LICKING MEMORIAL HOSPITAL: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- LICKING MEMORIAL HOSPITAL (EIN 31-4379519)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-14
- IRS object ID
- 202503189349302805
- Schema version
- 2024v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-14T08:34:03-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 882730877 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERRY BEKAERT ADVISORY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SOUTH 5TH STREET STE 2100 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 314379519 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LICKING MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LICK | BusinessNameControlTxt |
| Phone | 2205644528 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WEST MAIN STREET | AddressLine1Txt |
| City | NEWARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43055 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CYNTHIA L WEBSTER | PersonNm |
| Person Title | VP OF FINANCIAL SERVICES | PersonTitleTxt |
| Phone | 2205644528 | PhoneNum |
| Signature | 2025-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEPHANIE LEW | PreparerPersonNm |
| PTIN | P01080011 | PTIN |
| Phone | 8885871719 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT A MONTAGNESE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WEST MAIN STREET | AddressLine1Txt |
| City | NEWARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43055 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $402,889,814 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LMHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1898 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 2387 | TotalEmployeeCnt |
| Total Volunteers | 214 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $102,791 | PYContributionsGrantsAmt |
| CY Contributions Grants | $18,693 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $347,807,138 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $390,303,036 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,627,072 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,963,204 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$31,901,464 | PYOtherRevenueAmt |
| CY Other Revenue | $5,914,938 | CYOtherRevenueAmt |
| PY Total Revenue | $317,635,537 | PYTotalRevenueAmt |
| CY Total Revenue | $399,199,871 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $789,797 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $700,063 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $151,519,563 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $161,359,533 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $144,188,076 | PYOtherExpensesAmt |
| CY Other Expenses | $163,675,951 | CYOtherExpensesAmt |
| PY Total Expenses | $296,497,436 | PYTotalExpensesAmt |
| CY Total Expenses | $325,735,547 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $21,138,101 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $73,464,324 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $189,836,889 | TotalAssetsBOYAmt |
| Total Assets EOY | $227,954,090 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $59,327,164 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $84,982,554 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $130,509,725 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $142,971,536 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LICKING MEMORIAL HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $304,431,099 | ExpenseAmt |
| Grant | $700,063 | GrantAmt |
| Revenue | $394,192,359 | RevenueAmt |
| Desc | HEALTH ACTIVITIES AND PROGRAMS FREE-OF-CHARGE TO THE COMMUNITY.THE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND MEDICALLY UNDERSERVED.LMH SERVED 7,667 INPATIENTS AND 825 NEWBORNS FOR A TOTAL OF 31,305 PATIENT DAYS AND PROVIDED SERVICES TO 391,537 OUTPATIENTS IN 2024.ADDITIONALLY, LMH PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, BELOW COST IN MANY CASES. TO THE EXTENT REIMBURSEMENT IS BELOW CHARGES, LMH CONSIDERS THESE AMOUNTS TO BE CONTRACTUAL ADJUSTMENTS, WHICH WILL NEVER BE COLLECTED. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS AMOUNTED TO $562,193,000 IN 2024.UNCOMPENSATED CARE IS PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES LMH BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. LMH ROUTINELY PROVIDES UNCOMPENSATED CARE TO PATIENTS WHO ARE UNWILLING OR UNABLE TO PAY THEIR HOSPITAL BILLS. IN 2024, LMH WROTE OFF CHARGES OF APPROXIMATELY $33,028,000 IN BAD DEBTS AND $7,574,000 IN CHARITY CARE. | Desc |
| Total Program Service Expenses | $304,431,099 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 380 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2387 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREW LINK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2205644533 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WEST MAIN STREET | AddressLine1Txt |
| City | NEWARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43055 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JACQUELINE H PARRILL EDD | ||||||||
| CHAIR | 1.30 | 1.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES R COOPER | ||||||||
| VICE CHAIR | 1.30 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHARAD THAKKAR | ||||||||
| DIRECTOR | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JIM L WARD | ||||||||
| DIRECTOR | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARCIA DOWNES | ||||||||
| SECRETARY | 1.30 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| C DANIEL HAYES | ||||||||
| DIRECTOR | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT HAYES | ||||||||
| DIRECTOR (THRU 04/24) | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ALEXANDER MILLER | ||||||||
| DIRECTOR (THRU 04/24) | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK MITCHELL MD | ||||||||
| DIRECTOR | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES MOORE | ||||||||
| DIRECTOR | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DANA MOORE | ||||||||
| DIRECTOR (FROM 04/24) | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KONROD MORRIS | ||||||||
| DIRECTOR (FROM 04/24) | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER ROBERTS | ||||||||
| DIRECTOR (FROM 04/24) | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHERINE C SNYDER PHD | ||||||||
| DIRECTOR (FROM 04/24) | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL M THOMPSON | ||||||||
| TREASURER (THRU 04/24) | 1.30 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JACK A TREINISH JR | ||||||||
| DIRECTOR | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PHILIP H WAGNER PHD | ||||||||
| DIRECTOR | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAY YOUNG | ||||||||
| TREASURER (FROM 04/2024) | 1.30 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT MONTAGNESE | ||||||||
| PRESIDENT & CEO | 41.70 | 10.30 | Yes (X) | $929,719 | $0 | $259,227 | ||
| CINDY WEBSTER | ||||||||
| VP, FINANCIAL SERVICES | 41.70 | 10.30 | Yes (X) | $349,321 | $0 | $32,931 | ||
| BENJAMIN BROYLES | ||||||||
| VP, COMMUNITY HEALTH & WELLNESS | 52.00 | 0.00 | $262,306 | $0 | $53,359 | Yes (X) | ||
| HEATHER BURKHART | ||||||||
| VP, ACUTE CARE SERVICES | 52.00 | 0.00 | $285,167 | $0 | $54,700 | Yes (X) | ||
| CRAIG CAIRNS | ||||||||
| VP, MEDICAL AFFAIRS | 52.00 | 0.00 | $388,412 | $0 | $25,932 | Yes (X) | ||
| VERONICA PATTON | ||||||||
| VP, DEVELOPMENT & PR | 15.40 | 36.60 | $280,639 | $0 | $21,529 | Yes (X) | ||
| HOLLY SLAUGHTER | ||||||||
| VP, HR & SUPPORT SERVICES | 52.00 | 0.00 | $269,888 | $0 | $11,959 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,765,452 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $459,637 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 198 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PLUTO HEALTHCARE STAFFING | |||||
| 775 YARD ST 350 | COLUMBUS | OH | 43212 | MEDICAL STAFFING | $2,771,193 |
| QUEST DIAGNOSTICS | |||||
| 500 PLAZA DRIVE | SECAUCUS | NJ | 07094 | DIAGNOSTIC TESTING | $1,351,674 |
| WEATHERBY LOCUMS | |||||
| 6451 NORTH FEDERAL HIGHWAY SUITE 7 | FORT LAUDERDALE | FL | 33308 | MEDICAL STAFFING | $1,023,696 |
| ROBERTSON CONSTRUCTION SERVICES INC | |||||
| 1801 THORNWOOD DRIVE | HEATH | OH | 43056 | CONSTRUCTION | $1,011,821 |
| AYA HEALTHCARE INC | |||||
| 5930 CORNERSTONE COURT WEST SUITE | SAN DIEGO | CA | 92121 | MEDICAL STAFFING | $906,648 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 44 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $18,693 | AllOtherContributionsAmt |
| Total Contributions | $18,693 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $389,396,422 | $389,396,422 |
| HOME HEALTH CARE | 621610 | $906,614 | $906,614 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $390,303,036 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,878,696 | TotalRevenueColumnAmt |
| Exclusion | $1,878,696 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,273,416 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,273,416 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,391,483 | SecuritiesAmt |
| Other | $109,552 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,356,135 | SecuritiesAmt |
| Other | $60,392 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,035,348 | SecuritiesAmt |
| Other | $49,160 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,084,508 | TotalRevenueColumnAmt |
| Exclusion | $1,084,508 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| RELATED PARTY MANAGEMENT FEES | 561000 | $2,484,550 | $2,484,550 | |
| CAFETERIA | 722320 | $2,025,615 | $2,025,615 | |
| GPO FEES AND REBATES | 900099 | $679,498 | $679,498 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $725,275 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $725,275 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,914,938 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $399,199,871 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $394,192,359 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,988,819 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700,063 | TotalAmt |
| Program Services | $700,063 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,571,198 | TotalAmt |
| Management And General | $1,571,198 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,517,322 | TotalAmt |
| Program Services | $111,940,101 | ProgramServicesAmt |
| Management And General | $8,577,221 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,001,398 | TotalAmt |
| Program Services | $2,946,461 | ProgramServicesAmt |
| Management And General | $54,937 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,422,597 | TotalAmt |
| Program Services | $25,091,397 | ProgramServicesAmt |
| Management And General | $2,331,200 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,847,018 | TotalAmt |
| Program Services | $8,244,683 | ProgramServicesAmt |
| Management And General | $602,335 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $368,041 | TotalAmt |
| Management And General | $368,041 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000,011 | TotalAmt |
| Management And General | $1,000,011 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,646 | TotalAmt |
| Management And General | $2,646 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,800 | TotalAmt |
| Management And General | $30,800 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,762,329 | TotalAmt |
| Program Services | $28,108,564 | ProgramServicesAmt |
| Management And General | $3,653,765 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $766,372 | TotalAmt |
| Program Services | $555,053 | ProgramServicesAmt |
| Management And General | $211,319 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,490,607 | TotalAmt |
| Program Services | $1,490,607 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,875 | TotalAmt |
| Program Services | $56,390 | ProgramServicesAmt |
| Management And General | $1,485 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $785,960 | TotalAmt |
| Program Services | $785,960 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,232,254 | TotalAmt |
| Program Services | $12,761 | ProgramServicesAmt |
| Management And General | $1,219,493 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,231,105 | TotalAmt |
| Program Services | $14,083,734 | ProgramServicesAmt |
| Management And General | $147,371 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,205,548 | TotalAmt |
| Program Services | $2,205,548 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $71,027,029 | $70,003,512 | $1,023,517 |
| BAD DEBT EXPENSE | $33,028,274 | $33,028,274 | |
| EQUIPMENT RENTAL AND MA | $5,649,272 | $5,140,163 | $509,109 |
| PROGRAM EXPENSES | $37,828 | $37,828 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,735,547 | TotalAmt |
| Program Services | $304,431,099 | ProgramServicesAmt |
| Management And General | $21,304,448 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,579 | BOYAmt |
| EOY | $11,881,147 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,002,831 | BOYAmt |
| EOY | $30,240,713 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,274,144 | BOYAmt |
| EOY | $50,751,320 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,536,606 | BOYAmt |
| EOY | $6,509,287 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,122,143 | BOYAmt |
| EOY | $5,683,759 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $283,397,836 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $187,928,386 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,948,744 | BOYAmt |
| EOY | $95,469,450 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,689,340 | BOYAmt |
| EOY | $10,878,093 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,082,502 | BOYAmt |
| EOY | $16,540,321 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,836,889 | BOYAmt |
| EOY | $227,954,090 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,669,923 | BOYAmt |
| EOY | $47,203,860 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,739,242 | BOYAmt |
| EOY | $32,712,773 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,917,999 | BOYAmt |
| EOY | $5,065,921 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,327,164 | BOYAmt |
| EOY | $84,982,554 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,406,934 | BOYAmt |
| EOY | $142,887,881 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,791 | BOYAmt |
| EOY | $83,655 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,509,725 | BOYAmt |
| EOY | $142,971,536 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,836,889 | BOYAmt |
| EOY | $227,954,090 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $73,464,324 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$33,902 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$60,968,611 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,646 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,646 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LICKING MEMORIAL HOSPITAL PAID $71,523 IN ANNUAL DUES TO OHIO HOSPITAL ASSOCIATION (OHA). OF THE TOTAL DUES, 3.7% OR $2,646 WAS USED BY OHA TO SUPPORT LOBBYING ACTIVITIES OF THE ORGANIZATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $446,770 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $16,461 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $463,231 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $431,607 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $15,163 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $446,770 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $427,764 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,843 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $431,607 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $427,683 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $81 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $427,764 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $439,711 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$12,028 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $427,683 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,656,274 | OtherCostOrOtherBasisAmt |
| Book Value | $1,656,274 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $112,092,275 | OtherCostOrOtherBasisAmt |
| Depreciation | $69,690,865 | DepreciationAmt |
| Book Value | $42,401,410 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $166,215,248 | OtherCostOrOtherBasisAmt |
| Depreciation | $115,618,843 | DepreciationAmt |
| Book Value | $50,596,405 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,434,039 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,618,678 | DepreciationAmt |
| Book Value | $815,361 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $95,469,450 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RECEIVABLE FROM RELATED 501(C)(3) | $9,875,073 |
| RIGHT-OF-USE ASSETS | $3,557,674 |
| TRUSTEE FUNDED DEFERRED COMPENSATION | $3,107,574 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $16,540,321 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITY | $3,438,022 |
| THIRD PARTY SETTLEMENTS PAYABLE | $1,627,899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,065,921 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INTENDED USE OF THE ENDOWMENT FUNDS HELD BY THE LICKING MEMORIAL HEALTH FOUNDATION IS TO USE THE EARNINGS FOR CAPITAL EQUIPMENT PURCHASES FOR LICKING MEMORIAL HOSPITAL. |
| PART X, LINE 2: | THE INTERNAL REVENUE SERVICE HAS RULED THAT THE SYSTEM, HOSPITAL, FOUNDATION, AND LICKING MEMORIAL HEALTH PROFESSIONALS ARE TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. U.S. GAAP REQUIRES THE SYSTEM TO EVALUATE ITS TAX POSITIONS AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). THE SYSTEM HAS EVALUATED ITS TAX POSITIONS AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2207 | PersonsServedCnt |
| Total Community Benefit Expns | $1,976,838 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,976,838 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 29771 | PersonsServedCnt |
| Total Community Benefit Expns | $51,940,858 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,931,816 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,009,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07860 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 31978 | PersonsServedCnt |
| Total Community Benefit Expns | $53,917,696 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,931,816 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,985,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08540 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14418 | PersonsServedCnt |
| Total Community Benefit Expns | $3,600,273 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $123,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,476,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 832 | PersonsServedCnt |
| Total Community Benefit Expns | $654,697 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $634,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,912 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,912 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $151,913 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,953 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $135,960 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1687 | PersonsServedCnt |
| Total Community Benefit Expns | $1,453,690 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,453,690 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16937 | PersonsServedCnt |
| Total Community Benefit Expns | $5,864,485 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $160,293 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,704,192 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01960 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 48915 | PersonsServedCnt |
| Total Community Benefit Expns | $59,782,181 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,092,109 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,690,072 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10500 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,650 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 110 | PersonsServedCnt |
| Total Community Benefit Expns | $78,446 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $78,446 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 642 | PersonsServedCnt |
| Total Community Benefit Expns | $155,153 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $155,153 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 374 | PersonsServedCnt |
| Total Community Benefit Expns | $166,763 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $166,763 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 17293 | PersonsServedCnt |
| Total Community Benefit Expns | $55,366 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,366 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 18419 | PersonsServedCnt |
| Total Community Benefit Expns | $461,628 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $461,628 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $33,028,274 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,723,043 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $34,851,177 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $53,256,079 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$18,404,902 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LICKING MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WEST MAIN STREET | AddressLine1Txt |
| City | NEWARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43055 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LMHEALTH.ORG | WebsiteAddressTxt |
| State License | 1213LH | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LICKING MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.LMHEALTH.ORG/PDF-FILES/FORMS/00001-04-23 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.LMHEALTH.ORG/PDF-FILES/FORMS/UNCOMPENSATED-CARE-PACKET-LMH | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.LMHEALTH.ORG/PDF-FILES/FORMS/1900-5007-FINANCIAL-ASSISTANCE-SUMMARY | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LICKING MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: REPRESENTATIVES FROM LICKING MEMORIAL HOSPITAL ("LMH") PARTICIPATE IN A COLLABORATIVE COMMITTEE WITH THE LICKING COUNTY HEALTH DEPARTMENT KNOWN AS THE LICKING COUNTY COMMUNITY HEALTH IMPROVEMENT COMMITTEE. THIS COMMITTEE WAS CONVENED TO PRIORITIZE PUBLIC HEALTH ISSUES AND IDENTIFY RESOURCES. THE COMMITTEE BEGAN MEETING IN 2010 AND CONTINUES MEETING ON A QUARTERLY BASIS. MEMBERS OF THE COMMITTEE REPRESENT A VARIETY OF LOCAL PUBLIC HEALTH AGENCIES THAT ARE INTERESTED IN IMPROVING THE HEALTH OF LICKING COUNTY RESIDENTS. PARTICIPATING AGENCIES OF THE COMMITTEE INCLUDE: LICKING COUNTY HEALTH DEPARTMENT, LICKING COUNTY BOARD OF HEALTH, LICKING MEMORIAL HEALTH SYSTEMS ("LMHS"), LICKING COUNTY UNITED WAY, FAMILY HEALTH SERVICES OF EAST CENTRAL OHIO, COMMUNITY HEALTH CLINIC, AMERICAN RED CROSS OF LICKING COUNTY, THE OHIO STATE UNIVERSITY AT NEWARK, PATHWAYS OF CENTRAL OHIO, COMMUNITY MENTAL HEALTH AND RECOVERY BOARD, MENTAL HEALTH AMERICA OF LICKING COUNTY, LICKING COUNTY FIRE CHIEFS ASSOCIATION, LICKING COUNTY AGING PARTNERS, GRANVILLE EXEMPTED VILLAGE SCHOOL DISTRICT, HOSPICE OF CENTRAL OHIO, CENTER FOR THE VISUALLY IMPAIRED, LICKING COUNTY AREA TRANSPORTATION, DENISON UNIVERSITY, LICKING COUNTY BOARD OF DEVELOPMENTAL DISABILITIES. THE AGENCIES REPRESENT MEMBERS OF MEDICALLY UNDERSERVED POPULATIONS AND HAVE SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. |
| LICKING MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: THE LICKING COUNTY HEALTH DEPARTMENT ASSEMBLED THE LICKING COUNTY COMMUNITY HEALTH IMPROVEMENT COMMITTEE WITH REPRESENTATIVES FROM OVER 20 AGENCIES FROM THE PUBLIC HEALTH SECTOR OF LICKING COUNTY. THIS COMMITTEE IDENTIFIES COMMUNITY NEEDS AND DEVELOPS A COMMUNITY HEALTH IMPROVEMENT PLAN THAT ADDRESSES THE TOP FOUR PUBLIC HEALTH PRIORITIES IN THE COUNTY. REPRESENTATIVES FROM LMH PARTICIPATE IN THE COMMITTEE WHICH PROVIDES AN OPPORTUNITY TO BROADEN THE IMPACT OF LMH PROGRAMS. |
| LICKING MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: AFTER COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022, LMHS PRIORITIZED THREE NEEDS TO ADDRESS. BELOW ARE EACH OF THE NEEDS AND THE PLAN TO ADDRESS SUCH:> BEHAVIORAL HEALTH - REDUCE THE BURDEN OF ADDICTION - IMPLEMENT A NEW LEVEL OF SERVICE TO ALLOW FOR THE PROVISION OF RESIDENTIAL SUBSTANCE ABUSE TREATMENT - OFFER FREE QUESTION AND ANSWER SESSIONS WITH AN ADDICTIONOLOGIST - MAKE NALOXONE AND FENTANYL TEST STRIPS MORE READILY AVAILABLE - WORK WITH LOCAL ORGANIZATIONS TO ENSURE EDUCATION ON NEEDED RESOURCES - REDUCE UNTREATED DEPRESSION AND ANXIETY - ADDITION OF TRANSCRANIAL MAGNETIC STIMULATION (TMS) THERAPY FOR TREATMENT OF DEPRESSION FOR PATIENTS WHERE OTHER TREATMENTS HAVE BEEN UNSUCCESSFUL - INCREASING ACCESS/OPTIONS TO RECEIVE SERVICES - PARTNER WITH OTHER PARTICIPANTS TO RAISE AWARENESS OF RESOURCES AVAILABLE.> CHRONIC DISEASE - DECREASE NEGATIVE HEALTH CONDITIONS ASSOCIATED WITH OBESITY - OFFER EXERCISE EQUIPMENT FOR THE GENERAL PUBLIC AT THE WELLNESS CENTERS AT 1717 WEST MAIN STREET AND C-TEC - PROMOTE AND ENCOURAGE PARTICIPATION IN THE WALK WITH A DOC PROGRAM, ACTIVEFIT YOUTH AND ACTIVESENIOR WELLNESS PROGRAMS - OFFER DIABETES EDUCATION WITH LICENSED DIABETES EDUCATORS AND FREE DIABETES SCREENINGS AT COMMUNITY EVENTS - DECREASE THE PREVALENCE OF TOBACCO USE - CONTINUE TO PROVIDE A QUIT FOR YOUR HEALTH PROGRAM THAT OFFERS COUNSELING AND SMOKING CESSATION SUPPORT, INCLUDING NICOTINE REPLACEMENT THERAPY, TO ALL INTERESTED COMMUNITY MEMBERS FREE OF CHARGE - ENCOURAGE EMPLOYERS TO ADOPT SMOKE-FREE WORKPLACE POLICIES AND OFFER INCENTIVES TO THEIR STAFF TO STOP SMOKING - COLLABORATE WITH OUR FUTURES IN LICKING COUNTY INITIATIVE ON YOUTH SMOKING AND ALCOHOL EDUCATION - DECREASE THE BURDEN OF CANCER - IMPROVE ACCESS TO COLON CANCER SCREENINGS THROUGH THE ADDITION OF GASTROENTEROLOGISTS, EXPANDING APPOINTMENT AVAILABILITY, AND THE ADOPTION OF COLOGUARD AS AN OPTION FOR LOW-RISK PATIENTS WHO ARE RELUCTANT TO UNDERGO A COLONOSCOPY PROCEDURE - PROVIDE ROUTINE COMMUNITY EDUCATION ON THE IDENTIFICATION AND TREATMENT OF ALL TYPES OF CANCER, FOCUSING ON SELF-EXAMINATION, COLON CANCER SCREENINGS, LOW-DOSE CT SCANS FOR LUNG CANCER, PATHOLOGY, AND EARLY DETECTION > INFANT MORTALITY RATE - DECREASE THE INFANT MORTALITY RATE - PROMOTE BEST PRACTICES IN INFANT FEEDING AND BONDING THROUGH THE "BABY FRIENDLY" HOSPITAL INITIATIVE - OFFER "SAFE SLEEP" EDUCATION FOR NEW PARENTS INCLUDING A "SAFE SLEEP SACK" - PROVIDE A "ONESIE" TO ALL NEWBORNS THAT STATES "THIS SIDE UP" - CONTINUE OFFERING "QUIT FOR YOU, QUIT FOR BABY" TOBACCO CESSATION PROGRAM AT WOMEN'S HEALTH SERVICES - SUBOXONE CLINIC SPECIFICALLY FOR PREGNANT MOTHERS SUFFERING FROM ADDICTION - MAINTAIN A LEVEL II SPECIAL CARE NURSERY ON SITE TO PROVIDE IMMEDIATE AND ONGOING CARE TO INFANTS WITH CRITICAL NEEDS - PARTICIPATE IN OHIO PERINATAL QUALITY COLLABORATIVE' S MOMS PLUS PROJECT FOR PREGNANT MOTHERS SUFFERING FROM ADDICTION AND SHARE DATA WITH THE OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES TO PROMOTE PHYSICIAN COORDINATION FOR OVERALL HEALTH OF PATIENTS - MOMS PLUS PROGRAM - PROVIDE PRENATAL CLASS/SUPPORT GROUP FOR PREGNANT MOTHERS SUFFERING FROM ADDICTION WHERE MOTHERS MEET INDIVIDUALLY WITH PHYSICIAN AS WELL AS PARTICIPATE IN SUPPORT GROUP WHILE FREE CHILDCARE IS OFFERED FOR PARTICIPANTS |
| LICKING MEMORIAL HOSPITAL | PART V, SECTION B, LINE 20E: LICKING MEMORIAL HOSPITAL PROVIDES WRITTEN NOTICE ABOUT EXTRAORDINARY COLLECTIONS ACTIVITIES AND INCLUDES THE FINANCIAL ASSISTANCE PROGRAM APPLICATION WITH THE WRITTEN NOTICE. |
| PART V, LINE 7A, CHNA REPORT WEBSITE: | WWW.LMHEALTH.ORG/PDF-FILES/CHNAS/CHNA-2022 |
| PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE: | WWW.LMHEALTH.ORG/PDF-FILES/CHNA-IMPLEMENTATION-STRATEGY/2022-IMPLEMENTATION-STRATEGY |
| PART V, LINE 16I, FINANCIAL ASSISTANCE PLAN TRANSLATIONS: | TRANSLATIONS OF THE FINANCIAL ASSISTANCE DOCUMENTS ARE AVAILABLE UPON REQUEST. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT IS PREPARED BY LICKING MEMORIAL HEALTH SYSTEMS ("LMHS"), WHICH INCLUDES LMHS, LICKING MEMORIAL HOSPITAL ("LMH"), LICKING MEMORIAL HEALTH PROFESSIONALS ("LMHP"), AND LICKING MEMORIAL HEALTH FOUNDATION ("LMHF"). |
| PART I, LINE 7: | THE ORGANIZATION USED THE CBISA SOFTWARE TO DETERMINE COST ACCOUNTING METHODOLOGY. THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, LINE 25A, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $33,028,274. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | IT IS IMPORTANT TO NOTE THAT ALL ACTIVITIES ASSOCIATED WITH LMHS REFLECT AND FURTHER THE MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY. WE DEFINE THE HEALTH OF THE COMMUNITY IN A BROAD SENSE TO INCLUDE ACTIVITIES THAT ARE NOT NECESSARILY HEALTH- OR MEDICAL-RELATED, BUT WHICH ARE CRITICAL TO SUSTAINING A HEALTHY COMMUNITY, SUCH AS STRONG SCHOOL SYSTEMS, YOUTH AND SENIOR PROGRAMS, AND THE ARTS. TO PROMOTE HEALTH EDUCATION TO THE COMMUNITY, WE PUBLISH THE COMMUNITY CONNECTION, A QUARTERLY MAGAZINE MAILED TO APPROXIMATELY 43,000 HOUSEHOLDS THAT HIGHLIGHTS ALL OF THE COMMUNITY-BUILDING ACTIVITIES THROUGHOUT THE YEAR. ADVOCACY FOR THE HEALTH OF THE COMMUNITY IS NOT ONLY EVIDENT THROUGH THE COMMUNITY CONNECTION PUBLICATION, BUT THROUGH VARIOUS HEALTH-RELATED PROGRAMS, EVENTS, AND CLASSES INCLUDING HEALTH GOAL PROGRAMS, HEALTH FAIRS, SCHOOL PRESENTATIONS, HEALTH IMPROVEMENT SCREENINGS, AND WORKSHOPS THAT AID IN OVERALL HEALTH EDUCATION OF THE COMMUNITY. LMHS REGULARLY WELCOMES COMMUNITY MEMBERS TO ATTEND FREE EDUCATIONAL PROGRAMS AT LMH. PROGRAMS ARE DESIGNED TO EMPOWER COMMUNITY MEMBERS WITH THE INFORMATION NEEDED TO IMPROVE THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. TO FURTHER IMPROVE THE HEALTH OF THE COMMUNITY, LMHS SUSTAINS ECONOMIC DEVELOPMENT BY EXISTING AS ONE OF THE COUNTY'S LARGEST EMPLOYERS. |
| PART III, LINE 2: | THE ORGANIZATION USED THE CBISA SOFTWARE TO DETERMINE COST ACCOUNTING METHODOLOGY. |
| PART III, LINE 3: | THE ORGANIZATION EMPLOYED A PATIENT SCORING METHODOLOGY WHICH COMBINES NUMEROUS FINANCIAL INDICATORS TO ARRIVE AT A NUMERIC CREDIT SCORE. THIS SCORE INCLUDES THE PATIENT'S ABILITY TO PAY BASED ON THE ESTIMATED HOUSEHOLD INCOME AS WELL AS THE PROBABILITY OF PAYMENT BEING MADE ON HISTORICAL CREDIT INFORMATION. BASED ON PATIENT SCORES AND DATA PROVIDED BY LMH'S COLLECTION AGENCIES, AN ESTIMATE WAS MADE AS TO THE PORTION OF BAD DEBTS THAT WOULD HAVE QUALIFIED AS CHARITY CARE; THAT PORTION IS INCLUDED AS COMMUNITY BENEFIT. |
| PART III, LINE 4: | SEE PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL REPRESENTS AN UNDERPAYMENT OF OUR COSTS FOR PROVIDING SERVICES TO TRADITIONAL MEDICARE PATIENTS AND MEDICARE ADVANTAGE, WHICH IS OUR LARGEST PAYER. SINCE THIS SHORTFALL RELATES TO SUCH A LARGE PORTION OF OUR COMMUNITY, WE FEEL THE COST SHORTFALL IS A RELEVANT FACTOR WHEN CONSIDERING COMMUNITY BENEFIT.WE USE THE MEDICARE COST REPORT FOR COSTING METHODOLOGY FOR CALCULATING THE MEDICARE SHORTFALL.IN ADDITION TO TRADITIONAL MEDICARE SHORTFALLS, THE HOSPITAL PROVIDES SERVICES TO MEDICARE ADVANTAGE PATIENTS AT OR BELOW COST AS A FURTHER BENEFIT TO OUR COMMUNITY. BY ADOPTING THE SAME METHODOLOGY FOR TRADITIONAL MEDICARE ABOVE, THE MEDICARE ADVANTAGE SHORTFALL AMOUNTED TO $39,030,396. |
| PART III, LINE 9B: | THE PATIENT ACCOUNTING DEPARTMENT IS RESPONSIBLE FOR THE COLLECTION OF PATIENTS' ACCOUNTS. THE OBJECTIVE OF THE DEPARTMENT IS TO COLLECT ACCOUNTS DUE THE HOSPITAL WHILE MAINTAINING POSITIVE GUEST RELATIONS.- PRIOR TO OR UPON ADMISSION, PATIENT INFORMATION IS OBTAINED BY THE REGISTRATION DEPARTMENT. THIS INFORMATION IS FORWARDED TO THE PATIENT ACCOUNT REPRESENTATIVE FOR MEDASSIST, INC. UPON ADMISSION.- WHENEVER POSSIBLE, SELF-PAY INPATIENTS ARE INTERVIEWED BY THE PATIENT ACCOUNT REPRESENTATIVE PRIOR TO DISCHARGE. PATIENTS WILL BE SCREENED FOR POSSIBLE STATE OR FEDERAL PROGRAM ELIGIBILITY, SUCH AS MEDICAID OR SOCIAL SECURITY DISABILITY. IF PATIENTS DO NOT MEET THE CRITERIA FOR THESE PROGRAMS, THEY WILL BE INFORMED OF THE UNCOMPENSATED CARE PROGRAMS AVAILABLE.- ALL STATEMENTS CONTAIN INFORMATION AND GUIDELINES FOR UNCOMPENSATED CARE. |
| PART VI, LINE 2: | WITH A MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY, LMHS CONTINUOUSLY MONITORS AND ASSESSES THE NEEDS OF OUR COMMUNITY IN A VARIETY OF METHODS. OUR ENTIRE LEADERSHIP TEAM IS VERY ACTIVE IN THE COMMUNITY SERVING ON LOCAL NOT-FOR-PROFIT BOARDS AND IN SERVICE CLUBS SUCH AS ROTARY AND KIWANIS. AS ONE OF THE LARGEST EMPLOYERS IN LICKING COUNTY, THE COMMUNITY LOOKS TO OUR MANAGEMENT STAFF FOR SUPPORT AND INVOLVEMENT IN MOST, IF NOT ALL, MAJOR INITIATIVES. THIS COMMUNITY INVOLVEMENT PROVIDES THE OPPORTUNITY TO COLLECT INFORMATION REGARDING THE NEEDS OF THE DIFFERENT ORGANIZATIONS. SENIOR MANAGEMENT IS VERY RESPONSIVE IN PROVIDING ASSISTANCE WHERE NEEDED AS THE INFORMATION BECOMES AVAILABLE. THE BOARDS OF DIRECTORS FOR LMH AND LMHS ARE VERY INTERESTED AND ACTIVELY ENGAGED IN THE COMMUNITY; THEREFORE, THEY ARE A GREAT RESOURCE IN MAKING THE LMHS ADMINISTRATION AWARE OF NEEDS. IN ADDITION, THE BOARD RECEIVES A MONTHLY REPORT AT EACH BOARD MEETING, HIGHLIGHTING ALL OF THE COMMUNITY ACTIVITIES SUPPORTED BY THE HOSPITAL, INCLUDING DONATIONS MADE DURING THAT MONTH, HEALTH FAIRS, HEALTH SCREENINGS, MANAGEMENT, AND PHYSICIAN PRESENTATIONS IN THE COMMUNITY, ETC. PROVIDING ALL OF THIS INFORMATION TO THE BOARD ALLOWS THEM TO BE SUPPORTIVE AS LMHS ADMINISTRATION RECOMMENDS IMPLEMENTING NEW SERVICES OR ENHANCING EXISTING OFFERINGS. ORGANIZED UNDER THE HOSPITAL CORPORATION IS A DEVELOPMENT COUNCIL OF APPROXIMATELY 80 MEMBERS WHOSE PURPOSE IS TO ENHANCE AND PROMOTE MEANINGFUL COMMUNITY RELATIONS AND TO INCREASE CHARITABLE GIVING IN SUPPORT OF THE ORGANIZATION. THE MEMBERS OF THE LMH DEVELOPMENT COUNCIL ARE COMMUNITY LEADERS REPRESENTING ALL AREAS OF BUSINESS, INDUSTRY, AND EDUCATION. THESE ARE THE INDIVIDUALS WHO HAVE THEIR "FINGERS ON THE PULSE" OF THE COMMUNITY, AND ONE OF THEIR RESPONSIBILITIES AS AMBASSADORS IS TO MAKE LMHS ADMINISTRATION AWARE OF NEEDS IN THE COMMUNITY, ESPECIALLY PERTAINING TO HEALTHCARE. AMONG MANY OUTREACH ACTIVITIES OF THE DEVELOPMENT COUNCIL, PROBABLY THE MOST PRODUCTIVE ARE THE COMMUNITY LEADER ROUNDTABLES THAT ARE SPONSORED BY THIS GROUP. THESE ARE LUNCHEONS SCHEDULED FIVE TIMES A YEAR WITH THE LMHS PRESIDENT & CEO. DEVELOPMENT COUNCIL MEMBERS SERVE AS HOSTS, AND THEY INVITE 20 TO 25 PEOPLE WITH SIMILAR INTERESTS. THESE FORUMS ARE ALWAYS VERY INFORMATIVE FOR BOTH ATTENDEES AND THE LMHS ADMINISTRATION, AS INFORMATION IS SHARED ABOUT THE HOSPITAL AND FEEDBACK IS RECEIVED FROM THE COMMUNITY LEADERS WHO ARE PRESENT. MANY TIMES, IDEAS FOR HOSPITAL INITIATIVES COME FROM THESE EVENTS.ANOTHER ACTIVITY OF THE DEVELOPMENT COUNCIL IS A CORPORATE BREAKFAST WHICH IS HELD FOUR TIMES ANNUALLY. THESE EDUCATIONAL SESSIONS NORMALLY DRAW APPROXIMATELY 100 ATTENDEES FOR BREAKFAST AND PROVIDE AN OPPORTUNITY TO EDUCATE COMMUNITY LEADERS REGARDING HOSPITAL ACTIVITIES OR HEALTHCARE IN GENERAL. SPEAKERS AT THESE EVENTS HAVE INCLUDED PHYSICIANS SPEAKING ABOUT OPHTHALMOLOGY, ERGONOMICS, UROLOGICAL SERVICES, NUTRITION, DRUG AWARENESS AND HEALTHY ALTERNATIVES TO STRESS MANAGEMENT, HEART ATTACK AWARENESS, AND REHABILITATION SERVICES. THE LMHS WEBSITE PROVIDES DETAILED INFORMATION ON THE VARIOUS PROGRAMS AVAILABLE AND PROVIDES A MECHANISM FOR COMMUNITY FEEDBACK. ALL REQUESTS COMING THROUGH THE WEBSITE RECEIVE CAREFUL CONSIDERATION AND A DETAILED RESPONSE. LMHS ALSO ENGAGES THE SOCIAL MEDIA AUDIENCE THROUGH AN ACTIVE FACEBOOK PAGE AND EMPLOYS A DEDICATED PUBLIC RELATIONS STAFF MEMBER TO PROVIDE TIMELY INFORMATION CONCERNING ALL UPCOMING EVENTS, PROGRAMS, AND INITIATIVES.AN AFFILIATED PHYSICIAN GROUP, KNOWN AS LICKING MEMORIAL HEALTH PROFESSIONALS, PROVIDES PHYSICIAN INPUT REGARDING THE NEEDS THEY IDENTIFY IN THEIR DAILY PRACTICE AND COMMUNITY INVOLVEMENT. THESE OBSERVATIONS ARE DISCUSSED WITH LMHS ADMINISTRATION FOR DEVELOPMENT OF PROGRAMS AND SERVICES TO ADDRESS SUCH NEEDS. |
| PART VI, LINE 3: | LMHS PROVIDES ASSISTANCE TO THOSE WHO ARE ABOVE THE FEDERAL POVERTY LEVEL BY OFFERING DISCOUNTED CARE BASED UPON A SLIDING SCALE UP TO 250% OF THE FEDERAL POVERTY LEVEL. IN ADDITION, THE ORGANIZATION PROVIDES FREE OR DISCOUNTED CARE FOR THOSE WHO ARE CONSIDERED MEDICALLY INDIGENT. IN 2024, LMHS PROVIDED $45.8 MILLION OF UNCOMPENSATED CARE AT STANDARD CHARGES, INCLUDING $8.3 MILLION OF CHARITY CARE.HOWEVER, LMHS PROVIDES CARE TO THE ENTIRE COMMUNITY, REGARDLESS OF INCOME LEVELS. THAT MESSAGE IS SHARED WITH THE COMMUNITY IN A VARIETY OF WAYS. LMHS' WEBSITE PROVIDES INFORMATION ON ASSISTANCE FOR PAYING HOSPITAL BILLS THROUGH THE HOSPITAL CARE ASSURANCE PROGRAM/COMMUNITY ASSISTANCE PROGRAM. THIS IS ALSO COMMUNICATED THROUGH BROCHURES AND APPLICATIONS WHICH HIGHLIGHT THE INCOME LEVEL-BASED NEEDS FOR THE PATIENT. IN ADDITION, THE BILLING STATEMENT SENT TO THE PATIENT OR GUARANTOR PROVIDES INSTRUCTIONS FOR ACCESSING CHARITY CARE. THIS INFORMATION CAN ALSO BE ACCESSED THROUGH THE BILLING OFFICE. FURTHERMORE, LMHS CONTRACTS WITH AN ELIGIBILITY COMPANY TO SCREEN AND IDENTIFY PATIENTS WHO ARE ELIGIBLE FOR ASSISTANCE, AND EMPLOYS USE OF EARLY-OUT AGENCIES TO PERFORM SELF-PAY BILLING SERVICES. THESE AGENCIES ROUTINELY IDENTIFY PATIENTS WHO ARE ELIGIBLE FOR ASSISTANCE AND PROVIDE APPLICATIONS FOR COMPLETION. THE LMH DEVELOPMENT COUNCIL HAS BEEN EDUCATED ABOUT OUR COMMITMENT TO PROVIDE CARE FOR THE ENTIRE COMMUNITY AND SHARES THE MESSAGE IN THE COMMUNITY THROUGH THEIR GRASS ROOTS EFFORTS. |
| PART VI, LINE 4: | LICKING MEMORIAL HOSPITAL IS LOCATED IN NEWARK, OHIO, THIRTY MILES EAST OF COLUMBUS. THE CITY OF NEWARK HAS A POPULATION OF APPROXIMATELY 51,000 PEOPLE. THE HOSPITAL SERVES THE COMMUNITY OF NEWARK AND LICKING COUNTY. LICKING COUNTY HAS A POPULATION OF APPROXIMATELY 185,000 (UNITED STATES CENSUS WEBSITE), A MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $81,000, AND A PER CAPITA INCOME OF APPROXIMATELY $42,000. LICKING COUNTY HAS AN AVERAGE UNEMPLOYMENT RATE OF 3.9%. |
| PART VI, LINE 5: | THROUGH THE MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY, LMHS PROMOTES HEALTH EDUCATION AND WELLNESS IN A VARIETY OF WAYS. LMHS PROVIDES SERVICES, WHICH INCLUDE PARTICIPATION IN MANY COMMUNITY HEALTH FAIRS THROUGHOUT THE COUNTY TO ENCOURAGE AND ADVANCE HEALTHCARE EDUCATION IN AREA SCHOOLS, CHURCHES, AND BUSINESSES; FREE CLASSES REGARDING CHILDBIRTH EDUCATION, BREASTFEEDING, SIBLING PREPARATION, GRANDPARENTING, AND THE SAFE SITTER SEMINAR; FREE COMMUNITY EDUCATION EVENTS ON TOPICS SUCH AS HEART DISEASE, DIABETES, HEALTHY EATING, CANCER, COPD, HEARING LOSS, AND VERTIGO; ASSISTANCE TO EDUCATORS THROUGH COALITIONS WITH STUDENT NURSES, OCCUPATIONAL THERAPY, AND PHYSICAL THERAPY INTERNS; SPEAKERS AT SCHOOLS, BUSINESSES, AND VARIOUS ORGANIZATIONS ON A WIDE VARIETY OF HEALTH TOPICS SUCH AS TOBACCO CESSATION, UROLOGICAL HEALTH, BEHAVIORAL HEALTHCARE, SLEEP DISORDERS, NUTRITION, AND STRESS MANAGEMENT; HEALTH SCREENINGS FOR BLOOD PRESSURE, CHOLESTEROL, AND SKIN CANCER; SUPPORT GROUPS FOR CANCER PATIENTS, SURVIVORS, AND CAREGIVERS, AND ALSO FOR BREASTFEEDING AND POST-PARTUM. THE SCHEDULE IS FOUND ONLINE OR PRINTED THROUGH OUR QUARTERLY COMMUNITY CONNECTION PUBLICATION FOR THE COMMUNITY TO ACKNOWLEDGE. LMHS ALSO PROMOTES HEALTH AND WELLNESS TO THE COMMUNITY THROUGH A VARIETY OF INITIATIVES. IN 2012, LMHS CREATED THE ACTIVEFIT YOUTH WELLNESS PROGRAM, DESIGNED FOR YOUTH AGES 6 TO 12. THE PROGRAM OFFERS A FREE ONLINE, GOAL-ORIENTED, WELLNESS ACTIVITY PLAN WITH INCENTIVES FOR THOSE WHO COMPLETE THEIR GOALS. THE PROGRAM ALSO FEATURES UNIQUE COMMUNITY EVENTS TO HELP THE PARTICIPANTS STAY ACTIVE AND LEARN HOW TO BETTER CARE FOR THEIR PERSONAL HEALTH. THE PROGRAM HAS BEEN PROMOTED DIRECTLY TO THE YOUTH WITH SCHOOL ASSEMBLY PRESENTATIONS AND THROUGH AN AGGRESSIVE ADVERTISING AND MARKETING CAMPAIGN TO THE COMMUNITY. LMHS INCORPORATED ACTIVEFIT WITHIN 22 ELEMENTARY SCHOOLS WITH A PROGRAM TO INCENTIVIZE SCHOOLS TO PROMOTE, INITIATE REGISTRATION, AND ENCOURAGE THE YOUTH TO ACHIEVE THEIR GOALS. IN 2016, LMHS ESTABLISHED A SIMILAR PROGRAM, ACTIVESENIOR, FOR ADULTS, AGES 60 AND UP. CREATED IN CONJUNCTION WITH CLINICAL STAFF AND PHYSICIANS, THE PROGRAM AIMS TO PROVIDE WELL-BEING FOR SENIORS THROUGH A YEAR-LONG GOAL PROGRAM, FEATURING FOUR KEY HEALTH AREAS OF FOCUS, PHYSICAL, NUTRITIONAL, MENTAL, AND SOCIAL. THE PROGRAM ALSO OFFERS GOAL INCENTIVES AND CREATIVE COMMUNITY ACTIVITIES GEARED TOWARD THE SENIOR DEMOGRAPHIC. LMHS ALSO EMPHASIZES THE NEED FOR EXCELLENT PERSONAL HEALTH TO A VARIETY OF DEMOGRAPHICS THROUGH SPECIAL EVENTS. FOR EXAMPLE, EACH SPRING, LMHS OFFERS THE HEART TO PLAY PROGRAM TO LICKING COUNTY JUNIOR AND HIGH SCHOOL STUDENTS. THE PROGRAM FEATURES HEALTH REVIEW EVENTS THROUGHOUT THE MONTH OF MAY WITH AN EKG HEART SCREENING, IN ADDITION TO HEALTH AND CONCUSSION SCREENINGS. OTHER MAJOR HEALTH-RELATED ACTIVITIES INCLUDE FAMILY MOVIE NIGHT EVENTS, PATIENT REUNIONS, YOUTH SUMMER CAMPS, THE "FOR YOUR HEALTH" 5K RUN/WALK & 1-MILE FUN WALK, CANCER SURVIVORS PICNIC, AND THE CAREGIVERS EXPO. |
| PART VI, LINE 6: | LICKING MEMORIAL HEALTH SYSTEMS ("LMHS") IS A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF OHIO TO PROVIDE AND PROMOTE HEALTHCARE SERVICES IN CENTRAL OHIO.LMHS IS THE PARENT ORGANIZATION AND SOLE CORPORATE MEMBER OF LICKING MEMORIAL HOSPITAL ("LMH"), LICKING MEMORIAL HEALTH FOUNDATION ("LMHF"), AND LICKING MEMORIAL HEALTH PROFESSIONALS ("LMHP").LMHP EMPLOYS A STAFF OF PHYSICIANS AND SUPPORT PERSONNEL TO FURTHER THE CHARITABLE PURPOSE OF LMHS. PART VI, LINE 7:NONE |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LICKING MEMORIAL HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WEST MAIN STREET | AddressLine1Txt |
| City | NEWARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43055 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 311096217 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $700,063 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | COMMUNITY SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION GIVES FUNDS TO THE LICKING MEMORIAL HEALTH FOUNDATION, WHICH PROVIDES GRANTS TO OTHER 501(C)(3) ORGANIZATIONS BASED ON REQUESTS AND ACTIVITIES IN THE COMMUNITY. THE HOSPITAL RELIES ON THE FOUNDATION TO MONITOR THE USE OF GRANT FUNDS BY MONITORING RECIPIENTS' ACTIVITIES IN THE COMMUNITY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT MONTAGNESE | ||||||||||||||
| PRESIDENT & CEO | $759,019 | $0 | $159,440 | $0 | $11,260 | $0 | $212,613 | $0 | $46,614 | $0 | $1,188,946 | $0 | $0 | $0 |
| CRAIG CAIRNS | ||||||||||||||
| VP, MEDICAL AFFAIRS | $360,487 | $0 | $22,957 | $0 | $4,968 | $0 | $14,040 | $0 | $11,892 | $0 | $414,344 | $0 | $0 | $0 |
| CINDY WEBSTER | ||||||||||||||
| VP, FINANCIAL SERVICES | $337,093 | $0 | $8,953 | $0 | $3,275 | $0 | $13,908 | $0 | $19,023 | $0 | $382,252 | $0 | $0 | $0 |
| HEATHER BURKHART | ||||||||||||||
| VP, ACUTE CARE SERVICES | $283,123 | $0 | $1,100 | $0 | $944 | $0 | $11,668 | $0 | $43,032 | $0 | $339,867 | $0 | $0 | $0 |
| BENJAMIN BROYLES | ||||||||||||||
| VP, COMMUNITY HEALTH & WELLNESS | $249,336 | $0 | $12,134 | $0 | $836 | $0 | $10,454 | $0 | $42,905 | $0 | $315,665 | $0 | $0 | $0 |
| VERONICA PATTON | ||||||||||||||
| VP, DEVELOPMENT & PR | $275,542 | $0 | $1,100 | $0 | $3,997 | $0 | $11,265 | $0 | $10,264 | $0 | $302,168 | $0 | $0 | $0 |
| HOLLY SLAUGHTER | ||||||||||||||
| VP, HR & SUPPORT SERVICES | $256,918 | $0 | $12,134 | $0 | $836 | $0 | $10,459 | $0 | $1,500 | $0 | $281,847 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | ROBERT A. MONTAGNESE, PRESIDENT & CEO, PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN 2024, CONTRIBUTIONS WERE MADE TO THE PLAN ON HIS BEHALF IN THE AMOUNT OF $198,239. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT OF THE RETURN IS REVIEWED FIRST BY INTERNAL MANAGEMENT. AFTER INTERNAL MANAGEMENT HAS REVIEWED THE RETURN AND ANY CHANGES ARE MADE, A DRAFT IS MADE AVAILABLE FOR REVIEW AND PRESENTATION TO THE BOARD. ONCE THE COMMENTS FROM THE BOARD ARE REVIEWED, THE FINAL RETURN IS PREPARED AND SIGNED BY THE VICE PRESIDENT FINANCIAL SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ALL BOARD MEMBERS AND KEY EMPLOYEES TO SIGN A CONFLICT OF INTEREST STATEMENT ONCE A YEAR. THE ORGANIZATION DOES NOT PERMIT BOARD MEMBERS TO HAVE A CONFLICT OF INTEREST. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST THEY ARE ASKED TO RESIGN FROM THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE ORGANIZATION HAS AN INDEPENDENT COMPENSATION COMMITTEE THAT DETERMINES THE COMPENSATION FOR THE CEO THAT IS THEN APPROVED BY THE BOARD. THE CEO DETERMINES THE COMPENSATION FOR THE OTHER OFFICERS BASED UPON INDEPENDENT SALARY SURVEYS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | CHANGE IN MINIMUM PENSION LIABILITY 1,300,319. CHANGE IN RETIREE BENEFIT PLAN 432,837. NET ASSET TRANSFERS WITH RELATED 501(C)(3) -62,701,767. |
| FORM 990, PAGE 12, PART XII LINE 2C: | THERE WAS NO CHANGE IN THE OVERSIGHT PROCESS OR SELECTION PROCESS OF THE INDEPENDENT AUDITOR. LICKING MEMORIAL HOSPITAL ("LMH") CONTINUES TO BE AUDITED AS PART OF THE LICKING MEMORIAL HEALTH SYSTEMS ("LMHS") CONSOLIDATED GROUP. LMH IS INCLUDED IN THE LMHS CONSOLIDATED FINANCIAL STATEMENTS. LMHS HAS A FINANCE COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LICKING MEMORIAL HEALTH SYSTEMS | |||||||||||
| 1320 WEST MAIN STREET | NEWARK | OH | 43055 | 311096218 | PARENT COMPANY FOR THE NONPROFIT OPERATION OF HEALTHCARE ORGANIZATIONS | OH | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| LICKING MEMORIAL HEALTH FOUNDATION | |||||||||||
| 1320 WEST MAIN STREET | NEWARK | OH | 43055 | 311096217 | PROVIDE FUNDING FOR HEALTHCARE PROGRAMS | OH | 501(C)(3) | LINE 12A, I | 0 | LICKING MEMORIAL HEALTH SYSTEMS | |
| LICKING MEMORIAL HEALTH PROFESSIONALS | |||||||||||
| 1320 WEST MAIN STREET | NEWARK | OH | 43055 | 311425530 | HEALTHCARE ORGANIZATION | OH | 501(C)(3) | LINE 10 | 0 | LICKING MEMORIAL HEALTH SYSTEMS | |
| LICKING MEMORIAL TWIGS | |||||||||||
| 1320 WEST MAIN STREET | NEWARK | OH | 43055 | 463190381 | TO SUPPORT THE OPERATIONS OF LICKING MEMORIAL HEALTH SYSTEMS | OH | 501(C)(3) | LINE 12A, I | 0 | LICKING MEMORIAL HEALTH SYSTEMS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |