COREWELL HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COREWELL HEALTH (EIN 38-2748035)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201122279349302822
Schema version
2009v1.7
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)
Timestamp2011-08-15T13:07:33-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 DR SUITE 120AddressLine1
CityST JOSEPHCity
StateMIState
ZIP Code49085ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382748035EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mercy Memorial Health Services IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone2699836501Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13425 Lakeshore DrAddressLine1
CitySt JosephCity
StateMIState
ZIP Code49085ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMothy CALHOUNName
Titlevp - finance/CFOTitle
Phone2699836501Phone
Date Signed2011-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2699828000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Lakeland Continuing Care CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonTIMOTHY CALHOUNNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13425 lakeshore drAddressLine1
Cityst josephCity
StateMIState
ZIP Code49085ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8188656GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitelakelandhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTo provide homecare and long-term healthcare to patients in the southwest Michigan area.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees137TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2924ContributionsGrantsPriorYear
Contributions Grants Current Year42ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7999044ProgramServiceRevenuePriorYear
Program Service Revenue CY8187759ProgramServiceRevenueCY
Investment Income Prior Year1701InvestmentIncomePriorYear
Investment Income Current Year855InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8003669TotalRevenuePriorYear
Total Revenue Current Year8188656TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4300984SalariesEtcPriorYear
Salaries Etc Current Year4308235SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2653151OtherExpensePriorYear
Other Expenses Current Year3008299OtherExpensesCurrentYear
Total Expenses Prior Year6954135TotalExpensesPriorYear
Total Expenses Current Year7316534TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1049534RevenuesLessExpensesPriorYear
Revenues Less Expenses CY872122RevenuesLessExpensesCY
Total Assets BOY5957253TotalAssetsBOY
Total Assets EOY6666247TotalAssetsEOY
Total Liabilities BOY2786821TotalLiabilitiesBOY
Total Liabilities EOY2623693TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3170432NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4042554NetAssetsOrFundBalancesEOY
Mission DescriptionTo be Southwestern Michigan's leader in safe, high quality, patient centered, compassionate, health-related services.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6323722Expense
Revenue8187759Revenue
DescriptionNURSING HOME OPERATIONS WERE PROVIDED TO 108 inpatients and 108 outpatients.Description
Total Program Service Expense6323722TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees137NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
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
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 Line1chuck piechockiBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2694282416TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11234 NAPIER AVEAddressLine1
CitySt JosephCity
StateMIState
ZIP Code49085ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
laurence habenicht md
director1.00X000
ewanah johnson md
director1.00X000
michael mortimore
chairman1.00X000X
david village
director1.00X000
loren hamel md
president & ceo1.00X047186525444X
lynn kellogg
director1.00X000
kay varga-smith
vice chairman1.00X000X
lynn gray md
director1.00X000
lad stacey
secretary/treasurer - part year1.00X000
timothy calhoun
vp finance & cfo1.00034006022819X
dennis mack
vp facility services1.00018483927626X
joseph wasserman
president & ceo1.000207953130120X
james schlaman
director rehab & long term care10.00014482126934X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3221116TotalReportableCompFrmRltdOrgs
Total Other Compensation132943TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1rehabcare groupBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1po box 503534AddressLine1
Cityst louisCity
StateMOState
ZIP Code63150ZIPCode
FieldValueIRS element (for citing)
Description Of Servicesrehabilitation servicesDescriptionOfServices
Compensation507077Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions42AllOtherContributions
Total Contributions42TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatIENT SERVICE REVENUDescription
Business Code621400BusinessCode
Total Revenue Column8187759TotalRevenueColumn
Related Or Exempt Function Income8187759RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8187759TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column855TotalRevenueColumn
Exclusion$855ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8188656TotalRevenueColumn
Related Or Exempt Function Income8187759RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$855ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3652301Total
Program Services3104456ProgramServices
Management And General547845ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total412700Total
Program Services346668ProgramServices
Management And General66032ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total243234Total
Program Services206749ProgramServices
Management And General36485ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total867Total
Program Services737ProgramServices
Management And General130ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total726533Total
Program Services615023ProgramServices
Management And General111510ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total772797Total
Program Services656877ProgramServices
Management And General115920ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total90149Total
Program Services75725ProgramServices
Management And General14424ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total77899Total
Program Services65435ProgramServices
Management And General12464ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total226458Total
Program Services192489ProgramServices
Management And General33969ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total57366Total
Program Services48761ProgramServices
Management And General8605ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
QAAP Assessment750019750019
Miscellaneous21195017803833912
Repair and MAintenance36066302955771
Physician Fees23488199653523
Bad Debts20706207060

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14001Total
Program Services11779ProgramServices
Management And General2222ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7316534Total
Program Services6323722ProgramServices
Management And General992812ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY257162BOY
EOY36260EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY264148BOY
EOY531738EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4182BOY
EOY2439EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5786968LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3462663LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2493145BOY
EOY2324305EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2938616BOY
EOY3771505EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5957253BOY
EOY6666247EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY131389BOY
EOY100609EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
EOY1574357EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1617856BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1037576BOY
EOY948727EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2786821BOY
EOY2623693EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3170432BOY
EOY4042554EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3170432BOY
EOY4042554EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5957253BOY
EOY6666247EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years868CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3373CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15582CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2924CurrentTaxYearMinus1Year
Current Tax Year42CurrentTaxYear
Total22789Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6396138CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6911262CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7630742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7999044CurrentTaxYearMinus1Year
Current Tax Year8187759CurrentTaxYear
Total37124945Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6397006CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6914635CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7646324CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8001968CurrentTaxYearMinus1Year
Current Tax Year8187801CurrentTaxYear
Total37147734Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50937147734PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10477CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18267CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5553CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1701CurrentTaxYearMinus1Year
Current Tax Year855CurrentTaxYear
Total36853Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10477CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18267CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5553CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1701CurrentTaxYearMinus1Year
Current Tax Year855CurrentTaxYear
Total36853Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6407483CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6932902CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7651877CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8003669CurrentTaxYearMinus1Year
Current Tax Year8188656CurrentTaxYear
Total37184587Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99900PublicSupportPercentage509
Prior Year Support Percentage0.99880PriorYearSupportPercentage
Investment Income Percentage0.00100InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00120PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis162800OtherCostOrOtherBasis
Book Value162800BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4630517OtherCostOrOtherBasis
Depreciation2742503Depreciation
Book Value1888014BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis899020OtherCostOrOtherBasis
Depreciation662451Depreciation
Book Value236569BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis94631OtherCostOrOtherBasis
Depreciation57709Depreciation
Book Value36922BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2324305TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BOND ISSUE COSTS57050
Due From Lakeland hospitals at niles & st. joseph, inc.3714455
FieldValueIRS element (for citing)
Total Book Value Other Assets3771505TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED LIABILITIES$248,727
cost report settlement payable$700,000
FieldValueIRS element (for citing)
Total Of Amounts948727TotalOfAmounts
Total Revenue8188656TotalRevenue
Total Expenses7316534TotalExpenses
Excess Or Deficit For Year872122ExcessOrDeficitForYear
Excess Or Deficit Per FS872122ExcessOrDeficitPerFS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (5 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
037942707926001317806900018544049730900
timothy calhoun
0274567052920012573011800011019036287900
dennis mack
01525030294480288809344018282021246500
joseph wasserman
05247930254760012999780142500158700210965100
james schlaman
0138185018000483608390018544017175500

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4aReturnReference
ExplanationLakeland 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: Joseph Wasserman, Retired CEO (Paid $1,263,989 at age 63 after 35 years of service), Tim Calhoun, Loren Hamel, and Dennis Mack.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1hospital finance authority of the City of St Joseph (Michigan)BusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN800596186IssuerEIN
CUSIP Number790678BZ8CUSIPNumber
Date Issued2003-12-16DateIssued
Issue Price1806337IssuePrice
Description Of PurposeFACILITY CONSTRUCTION AND IMPROVEMENTSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11The 990 was reviewed by an officer of the Board as well as the Finance and HR Committee prior to filing. A copy of the 990 was provided to the other Board members prior to filing.
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 BOTH SENIOR MANAGEMENT AND THE CEO ARE APPROVED BY THE FULL BOARD OF DIRECTORS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2010.
Form 990, Part VI, Section C, line 19The governing documents and the conflict of interest policy are available upon request.
FORM 990, PART VII:JOSEPH WASSERMAN, LOREN HAMEL, TIM CALHOUN, AND DENNIS MACK EACH WORKED AN AVERAGE OF AT LEAST 40 HOURS AND JAMES SCHLAMAN WORKED 0 HOURS AT THE RELATED ORGANIZATION FROM WHICH THEY WERE COMPENSATED.
FORM 990, PART XI, LINE 2C:THERE HAS BEEN NO CHANGE IN 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 StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
lakeland hospital at niles and st joseph inc
1234 napier avenuest josephMI49085382156872provide a comprehensive system of health care to citizens of the communityMI501(c)(3)Line 3lakeland regional health system inc
lakeland speciality hospital at berrien center
1234 napier avenuest josephMI49085383452303Longterm healthcare/healing servicesMI501(c)(3)Line 3lakeland regional health system inc
lakeland health foundation benton harborst joseph
1234 napier avenuest josephMI49085382539929PROMOTE AND ASSIST IN PROVIDING HEALTH CAREMI501(c)(3)Line 7lakeland regional health system inc
lakeland health foundation niles
1234 napier avenuest josephMI49085383130558PROMOTE/ASSIST IN PROVIDING HEALTH CARE SERVICES IN SOUTHWESTERN MIchiganMI501(c)(3)Line 7lakeland regional health system inc
lakeland health services inc
1234 napier avenuest josephMI49085203007464TO PROVIDE SKILLED PRIVATE NURSING CARE TO THE SOUTHWESTERN MICHIGAN AREAMI501(c)(3)Line 9lakeland regional health system inc
home infusion services inc
1234 napier avenuest josephMI49085382969335Provide in-home intravenous therapy servicesMI501(c)(3)Line 9lakeland regional health system inc
lakeland regional health system inc
1234 napier avenuest josephMI49085382609624provide a comprehensive system of health care to citizens of the communityMI501(c)(3)Line 3N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
lakeline associates llc
910 s washington avenueroyal oakMI48067383306318property management/rentalMIN/A
cliffside company llc dba caretel inns of royalton
910 s washington avenueroyal oakMI48067383306320assisted livingMIN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
niles professional services inc
31 north st joseph avenuenilesMI49120382633419medical administrative servicesMIN/A
the pharmacy shoppe inc dba lakeland pharmacy shoppe
1234 napier avenuest josephMI49085382929090pharmaceuticalsMIN/A
family care of niles formerly lakeland prof services inc
1234 napier avenuest josephMI49085383325133medical administrative servicesMIN/A
lakeland ear nose and throat
1234 napier avenuest josephMI49085261397387medical treatment for ear, nose, and throatMIN/A
four flags properties inc
122 grant streetnilesMI49120364501639property management/rentalMIN/A
family care of coloma watervliet
1234 napier avenuest josephMI49085263452411medical administrative servicesMIN/AC
lakeland family resource center pc
1234 napier avenuest josephMI49085743104137medical servicesMIN/AC
lakeland rheumatology
1234 napier avenuest josephMI49085261397078rheumatology servicesMIN/AC
lakeland general surgery
1234 napier avenuest josephMI49085261397484medical administrative servicesMIN/AC
lakeland neurosurgery
1234 napier avenuest josephMI49085261397536neurosurgeryMIN/AC
lakeland physician care network
1234 napier avenuest josephMI49085208513031medical servicesMIN/AC
lakeland medical practices
1234 napier avenuest josephMI49085270381199medical administrative servicesMIN/AC
four flags health ventures inc
31 north st joseph avenuenilesMI49120382669798accounting and billingMIN/AC
SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC
1234 napier avenueSt josephMI49085272589359PHYSICIAN OFFICEMIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1lakeland hospital of niles and st joseph incBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeNTransactionType
Amount Involved564078AmountInvolved

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