FURP.ORG / PUBLIC DATA EXPLORER

LAKELAND REGIONAL MEDICAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LAKELAND REGIONAL MEDICAL CENTER INC (EIN 59-2650456)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-09
IRS object ID
201722219349301062
Schema version
2015v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-09T12:52:17-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621517792PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PERSHING YOAKLEY & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12202 N Westshore Blvd Ste 200 282AddressLine1Txt
CityTampaCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33607ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592650456EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lakeland Regional Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAKEBusinessNameControlTxt
Phone8636871100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11324 Lakeland Hills BoulevardAddressLine1Txt
CityLakelandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33805ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEvan C JonesPersonNm
Person TitleEVP/CFOPersonTitleTxt
Phone8636871100PhoneNum
Signature2017-08-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTerry HaefnerPreparerPersonNm
PTINP01258953PTIN
Phone7274427110PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerElaine C Thompson PHDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11324 Lakeland Hills BoulevardAddressLine1Txt
CityLakelandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33805ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$790,517,886GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.myLRH.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1914FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionSee Schedule OLakeland Regional Health's strategic imperative is to develop as a nationally recognized, fiscally strong and growing collaborative regional health system that improves lives by offering safe, high quality, equitable and affordable healthcare, while demonstrating an equal commitment to the promotion of individual and community health, wellness and disease prevention.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee5889TotalEmployeeCnt
Total Volunteers219TotalVolunteersCnt
Total Gross UBI$4,406TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$712,237PYContributionsGrantsAmt
CY Contributions Grants$9,695,183CYContributionsGrantsAmt
PY Program Service Revenue$764,523,494PYProgramServiceRevenueAmt
CY Program Service Revenue$779,311,658CYProgramServiceRevenueAmt
PY Investment Income$960,849PYInvestmentIncomeAmt
CY Investment Income-$236,511CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$1,511,929CYOtherRevenueAmt
PY Total Revenue$766,196,580PYTotalRevenueAmt
CY Total Revenue$790,282,259CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$303,913,706PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$307,015,406CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$393,315,310PYOtherExpensesAmt
CY Other Expenses$398,734,931CYOtherExpensesAmt
PY Total Expenses$697,229,016PYTotalExpensesAmt
CY Total Expenses$705,750,337CYTotalExpensesAmt
PY Revenues Less Expenses$68,967,564PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$84,531,922CYRevenuesLessExpensesAmt
Total Assets BOY$751,236,510TotalAssetsBOYAmt
Total Assets EOY$805,339,987TotalAssetsEOYAmt
Total Liabilities BOY$512,690,813TotalLiabilitiesBOYAmt
Total Liabilities EOY$475,178,714TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$238,545,697NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$330,161,273NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSee Schedule OLakeland Regional Health's strategic imperative is to develop as a nationally recognized, fiscally strong and growing collaborative regional health system that improves lives by offering safe, high quality, equitable and affordable healthcare, while demonstrating an equal commitment to the promotion of individual and community health, wellness and disease prevention.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$639,483,926ExpenseAmt
Revenue$780,587,960RevenueAmt
DescSee Schedule O for Program Services StatementDesc
Total Program Service Expenses$639,483,926TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document135IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5889EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lance GreenBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8636871100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1230 S Florida Ave 4th FloorAddressLine1Txt
CityLakelandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Anne Kerr PhD
Director1.001.00Yes (X)$0$0$0
Ayanna Rolette MD
Director1.001.00Yes (X)$0$0$0
Clayton Hollis
Director1.001.00Yes (X)$0$0$0
Cory Petcoff
Director1.001.00Yes (X)$0$0$0
Dale Dreyer
Director1.001.00Yes (X)$0$0$0
Frank Kendrick
Director1.001.00Yes (X)$0$0$0
Jack Harrell Jr
Past Chair1.001.00Yes (X)$0$0$0
James Melton MD
Director1.001.00Yes (X)$0$0$0
Jay Mulaney MD
Chair1.001.00Yes (X)$0$0$0
Laura Hawley CFP
Vice Chair1.001.00Yes (X)$0$0$0
Lee Jackson
Director1.001.00Yes (X)$0$0$0
Sylvia Blackmon-Roberts
Director1.001.00Yes (X)$0$0$0
Tracy Wilson
Director1.001.00Yes (X)$0$0$0
Weymon Snuggs
Director1.001.00Yes (X)$0$0$0
Elaine Thompson PhD
Chief Executive Officer50.00$1,944,956$0$29,160Yes (X)
Evan C Jones
EVP - Chief Financial Officer50.00$527,049$0$24,800Yes (X)
Amy Barry
SVP - Chief Human Resources Officer50.00$382,452$0$26,780Yes (X)
Danielle Drummond
EVP - Chief Operating Officer50.00$384,751$0$85,320Yes (X)
Elizabeth Kerns
SVP - Chief Information Officer50.00$324,777$0$73,764Yes (X)
Janet W Fansler
EVP - Chief Nursing Executive50.00$797,412$0$138,716Yes (X)
Jonn Hoppe
Chief Legal Officer50.00$189,319$0$6,857Yes (X)
Michael Spake
VP - Chief Compliance Officer50.00$318,925$0$79,701Yes (X)
Timothy Regan
Senior Chief Medical Information Officer50.00$404,022$0$90,638Yes (X)
Wilton Reavis MD
President - Chief Medical Officer50.00$878,372$0$29,160Yes (X)
Carrie C Ogilvie
AVP- Critical Care & Trauma Services50.00$173,487$0$22,233Yes (X)
Jackie Yon
AVP - Patient Care Services50.00$199,111$0$19,140Yes (X)
John Hurst
Pharmacist50.00$187,828$0$25,289Yes (X)
Michael Hoppe
Director of Pharmacy50.00$189,557$0$9,831Yes (X)
Shannon Barlow
Medical Physicist50.00$206,636$0$23,123Yes (X)
Adil Khan
Former VP Ambulatory Services & Director of Phys50.00$234,070$0$16,015Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,342,724TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$700,527TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K224IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Hunton & Brady Architects PA
800 N Magnolia Ave Suite 600OrlandoFL32803Facility Design & Planning$7,438,513
University Medical Services
PO Box 917492OrlandoFL32891Medical$4,173,539
Watson Clinic LLC
1600 Lakeland Hills BlvdLakelandFL33804Medical$3,850,982
Peterson & Myers PA
225 E Lemon StreetLakelandFL33801Legal$2,615,193
Stantec Consulting Services Inc
13980 Collections Center DrChicagoIL60693Project Management$1,755,998
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K30CntrctRcvdGreaterThan100KCnt
Related Organizations$9,135,248RelatedOrganizationsAmt
Government Grants$423,600GovernmentGrantsAmt
All Other Contributions$136,335AllOtherContributionsAmt
Total Contributions$9,695,183TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Service Revenu621990$423,789,912$423,789,912
Medicare/Medicaid621990$346,241,996$346,241,996
Cafeteria Revenue722210$4,724,795$4,724,795
Contract Pharmacy and561000$3,907,217$2,686,442$4,406$1,216,369
Miscellaneous Revenue453220$468,946$4,194$464,752

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$178,792TotalRevenueColumnAmt
Related Or Exempt Func Income$178,792RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$779,311,658TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$884TotalRevenueColumnAmt
Exclusion-$884ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$235,627OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$235,627OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$235,627TotalRevenueColumnAmt
Related Or Exempt Func Income-$235,627RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescEarly Extinguishment oDesc
Business900099BusinessCd
Total Revenue Column$1,511,929TotalRevenueColumnAmt
Related Or Exempt Func Income$1,511,929RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,511,929OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$790,282,259TotalRevenueColumnAmt
Related Or Exempt Func Income$778,902,433RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,406UnrelatedBusinessRevenueAmt
Exclusion$1,680,237ExclusionAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$6,612,315TotalAmt
Program Services$5,679,687ProgramServicesAmt
Management And General$932,628ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$235,960,973TotalAmt
Program Services$202,680,079ProgramServicesAmt
Management And General$33,280,894ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,152,780TotalAmt
Program Services$8,720,791ProgramServicesAmt
Management And General$1,431,989ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$37,519,296TotalAmt
Program Services$32,227,422ProgramServicesAmt
Management And General$5,291,874ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,770,042TotalAmt
Program Services$14,404,727ProgramServicesAmt
Management And General$2,365,315ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total-$6,000TotalAmt
Program Services-$5,154ProgramServicesAmt
Management And General-$846ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$726,208TotalAmt
Program Services$623,781ProgramServicesAmt
Management And General$102,427ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$240,000TotalAmt
Program Services$206,149ProgramServicesAmt
Management And General$33,851ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$280,179TotalAmt
Program Services$240,661ProgramServicesAmt
Management And General$39,518ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$32,361,095TotalAmt
Program Services$27,796,755ProgramServicesAmt
Management And General$4,564,340ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$543,719TotalAmt
Program Services$467,031ProgramServicesAmt
Management And General$76,688ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,562,603TotalAmt
Program Services$3,060,119ProgramServicesAmt
Management And General$502,484ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$20,648,907TotalAmt
Program Services$17,736,501ProgramServicesAmt
Management And General$2,912,406ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$22,275,240TotalAmt
Program Services$19,133,450ProgramServicesAmt
Management And General$3,141,790ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$309,454TotalAmt
Program Services$265,807ProgramServicesAmt
Management And General$43,647ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,408,017TotalAmt
Program Services$7,222,116ProgramServicesAmt
Management And General$1,185,901ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$47,022,903TotalAmt
Program Services$40,390,602ProgramServicesAmt
Management And General$6,632,301ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,950,140TotalAmt
Program Services$5,110,908ProgramServicesAmt
Management And General$839,232ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Patient Supplies & Phar$147,928,358$147,928,358
Bad Debts$87,994,258$87,994,258
Repairs & Maintenance$9,405,388$8,078,814$1,326,574
HCCB Indigent Assessmen$8,657,868$7,436,727$1,221,141

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,426,594TotalAmt
Program Services$2,084,337ProgramServicesAmt
Management And General$342,257ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$705,750,337TotalAmt
Program Services$639,483,926ProgramServicesAmt
Management And General$66,266,411ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$646,509BOYAmt
EOY$1,256,909EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$95,888,175BOYAmt
EOY$95,197,110EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,567,256BOYAmt
EOY$11,640,944EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,306,312BOYAmt
EOY$8,956,379EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,037,139,349LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$619,860,748LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$346,663,345BOYAmt
EOY$417,278,601EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$12,380,866BOYAmt
EOY$13,283,067EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$19,967,539BOYAmt
EOY$42,204,818EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$251,816,508BOYAmt
EOY$215,522,159EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$751,236,510BOYAmt
EOY$805,339,987EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$34,725,778BOYAmt
EOY$21,318,104EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$371,922,577BOYAmt
EOY$356,779,557EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$106,042,458BOYAmt
EOY$97,081,053EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$512,690,813BOYAmt
EOY$475,178,714EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$227,211,641BOYAmt
EOY$296,354,463EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,795,771BOYAmt
EOY$32,268,525EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,538,285BOYAmt
EOY$1,538,285EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$238,545,697BOYAmt
EOY$330,161,273EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$751,236,510BOYAmt
EOY$805,339,987EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$84,531,922ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,012,270NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$6,071,384OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$280,179OtherActivitiesAmt
Total Lobbying Expenditures$280,179TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationLakeland Regional Medical Center, Inc. provided payment to an independent lobbying firm to notify the Medical Center of any pending legislation that affects hospitals and healthcare.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,538,285BeginningYearBalanceAmt
End Year Balance$1,538,285EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,538,285BeginningYearBalanceAmt
End Year Balance$1,538,285EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,537,887BeginningYearBalanceAmt
Contributions$398ContributionsAmt
End Year Balance$1,538,285EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,537,419BeginningYearBalanceAmt
Contributions$468ContributionsAmt
End Year Balance$1,537,887EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,536,897BeginningYearBalanceAmt
Contributions$522ContributionsAmt
End Year Balance$1,537,419EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,320,944OtherCostOrOtherBasisAmt
Book Value$5,320,944BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$290,811,974OtherCostOrOtherBasisAmt
Depreciation$157,763,267DepreciationAmt
Book Value$133,048,707BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,267,889OtherCostOrOtherBasisAmt
Depreciation$1,085,388DepreciationAmt
Book Value$1,182,501BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$653,741,523OtherCostOrOtherBasisAmt
Depreciation$461,012,093DepreciationAmt
Book Value$192,729,430BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,997,019OtherCostOrOtherBasisAmt
Book Value$84,997,019BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$417,278,601TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInvestment in Net Assets of FoundationDesc
Book Value$42,204,818BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$42,204,818TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Other Receivables$1,336,653
Assets Limited to Use$79,819,480
Project Fund$119,681,830
Estimated Third Party Settlement$284,196
Lease Deposit$14,400,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$215,522,159TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
FL Medical Assistance Assessment$13,036,402
Employee Compensation$43,060,573
Malpractice Claims$29,210,009
Workers Compensation$2,184,611
Capital Lease Obligations$4,382,709
Other Long Term Liabilities$624,441
Bond Interest Payable$4,582,308
FieldValueIRS element (for citing)
Total Liability$97,081,053TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$696,046,967TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,012,270NetUnrealizedGainsInvstAmt
Other Revenue$2,000,000OtherRevenueAmt
Revenue Not Reported$3,012,270RevenueNotReportedAmt
Revenue Subtotal$693,034,697RevenueSubtotalAmt
Other Revenues Not Included$97,247,562OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$97,247,562RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$790,282,259TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$617,756,079TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$617,756,079ExpensesSubtotalAmt
Other Expenses Not Included$87,994,258OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$87,994,258ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$705,750,337TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The purpose of the Organization's Endowment funds is to grow the corpus and use the unrestricted earnings from the invested endowment fund to support the Medical Center's mission.
Part X, Line 2:The Parent, Medical Center, and Foundation have been recognized by the Internal Revenue Service as tax-exempt organizations as described in Section 501(c)(3) of the Internal Revenue Code of 1986. Income earned in furtherance of the organizations' tax-exempt purposes is exempt from federal and state income taxes. Income taxes related to Ventures, a taxable entity, and the Health System's ownership interests in joint ventures are not material to the Health System. U.S. GAAP requires the Health System's management to evaluate tax positions taken by the Health System and recognize a tax liability (or asset) if the Health System has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Health System has analyzed the tax positions and has concluded that as of September 30, 2016 and 2015, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) in the consolidated financial statements or disclosure in the notes to the consolidated financial statements. The Health System is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Health System believes it is no longer subject to income tax examinations for years prior to 2012.
Part XI, Line 2d - Other Adjustments:Intercompany Contribution 2,000,000.
Part XI, Line 4b - Other Adjustments:Bad Debts Netted with Revenue on Audited Financials 87,994,258. Related Transactions 9,135,248. Equity in Earnings 118,056.
Part XII, Line 4b - Other Adjustments:Bad Debts Netted with Revenue on Audited Financials 87,994,258.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,338,527TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$30,338,527NetCommunityBenefitExpnsAmt
Total Expense0.04300TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$107,815,304TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,548,276DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,267,028NetCommunityBenefitExpnsAmt
Total Expense0.06130TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,829,150TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,523,277DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,305,873NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$141,982,981TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,071,553DirectOffsettingRevenueAmt
Net Community Benefit Expns$75,911,428NetCommunityBenefitExpnsAmt
Total Expense0.10760TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$438,357,233TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$421,451,642DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,905,591NetCommunityBenefitExpnsAmt
Total Expense0.02400TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$438,357,233TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$421,451,642DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,905,591NetCommunityBenefitExpnsAmt
Total Expense0.02400TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$580,340,214TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$487,523,195DirectOffsettingRevenueAmt
Net Community Benefit Expns$92,817,019NetCommunityBenefitExpnsAmt
Total Expense0.13160TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,855,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,855,000NetCommunityBenefitExpnsAmt
Total Expense0.01960TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,855,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,855,000NetCommunityBenefitExpnsAmt
Total Expense0.01960TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$87,994,258BadDebtExpenseAmt
Reimbursed By Medicare$146,930,489ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$157,929,168CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,998,679MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lakeland Regional Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11324 Lakeland Hills BlvdAddressLine1Txt
CityLakelandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33805ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Lakeland Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLmylrh.orgOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLmylrh.orgStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLmylrh.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLmylrh.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLmylrh.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Lakeland Regional Medical CenterPart V, Section B, Line 3j: During fiscal year 2014, Community Health Needs Assessment ("CHNA") activities were conducted and the 2014-2017 CHNA assessment was completed. The 2014-2017 CHNA served as the foundation for many activities and programs at LRH conducted during fiscal years 2015 and 2016. The 2014-2017 CHNA was conducted as a collaborative, multi-stage process that combined qualitative community input, an analysis of quantifiable data, consultation with government leaders regarding the health needs of the community served by Lakeland Regional Medical Center (LRMC), and consultation with those with special knowledge or expertise in public health to determine and subsequently prioritize community health needs. Polk County performs worse than national, state and other local counties in many areas - as a result, LRMC looked at successful evidence-based initiatives used across the country to select programs that would best meet our community's area of need. Upon review of the data, the following areas of need were identified:1. Disparities of health outcomes within the black community2. Access to quality, coordinated care3. Cancer screening and prevention4. Obesity5. Pre-conceptual and perinatal health6. Injury preventionIn response to the identified areas of need, the following strategies for change and initiatives have been completed and/or are ongoing:Disparities of health outcomes within the black community: In FY 2015, the Congregational Health Partnership was created to support congregations as they seek to improve the health of their members by providing sustainable programs which leverage both mutual and community resources. In many cases programming involves healthful interventions such as health screenings (i.e., blood pressure checks, blood glucose screenings), providing interactive education experiences or having nurses who are part of the congregation contribute their skills to their faith communityAccess to quality, coordinated care: LRH is continuing work to gain approval from CMS for a GME program. Collaboration with community partners is under way to increase the level of primary care available, as is recruitment of physician and midlevel providers into the LRH physician practice group. At the Family Health Center, the Clinical Pharmacy Resource program was initiated to assist patients with diabetes, and the Integrated Behavioral Health program was initiated to aid patients dealing with mental health issues. At the hospital, the Care Transition Intervention program was started to coach high risk patients on how to better care for themselves and when to seek medical attention. In addition, the Integrated Care Team was developed, consisting of RNs, pharmacy technicians and health coaches who provide follow-up appointment scheduling, follow-up phone calls, and overall case management for high risk patients discharged from LRH. Finally, from an educational standpoint, a Pre-Diabetes Prevention program is being offered to the community through a CDC grant, and LRH also funds separate cohort for our team members. Education is also being provided on vaccinations to the community through the Polk County Immunization Coalition.Cancer screening and prevention: Community education programs on smoking cessation and cancer prevention have been provided at our Hollis Cancer Center, along with screening services at health fairs. These efforts also supported our cancer center accreditation efforts. In addition, assistance was provided to the YMCA in applying for the American Academy of Dermatology grant to build a sunshade over their playground area.Obesity: Lakeland Regional Health representatives are assisting Polk Vision programs in targeting this health issue. The "5210" program was piloted at the primary care facility located in Winter Haven. Additionally, the Congregational Health Partnership program educates partner congregations on living an active lifestyle, diet and nutrition as well as preventative care measures. Pre-conceptual and perinatal health: Participation and support for the Healthy Start Coalition and Teen Pregnancy Prevention Alliance programs have been undertaken. On-site space for a full-time Healthy Start coordinator was provided to improve care coordination and patient engagement. Education and screenings were provided at the Polk County School Board Parent University health fairs in 2014, 2015 and 2016. The Congregational Health Partnership is offering programs to congregations related to reducing teen pregnancy, and LRH began the process to seek state and grant funding to provide free HPV vaccinations to those at risk.Injury prevention: Efforts to address these needs were made through continued participation in the Coalition for Injury Prevention, Safe Kids, and Waterproof Florida. This work includes offering injury prevention programs related to falls, child passenger safety, and drowning prevention. Assessment of the Care Transition Intervention model was started to determine if it would benefit discharged trauma patients.
Lakeland Regional Medical CenterPart V, Section B, Line 5: Experts consulted are detailed on page 18-19 of the CHNA document. Organizations consulted include:Career Source PolkCatholic CharitiesCentral Florida Development CouncilCentral Florida HealthcareCity of LakelandEast Coast Migrant Head Start ProgramElder Point MinistriesFaith in ActionFlorida Department of Health in Polk CountyFlorida Polytechnic UniversityFlorida Southern CollegeHealthy Start CoalitionHeart of Florida Regional Medical CenterLake Wales Care CenterLakeland Area Chamber of CommerceLakeland Economic Development CouncilLakeland Housing AuthorityLakeland VisionLakeland Volunteers in MedicineLighthouse MinistriesParker Street MinistriesPeace River Behavioral Health ServicesPolk County Board of County CommissionersPolk County Government Health PlanPolk County School BoardPolk State CollegePolk VisionRath Senior ConNEXTions & Education CenterSalvation ArmySoutheastern UniversityTalbot House MinistriesTri-County Human ServicesUF/IFAS ExtensionUnited Way of Central FloridaUniversity of South FloridaValencia Hills Health and Rehabilitation CenterVolunteers in Service to the ElderlyWatson ClinicWatson Clinic FoundationYMCA of West Central Florida
Lakeland Regional Medical CenterPart V, Section B, Line 6a: Lake Wales Medical Center
Lakeland Regional Medical CenterPart V, Section B, Line 22d: To be eligible for a 100% reduction from charges, the patient's household income, adjusted for family size, must be less than or equal to 200% of the current Federal Poverty Guidelines ("FPG"). If the patient's household income, adjusted for size, is between 200% and 400% of the FPG, the patient shall be eligible for a 75% reduction from charges. An uninsured or medically needy patient whose income is greater than 400% of the FPG will receive a discount that is annually calculated using a "look back" method. By November 15th of each year, claims for services provided during the prior twelve month period ended September 30, which were paid in full by Medicare fee for service and all private health insurers, will be analyzed to compute the "look back" discount percentage. No individual eligible under the financial assistance policy will be given a discount which is less than the "look back" discount percentage adjusted by any charge increase implemented after September 30th of any year.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Hollis Cancer Center
3525 Lakeland Hills BlvdLakelandFL33805Outpatient Clinic
2 - LRMC Family Health Center
300 Parkview PlaceLakelandFL33805Outpatient Clinic
3 - Lakeland Regional Rehab & Sports Clinic
3030 Harden BlvdLakelandFL33803Outpatient Clinic
4 - Lakeland Reg Health Ctr for Wound Care
3030 Harden BlvdLakelandFL33803Outpatient Clinic

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Lakeland Regional Medical Center determines the cost of charity by calculating a ratio of cost to charges as derived from the Medicare Cost Report and then multiplying that ratio by the gross uncompensated charges associated with providing care to charity patients. Similarly, the cost of subsidized health services is based on the unreimbursed cost of caring for the patients' services less the cost associated with Bad Debt, Charity, Medicaid and other means-tested government programs. The actual expenses paid for providing community health improvements and community benefits operations less any payments received for those activities is reflected above.
Part I, Line 7g:Subsidized health services are clinical services that are essential to meet the health care needs of the entire community and are provided with a financial loss to Lakeland Regional Medical Center (LRMC). The financial loss is measured after removing losses associated with Bad Debt, Charity, Medicaid and other means-tested government programs. LRMC operates one of the busiest Emergency Departments in the nation with over 200,000 emergency visits each year. We treat all patients regardless of their ability to pay for the care they receive. In addition, we staff a Level II Trauma Center to provide critical care access to residents of Lakeland and surrounding communities. The cost of providing emergency and trauma care 24 hours each day exceeds the payments LRMC receives for providing that care. LRMC also operates the only inpatient Behavioral Health Unit in Lakeland to provide care for the mentally ill population who have nowhere else to go for essential inpatient psychiatric care. The cost of operating the Behavioral Health Unit exceeds the amount we are paid for services. The loss incurred for providing these services was approximately $261,000 in fiscal year 2016.
Part I, Ln 7 Col(f):There is $87,994,258 of bad debt expense which is included in Form 990, Part IX, Line 24(b). This amount was removed in the calculation of the Percent of Total Expense on Schedule H Line 7f.
Part II, Community Building Activities:Lakeland Regional Medical Center is the only hospital in Lakeland and serves as a tertiary referral hospital serving the broader Polk County, Florida. As the only state-designated trauma center for Polk, Highlands, and Hardee counties, we provide critical access and care to the area's most seriously injured residents. A shortage of primary care physicians and mental health services has resulted in our ER becoming the highest volume ER in the nation, offering essential medical care to many underserved residents in our community.Ongoing education programs for diabetes and cardiac rehabilitation are designed to help patients with chronic conditions maintain their health and avoid repeated hospitalizations. Support groups assist those living with chronic and life-threatening illnesses to access resources and critical peer support. Education and screening programs have identified those at risk of various conditions, allowing them to seek treatment. Participation in and support of community events helps to ensure a vibrant community and a positive quality of life for our employees as well as our patient-base.
Part III, Line 2:LRMC follows the guidance provided in the Healthcare Financial Management Association Principles and Practices Board "Statement 15: Valuation and Financial Statement Presentation of Charity Care and Bad Debts by Institutional Healthcare Providers" in determining bad debt expenses. Bad debt expense results when a patient who does not meet the criteria for Charity Care and who has been determined to have the financial capacity to pay for healthcare services and is unwilling to settle the claim. The hospital utilizes an overall ratio of cost to charges from the applicable Medicare cost report and this is applied to the bad debt expense.
Part III, Line 4:The consolidated, audited financial statements of Lakeland Regional Health Systems, Inc. and Subsidiaries are attached to this return and contain language addressing Bad Debts on pages 9 thru 11.
Part III, Line 8:The Medicare payment shortfall is not treated as a community benefit. Medicare allowable costs are determined using the approved standardized Medicare Cost Report methodology. The Medicare cost is derived using the Medicare Cost-to-Charge ratio from the Medicare cost report times the Medicare charges for service.
Part III, Line 9b:The collection activities are described within the Financial Assistance Policy. LRMC will not engage in the following extraordinary collection activities ("ECA") before making reasonable efforts for any patients that qualify under LRMC's Financial Assistance Policy. An ECA is defined as any actions taken by the facility against an individual related to obtaining payment of a bill for care that requires legal or judicial process, including but not limited to: place a lien on an individual's property, foreclosure of an individual's real property, attach or seize an individual's bank account or any other personal property, commence a civil action against any individual, cause an individual's arrest, cause an individual to be subject to a writ of bodily attachment and garnish an individual's wages.LRMC or its representatives may report a patient to a credit bureau but, if it is determined that the patient is eligible for financial assistance within 240 days from the date the patient received the first billing statement for the care provided, any adverse information will be retracted. Patients are notified of the Financial Assistance Policy on admission, prior to discharge and in communications about the Financial Assistance Policy on patient statements.
Part VI, Line 2:Lakeland Regional Medical Center collaborates with medical staff, community leaders and the Polk County Health Department to determine the health needs of the citizens of Lakeland and Polk County, Florida. LRMC sponsors various Medical Staff Committees where community health needs are frequently discussed. Our senior management and staff identify unmet community health needs through participation in community coalitions, partnerships, boards, committees, and advisory groups. Using available data on the demographics and service utilization for our primary and secondary markets, the LRMC executive team and Board develop a comprehensive annual Strategic Plan to address the healthcare needs of the community. In 2012, LRMC opened a primary health clinic to provide a medical home for the uninsured and underinsured population. This clinic is designed to both improve the quality of care for low income patients and also reduce visits to the emergency room. In the fall of 2012 and continuing through 2015, LRMC partnered with the Polk County Health Department, Peace River Center and the Polk Healthcare Plan as part of the state Low Income Pool for primary care to offer a patient-centered, primary care integrated medical home within the I-4 corridor of Polk County. In 2016, the Family Health Center had 21,746 visits (21,727 in 2015 and 20,535 in 2014) in which patients and their families were able to receive primary care.
Part VI, Line 3:For scheduled admissions, LRMC conducts a pre-admission interview to discuss the financial plan with the patient, the guarantor, and/or his or her legal representative. If a pre-admission interview is not possible, this interview is conducted upon admission. In the case of an emergency admission, LRMC's evaluation of payment alternatives does not take place until the required stabilizing medical care has been provided. Identification of patients eligible for assistance can take place at any time during the rendition of services or during the patient account collection process (including bad debt).Those patients who may qualify for financial assistance from a government program are referred to the appropriate program, such as Medicaid or the Polk County Health Plan. LRMC provides on-site access to Medicaid eligibility specialists to assist patients in qualifying for governmental medical assistance programs. All patients identified as potential financial assistance recipients are offered the opportunity to apply for financial assistance. If this evaluation is not conducted until after the patient leaves, or in the case of outpatients or emergency patients, an LRMC representative mails a financial assistance application to the patient. For the first 120 days after the date of service, the hospital will notify an individual about the Financial Assistance Policy. The patient will receive at least three billing statements that include language about applying for financial assistance. The hospital will accept and process any financial assistance applications submitted by an individual for up to 240 days after the patient received the first billing statement for the care.
Part VI, Line 4:The Lakeland Urban Area is considered the primary service area and the remainder of Polk County is considered the secondary/extended service area. Polk County has a population of over 630,000 with over 19% of residents being over the age of 65 and over 8% of residents living below the Federal Poverty Level. Children under 18 years of age make up approximately 23% of the population compared to over 20% for the State. Located between Orange and Hillsborough Counties, it is the fourth (4th) largest county in Florida consisting of 1,823 square miles. Lakeland is the largest city in Polk County and is located between Tampa and Orlando on busy Interstate 4. The unemployment rate for Polk County was 5.4% as of December 2016, compared to 4.7% for the state of Florida. Census data reflects a population that is 19.6% Hispanic, 15.7% Black and under 3% from other minorities.
Part VI, Line 5:Lakeland Regional Medical Center's senior management, directors, managers, physicians and staff provide leadership and resources to equip local organizations with the skills needed to create a healthy community. Our staff participates on boards, advisory committees, and coalitions benefiting the community we serve without compensation for their time. Our leaders and physicians participate in educational programs, workshops and health fair events that are provided free to members of the community. We provide cancer screening services to the community for early detection of breast, skin and colon cancers. We participate and provide support for educational programs for healthcare workers in partnership with local colleges, universities and trade schools. Lakeland Regional Medical Center has a vibrant volunteer program, offering varied opportunities for service to the members of the community. The medical staff of Lakeland Regional Medical Center consists of over 500 physicians and is organized to promote the public interest of healthcare. No part of the income of LRMC inures to the benefit of any private individual, nor is any private interest being served. All surplus funds are reinvested into the facilities, equipment, programs and resources needed to continually improve the quality of patient care, expand our outreach, and advance the medical training and education of our staff. As noted above, the primary health clinic opened In 2012, and the Low Income Pool partnership clinic located on the I-4 corridor are excellent examples of LRH's commitment to community health promotion.
Part VI, Line 6:Lakeland Regional Medical Center is a subsidiary of Lakeland Regional Health Systems, Inc., a not-for-profit system that reinvests its profits back into the community through programs that benefit the residents of Lakeland and Polk County, Florida. The Health System facilities are leased from the City of Lakeland and the operations of the Hospital and Health System directly benefit the citizens of the community. Annually, the Health System pays the City for use of the Medical Center buildings, and the City of Lakeland uses those funds to provide public services and facilities that directly benefit all of the members of the community. During 2016, the Health System's total payments made to the City under the arrangement totaled $39.1 million of which $13.2 million represented the required payments for fiscal year 2016.In addition, the Health System provides for the health of the community by directly employing physicians in underserved medical specialties, such as orthopedics, trauma surgery, oncology and behavioral health. The Health System's medical clinics provide access to all residents, regardless of income, and many operate at a loss. Despite this, LRH believes that the role these clinics provide in the community, and in the promotion and maintenance of health, is part of our mission and our significant contribution to the community.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Elaine Thompson PhD
Chief Executive Officer$776,559$0$259,948$0$908,449$0$17,645$0$11,515$0$1,974,116$0$898,866$0
Evan C Jones
EVP - Chief Financial Officer$440,222$0$83,683$0$3,144$0$17,645$0$7,155$0$551,849$0$0$0
Amy Barry
SVP - Chief Human Resources Officer$243,800$0$57,500$0$81,152$0$16,494$0$10,286$0$409,232$0$0$0
Danielle Drummond
EVP - Chief Operating Officer$327,816$0$56,659$0$276$0$76,250$0$9,070$0$470,071$0$0$0
Elizabeth Kerns
SVP - Chief Information Officer$280,273$0$43,924$0$580$0$66,609$0$7,155$0$398,541$0$0$0
Janet W Fansler
EVP - Chief Nursing Executive$434,755$0$83,683$0$278,974$0$127,201$0$11,515$0$936,128$0$0$0
Jonn Hoppe
Chief Legal Officer$177,405$0$8,750$0$3,164$0$0$0$6,857$0$196,176$0$0$0
Michael Spake
VP - Chief Compliance Officer$264,886$0$52,885$0$1,154$0$66,966$0$12,735$0$398,626$0$0$0
Timothy Regan
Senior Chief Medical Information Off$349,300$0$44,722$0$10,000$0$77,903$0$12,735$0$494,660$0$0$0
Wilton Reavis MD
President - Chief Medical Officer$878,372$0$0$0$0$0$17,645$0$11,515$0$907,532$0$0$0
Carrie C Ogilvie
AVP- Critical Care & Trauma Services$155,723$0$12,945$0$4,819$0$10,718$0$11,515$0$195,720$0$0$0
Jackie Yon
AVP - Patient Care Services$184,442$0$14,669$0$0$0$11,985$0$7,155$0$218,251$0$0$0
John Hurst
Pharmacist$157,093$0$500$0$30,235$0$12,554$0$12,735$0$213,117$0$0$0
Michael Hoppe
Director of Pharmacy$122,922$0$13,424$0$53,211$0$2,590$0$7,241$0$199,388$0$0$0
Shannon Barlow
Medical Physicist$205,373$0$500$0$763$0$14,053$0$9,070$0$229,759$0$0$0
Adil Khan
Former VP Ambulatory Services & Dire$148,971$0$39,482$0$45,617$0$11,061$0$4,954$0$250,085$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Lines 4a-bFormAndLineReferenceDesc
ExplanationJanet W. Fansler - Executive VP and Chief Nursing Executive participated in a supplemental nonqualified deferred compensation plan. She had $275,830 of taxable benefits during calendar year 2015. This amount is included in Part (B)(iii) other compensation. She had an additional $111,577 of nontaxable benefits accrue during calendar year 2015. This amount is included in Part II Column C. Elaine Thompson, Ph.D. - Chief Executive Officer participated in a supplemental nonqualified deferred compensation plan. She had $898,866 of taxable benefits during calendar year 2015. This amount is included in Part II Column (B)(iii). Timothy Regan - Senior Chief Medical Information Officer participated in a supplemental nonqualified deferred compensation plan. He had $60,258 of nontaxable benefits accrue during calendar year 2015. This amount is included in Part II Column C. Elizabeth Kerns - Senior VP and Chief Information Officer participated in a supplemental nonqualified deferred compensation plan. She had $48,964 of nontaxable benefits accrue during calendar year 2015. This amount is included in Part II Column C. Danielle Drummond - Executive VP and Chief Operating Officer participated in a supplemental nonqualified deferred compensation plan. She had $58,605 of nontaxable benefits accrue during calendar year 2015. This amount is included in Part II Column C. Michael Spake - Chief Compliance Officer participated in a supplemental nonqualified deferred compensation plan. He had $49,321 of nontaxable benefits accrue during calendar year 2015. This amount is included in Part II Column C. Amy Barry - Senior VP and Chief Human Resources Officer received severance pay of $51,785 that was included in her W2 for 2015. This amount is included in Part (B)(iii) compensation.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
City of Lakeland Florida
A596000354511665HP92006-11-02$116,566,4042006 Bonds refunded the 1999A & 2002 Bonds and pay the 2006 issuance costsYes (1)00
City of Lakeland Florida
B596000354511665JE22011-07-28$81,113,2552011 Bonds refunded the 96A, 97A, 97B & 99B Bonds & paid 2011 issuance costs000
City of Lakeland Florida
C596000354511665JN22015-02-05$205,545,0532015 Hospital Revenue Bonds for capital projects000
City of Lakeland Florida
D596000354511665KFJ2016-09-15$97,381,8652016 Hospital Revenue Refunding Bonds000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding EscrowRefundingEscrowAmt
A$97,360,000$116,566,404$1$1,038,3890Yes (1)Yes (1)Yes (1)
B$81,113,524$1,012,4800Yes (1)Yes (1)Yes (1)
C$205,545,053$120,752,000$1,892,43900Yes (1)Yes (1)$87,369,8522018
D$97,381,865$937,638Yes (1)0Yes (1)Yes (1)$99,742,693

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
AYes (1)0000Yes (1)
BYes (1)0000Yes (1)
C00000Yes (1)00Yes (1)
D00000Yes (1)Yes (1)00

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4aLakeland Regional Medical Center provides free care to patients who meet the State of Florida charity care guidelines and who are not eligible for public assistance. Lakeland Regional Medical Center provided care to emergency patients, regardless of their ability to pay. In addition to the primary Emergency Department, specialty care for children was provided in the separate Pediatric Emergency unit and provides a walk-in center for those patients in need of primary care under non-emergent conditions. Lakeland Regional Medical Center additionally provided inpatient and outpatient mental health services to patients, regardless of their ability to pay. Comprehensive care was offered for a variety of illnesses, including clinical depression, anxiety and memory disorders, addiction recovery and various adolescent services. All services are provided in a distinct part unit within the hospital, and programs are directed by board-certified psychiatrists.
Form 990, Part VI, Section A, line 6Certain decisions of the governing body of Lakeland Regional Medical Center are subject to approval of the sole member Lakeland Regional Health Systems, Inc.
Form 990, Part VI, Section A, line 7aThe sole member of Lakeland Regional Medical Center, Inc. is Lakeland Regional Health Systems, Inc.
Form 990, Part VI, Section A, line 7bCertain decisions of the governing board of Lakeland Regional Medical Center are subject to approval of the sole member Lakeland Regional Health Systems, Inc.
Form 990, Part VI, Section B, line 11The Form 990 is reviewed prior to filing by senior management, including the CEO and CFO. Additionally, the form and schedules related to compensation are reviewed by the Executive and Physician Compensation Committee of the Board and a copy of the Form 990 and schedules are provided to each member of the Board of Directors before filing with the IRS.
Form 990, Part VI, Section B, line 12cLakeland Regional Medical Center has a conflict of interest policy which is monitored by the Corporate Integrity Services department. All new hires, students, volunteers and contractors are trained on the ethics policy during general orientation. All staff is to comply with ethics training annually as part of their mandatory education requirements. Annually, a certification is required by all managers, directors, and officers who must acknowledge that the policy was read, understood and will be abided by. Lakeland Regional Medical Center also has a "Policy of the Board of Directors Regarding Board Members Doing Business with Lakeland Regional Medical Center or Lakeland Regional Health Systems". All Board Members are annually required to execute a "Corporate Compliance Acknowledgement and answer a comprehensive "Annual Conflict of Interest Questionnaire". Additionally, all Senior Corporate Management are annually required to answer a comprehensive "Annual Conflict of Interest Questionnaire".
Form 990, Part VI, Section B, line 15Lakeland Regional Medical Center, Inc. Executive and Physician Compensation Committee (the "Committee") of the Board is charged with determining, in advance, all compensation issues for all executive positions including the President & CEO, the CFO and all Vice Presidents of the organization. Only independent and "disinterested" persons may serve as members of the Committee and no member may be employed by the organization or any of its affiliates. Additionally, no physician on the medical staff of the organization may serve as a member of the Committee nor may any member have any business or financial relationships with the organization, either directly or indirectly through family members. The Committee engages an independent nationally recognized human resource management consulting firm which specializes in executive and employee compensation in the health care industry. This firm, among other things: a. Conducts a competitive executive total cash compensation analysis relative to comparable healthcare organizations nationally; and b. Conducts a competitive executive benefits analysis relative to comparable healthcare organizations; and c. Conducts a competitive executive total compensation analysis relative to comparable healthcare organizations; and d. Assists the Committee in ensuring compliance with regulatory requirements; and e. Provides guidance and counsel to the Committee and Board in matters relating to executive compensation; and f. Participates in Committee meeting and presents their findings and recommendations to the Committee and to the Board. In determining compensation, the Committee relies on the independent, reliable market data presented by the consulting firm to set all compensation levels and the consulting firm's opinion as to the reasonableness of total compensation to be paid the executives of the organization. The Committee fully documents the basis for all determinations and records, at a minimum, 1) the terms of the compensation agreement and the date on which it was approved; 2)the members of the Committee where were present during the discussion and those who voted on it; 3) the comparability data used and its source; and 4) the basis for the ultimate decision. In fulfilling its responsibility, the Committee has full authority to consult wit outside counsel, regarding the legality of the compensation and other legal issues which may be relevant to the Committee's responsibilities.
Form 990, Part VI, Section C, line 19The organization's Articles of Incorporation are public records and may be obtained from the State of Florida's Division of Corporations in Tallahassee, Florida. Additionally, the Lease & Transfer Agreement between the organization and the City of Lakeland, Florida, under which the organization operates, is recorded in the Public Records of Polk County, Florida, the County in which the organization is located. Financial statements and similar information, both audited and unaudited, are periodically furnished to the City of Lakeland, Florida, and various regulatory agencies within the State of Florida. As such, said financial statements and information are public records under the pertinent Florida public records laws.
Form 990, Part XI, line 9:Intercompany Contribution 2,000,000. Intercompany Transfers -10,535,793. Change in Beneficial Interest in Foundation 22,237,279. Equity in Earnings -118,056. Other Adjustments -657. Related Transactions -9,135,248. Change in Benefit Obligation -1,347,028. Capital Grants 2,970,887.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Lakeland Regional Medical Center Foundation Inc
1324 Lakeland Hills BoulevardLakelandFL33805237134974FundraisingFL501(c)(3)11a - Type 1LAKELAND REGIONAL HEALTH SYSTEM INC0
Lakeland Regional Health Systems Inc
1324 Lakeland Hills BoulevardLakelandFL33805592650464Support Other 501(c)(3) organizationsFL501(c)(3)11a - Type 10N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Lakeland Regional Health Ventures IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11324 Lakeland Hills BoulevardAddressLine1Txt
CityLakelandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33805ZIPCd
FieldValueIRS element (for citing)
EIN592650902EIN
Primary ActivitiesMedical ServicesPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Lakeland Regional Health SystemsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd