2017-08-09T12:13:54-05:00 2016-09-30 381357951 PLANTE & MORAN PLLC 511 Renaissance Dr Ste 120 St Joseph MI 49085 990 2015-10-01 382156872 LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC LAKE 2699838166 1234 NAPIER AVE ST JOSEPH MI 49085 TIMOTHY CALHOUN VP - FINANCE & CFO 2699838166 2017-08-04 1 Kenley Penner CPA P00740260 2699828000 2017-08-04 2015 2021-01-29 14:40:06Z lakeland health LOREN HAMEL MD 1234 NAPIER AVE ST JOSEPH MI 49085 673936459 0 X lakelandhealth.org X 1985 MI 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. 19 17 3136 519 3424672 0 1209428 291671 366926054 395036659 30814041 7943456 308674 301169 399258197 403572955 0 0 0 0 163661389 171959644 0 0 0 177421518 193524866 341082907 365484510 58175290 38088445 745910961 788531275 188298145 184196446 557612816 604334829 TO ENHANCE HEALTH AND SERVE OUR COMMUNITY 0 0 268877420 391611987 HOSPITAL SERVICES PROVIDED TO 14,382 INPATIENTS AND 438,491 OUTPATIENTS. 268877420 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 110 0 1 3136 1 1 1 0 0 0 0 0 0 0 0 0 X 19 17 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X TIMOTHY J CALHOUN 2699838166 1234 NAPIER AVENUE st joseph MI 49085 DANIEL HOPP CHAIRMAN 8.00 10.00 X X 0 0 0 TERRENCE ALLEN VICE CHAIRMAN 4.00 4.00 X X 0 0 0 DAVID SCHAFFER SECRETARY/TREASURER 4.00 4.00 X X 0 0 0 LOREN B HAMEL MD PRESIDENT & CEO 15.00 40.00 X X 818576 0 56186 LENORE BECKER DIRECTOR 2.00 2.00 X 0 0 0 ANNA BUCKLEITNER DIRECTOR 2.00 2.00 X 0 0 0 LAURIANNE DAVIS DIRECTOR 2.00 2.00 X 0 0 0 BETH DODGE DIRECTOR 2.00 3.00 X 0 0 0 LYNN GRAY MD DIRECTOR 2.00 42.00 X 21875 0 0 PATRICIA HALL DIRECTOR 2.00 2.00 X 0 0 0 GLEN HASTINGS MD DIRECTOR 2.00 2.00 X 0 0 0 GEORGE HEENAN MD DIRECTOR 2.00 2.00 X 0 0 0 J DOUGLAS HUGGETT DO DIRECTOR 2.00 2.00 X 0 0 0 CAREY MARTIN DIRECTOR 2.00 2.00 X 0 0 0 MICHAEL MORTIMORE DIRECTOR 2.00 4.00 X 0 0 0 JEFFREY SCHMIDT DDS DIRECTOR 2.00 2.00 X 0 0 0 LINDA STANLEY MD DIRECTOR 2.00 2.00 X 0 0 0 CHRISTINE VANLANDINGHAM DIRECTOR 2.00 2.00 X 0 0 0 THOMAS YEAGER DIRECTOR 2.00 2.00 X 0 0 0 NIELS-ERIK ANDREASEN DIRECTOR - PART YEAR 2.00 2.00 X 0 0 0 KENDALL TROYER VP - OP DIAG & POST ACUTE 40.00 0.00 X 121836 58536 35872 TIMOTHY CALHOUN VP - FINANCE & CFO 15.00 35.00 X 424520 0 40988 RAY CRUSE VP - STRATEGY & HOSPITALIT 15.00 35.00 X 280554 0 27388 LOWELL HAMEL MD VP - MEDICAL AFFAIRS/MD 20.00 10.00 X 286737 0 38390 KENNETH O'NEILL MD VP - CLINICAL INTEGRATION/MD 2.00 42.00 X 197643 96283 29573 MARY ANN PATER VP - LEGAL & GENERAL COUNCIL 30.00 20.00 X 203440 0 25281 NORMA TIRADO-KELLENBERGER VP - IT & HR SERVICES 20.00 30.00 X 338357 0 30075 WARREN WHITE VP - MEDICAL PRACTICES 10.00 40.00 X 294176 0 29801 EILEEN WILLITS VP - PATIENT CARE CNE 20.00 30.00 X 304137 0 32946 DAVID BURGHART VP PHILANTHROPY 5.00 40.00 X 195139 0 24297 DENNIS THOMPSON PHYSICIAN 40.00 0.00 X 337841 0 18787 CHRISTOPHER KUHLMANN CHIEF COMP. & INTEG. OFFICER 40.00 0.00 X 162724 0 19776 ROBIN SARKAR ASP INFOR. SYS. & CIO 40.00 0.00 X 183938 0 9089 THOMAS FOLEY CLINICAL PHARMACIST 40.00 0.00 X 155731 0 14983 MICHELINO MANCINI EM RESIDENCY PROG DIR. & DME 40.00 0.00 X 191165 0 0 4518389 154819 433432 86 0 1 0 SUNSET COAST ANESTHESIA ASSOCIATES 1234 NAPIER AVE ST JOSEPH MI 49085 ANESTHESIA SERVICES 2525042 EPMG OF MICHIGAN PC 2000 GREEN ROAD SUITE 300 ANN ARBOR MI 48105 EMERGENCY ROOM SERVICES 1833774 ALLIANCE - HNI PETCT SERVICES PO BOX 402209 ATLANTA GA 30384 PET SCANNING RADIOLOGY SERVICES 1539302 EDEN ANESTHESIA SERVICES PC 900 PEELER STREET KALAMAZOO MI 49008 RADIOLOGY SERVICES 996648 SOUTH BEND MEDICAL FOUNDATION INC 530 N LAFAYETTE BOULEVARD SOUTH BEND IN 46601 LAB SERVICES 958923 32 245428 46243 291671 PATIENT SERVICE REVENUE (57% MEDI 541380 392812435 389588669 3223766 OTHER OPERATING REVENUE 541380 2224224 2023318 200906 395036659 8365305 8365305 301169 0 301169 301169 301169 269941655 269305678 1057826 635977 -1057826 -421849 -421849 403572955 391611987 3424672 8244625 3975163 2862117 1113046 127637414 91898938 35738476 4504205 3243028 1261177 26164379 18838353 7326026 9678483 6968508 2709975 243226 243226 274420 274420 1890461 1890461 12744166 9175800 3568366 743065 535007 208058 98592 70986 27606 7985520 5749574 2235946 5781950 4163004 1618946 738805 531940 206865 4823316 3472788 1350528 23933970 17232458 6701512 233628 168212 65416 SUPPLIES & DRUGS 73623785 53009125 20614660 PROVISION FOR BAD DEBTS 14816278 14816278 PHYSICIAN RELATIONS 13752024 9901457 3850567 QAAP ASSESSMENTS 11835183 11835183 20006477 14404664 5601813 365484510 268877420 96607090 0 102309998 130797360 29311250 19717636 7095253 6755881 5576849 7126591 479211116 256498953 220732243 222712163 361571160 385301862 19314208 16119782 745910961 788531275 30472154 33607174 98399915 95026275 59426076 55562997 188298145 184196446 X 556804652 603014610 808164 1320219 557612816 604334829 745910961 788531275 X 38088445 17398015 -8764447 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5145020 5145020 193966438 81298159 112668279 272999091 175200794 97798297 7100567 7100567 222712163 PROVISION FOR MEDICAL MALPRACTICE 15000000 Provision for Deferred Compensation 5222613 PROVISION FOR POSTRETIREMENT BENEFIT 7227650 INTEREST RATE SWAP AGREEMENTS 24048456 DUE TO RELATED PARTIES 4064278 55562997 401141090 17398015 -17693991 -295976 401437066 1890461 245428 2135889 403572955 348777771 0 348777771 1890461 14816278 16706739 365484510 Part XI, Line 2d - Other Adjustments: CHANGE IN FAIR VALUE OF SWAP AGREEMENT -3,550,805. Provision for Bad Debts -14,816,278. CHANGE IN INTEREST OF NET ASSETS OF CHARITABLE FOUNDATIONS 673,092. Part XI, Line 4b - Other Adjustments: contribution from lakeland health foundation, benton harbor/st. joseph 69,773. CONTRIBUTION FROM LAKELAND HEALTH FOUNDATION, NILES 175,655. Part XII, Line 4b - Other Adjustments: provision for Bad Debts 14,816,278. 1 1 X 1 X 1 X 1 1 0 1 1 1 8919 2354385 2354385 0.00640 1 83569 79734701 64548720 15185981 0.04160 2 92488 82089086 64548720 17540366 0.04800 674 117932 2584476 645 2583831 0.00710 130 1371 3349749 3349749 0.00920 1 23 40360 40360 0.00010 92 697 202356 202356 0.00060 897 120023 6176941 645 6176296 0.01700 899 212511 88266027 64549365 23716662 0.06500 2 105 1942 1942 0.00000 1 40 4117 4117 0.00000 2 98 896 896 0.00000 3 199 1329 1329 0.00000 14 37 2012 2012 0.00000 22 479 10296 10296 1 14816278 5674501 113659157 118898010 -5238853 X 1 0 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 FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 15 1 1 1 1 X HTTP://WWW.LAKELANDHEALTH.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-AND-WELLNESS X 1 15 1 HTTP://WWW.LAKELANDHEALTH.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-AND-WELLNESS 0 0 1 X 150.000000000000 250.000000000000 X X X X X 1 1 X X X X 1 X HTTP://WWW.LAKELANDHEALTH.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCI X HTTP://WWW.LAKELANDHEALTH.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCI X HTTP://WWW.LAKELANDHEALTH.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCI X X X X X X 1 X 0 X X X 1 X 0 0 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 Group A-Facility 2 -- LAKELAND HOSPITALS AT NILES Part V, Section B, line 5: THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE EFFORT THAT INCLUDED INPUT AND DATA FROM STAKEHOLDERS AND ORGANIZATIONS THROUGHOUT BERRIEN COUNTY REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY RESIDENTS. MANY OF THE COMMUNITY BENEFIT COMMITTEE MEMBERS LISTED BELOW REPRESENT POPULATIONS AT-RISK SUCH AS THE MEDICALLY UNDERSERVED, 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 42. BERRIEN COUNTY CANCER SERVICES3. BERRIEN COUNTY HEALTH DEPARTMENT4. REGIONAL EDUCATION SERVICE AGENCY (RESA)5. SALVATION ARMY IN BENTON HARBOR6. SOUTHWEST MICHIGAN PLANNING COMMISSION7. UNITED WAY OF SOUTHWEST MICHIGAN8. YMCA - BENTON HARBOR/ST. JOSEPH9. YMCA - BUCHANAN/NILESPLEASE NOTE: THE LAKELAND WEBSITE LISTS THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS A 2012 DOCUMENT. IN ACTUALITY, THE DATA USED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS FROM 2012, DOCUMENT WRITTEN IN MID-2013 AND APPROVED BY THE LAKELAND BOARD ON AUGUST 19, 2013. LAKELAND HEALTH FISCAL CYCLE IS OCTOBER 1 - SEPTEMBER 30. (THE CHNA AND IMPLEMENTATION STRATEGY COVERS FISCAL YEARS: 2013-14, 2014-15, AND 2015-16). THE SECOND CHNA IS CURRENTLY BEING WRITTEN AND PROPOSED FOR APPROVAL IN AUGUST 2016. Group A-Facility 2 -- LAKELAND HOSPITALS AT NILES Part V, Section B, line 6a: LAKELAND HOSPITAL - NILES, LAKELAND HOSPITAL - WATERVLIET, AND LAKELAND MEDICAL CENTER, ST. JOSEPH Group A-Facility 2 -- LAKELAND HOSPITALS AT NILES Part V, Section B, line 6b: LAKELAND HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN JOINT COLLABORATION WITH THE BERRIEN COUNTY HEALTH DEPARTMENT, IN PARTNERSHIP WITH THE MICHIGAN STATE UNIVERSITY INSTITUTE FOR PUBLIC POLICY AND SOCIAL RESEARCH. OTHER DATA USED IN THE NEEDS ASSESSMENT INCLUDED COUNTY HEALTH RANKINGS AND ROADMAPS FUNDED BY ROBERT WOOD JOHNSON FOUNDATION (RWJF) IN COLLABORATION WITH THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. Group A-Facility 2 -- LAKELAND HOSPITALS AT NILES Part V, Section B, line 11: LAKELAND HEALTH IDENTIFIED FOUR (4) UNMET COMMUNITY NEEDS IN THE FOLLOWING AREAS:1. CARDIOVASCULAR DISEASE2. CANCER3. DIABETES4. OBESITYWITH 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 Group A-Facility 2 -- LAKELAND HOSPITALS AT NILES Part V, Section B, line 16i: THE FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP WERE TRANSLATED INTO THE PRIMARY LANGUAGE(S) SPOKEN BY LEP POPULATIONS. FAP CAN BE FOUND AT HTTP://WWW.LAKELANDHEALTH.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE. THE FAP IS ALSO REFERENCED ON BILLING STATEMENTS, BROCHURES LOCATED THROUGHOUT THE HOSPITAL, DISCHARGE PACKETS, SERVICE CALLS AND STATEMENT MAILINGS. Group A-Facility 2 -- LAKELAND HOSPITALS AT NILES Part V, Section B, line 22d: BASED ON FPL LEVEL, BALANCES WERE DISCOUNTED AS % OF CHARGES. FPL LEVELS: 0-150 (100% DISCOUNT), 151-175 (75% DISCOUNT), 176-200 (50% DISCOUNT), 201-225 (25% DISCOUNT), <250% FOR UNINSURED (115% OF MEDICARE RATE). Group A-Facility 1 -- LAKELAND HOSPITALS AT ST. JOSEPH Part V, Section B, line 5: THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE EFFORT THAT INCLUDED INPUT AND DATA FROM STAKEHOLDERS AND ORGANIZATIONS THROUGHOUT BERRIEN COUNTY REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY RESIDENTS. MANY OF THE COMMUNITY BENEFIT COMMITTEE MEMBERS LISTED BELOW REPRESENT POPULATIONS AT-RISK SUCH AS THE MEDICALLY UNDERSERVED, 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 42. BERRIEN COUNTY CANCER SERVICES3. BERRIEN COUNTY HEALTH DEPARTMENT4. REGIONAL EDUCATION SERVICE AGENCY (RESA)5. SALVATION ARMY IN BENTON HARBOR6. SOUTHWEST MICHIGAN PLANNING COMMISSION7. UNITED WAY OF SOUTHWEST MICHIGAN8. YMCA - BENTON HARBOR/ST. JOSEPH9. YMCA - BUCHANAN/NILESPLEASE NOTE: THE LAKELAND WEBSITE LISTS THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS A 2012 DOCUMENT. IN ACTUALITY, THE DATA USED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS FROM 2012, DOCUMENT WRITTEN IN MID-2013 AND APPROVED BY THE LAKELAND BOARD ON AUGUST 19, 2013. LAKELAND HEALTH FISCAL CYCLE IS OCTOBER 1 - SEPTEMBER 30. (THE CHNA AND IMPLEMENTATION STRATEGY COVERS FISCAL YEARS: 2013-14, 2014-15, AND 2015-16). THE SECOND CHNA IS CURRENTLY BEING WRITTEN AND PROPOSED FOR APPROVAL IN AUGUST 2016. Group A-Facility 1 -- LAKELAND HOSPITALS AT ST. JOSEPH Part V, Section B, line 6a: LAKELAND HOSPITAL - NILES, LAKELAND HOSPITAL - WATERVLIET, AND LAKELAND MEDICAL CENTER, ST. JOSEPH Group A-Facility 1 -- LAKELAND HOSPITALS AT ST. JOSEPH Part V, Section B, line 6b: LAKELAND HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN JOINT COLLABORATION WITH THE BERRIEN COUNTY HEALTH DEPARTMENT, IN PARTNERSHIP WITH THE MICHIGAN STATE UNIVERSITY INSTITUTE FOR PUBLIC POLICY AND SOCIAL RESEARCH. OTHER DATA USED IN THE NEEDS ASSESSMENT INCLUDED COUNTY HEALTH RANKINGS AND ROADMAPS FUNDED BY ROBERT WOOD JOHNSON FOUNDATION (RWJF) IN COLLABORATION WITH THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. Group A-Facility 1 -- LAKELAND HOSPITALS AT ST. JOSEPH Part V, Section B, line 11: LAKELAND HEALTH IDENTIFIED FOUR (4) UNMET COMMUNITY NEEDS IN THE FOLLOWING AREAS:1. CARDIOVASCULAR DISEASE2. CANCER3. DIABETES4. OBESITYWITH 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 Group A-Facility 1 -- LAKELAND HOSPITALS AT ST. JOSEPH Part V, Section B, line 16i: THE FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP WERE TRANSLATED INTO THE PRIMARY LANGUAGE(S) SPOKEN BY LEP POPULATIONS. FAP CAN BE FOUND AT HTTP://WWW.LAKELANDHEALTH.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE. THE FAP IS ALSO REFERENCED ON BILLING STATEMENTS, BROCHURES LOCATED THROUGHOUT THE HOSPITAL, DISCHARGE PACKETS, SERVICE CALLS AND STATEMENT MAILINGS. Group A-Facility 1 -- LAKELAND HOSPITALS AT ST. JOSEPH Part V, Section B, line 22d: BASED ON FPL LEVEL, BALANCES WERE DISCOUNTED AS % OF CHARGES. FPL LEVELS: 0-150, 151-175, 176-200, 201-225. Part I, Line 7: THE COST TO CHARGE RATIO USED WAS BASED ON THE COST REPORT. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $14,816,278. PART I, lines 7f and 7i: HEALTH PROFESSIONS EDUCATION - INCLUDES PROVIDING A CLINICAL SETTING FOR UNDERGRADUATE AND GRADUATE STUDENTS, VOCATIONAL TRAINING, AND THE PROFESSIONAL HEALTH CAREERS ACADEMY FOR ELEVENTH AND TWELFTH GRADE STUDENTS.CASH & IN-KIND DONATIONS TO COMMUNITY GROUPS - REPRESENTS LAKELAND'S FINANCIAL AND IN-KIND CONTRIBUTIONS TO SOCIAL SERVICES OR COMMUNITY AGENCIES FOR HEALTHCARE RELATED ACTIVITIES, MEDICAL SUPPORT FOR COMMUNITY EVENTS, SUCH AS THE STEELHEAD TRIATHLON, DONATION OF MEDICAL SUPPLIES TO NON-PROFIT AGENCIES, UNITED WAY FUND RAISING, GIRLS ON THE RUN, AND LEADERSHIP ON MANY COMMUNITY BOARDS. FINANCIAL ASSISTANCE - COVERS THE FREE OR DISCOUNTED CARE THAT LAKELAND OFFERS TO THOSE WHO CANNOT AFFORD TO PAY OR ARE NOT ELIGIBLE FOR PUBLIC PROGRAMS.FINANCIAL ASSISTANCE DOES NOT INCLUDE THE BAD DEBT COST, WHICH TOTALED $14,816,278 IN FY 2016 OR THE SURPLUS OF MEDICARE, WHICH TOTALED $-5,238,853. UNREIMBURSED MEDICAID- REPRESENTS THE COST OF CARING FOR PEOPLE COVERED BY MEDICAID MINUS THE AMOUNT LAKELAND RECEIVES FROM THOSE PROGRAMS. Part II, Community Building Activities: COMMUNITY BUILDING ACTIVITIES INCLUDE HOSTS MENTORING PROGRAM FOR YOUNG CHILDREN AND SPONSORING THE ANNUAL LUNCHEON FOR THE STUDENTS AND THEIR MENTORS, HEALTH CAREER PRESENTATIONS TO AREA STUDENTS, DISASTER READINESS, YOUNG ENTREPRENEURS DAY FOR AREA HIGH SCHOOL STUDENTS & IMPROVEMENTS TO HARBOR TOWERS BRINGING CARE TO THOSE WHO ARE UNABLE OR IT IS EXTREMELY DIFFICULT TO RECEIVE CARE. Part III, Line 2: THE TOTAL BAD DEBT OF $14,816,278 EQUALS THE AMOUNT INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A). Part III, Line 3: 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. Part III, Line 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS 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. Part VI, Line 2: THE ORGANIZATION USES NEEDS ASSESSMENT PREPARED BY THE COUNTY HEALTH DEPARTMENT AND PARTICIPATES IN A REGIONAL HEALTHY BERRIEN COMMUNITY COMMITTEE TO ADDRESS HEALTH NEEDS. Part VI, Line 3: THE ORGANIZATION EMPLOYS MORE THAN 12 FINANCIAL COUNSELORS WHO ASSIST PATIENTS WITH ELIGIBILITY. Part VI, Line 4: THE SYSTEM SERVES APPROXIMATELY 284,000 RESIDENTS IN BERRIEN COUNTY AND SURROUNDING AREAS. APPROXIMATELY 17% ARE BELOW POVERTY LEVEL. Part VI, Line 5: 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 & MEDICATION SAFETY, HEARTSAFE AND MY HEART 101. LAKELAND ALSO HOSTED MANY HEALTH SPEAKER SERIES SUCH AS BACK SURGERY - TYPES, RECOVERY, RISKS & BENEFITS, EAR NOSE & THROAT CONDITIONS, MANAGING DEPRESSION OR BIPOLAR DISORDER, WEIGHT LOSS, WHY SEE A RHEUMATOLOGIST FOR EVALUATION OF JOINT PAIN, & 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 SUPPORT 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. Part VI, Line 6: THE ORGANIZATION IS PART OF LAKELAND REGIONAL HEALTH SYSTEM WHICH SERVES THE SAME GEOGRAPHIC AREA FOR HEALTHCARE RELATED SERVICES. Part VI, Line 7, Reports Filed With States MI X X X X 0 1 0 0 0 0 0 0 0 LOREN B HAMEL MD PRESIDENT & CEO 594392 0 174346 0 49838 0 50619 0 5567 0 874762 0 0 0 KENDALL TROYER VP - OP DIAG & POST ACUTE 107824 58536 6533 0 7479 0 19775 0 11626 4471 153237 63007 0 0 TIMOTHY CALHOUN VP - FINANCE & CFO 340225 0 65582 0 18713 0 35421 0 5567 0 465508 0 0 0 RAY CRUSE VP - STRATEGY & HOSPITALIT 224608 0 44762 0 11184 0 25450 0 1938 0 307942 0 0 0 LOWELL HAMEL MD VP - MEDICAL AFFAIRS/MD 231506 0 47436 0 7795 0 25739 0 12651 0 325127 0 0 0 KENNETH O'NEILL MD VP - CLINICAL INTEGRATION/MD 165191 33680 9207 10708 23245 51895 22128 0 5449 1996 225220 98279 0 0 MARY ANN PATER VP - LEGAL & GENERAL COUNCIL 176606 0 17181 0 9653 0 19669 0 5612 0 228721 0 0 0 NORMA TIRADO-KELLENBERGER VP - IT & HR SERVICES 268795 0 53568 0 15994 0 28201 0 1874 0 368432 0 0 0 WARREN WHITE VP - MEDICAL PRACTICES 228280 0 45656 0 20240 0 26135 0 3666 0 323977 0 0 0 EILEEN WILLITS VP - PATIENT CARE CNE 239475 0 47723 0 16939 0 27379 0 5567 0 337083 0 0 0 DAVID BURGHART VP PHILANTHROPY 169347 0 16875 0 8917 0 18730 0 5567 0 219436 0 0 0 DENNIS THOMPSON PHYSICIAN 332629 0 2400 0 2812 0 13350 0 5437 0 356628 0 0 0 CHRISTOPHER KUHLMANN CHIEF COMP. & INTEG. OFFICER 154508 0 8216 0 0 0 6247 0 13529 0 182500 0 0 0 ROBIN SARKAR ASP INFOR. SYS. & CIO 174786 0 9152 0 0 0 3522 0 5567 0 193027 0 0 0 THOMAS FOLEY CLINICAL PHARMACIST 155460 0 271 0 0 0 9064 0 5919 0 170714 0 0 0 MICHELINO MANCINI EM RESIDENCY PROG DIR. & DME 191165 0 0 0 0 0 0 0 0 0 191165 0 0 0 Part I, Line 4b 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; DAVID BURGHART; RAY CRUSE; LOWELL HAMEL, MD; KENNETH O'NEILL, MD; MARY ANN PATER; NORMA TIRADO-KELLENBERGER; WARREN WHITE; EILEEN WILLITS A hospital authority of the city of st joseph (michigan) 383151499 790678cc8 2003-12-17 41525000 refund bonds issued 1/13/94 and facility construction and improvements 0 0 0 B hospital authority of the city of st joseph (michigan) 383151499 790678Cd6 2006-01-26 50000000 facility construction and improvements 0 0 0 A 41643043 193091 31392506 10057446 2004 1 0 1 1 B 52613405 467500 1012738 51133167 2007 0 0 1 1 A 0 0 1 1 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 1 0 1 1 ubs ag 28.000000000000 0 0 0 0 0 B 1 1 1 ubs ag 28.900000000000 0 0 1 citigroup global markets 2.700000000000 1 0 0 A 0 B 0 Form 990, Part VI, Section A, line 2 LOREN HAMEL, MD AND LOWELL HAMEL, MD HAVE A FAMILY RELATIONSHIP. Form 990, Part VI, Section B, line 11 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, Section B, line 12c 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, Section B, line 15 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 MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2016. Form 990, Part VI, Section C, line 19 THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. Form 990, Part XI, line 9: CHANGE IN FAIR VALUE OF SWAP AGREEMENTS -3,550,805. CHANGE IN INTEREST OF NET ASSETS OF CHARITABLE FOUNDATIONS 673,092. CHANGE OF INTEREST IN PARTNERSHIP -7,637. ALLOCATION OF EXPENSES TO RELATED PARTIES -696,785. CAPITAL CONTRIBUTION TO LAKELAND MEDICAL PRACTICES -5,182,312. FORM 990, PART XII, LINE 2C: 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) Line 11b, II N/A 0 LAKELAND SPECIALITY HOSPITAL AT BERRIEN CENTER 1234 NAPIER AVE ST JOSEPH MI 49085 383452303 LONGTERM HEALTHCARE/HEALING SERVICES MI 501(c)(3) Line 3 LAKELAND REGIONAL HEALTH SYSTEM INC 1 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) Line 7 LAKELAND REGIONAL HEALTH SYSTEM INC 1 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) Line 7 LAKELAND REGIONAL HEALTH SYSTEM INC 1 MERCY MEMORIAL HEALTH SERVICES INC 3425 LAKESHORE DRIVE ST JOSEPH MI 49085 382748035 PROVIDE HOMECARE AND LONG-TERM HEALTHCARE TO PATIENTS IN SOUTHWEST MICHIGAN MI 501(c)(3) Line 9 LAKELAND REGIONAL HEALTH SYSTEM INC 1 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) Line 9 LAKELAND REGIONAL HEALTH SYSTEM INC 1 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) Line 7 LAKELAND REGIONAL HEALTH SYSTEM INC 1 LAKELAND HEALTH ENTERPRISES INC 31 NORTH ST JOSEPH AVENUE NILES MI 49120 382669798 ACCOUNTING AND BILLING MI N/A C 1 PHARMACY SHOPPE INC DBA LAKELAND PHARMACY SHOPPE INC 1234 NAPIER AVE ST JOSEPH MI 49085 382929090 PHARMACEUTICALS MI N/A C 1 LAKELAND MEDICAL PRACTICES 1234 NAPIER AVE ST JOSEPH MI 49085 270381199 MEDICAL ADMINISTRATIVE SERVICES MI N/A C 1 SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC 1234 NAPIER AVE ST JOSEPH MI 49085 272589359 PHYSICIAN OFFICE MI N/A C 1 FOUR FLAGS PROPERTIES INC 122 GRANT STREET NILES MI 49120 364501639 PROPERTY MANAGEMENT/RENTAL MI N/A C 1 LAKELAND HEALTH VENTURES INC 1234 NAPIER AVE ST JOSEPH MI 49085 272313790 HOLDING COMPANY MI N/A C 1 LAKELAND PHYSICIAN CARE NETWORK 1234 NAPIER AVE ST JOSEPH MI 49085 208513031 MEDICAL SERVICES MI N/A C 1 LAKELAND PERSONAL CARE SERVICES INC 1234 NAPIER AVE ST JOSEPH MI 49085 272990797 HEALTH CARE SERVICES MI N/A C 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH C 116016 ACTUAL AMOUNT OF GRANT LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH O 348253 ALLOCATION OF EXPENSE LAKELAND HEALTH FOUNDATION NILES O 145698 ALLOCATION OF EXPENSE LAKELAND COMMUNITY HOSPITAL - WATERVLIET O 108629 ALLOCATION OF EXPENSE HOSPICE AT HOME INC O 94205 ALLOCATION OF EXPENSE FOUR FLAGS PROPERTIES K 965073 ACTUAL AMOUNT OF RENT LAKELAND MEDICAL PRACTICES R 5182312 ACTUAL AMOUNT OF TRANSFER LAKELAND HEALTH FOUNDATION NILES C 175655 ACTUAL AMOUNT OF GRANT