LAKELAND REGIONAL HEALTH SYSTEMS INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- LAKELAND REGIONAL HEALTH SYSTEMS INC (EIN 59-2650464)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-09
- IRS object ID
- 201322219349300642
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-09T09:58:13-05:00 | 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 | 592650464 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Regional Health Systems 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 | 41126833 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.lrmc.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | Promotion of continued development of high quality, cost effective health care services, including providing cancer diagnostics and treatment. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 60 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 1914354 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 1808263 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 706478 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11012871 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 9922491 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7206489 | InvestmentIncomePriorYear |
| Investment Income Current Year | 25939570 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -1651620 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4558294 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 16567740 | TotalRevenuePriorYear |
| Total Revenue Current Year | 41126833 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 968815 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 676574 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 21382678 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20804680 | 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 | 5461037 | OtherExpensePriorYear |
| Other Expenses Current Year | 5595543 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 27812530 | TotalExpensesPriorYear |
| Total Expenses Current Year | 27076797 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -11244790 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 14050036 | RevenuesLessExpensesCY |
| Total Assets BOY | 333161882 | TotalAssetsBOY |
| Total Assets EOY | 380588445 | TotalAssetsEOY |
| Total Liabilities BOY | 77989963 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 71804783 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 255171919 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 308783662 | NetAssetsOrFundBalancesEOY |
| Mission Description | Promotion of continued development of high quality, cost effective health care services, including providing cancer diagnostics and treatment. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 25070381 | Expense |
| Grants | 676574 | Grants |
| Revenue | 9922491 | Revenue |
| Description | Promotion of continued development of high quality, cost effective health care services, including providing cancer diagnostics and treatment. | Description |
| Total Program Service Expense | 25070381 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 20 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 60 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Name Of Foreign Country | CA | NameOfForeignCountry |
| Name Of Foreign Country | VI | NameOfForeignCountry |
| 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bill 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 FL | City |
| State | FL | State |
| ZIP Code | 33805 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Lee Jackson | ||||||||
| Director | 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 | |||
| Jack English III | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| A Andy Hernandez | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Jack R Harrell Jr | ||||||||
| Chairman | 1.00 | X | 0 | 0 | 0 | |||
| William Mutz | ||||||||
| Past Chairman | 1.00 | X | 0 | 0 | 0 | |||
| Frank Kendrick | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Weymon P Snuggs III | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Jay Mulaney MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Laura J Hawley CFP | ||||||||
| 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 | 0 | 833177 | 182886 | X | |||
| Evan C Jones | ||||||||
| SVP-Chief Financial Officer | 50.00 | 0 | 114707 | 1149 | X | |||
| Mark Munson MD | ||||||||
| Trauma Surgeon | 45.00 | 565690 | 0 | 33035 | X | |||
| Todd Hall MD | ||||||||
| Trauma Surgeon | 45.00 | 634881 | 0 | 26629 | X | |||
| Michael A Campanelli MD | ||||||||
| Neurosurgeon | 45.00 | 1569324 | 0 | 32957 | X | |||
| Donald I Serot | ||||||||
| Trauma Surgeon | 45.00 | 640331 | 0 | 31742 | X | |||
| Matthew Smith MD | ||||||||
| Radiation Oncologist | 45.00 | 688487 | 0 | 33802 | X | |||
| Paul A Powers | ||||||||
| Former Chief Financial Officer | 0.00 | 0 | 606315 | 31742 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4098713 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1554199 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 373942 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | 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 |
|---|---|---|---|---|---|
| Vista Staffing Solutions | |||||
| 275 East 200 South | Salt Lake City | UT | 84111 | Medical | 263867 |
| Frank Russell Company | |||||
| 1301 Second Avenue 18th Floor | Seattle | WA | 98101 | Investment | 248840 |
| Peterson & Myers PA | |||||
| PO Box 24628 | Lakeland | FL | 33802 | Legal | 215430 |
| Radiology and Imaging Specialists of Lak | |||||
| 2120 Lakeland Hills Blvd | Lakeland | FL | 33805 | Medical & Imaging | 183925 |
| Highland Associates | |||||
| PO Box 55469 | Birmingham | AL | 35255 | Investment | 137162 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Related Organizations | 706478 | RelatedOrganizations |
| Total Contributions | 706478 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Services | 621990 | 9558645 | 9558645 |
| Rental Income | 531120 | 363846 | 363846 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 9922491 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25939455 | TotalRevenueColumn |
| Exclusion | $25,939,455 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 115 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 115 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 115 | TotalRevenueColumn |
| Exclusion | $115 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| Equity in Earn. Inv Fu | 532000 | 2504026 | -114955 | $2,618,981 |
| Investment in LSDC/WIC | 900099 | 2029309 | 2029309 | |
| Other Income | 900099 | 24959 | $24,959 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4558294 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 41126833 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9922491 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1914354 | UnrelatedBusinessRevenue |
| Exclusion | $28,583,510 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 676574 | Total |
| Program Services | 676574 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18763174 | Total |
| Program Services | 17337173 | ProgramServices |
| Management And General | 1426001 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 320962 | Total |
| Program Services | 296569 | ProgramServices |
| Management And General | 24393 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1160595 | Total |
| Program Services | 1072390 | ProgramServices |
| Management And General | 88205 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 559949 | Total |
| Program Services | 517393 | ProgramServices |
| Management And General | 42556 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225567 | Total |
| Program Services | 208424 | ProgramServices |
| Management And General | 17143 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80000 | Total |
| Program Services | 73920 | ProgramServices |
| Management And General | 6080 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259604 | Total |
| Program Services | 239874 | ProgramServices |
| Management And General | 19730 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1104752 | Total |
| Program Services | 1020791 | ProgramServices |
| Management And General | 83961 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 243580 | Total |
| Program Services | 225068 | ProgramServices |
| Management And General | 18512 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91472 | Total |
| Program Services | 84520 | ProgramServices |
| Management And General | 6952 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113664 | Total |
| Program Services | 105026 | ProgramServices |
| Management And General | 8638 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134938 | Total |
| Program Services | 124683 | ProgramServices |
| Management And General | 10255 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 651629 | Total |
| Program Services | 602105 | ProgramServices |
| Management And General | 49524 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1911729 | Total |
| Program Services | 1766438 | ProgramServices |
| Management And General | 145291 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Equipment Rental/Lease | 270890 | 250302 | 20588 |
| Supplies & Pharmaceutic | 227862 | 210544 | 17318 |
| Dues and Subscriptions | 129683 | 119827 | 9856 |
| Taxes, Licenses and Fee | 67409 | 62286 | 5123 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82764 | Total |
| Program Services | 76474 | ProgramServices |
| Management And General | 6290 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27076797 | Total |
| Program Services | 25070381 | ProgramServices |
| Management And General | 2006416 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57588698 | BOY |
| EOY | 37507100 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2033705 | BOY |
| EOY | 1730502 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 355720 | BOY |
| EOY | 356852 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 22873055 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3273700 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21950203 | BOY |
| EOY | 19599355 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115153241 | BOY |
| EOY | 314330629 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130138958 | BOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5289818 | BOY |
| EOY | 5403462 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 651539 | BOY |
| EOY | 1660545 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 333161882 | BOY |
| EOY | 380588445 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1096637 | BOY |
| EOY | 1196475 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76893326 | BOY |
| EOY | 70608308 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77989963 | BOY |
| EOY | 71804783 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 254594919 | BOY |
| EOY | 308206662 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 577000 | BOY |
| EOY | 577000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 255171919 | BOY |
| EOY | 308783662 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 333161882 | BOY |
| EOY | 380588445 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 14050036 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 39561707 | 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) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Regional Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592650456 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Amount | $24,393,807 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 24393807 | SumOfAmounts |
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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9976774 | OtherCostOrOtherBasis |
| Book Value | 9976774 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9763134 | OtherCostOrOtherBasis |
| Depreciation | 1381364 | Depreciation |
| Book Value | 8381770 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 711773 | OtherCostOrOtherBasis |
| Depreciation | 551939 | Depreciation |
| Book Value | 159834 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2404609 | OtherCostOrOtherBasis |
| Depreciation | 1340397 | Depreciation |
| Book Value | 1064212 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16765 | OtherCostOrOtherBasis |
| Book Value | 16765 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19599355 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Affiliate | $68,534,154 |
| Employee Compensation and Benefits | $2,074,154 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 70608308 | TotalOfAmounts |
| Total Revenue | 41126833 | TotalRevenue |
| Total Expenses | 27076797 | TotalExpenses |
| Excess Or Deficit For Year | 14050036 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -6726610 | NetUnrealizedGLOnInvestments |
| Other | $46,288,317 | OtherAmount |
| Total Adjustments | 39561707 | TotalAdjustments |
| Excess Or Deficit Per FS | 53611743 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 33105000 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -6726610 | NetUnrealizedGainsInvestments |
| Other Revenues | 297 | OtherRevenues |
| Revenue Not Rptd F990 | -6726313 | RevenueNotRptdF990 |
| Revenue Subtotal | 39831313 | RevenueSubtotal |
| Other Revenues Not Included | 1295520 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1295520 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 41126833 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 27078000 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1203 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1203 | ExpensesNotRptdF990 |
| Expenses Subtotal | 27076797 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 27076797 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 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 from Affiliates 47,584,068. Contributions in Net Assets -706,478. Book/Tax Difference LSDC -585,583. Book/Tax Difference WIC -3,459. Other Adjustment -231. Total to Schedule D, Part XI, Line 8: 46,288,317. | |
| Part XII, Line 2d - Other Adjustments: | Rounding 297. | |
| Part XII, Line 4b - Other Adjustments: | Investment in Women's Imaging Center 3,459. Investment in Lakeland Surgical Diagnostic Center 585,583. Contributions in Net Assets 706,478. | |
| Part XIII, Line 2d - Other Adjustments: | Rounding 1,203. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Regional Medical Center Foundation Inc | BusinessNameLine1 |
Address US AddressUS
| 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) |
|---|---|---|
| EIN Of Recipient | 237134974 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 581972 | AmountOfCashGrant |
| Purpose Of Grant | To support Fundraising activities. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: Lakeland Regional Health Systems provided support to Lakeland Regional Medical Center Foundation a related 501(c)(3) organization. This assistance was used to support fundraising activities on behalf of Lakeland Regional Medical Center a 501(c)(3) organization that is supported by Lakeland Regional Health Systems. | Explanation |
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 (7 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 | |||||||||||||
| 0 | 619916 | 0 | 207018 | 0 | 6243 | 0 | 182886 | 0 | 0 | 0 | 1016063 | 0 | 0 |
| Mark Munson MD | |||||||||||||
| 488549 | 0 | 0 | 0 | 77141 | 0 | 19160 | 0 | 13875 | 0 | 598725 | 0 | 0 | 0 |
| Todd Hall MD | |||||||||||||
| 634856 | 0 | 0 | 0 | 25 | 0 | 19160 | 0 | 7469 | 0 | 661510 | 0 | 0 | 0 |
| Michael A Campanelli MD | |||||||||||||
| 1567983 | 0 | 0 | 0 | 1341 | 0 | 19082 | 0 | 13875 | 0 | 1602281 | 0 | 0 | 0 |
| Donald I Serot | |||||||||||||
| 485136 | 0 | 0 | 0 | 155195 | 0 | 19160 | 0 | 12582 | 0 | 672073 | 0 | 0 | 0 |
| Matthew Smith MD | |||||||||||||
| 688462 | 0 | 0 | 0 | 25 | 0 | 19160 | 0 | 14642 | 0 | 722289 | 0 | 0 | 0 |
| Paul A Powers | |||||||||||||
| 0 | 394246 | 0 | 90373 | 0 | 121696 | 0 | 19160 | 0 | 12582 | 0 | 638057 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Lines 4a-b | ReturnReference |
| Explanation | 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 O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | The Form 990 and supporting schedules are 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 Health System 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 Health Systems 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 | The Executive and Physician Compensation Committee (the "Committee") of the Board is charged with determining, in advance, all compensation issues for all executive positions including the President & CEO, the CFO and all Vice Presidents of the organization. Only independent and "disinterested" persons may serve as members of the Committee and no member may be employed by the organization or any of its affiliates. Additionally, no physician on the medical staff of the organization may serve as a member of the Committee nor may any member have any business or financial relationships with the organization, either directly or indirectly through family members. The Committee engages an independent nationally recognized human resources management consulting firm which specializes in executive and employee compensation in the health care industry. This firm, among other things: a. Conducts a competitive executive total cash compensation analysis relative to comparable healthcare organizations nationally; and b. Conducts a competitive executive benefits analysis relative to comparable healthcare organizations; and c. Conducts a competitive executive total compensation analysis relative to comparable healthcare organizations; and d. Assists the Committee in ensuring compliance with regulatory requirements; and e. Provides guidance and counsel to the Committee and Board in matters relating to executive compensation; and f. Participates in Committee meetings and presents their findings and recommendations to the committee and to the Board. In determining compensation, the Committee relies on the independent, reliable market data presented by the consulting firm to set all compensation levels and the consulting firm's opinion as to the reasonableness of total compensation to be paid the executives of the organization. The Committee fully documents the basis for all determinations and records, at a minimum, 1) the terms of the compensation agreement and the date on which it was approved; 2) the members of the Committee who were present during the discussion and those who voted on it; 3) the comparability data used and its source; and 4) the basis for the ultimate decision. In fulfilling its responsibility, the Committee has full authority to consult with outside counsel to the organization or Committee engaged counsel, regarding the legality of the compensation and other legal issues which may be relevant to the Committee's responsibilities. | |
| Form 990, Part VI, Section C, line 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. The financial statements and information are public records under the pertinent Florida public records law. | |
| Form 990, Part XI, line 5: | Net unrealized losses on investments: -6,726,610. Transfer from Affiliates 47,584,068. Contributions in Net Assets -706,478. Book/Tax Difference LSDC -585,583. Book/Tax Difference WIC -3,459. Other Adjustment -231. Total to Form 990, Part XI, Line 5: 39,561,707. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| Lakeland Regional Medical Center Foundation Inc | |||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | Fundraising | FL | 501(c)(3) | 11a - Type 1 | Lakeland Regional Medical Center Inc | 0 |
| Lakeland Regional Medical Center Inc | |||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | Providing hospital services | FL | 501(c)(3) | 3 | 1 | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Women's Imaging Center LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2120 Lakeland Hills Blvd | AddressLine1 |
| City | Lakeland | City |
| State | FL | State |
| ZIP Code | 33805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 113830470 | EIN |
| Primary Activity | Medical Imaging Services | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
| Predominant Income Type | Related | PredominantIncomeType |
| Share Of Total Income | -44591 | ShareOfTotalIncome |
| Share Of EOY Assets | 282134 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|
| Lakeland Regional Educational Production Inc | ||||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 200679492 | Inactive | FL | C | 1.00000 | ||
| Lakeland Regional Health Ventures Inc | ||||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 592650902 | Medical Services | FL | C | 1.00000 | 8239 | 588093 |
| Lakeland Regional Health Ventures Risk Purchasing Group Inc | ||||||||||
| 1324 Lakeland Hills Boulevard | Lakeland | FL | 33805 | 202843126 | Inactive | FL | C | 1.00000 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | 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 Inc | ||
| R | 47005897 | Cash Value |
| Lakeland Regional Medical Center Inc | ||
| N | 3850446 | Cash Value |
Form990 Schedule R Part VI Form990ScheduleRPartVI
Name Of Business NameOfBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeland Surg & Diagn Center LLP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 S Missouri Avenue | AddressLine1 |
| City | Lakeland | City |
| State | FL | State |
| ZIP Code | 33815 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593346125 | EIN |
| Primary Activity | Medical Services | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
| All Partners C3 S | 0 | AllPartnersC3S |
| Share Of Total Income | 2079085 | ShareOfTotalIncome |
| Share Of EOY Assets | 2522215 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Percentage Ownership | 0.43750 | PercentageOwnership |