2022-08-11T12:21:21-05:00 2021-09-30 621517792 PYA PC 3000 Bayport Drive Suite 860 Tampa FL 33607 990 2020-10-01 592650464 Lakeland Regional Health Systems Inc LAKE 8636871100 1324 Lakeland Hills Boulevard Lakeland FL 33805 Lance Green EVP/Chief Financial Officer 8636871100 2022-08-11 1 Lance Green 999009999 Terry Haefner P01258953 8134243700 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z Danielle Drummond 1324 Lakeland Hills Boulevard Lakeland FL 33805 88660515 0 X www.myLRH.org X 1986 FL The organization'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. 14 14 843 0 215628 214717 1255159 0 63756695 77573260 5218317 7746986 1219138 3340269 71449309 88660515 0 0 0 0 96287815 105633836 0 0 0 27082499 28724430 123370314 134358266 -51921005 -45697751 735245819 756682546 108197292 125326639 627048527 631355907 X The organization'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. 0 0 111628443 77788290 The organization'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. 111628443 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 17 0 1 843 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X George Eighmy 8636871101 230 S Florida Ave 4th Floor Lakeland FL 33801 Weymon Snuggs Chair 1.00 1.00 X 0 0 0 Clayton Hollis Vice Chair 1.00 1.00 X 0 0 0 John Attaway Jr Director 1.00 1.00 X 0 0 0 Sylvia Blackmon-Roberts Director 1.00 1.00 X 0 0 0 Dale Dreyer Director 1.00 1.00 X 0 0 0 Matt Green Director 1.00 1.00 X 0 0 0 Jack Harrell III Director 1.00 1.00 X 0 0 0 Laura Hawley Director 1.00 1.00 X 0 0 0 Anne Kerr PhD Director 1.00 1.00 X 0 0 0 Cory Petcoff Director 1.00 1.00 X 0 0 0 Bill Pou Director 1.00 1.00 X 0 0 0 Mark Preziosi MD Director 1.00 1.00 X 0 0 0 Ayanna Rolette MD Director 1.00 1.00 X 0 0 0 Tracy Wilson Director 1.00 1.00 X 0 0 0 Elaine Thompson PhD President/Chief Executive 1.00 50.00 X 0 3428386 30137 Danielle Drummond President/Chief Exec. Offi 1.00 50.00 X 0 861703 85531 Lance Green EVP - Chief Financial Offi 1.00 50.00 X 0 471891 99075 Richard Crank MD Orthopedic Surgeon 1.00 45.00 X 1033138 0 40605 Avinash Khanna MD Cardiologist 1.00 45.00 X 964481 0 16858 Andres Medina MD Cardiothoracic Surgeon 1.00 45.00 X 1336819 0 26257 Rakesh P Patel MD Urologist 1.00 45.00 X 925822 0 41237 John Streitman MD Cardiothoracic Surgeon 1.00 45.00 X 1382772 0 34455 5643032 4761980 374155 193 0 1 0 Watson Clinic LLP PO Box 95004 Lakeland FL 338045004 Professional Services 5963474 Phoenix Properties LLP 130 Pablo Street Lakeland FL 33803 Space Lease 2337787 Allscripts Healthcare LLC 24630 Network Place Chicago IL 60673 Software Maintenance 1947596 LocumTenenscom LLC 2575 Northwinds Pkwy Alpharetta GA 30009 Professional Services 487078 Polk Starlight Sleep Labs LLC 3003 FL-37 Lakeland FL 33803 Professional Services 335844 19 Net Patient Services 621990 76576331 76576331 Rental Income 531120 213308 213308 783621 783621 77573260 7742095 7742095 4891 0 4891 4891 4891 Other Income 900099 2909611 2909611 Equity in Earn. Inv Funds 900099 215628 215628 Clinical Trials 900099 215030 215030 3340269 88660515 77788290 215628 10656597 6268200 5271556 996644 85489244 71896454 13592790 2600270 2186827 413443 6944541 5840359 1104182 4331581 3642860 688721 601639 505978 95661 20000 16820 3180 2402265 2402265 9495309 7985555 1509754 1959331 1647797 311534 3414539 2871627 542912 19165 16118 3047 500799 421172 79627 2646768 2225932 420836 2719509 2287107 432402 Supplies & Pharmaceutic 4109730 4109730 Taxes, Licenses and Fee 307207 258361 48846 Equipment Rental/Lease 54300 45666 8634 473869 398524 75345 134358266 111628443 22729823 0 175329743 104540769 7770419 9229408 2568191 1937108 73451751 22758647 46847592 50693104 496082300 578428677 6647574 6812158 0 5041322 735245819 756682546 2277432 2525213 0 10000 105919860 122791426 108197292 125326639 X 627048527 631355907 627048527 631355907 735245819 756682546 X -45697751 74548336 -24543205 X 0 1 X 1 0 X X 1 Lakeland Regional Medical Center Inc 592650456 3 1 24545712 0 1 24545712 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 28935108 28935108 16416986 5717439 10699547 1384484 925048 459436 26081875 15855531 10226344 633298 260629 372669 50693104 Due to Affiliate 105453224 Employee Compensation and Benefits 12236978 Short-Term Lease Liability 2499869 Long-Term Lease Liability 2601355 122791426 X 160807000 74548336 414 74548750 86258250 2402265 2402265 88660515 131956000 0 131956000 2402265 2402265 134358265 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 to 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 the tax positions and has concluded that as of September 30, 2021, 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 examinations for years prior to 2017. Part XI, Line 2d - Other Adjustments: Other Adjustments 414. X X X X X 0 1 0 0 0 0 0 0 0 Elaine Thompson PhD President/Chief Executive 0 949976 0 213901 0 2264509 0 14250 0 15887 0 3458523 0 390025 Danielle Drummond President/Chief Exec. Offi 0 687199 0 76680 0 97824 0 60620 0 24911 0 947234 0 25396 Lance Green EVP - Chief Financial Offi 0 401405 0 46123 0 24363 0 69340 0 29735 0 570966 0 10062 Richard Crank MD Orthopedic Surgeon 762773 0 270340 0 25 0 14250 0 26355 0 1073743 0 0 0 Avinash Khanna MD Cardiologist 776397 0 187525 0 559 0 14250 0 2608 0 981339 0 0 0 Andres Medina MD Cardiothoracic Surgeon 842616 0 493740 0 463 0 14250 0 12007 0 1363076 0 0 0 Rakesh P Patel MD Urologist 516208 0 409589 0 25 0 14250 0 26987 0 967059 0 0 0 John Streitman MD Cardiothoracic Surgeon 771387 0 611385 0 0 0 14250 0 20205 0 1417227 0 0 0 Part I, Line 4b Elaine Thompson, Ph.D. - President and Chief Executive Officer - participated in a supplemental nonqualified deferred compensation plan. She had $2,255,699 of taxable benefits during calendar year 2020. This amount is included in Part II Column (B)(iii). Danielle Drummond - President and Chief Executive Officer Elect - participated in a supplemental nonqualified deferred compensation plan. She had $97,517 of taxable benefits during calendar year 2020. This amount is included in Part II Column (B)(iii). She had an additional $46,370 of nontaxable benefits accrue during calendar year 2020. 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 $24,338 of taxable benefits during calendar year 2020. This amount is included in Part II Column (B)(iii). He had and additional $55,090 of nontaxable benefits accrue during calendar year 2020. This amount is included in Part II Column C. Form 990, Part VI, Section B, line 11b The Form 990 and supporting schedules are reviewed prior to filing by senior management, including the CEO and CFO. Additionally, the compensation schedules 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 The Executive and 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 resources 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 meetings and presents its 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 to 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 who 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 to the organization or Committee-engaged 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. The financial statements and information are public records under the pertinent Florida public records law. Form 990, Part XI, line 9: Transfer from Affiliates -24,545,712. Other Changes 2,507. 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 1 Lakeland Regional Medical Center Inc 1324 Lakeland Hills Boulevard Lakeland FL 33805 592650456 Hospital FL 501(c)(3) Line 3 Lakeland Regional Health Systems Inc 1 RIS and LRH Imaging LLC 2125 Crystal Grove Drive Lakeland FL 33801 113830470 Medical Imaging Services FL Related 165957 3332805 0 1 0.50000 Polk Starlight Sleep Labs LLC 3003 South Florida Avenue Ste 203 Lakeland FL 33803 202108795 Testing facility for the diagnosis and treatment of sleep disorders FL Lakeland Regional Health Systems Inc Related 15224 21141 0 1 0.51000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 Lakeland Regional Medical Center Inc O 709771 Cash Value Lakeland Regional Medical Center Inc S 24545712 Cash Value Lakeland Surg & Diagn Center LLP 115 S Missouri Avenue Lakeland FL 33815 593346125 Medical Services FL unrelated 0 -170657 5396715 0 1 0.44760 Locuston Dialysis LLC PO Box 3004 Tacoma WA 984013004 823271181 Medical Services FL unrelated 0 -105991 164037 0 0 0.30000