2020-07-30T11:00:38-05:00 2019-09-30 135381590 BDO USA LLP 200 Ottawa Ave NW Suite 300 Grand Rapids MI 49503 990 2018-10-01 382748035 Mercy Memorial Health Services Inc MERC 2699836501 4368 Cleveland Avenue Stevensville MI 49127 PAUL KONOPACKI VP - Finance & CFO 2020-07-30 true Jacob Cook P01240455 6167747000 2018 2020-11-19 02:30:22Z Pine Ridge A Rehabilitation & Nursing Center MELINDA GRUBER 1234 NAPIER AVENUE ST JOSEPH MI 49085 11914093 false X WWW.LAKELANDHEALTH.ORG X 1987 MI TO IMPROVE HEALTH, INSPIRE HOPE AND SAVE LIVES. 3 0 178 54 0 0 0 0 10983943 11914034 2 59 0 0 10983945 11914093 0 0 0 6941474 7567357 0 0 0 4610347 4153276 11551821 11720633 -567876 193460 11721351 11912704 8576069 8573962 3145282 3338742 TO IMPROVE HEALTH, INSPIRE HOPE AND SAVE LIVES. false false 10102534 11914034 REHABILITATION & NURSING HOME OPERATIONS WERE PROVIDED TO 104 PATIENTS DURING FISCAL YEAR 2019. 10102534 true false false false false false false true false true false false false true false false true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false true 11 0 true 178 true false false false false false false false false false false false false X 3 0 false false false false false false false true true false false true true true true true true false false false X Frank Samuel 2694282416 1234 Napier Avenue St Joseph MI 49085 MELINDA GRUBER CHAIR 2.0 48.0 X X 0 190618 22871 MARY ANN PATER SECRETARY 1.0 49.0 X X 0 275160 20420 TIMOTHY CALHOUN TREASURER 4.0 46.0 X X 0 442328 24142 LOREN HAMEL MD PRESIDENT & CEO 6.0 44.0 X 0 3169131 25007 DEBBIE LULL CHIEF NURSING OFFICER POST ACUTE CARE 50.0 0 X 111714 41810 19198 PATRICK MCQUONE ADMINISTRATOR PINE RIDGE 50.0 0 X 108389 0 5444 KENDALL TROYER FORMER TREASURER 0.0 50.0 X 0 227808 27568 220103 4346855 144650 2 true true false REHABCARE GROUP 7733 FORSYTH BLVD SUITE 1700 ST LOUIS MO 63105 THERAPY SERVICES 878517 1 0 PATIENT SERVICE REVENUE 621400 11908556 11908556 OTHER OPERATING REVENUE 621400 5478 5478 0 0 0 0 11914034 59 59 0 0 0 0 0 0 0 0 0 11914093 11914034 0 59 6010780 5109163 901617 182418 155055 27363 941538 800307 141231 432621 367728 64893 325 325 3900 3900 1103950 938358 165592 0 1550 1318 232 9566 8131 1435 139885 118902 20983 896 762 134 232771 197855 34916 357076 303515 53561 35903 30518 5385 SUPPLIES AND DRUGS 1026460 872491 153969 QAAP ASSESSMENTS 805021 805021 PROVISION FOR BAD DEBTS 152222 152222 REPAIRS AND MAINTENANCE 111127 94458 16669 172624 146730 25894 0 11720633 10102534 1618099 0 1482291 735964 1200546 2181580 0 0 0 0 19329 15046 10843413 2203768 8993233 8639645 0 0 25952 340469 11721351 11912704 857954 971978 7266445 6966583 0 0 451670 635401 8576069 8573962 X 3145282 3338742 3145282 3338742 11721351 11912704 193460 0 X false true X true false X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10262005 10871177 9979236 10983943 11914034 54010395 0 0 0 10262005 10871177 9979236 10983943 11914034 54010395 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54010395 2 59 61 0 0 0 0 2 59 61 0 0 0 0 0 0 0 10262005 10871177 9979236 10983945 11914093 54010456 1.0000 1.0 0.0000 0.0 X 0 0 0 0 0 0 true 13380 31371 15879 28872 false 610891 610891 8358317 1204075 7154242 1874205 999693 874512 8639645 DUE TO RELATED PARTIES 635401 635401 11761871 -152222 -152222 11914093 0 0 11914093 11568411 0 0 11568411 152222 152222 11720633 Schedule D, Part IV, Line 1b Agent, trustee, custodian, or other intermediary arrangement MERCY MEMORIAL HEALTH SERVICES (EIN 38-2748035) ACTS AS A CUSTODIAN OF RESIDENT TRUST BANK ACCOUNTS. THESE BANK ACCOUNTS ARE USED FOR THE RESIDENT'S SPENDING DURING THEIR STAY FOR ITEMS SUCH AS ROOM & BOARD AND BARBER & BEAUTY SERVICES. THE FUNDS IN THE BANK ACCOUNTS COME FROM THE SOCIAL SECURITY ADMINISTRATION OR OTHER PERSONAL SOURCES. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 PROVISION FOR BAD DEBTS - -152222 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PROVISION FOR BAD DEBTS - 152222 false true false false false false false false false MELINDA GRUBER CHAIR 0 164600 0 8554 0 17464 0 9589 0 13282 0 213489 0 0 MARY ANN PATER SECRETARY 0 233929 0 11738 0 29493 0 13319 0 7101 0 295580 0 0 TIMOTHY CALHOUN TREASURER 0 364832 0 36478 0 41018 0 16628 0 7514 0 466470 0 0 KENDALL TROYER FORMER TREASURER 0 208208 0 10406 0 9194 0 12266 0 15302 0 255376 0 0 LOREN HAMEL MD PRESIDENT & CEO 0 508000 0 0 0 2661131 0 20053 0 4954 0 3194138 0 0 DEBBIE LULL CHIEF NURSING OFFICER POST ACUTE CARE 110994 37088 720 0 0 4722 9290 0 9908 0 130912 41810 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan LAKELAND MAINTAINS A 457F 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 MELINDA GRUBER MARY ANN PATER KENDALL TROYER TIMOTHY CALHOUN A HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI) 383151499 000000000 2012-09-06 8500000 NEW FACILITY CONSTRUCTION false false false A 1445000 8500000 105875 8394125 2012 false false true true A false false false false 0.0 false false false A true false false false false false A false Schedule K, Part I BOND ISSUE A THE $8.5 MILLION BOND ISSUE WAS A DIRECT PURCHASE BOND BY J.P. MORGAN CHASE. BOND PROCEEDS WERE DRAWN DURING CONSTRUCTION PERIOD TO BUILD A NEW FACILITY. Schedule K, Part II BOND PROCEEDS RECONCILIATION ISSUE PRICE OF BONDS: 8,500,000 SUBTRACT OUT ISSUE COSTS FROM PROCEEDS: 105,875 EQUALS EXPENDITURES FROM PROCEEDS: 8,394,125 Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE CEO AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION USES THE FOLLOWING PROCESS TO DETERMINE COMPENSATION. AN INDEPENDENT FIRM IS HIRED BY THE BOARD TO DETERMINE COMPENSATION PACKAGES FOR THE CEO AND SENIOR MANAGEMENT ON AN ANNUAL BASIS. THE FIRM PRESENTS COMPARATIVE PAY RANGES AND COMPENSATION RECOMMENDATIONS TO THE GOVERNANCE (COMPENSATION) COMMITTEE FOR THEIR APPROVAL. FOR SENIOR MANAGEMENT, THE CEO CAN PROVIDE INPUT AND RECOMMENDATIONS TO THE GOVERNANCE COMMITTEE. FOR THE CEO'S COMPENSATION, THE GOVERNANCE COMMITTEE PRESENTS THE COMPENSATION PACKAGE TO THE FULL BOARD FOR APPROVAL. WRITTEN CONTRACTS FOR THE CEO ARE APPROVED BY THE FULL BOARD OF DIRECTORS. THE GOVERNANCE COMMITTEE USED THE 2017 COMPENSATION SURVEY DATA TO DETERMINE 2018 COMPENSATION PACKAGES AND INCREASED IT BY 2% TO DETERMINE THE 2019 COMPENSATION PACKAGES. Form 990, Part VI, Line 11b Review of form 990 by governing body A copy of the Form 990 is provided to the Board of Directors prior to filing. The review process for this Form 990 is as follows: 1. Preparation of the return is supervised and reviewed by the Organization's Corporate Tax Manager. 2. A second review is performed by an external CPA firm with expertise in tax-exempt return preparation. 3. The returns are posted to the board portal for review prior to filing (the board portal is available to all board members). 4. The Organization's Vice President, Finance reviews comments or questions received by members of the Board of Directors, if any, to address or to incorporate, as appropriate, into the return prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE 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, COMPILES 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 19 Required documents available to the public THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. Form 990, Part XII, Line 2c OVERSIGHT OF THE AUDIT THERE HAS BEEN NO CHANGE IN THE AUDIT OVERSIGHT PROCESS FROM THE PRIOR YEAR. LAKELAND REGIONAL HEALTH SYSTEM INC 1234 NAPIER AVENUE ST JOSEPH MI 49085 382609624 PROVIDE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITY MI 501(c)(3) Type III-FI NA false LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC 1234 NAPIER AVENUE ST JOSEPH MI 49085 382156872 PROVIDE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITY MI 501(c)(3) 3 LAKELAND REGIONAL HEALTH SYSTEM INC false LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER 1234 NAPIER AVENUE ST JOSEPH MI 49085 383452303 LONGTERM HEALTHCARE/HEALING SERVICES MI 501(c)(3) 3 LAKELAND REGIONAL HEALTH SYSTEM INC false LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH 1234 NAPIER AVENUE ST JOSEPH MI 49085 382539929 PROMOTE AND ASSIST IN PROVIDING HEALTH CARE MI 501(c)(3) 7 LAKELAND REGIONAL HEALTH SYSTEM INC false LAKELAND HEALTH FOUNDATION NILES 1234 NAPIER AVENUE ST JOSEPH MI 49085 383130558 PROMOTE/ASSIST IN PROVIDING HEALTH CARE SERVICES IN SOUTHWESTERN MICHIGAN MI 501(c)(3) 7 LAKELAND REGIONAL HEALTH SYSTEM INC false LAKELAND COMMUNITY HOSPITAL - WATERVLIET 400 MEDICAL PARK DRIVE WATERVLIET MI 49098 381368745 TO PROVIDE GENERAL HEALTH OF THE COMMUNITY THROUGH EDUCATION AND HEALTHCARE MI 501(c)(3) 3 LAKELAND REGIONAL HEALTH SYSTEM INC false HOSPICE AT HOME INC 4025 HEALTH PARK LANE ST JOSEPH MI 49085 382416086 TO PROVIDE HOSPICE AND PALLIATIVE CARE TO THE TERMINALLY ILL MI 501(c)(3) 7 LAKELAND REGIONAL HEALTH SYSTEM INC false SPECTRUM HEALTH SYSTEM 100 MICHIGAN ST NE MC 498 GRAND RAPIDS MI 49503 383382353 MANAGEMENT MI 501(c)(3) Type III-FI na false SPECTRUM HEALTH HOSPITALS 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 381360529 HEALTHCARE MI 501(c)(3) 3 SPECTRUM HEALTH SYSTEM false NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION 212 S SULLIVAN AVENUE FREMONT MI 49412 381359517 HEALTHCARE MI 501(c)(3) 3 SPECTRUM HEALTH SYSTEM false MEMORIAL MEDICAL CENTER OF WEST MICHIGAN ONE ATKINSON DRIVE LUDINGTON MI 49431 381359266 HEALTHCARE MI 501(c)(3) 3 SPECTRUM HEALTH SYSTEM false MECOSTA COUNTY MEDICAL CENTER 605 OAK STREET BIG RAPIDS MI 49307 381368744 HEALTHCARE MI 501(c)(3) 3 SPECTRUM HEALTH SYSTEM false REED CITY HOSPITAL CORPORATION 300 N PATTERSON RD REED CITY MI 49677 382770076 HEALTHCARE MI 501(c)(3) 3 SPECTRUM HEALTH SYSTEM false PENNOCK HOSPITAL 1009 WEST GREEN STREET HASTINGS MI 49058 381360562 HEALTHCARE MI 501(c)(3) 3 SPECTRUM HEALTH SYSTEM false SPECTRUM HEALTH UNITED 615 S BOWER GREENVILLE MI 48838 381358412 HEALTHCARE MI 501(c)(3) 3 SPECTRUM HEALTH SYSTEM false SPECTRUM HEALTH KELSEY 615 S BOWER GREENVILLE MI 48838 381297435 HEALTHCARE MI 501(c)(3) 3 SPECTRUM HEALTH UNITED false ZEELAND COMMUNITY HOSPITAL 8333 FELCH STREET ZEELAND MI 49464 381411184 HEALTHCARE MI 501(c)(3) 3 SPECTRUM HEALTH SYSTEM false SPECTRUM HEALTH CONTINUING CARE 750 FULLER AVE NE GRAND RAPIDS MI 49503 383242232 REHAB/CARE MI 501(c)(3) 10 SPECTRUM HEALTH SYSTEM false SPECTRUM HEALTH CONTINUING CARE CENTER 750 FULLER AVE NE GRAND RAPIDS MI 49503 382415333 REHAB/NRS MI 501(c)(3) 10 SPECTRUM HEALTH CONTINUING CARE false SPECTRUM HEALTH WORTH SERVICES 750 FULLER AVE NE GRAND RAPIDS MI 49503 382786617 HEALTHCARE MI 501(c)(3) 10 SPECTRUM HEALTH CONTINUING CARE false VISITING NURSE SERVICES OF WESTERN MICHIGAN 750 FULLER AVE NE GRAND RAPIDS MI 49503 381359195 HEALTHCARE MI 501(c)(3) 10 SPECTRUM HEALTH CONTINUING CARE false SPECTRUM HEALTH FOUNDATION 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 382752328 PHILANTHROPY MI 501(c)(3) 7 SPECTRUM HEALTH SYSTEM false SPECTRUM HEALTH PRIMARY CARE PARTNERS 1840 WEALTHY ST SE GRAND RAPIDS MI 49506 381358164 HEALTHCARE MI 501(c)(3) 3 SPECTRUM HEALTH SYSTEM false PRIORITY HEALTH 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 382715520 HMO MI 501(c)(4) SPECTRUM HEALTH SYSTEM false TRINITY HEALTH PLANS 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 382663747 HMO MGMT MI 501(c)(4) PRIORITY HEALTH false PRIORITY HEALTH CHOICE INC 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 320016523 HMO (MEDICAID) MI 501(c)(3) 10 PRIORITY HEALTH false WEST MICHIGAN ACCOUNTABLE CARE ORGANIZATION LLC 221 MICHIGAN ST NE STE 501 GRAND RAPIDS MI 49503 833153113 ACCOUNTABLE CARE ORGANIZATION MI SPECTRUM HEALTH SYSTEM Related false 0 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 AVENUE ST JOSEPH MI 49085 382929090 PHARMACEUTICALS MI LAKELAND HEALTH ENTERPRISES INC C Corporation false LAKELAND MEDICAL PRACTICES 1234 NAPIER AVENUE ST JOSEPH MI 49085 270381199 MEDICAL ADMINISTRATIVE SERVICES MI LAKELAND HEALTH ENTERPRISES INC C Corporation false SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC 1234 NAPIER AVENUE ST JOSEPH MI 49085 272589359 PHYSICIAN OFFICE MI LAKELAND HEALTH ENTERPRISES INC C Corporation false FOUR FLAGS PROPERTIES INC 122 GRANT STREET NILES MI 49120 364501639 PROPERTY MANAGEMENT/RENTAL MI LAKELAND HEALTH ENTERPRISES INC C Corporation false LAKELAND HEALTH VENTURES INC 1234 NAPIER AVENUE ST JOSEPH MI 49085 272313790 HOLDING COMPANY MI LAKELAND HEALTH ENTERPRISES INC C Corporation false LAKELAND PHYSICIAN CARE NETWORK 1234 NAPIER AVENUE ST JOSEPH MI 49085 208513031 MEDICAL SERVICES MI LAKELAND HEALTH ENTERPRISES INC C Corporation false LAKELAND PERSONAL CARE SERVICES INC 1234 NAPIER AVENUE ST JOSEPH MI 49085 272990797 HEALTH CARE SERVICES MI LAKELAND HEALTH ENTERPRISES INC C Corporation false PRIORITY HEALTH INSURANCE COMPANY 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 201529553 INSURANCE MI NA C Corporation false PRIORITY HEALTH MANAGED BENEFITS 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 383085182 THIRD PARTY ADMINISTRATOR MI NA C Corporation false WEST MICHIGAN HEART 1840 WEALTHY STREET SE GRAND RAPIDS MI 49506 382125186 PHYSICIANS MI NA C Corporation false SPECTRUM HEALTH PHYSICIAN ALLIANCE 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 371655728 PHYSICIANS MI NA C Corporation false false false false false false false false false false false false false false false true true true false 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 Schedule R, Part IV IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST NAME OF RELATED ORGANIZATION: LAKELAND HEALTH ENTERPRISES, INC. DIRECT CONTROLLING ENTITY: LAKELAND REGIONAL HEALTH SYSTEM, INC. NAME OF RELATED ORGANIZATION: PHARMACY SHOPPE, INC. D/B/A LAKELAND PHARMACY SHOPPE, INC. DIRECT CONTROLLING ENTITY: LAKELAND HEALTH ENTERPRISES, INC. NAME OF RELATED ORGANIZATION: LAKELAND MEDICAL PRACTICES DIRECT CONTROLLING ENTITY: LAKELAND HEALTH ENTERPRISES NAME OF RELATED ORGANIZATION: SOUTHWESTERN MEDICAL CLINIC PHYSICIANS, INC. DIRECT CONTROLLING ENTITY: LAKELAND HEALTH ENTERPRISES, INC NAME OF RELATED ORGANIZATION: FOUR FLAGS PROPERTIES, INC. DIRECT CONTROLLING ENTITY: LAKELAND HEALTH ENTERPRISES, INC. NAME OF RELAED ORGANIZATION: LAKELAND HEALTH VENTURES, INC. DIRECT CONTROLLING ENTITY: LAKELAND HEALTH ENTERPRISES, INC. NAME OF RELATED ORGANIZATION: LAKELAND PHYSICIAN CARE NETWORK DIRECT CONTROLLING ENTITY: LAKELAND HEALTH ENTERPRISES, INC. NAME OF RELATED ORGANIZATION: LAKELAND PERSONAL CARE SERVICES, INC. DIRECT CONTROLLING ENTITY: LAKELAND HEALTH ENTERPRISES, INC.