2021-08-11T14:34:44-05:00 2020-09-30 621517792 PYA PC 3000 Bayport Drive Suite 860 Tampa FL 33607 990 2019-10-01 592650464 Lakeland Regional Health Systems Inc LAKE 8636871100 1324 Lakeland Hills Boulevard Lakeland FL 33805 Lance Green EVP/Chief Financial Officer 8636871100 2021-08-11 1 Terry Haefner P01258953 8134243700 2019 2022-09-23 18:48:47Z Danielle Drummond 1324 Lakeland Hills Boulevard Lakeland FL 33805 71449309 0 X www.myLRH.org X 1986 FL The organization's strategic imperative is to develop as a nationally recognized, fiscally strong and growing collaborative regional health system that improves lives by offering safe, high quality, equitable and affordable healthcare, while demonstrating an equal commitment to the promotion of individual and community health, wellness and disease prevention. 14 14 810 0 -3013 938190 0 1255159 63737196 63756695 2841072 5218317 3474851 1219138 70053119 71449309 0 0 0 0 93924208 96287815 0 0 0 26979420 27082499 120903628 123370314 -50850509 -51921005 564009609 735245819 102553784 108197292 461455825 627048527 X The organization's strategic imperative is to develop as a nationally recognized, fiscally strong and growing collaborative regional health system that improves lives by offering safe, high quality, equitable and affordable healthcare, while demonstrating an equal commitment to the promotion of individual and community health, wellness and disease prevention. 0 0 101015803 63910880 The organization's strategic imperative is to develop as a nationally recognized, fiscally strong and growing collaborative regional health system that improves lives by offering safe, high quality, equitable and affordable healthcare, while demonstrating an equal commitment to the promotion of individual and community health, wellness and disease prevention. 101015803 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 21 0 1 810 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Joann Evans 8636871100 230 S Florida Ave 4th Floor Lakeland FL 33801 Weymon Snuggs Chair 1.00 1.00 X 0 0 0 Clayton Hollis Vice Chair 1.00 1.00 X 0 0 0 Laura Hawley CFP Director 1.00 1.00 X 0 0 0 Matt Green Director 1.00 1.00 X 0 0 0 Jack Harrell III Director 1.00 1.00 X 0 0 0 John Attaway Jr Director 1.00 1.00 X 0 0 0 James Melton MD Director 1.00 1.00 X 0 0 0 Dale Dreyer Director 1.00 1.00 X 0 0 0 Ayanna Rolette MD Director 1.00 1.00 X 0 0 0 Bill Pou Director 1.00 1.00 X 0 0 0 Tracy Wilson Director 1.00 1.00 X 0 0 0 Anne Kerr PhD Director 1.00 1.00 X 0 0 0 Sylvia Blackmon-Roberts Director 1.00 1.00 X 0 0 0 Cory Petcoff Director 1.00 1.00 X 0 0 0 Elaine Thompson PhD President/Chief Executive 1.00 50.00 X 0 1245930 145782 Danielle Drummond President/Chief Exec. Officer Elect 1.00 50.00 X 0 653433 76545 Lance Green EVP - Chief Financial Officer 1.00 50.00 X 0 323620 90360 Avinash Khanna MD Cardiologist 1.00 45.00 X 1085634 0 17018 Philip Owen MD Cardiologist 1.00 45.00 X 1008640 0 38915 Richard Crank MD Orthopedic Surgeon 1.00 45.00 X 1014923 0 56287 John Streitman MD Thoracic Surgeon 1.00 45.00 X 1466213 0 34794 Andres Medina MD Cardiothoracic Surgeon 1.00 45.00 X 1158140 0 40462 Evan C Jones EVP - Former CFO 1.00 50.00 X 0 351516 23666 5733550 2574499 523829 189 1 1 0 Watson Clinic LLP 1600 Lakeland Hills Blvd Lakeland FL 33804 Medical 4419900 Phoenix Properties LLP 4798 South Florida Avenue Lakeland FL 33813 Leases 2349820 Allscripts Healthcare LLC 4700 Millenia Blvd Ste 350 Orlando FL 32839 Software Maintenance 1609074 HCTEC LLC 1860 N Avenida Republica de Cuba Tampa FL 33605 Contract Labor 503898 Medical Transcription Billing 7 Clyde Road Somerset NJ 08873 Contract Labor 448199 21 1255159 1255159 Net Patient Services 621990 62933545 62933545 Rental Income 531120 245767 245767 577383 577383 63756695 5218317 5218317 Other Income 900099 1067966 1067966 Clinical Trials 900099 124409 124409 Equity in Earn. Inv Funds 900099 26763 29776 -3013 1219138 71449309 63910880 -3013 6286283 6359504 5270312 1089192 76244690 63186262 13058428 2454359 2034001 420358 7378268 6114592 1263676 3850994 3191434 659560 524054 434299 89755 25636 21245 4391 2148680 2148680 9473152 7850685 1622467 1947643 1614070 333573 3231715 2678219 553496 36360 30133 6227 519981 430924 89057 3001570 2487491 514079 2233602 1851053 382549 Supplies & Pharmaceutic 3245160 3245160 Taxes, Licenses and Fee 299852 248496 51356 Equipment Rental/Lease 51669 42820 8849 343425 284607 58818 123370314 101015803 22354511 0 25691930 175329743 10402087 7770419 2075127 2568191 66738018 19890426 49179431 46847592 468905045 496082300 7755989 6647574 564009609 735245819 2113304 2277432 100440480 105919860 102553784 108197292 X 461455825 627048527 461455825 627048527 564009609 735245819 X -51921005 12558954 204954753 X 0 1 X 1 0 X X 1 Lakeland Regional Medical Center Inc 592650456 3 1 205201613 0 1 205201613 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 23190373 23190373 16416985 4860361 11556624 1531702 929861 601841 25078991 13890579 11188412 519967 209625 310342 46847592 Due to Affiliate 93058227 Employee Compensation and Benefits 12861633 105919860 X 81612000 12558954 12558954 69053046 2148680 247583 2396263 71449309 121221000 0 121221000 2148680 634 2149314 123370314 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 4b - Other Adjustments: Taxes on UBI Income -134,265. Investment in Partnerships 381,186. Other Adjustments 662. Part XII, Line 4b - Other Adjustments: Other Adjustments 634. X X X X X 0 1 0 0 0 0 0 0 0 Elaine Thompson PhD President/Chief Executive 0 903816 0 79162 0 262952 0 131418 0 14364 0 1391712 0 0 Danielle Drummond President/Chief Exec. Officer Elect 0 565629 0 24979 0 62825 0 58860 0 17685 0 729978 0 16424 Lance Green EVP - Chief Financial Officer 0 315926 0 7644 0 50 0 64310 0 26050 0 413980 0 0 Avinash Khanna MD Cardiologist 764737 0 320413 0 484 0 14000 0 3018 0 1102652 0 0 0 Philip Owen MD Cardiologist 716832 0 289639 0 2169 0 14000 0 24915 0 1047555 0 0 0 Richard Crank MD Orthopedic Surgeon 746960 0 267938 0 25 0 14000 0 42287 0 1071210 0 0 0 John Streitman MD Thoracic Surgeon 888115 0 578073 0 25 0 14000 0 20794 0 1501007 0 0 0 Andres Medina MD Cardiothoracic Surgeon 854406 0 303126 0 608 0 14000 0 26462 0 1198602 0 0 0 Evan C Jones EVP - Former CFO 0 254813 0 27917 0 68786 0 14000 0 9666 0 375182 0 44976 Part I, Line 4b 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). Form 990, Part VI, Section B, line 11b The Form 990 and supporting schedules are reviewed prior to filing by senior management, including the CEO and CFO. Additionally, the compensation schedules are reviewed by the Executive and Physician Compensation Committee of the Board and a copy of the Form 990 and schedules are provided to each member of the Board of Directors before filing with the IRS. Form 990, Part VI, Section B, line 12c Lakeland Regional Medical Center has a conflict of interest policy which is monitored by the Corporate Integrity Services department. All new hires, students, volunteers and contractors are trained on the ethics policy during general orientation. All staff is to comply with ethics training annually as part of their mandatory education requirements. Annually, a certification is required by all managers, directors, and officers who must acknowledge that the policy was read, understood and will be abided by. Lakeland Regional Medical Center also has a "Policy of the Board of Directors Regarding Board Members Doing Business with Lakeland Regional Medical Center or Lakeland Regional Health Systems". All Board Members are annually required to execute a "Corporate Compliance Acknowledgement and answer a comprehensive "Annual Conflict of Interest Questionnaire". Additionally, all Senior Corporate Management are annually required to answer a comprehensive "Annual Conflict of Interest Questionnaire". Form 990, Part VI, Section B, line 15 The Executive and Compensation Committee (the "Committee") of the Board is charged with determining, in advance, all compensation issues for all executive positions including the President & CEO, the CFO and all Vice Presidents of the organization. Only independent and "disinterested" persons may serve as members of the Committee and no member may be employed by the organization or any of its affiliates. Additionally, no physician on the medical staff of the organization may serve as a member of the Committee nor may any member have any business or financial relationships with the organization, either directly or indirectly through family members. The Committee engages an independent nationally recognized human resources management consulting firm which specializes in executive and employee compensation in the health care industry. This firm, among other things: a. Conducts a competitive executive total cash compensation analysis relative to comparable healthcare organizations nationally; and b. Conducts a competitive executive benefits analysis relative to comparable healthcare organizations; and c. Conducts a competitive executive total compensation analysis relative to comparable healthcare organizations; and d. Assists the Committee in ensuring compliance with regulatory requirements; and e. Provides guidance and counsel to the Committee and Board in matters relating to executive compensation; and f. Participates in Committee meetings and presents its findings and recommendations to the committee and to the Board. In determining compensation, the Committee relies on the independent, reliable market data presented by the consulting firm to set all compensation levels and the consulting firm's opinion as to the reasonableness of total compensation to be paid to the executives of the organization. The Committee fully documents the basis for all determinations and records, at a minimum: 1) the terms of the compensation agreement and the date on which it was approved; 2) the members of the Committee who were present during the discussion and those who voted on it; 3) the comparability data used and its source; and 4) the basis for the ultimate decision. In fulfilling its responsibility, the Committee has full authority to consult with outside counsel to the organization or Committee-engaged counsel, regarding the legality of the compensation and other legal issues which may be relevant to the Committee's responsibilities. Form 990, Part VI, Section C, line 19 The organization's Articles of Incorporation are public records and may be obtained from the State of Florida's Division of Corporations in Tallahassee, Florida. Additionally, the Lease & Transfer Agreement between the organization and the City of Lakeland, Florida, under which the organization operates, is recorded in the Public Records of Polk County, Florida, the county in which the organization is located. Financial statements and similar information, both audited and unaudited, are periodically furnished to the City of Lakeland, Florida, and various regulatory agencies within the State of Florida. The financial statements and information are public records under the pertinent Florida public records law. Form 990, Part XI, line 9: Transfer from Affiliates 205,201,613. Book/Tax Difference in Partnerships -381,186. Taxes on UBI Income 134,265. Other Changes 61. Lakeland Regional Medical Center Foundation Inc 1324 Lakeland Hills Boulevard Lakeland FL 33805 237134974 Fundraising FL 501(c)(3) Line 12a, I Lakeland Regional Health Systems Inc 1 Lakeland Regional Medical Center Inc 1324 Lakeland Hills Boulevard Lakeland FL 33805 592650456 Hospital FL 501(c)(3) Line 3 Lakeland Regional Health Systems Inc 1 RIS and LRH Imaging LLC 2125 Crystal Grove Drive Lakeland FL 33801 113830470 Medical Imaging Services FL Related -496155 3432076 0 1 0.50000 Polk Starlight Sleep Labs LLC 3003 South Florida Avenue Ste 203 Lakeland FL 33803 202108795 Testing facility for the diagnosis and treatment of sleep disorders FL Lakeland Regional Health Systems Inc Related 30296 13431 0 1 0.51000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 Lakeland Regional Medical Center Inc O 1129018 Cash Value Lakeland Regional Medical Center Inc S 205201613 Cash Value Lakeland Surg & Diagn Center LLP 115 S Missouri Avenue Lakeland FL 33815 593346125 Medical Services FL unrelated 0 1073522 5718469 0 1 0.44760 Locuston Dialysis LLC PO Box 3004 Tacoma WA 984013004 823271181 Medical Services FL unrelated 0 -485018 634305 0 0 0.30000