LAKELAND REGIONAL MEDICAL CENTER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
LAKELAND REGIONAL MEDICAL CENTER INC (EIN 59-2650456)
Tax period
2024-10-01 to 2025-09-30
Filed
2026-08-14
IRS object ID
202622269349302437
Schema version
2024v5.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-08-14T14:29:26-05:00ReturnTs
Tax Period End2025-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621517792PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PYA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 North Tampa Street Ste 1850AddressLine1Txt
CityTampaCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33602ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592650456EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lakeland Regional Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAKEBusinessNameControlTxt
Phone8636871100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11324 Lakeland Hills BoulevardAddressLine1Txt
CityLakelandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33805ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLance GreenPersonNm
Person TitleEVP/Chief Financial OfficerPersonTitleTxt
Phone8636871100PhoneNum
Signature2026-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeborah O ErnsbergerPreparerPersonNm
PTINP00364912PTIN
Phone8134243700PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDanielle DrummondPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11324 Lakeland Hills BoulevardAddressLine1Txt
CityLakelandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33805ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,476,822,132GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.myLRH.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1914FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionLakeland Regional Health's strategic imperative is to develop as a nationally recognized, fiscally strong and growing collaborative regional health system that improves lives by offering safe, high quality, equitable and affordable healthcare, while demonstrating an equal commitment to the promotion of individual and community health, wellness and disease prevention.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee7984TotalEmployeeCnt
Total Volunteers217TotalVolunteersCnt
Total Gross UBI$38TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,429,517PYContributionsGrantsAmt
CY Contributions Grants$10,767,209CYContributionsGrantsAmt
PY Program Service Revenue$1,320,002,336PYProgramServiceRevenueAmt
CY Program Service Revenue$1,464,867,344CYProgramServiceRevenueAmt
PY Investment Income$1,260,147PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$13,640,000PYOtherRevenueAmt
CY Other Revenue$1,187,579CYOtherRevenueAmt
PY Total Revenue$1,339,332,000PYTotalRevenueAmt
CY Total Revenue$1,476,822,132CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$533,041,422PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$583,963,789CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$627,113,629PYOtherExpensesAmt
CY Other Expenses$712,762,855CYOtherExpensesAmt
PY Total Expenses$1,160,155,051PYTotalExpensesAmt
CY Total Expenses$1,296,726,644CYTotalExpensesAmt
PY Revenues Less Expenses$179,176,949PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$180,095,488CYRevenuesLessExpensesAmt
Total Assets BOY$1,163,166,683TotalAssetsBOYAmt
Total Assets EOY$1,172,947,149TotalAssetsEOYAmt
Total Liabilities BOY$650,204,347TotalLiabilitiesBOYAmt
Total Liabilities EOY$627,514,944TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$512,962,336NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$545,432,205NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSee Schedule OLakeland Regional Health's strategic imperative is to develop as a nationally recognized, fiscally strong and growing collaborative regional health system that improves lives by offering safe, high quality, equitable and affordable healthcare, while demonstrating an equal commitment to the promotion of individual and community health, wellness and disease prevention.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,160,934,171ExpenseAmt
Revenue$1,466,036,535RevenueAmt
DescSee Schedule O for Program Services StatementDesc
Total Program Service Expenses$1,160,934,171TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow AccountYes (1)EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document131IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7984EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Michelle WeatherspoonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8636871100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1210 S Florida Ave 3rd FloorAddressLine1Txt
CityLakelandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Dale Dreyer
Chair1.001.00Yes (X)$0$0$0
Sylvia Blackmon-Roberts
Vice Chair1.001.00Yes (X)$0$0$0
John Attaway Jr
Director1.001.00Yes (X)$0$0$0
Fred Blind
Director1.001.00Yes (X)$0$0$0
Stacy Campbell-Domineck
Director1.001.00Yes (X)$0$0$0
Jeff Chamberlain
Director1.001.00Yes (X)$0$0$0
Kimberly Elmhorst
Director1.001.00Yes (X)$0$0$0
Ed Garcia MD
Director1.001.00Yes (X)$0$0$0
Matt Green
Director1.001.00Yes (X)$0$0$0
Jack Harrell III
Director1.001.00Yes (X)$0$0$0
Kristen Lowers
Director1.001.00Yes (X)$0$0$0
Cory Petcoff
Director1.001.00Yes (X)$0$0$0
Bill Pou
Director1.001.00Yes (X)$0$0$0
Danielle Drummond
President/Chief Exec. Officer50.001.00$1,487,708$0$252,389Yes (X)
Lance Green
EVP - Chief Financial Officer50.001.00$828,288$0$161,524Yes (X)
Sarah Bhagat
COO/SVP Ambulatory Oper. & Organization50.00$535,521$0$117,255Yes (X)
Stacy Bolton
SVP - CIO/Chief Technology Officer50.00$482,920$0$114,051Yes (X)
Timothy Boynton
SVP - Development/Chief Public Relations50.001.00$492,000$0$107,924Yes (X)
Francisco J Chebly
Exec. Director LRH Physician Group50.00$573,515$0$128,087Yes (X)
Scott Dimmick
SVP - Chief Human Resources Officer50.00$552,426$0$119,669Yes (X)
Hal Escowitz
Chief Quality & Medical Informatics50.00$642,912$0$134,944Yes (X)
Graham Greene MD
Medical Director of Surgical and Speci50.00$0$743,200$67,159Yes (X)
Terry Hamilton
EVP - Chief Operating Officer50.00$824,454$0$162,125Yes (X)
Jonn Hoppe
EVP - Chief Legal Officer50.00$795,552$0$153,397Yes (X)
Ana Kalman
SVP - CIO/Chief Applications Officer50.00$534,262$0$117,304Yes (X)
Deana L Nelson
SVP - Administration & Corp Priorities50.00$647,377$0$30,191Yes (X)
April Novotny
SVP - Chief Nurse Executive50.00$476,169$0$107,442Yes (X)
Patrick Phillips
SVP - Business Development50.00$492,688$0$117,230Yes (X)
Timothy Regan
President/Chief Medical Officer50.00$819,330$0$161,313Yes (X)
Michael Spake
SVP - External Affairs/Chief Compliance50.00$436,599$0$106,289Yes (X)
Anas Bizanti MD
Physician50.00$424,136$0$50,827Yes (X)
Nancy Finnigan DO
Designated Institutional Official/Physician50.00$478,143$0$53,094Yes (X)
Donald Davis MD
Physician50.00$638,515$0$51,253Yes (X)
Sowsan Rasheid MD
Physician50.00$587,258$0$51,077Yes (X)
Melissa Rusli MD
Physician50.00$386,303$0$48,027Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,136,076TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$743,200TotReportableCompRltdOrgAmt
Total Other Compensation$2,412,571TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K938IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Creative Contractors Inc
101 Creative WayClearwaterFL33755Construction Contractor$24,676,290
Oracle America Inc
PO Box 884471Los AngelesCA900884471Software Maintenance & Support$14,340,821
Nemours Foundation
10140 Centurion Pkwy NJacksonvilleFL322560532Professional Services$8,476,204
Watson Clinic LLP
1430 Lakeland Hilld BlvdLakelandFL33805Professional Services$7,087,126
University Medical Services
PO Box 917492OrlandoFL328917492Professional Services$5,112,910
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K394CntrctRcvdGreaterThan100KCnt
Related Organizations$9,750,000RelatedOrganizationsAmt
Government Grants$517,421GovernmentGrantsAmt
All Other Contributions$499,788AllOtherContributionsAmt
Total Contributions$10,767,209TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Service Revenu621990$1,441,570,946$1,441,570,946
GME State Funding561000$10,621,061$10,621,061
Cafeteria Revenue722514$7,152,058$7,152,058
Other Operating Revenu561000$3,307,802$3,289,414$38$18,350

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,215,477TotalRevenueColumnAmt
Related Or Exempt Func Income$2,215,477RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,464,867,344TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,187,579RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,187,579RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,187,579TotalRevenueColumnAmt
Related Or Exempt Func Income$1,187,579RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,476,822,132TotalRevenueColumnAmt
Related Or Exempt Func Income$1,466,036,535RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$38UnrelatedBusinessRevenueAmt
Exclusion$18,350ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$12,710,002TotalAmt
Program Services$11,181,848ProgramServicesAmt
Management And General$1,528,154ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$464,096,634TotalAmt
Program Services$402,616,565ProgramServicesAmt
Management And General$61,480,069ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$17,575,680TotalAmt
Program Services$15,253,119ProgramServicesAmt
Management And General$2,322,561ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$56,352,611TotalAmt
Program Services$48,905,823ProgramServicesAmt
Management And General$7,446,788ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$33,228,862TotalAmt
Program Services$28,837,792ProgramServicesAmt
Management And General$4,391,070ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,466,650TotalAmt
Management And General$4,466,650ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$125,260TotalAmt
Management And General$125,260ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$88,708,738TotalAmt
Program Services$70,499,361ProgramServicesAmt
Management And General$18,209,377ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,898,783TotalAmt
Program Services$1,404,211ProgramServicesAmt
Management And General$494,572ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,555,053TotalAmt
Program Services$2,506,814ProgramServicesAmt
Management And General$5,048,239ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$40,127,437TotalAmt
Program Services$36,024,455ProgramServicesAmt
Management And General$4,102,982ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,369,896TotalAmt
Program Services$7,514,084ProgramServicesAmt
Management And General$855,812ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$407,534TotalAmt
Program Services$33,887ProgramServicesAmt
Management And General$373,647ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,630,305TotalAmt
Program Services$10,441,120ProgramServicesAmt
Management And General$1,189,185ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$60,623,999TotalAmt
Program Services$54,425,268ProgramServicesAmt
Management And General$6,198,731ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,145,353TotalAmt
Management And General$15,145,353ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Patient Supplies & Phar$251,458,154$251,458,154
Bad Debts$140,277,224$140,277,224
HCCB Assessment$61,551,013$61,551,013
Repairs & Maintenance$17,365,128$16,594,479$770,649

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,052,328TotalAmt
Program Services$1,408,954ProgramServicesAmt
Management And General$1,643,374ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,296,726,644TotalAmt
Program Services$1,160,934,171ProgramServicesAmt
Management And General$135,792,473ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$34,740BOYAmt
EOY$8,496EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$142,642,629BOYAmt
EOY$158,544,416EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$20,469,635BOYAmt
EOY$20,863,153EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,882,155BOYAmt
EOY$17,738,832EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,741,504,480LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$958,017,139LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$794,017,323BOYAmt
EOY$783,487,341EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$24,213,348BOYAmt
EOY$26,956,629EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$45,337,178BOYAmt
EOY$51,155,827EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$122,569,675BOYAmt
EOY$114,192,455EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,163,166,683BOYAmt
EOY$1,172,947,149EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$42,276,369BOYAmt
EOY$34,246,607EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$449,683,734BOYAmt
EOY$430,103,472EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$158,244,244BOYAmt
EOY$163,164,865EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$650,204,347BOYAmt
EOY$627,514,944EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$478,210,422BOYAmt
EOY$507,380,554EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$34,751,914BOYAmt
EOY$38,051,651EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$512,962,336BOYAmt
EOY$545,432,205EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,163,166,683BOYAmt
EOY$1,172,947,149EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$180,095,488ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,987,347NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$150,612,966OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$267,431OtherActivitiesAmt
Total Lobbying Expenditures$267,431TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationLakeland Regional Medical Center, Inc. provided payments to independent lobbying firms to notify the Medical Center of any pending legislation that affects hospitals and healthcare.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,538,285BeginningYearBalanceAmt
End Year Balance$1,538,285EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,538,285BeginningYearBalanceAmt
End Year Balance$1,538,285EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,538,285BeginningYearBalanceAmt
End Year Balance$1,538,285EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,538,285BeginningYearBalanceAmt
End Year Balance$1,538,285EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,538,285BeginningYearBalanceAmt
End Year Balance$1,538,285EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$240,863,667OtherCostOrOtherBasisAmt
Book Value$240,863,667BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$509,815,349OtherCostOrOtherBasisAmt
Depreciation$218,939,632DepreciationAmt
Book Value$290,875,717BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$947,278OtherCostOrOtherBasisAmt
Depreciation$947,278DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$979,999,492OtherCostOrOtherBasisAmt
Depreciation$738,130,229DepreciationAmt
Book Value$241,869,263BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,878,694OtherCostOrOtherBasisAmt
Book Value$9,878,694BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$783,487,341TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Other Receivables$6,084,555
Due to Affiliates$106,903,235
Net ROU Assets$1,204,665
FieldValueIRS element (for citing)
Total Book Value Other Assets$114,192,455TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
FL Medical Assistance Assessment$24,080,712
Employee Compensation$71,311,299
Malpractice Claims$54,658,870
Workers Compensation$2,964,406
Other Long Term Liabilities$811,246
Bond Interest Payable$6,704,759
Short-Term Right of Use Liability$393,420
Estimated Third Party Settlements$2,240,153
FieldValueIRS element (for citing)
Total Liability$163,164,865TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,329,780,000TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,987,347NetUnrealizedGainsInvstAmt
Revenue Not Reported$2,987,347RevenueNotReportedAmt
Revenue Subtotal$1,326,792,653RevenueSubtotalAmt
Other Revenues Not Included$150,029,479OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$150,029,479RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,476,822,132TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,156,451,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,580OtherExpensesIncludedAmt
Expenses Not Reported$1,580ExpensesNotReportedAmt
Expenses Subtotal$1,156,449,420ExpensesSubtotalAmt
Other Expenses Not Included$140,277,224OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$140,277,224ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,296,726,644TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The purpose of the Organization's Endowment funds is to grow the corpus and use the unrestricted earnings from the invested endowment fund to support the Medical Center's mission.
Part X, Line 2:The Parent, Medical Center, and Foundation have been recognized by the Internal Revenue Service as tax-exempt organizations as described in Section 501(c)(3) of the Internal Revenue Code of 1986. Income earned in furtherance of the organizations' tax-exempt purposes is exempt from federal and state income taxes. Income taxes related the Health System's ownership interests in joint venture partnerships are not material to the Health System. U.S. GAAP requires the Health System's management to evaluate tax positions taken by the Health System and recognize a tax liability (or asset) if the Health System has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Health System has analyzed its tax positions and has concluded that as of September 30, 2025 and 2024, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) in the consolidated financial statements or disclosure in the notes to the consolidated financial statements. The Health System is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Health System believes it is no longer subject to income tax examination for tax years prior to 2021.
Part XI, Line 4b - Other Adjustments:Bad Debts Netted with Revenue on Audited Financials 140,277,224. Related Transactions 9,750,000. Other Adjustment 2,255.
Part XII, Line 2d - Other Adjustments:Other Adjustment 1,580.
Part XII, Line 4b - Other Adjustments:Bad Debts Netted with Revenue on Audited Financials 140,277,224.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,892,946TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$39,892,946NetCommunityBenefitExpnsAmt
Total Expense0.03080TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$124,285,619TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$110,722,637DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,562,982NetCommunityBenefitExpnsAmt
Total Expense0.01050TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,396,063TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,587,103DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,808,960NetCommunityBenefitExpnsAmt
Total Expense0.00600TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$174,574,628TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,309,740DirectOffsettingRevenueAmt
Net Community Benefit Expns$61,264,888NetCommunityBenefitExpnsAmt
Total Expense0.04730TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,925,753TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,925,753NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$109,336,139TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$91,823,431DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,512,708NetCommunityBenefitExpnsAmt
Total Expense0.01350TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,382,260TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$507,081DirectOffsettingRevenueAmt
Net Community Benefit Expns$875,179NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$135,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$117,779,152TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$92,330,512DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,448,640NetCommunityBenefitExpnsAmt
Total Expense0.01960TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$292,353,780TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$205,640,252DirectOffsettingRevenueAmt
Net Community Benefit Expns$86,713,528NetCommunityBenefitExpnsAmt
Total Expense0.06690TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$135,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$135,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$140,282,304BadDebtExpenseAmt
Reimbursed By Medicare$168,928,667ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$187,211,757CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$18,283,090MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lakeland Regional Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11324 Lakeland Hills BlvdAddressLine1Txt
CityLakelandCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33805ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd
OtherPediatrics Emergency DepartmentOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Lakeland Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted25CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee StatementsOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt25ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee StatementsStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee StatementsFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee StatementsFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee StatementsFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section B, Line 3j:Definition of Community Served: Polk County is the fourth largest county in Florida and is home to approximately 826,090 residents. The County consists of 17 municipalities, with Lakeland as its largest city having a population of 122,264 residents (2023).Demographics of the Community: The median household income in Polk is around $63,644, below both the Florida median ($71,711) and the national median ($78,538). 11.1% of people live below the poverty line. The median age in Polk County is 39.5, which is slightly below the median age of Florida, 42.8 years. Women comprise 50.7% of the population of Polk County. Senior adults are a considerable portion of the community and also present distinct healthcare needs. In Polk County, seniors (persons 65 years and over) comprise 19.4% of the population. Polk County also has a proportionately large percentage of members of the senior community who are considered "seasonal residents," visiting from October April every year. This residency pattern seasonally increases the population in healthcare facilities across the County. Florida ranks among the top 11 states where older adults outnumber children. Children under 5 years of age comprise 5.6% of the population, while children 6-18 comprise 22.0% of the population.In Polk County, approximately 87.5% of adults, 25 years old and over have a high school diploma or higher, which is close to the state (90.3%) and national (89.8%) averages. However, when it comes to higher education, only 22.6% of residents hold a bachelor's degree or higher, lower than both the Florida average (31.5%) and the national rate (35%).As of mid-2025, the unemployment rate stands at 4.9%, higher than the state average of 3.7%. In large part, county job openings are driven by growth in transportation, healthcare, and logistics.Existing Health Care Facilities:Area Hospitals serving the region include:1. Lakeland Regional Health2. AdventHealth Lake Wales3. South Florida Baptist Hospital4. Bartow Regional Medical Center5. Winter Haven Hospital6. Winter Haven Women's Hospital7. AdventHealth Heart of FloridaIdentified areas of need 2026-2029: Healthcare is an essential resource that we are privileged and honored to provide for the community we serve. Lakeland Regional Health understands that everyone does not have an equal opportunity to thrive and be healthy. The environment in which someone lives can have significant effects on their health. Priorities were selected, in part, based on issue prevalence and severity according to county data, in addition to input provided by community members and county stakeholders.Prioritization of community needs took into consideration the following criteria:- Seriousness of the health need and the effect it has on an individual's quality of life - Feasibility of our organization addressing the health need - The degree to which the health need affects specific groups of people, equity - Opportunity for the health system to build upon existing programs or potential collaborations with community partnersUpon review of our County's current health data and as a result of the CHNA process, Lakeland Regional Health has identified the following areas of need:1. Access to Quality, Coordinated Care2. Cancer Screening and Prevention3. Diabetes4. Heart Disease and Stroke5. Injury Prevention6. Mental Healthcare7. Obesity, Nutrition, and Well-beingIn response to the identified areas of need, the following initiatives and anticipated impacts were established:1. Access to Quality, Coordinated CareInitiatives and Actions:- Expansion of the Lakeland Regional Health Physician Group, with a focus on high-demand specialties, culturally competent care, and strategically located sites that meet community members where they are- Continued investment in and development of the Graduate Medical Education (GME) program, including the addition of new specialty residencies and fellowship opportunities aligned with community needs- Expand Women and Children's Services through the Carol Jenkins Barnett Pavilion for Women and Children South- Optimize the patient care experience by increasing access to virtual visits, online scheduling, patient portals, and telehealth services across the system- Partner with community schools to enhance health education and resource sharingAnticipated Impact:- Increased availability of specialty care providers within the community- Greater access to locally trained providers committed to serving our community- Increased access to high-quality, comprehensive women's and pediatric care- Enhanced health equity through personalized, barrier-reducing support2. Cancer Screening and PreventionInitiatives and Actions:- Enhance post-treatment care by offering comprehensive survivorship programming, including nutrition counseling, exercise programs, mental health support, and patient education workshops- Invest in expanded access to cancer screenings and care services - Launch targeted education campaigns around risk factors, prevention, and early detection, with an emphasis on increasing participation in routine screenings, including breast, cervical, colorectal, prostate, and skin cancer - Offer regular, accessible skin checks and prevention education - Advance a comprehensive approach to lung cancer prevention through expanded screening access, education on risk factors, and investment in new technologiesAnticipated Impact:- Improved long-term health outcomes and quality of life for cancer survivors- Reduced disparities in early detection and treatment- Greater public understanding of cancer risks and the importance of early detection- Increased awareness of sun safety practices- Improved early detection of lung cancer3. DiabetesInitiatives and Actions:- Connect community members and existing patients to appropriate diabetes education services/offerings- Partner with community-based organizations and providers to increase access to CDC recognized Diabetes Prevention Program cohorts- Increase opportunities for peer support, education, and navigation assistance through community hosted support groups tailored to adults and seniors- Deliver health screenings at community events, workplaces, and churches, with structured follow-up for those with elevated A1C or glucose levels.Anticipated Impact:- Early detection and treatment through more widespread screenings- Reduced emergency room visits and hospitalizations related to diabetes complications
Part V, Section B, Line 3j Continuation:4. Heart Disease and StrokeInitiatives and Actions:- Expand hands-only CPR and automated external defibrillator (AED) demonstrations at community health fairs, schools, churches, and largescale public events. Focus on making CPR training approachable, fast, and confidence-building for all age groups and literacy levels- Increase the number of cardiovascular health screenings offered in underserved areas, bundled with EHAC (Early Heart Attack Care) education to teach the public how to recognize and respond to subtle heart attack symptoms before they become life-threatening- Partner with Polk County Fire Rescue and other emergency personnel to co-host educational outreach events, provide AED demos, and distribute materials on how to respond to heart attack symptoms and cardiac arrest- Promote community-wide health screenings and education around stroke risk factors and the BE FAST stroke recognition acronym (Balance, Eyes, Face, Arms, Speech, Time) through digital campaigns, barbershop outreach, and health fairs- Implement stroke education in local schools to teach students about lifestyle-related risk factors, warning signs of stroke, and how to respond if someone is having a stroke- Continue and grow the Stride for Life Walk as an annual awareness event focused on prevention, survivor stories, and honoring caregiversAnticipated Impact:- Increase bystander response rates during cardiac emergencies, which is shown to doubleor triple a person's chance of survival when CPR is administered immediately- Identify individuals at risk earlier, increase awareness of atypical symptoms (especially in women), and reduce time to treatment by encouraging earlier care-seeking behavior- Foster a more connected response system between the public and emergency professionals, leading to faster intervention and improved outcomes during emergencies- Improve early identification of stroke symptoms and reduce time to treatment, leading to better clinical outcomes and lower disability rates- Empower a new generation of health-literate students who can advocate for their own well- being and respond to emergencies in their homes and communities- Increase public engagement in stroke awareness and provide a platform for shared learning and community support5. Injury PreventionInitiatives and Actions:- Conduct community-based drowning prevention efforts, including educational sessions for caregivers and children in high-risk areas, distribution of water safety materials, and workshops in collaboration with local partners- Promote safe sleep education for new parents and caregivers to prevent infant suffocation and SIDS, through strategic partnerships with local hospitals, clinics, and early childhood programs- Expand car seat safety checks and promote awareness campaigns addressing seatbelt use and the dangers of distracted driving, particularly among teen drivers and underserved populations- Launch comprehensive fall prevention programming for adults, including balance screenings, fitness classes, and home safety assessments. This effort will leverage existing partnerships with the YMCA of West Central Florida and integrate stroke risk awareness- Integrate Stop the Bleed training into Polk County schools and community events to empower students, educators, and residents with lifesaving emergency response skills- Support responsible firearm storage through education and distribution of gun locks, in collaboration with public safety partners and community organizationsAnticipated Impact:- Reduce unintentional drownings among children by increasing knowledge of water safety practices and expanding access to resources in vulnerable communities - Improve infant safety and reduce sleep-related deaths by equipping caregivers with education and resources - Decrease vehicle-related injuries and fatalities by improving compliance with occupant safety measures and reducing risky driving behaviors - Lower rates of fall-related injuries and hospitalizations among seniors, while enhancing independence and quality of life - Increase community readiness and trauma response capabilities, potentially reducing fatalities from severe injuries - Reduce unintentional firearm injuries and improve home safety through secure storage practices and informed ownership6. Mental HealthcareInitiatives and Actions:- Continue to develop integrated care models that incorporate behavioral health services into primary care clinics - Conduct community education campaigns to destigmatize mental health issues and promote available resources - Collaborate with schools and workplaces to implement mental health awareness and support programs - Provide evidence-based mental health and addiction use disorder education and training programs with a focus on building a continuum of careAnticipated Impact:- Increased early identification and treatment of mental health conditions - Enhanced community resilience and support networks - Reduced rates of mental health crises and associated emergency interventions7. Obesity, Nutrition, and Well-beingInitiatives and Actions:- Improve our understanding of patient's social determinants of health by implementing screening tools and strengthening coordination across the health system in an effort to address needs- Implement community-based wellness programs focusing on nutrition, physical activity, and stress management in partnership with community partners - Provide healthy cooking programs and food demonstrations to equip families with knowledge and skills to prepare healthy meals - Expand access to wellness education through community classes in collaboration with YMCA of West Central FloridaAnticipated Impact:- Increased identification and response to social needs impacting health - Greater community engagement in health promoting activities - Improved food/nutrition literacy and cooking confidence among familiesOur Community Impact: In ReviewSince launching our 2022-2025 Community Health Needs Assessment, our mission has been to meet our community members where they are, to listen, to innovate, and to build meaningful solutions that make life healthier and brighter for all. Highlights from the last three years include:- Advancing Cultural Understanding - We chartered a dedicated group of team members who have worked tirelessly behind the scenes to create resources and guide continuous learning around cultural awareness and understanding. We launched Thrive University, a unique initiative that brought community members from across Polk County into our health system to share their personal experiences and cultural insights.- Improving Access to Quality Coordinated Care - We've opened over 6 practices and specialty clinics across Polk County, including the launch of our Kathleen Campus in North Lakeland, helping reduce barriers to care and reinforcing our commitment to tackling the physician shortage that impacts so many residents. - Our Graduate Medical Education Program has grown to 10 programs, bringing the complement of residents and fellows to 172 and adding new fellowships in Pulmonary and Critical Care, Neurosurgery, and most recently, Cardiology. The GME Program will help sustain a strong healthcare workforce for generations to come. - We launched our Discover program in Polk County Public Schools and other educational settings. This innovative program not only engages students but also builds foundational health literacy skills that can empower individuals and families to navigate healthcare systems more effectively throughout their lives. - Our team launched the Hospital at Home program, offering hospital-level care in the comfort of patients' homes. - We opened a Freestanding Emergency Department in South Lakeland to meet the growing need for accessible, around-the-clock emergency care.
Part V, Section B, Line 3j Continuation:- Elevating Mental Health Wellness on Our Community Stage - The Harrell Family Center for Behavioral Wellness opened, a 96-bed facility designed to expand access to quality mental health services across Polk County. - The Center for Behavioral Wellness on Missouri Avenue in downtown Lakeland was opened to expand outpatient access and strengthen support for community-based behavioral health care. Additionally, we integrated behavioral health providers into primary care settings to enhance coordination and streamline patient care. - Our team conducted and delivered Crisis Intervention Training (CIT) to more than 800 law enforcement officers and 91 dispatchers from Polk, Highlands, and Hardee counties, enhancing their ability to recognize and respond to individuals experiencing a mental health crisis. - We expanded our Peer Recovery Specialist team, now providing additional group therapy sessions and offering seven-day-a-week coverage across medical floors, the Emergency Department, and Behavioral Health locations to ensure continuous support for patients in recovery. - More than 50 presentations focused on mental health awareness and available resources at community events and through partnerships with local organizations, supporting stigma reduction and early intervention.- Delivering One-of-a-Kind Heart Care - Our team has achieved remarkable improvements in stroke care, reducing treatment times for patients with large vessel occlusion (LVO) through an advanced intervention pathway. The administration of TNK, an important clot-busting medication, is now happening in under 45 minutes on average, and the time from arrival to intervention (door-to-puncture) has decreased by 24%. - We launched our annual StrokeCare Summit, bringing the latest stroke education not only to our Team Members but also to partners and professionals across the community. We added a special community day in 2025 to the summit to raise awareness and empower residents with knowledge about stroke prevention, signs, and treatment. Participation increased 60% from 2024 to 2025. - We also introduced the Stride for Life Stroke Awareness Walk on World Stroke Day, which has quickly become an annual tradition. This event celebrates survivors, supports caregivers, and brings our community together to champion stroke prevention and recovery. - Over 300 community members participated in our heart health events, which included a convenient drive-thru "Snack and Screen" where community members received cholesterol screenings quickly and easily. - HeartSmarts, a heart health education program, was relaunched to equip participants with practical tools and lifestyle strategies. - Through our EmpowerHer Heart event, more than 200 women came together for a powerful day of education, health screenings, and physical activity in collaboration with Bonnet Springs Park. - Our ShopTalk barbershop program has created space for conversations about men's health. - Empowering Our Community Against Diabetes - To broaden our systemwide impact, the diabetes education team was expanded, prioritizing prevention and community-based outreach. - Recertification was successfully achieved through the American Diabetes Association for our Diabetes Self- Management Education and Support (DSMES) program, reinforcing our commitment to high-quality care. - The monthly diabetes support group continued to offer valuable education and peer connection for individuals managing the condition. - Our yearlong Diabetes Prevention Program retained CDC recognition, helping participants adopt lasting lifestyle changes to lower their risk of type 2 diabetes. - Through community education sessions, residents received guidance on diabetes awareness, healthy habits, and disease management strategies. - Building a Safer Community for the Next Generation - Over the past three years, we've given away more than 1,000 helmets throughout the community, and in 2024 alone, helmet distribution rose by an impressive 121% compared to the previous year. - Our commitment to safety education has driven a 52% increase in community events focused on bike and pedestrian safety from 2023 to 2024. We've also continued teaching lifesaving skills through the Stop the Bleed program, training nearly 500 individuals since 2022. - Defeating Cancer and Expanding Resources - Lakeland Regional Health is dedicated to cancer care. In 2018, Lakeland Regional Health Hollis Cancer Center received a three-year Gold Level Accreditation with Commendation from the Commission on Cancer (CoC). The Center was successfully reaccredited by the CoC in 2022, continuing its commitment to excellence in cancer care. - In 2024, we hosted an educational community event titled Breast Cancer Forum: From Care to Community, engaging both clinical team and community members. - Over the last three years we have continued to work alongside Tobacco Free Florida to offer tobacco cessation classes at our Hollis Cancer Center. - Transportation continues to be recognized as a barrier to care for patients. The American Cancer Society has long been a strong and trusted partner of our community and the Hollis Cancer Center. Over the last three years, we partnered together and secured over $25,000 in grants to reduce transportation barriers to care.- Restoring Wellness, Decreasing Obesity - Continued our FitChurch Challenge in collaboration with the YMCA of West Central Florida, a long-standing program under our Congregational Health Partnership program. Over the past three years, 15+ teams have participated annually to promote group-based wellness and weight management. - Launched a new, individual-focused FIT Challenge, expanding our reach to community members in search of personal accountability for fitness and chronic disease prevention. - Engaged 250+ participants in our Get Active Steps Challenge, encouraging daily movement through friendly competition and accountability. - Introduced Hoopin' for Health, a 3v3 basketball tournament promoting men's health and physical activity at all life stages, with over 18 teams competing; expanded to include a high school division. - Launched a dedicated program, a Journey of Wellness, to support cancer survivors through low-impact fitness classes such as yoga and guided movement sessions. - Co-hosted a Summer Dance Series at Bonnet Springs Park, offering free, fun, and accessible fitness options in a community setting. - Partnered with local schools to promote prevention through education on nutrition, physical activity, and healthy habits, reaching students and families across Polk County.
Part V, Section B, Line 5:The first phase of the 2006-2029 Community Health Needs Assessment process began with gathering existing, health-related data. This assessment considered multiple data sources, including secondary data (demographics, health status indicators, and measures of healthcare access), feedback from previous assessments, and assessments prepared by other organizations, including the Florida Department of Health in Polk County's most recent assessment. The assessment was performed by reviewing data from sources including:- United States Census Bureau - Centers for Disease Control and Prevention - Florida Health Assessment Resource Tool Set (CHARTS) - Office of Economic & Demographic Research (EDR), Florida - Community Commons - Robert Wood Johnson Foundation County Health Rankings 1,017 community members participated in the 2026-2029 Community Health Needs Assessment survey. The survey was available both online and in hard copy in English, Spanish and Creole. The survey opened on February 3, 2025, and closed on May 30, 2025.
Part V, Section V, Line 7A:https://www.mylrh.org/wp-content/uploads/2025/09/CHNA_2026-2029-Book_VER8.pdf
Part V, Section B, Line 10A:https://www.mylrh.org/wp-content/uploads/2025/09/CHNA_2026-2029-Book_VER8.pdf
Part V, Section B, Line 16A, FAP Website:https://www.mylrh.org/financial-assistance/
Part V, Section B, Line 16B, FAP Application Website:https://www.mylrh.org/financial-assistance/
Part V, Section B, Line 16C, FAP Plain Language Summary Website:https://www.mylrh.org/financial-assistance/
Part V, Section B, Line 22b:To be eligible for a 100% Financial Assistance Adjustment (i.e., full write-off), the patient's Household Income must be less than or equal to 200% of the current FPG (adjusted for family size). If the patient's Household Income is greater than 200% and less than or equal to 400% of the current FPG (adjusted for family size), the patient will receive a Financial Assistance Adjustment that is based upon LRMC's Amounts Generally Billed (AGB) percentage. By January 28th of each year, the AGB percentage will calculated by dividing the sum of allowed amounts for claims for services allowed by Medicare Fee-For-Service and all private health insurers during the prior twelve-month period ended September 30 by the gross charges for such claims. No individual eligible under this Financial Assistance Policy will be given a Financial Assistance Adjustment which is less than amount calculated using the AGB percentage. The AGB percentage in effect is 20%, thus the Financial Assistance Adjustment based on the AGB percentage is 80%. In all situations described in this paragraph, the Financial Assistance Adjustment will be applied to the outstanding balance of an account after payments by third parties, if any.The Financial Assistance Adjustment based on the AGB percentage will also be applied to the outstanding balance, after payments by insurance, if any, of patients with Catastrophic Medical Expenses, as defined above, who are not eligible for financial assistance based on the other provisions of this policy. Uninsured patients of LRMC who are not eligible for financial assistance based on the other provisions of the policy will also receive an Uninsured Discount based on the AGB percentage.
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Hollis Cancer Center
3525 Lakeland Hills BlvdLakelandFL33805Outpatient Clinic (Chemo/RadTx/Infusion Therapy/Med. Oncology Clinic)
2 - LRMC Morrell Internal Medicine Clinic
300 Parkview PlaceLakelandFL33805Outpatient Clinic
3 - Lakeland Regional Rehab & Sports Clinic
3030 Harden BlvdLakelandFL33803Outpatient Clinic
4 - Lakeland Reg Health Ctr for Wound Care
3030 Harden BlvdLakelandFL33803Outpatient Clinic
5 - Lakeland Regional Rehab & Sports Clinic
2125 Sleepy Hills RdLakelandFL33810Outpatient Clinic
6 - Cardiac Rehabilitation
3525 Lakeland Hills BlvdLakelandFL33805Outpatient Clinic
7 - Rheumatology Clinic
3030 Harden BlvdLakelandFL33803Outpatient Clinic

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Lakeland Regional Medical Center determines the cost of charity by calculating a ratio of cost to charges as derived from the Medicare Cost Report and then multiplying that ratio by the gross uncompensated charges associated with providing care to charity patients. Similarly, the cost of subsidized health services is based on the unreimbursed cost of caring for the patients' services less the cost associated with Bad Debt, Charity, Medicaid and other means-tested government programs. The actual expenses paid for providing community health improvements and community benefits operations less any payments received for those activities is reflected above.
Part I, Line 7g:Subsidized health services are clinical services that are essential to meet the health care needs of the entire community and are provided with a financial loss to Lakeland Regional Medical Center (LRMC). The financial loss is measured after removing losses associated with Bad Debt, Charity, Medicaid and other means-tested government programs. LRMC operates one of the busiest Emergency Departments in the nation with over 200,000 emergency visits each year prior to the COVID-19 pandemic. We treat all patients regardless of their ability to pay for the care they receive. In addition, we staff a Level II Trauma Center to provide critical care access to residents of Lakeland and surrounding communities. The cost of providing emergency and trauma care 24 hours each day exceeds the payments LRMC receives for providing that care. LRMC also operates the only inpatient Behavioral Health Unit in Lakeland to provide care for the mentally ill population who have nowhere else to go for essential inpatient psychiatric care.
Part I, Ln 7 Col(f):There is $140,277,224 of bad debt expense which is included in Form 990, Part IX, Line 24(b). This amount was removed in the calculation of the Percent of Total Expense on Schedule H Line 7f.
Part II, Community Building Activities:Lakeland Regional Medical Center is the only hospital in Lakeland and serves as a tertiary referral hospital serving the broader Polk County, Florida. As the only state-designated trauma center for Polk, Highlands, and Hardee counties, we provide critical access and care to the area's most seriously injured residents. A shortage of primary care physicians and mental health services has resulted in our ER becoming the highest volume ER in the nation, offering essential medical care to many underserved residents in our community.Ongoing education programs for diabetes and cardiac rehab are designed to help patients with chronic conditions maintain their health and avoid repeated hospitalizations. Support groups assist those living with chronic and life-threatening illnesses to access resources and critical peer support. Education and screening programs have identified those at risk of various conditions, allowing them to seek treatment. Participation in and support of community events helps to ensure a vibrant community and a positive quality of life for our employees as well as our patient-base.
Part III, Line 2:LRMC follows the guidance provided in the Healthcare Financial Management Association Principles and Practices Board "Statement 15: Valuation and Financial Statement Presentation of Charity Care and Bad Debts by Institutional Healthcare Providers" in determining bad debt expenses. Bad debt expense results when a patient who does not meet the criteria for Charity Care and who has been determined to have the financial capacity to pay for healthcare services and is unwilling to settle the claim. The hospital utilizes an overall ratio of cost to charges from the applicable Medicare cost report and this is applied to the bad debt expense.
Part III, Line 4:The consolidated, audited financial statements of Lakeland Regional Health Systems, Inc. and Subsidiaries are attached to this return and contain language addressing Bad Debts on pages 9 thru 11.
Part III, Line 8:Medicare allowable costs are determined using the approved standardized Medicare Cost Report methodology. The Medicare cost is derived using the Medicare Cost-to-Charge ratio from the Medicare cost report times the Medicare charges for service.
Part III, Line 9b:LRH will not engage in the following collection activities for any patients (even if they do not qualify for financial assistance): - Place a lien on an individual's property- Foreclose on an individual's real property- Attach or seize an individual's bank account or any other personal property- Commence a civil action against an individual- Cause an individual's arrest- Cause an individual to be subject to a writ of body attachment- Garnish an individual's wages- Demand payment for a prior bill as condition of receiving future services at LRMC. This prohibition does not apply to office-based services provided by LRHS.LRMC or its representatives (i.e., a collection agency) may report a patient to a credit bureau if the patient has received a written notice (and an attempt has been made to provide oral notification) specifying the date, which shall be not less than 30 days after the date of the notice, after which credit bureau reporting may occur. Credit Bureau reporting may not occur earlier than 240 days after the date the patient received the first billing statement for the care provided. These limitations do not apply to LRHS.
Part VI, Line 2:Lakeland Regional Medical Center collaborates with medical staff, community leaders and the Polk County Health Department to determine the health needs of the citizens of Lakeland and Polk County, Florida. LRMC sponsors various Medical Staff Committees where community health needs are frequently discussed. Our senior management and staff identify unmet community health needs through participation in community coalitions, partnerships, boards, committees, and advisory groups. Using available data on the demographics and service utilization for our primary and secondary markets, the LRMC executive team and Board develop a comprehensive annual Strategic Plan to address the healthcare needs of the community. For the 2025 CHNA, stakeholders representing broad interests of the community served by Lakeland Regional Health attended a dialogue session to discuss the overall health of the community, available health services, in addition to opportunities to bridge gaps and access to current services. Following the community dialogue session, the data review process involved the formal prioritization method known as the Prioritization Matrix, which included ranking health priorities based on the six primary criteria: alignment with the health system's mission; existing programs; ability to impact within three years; financial resources required; human resources required and the availability of measurable outcomes to assess effectiveness of the intervention/plan.In 2012, LRMC opened a primary health clinic to provide a medical home for the uninsured and underinsured population. This clinic is designed to both improve the quality of care for low income patients and also reduce visits to the emergency room. In the fall of 2012 and continuing through 2015, LRMC partnered with the Polk County Health Department, Peace River Center and the Polk Healthcare Plan as part of the state Low Income Pool for primary care to offer a patient-centered, primary care integrated medical home within the I-4 corridor of Polk County. Beginning in 2016 and through 2018, LRMC continued its partnership with the Polk HealthcarePlan and Peace River to provide primary care and mental health screenings to the indigent population of Polk County and members of the Polk Healthcare Plan which was partially subsidized by a grant funded by Polk County. In 2025, Morrell Internal Medicine Clinic (formerly Family Health Center) had over 15,000 visits in which patients and their families were able to receive primary care.
Part VI, Line 3:For scheduled admissions, LRMC conducts a pre-admission interview to discuss the financial plan with the patient, the guarantor, and/or his or her legal representative. If a pre-admission interview is not possible, this interview is conducted upon admission. In the case of an emergency admission, LRMC's evaluation of payment alternatives does not take place until the required stabilizing medical care has been provided. Identification of patients eligible for assistance can take place at any time during the rendition of services or during the patient account collection process (including bad debt).Those patients who may qualify for financial assistance from a government program are referred to the appropriate program, such as Medicaid or the Polk Healthcare Plan. LRMC provides on-site access to Medicaid eligibility specialists to assist patients in qualifying for governmental medical assistance programs. All patients identified as potential financial assistance recipients are offered the opportunity to apply for financial assistance. If this evaluation is not conducted until after the patient leaves, or in the case of outpatients or emergency patients, an LRMC representative mails a financial assistance application to the patient. For the first 120 days after the date of service, the hospital will notify an individual about the Financial Assistance Policy. The patient will receive at least three billing statements that include language about applying for financial assistance. The hospital will accept and process any financial assistance applications submitted by an individual for up to 240 days after the patient received the first billing statement for the care.
Part VI, Line 4:The Lakeland Urban Area is considered the primary service area and the remainder of Polk County is considered the secondary/extended service area. Polk County has a population of over 800,000 with 20% of residents being over the age of 65 and 16% of residents living below the Federal Poverty Level. Children under 18 years of age make up 22% of the population. Located between Orange and Hillsborough Counties, it is the fourth (4th) largest county in Florida consisting of 1,798.1 square miles. Lakeland is the largest city in Polk County and is located between Tampa and Orlando on Interstate 4. The unemployment rate for Polk County was 4.1% as of March 2024. 2022 census data reflects a population that is 27% Hispanic or Latino and 17% Black.
Part VI, Line 5:Lakeland Regional Medical Center's senior management, directors, managers, physicians and staff provide leadership and resources to equip local organizations with the skills needed to create a healthy community. Our staff participates on boards, advisory committees, and coalitions benefiting the community we serve without compensation for their time. Our leaders and physicians participate in educational programs, workshops and health fair events that are provided free to members of the community. We provide cancer screening services to the community for early detection of breast, skin and colon cancers. We participate and provide support for educational programs for healthcare workers in partnership with local colleges, universities and trade schools. Lakeland Regional Medical Center has a vibrant volunteer program, offering varied opportunities for service to the members of the community. The medical staff of Lakeland Regional Medical Center consists of over 600 physicians and is organized to promote the public interest of healthcare. No part of the income of LRMC inures to the benefit of any private individual, nor is any private interest being served. All surplus funds are reinvested into the facilities, equipment, programs and resources needed to continually improve the quality of patient care, expand our outreach, and advance the medical training and education of our staff. As noted above, the primary health clinic opened in 2012, and the Low Income Pool partnership clinic with Polk County located on the I-4 corridor are excellent examples of LRH's commitment to community health promotion.
Part VI, Line 6:Lakeland Regional Medical Center is a subsidiary of Lakeland Regional Health Systems, Inc., a not-for-profit system that reinvests its profits back into the community through programs that benefit the residents of Lakeland and Polk County, Florida. The Health System facilities are leased from the City of Lakeland and the operations of the Hospital and Health System directly benefit the citizens of the community.Under the terms of the Agreement prior to fiscal year 2016, annual rent of $1.00 per operating year plus additional payments were made to the City of Lakeland (the City) based on a formula, which took into consideration the net revenues of the Medical Center, and net income of certain affiliated organizations, as defined in the Agreement.An amendment to the Agreement was reached and became effective October 1, 2015. The amendment provided a lump sum payment of $15,000,000 to the City on October 1, 2015, with fixed annual additional payments due beginning in fiscal year ending September 30, 2016 through fiscal year ending September 30, 2040. The additional payment for fiscal year ending September 30, 2021 was $14,379,000 with future scheduled payments per operating year through the duration of the Agreement ranging from $14,379,000 in fiscal year 2022 to $22,194,000 in fiscal year 2040 totaling approximately $335,100,000.In March 2021, the Agreement was amended whereby the Medical Center provided the City a $215,000,000 lump sum payment in lieu of the aforementioned remaining lease payments under the Agreement scheduled for fiscal years 2022 through 2040. In addition to the lump sum payment, the lease was extended in perpetuity with annual payments beginning in fiscal year 2041 and beyond at $10.00 per year. The $215,000,000 million lump sum payment was funded in part with proceeds from the Series 2021 Bonds. As part of the amendment, the Medical Center's total consideration of $235,000,000, inclusive of additional payments made to the City during 2021 and throughout the Agreement was recorded as property and equipment in the accompanying consolidated balance sheet as a land purchase due to the right to control the use on the property in perpetuity.In addition, the Health System provides for the health of the community by directly employing physicians in underserved medical specialties, such as orthopedics, trauma surgery, oncology and behavioral health. The Health System's medical clinics provide access to all residents, regardless of income, and many operate at a loss. Despite this, LRH believes that the role these clinics provide in the community, and in the promotion and maintenance of health, is part of our mission and our significant contribution to the community.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Danielle Drummond
President/Chief Exec. Officer$1,119,931$0$281,561$0$86,216$0$228,815$0$23,574$0$1,740,097$0$70,815$0
Lance Green
EVP - Chief Financial Officer$629,850$0$93,268$0$105,170$0$127,697$0$33,827$0$989,812$0$89,635$0
Sarah Bhagat
COO/SVP Ambulatory Oper. & Organizat$391,033$0$60,343$0$84,145$0$86,478$0$30,777$0$652,776$0$67,939$0
Stacy Bolton
SVP - CIO/Chief Technology Officer$373,712$0$56,181$0$53,027$0$83,258$0$30,793$0$596,971$0$46,945$0
Timothy Boynton
SVP - Development/Chief Public Relat$366,035$0$55,720$0$70,245$0$81,690$0$26,234$0$599,924$0$58,523$0
Francisco J Chebly
Exec. Director LRH Physician Group$433,233$0$66,542$0$73,740$0$94,204$0$33,883$0$701,602$0$57,317$0
Scott Dimmick
SVP - Chief Human Resources Officer$405,350$0$61,376$0$85,700$0$88,795$0$30,874$0$672,095$0$70,963$0
Hal Escowitz
Chief Quality & Medical Informatics$493,537$0$75,762$0$73,613$0$104,167$0$30,777$0$777,856$0$65,181$0
Graham Greene MD
Medical Director of Surgical and Spe$0$590,165$0$102,855$0$50,180$0$36,382$0$30,777$0$810,359$0$33,189
Terry Hamilton
EVP - Chief Operating Officer$631,746$0$97,865$0$94,843$0$128,622$0$33,503$0$986,579$0$83,990$0
Jonn Hoppe
EVP - Chief Legal Officer$588,359$0$89,480$0$117,713$0$120,731$0$32,666$0$948,949$0$95,224$0
Ana Kalman
SVP - CIO/Chief Applications Officer$415,218$0$62,127$0$56,917$0$90,247$0$27,057$0$651,566$0$50,400$0
Deana L Nelson
SVP - Administration & Corp Prioriti$374,827$0$57,325$0$215,225$0$17,250$0$12,941$0$677,568$0$132,005$0
April Novotny
SVP - Chief Nurse Executive$372,021$0$55,928$0$48,220$0$82,677$0$24,765$0$583,611$0$42,728$0
Patrick Phillips
SVP - Business Development$381,620$0$56,779$0$54,289$0$84,782$0$32,448$0$609,918$0$48,063$0
Timothy Regan
President/Chief Medical Officer$645,546$0$99,548$0$74,236$0$130,536$0$30,777$0$980,643$0$59,712$0
Michael Spake
SVP - External Affairs/Chief Complia$342,775$0$54,046$0$39,778$0$72,445$0$33,844$0$542,888$0$31,998$0
Anas Bizanti MD
Physician$365,861$0$14,850$0$43,425$0$17,250$0$33,577$0$474,963$0$0$0
Nancy Finnigan DO
Designated Institutional Official/Ph$446,260$0$31,858$0$25$0$17,250$0$35,844$0$531,237$0$0$0
Donald Davis MD
Physician$502,635$0$135,855$0$25$0$17,250$0$34,003$0$689,768$0$0$0
Sowsan Rasheid MD
Physician$456,807$0$130,426$0$25$0$17,250$0$33,827$0$638,335$0$0$0
Melissa Rusli MD
Physician$373,063$0$13,215$0$25$0$17,250$0$30,777$0$434,330$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 4bFormAndLineReferenceDesc
ExplanationDanielle Drummond - President and Chief Executive Officer - participated in a supplemental nonqualified deferred compensation plan. She had $86,191 of taxable benefits during calendar year 2024. This amount is included in Part II Column (B)(iii). She had an additional $211,565 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Lance Green - Executive VP and Chief Financial Officer - participated in a supplemental nonqualified deferred compensation plan. He had $105,145 of taxable benefits during calendar year 2024. This amount is included in Part II Column (B)(iii). He had an additional $110,447 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Timothy Boynton - SVP of Development and Chief Public Relations and Communications Officer - participated in a supplemental nonqualified deferred compensation plan. He had $70,220 of taxable benefits during calendar year 2024. This amount is included in Part II Column (B)(iii). He had an additional $64,440 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Timothy Regan - President/Chief Medical Officer - participated in a supplemental nonqualified deferred compensation plan. He had $74,211 of taxable benefits during calendar year 2024. This amount is included in Part II Column (B)(iii). He had an additional $113,286 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Michael Spake - SVP of External Affairs and Chief Compliance and Integrity Officer - participated in a supplemental nonqualified deferred compensation plan. He had $39,753 of taxable benefits during calendar year 2024. This amount is included in Part II Column (B)(iii). He had an additional $61,505 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Sarah Bhagat - Chief Operating Officer and SVP of Ambulatory Operations and Organizational Effectiveness - participated in a supplemental nonqualified deferred compensation plan. She had $84,120 of taxable benefits during calendar year 2024. This amount is included in Part II Column (B)(iii). She had an additional $69,228 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Jonn Hoppe - EVP and Chief Legal Officer - participated in a supplemental nonqualified deferred compensation plan. He had $117,688 of taxable benefits during calendar year 2024. This amount is included in Part II Column (B)(iii). He had an additional $103,481 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Scott Dimmick - SVP and Chief Human Resources Officer - participated in a supplemental nonqualified deferred compensation plan. He had $85,675 of taxable benefits during calendar year 2024. This amount is included in Part II Column (B)(iii). He had an additional $71,545 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Deana Nelson - SVP of Administration and Corporate Priorities - participated in a supplemental nonqualified deferred compensation plan. She had $215,200 of taxable benefits during calendar year 2024. This amount is included in Part II Column (B)(iii). April Novotny - SVP and Chief Nurse Executive - participated in a supplemental nonqualified deferred compensation plan. She had $48,195 of taxable benefits accrue during calendar year 2024. This amount is included in Part II Column (B)(iii). She had an additional $65,712 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Ana Kalman - SVP and CIO/Chief Applications Officer - participated in a supplemental nonqualified deferred compensation plan. She had $56,892 of taxable benefits accrue during calendar year 2024. This amount is included in Part II Column (B)(iii). She had an additional $72,997 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Stacy Bolton - SVP and CIO/Chief Technology Officer - participated in a supplemental nonqualified deferred compensation plan. She had $53,002 of taxable benefits accrue during calendar year 2024. This amount is included in Part II Column (B)(iii). She had an additional $66,008 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Terry Hamilton - EVP and Chief Operating Officer - participated in a supplemental nonqualified deferred compensation plan. He had $94,818 of taxable benefits accrue during calendar year 2024. This amount is included in Part II Column (B)(iii). He had an additional $111,372 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Patrick Phillips - SVP of Business Development/Chief Strategy Officer - participated in a supplemental nonqualified deferred compensation plan. He had $54,264 of taxable benefits accrue during calendar year 2024. This amount is included in Part II Column (B)(iii). He had an additional $67,532 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Francisco J. Chebly - Executive Director LRH Physician Group - participated in a supplemental nonqualified deferred compensation plan. He had $64,715 of taxable benefits accrue during calendar year 2024. This amount is included in Part II Column (B)(iii). He had an additional $76,954 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Hal Escowitz - Chief Quality Officer and Chief Medical Informatics Officers - participated in a supplemental nonqualified deferred compensation plan. He had $73,588 of taxable benefits accrue during calendar year 2024. This amount is included in Part II Column (B)(iii). He had an additional $86,917 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C. Graham Greene - Medical Director of Surgical and Specialty Services - participated in a supplemental nonqualified deferred compensation plan. He had $41,155 of taxable benefits accrue during calendar year 2024. This amount is included in Part II Column (B)(iii). He had an additional $19,132 of nontaxable benefits accrue during calendar year 2024. This amount is included in Part II Column C.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
City of Lakeland Florida
A596000354511665JE22011-07-28$81,113,2552011 Bonds refunded the 96A, 97A, 97B & 99B Bonds & paid 2011 issuance costsYes (1)00
City of Lakeland Florida
B596000354511665JN22015-02-05$205,545,0532015 Hospital Revenue Bonds for capital projectsYes (1)00
City of Lakeland Florida
C596000354511665KFJ2016-09-15$97,381,8652016 Hospital Revenue Refunding Bonds000
Florida Development Finance Corporation
D59327058434061QBF32021-08-17$277,011,5192021 Healthcare Facilities Revenue Bonds000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding EscrowRefundingEscrowAmt
A$22,915,000$81,113,255$1,012,4800Yes (1)Yes (1)Yes (1)
B$180,000,000$205,545,053$1,892,43900Yes (1)Yes (1)$205,545,0532018
C$97,381,865$937,638Yes (1)0Yes (1)Yes (1)$99,742,693
D$277,011,520$2,822,900Yes (1)0Yes (1)Yes (1)$250,706,9642022$23,481,655

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)
C000Yes (1)0000Yes (1)
D0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: City of Lakeland, Florida Date the Rebate Computation was Performed: 09/15/2021ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of Lakeland FloridaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN596000354BondIssuerEIN
CUSIP511665KG5CUSIPNum
Bond Issued2024-08-20BondIssuedDt
Issue Price$151,500,740IssuePriceAmt
Purpose2024 Hospital Revenue Refunding Bonds - Refund 2015 Hospital Revenue BondsPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$151,500,740TotalProceedsAmt
Refunding Escrow$149,924,474RefundingEscrowAmt
Issuance Costs From Proceeds$1,576,266IssuanceCostsFromProceedsAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4aLakeland Regional Medical Center provides free care to patients who meet the State of Florida charity care guidelines and who are not eligible for public assistance. Lakeland Regional Medical Center provided care to emergency patients, regardless of their ability to pay. In addition to the primary Emergency Department, specialty care for children was provided in the separate Pediatric Emergency unit and provides a walk-in center for those patients in need of primary care under non-emergent conditions. Lakeland Regional Medical Center additionally provided inpatient and outpatient mental health services to patients, regardless of their ability to pay. Comprehensive care was offered for a variety of illnesses, including clinical depression, anxiety and memory disorders, addiction recovery and various adolescent services. All services are provided in a distinct part unit within the hospital, and programs are directed by board-certified psychiatrists.
Form 990, Part VI, Section A, line 6Certain decisions of the governing body of Lakeland Regional Medical Center are subject to approval of the sole member Lakeland Regional Health Systems, Inc.
Form 990, Part VI, Section A, line 7aThe sole member of Lakeland Regional Medical Center, Inc. is Lakeland Regional Health Systems, Inc.
Form 990, Part VI, Section A, line 7bCertain decisions of the governing board of Lakeland Regional Medical Center are subject to approval of the sole member Lakeland Regional Health Systems, Inc.
Form 990, Part VI, Section B, line 11bThe Form 990 is reviewed prior to filing by senior management, including the CEO and CFO. Additionally, the form and schedules related to compensation are reviewed by the Executive and Physician Compensation Committee of the Board and a copy of the Form 990 and schedules are provided to each member of the Board of Directors before filing with the IRS.
Form 990, Part VI, Section B, line 12cLakeland Regional Medical Center has a conflict of interest policy which is monitored by the Corporate Integrity Services department. All new hires, students, volunteers and contractors are trained on the ethics policy during general orientation. All staff is to comply with ethics training annually as part of their mandatory education requirements. Annually, a certification is required by all managers, directors, and officers who must acknowledge that the policy was read, understood and will be abided by. Lakeland Regional Medical Center also has a "Policy of the Board of Directors Regarding Board Members Doing Business with Lakeland Regional Medical Center or Lakeland Regional Health Systems". All Board Members are annually required to execute a "Corporate Compliance Acknowledgement and answer a comprehensive "Annual Conflict of Interest Questionnaire". Additionally, all Senior Corporate Management are annually required to answer a comprehensive "Annual Conflict of Interest Questionnaire".
Form 990, Part VI, Section B, line 15Lakeland Regional Medical Center, Inc. Executive and Physician Compensation Committee (the "Committee") of the Board is charged with determining, in advance, all compensation issues for all executive positions including the President & CEO, the CFO and all Vice Presidents of the organization. Only independent and "disinterested" persons may serve as members of the Committee and no member may be employed by the organization or any of its affiliates. Additionally, no physician on the medical staff of the organization may serve as a member of the Committee nor may any member have any business or financial relationships with the organization, either directly or indirectly through family members. The Committee engages an independent nationally recognized human resource management consulting firm which specializes in executive and employee compensation in the health care industry. This firm, among other things: a. Conducts a competitive executive total cash compensation analysis relative to comparable healthcare organizations nationally; and b. Conducts a competitive executive benefits analysis relative to comparable healthcare organizations; and c. Conducts a competitive executive total compensation analysis relative to comparable healthcare organizations; and d. Assists the Committee in ensuring compliance with regulatory requirements; and e. Provides guidance and counsel to the Committee and Board in matters relating to executive compensation; and f. Participates in Committee meeting and presents their findings and recommendations to the Committee and to the Board. In determining compensation, the Committee relies on the independent, reliable market data presented by the consulting firm to set all compensation levels and the consulting firm's opinion as to the reasonableness of total compensation to be paid the executives of the organization. The Committee fully documents the basis for all determinations and records, at a minimum, 1) the terms of the compensation agreement and the date on which it was approved; 2)the members of the Committee where were present during the discussion and those who voted on it; 3) the comparability data used and its source; and 4) the basis for the ultimate decision. In fulfilling its responsibility, the Committee has full authority to consult with outside counsel, regarding the legality of the compensation and other legal issues which may be relevant to the Committee's responsibilities.
Form 990, Part VI, Section C, line 19The organization's Articles of Incorporation are public records and may be obtained from the State of Florida's Division of Corporations in Tallahassee, Florida. Additionally, the Lease & Transfer Agreement between the organization and the City of Lakeland, Florida, under which the organization operates, is recorded in the Public Records of Polk County, Florida, the County in which the organization is located. Financial statements and similar information, both audited and unaudited, are periodically furnished to the City of Lakeland, Florida, and various regulatory agencies within the State of Florida. As such, said financial statements and information are public records under the pertinent Florida public records laws.
Form 990, Part XI, line 9:Intercompany Transfers -156,428,378. Change in Beneficial Interest in Foundation 5,818,649. Other Adjustments -3,237.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Lakeland Regional Medical Center Foundation Inc
1324 Lakeland Hills BoulevardLakelandFL33805237134974FundraisingFL501(c)(3)Line 12a, ILakeland Regional Health Systems Inc0
Lakeland Regional Health Systems Inc
1324 Lakeland Hills BoulevardLakelandFL33805592650464Support Other 501(c)(3) organizationsFL501(c)(3)Line 12a, I0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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