COREWELL HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: COREWELL HEALTH (EIN 38-2156872)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-05-28
IRS object ID: 202041499349301464
Schema version: 2018v3.1
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 D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-05-28T14:30:21-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135381590	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 OTTAWA AVE NW SUITE 300	AddressLine1Txt
City	GRAND RAPIDS	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49503	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	382156872	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Lakeland Hospitals at Niles and St Joseph Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LAKE	BusinessNameControlTxt
Phone	2699838166	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1234 Napier Avenue	AddressLine1Txt
City	Saint Joseph	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49085	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAUL KONOPACKI	PersonNm
Person Title	VP - FINANCE & CFO	PersonTitleTxt
Signature	2020-05-28	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JACOB COOK	PreparerPersonNm
PTIN	P01240455	PTIN
Phone	6167747000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Lakeland Health	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LOREN HAMEL MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1234 Napier Avenue	AddressLine1Txt
City	Saint Joseph	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49085	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$458,902,376	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.LAKELANDHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE HEALTH, INSPIRE HOPE AND SAVE LIVES.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	3344	TotalEmployeeCnt
Total Volunteers	400	TotalVolunteersCnt
Total Gross UBI	$3,995,484	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,171,086	PYContributionsGrantsAmt
CY Contributions Grants	$850,325	CYContributionsGrantsAmt
PY Program Service Revenue	$412,168,408	PYProgramServiceRevenueAmt
CY Program Service Revenue	$440,134,581	CYProgramServiceRevenueAmt
PY Investment Income	$35,057,645	PYInvestmentIncomeAmt
CY Investment Income	$17,578,972	CYInvestmentIncomeAmt
PY Other Revenue	$311,765	PYOtherRevenueAmt
CY Other Revenue	$302,105	CYOtherRevenueAmt
PY Total Revenue	$448,708,904	PYTotalRevenueAmt
CY Total Revenue	$458,865,983	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	$188,176,290	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$193,019,904	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$213,429,358	PYOtherExpensesAmt
CY Other Expenses	$219,578,265	CYOtherExpensesAmt
PY Total Expenses	$401,605,648	PYTotalExpensesAmt
CY Total Expenses	$412,598,169	CYTotalExpensesAmt
PY Revenues Less Expenses	$47,103,256	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$46,267,814	CYRevenuesLessExpensesAmt
Total Assets BOY	$869,224,591	TotalAssetsBOYAmt
Total Assets EOY	$895,680,287	TotalAssetsEOYAmt
Total Liabilities BOY	$178,556,338	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$183,856,254	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$690,668,253	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$711,824,033	NetAssetsOrFundBalancesEOYAmt
Mission	LAKELAND HOSPITAL IS A 317 BED ACUTE CARE HOSPITAL AND PROVIDES A FULL CONTINUUM OF HEALTHCARE SERVICES TO IT'S TRI-COUNTY AREA. LAKELAND REGIONAL HEALTH SYSTEM IS THE PARENT COMPANY FOR LAKELAND HOSPITALS, NURSING HOMES, AND OTHER HEALTH-RELATED SERVICE CORPORATIONS SERVING THE TRI-COUNTY AREA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$305,135,923	ExpenseAmt
Revenue	$440,134,581	RevenueAmt
Desc	HOSPITAL SERVICES PROVIDED TO 14,453 INPATIENTS AND 467,643 OUTPATIENTS FOR FISCAL YEAR 2019.	Desc
Total Program Service Expenses	$305,135,923	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	120	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3344	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Frank Samuel	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2694282416	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1234 Napier Avenue	AddressLine1Txt
City	ST JOSEPH	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49085	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DANIEL HOPP
CHAIRMAN	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL TODMAN
VICE CHAIR	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
TERRENCE ALLEN
SECRETARY	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
LOREN HAMEL MD
PRESIDENT & CEO	20.0	30.0	Yes (X)	Yes (X)	$3,169,131	$0	$25,007
NICKI BRITTEN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
ANNE BUCKLEITNER
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
CHRISTINA FREESE DECKER
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
LYNN GRAY MD
DIRECTOR	1.0	0	Yes (X)		$24,000	$0	$0
GEORGE HEENAN
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
J DOUGLAS HUGGETT
DIRECTOR, PHYSICIAN	49.0	1.0	Yes (X)		$590,309	$0	$21,449
CAREY MARTIN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
ROBERT NOLAN MD
DIRECTOR/MEDICAL STAFF PRESIDENT	49.0	1.0	Yes (X)		$41,172	$0	$0
WILLIAM PAYNE
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
DAVID SCHAFFER
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
SCOTT SMITH
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
CHRISTINE VANLANDINGHAM
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
THOMAS YEAGER
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
NATALIE BAGGIO
VP - PATIENT CARE CNE	50.0	0		Yes (X)	$281,672	$0	$7,622
TIMOTHY CALHOUN
VP - FINANCE & CFO	15.0	35.0		Yes (X)	$442,328	$0	$24,142
RAY CRUSE
VP - STRATEGY & HOSPITALITY	24.0	26.0		Yes (X)	$287,024	$0	$18,067
MELINDA GRUBER
VP - POST ACUTE CARE SERVICES	23.0	27.0		Yes (X)	$190,618	$0	$22,871
LOWELL HAMEL MD
VP - MEDICAL AFFAIRS	50.0	0		Yes (X)	$392,740	$0	$21,474
KENNETH O'NEILL
VP - CLINICAL INTEGRATION	50.0	0		Yes (X)	$359,245	$0	$23,239
MARY ANN PATER
VP - LEGAL & GENERAL COUNCIL	48.0	2.0		Yes (X)	$275,160	$0	$20,420
NORMA TIRADO-KELLENBERGER
VP - IT & HR SERVICES	50.0	0		Yes (X)	$322,424	$0	$19,919
KENDALL TROYER
VP - OP DIAG & QUALITY	50.0	0.0		Yes (X)	$227,808	$0	$27,568
WARREN WHITE
VP - LAKELAND PHYSICIAN PRACTICES	50.0	0		Yes (X)	$273,676	$0	$19,919
BRANDI SMITH-GORDON
VP - PHILANTHROPY & FOUNDATION PRESIDENT	5.0	45.0			$188,369	$0	$17,791	Yes (X)
KOUROSH BAGHELAI
PHYSICIAN	50.0	0			$476,618	$0	$7,849		Yes (X)
STEPHEN DICKSON
PHYSICIAN	50.0	0			$308,282	$0	$6,164		Yes (X)
ROBIN SARKAR
VP - INFORMATION SERVICES	50.0	0			$263,490	$0	$17,006		Yes (X)
MICHELINO MANCINI
CHIEF ACADEMIC OFFICER	50.0	0			$238,555	$0	$6,219		Yes (X)
DILIP ARORA
PHYSICIAN	50.0	0			$195,561	$0	$2,912		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,548,182	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$309,638	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	97	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MALL CITY MECHANICAL INC
7184 DOUGLAS AVE	KALAMAZOO	MI	49009	CONSTRUCTION	$9,576,629
SMITHGROUP JJR INC
35 EAST WACKER SUITE 900	CHICAGO	IL	60601	CONSTRUCTION	$3,719,153
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	ELECTRONIC HEALTH RECORD SYSTEM	$2,896,816
SUNSET COAST ANESTHESIA ASSOCIATES
1234 NAPIER AVE	ST JOSEPH	MI	49085	ANESTHESIA SERVICES	$2,542,474
NETWORK SOLUTIONS INC
PO BOX 159	MUNCIE	IN	47308	COMPUTER SYSTEMS	$1,756,514

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	56	CntrctRcvdGreaterThan100KCnt
Related Organizations	$850,325	RelatedOrganizationsAmt
Total Contributions	$850,325	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	541380	$438,255,727	$434,431,030	$3,824,697
OTHER OPERATING REVENUE	541380	$1,878,854	$1,708,067	$170,787

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$440,134,581	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,569,110	TotalRevenueColumnAmt
Exclusion	$17,569,110	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$302,105	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$302,105	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$302,105	TotalRevenueColumnAmt
Exclusion	$302,105	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$46,255	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$25,000	SecuritiesAmt
Other	$11,393	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$25,000	SecuritiesAmt
Other	$34,862	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,862	TotalRevenueColumnAmt
Related Or Exempt Func Income	$34,862	RelatedOrExemptFuncIncomeAmt
Exclusion	-$25,000	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$458,865,983	TotalRevenueColumnAmt
Related Or Exempt Func Income	$436,173,959	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,995,484	UnrelatedBusinessRevenueAmt
Exclusion	$17,846,215	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,041,676	TotalAmt
Program Services	$5,070,007	ProgramServicesAmt
Management And General	$1,971,669	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$400,920	TotalAmt
Program Services	$288,662	ProgramServicesAmt
Management And General	$112,258	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$145,205,761	TotalAmt
Program Services	$104,548,148	ProgramServicesAmt
Management And General	$40,657,613	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,748,343	TotalAmt
Program Services	$5,578,807	ProgramServicesAmt
Management And General	$2,169,536	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,767,694	TotalAmt
Program Services	$15,672,740	ProgramServicesAmt
Management And General	$6,094,954	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,855,510	TotalAmt
Program Services	$7,815,967	ProgramServicesAmt
Management And General	$3,039,543	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$352,850	TotalAmt
Management And General	$352,850	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$314,637	TotalAmt
Management And General	$314,637	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$74,000	TotalAmt
Management And General	$74,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,695,767	TotalAmt
Program Services	$9,860,952	ProgramServicesAmt
Management And General	$3,834,815	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$565,171	TotalAmt
Program Services	$406,923	ProgramServicesAmt
Management And General	$158,248	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,419	TotalAmt
Program Services	$28,382	ProgramServicesAmt
Management And General	$11,037	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,507,415	TotalAmt
Program Services	$9,005,339	ProgramServicesAmt
Management And General	$3,502,076	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,872,329	TotalAmt
Program Services	$4,948,077	ProgramServicesAmt
Management And General	$1,924,252	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,046,907	TotalAmt
Program Services	$753,773	ProgramServicesAmt
Management And General	$293,134	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,091,022	TotalAmt
Program Services	$2,945,536	ProgramServicesAmt
Management And General	$1,145,486	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,829,468	TotalAmt
Program Services	$18,597,217	ProgramServicesAmt
Management And General	$7,232,251	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,706,607	TotalAmt
Program Services	$1,228,757	ProgramServicesAmt
Management And General	$477,850	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES & DRUGS	$86,602,091	$62,353,506	$24,248,585
PROVISION FOR BAD DEBTS	$17,030,304	$17,030,304
PHYSICIAN RELATIONS	$16,160,505	$11,635,564	$4,524,941
QAAP ASSESSMENTS	$13,680,806	$13,680,806

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,008,967	TotalAmt
Program Services	$13,686,456	ProgramServicesAmt
Management And General	$5,322,511	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$412,598,169	TotalAmt
Program Services	$305,135,923	ProgramServicesAmt
Management And General	$107,462,246	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$66,647,651	BOYAmt
EOY	$41,059,873	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$29,742,999	BOYAmt
EOY	$33,917,563	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,921,202	BOYAmt
EOY	$7,230,402	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,374,201	BOYAmt
EOY	$10,003,504	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$669,565,469	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$306,944,298	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$301,245,777	BOYAmt
EOY	$362,621,171	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$428,358,703	BOYAmt
EOY	$423,523,220	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$25,934,058	BOYAmt
EOY	$17,324,554	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$869,224,591	BOYAmt
EOY	$895,680,287	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$39,005,285	BOYAmt
EOY	$45,442,508	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,879,000	BOYAmt
EOY	$84,105,362	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$51,672,053	BOYAmt
EOY	$54,308,384	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$178,556,338	BOYAmt
EOY	$183,856,254	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$688,573,669	BOYAmt
EOY	$707,853,010	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,094,584	BOYAmt
EOY	$3,971,023	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$690,668,253	BOYAmt
EOY	$711,824,033	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$869,224,591	BOYAmt
EOY	$895,680,287	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$46,267,814	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,066,351	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$24,045,683	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	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 D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,145,020	OtherCostOrOtherBasisAmt
Book Value	$5,145,020	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$205,138,214	OtherCostOrOtherBasisAmt
Depreciation	$96,270,839	DepreciationAmt
Book Value	$108,867,375	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$410,717	OtherCostOrOtherBasisAmt
Depreciation	$303,085	DepreciationAmt
Book Value	$107,632	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$293,567,996	OtherCostOrOtherBasisAmt
Depreciation	$210,370,374	DepreciationAmt
Book Value	$83,197,622	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$165,303,522	OtherCostOrOtherBasisAmt
Book Value	$165,303,522	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$362,621,171	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
PROVISION FOR MEDICAL MALPRACTICE	$15,505,808
PROVISION FOR DEFERRED COMPENSATION	$5,464,423
PROVISION FOR POST RETIREMENT BENEFIT	$6,310,185
INTEREST RATE SWAP AGREEMENTS	$18,927,541
DUE TO RELATED PARTIES	$8,100,427

Field	Value	IRS element (for citing)
Total Liability	$54,308,384	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$433,389,614	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,066,351	NetUnrealizedGainsInvstAmt
Other Revenue	-$23,485,693	OtherRevenueAmt
Revenue Not Reported	-$24,552,044	RevenueNotReportedAmt
Revenue Subtotal	$457,941,658	RevenueSubtotalAmt
Investment Expenses Not Incld	$74,000	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$850,325	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$924,325	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$458,865,983	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$395,257,146	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$395,257,146	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$74,000	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$17,267,023	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$17,341,023	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$412,598,169	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	CHANGE IN FAIR VALUE OF SWAP AGREEMENT - -6455389 PROVISION FOR BAD DEBTS - -17030304 -
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	CONTRIBUTION FROM LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH - 848070 CONTRIBUTION FROM LAKELAND HEALTH FOUNDATION, NILES - 2255
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	CONTRIBUTION FROM LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH -
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	PROVISION FOR BAD DEBTS - 17030304 CONTRIBUTION FROM LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH - 236719

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	8766	PersonsServedCnt
Total Community Benefit Expns	$3,103,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,103,121	NetCommunityBenefitExpnsAmt
Total Expense	0.0078	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	79746	PersonsServedCnt
Total Community Benefit Expns	$89,743,197	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,396,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,346,797	NetCommunityBenefitExpnsAmt
Total Expense	0.0337	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	88512	PersonsServedCnt
Total Community Benefit Expns	$92,846,318	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,396,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,449,918	NetCommunityBenefitExpnsAmt
Total Expense	0.0416	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	667	ActivitiesOrProgramsCnt
Persons Served	35131	PersonsServedCnt
Total Community Benefit Expns	$2,081,705	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,081,705	NetCommunityBenefitExpnsAmt
Total Expense	0.0053	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	538	PersonsServedCnt
Total Community Benefit Expns	$2,759,847	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,759,847	NetCommunityBenefitExpnsAmt
Total Expense	0.0070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$55,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	476	ActivitiesOrProgramsCnt
Persons Served	2541	PersonsServedCnt
Total Community Benefit Expns	$108,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,542	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1172	ActivitiesOrProgramsCnt
Persons Served	38310	PersonsServedCnt
Total Community Benefit Expns	$5,005,094	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,005,094	NetCommunityBenefitExpnsAmt
Total Expense	0.0127	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1174	ActivitiesOrProgramsCnt
Persons Served	126822	PersonsServedCnt
Total Community Benefit Expns	$97,851,412	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,396,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,455,012	NetCommunityBenefitExpnsAmt
Total Expense	0.0542	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	112	ActivitiesOrProgramsCnt
Persons Served	245	PersonsServedCnt
Total Community Benefit Expns	$2,750	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,750	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$959	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$959	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	123	ActivitiesOrProgramsCnt
Persons Served	245	PersonsServedCnt
Total Community Benefit Expns	$3,709	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,709	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$17,030,304	BadDebtExpenseAmt
Bad Debt Expense Attributable	$8,327,915	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$170,501,855	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$209,013,836	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$38,511,981	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
LAKELAND HOSPITALS AT ST JOSEPH
1	1234 NAPIER AVENUE	ST JOSEPH	MI	49085	1060000010	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
LAKELAND HOSPITALS AT NILES
2	31 N SAINT JOSEPH AVENUE	NILES	MI	49120	1060000065	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.LAKELANDHEALTH.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-AND-WELLNESS/COMMUNITY-HEALTH-NEEDS-A	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.LAKELANDHEALTH.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-AND-WELLNESS/COMMUNITY-HEALTH-NEEDS-A	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.spectrumhealthlakeland.org/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.spectrumhealthlakeland.org/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.spectrumhealthlakeland.org/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - LAKELAND HOSPITALS AT NILES & ST. JOSEPH. THE 2019-2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE EFFORT THAT INCLUDED INPUT AND DATA FROM RESIDENTS OF BERRIEN, CASS, AND VAN BUREN COUNTIES WHICH MAKE UP LAKELAND'S SERVICE AREA AND REPRESENTS THE BROAD INTERESTS OF THE COMMUNITY RESIDENTS, WITH A PARTICULAR FOCUS ON THE MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. THE CHNA PROJECT TEAM (PROJECT TEAM) EXECUTED THE CHNA IN ACCORDANCE WITH SIX PRINCIPLES THAT WERE INFORMED BY ACA REQUIREMENTS AND LAKELAND'S ORGANIZATIONAL COMMITMENT TO ADVANCE POPULATION HEALTH. THESE PRINCIPLES ARE INCLUSIVE INPUT, COMMUNITY VOICE, TRANSPARENT COMMUNICATION, AUTHENTIC COLLABORATION, HEALTH EQUITY, AND THE INFLUENTIAL ROLE OF SOCIAL DETERMINANTS. INPUT FROM COMMUNITY MEMBERS WAS OBTAINED VIA A SURVEY WAS ADMINISTERED IN ELECTRONIC AND PAPER FORMATS TO GOVERNMENT BODIES, AREA BUSINESSES, NON-PROFITS AND OTHER COMMUNITY ORGANIZATIONS, K-12 SCHOOLS, AND HIGHER EDUCATION INSTITUTIONS IN ADDITION TO SOLICITATION OF INPUT FROM STAKEHOLDERS WHO WERE DIVERSE BY AGE, ETHNICITY, GENDER IDENTITY, LANGUAGE PROFICIENCY, LITERACY LEVEL, PROFESSION, SEXUAL ORIENTATION, AND SOCIOECONOMIC STATUS. PARTNERING ORGANIZATIONS INCLUDE: 1. BERRIEN COUNTY HEALTH DEPARTMENT 2. ANDREWS UNIVERSITY SCHOOL OF POPULATION HEALTH, NUTRITION AND WELLNESS 3. WESTERN MICHIGAN UNIVERSITY SCHOOL OF SOCIAL WORK 4. SOUTHWEST MICHIGAN PLANNING COMMISSION 5. LOCAL K-12 SCHOOLS. IN ADDITION, LAKELAND HEALTH HAS BEEN ACTIVE IN numerous regional partnerships, including the Healthy Berrien Consortium and Be Healthy Berrien, both of which are countywide collaborations working to promote community health and wellness.
Schedule H, Part V, Section B, Line 5 Facility A, 2	Facility A, 2 - LAKELAND HOSPITALS AT NILES. THE 2019-2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE EFFORT THAT INCLUDED INPUT AND DATA FROM RESIDENTS OF BERRIEN, CASS, AND VAN BUREN COUNTIES WHICH MAKE UP LAKELAND'S SERVICE AREA AND REPRESENTS THE BROAD INTERESTS OF THE COMMUNITY RESIDENTS, WITH A PARTICULAR FOCUS ON THE MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. THE CHNA PROJECT TEAM (PROJECT TEAM) EXECUTED THE CHNA IN ACCORDANCE WITH SIX PRINCIPLES THAT WERE INFORMED BY ACA REQUIREMENTS AND LAKELAND'S ORGANIZATIONAL COMMITMENT TO ADVANCE POPULATION HEALTH. THESE PRINCIPLES ARE INCLUSIVE INPUT, COMMUNITY VOICE, TRANSPARENT COMMUNICATION, AUTHENTIC COLLABORATION, HEALTH EQUITY, AND THE INFLUENTIAL ROLE OF SOCIAL DETERMINANTS. INPUT FROM COMMUNITY MEMBERS WAS OBTAINED VIA A SURVEY WAS ADMINISTERED IN ELECTRONIC AND PAPER FORMATS TO GOVERNMENT BODIES, AREA BUSINESSES, NON-PROFITS AND OTHER COMMUNITY ORGANIZATIONS, K-12 SCHOOLS, AND HIGHER EDUCATION INSTITUTIONS IN ADDITION TO SOLICITATION OF INPUT FROM STAKEHOLDERS WHO WERE DIVERSE BY AGE, ETHNICITY, GENDER IDENTITY, LANGUAGE PROFICIENCY, LITERACY LEVEL, PROFESSION, SEXUAL ORIENTATION, AND SOCIOECONOMIC STATUS. PARTNERING ORGANIZATIONS INCLUDE: 1. BERRIEN COUNTY HEALTH DEPARTMENT 2. ANDREWS UNIVERSITY SCHOOL OF POPULATION HEALTH, NUTRITION AND WELLNESS 3. WESTERN MICHIGAN UNIVERSITY SCHOOL OF SOCIAL WORK 4. SOUTHWEST MICHIGAN PLANNING COMMISSION 5. LOCAL K-12 SCHOOLS. IN ADDITION, LAKELAND HEALTH HAS BEEN ACTIVE IN numerous regional partnerships, including the Healthy Berrien Consortium and Be Healthy Berrien, both of which are countywide collaborations working to promote community health and wellness.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - LAKELAND HOSPITALS AT ST. JOSEPH. LAKELAND HOSPITAL - NILES, LAKEALND HOSPITAL - WATERVLIET, AND LAKELAND MEDICAL CENTER, ST. JOSEPH
Schedule H, Part V, Section B, Line 6a Facility A, 2	Facility A, 2 - LAKELAND HOSPITALS AT NILES. LAKELAND HOSPITAL - NILES, LAKEALND HOSPITAL - WATERVLIET, AND LAKELAND MEDICAL CENTER, ST. JOSEPH
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - LAKELAND HOSPITALS AT ST. JOSEPH. THE CHNA INCLUDED INPUT FROM STAKEHOLDERS AND ORGANIZATIONS THROUGHOUT BERRIEN COUNTY. PARTNERING ORGANIZATIONS INCLUDE: BERRIEN COUNTY HEALTH DEPARTMENT, ANDREWS UNIVERSITY SCHOOL OF POPULATION HEALTH, NUTRITION AN WELLNESS, WESTERN MICHIGAN UNIVERSITY SCHOOL OF SOCIAL WORK, SOUTHWEST MICHIGAN PLANNING COMMISSION, AND LOCAL K-12 SCHOOLS. IN ADDITION, LAKELAND PARTNERS WITH OTHER ORGANIZATIONS IN BE HEALTHY BERRIEN, A COUNTY WIDE PARTNERSHIP TO REDUCE OBESITY AND ADDRESS OTHER SOCIAL DETERMINANTS OF HEALTH THROUGH POLICY AND ENVIRONMENTAL CHANGE.
Schedule H, Part V, Section B, Line 6b Facility A, 2	Facility A, 2 - LAKELAND HOSPITALS AT NILES. THE CHNA INCLUDED INPUT FROM STAKEHOLDERS AND ORGANIZATIONS THROUGHOUT BERRIEN COUNTY. PARTNERING ORGANIZATIONS INCLUDE: BERRIEN COUNTY HEALTH DEPARTMENT, ANDREWS UNIVERSITY SCHOOL OF POPULATION HEALTH, NUTRITION AN WELLNESS, WESTERN MICHIGAN UNIVERSITY SCHOOL OF SOCIAL WORK, SOUTHWEST MICHIGAN PLANNING COMMISSION, AND LOCAL K-12 SCHOOLS. IN ADDITION, LAKELAND PARTNERS WITH OTHER ORGANIZATIONS IN BE HEALTHY BERRIEN, A COUNTY WIDE PARTNERSHIP TO REDUCE OBESITY AND ADDRESS OTHER SOCIAL DETERMINANTS OF HEALTH THROUGH POLICY AND ENVIRONMENTAL CHANGE.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - LAKELAND HOSPITALS AT ST. JOSEPH. The Implementation Strategy comprises tWo components: Community Health Education and a Population Health Strategy Community Health Education comprises programs designed to shift knowledge, attitudes and behaviors - both in and outside of the health system - in ways that support good health; increase the capacity of the community and health system to improve health; and increase mutual trust between the health system and the community it serves. The interventions described below are designed to address the health needs identified in the CHNA. Mental Health 1. Expand and execute mental health education and awareness curriculum that includes topics such as mental wellness, trauma and resilience 2. Form a permanent Collective Impact Team dedicated to community education and policy change. 3. Create community-based Pop-up museums based on the Community Resiliency Model (CRM). 4. Conduct a Listening Tour to gain greater insights into the community's mental health needs. Obesity and Food Environment 5. Execute the Prescription for Health Program. Recreational Environment, Physical Environment, Food Environment, Obesity, and Social Cohesion/Support 6. Support the Twin Cities (Sustainable) Harbor Revitalization Project Healthcare Resources, Social Cohesion and Food Environment 7. Neighborhood-based Health Homes (Barbershop Initiative, Catholic Community Center, Blossom Acres, Buss Projects, Gateways Plaza, Harbor Towers, Lakeview Terrace, Community Food Network, Benton Heights Community Dinners) Healthcare Resources 8. Coordinated School Health (K-12 School-based Health) 9. Community- and School-based CPR 10. School-based CPR Population Health Strategy The Population Health Strategy will be characterized by four key attributes: 1. It will be structurally focused. 2. It will be informed by a high levels of community participation and characterized by high levels of community buy-in. 3. It will engage multiple partners from a broad and diverse cross-section of professions, perspectives, industries and sectors reflecting the wide range of social, economic and environmental factors that determine health. It will foster new, innovative and untraditional partnerships; and it will employ collaborative methods and arrangements that support sustainable partnerships. 4. The strategy will produce sustainable structures and processes that support the three aforementioned attributes and help ensure its long-term financial and organizational viability. One health need - faith-based and spiritual practices - will not be addressed due to insufficient resources and expertise, and a lack of effective interventions for a faith context characterized by high levels of polarization among the community's religious institutions.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - LAKELAND HOSPITALS AT NILES. The Implementation Strategy comprises tWo components: Community Health Education and a Population Health Strategy Community Health Education comprises programs designed to shift knowledge, attitudes and behaviors - both in and outside of the health system - in ways that support good health; increase the capacity of the community and health system to improve health; and increase mutual trust between the health system and the community it serves. The interventions described below are designed to address the health needs identified in the CHNA. Mental Health 1. Expand and execute mental health education and awareness curriculum that includes topics such as mental wellness, trauma and resilience 2. Form a permanent Collective Impact Team dedicated to community education and policy change. 3. Create community-based Pop-up museums based on the Community Resiliency Model (CRM). 4. Conduct a Listening Tour to gain greater insights into the community's mental health needs. Obesity and Food Environment 5. Execute the Prescription for Health Program. Recreational Environment, Physical Environment, Food Environment, Obesity, and Social Cohesion/Support 6. Support the Twin Cities (Sustainable) Harbor Revitalization Project Healthcare Resources, Social Cohesion and Food Environment 7. Neighborhood-based Health Homes (Barbershop Initiative, Catholic Community Center, Blossom Acres, Buss Projects, Gateways Plaza, Harbor Towers, Lakeview Terrace, Community Food Network, Benton Heights Community Dinners) Healthcare Resources 8. Coordinated School Health (K-12 School-based Health) 9. Community- and School-based CPR 10. School-based CPR Population Health Strategy The Population Health Strategy will be characterized by four key attributes: 1. It will be structurally focused. 2. It will be informed by a high levels of community participation and characterized by high levels of community buy-in. 3. It will engage multiple partners from a broad and diverse cross-section of professions, perspectives, industries and sectors reflecting the wide range of social, economic and environmental factors that determine health. It will foster new, innovative and untraditional partnerships; and it will employ collaborative methods and arrangements that support sustainable partnerships. 4. The strategy will produce sustainable structures and processes that support the three aforementioned attributes and help ensure its long-term financial and organizational viability. One health need - faith-based and spiritual practices - will not be addressed due to insufficient resources and expertise, and a lack of effective interventions for a faith context characterized by high levels of polarization among the community's religious institutions.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - LAKELAND HOSPITALS AT ST. JOSEPH. Lakeland Hospitals at St. Joseph acknowledges that significant health events may result in catastrophic financial burden to a patient and family, as such Lakeland Hospitals at St. Joseph reserves the right to review catastrophic cases on an individual basis. Consideration for a reduced financial obligation will be made factoring medical bills accumulated within the last 240 days, as well as those anticipated to occur within the next 90 days. A catastrophic financial burden is one which results in a financial burden of 25% of annual household income or greater.
Schedule H, Part V, Section B, Line 13 Facility A, 2	Facility A, 2 - LAKELAND HOSPITALS AT NILES. Lakeland Hospitals at Niles acknowledges that significant health events may result in catastrophic financial burden to a patient and family, as such Lakeland Hospitals at Niles reserves the right to review catastrophic cases on an individual basis. Consideration for a reduced financial obligation will be made factoring medical bills accumulated within the last 240 days, as well as those anticipated to occur within the next 90 days. A catastrophic financial burden is one which results in a financial burden of 25% of annual household income or greater.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - LAKELAND HOSPITALS AT ST. JOSEPH. The organization uses FPG to determine eligibility for free care. an evaluation is not used for discounted care, as applicants that qualify for any assistance receive free care.
Schedule H, Part V, Section B, Line 13 Facility A, 2	Facility A, 2 - LAKELAND HOSPITALS AT NILES. The organization uses FPG to determine eligibility for free care. an evaluation is not used for discounted care, as applicants that qualify for any assistance receive free care.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7f LINES 7F AND 7I	HEALTH PROFESSIONS EDUCATION - LAKELAND PREPARES HEALTH CARE PROFESSIONALS FOR THE FUTURE BY PROVIDING A VARIETY OF TRAINING PROGRAMS AND EDUCATIONAL EXPERIENCES IN CLINICAL SETTINGS FOR UNDERGRADUATE AND GRADUATE STUDENTS, MEDICAL RESIDENTS, AND NURSING AND OTHER ALLIED HEALTH PROFESSIONALS. CASH & IN-KIND DONATIONS TO COMMUNITY GROUPS - CASH CONTRIBUTIONS AND IN-KIND DONATIONS ARE DESIGNATED FOR HEALTH CARE RELATED ACTIVITIES PROVIDED BY SOCIAL SERVICE AND COMMUNITY AGENCIES, SUCH AS MEDICAL SUPPORT FOR COMMUNITY EVENTS AND PARTNERS WHO SERVE THE MOST VULNERABLE POPULATIONS. THIS AMOUNT ALSO INCLUDES LEADERSHIP INVOLVEMENT ON COMMUNITY BOARDS THAT SUPPORT ORGANIZATIONS AND THEIR EFFORTS ON BEHALF OF VULNERABLE POPULATIONS. RESEARCH - LAKELAND IS COMMITTED TO INNOVATION BY OFFERING THE MOST ADVANCED, HIGH-QUALITY TREATMENTS AND HEALTH AND HEALING SERVICES TO THE COMMUNITY. AS A RESULT, LAKELAND SPONSORS CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTH CARE DELIVERY. FINANCIAL ASSISTANCE - FREE OR DISCOUNTED CARE THAT LAKELAND OFFERS TO PEOPLE WHO ARE UNABLE TO PAY FOR THEIR OWN CARE AND NOT ELIGIBLE FOR PUBLIC PROGRAMS. FINANCIAL ASSISTANCE DOES NOT INCLUDE THE BAD DEBT COST, WHICH TOTALED $17,030,304 IN FY 2019 OR THE SHORTFALL FROM MEDICARE, WHICH TOTALED $38,511,981. UNREIMBURSED MEDICAID - REPRESENTS THE COST OF CARING FOR PEOPLE COVERED BY MEDICAID MINUS THE AMOUNT LAKELAND RECEIVES FROM THOSE PROGRAMS.
Schedule H, Part V, Section B FACILITY REPORTING GROUP A	FACILITY REPORTING GROUP A CONSISTS OF: FACILITY 1: LAKELAND HOSPITALS AT ST. JOSEPH FACILITY 2: LAKELAND HOSPITALS AT NILES
Schedule H, Part I, Line 7e LINE 7E	COMMUNITY HEALTH IMPROVEMENT SERVICES (E.G. COMMUNITY HEALTH EDUCATION, COMMUNITY BENEFIT OPERATIONS, SUPPORT GROUPS, HEALTH SCREENINGS, REDUCED-FEE CLINICS). HEALTH CARE SUPPORT SERVICES (E.G. COUNSELING, FAMILY SUPPORT SERVICES, FREE OR DISCOUNTED PRESCRIPTIONS/SUPPLIES, IN-HOME SERVICES, MEALS & NUTRITION, AND TRANSPORTATION).
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	17030304
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST TO CHARGE RATIO USED WAS BASED ON THE COST REPORT AND IS CONSISTENT WITH THE FINANCIAL STATEMENTS.
Schedule H, Part II Community Building Activities	COMMUNITY BUILDING ACTIVITIES - PROGRAMS AND SERVICES THAT WHILE NOT DIRECTLY RELATED TO HEALTH CARE, ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS POVERTY, CRIME, AND ENVIRONMENTAL ISSUES. EXAMPLES ARE PHYSICAL IMPROVEMENTS, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, COALITION BUILDING, COMMUNITY HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT ACTIVITIES. HEALTH EDUCATION IS PROVIDED ON THE HIGH PRIORITY HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING INFORMATION ON STRESS MANAGEMENT AND MENTAL HEALTH; OBESITY AND WEIGHT CONTROL; DIABETES AND KIDNEY DISEASE; HYPERTENSION AND OTHER CARDIOVASCULAR DISEASES; AND NUTRITION AND HEALTH BEHAVIORS. EDUCATION IS TAILORED TO VULNERABLE POPULATIONS IN NEIGHBORHOOD SETTINGS. FOR EXAMPLE, THE POPULATION HEALTH DEPARTMENT AT LAKELAND HAS DEVELOPED NEIGHBORHOOD-CENTERED HEALTH HOMES AT ELITE BARBERSHOP (A BARBERSHOP THAT PRIMARILY SERVES MEN) AND HARBOR TOWERS (A LOW-INCOME HOUSING FACILITY) IN BENTON HARBOR. THIS CATEGORY ALSO ENCOMPASSES ALLIANCES WITH COMMUNITY PARTNERS. FOR EXAMPLE, DISASTER READINESS PREPARATIONS AS PART OF THE FIFTH DISTRICT MEDICAL RESPONSE COALITION. LAKELAND ASSESSES THE HEALTH CARE NEEDS OF OUR COMMUNITIES IT SERVES BY CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE FIRST STEP IN CONDUCTING THE CHNA IN 2019 WAS TO STRATIFY THE POPULATION ACCORDING TO TWO PROXY INDICATORS OF HEALTH: AGE-ADJUSTED MORTALITY AND LIFE EXPECTANCY. THIS LED TO THE IDENTIFICATION OF SIGNIFICANT HEALTH INEQUITIES ACROSS CENSUS TRACTS IN BERRIEN COUNTY. FOR INSTANCE, BENTON HEIGHTS HAS AN AGE-ADJUSTED MORTALITY RATE THREE TIMES HIGHER THAN SHOREHAM. SIMILARLY, THE LIFE EXPECTANCY OF RESIDENTS IN PARTS OF BENTON HARBOR IS ABOUT NINETEEN YEARS SHORTER THAN THAT OF PEOPLE WHO LIVE IN BERRIEN SPRINGS AND LINCOLN TOWNSHIP. PEOPLE WHO LIVE IN AND AROUND THE CITIES OF BENTON HARBOR AND NILES DIE EARLIER THAN PEOPLE WHO LIVE IN AND AROUND THE CITIES OF ST. JOSEPH, STEVENSVILLE AND BERRIEN SPRINGS. MOREOVER, 75% OF THE CENSUS TRACTS WITH THE HIGHEST DEATH RATES (I.E., THE LOWEST QUARTILE) ARE IN AND AROUND THE CITY OF BENTON HARBOR. THESE FINDINGS OF SIGNIFICANT HEALTH INEQUITIES FORMED THE FOUNDATION UPON WHICH THE PROJECT TEAM PLANNED AND EXECUTED THE CHNA. BY DIRECTING THE DATA COLLECTION PROCESS, THESE FINDINGS HELPED THE PROJECT TEAM ENSURE THAT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS PROVIDED THEIR PERSPECTIVES ON COMMUNITY HEALTH. PLEASE VISIT OUR WEBSITE FOR MORE INFORMATION. HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-AND-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE TOTAL BAD DEBT EXPENSE OF $17,030,304 EQUALS THE AMOUNT INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN (A).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS DETERMINED BY MULTIPLYING THE TOTAL BAD DEBT EXPENSE BY A RATIO OF ADJUSTED PATIENT CARE COST DIVIDED BY ADJUSTED PATIENT CARE CHARGES.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The Net Patient Service Revenue and Patient accounts receivable footnote, which contains bad debt expense and allowance for uncollectible accounts is on pages 17-20 of the organization's consolidated financial statements.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The methodology described in the instructions to schedule H, Part III, Section B, Line 6 does not take into account all costs incurred by the hospital and does not represent the total community benefit conferred in this area. Reasons why Medicare shortfall should be treated as community benefit are: (1) absent the Medicare program, it is likely many of the individuals would qualify for charity care or other needs-based government programs; (2) by accepting payment below cost to treat these individuals, the burdens of government are relieved with respect to these individuals; (3) there is a significant possibility that continued reduction in reimbursement may actually create difficulties in access for these individuals; and (4) the amount spent to cover the Medicare shortfall is money not available to cover charity care and other community benefit needs. In determining Medicare shortfalls the organization uses a ratio of cost-to-charges. In determining the ratio of cost-to-charges the organization adjusts for bad debt expenses, non-patient care activities, Medicaid provider taxes and community benefits accounted for, and or reported, elsewhere. The ratio of cost-to-charges is applied to Medicare charges to determine shortfalls in Medicare reimbursements.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Patients who qualify for financial assistance are eligible for free care, and thus no collection actions are taken. If financial assistance eligibility would be discovered after commencement of a collection action, then such collection action would be suspended or reversed.
Schedule H, Part V, Section B, Line 16a FAP website	A - LAKELAND HOSPITALS AT ST. JOSEPH: Line 16a URL: https://www.spectrumhealthlakeland.org/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - LAKELAND HOSPITALS AT ST. JOSEPH: Line 16b URL: https://www.spectrumhealthlakeland.org/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - LAKELAND HOSPITALS AT ST. JOSEPH: Line 16c URL: https://www.spectrumhealthlakeland.org/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessment	THE ORGANIZATION USES NEEDS ASSESSMENT PREPARED BY THE COUNTY HEALTH DEPARTMENT AND PARTICIPATES IN A REGIONAL HEALTHY BERRIEN COMMUNITY COMMITTEE TO ADDRESS HEALTH NEEDS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE ORGANIZATION EMPLOYS MORE THAN 12 FINANCIAL COUNSELORS WHO ASSIST PATIENTS WITH ELIGIBILITY.
Schedule H, Part VI, Line 4 Community information	LAKELAND SERVES ALL OF BERRIEN COUNTY, AND PARTS OF VAN BUREN AND CASS COUNTIES. ALL THREE COUNTIES ARE LOCATED IN THE SOUTHWEST CORNER OF MICHIGAN. THIS SERVICE AREA IS DETERMINED BY THE LOCATION OF LAKELAND'S FACILITIES AND PATIENTS' PLACES OF RESIDENCE. THE 2019 CHNA IDENTIFIES THE HEALTH NEEDS OF BERRIEN COUNTY.
Schedule H, Part VI, Line 5 Promotion of community health	COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS - REPRESENTS ACTIVITIES THAT HELP IMPROVE THE HEALTH AND QUALITY OF LIFE FOR PEOPLE IN THE COMMUNITY. HEALTH PRESENTATIONS INCLUDE: STROKE 101, MY PLATE 101, BABYSITTING WITH CONFIDENCE, EXPECTANT PARENT CLASS, SMOKE FREE LIFE, BABY THINK IT OVER, SENIOR-EXPO, PRE-DIABETES, FALLS PREVENTION AND MEDICATION SAFETY, HEARTSAFE AND MY HEART 101. LAKELAND ALSO HOSTED MANY HEALTH SPEAKER SERIES SUCH AS BACK SURGERY - TYPES, RECOVERY, RISKS AND BENEFITS, EAR NOSE AND THROAT CONDITIONS, MANAGING DEPRESSION OR BIPOLAR DISORDER, WEIGHT LOSS, WHY SEE A RHEUMATOLOGIST FOR EVALUATION OF JOINT PAIN, AND USES OF THE DAVINCI ROBOT. CANCER SCREENINGS INCLUDE: LUNG, PROSTATE, BREAST, SKIN AND COLORECTAL. SUPPORT PROGRAMS INCLUDE: LOOK GOOD...FEEL BETTER, RAINBOWS OF HOPE, PARKINSON'S, BREASTFEEDING, SMOKE FREE LIFE, SOUTHWEST MICHIGAN OSTOMY AND MANY HOSPICE SUPPORTING GROUPS. LAKELAND SUPPORTS PARISH AND SENIOR CENTER NURSES, AND NUMEROUS HEALTH SCREENINGS SUCH AS BONE DENSITY, BLOOD PRESSURE AND CHOLESTEROL. COMMUNITY-BASED CLINICAL SERVICES INCLUDES: THE SANE (SEXUAL ASSAULT NURSE EXAMINER) CLINIC AND THE SICKLE CELL CLINIC. HEALTH CARE SUPPORT SERVICES ENCOMPASS: ASSISTANCE TO ENROLL IN PUBLIC MEDICAL PROGRAMS, THE HEALTH RESOURCE LIBRARY AT NILES, FREE OR DISCOUNTED PRESCRIPTIONS/SUPPLIES, TRANSPORTATION, MEDICAL EQUIPMENT, HOME CARE, HOME INFUSION, CALLSAFE FINANCIAL ASSISTANCE, HARVEST GATHERING FOOD DRIVE, MEALS ON WHEELS, AND CAR SEAT CHECKS. THE PURPOSE OF THE POPULATION HEALTH COMMITTEE OF THE LAKELAND BOARD OF DIRECTORS IS TO APPROVE THE ANNUAL COMMUNITY BENEFITS REPORT. IN ADDITION, THE COMMITTEE WORKS TO PROVIDE STRATEGIC GUIDANCE OVER EFFORTS TO IMPROVE THE HEALTH OF ALL PEOPLE WHO RESIDE IN LAKELAND'S SERVICE AREA, NOT JUST PATIENTS WHO RECEIVE CARE AT A LAKELAND FACILITY. NICKI BRITTEN, CHAIR, BERRIEN COUNTY HEALTH DEPT. JOSHUA COSNER, KINEXUS LOREN B. HAMEL, MD, SPECTRUM HEALTH LAKELAND FREDERICK JOHANSEN, MD, BERRIEN COUNTY HEALTH DEPT. LYNN KELLOGG, AREA AGENCY ON AGING ELIZABETH MCCREE, ATTORNEY PRACTICING IN BH ANNA MURPHY, UNITED WAY OF SW MICHIGAN DAVID SCHAFFER, KRUGEL LAWTON CPAA'S TIFFANY RUSSELL, NILES DISTRICT LIBRARY IN ACCORDANCE WITH IRS REQUIREMENTS, BELOW IS A SUMMARY OF THE IMPACT OF THE IMPLEMENTATION STRATEGY THAT WAS UNDERTAKEN TO ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA. * INCREASED MENTAL HEALTH AWARENESS AND COMMUNITY CAPACITY TO ADDRESS MENTAL HEALTH CONCERNS. MENTAL HEALTH-RELATED TRAININGS WERE PROVIDED TO OVER 110 ORGANIZATIONS AND REACHED MORE THAN 800 INDIVIDUALS. A COMPREHENSIVE MENTAL HEALTH-RELATED CURRICULUM WAS DEVELOPED AND IS BEING DELIVERED THROUGH A REGIONAL MULTI-STAKEHOLDER COLLECTIVE IMPACT INITIATIVE. MENTAL ILLNESS IS LESS STIGMATIZED AS EVIDENCED BY THE SIGNIFICANT INCREASE IN THE NUMBER OF COMMUNITY MEMBERS AND ORGANIZATIONS SEEKING EDUCATION AND TRAINING. * INCREASED COMMUNITY HEALTH EDUCATION PROVIDED IN "NON-TRADITIONAL" SETTINGS. THIS WAS ACHIEVED THROUGH THE DEVELOPMENT AND EXECUTION OF A NEIGHBORHOOD-BASED HEALTH HOME MODEL IN WHICH HEALTH EDUCATION IS PROVIDED IN "NON-TRADITIONAL" SETTINGS (E.G., BARBERSHOPS, PUBLIC HOUSING COMPLEXES COMMUNITY FOOD NETWORKS) THAT SERVE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. * DEVELOPED CULINARY SKILLS OF AND EXPANDED ACCESS TO NUTRITIOUS FOODS FOR MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND LIMITED ENGLISH PROFICIENCY RESIDENTS. THIS WAS ACHIEVED THROUGH THE IMPLEMENTATION OF TWO PROGRAMS: THE RX FOR HEALTH PROGRAM PROVIDED NUTRITION EDUCATION AND INCREASED ACCESS TO FRESH FRUITS AND VEGETABLES; AND THE COMMUNITY KITCHEN CLUB ADMINISTERED A CO-DESIGNED CURRICULUM THAT ENHANCED PARTICIPANTS' CULINARY SKILLS. * INCREASED COMMUNITY TRUST IN LAKELAND ASSOCIATES. THIS WAS ACHIEVED THROUGH THE CO-DESIGN AND IMPLEMENTATION OF COMMUNITY-DIRECTED PROGRAMMING. * INCREASED COMMUNITY CAPACITY FOR ADVOCACY AROUND ISSUES OF HOUSING AND PUBLIC SAFETY. WITH SUPPORT AND GUIDANCE FROM THE POPULATION HEALTH TEAM, RESIDENTS OF A NEIGHBORHOOD-BASED HEALTH HOME DEVELOPED THE CAPACITY TO HOLD PUBLIC AUTHORITIES ACCOUNTABLE FOR MEETING STATUTORILY MANDATED HOUSING NEEDS. * INCREASED ACCESS TO FRESHER AND HIGHER QUALITY SCHOOL MEALS. THIS RESULTED FROM A PLATE WASTE PROJECT UNDERTAKEN BY HIGH SCHOOL STUDENTS, THE RESULTS OF WHICH INFORMED A REVISION OF THE SCHOOL MEAL PROGRAM.
Schedule H, Part VI, Line 6 Affiliated health care system	THE ORGANIZATION IS PART OF LAKELAND REGIONAL HEALTH SYSTEM WHICH SERVES THE SAME GEOGRAPHIC AREA FOR HEALTHCARE RELATED SERVICES.
Schedule H, Part VI, Line 7 State filing of community benefit report	MI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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
LOREN HAMEL MD
PRESIDENT & CEO	$508,000	$0	$0	$0	$2,661,131	$0	$20,053	$0	$4,954	$0	$3,194,138	$0	$0	$0
J DOUGLAS HUGGETT
DIRECTOR, PHYSICIAN	$550,014	$0	$4,247	$0	$36,048	$0	$16,985	$0	$4,464	$0	$611,758	$0	$0	$0
NATALIE BAGGIO
VP - PATIENT CARE CNE	$235,100	$0	$24,444	$0	$22,128	$0	$4,660	$0	$2,962	$0	$289,294	$0	$0	$0
TIMOTHY CALHOUN
VP - FINANCE & CFO	$364,832	$0	$36,478	$0	$41,018	$0	$16,628	$0	$7,514	$0	$466,470	$0	$0	$0
RAY CRUSE
VP - STRATEGY & HOSPITALITY	$237,100	$0	$24,658	$0	$25,266	$0	$14,444	$0	$3,623	$0	$305,091	$0	$0	$0
MELINDA GRUBER
VP - POST ACUTE CARE SERVICES	$164,600	$0	$8,554	$0	$17,464	$0	$9,589	$0	$13,282	$0	$213,489	$0	$0	$0
LOWELL HAMEL MD
VP - MEDICAL AFFAIRS	$305,344	$0	$30,530	$0	$56,866	$0	$15,992	$0	$5,482	$0	$414,214	$0	$0	$0
KENNETH O'NEILL
VP - CLINICAL INTEGRATION	$284,294	$0	$13,727	$0	$61,224	$0	$16,399	$0	$6,840	$0	$382,484	$0	$0	$0
MARY ANN PATER
VP - LEGAL & GENERAL COUNCIL	$233,929	$0	$11,738	$0	$29,493	$0	$13,319	$0	$7,101	$0	$295,580	$0	$0	$0
NORMA TIRADO-KELLENBERGER
VP - IT & HR SERVICES	$285,219	$0	$29,072	$0	$8,133	$0	$13,974	$0	$5,945	$0	$342,343	$0	$0	$0
KENDALL TROYER
VP - OP DIAG & QUALITY	$208,208	$0	$10,406	$0	$9,194	$0	$12,266	$0	$15,302	$0	$255,376	$0	$0	$0
WARREN WHITE
VP - LAKELAND PHYSICIAN PRACTICES	$240,656	$0	$24,059	$0	$8,961	$0	$13,974	$0	$5,945	$0	$293,595	$0	$0	$0
BRANDI SMITH-GORDON
VP - PHILANTHROPY & FOUNDATION PRESIDENT	$178,464	$0	$8,922	$0	$983	$0	$3,584	$0	$14,207	$0	$206,160	$0	$0	$0
KOUROSH BAGHELAI
PHYSICIAN	$344,250	$0	$91,259	$0	$41,109	$0	$0	$0	$7,849	$0	$484,467	$0	$0	$0
STEPHEN DICKSON
PHYSICIAN	$280,385	$0	$5,000	$0	$22,897	$0	$0	$0	$6,164	$0	$314,446	$0	$0	$0
ROBIN SARKAR
VP - INFORMATION SERVICES	$242,300	$0	$7,108	$0	$14,082	$0	$9,240	$0	$7,766	$0	$280,496	$0	$0	$0
MICHELINO MANCINI
CHIEF ACADEMIC OFFICER	$212,347	$0	$360	$0	$25,848	$0	$6,219	$0	$0	$0	$244,774	$0	$0	$0
DILIP ARORA
PHYSICIAN	$192,230	$0	$720	$0	$2,611	$0	$0	$0	$2,912	$0	$198,473	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	FormAndLineReferenceDesc
Explanation	LAKELAND MAINTAINS A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE PLAN ARE: LOREN HAMEL, MD; TIMOTHY CALHOUN; RAY CRUSE; LOWELL HAMEL, MD; KENNEHT O'NEILL, MD; MARY ANN PATER; NORMA TIRADO-KELLENBERGER; WARREN WHITE; BRANDI SMITH-GORDON; NATALIE BAGGIO; MELINDA GRAHAM-GRUBER	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI)
A	383151499	790678CC8	2003-12-17	$41,525,000	REFUND BONDS ISSUED 1/13/1994 AND FACILITY CONSTRUCTION AND IMPROVEMENTS	false	false	false
HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI)
B	383151499	790678CD6	2006-01-26	$50,000,000	FACILITY CONSTRUCTION AND IMPROVEMENTS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$17,843,043	$41,643,043	$193,091	$31,392,506	$10,057,446	2004	Yes (true)	false	Yes (true)	Yes (true)
B	$14,713,405	$52,613,405	$467,500	$1,012,738	$51,133,167	2007	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.0	false	false	false
B	false	false	false		false	0.0	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
UBS AG
A	false	false	Yes (true)	false	Yes (true)	Yes (true)	28.0	false	false	false	false	false
UBS AG
B	Yes (true)				Yes (true)	Yes (true)	28.9	false	false	Yes (true)	false	false	CITIGROUP GLOBAL MA	3.0	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (a) RECONCILIATION OF BOND PROCEEDS - LINE 1	TOTAL ISSUED PROCEEDS: 41,643,043 MINUS ISSUANCE COSTS: 193,091 MINUS WORKING CAPITAL EXPENDITURES: 31,392,506 EQUALS CAPITAL EXPENDITURES FROM PROCEEDS: 10,057,446
Schedule K, Part I, Column (b) RECONCILIATION OF BOND PROCEEDS - LINE 2	TOTAL PROCEEDS ISSUED: 52,613,405 MINUS ISSUANCE COSTS: 467,500 MINUS WORKING CAPITAL EXPENDITURES: 1,012,738 EQUALS CAPITAL EXPENDITURES FROM PROCEEDS: 51,133,167

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LYNN TODMAN
FAMILY	$146,344	SEE SCH. L, PART V	false
INEZ BONIFACE
FAMILY	$88,972	SEE SCH. L, PART V	false
PHILLIP COOPER
FAMILY	$88,947	SEE SCH. L, PART V	false
DANIELLE ARNOLD
FAMILY	$45,089	SEE SCH. L, PART V	false
JENNIFER MAIER
FAMILY	$31,568	SEE SCH. L, PART V	false

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule L, Part V FAMILY RELATIONSHIPS WITH INTERESTED PERSONS	MR. MICHAEL TODMAN, A MEMBER OF THE BOARD OF DIRECTORS, HAS A SPOUSE THAT IS EMPLOYED BY THE ORGANIZATION (PART IV, LINE 1).
Schedule L, Part V FAMILY RELATIONSHIPS WITH INTERESTED PERSONS	MR. LOWELL HAMEL, AN OFFICER OF THE ORGANIZATION, HAS A DAUGHTER THAT is EMPLOYED BY THE ORGANIZATION (PART IV, LINE 4).
Schedule L, Part V FAMILY RELATIONSHIPS WITH INTERESTED PERSONS	MR. LOREN HAMEL, AN OFFICER AND DIRECTOR OF THE ORGANIZATION, HAS A SON AND SISTER-IN-LAW THAT ARE EMPLOYED BY THE ORGANIZATION (PART IV, LINE 2, 3).
Schedule L, Part V FAMILY RELATIONSHIPS WITH INTERESTED PERSONS	MR. TIMOTHY CALHOUN, AN OFFICER OF THE ORGANIZATION, HAS A DAUGHTER THAT IS EMPLOYED BY THE ORGANIZATION (PART IV, LINE 5).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	LOREN HAMEL, MD AND LOWELL HAMEL, MD - FAMILY RELATONSHIP
Form 990, Part VI, Line 11b Review of form 990 by governing body	A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. THE REVIEW PROCESS FOR THIS FORM 990 IS AS FOLLOWS: 1. PREPARATION OF THE RETURN IS SUPERVISED AND REVIEWED BY THE ORGANIZATION'S CORPORATE TAX MANAGER. 2. A SECOND REVIEW IS PERFORMED BY AN EXTERNAL CPA FIRM WITH EXPERTISE IN TAX-EXEMPT RETURN PREPARATION. 3. THE RETURN IS REVIEWED BY THE ORGANIZATION'S FINANCE AND LEGAL DEPARTMENTS (INCLUDING THE CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER AND CORPORATE CONTROLLER) AND SHARED WITH THE MEMBERS OF THE FINANCE AND AUDIT COMMITTEE AND BOARD OF DIRECTORS. 4. THE ORGANIZATION'S VICE PRESIDENT, FINANCE REVIEWS COMMENTS OR QUESTIONS RECEIVED BY MEMBERS OF THE BOARD OF DIRECTORS, IF ANY, TO ADDRESS OR TO INCORPORATE, AS APPROPRIATE, INTO THE RETURN PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT, THROUGH THE GOVERNANCE COMMITTEE, COMPLIES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES, AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE ASKED TO RESIGN.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	AN INDEPENDENT FIRM IS HIRED BY THE BOARD TO DETERMINE COMPENSATION PACKAGES FOR THE CEO AND SENIOR MANAGEMENT ON AN ANNUAL BASIS. THE FIRM PRESENTS COMPARATIVE PAY RANGES AND COMPENSATION RECOMMENDATIONS TO THE GOVERNANCE (COMPENSATION) COMMITTEE FOR THEIR APPROVAL. FOR SENIOR MANAGEMENT, THE CEO CAN PROVIDE INPUT AND RECOMMENDATIONS TO THE GOVERNANCE COMMITTEE. FOR THE CEO'S COMPENSATION, THE GOVERNANCE COMMITTEE PRESENTS THE COMPENSATION PACKAGE TO THE FULL BOARD FOR APPROVAL. WRITTEN CONTRACTS FOR THE CEO ARE APPROVED BY THE FULL BOARD OF DIRECTORS. THE GOVERNANCE COMMITTEE USED THE 2017 COMPENSATION SURVEY DATA TO DETERMINE 2018 COMPENSATION PACKAGES AND INCREASED IT BY 2% TO DETERMINE THE 2019 COMPENSATION PACKAGES.
Form 990, Part VI, Line 19 Required documents available to the public	THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
Form 990, Part VII, Section A REPORTED COMPENSATION AND HOURS	THE COMPENSATION REPORTED FOR EMPLOYEES OF THE ORGANIZATION IS NOT FOR SERVICES IN THEIR CAPACITY AS MEMBERS OF THE BOARD OF DIRECTORS BUT FOR SERVICES AS EMPLOYEES OF THE HEALTH SYSTEM. CERTAIN DIRECTORS WERE PAID REASONABLE COMPENSATION FOR THEIR SERVICES AS MEMBERS OF THE BOARD.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Unrealized Gain (Loss) SWAP Valuation - -6455389; Allocation of Expenses to Related Parties - -376885; Transfers to Related Organizations - -16537427; Transfer of Great Lakes Hearth & Vascular - -616225; Other Changes in unrestricted net assets - -59757;
Form 990, Part XII, Line 2c OVERSIGHT OF AUDIT	THERE HAS BEEN NO CHANGE IN THE AUDIT OVERSIGHT PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 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
LAKELAND REGIONAL HEALTH SYSTEM INC
1234 NAPIER AVE	ST JOSEPH	MI	49085	382609624	PROMOTE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITY	MI	501(c)(3)	Type III-FI	NA	false
LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	383452303	LONGTERM HEALTHCARE/HEALING SERVICES	MI	501(c)(3)	3	LAKELAND REGIONAL HEALTH SYSTEM INC	false
LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	382539929	PROMOTE AND ASSIST IN PROVIDING HEALTH CARE	MI	501(c)(3)	7	LAKELAND REGIONAL HEALTH SYSTEM INC	false
LAKELAND HEALTH FOUNDATION NILES
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	383130558	PROMOTE/ASSIST IN PROVIDING HEALTH CARE SERVICES IN SOUTHWESTERN MICHIGAN	MI	501(c)(3)	7	LAKELAND REGIONAL HEALTH SYSTEM INC	false
MERCY MEMORIAL HEALTH SERVICES INC
4368 CLEVELAND AVENUE	STEVENSVILLE	MI	49127	382748035	PROMOTE HOMECARE AND LONG-TERM HEALTHCARE TO PATIENTS IN SOUTHWEST MICHIGAN	MI	501(c)(3)	10	LAKELAND REGIONAL HEALTH SYSTEM INC	false
LAKELAND COMMUNITY HOSPITAL - WATERVLIET
400 MEDICAL PARK DRIVE	WATERVLIET	MI	49098	381368745	TO PROVIDE GENERAL HEALTH OF THE COMMUNITY THROUGH EDUCATION AND HEALTHCARE	MI	501(c)(3)	3	LAKELAND REGIONAL HEALTH SYSTEM INC	false
HOSPICE AT HOME INC
4025 HEALTH PARK LANE	ST JOSEPH	MI	49085	382416086	TO PROVIDE HOSPICE AND PALLIATIVE CARE TO THE TERMINALLY ILL	MI	501(c)(3)	7	LAKELAND REGIONAL HEALTH SYSTEM INC	false
SPECTRUM HEALTH SYSTEM
100 MICHIGAN ST NE MC 498	GRAND RAPIDS	MI	49503	383382353	MANAGEMENT	MI	501(c)(3)	Type III-FI	na	false
SPECTRUM HEALTH HOSPITALS
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	381360529	HEALTHCARE	MI	501(c)(3)	3	SPECTRUM HEALTH SYSTEM	false
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION
212 S SULLIVAN AVENUE	FREMONT	MI	49412	381359517	HEALTHCARE	MI	501(c)(3)	3	SPECTRUM HEALTH SYSTEM	false
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
ONE ATKINSON DRIVE	LUDINGTON	MI	49431	381359266	HEALTHCARE	MI	501(c)(3)	3	SPECTRUM HEALTH SYSTEM	false
MECOSTA COUNTY MEDICAL CENTER
605 OAK STREET	BIG RAPIDS	MI	49307	381368744	HEALTHCARE	MI	501(c)(3)	3	SPECTRUM HEALTH SYSTEM	false
REED CITY HOSPITAL CORPORATION
300 N PATTERSON RD	REED CITY	MI	49677	382770076	HEALTHCARE	MI	501(c)(3)	3	SPECTRUM HEALTH SYSTEM	false
PENNOCK HOSPITAL
1009 WEST GREEN STREET	HASTINGS	MI	49058	381360562	HEALTHCARE	MI	501(c)(3)	3	SPECTRUM HEALTH SYSTEM	false
SPECTRUM HEALTH UNITED
615 S BOWER	GREENVILLE	MI	48838	381358412	HEALTHCARE	MI	501(c)(3)	3	SPECTRUM HEALTH SYSTEM	false
SPECTRUM HEALTH KELSEY
615 S BOWER	GREENVILLE	MI	48838	381297435	HEALTHCARE	MI	501(c)(3)	3	SPECTRUM HEALTH UNITED	false
ZEELAND COMMUNITY HOSPITAL
8333 FELCH STREET	ZEELAND	MI	49464	381411184	HEALTHCARE	MI	501(c)(3)	3	SPECTRUM HEALTH SYSTEM	false
SPECTRUM HEALTH CONTINUING CARE
750 FULLER AVE NE	GRAND RAPIDS	MI	49503	383242232	REHAB/CARE	MI	501(c)(3)	10	SPECTRUM HEALTH SYSTEM	false
SPECTRUM HEALTH CONTINUING CARE CENTER
750 FULLER AVE NE	GRAND RAPIDS	MI	49503	382415333	REHAB/NRS	MI	501(c)(3)	10	SPECTRUM HEALTH CONTINUING CARE	false
SPECTRUM HEALTH WORTH SERVICES
750 FULLER AVE NE	GRAND RAPIDS	MI	49503	382786617	HEALTHCARE	MI	501(c)(3)	10	SPECTRUM HEALTH CONTINUING CARE	false
VISITING NURSE SERVICES OF WESTERN MICHIGAN
750 FULLER AVE NE	GRAND RAPIDS	MI	49503	381359195	HEALTHCARE	MI	501(c)(3)	10	SPECTRUM HEALTH CONTINUING CARE	false
SPECTRUM HEALTH FOUNDATION
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	382752328	PHILANTHROPY	MI	501(c)(3)	7	SPECTRUM HEALTH SYSTEM	false
SPECTRUM HEALTH PRIMARY CARE PARTNERS
1840 WEALTHY ST SE	GRAND RAPIDS	MI	49506	381358164	HEALTHCARE	MI	501(c)(3)	3	SPECTRUM HEALTH SYSTEM	false
PRIORITY HEALTH
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	382715520	HMO	MI	501(c)(4)		SPECTRUM HEALTH SYSTEM	false
TRINITY HEALTH PLANS
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	382663747	HMO MGMT	MI	501(c)(4)		PRIORITY HEALTH	false
PRIORITY HEALTH CHOICE INC
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	320016523	HMO (MEDICAID)	MI	501(c)(3)	10	PRIORITY HEALTH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	WEST MICHIGAN ACCOUNTABLE CARE ORGANIZATION LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	221 MICHIGAN ST NE STE 501	AddressLine1Txt
City	GRAND RAPIDS	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49503	ZIPCd

Field	Value	IRS element (for citing)
EIN	833153113	EIN
Primary Activities	ACCOUNTABLE CARE ORGANIZATION	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SPECTRUM HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
LAKELAND HEALTH ENTERPRISES INC
31 NORTH ST JOSEPH AVENUE	NILES	MI	49120	382669798	ACCOUNTING AND BILLING	MI	LAKELAND REGIONAL HEALTH SYSTEM INC	C Corporation	false
PHARMACY SHOPPE INC DBA LAKELAND PHARMACY SHOPPE INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	382929090	PHARMACEUTICALS	MI	LAKELAND HEALTH ENTERPRISES INC	C Corporation	false
LAKELAND MEDICAL PRACTICES
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	270381199	MEDICAL ADMINISTRATIVE SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	C Corporation	false
SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	272589359	PHYSICIAN OFFICE	MI	LAKELAND HEALTH ENTERPRISES INC	C Corporation	false
FOUR FLAGS PROPERTIES INC
122 GRANT STREET	NILES	MI	49120	364501639	PROPERTY MANAGEMENT/RENTAL	MI	LAKELAND HEALTH ENTERPRISES INC	C Corporation	false
LAKELAND HEALTH VENTURES INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	272313790	HOLDING COMPANY	MI	LAKELAND HEALTH ENTERPRISES INC	C Corporation	false
LAKELAND PHYSICIAN CARE NETWORK
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	208513031	MEDICAL SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	C Corporation	false
LAKELAND PERSONAL CARE SERVICES INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	272990797	HEALTH CARE SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	C Corporation	false
PRIORITY HEALTH INSURANCE COMPANY
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	201529553	INSURANCE	MI	NA	C Corporation	false
PRIORITY HEALTH MANAGED BENEFITS
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	383085182	THIRD PARTY ADMINISTRATOR	MI	NA	C Corporation	false
WEST MICHIGAN HEART
1840 WEALTHY STREET SE	GRAND RAPIDS	MI	49506	382125186	PHYSICIANS	MI	NA	C Corporation	false
SPECTRUM HEALTH PHYSICIAN ALLIANCE
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	371655728	PHYSICIANS	MI	NA	C Corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part II IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:	FormAndLineReferenceDesc
Explanation	NAME OF RELATED ORGANIZATIONS: LAKELAND HEALTH FOUNDATION, NILES PRIMARY ACTIVITY: PROMOTE/ASSIST IN PROVIDING HEALTH CARE SERVICES IN SOUTHWESTERN MICHIGAN NAME OF RELATED ORGANIZATION: MERCY MEMORIAL HEALTH SERVICES, INC. PRIMARY ACTIVITY: PROVIDE HOMECARE AND LONG-TERM HEALTHCARE TO PATIENTS IN SOUTHWEST MICHIGAN	ExplanationTxt