COREWELL HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COREWELL HEALTH (EIN 38-2156872)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201432279349302478
Schema version
2012v2.1
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)
Timestamp2014-08-15T10:44:31-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1750 TRADE CENTRE WAY STE 300AddressLine1
CityPORTAGECity
StateMIState
ZIP Code49002ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382156872EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAKELAND HOSPITALS AT NILES AND ST JOSEPH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAKENameControl
Phone2699838166Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11234 NAPIER AVENUEAddressLine1
CityST JOSEPHCity
StateMIState
ZIP Code49085ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY CALHOUNName
TitleVP - FINANCE & CFOTitle
Phone2699838166Phone
Date Signed2014-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCAROL LALONDE CPAName
PTINP00181637PTIN
Phone2695674500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1LAKELAND HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonLOREN HAMEL MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11234 NAPIER AVENUEAddressLine1
CityST JOSEPHCity
StateMIState
ZIP Code49085ZIPCode
FieldValueIRS element (for citing)
Gross Receipts715654120GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteLAKELANDHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionLAKELAND HOSPITAL IS A 339 BED ACUTE CARE HOSPITAL AND PROVIDES A FULL CONTINIUM OF HEALTHCARE SERVICES TO IT'S TRI-COUNTY AREA. LAKELAND REGIONAL HEALTH SYSTEM IS THE PARENT COMPANY FOR LAKELAND HOSPITALS, NURSING HOMES, AND OTHER HEALTH-RELATED SERVICE CORPORATIONS SERVING THE TRI-COUNTY AREA.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees3385TotalNbrEmployees
Total Nbr Volunteers700TotalNbrVolunteers
Total Gross UBI3777205TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2328759ContributionsGrantsPriorYear
Contributions Grants Current Year732354ContributionsGrantsCurrentYear
Program Service Revenue Prior Year340827922ProgramServiceRevenuePriorYear
Program Service Revenue CY345819417ProgramServiceRevenueCY
Investment Income Prior Year11129802InvestmentIncomePriorYear
Investment Income Current Year23328992InvestmentIncomeCurrentYear
Other Revenue Prior Year339551OtherRevenuePriorYear
Other Revenue Current Year261324OtherRevenueCurrentYear
Total Revenue Prior Year354626034TotalRevenuePriorYear
Total Revenue Current Year370142087TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year16620636GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY5496269GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year147763544SalariesEtcPriorYear
Salaries Etc Current Year147885738SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year172246814OtherExpensePriorYear
Other Expenses Current Year174772695OtherExpensesCurrentYear
Total Expenses Prior Year336630994TotalExpensesPriorYear
Total Expenses Current Year328154702TotalExpensesCurrentYear
Revenues Less Expenses Prior Year17995040RevenuesLessExpensesPriorYear
Revenues Less Expenses CY41987385RevenuesLessExpensesCY
Total Assets BOY658444079TotalAssetsBOY
Total Assets EOY687998273TotalAssetsEOY
Total Liabilities BOY201012754TotalLiabilitiesBOY
Total Liabilities EOY181774267TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY457431325NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY506224006NetAssetsOrFundBalancesEOY
Mission DescriptionTO BE SOUTHWESTERN MICHIGAN'S LEADER IN SAFE, HIGH QUALITY, PATIENT CENTERED, COMPASSIONATE, HEALTH-RELATED SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense245097042Expense
Grants5496269Grants
Revenue342042212Revenue
DescriptionHOSPITAL SERVICES PROVIDED TO 17,526 INPATIENTS AND 329,719 OUTPATIENTS.Description
Total Program Service Expense245097042TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096139NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3385NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TIMOTHY J CALHOUNBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2699838166TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11234 NAPIER AVENUEAddressLine1
CityST JOSEPHCity
StateMIState
ZIP Code49085ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DANIEL HOPP
CHAIRMAN8.0010.00XX000
JEFF EDMUNDS
VICE CHAIRMAN & TREASURER4.004.00XX000
TERRENCE ALLEN
SECRETARY4.004.00XX000
LOREN HAMEL MD
PRESIDENT & CEO15.0040.00XX671199050637
NIELS-ERIK ANDREASEN
DIRECTOR2.002.00X000
JOSEPH BARRETT
DIRECTOR2.002.00X000
LENNY BECKER
DIRECTOR2.002.00X000
DAVID BINKLEY
DIRECTOR2.002.00X000
LAURIANNE DAVIS
DIRECTOR2.002.00X000
BETH DODGE
DIRECTOR2.003.00X000
JOHN FROGGATT MD
DIRECTOR2.0042.00X275944028965
LYNN GRAY MD
DIRECTOR2.0042.00X2400000
PATRICIA HALL
DIRECTOR2.002.00X000
GEORGE HEENAN MD
DIRECTOR2.002.00X000
J DOUGLAS HUGGETT DO
DIRECTOR2.002.00X000
MICHAEL MORTIMORE
DIRECTOR2.004.00X000
KENNETH O'NEILL MD
DIRECTOR2.0042.00X239338022144
MARCUS ROBINSON
DIRECTOR2.002.00X000
JEFFREY SCHMIDT DDS
DIRECTOR2.002.00X000
LINDA STANLEY MD
DIRECTOR2.002.00X000
WESLEY STEPHENS
DIRECTOR2.002.00X000
THOMAS YEAGER
DIRECTOR2.002.00X000
JUDITH ZACHA
DIRECTOR2.002.00X000
STEPHEN HEMPEL MD
DIRECTOR (PART YEAR)2.002.00X000
TIMOTHY CALHOUN
VP - FINANCE & CFO15.0035.00X367662036008
LINDA BEUSHAUSEN
VP - LIFE TRANSITIONS1.0050.00X128936014333
RAY CRUSE
VP - STRATEGIC INITIATIVE15.0035.00X207414021352
LAURIE FLEMING
VP - OUTPATIENT & DIAGNOSTICS30.0020.00X208622024195
LOWELL HAMEL MD
VP - MEDICAL AFFAIRS & CMO20.0010.00X232003023733
DENNIS MACK
VP - OPERATIONS30.0020.00X200710022970
MARY ANN PATER
VP - LEGAL & RISK MANAGEME30.0020.00X169214018879
NORMA TIRADO-KELLENBERGER
VP - IT & HR SERVICES20.0030.00X295947028123
WARREN WHITE
VP - MEDICAL PRACTICES10.0040.00X221529024664
EILEEN WILLITS
VP - NURSING & CNO20.0030.00X277143030444
DAVID BURGHART
FOUNDATION PRESIDENT5.0040.0016215007727X
TIMOTHY ROBERTS
ASSOCIATE CIO40.000.0016673007776X
JAMES SCHLAMAN
EXECUTIVE DIRECTOR - REHAB AND LONG TERM CARE1.0040.00149628011486X
MARK PAULSON
DIRECTOR - PHARMACY40.000.00141371012758X
JANN TOTZKE
EXECUTIVE DIRECTOR - ONCOLOGY SERVICES40.000.00139214011095X
THOMAS FOLEY
PHARMACIST40.000.00137219016077X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4415973TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation413366TotalOtherCompensation
Number Individuals GT100 K81NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LAKELAND MEDICAL PRACTICE
122 GRANT STREETNILESMI49210PHYSICIAN SERVICES11350217
SUNSET COAST ANESTHESIA ASSOCIATES
1234 NAPIER AVEST JOSEPHMI49085ANESTHESIA SERVICES2344170
ALLIANCE - HNI PETCT SERVICES
PO BOX 402209ATLANTAGA303842209PET SCAN RADIOLOGY SERVICES1572180
SOUTH BEND MEDICAL FOUNDATION INC
PO BOX 2030MISHAWAKAIN465462030LAB SERVICES1112986
LIBERTY DIALSIS-LAKELAND LLC
PO BOX 10349UNIONDALENY115550349DIALYSIS SERVICES1052804
FieldValueIRS element (for citing)
Number Of Contractors GT100 K32NumberOfContractorsGT100K
Related Organizations529576RelatedOrganizations
All Other Contributions202778AllOtherContributions
Total Contributions732354TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE (58% MEDI5413803406726683370730203599648
OTHER OPERATING REVENUE54138051467494969192177557
FieldValueIRS element (for citing)
Total Program Service Revenue345819417TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8228088TotalRevenueColumn
Exclusion$8,228,088ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real261324Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real261324Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column261324TotalRevenueColumn
Exclusion$261,324ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities360612937Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities345512033Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities15100904Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column15100904TotalRevenueColumn
Exclusion$15,100,904ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column370142087TotalRevenueColumn
Related Or Exempt Function Income342042212RelatedOrExemptFunctionIncome
Unrelated Business Revenue3777205UnrelatedBusinessRevenue
Exclusion$23,590,316ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5496269Total
Program Services5496269ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4079796Total
Program Services2978251ProgramServices
Management And General1101545ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total111278038Total
Program Services81232968ProgramServices
Management And General30045070ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4126042Total
Program Services3012011ProgramServices
Management And General1114031ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total20016012Total
Program Services14611689ProgramServices
Management And General5404323ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8385850Total
Program Services6121671ProgramServices
Management And General2264179ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total224020Total
Management And General224020ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total144364Total
Management And General144364ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1553138Total
Management And General1553138ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7356122Total
Program Services5369969ProgramServices
Management And General1986153ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total637114Total
Program Services465093ProgramServices
Management And General172021ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total185555Total
Program Services135455ProgramServices
Management And General50100ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6307184Total
Program Services4604244ProgramServices
Management And General1702940ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6285832Total
Program Services4588657ProgramServices
Management And General1697175ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total711555Total
Program Services519435ProgramServices
Management And General192120ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4798172Total
Program Services3502666ProgramServices
Management And General1295506ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total22673267Total
Program Services16551485ProgramServices
Management And General6121782ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total930490Total
Program Services679258ProgramServices
Management And General251232ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES & DRUGS599112044373517916176025
PROVISION FOR BAD DEBTS1923669619236696
PHYSICIAN RELATIONS17878752130514894827263
QAAP ASSESSMENTS920388292038820

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16735348Total
Program Services10000675ProgramServices
Management And General6734673ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total328154702Total
Program Services245097042ProgramServices
Management And General83057660ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY56924015BOY
EOY71673159EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY26428165BOY
EOY24196622EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6421808BOY
EOY6769927EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4408111BOY
EOY3948228EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis468916824LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec240664327LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY236967373BOY
EOY228252497EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY309072223BOY
EOY330920248EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY18222384BOY
EOY22237592EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY658444079BOY
EOY687998273EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY33041600BOY
EOY28859489EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY110641991BOY
EOY107540927EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY57329163BOY
EOY45373851EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY201012754BOY
EOY181774267EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY453473155BOY
EOY504647007EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3958170BOY
EOY1576999EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY457431325BOY
EOY506224006EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY658444079BOY
EOY687998273EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses41987385ReconcilationRevenueExpenses
Reconciliation Unrealized Invest8726426ReconciliationUnrealizedInvest
Reconcilation Other Changes-1921130ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5215020OtherCostOrOtherBasis
Book Value5215020BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis189140350OtherCostOrOtherBasis
Depreciation67240794Depreciation
Book Value121899556BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5847251OtherCostOrOtherBasis
Depreciation4205603Depreciation
Book Value1641648BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis266714579OtherCostOrOtherBasis
Depreciation169217930Depreciation
Book Value97496649BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1999624OtherCostOrOtherBasis
Book Value1999624BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings228252497TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
PROVISION FOR MEDICAL MALPRACTICE$19,800,000
PROVISION FOR DEFERRED COMPENSATION$4,569,063
PROVISION FOR POSTRETIREMENT BENEFIT$3,917,707
INTEREST RATE SWAP AGREEMENTS$13,804,796
COST REPORT SETTLEMENTS PAYABLE$41,953
DUE TO RELATED PARTIES$3,240,332
FieldValueIRS element (for citing)
Total Of Amounts45373851TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt366158302TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments8726426NetUnrealizedGainsInvestments
Other Revenues-10627497OtherRevenues
Revenue Not Rptd F990-1901071RevenueNotRptdF990
Revenue Subtotal368059373RevenueSubtotal
Investment Expenses Not Included1553138InvestmentExpensesNotIncluded
Other Revenues Not Included529576OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2082714RevenueNotRptdOnFinStmt
Total Revenue Per Form990370142087TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt301868599TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal301868599ExpensesSubtotal
Investment Expenses Not Included21553138InvestmentExpensesNotIncluded2
Other Expenses Not Included24732965OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt26286103ExpensesNotRptdOnFinStmt
Total Expenses Per Form990328154702TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE INTERNAL REVENUE SERVICE HAS RULED THAT THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN FAIR VALUE OF SWAP AGREEMENTS 10,871,328. PROVISION FOR BAD DEBTS -19,236,696. CHANGE IN INTEREST NET ASSETS OF CHARITABLE FOUNDATIONS -2,262,129.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTION FROM LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH 391,310. CONTRIBUTION FROM LAKELAND HEALTH FOUNDATION, NILES 138,266.
PART XII, LINE 4B - OTHER ADJUSTMENTS:GRANT TO LAKELAND COMMUNITY HOSPITAL - WATERVLIET 4,496,269. PROVISION FOR BAD DEBTS 19,236,696. GRANT TO LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH 1,000,000.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage225.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served6973PersonsServed
Total Community Benefit Expense6118019TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense6118019NetCommunityBenefitExpense
Percent Of Total Expense0.01980PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served57545PersonsServed
Total Community Benefit Expense50638408TotalCommunityBenefitExpense
Direct Offsetting Revenue43468777DirectOffsettingRevenue
Net Community Benefit Expense7169631NetCommunityBenefitExpense
Percent Of Total Expense0.02320PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served64518PersonsServed
Total Community Benefit Expense56756427TotalCommunityBenefitExpense
Direct Offsetting Revenue43468777DirectOffsettingRevenue
Net Community Benefit Expense13287650NetCommunityBenefitExpense
Percent Of Total Expense0.04300PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs807NumberOfActivitiesOrPrograms
Persons Served176947PersonsServed
Total Community Benefit Expense2655832TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2655832NetCommunityBenefitExpense
Percent Of Total Expense0.00860PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs98NumberOfActivitiesOrPrograms
Persons Served1913PersonsServed
Total Community Benefit Expense3634668TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3634668NetCommunityBenefitExpense
Percent Of Total Expense0.01180PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs84NumberOfActivitiesOrPrograms
Persons Served3758PersonsServed
Total Community Benefit Expense171169TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense171169NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs989NumberOfActivitiesOrPrograms
Persons Served182618PersonsServed
Total Community Benefit Expense6461669TotalCommunityBenefitExpense
Net Community Benefit Expense6461669NetCommunityBenefitExpense
Percent Of Total Expense0.02100PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs991NumberOfActivitiesOrPrograms
Persons Served247136PersonsServed
Total Community Benefit Expense63218096TotalCommunityBenefitExpense
Direct Offsetting Revenue43468777DirectOffsettingRevenue
Net Community Benefit Expense19749319NetCommunityBenefitExpense
Percent Of Total Expense0.06400PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs22NumberOfActivitiesOrPrograms
Persons Served105PersonsServed
Total Community Building Expense3455TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense3455NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served141PersonsServed
Total Community Building Expense606TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense606NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served200PersonsServed
Total Community Building Expense852TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense852NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense6143TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense6143NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs49NumberOfActivitiesOrPrograms
Persons Served446PersonsServed
Total Community Building Expense11056TotalCommunityBuildingExpense
Net Community Building Expense11056NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$19,236,696BadDebtExpenseAmount
Amount Attributable To14146591AmountAttributableTo
Amount Reimbursed By Medicare116436241AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare113334642CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3101599MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursFacility Reporting GroupFacilityReportingGroup
LAKELAND HOSPITALS AT ST JOSEPH
11234 NAPIER AVENUEST JOSEPHMI49085XXXA
LAKELAND HOSPITALS AT NILES
231 N SAINT JOSEPH AVENUENILESMI49120XXXA

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent150.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent225.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
PART I, LINE 7: THE COST TO CHARGE RATIO USED WAS BASED ON THE COST REPORT.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 19236696.
HEALTH PROFESSIONS EDUCATION - INCLUDES PROVIDING A CLINICAL SETTING FOR UNDERGRADUATE AND GRADUATE STUDENTS, VOCATIONAL TRAINING, AND THE PROFESSIONAL HEALTH CAREERS ACADEMY FOR ELEVENTH AND TWELFTH GRADE STUDENTS.CASH & IN-KIND DONATIONS TO COMMUNITY GROUPS - REPRESENTS LAKELANDS FINANCIAL AND IN-KIND CONTRIBUTIONS TO SOCIAL SERVICES OR COMMUNITY AGENCIES FOR HEALTHCARE RELATED ACTIVITIES, DONATION OF MEDICAL SUPPLIES, UNITED WAY LEADERSHIP, GIRLS ON THE RUN, AND MEMBERSHIP ON COMMUNITY BOARDS. FINANCIAL ASSISTANCE - COVERS THE FREE OR DISCOUNTED CARE THAT LAKELAND OFFERS TO THOSE WHO CANNOT AFFORD TO PAY OR ARE NOT ELIGIBLE FOR PUBLIC PROGRAMS.FINANCIAL ASSISTANCE DOES NOT INCLUDE THE BAD DEBT COST, WHICH TOTALED $19,236,696 IN FY 2013 OR THE SURPLUS OF MEDICARE, WHICH TOTALED $3,101,599. UNREIMBURSED MEDICAID- REPRESENTS THE COST OF CARING FOR PEOPLE COVERED BY MEDICAID MINUS THE AMOUNT LAKELAND RECEIVES FROM THOSE PROGRAMS.PART I, LINES 7F AND 7I
PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE HOSTS MENTORING PROGRAM FOR YOUNG CHILDREN, HEALTH CAREER PRESENTATIONS TO AREA STUDENTS, DISASTER READINESS, AND YOUNG ENTREPRENEURS DAY FOR AREA HIGH SCHOOL STUDENTS.
PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.PATIENT CHARGES WRITTEN OFF PURSUANT TO FINANCIAL ASSISTANCE POLICIES ARE TRACKED AND ARE DETERMINED TO BE COMMUNITY BENEFIT.
PART VI, LINE 2: THE ORGANIZATION USES NEEDS ASSESSMENT PREPARED BY THE COUNTY HEALTH DEPARTMENT AND PARTICIPATES IN A REGIONAL HEALTHY BERRIEN COMMUNITY COMMITTEE TO ADDRESS HEALTH NEEDS.
PART VI, LINE 3: THE ORGANIZATION EMPLOYS MORE THAN 12 FINANCIAL COUNSELORS WHO ASSIST PATIENTS WITH ELIGIBILITY.
PART VI, LINE 4: THE SYSTEM SERVES APPROXIMATELY 160,000 RESIDENTS IN BERRIEN COUNTY AND SURROUNDING AREAS. APPROXIMATELY 12% OF FAMILIES AND 17% OF INDIVIDUALS ARE BELOW POVERTY LEVEL.
PART VI, LINE 5: COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS - REPRESENTS ACTIVITIES THAT HELP IMPROVE THE HEALTH AND QUALITY OF LIFE FOR PEOPLE IN THE COMMUNITY. HEALTH PRESENTATIONS INCLUDE: ACT IN TIME TO HEART ATTACK AND STROKE, EXPECTANT PARENT, SMOKE FREE LIFE, TEEN PREGNANCY PREVENTION BABY THINK IT OVER AND POSTPONING SEXUAL INVOLVEMENT - ADVANCED DIRECTIVES, SENIOR-EXPO, PRE-DIABETES, FALLS PREVENTION, MEDICATION SAFETY, HEARTSAFE AND HEART LESSONS. CANCER SCREENINGS INCLUDE PROSTATE, BREAST AND COLORECTAL, CANCER SUPPORT PROGRAMS SUCH AS: LOOK GOOD, FEEL BETTER, THE ANNUAL CARE FAIR, AND BREAST HEALTH AWARENESS. LAKELAND SUPPORTS TWO HEALTH RESOURCE LIBRARIES AT ST. JOSEPH AND NILES, PARISH AND SENIOR CENTER NURSES, AND NUMEROUS HEALTH SCREENINGS ARE SOME EXAMPLES.
PART VI, LINE 6: THE ORGANIZATION IS PART OF LAKELAND REGIONAL HEALTH SYSTEM WHICH SERVES THE SAME GEOGRAPHIC AREA FOR HEALTHCARE RELATED SERVICES.
MIPART VI, LINE 7REPORTS FILED WITH STATES
SEE BELOWPART V, LINE 8 FACILITY REPORTING GROUP A
THE CHNA INCLUDED INPUT AND DATA COLLECTED FROM PEOPLE AND ORGANIZATIONS THROUGHOUT THE COUNTY REPRESENTING THE BROAD INTERESTS OF BERRIEN COUNTY-PUBLIC HEALTH, GOVERNMENT, COMMUNITY LEADERS, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. PARTICIPATING ORGANIZATIONS INCLUDED:- BERRIEN COUNTY HEALTH DEPARTMENT- BERRIEN COUNTY DEPARTMENT OF HUMAN SERVICES- BERRIEN HEALTH PLAN- HEAL HEALTH EQUITY ALLIANCE- HEALTHY COMMUNITY PARTNERSHIP- BERRIEN COUNTY INTERMEDIATE SCHOOL DISTRICT- UNITED WAY OF SOUTHWEST MICHIGAN- AREA AGENCY ON AGING REGION 4- SOUTHWEST MICHIGAN PLANNING COMMISSION- BENTON HARBOR ST. JOSEPH YMCA- PUBLICLY AVAILABLE DATA FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION(CDC), MICHIGAN DEPARTMENT OF COMMUNITY HEALTH(MDCH), US CENSUS, AMERICAN COMMUNITY SURVEY, MICHIGAN HOSPITAL ASSOCIATION(MHA) AND COUNTY HEALTH RANKINGS(UNIVERSITY OF WISCONSIN)PART V, SECTION B, LINE 3:FACILITY 2 -- LAKELAND HOSPITALS AT NILES
THE CHNA WILL BE MADE AVAILABLE TO THE PUBLIC BY A NUMBER OF MARKETING TACTICS: NEWS RELEASES TO BERRIEN COUNTY NEWSPAPERS, COMMUNITY EMAIL BLAST TO OVER 1,000 SUBSCRIBERS, MYLAKELAND INTRANET POSTING TO OVER 4,500 LAKELAND ASSOCIATES, VOLUNTEERS AND PHYSICIANS, DISTRIBUTED AT COMMUNITY EDUCATION EVENTS, PHYSICIAN SPEAKER SERIES AND MANY OTHER COMMUNITY HEALTH/WELLNESS PROGRAMS. PAPER COPIES ARE AVAILABLE UPON REQUEST USING THE 800 LAKELAND PHONE NUMBER.AN ONLINE COPY OF THE ASSESSMENT IS AVAILABLE AT WWW.LAKELANDHEALTH.ORG/CHNAPART V, SECTION B, LINE 5C:FACILITY 2 -- LAKELAND HOSPITALS AT NILES
THE HOSPITAL DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENT NEEDS ASSESSMENT BECAUSE THE NEED TO REDUCE EXCESSIVE DRINKING, MOTOR VEHICLE CRASH DEATHS, AND SEXUALLY TRANSMITTED INFECTIONS ARE SPECIFIC HEALTH BEHAVIORS THAT ARE ADDRESSED BY THE BERRIEN COUNTY HEALTH DEPARTMENT.PART V, SECTION B, LINE 7:FACILITY 2 -- LAKELAND HOSPITALS AT NILES
FINANCIAL ASSISTANCE AVAILABILITY IS REFERENCED ON OUR BILLING STATEMENT AND IN BROCHURES LOCATED IN: EMERGENCY DEPARTMENT, ADMISSION OFFICE, PATIENT WAITING AREAS, AND IN PATIENT DISCHARGE PACKET.PART V, SECTION B, LINE 14G:FACILITY 2 -- LAKELAND HOSPITALS AT NILES
BASED ON FPL LEVEL, BALANCES WERE DISCOUNTED AS % OF CHARGES. FPL LEVELS: 0-150, 151-175, 176-200, 201-225.PART V, SECTION B, LINE 20D:FACILITY 2 -- LAKELAND HOSPITALS AT NILES
THE CHNA INCLUDED INPUT AND DATA COLLECTED FROM PEOPLE AND ORGANIZATIONS THROUGHOUT THE COUNTY REPRESENTING THE BROAD INTERESTS OF BERRIEN COUNTY-PUBLIC HEALTH, GOVERNMENT, COMMUNITY LEADERS, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. PARTICIPATING ORGANIZATIONS INCLUDED:- BERRIEN COUNTY HEALTH DEPARTMENT- BERRIEN COUNTY DEPARTMENT OF HUMAN SERVICES- BERRIEN HEALTH PLAN- HEAL HEALTH EQUITY ALLIANCE- HEALTHY COMMUNITY PARTNERSHIP- BERRIEN COUNTY INTERMEDIATE SCHOOL DISTRICT- UNITED WAY OF SOUTHWEST MICHIGAN- AREA AGENCY ON AGING REGION 4- SOUTHWEST MICHIGAN PLANNING COMMISSION- BENTON HARBOR ST. JOSEPH YMCA- PUBLICLY AVAILABLE DATA FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION(CDC), MICHIGAN DEPARTMENT OF COMMUNITY HEALTH(MDCH), US CENSUS, AMERICAN COMMUNITY SURVEY, MICHIGAN HOSPITAL ASSOCIATION(MHA) AND COUNTY HEALTH RANKINGS(UNIVERSITY OF WISCONSIN)PART V, SECTION B, LINE 3:FACILITY 1 -- LAKELAND HOSPITALS AT ST. JOSEPH
THE CHNA WILL BE MADE AVAILABLE TO THE PUBLIC BY A NUMBER OF MARKETING TACTICS: NEWS RELEASES TO BERRIEN COUNTY NEWSPAPERS, COMMUNITY EMAIL BLAST TO OVER 1,000 SUBSCRIBERS, MYLAKELAND INTRANET POSTING TO OVER 4,500 LAKELAND ASSOCIATES, VOLUNTEERS AND PHYSICIANS, DISTRIBUTED AT COMMUNITY EDUCATION EVENTS, PHYSICIAN SPEAKER SERIES AND MANY OTHER COMMUNITY HEALTH/WELLNESS PROGRAMS. PAPER COPIES ARE AVAILABLE UPON REQUEST USING THE 800 LAKELAND PHONE NUMBER.AN ONLINE COPY OF THE ASSESSMENT IS AVAILABLE AT WWW.LAKELANDHEALTH.ORG/CHNAPART V, SECTION B, LINE 5C:FACILITY 1 -- LAKELAND HOSPITALS AT ST. JOSEPH
THE HOSPITAL DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENT NEEDS ASSESSMENT BECAUSE THE NEED TO REDUCE EXCESSIVE DRINKING, MOTOR VEHICLE CRASH DEATHS, AND SEXUALLY TRANSMITTED INFECTIONS ARE SPECIFIC HEALTH BEHAVIORS THAT ARE ADDRESSED BY THE BERRIEN COUNTY HEALTH DEPARTMENT.PART V, SECTION B, LINE 7:FACILITY 1 -- LAKELAND HOSPITALS AT ST. JOSEPH
FINANCIAL ASSISTANCE AVAILABILITY IS REFERENCED ON OUR BILLING STATEMENT AND IN BROCHURES LOCATED IN: EMERGENCY DEPARTMENT, ADMISSION OFFICE, PATIENT WAITING AREAS, AND IN PATIENT DISCHARGE PACKET.PART V, SECTION B, LINE 14G:FACILITY 1 -- LAKELAND HOSPITALS AT ST. JOSEPH
BASED ON FPL LEVEL, BALANCES WERE DISCOUNTED AS % OF CHARGES. FPL LEVELS: 0-150, 151-175, 176-200, 201-225.PART V, SECTION B, LINE 20D:FACILITY 1 -- LAKELAND HOSPITALS AT ST. JOSEPH

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrant
LAKELAND COMMUNITY HOSPITAL - WATERVLIET
400 MEDICAL PARK DRIVEWATERVLIETMI49098381368745501(C)(3)4496269ACTUAL AMOUNTS GRANTEDFUNDING OF CONSTRUCTION PROJECTS
LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH
1234 NAPIER AVENUEST JOSEPHMI49085382539929501(C)(3)1000000ACTUAL AMOUNTS GRANTEDDONATION FOR HOSPICE RESIDENCE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LOREN HAMEL MD
PRESIDENT & CEO5115650105000054634046402042350721836000
JOHN FROGGATT MD
DIRECTOR27594400000126500163150304909000
KENNETH O'NEILL MD
DIRECTOR23933800000114470106970261482000
TIMOTHY CALHOUN
VP - FINANCE & CFO28840807010309151032170038380403670000
RAY CRUSE
VP - STRATEGIC INITIATIVE177086018482011846019432019200228766000
LAURIE FLEMING
VP - OUTPATIENT & DIAGNOSTICS177768018570012284021834023610232817000
LOWELL HAMEL MD
VP - MEDICAL AFFAIRS & CMO18746903481809716022191015420255736000
DENNIS MACK
VP - OPERATIONS163384025833011493020274026960223680000
MARY ANN PATER
VP - LEGAL & RISK MANAGEME145816011833011565017450014290188093000
NORMA TIRADO-KELLENBERGER
VP - IT & HR SERVICES250105031238014604024869032540324070000
WARREN WHITE
VP - MEDICAL PRACTICES19056001669401427502412805360246193000
EILEEN WILLITS
VP - NURSING & CNO222836039385014922027525029190307587000
DAVID BURGHART
FOUNDATION PRESIDENT15806007200337006354013730169877000
TIMOTHY ROBERTS
ASSOCIATE CIO1510100157200005357024190174506000
JAMES SCHLAMAN
EXECUTIVE DIRECTOR - REHAB AND LONG14637607200253208924025620161114000
MARK PAULSON
DIRECTOR - PHARMACY14065107200008483042750154129000
JANN TOTZKE
EXECUTIVE DIRECTOR - ONCOLOGY SERVIC1381920720030208287028080150309000
THOMAS FOLEY
PHARMACIST13709901200008515075620153296000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationLAKELAND MAINTAINS A 457F NONQUALIFIED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE PLAN ARE: LOREN HAMEL, MD; TIMOTHY CALHOUN; LINDA BEUSHAUSEN; RAY CRUSE; LAURIE FLEMING; LOWELL HAMEL, MD; MARY ANN PATER; NORMA TIRADO-KELLENBERGER; WARREN WHITE; EILEEN WILLITSExplanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MICHIGAN)
A383151499790678CC82003-12-1741525000REFUND BONDS ISSUED 1/13/94 AND FACILITY CONSTRUCTION AND IMPROVEMENTS000
HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MICHIGAN)
B383151499790678CD62006-01-2650000000FACILITY CONSTRUCTION AND IMPROVEMENTS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A41643043193091313925061005744620041011
B5261340546750010127385113316720070011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A001100.000000.000000.00000000
B00000.000000.000000.00000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsBusiness Name Line1NameOfGICProvider/BusinessNameLine1Business Name Line2NameOfGICProvider/BusinessNameLine2Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
UBS AG
A00101128.00000000000000000
UBS AG
B11128.90000000000000100CITIGROUP GLOBALMARKETS2.7000000000001

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A0
B0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2LOREN HAMEL, MD AND LOWELL HAMEL, MD HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE 990 HAS BEEN POSTED ON THE BOARD PORTAL FOR REVIEW PRIOR TO FILING. THE BOARD PORTAL IS AVAILABLE TO ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12CTHE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT, THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES, AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE ASKED TO RESIGN.
FORM 990, PART VI, SECTION B, LINE 15AN INDEPENDENT FIRM IS HIRED BY THE BOARD TO DETERMINE COMPENSATION PACKAGES FOR THE CEO AND SENIOR MANAGEMENT ON AN ANNUAL BASIS. THE FIRM PRESENTS COMPARATIVE PAY RANGES AND COMPENSATION RECOMMENDATIONS TO THE GOVERNANCE (COMPENSATION) COMMITTEE FOR THEIR APPROVAL. FOR SENIOR MANAGEMENT, THE CEO CAN PROVIDE INPUT AND RECOMMENDATIONS TO THE GOVERNANCE COMMITTEE. FOR THE CEO'S COMPENSATION, THE GOVERNANCE COMMITTEE PRESENTS THE COMPENSATION PACKAGE TO THE FULL BOARD FOR APPROVAL. WRITTEN CONTRACTS FOR THE CEO ARE APPROVED BY THE FULL BOARD OF DIRECTORS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKE WAS FISCAL YEAR 2013.
FORM 990, PART VI, SECTION C, LINE 18THE HOSPITAL'S FORM 990 IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF SWAP AGREEMENTS 10,871,328. CAPITAL CONTRIBUTION TO LAKELAND MEDICAL PRACTICES -10,000,000. CHANGE IN INTEREST OF NET ASSETS OF CHARITABLE FOUNDATIONS -2,262,129. ALLOCATION OF EXPENSES TO RELATED PARTIES -521,998. CHANGE OF INTEREST IN PARTNERSHIP -8,331.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THERE HAS BEEN NO CHANGE IN AUDIT OVERSIGHT PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LAKELAND REGIONAL HEALTH SYSTEM INC
1234 NAPIER AVENUEST JOSEPHMI49085382609624PROVIDE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITYMI501(C)(3)LINE 11B, IIN/A0
LAKELAND SPECIALITY HOSPITAL AT BERRIEN CENTER
1234 NAPIER AVENUEST JOSEPHMI49085383452303LONGTERM HEALTHCARE/HEALING SERVICESMI501(C)(3)LINE 31LAKELAND REGIONAL HEALTH SYSTEM INC
LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH
1234 NAPIER AVENUEST JOSEPHMI49085382539929PROMOTE AND ASSIST IN PROVIDING HEALTH CAREMI501(C)(3)LINE 71LAKELAND REGIONAL HEALTH SYSTEM INC
LAKELAND HEALTH FOUNDATION NILES
1234 NAPIER AVENUEST JOSEPHMI49085383130558PROMOTE/ASSIST IN PROVIDING HEALTH CARE SERVICES IN SOUTHWESTERN MICHIGANMI501(C)(3)LINE 71LAKELAND REGIONAL HEALTH SYSTEM INC
MERCY MEMORIAL HEALTH SERVICES INC
3425 LAKESHORE DRIVEST JOSEPHMI49085382748035PROVIDE HOMECARE AND LONG-TERM HEALTHCARE TO PATIENTS IN SOUTHWEST MICHIGANMI501(C)(3)LINE 91LAKELAND REGIONAL HEALTH SYSTEM INC
LAKELAND COMMUNITY HOSPITAL - WATERVLIET
400 MEDICAL PARK DRIVEWATERVLIETMI49098381368745TO PROVIDE GENERAL HEALTH OF THE COMMUNITY THROUGH EDUCATION AND HEALTHCAREMI501(C)(3)LINE 91LAKELAND REGIONAL HEALTH SYSTEM INC
HOSPICE AT HOME INC
4025 HEALTH PARK LANEST JOSEPHMI49085382416086TO PROVIDE HOSPICE AND PALLIATIVE CARE TO THE TERMINALLY ILLMI501(C)(3)LINE 71LAKELAND REGIONAL HEALTH SYSTEM INC

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
VAN'S MEDICAL EQUIPMENT OF LAKELAND LLC
1234 NAPIER AVENUEST JOSEPHMI49085261497708MEDICAL EQUIPMENTMIN/A
CLIFFSIDE COMPANY LLC
910 S WASHINGTON AVENUEROYAL OAKMI48067383306320ASSISTED LIVINGMIN/A
LAKELINE ASSOCIATES LLC
910 S WASHINGTON AVENUEROYAL OAKMI48067383306318PROPERTY MANAGEMENT/RENTALMIN/A
LIBERTY DIALYSIS LAKELAND LLC
7650 SE 27TH STREET SUITE 200MERCER ISLANDWA98040272099855MEDICAL SERVICESWAN/A
LDBH LLC
7650 SE 27TH STREET SUITE 200MERCER ISLANDWA98040451745643MEDICAL SERVICESWAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
LAKELAND HEALTH ENTERPRISES INC
31 NORTH ST JOSEPH AVENUENILESMI49120382669798ACCOUNTING AND BILLINGMILAKELAND REGIONAL HEALTH SYSTEMC1
PHARMACY SHOPPE INC DBA LAKELAND PHARMACY SHOPPE INC
1234 NAPIER AVENUEST JOSEPHMI49085382929090PHARMACEUTICALSMILAKELAND HEALTH ENTERPRISESC1
LAKELAND MEDICAL PRACTICES
1234 NAPIER AVENUEST JOSEPHMI49085270381199MEDICAL ADMINISTRATIVE SERVICESMILAKELAND HEALTH ENTERPRISESC1
SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC
1234 NAPIER AVENUEST JOSEPHMI49085272589359PHYSICIAN OFFICEMILAKELAND HEALTH ENTERPRISESC1
FOUR FLAGS PROPERTIES INC
122 GRANT STREETNILESMI49120364501639PROPERTY MANAGEMENT/RENTALMILAKELAND HEALTH ENTERPRISESC1
LAKELAND HEALTH VENTURES INC
1234 NAPIER AVENUEST JOSEPHMI49085272313790HOLDING COMPANYMILAKELAND HEALTH ENTERPRISESC1
LAKELAND PHYSICIAN CARE NETWORK
1234 NAPIER AVENUEST JOSEPHMI49085208513031MEDICAL SERVICESMILAKELAND HEALTH ENTERPRISESC1
LAKELAND PERSONAL CARE SERVICES INC
1234 NAPIER AVENUEST JOSEPHMI49085272990797HEALTH CARE SERVICESMILAKELAND HEALTH ENTERPRISESC1
LAKELAND CARE INC
1234 NAPIER AVENUEST JOSEPHMI49085383225306CONTRACT NEGOTIATIONMIC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH
C391310ACTUAL AMOUNTS GRANTED
LAKELAND HEALTH FOUNDATION NILES
C138266ACTUAL AMOUNTS GRANTED
LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH
O193139ALLOCATION OF EXPENSE
LAKELAND HEALTH FOUNDATION NILES
O67860ALLOCATION OF EXPENSE
LAKELAND COMMUNITY HOSPITAL - WATERVLIET
O52200ALLOCATION OF EXPENSE
HOSPICE AT HOME INC
O208799ALLOCATION OF EXPENSE
LAKELAND REGIONAL HEALTH SYSTEM INC
B15496272ACTUAL AMOUNTS GRANTED
FOUR FLAGS PROPERTIES
K624923ACTUAL AMOUNT OF RENT
LAKELAND SPECIALITY HOSPITAL AT BERRIEN CENTER
O12171811ALLOCATION OF EXPENSE
MERCY MEMORIAL HEALTH SERVICES INC
O755973ALLOCATION OF EXPENSE

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