COREWELL HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COREWELL HEALTH (EIN 38-2156872)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-06
IRS object ID
201342189349300324
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

FieldValueIRS element (for citing)
Timestamp2013-08-06T10:28:30-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1511 RENAISSANCE DRIVEAddressLine1
CityST JOSEPHCity
StateMIState
ZIP Code49085ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382156872EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAKELAND HOSPITALS AT NILES AND ST JOSEPH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAKENameControl
Phone2699838166Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11234 NAPIER AVENUEAddressLine1
CityST JOSEPHCity
StateMIState
ZIP Code49085ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY CALHOUNName
TitleVP - FINANCE & CFOTitle
Phone2699838166Phone
Date Signed2013-08-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKENLEY PENNER CPAName
PTINP00740260PTIN
Phone2699828000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1LAKELAND HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonTIMOTHY CALHOUNNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11234 NAPIER AVENUEAddressLine1
CityST JOSEPHCity
StateMIState
ZIP Code49085ZIPCode
FieldValueIRS element (for citing)
Gross Receipts647871765GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteLAKELANDHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionLAKELAND HOSPITAL IS A 339 BED ACUTE CARE HOSPITAL AND PROVIDES A FULL CONTINIUM OF HEALTHCARE SERVICES TO IT'S TRI-COUNTY AREA. LAKELAND REGIONAL HEALTH SYSTEM IS THE PARENT COMPANY FOR LAKELAND HOSPITALS, NURSING HOMES, AND OTHER HEALTH-RELATED SERVICE CORPORATIONS SERVING THE TRI-COUNTY AREA.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees3480TotalNbrEmployees
Total Nbr Volunteers700TotalNbrVolunteers
Total Gross UBI3972505TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2506830ContributionsGrantsPriorYear
Contributions Grants Current Year2328759ContributionsGrantsCurrentYear
Program Service Revenue Prior Year330557561ProgramServiceRevenuePriorYear
Program Service Revenue CY340827922ProgramServiceRevenueCY
Investment Income Prior Year15201730InvestmentIncomePriorYear
Investment Income Current Year11129802InvestmentIncomeCurrentYear
Other Revenue Prior Year1247457OtherRevenuePriorYear
Other Revenue Current Year339551OtherRevenueCurrentYear
Total Revenue Prior Year349513578TotalRevenuePriorYear
Total Revenue Current Year354626034TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8951144GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY16620636GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year142609341SalariesEtcPriorYear
Salaries Etc Current Year147763544SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year159951479OtherExpensePriorYear
Other Expenses Current Year172246814OtherExpensesCurrentYear
Total Expenses Prior Year311511964TotalExpensesPriorYear
Total Expenses Current Year336630994TotalExpensesCurrentYear
Revenues Less Expenses Prior Year38001614RevenuesLessExpensesPriorYear
Revenues Less Expenses CY17995040RevenuesLessExpensesCY
Total Assets BOY611140367TotalAssetsBOY
Total Assets EOY658444079TotalAssetsEOY
Total Liabilities BOY196141630TotalLiabilitiesBOY
Total Liabilities EOY201012754TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY414998737NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY457431325NetAssetsOrFundBalancesEOY
Mission DescriptionTO BE SOUTHWESTERN MICHIGAN'S LEADER IN SAFE, HIGH QUALITY, PATIENT CENTERED, COMPASSIONATE, HEALTH-RELATED SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense250228198Expense
Grants16620636Grants
Revenue336855417Revenue
DescriptionHOSPITAL SERVICES PROVIDED TO 17,971 INPATIENTS AND 308,968 OUTPATIENTS.Description
Total Program Service Expense250228198TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3480NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TIMOTHY J CALHOUNBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2699838166TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11234 NAPIER AVENUEAddressLine1
CityST JOSEPHCity
StateMIState
ZIP Code49085ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DANIEL HOPP
CHAIRMAN5.00XX000
JEFF EDMUNDS
VICE CHAIRMAN & TREASURER3.00XX000
TERRENCE ALLEN
SECRETARY3.00XX000
LOREN HAMEL MD
PRESIDENT & CEO30.00XX1133955019917
NIELS-ERIK ANDREASEN
DIRECTOR2.00X000
JOSEPH BARRETT
DIRECTOR2.00X000
LENNY BECKER
DIRECTOR2.00X000
DAVID BINKLEY
DIRECTOR2.00X000
LAURIANNE DAVIS
DIRECTOR2.00X000
BETH DODGE
DIRECTOR2.00X000
LYNN GRAY MD
DIRECTOR2.00X000
PATRICIA HALL
DIRECTOR2.00X000
GEORGE HEENAN MD
DIRECTOR2.00X000
STEPHEN HEMPEL MD
DIRECTOR40.00X285002025780
J DOUGLAS HUGGETT DO
DIRECTOR2.00X000
MICHAEL MORTIMORE
DIRECTOR2.00X000
KENNETH O'NEILL MD
DIRECTOR4.00X225450031797
MARCUS ROBINSON
DIRECTOR2.00X000
JEFFREY SCHMIDT DDS
DIRECTOR2.00X000
LINDA STANLEY MD
DIRECTOR2.00X000
WESLEY STEPHENS
DIRECTOR2.00X000
THOMAS YEAGER
DIRECTOR2.00X000
JUDITH ZACHA
DIRECTOR2.00X000
LEN AMAT
DIRECTOR (PART YEAR)2.00X000
GEORGE KOLETTIS MD
DIRECTOR (PART YEAR)2.00X000
MICHAEL WELCH
DIRECTOR (PART YEAR)2.00X000
LINDA BEUSHAUSEN
VP - LIFE TRANSITIONS1.00X01019547395
TIMOTHY CALHOUN
VP - FINANCE & CFO30.00X676386041838
RAY CRUSE
VP - STRATEGIC INITIATIVE5.00X16403806984
LAURIE FLEMING
VP - OUTPATIENT & DIAGNOSTICS30.00X323423012130
LOWELL HAMEL MD
VP - MEDICAL AFFAIRS & CMO20.00X375777010205
DENNIS MACK
VP - OPERATIONS40.00X433637035231
MARY ANN PATER
VP - LEGAL & RISK MANAGEMENT & CCO30.00X498804027147
NORMA TIRADO-KELLENBERGER
VP - IT & HR SERVICES30.00X347736025936
WARREN WHITE
VP - MEDICAL PRACTICES10.00X261883025000
EILEEN WILLITS
VP - NURSING & CNO30.00X568103040836
DAVID BURGHART
FOUNDATION PRESIDENT1.00163232019374X
JAMES SCHLAMAN
DIRECTOR - REHAB20.00153488014341X
BART BERNDT
DIRECTOR - CARDIOVASCULAR40.00140474014607X
NEIL JOHNSON
MANAGER - PHARMACY SERVICES30.00136967029213X
MARK PAULSON
DIRECTOR - PHARMACY35.0014548909635X
TIMOTHY ROBERTS
ASSOCIATE CIO30.0017291606568X
JANN TOTZKE
DIRECTOR - PATIENT SERVICE40.0014267209858X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6349432TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs101954TotalReportableCompFrmRltdOrgs
Total Other Compensation413792TotalOtherCompensation
Number Individuals GT100 K73NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LAKELAND MEDICAL PRACTICE
122 GRANT STREETNILESMI49210PHYSICIAN SERVICES6667413
SUNSET COAST ANESTHESIA ASSOCIATES
1234 NAPIER AVEST JOSEPHMI49085ANESTHESIA SERVICES2104595
ALLIANCE - HNI PETCT SERVICES
PO BOX 402209ATLANTAGA303842209PET SCAN RADIOLOGY SERVICES1792895
EMPG OF MICHIGAN PC
2000 GREEN RD SUITE 2300ANN ARBORMI481051571EMERGENCY ROOM PHYSICIANS1423457
SOUTH BEND MEDICAL FOUNDATION INC
PO BOX 2030MISHAWAKAIN465462030LAB SERVICES1417888
FieldValueIRS element (for citing)
Number Of Contractors GT100 K34NumberOfContractorsGT100K
Related Organizations2199207RelatedOrganizations
All Other Contributions129552AllOtherContributions
Total Contributions2328759TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENU5413803341193923303052853814107
OTHER OPERATING REVENU54138067085306550132158398
FieldValueIRS element (for citing)
Total Program Service Revenue340827922TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7038674TotalRevenueColumn
Exclusion$7,038,674ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real339551Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real339551Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column339551TotalRevenueColumn
Exclusion$339,551ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities296728106Securities
Other608753Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities292665448Securities
Other580283Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4062658Securities
Other28470Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4091128TotalRevenueColumn
Exclusion$4,091,128ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column354626034TotalRevenueColumn
Related Or Exempt Function Income336855417RelatedOrExemptFunctionIncome
Unrelated Business Revenue3972505UnrelatedBusinessRevenue
Exclusion$11,469,353ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total16620636Total
Program Services16620636ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3985552Total
Program Services2909453ProgramServices
Management And General1076099ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total109764033Total
Program Services80127744ProgramServices
Management And General29636289ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3403908Total
Program Services2484853ProgramServices
Management And General919055ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total22215512Total
Program Services16217324ProgramServices
Management And General5998188ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8394539Total
Program Services6128013ProgramServices
Management And General2266526ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total217798Total
Program Services158993ProgramServices
Management And General58805ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total377294Total
Program Services275425ProgramServices
Management And General101869ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9680093Total
Program Services7066468ProgramServices
Management And General2613625ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total441296Total
Program Services322146ProgramServices
Management And General119150ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total202832Total
Program Services148067ProgramServices
Management And General54765ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4950276Total
Program Services3613701ProgramServices
Management And General1336575ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5840676Total
Program Services4263693ProgramServices
Management And General1576983ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total809814Total
Program Services591164ProgramServices
Management And General218650ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5080064Total
Program Services3708447ProgramServices
Management And General1371617ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21114798Total
Program Services15413803ProgramServices
Management And General5700995ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1928849Total
Program Services1408060ProgramServices
Management And General520789ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL AND OFFICE SUPP578674004224320215624198
BAD DEBTS18521375135206045000771
PHYSICIAN RELATIONS17329463126505084678955
QAAP ASSESSMENTS885041164608002389611

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total19034375Total
Program Services13895094ProgramServices
Management And General5139281ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total336630994Total
Program Services250228198ProgramServices
Management And General86402796ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY64789752BOY
EOY56924015EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25227681BOY
EOY26428165EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6307708BOY
EOY6421808EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4263553BOY
EOY4408111EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis455935369LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec218967996LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY224391760BOY
EOY236967373EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY274450703BOY
EOY309072223EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11709210BOY
EOY18222384EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY611140367BOY
EOY658444079EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY33344820BOY
EOY33041600EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY113645230BOY
EOY110641991EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY49151580BOY
EOY57329163EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY196141630BOY
EOY201012754EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY410912010BOY
EOY453473155EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4086727BOY
EOY3958170EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY414998737BOY
EOY457431325EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY611140367BOY
EOY658444079EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses17995040ReconcilationRevenueExpenses
Reconcilation Other Changes24437548ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$24,515OtherActivitiesAmount
Total Lobbying Expenditures IIB24515TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationA PORTION OF DUES PAID TO MHA HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5215020OtherCostOrOtherBasis
Book Value5215020BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis184189171OtherCostOrOtherBasis
Depreciation62545920Depreciation
Book Value121643251BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5823309OtherCostOrOtherBasis
Depreciation3882475Depreciation
Book Value1940834BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis255772281OtherCostOrOtherBasis
Depreciation152539601Depreciation
Book Value103232680BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4935588OtherCostOrOtherBasis
Book Value4935588BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings236967373TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
PROVISION FOR MEDICAL MALPRACTICE$12,200,000
PROVISION FOR DEFERRED COMPENSATION$4,311,859
PROVISION FOR POSTRETIREMENT BENEFIT$16,141,180
INTEREST RATE SWAP AGREEMENTS$24,676,124
FieldValueIRS element (for citing)
Total Of Amounts57329163TotalOfAmounts
Total Revenue354626034TotalRevenue
Total Expenses336630994TotalExpenses
Excess Or Deficit For Year17995040ExcessOrDeficitForYear
Net Unrealized GL On Investments27743080NetUnrealizedGLOnInvestments
Other-$3,305,532OtherAmount
Total Adjustments24437548TotalAdjustments
Excess Or Deficit Per FS42432588ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt378185595TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments27743080NetUnrealizedGainsInvestments
Other Revenues-1984312OtherRevenues
Revenue Not Rptd F99025758768RevenueNotRptdF990
Revenue Subtotal352426827RevenueSubtotal
Other Revenues Not Included2199207OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2199207RevenueNotRptdOnFinStmt
Total Revenue Per Form990354626034TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt320010358TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal320010358ExpensesSubtotal
Other Expenses Not Included16620636OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt16620636ExpensesNotRptdOnFinStmt
Total Expenses Per Form990336630994TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE INTERNAL REVENUE SERVICE HAS RULED THAT THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL 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 DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2009.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN INTEREST IN FOUNDATIONS -96,655. CHANGE IN FAIR VALUE OF SWAP AGREEMENTS -1,887,657. CHANGE IN INTEREST FROM PARTNERSHIP K-1 -21,778. CAPITAL CONTRIBUTION TO LAKELAND HEALTH ENTERPRISES -635,793. REIMBURSED EXPENSES NETTED WITH TRANSFERS -663,649. TOTAL TO SCHEDULE D, PART XI, LINE 8: -3,305,532.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN FAIR VALUE OF SWAP AGREEMENTS -1,887,657. CHANGE IN INTEREST IN FOUNDATIONS -96,655.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTION FROM LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH 1,482,087. CONTRIBUTION FROM LAKELAND HEALTH FOUNDATION, NILES 717,120.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:GRANT TO LAKELAND REGIONAL HEALTH SYSTEM, INC. 16,620,636.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage225.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served4527PersonsServed
Total Community Benefit Expense5695289TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense5695289NetCommunityBenefitExpense
Percent Of Total Expense0.01790PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served63946PersonsServed
Total Community Benefit Expense49322508TotalCommunityBenefitExpense
Direct Offsetting Revenue47339359DirectOffsettingRevenue
Net Community Benefit Expense1983149NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served68473PersonsServed
Total Community Benefit Expense55017797TotalCommunityBenefitExpense
Direct Offsetting Revenue47339359DirectOffsettingRevenue
Net Community Benefit Expense7678438NetCommunityBenefitExpense
Percent Of Total Expense0.02410PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs692NumberOfActivitiesOrPrograms
Persons Served175798PersonsServed
Total Community Benefit Expense2443915TotalCommunityBenefitExpense
Direct Offsetting Revenue206DirectOffsettingRevenue
Net Community Benefit Expense2443709NetCommunityBenefitExpense
Percent Of Total Expense0.00770PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs106NumberOfActivitiesOrPrograms
Persons Served1655PersonsServed
Total Community Benefit Expense2838702TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2838702NetCommunityBenefitExpense
Percent Of Total Expense0.00890PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs137NumberOfActivitiesOrPrograms
Persons Served3783PersonsServed
Total Community Benefit Expense285675TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense285675NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs935NumberOfActivitiesOrPrograms
Persons Served181236PersonsServed
Total Community Benefit Expense5568292TotalCommunityBenefitExpense
Direct Offsetting Revenue206DirectOffsettingRevenue
Net Community Benefit Expense5568086NetCommunityBenefitExpense
Percent Of Total Expense0.01750PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs937NumberOfActivitiesOrPrograms
Persons Served249709PersonsServed
Total Community Benefit Expense60586089TotalCommunityBenefitExpense
Direct Offsetting Revenue47339565DirectOffsettingRevenue
Net Community Benefit Expense13246524NetCommunityBenefitExpense
Percent Of Total Expense0.04160PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served212PersonsServed
Total Community Building Expense2798TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense2798NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served68PersonsServed
Total Community Building Expense387TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense387NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served280PersonsServed
Total Community Building Expense131TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense131NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served130PersonsServed
Total Community Building Expense888TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense888NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs17NumberOfActivitiesOrPrograms
Persons Served10PersonsServed
Total Community Building Expense988TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense988NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs61NumberOfActivitiesOrPrograms
Persons Served700PersonsServed
Total Community Building Expense5192TotalCommunityBuildingExpense
Net Community Building Expense5192NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$18,521,375BadDebtExpenseAmount
Amount Attributable To9260688AmountAttributableTo
Amount Reimbursed By Medicare115896072AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare120012940CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4116868MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
LAKELAND HOSPITALS AT NILES
131 N STREET JOSEPH AVENUENILESMI49120XXX
LAKELAND HOSPITALS AT ST JOSEPH
21234 NAPIER AVENUEST JOSEPHMI49085XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyUninsured DiscountUninsuredDiscountExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyLowest Negotiated RatesLowestNegotiatedRatesAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
LAKELAND HOSPITALS AT NILES
1011150.0000000000001225.0000000000001XXXX11XXX101X00
LAKELAND HOSPITALS AT ST JOSEPH
2011150.0000000000001225.0000000000001XXXX11XXX101X00

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
PART I, LINE 7: THE COST TO CHARGE RATIO WAS USED BASED ON WORKSHEET 2 OF THE INSTRUCTIONS.
PART I, L7 COL(F): ACCOUNTS RECEIVABLE FROM PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL LOSS RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $18,521,375.
HEALTH PROFESSIONS EDUCATION - INCLUDES PROVIDING A CLINICAL SETTING FOR UNDERGRADUATE AND GRADUATE STUDENTS, VOCATIONAL TRAINING, AND THE PROFESSIONAL HEALTH CAREERS ACADEMY FOR ELEVENTH AND TWELFTH GRADE STUDENTS. CASH & IN-KIND DONATIONS TO COMMUNITY GROUPS - REPRESENTS LAKELANDS FINANCIAL AND IN-KIND CONTRIBUTIONS TO SOCIAL SERVICES OR COMMUNITY AGENCIES FOR HEALTHCARE RELATED ACTIVITIES, DONATION OF MEDICAL SUPPLIES, UNITED WAY LEADERSHIP, GIRLS ON THE RUN, AND MEMBERSHIP ON COMMUNITY BOARDS. FINANCIAL ASSISTANCE - COVERS THE FREE OR DISCOUNTED CARE THAT LAKELAND OFFERS TO THOSE WHO CANNOT AFFORD TO PAY OR ARE NOT ELIGIBLE FOR PUBLIC PROGRAMS.FINANCIAL ASSISTANCE DOES NOT INCLUDE THE BAD DEBT COST, WHICH TOTALED $8,641,629 IN FY 2012 OR THE UNPAID COSTS OF MEDICARE, WHICH TOTALED $4,116,868. UNREIMBURSED MEDICAID- REPRESENTS THE COST OF CARING FOR PEOPLE COVERED BY MEDICAID MINUS THE AMOUNT LAKELAND RECEIVES FROM THOSE PROGRAMS.PART I, LINES 7F AND 7I
PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE HOSTS MENTORING PROGRAM FOR YOUNG CHILDREN, HEALTH CAREER PRESENTATIONS TO AREA STUDENTS, DISASTER READINESS, AND YOUNG ENTREPRENEURS DAY FOR AREA HIGH SCHOOL STUDENTS
PART III, LINE 4: ACCOUNTS RECEIVABLE FROM PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL LOSS RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE AMOUNT OF BAD DEBT EXPENSE DETERMINED TO BE COMMUNITY BENEFIT IS APPROXIMATELY 50% OF BAD DEBT EXPENSE.
PART III, LINE 8: IT IS ESTIMATED THAT 80% OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT BASED ON THE NUMBER OF PATIENTS THAT MAY HAVE QUALIFIED FOR FREE OR DISCOUNTED CARE HAD THEY NOT BEEN COVERED BY MEDICARE.
PART V, SECTION B, LINE 3: THE CHNA INCLUDED INPUT AND DATA COLLECTED FROM PEOPLE AND ORGANIZATIONS THROUGHOUT THE COUNTY REPRESENTING THE BROAD INTERESTS OF BERRIEN COUNTY-PUBLIC HEALTH, GOVERNMENT, COMMUNITY LEADERS, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS.PARTICIPATING ORGANIZATIONS INCLUDED:- BERRIEN COUNTY HEALTH DEPARTMENT- BERRIEN COUNTY DEPARTMENT OF HUMAN SERVICES- BERRIEN HEALTH PLAN- HEAL HEALTH EQUITY ALLIANCE- HEALTHY COMMUNITY PARTNERSHIP- BERRIEN COUNTY INTERMEDIATE SCHOOL DISTRICT- UNITED WAY OF SOUTHWEST MICHIGAN- AREA AGENCY ON AGING REGION 4- SOUTHWEST MICHIGAN PLANNING COMMISSION- BENTON HARBOR ST. JOSEPH YMCA- PUBLICLY AVAILABLE DATA FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION(CDC), MICHIGAN DEPARTMENT OF COMMUNITY HEALTH(MDCH), US CENSUS, AMERICAN COMMUNITY SURVEY, MICHIGAN HOSPITAL ASSOCIATION(MHA) AND COUNTY HEALTH RANKINGS(UNIVERSITY OF WISCONSIN)LAKELAND HOSPITALS AT NILES
PART V, SECTION B, LINE 3: THE CHNA INCLUDED INPUT AND DATA COLLECTED FROM PEOPLE AND ORGANIZATIONS THROUGHOUT THE COUNTY REPRESENTING THE BROAD INTERESTS OF BERRIEN COUNTY-PUBLIC HEALTH, GOVERNMENT, COMMUNITY LEADERS, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS.PARTICIPATING ORGANIZATIONS INCLUDED:- BERRIEN COUNTY HEALTH DEPARTMENT- BERRIEN COUNTY DEPARTMENT OF HUMAN SERVICES- BERRIEN HEALTH PLAN- HEAL HEALTH EQUITY ALLIANCE- HEALTHY COMMUNITY PARTNERSHIP- BERRIEN COUNTY INTERMEDIATE SCHOOL DISTRICT- UNITED WAY OF SOUTHWEST MICHIGAN- AREA AGENCY ON AGING REGION 4- SOUTHWEST MICHIGAN PLANNING COMMISSION- BENTON HARBOR ST. JOSEPH YMCA- PUBLICLY AVAILABLE DATA FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION(CDC), MICHIGAN DEPARTMENT OF COMMUNITY HEALTH(MDCH), US CENSUS, AMERICAN COMMUNITY SURVEY, MICHIGAN HOSPITAL ASSOCIATION(MHA) AND COUNTY HEALTH RANKINGS(UNIVERSITY OF WISCONSIN)LAKELAND HOSPITALS AT ST. JOSEPH
PART V, SECTION B, LINE 5C: THE CHNA WILL BE MADE AVAILABLE TO THE PUBLIC BY A NUMBER OF MARKETING TACTICS: NEWS RELEASES TO BERRIEN COUNTY NEWSPAPERS, COMMUNITY EMAIL BLAST TO OVER 1,000 SUBSCRIBERS, MYLAKELAND INTRANET POSTING TO OVER 4,500 LAKELAND ASSOCIATES, VOLUNTEERS AND PHYSICIANS, DISTRIBUTED AT COMMUNITY EDUCATION EVENTS, PHYSICIAN SPEAKER SERIES AND MANY OTHER COMMUNITY HEALTH/WELLNESS PROGRAMS.BEGINNING JUNE 30, PAPER COPIES WILL BE AVAILABLE UPON REQUEST USING THE 800 LAKELAND PHONE NUMBER.LAKELAND HOSPITALS AT NILES
PART V, SECTION B, LINE 5C: THE CHNA WILL BE MADE AVAILABLE TO THE PUBLIC BY A NUMBER OF MARKETING TACTICS: NEWS RELEASES TO BERRIEN COUNTY NEWSPAPERS, COMMUNITY EMAIL BLAST TO OVER 1,000 SUBSCRIBERS, MYLAKELAND INTRANET POSTING TO OVER 4,500 LAKELAND ASSOCIATES, VOLUNTEERS AND PHYSICIANS, DISTRIBUTED AT COMMUNITY EDUCATION EVENTS, PHYSICIAN SPEAKER SERIES AND MANY OTHER COMMUNITY HEALTH/WELLNESS PROGRAMS.BEGINNING JUNE 30, PAPER COPIES WILL BE AVAILABLE UPON REQUEST USING THE 800 LAKELAND PHONE NUMBER.LAKELAND HOSPITALS AT ST. JOSEPH
PART V, SECTION B, LINE 7: THE HOSPITAL DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENT NEEDS ASSESSMENT BECAUSE THE NEED TO REDUCE EXCESSIVE DRINKING, MOTOR VEHICLE CRASH DEATHS, AND SEXUALLY TRANSMITTED INFECTIONS ARE SPECIFIC HEALTH BEHAVIORS THAT ARE ADDRESSED BY THE BERRIEN COUNTY HEALTH DEPARTMENT.LAKELAND HOSPITALS AT NILES
PART V, SECTION B, LINE 7: THE HOSPITAL DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENT NEEDS ASSESSMENT BECAUSE THE NEED TO REDUCE EXCESSIVE DRINKING, MOTOR VEHICLE CRASH DEATHS, AND SEXUALLY TRANSMITTED INFECTIONS ARE SPECIFIC HEALTH BEHAVIORS THAT ARE ADDRESSED BY THE BERRIEN COUNTY HEALTH DEPARTMENT.LAKELAND HOSPITALS AT ST. JOSEPH
PART V, SECTION B, LINE 13G: FINANCIAL ASSISTANCE AVAILABILITY IS REFERENCED ON OUR BILLING INVOICES AND IN BROCHURES LOCATED IN OUR EMERGENCY DEPARTMENT, ADMISSION'S OFFICE, PATIENT WAITING ROOMS, AND IN THE PATIENT DISCHARGE PACKET.LAKELAND HOSPITALS AT NILES
PART V, SECTION B, LINE 13G: FINANCIAL ASSISTANCE AVAILABILITY IS REFERENCED ON OUR BILLING INVOICES AND IN BROCHURES LOCATED IN OUR EMERGENCY DEPARTMENT, ADMISSION'S OFFICE, PATIENT WAITING ROOMS, AND IN THE PATIENT DISCHARGE PACKET.LAKELAND HOSPITALS AT ST. JOSEPH
PART VI, LINE 2: THE ORGANIZATION USES NEEDS ASSESSMENT PREPARED BY THE COUNTY HEALTH DEPARTMENT AND PARTICIPATE IN A REGIONAL HEALTHY BERRIEN COMMUNITY COMMITTEE TO ADDRESS HEALTH NEEDS.
PART VI, LINE 3: THE ORGANIZATION EMPLOYS MORE THAN 12 FINANCIAL COUNSELORS WHO ASSIST PATIENTS WITH ELIGIBILITY.
PART VI, LINE 4: THE SYSTEM SERVES APPROXIMATELY 160,000 RESIDENTS IN BERRIEN COUNTY AND SURROUNDING AREAS. APPROXIMATELY 12% OF FAMILIES AND 17% OF INDIVIDUALS ARE BELOW POVERTY LEVEL.
PART VI, LINE 5: COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS - REPRESENTS ACTIVITIES THAT HELP IMPROVE THE HEALTH AND QUALITY OF LIFE FOR PEOPLE IN THE COMMUNITY. HEALTH PRESENTATIONS INCLUDE: ACT IN TIME TO HEART ATTACK AND STROKE, EXPECTANT PARENT, SMOKE FREE LIFE, TEEN PREGNANCY PREVENTION BABY THINK IT OVER AND POSTPONING SEXUAL INVOLVEMENT - ADVANCED DIRECTIVES, SENIOR-EXPO, PRE-DIABETES, FALLS PREVENTION, MEDICATION SAFETY, HEARTSAFE AND HEART LESSONS. CANCER SCREENINGS INCLUDE PROSTATE, BREAST AND COLORECTAL, CANCER SUPPORT PROGRAMS SUCH AS: LOOK GOOD...FEEL BETTER, THE ANNUAL CARE FAIR, AND BREAST HEALTH AWARENESS. LAKELAND SUPPORTS TWO HEALTH RESOURCE LIBRARIES AT ST. JOSEPH AND NILES, PARISH AND SENIOR CENTER NURSES, AND NUMEROUS HEALTH SCREENINGS ARE SOME EXAMPLES. IN 2012 LAKELAND OFFERED MEDICAL SUPPORT TO THE 2012 SENIOR PGA CHAMPIONSHIP.
PART VI, LINE 6: THE ORGANIZATION IS PART OF LAKELAND REGIONAL HEALTH SYSTEM WHICH SERVES THE SAME GEOGRAPHIC AREA FOR HEALTHCARE RELATED SERVICES.
MIPART VI, LINE 7REPORTS FILED WITH STATES

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1LAKELAND REGIONAL HEALTH SYSTEM INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11234 NAPIER AVENUEAddressLine1
CityST JOSEPHCity
StateMIState
ZIP Code49085ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient382609624EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant16620636AmountOfCashGrant
Method Of ValuationACTUAL AMOUNTS GRANTEDMethodOfValuation
Purpose Of GrantGENERAL SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LOREN HAMEL MD
527883016776004383120176820223501153872000
STEPHEN HEMPEL MD
2793020005700015860099200310782000
KENNETH O'NEILL MD
1194880225501037070117720200250257247000
TIMOTHY CALHOUN
2881840677180320484038500033380718224000
RAY CRUSE
128924032625024890659303910171022000
LAURIE FLEMING
182000031082011034109895022350335553000
LOWELL HAMEL MD
158010033287018448001010201030385982000
DENNIS MACK
1674320342970231908030496047350468868000
MARY ANN PATER
1492920154030334109024656024910525951000
NORMA TIRADO-KELLENBERGER
256142049980041614023636023000373672000
WARREN WHITE
19454503440503293302446405360286883000
EILEEN WILLITS
2282120481270291764038500023360608939000
DAVID BURGHART
1620320120000018001013730182606000
JAMES SCHLAMAN
1498070120002481011695026460167829000
BART BERNDT
1375920120001682010010045970155081000
NEIL JOHNSON
135616012000151020488087250166180000
MARK PAULSON
141266012000302305652039830155124000
TIMOTHY ROBERTS
156018016200069804220023480179484000
JANN TOTZKE
138042012000343006904029540152530000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationTHE CURRENT YEAR COMPENSATION INCLUDES A ROLL-OVER AMOUNT FOR THE SUPPLEMENTAL RETIREMENT PLAN INTO A 457F PLAN FOR ALL PARTICIPANTS. THIS AMOUNT INCLUDES ALL PRIOR YEARS OF SERVICE THAT WERE REQUIRED TO BE REPORTED IN THE CURRENT YEAR EVEN THOUGH THERE WAS NO ACTUAL DISTRIBUTION OF ANY MONIES. LOREN HAMEL, MD, TIMOTHY CALHOUN, LAURIE FLEMING, LOWELL HAMEL, MD, DENNIS MACK, MARY ANN PATER, NORMA TIRADO-KELLENBERGER, WARREN WHITE, AND EILEEN WILLITS WERE PARTICIPANTS IN THE PLAN.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MICHIGAN)
383151499790678CC82003-12-1741525000REFUND BONDS ISSUED 1/13/94 AND FACILITY CONSTRUCTION AND IMPROVEMENTS000
HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MICHIGAN)
383151499790678CD62006-01-2650000000FACILITY CONSTRUCTION AND IMPROVEMENTS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
41643043193091313925051005744620041011
5261340546750010127385113316720070011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001101
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateBusiness Name Line1NameOfGICProvider/BusinessNameLine1Business Name Line2NameOfGICProvider/BusinessNameLine2Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
UBS AG
01128.00000000000000001
UBS AG
11128.90000000000000100CITIGROUP GLOBALMARKETS2.7000000000001

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2LOREN HAMEL, MD AND LOWELL HAMEL HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE 990 HAS BEEN POSTED ON THE BOARD PORTAL FOR REVIEW PRIOR TO FILING. THE BOARD PORTAL IS AVAILABLE TO ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12CTHE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT, THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES, AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE ASKED TO RESIGN.
FORM 990, PART VI, SECTION B, LINE 15AN INDEPENDENT FIRM IS HIRED BY THE BOARD TO DETERMINE COMPENSATION PACKAGES FOR THE CEO AND SENIOR MANAGEMENT ON AN ANNUAL BASIS. THE FIRM PRESENTS COMPARATIVE PAY RANGES AND COMPENSATION RECOMMENDATIONS TO THE GOVERNANCE (COMPENSATION) COMMITTEE FOR THEIR APPROVAL. FOR SENIOR MANAGEMENT, THE CEO CAN PROVIDE INPUT AND RECOMMENDATIONS TO THE GOVERNANCE COMMITTEE. FOR THE CEO'S COMPENSATION, THE GOVERNANCE COMMITTEE PRESENTS THE COMPENSATION PACKAGE TO THE FULL BOARD FOR APPROVAL. WRITTEN CONTRACTS FOR THE CEO ARE APPROVED BY THE FULL BOARD OF DIRECTORS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2012.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII:LOREN HAMEL, MD WORKED AN AVERAGE OF AT LEAST 20 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. KENNETH O'NEILL, MD WORKED AN AVERAGE OF AT LEAST 44 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. LINDA BEUSHAUSEN WORKED AN AVERAGE OF AT LEAST 45 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. TIMOTHY CALHOUN WORKED AN AVERAGE OF AT LEAST 20 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. RAY CRUSE WORKED AN AVERAGE OF AT LEAST 40 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. LAURIE FLEMING WORKED AN AVERAGE OF AT LEAST 10 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. LOWELL HAMEL, MD WORKED AN AVERAGE OF AT LEAST 15 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. DENNIS MACK WORKED AN AVERAGE OF AT LEAST 2 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. MARY ANN PATER WORKED AN AVERAGE OF AT LEAST 13 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. NORMA TIRADO-KELLENBERGER WORKED AN AVERAGE OF AT LEAST 16 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. WARREN WHITE WORKED AN AVERAGE OF AT LEAST 35 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. EILEEN WILLITS WORKED AN AVERAGE OF AT LEAST 15 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. DAVID BURGHART WORKED AN AVERAGE OF AT LEAST 45 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. JAMES SCHLAMAN WORKED AN AVERAGE OF AT LEAST 20 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. NEAL JOHNSON WORKED AN AVERAGE OF AT LEAST 10 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. MARK PAULSON WORKED AN AVERAGE OF AT LEAST 5 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012. TIMOTHY ROBERTS WORKED AN AVERAGE OF AT LEAST 15 HOURS AT RELATED ORGANIZATIONS DURING FISCAL YEAR 2012.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 27,743,080. CHANGE IN INTEREST IN FOUNDATIONS -96,655. CHANGE IN FAIR VALUE OF SWAP AGREEMENTS -1,887,657. CHANGE IN INTEREST FROM PARTNERSHIP K-1 -21,778. CAPITAL CONTRIBUTION TO LAKELAND HEALTH ENTERPRISES -635,793. REIMBURSED EXPENSES NETTED WITH TRANSFERS -663,649. TOTAL TO FORM 990, PART XI, LINE 5: 24,437,548.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THERE HAS BEEN NO CHANGE IN AUDIT OVERSIGHT PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LAKELAND REGIONAL HEALTH SYSTEM INC
1234 NAPIER AVENUEST JOSEPHMI49085382609624PROVIDE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITYMI501(C)(3)LINE 11B, IIN/A0
LAKELAND SPECIALITY HOSPITAL AT BERRIEN CENTER
1234 NAPIER AVENUEST JOSEPHMI49085383452303LONGTERM HEALTHCARE/HEALING SERVICESMI501(C)(3)LINE 31LAKELAND REGIONAL HEALTH SYSTEM INC
LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH
1234 NAPIER AVENUEST JOSEPHMI49085382539929PROMOTE AND ASSIST IN PROVIDING HEALTH CAREMI501(C)(3)LINE 71LAKELAND REGIONAL HEALTH SYSTEM INC
LAKELAND HEALTH FOUNDATION NILES
1234 NAPIER AVENUEST JOSEPHMI49085383130558PROMOTE/ASSIST IN PROVIDING HEALTH CARE SERVICES IN SOUTHWESTERN MICHIGANMI501(C)(3)LINE 71LAKELAND REGIONAL HEALTH SYSTEM INC
MERCY MEMORIAL HEALTH SERVICES INC
3425 LAKESHORE DRIVEST JOSEPHMI49085382748035PROVIDE HOMECARE AND LONG-TERM HEALTHCARE TO PATIENTS IN SOUTHWEST MICHIGANMI501(C)(3)LINE 91LAKELAND REGIONAL HEALTH SYSTEM INC
LAKELAND COMMUNITY HOSPITAL - WATERVLIET
400 MEDICAL PARK DRIVEWATERVLIETMI49098381368745TO PROVIDE GENERAL HEALTH OF THE COMMUNITY THROUGH EDUCATION AND HEALTHCAREMI501(C)(3)LINE 91LAKELAND REGIONAL HEALTH SYSTEM INC
HOSPICE AT HOME INC
4025 HEALTH PARK LANEST JOSEPHMI49085382416086TO PROVIDE HOSPICE AND PALLIATIVE CARE TO THE TERMINALLY ILLMI501(C)(3)LINE 71LAKELAND REGIONAL HEALTH SYSTEM INC

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
VAN'S MEDICAL EQUIPMENT OF LAKELAND LLC
1234 NAPIER AVENUEST JOSEPHMI49085261497708MEDICAL EQUIPMENTMIN/A
CLIFFSIDE COMPANY LLC
910 S WASHINGTON AVENUEROYAL OAKMI48067383306320ASSISTED LIVINGMIN/A
LAKELINE ASSOCIATES LLC
910 S WASHINGTON AVENUEROYAL OAKMI48067383306318PROPERTY MANAGEMENT/RENTALMIN/A
LIBERTY DIALYSIS LAKELAND LLC
7650 SE 27TH STREET SUITE 200MERCER ISLANDWA98040272099855MEDICAL SERVICESWAN/A
LDBH LLC
7650 SE 27TH STREET SUITE 200MERCER ISLANDWA98040451745643MEDICAL SERVICESWAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
LAKELAND HEALTH ENTERPRISES INC
31 NORTH ST JOSEPH AVENUENILESMI49120382669798ACCOUNTING AND BILLINGMIN/AC
PHARMACY SHOPPE INC DBA LAKELAND PHARMACY SHOPPE INC
1234 NAPIER AVENUEST JOSEPHMI49085382929090PHARMACEUTICALSMIN/AC
LAKELAND MEDICAL PRACTICES
1234 NAPIER AVENUEST JOSEPHMI49085270381199MEDICAL ADMINISTRATIVE SERVICESMIN/AC
SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC
1234 NAPIER AVENUEST JOSEPHMI49085272589359PHYSICIAN OFFICEMIN/AC
FOUR FLAGS PROPERTIES INC
122 GRANT STREETNILESMI49120364501639PROPERTY MANAGEMENT/RENTALMIN/AC
LAKELAND HEALTH VENTURES INC
1234 NAPIER AVENUEST JOSEPHMI49085272313790HOLDING COMPANYMIN/AC
LAKELAND PHYSICIAN CARE NETWORK
1234 NAPIER AVENUEST JOSEPHMI49085208513031MEDICAL SERVICESMIN/AC
LAKELAND PERSONAL CARE SERVICES INC
1234 NAPIER AVENUEST JOSEPHMI49085272990797HEALTH CARE SERVICESMIN/AC
LAKELAND CARE INC
1234 NAPIER AVENUEST JOSEPHMI49085383225306CONTRACT NEGOTIATIONMIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH
C1482087ACTUAL AMOUNTS GRANTED
LAKELAND HEALTH FOUNDATION NILES
C717120ACTUAL AMOUNTS GRANTED
LAKELAND HEALTH ENTERPRISES INC
B635793NBV OF PROPERTY CONTRIBUTED
LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH
N295294ALLOCATION OF EXPENSE
LAKELAND HEALTH FOUNDATION NILES
N148545ALLOCATION OF EXPENSE
LAKELAND COMMUNITY HOSPITAL - WATERVLIET
N99547ALLOCATION OF EXPENSE
HOSPICE AT HOME INC
N120263ALLOCATION OF EXPENSE
LAKELAND REGIONAL HEALTH SYSTEM INC
B16620636ACTUAL AMOUNTS GRANTED
FOUR FLAGS PROPERTIES
J383575ACTUAL AMOUNT OF RENT

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