LIMA MEMORIAL PROFESSIONAL CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LIMA MEMORIAL PROFESSIONAL CORPORATION (EIN 34-1935236)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-11
- IRS object ID
- 201303169349302375
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-11T16:40:35-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341935236 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIMA MEMORIAL PROFESSIONAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LIMA | NameControl |
| Phone | 4192283335 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL SWICK | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 4192283335 | Phone |
| Date Signed | 2013-10-25 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BERNIE OSTROWSKI | Name |
| PTIN | P00366367 | PTIN |
| Phone | 6148493000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL SWICK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 26208821 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.DOCLMPC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | WE ARE HERE TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITIES THROUGH COMPREHENSIVE HEALTH SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 341 | TotalNbrEmployees |
| Total Nbr Volunteers | 1 | TotalNbrVolunteers |
| Total Gross UBI | 19821 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 939 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 6537686 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12608947 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 26185966 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2702 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2107 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 15748 | OtherRevenuePriorYear |
| Other Revenue Current Year | 20748 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 19165083 | TotalRevenuePriorYear |
| Total Revenue Current Year | 26208821 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16897845 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 24964114 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8373290 | OtherExpensePriorYear |
| Other Expenses Current Year | 9992644 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 25271135 | TotalExpensesPriorYear |
| Total Expenses Current Year | 34957758 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6106052 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -8748937 | RevenuesLessExpensesCY |
| Total Assets BOY | 3762778 | TotalAssetsBOY |
| Total Assets EOY | 5041147 | TotalAssetsEOY |
| Total Liabilities BOY | 52043341 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 62070647 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -48280563 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -57029500 | NetAssetsOrFundBalancesEOY |
| Mission Description | WE ARE HERE TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITIES THROUGH COMPREHENSIVE HEALTH SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 29651590 | Expense |
| Grants | 1000 | Grants |
| Revenue | 26186893 | Revenue |
| Description | PROVISION OF HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY. | Description |
| Total Program Service Expense | 29651590 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 51 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 341 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERI FOSTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4192265197 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CHARLES LYNN THOMPSON MD | ||||||||
| VICE PRESIDENT/CMO (SEE SCH J) | 20.00 | 20.00 | X | X | 0 | 416248 | 105275 | |
| ROBERT E ARMSTRONG JR | ||||||||
| VICE PRESIDENT/COO (SEE SCH J) | 10.00 | 30.00 | X | X | 0 | 449901 | 100067 | |
| FRANK BALDAUF MD | ||||||||
| CHAIRMAN (SEE SCH J) | 40.00 | 0.00 | X | X | 154134 | 0 | 21881 | |
| KERMIT STROH | ||||||||
| BOARD MEMBER | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| KHA TRAN MD | ||||||||
| TREASURER (SEE SCH J) | 39.00 | 1.00 | X | X | 179028 | 0 | 26854 | |
| CHERYL WAYMAN PA-C | ||||||||
| SECRETARY | 40.00 | 0.00 | X | X | 135105 | 0 | 4132 | |
| LAWRENCE BELL MD | ||||||||
| BOARD MEMBER (SEE SCH J) | 39.00 | 1.00 | X | 527766 | 0 | 22956 | ||
| S KAYE LEE CNP | ||||||||
| BOARD MEMBER | 40.00 | 0.00 | X | 101850 | 0 | 3056 | ||
| DAVID LIN MD | ||||||||
| BOARD MEMBER (SEE SCH J) | 40.00 | 0.00 | X | 653098 | 0 | 16087 | ||
| BONNIE MCNAMARA MD | ||||||||
| BOARD MEMBER (SEE SCH J) | 40.00 | 0.00 | X | 140274 | 0 | 25691 | ||
| STEVE MILLIGAN JR MD | ||||||||
| BOARD MEMBER (SEE SCH J) | 40.00 | 0.00 | X | 210149 | 0 | 15098 | ||
| J FRANK OAKS JR MD | ||||||||
| VICE CHAIRMAN (SEE SCH J) | 40.00 | 0.00 | X | X | 408713 | 0 | 28967 | |
| SALIM HANNA | ||||||||
| BOARD MEMBER (SEE SCH J) | 40.00 | 0.00 | X | 434405 | 0 | 34304 | ||
| ERIN DARIANO DO | ||||||||
| BOARD MEMBER (SEE SCH J) | 40.00 | 0.00 | X | 139401 | 0 | 23420 | ||
| DAVID ROSI DO | ||||||||
| BOARD MEMBER (SEE SCH J) | 40.00 | 0.00 | X | 299491 | 0 | 24583 | ||
| MICHAEL SWICK | ||||||||
| CEO OF LMH (SEE SCH J) | 4.00 | 36.00 | X | 0 | 840521 | 204759 | ||
| ERIC D POHJALA | ||||||||
| CEO OF LMH (SEE SCH J) | 5.00 | 35.00 | X | 0 | 397376 | 94904 | ||
| OMAR A MAJID MD | ||||||||
| PHYSICIAN (SEE SCH J) | 40.00 | 0.00 | 596477 | 0 | 16087 | X | ||
| PIERRE BAMDAD MD | ||||||||
| PHYSICIAN (SEE SCH J) | 40.00 | 0.00 | 466717 | 0 | 28587 | X | ||
| MEHRAN ARABPOUR MD | ||||||||
| PHYSICIAN (SEE SCH J) | 40.00 | 0.00 | 465368 | 0 | 41467 | X | ||
| PAUL N ANIKE MD | ||||||||
| PHYSICIAN (SEE SCH J) | 40.00 | 0.00 | 467247 | 0 | 41467 | X | ||
| VENKAT R BATTULA MD | ||||||||
| PHYSICIAN (SEE SCH J) | 40.00 | 0.00 | 433988 | 0 | 41467 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5813211 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2104046 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 921109 | TotalOtherCompensation |
| Number Individuals GT100 K | 53 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| STAFF CARE INC | |||||
| 5001 STATESMAN | IRVING | TX | 750632414 | MEDICAL SERVICES | 363981 |
| NAVIGANT | |||||
| 4511 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | MEDICAL SERVICES | 325599 |
| COMPREHENSIVE MEDICAL MGMT LTD | |||||
| 1 RIVERFRONT PLACE 6TH FLOOR | NEWPORT | KY | 41071 | MEDICAL BILLING | 292518 |
| EMERGENCY PHYSICIANS OF NW OHIO | |||||
| PO BOX 12490 | TOLEDO | OH | 43606 | MEDICAL SERVICES | 267050 |
| EKG ASSOCIATES II LLC | |||||
| 1005 BELLEFONTAINE AVE STE 340 | LIMA | OH | 45804 | MEDICAL SERVICES | 143199 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REV | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 26185966 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26185966 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 26185966 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2107 | TotalRevenueColumn |
| Exclusion | $2,107 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| BILLING SERVICES | 561000 | 19821 | 19821 | |
| PURCHASE DISCOUNTS | 621110 | 927 | 927 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 20748 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 26208821 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26186893 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 19821 | UnrelatedBusinessRevenue |
| Exclusion | $2,107 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000 | Total |
| Program Services | 1000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3639930 | Total |
| Program Services | 3639930 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17682533 | Total |
| Program Services | 14146026 | ProgramServices |
| Management And General | 3536507 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 377881 | Total |
| Program Services | 302305 | ProgramServices |
| Management And General | 75576 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2196033 | Total |
| Program Services | 1756826 | ProgramServices |
| Management And General | 439207 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1067737 | Total |
| Program Services | 854190 | ProgramServices |
| Management And General | 213547 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3777569 | Total |
| Program Services | 3022055 | ProgramServices |
| Management And General | 755514 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205843 | Total |
| Program Services | 164674 | ProgramServices |
| Management And General | 41169 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 860269 | Total |
| Program Services | 688215 | ProgramServices |
| Management And General | 172054 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84456 | Total |
| Program Services | 67565 | ProgramServices |
| Management And General | 16891 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96451 | Total |
| Program Services | 77161 | ProgramServices |
| Management And General | 19290 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66306 | Total |
| Program Services | 53045 | ProgramServices |
| Management And General | 13261 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1139 | Total |
| Program Services | 911 | ProgramServices |
| Management And General | 228 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 4704110 | 4704110 | |
| EDUCATION & REWARDS | 114619 | 91695 | 22924 |
| MANAGED CARE ORG | 81632 | 81632 | |
| RECRUITMENT | 250 | 250 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34957758 | Total |
| Program Services | 29651590 | ProgramServices |
| Management And General | 5306168 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 608533 | BOY |
| EOY | 1143544 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 70014 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2563750 | BOY |
| EOY | 2780147 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110737 | BOY |
| EOY | 449756 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 199990 | BOY |
| EOY | 344007 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 864063 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 610384 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 279768 | BOY |
| EOY | 253679 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3762778 | BOY |
| EOY | 5041147 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1379389 | BOY |
| EOY | 2713111 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50663952 | BOY |
| EOY | 59357536 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52043341 | BOY |
| EOY | 62070647 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -48280563 | BOY |
| EOY | -57029500 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -48280563 | BOY |
| EOY | -57029500 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3762778 | BOY |
| EOY | 5041147 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -8748937 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21551 | OtherCostOrOtherBasis |
| Book Value | 21551 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 842512 | OtherCostOrOtherBasis |
| Depreciation | 610384 | Depreciation |
| Book Value | 232128 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 253679 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ADVANCES FROM LIMA MEMORIAL JOINT OPERATING CO. | $59,226,522 |
| PROFESSIONAL LIABILITY RESERVE | $61,000 |
| PENSION FUND 457B & F | $70,014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 59357536 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| 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, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE 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 2009. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES LYNN THOMPSON MD | ||||||||||||||
| VICE PRESIDENT/CMO (SEE SCH J) | 0 | 227266 | 0 | 179398 | 0 | 9584 | 0 | 88101 | 0 | 17174 | 0 | 521523 | 0 | 92250 |
| ROBERT E ARMSTRONG JR | ||||||||||||||
| VICE PRESIDENT/COO (SEE SCH J) | 0 | 208762 | 0 | 235423 | 0 | 5716 | 0 | 78600 | 0 | 21467 | 0 | 549968 | 0 | 153912 |
| FRANK BALDAUF MD | ||||||||||||||
| CHAIRMAN (SEE SCH J) | 144392 | 0 | 9742 | 0 | 0 | 0 | 4707 | 0 | 17174 | 0 | 176015 | 0 | 0 | 0 |
| KHA TRAN MD | ||||||||||||||
| TREASURER (SEE SCH J) | 170563 | 0 | 8465 | 0 | 0 | 0 | 5387 | 0 | 21467 | 0 | 205882 | 0 | 0 | 0 |
| LAWRENCE BELL MD | ||||||||||||||
| BOARD MEMBER (SEE SCH J) | 522766 | 0 | 5000 | 0 | 0 | 0 | 7500 | 0 | 15456 | 0 | 550722 | 0 | 0 | 0 |
| DAVID LIN MD | ||||||||||||||
| BOARD MEMBER (SEE SCH J) | 648098 | 0 | 5000 | 0 | 0 | 0 | 7500 | 0 | 8587 | 0 | 669185 | 0 | 0 | 0 |
| BONNIE MCNAMARA MD | ||||||||||||||
| BOARD MEMBER (SEE SCH J) | 133928 | 0 | 6346 | 0 | 0 | 0 | 4224 | 0 | 21467 | 0 | 165965 | 0 | 0 | 0 |
| STEVE MILLIGAN JR MD | ||||||||||||||
| BOARD MEMBER (SEE SCH J) | 200149 | 0 | 10000 | 0 | 0 | 0 | 6511 | 0 | 8587 | 0 | 225247 | 0 | 0 | 0 |
| J FRANK OAKS JR MD | ||||||||||||||
| VICE CHAIRMAN (SEE SCH J) | 244445 | 0 | 164268 | 0 | 0 | 0 | 7500 | 0 | 21467 | 0 | 437680 | 0 | 0 | 0 |
| SALIM HANNA | ||||||||||||||
| BOARD MEMBER (SEE SCH J) | 240269 | 0 | 194136 | 0 | 0 | 0 | 12837 | 0 | 21467 | 0 | 468709 | 0 | 0 | 0 |
| ERIN DARIANO DO | ||||||||||||||
| BOARD MEMBER (SEE SCH J) | 138221 | 0 | 1180 | 0 | 0 | 0 | 1953 | 0 | 21467 | 0 | 162821 | 0 | 0 | 0 |
| DAVID ROSI DO | ||||||||||||||
| BOARD MEMBER (SEE SCH J) | 299491 | 0 | 0 | 0 | 0 | 0 | 3116 | 0 | 21467 | 0 | 324074 | 0 | 0 | 0 |
| MICHAEL SWICK | ||||||||||||||
| CEO OF LMH (SEE SCH J) | 0 | 316391 | 0 | 512924 | 0 | 11206 | 0 | 183292 | 0 | 21467 | 0 | 1045280 | 0 | 352255 |
| ERIC D POHJALA | ||||||||||||||
| CEO OF LMH (SEE SCH J) | 0 | 201234 | 0 | 190575 | 0 | 5567 | 0 | 73437 | 0 | 21467 | 0 | 492280 | 0 | 116446 |
| OMAR A MAJID MD | ||||||||||||||
| PHYSICIAN (SEE SCH J) | 596477 | 0 | 0 | 0 | 0 | 0 | 7500 | 0 | 8587 | 0 | 612564 | 0 | 0 | 0 |
| PIERRE BAMDAD MD | ||||||||||||||
| PHYSICIAN (SEE SCH J) | 421717 | 0 | 45000 | 0 | 0 | 0 | 20000 | 0 | 8587 | 0 | 495304 | 0 | 0 | 0 |
| MEHRAN ARABPOUR MD | ||||||||||||||
| PHYSICIAN (SEE SCH J) | 420368 | 0 | 45000 | 0 | 0 | 0 | 20000 | 0 | 21467 | 0 | 506835 | 0 | 0 | 0 |
| PAUL N ANIKE MD | ||||||||||||||
| PHYSICIAN (SEE SCH J) | 422247 | 0 | 45000 | 0 | 0 | 0 | 20000 | 0 | 21467 | 0 | 508714 | 0 | 0 | 0 |
| VENKAT R BATTULA MD | ||||||||||||||
| PHYSICIAN (SEE SCH J) | 388988 | 0 | 45000 | 0 | 0 | 0 | 20000 | 0 | 21467 | 0 | 475455 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 4B | THE FOLLOWING INDIVIDUALS PARTICIPATED IN AN IRC 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN: ERIC D. POHJALA $15,905 ROBERT ARMSTRONG $19,222 MICHAEL SWICK $100,473 C. LYNN THOMPSON $23,414 | |
| PART III | PART I, LINE 3: RELATED ORGANIZATION, LIMA MEMORIAL JOINT OPERATING COMPANY, DETERMINES THE COMPENSATION OF THE ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES BY 1)REVIEW AND APPROVAL OF THE COMPENSATION COMMITTEE; 2)UTILIZATION OF AN INDEPENDENT COMPENSATION CONSULTANT; 3)COMPARABLE DATA; AND 4) CONTEMPORANEOUS DOCUMENTATION. | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SHELDON WICAL DO | NamePerson |
| Relationship With Organization | FORMER SECRETARY OF THE BOARD | RelationshipWithOrganization |
| Purpose Of Loan | LOAN TO ASSIST WITH TRANSITION OF SHELDON WICAL FROM PRIOR EMPLOYER TO LMHS | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $28,000 | OriginalPrincipalAmount |
| Balance Due | 10150 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 10150 | TotalBalanceDue |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FORM 990, SCHEDULE L, PART II | Identifier |
| Explanation | THE LOAN RELATED TO A BUSINESS TRANSACTION WHERE LIMA MEMORIAL PROFESSIONAL CORPORATION PROVIDED A LOAN TO ASSIST WITH THE TRANSITION OF SHELDON WICAL, DO (FORMER SECRETARY OF BOARD) TO LIMA MEMORIAL HEALTH SYSTEM FROM THE PRIOR EMPLOYER. THE CEO, AN OFFICER AND REPRESENTATIVE OF THE BOARD FOR LIMA MEMORIAL PROFESSIONAL CORPORATION, APPROVED THE LOAN TO TERMS OF WHICH WERE CONSISTENT TO THAT OF AN ARMS-LENGTH TRANSACTION. MEMBERS OF THE BOARD ACKNOWLEDGED THIS TRANSACTION AND GAVE AUTHORITY TO THE CEO FOR APPROVAL. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE BOARD REVIEWS AND APPROVES FORM 990. | |
| 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 AND OTHER OFFICERS' 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. COMPENSATION PAID TO THE CEO, SENIOR VICE PRESIDENT/COO AND VICE PRESIDENT OF FINANCE/CFO ARE PAID AND REVEIEWED BY A RELATED ORGANIZATION. THIS PROCESS WAS LAST COMPLETED IN 2012. | |
| FORM 990, PART VI, SECTION C, LINE 18 | FORM 1023, FORM 990 AND FORM 990-T ARE AVAILABLE UPON REQUEST. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE CURRENTLY NOT AVAILABLE TO THE PUBLIC. | |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 343,882. MANAGEMENT AND GENERAL EXPENSES 85,970. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 429,852. TRAVELERS FEES: PROGRAM SERVICE EXPENSES 16,474. MANAGEMENT AND GENERAL EXPENSES 4,119. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,593. LOCUM TENENS FEES: PROGRAM SERVICE EXPENSES 581,718. MANAGEMENT AND GENERAL EXPENSES 145,430. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 727,148. TRANSCRIPTION FEES: PROGRAM SERVICE EXPENSES 3,569. MANAGEMENT AND GENERAL EXPENSES 892. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,461. COLLECTION FEES: PROGRAM SERVICE EXPENSES 697,114. MANAGEMENT AND GENERAL EXPENSES 174,279. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 871,393. RENTAL FEES: PROGRAM SERVICE EXPENSES 1,056,995. MANAGEMENT AND GENERAL EXPENSES 264,249. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,321,244. BILLING FEES: PROGRAM SERVICE EXPENSES 160,960. MANAGEMENT AND GENERAL EXPENSES 40,240. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 201,200. WASTE REMOVAL FEES: PROGRAM SERVICE EXPENSES 8,980. MANAGEMENT AND GENERAL EXPENSES 2,245. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,225. GROUNDS FEES: PROGRAM SERVICE EXPENSES 9,067. MANAGEMENT AND GENERAL EXPENSES 2,267. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,334. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 11,968. MANAGEMENT AND GENERAL EXPENSES 2,992. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,960. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 45,550. MANAGEMENT AND GENERAL EXPENSES 11,387. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,937. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 85,778. MANAGEMENT AND GENERAL EXPENSES 21,444. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 107,222. | OTHER FEES |
| 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LIMA MEMORIAL HOSPITAL | |||||||||||
| 1001 BELLEFONTAINE AVENUE | LIMA | OH | 45804 | 344434676 | HEALTHCARE | OH | 501(C)(3) | LINE 3 | LIMA MEMORIAL JOINT OPERATING COMPANY | 1 | |
| LIMA MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 1001 BELLEFONTAINE AVENUE | LIMA | OH | 45804 | 341707570 | SUPPORTING ORGANIZATION FOR LIMA MEMORIAL HOSPITAL | OH | 501(C)(3) | LINE 11A, I | LIMA MEMORIAL JOINT OPERATING COMPANY | 1 | |
| LIMA MEMORIAL HOSPITAL AUXILIARY | |||||||||||
| 1001 BELLEFONTAINE AVENUE | LIMA | OH | 45804 | 341694632 | SUPPORTING ORGANIZATION FOR LIMA MEMORIAL HOSPITAL | OH | 501(C)(3) | LINE 11A, I | LIMA MEMORIAL JOINT OPERATING COMPANY | 1 | |
| LIMA MEMORIAL JOINT OPERATING COMPANY | |||||||||||
| 1001 BELLEFONTAINE AVENUE | LIMA | OH | 45804 | 341883284 | HEALTHCARE | OH | 501(C)(3) | LINE 3 | 0 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LMHS WOMEN'S HEALTH CO-MANAGEMENT COMPANY LLC | BusinessNameLine1 |
Address US AddressUS
| 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 Activity | WOMEN'S HEALTH CO-MANAGEMENT | PrimaryActivity |
| Legal Domicile State | OH | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELM TREE FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| 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 Activity | RENTAL REAL ESTATE | PrimaryActivity |
| Legal Domicile State | OH | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| LIMA MEMORIAL JOINT OPERATING COMPANY | ||
| S | 9012537 | EQUITY TRANSFER |
| LIMA MEMORIAL JOINT OPERATING COMPANY | ||
| K | 713782 | LEASE CONTRACT |
| ELM TREE FOUNDATION | ||
| K | 192725 | LEASE CONTRACT |
| LIMA MEMORIAL JOINT OPERATING COMPANY | ||
| Q | 689027 | CASH TRANSACTION |