LAKELAND REGIONAL MEDICAL CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- LAKELAND REGIONAL MEDICAL CENTER INC (EIN 59-2650456)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-12
- IRS object ID
- 201532249349302623
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-12T14:47:49-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 621517792 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pershing Yoakley & Associates P C | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Cherokee Mills 2220 Sutherland | AddressLine1 |
| Address Line2 | Ave | AddressLine2 |
| City | Knoxville | City |
| State | TN | State |
| ZIP Code | 37919 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592650456 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Regional Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 8636871100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1324 Lakeland Hills Boulevard | AddressLine1 |
| City | Lakeland | City |
| State | FL | State |
| ZIP Code | 33805 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Evan C Jones | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 8636871100 | PhoneNum |
| Signature | 2015-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P01258953 | PTIN |
| Phone | 8656730844 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Elaine C Thompson PHD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1324 Lakeland Hills Boulevard | AddressLine1 |
| City | Lakeland | City |
| State | FL | State |
| ZIP Code | 33805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $738,089,300 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.myLRH.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1914 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | The purpose of this organization is to operate a general acute care hospital for the provision of health care services to the residents of Central Florida. Lakeland Regional Medical Center, Inc. also conducts community seminars and counseling regarding health issues. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 5366 | TotalEmployeeCnt |
| Total Volunteers | 265 | TotalVolunteersCnt |
| Total Gross UBI | $28,925 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $28,925 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,130,591 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,091,063 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $702,744,170 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $736,533,202 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,692 | PYInvestmentIncomeAmt |
| CY Investment Income | -$294,362 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $703,900,453 | PYTotalRevenueAmt |
| CY Total Revenue | $737,329,903 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,333,333 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $268,531,226 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $284,970,565 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $380,382,873 | PYOtherExpensesAmt |
| CY Other Expenses | $384,674,664 | CYOtherExpensesAmt |
| PY Total Expenses | $648,914,099 | PYTotalExpensesAmt |
| CY Total Expenses | $670,978,562 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $54,986,354 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $66,351,341 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $501,272,430 | TotalAssetsBOYAmt |
| Total Assets EOY | $534,743,678 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $310,830,237 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $317,876,438 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $190,442,193 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $216,867,240 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our Core Purpose/Mission is improving lives by delivering exceptional healthcare. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $601,515,574 | ExpenseAmt |
| Grant | $1,333,333 | GrantAmt |
| Revenue | $729,524,953 | RevenueAmt |
| Desc | See Schedule O for Program Services Statement | Desc |
| Total Program Service Expenses | $601,515,574 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 142 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5366 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jon Boyette | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8636871100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 S Florida Ave 4th Floor | AddressLine1 |
| City | Lakeland | City |
| State | FL | State |
| ZIP Code | 33805 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| CJ Jack English III | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dale Dreyer | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| David Duncan | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Frank Kendrick | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jack R Harrell Jr | |||||||||
| Chairman | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| James D Melton III MD | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jay Mulaney MD | |||||||||
| Vice Chairman | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Laura J Hawley CFP | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Lee Jackson | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Weymon P Snuggs III | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| William Mutz | |||||||||
| Past Chairman | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ayanna Rolette | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Clayton Hollis | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Elaine Thompson PhD | |||||||||
| Chief Executive Officer | 50.00 | $860,366 | $0 | $263,292 | Yes (X) | ||||
| Evan C Jones | |||||||||
| EVP - Chief Financial Offi | 50.00 | $464,729 | $0 | $23,593 | Yes (X) | ||||
| Janet W Fansler | |||||||||
| EVP - Chief Nursing Execut | 50.00 | $716,633 | $0 | $96,333 | Yes (X) | ||||
| Wilton Reavis MD | |||||||||
| President/Chief Medical Of | 50.00 | $866,450 | $0 | $26,964 | Yes (X) | ||||
| Michael Spake | |||||||||
| VP- Chief Compliance Offic | 50.00 | $272,840 | $0 | $27,548 | Yes (X) | ||||
| Elizabeth Kerns | |||||||||
| AVP-Chief Technology Offic | 45.00 | $200,774 | $0 | $19,609 | Yes (X) | ||||
| Danielle Drummond | |||||||||
| SVP-Chief Strategy/Growth Officer | 50.00 | $177,418 | $0 | $4,535 | Yes (X) | ||||
| Terry L Boston | |||||||||
| Medical Physicist | 45.00 | $228,017 | $0 | $26,497 | Yes (X) | ||||
| William Bierschenk | |||||||||
| Former Director of Finance | 50.00 | $205,436 | $0 | $25,383 | Yes (X) | ||||
| Kim Walker | |||||||||
| Former AVP-Ambulatory Services | 50.00 | $189,502 | $0 | $14,192 | Yes (X) | ||||
| John R Hurst | |||||||||
| Pharmacist | 50.00 | $177,239 | $0 | $24,696 | Yes (X) | ||||
| Margaret E Voyles | |||||||||
| AVP-Perioperative Services | 50.00 | $176,642 | $0 | $23,109 | Yes (X) | ||||
| Hugh Autry | |||||||||
| Former VP - System Develop | 50.00 | $304,699 | $0 | $57,122 | Yes (X) | ||||
| Jeffery Payne | |||||||||
| Former VP- Human Resources | 50.00 | $229,991 | $0 | $19,417 | Yes (X) | ||||
| Mary C Ford | |||||||||
| Former EVP - Chief Information OFFICER | 50.00 | $824,571 | $0 | $16,989 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,895,307 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $669,279 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 169 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Executive Health Resources Inc | |||||
| PO Box 822688 | Philadelphia | PA | 19182 | Medical | $3,538,280 |
| Watson Clinic LLC | |||||
| 1600 Lakeland Hills Blvd | Lakeland | FL | 33804 | Medical | $3,298,797 |
| Peterson & Myers PA | |||||
| 225 E Lemon Street | Lakeland | FL | 33801 | Legal | $2,511,368 |
| Stantec Consulting | |||||
| 2205 N 20th Street | Tampa | FL | 33605 | Facilities Consulting | $1,333,278 |
| Diversified Clinical Services | |||||
| PO Box 636981 | Cincinnati | OH | 45263 | Medical | $1,099,336 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 35 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $700,432 | RelatedOrganizationsAmt |
| Government Grants | $390,631 | GovernmentGrantsAmt |
| Total Contributions | $1,091,063 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient Service Revenue | 621990 | $400,110,770 | $400,110,770 | ||
| Medicare/Medicaid | 621990 | $322,346,545 | $322,346,545 | ||
| Contract Pharmacy and other Misce | 621990 | $6,656,028 | $4,764,242 | $28,925 | $1,862,861 |
| Cafeteria Revenue | 722210 | $4,492,795 | $4,492,795 | ||
| Medicare EMR Incentive | 621990 | $2,297,435 | $2,297,435 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $629,629 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,961 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $623,668 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $736,533,202 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $465,035 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $759,397 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$294,362 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$294,362 | TotalRevenueColumnAmt |
| Exclusion | -$294,362 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $737,329,903 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $729,524,953 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $28,925 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,684,962 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,333,333 | TotalAmt |
| Program Services | $1,333,333 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,326,017 | TotalAmt |
| Program Services | $3,639,478 | ProgramServicesAmt |
| Management And General | $686,539 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,541,233 | TotalAmt |
| Program Services | $186,382,639 | ProgramServicesAmt |
| Management And General | $35,158,594 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,797,780 | TotalAmt |
| Program Services | $7,401,572 | ProgramServicesAmt |
| Management And General | $1,396,208 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,352,450 | TotalAmt |
| Program Services | $28,900,716 | ProgramServicesAmt |
| Management And General | $5,451,734 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,953,085 | TotalAmt |
| Program Services | $13,421,330 | ProgramServicesAmt |
| Management And General | $2,531,755 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,157,142 | TotalAmt |
| Program Services | $973,504 | ProgramServicesAmt |
| Management And General | $183,638 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,404,215 | TotalAmt |
| Program Services | $1,181,366 | ProgramServicesAmt |
| Management And General | $222,849 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,703 | TotalAmt |
| Program Services | $79,674 | ProgramServicesAmt |
| Management And General | $15,029 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,732 | TotalAmt |
| Program Services | $21,648 | ProgramServicesAmt |
| Management And General | $4,084 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,480,328 | TotalAmt |
| Program Services | $23,960,500 | ProgramServicesAmt |
| Management And General | $4,519,828 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,338,712 | TotalAmt |
| Program Services | $1,967,558 | ProgramServicesAmt |
| Management And General | $371,154 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,205,895 | TotalAmt |
| Program Services | $3,538,419 | ProgramServicesAmt |
| Management And General | $667,476 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,175,218 | TotalAmt |
| Program Services | $15,290,811 | ProgramServicesAmt |
| Management And General | $2,884,407 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,761,662 | TotalAmt |
| Program Services | $16,625,486 | ProgramServicesAmt |
| Management And General | $3,136,176 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $668,549 | TotalAmt |
| Program Services | $562,450 | ProgramServicesAmt |
| Management And General | $106,099 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,039,864 | TotalAmt |
| Program Services | $6,763,938 | ProgramServicesAmt |
| Management And General | $1,275,926 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,166,071 | TotalAmt |
| Program Services | $32,950,416 | ProgramServicesAmt |
| Management And General | $6,215,655 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,225,553 | TotalAmt |
| Program Services | $7,761,458 | ProgramServicesAmt |
| Management And General | $1,464,095 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Patient Supplies & Phar | $127,834,551 | $127,834,551 | |
| Bad Debts | $104,110,699 | $104,110,699 | |
| Repairs & Maintenance | $10,447,535 | $8,789,511 | $1,658,024 |
| HCCB Indigent Assessmen | $7,622,220 | $6,412,574 | $1,209,646 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,916,015 | TotalAmt |
| Program Services | $1,611,943 | ProgramServicesAmt |
| Management And General | $304,072 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $670,978,562 | TotalAmt |
| Program Services | $601,515,574 | ProgramServicesAmt |
| Management And General | $69,462,988 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $597,768 | BOYAmt |
| EOY | $456,415 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,028,630 | BOYAmt |
| EOY | $89,459,391 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,729,235 | BOYAmt |
| EOY | $9,995,116 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,266,034 | BOYAmt |
| EOY | $12,625,043 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $841,299,875 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $540,635,442 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,606,131 | BOYAmt |
| EOY | $300,664,433 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,676,499 | BOYAmt |
| EOY | $13,718,814 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,998,241 | BOYAmt |
| EOY | $18,133,402 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,369,892 | BOYAmt |
| EOY | $89,691,064 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $501,272,430 | BOYAmt |
| EOY | $534,743,678 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,258,283 | BOYAmt |
| EOY | $41,649,449 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,470,657 | BOYAmt |
| EOY | $174,253,299 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,101,297 | BOYAmt |
| EOY | $101,973,690 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,830,237 | BOYAmt |
| EOY | $317,876,438 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,623,911 | BOYAmt |
| EOY | $207,787,547 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,280,395 | BOYAmt |
| EOY | $7,541,408 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,537,887 | BOYAmt |
| EOY | $1,538,285 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,442,193 | BOYAmt |
| EOY | $216,867,240 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $501,272,430 | BOYAmt |
| EOY | $534,743,678 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $66,351,341 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,221,961 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$41,148,255 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $25,732 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $25,732 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Lakeland 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,537,887 | BeginningYearBalanceAmt |
| Contributions | $398 | ContributionsAmt |
| End Year Balance | $1,538,285 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,537,419 | BeginningYearBalanceAmt |
| Contributions | $468 | ContributionsAmt |
| End Year Balance | $1,537,887 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,536,897 | BeginningYearBalanceAmt |
| Contributions | $522 | ContributionsAmt |
| End Year Balance | $1,537,419 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,521,368 | BeginningYearBalanceAmt |
| Contributions | $15,529 | ContributionsAmt |
| End Year Balance | $1,536,897 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,520,810 | BeginningYearBalanceAmt |
| Contributions | $558 | ContributionsAmt |
| End Year Balance | $1,521,368 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,320,944 | OtherCostOrOtherBasisAmt |
| Book Value | $5,320,944 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $231,602,904 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,181,894 | DepreciationAmt |
| Book Value | $101,421,010 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,229,310 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,821,603 | DepreciationAmt |
| Book Value | $6,407,706 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $567,973,043 | OtherCostOrOtherBasisAmt |
| Depreciation | $400,631,945 | DepreciationAmt |
| Book Value | $167,341,099 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,173,674 | OtherCostOrOtherBasisAmt |
| Book Value | $20,173,674 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $300,664,433 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $5,201,550 |
| Assets Limited to Use | $79,793,743 |
| Debt Issue Costs | $1,697,063 |
| Estimated Third Party Settlements | $2,998,708 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $89,691,064 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| FL Medical Assistance Assessment | $11,355,443 |
| Employee Compensation | $39,220,222 |
| Malpractice Claims | $30,035,479 |
| Workers Compensation | $2,168,657 |
| Capital Lease Obligations | $15,084,329 |
| Other long term liabilities | $1,002,029 |
| Bond Interest Payable | $3,107,531 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $101,973,690 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $633,740,733 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,221,961 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $1,221,961 | RevenueNotReportedAmt |
| Revenue Subtotal | $632,518,772 | RevenueSubtotalAmt |
| Other Revenues Not Included | $104,811,131 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $104,811,131 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $737,329,903 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $566,867,863 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $566,867,863 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $104,110,699 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $104,110,699 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $670,978,562 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 interest in Lakeland Surgical and Diagnostic Center (the Surgical Center) are not material to the Health System. Accounting principles generally accepted in the United States of America require 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, 2014, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in 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 2009. |
| Part XI, Line 4b - Other Adjustments: | Bad Debts Netted with Revenue on Audited Financials 104,110,699. Contributions 700,432. |
| Part XII, Line 4b - Other Adjustments: | Bad Debts Netted with Revenue on audited Financials 104,110,699. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,465,249 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,465,249 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05730 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $101,047,712 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $74,781,860 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,265,852 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04630 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,847,536 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,096,405 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,751,131 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $138,360,497 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,878,265 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $61,482,232 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10850 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $415,652,803 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $375,150,257 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,502,546 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $415,652,803 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $375,150,257 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,502,546 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $554,013,300 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $452,028,522 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $101,984,778 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17990 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,100,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,100,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02100 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,100,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,100,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02100 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $20,699,230 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $145,340,465 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $152,675,643 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,335,178 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Regional Medical Center | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1324 Lakeland Hills Blvd | AddressLine1 |
| City | Lakeland | City |
| State | FL | State |
| ZIP Code | 33805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | mylrh.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Lakeland Regional Medical Center | Part V, Section B, Line 1j: During fiscal year 2014, previous CHNA activities were concluded and the 2014-2017 CHNA assessment was completed.The 2014-2017 CHNA was conducted as a collaborative multi-stage process that combined broad subjective and qualitative community input, a complete assessment using quantifiable data, consultation with government leaders with current data and/or other information relevant to 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 so LRMC looked at successful evidence-based initiatives used across the country to select programs that would best meet our community's area of need. The area of needs identified are: Disparities of health outcomes within the black community Access to quality, coordinated care Cancer screening and prevention Obesity Pre-conceptual and perinatal health Injury preventionThe previous CHNA assessment led to the prioritization of key community health improvement needs which included:The lack of access to high quality primary care for patients with limited resources. This need was met through the creation of the Family Health Center which serves uninsured and underinsured patients.The escalation of diabetes & childhood and adult obesity. This need was addressed through application for and receipt of grant dollars used to conduct targeted education programs in populations most needing and least likely to receive targeted counseling. The programs were implemented and are currently reaching underserved populations in the community.Cancer prevention and early detection. Efforts to provide community education programs and screening services at health fairs throughout the community were conducted in conjunction with programmatic submissions made for cancer center accreditation.Young maternal age, lack of prenatal care, low neonatal birth weight, and high neonatal mortality. Efforts to address these needs were consistently made through participation in County education programs and task force participation. In addition, LRMC conducted and successfully completed a perinatal safety initiative that produced a measurable impact on the health of our smallest and most vulnerable patients.Excessive motor-vehicle and pedestrian injury and fatalities. Efforts to address these needs were made through consistent participation in community organization and County sponsored programs providing community education.Extensive behavioral health related issues, including alcohol and drug abuse. Efforts to address these needs were made through continued behavioral health services provided to the community in both inpatient and outpatient settings including the Family Health Center.Lack of coordinated and effective care for patients with limited resources for managing complicated and complex co-morbidities. Efforts to address this need were made through the creation and success of the Family Health Center. Participation in County task forces assessing and coordinating services to this population was also regularly made.Economic depression and high unemployment rate. Efforts to address this need were made by becoming and remaining a significant community employer of choice. In fiscal year 2014, LRMC was recognized by the Gallup organization as a Great Place to Work, one of 36 in the world selected for this honor.Disparity of health outcomes for black residents. Efforts to address this need were made through the creation and success of the Family Health Center. Additional outreach to this community was made through interaction with City not-for-profit organizations and County focus groups and task forces gathered to assess resources available for this population. |
| Lakeland Regional Medical Center | Part V, Section B, Line 3: Experts consulted are detailed on page 18-19 of the CHNA document (copy attached.) Organizations consulted include:Career Source PolkCatholic CharitiesCentral Florida Development CouncilCentral Florida HealthcareEast 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 MedicineParker 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 ArmyTalbot 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 Center | Part V, Section B, Line 4: Lake Wales Medical Center |
| Lakeland Regional Medical Center | Part V, Section B, Line 7: A total of seven significant community health needs were identified through the CHNA process. It was determined that dental care would not be addressed in our Strategies for Change because Lakeland Volunteers in Medicine and the State of Florida Department of Health in Polk County are actively working to meet this area of need within our community. |
| Lakeland Regional Medical Center | Part V, Section B, Line 20d: To be eligible for a 100% reducton 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. If the patient's household income, adjusted for size, is between 200% and 400% of the FPG, the patient shall be eligibile for a 75% reduction from charges. An uninsured patient whose income is greater than 400% of the FPG will recieve a discount that is annually calculated using a "look back" method. By October 1st of each year claims that were paid in full from the previous 12 months from Medicare fee for service and all private health insurers paid to the hospital will be analyzed to compare the aggregate discount percentage. At no point will an individual be charged more for emergency care or other medically necessary care than those generally billed to individuals who have insurance coverage. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| LRMC Oncology Services | ||||
| 3525 Lakeland Hills Blvd | Lakeland | FL | 33805 | Outpatient Clinic |
| LRMC Family Health Center | ||||
| 300 Parkview Place | Lakeland | FL | 33805 | Outpatient Clinic |
| Lakeland Regional Rehab & Sports Clinic | ||||
| 2125 Harden Blvd | Lakeland | FL | 33803 | Outpatient Clinic |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 care, Medicaid and other means-tested government programs. LRMC operates one of the busiest Emergency Departments in the Florida 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 $2.7 million in 2014. |
| Part I, Ln 7 Col(f): | There is $104,110,699 of bad debt expense which is included in Form 990, Part IX, Line 24(a). 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 Florida, offering essential medical care to many underserved residents in our community. On-going education programs for diabetes and cardiac rehab 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 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 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 body 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 of service, 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 whose purpose was to provide a medical home where the uninsured and underinsured low income populations can come from recurring medical care which will improve the quality of care while reducing visits to the emergency room. In the fall of 2012 and continuing through 2014, LRMC partnered with the Polk Healthcare 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 medial home within the I-4 corridor of Polk County. In 2014, the Family Health Center had over 20,000 visits (over 17,000 in 2013) 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/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 do 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 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 620,000 with 19% of residents being over the age of 65 and over 14% of residents living below the Federal Poverty Level. Children under 18 years of age make up 23% of the population compared to 21% 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 7.2% as of September 2014, compared to 6.1% for the state of Florida. Census data reflects a population that is 19.2% Hispanic, 15.1% Black and 4% 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, ordering 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. In 2012, LRMC opened a primary health clinic whose purpose was to provide a medical home where the uninsured and underinsured low income populations can come from recurring medical care which will improve the quality of care while reducing visits to the emergency room. In 2014, the Family Health Center provided primary care services of over 20,000 visits (17,000 in 2013) to the uninsured and underinsured providing them and their families a medical home. Also in 2012, LRMC partnered with the Polk Healthcare 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 medial home within the I-4 corridor of Polk County. In 2013 and 2014, this partnership continued and was expanded to to include services such as dental care and behavioral health screenings. |
| 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. For 2014, the Health System lease payments totaled $12.1 million. 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 medical clinics which provide access to all residents, regardless of income, operate at a significant economic loss. In 2012, LRMC opened a primary health clinic whose purpose was to provide a medical home where the uninsured and underinsured low income populations can come for recurring medical care which will improve the quality of care while reducing visits to the emergency room. In 2014, the Family Health Center provided over 20,000 primary care visits (17,000 in 2013) for the uninsured and underinsured. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Florida Southern College | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Lake Hollingsworth Drive | AddressLine1 |
| City | Lakeland | City |
| State | FL | State |
| ZIP Code | 338015698 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 590624401 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $200,000 | CashGrantAmt |
| Purpose Of Grant | To support the nursing program of the College. | PurposeOfGrantTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Elaine Thompson PhD | ||||||||||||||
| Chief Executive Officer | $707,207 | $0 | $146,916 | $0 | $6,243 | $0 | $250,558 | $0 | $12,734 | $0 | $1,123,658 | $0 | $0 | $0 |
| Evan C Jones | ||||||||||||||
| EVP - Chief Financial Offi | $407,106 | $0 | $55,905 | $0 | $1,718 | $0 | $16,989 | $0 | $6,604 | $0 | $488,322 | $0 | $0 | $0 |
| Janet W Fansler | ||||||||||||||
| EVP - Chief Nursing Execut | $410,747 | $0 | $51,277 | $0 | $254,609 | $0 | $84,818 | $0 | $11,515 | $0 | $812,966 | $0 | $0 | $0 |
| Wilton Reavis MD | ||||||||||||||
| President/Chief Medical Of | $866,450 | $0 | $0 | $0 | $0 | $0 | $15,449 | $0 | $11,515 | $0 | $893,414 | $0 | $0 | $0 |
| Michael Spake | ||||||||||||||
| VP- Chief Compliance Offic | $236,312 | $0 | $36,000 | $0 | $528 | $0 | $14,813 | $0 | $12,735 | $0 | $300,388 | $0 | $0 | $0 |
| Elizabeth Kerns | ||||||||||||||
| AVP-Chief Technology Offic | $188,256 | $0 | $11,634 | $0 | $884 | $0 | $13,005 | $0 | $6,604 | $0 | $220,383 | $0 | $0 | $0 |
| Danielle Drummond | ||||||||||||||
| SVP-Chief Strategy/Growth Officer | $162,290 | $0 | $15,128 | $0 | $0 | $0 | $0 | $0 | $4,535 | $0 | $181,953 | $0 | $0 | $0 |
| Terry L Boston | ||||||||||||||
| Medical Physicist | $205,649 | $0 | $500 | $0 | $21,868 | $0 | $14,982 | $0 | $11,515 | $0 | $254,514 | $0 | $0 | $0 |
| William Bierschenk | ||||||||||||||
| Former Director of Finance | $187,171 | $0 | $11,615 | $0 | $6,650 | $0 | $13,868 | $0 | $11,515 | $0 | $230,819 | $0 | $0 | $0 |
| Kim Walker | ||||||||||||||
| Former AVP-Ambulatory Services | $117,900 | $0 | $10,010 | $0 | $61,592 | $0 | $6,663 | $0 | $7,529 | $0 | $203,694 | $0 | $0 | $0 |
| John R Hurst | ||||||||||||||
| Pharmacist | $163,353 | $0 | $500 | $0 | $13,386 | $0 | $11,961 | $0 | $12,735 | $0 | $201,935 | $0 | $0 | $0 |
| Margaret E Voyles | ||||||||||||||
| AVP-Perioperative Services | $158,836 | $0 | $10,518 | $0 | $7,288 | $0 | $11,594 | $0 | $11,515 | $0 | $199,751 | $0 | $0 | $0 |
| Hugh Autry | ||||||||||||||
| Former VP - System Develop | $0 | $0 | $0 | $0 | $304,699 | $0 | $57,122 | $0 | $0 | $0 | $361,821 | $0 | $0 | $0 |
| Jeffery Payne | ||||||||||||||
| Former VP- Human Resources | $141,323 | $0 | $37,544 | $0 | $51,124 | $0 | $12,070 | $0 | $7,347 | $0 | $249,408 | $0 | $0 | $0 |
| Mary C Ford | ||||||||||||||
| Former EVP - Chief Information OFFIC | $302,054 | $0 | $43,725 | $0 | $478,792 | $0 | $16,989 | $0 | $0 | $0 | $841,560 | $0 | $375,872 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Lines 4a-b | FormAndLineReferenceDesc |
| Explanation | Hugh Autry - Former Vice President of System Development received severance pay of $304,699 that was included in his W2 for 2013. This amount is included in Part (B)(iii) compensation. He also participated in a supplemental nonqualified deferred compensation plan. He had an additional $57,122 of nontaxable benefits accrue during calendar year 2013. This amount is included in Part II Column C. Janet W. Fansler - Executive VP/Chief Nursing Executive/Chief Operating Officer participated in a supplemental nonqualified deferred compensation plan. She had $254,609 of taxable benefits during calender year 2013. This amount is included in Part (B)(iii) other compensation. She had an additional $67,528 of nontaxable benefits accrue during calendar year 2013. 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 $233,569 of nontaxable benefits accrue during calendar year 2013. This amount is included in Part II Column C. Mary C Ford - Chief Information Officer participated in a supplemental nonqualified deferred compensation plan. She had $469,497 of taxable benefits during calender year 2013. This amount is included in Part (B)(iii) other compensation. She received $375,872 of taxable benefits in calendar 2012. This amount is included in Column F. William Bierschenk received severance pay of $6,625 that was included in his W2 for 2013. This amount is included in Part (B)(iii) compensation. Kim Walker received severance pay of $60,010 that was included in her W2 for 2013. This amount is included in Part (B)(iii) compensation. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| City of Lakeland Florida | ||||||||
| A | 596000354 | 511665HP9 | 2006-11-02 | $116,566,404 | 2006 Bonds refunded the 1999A & 2002 Bonds and pay the 2006 issuance costs | 0 | 0 | 0 |
| City of Lakeland Florida | ||||||||
| B | 596000354 | 511665JE2 | 2011-07-28 | $81,113,255 | 2011 Bonds refunded the 96A, 97A, 97B & 99B Bonds & paid 2011 issuance costs | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|
| A | $116,566,404 | $1 | $1,038,389 | 0 | Yes (1) | Yes (1) | Yes (1) |
| B | $81,113,524 | $1,012,480 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| B | Yes (1) | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a | Lakeland 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 6 | Certain 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 7a | The sole member of Lakeland Regional Medical Center, Inc. is Lakeland Regional Health Systems, Inc. |
| Form 990, Part VI, Section A, line 7b | Certain 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 11 | The 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 12c | Lakeland 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 15 | Lakeland Regional Medical Center, Inc. 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 resources 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 meetings 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 to 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 who 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 with outside counsel to the organization or Committee-engaged 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 19 | The 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: | Transfer to Affiliates -42,656,154. Change in Interest in Net Assets of the Foundation 2,135,160. Other Changes in Net Assets 73,171. Contributions -700,432. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Lakeland Regional Medical Center Foundation Inc | |||||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 237134974 | Fundraising | FL | 501(c)(3) | 11a - Type 1 | LAKELAND REGIONAL HEALTH SYSTEM INC | 0 | |
| Lakeland Regional Health Systems Inc | |||||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 592650464 | Support Other 501(c)(3) organizations | FL | 501(c)(3) | 11a - Type 1 | 0 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| 0Lakeland Regional Educational Production Inc | |||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 200679492 | Inactive | FL | Lakeland Regional Health Systems | C | 0 |
| Lakeland Regional Health Ventures Inc | |||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 592650902 | Medical Services | FL | Lakeland Regional Health Systems | C | 0 |
| Lakeland Regional Health Ventures Risk Purchasing Group Inc | |||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 202843126 | Inactive | FL | Lakeland Regional Health Systems | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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