2013-08-09T09:57:11-05:00 2012-09-30 621517792 PERSHING YOAKLEY & ASSOCIATES PC 2963 GULF TO BAY BLVD STE 267 CLEARWATER FL 337594255 990 2011-10-01 592650456 Lakeland Regional Medical Center Inc LAKE 8636871100 1324 Lakeland Hills Boulevard Lakeland FL 33805 Evan C Jones 8636871100 2013-08-09 1 Terry Haefner P01258953 7274427110 2011 2016-02-24 21:20:13Z Elaine C Thompson PhD 1324 Lakeland Hills Boulevard Lakeland FL 33805 706689685 0 X www.lrmc.com X 1914 FL 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. 13 11 5270 248 1387 387 792291 287729 616933412 706367596 -74941 -284424 0 0 617650762 706370901 0 0 0 0 265216436 264945572 0 0 0 330786701 383154255 596003137 648099827 21647625 58271074 478537799 494435541 316055484 318231282 162482315 176204259 X Our Core Purpose/Mission is improving lives by delivering exceptional healthcare 0 0 617403447 706367596 See Schedule O for Program Services Statement 617403447 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 178 0 1 5270 1 1 1 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X William Bierschenk 8636871102 230 S Florida Ave Suite 400 Lakeland FL 33805 Jack R Harrell Jr 1.00 X 0 0 0 William Mutz 1.00 X 0 0 0 David Duncan 1.00 X 0 0 0 Robert W Andrew 1.00 X 0 0 0 CJ Jack English III 1.00 X 0 0 0 Laura J Hawley CFP 1.00 X 0 0 0 A Andy Hernandez 1.00 X 0 0 0 Lee Jackson 1.00 X 0 0 0 Frank Kendrick 1.00 X 0 0 0 Jay Mulaney MD 1.00 X 0 0 0 Weymon P Snuggs III 1.00 X 0 0 0 James D Melton III MD 1.00 X 0 0 0 Dale Dreyer 1.00 X 0 0 0 Elaine Thompson PhD 50.00 X 833177 0 182886 Evan C Jones 50.00 X 114707 0 1149 Janet W Fansler 50.00 X 566226 0 76728 Mary C Ford 50.00 X 339703 0 348765 Jeffery Payne 50.00 X 287559 0 235314 Wilton Reavis MD 50.00 X 184445 0 1936 William J Bierschenk 45.00 X 178747 0 24181 Terry L Boston 45.00 X 217411 0 29732 Douglas J Geer 45.00 X 167309 0 26225 Joy L Jackson MD 45.00 X 191371 0 22155 Elizabeth Kerns 45.00 X 184115 0 18989 Paul A Powers 0.00 X 606315 0 31742 Edwin A Sammer MD 0.00 X 353816 0 7469 Hugh Autry 0.00 X 489271 0 71533 Carole Philipson 0.00 X 477962 0 7921 John Schliesser 0.00 X 254916 0 0 5447050 0 1086725 182 1 1 0 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 40 284729 3000 287729 Patient Service Revenu 621990 384705974 384705974 Medicare/Medicaid 621990 313212875 313212875 Cafeteria Revenue 722210 3801593 3801593 Gift Shop 453220 2766504 2766504 Medicare EHR Reimburse 621990 1222795 1222795 657855 656468 1387 706367596 116 116 34244 318784 -284540 -284540 -284540 706370901 699798112 1387 6283673 4803022 4437992 365030 201677880 186350361 15327519 8150696 7531243 619453 34614723 31984004 2630719 15699251 14506108 1193143 999841 923853 75988 1997745 1845916 151829 228260 210912 17348 25531780 23591365 1940415 2149614 1986243 163371 2570227 2374890 195337 17814238 16460356 1353882 20186133 18651987 1534146 675079 623773 51306 8475414 7831283 644131 32557304 30082949 2474355 8468902 7825265 643637 Bad Debts 134499850 134499850 Patient Supplies & Phar 109700245 109700245 Repairs & Maintenance 8903006 8226378 676628 HCCB Indigent Assessmen 7142484 6599655 542829 1254133 1158819 95314 648099827 617403447 30696380 0 648013 362369 2270055 0 74309378 85510516 9713681 10131810 7375141 7689793 752342087 471364066 275554082 280978021 10574905 11915591 13802196 14841947 84290348 83005494 478537799 494435541 45442658 46524945 194588233 188174180 76024593 83532157 316055484 318231282 X 155571524 169214176 5375718 5452664 1535073 1537419 162482315 176204259 478537799 494435541 X 58271074 -44549130 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 45834 45834 0 Explanation of Lobbying Activities: Part II-B, Line 1: 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. 4639701 4639701 222642104 115517186 107124918 14663995 8738600 5925395 500752997 347108280 153644717 9643290 9643290 280978021 Other Receivables 6289831 Assets Limited to Use 68657307 Debt Issue Costs 1888835 Estimated Third Party Settlements 6169521 83005494 FL Medical Assistance Assessment 10334479 Employee Compensation 36537163 Malpractice Claims 16374609 Workers Compensation 1465581 Capital Lease Obligations 15532756 Bond Interest Payable 3287569 83532157 706370901 648099827 58271074 1416718 -45965848 -44549130 13721944 573288000 1416718 1416718 571871282 134499619 134499619 706370901 513599000 0 513599000 134500827 134500827 648099827 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 1 1 X 1 X 1 X 1 1 0 1 1 6639 31435256 31435256 0.06120 33148 97967116 72145224 25821892 0.05030 850 3204650 1377230 1827420 0.00360 40637 132607022 73522454 59084568 0.11510 362997163 347571562 15425601 0.03000 362997163 347571562 15425601 0.03000 40637 495604185 421094016 74510169 0.14510 12847000 12847000 0.02500 12847000 12847000 0.02500 1 27974745 242013324 260488548 -18475224 X 1 1 1 1 Lakeland Regional Medical Center

1324 Lakeland Hills Blvd Lakeland FL 33805

X X X Lakeland Regional Medical Center 1 1 1 200.000000000000 1 400.000000000000 1 X X X X X 1 1 X X X X 0 0 1 X 0 0 3 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 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. Lakeland Regional Medical Center 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. 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. 1 X X X X X 1 1 0 0 0 0 0 0 0 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 Part I, Lines 4a-b 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. 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 116566404 1 61922513 1038389 0 1 1 1 81113524 1012480 0 1 1 1 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 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 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. 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 N/A 0 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 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Lakeland Regional Medical Center Foundation N 370708 Cash Value Lakeland Regional Medical Center Foundation C 1039751 Cash Value