COREWELL HEALTH: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: COREWELL HEALTH (EIN 38-2156872)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-12
IRS object ID: 201942249349301004
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-12T09:30:48-05:00	ReturnTs
Tax Period End	2018-09-30	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	2017-10-01	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	TIMOTHY CALHOUN	PersonNm
Person Title	VP - FINANCE & CFO	PersonTitleTxt
Signature	2019-08-12	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
Preparation	2019-06-27	PreparationDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$448,937,655	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 ENHANCE HEALTH AND SERVE OUR COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3311	TotalEmployeeCnt
Total Volunteers	432	TotalVolunteersCnt
Total Gross UBI	$4,051,866	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,268,432	PYContributionsGrantsAmt
CY Contributions Grants	$1,171,086	CYContributionsGrantsAmt
PY Program Service Revenue	$404,190,165	PYProgramServiceRevenueAmt
CY Program Service Revenue	$412,168,408	CYProgramServiceRevenueAmt
PY Investment Income	$16,735,938	PYInvestmentIncomeAmt
CY Investment Income	$35,057,645	CYInvestmentIncomeAmt
PY Other Revenue	$331,996	PYOtherRevenueAmt
CY Other Revenue	$311,765	CYOtherRevenueAmt
PY Total Revenue	$423,526,531	PYTotalRevenueAmt
CY Total Revenue	$448,708,904	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	$175,836,307	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$188,176,290	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$200,661,935	PYOtherExpensesAmt
CY Other Expenses	$213,429,358	CYOtherExpensesAmt
PY Total Expenses	$376,498,242	PYTotalExpensesAmt
CY Total Expenses	$401,605,648	CYTotalExpensesAmt
PY Revenues Less Expenses	$47,028,289	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$47,103,256	CYRevenuesLessExpensesAmt
Total Assets BOY	$838,418,382	TotalAssetsBOYAmt
Total Assets EOY	$869,224,591	TotalAssetsEOYAmt
Total Liabilities BOY	$182,856,482	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$178,556,338	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$655,561,900	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$690,668,253	NetAssetsOrFundBalancesEOYAmt
Mission	LAKELAND HOSPITAL IS A 339 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	$296,845,687	ExpenseAmt
Revenue	$408,116,542	RevenueAmt
Desc	HOSPITAL SERVICES PROVIDED TO 14,446 INPATIENTS AND 471,204 OUTPATIENTS FOR FISCAL YEAR 2018.	Desc
Total Program Service Expenses	$296,845,687	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	Yes (true)	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	false	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	115	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3311	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	2695567123	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3776 Hollywood Road	AddressLine1Txt
City	St Joseph	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49085	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 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
TERRENCE ALLEN
VICE CHAIRMAN	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID SCHAFFER
SECRETARY/TREASURER	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
LOREN HAMEL MD
PRESIDENT & CEO	15.0	35.0	Yes (X)	Yes (X)	$875,584	$0	$9,345
NICKI BRITTEN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
ANNE BUCKLEITNER
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
LYNN GRAY
DIRECTOR	1.0	1.0	Yes (X)		$24,000	$0	$0
DEBORAH HABENICHT MD
DIRECTOR	1.0	49.0	Yes (X)		$0	$402,693	$16,050
GEORGE HEENAN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
J DOUGLAS HUGGETT
DIRECTOR, PHYSICIAN	49.0	1.0	Yes (X)		$412,762	$0	$3,344
CAREY MARTIN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
SCOTT SMITH
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
MICHAEL TODMAN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
THOMAS YEAGER
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
CHRISTINE VANLANDINGHAM
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
MELINDA GRUBER
VP - POST ACUTE CARE SERVICES	30.0	20.0		Yes (X)	$159,969	$11,531	$5,686
TIMOTHY CALHOUN
VP - FINANCE & CFO	15.0	35.0		Yes (X)	$450,576	$0	$9,345
MARY ANN PATER
VP - LEGAL & GENERAL COUNCIL	47.0	3.0		Yes (X)	$253,839	$0	$9,016
KENDALL TROYER
VP - OP DIAG & QUALITY	49.0	1.0		Yes (X)	$231,601	$0	$18,271
RAY CRUSE
VP - STRATEGY & HOSPITALITY	25.0	25.0		Yes (X)	$298,073	$0	$4,791
LOWELL HAMEL MD
VP - MEDICAL AFFAIRS	50.0	0		Yes (X)	$402,378	$0	$7,600
KENNETH O'NEILL
VP - CLINICAL INTERGRATION	50.0	0		Yes (X)	$348,979	$0	$9,016
NORMA TIRADO-KELLENBERGER
VP - IT & HR SERVICES	50.0	0		Yes (X)	$353,747	$0	$9,666
WARREN WHITE
VP - LAKELAND PHYSICIAN PRACTICES	50.0	0		Yes (X)	$294,069	$0	$23,244
NATALIE BAGGIO
VP - PATIENT CARE CNE	50.0	0		Yes (X)	$134,135	$0	$1,572
BRANDI SMITH-GORDON
VP - PHILANTHROPY AND FOUNDATION PRESIDENT	5.0	45.0			$161,130	$0	$5,866	Yes (X)
MICHELINO MANCINI
EM RESIDENCY PROGRAM DIRECTOR	50.0	0			$225,055	$0	$0		Yes (X)
PAUL KONOPACKI
ASSISTANT VP OF FINANCE	50.0	0			$195,095	$0	$25,337		Yes (X)
CHRISTOPHER KUHLMANN
CHIEF COMPLIANCE AND INTEGRITY OFFICER	50.0	0			$179,103	$0	$26,611		Yes (X)
DEBBIE LULL
CHIEF NURSING OFFICER POST ACUTE CARE AND DIRECTOR NURSING PINE RIDGE	50.0	0			$166,833	$0	$25,676		Yes (X)
JAMES SCHLAMAN
EXECUTIVE DIRECTOR DIAGNOSTIC SERVICES	50.0	0			$165,706	$0	$27,672		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,332,634	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$414,224	TotReportableCompRltdOrgAmt
Total Other Compensation	$238,108	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	96	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	$4,229,998
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	ELECTRONIC HEALTH RECORD SYSTEM	$3,170,359
SUNSET COAST ANESTHESIA ASSOCIATES
1234 NAPIER AVE	ST JOSEPH	MI	49085	ANESTHESIA SERVICES	$2,382,905
CLIENT FINANCIAL SERVICES OF MI LLC
209 S ALLOY DR	FENTON	MI	48430	BILLING AND COLLECTIONS	$1,684,909
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 68TH SE	GRAND RAPIDS	MI	495010165	MENTAL HEALTH SERVICES	$1,457,957

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	55	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,171,086	RelatedOrganizationsAmt
Total Contributions	$1,171,086	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	541380	$410,192,404	$406,342,210	$3,850,194
OTHER OPERATING REVENUE	541380	$1,976,004	$1,774,332	$201,672

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	$412,168,408	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,286,396	TotalRevenueColumnAmt
Exclusion	$35,286,396	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$311,765	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$311,765	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$311,765	TotalRevenueColumnAmt
Exclusion	$311,765	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$228,751	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$228,751	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$228,751	TotalRevenueColumnAmt
Exclusion	-$228,751	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	$448,708,904	TotalRevenueColumnAmt
Related Or Exempt Func Income	$408,116,542	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,051,866	UnrelatedBusinessRevenueAmt
Exclusion	$35,369,410	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,376,842	TotalAmt
Program Services	$3,151,326	ProgramServicesAmt
Management And General	$1,225,516	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$142,356,646	TotalAmt
Program Services	$102,496,785	ProgramServicesAmt
Management And General	$39,859,861	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,772,775	TotalAmt
Program Services	$5,596,398	ProgramServicesAmt
Management And General	$2,176,377	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,945,779	TotalAmt
Program Services	$16,520,961	ProgramServicesAmt
Management And General	$6,424,818	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,724,248	TotalAmt
Program Services	$7,721,459	ProgramServicesAmt
Management And General	$3,002,789	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$300,621	TotalAmt
Management And General	$300,621	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$332,354	TotalAmt
Management And General	$332,354	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,879,848	TotalAmt
Program Services	$10,713,491	ProgramServicesAmt
Management And General	$4,166,357	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$748,979	TotalAmt
Program Services	$539,265	ProgramServicesAmt
Management And General	$209,714	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$115,662	TotalAmt
Program Services	$83,277	ProgramServicesAmt
Management And General	$32,385	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,317,200	TotalAmt
Program Services	$7,428,384	ProgramServicesAmt
Management And General	$2,888,816	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,049,453	TotalAmt
Program Services	$4,355,606	ProgramServicesAmt
Management And General	$1,693,847	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$793,581	TotalAmt
Program Services	$571,378	ProgramServicesAmt
Management And General	$222,203	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,858,057	TotalAmt
Program Services	$2,777,801	ProgramServicesAmt
Management And General	$1,080,256	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,472,246	TotalAmt
Program Services	$17,620,017	ProgramServicesAmt
Management And General	$6,852,229	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,467,417	TotalAmt
Program Services	$2,496,540	ProgramServicesAmt
Management And General	$970,877	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES & DRUGS	$82,409,748	$59,335,019	$23,074,729
PROVISION FOR BAD DEBTS	$15,040,031	$10,828,822	$4,211,209
PHYSICIAN RELATIONS	$15,367,881	$15,367,881
QAAP ASSESSMENTS	$13,722,699	$13,722,699

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,553,581	TotalAmt
Program Services	$15,518,578	ProgramServicesAmt
Management And General	$6,035,003	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$401,605,648	TotalAmt
Program Services	$296,845,687	ProgramServicesAmt
Management And General	$104,759,961	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$100,444,215	BOYAmt
EOY	$66,647,651	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,741,825	BOYAmt
EOY	$29,742,999	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)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,475,621	BOYAmt
EOY	$6,921,202	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,643,947	BOYAmt
EOY	$10,374,201	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$585,482,204	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$284,236,427	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$244,545,296	BOYAmt
EOY	$301,245,777	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$434,063,749	BOYAmt
EOY	$428,358,703	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	$16,503,729	BOYAmt
EOY	$25,934,058	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$838,418,382	BOYAmt
EOY	$869,224,591	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$36,826,289	BOYAmt
EOY	$39,005,285	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,527,637	BOYAmt
EOY	$87,879,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$54,502,556	BOYAmt
EOY	$51,672,053	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$182,856,482	BOYAmt
EOY	$178,556,338	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$652,912,216	BOYAmt
EOY	$688,573,669	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,649,684	BOYAmt
EOY	$2,094,584	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$655,561,900	BOYAmt
EOY	$690,668,253	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$838,418,382	BOYAmt
EOY	$869,224,591	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$47,103,256	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$8,266,950	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,729,953	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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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

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	$196,544,269	OtherCostOrOtherBasisAmt
Depreciation	$90,986,757	DepreciationAmt
Book Value	$105,557,512	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$410,717	OtherCostOrOtherBasisAmt
Depreciation	$287,519	DepreciationAmt
Book Value	$123,198	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$280,811,724	OtherCostOrOtherBasisAmt
Depreciation	$192,962,151	DepreciationAmt
Book Value	$87,849,573	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$102,570,474	OtherCostOrOtherBasisAmt
Book Value	$102,570,474	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$301,245,777	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
PROVISION FOR MEDICAL MALPRACTICE	$21,300,000
PROVISION FOR DEFERRED COMPENSATION	$5,596,059
PROVISION FOR POST RETIREMENT BENEFIT	$6,692,563
INTEREST RATE SWAP AGREEMENTS	$12,472,152
DUE TO RELATED PARTIES	$5,611,279
COST REPORT SETTLEMENT PAYABLE
RETAINAGE

Field	Value	IRS element (for citing)
Total Liability	$51,672,053	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$430,551,585	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$8,266,950	NetUnrealizedGainsInvstAmt
Other Revenue	-$8,719,283	OtherRevenueAmt
Revenue Not Reported	-$16,986,233	RevenueNotReportedAmt
Revenue Subtotal	$447,537,818	RevenueSubtotalAmt
Other Revenues Not Included	$1,171,086	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,171,086	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$448,708,904	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$386,565,617	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$386,565,617	ExpensesSubtotalAmt
Other Expenses Not Included	$15,040,031	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$15,040,031	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$401,605,648	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 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 - 5274070 PROVISION FOR BAD DEBTS - -15040031 CHANGE IN INTEREST OF NET ASSETS OF CHARITABLE FOUNDATIONS - -595112 GAIN ON PACE LOAN - 1641790
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 - 1156879 CONTRIBUTION FROM LAKELAND HEALTH FOUNDATION, NILES - 14207
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	PROVISION FOR BAD DEBTS - 15040031

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	false	ExpensesExceedBudgetInd
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	9061	PersonsServedCnt
Total Community Benefit Expns	$2,872,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,872,045	NetCommunityBenefitExpnsAmt
Total Expense	0.0074	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	81422	PersonsServedCnt
Total Community Benefit Expns	$82,863,165	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,536,923	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,326,242	NetCommunityBenefitExpnsAmt
Total Expense	0.0526	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	90483	PersonsServedCnt
Total Community Benefit Expns	$85,735,210	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,536,923	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,198,287	NetCommunityBenefitExpnsAmt
Total Expense	0.0600	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	482	ActivitiesOrProgramsCnt
Persons Served	101077	PersonsServedCnt
Total Community Benefit Expns	$3,798,432	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$704	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,797,728	NetCommunityBenefitExpnsAmt
Total Expense	0.0098	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	315	ActivitiesOrProgramsCnt
Persons Served	379	PersonsServedCnt
Total Community Benefit Expns	$3,144,328	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,144,328	NetCommunityBenefitExpnsAmt
Total Expense	0.0081	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	110	PersonsServedCnt
Total Community Benefit Expns	$94,960	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$94,960	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	707	ActivitiesOrProgramsCnt
Persons Served	3686	PersonsServedCnt
Total Community Benefit Expns	$155,070	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$155,070	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1505	ActivitiesOrProgramsCnt
Persons Served	105252	PersonsServedCnt
Total Community Benefit Expns	$7,192,790	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$704	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,192,086	NetCommunityBenefitExpnsAmt
Total Expense	0.0186	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1507	ActivitiesOrProgramsCnt
Persons Served	195735	PersonsServedCnt
Total Community Benefit Expns	$92,928,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,537,627	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,390,373	NetCommunityBenefitExpnsAmt
Total Expense	0.0786	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	94	PersonsServedCnt
Total Community Benefit Expns	$16,751	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,751	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	262	PersonsServedCnt
Total Community Benefit Expns	$1,177	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,177	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	10	PersonsServedCnt
Total Community Benefit Expns	$3,433	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,433	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	51	ActivitiesOrProgramsCnt
Persons Served	366	PersonsServedCnt
Total Community Benefit Expns	$21,361	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,361	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,040,031	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,559,487	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$109,155,007	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$126,225,324	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$17,070,317	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	16	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	16	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
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.lakelandhealth.org/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.lakelandhealth.org/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.lakelandhealth.org/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - LAKELAND HOSPITALS AT ST. JOSEPH. THE 2016-2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE EFFORT THAT INCLUDED INPUT AND DATA FROM 1,300+ RESIDENTS OF BERRIEN, CASS, AND VAN BUREN COUNTIES WHICH MAKE UP LAKELAND'S SERVICE AREA AND REPRESENTS THE BROAD INTERESTS OF THE COMMUNITY RESIDENTS. MANY OF THE COMMUNITY BENEFIT COMMITTEE MEMBERS LISTED BELOW REPRESENT POPULATIONS AT-RISK SUCH AS THE MEDICALLY UNDESERVED, LOW INCOME AND MINORITY POPULATIONS WHICH TAKE INTO ACCOUNT TO ADDRESS HEALTH NEEDS THROUGH A SHARED VISION. PARTNERING ORGANIZATIONS INCLUDE: 1. AREA AGENCY ON AGING - REGION 4 2. BERRIEN COUNTY DEPARTMENT OF HUMAN SERVICES 3. BERRIEN COUNTY HEALTH DEPARTMENT 4. BERRIEN COUNTY INTERMEDIATE SCHOOL DISTRICTS 5. SOUTHWEST MICHIGAN PLANNING COMMISSION 6. UNITED WAY OF SOUTHWEST MICHIGAN 7. YMCA - BENTON HARBOR/ST. JOSEPH 8. YMCA - BUCHANAN/NILES IN ADDITION, LAKELAND HEALTH HAS BEEN ACTIVE IN THE IMPORTANT INITIATIVE BE HEALTHY BERRIEN. BE HEALTHY BERRIEN IS A COUNTY WIDE PARTNERSHIP WORKING TOGETHER TO REDUCE OBESITY AND CHRONIC ILLNESS THROUGH POLICY SYSTEMS AND ENVIRONMENTAL CHANGE.
Schedule H, Part V, Section B, Line 5 Facility A, 2	Facility A, 2 - LAKELAND HOSPITALS AT NILES. THE 2016-2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE EFFORT THAT INCLUDED INPUT AND DATA FROM 1,300+ RESIDENTS OF BERRIEN, CASS, AND VAN BUREN COUNTIES WHICH MAKE UP LAKELAND'S SERVICE AREA AND REPRESENTS THE BROAD INTERESTS OF THE COMMUNITY RESIDENTS. MANY OF THE COMMUNITY BENEFIT COMMITTEE MEMBERS LISTED BELOW REPRESENT POPULATIONS AT-RISK SUCH AS THE MEDICALLY UNDESERVED, LOW INCOME AND MINORITY POPULATIONS WHICH TAKE INTO ACCOUNT TO ADDRESS HEALTH NEEDS THROUGH A SHARED VISION. PARTNERING ORGANIZATIONS INCLUDE: 1. AREA AGENCY ON AGING - REGION 4 2. BERRIEN COUNTY DEPARTMENT OF HUMAN SERVICES 3. BERRIEN COUNTY HEALTH DEPARTMENT 4. BERRIEN COUNTY INTERMEDIATE SCHOOL DISTRICTS 5. SOUTHWEST MICHIGAN PLANNING COMMISSION 6. UNITED WAY OF SOUTHWEST MICHIGAN 7. YMCA - BENTON HARBOR/ST. JOSEPH 8. YMCA - BUCHANAN/NILES IN ADDITION, LAKELAND HEALTH HAS BEEN ACTIVE IN THE IMPORTANT INITIATIVE BE HEALTHY BERRIEN. BE HEALTHY BERRIEN IS A COUNTY WIDE PARTNERSHIP WORKING TOGETHER TO REDUCE OBESITY AND CHRONIC ILLNESS THROUGH POLICY SYSTEMS AND ENVIRONMENTAL CHANGE.
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: AREA AGENCY ON AGING, BERRIEN COUNTY DEPARTMENT OF HUMAN SERVICES, BERRIEN COUNTY HEALTH DEPARTMENT, BERRIEN COUNTY INTERMEDIATE SCHOOL DISTRICT, SOUTHWEST MICHIGAN PLANNING COMMISSION, UNITED WAY OF SOUTHWEST MICHIGAN, AND THE YMCA. 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: AREA AGENCY ON AGING, BERRIEN COUNTY DEPARTMENT OF HUMAN SERVICES, BERRIEN COUNTY HEALTH DEPARTMENT, BERRIEN COUNTY INTERMEDIATE SCHOOL DISTRICT, SOUTHWEST MICHIGAN PLANNING COMMISSION, UNITED WAY OF SOUTHWEST MICHIGAN, AND THE YMCA. 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 - LAKEALND HOSPITALS AT ST. JOSEPH. THE DETERMINED PRIORITY HEALTH NEEDS FROM THE CHNA FOR 2016-2019 FALL INTO FOUR BROAD CATEGORIES: 1. NEEDS THAT ARE RELATED TO SPECIFIC HEALTH FUNCTIONS; THEY INCLUDE MENTAL HEALTH, OBESITY, DIABETES, AND CARDIOVASCULAR CONDITIONS; 2. NEEDS THAT ARE A FUNCTION OF THE WAYS IN WHICH THE HEALTH SYSTEM OPERATES; THEY INCLUDE PROVIDER AVAILABILITY, COST OF CARE, AND HEALTH EDUCATION AND INFORMATION; 3. NEEDS THAT ARE SOCIAL DETERMINANTS OF GOOD HEALTH; AND 4. STRATEGIC USE OF RESOURCES - THE STRATEGY IS BASED ON THOUGHTFUL ACQUISITION AND UTILIZATION OF KEY RESOURCES WITH STATISTICS SUPPORTING IDENTIFIED NEEDS, LAKELAND HEALTH MADE THESE HEALTH CONCERNS A PRIORITY AND REMAINS VESTED ON POSITIVELY IMPACTING THE HEALTH OF OUR COMMUNITY WITH EXEMPLARY CARE THAT IS FOCUSED ON THE UNIQUE NEEDS OF PEOPLE LIVING AND WORKING IN BERRIEN COUNTY. FURTHERMORE, OUR IMPLEMENTATION STRATEGY SET THREE MAIN OBJECTIVES TO MEASURE COMMUNITY OUTCOMES: 1. PROMOTE HEALTHY LIFESTYLES; 2. DELIVER HEALTH EDUCATION PROGRAMS; AND 3. ACCESS TO AFFORDABLE HEALTHCARE.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - LAKELAND HOSPITALS AT NILES. THE DETERMINED PRIORITY HEALTH NEEDS FROM THE CHNA FOR 2016-2019 FALL INTO FOUR BROAD CATEGORIES: 1. NEEDS THAT ARE RELATED TO SPECIFIC HEALTH FUNCTIONS; THEY INCLUDE MENTAL HEALTH, OBESITY, DIABETES, AND CARDIOVASCULAR CONDITIONS; 2. NEEDS THAT ARE A FUNCTION OF THE WAYS IN WHICH THE HEALTH SYSTEM OPERATES; THEY INCLUDE PROVIDER AVAILABILITY, COST OF CARE, AND HEALTH EDUCATION AND INFORMATION; 3. NEEDS THAT ARE SOCIAL DETERMINANTS OF GOOD HEALTH; AND 4. STRATEGIC USE OF RESOURCES - THE STRATEGY IS BASED ON THOUGHTFUL ACQUISITION AND UTILIZATION OF KEY RESOURCES WITH STATISTICS SUPPORTING IDENTIFIED NEEDS, LAKELAND HEALTH MADE THESE HEALTH CONCERNS A PRIORITY AND REMAINS VESTED ON POSITIVELY IMPACTING THE HEALTH OF OUR COMMUNITY WITH EXEMPLARY CARE THAT IS FOCUSED ON THE UNIQUE NEEDS OF PEOPLE LIVING AND WORKING IN BERRIEN COUNTY. FURTHERMORE, OUR IMPLEMENTATION STRATEGY SET THREE MAIN OBJECTIVES TO MEASURE COMMUNITY OUTCOMES: 1. PROMOTE HEALTHY LIFESTYLES; 2. DELIVER HEALTH EDUCATION PROGRAMS; AND 3. ACCESS TO AFFORDABLE HEALTHCARE.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - LAKELAND HOSPITALS AT ST. JOSEPH. CATASTROPHIC QUALIFICATION: IF BALANCES ON ACCOUNT OVER THE PRIOR 12 MONTHS ARE GREATER THAN 25% OF ANNUAL INCOME; ACCOUNTS WITH THE 240 DAYS POST DISCHARGE STATEMENT QUALIFY FOR ADJUSTMENT TO AGB NOT TO EXCEED IN TOTAL 25% OF THE ANNUAL INCOME FOR BALANCE DUE.
Schedule H, Part V, Section B, Line 13 Facility A, 2	Facility A, 2 - LAKELAND HOSPITALS AT NILES. CATASTROPHIC QUALIFICATION: IF BALANCES ON ACCOUNT OVER THE PRIOR 12 MONTHS ARE GREATER THAN 25% OF ANNUAL INCOME; ACCOUNTS WITH THE 240 DAYS POST DISCHARGE STATEMENT QUALIFY FOR ADJUSTMENT TO AGB NOT TO EXCEED IN TOTAL 25% OF THE ANNUAL INCOME FOR BALANCE DUE.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B FACILITY REPORTING GROUP A	FACILITY REPORTING GROUP A CONSISTS OF: FACILITY 2: LAKELAND HOSPITALS AT NILES FACILITY 1: LAKELAND HOSPITALS AT ST. JOSEPH
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 $15,040,031 IN FY 2018 OR THE SURPLUS OF MEDICARE, WHICH TOTALED $-8,712,208. 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, Line 16a FAP AVAILABLE WEBSITE	https://www.lakelandhealth.org//patient-visitor-guide/patient/billing/financial-assistance
Schedule H, Part V, Section B, Line 16b FAP APPLICATION WEBSITE	https://www.lakelandhealth.org//patient-visitor-guide/patient/billing/financial-assistance
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.lakelandhealth.org//patient-visitor-guide/patient/billing/financial-assistance
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	15040031
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	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.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE TOTAL BAD DEBT EXPENSE OF $15,040,031 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	ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES ARE BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. PATIENT CHARGES WRITTEN OFF PURSUANT TO FINANCIAL ASSISTANCE POLICIES ARE TRACKED AND ARE DETERMINED TO BE COMMUNITY BENEFIT.
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.lakelandhealth.org/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - LAKELAND HOSPITALS AT ST. JOSEPH: Line 16b URL: https://www.lakelandhealth.org/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - LAKELAND HOSPITALS AT ST. JOSEPH: Line 16c URL: https://www.lakelandhealth.org/;
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	THE SYSTEM SERVES APPROXIMATELY 284,000 RESIDENTS IN BERRIEN COUNTY AND SURROUNDING AREAS. APPROXIMATELY 17% ARE BELOW POVERTY LEVEL.
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.
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	$641,140	$0	$187,512	$0	$46,932	$0	$0	$0	$9,345	$0	$884,929	$0	$0	$0
DEBORAH HABENICHT MD
DIRECTOR	$0	$250,016	$0	$146,478	$0	$6,199	$0	$16,050	$0	$0	$0	$418,743	$0	$0
J DOUGLAS HUGGETT
DIRECTOR, PHYSICIAN	$380,779	$0	$29,488	$0	$2,495	$0	$0	$0	$3,344	$0	$416,106	$0	$0	$0
MELINDA GRUBER
VP - POST ACUTE CARE SERVICES	$140,743	$11,081	$11,600	$0	$7,626	$450	$0	$0	$5,310	$376	$165,279	$11,907	$0	$0
TIMOTHY CALHOUN
VP - FINANCE & CFO	$361,352	$0	$69,534	$0	$19,690	$0	$0	$0	$9,345	$0	$459,921	$0	$0	$0
MARY ANN PATER
VP - LEGAL & GENERAL COUNCIL	$221,040	$0	$21,414	$0	$11,385	$0	$0	$0	$9,016	$0	$262,855	$0	$0	$0
KENDALL TROYER
VP - OP DIAG & QUALITY	$207,384	$0	$19,968	$0	$4,249	$0	$0	$0	$18,271	$0	$249,872	$0	$0	$0
RAY CRUSE
VP - STRATEGY & HOSPITALITY	$241,644	$0	$47,174	$0	$9,255	$0	$0	$0	$4,791	$0	$302,864	$0	$0	$0
LOWELL HAMEL MD
VP - MEDICAL AFFAIRS	$293,052	$0	$58,290	$0	$51,036	$0	$0	$0	$7,600	$0	$409,978	$0	$0	$0
KENNETH O'NEILL
VP - CLINICAL INTERGRATION	$277,746	$0	$25,880	$0	$45,353	$0	$0	$0	$9,016	$0	$357,995	$0	$0	$0
NORMA TIRADO-KELLENBERGER
VP - IT & HR SERVICES	$283,240	$0	$56,451	$0	$14,056	$0	$0	$0	$9,666	$0	$363,413	$0	$0	$0
WARREN WHITE
VP - LAKELAND PHYSICIAN PRACTICES	$234,400	$0	$46,717	$0	$12,952	$0	$13,899	$0	$9,345	$0	$317,313	$0	$0	$0
BRANDI SMITH-GORDON
VP - PHILANTHROPY AND FOUNDATION PRESIDENT	$149,152	$0	$8,969	$0	$3,009	$0	$2,712	$0	$3,154	$0	$166,996	$0	$0	$0
MICHELINO MANCINI
EM RESIDENCY PROGRAM DIRECTOR	$206,827	$0	$1,476	$0	$16,752	$0	$0	$0	$0	$0	$225,055	$0	$0	$0
PAUL KONOPACKI
ASSISTANT VP OF FINANCE	$185,595	$0	$9,500	$0	$0	$0	$7,266	$0	$18,071	$0	$220,432	$0	$0	$0
CHRISTOPHER KUHLMANN
CHIEF COMPLIANCE AND INTEGRITY OFFICER	$170,440	$0	$8,663	$0	$0	$0	$8,540	$0	$18,071	$0	$205,714	$0	$0	$0
DEBBIE LULL
CHIEF NURSING OFFICER POST ACUTE CARE AND DIRECTOR NURSING PINE RIDGE	$152,800	$0	$1,920	$0	$12,113	$0	$9,014	$0	$16,662	$0	$192,509	$0	$0	$0
JAMES SCHLAMAN
EXECUTIVE DIRECTOR DIAGNOSTIC SERVICES	$161,635	$0	$1,956	$0	$2,115	$0	$9,601	$0	$18,071	$0	$193,378	$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 1/13/94 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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$16,418,043	$41,643,043	$193,091	$31,392,506	$10,057,446	2004	Yes (true)	false	Yes (true)	Yes (true)
B	$13,613,405	$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	CITIGROUIP 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 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 relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body	A COPY OF THE 990 HAS BEEN POSTED ON THE BOARD PORTAL FOR REVIEW PRIOR TO FILING. THE BOARD PORTAL IS AVAILABLE TO ALL BOARD MEMBERS.
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.
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 - 5274070; CHANGE IN INTEREST OF NET ASSETS OF CHARITABLE FOUNDATIONS - -595112; ALLOCATION OF EXPENSES TO RELATED PARTIES - -791075; TRANSFERS TO RELATED ORGANIZATIONS - -9245548; GAIN ON PACE LOAN - 1641790; CHANGE IN INTEREST OF PARTNERSHIP - -14078;
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 (7 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	PROVIDE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITY	MI	501(c)(3)	Type II	NA	false
LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER
1234 NAPIER AVE	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 AVE	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 AVE	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
3425 LAKESHORE DRIVE	ST JOSEPH	MI	49085	382748035	PROVIDE HOMECARE AND LONG-TERM HEALTHCARE TO PATIENTS IN SOUTHWESTN 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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 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 AVE	ST JOSEPH	MI	49085	382929090	PHARMACEUTICALS	MI	LAKELAND HEALTH ENTERPRISES INC	C Corporation	false
LAKELAND MEDICAL PRACTICES
1234 NAPIER AVE	ST JOSEPH	MI	49085	270381199	MEDICAL ADMINISTRATIVE SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	C Corporation	false
SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC
1234 NAPIER AVE	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 AVE	ST JOSEPH	MI	49085	272313790	HOLDING COMPANY	MI	LAKELAND HEALTH ENTERPRISES INC	C Corporation	false
LAKELAND PHYSICIAN CARE NETWORK
1234 NAPIER AVE	ST JOSEPH	MI	49085	208513031	MEDICAL SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	C Corporation	false
LAKELAND PERSONAL CARE SERVICES INC
1234 NAPIER AVE	ST JOSEPH	MI	49085	272990797	HEALTH CARE SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	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	Yes (true)	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	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	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 ORGANIZATION: 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