Lakeland Regional Medical Center's senior management, directors, managers, physicians and staff provide leadership and resources to equip local organizations with the skills needed to create a healthy community. Our staff participates on boards, advisory committees, and coalitions benefiting the community we serve without compensation for their time. Our leaders and physicians participate in educational programs, workshops and health fair events that are provided free to members of the community. We provide cancer screening services to the community for early detection of breast, skin and colon cancers. We participate and provide support for educational programs for healthcare workers in partnership with local colleges, universities and trade schools. Lakeland Regional Medical Center has a vibrant volunteer program, offering varied opportunities for service to the members of the community. The medical staff of Lakeland Regional Medical Center consists of over 600 physicians and is organized to promote the public interest of healthcare. No part of the income of LRMC inures to the benefit of any private individual, nor is any private interest being served. All surplus funds are reinvested into the facilities, equipment, programs and resources needed to continually improve the quality of patient care, expand our outreach, and advance the medical training and education of our staff. As noted above, the primary health clinic opened in 2012, and the Low Income Pool partnership clinic with Polk County located on the I-4 corridor are excellent examples of LRH's commitment to community health promotion. |
| Part VI, Line 6: | Lakeland Regional Medical Center is a subsidiary of Lakeland Regional Health Systems, Inc., a not-for-profit system that reinvests its profits back into the community through programs that benefit the residents of Lakeland and Polk County, Florida. The Health System facilities are leased from the City of Lakeland and the operations of the Hospital and Health System directly benefit the citizens of the community.Under the terms of the Agreement prior to fiscal year 2016, annual rent of $1.00 per operating year plus additional payments were made to the City of Lakeland (the City) based on a formula, which took into consideration the net revenues of the Medical Center, and net income of certain affiliated organizations, as defined in the Agreement.An amendment to the Agreement was reached and became effective October 1, 2015. The amendment provided a lump sum payment of $15,000,000 to the City on October 1, 2015, with fixed annual additional payments due beginning in fiscal year ending September 30, 2016 through fiscal year ending September 30, 2040. The additional payment for fiscal year ending September 30, 2021 was $14,379,000 with future scheduled payments per operating year through the duration of the Agreement ranging from $14,379,000 in fiscal year 2022 to $22,194,000 in fiscal year 2040 totaling approximately $335,100,000.In March 2021, the Agreement was amended whereby the Medical Center provided the City a $215,000,000 lump sum payment in lieu of the aforementioned remaining lease payments under the Agreement scheduled for fiscal years 2022 through 2040. In addition to the lump sum payment, the lease was extended in perpetuity with annual payments beginning in fiscal year 2041 and beyond at $10.00 per year. The $215,000,000 million lump sum payment was funded in part with proceeds from the Series 2021 Bonds. As part of the amendment, the Medical Center's total consideration of $235,000,000, inclusive of additional payments made to the City during 2021 and throughout the Agreement was recorded as property and equipment in the accompanying consolidated balance sheet as a land purchase due to the right to control the use on the property in perpetuity.In addition, the Health System provides for the health of the community by directly employing physicians in underserved medical specialties, such as orthopedics, trauma surgery, oncology and behavioral health. The Health System's medical clinics provide access to all residents, regardless of income, and many operate at a loss. Despite this, LRH believes that the role these clinics provide in the community, and in the promotion and maintenance of health, is part of our mission and our significant contribution to the community. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Danielle Drummond | ||||||||||||||
| President/Chief Exec. Officer | $934,145 | $0 | $322,451 | $0 | $211,404 | $0 | $53,187 | $0 | $22,087 | $0 | $1,543,274 | $0 | $51,847 | $0 |
| Lance Green | ||||||||||||||
| EVP - Chief Financial Officer | $537,037 | $0 | $97,023 | $0 | $60,922 | $0 | $73,464 | $0 | $32,183 | $0 | $800,629 | $0 | $20,176 | $0 |
| Sarah Bhagat | ||||||||||||||
| COO/SVP Ambulatory Oper. & Organizat | $361,685 | $0 | $75,217 | $0 | $71,633 | $0 | $42,017 | $0 | $29,133 | $0 | $579,685 | $0 | $27,278 | $0 |
| Stacy Bolton | ||||||||||||||
| VP - CIO/Chief Technology Officer | $329,043 | $0 | $67,411 | $0 | $24,806 | $0 | $63,968 | $0 | $29,449 | $0 | $514,677 | $0 | $11,293 | $0 |
| Timothy Boynton | ||||||||||||||
| VP of Development/Chief Public Relat | $305,577 | $0 | $64,284 | $0 | $49,365 | $0 | $45,079 | $0 | $25,098 | $0 | $489,403 | $0 | $17,443 | $0 |
| Francisco J Chebly | ||||||||||||||
| Executive Director LRH Phy | $393,662 | $0 | $82,169 | $0 | $31,068 | $0 | $129,884 | $0 | $32,197 | $0 | $668,980 | $0 | $0 | $0 |
| Scott Dimmick | ||||||||||||||
| SVP - Chief Human Resources Officer | $360,965 | $0 | $74,341 | $0 | $58,115 | $0 | $48,574 | $0 | $28,933 | $0 | $570,928 | $0 | $21,720 | $0 |
| Hal Escowitz | ||||||||||||||
| Chief Quality & Medical In | $427,154 | $0 | $94,449 | $0 | $34,073 | $0 | $145,612 | $0 | $29,433 | $0 | $730,721 | $0 | $0 | $0 |
| Caroline Gay | ||||||||||||||
| Former SVP - Chief Analytics Officer | $59,043 | $0 | $76,409 | $0 | $317,970 | $0 | $0 | $0 | $4,620 | $0 | $458,042 | $0 | $789 | $0 |
| Graham Greene | ||||||||||||||
| Chief Academic Officer | $0 | $543,817 | $0 | $169,016 | $0 | $25 | $0 | $25,350 | $0 | $29,433 | $0 | $767,641 | $0 | $11,255 |
| Terry Hamilton | ||||||||||||||
| EVP - Chief Operating Officer | $594,112 | $0 | $122,001 | $0 | $44,558 | $0 | $102,749 | $0 | $32,970 | $0 | $896,390 | $0 | $20,120 | $0 |
| Jonn Hoppe | ||||||||||||||
| EVP - Chief Legal Officer | $532,858 | $0 | $106,380 | $0 | $102,176 | $0 | $54,272 | $0 | $31,052 | $0 | $826,738 | $0 | $37,856 | $0 |
| Ana Kalman | ||||||||||||||
| VP - CIO/Chief Applications Officer | $363,569 | $0 | $71,805 | $0 | $26,181 | $0 | $67,930 | $0 | $13,612 | $0 | $543,097 | $0 | $12,030 | $0 |
| Deana L Nelson | ||||||||||||||
| SVP - Administration & Corporate In | $353,915 | $0 | $72,151 | $0 | $56,821 | $0 | $47,345 | $0 | $11,849 | $0 | $542,081 | $0 | $21,904 | $0 |
| April Novotny | ||||||||||||||
| VP - Chief Nurse Executive | $286,278 | $0 | $59,605 | $0 | $22,147 | $0 | $59,976 | $0 | $13,385 | $0 | $441,391 | $0 | $9,860 | $0 |
| Patrick Phillips | ||||||||||||||
| SVP - Business Development/Chief Str | $334,759 | $0 | $70,092 | $0 | $24,842 | $0 | $68,138 | $0 | $30,804 | $0 | $528,635 | $0 | $11,560 | $0 |
| Timothy Regan | ||||||||||||||
| President/Chief Medical Officer | $608,511 | $0 | $126,504 | $0 | $145,512 | $0 | $37,586 | $0 | $29,433 | $0 | $947,546 | $0 | $48,544 | $0 |
| Michael Spake | ||||||||||||||
| SVP - External Affairs/Chief Complia | $300,667 | $0 | $68,020 | $0 | $79,187 | $0 | $26,129 | $0 | $32,158 | $0 | $506,161 | $0 | $25,946 | $0 |
| Anas Bizanti MD | ||||||||||||||
| Internal Medicine Residency Associat | $314,591 | $0 | $0 | $0 | $55,992 | $0 | $12,228 | $0 | $30,233 | $0 | $413,044 | $0 | $0 | $0 |
| Donald Davis MD | ||||||||||||||
| General Surgery Residency Program Di | $488,952 | $0 | $59,571 | $0 | $241 | $0 | $5,773 | $0 | $30,969 | $0 | $585,506 | $0 | $0 | $0 |
| Nancy Finnigan DO | ||||||||||||||
| Designated Institutional Officer/Nep | $410,764 | $0 | $22,383 | $0 | $25 | $0 | $15,250 | $0 | $34,158 | $0 | $482,580 | $0 | $0 | $0 |
| Sowsan Rasheid MD | ||||||||||||||
| General Surgery Residency Associate | $454,249 | $0 | $0 | $0 | $25 | $0 | $0 | $0 | $33,683 | $0 | $487,957 | $0 | $0 | $0 |
| Marcos Sosa MD | ||||||||||||||
| OBGYN Residency Program Director | $307,102 | $0 | $0 | $0 | $27,682 | $0 | $0 | $0 | $28,595 | $0 | $363,379 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Lines 4a-b | FormAndLineReferenceDesc |
| Explanation | Danielle Drummond - President and Chief Executive Officer - participated in a supplemental nonqualified deferred compensation plan. She had $210,956 of taxable benefits during calendar year 2022. This amount is included in Part II Column (B)(iii). She had an additional $37,937 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Lance Green - Executive VP and Chief Financial Officer - participated in a supplemental nonqualified deferred compensation plan. He had $60,897 of taxable benefits during calendar year 2022. This amount is included in Part II Column (B)(iii). He had an additional $58,214 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Timothy Boynton - Vice President of Development and Chief Public Relations and Communications Officer - participated in a supplemental nonqualified deferred compensation plan. He had $49,340 of taxable benefits during calendar year 2022. This amount is included in Part II Column (B)(iii). He had an additional $29,829 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Timothy Regan - President/Chief Medical Officer - participated in a supplemental nonqualified deferred compensation plan. He had $145,487 of taxable benefits during calendar year 2022. This amount is included in Part II Column (B)(iii). He had an additional $22,336 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Michael Spake - SVP of External Affairs and Chief Compliance and Integrity Officer - participated in a supplemental nonqualified deferred compensation plan. He had $78,418 of taxable benefits during calendar year 2022. This amount is included in Part II Column (B)(iii). He had an additional $12,103 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Sarah Bhagat - Chief Operating Officer and SVP of Ambulatory Operations and Organizational Effectiveness - participated in a supplemental nonqualified deferred compensation plan. She had $71,608 of taxable benefits during calendar year 2022. This amount is included in Part II Column (B)(iii). She had an additional $26,767 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Jonn Hoppe - EVP and Chief Legal Officer - participated in a supplemental nonqualified deferred compensation plan. He had $102,151 of taxable benefits during calendar year 2022. This amount is included in Part II Column (B)(iii). He had an additional $39,022 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Scott Dimmick - SVP and Chief Human Resources Officer - participated in a supplemental nonqualified deferred compensation plan. He had $57,743 of taxable benefits during calendar year 2022. This amount is included in Part II Column (B)(iii). He had an additional $33,324 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Deana Nelson - SVP and Administration and Corporate Initiatives Officer - participated in a supplemental nonqualified deferred compensation plan. She had $56,771 of taxable benefits during calendar year 2022. This amount is included in Part II Column (B)(iii). She had an additional $32,095 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Caroline Gay - Senior VP, Chief Population Health Officer and Chief Analytics Officer - participated in a supplemental nonqualified deferred compensation plan. She had $789 of taxable benefits during calendar year 2022. Graham Greene - Chief Academic Officer - participated in a supplemental nonqualified deferred compensation plan. He had $23,012 of taxable benefits during calendar year 2022. This amount is included in Part II Column (B)(iii). He had an additional $10,100 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. April Novotny - VP Chief Nurse Executive - participated in a supplemental nonqualified deferred compensation plan. She had $21,857 of taxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. She had an additional $46,016 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Ana Kalman - VP CIO/Chief Applications Officer - participated in a supplemental nonqualified deferred compensation plan. She had $25,801 of taxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. She had an additional $52,680 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Stacy Bolton - VP CIO/Chief Technology Officer - participated in a supplemental nonqualified deferred compensation plan. She had $24,037 of taxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. She had an additional $48,718 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Terry Hamilton - EVP and Chief Operating Officer - participated in a supplemental nonqualified deferred compensation plan. He had $43,001 of taxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. He had an additional $87,499 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Patrick Phillips - SVP of Business Development/Chief Strategy Officer - participated in a supplemental nonqualified deferred compensation plan. He had $24,610 of taxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. He had an additional $49,888 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Francisco J. Chebly - Executive Director LRH Physicians - participated in a supplemental nonqualified deferred compensation plan. He had $29,349 of taxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. He had an additional $114,634 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. Hal Escowitz - Chief Quality Officer - participated in a supplemental nonqualified deferred compensation plan. He had $33,373 of taxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. He had an additional $130,362 of nontaxable benefits accrue during calendar year 2022. This amount is included in Part II Column C. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| City of Lakeland Florida | ||||||||
| A | 596000354 | 511665JE2 | 2011-07-28 | $81,113,255 | 2011 Bonds refunded the 96A, 97A, 97B & 99B Bonds & paid 2011 issuance costs | Yes (1) | 0 | 0 |
| City of Lakeland Florida | ||||||||
| B | 596000354 | 511665JN2 | 2015-02-05 | $205,545,053 | 2015 Hospital Revenue Bonds for capital projects | 0 | 0 | 0 |
| City of Lakeland Florida | ||||||||
| C | 596000354 | 511665KFJ | 2016-09-15 | $97,381,865 | 2016 Hospital Revenue Refunding Bonds | 0 | 0 | 0 |
| Florida Development Finance Corporation | ||||||||
| D | 593270584 | 34061QBF3 | 2021-08-17 | $277,011,519 | 2021 Healthcare Facilities Revenue Bonds | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding EscrowRefundingEscrowAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $22,915,000 | $81,113,255 | $1,012,480 | 0 | Yes (1) | Yes (1) | Yes (1) | |||
| B | $31,815,000 | $205,545,053 | $1,892,439 | 0 | 0 | Yes (1) | Yes (1) | $205,545,053 | 2018 | |
| C | $97,381,865 | $937,638 | Yes (1) | 0 | Yes (1) | Yes (1) | $99,742,693 | |||
| D | $277,011,520 | $2,822,900 | Yes (1) | 0 | Yes (1) | Yes (1) | $250,706,964 | 2022 | $23,481,655 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| D | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
| B | 0 | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Date Rebate Computation Performed | FormAndLineReferenceDesc |
| Explanation | Issuer Name: City of Lakeland, Florida Date the Rebate Computation was Performed: 09/15/2021 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a | Lakeland Regional Medical Center provides free care to patients who meet the State of Florida charity care guidelines and who are not eligible for public assistance. Lakeland Regional Medical Center provided care to emergency patients, regardless of their ability to pay. In addition to the primary Emergency Department, specialty care for children was provided in the separate Pediatric Emergency unit and provides a walk-in center for those patients in need of primary care under non-emergent conditions. Lakeland Regional Medical Center additionally provided inpatient and outpatient mental health services to patients, regardless of their ability to pay. Comprehensive care was offered for a variety of illnesses, including clinical depression, anxiety and memory disorders, addiction recovery and various adolescent services. All services are provided in a distinct part unit within the hospital, and programs are directed by board-certified psychiatrists. |
| Form 990, Part VI, Section A, line 6 | Certain decisions of the governing body of Lakeland Regional Medical Center are subject to approval of the sole member Lakeland Regional Health Systems, Inc. |
| Form 990, Part VI, Section A, line 7a | The sole member of Lakeland Regional Medical Center, Inc. is Lakeland Regional Health Systems, Inc. |
| Form 990, Part VI, Section A, line 7b | Certain decisions of the governing board of Lakeland Regional Medical Center are subject to approval of the sole member Lakeland Regional Health Systems, Inc. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is reviewed prior to filing by senior management, including the CEO and CFO. Additionally, the form and schedules related to compensation are reviewed by the Executive and Physician Compensation Committee of the Board and a copy of the Form 990 and schedules are provided to each member of the Board of Directors before filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | Lakeland Regional Medical Center has a conflict of interest policy which is monitored by the Corporate Integrity Services department. All new hires, students, volunteers and contractors are trained on the ethics policy during general orientation. All staff is to comply with ethics training annually as part of their mandatory education requirements. Annually, a certification is required by all managers, directors, and officers who must acknowledge that the policy was read, understood and will be abided by. Lakeland Regional Medical Center also has a "Policy of the Board of Directors Regarding Board Members Doing Business with Lakeland Regional Medical Center or Lakeland Regional Health Systems". All Board Members are annually required to execute a "Corporate Compliance Acknowledgement and answer a comprehensive "Annual Conflict of Interest Questionnaire". Additionally, all Senior Corporate Management are annually required to answer a comprehensive "Annual Conflict of Interest Questionnaire". |
| Form 990, Part VI, Section B, line 15 | Lakeland Regional Medical Center, Inc. Executive and Physician Compensation Committee (the "Committee") of the Board is charged with determining, in advance, all compensation issues for all executive positions including the President & CEO, the CFO and all Vice Presidents of the organization. Only independent and "disinterested" persons may serve as members of the Committee and no member may be employed by the organization or any of its affiliates. Additionally, no physician on the medical staff of the organization may serve as a member of the Committee nor may any member have any business or financial relationships with the organization, either directly or indirectly through family members. The Committee engages an independent nationally recognized human resource management consulting firm which specializes in executive and employee compensation in the health care industry. This firm, among other things: a. Conducts a competitive executive total cash compensation analysis relative to comparable healthcare organizations nationally; and b. Conducts a competitive executive benefits analysis relative to comparable healthcare organizations; and c. Conducts a competitive executive total compensation analysis relative to comparable healthcare organizations; and d. Assists the Committee in ensuring compliance with regulatory requirements; and e. Provides guidance and counsel to the Committee and Board in matters relating to executive compensation; and f. Participates in Committee meeting and presents their findings and recommendations to the Committee and to the Board. In determining compensation, the Committee relies on the independent, reliable market data presented by the consulting firm to set all compensation levels and the consulting firm's opinion as to the reasonableness of total compensation to be paid the executives of the organization. The Committee fully documents the basis for all determinations and records, at a minimum, 1) the terms of the compensation agreement and the date on which it was approved; 2)the members of the Committee where were present during the discussion and those who voted on it; 3) the comparability data used and its source; and 4) the basis for the ultimate decision. In fulfilling its responsibility, the Committee has full authority to consult with outside counsel, regarding the legality of the compensation and other legal issues which may be relevant to the Committee's responsibilities. |
| Form 990, Part VI, Section C, line 19 | The organization's Articles of Incorporation are public records and may be obtained from the State of Florida's Division of Corporations in Tallahassee, Florida. Additionally, the Lease & Transfer Agreement between the organization and the City of Lakeland, Florida, under which the organization operates, is recorded in the Public Records of Polk County, Florida, the County in which the organization is located. Financial statements and similar information, both audited and unaudited, are periodically furnished to the City of Lakeland, Florida, and various regulatory agencies within the State of Florida. As such, said financial statements and information are public records under the pertinent Florida public records laws. |
| Form 990, Part XI, line 9: | Intercompany Transfers -40,478,299. Change in Beneficial Interest in Foundation 444,993. Other Adjustments 3,408. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Lakeland Regional Medical Center Foundation Inc | |||||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 237134974 | Fundraising | FL | 501(c)(3) | Line 12a, I | Lakeland Regional Health Systems Inc | 0 | |
| Lakeland Regional Health Systems Inc | |||||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 592650464 | Support Other 501(c)(3) organizations | FL | 501(c)(3) | Line 12a, I | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |