LAKELAND REGIONAL MEDICAL CENTER INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- LAKELAND REGIONAL MEDICAL CENTER INC (EIN 59-2650456)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-11
- IRS object ID
- 202102239349301675
- Schema version
- 2019v5.2
- 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 | 2021-08-11T14:31:44-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | 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 | 3000 Bayport Drive Suite 860 | AddressLine1Txt |
| City | Tampa | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33607 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | 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 | 2021-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Terry Haefner | PreparerPersonNm |
| PTIN | P01258953 | PTIN |
| Phone | 8134243700 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | $860,958,875 | 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 | 6000 | TotalEmployeeCnt |
| Total Volunteers | 215 | TotalVolunteersCnt |
| Total Gross UBI | $2,648 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,249,107 | PYContributionsGrantsAmt |
| CY Contributions Grants | $28,371,452 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $897,904,655 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $832,355,552 | CYProgramServiceRevenueAmt |
| PY Investment Income | $268,449 | PYInvestmentIncomeAmt |
| CY Investment Income | $30,080 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $905,422,211 | PYTotalRevenueAmt |
| CY Total Revenue | $860,757,084 | 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 | $333,078,007 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $350,847,918 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $506,596,793 | PYOtherExpensesAmt |
| CY Other Expenses | $437,408,455 | CYOtherExpensesAmt |
| PY Total Expenses | $839,674,800 | PYTotalExpensesAmt |
| CY Total Expenses | $788,256,373 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $65,747,411 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $72,500,711 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $848,882,351 | TotalAssetsBOYAmt |
| Total Assets EOY | $799,528,886 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $447,100,858 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $533,440,631 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $401,781,493 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $266,088,255 | 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 | $693,168,506 | ExpenseAmt |
| Revenue | $854,676,724 | RevenueAmt |
| Desc | See Schedule O for Program Services Statement | Desc |
| Total Program Service Expenses | $693,168,506 | 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 | Yes (1) | 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 | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln 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 | 124 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 6000 | 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 | 0 | 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 | Joann Evans | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8636871100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 S Florida Ave 4th Floor | AddressLine1Txt |
| City | Lakeland | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Weymon Snuggs | ||||||||||
| Chair | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Clayton Hollis | ||||||||||
| Vice Chair | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Laura Hawley CFP | ||||||||||
| 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 | ||||
| John Attaway Jr | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| James Melton MD | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dale Dreyer | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ayanna Rolette MD | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Bill Pou | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Tracy Wilson | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Anne Kerr PhD | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sylvia Blackmon-Roberts | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Cory Petcoff | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Elaine Thompson PhD | ||||||||||
| President/Chief Executive Officer | 50.00 | 1.00 | $1,245,930 | $0 | $145,782 | Yes (X) | ||||
| Danielle Drummond | ||||||||||
| President/Chief Exec. Officer Elect | 50.00 | 1.00 | $653,433 | $0 | $76,545 | Yes (X) | ||||
| Lance Green | ||||||||||
| EVP - Chief Financial Officer | 50.00 | 1.00 | $323,620 | $0 | $90,360 | Yes (X) | ||||
| Sarah Bhagat | ||||||||||
| COO/SVP Ambulatory Oper. & Organizational Effectiv | 50.00 | $345,039 | $0 | $71,561 | Yes (X) | |||||
| Francisco J Chebly | ||||||||||
| Executive Director LRH Phy | 50.00 | $372,706 | $0 | $40,472 | Yes (X) | |||||
| Scott Dimmick | ||||||||||
| SVP - Chief Human Resource | 50.00 | $340,728 | $0 | $76,475 | Yes (X) | |||||
| Hal Escowitz | ||||||||||
| Chief Quality & Medical In | 50.00 | $372,388 | $0 | $37,404 | Yes (X) | |||||
| Janet W Fansler | ||||||||||
| Former EVP - Chief Nurse Executive | 50.00 | $1,498,906 | $0 | $35,279 | Yes (X) | |||||
| Jonn Hoppe | ||||||||||
| EVP - Chief Legal Officer | 50.00 | $490,234 | $0 | $87,999 | Yes (X) | |||||
| Deana L Nelson | ||||||||||
| SVP - Administration & Cor | 50.00 | $353,228 | $0 | $63,728 | Yes (X) | |||||
| Timothy Regan | ||||||||||
| President/Chief Medical Of | 50.00 | $648,787 | $0 | $75,040 | Yes (X) | |||||
| Michael Spake | ||||||||||
| SVP - External Affairs and | 50.00 | $324,533 | $0 | $61,107 | Yes (X) | |||||
| Caroline Gay | ||||||||||
| SVP - Chief Analytics Officer | 50.00 | 1.00 | $266,984 | $0 | $79,602 | Yes (X) | ||||
| Graham Greene | ||||||||||
| Chief Academic Officer & U | 50.00 | $0 | $552,219 | $65,133 | Yes (X) | |||||
| Timothy Boynton | ||||||||||
| VP of Development, Chief P | 50.00 | 1.00 | $274,008 | $0 | $56,565 | Yes (X) | ||||
| Stacy Bolton | ||||||||||
| VP - CIO/Chief Technology | 50.00 | $265,127 | $0 | $33,552 | Yes (X) | |||||
| Rodriguez Dangerfield | ||||||||||
| Director of Pharmacy | 50.00 | $218,682 | $0 | $34,644 | Yes (X) | |||||
| Ana Kalman | ||||||||||
| VP - CIO/Chief Application | 50.00 | $279,926 | $0 | $24,850 | Yes (X) | |||||
| April Novotny | ||||||||||
| VP - Chief Nurse Executive | 50.00 | $212,554 | $0 | $21,640 | Yes (X) | |||||
| Jason Driskell | ||||||||||
| VP - Revenue Cycle | 50.00 | $225,143 | $0 | $35,678 | Yes (X) | |||||
| Evan C Jones | ||||||||||
| EVP - Former CFO | 50.00 | 1.00 | $351,516 | $0 | $23,666 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,063,472 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $552,219 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,237,082 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 264 | 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 |
|---|---|---|---|---|---|
| Cerner Corporation | |||||
| 2800 Rock Creek Pkwy | Kansas City | MO | 64117 | Software Maintenance & Support | $16,226,628 |
| Creative Contractors Inc | |||||
| 620 Drew Street | Clearwater | FL | 33755 | Construction Contractor | $6,300,561 |
| University Medical Services | |||||
| PO Box 917492 | Orlando | FL | 32891 | Neuro Professional Services and Proft an | $4,190,100 |
| Nemours Foundation | |||||
| 10140 Centurion Pkwy N | Jacksonville | FL | 322560532 | Professional Services | $3,921,331 |
| Turner Logistics LLC | |||||
| 375 Hudson Street | New York | NY | 10014 | Construction Contractor | $3,694,794 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 309 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,775,752 | RelatedOrganizationsAmt |
| Government Grants | $22,595,700 | GovernmentGrantsAmt |
| Total Contributions | $28,371,452 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Medicare/Medicaid | 621990 | $453,146,812 | $453,146,812 | |
| Patient Service Revenu | 621990 | $372,200,762 | $372,200,762 | |
| Cafeteria Revenue | 722210 | $4,223,205 | $4,223,205 | |
| Other Operating Revenu | 561000 | $14,535 | $2,066 | $12,469 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,770,238 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,767,590 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,648 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $832,355,552 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $231,871 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $201,791 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $30,080 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,080 | TotalRevenueColumnAmt |
| Exclusion | $30,080 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $860,757,084 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $832,340,435 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,648 | UnrelatedBusinessRevenueAmt |
| Exclusion | $42,549 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,850,715 | TotalAmt |
| Program Services | $6,506,123 | ProgramServicesAmt |
| Management And General | $1,344,592 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,712,060 | TotalAmt |
| Program Services | $223,518,476 | ProgramServicesAmt |
| Management And General | $46,193,584 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,330,237 | TotalAmt |
| Program Services | $8,560,977 | ProgramServicesAmt |
| Management And General | $1,769,260 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,581,455 | TotalAmt |
| Program Services | $36,117,259 | ProgramServicesAmt |
| Management And General | $7,464,196 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,373,451 | TotalAmt |
| Program Services | $16,055,360 | ProgramServicesAmt |
| Management And General | $3,318,091 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,676,054 | TotalAmt |
| Program Services | $1,388,996 | ProgramServicesAmt |
| Management And General | $287,058 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,544 | TotalAmt |
| Program Services | $89,954 | ProgramServicesAmt |
| Management And General | $18,590 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,336 | TotalAmt |
| Program Services | $243,925 | ProgramServicesAmt |
| Management And General | $50,411 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,873,515 | TotalAmt |
| Program Services | $34,701,838 | ProgramServicesAmt |
| Management And General | $7,171,677 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,494 | TotalAmt |
| Program Services | $370,852 | ProgramServicesAmt |
| Management And General | $76,642 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,929,052 | TotalAmt |
| Program Services | $5,742,313 | ProgramServicesAmt |
| Management And General | $1,186,739 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,967,091 | TotalAmt |
| Program Services | $21,519,707 | ProgramServicesAmt |
| Management And General | $4,447,384 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,180,065 | TotalAmt |
| Program Services | $6,779,065 | ProgramServicesAmt |
| Management And General | $1,401,000 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,942 | TotalAmt |
| Program Services | $173,985 | ProgramServicesAmt |
| Management And General | $35,957 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,291,767 | TotalAmt |
| Program Services | $21,788,776 | ProgramServicesAmt |
| Management And General | $4,502,991 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,309,936 | TotalAmt |
| Program Services | $49,980,653 | ProgramServicesAmt |
| Management And General | $10,329,283 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,653,207 | TotalAmt |
| Program Services | $7,171,172 | ProgramServicesAmt |
| Management And General | $1,482,035 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Patient Supplies & Phar | $173,720,196 | $173,720,196 | |
| Bad Debts | $59,343,405 | $59,343,405 | |
| Repairs & Maintenance | $11,927,283 | $9,884,497 | $2,042,786 |
| HCCB Indigent Assessmen | $9,476,987 | $7,853,863 | $1,623,124 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,999,581 | TotalAmt |
| Program Services | $1,657,114 | ProgramServicesAmt |
| Management And General | $342,467 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $788,256,373 | TotalAmt |
| Program Services | $693,168,506 | ProgramServicesAmt |
| Management And General | $95,087,867 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,180 | BOYAmt |
| EOY | $17,047 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,638,019 | BOYAmt |
| EOY | $81,632,868 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,152,778 | BOYAmt |
| EOY | $20,882,319 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,590,257 | BOYAmt |
| EOY | $11,654,597 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,257,126,694 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $746,369,665 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $543,949,980 | BOYAmt |
| EOY | $510,757,029 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,794,527 | BOYAmt |
| EOY | $17,373,885 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,311,281 | BOYAmt |
| EOY | $42,202,656 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,430,329 | BOYAmt |
| EOY | $115,008,485 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $848,882,351 | BOYAmt |
| EOY | $799,528,886 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,024,730 | BOYAmt |
| EOY | $25,046,846 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $250,000 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $12,200,000 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,873,564 | BOYAmt |
| EOY | $317,101,512 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,202,564 | BOYAmt |
| EOY | $178,842,273 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,100,858 | BOYAmt |
| EOY | $533,440,631 | 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 | $366,271,594 | BOYAmt |
| EOY | $234,485,749 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,509,899 | BOYAmt |
| EOY | $31,602,506 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $401,781,493 | BOYAmt |
| EOY | $266,088,255 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $848,882,351 | BOYAmt |
| EOY | $799,528,886 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $72,500,711 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,735,026 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$209,928,975 | 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 | $294,336 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $294,336 | 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 | $5,506,912 | OtherCostOrOtherBasisAmt |
| Book Value | $5,506,912 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $387,651,191 | OtherCostOrOtherBasisAmt |
| Depreciation | $178,901,743 | DepreciationAmt |
| Book Value | $208,749,448 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,055,565 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,755,295 | DepreciationAmt |
| Book Value | $300,270 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $853,949,205 | OtherCostOrOtherBasisAmt |
| Depreciation | $565,712,627 | DepreciationAmt |
| Book Value | $288,236,578 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,963,821 | OtherCostOrOtherBasisAmt |
| Book Value | $7,963,821 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $510,757,029 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment in Net Assets of Foundation | Desc |
| Book Value | $42,202,656 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $42,202,656 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $9,869,127 |
| Due to Affiliates | $93,139,358 |
| Lease Deposit | $12,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $115,008,485 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| FL Medical Assistance Assessment | $14,271,102 |
| Employee Compensation | $54,185,126 |
| Malpractice Claims | $35,274,630 |
| Workers Compensation | $2,299,225 |
| Other Long Term Liabilities | $217,012 |
| Bond Interest Payable | $5,282,362 |
| Estimated Third Party Settlements | $67,312,816 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $178,842,273 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $797,408,000 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,735,026 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $35,047 | OtherRevenueAmt |
| Revenue Not Reported | $1,770,073 | RevenueNotReportedAmt |
| Revenue Subtotal | $795,637,927 | RevenueSubtotalAmt |
| Other Revenues Not Included | $65,119,157 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $65,119,157 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $860,757,084 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $728,914,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,032 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,032 | ExpensesNotReportedAmt |
| Expenses Subtotal | $728,912,968 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $59,343,405 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $59,343,405 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $788,256,373 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 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 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, 2020, 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 2016. |
| Part XI, Line 2d - Other Adjustments: | Foundation Transfer 12,360. Other 22,687. |
| Part XI, Line 4b - Other Adjustments: | Bad Debts Netted with Revenue on Audited Financials 59,343,405. Related Transactions 5,775,752. |
| Part XII, Line 2d - Other Adjustments: | Other 1,032. |
| Part XII, Line 4b - Other Adjustments: | Bad Debts Netted with Revenue on Audited Financials 59,343,405. |
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 | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,385,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,385,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02800 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $107,752,180 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,433,305 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $59,318,875 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08140 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,820,194 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,423,008 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,397,186 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $134,957,374 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,856,313 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $84,101,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11540 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $523,574,658 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $495,413,054 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,161,604 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03860 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $523,574,658 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $495,413,054 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,161,604 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03860 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $658,532,032 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $546,269,367 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $112,262,665 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15400 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,378,614 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,378,614 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01970 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,378,614 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,378,614 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01970 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $59,343,405 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $148,889,625 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $162,688,329 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$13,798,704 | 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 | 16 | 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 | 16 | 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: During fiscal year 2017, Community Health Needs Assessment ("CHNA") activities were conducted and the 2018-2021 CHNA assessment was completed. The completion of the 2018-2021 CHNA enables Lakeland Regional Health to take an in-depth look at the status of health in our community and focus on understanding barriers to care so that we may best meet the needs of our community. Healthcare is an essential resource that we are privileged and honored to provide to the community we serve. We understand that this resource can be, at times, unattainable. As a result and upon review of Polk County's current health status, we have identified the following areas of need:1. Reduce obesity2. Enhance maternal and infant care3. Increase access to quality, coordinated care4. Expand mental healthcare initiatives5. Increase cancer screening and prevention6. Target heart disease and stroke screening and prevention7. Promote injury preventionIn response to the identified areas of need, the following initiatives and anticipated outcomes were established:1. REDUCE OBESITYInitiatives: Continued implementation of the Congregational Health Partnership, which is designed to empower faith communities to address the unique health needs of their congregation and proactively addresses disparities that exist, specifically: general wellness and preventative care awareness, obesity, diabetes and nutrition. Develop Community Wellness Programs that promote healthy eating, active living and life balance. Explore the feasibility of implementation of the Blue Zones Project as a well-being improvement initiative in Polk County. Explore partnerships with local food banks to identify food deserts and regions of food insecurity that could result in opportunities for mobile markets/pantries. Create Healthy Kids Programming that supports and provides opportunities including nutrition education and physical activity in school settings. Reduce the number of readmissions of diabetic patients to the emergency department and hospital by increasing education and early intervention opportunities.Anticipated Outcomes: Increased collaboration with local governments, community organizations, employers, education institutions and physician providers to lower the obesity rate in Polk County. The development of programming that directly impacts community member awareness and knowledge as it relates to nutrition and living an active lifestyle leading to a decrease in the obesity rate.2. ENHANCE MATERNAL AND INFANT CAREInitiatives: Enhance and expand services for women in Polk County through expanding the number of OB/GYN providers in the LRH Physician Group, partnering with Nemours Children's Hospital to add Maternal/Fetal Medicine physicians at the Hospital and outpatient LRH facilities, and increasing the number of antepartum beds for high risk expectant moms. Enhance and expand services for children in Polk County through expanding the number of pediatricians in the LRH Physician Group, partnering with Nemours Children's Hospital to add pediatric specialists at LRH in cardiology, gastroenterology, ophthalmology, pulmonology, nephrology, urology, general surgery, endocrinology and orthopedics, expanding the capacity of the pediatric unit by increasing the number of beds and utilizing acuity adaptable beds, expanding the capacity of the Pediatric Emergency Department by increasing the size, and enhancing the services for children and parents by locating it within pediatric designated space, and creating a child-friendly surgical area by creating a pediatric-specific surgical suite.Anticipated Outcomes: Increased access resulting in a greater number of women and children receiving care and staying in Polk County to receive care. Increased number of families participating in support and education programs provided by LRH.3. ACCESS TO QUALITY, COORDINATED CAREInitiatives: Continue work with the Centers for Medicaid and Medicare Services (CMS) to gain approval for Graduate Medical Education (GME). Collaborate with community partners, physicians and providers to increase the level of primary and specialty care providers available within the community served by LRH. Continue to recruit physician providers into the LRH physician group. Expand the role of advanced practice providers in the healthcare system to expand our capacity to care for more people. Enhance initiatives to improve care across the continuum, including the use of evidence-based strategies in social work, case management, pharmacy, the integrated care team and ambulatory settings. Explore creation of a Dental Residency program to improve access to dental care and education around preventative measures. Anticipated Outcomes: Increased provider access for patients through support of a well-trained, culturally competent and diverse healthcare workforce to ensure access to quality care. Improved care management and reduced barriers to preventive screening, primary care and specialty care by deploying a wide range of strategies including programs, outreach, training and policies to further minimize the negative impact of health conditions.4. MENTAL HEALTHCAREInitiatives: Propose and gain support internally and externally to build a new behavioral health hospital and outpatient center. Develop strategy to improve mental and behavioral healthcare access and partner with community stakeholders to develop additional capacity to address health needs impacting behavioral health patients. Increase the number of primary care patients who are screened for depression and, when appropriate, referred to the proper resources. Participate in mental health forums and education opportunities with community partners.Anticipated Outcomes: Increased community access to mental and behavioral healthcare. Reduced stigma surrounding mental health as a result of increased education opportunities.5. CANCER SCREENING AND PREVENTIONInitiatives: Continue to conduct skin cancer education and prevention screenings through the Community Wellness Program. Continue to offer Smoking Cessation Programs in partnership with our physician providers and groups such as the Tobacco Free Alliance to help encourage participants to work on the process and problems of quitting. Expand cervical cancer awareness and education. Expand colon cancer screening initiatives by increasing the screening procedures performed at the Hollis Cancer Center. Evaluate the feasibility of implementing the American Cancer Society's FluFIT program at LRH primary care sites. Continue to provide education sessions and symposiums on cancer prevention, screening and early detection.Anticipated Outcomes: Increased patient access to cancer screening services. Increased community participation in educational programs that highlight resources available for early cancer detection and treatment. Decreased rate of new cancer cases and deaths.6. HEART DISEASE AND STROKEIncrease the number of individuals who "know their numbers and are aware of risk factors for heart disease by utilizing the Community Wellness Program health screenings events. Continue to engage congregations through the Congregational Health Partnership and promote education and workshops that focus on risk factors for cardiovascular disease including: 1) heart health education; 2) nutrition and diet education; and 3) importance of physical activity and exercise. Continued implementation of the STEMI direct to cath lab initiative which reduces the time between arrival of the patient to the hospital and initial contact with treatment team and doctor to balloon time.Anticipated Outcomes: Increased percentage of adults who are aware of signs and symptoms of Cardiovascular Disease. Decrease in the time it takes to identify and treat patients who present with ST Elevation Myocardial Infarction.7. INJURY PREVENTIONInitiatives: Continued participation in the Coalition on Injury Prevention. The Coalition provides injury prevention education and activities by leveraging partnerships, communication effort, support networks and community events. The Coalition is a joint effort between the LRH Trauma Services and the Polk County Health Department and is comprised of injury prevention professionals from various fields. Reduce unintentional fatal and nonfatal injury by improving the health, safety and knowledge of our community by continuing to address priority injury areas.Anticipated Outcomes: Increased patient and community participation in injury education and community outreach services provided by our Trauma Center. |
| Lakeland Regional Medical Center | Part V, Section B, Line 5: As noted on page 17 of the CHNA, approximately 45 stakeholders representing broad interests of the community served by Lakeland Regional Health attended the May 2017 dialogue session to review current data trends and discuss relevant and widespread issues in Polk County as well as suggest ways the health system could address community disparities. Organizations represented at this meeting included:- American Cancer Society- CareerSource Polk- Early Learning Coalition of Polk County- Florida Department of Health Polk County- Florida Southern College- Healthy Start Coalition- Heartland for Children- InnerAct Alliance- Lakeland Housing Authority- New Life Outreach Ministry- Parker Street Ministries- Peace River Center- Polk Health Care Plan- Polk State College- Polk Vision- Talbot House- United Way of Central Florida- VISTE |
| 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 | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Hollis Cancer Center (ChemoRadTx) | ||||
| 3525 Lakeland Hills Blvd | Lakeland | FL | 33805 | Outpatient Clinic |
| 2 - LRMC Family Health Center | ||||
| 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 - Grasslands Infusion Therapy Center | ||||
| 3030 Harden Blvd | Lakeland | FL | 33803 | Outpatient Clinic |
| 6 - Cardiac Rehabilitation | ||||
| 3525 Lakeland Hills Blvd | Lakeland | FL | 33805 | 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 $59,343,405 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: | The Medicare payment shortfall is not treated as a community benefit. 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 2018-2021 CHNA, approximately 45 stakeholders representing broad interests of the community served by Lakeland Regional Health attended the May 2017 dialogue session to review current data trends and discuss relevant and widespread issues in Polk County as well as suggest ways the health system could address community disparities. 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 2020, the Family Health Center had 10,739 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 742,777 with 20.4% of residents being over the age of 65 and 14% 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 1,797.84 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 3.3% as of November 2019. Census data reflects a population that is 24.6% Hispanic or Latino, 16.2% Black and under 5% from other minorities. |
| 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. Annually, the Health System pays the City for use of the Medical Center buildings, and the City of Lakeland uses those funds to provide public services and facilities that directly benefit all of the members of the community. During 2016, the Health System's total payments made to the City under the arrangement totaled $39.1 million of which $13.2 million represented the required payments for fiscal year 2016. During 2017, the Health System's total payments made to the City under the arrangement totaled $13.6 million. During 2018, the Health System's total payments made to the City under the arrangement totaled approximately $14.0 million. During 2019, the Health System's total payments made to the City under the arrangement totaled approximately $14.3 million. During 2020, the Health System received a stay of the 2.75% increase of payment value and the amount remained at $14.3 million.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 | 0 | 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 (21 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Elaine Thompson PhD | ||||||||||||||
| President/Chief Executive Officer | $903,816 | $0 | $79,162 | $0 | $262,952 | $0 | $131,418 | $0 | $14,364 | $0 | $1,391,712 | $0 | $0 | $0 |
| Danielle Drummond | ||||||||||||||
| President/Chief Exec. Officer Elect | $565,629 | $0 | $24,979 | $0 | $62,825 | $0 | $58,860 | $0 | $17,685 | $0 | $729,978 | $0 | $16,424 | $0 |
| Lance Green | ||||||||||||||
| EVP - Chief Financial Officer | $315,926 | $0 | $7,644 | $0 | $50 | $0 | $64,310 | $0 | $26,050 | $0 | $413,980 | $0 | $0 | $0 |
| Sarah Bhagat | ||||||||||||||
| COO/SVP Ambulatory Oper. & Organizat | $304,265 | $0 | $15,036 | $0 | $25,738 | $0 | $48,457 | $0 | $23,104 | $0 | $416,600 | $0 | $10,175 | $0 |
| Francisco J Chebly | ||||||||||||||
| Executive Director LRH Phy | $363,083 | $0 | $8,706 | $0 | $917 | $0 | $14,000 | $0 | $26,472 | $0 | $413,178 | $0 | $0 | $0 |
| Scott Dimmick | ||||||||||||||
| SVP - Chief Human Resource | $306,941 | $0 | $13,687 | $0 | $20,100 | $0 | $53,521 | $0 | $22,954 | $0 | $417,203 | $0 | $9,484 | $0 |
| Hal Escowitz | ||||||||||||||
| Chief Quality & Medical In | $362,206 | $0 | $8,958 | $0 | $1,224 | $0 | $14,000 | $0 | $23,404 | $0 | $409,792 | $0 | $0 | $0 |
| Janet W Fansler | ||||||||||||||
| Former EVP - Chief Nurse Executive | $485,541 | $0 | $25,485 | $0 | $987,880 | $0 | $14,000 | $0 | $21,279 | $0 | $1,534,185 | $0 | $916,451 | $0 |
| Jonn Hoppe | ||||||||||||||
| EVP - Chief Legal Officer | $434,031 | $0 | $20,366 | $0 | $35,837 | $0 | $62,856 | $0 | $25,143 | $0 | $578,233 | $0 | $13,825 | $0 |
| Deana L Nelson | ||||||||||||||
| SVP - Administration & Cor | $296,446 | $0 | $15,203 | $0 | $41,579 | $0 | $54,153 | $0 | $9,575 | $0 | $416,956 | $0 | $10,227 | $0 |
| Timothy Regan | ||||||||||||||
| President/Chief Medical Of | $556,612 | $0 | $27,311 | $0 | $64,864 | $0 | $58,483 | $0 | $16,557 | $0 | $723,827 | $0 | $18,892 | $0 |
| Michael Spake | ||||||||||||||
| SVP - External Affairs and | $275,146 | $0 | $14,547 | $0 | $34,840 | $0 | $34,673 | $0 | $26,434 | $0 | $385,640 | $0 | $10,105 | $0 |
| Caroline Gay | ||||||||||||||
| SVP - Chief Analytics Officer | $261,859 | $0 | $4,723 | $0 | $402 | $0 | $55,470 | $0 | $24,132 | $0 | $346,586 | $0 | $0 | $0 |
| Graham Greene | ||||||||||||||
| Chief Academic Officer & U | $0 | $540,990 | $0 | $11,154 | $0 | $75 | $0 | $41,732 | $0 | $23,401 | $0 | $617,352 | $0 | $7,382 |
| Timothy Boynton | ||||||||||||||
| VP of Development, Chief P | $229,835 | $0 | $8,255 | $0 | $35,918 | $0 | $46,634 | $0 | $9,931 | $0 | $330,573 | $0 | $6,114 | $0 |
| Stacy Bolton | ||||||||||||||
| VP - CIO/Chief Technology | $258,570 | $0 | $5,833 | $0 | $724 | $0 | $10,182 | $0 | $23,370 | $0 | $298,679 | $0 | $0 | $0 |
| Rodriguez Dangerfield | ||||||||||||||
| Director of Pharmacy | $214,727 | $0 | $2,845 | $0 | $1,110 | $0 | $11,523 | $0 | $23,121 | $0 | $253,326 | $0 | $0 | $0 |
| Ana Kalman | ||||||||||||||
| VP - CIO/Chief Application | $273,612 | $0 | $6,241 | $0 | $73 | $0 | $14,000 | $0 | $10,850 | $0 | $304,776 | $0 | $0 | $0 |
| April Novotny | ||||||||||||||
| VP - Chief Nurse Executive | $208,557 | $0 | $2,675 | $0 | $1,322 | $0 | $10,800 | $0 | $10,840 | $0 | $234,194 | $0 | $0 | $0 |
| Jason Driskell | ||||||||||||||
| VP - Revenue Cycle | $221,657 | $0 | $3,382 | $0 | $104 | $0 | $11,742 | $0 | $23,936 | $0 | $260,821 | $0 | $0 | $0 |
| Evan C Jones | ||||||||||||||
| EVP - Former CFO | $254,813 | $0 | $27,917 | $0 | $68,786 | $0 | $14,000 | $0 | $9,666 | $0 | $375,182 | $0 | $44,976 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | Elaine Thompson, Ph.D. - President and Chief Executive Officer - participated in a supplemental nonqualified deferred compensation plan. She had $259,299 of taxable benefits during calendar year 2019. This amount is included in Part II Column (B)(iii). She had an additional $117,418 of nontaxable benefits accrue during calendar year 2019. This amount is included in Part II Column C. Danielle Drummond - President and Chief Executive Officer Elect - participated in a supplemental nonqualified deferred compensation plan. She had $62,518 of taxable benefits during calendar year 2019. This amount is included in Part II Column (B)(iii). She had an additional $44,860 of nontaxable benefits accrue during calendar year 2019. 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 $50,310 of nontaxable benefits accrue during calendar year 2019. This amount is included in Part II Column C Evan Jones - Former Executive VP and Chief Financial Officer - participated in a supplemental nonqualified deferred compensation plan. He had $68,171 of taxable benefits during calendar year 2019. This amount is included in Part II Column (B)(iii). Janet W. Fansler - Former Executive VP and Chief Nursing Executive - participated in a supplemental nonqualified deferred compensation plan. She had $984,592 of taxable benefits during calendar year 2019. This amount is included in Part II Column (B)(iii) other compensation. Timothy Boynton - Vice President of Development and Chief Public Relations and Communications Officer - participated in a supplemental nonqualified deferred compensation plan. He had $14,578 of taxable benefits during calendar year 2019. This amount is included in Part II Column (B)(iii). He had an additional $32,634 of nontaxable benefits accrue during calendar year 2019. 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 $64,814 of taxable benefits during calendar year 2019. This amount is included in Part II Column (B)(iii). He had an additional $44,483 of nontaxable benefits accrue during calendar year 2019. 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 $34,356 of taxable benefits during calendar year 2019. This amount is included in Part II Column (B)(iii). He had an additional $23,480 of nontaxable benefits accrue during calendar year 2019. 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 $25,713 of taxable benefits during calendar year 2019. This amount is included in Part II Column (B)(iii). She had an additional $34,457 of nontaxable benefits accrue during calendar year 2019. 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 $35,812 of taxable benefits during calendar year 2019. This amount is included in Part II Column (B)(iii). He had an additional $48,856 of nontaxable benefits accrue during calendar year 2019. 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 $19,838 of taxable benefits during calendar year 2019. This amount is included in Part II Column (B)(iii). He had an additional $39,521 of nontaxable benefits accrue during calendar year 2019. 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 $20,777 of taxable benefits during calendar year 2019. This amount is included in Part II Column (B)(iii). She had an additional $40,153 of nontaxable benefits accrue during calendar year 2019. This amount is included in Part II Column C. Graham Greene - Chief Academic Officer - participated in a supplemental nonqualified deferred compensation plan. He had $14,685 of taxable benefits during calendar year 2019. This amount is included in Part II Column (B)(iii). He had an additional $27,732 of nontaxable benefits accrue during calendar year 2019. 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 $41,470 of nontaxable benefits accrue during calendar year 2019. This amount is included in Part II Column C. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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 | 0 | 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 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | 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 | $81,113,255 | $1,012,480 | 0 | Yes (1) | Yes (1) | Yes (1) | |||
| B | $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 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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) | Yes (1) | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
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 -205,201,613. Change in Beneficial Interest in Foundation -4,108,625. Other Adjustments 8,630. Change in Benefit Obligation -627,367. |
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 |