COREWELL HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: COREWELL HEALTH (EIN 38-2748035)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-05-15
IRS object ID: 201301359349303455
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-15T10:21:52-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	381357951	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	511 RENAISSANCE DR SUITE 120	AddressLine1
City	ST JOSEPH	City
State	MI	State
ZIP Code	49085	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	382748035	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEMORIAL HEALTH SERVICES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MERC	NameControl
Phone	2699836501	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3425 LAKESHORE DR	AddressLine1
City	ST JOSEPH	City
State	MI	State
ZIP Code	49085	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	TIMOTHY CALHOUN	Name
Title	VP - FINANCE & CFO	Title
Phone	2699836501	Phone
Date Signed	2013-05-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KENLEY G PENNER CPA	Name
PTIN	P00185160	PTIN
Phone	2699828000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	LAKELAND CONTINUING CARE CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	TIM CALHOUN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1234 NAPIER AVENUE	AddressLine1
City	ST JOSEPH	City
State	MI	State
ZIP Code	49085	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	7415766	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	LAKELANDHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1987	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HOMECARE AND LONG-TERM HEALTHCARE TO PATIENTS IN THE SOUTHWEST MICHIGAN AREA.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	153	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	60	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	8028555	ProgramServiceRevenuePriorYear
Program Service Revenue CY	7410997	ProgramServiceRevenueCY
Investment Income Prior Year	2060	InvestmentIncomePriorYear
Investment Income Current Year	52	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	4717	OtherRevenueCurrentYear
Total Revenue Prior Year	8030675	TotalRevenuePriorYear
Total Revenue Current Year	7415766	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4421230	SalariesEtcPriorYear
Salaries Etc Current Year	4586165	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3024975	OtherExpensePriorYear
Other Expenses Current Year	2935414	OtherExpensesCurrentYear
Total Expenses Prior Year	7446205	TotalExpensesPriorYear
Total Expenses Current Year	7521579	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	584470	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-105813	RevenuesLessExpensesCY
Total Assets BOY	7133235	TotalAssetsBOY
Total Assets EOY	7371787	TotalAssetsEOY
Total Liabilities BOY	2506211	TotalLiabilitiesBOY
Total Liabilities EOY	2850576	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4627024	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4521211	NetAssetsOrFundBalancesEOY
Mission Description	TO BE SOUTHWESTERN MICHIGAN'S LEADER IN SAFE, HIGH QUALITY, PATIENT CENTERED, COMPASSIONATE, HEALTH-RELATED SERVICES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	6524607	Expense
Revenue	7410997	Revenue
Description	NURSING HOME OPERATIONS WERE PROVIDED TO 143 PATIENTS.	Description
Total Program Service Expense	6524607	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	9	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	153	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CHUCK PIECHOCKI	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2694282416	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1234 NAPIER AVE	AddressLine1
City	ST JOSEPH	City
State	MI	State
ZIP Code	49085	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
MICHAEL MORTIMORE
CHAIRMAN	1.00	X	X	0	0	0
KAY VARGA-SMITH
VICE CHAIRMAN	1.00	X	X	0	0	0
LYNN KELLOGG
TREASURER	1.00	X	X	0	0	0
DAVE VILLAGE
SECRETARY	1.00	X	X	0	0	0
LOREN HAMEL MD
PRESIDENT AND CEO	1.00	X	X	0	1133955	19917
SHIRLEE BENFORD
DIRECTOR	1.00	X		0	0	0
LAURENCE HABENICHT MD
DIRECTOR	1.00	X		0	273587	21901
EWANAH JOHNSON MD
DIRECTOR	1.00	X		0	229120	19918
LYNN GRAY MD
DIRECTOR (PART YEAR)	1.00	X		0	0	0
TIMOTHY CALHOUN
VP FINANCE & CFO	1.00		X	0	676386	41838
DENNIS MACK
VP FACILITY SERVICES	1.00		X	0	433637	35231
JAMES SCHLAMAN
DIRECTOR REHAB & LONG TERM	10.00			0	153488	14341	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2900173	TotalReportableCompFrmRltdOrgs
Total Other Compensation	153146	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	REHABCARE GROUP	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 503534	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	631503534	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	REHABILITATION SERVICES	DescriptionOfServices
Compensation	471072	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU	621400	7407368	7407368
OTHER OPERATING REVENU	621400	3629	3629

Field	Value	IRS element (for citing)
Total Program Service Revenue	7410997	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	52	TotalRevenueColumn
Exclusion	$52	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	4717	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	4717	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	4717	TotalRevenueColumn
Exclusion	$4,717	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	7415766	TotalRevenueColumn
Related Or Exempt Function Income	7410997	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$4,769	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3665895	Total
Program Services	3116011	ProgramServices
Management And General	549884	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	687942	Total
Program Services	584751	ProgramServices
Management And General	103191	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	232328	Total
Program Services	197479	ProgramServices
Management And General	34849	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1991	Total
Program Services	1692	ProgramServices
Management And General	299	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	695970	Total
Program Services	591574	ProgramServices
Management And General	104396	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	25667	Total
Program Services	21817	ProgramServices
Management And General	3850	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	109683	Total
Program Services	93231	ProgramServices
Management And General	16452	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2672	Total
Program Services	2271	ProgramServices
Management And General	401	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	67415	Total
Program Services	57303	ProgramServices
Management And General	10112	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	202755	Total
Program Services	172342	ProgramServices
Management And General	30413	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8529	Total
Program Services	7250	ProgramServices
Management And General	1279	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
QAAP ASSESSMENTS	777975	777975
SUPPLIES	721955	613662	108293
BAD DEBTS	97124	97124
REPAIRS & MAINTENANCE	29864	25384	4480

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	193814	Total
Program Services	164741	ProgramServices
Management And General	29073	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	7521579	Total
Program Services	6524607	ProgramServices
Management And General	996972	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	144787	BOY
EOY	679189	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	614300	BOY
EOY	454921	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3018	BOY
EOY	8651	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	7351930	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3884623	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2288989	BOY
EOY	3467307	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4082141	BOY
EOY	2761719	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	7133235	BOY
EOY	7371787	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	86578	BOY
EOY	398725	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	1529770	BOY
EOY	2287635	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	889863	BOY
EOY	164216	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2506211	BOY
EOY	2850576	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4627024	BOY
EOY	4521211	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4627024	BOY
EOY	4521211	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7133235	BOY
EOY	7371787	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-105813	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	15582	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2924	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	42	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	60	CurrentTaxYearMinus1Year
Total	18608	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7630742	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7999044	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8187759	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8028555	CurrentTaxYearMinus1Year
Current Tax Year	7410997	CurrentTaxYear
Total	39257097	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7646324	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8001968	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8187801	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8028615	CurrentTaxYearMinus1Year
Current Tax Year	7410997	CurrentTaxYear
Total	39275705	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	39275705	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5553	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1701	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	855	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	787	CurrentTaxYearMinus1Year
Current Tax Year	4769	CurrentTaxYear
Total	13665	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5553	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1701	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	855	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	787	CurrentTaxYearMinus1Year
Current Tax Year	4769	CurrentTaxYear
Total	13665	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7651877	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	8003669	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8188656	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8029402	CurrentTaxYearMinus1Year
Current Tax Year	7415766	CurrentTaxYear
Total	39289370	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99970	PublicSupportPercentage509
Prior Year Support Percentage	0.99930	PriorYearSupportPercentage
Investment Income Percentage	0.00030	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00070	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	162800	OtherCostOrOtherBasis
Book Value	162800	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4630517	OtherCostOrOtherBasis
Depreciation	3051351	Depreciation
Book Value	1579166	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1004811	OtherCostOrOtherBasis
Depreciation	769948	Depreciation
Book Value	234863	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1553802	OtherCostOrOtherBasis
Depreciation	63324	Depreciation
Book Value	1490478	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3467307	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
BOND ISSUE COSTS	154080
DUE FROM LAKELAND HOSPITALS AT NILES & ST. JOSEPH, INC.	2607639

Field	Value	IRS element (for citing)
Total Book Value Other Assets	2761719	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	COST REPORT SETTLEMENT PAYABLE	Description
Amount	$164,216	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	164216	TotalOfAmounts
Total Revenue	7415766	TotalRevenue
Total Expenses	7521579	TotalExpenses
Excess Or Deficit For Year	-105813	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-105813	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	7415766	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	7415766	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	7415766	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	7521577	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	7521577	ExpensesSubtotal
Other Expenses Not Included	2	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	2	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	7521579	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	LAKELAND REGIONAL HEALTH SYSTEM, INC. AND ITS WHOLLY OWNED SUBSIDIARIES ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES EXCEPT FOR FOUR FLAGS HEALTH VENTURES, INC. D/B/A LAKELAND HEALTH ENTERPRISES AND SUBSIDIARIES, WHICH ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. INCOME TAX EXPENSE FOR THE FOR-PROFIT CORPORATIONS IS NOT SIGNIFICANT AND HAS BEEN INCLUDED IN OPERATING EXPENSES. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY LAKELAND AND RECOGNIZE A TAX LIABILITY IF LAKELAND 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 OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. LAKELAND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2009.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		ROUNDING ADJUSTMENT 2.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LOREN HAMEL MD
0	527883	0	167760	0	438312	0	17682	0	2235	0	1153872	0	0
LAURENCE HABENICHT MD
0	273587	0	0	0	0	0	12796	0	9105	0	295488	0	0
EWANAH JOHNSON MD
0	229120	0	0	0	0	0	6949	0	12969	0	249038	0	0
TIMOTHY CALHOUN
0	288184	0	67718	0	320484	0	38500	0	3338	0	718224	0	0
DENNIS MACK
0	167432	0	34297	0	231908	0	30496	0	4735	0	468868	0	0
JAMES SCHLAMAN
0	149807	0	1200	0	2481	0	11695	0	2646	0	167829	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 4B	ReturnReference
Explanation	THE CURRENT YEAR COMPENSATION INCLUDES A ROLL-OVER AMOUNT FOR THE SUPPLEMENTAL RETIREMENT PLAN INTO A 457F PLAN FOR ALL PARTICIPANTS. THIS AMOUNT INCLUDES ALL PRIOR YEARS OF SERVICE THAT WERE REQUIRED TO BE REPORTED IN THE CURRENT YEAR EVEN THOUGH THERE WAS NO ACTUAL DISTRIBUTION OF ANY MONIES. LOREN HAMEL, MD, DENNIS MACK AND TIM CALHOUN WERE PARTICIPANTS IN THE PLAN.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF THE 990 HAS BEEN POSTED ON THE BOARD PORTAL FOR REVIEW PRIOR TO FILING. THE BOARD PORTAL IS AVAILABLE TO ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12C	THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT, THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES, AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE ASKED TO RESIGN.
	THE CEO AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION USES THE FOLLOWING PROCESS TO DETERMINE COMPENSATION. AN INDEPENDENT FIRM IS HIRED BY THE BOARD TO DETERMINE COMPENSATION PACKAGES FOR THE CEO AND SENIOR MANAGEMENT ON AN ANNUAL BASIS. THE FIRM PRESENTS COMPARATIVE PAY RANGES AND COMPENSATION RECOMMENDATIONS TO THE GOVERNANCE (COMPENSATION) COMMITTEE FOR THEIR APPROVAL. FOR SENIOR MANAGEMENT, THE CEO CAN PROVIDE INPUT AND RECOMMENDATIONS TO THE GOVERNANCE COMMITTEE. FOR THE CEO'S COMPENSATION, THE GOVERNANCE COMMITTEE PRESENTS THE COMPENSATION PACKAGE TO THE FULL BOARD FOR APPROVAL. WRITTEN CONTRACTS FOR THE CEO ARE APPROVED BY THE FULL BOARD OF DIRECTORS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2012.
FORM 990, PART VI, SECTION C, LINE 19	THE FORM 990, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII:	LOREN HAMEL, LAURENCE HABENICHT, EWANAH JOHNSON, TIMOTHY CALHOUN, DENNIS MACK AND JAMES SCHLAMAN EACH WORKED AN AVERAGE OF AT LEAST 40 HOURS PER WEEK AT THE RELATED ORGANIZATION FROM WHICH THEY WERE COMPENSATED.
FORM 990, PART XII, LINE 2C:	THERE HAS BEEN NO CHANGE IN THE AUDIT OVERSIGHT PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
LAKELAND REGIONAL HEALTH SYSTEM INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	382609624	PROVIDE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITY	MI	501(C)(3)	LINE 11B, II	N/A	0
LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	382156872	PROVIDE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITY	MI	501(C)(3)	LINE 3		1	LAKELAND REGIONAL HEALTH SYSTEM INC
LAKELAND SPECIALITY HOSPITAL AT BERRIEN CENTER
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	383452303	LONGTERM HEALTHCARE/HEALING SERVICES	MI	501(C)(3)	LINE 3		1	LAKELAND REGIONAL HEALTH SYSTEM INC
LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	382539929	PROMOTE AND ASSIST IN PROVIDING HEALTH CARE	MI	501(C)(3)	LINE 7		1	LAKELAND REGIONAL HEALTH SYSTEM INC
LAKELAND HEALTH FOUNDATION NILES
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	383130558	PROMOTE/ASSIST IN PROVIDING HEALTH CARE SERVICES IN SOUTHWESTERN MICHIGAN	MI	501(C)(3)	LINE 7		1	LAKELAND REGIONAL HEALTH SYSTEM INC
LAKELAND COMMUNITY HOSPITAL - WATERVLIET
400 MEDICAL PARK DRIVE	WATERVLIET	MI	49098	381368745	TO PROVIDE GENERAL HEALTH OF THE COMMUNITY THROUGH EDUCATION AND HEALTHCARE	MI	501(C)(3)	LINE 9		1	LAKELAND REGIONAL HEALTH SYSTEM INC
HOSPICE AT HOME INC
4025 HEALTH PARK LANE	ST JOSEPH	MI	49085	382416086	TO PROVIDE HOSPICE AND PALLIATIVE CARE TO THE TERMINALLY ILL	MI	501(C)(3)	LINE 7		1	LAKELAND REGIONAL HEALTH SYSTEM INC

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
VAN'S MEDICAL EQUIPMENT OF LAKELAND LLC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	261497708	MEDICAL EQUIPMENT	MI	N/A
CLIFFSIDE COMPANY LLC
910 S WASHINGTON AVENUE	ROYAL OAK	MI	48067	383306320	ASSISTED LIVING	MI	N/A
LAKELINE ASSOCIATES LLC
910 S WASHINGTON AVENUE	ROYAL OAK	MI	48067	383306318	PROPERTY MANAGEMENT/RENTAL	MI	N/A
LIBERTY DIALYSIS LAKELAND LLC
7650 SE 27TH STREET SUITE 200	MERCER ISLAND	WA	98040	272099855	MEDICAL SERVICES	WA	N/A
LDBH LLC
7650 SE 27TH STREET SUITE 200	MERCER ISLAND	WA	98040	451745643	MEDICAL SERVICES	WA	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity
LAKELAND HEALTH ENTERPRISES INC
31 NORTH ST JOSEPH AVENUE	NILES	MI	49120	382669798	ACCOUNTING AND BILLING	MI	N/A	C
PHARMACY SHOPPE INC DBA LAKELAND PHARMACY SHOPPE INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	382929090	PHARMACEUTICALS	MI	N/A	C
LAKELAND MEDICAL PRACTICES
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	270381199	MEDICAL ADMINISTRATIVE SERVICES	MI	N/A	C
SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	272589359	PHYSICIAN OFFICE	MI	N/A	C
FOUR FLAGS PROPERTIES INC
122 GRANT STREET	NILES	MI	49120	364501639	PROPERTY MANAGEMENT/RENTAL	MI	N/A	C
LAKELAND HEALTH VENTURES INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	272313790	HOLDING COMPANY	MI	N/A	C
LAKELAND PHYSICIAN CARE NETWORK
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	208513031	MEDICAL SERVICES	MI	N/A	C
LAKELAND PERSONAL CARE SERVICES INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	272990797	HEALTH CARE SERVICES	MI	N/A	C
LAKELAND CARE INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	383225306	CONTRACT NEGOTIATION	MI	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	LAKELAND HOSPITAL OF NILES AND ST JOSEPH INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	N	TransactionType
Amount Involved	778952	AmountInvolved
Method Of Amt Determination	ALLOCATION OF COST	MethodOfAmtDetermination