LICKING MEMORIAL HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- LICKING MEMORIAL HOSPITAL (EIN 31-4379519)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-04
- IRS object ID
- 201403089349300925
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-04T09:22:25-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271235638 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNTJOY CHILTON MEDLEY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 462 S FOURTH ST SUITE 2600 | AddressLine1 |
| City | LOUISVILLE | City |
| State | KY | State |
| ZIP Code | 402023445 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LICK | BusinessNameControlTxt |
| Phone | 7403484528 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WEST MAIN STREET | AddressLine1 |
| City | NEWARK | City |
| State | OH | State |
| ZIP Code | 43055 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CYNTHIA L WEBSTER | PersonNm |
| Person Title | V P OF FINANCIAL SERVICES | PersonTitleTxt |
| Phone | 7403484528 | PhoneNum |
| Signature | 2014-10-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | VICTORIA D BUSTER CPA | PreparerPersonNm |
| PTIN | P00024054 | PTIN |
| Phone | 5027491900 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | 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 | AddressLine1 |
| City | NEWARK | City |
| State | OH | State |
| ZIP Code | 43055 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $199,286,939 | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1513 | TotalEmployeeCnt |
| Total Volunteers | 135 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $178,311,860 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $192,959,834 | CYProgramServiceRevenueAmt |
| PY Investment Income | $320,241 | PYInvestmentIncomeAmt |
| CY Investment Income | $857,005 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,445,479 | PYOtherRevenueAmt |
| CY Other Revenue | $1,585,313 | CYOtherRevenueAmt |
| PY Total Revenue | $180,077,580 | PYTotalRevenueAmt |
| CY Total Revenue | $195,402,152 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $75,274,257 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $79,532,519 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $74,301,388 | PYOtherExpensesAmt |
| CY Other Expenses | $83,518,376 | CYOtherExpensesAmt |
| PY Total Expenses | $149,575,645 | PYTotalExpensesAmt |
| CY Total Expenses | $163,050,895 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $30,501,935 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $32,351,257 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $147,845,017 | TotalAssetsBOYAmt |
| Total Assets EOY | $144,529,962 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $89,448,873 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $55,538,620 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $58,396,144 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $88,991,342 | 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 | $141,049,025 | ExpenseAmt |
| Revenue | $193,282,352 | RevenueAmt |
| Desc | LICKING MEMORIAL HOSPITAL (LMH) PROVIDES HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S RACE, CREED, GENDER, DISABILITY, ETHNICITY, AGE, RELIGION, CITIZENSHIP, NATIONAL ORIGIN OR SOURCES OF PAYMENT FOR CARE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF LMH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. FURTHER, WE BELIEVE OUR PURPOSE IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND EDUCATION. THEREFORE, IN KEEPING WITH OUR COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, WE PROVIDE: - FREE CARE AND/OR SUBSIDIZED CARE - CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST - HEALTH ACTIVITIES AND PROGRAMS FREE-OF-CHARGE TO THE COMMUNITYTHE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED AND MEDICALLY UNDER SERVED.LMH SERVED 7,764 INPATIENTS AND 1,047 NEWBORNS FOR A TOTAL OF 27,621 PATIENT DAYS, AND PROVIDED SERVICES TO 310,048 OUTPATIENTS IN 2013.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 $161,476,000 IN 2013.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. THE HOSPITAL ROUTINELY PROVIDES UNCOMPENSATED CARE TO PATIENTS WHO ARE UNWILLING OR UNABLE TO PAY THEIR HOSPITAL BILLS. IN 2013, LMH WROTE OFF CHARGES OF APPROXIMATELY $20,153,000 IN BAD DEBTS AND $21,638,000 IN CHARITY CARE. | Desc |
| Total Program Service Expenses | $141,049,025 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 769 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1513 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID CLAYPOOL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7403484528 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WEST MAIN STREET | AddressLine1 |
| City | NEWARK | City |
| State | OH | State |
| ZIP Code | 43055 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 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 |
|---|---|---|---|---|---|---|---|---|
| PATRICK D GUANCIALE | ||||||||
| CHAIRMAN | 1.30 | 1.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOYCE L MALAINY | ||||||||
| TREASURER | 1.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CRAIG BALDWIN | ||||||||
| VICE CHAIRMAN | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| NANCY G NEELY | ||||||||
| SECRETARY | 1.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHERI HOTTINGER | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| GENE BRANSTOOL | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN MORTELLARO | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| GUS A ANDREWS | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS MULLADY | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL NOBLE | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| BART M WEILER | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL MASSARO | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH A KOHMAN | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT MONTAGNESE | ||||||||
| PRESIDENT & CEO | 30.00 | 10.00 | Yes (X) | $513,258 | $0 | $51,678 | ||
| CINDY WEBSTER | ||||||||
| V.P. FINANCIAL SERVICES | 30.00 | 10.00 | Yes (X) | $167,565 | $0 | $10,452 | ||
| CRAIG CAIRNS | ||||||||
| VP MEDICAL AFFAIRS | 40.00 | $250,681 | $0 | $15,637 | Yes (X) | |||
| DEBORAH YOUNG | ||||||||
| VP PATIENT CARE | 40.00 | $169,163 | $0 | $10,552 | Yes (X) | |||
| SALLIE ARNETT | ||||||||
| VP INFO SYSTEMS | 40.00 | $166,720 | $0 | $10,400 | Yes (X) | |||
| ANNE PETERSON | ||||||||
| VP HR AND SUPPORT SERVICES | 40.00 | $145,563 | $0 | $9,080 | Yes (X) | |||
| VERONICA LINK | ||||||||
| VP PR & DEVELOPMENT | 12.70 | 26.00 | $161,490 | $0 | $10,073 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,574,440 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $117,872 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GE HEALTHCARE IITS | |||||
| 40 IDX DRIVE | SOUTH BERLINGTON | VT | 05403 | EQUIPMENT MAINTENANCE | $1,105,410 |
| MEDICAL INFORMATION TECHNOLOGY | |||||
| MEDITECH CIRCLE | WESTWOOD | MA | 02090 | SOFTWARE MAINTENANCE | $798,486 |
| REHABCARE GROUP MANAGEMENT | |||||
| PO BOX 502096 | ST LOUIS | MO | 63150 | HEALTHCARE CONSULTANTS | $507,535 |
| MEDICAL DOCTOR ASSOCIATES | |||||
| PO BOX 277185 | ATLANTA | GA | 30384 | PHYSICIAN SERVICES | $437,441 |
| CAWLEY JOHNSON GROUP | |||||
| 4015 NINE MCFARLAND DRIVE SUITE 20 | ALPHARETTA | GA | 30004 | HEALTHCARE CONSULTANTS | $400,113 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 34 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621110 | $191,055,684 | $191,055,684 |
| MEANINGFUL USE GRANT | 621110 | $1,107,118 | $1,107,118 |
| HOME HEALTH CARE | 621610 | $764,707 | $764,707 |
| FEMA GRANT | 621110 | $32,325 | $32,325 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $192,959,834 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $244,656 | TotalRevenueColumnAmt |
| Exclusion | $244,656 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $673,073 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $673,073 | 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 | $3,660,811 | SecuritiesAmt |
| Other | $163,252 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,211,714 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $449,097 | SecuritiesAmt |
| Other | $163,252 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $612,349 | TotalRevenueColumnAmt |
| Exclusion | $612,349 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA | 722210 | $1,262,795 | $1,262,795 | |
| VHA FEES & REBATES | 621110 | $239,291 | $239,291 | |
| MISCELLANEOUS | 900099 | $83,227 | $83,227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,585,313 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $195,402,152 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $193,282,352 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,119,800 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $680,823 | TotalAmt |
| Management And General | $680,823 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,610,114 | TotalAmt |
| Program Services | $50,614,311 | ProgramServicesAmt |
| Management And General | $6,995,803 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,065,971 | TotalAmt |
| Program Services | $14,518,871 | ProgramServicesAmt |
| Management And General | $2,547,100 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,175,611 | TotalAmt |
| Program Services | $3,680,955 | ProgramServicesAmt |
| Management And General | $494,656 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $664,957 | TotalAmt |
| Management And General | $664,957 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,063 | TotalAmt |
| Management And General | $317,063 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,981 | TotalAmt |
| Management And General | $35,981 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,794,914 | TotalAmt |
| Program Services | $9,512,191 | ProgramServicesAmt |
| Management And General | $2,282,723 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,846 | TotalAmt |
| Management And General | $421,846 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,759,263 | TotalAmt |
| Program Services | $1,759,263 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,854 | TotalAmt |
| Program Services | $48,875 | ProgramServicesAmt |
| Management And General | $2,979 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,927 | TotalAmt |
| Program Services | $185,736 | ProgramServicesAmt |
| Management And General | $278,191 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $743,037 | TotalAmt |
| Program Services | $569,909 | ProgramServicesAmt |
| Management And General | $173,128 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,384,140 | TotalAmt |
| Program Services | $8,731,807 | ProgramServicesAmt |
| Management And General | $2,652,333 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,099,850 | TotalAmt |
| Program Services | $1,099,850 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $31,837,086 | $27,777,480 | $4,059,606 |
| BAD DEBT EXPENSE | $20,153,161 | $20,153,161 | |
| EQUIPMENT RENTAL | $2,719,875 | $2,360,905 | $358,970 |
| MISCELLANEOUS | $71,422 | $35,711 | $35,711 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,050,895 | TotalAmt |
| Program Services | $141,049,025 | ProgramServicesAmt |
| Management And General | $22,001,870 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,926,984 | BOYAmt |
| EOY | $6,130,695 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,726,801 | BOYAmt |
| EOY | $19,064,751 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,577,491 | BOYAmt |
| EOY | $2,836,028 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $996,896 | BOYAmt |
| EOY | $1,518,330 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $212,179,859 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $115,472,771 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,326,122 | BOYAmt |
| EOY | $96,707,088 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,811,570 | BOYAmt |
| EOY | $11,377,272 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,479,153 | BOYAmt |
| EOY | $6,895,798 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,845,017 | BOYAmt |
| EOY | $144,529,962 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,513,740 | BOYAmt |
| EOY | $17,471,623 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,400,000 | BOYAmt |
| EOY | $21,800,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,535,133 | BOYAmt |
| EOY | $16,266,997 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,448,873 | BOYAmt |
| EOY | $55,538,620 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,396,144 | BOYAmt |
| EOY | $88,991,342 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,396,144 | BOYAmt |
| EOY | $88,991,342 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,845,017 | BOYAmt |
| EOY | $144,529,962 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $32,351,257 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,283,344 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,039,403 | 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 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 | $1,432 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,432 | 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 PAYS $42,118 IN ANNUAL DUES TO OHIO HOSPITAL ASSOCIATION(OHA). OF THE TOTAL DUES PAID, 3.4% OR $1,432 ARE USED BY OHA TO SUPPORT LOBBYING ACTIVITIES OF THE ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,802,879 | OtherCostOrOtherBasisAmt |
| Book Value | $1,802,879 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $101,833,755 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,834,469 | DepreciationAmt |
| Book Value | $66,999,286 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,610,133 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,030,535 | DepreciationAmt |
| Book Value | $579,598 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $105,933,092 | OtherCostOrOtherBasisAmt |
| Depreciation | $78,607,767 | DepreciationAmt |
| Book Value | $27,325,325 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $96,707,088 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED PENSION AND RETIREE LIABILITY | $12,489,591 |
| ACCRUED INTEREST PAYABLE | $32,887 |
| ACCRUED MALPRACTICE | $3,744,519 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,266,997 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE INTERNAL REVENUE SERVICE HAS RULED THAT THE HOSPITAL IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 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 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. THE SYSTEM BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2009. | ExplanationTxt |
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 | 22169 | PersonsServedCnt |
| Total Community Benefit Expns | $9,207,685 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,233,697 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,973,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04880 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 30430 | PersonsServedCnt |
| Total Community Benefit Expns | $23,441,049 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,163,748 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,277,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07890 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 52599 | PersonsServedCnt |
| Total Community Benefit Expns | $32,648,734 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,397,445 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,251,289 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19531 | PersonsServedCnt |
| Total Community Benefit Expns | $1,831,210 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $162,428 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,668,782 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 479 | PersonsServedCnt |
| Total Community Benefit Expns | $586,556 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,950 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $568,606 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $142,802 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $142,802 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1880 | PersonsServedCnt |
| Total Community Benefit Expns | $376,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $376,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 21890 | PersonsServedCnt |
| Total Community Benefit Expns | $2,937,068 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $180,378 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,756,690 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01930 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 74489 | PersonsServedCnt |
| Total Community Benefit Expns | $35,585,802 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,577,823 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,007,979 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14700 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,538 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,538 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,424 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 425 | PersonsServedCnt |
| Total Community Benefit Expns | $69,031 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $69,031 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 273 | PersonsServedCnt |
| Total Community Benefit Expns | $33,043 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,043 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 698 | PersonsServedCnt |
| Total Community Benefit Expns | $112,136 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $112,136 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $20,153,161 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,199,516 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $32,150,308 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $35,708,678 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,558,370 | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WEST MAIN STREET | AddressLine1 |
| City | NEWARK | City |
| State | OH | State |
| ZIP Code | 43055 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.LMHEALTH.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LICKING MEMORIAL HOSPITAL | PART V, SECTION B, LINE 3: REPRESENTATIVES FROM LICKING MEMORIAL HOSPITAL 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 TO IDENTIFY RESOURCES TO ADDRESS THEM. THE COMMITTEE MEETS QUARTERLY ON AN ON-GOING BASIS, BEGINNING IN APRIL OF 2010. MEMBERS OF THE COMMITTEE REPRESENT A VARIETY OF LOCAL PUBLIC HEALTH SYSTEM 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, LICKING COUNTY UNITED WAY, FAMILY HEALTH SERVICES OF EAST CENTRAL OHIO, COMMUNITY HEALTH CLINIC, AMERICAN RED CROSS OF LICKING COUNTY, OHIO STATE UNIVERSITY EXTENSION LICKING COUNTY, PATHWAYS OF CENTRAL OHIO, COMMUNITY MENTAL HEALTH AND RECOVERY BOARD, MENTAL HEALTH AMERICA OF LICKING COUNTY, LICKING COUNTY FIRE CHIEFS ASSOCIATION, LICKING COUNTY AGING PROGRAM, GRANVILLE SCHOOL DISTRICT, HOSPICE OF CENTRAL OHIO, CENTER FOR THE VISUALLY IMPAIRED, LICKING COUNTY AREA TRANSPORTATION, DENISON UNIVERSITY, LICKING COUNTY BOARD OF DEVELOPMENTAL DISABILITIES, MANY OF WHICH REPRESENT PERSONS WHO ARE MEMBERS OF THE MEDICALLY UNDERSERVED GROUPS AND THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. |
| LICKING MEMORIAL HOSPITAL | PART V, SECTION B, LINE 20D: THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY IN PLACE THAT DISCOUNTS CARE TO THOSE APPLYING FOR AND MEETING THE INCOME LIMITS FOR DISCOUNTED CARE AT A RATE THAT IS GREATER THAN THE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT IS PREPARED BY LICKING MEMORIAL HEALTH SYSTEMS AND INCLUDES LICKING MEMORIAL HEALTH SYSTEMS, LICKING MEMORIAL HOSPITAL, LICKING MEMORIAL PROFESSIONAL CORPORATION, LICKING MEMORIAL HEALTH FOUNDATION. |
| PART I, LINE 7: | THE ORGANIZATION USED THE CBISA SOFTWARE TO DETERMINE THE COST ACCOUNTING METHODOLOGY. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 20,153,161. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | IT IS IMPORTANT TO NOTE THAT ALL ACTIVITIES ASSOCIATED WITH LICKING MEMORIAL HEALTH SYSTEMS (LMHS) REFLECT AND FURTHER THE MISSION OF "IMPROVING THE HEALTH OF THE COMMUNITY". WE DEFINE THE HEALTH OF THE COMMUNITY IN A BROAD SENSE IN ORDER TO INCLUDE ACTIVITIES THAT ARE NOT NECESSARILY HEALTH AND MEDICALLY RELATED, BUT WHICH ARE CRITICAL TO SUSTAINING A HEALTHY COMMUNITY, SUCH AS STRONG SCHOOL SYSTEMS, YOUTH PROGRAMS AND ARTS. TO PROMOTE HEALTH EDUCATION TO THE COMMUNITY, WE PUBLISH THE COMMUNITY CONNECTION, A BI-MONTHLY MAGAZINE MAILED TO APPROXIMATELY 47,000 HOUSEHOLDS THAT HIGHLIGHTS ALL OF THE COMMUNITY BUILDING ACTIVITES THROUGHOUT THE YEAR. ADVOCACY FOR THE HEALTH OF THE COMMUNITY IS NOT ONLY EVIDENT THROUGH THE COMMUNITY CONNECTION PUBLICATIONS, BUT THROUGH VARIOUS HEALTH-RELATED EVENTS AND CLASSES INCLUDING 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 THE HOSPITAL. 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 THE COUNTY'S LARGEST EMPLOYER. |
| PART III, LINE 4: | LINE 2 - THE ORGANIZATION USES THE CBISA SOFTWARE FOR COSTING METHODOLOGY, A SOFTWARE PROGRAM ENDORSED BY BOTH THE OHIO HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION.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 PATIENTS ABILITY TO PAY BASED ON THE ESTIMATED HOUSEHOLD INCOME AS WELL AS THE PROBABILITY OF PAYMENT BEING MADE BASED ON HISTORICAL CREDIT INFORMATION.LINE 4 - SEE PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL REPRESENTS AN UNDERPAYMENT OF OUR COST FOR PROVIDING SERVICES TO TRADITIONAL MEDICARE PATIENTS, 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 HMO PATIENTS AT OR BELOW COST AS A FURTHER BENEFIT TO OUR COMMUNITY. BY ADOPTING THE SAME METHODOLOGY FOR TRADITIONAL MEDICARE ABOVE, THE MEDICARE HMO SHORTFALL AMOUNTED TO $3,566,856.ALONG THAT SAME LINE, THE LICKING MEMORIAL PROFESSIONAL CORPORATION, ANOTHER LMHS SUBSIDIARY, PROVIDED SERVICES TO MEDICARE (TRADITIONAL AND HMO) BENEFICIARIES AT A COST SHORTFALL OF $4,845,247 USING A CBISA SOFTWARE COSTING METHOD. THE CBISA SOFTWARE IS ENDORSED BY BOTH THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION AS A COSTING METHOD UTILIZED FOR DETERMINING SHORTFALLS. |
| 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 ORSOCIAL 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 THE LARGEST EMPLOYER 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 LICKING MEMORIAL HOSPITAL (LMH) AND THE HEALTH SYSTEMS ARE VERY INTERESTED AND ACTIVELY ENGAGED IN THE COMMUNITY; THEREFORE, THEY ARE A GREAT RESOURCE IN MAKING 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 PHYSICIANS SPEAKING IN THE COMMUNITY, ETC. PROVIDING ALL OF THIS INFORMATION TO THE BOARD ALLOWS THEM TO BE SUPPORTIVE AS ADMINISTRATION RECOMMENDS IMPLEMENTING NEW SERVICES OR ENHANCING EXISTING OFFERINGS.ORGANIZED UNDER THE HOSPITAL CORPORATION IS A 75 MEMBER DEVELOPMENT COUNCIL WHOSE PURPOSE IS TO EDUCATE THE COMMUNITY ABOUT THE HOSPITAL AND TO COMPLETE FUNDRAISING ACTIVITIES IN SUPPORT OF THE ORGANIZATION. THE MEMBERS OF THE LMH DEVELOPMENT COUNCIL ARE COMMUNITY LEADERS REPRESENTING ALL AREAS OF BUSINESS, INDUSTRY AND EDUCATION IN THE COMMUNITY. THESE ARE INDIVIDUALS WHO HAVE THEIR "FINGERS ON THE PULSE" OF THE COMMUNITY, AND ONE OF THEIR RESPONSIBILITIES AS AMBASSADORS IS TO MAKE THE ADMINISTRATION AWARE OF NEEDS IN THE COMMUNITY ESPECIALLY PERTAINING TO HEALTH CARE. 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 MONTHLY WITH THE HEALTH SYSTEMS PRESIDENT & CEO. DEVELOPMENT COUNCIL MEMBERS SERVE AS HOSTS, AND THEY INVITE 20-25 PEOPLE WITH SIMILAR INTERESTS. SOME EXAMPLES OF RECENT ROUNDTABLE GROUPS INCLUDE SCHOOL NURSES, SCHOOL ATHLETIC DIRECTORS AND COACHES, REALTORS, FIRE CHIEFS, LOCAL POLITICIANS, ETC. THESE FORUMS ARE ALWAYS VERY INFORMATIVE FOR BOTH ATTENDEES AND THE ADMINISTRATION AS WE SHARE INFORMATION ABOUT THE HOSPITAL AND THEN ASK FOR FEEDBACK 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 QUARTERLY CORPORATE BREAKFAST. THESE EDUCATIONAL SESSIONS NORMALLY DRAW 100-125 ATTENDEES FOR BREAKFAST AND PROVIDE AN OPPORTUNITY TO EDUCATE THE COMMUNITY LEADERSHIP REGARDING HOSPITAL ACTIVITIES AND TO PROVIDE AN OPEN FORUM TO DISCUSS HEALTH CARE AND OTHER NEEDS WITHIN THE COMMUNITY. SPEAKERS AT THESE EVENTS HAVE INCLUDED PHYSICIANS SPEAKING ABOUT OPHTHALMOLOGY, UROLOGICAL SERVICES, HEART ATTACK AWARENESS, REHABILITATION SERVICES, AND OTOLARYNGOLOGY. IN ADDITION, NEW PHYSICIANS ARE INTRODUCED TO THE COMMUNITY LEADERS IN ATTENDENCE AT THE CORPORATE BREAKFAST EVENTS.THE HEALTH SYSTEMS' 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.AN AFFILIATED PHYSICIAN GROUP, KNOWN AS THE LICKING MEMORIAL PROFESSIONAL CORPORATION, PROVIDES PHYSICIAN INPUT REGARDING THE NEEDS THEY IDENTIFY IN THEIR DAILY PRACTICE AND COMMUNITY INVOLVEMENT. THESE OBSERVATIONS ARE DISCUSSED WITH ADMINISTRATION FOR DEVELOPMENT OF PROGRAMS AND SERVICES TO ADDRESS SUCH NEEDS. |
| PART VI, LINE 3: | THE HEALTH SYSTEMS PROVIDES ASSISTANCE TO THOSE WHO ARE ABOVE THE FEDERAL POVERTY LEVEL BY OFFERING DISCOUNTED CARE BASED ON 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 2013, LMHS PROVIDED $48.2 MILLION OF UNCOMPENSATED CARE AT STANDARD CHARGES, INCLUDING $25.2 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. THE HEALTH SYSTEMS' WEBSITE PROVIDES INFORMATION ON ASSISTANCE FOR PAYING HOSPITAL BILLS THROUGH THE HOSPITAL CARE ASSURANCE PROGRAM/ COMMUNITY ASSISTANCE PROGRAM. THIS ALSO IS 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 ALSO CAN BE ACCESSED THROUGH THE BILLING OFFICE. FURTHERMORE, THE HEALTH SYSTEMS CONTRACTS WITH AN ELIGIBILITY COMPANY TO SCREEN AND IDENTIFY PATIENTS WHO ARE ELIGIBLE FOR ASSISTANCE, AND EMPLOYS THE 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 THAT MESSAGE IS SHARED IN THE COMMUNITY THROUGH THEIR GRASS ROOTS EFFORTS. |
| PART VI, LINE 4: | LICKING MEMORIAL HOSPITAL LOCATED IN NEWARK, OHIO THIRTY THREE MILES EAST OF COLUMBUS. THE CITY OF NEWARK HAS A POPULATION OF ABOUT 48,000 PEOPLE WITH A MEDIAN INCOME OF APPROXIMATELY $38,000. THE HOSPITAL SERVES THE COMMUNITY OF NEWARK AND LICKING COUNTY. LICKING COUNTY HAS A POPULATION OF APPROXIMATELY 168,000 (PER U.S. CENSUS BUREAU), A PER CAPITA INCOME OF APPROXIMATELY $26,000 AND AN UNEMPLOYMENT RATE OF 6.9%. |
| PART VI, LINE 5: | THROUGH THE MISSION OF "IMPROVING THE HEALTH OF THE COMMUNITY", LMHS PROMOTES HEALTH EDUCATION AND WELLNESS IN VARIOUS 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; PROVIDED MANY FREE CLASSES REGARDING TOPICS SUCH AS CHILDBIRTH, INFANT AND CHILD CPR, BREASTFEEDING, SIBLING PREPARATION, DIABETES, NEWBORN BASICS, AND TOBACCO CESSATION; PROVIDED SUPPORT GROUPS FOR VICTIMS AND FAMILIES OF CANCER, DIABETES, CHEMICAL DEPENDENCY, AND HEART DISEASE; PROVIDED ASSISTANCE TO EDUCATORS THROUGH COALITIONS WITH STUDENT NURSES, OCCUPATIONAL THERAPY, AND PHYSICAL THERAPY INTERNS; PROVIDED SPEAKERS TO SCHOOLS, BUSINESSES, AND VARIOUS ORGANIZATIONS ON TOPICS SUCH AS TOBACCO CESSATION, LEADING AN ACTIVE AND HEALTHY LIFESTYLE, AND DIABETES EDUCATION. THE SCHEDULE IS FOUND ONLINE OR PRINTED THROUGH OUR BI-MONTHLY COMMUNITY CONNECTION PUBLICATION FOR THE COMMUNITY TO ACKNOWLEDGE. LMHS ALSO PROMOTES HEALTH AND WELLNESS TO THE COMMUNITY THROUGH A VARIETY OF INITIATIVES. IN 2012, THE HEALTH SYSTEMS CREATED THE ACTIVE-FIT YOUTH WELLNESS PROGRAM, TARGETING YOUTH AGES 6-12. 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.THE HEALTH SYSTEMS ALSO EMPHASIZES THE NEED FOR EXCELLENT PERSONAL HEALTH TO A VARIETY OF DEMOGRAPHICS THROUGH SPECIAL EVENTS. FOR EXAMPLE, LMHS INVITES COMMUNITY MEMBERS EACH YEAR TO A RED DRESS GALA EVENT FEATURING SPEAKER PRESENTATIONS, DEMONSTRATIONS, HEALTH SCREENINGS AND HEART-HEALTHY FOODS. EACH SUMMER, LMHS OFFERS THE HEART TO PLAY PROGRAM TO LICKING COUNTY JUNIOR- AND HIGH SCHOOL STUDENTS. THE PROGRAM FEATURES HEALTH REVIEW EVENTS THROUGHOUT THE SUMMER MONTHS WITH AN EKG HEART SCREENING, IN ADDITION TO A HEALTH AND CONCUSSION SCREENING.THE HEALTH SYSTEMS ALSO DEVOTES RESOURCES TO A HEALTH-RELATED COMMUNITY BENEFIT PROJECT EACH YEAR. IN 2013, THE HEALTH SYSTEMS UPGRADED THE 12-LEAD EKG'S FOR THE LOCAL EMS PROVIDERS FOR A TOTAL CONTRIBUTION OF $600,000. |
| PART VI, LINE 6: | LICKING MEMORIAL HEALTH SYSTEMS (THE SYSTEM) IS A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF OHIO TO PROVIDE AND PROMOTE HEALTH CARE SERVICES IN CENTRAL OHIO.THE SYSTEM IS THE PARENT ORGANIZATION AND SOLE CORPORATE MEMBER OF LICKING MEMORIAL HOSPITAL (THE HOSPITAL), LICKING MEMORIAL HEALTH FOUNDATION (THE FOUNDATION), AND LICKING MEMORIAL PROFESSIONAL CORPORATION (THE PROFESSIONAL CORPORATION).THE PROFESSIONAL CORPORATION EMPLOYS A STAFF OF PHYSICIANS AND SUPPORT PERSONNEL TO FURTHER THE SYSTEM'S CHARITABLE PURPOSE. THE PROFESSIONAL CORPORATION HAS A SOLE PHYSICIAN SHAREHOLDER, WHO, UNDER A SHARED CONTROL AGREEMENT, ASSIGNED THE VOTING RIGHTS OF THE STOCK TO THE SYSTEM. |
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 |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 | $459,186 | $0 | $21,236 | $0 | $32,836 | $0 | $51,678 | $0 | $0 | $0 | $564,936 | $0 | $0 | $0 |
| CINDY WEBSTER | ||||||||||||||
| V.P. FINANCIAL SERVICES | $152,027 | $0 | $1,773 | $0 | $13,765 | $0 | $10,452 | $0 | $0 | $0 | $178,017 | $0 | $0 | $0 |
| CRAIG CAIRNS | ||||||||||||||
| VP MEDICAL AFFAIRS | $234,485 | $0 | $1,691 | $0 | $14,505 | $0 | $15,637 | $0 | $0 | $0 | $266,318 | $0 | $0 | $0 |
| DEBORAH YOUNG | ||||||||||||||
| VP PATIENT CARE | $143,420 | $0 | $1,772 | $0 | $23,971 | $0 | $10,552 | $0 | $0 | $0 | $179,715 | $0 | $0 | $0 |
| SALLIE ARNETT | ||||||||||||||
| VP INFO SYSTEMS | $151,256 | $0 | $1,707 | $0 | $13,757 | $0 | $10,400 | $0 | $0 | $0 | $177,120 | $0 | $0 | $0 |
| ANNE PETERSON | ||||||||||||||
| VP HR AND SUPPORT SERVICES | $120,161 | $0 | $1,641 | $0 | $23,761 | $0 | $9,080 | $0 | $0 | $0 | $154,643 | $0 | $0 | $0 |
| VERONICA LINK | ||||||||||||||
| VP PR & DEVELOPMENT | $135,881 | $0 | $1,707 | $0 | $23,902 | $0 | $10,073 | $0 | $0 | $0 | $171,563 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | ROBERT MONTAGNESE, PRESIDENT, PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). A CONTRIBUTION WAS MADE TO THE PLAN ON HIS BEHALF FOR THE 2013 YEAR IN THE AMOUNT OF $19,662. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | 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 OF 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 15 | 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 21,245,484. CHANGE IN RETIREE BENEFIT PLAN -162,834. NET ASSET TRANSFERS WITH RELATED 501(C)(3) -24,122,053. |
| 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 CONTINUES TO BE AUDITED AS PART OF THE LICKING MEMORIAL HEALTH SYSTEMS CONSOLIDATED GROUP. LICKING MEMORIAL HOSPITAL IS INCLUDED IN THE LICKING MEMORIAL HEALTH SYSTEMS CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION HAS A FINANCE COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. |
| COMMUNITY BENEFIT FOR LICKING MEMORIAL HEALTH SYSTEM CONSOLIDATED GROUP | MONETARY INPUTS OUTPUTS TITLE/DEPARTMENT EXPENSES OFFSETS BENEFIT PERSONS 12 LEAD EKG PROJECT CARDIOLOGY (1712) 139,983 0 139,983 UNKNOWN 20TH CENTURY CLUB CASH DONATIONS DEVELOPMENT (1955) 2,660 0 2,660 UNKNOWN ACTIVE FIT PRESENTATIONS COMMUNITY OUTREACH (1956) 4,697 0 4,697 1,687 ACTIVE FIT YOUTH WELLNESS EVENTS COMMUNITY OUTREACH (1956) 44,871 0 44,871 985 ACTIVITY AND DIABETES PROCESS IMPROVEMENT (1945) 104 0 104 1 ADVANCES IN EYE CARE PROCESS IMPROVEMENT (1945) 205 0 205 30 ALEXANDRIA FUN DAYS COMMUNITY OUTREACH (1956) 129 0 129 100 AMERICAN CANCER SOCIETY CASH DONATIONS DEVELOPMENT (1955) 3,000 0 3,000 UNKNOWN AMERICAN RED CROSS OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 3,870 0 3,870 UNKNOWN ASK THE DOC AT SHEPHERD HILL OP CHEMICAL DEPENDENCY (1692) 17,400 0 17,400 1,045 ATRIAL FIBRILLATION PROCESS IMPROVEMENT (1945) 209 0 209 28 AUTOMATED EXTERNAL DEFIBRILLATORS DEVELOPMENT (1955) 2,819 0 2,819 UNKNOWN BED BUGS COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 255 0 255 27 BEHAVIORAL HEALTH CARE PARTNERS CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN BIG BROTHERS/BIG SISTERS CASH DONATIONS DEVELOPMENT (1955) 9,700 0 9,700 UNKNOWN BIG BROTHERS/BIG SISTERS IN KIND DONATIONS DEVELOPMENT (1955) 4,151 0 4,151 UNKNOWN BIG BROTHERS/BIG SISTERS HOLIDAY HELP PROGRAM DEVELOPMENT (1955) 4,524 0 4,524 UNKNOWN BLESSED SACRAMENT SCHOOL CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN BOY SCOUTS OF AMERICA SIMON KENTON COUNCIL CASH DONATIONS DEVELOPMENT (1955) 750 0 750 UNKNOWN BREAST CA AWARENESS DAY FREE MAMMOGRAMS RADIOLOGY (1721) 13,453 0 13,453 47 BREAST FEEDING BASICS MATERNAL CHILD (1646) 9,721 7,035 2,686 1,332 BREASTFEEDING MOTHERS SUPPORT GROUP MATERNAL CHILD (1646) 104 0 104 6 BREASTFEEDING PROMOTION & SUPPORT PROGRAM MATERNAL CHILD (1646) 50,720 0 50,720 291 BUCKEYE LAKE HEAD START SPEAKER COMMUNITY OUTREACH (1956) 117 0 117 4 C TEC SPEAKER COMMUNITY OUTREACH (1956) 102 0 102 25 C TEC MEDICAL ASSISTANT EXTERNSHIP PROGRAM ADMIN LMHP (7445) 29,485 0 29,485 13 C TEC OUTSTANDING STUDENT AWARD SPONSORSHIP DEVELOPMENT (1955) 200 0 200 UNKNOWN C TEC SENIOR CITIZEN DAY COMMUNITY OUTREACH (1956) 356 0 356 22 CADE AND KATELYN FUND COMMITTEE CASH DONATIONS DEVELOPMENT (1955) 400 0 400 UNKNOWN CAMP FEELIN' FINE RESPIRATORY THERAPY (1736) 5,414 0 5,414 39 CAMP O'BANNON CASH DONATIONS DEVELOPMENT (1955) 700 0 700 UNKNOWN CANCER SURVIVOR PICNIC COMMUNITY SUPPORT DEVELOPMENT (1955) 9,790 0 9,790 350 CAROL STRAWN CENTER CASH DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN CBISA SOFTWARE FISCAL SERVICES (1901) 945 0 945 UNKNOWN CHERRY VALLEY ELEMENTARY HEALTH INFORMATION TABLE COMMUNITY OUTREACH (1956) 319 0 319 65 CHERRY VALLEY ELEMENTARY IN KIND DONATIONS DEVELOPMENT (1955) 180 0 180 70 CHILD ADVOCACY CENTER OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 5,000 0 5,000 UNKNOWN COLORECTAL CANCER AWARENESS COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 797 0 797 16 COMMUNITY BENEFIT REPORTING HOURS FISCAL SERVICES (1901) 6,532 0 6,532 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (COMMUNITY BENEFIT) EXECUTIVE ADMIN (1950) 36,186 0 36,186 200 COMMUNITY BOARD/COMMITTEE MEETINGS (COMMUNITY SUPPORT) EXECUTIVE ADMIN (1950) 31,345 0 31,345 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (ECONOMIC DEVELOPMENT) EXECUTIVE ADMIN (1950) 5,639 0 5,639 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (HOUSING REHABILITATION) EXECUTIVE ADMIN (1950) 788 0 788 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (WORKFORCE DEVELOPMENT) EXECUTIVE ADMIN (1950) 4,809 0 4,809 UNKNOWN COMMUNITY CASE MANAGEMENT SERVICES COMMUNITY CASE MANAGEMENT (1976) 795,170 89,603 705,567 UNKNOWN COMMUNITY HEALTH ASSESSMENT COMMITTEE PROCESS IMPROVEMENT (1945) 2,493 0 2,493 UNKNOWN COMMUNITY LEADERS' ROUNDTABLES DEVELOPMENT (1955) 1,372 0 1,372 75 COMMUNITY NEEDS ASSESSMENT COSTS FISCAL SERVICES (1901) 572 0 572 UNKNOWN CORONARY ARTERY DISEASE COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 216 0 216 12 CORPORATE BREAKFASTS DEVELOPMENT (1955) 2,035 0 2,035 125 COTC SPEAKER COMMUNITY OUTREACH (1956) 114 0 114 15 COUGHLIN CHEVROLET FAST 5K HEALTH INFORMATION TABLE COMMUNITY OUTREACH (1956) 724 0 724 450 DAWES ARBORETUM CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN DENISON UNIVERSITY SPEAKER COMMUNITY OUTREACH (1956) 667 0 667 12 DENTISTRY FROM THE HEART COMMUNITY SUPPORT DEVELOPMENT (1955) 111 0 111 UNKNOWN DENTISTRY FROM THE HEART IN KIND DONATIONS DEVELOPMENT (1955) 126 0 126 UNKNOWN DINING WITH DIABETES PROCESS IMPROVEMENT (1945) 4,132 0 4,132 105 DONATION OF MEAT TO SALVATION ARMY DEVELOPMENT (1955) 7,263 0 7,263 UNKNOWN DONATIONS TO MEDICAL MISSIONARIES IN KIND DONATIONS PURCHASING (1675) 197,857 0 197,857 UNKNOWN DRUG ASSISTANT INDIGENT DRUG RECOVERY ADMIN LMHP (7445) 53,490 0 53,490 3,354 EARLY HEART ATTACK CARE PROCESS IMPROVEMENT (1945) 133 0 133 3 EMERGENCY SERVICES FOR INDIGENT PATIENTS REFERRALS FISCAL SERVICES (1901) 154,737 0 154,737 UNKNOWN ETNA UNITED METHODIST CHURCH HEALTH INFORMATION TABLE COMMUNITY OUTREACH (1956) 268 0 268 100 FAMILY & FRIENDS INFANT AND CHILD CPR MATERNAL CHILD (1646) 841 340 501 78 FAMILY AND FRIENDS CPR PROCESS IMPROVEMENT (1945) 225 0 225 11 FAMILY OF FAITH COMMUNITY CHURCH CASH DONATION DEVELOPMENT (1955) 500 0 500 UNKNOWN FIRST UNITED METHODIST CHURCH, NEWARK COMMUNITY SUPPORT DEVELOPMENT (1955) 155 0 155 UNKNOWN FOOD PANTRY NETWORK CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN FOOT CARE & DIABETES PROCESS IMPROVEMENT (1945) 124 0 124 5 FOR YOUR HEALTH 5K AND FUN WALK DEVELOPMENT (1955) 10,341 0 10,341 750 FOSTER GRANDPARENT PROGRAM SPEAKER COMMUNITY OUTREACH (1956) 118 0 118 8 GETTING A GOOD NIGHT OF SLEEP PROCESS IMPROVEMENT (1945) 918 0 918 17 GLENN'S MARKET SCREENINGS COMMUNITY CASE MANAGEMENT (1976) 1,458 0 1,458 130 GRANVILLE AREA CHAMBER OF COMMERCE CASH DONATIONS DEVELOPMENT (1955) 1,500 0 1,500 UNKNOWN GRANVILLE ART AFFAIR AND WINE FESTIVAL HEALTH INFORMATION TABLE COMMUNITY OUTREACH (1956) 239 0 239 40 GRANVILLE BIKE SWAP HEALTH INFORMATION TABLE COMMUNITY OUTREACH (1956) 438 0 438 35 GRANVILLE CHILI COOK OFF IN KIND DONATIONS FOOD SERVICE (1801) 357 0 357 UNKNOWN GRANVILLE CHRISTIAN ACADEMY CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN GRANVILLE HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 1,600 0 1,600 UNKNOWN GRANVILLE MIDDLE SCHOOL SPEAKER COMMUNITY OUTREACH (1956) 498 0 498 50 HARRY & DAVID SPEAKER COMMUNITY OUTREACH (1956) 611 0 611 17 HARVEST MANAGEMENT SPEAKER COMMUNITY OUTREACH (1956) 254 0 254 30 HEALTHCARE MEDIA INTERVIEWS COMMUNITY OUTREACH (1956) 1,083 0 1,083 UNKNOWN HEART SAVER AED TRAINING COACHES PROCESS IMPROVEMENT (1945) 713 0 713 18 HEART TO PLAY PROGRAM SPORTS PHYSICALS (7487) 53,370 10,000 43,370 1,242 HEARTBEATS OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 450 0 450 UNKNOWN HEATH FIRE DEPARTMENT OPEN HOUSE HEALTH SCREENINGS COMMUNITY OUTREACH (1956) 433 0 433 119 HEATH HIGH SCHOOL IN KIND DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN HEATH SERTOMA YOUTH ATHLETIC ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 350 0 350 UNKNOWN HEBRON MUSIC AND ARTS FESTIVAL HEALTH INFORMATION TABLE COMMUNITY OUTREACH (1956) 523 0 523 150 HENDRICKSON AUXILIARY AXLE SPEAKER COMMUNITY OUTREACH (1956) 101 0 101 22 HERBAL AND OVER THE COUNTER MEDICATIONS PROCESS IMPROVEMENT (1945) 137 0 137 6 HERITAGE MIDDLE SCHOOL SPEAKER COMMUNITY OUTREACH (1956) 145 0 145 60 |
| CONTINUED | HIGH BLOOD PRESSURE COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 168 0 168 12 HOPE FOUNDATION IN KIND DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN HOSPICE OF CENTRAL OHIO CASH DONATIONS DEVELOPMENT (1955) 825 0 825 UNKNOWN IMMUNIZATION OF PATIENTS AGES 65 AND OVER FOR TD ADMIN LMHP (7445) 7,092 0 7,092 257 INDIAN MOUND MALL EVENT HEALTH INFORMATION TABLE COMMUNITY OUTREACH (1956) 177 0 177 50 JOHNSTOWN HIGH SCHOOL CAREER SPEAKER COMMUNITY OUTREACH (1956) 492 0 492 159 KIRKERSVILLE ELEMENTARY CASH DONATIONS DEVELOPMENT (1955) 450 0 450 UNKNOWN KIWANIS CLUB OF GRANVILLE CASH DONATIONS DEVELOPMENT (1955) 650 0 650 UNKNOWN LAKEWOOD MIDDLE SCHOOL SPEAKER COMMUNITY CASE MANAGEMENT (1976) 423 0 423 500 LAKEWOOD YOUTH BASEBALL ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 350 0 350 UNKNOWN LCESC JR. HIGH CAREER EXPLORATION HUMAN RESOURCES (1951) 662 0 662 23 LEADS HEADSTART SPEAKER COMMUNITY OUTREACH (1956) 221 0 221 7 LIBERTY MIDDLE SCHOOL SPEAKERS BUREAU COMMUNITY OUTREACH (1956) 430 0 430 260 LICCO INC. CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN LICKING COUNTY AGING PROGRAM SPEAKER COMMUNITY OUTREACH (1956) 681 0 681 98 LICKING COUNTY BOARD OF MRDD SPEAKER COMMUNITY OUTREACH (1956) 155 0 155 35 LICKING COUNTY CHAMBER OF COMMERCE CASH DONATIONS DEVELOPMENT (1955) 925 0 925 UNKNOWN LICKING COUNTY CHRISTIAN ACADEMY CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN LICKING COUNTY COALITION FOR HOUSING CASH DONATIONS DEVELOPMENT (1955) 300 0 300 UNKNOWN LICKING COUNTY COALITION OF CARE CASH DONATIONS DEVELOPMENT (1955) 750 0 750 UNKNOWN LICKING COUNTY EDUCATION SERVICE CENTER IN KIND DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN LICKING COUNTY EDUCATIONAL SERVICES CENTER CASH DONATIONS HUMAN RESOURCES (1951) 500 0 500 UNKNOWN LICKING COUNTY FAMILY YMCA CASH DONATIONS DEVELOPMENT (1955) 6,500 0 6,500 UNKNOWN LICKING COUNTY HEALTH DEPARTMENT CASH DONATIONS DEVELOPMENT (1955) 400 0 400 UNKNOWN LICKING COUNTY HEALTH DEPARTMENT CHLAMYDIA/GC SCREENINGS LAB (1702) 5,694 0 5,694 146 LICKING COUNTY HISTORICAL SOCIETY CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN LICKING COUNTY JUNIOR ACHIEVEMENT CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN LICKING COUNTY PLAYERS THEATER COMMUNITY SUPPORT DEVELOPMENT (1955) 201 0 201 UNKNOWN LICKING COUNTY PRAYER PARTNERS CASH DONATIONS DEVELOPMENT (1955) 1,250 0 1,250 UNKNOWN LICKING COUNTY SAFETY COUNCIL SPEAKER COMMUNITY OUTREACH (1956) 1,020 0 1,020 100 LICKING COUNTY SCHOOL NURSES MEETING SPEAKER COMMUNITY OUTREACH (1956) 191 0 191 12 LICKING COUNTY SHERIFF'S DEPARTMENT CASH DONATIONS DEVELOPMENT (1955) 292 0 292 UNKNOWN LICKING COUNTY SOIL & WATER CONSERVATION DISTRICT CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN LICKING KNOX GOODWILL SPEAKER COMMUNITY OUTREACH (1956) 171 0 171 6 LICKING VALLEY HERITAGE SOCIETY CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN LICKING VALLEY HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 150 0 150 UNKNOWN LICKING VALLEY YOUTH SPORTS ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 1,375 0 1,375 UNKNOWN LOOK UP CENTER CASH DONATIONS DEVELOPMENT (1955) 5,000 0 5,000 UNKNOWN LOWES SAFETY SATURDAY INFORMATION TABLE COMMUNITY OUTREACH (1956) 152 0 152 100 LUNG CANCER COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 1,213 0 1,213 4 LUNGEVITY FOUNDATION CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN MENTAL HEALTH AMERICA SPEAKERS COMMUNITY OUTREACH (1956) 283 0 283 24 MENTAL HEALTH AMERICA OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 2,785 0 2,785 UNKNOWN MIDLAND THEATRE IN KIND DONATIONS DEVELOPMENT (1955) 5,000 0 5,000 UNKNOWN MISSION TRIP DRUGS AND SUPPLIES DEVELOPMENT (1955) 295 0 295 UNKNOWN MOCK STEMI COMMUNITY OUTREACH (1956) 3,678 0 3,678 60 MONROE TOWNSHIP FIRE DEPARTMENT HEALTH SCREENINGS COMMUNITY OUTREACH (1956) 151 0 151 70 MOPAR NATIONALS COMMUNITY SUPPORT POLICE (1842) 217 0 217 UNKNOWN MOUND CITY LITTLE LEAGUE CASH DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN MOVIE NIGHT HEALTH SCREENINGS COMMUNITY OUTREACH (1956) 241 0 241 190 NEW BEGININGS CASH DONATIONS DEVELOPMENT (1955) 1,500 0 1,500 UNKNOWN NEW YOU WEIGHT LOSS GROUP PROCESS IMPROVEMENT (1945) 1,747 0 1,747 61 NEWARK AREA SOCCER ASSOCIATION (NASA) COMMUNITY SUPPORT DEVELOPMENT (1955) 239 0 239 UNKNOWN NEWARK CAMPUS DEVELOPMENT FUND CASH DONATIONS DEVELOPMENT (1955) 25,000 0 25,000 UNKNOWN NEWARK CATHOLIC HIGH SCHOOL ATHLETIC DEPT. CASH DONATIONS DEVELOPMENT (1955) 550 0 550 UNKNOWN NEWARK GRANVILLE ALTRUSA HEALTH SCREENINGS COMMUNITY OUTREACH (1956) 209 0 209 15 NEWARK HIGH SCHOOL CAREER SPEAKER COMMUNITY OUTREACH (1956) 208 0 208 35 NEWARK HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN NEWARK KIWANIS CLUB IN KIND DONATIONS DEVELOPMENT (1955) 156 0 156 UNKNOWN NEWARK KIWANIS CLUB SPEAKERS COMMUNITY OUTREACH (1956) 778 0 778 340 NEWARK LIONS CLUB CASH DONATION DEVELOPMENT (1955) 750 0 750 UNKNOWN NEWBORN BASICS MATERNAL CHILD (1646) 817 410 407 85 NORTH NEWARK LITTLE LEAGUE VARSITY AND FARM CASH DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN NORTHRIDGE PTO CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN NORTHRIDGE YOUTH ATHLETIC ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 200 0 200 UNKNOWN NUTRITION AND EXERCISE FOR LIFE WORKSHOP PROCESS IMPROVEMENT (1945) 2,043 0 2,043 34 OHIO CANCER RESEARCH ASSOCIATES CASH DONATIONS DEVELOPMENT (1955) 4,500 0 4,500 UNKNOWN OPENING DAY YOUTH SPORTS CEREMONIES IN KIND DONATIONS COMMUNITY OUTREACH (1956) 24,787 0 24,787 UNKNOWN OPERATION FEED IN KIND DONATIONS VOLUNTEERS (1970) 13,615 0 13,615 UNKNOWN OUR SAVIOR LUTHERAN IN KIND DONATIONS DEVELOPMENT (1955) 354 0 354 UNKNOWN OUR SAVIOR LUTHERAN CHURCH COMMUNITY SUPPORT DEVELOPMENT (1955) 169 0 169 UNKNOWN PAR EXCELLENCE SPEAKERS COMMUNITY OUTREACH (1956) 339 0 339 50 PAR EXCELLENCE ACADEMY CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN PARKINSON SUPPORT GROUP SPEAKER COMMUNITY OUTREACH (1956) 430 0 430 105 PATASKALA AREA CHAMBER OF COMMERCE CASH DONATIONS DEVELOPMENT (1955) 360 0 360 UNKNOWN PATASKALA CHRISTMAS WALK HEALTH INFORMATION TABLE COMMUNITY OUTREACH (1956) 251 0 251 50 PATASKALA CHRISTMAS WALK IN KIND DONATIONS COMMUNITY OUTREACH (1956) 359 0 359 UNKNOWN PATASKALA ELEMENTARY SCHOOL VISIT VOLUNTEERS (1970) 624 0 624 110 PATASKALA'S STERLING THEATER CASH DONATIONS DEVELOPMENT (1955) 750 0 750 UNKNOWN PATASKALA'S STERLING THEATER IN KIND DONATIONS FOOD SERVICE (1801) 1,113 0 1,113 UNKNOWN PBJ CONNECTIONS CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN PEDIATRIC DENTAL CLINIC DENTAL CLINIC (1958) 104,000 32,270 71,730 UNKNOWN PELOTONIA CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN PINK STRIDES TRAIL RUN & WELLNESS WALK IN KIND DONATIONS DEVELOPMENT (1955) 875 0 875 UNKNOWN PRECEPTING NURSING STUDENTS 4N & 4S 4 SOUTH (1614) 15,481 0 15,481 7 PRECEPTING NURSING STUDENTS 5S 5 SOUTH (1612) 4,777 0 4,777 2 PRECEPTING NURSING STUDENTS HOME HEALTH CARE HOME HEALTH CARE (1978) 4,952 0 4,952 3 PRECEPTING NURSING STUDENTS ICU, CCU, ER INTENSIVE CARE (1640) 35,093 0 35,093 16 PRECEPTING NURSING STUDENTS INPATIENT REHAB INPATIENT REHAB (1615) 3,728 0 3,728 2 PRECEPTING NURSING STUDENTS MATERNAL CHILD & LABOR AND DELIVERY MATERNAL CHILD (1646) 8,517 0 8,517 4 PRECEPTING NURSING STUDENTS WOUND CLINIC WOUND CLINIC (1677) 7,158 0 7,158 3 PRECEPTING STUDENTS CARDIOLOGY CARDIOLOGY (1712) 18,195 0 18,195 8 PRECEPTING STUDENTS OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY (1700) 10,466 0 10,466 3 |
| CONTINUED | PRECEPTING STUDENTS PACU/OR SURGERY (1660) 11,140 0 11,140 5 PRECEPTING STUDENTS PHARMACY PHARMACY (1730) 108,474 17,950 90,524 11 PRECEPTING STUDENTS RADIOLOGY RADIOLOGY (1721) 109,455 0 109,455 34 PRECEPTORSHIPS FOR NURSE PRACTITIONER/P.A. STUDENTS FP FAMILY PRACTICE EAST (7425) 35,022 0 35,022 4 PRECEPTORSHIPS FOR NURSE PRACTITIONER/P.A. STUDENTS PEDS PEDIATRICS (7460) 49,039 0 49,039 13 PRECEPTORSHIPS FOR WOMEN'S HEALTH STUDENTS WOMENS HEALTH CENTER (7455) 50,771 0 50,771 6 PREVENTING CAREGIVER BURNOUT PROCESS IMPROVEMENT (1945) 107 0 107 9 PREVENTING DIABETES PROCESS IMPROVEMENT (1945) 133 0 133 15 PSORASIS & ECZEMA COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 712 0 712 25 QUICK AND EASY MEALS FOR DIABETES PROCESS IMPROVEMENT (1945) 321 0 321 24 RED CROSS BLOOD DRIVE PROCESS IMPROVEMENT (1945) 4,140 0 4,140 148 RED DRESS EVENT COMMUNITY OUTREACH (1956) 35,154 0 35,154 335 REDSKIN ATHLETIC BOOSTERS CASH DONATION DEVELOPMENT (1955) 600 0 600 UNKNOWN RELAY FOR LIFE COMMUNITY SUPPORT DEVELOPMENT (1955) 440 0 440 UNKNOWN RELAY FOR LIFE IN KIND DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN RESOURCE CENTER/MEDICAL LIBRARY RESOURCE CENTER (1975) 1,962 0 1,962 UNKNOWN ROTARY CLUB GRANVILLE SPEAKER COMMUNITY OUTREACH (1956) 168 0 168 65 ROTARY CLUB OF NEWARK IN KIND DONATIONS FOOD SERVICE (1801) 3,736 0 3,736 UNKNOWN ROTARY CLUB OF NEWARK SPEAKER COMMUNITY OUTREACH (1956) 165 0 165 25 ROTARY CLUB OF NEWARK HEATH IN KIND DONATIONS DEVELOPMENT (1955) 287 0 287 UNKNOWN ROTARY CLUB OF NEWARK HEATH SPEAKER COMMUNITY OUTREACH (1956) 127 0 127 42 ROTARY CLUB OF PATASKALA CASH DONATIONS DEVELOPMENT (1955) 175 0 175 UNKNOWN ROTARY CLUB OF PATASKALA IN KIND DONATIONS FOOD SERVICE (1801) 5,323 0 5,323 UNKNOWN ROTARY FOUNDATION GRANVILLE CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN ROTATOR CUFF REPAIR COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 307 0 307 27 SAFE SURROUNDINGS SAFE SURROUNDINGS (1647) 69,724 22,680 47,044 92 SAINT LUKE'S CHURCH CASH DONATION DEVELOPMENT (1955) 500 0 500 UNKNOWN SAINT VINCENT HAVEN CASH DONATIONS DEVELOPMENT (1955) 350 0 350 UNKNOWN SALVATION ARMY IN KIND DONATIONS DEVELOPMENT (1955) 225 0 225 UNKNOWN SALVATION ARMY CHILDREN'S DAY CAMP COMMUNITY OUTREACH (1956) 2,642 0 2,642 45 SALVATION ARMY GIRLS PROGRAM SPEAKER COMMUNITY OUTREACH (1956) 304 0 304 14 SEASONING INSTEAD OF SALT PROCESS IMPROVEMENT (1945) 243 0 243 37 SHOULD I BUY ORGANIC? PROCESS IMPROVEMENT (1945) 129 0 129 13 SIBLING PREPARATION CLASS MATERNAL CHILD (1646) 182 90 92 20 SKIN CANCER AWARENESS AND SCREENING PROCESS IMPROVEMENT (1945) 1,307 0 1,307 20 SOUTH NEWARK CIVIC ASSOCIATION HEALTH INFORMATION TABLE COMMUNITY OUTREACH (1956) 137 0 137 20 ST. EDWARD CHURCH COMMUNITY SUPPORT DEVELOPMENT (1955) 252 0 252 UNKNOWN ST. FRANCIS DE SALES SCHOOL & PARISH CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN ST. FRANCIS PARISH FESTIVAL COMMUNITY SUPPORT DEVELOPMENT (1955) 256 0 256 UNKNOWN ST. VINCENT DE PAUL'S CENTER IN KIND DONATION DEVELOPMENT (1955) 840 0 840 UNKNOWN STAYING ACTIVE WITH ARTHRITIS PROCESS IMPROVEMENT (1945) 122 0 122 5 STROKE AWARENESS COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 537 0 537 7 STUDENT INTERNSHIPS COMMUNITY CASE MANAGEMENT COMMUNITY CASE MANAGEMENT (1976) 7,091 0 7,091 11 STUDENT INTERNSHIPS LABORATORY LAB (1702) 17,865 0 17,865 3 STUDENT INTERNSHIPS OP CHEMICAL DEPENDENCY & IP PSYCH OP CHEMICAL DEPENDENCY (1692) 13,750 0 13,750 1 STUDENT INTERNSHIPS PHYSICAL THERAPY & SPEECH THERAPY REHAB CENTER (1737) 24,829 0 24,829 4 STUDENT INTERNSHIPS RESPIRATORY THERAPY RESPIRATORY THERAPY (1736) 966 0 966 1 STUDENT INTERNSHIPS SOCIAL WORK CASE MANAGEMENT (1780) 3,267 0 3,267 1 STUDENT NURSE & OTHER HEALTH PROFESSIONALS MANAGEMENT PROCESS PROCESS IMPROVEMENT (1945) 12,570 0 12,570 UNKNOWN STUDENT NURSE & OTHER HEALTH PROFESSIONALS ORIENTATION PROCESS IMPROVEMENT (1945) 3,209 0 3,209 323 STUDENTS HEALTH ADMINISTATION PROGRAM PROCESS IMPROVEMENT (1945) 1,256 0 1,256 1 SUMMER TEACHER EXTERNSHIP PROGRAM HUMAN RESOURCES (1951) 690 0 690 1 SUPPLEMENTS AND PRESCRIPTION MEDICATION INTERACTIONS PROCESS IMPROVEMENT (1945) 111 0 111 6 TAXI TOKENS FISCAL SERVICES (1901) 544 0 544 UNKNOWN TECTUM, INC. SPEAKER COMMUNITY OUTREACH (1956) 454 0 454 26 THE ENERGY COOPERATIVE SPEAKER COMMUNITY OUTREACH (1956) 2,054 0 2,054 600 THE WOODLANDS CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN THE WORKS IN KIND DONATIONS FOOD SERVICE (1801) 3,500 0 3,500 UNKNOWN THE WORKS SPEAKER COMMUNITY OUTREACH (1956) 256 0 256 100 TINNITUS AND HEARING LOSS COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 286 0 286 59 TOBACCO CESSATION PROGRAM TOBACCO CESSATION (1693) 237,249 0 237,249 996 TOPS JOHNSTOWN COMMUNITY OUTREACH (1956) 101 0 101 12 TOPS HEALTHY WEIGHT LOSS GROUP EDUCATION COMMUNITY OUTREACH (1956) 265 0 265 35 TOTAL KNEE REPLACEMENT PROCESS IMPROVEMENT (1945) 194 0 194 18 TRAVEL CENTERS OF AMERICA HEALTH SCREENINGS COMMUNITY OUTREACH (1956) 316 0 316 80 UNITED WAY AGENCIES CASH DONATIONS DEVELOPMENT (1955) 800 0 800 UNKNOWN UNITED WAY AGENCIES IN KIND DONATIONS HUMAN RESOURCES (1951) 475 0 475 UNKNOWN UNITED WAY DAY OF CARING IN KIND DONATIONS DEVELOPMENT (1955) 4,690 0 4,690 UNKNOWN UTICA (HERVEY MEMORIAL) LIBRARY SPEAKER COMMUNITY OUTREACH (1956) 291 0 291 8 UTICA LASERTOMA SPEAKER COMMUNITY OUTREACH (1956) 2,579 0 2,579 30 UTICA SERTOMA CLUB CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN VELVET ICE CREAM SPEAKERS COMMUNITY OUTREACH (1956) 307 0 307 300 VOLUNTEERS TWIGS & EVENTS VOLUNTEERS (1970) 0 0 0 210 W.I.S.E. WOMEN IN SERVICE EVERYDAY CASH DONATIONS DEVELOPMENT (1955) 300 0 300 UNKNOWN WATKINS HIGH SCHOOL CAREER SPEAKER PSYCHIATRIC PATASKALA (7434) 880 0 880 30 WATKINS HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN WATKINS MEMORIAL CASH DONATIONS DEVELOPMENT (1955) 200 0 200 UNKNOWN WEATHERVANE PLAYHOUSE CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN WELLNESS CENTER AT C TEC COMMUNITY BENEFIT C TEC (1977) 91,980 0 91,980 171 WEST LICKING FIRE DEPARTMENT IN KIND DONATIONS DEVELOPMENT (1955) 1,900 0 1,900 UNKNOWN WEST LICKING FIRE DEPARTMENT SPEAKER & SCREENINGS COMMUNITY OUTREACH (1956) 133 0 133 125 WEST LICKING FIREFIGHTERS ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 300 0 300 UNKNOWN WEST MAIN STREET BILL BOARD FOR NONPROFITS IN KIND DONATIONS COMMUNITY OUTREACH (1956) 500 0 500 UNKNOWN YES CLUB SPEAKER COMMUNITY OUTREACH (1956) 284 0 284 50 YMCA SPEAKER COMMUNITY OUTREACH (1956) 1,290 0 1,290 100 MISCELLANEOUS - IN-KIND DONATIONS 588 0 588 1,462 MISCELLANEOUS - CASH DONATIONS 50 0 50 UNKNOWN MISCELLANEOUS - COMMUNITY HEALTH EDUCATION 910 0 910 284 MISCELLANEOUS - COMMUNITY BASED CLINICAL SERVICE 75 0 75 11 NUMBER OF PROGRAMS 296 GRAND TOTALS 3,049,204 180,378 2,868,826 22,588 TOTAL OFFSETTING NET EXPENSE REVENUE BENEFIT PERSONS BENEFITS FOR THE POOR TRADITIONAL CHARITY CARE $13,480,709 $2,233,697 $11,247,012 22,169 UNPAID COST OF MEDICAID $35,302,038 $18,544,808 $16,757,230 30,430 GRAND TOTALS $51,831,951 $20,958,883 $30,873,068 75,187 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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) | 11 TYPE 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) | 11 TYPE I | 0 | LICKING MEMORIAL HEALTH SYSTEMS | |
| LICKING MEMORIAL PROFESSIONAL CORPORATION | |||||||||||
| 1320 WEST MAIN STREET | NEWARK | OH | 43055 | 311425530 | HEALTHCARE ORGANIZATION | OH | 501(C)(3) | 9 | 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 11A, 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 |