LIMA MEMORIAL JOINT OPERATING COMPANY: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: LIMA MEMORIAL JOINT OPERATING COMPANY (EIN 34-1883284)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-11
IRS object ID: 201403159349300845
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-11T09:32:08-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	65 EAST STATE ST STE 600	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	43215	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	341883284	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LIMA MEMORIAL JOINT OPERATING COMPANY	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	LIMA	BusinessNameControlTxt
Phone	4192283335	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1001 BELLEFONTAINE AVENUE	AddressLine1
City	LIMA	City
State	OH	State
ZIP Code	45804	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ERIC D POHJALA	PersonNm
Person Title	VICE PRESIDENT OF FINANCE	PersonTitleTxt
Phone	4192283335	PhoneNum
Signature	2014-10-30	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BERNIE OSTROWSKI	PreparerPersonNm
PTIN	P00366367	PTIN
Phone	6148493000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	LIMA MEMORIAL HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL SWICK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1001 BELLEFONTAINE AVENUE	AddressLine1
City	LIMA	City
State	OH	State
ZIP Code	45804	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$179,728,514	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.LIMAMEMORIAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	WE ARE HERE TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITIES THROUGH COMPREHENSIVE HEALTH SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1588	TotalEmployeeCnt
Total Volunteers	306	TotalVolunteersCnt
Total Gross UBI	$1,286,182	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$15,914	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$55,854	PYContributionsGrantsAmt
CY Contributions Grants	$75,281	CYContributionsGrantsAmt
PY Program Service Revenue	$171,576,480	PYProgramServiceRevenueAmt
CY Program Service Revenue	$169,440,717	CYProgramServiceRevenueAmt
PY Investment Income	$954,395	PYInvestmentIncomeAmt
CY Investment Income	$5,563,006	CYInvestmentIncomeAmt
PY Other Revenue	$2,121,616	PYOtherRevenueAmt
CY Other Revenue	$4,559,812	CYOtherRevenueAmt
PY Total Revenue	$174,708,345	PYTotalRevenueAmt
CY Total Revenue	$179,638,816	CYTotalRevenueAmt
PY Grants And Similar Paid	$421,361	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$397,969	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$72,417,822	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$70,289,580	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$4,705	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$6,115	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$168,254	CYTotalFundraisingExpenseAmt
PY Other Expenses	$88,135,063	PYOtherExpensesAmt
CY Other Expenses	$89,995,943	CYOtherExpensesAmt
PY Total Expenses	$160,978,951	PYTotalExpensesAmt
CY Total Expenses	$160,689,607	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,729,394	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$18,949,209	CYRevenuesLessExpensesAmt
Total Assets BOY	$241,603,603	TotalAssetsBOYAmt
Total Assets EOY	$256,259,984	TotalAssetsEOYAmt
Total Liabilities BOY	$83,792,469	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$77,681,956	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$157,811,134	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$178,578,028	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS ONE OF THE LARGEST NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS IN WEST CENTRAL OHIO, LIMA MEMORIAL HEALTH SYSTEM IS COMMITTED TO IMPROVING THE QUALITY OF LIFE IN OUR COMMUNITIES THROUGH COMPREHENSIVE HEALTH SERVICES. LIMA MEMORIAL IS CONTINUALLY IMPROVING ITS SERVICES AND FACILITIES BY KEEPING UP WITH THE LATEST TECHNOLOGIES, PROVIDING CONTINUING EDUCATION TO OUR HEALTH CARE TEAM AND UPDATING OUR FACILITIES. OUR PATIENT SATISFACTION NUMBERS CONTINUE TO IMPROVE AND WE CONTINUALLY ACHIEVE QUALITY SCORES THAT ARE BETTER THEN THE STATE AND NATIONAL AVERAGES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$134,922,969	ExpenseAmt
Grant	$397,969	GrantAmt
Revenue	$172,714,347	RevenueAmt
Desc	AS ONE OF THE LARGEST NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS IN WEST CENTRAL OHIO, LIMA MEMORIAL HEALTH SYSTEM IS COMMITTED TO IMPROVING THE QUALITY OF LIFE IN OUR COMMUNITIES THROUGH COMPREHENSIVE HEALTH SERVICES. LIMA MEMORIAL IS CONTINUALLY IMPROVING ITS SERVICES AND FACILITIES BY KEEPING UP WITH THE LATEST TECHNOLOGIES, PROVIDING CONTINUING EDUCATION TO OUR HEALTHCARE TEAM AND UPDATING OUR FACILITIES. OUR PATIENT SATISFACTION NUMBERS CONTINUE TO IMPROVE AND WE CONTINUALLY ACHIEVE QUALITY SCORES THAT ARE BETTER THAN STATE AND NATIONAL AVERAGES.THE HEALTH SYSTEM PROVIDES COMPREHENSIVE HEALTHCARE THAT ALLOWS US TO CARE FOR PATIENTS FROM BIRTH THROUGH ELDER YEARS. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO:- 24-HOUR EMERGENCY SERVICES INCLUDING LEVEL II TRAUMA- CHEST PAIN CENTER WITH PCI- THE HEART AND VASCULAR INSTITUTE- ORTHOPAEDICS- OBSTETRICS AND PEDIATRICS- WOMEN'S HEALTH CENTER- RADIOLOGY- LABORATORY- INPATIENT AND OUTPATIENT REHABILITATION SERVICES- NEUROLOGY- UROLOGYIN 2013, LIMA MEMORIAL CONTRIBUTED AN ESTIMATED $30 MILLION IN COMMUNITY VALUE IN TERMS OF COMMUNITY BENEFIT EXPENDITURES, CHARITY CARE AND GOVERNMENT-SPONSORED HEALTH CARE. THIS NUMBER NOT ONLY INDICATES OUR COMMITMENT TO OUR COMMUNITIES, BUT ALSO FULFILLS OUR PURPOSE AS A NOT-FOR-PROFIT ORGANIZATION BY POSITIVELY IMPACTING THE MEMBERS OF OUR COMMUNITIES. THOUSANDS OF PEOPLE HAVE BENEFITED FROM THE COMPASSION, CARE AND EXPERTISE OF OUR PHYSICIANS, NURSES, ASSOCIATES AND VOLUNTEERS.EXAMPLES OF PROGRAMS BENEFITING THE BROADER COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO:- COMMUNITY WELLNESS DAY- GO RED - HEART HEALTH AWARENESS FOR WOMEN EVENTS- JOURNEY TO REMEMBER WOMEN'S HEALTH BENEFIT- KIDS CLINIC- CHILDREN'S DEVELOPMENTAL CENTER- BABY FAIR- CHEST PAIN CENTER- BONE DENSITY SCREENINGS- CARDIAC RISK ASSESSMENT SCREENINGS- PROSTATE SCREENINGS- SKIN CANCER SCREENINGS- CANCER RESOURCE CENTER- MEDICARE ELIGIBILITY PROGRAM- BREAST CANCER SURVIVOR SUPPORT GROUP- FAMILY BIRTH CLINICS- WOMEN'S RESOURCE CENTER- TV AND RADIO PSAS- BREASTFEEDING CLASS AND CLINIC- SMOKING SESSION- BLOOD DRIVESAS HEALTHCARE CONTINUES TO CHANGE, LIMA MEMORIAL WILL CONTINUE TO PROVIDE THE HIGHEST QUALITY OF CARE IN A FAMILY ATMOSPHERE TO OUR PATIENTS BY CONTINUALLY ADVANCING OUR SERVICES AND FACILITIES. IN ADDITION, THE HEALTH SYSTEM SUPPORTS OUR COMMUNITIES, NOT ONLY THROUGH COMPREHENSIVE HEALTHCARE, BUT THROUGH OUTREACH ACTIVITIES SUCH AS HEALTHCARE AWARENESS AND PREVENTION PROGRAMS, FREE PUBLIC HEALTH SCREENINGS, FINANCIAL SUPPORT FOR MANY COMMUNITY ORGANIZATIONS, AND OUTREACH TO THE UNDERSERVED.COMMUNITY BENEFIT DEFINITIONSLIMA MEMORIAL HEALTH SYSTEM'S 2013 COMMUNITY BENEFIT REPORT WAS PREPARED IN ACCORDANCE WITH THE REPORTING GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION. COMMUNITY BENEFITS REPORTED BY THE HEALTH SYSTEM RESPOND TO AN IDENTIFIED COMMUNITY NEED AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA:- GENERATE A LOW OR NEGATIVE MARGIN;- RESPOND TO THE NEEDS OF SPECIAL POPULATIONS, SUCH AS MINORITIES, FRAIL, ELDERLY, POOR PERSONS WITH DISABILITIES, THE CHRONICALLY MENTALLY ILL, AND PERSONS WITH AIDS; AND-SUPPLY SERVICES OR PROGRAMS THAT WOULD LIKELY BE DISCONTINUED IF THE DECISION WERE MADE ON A PURELY FINANCIAL BASIS.THESE SERVICES INCLUDE:- COMMUNITY HEALTH SERVICES- HEALTH PROFESSIONS EDUCATION- SUBSIDIZED HEALTH SERVICES- RESEARCH ACTIVITIES- FINANCIAL CONTRIBUTIONS- COMMUNITY BUILDING ACTIVITIES- COMMUNITY BENEFIT OPERATIONS- COST OF CHARITY CARE- GOVERNMENT SPONSORED HEALTH CARE	Desc
Total Program Service Expenses	$134,922,969	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
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	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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	Yes (1)	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	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	219	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1588	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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	Yes (1)	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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	MERI FOSTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	4192265197	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	121 W HIGH ST	AddressLine1
City	LIMA	City
State	OH	State
ZIP Code	45801	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (22 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN H JOHNSON
CHAIRPERSON	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
BARBARA STEELE
VICE-CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
KERMIT STROH
TREASURER	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
BARRETT RYDELL
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
LAWRENCE D BELL MD
BOARD MEMBER (SEE SCH J)	1.00	39.00	Yes (X)		$0	$525,650	$15,064
DEBRA MCCURDY PHD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
ROBERT L THOMPSON
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
PHILLIP R BUELL
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
RAFAEL A NIVAR MD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
KATHLEEN M KRUGER
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
SUSAN E PAYDEN
SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL SWICK
PRESIDENT/CEO (SEE SCH J)	34.00	6.00		Yes (X)	$524,536	$0	$219,826
ROBERT E ARMSTRONG JR
SENIOR VP/COO (SEE SCH J)	30.00	10.00		Yes (X)	$311,577	$0	$102,432
ERIC D POHJALA
VP OF FINANCE/CFO (SEE SCH	34.00	6.00		Yes (X)	$296,053	$0	$105,669
CHARLES LYNN THOMPSON MD
VICE PRESIDENT/CMO (SEE SC	20.00	20.00			$336,806	$0	$107,663	Yes (X)
KHA H TRAN MD
VP OF MEDICAL AFFAIRS (SEE SCH J)	20.00	20.00			$107,645	$88,716	$50,287	Yes (X)
ANN-MARIE JEAN POHL
VICE PRESIDENT/CNO (SEE SC	40.00	0.00			$210,411	$0	$55,281	Yes (X)
ANITA GOOD
ADMINISTRATIVE DIRECTOR (S	40.00	0.00			$141,532	$0	$26,582		Yes (X)
MARK RECKER
DIRECTOR OF PHARMACY	40.00	0.00			$145,513	$0	$15,562		Yes (X)
LYNN CARPENTER
ADMINISTRATIVE DIRECTOR	4.00	36.00			$155,309	$0	$23,297		Yes (X)
CHERYL HOMAN
ADMINISTRATIVE DIRECTOR	40.00	0.00			$138,445	$0	$19,063		Yes (X)
KYLE J ERFORD
ADMINISTRATIVE DIRECTOR	40.00	0.00			$132,719	$0	$4,115		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,500,546	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$614,366	TotReportableCompRltdOrgAmt
Total Other Compensation	$744,841	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	38	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
LIMA ANESTHESIA & PAIN TREATMENT PC
PO BOX 33058	PALM BEACH GARDENS	FL	33420	MEDICAL SERVICES	$3,542,865
EMERGENCY PHYSICIANS OF NORTHWEST OHIO
PO BOX 12490	TOLEDO	OH	43606	MEDICAL SERVICES	$1,319,898
NORTH CENTRAL OHIO PHYSICIAN SERVICES
1005 BELLEFONTAINE AVE	LIMA	OH	45804	MEDICAL SERVICES	$1,025,000
APOGEE MEDICAL MANAGEMENT INC
2525 E CAMELBACK RD	PHOENIX	AZ	85016	MEDICAL SERVICES	$1,010,058
MAYO COLLABORATIVE SERVICES
PO BOX 4100	ROCHESTER	MN	55903	MEDICAL SERVICES	$1,004,961

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	40	CntrctRcvdGreaterThan100KCnt
Government Grants	$56,932	GovernmentGrantsAmt
All Other Contributions	$18,349	AllOtherContributionsAmt
Total Contributions	$75,281	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REV	621110	$168,467,632	$168,467,632
RENT FROM AFFILIATE	900099	$973,085	$973,085

Field	Value	IRS element (for citing)
Total Program Service Revenue	$169,440,717	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,558,328	TotalRevenueColumnAmt
Exclusion	$5,558,328	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$734,677	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$734,677	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$734,677	TotalRevenueColumnAmt
Related Or Exempt Func Income	$734,677	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$94,376	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$89,698	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$4,678	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,678	TotalRevenueColumnAmt
Exclusion	$4,678	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REFERENCE LAB	541380	$1,286,182	$1,286,182
EDUCATIONAL SERVICES	621110	$28,097		$28,097
LMHS WOMEN'S HEALTH CO-MGMT K-1	525990	-$3,903		-$3,903

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,514,759	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,514,759	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,825,135	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$179,638,816	TotalRevenueColumnAmt
Related Or Exempt Func Income	$172,714,347	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,286,182	UnrelatedBusinessRevenueAmt
Exclusion	$5,563,006	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$397,969	TotalAmt
Program Services	$397,969	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,564,200	TotalAmt
Management And General	$1,564,200	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$54,766,562	TotalAmt
Program Services	$43,692,741	ProgramServicesAmt
Management And General	$10,923,185	ManagementAndGeneralAmt
Fundraising	$150,636	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,564,182	TotalAmt
Program Services	$1,251,346	ProgramServicesAmt
Management And General	$312,836	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,250,003	TotalAmt
Program Services	$6,600,002	ProgramServicesAmt
Management And General	$1,650,001	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,144,633	TotalAmt
Program Services	$3,315,706	ProgramServicesAmt
Management And General	$828,927	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$903,101	TotalAmt
Program Services	$722,481	ProgramServicesAmt
Management And General	$180,620	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$94,395	TotalAmt
Program Services	$75,516	ProgramServicesAmt
Management And General	$18,879	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$6,115	TotalAmt
Fundraising	$6,115	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,697,046	TotalAmt
Program Services	$20,557,637	ProgramServicesAmt
Management And General	$5,139,409	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$380,191	TotalAmt
Program Services	$303,735	ProgramServicesAmt
Management And General	$75,934	ManagementAndGeneralAmt
Fundraising	$522	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,452,822	TotalAmt
Program Services	$5,155,002	ProgramServicesAmt
Management And General	$1,288,750	ManagementAndGeneralAmt
Fundraising	$9,070	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,265,079	TotalAmt
Program Services	$1,812,063	ProgramServicesAmt
Management And General	$453,016	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$583,408	TotalAmt
Program Services	$465,241	ProgramServicesAmt
Management And General	$116,310	ManagementAndGeneralAmt
Fundraising	$1,857	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,051,569	TotalAmt
Program Services	$1,641,255	ProgramServicesAmt
Management And General	$410,314	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,832,006	TotalAmt
Program Services	$8,665,605	ProgramServicesAmt
Management And General	$2,166,401	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$876,176	TotalAmt
Program Services	$700,941	ProgramServicesAmt
Management And General	$175,235	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$26,004,358	$26,004,358
BAD DEBT EXPENSE	$12,137,310	$12,137,310
RECRUITING	$986,367	$838,412	$147,955
EDUCATION & REWARDS	$396,979	$317,551	$79,388	$40

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$335,136	TotalAmt
Program Services	$268,098	ProgramServicesAmt
Management And General	$67,024	ManagementAndGeneralAmt
Fundraising	$14	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$160,689,607	TotalAmt
Program Services	$134,922,969	ProgramServicesAmt
Management And General	$25,598,384	ManagementAndGeneralAmt
Fundraising	$168,254	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,239,350	BOYAmt
EOY	$11,995,985	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,308,008	BOYAmt
EOY	$6,288,237	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,787,677	BOYAmt
EOY	$24,630,159	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$4,147,448	BOYAmt
EOY	$5,266,685	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,495,729	BOYAmt
EOY	$3,385,055	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,266,442	BOYAmt
EOY	$3,083,356	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$224,790,248	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$133,948,853	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$94,639,299	BOYAmt
EOY	$90,841,395	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$30,458,030	BOYAmt
EOY	$33,764,111	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,703,202	BOYAmt
EOY	$2,414,862	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$65,558,418	BOYAmt
EOY	$74,590,139	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$241,603,603	BOYAmt
EOY	$256,259,984	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,956,552	BOYAmt
EOY	$15,076,457	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,433,750	BOYAmt
EOY	$42,763,751	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,790,032	BOYAmt
EOY	$2,026,106	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,612,135	BOYAmt
EOY	$17,815,642	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$83,792,469	BOYAmt
EOY	$77,681,956	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$157,730,557	BOYAmt
EOY	$178,375,424	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$80,577	BOYAmt
EOY	$202,604	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$157,811,134	BOYAmt
EOY	$178,578,028	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$241,603,603	BOYAmt
EOY	$256,259,984	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$18,949,209	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,462,486	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$20	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$355,179	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	$10,127	OtherActivitiesAmt
Total Lobbying Expenditures	$10,127	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	LOBBYING EXPENSES ARE INCURRED IN CONNECTION WITH THE DUES PAID TO THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,222,316	OtherCostOrOtherBasisAmt
Book Value	$4,222,316	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$137,913,194	OtherCostOrOtherBasisAmt
Depreciation	$92,819,031	DepreciationAmt
Book Value	$45,094,163	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,306,833	OtherCostOrOtherBasisAmt
Depreciation	$40,161,973	DepreciationAmt
Book Value	$40,144,860	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,347,905	OtherCostOrOtherBasisAmt
Depreciation	$967,849	DepreciationAmt
Book Value	$1,380,056	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$90,841,395	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
BOND ISSUE COSTS	$646,131
INVESTMENTS IN AFFILIATED ORG.	$73,944,008

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$74,590,139	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCRUED PENSION LIABILITY	$2,696,119
PROFESSIONAL LIABILITY RESERVE	$524,000
FIN 47 ASBESTOS LIABILITY	$2,895,113
THIRD PARTY PAYOR SETTLEMENTS	$4,089,161
MINORITY INTEREST IN CONSOLIDATED SUBS	$29,301
FAIR VALUE OF INTEREST RATE SWAP AG	$7,581,948

Field	Value	IRS element (for citing)
Total Liability	$17,815,642	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	ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010.	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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
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)
Total Community Benefit Expns	$7,368,399	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,696,703	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,671,696	NetCommunityBenefitExpnsAmt
Total Expense	0.03140	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,048,693	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,827,823	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,220,870	NetCommunityBenefitExpnsAmt
Total Expense	0.03510	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,417,092	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,524,526	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,892,566	NetCommunityBenefitExpnsAmt
Total Expense	0.06650	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,887,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,887,299	NetCommunityBenefitExpnsAmt
Total Expense	0.07330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,211	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,211	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,963,510	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,963,510	NetCommunityBenefitExpnsAmt
Total Expense	0.07380	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,380,602	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,524,526	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,856,076	NetCommunityBenefitExpnsAmt
Total Expense	0.14030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$12,137,310	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,092,538	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$39,219,191	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$44,762,287	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,543,096	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	2 LMHS WOMEN'S HEALTH CO-MANAGEMENT COMPANY LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	CO-MANAGEMENT	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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	LIMA MEMORIAL HEALTH SYSTEM	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1001 BELLEFONTAINE AVE	AddressLine1
City	LIMA	City
State	OH	State
ZIP Code	45804	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	LIMA MEMORIAL HEALTH SYSTEM	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
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
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.LIMAMEMORIAL.ORG	OwnWebsiteURLTxt
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
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
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
LIMA MEMORIAL HEALTH SYSTEM	PART V, SECTION B, LINE 3: COMMUNITY MEMBERS FROM THE GROUPS, ORGANIZATIONS, AND SECTORS ESTABLISHED THE COMMUNITY SUSTAINABILITY ADVISORY COMMITTEE UNDER THE LIMA-ALLEN COUNTY REGIONAL PLANNING COMMISSION. THE COMMUNITY SUSTAINABILITY ADVISORY COMMITTEE WAS RESPONSIBLE FOR THE IMPLEMENTATION OF THE HEALTHY COMMUNITIES INSTITUTE SOFTWARE, WHICH WAS USED AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HEALTHY COMMUNITIES INSTITUTE WEBSITE PROVIDED A LIST OF IDENTIFIED HEALTH CONDITIONS AND RELATED INDICATORS FOR ALLEN COUNTY. THE INFORMATION FOR AUGLAIZE AND PUTNAM COUNTIES WAS ANALYZED UNDER THE SAME QUARTILE SYSTEM.ORGANIZATION'S CONTACTED:ALLEN COUNTY ECONOMIC DEVELOPMENT GROUPALLEN COUNTY HEALTH DEPARTMENTLIMA/ALLEN COUNTY CHAMBER OF COMMERCESHAWNEE TOWNSHIP POLICEST. RITA'S MEDICAL CENTERUNITED WAY OF GREATER LIMAYMCAIN ADDITION, LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS WERE CONTACTED.
LIMA MEMORIAL HEALTH SYSTEM	PART V, SECTION B, LINE 7: THE HOSPITAL HAS ADOPTED AN IMPLEMENTATION STRATEGY FOR 2014-2016 THAT ADDRESSES THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS REPORT IS POSTED ON THE HOSPITAL'S WEBSITE WWW.LIMAMEMORIAL.ORG.
LIMA MEMORIAL HEALTH SYSTEM	PART V, SECTION B, LINE 20D: ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY ARE CHARGED THE SAME AMOUNT. THE FACILITY ATTEMPTS TO SCREEN ALL SELFPAY PATIENTS AND PROVIDES INFORMATION TO THEM CONCERNING CHARITY POLICIES. AT TIMES, PATIENTS ARE REQUESTED TO PROVIDE PROOF OF INCOME. OF THOSE PATIENTS THAT ARE NOT SCREENED AND DO NOT RETURN THE REQUIRED PAPERWORK, THEY ARE CHARGED FULL PRICE FOR THEIR SERVICE UNTIL PROOF OR A COMPLETED AND SIGNED APPLICATION IS RECEIVED. THE LEAST DISCOUNT RECEIVED IS 40% WHICH IS LARGER THAN THE AVERAGE COMMERICAL CSA.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
MEDICAL PARK
525 EASTOWN RD	LIMA	OH	45807	MRI, CT
YMCA - WELLNESS CENTER
345 S ELIZABETH ST	LIMA	OH	45801	WELLNESS CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	COLUMN C, LINE 7A & 7B: THE HOSPITAL USED A COST-TO-CHARGE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN LINE 7. THE HOSPITAL DERIVED THE COST-TO-CHARGE RATIO FROM THE USE OF WORKSHEET 2.PART I, LINE 7E:IN ADDITION TO LIMA MEMORIAL JOINT OPERATING COMPANY'S COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, THIS LINE AMOUNT ALSO INCLUDES COMMUNITY BENEFIT PROVIDED BY LIMA MEMORIAL PROFESSIONAL CORPORATION, WHICH IS A RELATED ENTITY, IN AS MUCH AS LIMA MEMORIAL PROFESSIONAL CORPORATION'S ACTIVITY, ARE CARRIED ON IN A MANNER CONSISTENT WITH AND DIRECTLY IN CONNECTION WITH THE TAX EXEMPT PURPOSE OF LIMA MEMORIAL JOINT OPERATING COMPANY.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF THIS COLUMN IS $12,137,310.
PART II, COMMUNITY BUILDING ACTIVITIES:	LIMA MEMORIAL HEALTH SYSTEM PROMOTES THE HEALTH OF OUR COMMUNITIES BY PROVIDING SERVICE REGARDLESS OF ABILITY TO PAY, FUNDING THROUGH SPONSORSHIP, HEALTH SCREENINGS AND EDUCATION. WE WORK WITH A NUMBER OF ORGANIZATIONS THROUGHOUT THE REGION, INCLUDING THE CHAMBER OF COMMERCE, TO PROMOTE THE ECONOMIC GROWTH OF THE COMMUNITY. WE CONTINUE TO WORK WITH THE SCHOOL OF NURSING, CONTINUING EDUCATION AND TRAINING FOR EMT'S AND PARAMEDICS
PART III, LINE 4:	SECTION A: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. THE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS IS REPORTED AS PART OF THE PATIENT ACCOUNTS RECEIVABLE AMOUNT ON THE CONSOLIDATED BALANCE SHEET. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.PART III, SECTION A, LINE 3: BAD DEBT ATTRIBUTABLE TO PATIENTS IDENTIFIED UNDER CHARITY CARE WAS ESTIMATED BY A THIRD PARTY THROUGH THE SCREENING OF BAD DEBT PATIENTS AT POVERTY LEVEL. THE HOSPITAL APPLIES ANY DISCOUNTS/PAYMENTS RECEIVED AGAINST PATIENT ACCOUNTS BEFORE DETERMINING BAD DEBT EXPENSE.
PART III, LINE 8:	SECTION B: BASED ON A COST TO CHARGE RATIO DETERMINED IN ACCORDANCE WITH MEDICARE COST REPORT REQUIREMENTS, THE COSTS OF PROVIDING CARE TO THE MEDICARE POPULATION IN 2013 WAS $44,762,287. THE PAYMENTS RELATED TO THESE SERVICES WERE $39,219,191. LEAVING A MEDICARE SHORTFALL OF $5,543,096 FOR THE YEAR. THE MEDICARE SHORTFALL IS A COMMUNITY BENEFIT BECAUSE PROVIDING SERVICES TO THE ELDERLY IS A TAX EXEMPT PURPOSE CONSISTENT WITH LIMA MEMORIAL JOINT OPERATING COMPANY'S OVERALL EXEMPT STATUS, AND THE HOSPITAL ACCEPTS THESE PATIENTS REGARDLESS OF ITS IMPACT ON OVERALL PROFITABILITY.
PART III, LINE 9B:	SECTION C: PATIENTS DO NOT RECEIVE ANY NOTICE FROM LMH UNTIL BALANCES ARE DETERMINED TO BE THE PATIENT'S RESPONSIBILITY. PRIMARY SELF-PAY ACCOUNTS ARE REFERRED TO AN OUTSIDE AGENCY AS AN EXTENSION OF THE BUSINESS OFFICE AT DAY 45. ACCOUNTS REMAIN WITH THE AGENCY UNTIL IT IS AT A ZERO BALANCE OR 150 DAYS. AT 150 DAYS THE ACCOUNT IS CLOSED BACK AND GIVEN TO THE SUBSEQUENT AGENCY FOR REGULAR COLLECTION FOLLOW UP. BALANCE AFTER INSURANCE ACCOUNTS ARE REFERRED TO AN OUTSIDE AGENCY ONCE ANY MONEY IS MOVED INTO SELF PAY. THE ACCOUNT IS KEPT FOR A MINIMUM OF 90 DAYS AND THEN REFERRED TO A COLLECTION AGENCY.
PART VI, LINE 2:	LIMA MEMORIAL HEALTH SYSTEM (LMHS) REGULARLY PARTICIPATES IN COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS TO IDENTIFY FAR-REACHING HEALTH NEEDS FACED BY PEOPLE IN THE COMMUNITIES SERVED BY THE HEALTH SYSTEM. ASSESSMENT RESULTS ARE EVALUATED OVER TIME AND SERVE AS THE BASIS TO DEVELOP NEW OR EXPANDED PLANS TO ADDRESS SERVICES IN RESPONSE TO NEEDS.LMHS JOINED OTHER AREA ORGANIZATIONS TO DEVELOP, IMPLEMENT AND UTILIZE THE 2009 ALLEN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS ASSESSMENT COLLECTED DATA FOR ALLEN COUNTY ADULTS (AGES 19 YEARS OF AGE AND OLDER) AND YOUTH (AGES 12 THROUGH 18) WHO PARTICIPATED IN A COUNTY-WIDE ASSESSMENT SURVEY DURING 2009. THE FINDINGS ARE BASED ON SELF-ADMINISTERED SURVEYS USING A STRUCTURED QUESTIONNAIRE. THE QUESTIONS WERE MODELED AFTER SURVEY INSTRUMENTS USED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION FOR THEIR NATIONAL AND STATE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AND YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM.THE SURVEY ASSESSED THE FOLLOWING AREAS: COMMUNITY CONCERNS AND SERVICES, PHYSICAL HEALTH ISSUES AND BEHAVIORAL HEALTH ISSUES. FOR AREAS OUTSIDE OF ALLEN COUNTY, LIMA MEMORIAL UTILIZES DATA FROM ADDITIONAL COUNTY-BASED NEEDS ASSESSMENT WHEN AVAILABLE. SURVEY RESULTS ARE BEING USED TO SHAPE COMMUNITY OUTREACH EFFORTS.IN 2013, LIMA MEMORIAL WAS INVOLVED WITH PIONEERING HEALTHY COMMUNITIES THROUGH PARTICIPATION AND FUNDING IN CONJUNCTION WITH THE CITY OF LIMA AND THE ALLEN COUNTY YMCA. A PORTION OF THIS PROGRAM IS DEDICATED TO REVIEWING THE NEEDS AND RISKS OF ALLEN COUNTY. OBESITY, ESPECIALLY CHILDHOOD OBESITY, WAS DETERMINED TO BE A SIGNIFICANT HEALTH RISK. LIMA MEMORIAL HEALTH SYSTEM IS PART OF THE COMMUNITY SUSTAINABILITY ADVISORY COMMITTEE, WHICH ADDRESSES A VARIETY OF HEALTH-RELATED NEEDS IN THE COMMUNITIES WE SERVE. THIS COMMITTEE'S GOAL IS TO INCREASE THE NUMBER OF ADULTS WHO ARE AT A HEALTHY WEIGHT BY AT LEAST TWO PERCENTAGE POINTS BY 2020.ASSESSMENT SUMMARYWHEN ASKED TO RANK COMMUNITY PROBLEMS FROM A PREPARED LIST, 43% OF RESPONDENTS NOTED UNEMPLOYMENT AS THE SINGLE MOST IMPORTANT PROBLEM FACING LOCAL FAMILIES. RESIDENTS IDENTIFY JOB TRAINING & EMPLOYMENT SERVICES AS THE SINGLE MOST IMPORTANT SERVICE NEEDED IN THE COUNTY IN 2009. CRIME PREVENTION SERVICES WERE RANKED THE SECOND MOST IMPORTANT/MOST NEEDED SERVICE IN THE 2009 SURVEY.OTHER IMPORTANT AND EMERGING COMMUNITY PROBLEMS INCLUDE DOMESTIC VIOLENCE, QUALITY OF LIFE AND PARENTING. OTHER IMPORTANT SERVICES INCLUDED HEALTHCARE SERVICES, YOUTH PROGRAMS AND CARE OF THE ELDERLY. ALMOST ONE-QUARTER (24%) OF ALLEN COUNTY ADULTS REPORTED IN 2009 THAT THEY HAD ATTEMPTED TO GET ASSISTANCE FROM A SOCIAL SERVICE AGENCY. 58% OF THOSE ADULTS DID RECEIVE ASSISTANCE AND 1% OF ADULTS REPORTED THEY DID NOT KNOW WHERE TO LOOK FOR ASSISTANCE.HIGH BLOOD PRESSURE AND EXCESSIVE BODY WEIGHT ARE TWO HEALTH CHALLENGES THAT HAVE INCREASED IN OCCURRENCE SINCE THE 2002 SURVEY. THESE ARE CONSIDERABLY ABOVE STATE AND NATIONAL RATES. APPROXIMATELY 3 OUT OF 4 ALLEN COUNTY ADULTS ARE CONSIDERED OVERWEIGHT OR OBESE BY BODY MASS INDEX STANDARDS (BMI). IMPROVEMENTS WERE NOTED INCLUDING AN INCREASE IN PHYSICAL ACTIVITY AND A REDUCTION IN THE NUMBER OF CIGARETTE SMOKERS. HEALTHCARE WAS IDENTIFIED AS ONE OF THE TOP THREE MOST IMPORTANT SERVICES IN ALLEN COUNTY AND THE MAJORITY OF ADULTS (86%) REPORT HAVING COVERAGE. DESPITE THIS, FEWER WOMEN ARE PARTICIPATING IN SCREENINGS FOR EARLY DETECTION OF CANCER. A NOTABLE IMPROVEMENT FROM 2002 WAS THE PERCENTAGE OF ADULTS WHO VISITED A DENTIST IN THE PAST YEAR, THOUGH REPORTED DENTAL VISITS WITHIN THE PAST YEAR ARE STILL LOWER IN ALLEN COUNTY COMPARED TO STATE AND NATIONAL RATES. LIFESTYLE CHARACTERISTICS THAT CORRESPOND WITH REDUCED RISK FOR CHRONIC DISEASE INCLUDE A HEALTHY BODY WEIGHT, ADEQUATE FRUIT AND VEGETABLE CONSUMPTION, REGULAR LEISURE-TIME PHYSICAL ACTIVITY, AND NOT SMOKING, YET ONLY 0.8% OF ALLEN COUNTY ADULTS ENGAGE IN ALL FOUR HEALTHY LIFESTYLE CHARACTERISTICS.SOME OF THE HEALTH ISSUES FACING ALLEN COUNTY YOUTH INCLUDE EARLY SEXUAL ACTIVITY AND TEEN PREGNANCY, BULLYING, LACK OF SAFETY HABITS SUCH AS AND LACK OF REGULAR SEATBELT USE.
PART VI, LINE 3:	ALL PATIENTS OF LIMA MEMORIAL HOSPITAL ARE EDUCATED ON THE HOSPITAL'S CHARITY CARE PROGRAM DURING THE REGISTRATION PROCESS VIA WALL-POSTED STATEMENTS, HOSPITAL PERSONNEL INQUIRIES, ETC. INFORMATION REGARDING THE HOSPITAL'S CHARITY CARE IS ALSO FOUND ON LIMA MEMORIAL HOSPITAL'S WEBSITE. STATEMENTS GOING TO PATIENTS ALSO IDENTIFY THIS PROGRAM.
PART VI, LINE 4:	LIMA MEMORIAL HEALTH SYSTEM SERVES A 10 COUNTY AREA THAT INCLUDES MORE THAN 475,000 PEOPLE. THE COUNTIES INCLUDE ALLEN, AUGLAIZE, PUTNAM, HANCOCK, MERCER, HARDIN, LOGAN, SHELBY, PAULDING, AND VAN WERT. THE MEDIAN HOUSEHOLD INCOME FOR THE REGION IS $44,300. 24% OF RESIDENTS ARE UNDER 18 YEARS-OLD, WHILE 14.5% OF RESIDENTS ARE 65 YEARS-OLD OR OLDER. 95.4% OF OUR ENTIRE SERVICE AREA IS CAUCASIAN, WHILE 2.75% ARE AFRICAN AMERICAN. IN OUR PRIMARY SERVICE AREA OF ALLEN COUNTY 85.6% ARE CAUCASIAN, WHILE 11.7% ARE AFRICAN AMERICAN.THE REGION IS PRIMARILY RURAL WITH SMALL COMMUNITIES. THE LARGEST CITY IN THE REGION IS LIMA WITH A POPULATION OF MORE THAN 38,000.
PART VI, LINE 5:	LIMA MEMORIAL HEALTH SYSTEM CONTINUES TO INCREASE OUR COMMUNITY INVESTMENT THROUGH PARTICIPATION AND SPONSORSHIP OF LOCAL AND REGIONAL EVENTS THAT PROMOTE HEALTHY LIFESTYLE CHOICES, PREVENTATIVE CARE AND CHRONIC PAIN MANAGEMENT. BEYOND THE NUMBERS: KEY COMMUNITY BENEFITS ACTIVITIES OF 2013LIMA MEMORIAL HEALTH SYSTEM DEVELOPS PROGRAMS AND SERVICES TO ADDRESS COMMUNITY HEALTH NEEDS AND MAKES INVESTMENTS IN INITIATIVES THAT ALIGN WITH OUR MISSION, VISION AND VALUES. MUCH OF LIMA MEMORIAL HEALTH SYSTEM'S COMMUNITY BENEFIT INVESTMENT FOR 2013 WAS IN THE AREA OF CHARITABLE CARE. THIS ENABLED THOSE WITHOUT INSURANCE OR WITH LIMITED INSURANCE TO ACCESS MEDICAL CARE. BEYOND THAT FOCUS ARE PROGRAMS AND SERVICES THAT BENEFIT EVERY RESIDENT AND SUPPORT THE FAR REACHING GOAL OF A HEALTHIER WEST CENTRAL OHIO. LIMA MEMORIAL HEALTH SYSTEM CANNOT MEET ALL OF THE HEALTHCARE NEEDS WITHOUT THE ENGAGEMENT AND SUPPORT OF KEY STAKEHOLDERS INCLUDING OUR MEDICAL STAFF AND OTHER COMMUNITY ORGANIZATIONS. COMMUNITY HEALTH SERVICESIN 2013, LIMA MEMORIAL HEALTH SYSTEM PROVIDED AND/OR PARTICIPATED IN NUMEROUS COMMUNITY HEALTH SERVICE PROGRAMS. INCLUDED IN THIS CATEGORY ARE INCLUDING HEALTH AND WELLNESS EDUCATION, HEALTH SCREENINGS, COMMUNITY DEVELOPMENT AND SERVICES TO HELP PEOPLE ADOPT HEALTHY LIFE-STYLE CHANGES. ALSO INCLUDED ARE THE MYRIAD OF SUPPORT GROUP ACTIVITIES THAT HELP PATIENTS AND THEIR FAMILIES MANAGE CHRONIC HEALTH CONDITIONS. KEY INITIATIVES THIS PAST YEAR INCLUDE DIAGNOSTIC HEART AND VASCULAR SCREENINGS FOR AT-RISK ADULTS, CHILDHOOD DIABETES EDUCATION IN AREA SCHOOLS, INJURY PREVENTION AND AWARENESS, BREAST AND LUNG SCREENINGS AND HEALTHY EATING EVENTS.A THIRD SUBSET OF THIS CATEGORY INCLUDES HEALTH CARE SUPPORT SERVICES, OR THOSE SERVICES THAT ARE PROVIDED TO ASSIST COMMUNITY MEMBERS IN ACCESSING BOTH INFORMATION AND THE MEDICAL CARE THAT THEY NEED. CHIEF AMONG THE HEALTH SYSTEM'S SUPPORT INITIATIVES ARE THE FINANCIAL COUNSELORS THAT ENSURE THAT PATIENTS WHO ARE STRUGGLING FINANCIALLY AND/OR LACK MEDICAL INSURANCE ARE AFFORDED THE CARE THAT THEY NEED.HEALTH PROFESSIONS EDUCATIONLIMA MEMORIAL HEALTH SYSTEM BELIEVES THAT HAVING HIGHLY TRAINED MEDICAL PERSONNEL BENEFITS EVERYONE IN THE COMMUNITY. BEYOND ON-GOING EDUCATION FOR PHYSICIANS, NURSES, TECHNICIANS, AND OTHER CLINICIANS, THE HEALTH SYSTEM SUPPORTED NUMEROUS SPECIAL INITIATIVES IN 2013 TO FURTHER THE CAPABILITIES OF AREA MEDICAL PERSONNEL.OUR SCHOOLS OF NURSING PROGRAM PROVIDED A TRAINING SITE FOR OVER 450 NURSING STUDENTS IN 2013. LIMA MEMORIAL HEALTH SYSTEM ALSO PROVIDES EDUCATIONAL SUPPORT IN THE MEDICAL COMMUNITY BY PROVIDING HUNDREDS OF HOURS OF TRAINING FOR AREA EMTS AND PARAMEDICS. FINANCIAL CONTRIBUTIONSLIMA MEMORIAL PROVIDES BOTH CASH AND IN-KIND SUPPORT TO INDIVIDUALS AND OTHER COMMUNITYORGANIZATIONS. THE SPONSORSHIP FUND PROVIDES FUNDING SUPPORT TO WEST CENTRAL OHIO PROGRAMS THAT ADDRESS IDENTIFIED COMMUNITY NEEDS AND SERVE VULNERABLE POPULATIONS. IN 2013, LIMA MEMORIAL CONTRIBUTED TO MORE THAN 55 ORGANIZATIONS INCLUDING THE MARCH OF DIMES, YMCA OF LIMA, AMERICAN CANCER SOCIETY, THE UNITED WAY AND THE AMERICAN RED CROSS. COMMUNITY BENEFIT OPERATIONSFOR 2013, COMMUNITY BENEFITS EXPENSES RECORDED THE STAFF HOURS NEEDED TO TRACK AND INPUT THE INFORMATION. THE APPLICABLE COSTS FOR STAFF ENGAGING IN ACTUAL COMMUNITY BENEFIT SERVICES AND PROGRAMMING ARE REPORTED WITHIN SPECIFIC INITIATIVES AND ACTIVITIES.CHARITY CAREIN ACCORDANCE WITH REPORTING REQUIREMENTS, LIMA MEMORIAL'S CHARITY CARE EXPENSE IS BASED UPON COSTS VERSUS CHARGES. CHARITY CARE INCLUDES LIMA MEMORIAL'S TRADITIONAL INPATIENT AND EMERGENCY SERVICES. UPON APPROVAL FOR FINANCIAL ASSISTANCE, ALL HOSPITAL CARE IN THE ENSUING SIX MONTH PERIOD IS INCLUDED. THIS APPROACH ENSURES THAT ASSISTANCE IS PORTABLE AND THAT PATIENTS HAVE ACCESS TO NEEDED MEDICAL SERVICES BY MAKING A SINGLE APPLICATION.A KEY GOAL IS TO IDENTIFY COMMUNITY MEMBERS IN NEED SOONER. THE RESULT IS MORE CHARITY CARE AND FEWER BAD DEBTS.GOVERNMENT SPONSORED HEALTHCAREPAYMENT SHORTFALLS FOR PUBLIC INSURANCE PROGRAMS, INCLUDING MEDICAID AND MEDICARE, WERE$10,763,966 IN 2013.
PART VI, LINE 6:	LIMA MEMORIAL HEALTH SYSTEM DEVELOPS PROGRAMS AND SERVICES TO ADDRESS COMMUNITY HEALTH NEEDS TO SUPPORT THE GOAL OF A HEALTHIER WEST CENTRAL OHIO.
PART VI, LINE 7, REPORTS FILED WITH STATES	OH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ALLEN COUNTY VISIONARIES
PO BOX 176	LIMA	OH	45802	341740545	501(C)3	$14,000	COMMUNITY DEVELOPMENTCOMMUNITY DEVELOPMENT/HEALTH AND WELLNESS
LIMA AREA FAMILY YMCA
345 S ELIZABETH ST	LIMA	OH	45801	344431173	501(C)3	$262,994	COMMUNITY DEVELOPMENT/HEALTH AND WELLNESS
LIMA SYMPHONY ORCHESTRA
133 N ELIZABETH ST	LIMA	OH	45807	344465022	501(C)3	$5,800	COMMUNITY DEVELOPMENT SUPPORTING ARTS
AMERICAN RED CROSS
610 S COLLET ST	LIMA	OH	45805	530196605	501(C)3	$10,000	COMMUNITY DEVELOPMENT/HEALTH AND WELLNESS
LIMA MEMORIAL FOUNDATION
1001 BELLEFONTAINE AVE	LIMA	OH	45804	341707570	501(C)3	$10,000	HEALTH INITIATIVE
LIMA AREA CHAMBER OF COMMERCE
144 S MAIN ST	LIMA	OH	45801	344179070	501(C)3	$6,500	COMMUNITY DEVELOPMENT/HEALTH AND WELLNESS
LIMA AREA CHAMBER FOUNDATION - STATE OF THE STATE SPONSORSHIP
144 S MAIN ST	LIMA	OH	45801	344179071	501(C)3	$5,000	COMMUNITY DEVELOPMENT/HEALTH AND WELLNESS
TUTTLE CONSTRUCTION - SAFETY CITY
880 SHAWNEE ROAD	LIMA	OH	45805	344446567	501(C)3	$14,443	COMMUNITY DEVELOPMENT/HEALTH AND WELLNES
MARCH OF DIMES
375 STEWART ROAD	WILKES BARRE	PA	18706	131846366	501(C)3	$8,500	COMMUNITY DEVELOPMENT/HEALTH AND WELLNES
LIMA ALLEN CO REGIONAL PLANNING COMMISSION
130 W NORTH STREET	LIMA	OH	45801	341162237	GOVT	$5,000	COMMUNITY DEVELOPMENT/HEALTH AND WELLNES
UNITED WAY
616 S COLLETT ST SUITE 101	LIMA	OH	45805	344466356	501(C)3	$15,033	COMMUNITY DEVELOPMENT

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 2:	IN MOST CASES THE EFFECTIVE USE OF FUNDS IS EVIDENT THROUGH THE POSITIVE RESULTS OF THE PROGRAMS WE FUND. IN ADDITION, LIMA MEMORIAL HAS BOARD REPRESENTATION ON MOST OF THE ORGANIZATIONS WE SUPPORT. IF THIS IS NOT THE CASE WE DO ASK FOR THEIR BUSINESS PLAN AND A LIST OF EXPENDITURES.
PART II	LIMA ALLEN COUNTY REGIONAL PLANNING COMMISSION IS A GOVERNMENTAL ENTITY.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
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 (11 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
LAWRENCE D BELL MD
BOARD MEMBER (SEE SCH J)	$0	$525,650	$0	$0	$0	$0	$0	$7,650	$0	$7,414	$0	$540,714	$0	$0
MICHAEL SWICK
PRESIDENT/CEO (SEE SCH J)	$327,480	$0	$184,854	$0	$12,202	$0	$201,292	$0	$18,534	$0	$744,362	$0	$0	$0
ROBERT E ARMSTRONG JR
SENIOR VP/COO (SEE SCH J)	$215,542	$0	$90,343	$0	$5,692	$0	$83,898	$0	$18,534	$0	$414,009	$0	$0	$0
ERIC D POHJALA
VP OF FINANCE/CFO (SEE SCH	$207,144	$0	$83,340	$0	$5,569	$0	$77,847	$0	$27,822	$0	$401,722	$0	$0	$0
CHARLES LYNN THOMPSON MD
VICE PRESIDENT/CMO (SEE SC	$227,558	$0	$96,587	$0	$12,661	$0	$92,836	$0	$14,827	$0	$444,469	$0	$0	$0
KHA H TRAN MD
VP OF MEDICAL AFFAIRS (SEE SCH J)	$104,941	$79,738	$0	$8,978	$2,704	$0	$20,016	$2,448	$16,230	$11,593	$143,891	$102,757	$0	$0
ANN-MARIE JEAN POHL
VICE PRESIDENT/CNO (SEE SC	$146,295	$0	$59,351	$0	$4,765	$0	$55,281	$0	$0	$0	$265,692	$0	$0	$0
ANITA GOOD
ADMINISTRATIVE DIRECTOR (S	$122,878	$0	$17,351	$0	$1,303	$0	$4,324	$0	$22,258	$0	$168,114	$0	$0	$0
MARK RECKER
DIRECTOR OF PHARMACY	$132,526	$0	$12,243	$0	$744	$0	$4,433	$0	$11,129	$0	$161,075	$0	$0	$0
LYNN CARPENTER
ADMINISTRATIVE DIRECTOR	$131,055	$0	$18,243	$0	$6,011	$0	$4,763	$0	$18,534	$0	$178,606	$0	$0	$0
CHERYL HOMAN
ADMINISTRATIVE DIRECTOR	$118,639	$0	$17,087	$0	$2,719	$0	$4,236	$0	$14,827	$0	$157,508	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	LIMA MEMORIAL JOINT OPERATING COMPANY PROVIDES SOCIAL CLUB DUES TO THE CEO; THEY ARE TREATED AS TAXABLE COMPENSATION.
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN AN IRC 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN. THIS PLAN IS FUNDED BY THE HOSPITAL AND VESTS WITH SERVICE THEREFORE IS SUBJECT TO RISK OF FORFEITURE. ERIC D. POHJALA $37,397 ROBERT ARMSTRONG $43,448 MIKE SWICK $160,842 C. LYNN THOMPSON $48,486 ANN-MARIE JEAN POHL $17,560

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF LIMA-2007 BONDS
A	346400789	532567DH4	2007-07-18	$25,000,000	HOSPITAL FACILITIES	0	0	0
CITY OF LIMA-2003 BONDS
B	346400789	532567DG6	2003-04-10	$10,000,000	HOSPITAL FACILITIES	0	0	0
VILLAGE OF FT SHAWNEE
C	346006426		2007-06-07	$6,160,000	HOSPITAL FACILITIES	0	0	0
VILLAGE OF ELIDA
D	346407983		2007-05-22	$7,040,000	HOSPITAL FACILITIES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$25,000,000	2008	0	0	Yes (1)	Yes (1)
B	$10,000,000	2004	0	0	Yes (1)	Yes (1)	$535,000
C		2000	Yes (1)	Yes (1)	Yes (1)	Yes (1)	$867,500	$6,160,000
D		2003	Yes (1)	Yes (1)	Yes (1)	Yes (1)	$37,500	$7,040,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	0		Yes (1)
D	0		Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	0	Yes (1)	Yes (1)
B	0	0	Yes (1)	0	Yes (1)	Yes (1)
C	0	0	Yes (1)	0	0	Yes (1)
D	Yes (1)				0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JJ JOHNSON	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	J.J. JOHNSON IS THE SON OF BOARD MEMBER JOHN JOHNSON	RelationshipDescriptionTxt
Transaction	$51,485	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE MEMBERS ARE LIMA MEMORIAL HOSPITAL AND PH VENTURES, INC., WHOSE SOLE MEMBER IS PROMEDICA HEALTH SYSTEM, BOTH OHIO NONPROFIT CORPORATIONS.
FORM 990, PART VI, SECTION B, LINE 11	THE AUDIT COMMITTEE OF THE BOARD REVIEWS AND APPROVES THE FORM 990, AND A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD, PRIOR TO FILING. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART VI, SECTION B, LINE 12C	EACH TRUSTEE, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) HAS AGREED TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
FORM 990, PART VI, SECTION B, LINE 15	THE PROCESS FOR DETERMINING THE ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES' COMPENSATION INCLUDES: 1) REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE; 2) THE UTILIZATION OF AN INDEPENDENT COMPENSATION CONSULTANT; 3) COMPARABLE DATA; AND 4) CONTEMPORANEOUS DOCUMENTATION. THIS PROCESS WAS LAST COMPLETED IN 2013.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE CURRENTLY NOT AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE FILED WITH THE RETURN AS REQUIRED.
FORM 990, PART IX, LINE 11G	TRAVEL AGENCY FEE: PROGRAM SERVICE EXPENSES 25,296. MANAGEMENT AND GENERAL EXPENSES 6,324. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,620. PURCHASED SERVICES FEE: PROGRAM SERVICE EXPENSES 13,143,002. MANAGEMENT AND GENERAL EXPENSES 3,285,751. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,428,753. MAINTENANCE FEE: PROGRAM SERVICE EXPENSES 4,444. MANAGEMENT AND GENERAL EXPENSES 1,111. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,555. CONSULTING FEE: PROGRAM SERVICE EXPENSES 124,981. MANAGEMENT AND GENERAL EXPENSES 31,245. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 156,226. COLLECTIONS FEE: PROGRAM SERVICE EXPENSES 827,504. MANAGEMENT AND GENERAL EXPENSES 206,876. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,034,380. EQUIPMENT RENTAL FEE: PROGRAM SERVICE EXPENSES 1,401,164. MANAGEMENT AND GENERAL EXPENSES 350,291. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,751,455. FREIGHT: PROGRAM SERVICE EXPENSES 227,333. MANAGEMENT AND GENERAL EXPENSES 56,833. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 284,166. WASTE REMOVAL: PROGRAM SERVICE EXPENSES 26,982. MANAGEMENT AND GENERAL EXPENSES 6,745. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,727. COURTESY TRANSPORTATION FEE: PROGRAM SERVICE EXPENSES 121,330. MANAGEMENT AND GENERAL EXPENSES 30,333. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,663. CLEANING FEE: PROGRAM SERVICE EXPENSES 147,742. MANAGEMENT AND GENERAL EXPENSES 36,936. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 184,678. PHYSICIAN FEE: PROGRAM SERVICE EXPENSES 2,633,181. MANAGEMENT AND GENERAL EXPENSES 658,295. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,291,476. CORPORATE FEE: PROGRAM SERVICE EXPENSES 118,374. MANAGEMENT AND GENERAL EXPENSES 29,593. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 147,967. CONTINGENCY FEE: PROGRAM SERVICE EXPENSES 774. MANAGEMENT AND GENERAL EXPENSES 194. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 968. FRANCHISE FEE: PROGRAM SERVICE EXPENSES 1,755,530. MANAGEMENT AND GENERAL EXPENSES 438,882. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,194,412.
FORM 990, PART XI, LINE 9:	IMPLEMENTATION OF NEW ACCOUNTING PRONOUNCEMENT 82,990. INVESTMENT IN LMHS WOMEN'S HEALTH CO-MANAGEMENT K-1 3,903. RESTRICTED CONTRIBUTIONS 268,286.
FORM 990, PART XI, LINE 2C EXPLANATION:	THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGE FROM THE PRIOR YEAR.
FORM 990, SUPPLEMENTAL FINANCIAL INFORMATION	THE CALCULATION RECONCILES THE ORGANIZATION'S OPERATIONS TO THE LIMA MEMORIAL HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS. GAIN (LOSS) FROM OPERATIONS LMH $13,800,398 LMP $(9,553,115) ELM TREE $(213,835) TOTAL GAIN (LOSS) FROM OPERATIONS $4,033,448 NON-OPERATING REVENUES, NET $1,904,442 INTEREST RATE SWAP $4,712,270 AUDITED EXCESS REVENUE $10,650,160 NET ASSETS RELEASED FROM RESTRICTION $ - PPA $22 NET $10,650,182 OTHER 990 ADJUSTMENTS WOMEN'S HEALTH K-1 $(3,903) UNREALIZED GAIN/LOSS $(1,462,486) ADA MEDICAL K-1 $39,284 CARDINAL HEALTH K-1 $(81,624) TOTAL OTHER 990 ADJUSTMENTS $(1,508,729) NET $9,141,453 LMJOC 990 PART 1, LINE 19 $18,949,209 LLP 990 PART 1, LINE 19 $(9,551,580) ELM TREE 1120 LINE 30 $(213,836) LMH 990EZ PART 1, LINE 18 $(42,340) NET TAX RETURNS $9,141,453 DIFFERENCE: FINANCIAL STATEMENTS VS TAX RETURN $ -

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
LIMA MEMORIAL HOSPITAL
1001 BELLEFONTAINE AVENUE	LIMA	OH	45804	344434676	HEALTHCARE	OH	501(C)(3)	170(B)(1)(A)(III)	LIMA MEMORIAL JOINT OPERATING COMPANY	Yes (1)
LIMA MEMORIAL HOSPITAL FOUNDATION
1001 BELLEFONTAINE AVENUE	LIMA	OH	45804	341707570	SUPPORTING ORGANIZATION FOR LIMA MEMORIAL HOSPITAL	OH	501(C)(3)	509(A)(3)	LIMA MEMORIAL JOINT OPERATING COMPANY	Yes (1)
LIMA MEMORIAL HOSPITAL AUXILIARY
1001 BELLEFONTAINE AVENUE	LIMA	OH	45804	341694632	SUPPORTING ORGANIZATION FOR LIMA MEMORIAL HOSPITAL	OH	501(C)(3)	509(A)(3)	LIMA MEMORIAL JOINT OPERATING COMPANY	Yes (1)
LIMA MEMORIAL PROFESSIONAL CORPORATION
1001 BELLEFONTAINE AVENUE	LIMA	OH	45804	341935236	HEALTHCARE	OH	501(C)(3)	170(B)(1)(A)(III)	LIMA MEMORIAL JOINT OPERATING COMPANY	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LMHS WOMEN'S HEALTH CO-MANAGEMENT COMPANY LLC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1001 BELLEFONTAINE AVE	AddressLine1
City	LIMA	City
State	OH	State
ZIP Code	45804	ZIPCode

Field	Value	IRS element (for citing)
EIN	271023520	EIN
Primary Activities	WOMEN'S HEALTH CO-MANAGEMENT	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LIMA MEMORIAL JOINT OPERATING COMPANY	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	-$3,903	ShareOfTotalIncomeAmt
Share Of EOY Assets	$74,143	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.50000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ELM TREE FOUNDATION	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1220 EAST ELM STREET	AddressLine1
City	LIMA	City
State	OH	State
ZIP Code	45804	ZIPCode

Field	Value	IRS element (for citing)
EIN	341417720	EIN
Primary Activities	RENTAL REAL ESTATE	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LIMA MEMORIAL JOINT OPERATING COMPANY	BusinessNameLine1

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$694,602	ShareOfTotalIncomeAmt
Share Of EOY Assets	$6,480,652	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	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	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
LIMA MEMORIAL HOSPITAL FOUNDATION
S	$264,988	EQUITY TRANSFER
LIMA MEMORIAL PROFESSIONAL CORPORATION
R	$9,379,512	EQUITY TRANSFER
LIMA MEMORIAL PROFESSIONAL CORPORATION
J	$973,085	LEASE CONTRACT
ELM TREE FOUNDATION
K	$140,433	LEASE CONTRACT
LIMA MEMORIAL PROFESSIONAL CORPORATION
P	$310,578	CASH TRANSACTION
ELM TREE FOUNDATION
Q	$150,000	CASH TRANSACTION