LAKELAND REGIONAL MEDICAL CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- LAKELAND REGIONAL MEDICAL CENTER INC (EIN 59-2650456)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-09
- IRS object ID
- 201302219349300235
- 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 B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-09T09:57:11-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621517792 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PERSHING YOAKLEY & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2963 GULF TO BAY BLVD STE 267 | AddressLine1 |
| City | CLEARWATER | City |
| State | FL | State |
| ZIP Code | 337594255 | 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 | 592650456 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Regional Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LAKE | NameControl |
| Phone | 8636871100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1324 Lakeland Hills Boulevard | AddressLine1 |
| City | Lakeland | City |
| State | FL | State |
| ZIP Code | 33805 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Evan C Jones | Name |
| Title | CFO | Title |
| Phone | 8636871100 | Phone |
| Date Signed | 2013-08-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Terry Haefner | Name |
| PTIN | P01258953 | PTIN |
| Phone | 7274427110 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Elaine C Thompson PhD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1324 Lakeland Hills Boulevard | AddressLine1 |
| City | Lakeland | City |
| State | FL | State |
| ZIP Code | 33805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 706689685 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.lrmc.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1914 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | The purpose of this organization is to operate a general acute care hospital for the provision of health care services to the residents of Central Florida. Lakeland Regional Medical Center, Inc. also conducts community seminars and counseling regarding health issues. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5270 | TotalNbrEmployees |
| Total Nbr Volunteers | 248 | TotalNbrVolunteers |
| Total Gross UBI | 1387 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 387 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 792291 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 287729 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 616933412 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 706367596 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -74941 | InvestmentIncomePriorYear |
| Investment Income Current Year | -284424 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 617650762 | TotalRevenuePriorYear |
| Total Revenue Current Year | 706370901 | 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 | 265216436 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 264945572 | 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 | 330786701 | OtherExpensePriorYear |
| Other Expenses Current Year | 383154255 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 596003137 | TotalExpensesPriorYear |
| Total Expenses Current Year | 648099827 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 21647625 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 58271074 | RevenuesLessExpensesCY |
| Total Assets BOY | 478537799 | TotalAssetsBOY |
| Total Assets EOY | 494435541 | TotalAssetsEOY |
| Total Liabilities BOY | 316055484 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 318231282 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 162482315 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 176204259 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Our Core Purpose/Mission is improving lives by delivering exceptional healthcare | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 617403447 | Expense |
| Revenue | 706367596 | Revenue |
| Description | See Schedule O for Program Services Statement | Description |
| Total Program Service Expense | 617403447 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | 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 | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 1 | 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 | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 178 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 5270 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | 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 | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | 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 | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | William Bierschenk | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8636871102 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 S Florida Ave Suite 400 | AddressLine1 |
| City | Lakeland | City |
| State | FL | State |
| ZIP Code | 33805 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Jack R Harrell Jr | |||||||||
| Chairman | 1.00 | X | 0 | 0 | 0 | ||||
| William Mutz | |||||||||
| Past Chairman | 1.00 | X | 0 | 0 | 0 | ||||
| David Duncan | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Robert W Andrew | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| CJ Jack English III | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Laura J Hawley CFP | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| A Andy Hernandez | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Lee Jackson | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Frank Kendrick | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Jay Mulaney MD | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Weymon P Snuggs III | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| James D Melton III MD | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Dale Dreyer | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| Elaine Thompson PhD | |||||||||
| Chief Executive Officer | 50.00 | 833177 | 0 | 182886 | X | ||||
| Evan C Jones | |||||||||
| SVP - Chief Financial Officer | 50.00 | 114707 | 0 | 1149 | X | ||||
| Janet W Fansler | |||||||||
| EVP - Chief Nursing Executive/COO | 50.00 | 566226 | 0 | 76728 | X | ||||
| Mary C Ford | |||||||||
| EVP - Chief Information Officer | 50.00 | 339703 | 0 | 348765 | X | ||||
| Jeffery Payne | |||||||||
| VP- Human Resources | 50.00 | 287559 | 0 | 235314 | X | ||||
| Wilton Reavis MD | |||||||||
| President/Chief Medical Officer | 50.00 | 184445 | 0 | 1936 | X | ||||
| William J Bierschenk | |||||||||
| Director of Finance/Controller | 45.00 | 178747 | 0 | 24181 | X | ||||
| Terry L Boston | |||||||||
| Medical Physicist | 45.00 | 217411 | 0 | 29732 | X | ||||
| Douglas J Geer | |||||||||
| Pharmacy Information Technician | 45.00 | 167309 | 0 | 26225 | X | ||||
| Joy L Jackson MD | |||||||||
| Physician Advisor | 45.00 | 191371 | 0 | 22155 | X | ||||
| Elizabeth Kerns | |||||||||
| AVP-Chief Technology Officer | 45.00 | 184115 | 0 | 18989 | X | ||||
| Paul A Powers | |||||||||
| Former Chief Financial Officer | 0.00 | 606315 | 0 | 31742 | X | ||||
| Edwin A Sammer MD | |||||||||
| Former Chief Medical Officer | 0.00 | 353816 | 0 | 7469 | X | ||||
| Hugh Autry | |||||||||
| Former VP - System Development | 0.00 | 489271 | 0 | 71533 | X | ||||
| Carole Philipson | |||||||||
| Former VP- Support Services | 0.00 | 477962 | 0 | 7921 | X | ||||
| John Schliesser | |||||||||
| Former VP- Planning | 0.00 | 254916 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5447050 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1086725 | TotalOtherCompensation |
| Number Individuals GT100 K | 182 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Watson Clinic | |||||
| 1600 Lakeland Hills Blvd | Lakeland | FL | 33804 | Medical | 3083912 |
| Peterson & Myers PA | |||||
| 225 E Lemon St | Lakeland | FL | 33801 | Legal | 2436649 |
| Canaide Inc | |||||
| PO Box 1052 | Melrose | FL | 32666 | Collections | 1341857 |
| Health Data Specialists | |||||
| 1720 Sand Creek Road | Pomona | KS | 66076 | Software Maintenance | 1328424 |
| Executive Health Resources Inc | |||||
| PO Box 822688 | Philadelphia | PA | 19182 | Consulting/Revenue Cycle | 1203922 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 40 | NumberOfContractorsGT100K |
| Government Grants | 284729 | GovernmentGrants |
| All Other Contributions | 3000 | AllOtherContributions |
| Total Contributions | 287729 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Patient Service Revenu | 621990 | 384705974 | 384705974 | |
| Medicare/Medicaid | 621990 | 313212875 | 313212875 | |
| Cafeteria Revenue | 722210 | 3801593 | $3,801,593 | |
| Gift Shop | 453220 | 2766504 | $2,766,504 | |
| Medicare EHR Reimburse | 621990 | 1222795 | 1222795 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 657855 | TotalRevenueColumn |
| Related Or Exempt Function Income | 656468 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1387 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 706367596 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 116 | TotalRevenueColumn |
| Exclusion | $116 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 34244 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 318784 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -284540 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -284540 | TotalRevenueColumn |
| Exclusion | -$284,540 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 706370901 | TotalRevenueColumn |
| Related Or Exempt Function Income | 699798112 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1387 | UnrelatedBusinessRevenue |
| Exclusion | $6,283,673 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4803022 | Total |
| Program Services | 4437992 | ProgramServices |
| Management And General | 365030 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201677880 | Total |
| Program Services | 186350361 | ProgramServices |
| Management And General | 15327519 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8150696 | Total |
| Program Services | 7531243 | ProgramServices |
| Management And General | 619453 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34614723 | Total |
| Program Services | 31984004 | ProgramServices |
| Management And General | 2630719 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15699251 | Total |
| Program Services | 14506108 | ProgramServices |
| Management And General | 1193143 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 999841 | Total |
| Program Services | 923853 | ProgramServices |
| Management And General | 75988 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1997745 | Total |
| Program Services | 1845916 | ProgramServices |
| Management And General | 151829 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 228260 | Total |
| Program Services | 210912 | ProgramServices |
| Management And General | 17348 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25531780 | Total |
| Program Services | 23591365 | ProgramServices |
| Management And General | 1940415 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2149614 | Total |
| Program Services | 1986243 | ProgramServices |
| Management And General | 163371 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2570227 | Total |
| Program Services | 2374890 | ProgramServices |
| Management And General | 195337 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17814238 | Total |
| Program Services | 16460356 | ProgramServices |
| Management And General | 1353882 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20186133 | Total |
| Program Services | 18651987 | ProgramServices |
| Management And General | 1534146 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 675079 | Total |
| Program Services | 623773 | ProgramServices |
| Management And General | 51306 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8475414 | Total |
| Program Services | 7831283 | ProgramServices |
| Management And General | 644131 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32557304 | Total |
| Program Services | 30082949 | ProgramServices |
| Management And General | 2474355 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8468902 | Total |
| Program Services | 7825265 | ProgramServices |
| Management And General | 643637 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debts | 134499850 | 134499850 | |
| Patient Supplies & Phar | 109700245 | 109700245 | |
| Repairs & Maintenance | 8903006 | 8226378 | 676628 |
| HCCB Indigent Assessmen | 7142484 | 6599655 | 542829 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1254133 | Total |
| Program Services | 1158819 | ProgramServices |
| Management And General | 95314 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 648099827 | Total |
| Program Services | 617403447 | ProgramServices |
| Management And General | 30696380 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 648013 | BOY |
| EOY | 362369 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2270055 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74309378 | BOY |
| EOY | 85510516 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9713681 | BOY |
| EOY | 10131810 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7375141 | BOY |
| EOY | 7689793 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 752342087 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 471364066 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 275554082 | BOY |
| EOY | 280978021 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10574905 | BOY |
| EOY | 11915591 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13802196 | BOY |
| EOY | 14841947 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84290348 | BOY |
| EOY | 83005494 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 478537799 | BOY |
| EOY | 494435541 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45442658 | BOY |
| EOY | 46524945 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 194588233 | BOY |
| EOY | 188174180 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76024593 | BOY |
| EOY | 83532157 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 316055484 | BOY |
| EOY | 318231282 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155571524 | BOY |
| EOY | 169214176 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5375718 | BOY |
| EOY | 5452664 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1535073 | BOY |
| EOY | 1537419 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 162482315 | BOY |
| EOY | 176204259 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 478537799 | BOY |
| EOY | 494435541 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 58271074 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -44549130 | ReconcilationOtherChanges |
| 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) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $45,834 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 45834 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Lakeland Regional Medical Center, Inc. provided payment to an independent lobbying firm to notify the Medical Center of any pending legislation that affects hospitals and healthcare. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4639701 | OtherCostOrOtherBasis |
| Book Value | 4639701 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 222642104 | OtherCostOrOtherBasis |
| Depreciation | 115517186 | Depreciation |
| Book Value | 107124918 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14663995 | OtherCostOrOtherBasis |
| Depreciation | 8738600 | Depreciation |
| Book Value | 5925395 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 500752997 | OtherCostOrOtherBasis |
| Depreciation | 347108280 | Depreciation |
| Book Value | 153644717 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9643290 | OtherCostOrOtherBasis |
| Book Value | 9643290 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 280978021 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Other Receivables | 6289831 |
| Assets Limited to Use | 68657307 |
| Debt Issue Costs | 1888835 |
| Estimated Third Party Settlements | 6169521 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 83005494 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| FL Medical Assistance Assessment | $10,334,479 |
| Employee Compensation | $36,537,163 |
| Malpractice Claims | $16,374,609 |
| Workers Compensation | $1,465,581 |
| Capital Lease Obligations | $15,532,756 |
| Bond Interest Payable | $3,287,569 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 83532157 | TotalOfAmounts |
| Total Revenue | 706370901 | TotalRevenue |
| Total Expenses | 648099827 | TotalExpenses |
| Excess Or Deficit For Year | 58271074 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1416718 | NetUnrealizedGLOnInvestments |
| Other | -$45,965,848 | OtherAmount |
| Total Adjustments | -44549130 | TotalAdjustments |
| Excess Or Deficit Per FS | 13721944 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 573288000 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1416718 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 1416718 | RevenueNotRptdF990 |
| Revenue Subtotal | 571871282 | RevenueSubtotal |
| Other Revenues Not Included | 134499619 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 134499619 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 706370901 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 513599000 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 513599000 | ExpensesSubtotal |
| Other Expenses Not Included | 134500827 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 134500827 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 648099827 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | 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 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, 2012, 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 8 - Other Adjustments: | Transfer to Affiliates -47,005,897. Change in Interest in Net Assets of the Foundation 1,039,751. Other Changes in Net Assets 298. Total to Schedule D, Part XI, Line 8: -45,965,848. | |
| Part XII, Line 4b: Bad Debts Netted with Revenue 134,499,850 Rounding 231 Total 134,499,619 Part XIII, Line 4b: Bad Debts Netted with Revenue 134,499,850 Rounding 977 Total 134,500,827 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6639 | PersonsServed |
| Total Community Benefit Expense | 31435256 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 31435256 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06120 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 33148 | PersonsServed |
| Total Community Benefit Expense | 97967116 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 72145224 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25821892 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05030 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 850 | PersonsServed |
| Total Community Benefit Expense | 3204650 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1377230 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1827420 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 40637 | PersonsServed |
| Total Community Benefit Expense | 132607022 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 73522454 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 59084568 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11510 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 362997163 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 347571562 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15425601 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 362997163 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 347571562 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15425601 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03000 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 40637 | PersonsServed |
| Total Community Benefit Expense | 495604185 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 421094016 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 74510169 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14510 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12847000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12847000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.02500 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12847000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12847000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.02500 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $27,974,745 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 242013324 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 260488548 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -18475224 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Regional Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1324 Lakeland Hills Blvd | AddressLine1 |
| City | Lakeland | City |
| State | FL | State |
| ZIP Code | 33805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 0 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| LRMC Oncology Services | ||||
| 3525 Lakeland Hills Blvd | Lakeland | FL | 33805 | Outpatient Clinic |
| LRMC Family Health Center | ||||
| 300 Parkview Place | Lakeland | FL | 33805 | Outpatient Clinic |
| Lakeland Regional Rehab & Sports Clinic | ||||
| 2125 Harden Blvd | Lakeland | FL | 33803 | Outpatient Clinic |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, Line 7: Lakeland Regional Medical Center determines the cost of Charity, Medicaid and other means-tested government programs using a decision support system that calculates cost for each patient service provided to this unique patient population using standard relative-value costing principles. Similarly, the cost of subsidized health services is based on the unreimbursed cost of caring for the patients services less the cost associated with Bad Debt, Charity, Medicaid and other means-tested government programs. The actual expenses paid for providing community health improvements and community benefits operations less any payments received for those activities is reflected above. | |
| Part I, Line 7g: Subsidized health services are clinical services that are essential to meet the health care needs of the entire community and are provided with a financial loss to Lakeland Regional Medical Center (LRMC). The financial loss is measured after removing losses associated with bad debt, charity care, Medicaid and other means-tested government programs. LRMC operates one of the busiest Emergency Departments in the Florida with over 172,000 emergency visits each year. We treat all patients regardless of their ability to pay for the care they receive. In addition, we staff a Level II Trauma Center to provide critical care access to residents of Lakeland and surrounding communities. The cost of providing emergency and trauma care 24 hours each day exceeds the payments LRMC receives for providing that care. LRMC also operates the only inpatient Behavioral Health Unit in Lakeland to provide care for the mentally ill population who have nowhere else to go for essential inpatient psychiatric care. The cost of operating the Behavioral Health Unit exceeds the amount we are paid for services. The loss incurred for providing these services is $4.2 million. | |
| Part I, L7 Col(f): There is $134,499,850 of bad debt expense which is included in Form 990, Part IX, Line 24(a). This amount was removed in the calculation of the Percent of Total Expense on Schedule H Line 7f. | |
| Part II: Lakeland Regional Medical Center is the only hospital in Lakeland and serves as a tertiary referral hospital serving the broader Polk County, Florida. As the only state-designated trauma center for Polk, Highlands, and Hardee counties, we provide critical access and care to the area's most seriously injured residents. A shortage of primary care physicians and mental health services has resulted in our ER becoming the highest volume ER in Florida, offering essential medical care to many underserved residents in our community. On-going education programs for diabetes and cardiac rehab are designed to help patients with chronic conditions maintain their health and avoid repeated hospitalizations. Support groups assist those living with chronic and life-threatening illnesses to access resources and critical peer support. Education and screening programs have identified those at risk of various conditions, allowing them to seek treatment. Participation in and support of community events helps to ensure a vibrant community and a positive quality of life for our employees as well as our patient-base. | |
| Part III, Line 4: LRMC follows the guidance provided in the Healthcare Financial Management Association Principles and Practices Board "Statement 15: Valuation and Financial Statement Presentation of Charity Care and Bad Debts by Institutional Healthcare Providers" in determining bad debt expenses. Bad debt expense results when a patient who does not meet the criteria for Charity Care and who has been determined to have the financial capacity to pay for healthcare services is unwilling to settle the claim. The hospital utilizes an overall ratio of cost to charges from the applicable Medicare cost report and this is applied to the bad debt expense. | |
| Part III, Line 8: The Medicare payment shortfall is not treated as a community benefit. Medicare allowable costs are determined using the approved standardized Medicare Cost Report methodology. The Medicare cost is derived using the Medicare Cost-to-Charge ratio from the Medicare cost report times the Medicare charges for service. | |
| Part III, Line 9b: Identification of patients eligible for Charity or discounted care can take place at any time during the rendition of services or during the patient account collection process (including bad debt). All patients identified as potential financial assistance recipients are offered the opportunity to apply for financial assistance. If this evaluation is not conducted until after the patient leaves, or, in the case of outpatients or emergency patients, an LRMC representative mails a financial assistance application to the patient. Reasonable efforts will be taken to determine whether a patient is eligible for Financial Assistance. For the first 120 days after the date of service, the hospital will notify an individual about the Financial Assistance Policy. The patient will receive at least three billing statements that include language about applying for financial assistance. The hospital will accept and process any financial assistance applications submitted by an individual for up to 240 days after the patient received the first billing statement for the care. | |
| Part V, Section B, Line 19d: To be eligible for a 100% reducton from charges, the patient's household income, adjusted for family size must be less than or equal to 200% of the current Federal Poverty Guidelines. If the patient's household income, adjusted for size, is between 200% and 400% of the FPG, the patient shall be eligibile for a 75% reduction from charges. | Lakeland Regional Medical Center |
| Part VI, Line 2: Lakeland Regional Medical Center collaborates with medical staff, community leaders and the Polk County Health Department to determine the health needs of the citizens of Lakeland and Polk County, Florida. LRMC sponsors various Medical Staff Committees where community health needs are frequently discussed. Our senior management and staff identify unmet community health needs through participation in community coalitions, partnerships, boards, committees, and advisory groups. Using available data on the demographics and service utilization for our primary and secondary markets, the LRMC executive team and Board develop a comprehensive annual Strategic Plan to address the healthcare needs of the community. In 2012, LRMC opened a primary health clinic whose purpose was to provide a medical home where the uninsured and underinsured low income populations can come for recurring medical care which will improve the quality of care while reducing visits to the emergency room. In the Fall of 2012, LRMC partnered with the Polk Healthcare Health Department, Peace River Center and the Polk Healthcare Plan as part of the state Low Income Pool for primary care to offer a patient-centered, primary care integrated medical home within the I-4 corridor of Polk County. | |
| Part VI, Line 3: For scheduled admissions, LRMC conducts a pre-admission interview to discuss the financial plan with the patient, the guarantor, and/or his/her legal representative. If a pre-admission interview is not possible, this interview is conducted upon admission. In the case of an emergency admission, LRMC's evaluation of payment alternatives do not take place until the required stabilizing medical care has been provided. Identification of patients eligible for assistance can take place at any time during the rendition of services or during the patient account collection process (including bad debt).Those patients who may qualify for financial assistance from a government program are referred to the appropriate program, such as Medicaid or County Health Plan. LRMC provides on-site access to Medicaid eligibility specialists to assist patients in qualifying for governmental medical assistance programs. All patients identified as potential financial assistance recipients are offered the opportunity to apply for financial assistance. If this evaluation is not conducted until after the patient leaves, or in the case of outpatients or emergency patients, an LRMC representative mails a financial assistance application to the patient. For the first 120 days after the date of service, the hospital will notify an individual about the Financial Assistance Policy. The patient will receive at least three billing statements that include language about applying for financial assistance. The hospital will accept and process any financial assistance applications submitted by an individual for up to 240 days after the patient received the first billing statement for the care. | |
| Part VI, Line 4: The Lakeland Urban Area is considered the primary service area and the remainder of Polk County is considered the secondary/extended service area. Polk County has a population of over 610,000 with 18% of residents being over the age of 65 and over 16% of residents living below the Federal Poverty Level. Children under 18 years of age make up 23% of the population compared to 21% for the State. Located between Orange and Hillsborough Counties, it is the fourth (4th) largest county in Florida consisting of 1,823 square miles. Lakeland is the largest city in Polk County and is located between Tampa and Orlando on busy Interstate 4. The unemployment rate for Polk County was 9.9% as of September 2012, one of the highest in Florida.Census data reflects a population that is 18.1% Hispanic, 15.3% Black and 4.3% from other minorities. | |
| Part VI, Line 5: Lakeland Regional Medical Center's senior management, directors, managers, physicians and staff provide leadership and resources to equip local organizations with the skills needed to create a healthy community. Our staff participates on boards, advisory committees, and coalitions benefiting the community we serve without compensation for their time. Our leaders and physicians participate in educational programs, workshops and health fair events that are provided free to members of the community. We provide cancer screening services to the community for early detection of breast, skin and colon cancers. We participate in and provide support for educational programs for healthcare workers in partnership with local colleges, universities and trade schools. Lakeland Regional Medical Center has a vibrant volunteer program, offering varied opportunities for service to the members of the community. The medical staff of Lakeland Regional Medical Center is organized to promote the public interest of healthcare. Medical staff privileges are open and available to all qualified physicians, and we have a large, diverse medical staff of over 500 physicians. No part of the income of LRMC inures to the benefit of any private individual, nor is any private interest being served. All surplus funds are reinvested into the facilities, equipment, programs and resources needed to continually improve the quality of patient care, expand our outreach and advance the medical training and education of our staff. In 2012, LRMC opened a primary health clinic whose purpose was to provide a medical home where the uninsured and underinsured low income populations can come for recurring medical care which will improve the quality of care while reducing visits to the emergency room. Also in 2012, LRMC partnered with the Polk Healthcare Health Department, Peace River Center and the Polk Healthcare Plan as part of the state Low Income Pool for primary care to offer a patient-centered, primary care integrated medial home within the I-4 corridor of Polk County. | |
| Part VI, Line 6: Lakeland Regional Medical Center is a subsidiary of Lakeland Regional Health Systems, Inc., a not-for-profit system that reinvests its profits back into the community through programs that benefit the residents of Lakeland and Polk County Florida. The Health System facilities are leased from the City of Lakeland and the operations of the Hospital and Health System directly benefit the citizens of the community. Annually, the Health System pays the City for use of the Medical Center buildings, and the City of Lakeland uses those funds to provide public services and facilities that directly benefit all of the members of the community. For 2012, the Health System lease payments totaled more than $12.8 million. In addition, the Health System provides for the health of the community by directly employing physicians in underserved medical specialties, such as orthopedics, neurosurgery, trauma surgery, oncology and behavioral health. The Health System medical clinics which provide access to all residents, regardless of income, operate at a significant economic loss. In 2012, LRMC opened a primary health clinic whose purpose was to provide a medical home where the uninsured and underinsured low income populations can come for recurring medical care which will improve the quality of care while reducing visits to the emergency room. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | 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 (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Elaine Thompson PhD | |||||||||||||
| 619916 | 0 | 207018 | 0 | 6243 | 0 | 182886 | 0 | 0 | 0 | 1016063 | 0 | 0 | 0 |
| Janet W Fansler | |||||||||||||
| 320045 | 0 | 76423 | 0 | 169758 | 0 | 64146 | 0 | 12582 | 0 | 642954 | 0 | 0 | 0 |
| Mary C Ford | |||||||||||||
| 270882 | 0 | 67774 | 0 | 1047 | 0 | 348765 | 0 | 0 | 0 | 688468 | 0 | 0 | 0 |
| Jeffery Payne | |||||||||||||
| 229959 | 0 | 56498 | 0 | 1102 | 0 | 221439 | 0 | 13875 | 0 | 522873 | 0 | 0 | 0 |
| Wilton Reavis MD | |||||||||||||
| 184420 | 0 | 0 | 0 | 25 | 0 | 0 | 0 | 1936 | 0 | 186381 | 0 | 0 | 0 |
| William J Bierschenk | |||||||||||||
| 157638 | 0 | 17263 | 0 | 3846 | 0 | 11599 | 0 | 12582 | 0 | 202928 | 0 | 0 | 0 |
| Terry L Boston | |||||||||||||
| 196411 | 0 | 0 | 0 | 21000 | 0 | 17150 | 0 | 12582 | 0 | 247143 | 0 | 0 | 0 |
| Douglas J Geer | |||||||||||||
| 155586 | 0 | 0 | 0 | 11723 | 0 | 12350 | 0 | 13875 | 0 | 193534 | 0 | 0 | 0 |
| Joy L Jackson MD | |||||||||||||
| 163865 | 0 | 0 | 0 | 27506 | 0 | 14150 | 0 | 8005 | 0 | 213526 | 0 | 0 | 0 |
| Elizabeth Kerns | |||||||||||||
| 166784 | 0 | 17081 | 0 | 250 | 0 | 11520 | 0 | 7469 | 0 | 203104 | 0 | 0 | 0 |
| Paul A Powers | |||||||||||||
| 394246 | 0 | 90373 | 0 | 121696 | 0 | 19160 | 0 | 12582 | 0 | 638057 | 0 | 0 | 0 |
| Edwin A Sammer MD | |||||||||||||
| 351416 | 0 | 0 | 0 | 2400 | 0 | 0 | 0 | 7469 | 0 | 361285 | 0 | 0 | 0 |
| Hugh Autry | |||||||||||||
| 272186 | 0 | 70843 | 0 | 146242 | 0 | 58951 | 0 | 12582 | 0 | 560804 | 0 | 0 | 0 |
| Carole Philipson | |||||||||||||
| 233781 | 0 | 0 | 0 | 244181 | 0 | 6953 | 0 | 968 | 0 | 485883 | 0 | 94069 | 0 |
| John Schliesser | |||||||||||||
| 254816 | 0 | 0 | 0 | 100 | 0 | 0 | 0 | 0 | 0 | 254916 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Lines 4a-b | ReturnReference |
| Explanation | Edwin Sammer, MD - Former Vice President/CMO received separation pay in the amount of $351,416 that was included in his W2 for 2011. This amount is included in Part (B)(i) compensation. Hugh Autry - Former Vice President of System Development participated in a supplemental nonqualified deferred compensation plan. He had $145,273 of taxable benefits during calender year 2011. This amount is included in Part (B)(iii) other compensation. He had an additional $39,791 of nontaxable benefits accrue during calendar year 2011. This amount is included in Part II Column C. Janet W. Fansler - Executive VP/Chief Nursing Executive/Chief Operating Officer participated in a supplemental nonqualified deferred compensation plan. She had $168,701 of taxable benefits during calender year 2011. This amount is included in Part (B)(iii) other compensation. She had an additional $44,986 of nontaxable benefits accrue during calendar year 2011. This amount is included in Part II Column C. Carole F. Philipson - Former Vice President of Support Services and Facilities participated in a supplemental nonqualified deferred compensation plan. She had $190,658 of taxable benefits during calender year 2011. This amount is included in Part (B)(iii) other compensation. In addition to these amounts, she had $94,069 of compensation that was reported on a prior form 990. This amount in included in Part F. She also had separation pay in the amount of $105,302 that was included in her W2 for 2011. This amount is included in Part (B)(i) Other Compensation. John Schliesser - Former Vice President of Planning and External Relations received separation pay in the amount of $194,707 that was included in his W2 for 2011. This amount is included in Part (B)(i) compensation. Mary C. Ford - Executive Vice President and Chief Information Officer participated in a supplemental nonqualified deferred compensation plan. She had $329,605 of nontaxable benefits accrue during calendar year 2011. This amount is included in Part II Column C. Jeffery Payne - Vice President of Human Resources participated in a supplemental nonqualified deferred compensation plan. He had $202,279 of nontaxable benefits accrue during calendar year 2011. This amount is included in Part II Column C. Elaine Thompson, Ph.D. - Chief Executive Officer participated in a supplemental nonqualified deferred compensation plan. She had $182,886 of nontaxable benefits accrue during calendar year 2011. This amount is included in Part II Column C. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| City of Lakeland Florida | |||||||
| 596000354 | 511665HP9 | 2006-11-02 | 116566404 | 2006 Bonds refunded the 1999A & 2002 Bonds and pay the 2006 issuance costs | 0 | 0 | 0 |
| City of Lakeland Florida | |||||||
| 596000354 | 511665HP9 | 2011-07-28 | 81113255 | 2011 Bonds refunded the 96A, 97A, 97B & 99B Bonds & paid 2011 issuance costs | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|
| 116566404 | 1 | 61922513 | 1038389 | 0 | 1 | 1 | 1 |
| 81113524 | 1012480 | 0 | 1 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 1 | 0 | 0 | 0 | 0 | 0 |
| 1 | 0 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Mack Reavis MD | |||
| 14.5% Owner of a Professional Corporation | 258333 | Medical Services | 0 |
| Jay Mulaney MD | |||
| Owner of Central Florida Eye Clinic, P.A. | 54250 | Lakeland Regional Medical Center pays for Dr. Mulaney to provide on call services, and payment is made directly to the Central Florida Eye Clinic, P.A. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Program Service Statement | Form 990, Part III, Line 4a | Lakeland Regional Medical Center provides free care to patients who meet the State of Florida charity care guidelines and who are not eligible for public assistance. Lakeland Regional Medical Center provided care to 172,959 emergency patients, regardless of their ability to pay. In addition to the primary Emergency Department, specialty care for children was provided in the separate Pediatric Emergency unit and provides a walk-in center for those patients in need of primary care under non-emergent conditions. Lakeland Regional Medical Center additionally provided inpatient and outpatient mental health services to over 2,321 patients, regardless of their ability to pay. Comprehensive care was offered for a variety of illnesses, including clinical depression, anxiety and memory disorders, addiction recovery and various adolescent services. All services are provided in a distinct part unit within the hospital, and programs are directed by board-certified psychiatrists. |
| Form 990, Part VI, Section A, line 6 | The sole member of Lakeland Regional Medical Center, Inc. is Lakeland Regional Health Systems, Inc. | |
| Form 990, Part VI, Section A, line 7b | Certain decisions of the governing body of Lakeland Regional Medical Center are subject to approval of the sole member Lakeland Regional Health Systems, Inc. | |
| Form 990, Part VI, Section B, line 11 | The Form 990 is reviewed prior to filing by senior management, including the CEO and CFO. The Form and supporting schedules are also reviewed in detail prior to filing by outside legal counsel to the organization. Additionally, the form and 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 12c | Lakeland Regional Medical Center has a conflict of interest policy which is monitored by the Corporate Integrity Services department. All new hires, students, volunteers and contractors are trained on the ethics policy during general orientation. All staff is to comply with ethics training annually as part of their mandatory education requirements. Annually, a certification is required by all managers, directors, and officers who must acknowledge that the policy was read, understood and will be abided by. Lakeland Regional Medical Center also has a "Policy of the Board of Directors Regarding Board Members Doing Business" with Lakeland Regional Medical Center or Lakeland Regional Health Systems", that all Board Members are annually required to execute a "Corporate Compliance Acknowledgement", that all Board Members are annually required to answer a comprehensive "Annual Conflict of Interest Questionnaire", and that all Senior Corporate Management are annually required to answer a comprehensive "Annual Conflict of Interest Questionnaire". | |
| Form 990, Part VI, Section B, line 15 | Lakeland Regional Medical Center, Inc. Compensation Committee (the "Committee") of the Board is charged with determining, in advance, all compensation issues for all executive positions including the President & CEO, the CFO and all Vice Presidents of the organization. Only independent and "disinterested" persons may serve as members of the Committee and no member may be employed by the organization or any of its affiliates. Additionally, no physician on the medical staff of the organization may serve as a member of the Committee nor may any member have any business or financial relationships with the organization, either directly or indirectly through family members. The Committee engages an independent nationally recognized human resources management consulting firm which specializes in executive and employee compensation in the health care industry. This firm, among other things: a. Conducts a competitive executive total cash compensation analysis relative to comparable healthcare organizations nationally; and b. Conducts a competitive executive benefits analysis relative to comparable healthcare organizations; and c. Conducts a competitive executive total compensation analysis relative to comparable healthcare organizations; and d. Assists the Committee in ensuring compliance with regulatory requirements; and e. Provides guidance and counsel to the Committee and Board in matters relating to executive compensation; and f. Participates in Committee meetings and presents their findings and recommendations to the committee and to the Board. In determining compensation, the Committee relies on the independent, reliable market data presented by the consulting firm to set all compensation levels and the consulting firm's opinion as to the reasonableness of total compensation to be paid to the executives of the organization. The Committee fully documents the basis for all determinations and records, at a minimum, 1) the terms of the compensation agreement and the date on which it was approved; 2) the members of the Committee who were present during the discussion and those who voted on it; 3) the comparability data used and its source; and 4) the basis for the ultimate decision. In fulfilling its responsibility, the Committee has full authority to consult with outside counsel to the organization or Committee-engaged counsel regarding the legality of the compensation and other legal issues which may be relevant to the Committee's responsibilities. | |
| Form 990, Part VI, Section C, line 19 | The organization's Articles of Incorporation are public records and may be obtained from the State of Florida's Division of Corporations in Tallahassee, Florida. Additionally, the Lease & Transfer Agreement between the organization and the City of Lakeland, Florida, under which the organization operates, is recorded in the Public Records of Polk County, Florida, the County in which the organization is located. Financial statements and similar information, both audited and unaudited, are periodically furnished to the City of Lakeland, Florida, and various regulatory agencies within the State of Florida. As such, said financial statements and information are public records under the pertinent Florida public records laws. | |
| Changes in Net Assets or Fund Balances: | Form 990, Part XI, line 5: | Net unrealized gains on investments: 1,416,718. Transfer to Affiliates -47,005,897. Change in Interest in Net Assets of the Foundation 1,039,751. Other Changes in Net Assets 298. Total to Form 990, Part XI, Line 5: -44,549,130. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Lakeland Regional Medical Center Foundation Inc | |||||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 237134974 | Fundraising | FL | 501(c)(3) | 11a - Type 1 | Lakeland Regional Medical Center Inc | 1 | |
| Lakeland Regional Health Systems Inc | |||||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 592650464 | Support Other 501(c)(3) organizations | FL | 501(c)(3) | 11a - Type 1 | 0 | N/A | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Lakeland Regional Educational Production Inc | ||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 200679492 | Inactive | FL | Lakeland Regional Health Systems | C |
| Lakeland Regional Health Ventures Inc | ||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 592650902 | Medical Services | FL | Lakeland Regional Health Systems | C |
| Lakeland Regional Health Ventures Risk Purchasing Group Inc | ||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 202843126 | Inactive | FL | Lakeland Regional Health Systems | 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 | 1 | 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 | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Lakeland Regional Medical Center Foundation | ||
| N | 370708 | Cash Value |
| Lakeland Regional Medical Center Foundation | ||
| C | 1039751 | Cash Value |
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