2019-08-12T09:30:48-05:00 2018-09-30 135381590 BDO USA LLP 200 OTTAWA AVE NW SUITE 300 GRAND RAPIDS MI 49503 990 2017-10-01 382156872 Lakeland Hospitals at Niles and St Joseph Inc LAKE 2699838166 1234 Napier Avenue Saint Joseph MI 49085 TIMOTHY CALHOUN VP - FINANCE & CFO 2019-08-12 true JACOB COOK P01240455 6167747000 2019-06-27 2017 2019-02-21 02:37:17Z Lakeland Health LOREN HAMEL MD 1234 Napier Avenue Saint Joseph MI 49085 448937655 false X WWW.LAKELANDHEALTH.ORG X 1985 MI TO ENHANCE HEALTH AND SERVE OUR COMMUNITY. 15 12 3311 432 4051866 0 2268432 1171086 404190165 412168408 16735938 35057645 331996 311765 423526531 448708904 0 0 0 0 175836307 188176290 0 0 0 200661935 213429358 376498242 401605648 47028289 47103256 838418382 869224591 182856482 178556338 655561900 690668253 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. false false 296845687 408116542 HOSPITAL SERVICES PROVIDED TO 14,446 INPATIENTS AND 471,204 OUTPATIENTS FOR FISCAL YEAR 2018. 296845687 true true false false false false false false false true false false false true false true true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true false false false true 115 0 true 3311 true true true false false false false false true false false false X 15 12 true false false false false false false true true false false true true true true true true true true false MI X HEATHER LALLO 2695567123 3776 Hollywood Road St Joseph MI 49085 DANIEL HOPP CHAIRMAN 2.0 2.0 X X 0 0 0 TERRENCE ALLEN VICE CHAIRMAN 1.0 1.0 X X 0 0 0 DAVID SCHAFFER SECRETARY/TREASURER 2.0 2.0 X X 0 0 0 LOREN HAMEL MD PRESIDENT & CEO 15.0 35.0 X X 875584 0 9345 NICKI BRITTEN DIRECTOR 1.0 1.0 X 0 0 0 ANNE BUCKLEITNER DIRECTOR 1.0 3.0 X 0 0 0 LYNN GRAY DIRECTOR 1.0 1.0 X 24000 0 0 DEBORAH HABENICHT MD DIRECTOR 1.0 49.0 X 0 402693 16050 GEORGE HEENAN DIRECTOR 1.0 1.0 X 0 0 0 J DOUGLAS HUGGETT DIRECTOR, PHYSICIAN 49.0 1.0 X 412762 0 3344 CAREY MARTIN DIRECTOR 1.0 1.0 X 0 0 0 SCOTT SMITH DIRECTOR 1.0 2.0 X 0 0 0 MICHAEL TODMAN DIRECTOR 1.0 1.0 X 0 0 0 THOMAS YEAGER DIRECTOR 1.0 1.0 X 0 0 0 CHRISTINE VANLANDINGHAM DIRECTOR 1.0 3.0 X 0 0 0 MELINDA GRUBER VP - POST ACUTE CARE SERVICES 30.0 20.0 X 159969 11531 5686 TIMOTHY CALHOUN VP - FINANCE & CFO 15.0 35.0 X 450576 0 9345 MARY ANN PATER VP - LEGAL & GENERAL COUNCIL 47.0 3.0 X 253839 0 9016 KENDALL TROYER VP - OP DIAG & QUALITY 49.0 1.0 X 231601 0 18271 RAY CRUSE VP - STRATEGY & HOSPITALITY 25.0 25.0 X 298073 0 4791 LOWELL HAMEL MD VP - MEDICAL AFFAIRS 50.0 0 X 402378 0 7600 KENNETH O'NEILL VP - CLINICAL INTERGRATION 50.0 0 X 348979 0 9016 NORMA TIRADO-KELLENBERGER VP - IT & HR SERVICES 50.0 0 X 353747 0 9666 WARREN WHITE VP - LAKELAND PHYSICIAN PRACTICES 50.0 0 X 294069 0 23244 NATALIE BAGGIO VP - PATIENT CARE CNE 50.0 0 X 134135 0 1572 BRANDI SMITH-GORDON VP - PHILANTHROPY AND FOUNDATION PRESIDENT 5.0 45.0 X 161130 0 5866 MICHELINO MANCINI EM RESIDENCY PROGRAM DIRECTOR 50.0 0 X 225055 0 0 PAUL KONOPACKI ASSISTANT VP OF FINANCE 50.0 0 X 195095 0 25337 CHRISTOPHER KUHLMANN CHIEF COMPLIANCE AND INTEGRITY OFFICER 50.0 0 X 179103 0 26611 DEBBIE LULL CHIEF NURSING OFFICER POST ACUTE CARE AND DIRECTOR NURSING PINE RIDGE 50.0 0 X 166833 0 25676 JAMES SCHLAMAN EXECUTIVE DIRECTOR DIAGNOSTIC SERVICES 50.0 0 X 165706 0 27672 5332634 414224 238108 96 false true false MALL CITY MECHANICAL INC 7184 DOUGLAS AVE KALAMAZOO MI 49009 CONSTRUCTION 4229998 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 ELECTRONIC HEALTH RECORD SYSTEM 3170359 SUNSET COAST ANESTHESIA ASSOCIATES 1234 NAPIER AVE ST JOSEPH MI 49085 ANESTHESIA SERVICES 2382905 CLIENT FINANCIAL SERVICES OF MI LLC 209 S ALLOY DR FENTON MI 48430 BILLING AND COLLECTIONS 1684909 PINE REST CHRISTIAN MENTAL HEALTH SERVICES 300 68TH SE GRAND RAPIDS MI 495010165 MENTAL HEALTH SERVICES 1457957 55 1171086 1171086 PATIENT SERVICE REVENUE 541380 410192404 406342210 3850194 OTHER OPERATING REVENUE 541380 1976004 1774332 201672 0 0 0 0 412168408 35286396 35286396 311765 311765 0 311765 311765 0 228751 -228751 0 -228751 -228751 0 0 0 0 0 448708904 408116542 4051866 35369410 4376842 3151326 1225516 142356646 102496785 39859861 7772775 5596398 2176377 22945779 16520961 6424818 10724248 7721459 3002789 300621 300621 332354 332354 14879848 10713491 4166357 0 748979 539265 209714 115662 83277 32385 10317200 7428384 2888816 6049453 4355606 1693847 793581 571378 222203 3858057 2777801 1080256 24472246 17620017 6852229 3467417 2496540 970877 SUPPLIES & DRUGS 82409748 59335019 23074729 PROVISION FOR BAD DEBTS 15040031 10828822 4211209 PHYSICIAN RELATIONS 15367881 15367881 QAAP ASSESSMENTS 13722699 13722699 21553581 15518578 6035003 0 401605648 296845687 104759961 0 100444215 66647651 28741825 29742999 0 0 0 6475621 6921202 7643947 10374201 585482204 284236427 244545296 301245777 434063749 428358703 0 0 16503729 25934058 838418382 869224591 36826289 39005285 91527637 87879000 0 54502556 51672053 182856482 178556338 X 652912216 688573669 2649684 2094584 655561900 690668253 838418382 869224591 X 47103256 -8266950 -3729953 X false true X true false X 5145020 5145020 196544269 90986757 105557512 410717 287519 123198 280811724 192962151 87849573 102570474 102570474 301245777 PROVISION FOR MEDICAL MALPRACTICE 21300000 PROVISION FOR DEFERRED COMPENSATION 5596059 PROVISION FOR POST RETIREMENT BENEFIT 6692563 INTEREST RATE SWAP AGREEMENTS 12472152 DUE TO RELATED PARTIES 5611279 COST REPORT SETTLEMENT PAYABLE RETAINAGE 51672053 430551585 -8266950 -8719283 -16986233 447537818 1171086 1171086 448708904 386565617 0 0 386565617 15040031 15040031 401605648 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 true true X true X 250 false true true false true true 1 9061 2872045 0 2872045 0.0074 1 81422 82863165 62536923 20326242 0.0526 0 0 0 0 0 0.0 2 90483 85735210 62536923 23198287 0.0600 482 101077 3798432 704 3797728 0.0098 315 379 3144328 0 3144328 0.0081 0 0 0 0 0 0.0 1 110 94960 0 94960 0.0002 707 3686 155070 0 155070 0.0004 1505 105252 7192790 704 7192086 0.0186 1507 195735 92928000 62537627 30390373 0.0786 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 1 94 16751 0 16751 0.0000 25 262 1177 0 1177 0.0000 0 0 0 0 0 0.0 25 10 3433 0 3433 0.0000 51 366 21361 0 21361 0.0001 true 15040031 5559487 109155007 126225324 -17070317 X true true 2 1 LAKELAND HOSPITALS AT ST JOSEPH 1234 NAPIER AVENUE ST JOSEPH MI 49085 1060000010 X X X X A 2 LAKELAND HOSPITALS AT NILES 31 N SAINT JOSEPH AVENUE NILES MI 49120 1060000065 X X X X A A false false true X X X X X X X X X 16 true true true true X HTTP://www.lakelandhealth.org/health-wellness/community-health-and-wellness/community-health-needs-a X true 16 true HTTP://www.lakelandhealth.org/health-wellness/community-health-and-wellness/community-health-needs-a false true X 250.0 X X X X X X true true X X X X true X https://www.lakelandhealth.org/ X https://www.lakelandhealth.org/ X https://www.lakelandhealth.org/ X X X X X X true X false X X X X true X false false 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. 0 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 X X X X false true false false false false false false false LOREN HAMEL MD PRESIDENT & CEO 641140 0 187512 0 46932 0 0 0 9345 0 884929 0 0 0 DEBORAH HABENICHT MD DIRECTOR 0 250016 0 146478 0 6199 0 16050 0 0 0 418743 0 0 J DOUGLAS HUGGETT DIRECTOR, PHYSICIAN 380779 0 29488 0 2495 0 0 0 3344 0 416106 0 0 0 MELINDA GRUBER VP - POST ACUTE CARE SERVICES 140743 11081 11600 0 7626 450 0 0 5310 376 165279 11907 0 0 TIMOTHY CALHOUN VP - FINANCE & CFO 361352 0 69534 0 19690 0 0 0 9345 0 459921 0 0 0 MARY ANN PATER VP - LEGAL & GENERAL COUNCIL 221040 0 21414 0 11385 0 0 0 9016 0 262855 0 0 0 KENDALL TROYER VP - OP DIAG & QUALITY 207384 0 19968 0 4249 0 0 0 18271 0 249872 0 0 0 RAY CRUSE VP - STRATEGY & HOSPITALITY 241644 0 47174 0 9255 0 0 0 4791 0 302864 0 0 0 LOWELL HAMEL MD VP - MEDICAL AFFAIRS 293052 0 58290 0 51036 0 0 0 7600 0 409978 0 0 0 KENNETH O'NEILL VP - CLINICAL INTERGRATION 277746 0 25880 0 45353 0 0 0 9016 0 357995 0 0 0 NORMA TIRADO-KELLENBERGER VP - IT & HR SERVICES 283240 0 56451 0 14056 0 0 0 9666 0 363413 0 0 0 WARREN WHITE VP - LAKELAND PHYSICIAN PRACTICES 234400 0 46717 0 12952 0 13899 0 9345 0 317313 0 0 0 BRANDI SMITH-GORDON VP - PHILANTHROPY AND FOUNDATION PRESIDENT 149152 0 8969 0 3009 0 2712 0 3154 0 166996 0 0 0 MICHELINO MANCINI EM RESIDENCY PROGRAM DIRECTOR 206827 0 1476 0 16752 0 0 0 0 0 225055 0 0 0 PAUL KONOPACKI ASSISTANT VP OF FINANCE 185595 0 9500 0 0 0 7266 0 18071 0 220432 0 0 0 CHRISTOPHER KUHLMANN CHIEF COMPLIANCE AND INTEGRITY OFFICER 170440 0 8663 0 0 0 8540 0 18071 0 205714 0 0 0 DEBBIE LULL CHIEF NURSING OFFICER POST ACUTE CARE AND DIRECTOR NURSING PINE RIDGE 152800 0 1920 0 12113 0 9014 0 16662 0 192509 0 0 0 JAMES SCHLAMAN EXECUTIVE DIRECTOR DIAGNOSTIC SERVICES 161635 0 1956 0 2115 0 9601 0 18071 0 193378 0 0 0 Schedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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 A HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI) 383151499 790678CC8 2003-12-17 41525000 REFUND BONDS ISSUED 1/13/94 AND FACILITY CONSTRUCTION AND IMPROVEMENTS false false false B HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI) 383151499 790678CD6 2006-01-26 50000000 FACILITY CONSTRUCTION AND IMPROVEMENTS false false false A 16418043 41643043 193091 31392506 10057446 2004 true false true true B 13613405 52613405 467500 1012738 51133167 2007 false false true true A false false true true false 0.0 false false false B false false false false 0.0 false false false A false false true false true true UBS AG 28.0 false false false false false B true true true UBS AG 28.9 false false true CITIGROUIP GLOBAL MA 3.0 true false false A false B false 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 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. 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 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 false true true false false false false false false false true false false false true false true true false Schedule R, Part II IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS 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