Lee Health System Inc

What it reported doing in 2024

Lee health system, inc. (lhs) provides both inpatient and outpatient healthcare services throughout southwest Florida. As a safety-net hospital, lhs provides services without regard to a patient's ability to pay. Providing healthcare across five hospitals and over 100 outpatient locations, including a regional cancer center, lhs provided in excess of $168 million in charity care to the community for patients who were not covered by any governmental or private insurance program. In addition, lhs provided almost $60 million in community benefit and outreach, through programs such as expansive clinical education, community donations, and health promotion and education. Lhs provides a complete range of healthcare services. With over 1800 inpatient acute care adult beds and a 135 bed children's hospital (including 70 nicu beds), lhs supported over 90,000 admissions to acute care, representing over 500,000 days of total inpatient care. In addition, lhs completed over 56,000 inpatient and outpatient surgeries, gave birth to over 7,500 babies, provided services to over 300,000 patients through the emergency room, 40,000 home health visits, and nearly 2,500,000 visits with providers. Lhs includes over 17,000 employees working with a medical staff of 2,500 providers, as well as external volunteers in the thousands. Highlights of our expanded care for the community include the launch of a mobile medical clinic, partnerships in paramedicine with lee county emergency services, the creation of a pediatric clinic inside of franklin park elementary, the significant expansion of pediatric behavioral health services, and the only hospital in Florida (golisano children's hospital) to be certified as an autism center.

Financial Efficiency

• Mission deployment rate: 79.7%; rating input score 80
• Program expense ratio: 90.5%; rating input score 90
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: 0 of 8 controls in place; rating input score 0
  • Claims monitoring procedures: Fail
  • Requires narrative reports: Fail
  • Conducts field audits: Fail
  • May suspend future funding: Fail
  • Requires financial reports: Fail
  • Conducts site visits: Fail
  • Requires grant agreements: Fail
  • May require repayment: Fail
• Grant itemization coverage: 98.6%; rating input score 99; 36th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 93.3%; rating input score 93; 44th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 13.3%; rating input score 79; 79th percentile among comparable filings
• Total-asset coverage ratio: 1.62; rating input score 56; 56th percentile among comparable filings
• Liabilities to assets ratio: 0.33; rating input score 53; 53rd percentile among comparable filings
• Officer compensation ratio: 0.2%; rating input score 91; 91st percentile among comparable filings

Growth

• Program expense growth: Limited
• Revenue growth: Limited
• Asset growth: Limited