LAKELAND REGIONAL HEALTH SYSTEMS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LAKELAND REGIONAL HEALTH SYSTEMS INC (EIN 59-2650464)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-06
IRS object ID
201442189349301009
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)
Timestamp2014-08-06T13:40:27-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN621517792EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PERSHING YOAKLEY & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12963 GULF TO BAY BLVD STE 267AddressLine1
CityCLEARWATERCity
StateFLState
ZIP Code337594255ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592650464EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lakeland Regional Health Systems IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAKENameControl
Phone8636871100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11324 Lakeland Hills BoulevardAddressLine1
CityLakelandCity
StateFLState
ZIP Code33805ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEvan C JonesName
TitleCFOTitle
Phone8636871100Phone
Date Signed2014-08-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTerry HaefnerName
PTINP01258953PTIN
Phone7274427110Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonElaine C Thompson PhDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11324 Lakeland Hills BoulevardAddressLine1
CityLakelandCity
StateFLState
ZIP Code33805ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24530522GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitehttp://lrmc.com.WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionPromotion of continued development of high quality, cost effective health care services, including providing cancer diagnostics and treatment.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees68TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI1896047TotalGrossUBI
Net Unrelated Business Txbl Income1792139NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year706478ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9922491ProgramServiceRevenuePriorYear
Program Service Revenue CY18545681ProgramServiceRevenueCY
Investment Income Prior Year25939570InvestmentIncomePriorYear
Investment Income Current Year2726562InvestmentIncomeCurrentYear
Other Revenue Prior Year4558294OtherRevenuePriorYear
Other Revenue Current Year2898162OtherRevenueCurrentYear
Total Revenue Prior Year41126833TotalRevenuePriorYear
Total Revenue Current Year24170405TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year676574GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20804680SalariesEtcPriorYear
Salaries Etc Current Year26215248SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5595543OtherExpensePriorYear
Other Expenses Current Year11793739OtherExpensesCurrentYear
Total Expenses Prior Year27076797TotalExpensesPriorYear
Total Expenses Current Year38008987TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14050036RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-13838582RevenuesLessExpensesCY
Total Assets BOY380588445TotalAssetsBOY
Total Assets EOY443463796TotalAssetsEOY
Total Liabilities BOY71804783TotalLiabilitiesBOY
Total Liabilities EOY80349870TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY308783662NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY363113926NetAssetsOrFundBalancesEOY
Mission DescriptionPromotion of continued development of high quality, cost effective health care services, including providing cancer diagnostics and treatment.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense32041576Expense
Revenue18819037Revenue
DescriptionPromotion of continued development of high quality, cost effective health care services, including providing cancer diagnostics and treatment.Description
Total Program Service Expense32041576TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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 Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees68NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryCANameOfForeignCountry
Name Of Foreign CountryVINameOfForeignCountry
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jon BoyetteBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8636871100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1230 S Florida Ave 4th FloorAddressLine1
CityLakelandCity
StateFLState
ZIP Code33805ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
A Andy Hernandez
Director1.00X000
CJ Jack English III
Director1.00X000
Dale Dreyer
Director1.00X000
David Duncan
Director1.00X000
Frank Kendrick
Director1.00X000
Jack R Harrell Jr
Chairman1.00X000
James D Melton III MD
Director1.00X000
Jay Mulaney MD
Director1.00X000
Laura J Hawley CFP
Director1.00X000
Lee Jackson
Director1.00X000
Weymon P Snuggs III
Director1.00X000
William Mutz
Past Chairman1.00X000
Robert W Andrews
Director1.00X000
Elaine Thompson PhD
Chief Executive Officer1.00068706820105450.00X
Evan C Jones
EVP - Chief Financial Officer1.0003829121092650.00X
Michael E Campanelli MD
Neurosurgeon45.00114201409306X
Matthew Smith MD
Urologist45.00710627030836X
Todd M Hall MD
Orthopedic Surgeon45.00648178022288X
Gameel Hodge MD
Urologist45.00528828023598X
Arvind B Soni MD
Radiation Oncologist45.00493169030500X
Paul A Powers
Former EVP - Chief Financial Officer0.0001914185758X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3522816TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1261398TotalReportableCompFrmRltdOrgs
Total Other Compensation334266TotalOtherCompensation
Number Individuals GT100 K42NumberIndividualsGT100K
Formers Listed1FormersListed
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
Vista Staffing Solutions Inc
File 50834Los AngelesCA900740834Medical Staffing278346
C H G Companies Inc
PO Box 972651DallasTX75397Medical271549
Peterson & Meyers PA
PO Box 24628LakelandFL33802Legal199029
Women's Imaging Center LLC
2120 Lakeland Hills BlvdLakelandFL338052906Medical183925
Sterling Capital Management LLC
Two Morrocraft Centre 4064 Colony RCharlotteNC28211Investment Services128292
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Services6219901815150618151506
Rental Income531120394175394175
FieldValueIRS element (for citing)
Total Program Service Revenue18545681TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2413972TotalRevenueColumn
Exclusion$2,413,972ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other672707Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other360117Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other312590Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column312590TotalRevenueColumn
Exclusion$312,590ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Investment in LSDC/WIC90009918921271892127
Other Income900099725100$725,100
Clinical Trials900099245874245874

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column35061TotalRevenueColumn
Related Or Exempt Function Income27482RelatedOrExemptFunctionIncome
Unrelated Business Revenue3920UnrelatedBusinessRevenue
Exclusion$3,659ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2898162TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24170405TotalRevenueColumn
Related Or Exempt Function Income18819037RelatedOrExemptFunctionIncome
Unrelated Business Revenue1896047UnrelatedBusinessRevenue
Exclusion$3,455,321ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22663434Total
Program Services19105275ProgramServices
Management And General3558159ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total680485Total
Program Services573649ProgramServices
Management And General106836ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1906843Total
Program Services1607469ProgramServices
Management And General299374ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total964486Total
Program Services813062ProgramServices
Management And General151424ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total459429Total
Program Services387299ProgramServices
Management And General72130ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total60000Total
Program Services50580ProgramServices
Management And General9420ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1331181Total
Program Services1122186ProgramServices
Management And General208995ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1519049Total
Program Services1280558ProgramServices
Management And General238491ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total247758Total
Program Services208860ProgramServices
Management And General38898ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total546408Total
Program Services460622ProgramServices
Management And General85786ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1179190Total
Program Services994057ProgramServices
Management And General185133ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total134764Total
Program Services113606ProgramServices
Management And General21158ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1320514Total
Program Services1113193ProgramServices
Management And General207321ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1640731Total
Program Services1383136ProgramServices
Management And General257595ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies & Pharmaceutic21148961782857332039
Expense Reimbursement51943143788081551
Dues and Subscriptions21573918186833871
Taxes, Licenses and Fee13015710972220435

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total374492Total
Program Services315697ProgramServices
Management And General58795ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total38008987Total
Program Services32041576ProgramServices
Management And General5967411ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY37507100BOY
EOY27929831EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1730502BOY
EOY8448359EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY356852BOY
EOY994053EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis32107719LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4366473LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19599355BOY
EOY27741246EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY314330629BOY
EOY370960236EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY5403462BOY
EOY6118784EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1660545BOY
EOY1271287EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY380588445BOY
EOY443463796EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1196475BOY
EOY1950019EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY70608308BOY
EOY78399851EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY71804783BOY
EOY80349870EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY308206662BOY
EOY362536926EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY577000BOY
EOY577000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY308783662BOY
EOY363113926EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY380588445BOY
EOY443463796EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-13838582ReconcilationRevenueExpenses
Reconciliation Unrealized Invest26136690ReconciliationUnrealizedInvest
Reconcilation Other Changes42032156ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lakeland Regional Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
EIN592650456EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$32,041,576Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts32041576SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis13078352OtherCostOrOtherBasis
Book Value13078352BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8978127OtherCostOrOtherBasis
Depreciation1689154Depreciation
Book Value7288973BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2019744OtherCostOrOtherBasis
Depreciation652216Depreciation
Book Value1367528BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8031496OtherCostOrOtherBasis
Depreciation2025103Depreciation
Book Value6006393BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings27741246TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to Affiliate$75,053,345
Employee Compensation and Benefits$3,346,506
FieldValueIRS element (for citing)
Total Of Amounts78399851TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt48316000TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments26136690NetUnrealizedGainsInvestments
Other Revenues333915OtherRevenues
Revenue Not Rptd F99026470605RevenueNotRptdF990
Revenue Subtotal21845395RevenueSubtotal
Investment Expenses Not Included1329814InvestmentExpensesNotIncluded
Other Revenues Not Included995196OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2325010RevenueNotRptdOnFinStmt
Total Revenue Per Form99024170405TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt36680000TotExpensesEtcAuditedFinclStmt
Other Expenses Included827OtherExpensesIncluded
Expenses Not Rptd F990827ExpensesNotRptdF990
Expenses Subtotal36679173ExpensesSubtotal
Investment Expenses Not Included21329814InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt1329814ExpensesNotRptdOnFinStmt
Total Expenses Per Form99038008987TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48: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, 2013, 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 2008.
Part XI, Line 2d - Other Adjustments:Investment in Women's Imaging Center 333,270. Other Changes 645.
Part XI, Line 4b - Other Adjustments:Investment in Lakeland Surgical Diagnostic Center 963,794. Investment in CMS 3,920. Investment in PSSL 27,482.
Part XII, Line 2d - Other Adjustments:Other Changes 827.

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 (8 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
Elaine Thompson PhD
Chief Executive Officer068082400062440188319012735088812200
Evan C Jones
EVP - Chief Financial Officer0366194000167180432206604039383800
Michael E Campanelli MD
Neurosurgeon11409540001060000930601151320000
Matthew Smith MD
Urologist710602000250170330138030741463000
Todd M Hall MD
Orthopedic Surgeon64812800050015684066040670466000
Gameel Hodge MD
Urologist528803000250116970119010552426000
Arvind B Soni MD
Radiation Oncologist493144000250166970138030523669000
Paul A Powers
Former EVP - Chief Financial Officer019141800000005758019717600

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4bReturnReference
ExplanationElaine Thompson, Ph.D. - Chief Executive Officer participated in a supplemental nonqualified deferred compensation plan. She had $171,291 of nontaxable benefits accrue during calendar year 2012. This amount is included in Part II Column C.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section B, line 11The Form 990 and supporting schedules are reviewed prior to filing by senior management, including the CEO and CFO. Additionally, the compensation schedules are reviewed by the Executive and Physician Compensation Committee of the Board and a copy of the Form 990 and schedules are provided to each member of the Board of Directors before filing with the IRS.
Form 990, Part VI, Section B, line 12cLakeland Regional Medical Center has a conflict of interest policy which is monitored by the Corporate Integrity Services department. All new hires, students, volunteers and contractors are trained on the ethics policy during general orientation. All staff is to comply with ethics training annually as part of their mandatory education requirements. Annually, a certification is required by all managers, directors, and officers who must acknowledge that the policy was read, understood and will be abided by. Lakeland Regional Medical Center also has a "Policy of the Board of Directors Regarding Board Members Doing Business" with Lakeland Regional Medical Center or Lakeland Regional Health Systems". All Board Members are annually required to execute a "Corporate Compliance Acknowledgement" and answer a comprehensive "Annual Conflict of Interest Questionnaire". Additionally, all Senior Corporate Management are annually required to answer a comprehensive "Annual Conflict of Interest Questionnaire".
Form 990, Part VI, Section B, line 15The Executive and Physician Compensation Committee (the "Committee") of the Board is charged with determining, in advance, all compensation issues for all executive positions including the President & CEO, the CFO and all Vice Presidents of the organization. Only independent and "disinterested" persons may serve as members of the Committee and no member may be employed by the organization or any of its affiliates. Additionally, no physician on the medical staff of the organization may serve as a member of the Committee nor may any member have any business or financial relationships with the organization, either directly or indirectly through family members. The Committee engages an independent nationally recognized human 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 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 19The organization's Articles of Incorporation are public records and may be obtained from the State of Florida's Division of Corporations in Tallahassee, Florida. Additionally, the Lease & Transfer Agreement between the organization and the City of Lakeland, Florida, under which the organization operates, is recorded in the Public Records of Polk County, Florida, the county in which the organization is located. Financial statements and similar information, both audited and unaudited, are periodically furnished to the City of Lakeland, Florida, and various regulatory agencies within the State of Florida. The financial statements and information are public records under the pertinent Florida public records law.
Form 990, Part XI, line 9:Transfer from Affiliates 42,694,082. Book/Tax Difference LSDC -963,794. Book/Tax Difference WIC 333,270. Book/Tax Difference PSSL -27,482. Book/Tax Difference CMS -3,920.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Lakeland Regional Medical Center Foundation Inc
1324 Lakeland Hills BoulevardLakelandFL33805FundraisingFL501(c)(3)11a - Type 1Lakeland Regional Health Systems Inc1
Lakeland Regional Medical Center Inc
1324 Lakeland Hills BoulevardLakelandFL33805Providing hospital servicesFL501(c)(3)3Lakeland Regional Health Systems Inc1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Women's Imaging Center LLC
2120 Lakeland Hills BlvdLakelandFL33805113830470Medical Imaging ServicesFLRelated-268118333387010.50000
Polk Starlight Sleep Labs LLC
3003 South Florida Ave Ste 203LakelandFL33803202108795Medical ServicesFLRelated2748214405010.51000Lakeland Regional Health System Inc

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
Lakeland Regional Educational Production Inc
1324 Lakeland Hills BoulevardLakelandFL33805200679492InactiveFLLakeland Regional Health System IncC1.000000
Lakeland Regional Health Ventures Inc
1324 Lakeland Hills BoulevardLakelandFL33805592650902Medical ServicesFLLakeland Regional Health Systems IncC1.000000523580571
Lakeland Regional Health Ventures Risk Purchasing Group Inc
1324 Lakeland Hills BoulevardLakelandFL33805202843126InactiveFLLakeland Regional Health System IncC1.000000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Lakeland Regional Medical Center Inc
S42694082Cash Value
Lakeland Regional Medical Center Inc
O3114775Cash Value

Form990 Schedule R Part VI Form990ScheduleRPartVI

Name Of Business NameOfBusiness

FieldValueIRS element (for citing)
Business Name Line1Lakeland Surg & Diagn Center LLPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1115 S Missouri AvenueAddressLine1
CityLakelandCity
StateFLState
ZIP Code33815ZIPCode
FieldValueIRS element (for citing)
EIN593346125EIN
Primary ActivityMedical ServicesPrimaryActivity
Legal Domicile StateFLLegalDomicileState
All Partners C3 S0AllPartnersC3S
Share Of Total Income2162331ShareOfTotalIncome
Share Of EOY Assets5767876ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.43750PercentageOwnership

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