COREWELL HEALTH: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- COREWELL HEALTH (EIN 38-2156872)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201232289349301963
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T16:10:07-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 511 RENAISSANCE DRIVE | AddressLine1 |
| City | ST JOSEPH | City |
| State | MI | State |
| ZIP Code | 49085 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382156872 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LAKE | NameControl |
| Phone | 2699838166 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1234 NAPIER AVENUE | AddressLine1 |
| City | ST JOSEPH | City |
| State | MI | State |
| ZIP Code | 49085 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TIM CALHOUN | Name |
| Title | VP-FINANCE/CFO | Title |
| Phone | 2699838166 | Phone |
| Date Signed | 2012-08-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KENLEY G PENNER CPA | Name |
| Phone | 2699828000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKELAND HEALTHCARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TIM CALHOUN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1234 NAPIER AVENUE | AddressLine1 |
| City | ST JOSEPH | City |
| State | MI | State |
| ZIP Code | 49085 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 545944237 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | LAKELANDHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | LAKELAND 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 Body | 23 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 22 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3260 | TotalNbrEmployees |
| Total Nbr Volunteers | 700 | TotalNbrVolunteers |
| Total Gross UBI | 4373317 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -71018 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1608150 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2506830 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 309517192 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 330557561 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 11610312 | InvestmentIncomePriorYear |
| Investment Income Current Year | 15201730 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1154402 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1247457 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 323890056 | TotalRevenuePriorYear |
| Total Revenue Current Year | 349513578 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 8951144 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 133217530 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 142609341 | 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 | 151533151 | OtherExpensePriorYear |
| Other Expenses Current Year | 159951479 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 284750681 | TotalExpensesPriorYear |
| Total Expenses Current Year | 311511964 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 39139375 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 38001614 | RevenuesLessExpensesCY |
| Total Assets BOY | 596426051 | TotalAssetsBOY |
| Total Assets EOY | 611140367 | TotalAssetsEOY |
| Total Liabilities BOY | 198238065 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 196141630 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 398187986 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 414998737 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO BE SOUTHWESTERN MICHIGAN'S LEADER IN SAFE, HIGH QUALITY, PATIENT CENTERED, COMPASSIONATE, HEALTH-RELATED SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 235871759 | Expense |
| Grants | 8951144 | Grants |
| Revenue | 326347954 | Revenue |
| Description | HOSPITAL SERVICES PROVIDED TO 17,545 INPATIENTS AND 315,707 OUTPATIENTS. | Description |
| Total Program Service Expense | 235871759 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3260 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 23 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 22 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | 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 | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIMOTHY J CALHOUN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2699838166 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1234 NAPIER AVENUE | AddressLine1 |
| City | ST JOSEPH | City |
| State | MI | State |
| ZIP Code | 49085 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (41 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JEFF EDMUNDS | ||||||||
| VICE CHAIRMAN/TREASURER | 3.00 | X | X | 0 | 0 | 0 | ||
| TERRENCE ALLEN | ||||||||
| SECRETARY | 3.00 | X | X | 0 | 0 | 0 | ||
| LEN AMAT | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DAVID BINKLEY | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| PATRICIA HALL | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| GEORGE HEENAN MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DANIEL HOPP | ||||||||
| CHAIRMAN | 5.00 | X | X | 0 | 0 | 0 | ||
| J DOUGLAS HUGGETT DO | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| GEORGE KOLETTIS MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| GENE MADDOCK MD | ||||||||
| DIRECTOR (PART YEAR) | 2.00 | X | 0 | 0 | 0 | |||
| NIELS-ERIK ANDREASEN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MICHAEL MORTIMORE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| KENNETH O'NEILL MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JEFFREY SCHMIDT DDS | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| KENNETH EDWARDS MD | ||||||||
| DIRECTOR (PART YEAR) | 2.00 | X | 0 | 0 | 0 | |||
| BETH DODGE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JUDITH ZACHA | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| LOREN HAMEL MD | ||||||||
| PRESIDENT & CEO | 40.00 | X | X | 643210 | 0 | 9860 | ||
| LAURIANNE DAVIS | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DENNIS THOMPSON MD | ||||||||
| DIRECTOR (PART YEAR) | 2.00 | X | 0 | 0 | 0 | |||
| MARCUS ROBINSON | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MICHAEL WELCH | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| THOMAS YEAGER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOSEPH BARRETT | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| LENORE BECKER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| STEPHEN HEMPEL MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| TIMOTHY CALHOUN | ||||||||
| VP - FINANCE/CFO | 40.00 | X | 344750 | 0 | 17954 | |||
| DENNIS MACK | ||||||||
| VP - FACILITY SERVICES | 40.00 | X | 186181 | 0 | 14594 | |||
| MARY ANN PATER | ||||||||
| VP - LEGAL & RISK MGMT | 40.00 | X | 154757 | 0 | 11845 | |||
| LOWELL HAMEL | ||||||||
| VP - MEDICAL AFFAIRS | 16.00 | X | 172584 | 0 | 0 | |||
| EILEEN WILLITS | ||||||||
| VP - NURSING & CNO | 40.00 | X | 259842 | 0 | 16685 | |||
| ROBIN MACK | ||||||||
| VP - STRAT INIT (PART YEAR) | 40.00 | X | 174129 | 0 | 9063 | |||
| LAURIE FLEMING | ||||||||
| VP - DIAG & AMB SERV | 40.00 | X | 183884 | 0 | 11669 | |||
| NORMA TIRADO-KELLENBERGER | ||||||||
| VP - IT & HR SERVICES | 40.00 | X | 292898 | 0 | 950 | |||
| WARREN WHITE | ||||||||
| VP - MEDICAL SERVICES | 40.00 | X | 170540 | 0 | 5943 | |||
| DAVID BURGHART | ||||||||
| FOUNDATION PRESIDENT | 40.00 | 140759 | 0 | 1609 | X | |||
| MARK PAULSON | ||||||||
| DIRECTOR PHARMACY | 40.00 | 138719 | 0 | 11830 | X | |||
| JAMES SCHLAMAN | ||||||||
| DIRECTOR REHAB | 40.00 | 146356 | 0 | 10936 | X | |||
| MIKE KASTNER | ||||||||
| DIRECTOR - BUILDING AND CO | 40.00 | 139754 | 0 | 10199 | X | |||
| NEIL JOHNSON | ||||||||
| MANAGER OF PHARMACY | 40.00 | 129312 | 0 | 17490 | X | |||
| JANN TOTZKE | ||||||||
| DIRECTOR - PATIENT SERVICE | 40.00 | 137106 | 0 | 11861 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3274022 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 160879 | TotalOtherCompensation |
| Number Individuals GT100 K | 16 | NumberIndividualsGT100K |
| Formers Listed | 0 | 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 |
|---|---|---|---|---|---|
| LIBERTY DIALYSIS - LAKELAND | |||||
| PO BOX 10349 | UNIONDALE | NY | 11555 | DIALYSIS SERVICES | 1977787 |
| ALLIANCE - HNI PETCT SERVICES | |||||
| PO BOX 402209 | ATLANTA | GA | 30384 | PET SCAN RADIOLOGY SERVICES | 1952120 |
| SUNSET COAST ANESTHESIA ASSOCIATES | |||||
| 1234 NAPIER AVE | ST JOSEPH | MI | 49085 | ST. JOSEPH ANESTHESIA FEES | 1914931 |
| DA DODD INC | |||||
| PO BOX 430 | ROLLING PRAIRIE | IN | 46371 | PLUMBING | 1412154 |
| SOUTH BEND MEDICAL FOUNDATION | |||||
| 530 NORTH LAFAYETTE BLVD | SOUTH BEND | IN | 46601 | LAB WORK | 1230438 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 2331559 | RelatedOrganizations |
| All Other Contributions | 175271 | AllOtherContributions |
| Total Contributions | 2506830 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENU | 541380 | 329799023 | 325589416 | 4209607 |
| MISCELLANEOUS | 541380 | 683662 | 683662 | |
| MEDICAL RECORD FEES | 541380 | 74876 | 74876 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 330557561 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6882003 | TotalRevenueColumn |
| Exclusion | $6,882,003 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 148417 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 148417 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 148417 | TotalRevenueColumn |
| Exclusion | $148,417 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 204737165 | Securities |
| Other | 13221 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 196430659 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 8306506 | Securities |
| Other | 13221 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8319727 | TotalRevenueColumn |
| Exclusion | $8,319,727 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA SALES | 722210 | 925740 | $925,740 | |
| GRAPHIC SERVICES | 519100 | 163710 | 163710 | |
| VENDING MACHINES | 445100 | 9590 | $9,590 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1099040 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 349513578 | TotalRevenueColumn |
| Related Or Exempt Function Income | 326347954 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4373317 | UnrelatedBusinessRevenue |
| Exclusion | $16,285,477 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8951144 | Total |
| Program Services | 8951144 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2994315 | Total |
| Program Services | 2245736 | ProgramServices |
| Management And General | 748579 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107057628 | Total |
| Program Services | 80293221 | ProgramServices |
| Management And General | 26764407 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4229447 | Total |
| Program Services | 3172085 | ProgramServices |
| Management And General | 1057362 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20339855 | Total |
| Program Services | 15254891 | ProgramServices |
| Management And General | 5084964 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7988096 | Total |
| Program Services | 5991072 | ProgramServices |
| Management And General | 1997024 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89661 | Total |
| Program Services | 67246 | ProgramServices |
| Management And General | 22415 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 224315 | Total |
| Program Services | 168236 | ProgramServices |
| Management And General | 56079 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10679707 | Total |
| Program Services | 8009780 | ProgramServices |
| Management And General | 2669927 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 452724 | Total |
| Program Services | 339543 | ProgramServices |
| Management And General | 113181 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3054711 | Total |
| Program Services | 2291033 | ProgramServices |
| Management And General | 763678 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11189208 | Total |
| Program Services | 8391906 | ProgramServices |
| Management And General | 2797302 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 776403 | Total |
| Program Services | 582302 | ProgramServices |
| Management And General | 194101 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5563609 | Total |
| Program Services | 4172707 | ProgramServices |
| Management And General | 1390902 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18808247 | Total |
| Program Services | 14106185 | ProgramServices |
| Management And General | 4702062 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1088383 | Total |
| Program Services | 816287 | ProgramServices |
| Management And General | 272096 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL AND OFFICE SUPP | 56695151 | 42521363 | 14173788 |
| BAD DEBTS | 15619228 | 11714421 | 3904807 |
| PHYSICIAN RELATIONS | 11459803 | 8594852 | 2864951 |
| QAAP ASSESSMENTS | 7498303 | 5623727 | 1874576 |
| COLLECTION COSTS | 2131553 | 1598665 | 532888 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14620473 | Total |
| Program Services | 10965357 | ProgramServices |
| Management And General | 3655116 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311511964 | Total |
| Program Services | 235871759 | ProgramServices |
| Management And General | 75640205 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60957513 | BOY |
| EOY | 64789752 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23059013 | BOY |
| EOY | 25227681 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5797145 | BOY |
| EOY | 6307708 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3977563 | BOY |
| EOY | 4263553 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 423534809 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 199143049 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201271431 | BOY |
| EOY | 224391760 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 289232363 | BOY |
| EOY | 274450703 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12131023 | BOY |
| EOY | 11709210 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 596426051 | BOY |
| EOY | 611140367 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34927793 | BOY |
| EOY | 33344820 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116525643 | BOY |
| EOY | 113645230 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46784629 | BOY |
| EOY | 49151580 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198238065 | BOY |
| EOY | 196141630 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 393634633 | BOY |
| EOY | 410912010 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4553353 | BOY |
| EOY | 4086727 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 398187986 | BOY |
| EOY | 414998737 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 596426051 | BOY |
| EOY | 611140367 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 38001614 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -21190863 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Total Lobbying Expenditures IIB | 0 | TotalLobbyingExpendituresIIB |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | A PORTION OF DUES PAID TO MHA HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5326000 | OtherCostOrOtherBasis |
| Book Value | 5326000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 180141380 | OtherCostOrOtherBasis |
| Depreciation | 57820339 | Depreciation |
| Book Value | 122321041 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5722972 | OtherCostOrOtherBasis |
| Depreciation | 3583068 | Depreciation |
| Book Value | 2139904 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 209762571 | OtherCostOrOtherBasis |
| Depreciation | 137739642 | Depreciation |
| Book Value | 72022929 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22581886 | OtherCostOrOtherBasis |
| Book Value | 22581886 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 224391760 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PROVISION FOR MEDICAL MALPRACTICE | $6,532,000 |
| PROVISION FOR DEFERRED COMPENSATION | $3,886,950 |
| PROVISION FOR POSTRETIREMENT BENEFIT | $15,944,163 |
| INTEREST RATE SWAP AGREEMENTS | $22,788,467 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 49151580 | TotalOfAmounts |
| Total Revenue | 349513578 | TotalRevenue |
| Total Expenses | 311511964 | TotalExpenses |
| Excess Or Deficit For Year | 38001614 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -16848900 | NetUnrealizedGLOnInvestments |
| Other | -$4,341,963 | OtherAmount |
| Total Adjustments | -21190863 | TotalAdjustments |
| Excess Or Deficit Per FS | 16810751 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 326243065 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -16848900 | NetUnrealizedGainsInvestments |
| Other Revenues | -4090054 | OtherRevenues |
| Revenue Not Rptd F990 | -20938954 | RevenueNotRptdF990 |
| Revenue Subtotal | 347182019 | RevenueSubtotal |
| Other Revenues Not Included | 2331559 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2331559 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 349513578 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 302560819 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 302560819 | ExpensesSubtotal |
| Other Expenses Not Included | 8951144 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 8951144 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 311511963 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 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, 2011, 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 2008. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN INTEREST IN FOUNDATION -486,191. CHANGE IN SWAP VALUATION -3,603,863. GAIN FROM PARTNERSHIP K-1 3,557. TRANSFER TO FOUR FLAGS PROPERTIES, INC. -255,466. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF SWAP AGREEMENTS -3,603,863. CHANGE IN INTEREST IN FOUNDATIONS -486,191. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTION FROM HOME INFUSION SERVICES, INC. 230,684. CONTRIBUTION FROM LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH 2,059,505. CONTRIBUTION FROM LAKELAND HEALTH FOUNDATION, NILES 41,370. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | GRANT TO LAKELAND REGIONAL HEALTH SYSTEM, INC. 8,000,000. GRANT TO LAKELAND COMMUNITY HOSPITAL - WATERVLIET 951,144. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 1000 | PersonsServed |
| Total Community Benefit Expense | 8118969 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8118969 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02740 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 65837 | PersonsServed |
| Total Community Benefit Expense | 47847966 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 45756050 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2091916 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00710 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 66837 | PersonsServed |
| Total Community Benefit Expense | 55966935 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 45756050 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10210885 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03450 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 605 | NumberOfActivitiesOrPrograms |
| Persons Served | 163216 | PersonsServed |
| Total Community Benefit Expense | 2077349 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2077349 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00700 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 129 | NumberOfActivitiesOrPrograms |
| Persons Served | 1968 | PersonsServed |
| Total Community Benefit Expense | 3633228 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3633228 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01230 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 152 | NumberOfActivitiesOrPrograms |
| Persons Served | 3488 | PersonsServed |
| Total Community Benefit Expense | 105119 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 105119 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 886 | NumberOfActivitiesOrPrograms |
| Persons Served | 168672 | PersonsServed |
| Total Community Benefit Expense | 5815696 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5815696 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01970 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 888 | NumberOfActivitiesOrPrograms |
| Persons Served | 235509 | PersonsServed |
| Total Community Benefit Expense | 61782631 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 45756050 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16026581 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05420 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 177 | PersonsServed |
| Total Community Building Expense | 2511 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2511 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 100 | PersonsServed |
| Total Community Building Expense | 663 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 663 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 747 | PersonsServed |
| Total Community Building Expense | 2507 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2507 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 14 | PersonsServed |
| Total Community Building Expense | 455 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 455 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 29 | NumberOfActivitiesOrPrograms |
| Persons Served | 1038 | PersonsServed |
| Total Community Building Expense | 6136 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6136 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $7,015,438 | BadDebtExpenseAmount |
| Amount Attributable To | 3507719 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 118838518 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 123891541 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5053023 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|
| LAKELAND HOSPITALS AT NILES | |||||||
| 1 | 31 N STREET JOSEPH AVENUE | NILES | MI | 49120 | X | X | X |
| LAKELAND HOSPITALS AT ST JOSEPH | |||||||
| 2 | 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | X | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | Return ReferenceReturnReference | IdentifierIdentifier |
|---|---|---|
| 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, ANDGOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLEACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL LOSS RATE FACTORS APPLIEDTO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSSEXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THEHOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFFAGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BEUNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCESIS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENTMETHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTSAGAINST UNPAID CLAIMS BY CERTAIN PAYORS. | ||
| 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. | 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: THE BAD DEBT EXPENSE AT COST WAS CALCULATED USING THE COST TO CHARGE RATIO FROM WORKSHEET 2. | ||
| 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 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 ORGANIZATION SERVES 150,000 RESIDENTS IN BERRIEN COUNTY AND THE SURROUNDING AREAS. | ||
| PART VI, LINE 6: COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS-REPRESENTS THOSE ACTIVITIES THAT HELP IMPROVE THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITY. COMMUNITY HEALTH PRESENTATIONS, ACT IN TIME TO HEART ATTACK AND STROKE, EXPECTANT PARENT, 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 SUPPORT PROGRAMS, SUCH AS LOOK GOODFEEL BETTER, PROSTATE CANCER AWARENESS, SKIN CANCER SCREENING, COLORECTAL CANCER SCREENING, AND THE ANNUAL CARE FAIR, BREAST HEALTH AWARENESS, HEALTH RESOURCE LIBRARIES AT TWO SITES, PARISH AND SENIOR CENTER NURSES, AND HEALTH SCREENINGS ARE SOME EXAMPLES. | ||
| PART VI, LINE 7: THE ORGANIZATION IS PART OF LAKELAND REGIONAL HEALTH SYSTEM WHICH SERVES THE SAME GEOGRAPHIC AREA FOR HEALTHCARE RELATED SERVICES. | ||
| MI | PART VI, LINE 7 | REPORTS FILED WITH STATES |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| LAKELAND REGIONAL HEALTH SYSTEM INC | |||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 382609624 | 501(C)(3) | 8000000 | N/A | N/A | GENERAL SUPPORT |
| LAKELAND COMMUNITY HOSPITAL - WATERVLIET | |||||||||
| 400 MEDICAL PARK DRIVE | WATERVLIET | MI | 49098 | 381368745 | 501(C)(3) | 951144 | N/A | N/A | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LOREN HAMEL MD | |||||||||||||
| 490382 | 0 | 139650 | 0 | 13178 | 0 | 7350 | 0 | 2510 | 0 | 653070 | 0 | 0 | 0 |
| TIMOTHY CALHOUN | |||||||||||||
| 278454 | 0 | 53683 | 0 | 12613 | 0 | 14700 | 0 | 3254 | 0 | 362704 | 0 | 0 | 0 |
| DENNIS MACK | |||||||||||||
| 154569 | 0 | 27224 | 0 | 4388 | 0 | 9500 | 0 | 5094 | 0 | 200775 | 0 | 0 | 0 |
| MARY ANN PATER | |||||||||||||
| 139094 | 0 | 11424 | 0 | 4239 | 0 | 8556 | 0 | 3289 | 0 | 166602 | 0 | 0 | 0 |
| LOWELL HAMEL | |||||||||||||
| 144961 | 0 | 27623 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 172584 | 0 | 0 | 0 |
| EILEEN WILLITS | |||||||||||||
| 213909 | 0 | 41473 | 0 | 4460 | 0 | 12950 | 0 | 3735 | 0 | 276527 | 0 | 0 | 0 |
| ROBIN MACK | |||||||||||||
| 152549 | 0 | 19508 | 0 | 2072 | 0 | 9063 | 0 | 0 | 0 | 183192 | 0 | 0 | 0 |
| LAURIE FLEMING | |||||||||||||
| 158229 | 0 | 19094 | 0 | 6561 | 0 | 9492 | 0 | 2177 | 0 | 195553 | 0 | 0 | 0 |
| NORMA TIRADO-KELLENBERGER | |||||||||||||
| 216348 | 0 | 46550 | 0 | 30000 | 0 | 0 | 0 | 950 | 0 | 293848 | 0 | 0 | 0 |
| WARREN WHITE | |||||||||||||
| 140790 | 0 | 29750 | 0 | 0 | 0 | 3686 | 0 | 2257 | 0 | 176483 | 0 | 0 | 0 |
| MARK PAULSON | |||||||||||||
| 134427 | 0 | 1140 | 0 | 3152 | 0 | 8215 | 0 | 3615 | 0 | 150549 | 0 | 0 | 0 |
| JAMES SCHLAMAN | |||||||||||||
| 140342 | 0 | 1140 | 0 | 4874 | 0 | 8462 | 0 | 2474 | 0 | 157292 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | LAKELAND MAINTAINS A SUPPLEMENTAL RETIREMENT AND PRE-RETIREMENT DEATH BENEFIT PLAN FOR THE PURPOSE OF PROVIDING SUPPLEMENTAL RETIREMENT BENEFITS TO EMPLOYEES WHO ARE ELIGIBLE UNDER THE TERMS AND CONDITIONS OF THE PLAN. THE PLAN IS INTENDED TO BE A NONQUALIFIED UNFUNDED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THE ANNUAL BENEFIT UNDER THE PLAN IS 1% OF FINAL AVERAGE PAY TIMES YEARS OF SERVICE (27.5 YEARS LIMIT) FOR PARTICIPANTS WHO HAVE ACHIEVED NORMAL RETIREMENT AGE OF 63 AND HAVE COMPLETED 10 YEARS OF SERVICE. THE ANNUAL BENEFIT IS PAID AS A LUMP SUM BASED ON 15 YEARS DISCOUNTED AT 6%. THERE IS NO BENEFIT EARNED OR PAID FOR PARTICIPANTS WHO SEPARATE FROM LAKELAND'S EMPLOYMENT BEFORE AGE 63. THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE SERP ARE: LOREN HAMEL, TIM CALHOUN, LAURIE FLEMING, DENNIS MACK, LOWELL HAMEL, MARY ANN PATER, EILEEN WILLITS, NORMA TIRADO, AND WARREN WHITE. ROBIN MACK DISCONTINUED EMPLOYMENT WITH LAKELAND DURING THE 2011 FISCAL YEAR AND WAS REMOVED FROM THE PROGRAM. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MICHIGAN) | |||||||
| 383151499 | 790678CC8 | 2003-12-17 | 41525000 | REFUND BONDS ISSUED 1/13/94 AND FACILITY CONSTRUCTION AND IMPROVEMENTS | 0 | 0 | 0 |
| HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MICHIGAN) | |||||||
| 383151499 | 790678CD6 | 2006-01-26 | 50000000 | FACILITY CONSTRUCTION AND IMPROVEMENTS | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 41643043 | 193091 | 31392505 | 10057446 | 2004 | 1 | 0 | 1 | 1 |
| 52613405 | 467500 | 1012738 | 51133167 | 2007 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 1 | 0 | 1 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Business Name Line2NameOfGICProvider/BusinessNameLine2 | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UBS AG | ||||||||||||
| 0 | 1 | 1 | 28.000000000000 | 0 | 0 | 0 | 0 | 1 | ||||
| UBS AG | ||||||||||||
| 1 | 1 | 1 | 28.900000000000 | 0 | 0 | 1 | 0 | 0 | CITIGROUP GLOBAL | MARKETS | 2.700000000000 | 1 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | ROBIN MACK AND DENNIS MACK HAVE A FAMILY RELATIONSHIP. LOREN HAMEL, MD AND LOWELL HAMEL HAVE A FAMILY RELATIONSHIP. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE 990 HAS BEEN POSTED ON THE BOARD PORTAL FOR REVIEW PRIOR TO FILING. THE BOARD PORTAL IS AVAILABLE TO ALL BOARD MEMBERS. | |
| THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT, THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES, AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE ASKED TO RESIGN. | FORM 990, PART VI, SECTION B, LINE 12C | |
| AN INDEPENDENT FIRM IS HIRED BY THE BOARD TO DETERMINE COMPENSATION PACKAGES FOR THE CEO AND SENIOR MANAGEMENT ON AN ANNUAL BASIS. THE FIRM PRESENTS COMPARATIVE PAY RANGES AND COMPENSATION RECOMMENDATIONS TO THE GOVERNANCE (COMPENSATION) COMMITTEE FOR THEIR APPROVAL. FOR SENIOR MANAGEMENT, THE CEO CAN PROVIDE INPUT AND RECOMMENDATIONS TO THE GOVERNANCE COMMITTEE. FOR THE CEO'S COMPENSATION, THE GOVERNANCE COMMITTEE PRESENTS THE COMPENSATION PACKAGE TO THE FULL BOARD FOR APPROVAL. WRITTEN CONTRACTS FOR THE CEO ARE APPROVED BY THE FULL BOARD OF DIRECTORS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2011. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -16,848,900. CHANGE IN INTEREST IN FOUNDATION -486,191. CHANGE IN SWAP VALUATION -3,603,863. GAIN FROM PARTNERSHIP K-1 3,557. TRANSFER TO FOUR FLAGS PROPERTIES, INC. -255,466. TOTAL TO FORM 990, PART XI, LINE 5: -21,190,863. | FORM 990, PART XI, LINE 5: |
| THERE HAS BEEN NO CHANGE IN AUDIT OVERSIGHT PROCESS FROM THE PRIOR YEAR. | FORM 990, PART XII, LINE 2C: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER | |||||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 383452303 | LONGTERM HEALTHCARE/HEALING SERVICES | MI | 501(C)(3) | LINE 3 | LAKELAND REGIONAL HEALTH SYSTEM INC | 1 | |
| MERCY MEMORIAL HEALTH SERVICES | |||||||||||
| 3425 LAKESHORE DRIVE | ST JOSEPH | MI | 49085 | 382748035 | PROVIDE HOMECARE AND LONG-TERM HEALTHCARE TO PATIENTS IN SOUTHWEST MICHIGAN | MI | 501(C)(3) | LINE 9 | LAKELAND REGIONAL HEALTH SYSTEM INC | 1 | |
| LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH | |||||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 382539929 | PROMOTE AND ASSIST IN PROVIDING HEALTH CARE | MI | 501(C)(3) | LINE 7 | LAKELAND REGIONAL HEALTH SYSTEM INC | 1 | |
| LAKELAND HEALTH FOUNDATION NILES | |||||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 383130558 | PROMOTE/ASSIST IN PROVIDING HEALTH CARE SERVICES IN SOUTHWESTERN MICHIGAN | MI | 501(C)(3) | LINE 7 | LAKELAND REGIONAL HEALTH SYSTEM INC | 1 | |
| LAKELAND HEALTH SERVICES INC | |||||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 203007464 | TO PROVIDE SKILLED PRIVATE NURSING CARE TO THE SOUTHWESTERN MICHIGAN AREA | MI | 501(C)(3) | LINE 9 | LAKELAND REGIONAL HEALTH SYSTEM INC | 1 | |
| HOME INFUSION SERVICES INC DBA LAKELAND HOME INFUSION | |||||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 382969335 | PROVIDE IN-HOME INTRAVENOUS THERAPY SERVICES | MI | 501(C)(3) | LINE 9 | LAKELAND REGIONAL HEALTH SYSTEM INC | 1 | |
| LAKELAND REGIONAL HEALTH SYSTEM INC | |||||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 382609624 | PROVIDE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITY | MI | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| MERCY HEALTH CLINIC INC | |||||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 383178765 | TO PROVIDE HEALTH CARE FOR THE COUNTY OF BERRIEN AND THE SURROUNDING AREA | MI | 501(C)(3) | LINE 3 | LAKELAND REGIONAL HEALTH SYSTEM INC | 1 | |
| LAKELAND COMMUNITY HOSPITAL - WATERVLIET | |||||||||||
| 400 MEDICAL PARK DRIVE | WATERVLIET | MI | 49098 | 381368745 | TO PROVIDE GENERAL HEALTH OF THE COMMUNITY THROUGH EDUCATION AND HEALTHCARE | MI | 501(C)(3) | LINE 3 | LAKELAND REGIONAL HEALTH SYSTEM INC | 1 | |
| LAKELAND HOSPITAL AUXILIARY ST JOSEPH | |||||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 383674457 | TO RENDER VOLUNTEER SERVICES TO LAKELAND REGIONAL HEALTH SYSTEM, ST JOSEPH | MI | 501(C)(3) | LINE 9 | LAKELAND REGIONAL HEALTH SYSTEM INC | 1 | |
| LAKELAND AUXILIARY BERRIEN GENERAL | |||||||||||
| 6418 DEANS HILL ROAD | BERRIEN CENTER | MI | 49102 | 237025742 | TO RENDER SERVICE TO LAKELAND SPECIALTY HOSPITAL, BERRIEN CENTER | MI | 501(C)(3) | LINE 9 | LAKELAND REGIONAL HEALTH SYSTEM INC | 1 | |
| LAKELAND NILES AUXILIARY | |||||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 386076112 | TO ENGAGE IN CHARITABLE ACTIVITIES TO ASSIST LKLD COMMUNITY HOSPITAL, NILES | MI | 501(C)(3) | LINE 9 | LAKELAND REGIONAL HEALTH SYSTEM INC | 1 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| LAKELINE ASSOCIATES LLC | |||||||
| 910 S WASHINGTON AVENUE | ROYAL OAK | MI | 48067 | 383306318 | PROPERTY MANAGEMENT/RENTAL | MI | N/A |
| CLIFFSIDE COMPANY LLC DBA CARETEL INNS OF ROYALTON | |||||||
| 910 S WASHINGTON AVENUE | ROYAL OAK | MI | 48067 | 383306320 | ASSISTED LIVING | MI | N/A |
| LIBERTY DIALYSIS LAKELAND LLC | |||||||
| 7650 SE 27TH STREET SUITE 200 | MERCER ISLAND | WA | 98040 | 272099855 | MEDICAL SERVICES | WA | N/A |
| VAN'S MEDICAL EQUIPMENT OF LAKELAND LLC | |||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 261497708 | MEDICAL EQUIPMENT | MI | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| NILES PROFESSIONAL SERVICES INC | ||||||||
| 31 NORTH ST JOSEPH AVENUE | NILES | MI | 49120 | 382633419 | MEDICAL ADMINISTRATIVE SERVICES | MI | N/A | C |
| THE PHARMACY SHOPPE INC DBA LAKELAND PHARMACY SHOPPE | ||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 382929090 | PHARMACEUTICALS | MI | N/A | C |
| FOUR FLAGS PROPERTIES INC | ||||||||
| 122 GRANT STREET | NILES | MI | 49120 | 364501639 | PROPERTY MANAGEMENT/RENTAL | MI | N/A | C |
| LAKELAND PHYSICIAN CARE NETWORK | ||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 208513031 | MEDICAL SERVICES | MI | N/A | C |
| LAKELAND MEDICAL PRACTICES | ||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 270381199 | MEDICAL ADMINISTRATIVE SERVICES | MI | N/A | C |
| LAKELAND HEALTH ENTERPRISE INC | ||||||||
| 31 NORTH ST JOSEPH AVENUE | NILES | MI | 49120 | 382669798 | ACCOUNTING AND BILLING SERVICES | MI | N/A | C |
| SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC | ||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 272589359 | PHYSICIAN OFFICE | MI | N/A | C |
| LAKELAND PERSONAL CARE SERVICES INC | ||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 272990797 | HEALTH CARE SERVICES | MI | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH | ||
| C | 2059505 | GRANT TO FURTHER MISSION |
| LAKELAND HEALTH FOUNDATION NILES | ||
| C | 41370 | GRANT TO FURTHER MISSION |
| LAKELAND REGIONAL HEALTH SYSTEM INC | ||
| B | 8000000 | ACTUAL |
| LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH | ||
| P | 977000 | ESTIMATE |
| LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH | ||
| P | 16000 | ESTIMATE |
| LAKELAND HEALTH FOUNDATION NILES | ||
| P | 24000 | ESTIMATE |
| MERCY MEMORIAL HEALTH SERVICES INC | ||
| N | 587579 | ALLOCATION OF COST |
| HOME INFUSION SERVICES INC | ||
| C | 230684 | NBV |
| LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER | ||
| N | 14158112 | ALLOCATION OF COST |
| FOUR FLAGS PROPERTIES INC | ||
| B | 255466 | TRANSFER OF ASSETS |
| LAKELAND COMMUNITY HOSPITAL - WATERVLIET | ||
| B | 951144 | ACTUAL |
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