2025-11-14T08:55:39+00:00 2024-12-31 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2024-01-01 472367677 Lakeland Community Hospital Inc LAKE 2054865296 PO Box 576 Haleyville AL 35565 Cherie Sibley CEO 2054865296 2025-11-14 true true Amy Bibby P00445891 8282542254 2025-11-14 2024 2025-03-06 01:10:19Z Cherie Sibley PO Box 576 Haleyville AL 35565 18026996 false X www.lakelandcommunityhospital.com X 2014 AL Lakeland Community Hospital, Inc. seeks to improve the delivery of healthcare services in rural America by giving local healthcare organizations an alternative to for-profit hospital companies or tertiary health systems that view rural hospitals as referral sources and which are aggressively divesting or even closing distressed rural hospitals. Lakeland Community Hospital, Inc. has created a nonprofit healthcare system that focuses on stabilizing rural hospitals by providing them with rural healthcare management expertise and more efficient, low cost services that are traditionally only available through larger healthcare systems. 6 5 216 6 0 11946 19106 17223862 16141520 1830 2651313 1864540 19887121 18026996 0 0 11524079 10418873 0 0 10555550 9358221 22079629 19777094 -2192508 -1750098 10324909 9770178 3098167 4293534 7226742 5476644 Lakeland community hospital, inc seeks to improve the delivery of healthcare services in rural America by giving local healthcare organizations an alternative to for-profit hospital companies or tertiary health systems that view rural hospitals as referral sources. false false 14617106 18006060 Seeks to improve the delivery of healthcare services in rural America by giving local healthcare organizations an alternative to for-profit hospital companies or tertiary health systems that view rural hospital as referral sources and which are aggressively divesting or even closing distressed rural hospitals. 14617106 true false false true false false false false false false true false false false true false false false false false false false false false false false true true false false true false false false false false false false false false false false false false false true true false false false false true 60 0 true 216 true false false false false false false false false false false false false X 6 5 false true false false false false false true true false false false true true true true true true true true false false AL X Jada Haga 2054857120 PO Box 576 Hayleyville AL 35565 Roger Hayes Chairman of Board 1.0 X X 0 0 0 Boyde Harrison board member/physician 40.0 X 207309 0 3426 Cherie Sibley Board Member 1.0 X 0 0 0 Ramesh Reddy Board Member 1.0 X 0 0 0 Seth Smothers Board Member 1.0 X 0 0 0 Shannon Lollar Board Member 1.0 X 0 0 0 Brian Craven CFO 40.0 X 44307 0 0 Jada Haga Prior CFO 40.0 X 114896 0 8905 Jennifer Young CEO 40.0 X 188072 0 0 Angela Egres Employed Nurse 40.0 X 138380 0 0 Carrie Boshell Employed Nurse 40.0 X 106734 0 0 Emily Goar Employed Physician 40.0 X 307684 0 20544 Larry Johnston Employed Physician 40.0 X 331983 0 20544 Matthew Sartin Pharmacy Director 40.0 X 120250 0 0 1559615 0 53419 8 false true false SYCAMORE PHYSICIAN CONTRACTING PO BOX 283 FLORENCE AL 35631 ER PHYSICIAN SERVICES 854371 TENNESSEE VALLEY MEDICAL SOLUTIONS LLC 701 HWY 31 S STE E HARTSELLE AL 35640 MEDICAL BILLING 200981 MANLY J SULLIVAN MD 13916 CHARLOTTESVILLE CIRCLE NORTHPORT AL 35473 ER PHYSICIAN SERVICES 147310 3 19106 19106 Patient Service Fees 624100 16141520 16141520 0 0 0 0 16141520 0 0 1830 0 1830 1830 1830 Administration Revenue 621300 1328688 1328688 HCA Revenue 621300 450000 450000 Cafeteria Revenue 621300 48677 48677 37175 37175 0 0 1864540 18026996 18006060 0 1830 X 554584 276764 277820 8978703 6952491 2026212 253767 190325 63442 631819 473864 157955 35909 35909 89207 89207 4650841 2627663 2023178 0 376547 282410 94137 1169097 876823 292274 142410 142410 399417 299563 99854 483364 483364 Medical & Other Supplies 1835682 1835682 Dietary Expenses 170431 170431 Education 5316 5316 0 0 0 0 19777094 14617106 5159988 0 386493 325349 2075440 1688519 0 0 0 0 191353 242306 146180 220681 10930233 3887375 7274978 7042858 0 0 250465 250465 10324909 9770178 2496298 2530117 200000 0 0 0 0 401869 1763417 3098167 4293534 X 7226742 5476644 7226742 5476644 10324909 9770178 -1750098 0 X false false false X true 4141 4141 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE HOSPITAL IS A MEMBER OF THE Alabama HOSPITAL Association (AHA) and a portion of the expense paid is attributable to lobbying expenditures. 271800 271800 6476300 1298439 5177861 380675 77758 302917 3801458 2511178 1290280 7042858 Federal Income Taxes Other Liabilities 1521898 Lease Liability 241519 1763417 true true X true X true X 486725 486725 0.02461 2181312 2181312 0 0.0 0 0.0 0 0 2668037 2181312 486725 0.02461 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 2668037 2181312 486725 0.02461 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 137783 885 5190155 4678439 511716 true true 1 1 Lakeland Community Hospital Inc 42024 Highway 195 Haleyville AL 35565 www.lakelandcommunityhospital.com X X X Lakeland Community Hospital Inc 1 false false true X X X X X X X X X 21 true false false true X www.lakelandcommunityhospital.com X true 21 true www.lakelandcommunityhospital.com false true X 200.0 300.0 true true X X X X true X www.lakelandcommunityhospital.com X www.lakelandcommunityhospital.com X www.lakelandcommunityhospital.com X X X X X X true false X X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Lakeland Community Hospital, Inc.. The hospital established the community health committee to solicit input from residents that represent the diverse views of the community and to promote the broad interest of those served by the hospital. The committee met to ultimately identify the top health issues facing the community and to discuss the development of the hospital's implication strategy to address the findings of the CHNA. The primary data collection vehicle for determining public perception about the various needs of the community was an online survey via the Lakeland Community Hospital website and social media and a paper survey made available at local banks, city/town halls and through civic organizations for a period of 5 weeks. The survey provided information regarding demographics and health status. In order to seek input from the medically undeserved, chronically ill, and low income individuals and to ensure input from the overall population, the survey was advised by several different community partners. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Lakeland Community Hospital, Inc.. The community health committee met to ultimately identify the top health issues facing the community and to develop the hospital's implementation strategy to address the findings of the CHNA. 1 Lakeland Physicians LLC 42024 Highway 195 Haleyville AL 35565 Family Medicine Physician Facility Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 120 to 150 days post final billing date accounts are placed to collection agency, and written off to bad debt. Schedule H, Part III, Line 3 Bad Debt Expense Methodology 120 to 150 days post final billing date accounts are placed to collection agency, and written off to bad debt. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The organization utilized program liability from the hospital's cost report to calculate the allowable costs. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Lakeland Community Hospital offers financial assistance through our charity policy, based on the current federal poverty guidelines (FPG), to patients and guarantors. Those approved for financial assistance are eligible for discounts applied to balances owed after insurance, as well as self-pay balances remaining after our uninsured discount is applied. If the patient's family income is 0%-200% of the federal poverty guidelines, a 100% discount applies (charity care). If the patient's family income is between 201%-250% of the federal poverty guidelines, a 60% discount applies (financial assistance). If the patient's family income is between 251%-300% of the federal poverty guidelines, a 40% discount applies (financial assistance). This policy is publicized in patient registration areas, billing statements, and is available on our website. Patients not eligible of charity or who have a balance owed after the application of charity care or uninsured discount are sent statements and/or collection letters at least every 30 days until the balance owed is paid or longer-term payment arrangements are made. Accounts that do not have sufficient payment arrangements established are eligible for outside collections. All patients are notified of possible collection assignment at least 30 days before an assignment is made. If a patient requests financial assistance after statements are sent, the account is placed on hold until a determination of eligibility is made. Schedule H, Part V, Section B, Line 16a FAP website - Lakeland Community Hospital Inc: Line 16a URL: www.lakelandcommunityhospital.com; Schedule H, Part V, Section B, Line 16b FAP Application website - Lakeland Community Hospital Inc: Line 16b URL: www.lakelandcommunityhospital.com; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Lakeland Community Hospital Inc: Line 16c URL: www.lakelandcommunityhospital.com; Schedule H, Part VI, Line 2 Needs assessment The Hospital established the Community Health Committee to solicit input from residents that represents the diverse views of the community and to promote interest of those served by the Hospital. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance We offer paperwork for self pay accounts, but it's their choice to apply or not. Schedule H, Part VI, Line 4 Community information Lakeland Community Hospital primarily serves residents of Haleyville, AL including the counties of Marion and Winston. This is a rural community with a population around 4,300 and approximately 20% of the population is below the poverty line. The population is predominantly caucasian, 87% as of the most recent census. Schedule H, Part VI, Line 5 Promotion of community health The hospital has a local board of volunteer community board of directors and is serviced by an open medical staff. The hospital actively recruits primary care physicians and specialists to meet medical needs in the community. In addition, the hospital performs outreach services and provides health education opportunities for the community. Schedule H, Part VI, Line 7 State filing of community benefit report AL X X X false false false false false false false false false Boyde Harrison board member/physician 160509 0 46800 0 0 0 0 0 3426 0 210735 0 0 0 Jennifer Young CEO 175012 0 0 0 13060 0 0 0 0 0 188072 0 0 0 Emily Goar Employed Physician 275018 0 32450 0 216 0 0 0 20544 0 328228 0 0 0 Larry Johnston Employed Physician 330022 0 0 0 1961 0 0 0 20544 0 352527 0 0 0 Form 990, Part VI, Line 3 Delegation of management duties Lakeland Community Hospital, Inc. engages a management company to provide a full range of day-to-day operational and administrative senior level management services, including the appointment of management personnel at each of the hospitals and other healthcare facilities and businesses of Lakeland Community Hospital, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body A copy of the form 990 is provided to the chairman of the board for review prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy The conflict of interest policy is discussed in person with each potential board member. When management becomes aware of a potential conflict of interest, it is discussed in depth with upper management and the board. Form 990, Part VI, Line 15a Process to establish compensation of top management official The board voted on all compensation as part of their annual budget process, which includes a review of all potential raises and comparison of comparable compensation data. Form 990, Part VI, Line 15b Process to establish compensation of other employees The board voted on all compensation as part of their annual budget process, which includes a review of all potential raises and comparison of comparable compensation data. Form 990, Part VI, Line 19 Required documents available to the public As a general rule, the organization does not make its financial statements or governing documents available to the public. Any request by the general public would be reviewed and acted upon by the board. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 37175, Related or Exempt Function Revenue: 37175, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Medical Specialist Fees - Total Expense: 2023178, Program Service Expense: , Management and General Expenses: 2023178, Fundraising Expenses: ; Other Purchased Services - Total Expense: 2627663, Program Service Expense: 2627663, Management and General Expenses: , Fundraising Expenses: ; FORM 990, PART IV, 20B The audit of the financial statements of the current tax year have not been completed as of the filing date of the tax return due to a change in audit firms. the attached financial statements is the most recently issued statements. Lakeland Physicians LLC 42024 Highway 195 Haleyville AL 35565 472497292 Physicians Clinic AL 0 0 NA Healthcare Authority of Haleyville and Winston County 911 21st St Haleyville AL 35565 LCH Board AL 501(c)(3) Type I NA false Lakeland Community Hospital Foundation PO Box 576 Haleyville AL 35565 842618894 Supporting LCH AL 501(c)(3) Type I NA false false false false false false false false false false false false false false false false false false false false