2020-08-13T14:03:42-05:00 2019-09-30 621517792 PYA PC 3000 Bayport Drive Suite 860 Tampa FL 33607 990 2018-10-01 592650464 Lakeland Regional Health Systems Inc LAKE 8636871100 1324 Lakeland Hills Boulevard Lakeland FL 33805 Lance Green EVP/Chief Financial Officer 8636871100 2020-08-05 1 Terry Haefner P01258953 7274427110 38.101.210.194 2020-08-13 14:03:36 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AF23F2A68CFF53983216DF8908F842EE3670BFA3 2018 2020-09-23 17:36:50Z Elaine C Thompson PhD 1324 Lakeland Hills Boulevard Lakeland FL 33805 70053119 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 14 832 0 1520100 1541379 0 0 62757969 63737196 10495988 2841072 1996854 3474851 75250811 70053119 6371 0 0 0 93980617 93924208 0 0 0 26235484 26979420 120222472 120903628 -44971661 -50850509 513470449 564009609 95840698 102553784 417629751 461455825 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 102925813 63924397 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. 102925813 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 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 15 0 1 832 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 Jason McNeil 8636871100 230 S Florida Ave 4th Floor Lakeland FL 33801 Laura Hawley CFP Chair 1.00 1.00 X 0 0 0 Jay Mulaney MD Past Chair 1.00 1.00 X 0 0 0 Weymon Snuggs Vice Chair 1.00 1.00 X 0 0 0 Jack Harrell Jr Director 1.00 1.00 X 0 0 0 Lee Jackson 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 Clayton Hollis Director 1.00 1.00 X 0 0 0 Tracy Wilson Director 1.00 1.00 X 0 0 0 Sylvia Blackmon-Roberts Director 1.00 1.00 X 0 0 0 Anne Kerr PhD Director 1.00 1.00 X 0 0 0 William Pou 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 Officer 1.00 50.00 X 0 1417407 138605 Evan C Jones EVP - Past Chief Financial Officer 1.00 50.00 X 0 819559 83885 Lance Green SVP -Current Chief Financial Officer 1.00 50.00 X 0 232666 42849 Sami Baddoura MD Cardiologist 1.00 45.00 X 828815 0 44785 Avinash Khanna MD Cardiologist 1.00 45.00 X 1088988 0 23548 Philip Owen MD Cardiologist 1.00 45.00 X 973600 0 44602 Rakesh P Patel MD Urologist 1.00 45.00 X 846387 0 42896 Richard Crank MD Orthopedic Surgeon 1.00 45.00 X 1064336 0 61936 4802126 2469632 483106 190 0 1 0 Watson Clinic LLP 1600 Lakeland Hills Blvd Lakeland FL 33804 Medical 4193552 Phoenix Properties LLP 4798 South Florida Avenue Lakeland FL 33813 Leases 2300246 Frank Russell Company 1301 Second Avenue 18th Floor Seattle WA 98101 Investment fees 1983634 Allscripts Healthcare LLC 4700 Millenia Blvd Ste 350 Orlando FL 32839 Software Maintenance 1347227 HCTEC LLC 1860 N Avenida Republica de Cuba Tampa FL 33605 Contract Labor 503128 24 Net Patient Services 621990 62892823 62892823 Rental Income 531120 257741 257741 586632 586632 63737196 2841072 2841072 Other Income 900099 1767550 1767550 Equity in Earn. Inv Funds 900099 1540849 20749 1520100 Clinical Trials 900099 166452 166452 3474851 70053119 63924397 1520100 4608622 81518089 70268593 11249496 2605456 2245903 359553 6064368 5227485 836883 3736295 3220686 515609 419064 361233 57831 60000 51720 8280 2032311 2032311 7825053 6745196 1079857 3546 3057 489 1760847 1517850 242997 3590651 3095141 495510 841516 725387 116129 3411935 2941088 470847 2258894 1947167 311727 Supplies & Pharmaceutic 3324185 3324185 Expense Reimbursement 814353 701972 112381 Taxes, Licenses and Fee 314188 270830 43358 Equipment Rental/Lease 101264 87290 13974 221613 191030 30583 120903628 102925813 17977815 0 21827072 25691930 12504008 10402087 1253162 2075127 66224520 17045089 52879402 49179431 418276873 468905045 6729602 7755989 330 0 513470449 564009609 2063814 2113304 93776884 100440480 95840698 102553784 X 417629751 461455825 417629751 461455825 513470449 564009609 X -50850509 17882244 76794339 X 0 1 X 1 0 X X 1 Lakeland Regional Medical Center Inc 592650456 3 1 77583456 0 1 77583456 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 23190373 23190373 16414703 3993187 12421516 2065270 1251903 813367 24047281 11624480 12422801 506893 175519 331374 49179431 Due to Affiliate 89186072 Employee Compensation and Benefits 11254408 100440480 X 85114000 17882244 828 17883072 67230928 2032311 789880 2822191 70053119 118872000 683 683 118871317 2032311 2032311 120903628 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, 2019, 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 2015. Part XI, Line 2d - Other Adjustments: Other Adjustments 828. Part XI, Line 4b - Other Adjustments: Taxes on UBI Income 77,256. Investment in Partnerships 712,624. Part XII, Line 2d - Other Adjustments: Other Adjustments 683. X X X X X 0 1 0 0 0 0 0 0 0 Elaine Thompson PhD President/Chief Executive Officer 0 909571 0 218373 0 289463 0 115689 0 22916 0 1556012 0 0 Evan C Jones EVP - Past Chief Financial Officer 0 559717 0 75906 0 183936 0 63115 0 20770 0 903444 0 0 Lance Green SVP -Current Chief Financial Officer 0 219072 0 13569 0 25 0 15647 0 27202 0 275515 0 0 Sami Baddoura MD Cardiologist 736888 0 89999 0 1928 0 18239 0 26546 0 873600 0 0 0 Avinash Khanna MD Cardiologist 764696 0 323994 0 298 0 18239 0 5309 0 1112536 0 0 0 Philip Owen MD Cardiologist 717265 0 255289 0 1046 0 18239 0 26363 0 1018202 0 0 0 Rakesh P Patel MD Urologist 521460 0 324852 0 75 0 18239 0 24657 0 889283 0 0 0 Richard Crank MD Orthopedic Surgeon 713003 0 351283 0 50 0 18239 0 43697 0 1126272 0 0 0 Part I, Line 4b Elaine Thompson, Ph.D. - President and Chief Executive Officer participated in a supplemental nonqualified deferred compensation plan. She had $285,809 of taxable benefits during calendar year 2018. This amount is included in Part II Column (B)(iii). She had an additional $97,550 of nontaxable benefits accrue during calendar year 2018. This amount is included in Part II Column C. Evan Jones - Executive VP and Chief Financial Officer participated in a supplemental nonqualified deferred compensation plan. He had $182,535 of taxable benefits during calendar year 2018. This amount is included in Part II Column (B)(iii). He had an additional $44,976 of nontaxable benefits accrue during calendar year 2018. This amount is included in Part II Column C. Form 990, Part VI, Section B, line 11b The Form 990 and supporting schedules are reviewed prior to filing by senior management, including the CEO and CFO. Additionally, the compensation schedules are reviewed by the Executive and Physician Compensation Committee of the Board and a copy of the Form 990 and schedules are provided to each member of the Board of Directors before filing with the IRS. Form 990, Part VI, Section B, line 12c Lakeland Regional Medical Center has a conflict of interest policy which is monitored by the Corporate Integrity Services department. All new hires, students, volunteers and contractors are trained on the ethics policy during general orientation. All staff is to comply with ethics training annually as part of their mandatory education requirements. Annually, a certification is required by all managers, directors, and officers who must acknowledge that the policy was read, understood and will be abided by. Lakeland Regional Medical Center also has a "Policy of the Board of Directors Regarding Board Members Doing Business with Lakeland Regional Medical Center or Lakeland Regional Health Systems". All Board Members are annually required to execute a "Corporate Compliance Acknowledgement and answer a comprehensive "Annual Conflict of Interest Questionnaire". Additionally, all Senior Corporate Management are annually required to answer a comprehensive "Annual Conflict of Interest Questionnaire". Form 990, Part VI, Section B, line 15 The Executive and Compensation Committee (the "Committee") of the Board is charged with determining, in advance, all compensation issues for all executive positions including the President & CEO, the CFO and all Vice Presidents of the organization. Only independent and "disinterested" persons may serve as members of the Committee and no member may be employed by the organization or any of its affiliates. Additionally, no physician on the medical staff of the organization may serve as a member of the Committee nor may any member have any business or financial relationships with the organization, either directly or indirectly through family members. The Committee engages an independent nationally recognized human resources management consulting firm which specializes in executive and employee compensation in the health care industry. This firm, among other things: a. Conducts a competitive executive total cash compensation analysis relative to comparable healthcare organizations nationally; and b. Conducts a competitive executive benefits analysis relative to comparable healthcare organizations; and c. Conducts a competitive executive total compensation analysis relative to comparable healthcare organizations; and d. Assists the Committee in ensuring compliance with regulatory requirements; and e. Provides guidance and counsel to the Committee and Board in matters relating to executive compensation; and f. Participates in Committee meetings and presents its findings and recommendations to the committee and to the Board. In determining compensation, the Committee relies on the independent, reliable market data presented by the consulting firm to set all compensation levels and the consulting firm's opinion as to the reasonableness of total compensation to be paid to the executives of the organization. The Committee fully documents the basis for all determinations and records, at a minimum: 1) the terms of the compensation agreement and the date on which it was approved; 2) the members of the Committee who were present during the discussion and those who voted on it; 3) the comparability data used and its source; and 4) the basis for the ultimate decision. In fulfilling its responsibility, the Committee has full authority to consult with outside counsel to the organization or Committee-engaged counsel, regarding the legality of the compensation and other legal issues which may be relevant to the Committee's responsibilities. Form 990, Part VI, Section C, line 19 The organization's Articles of Incorporation are public records and may be obtained from the State of Florida's Division of Corporations in Tallahassee, Florida. Additionally, the Lease & Transfer Agreement between the organization and the City of Lakeland, Florida, under which the organization operates, is recorded in the Public Records of Polk County, Florida, the county in which the organization is located. Financial statements and similar information, both audited and unaudited, are periodically furnished to the City of Lakeland, Florida, and various regulatory agencies within the State of Florida. The financial statements and information are public records under the pertinent Florida public records law. Form 990, Part XI, line 9: Transfer from Affiliates 77,583,456. Book/Tax Difference in Partnerships -712,624. Taxes on UBI Income -77,256. Other Changes 763. 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 -16579 3506809 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 20749 14915 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 1192227 Cash Value Lakeland Regional Medical Center Inc S 77583456 Cash Value Lakeland Regional Medical Center Foundation Inc P 814352 Cash Value Lakeland Surg & Diagn Center LLP 115 S Missouri Avenue Lakeland FL 33815 593346125 Medical Services FL unrelated 0 1659386 5988098 0 1 0.44760