STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

LIMA MEMORIAL PROFESSIONAL CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION (EIN 34-1935236)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201223209349304637
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T12:46:49-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE ST STE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341935236EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIMA MEMORIAL PROFESSIONAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIMANameControl
Phone4192283335Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 BELLEFONTAINE AVENUEAddressLine1
CityLIMACity
StateOHState
ZIP Code45804ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameERIC D POHJALAName
TitleVICE PRESIDENT OF FINANCETitle
Phone4192283335Phone
Date Signed2012-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
PTINP00366367PTIN
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL SWICKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11001 BELLEFONTAINE AVENUEAddressLine1
CityLIMACity
StateOHState
ZIP Code45804ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19165083GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DOCLMPC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionWE ARE HERE TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITIES THROUGH COMPREHENSIVE HEALTH SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees289TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI14856TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4776349ContributionsGrantsPriorYear
Contributions Grants Current Year6537686ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11753185ProgramServiceRevenuePriorYear
Program Service Revenue CY12608947ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year2702InvestmentIncomeCurrentYear
Other Revenue Prior Year20150OtherRevenuePriorYear
Other Revenue Current Year15748OtherRevenueCurrentYear
Total Revenue Prior Year16549684TotalRevenuePriorYear
Total Revenue Current Year19165083TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14862808SalariesEtcPriorYear
Salaries Etc Current Year16897845SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6855425OtherExpensePriorYear
Other Expenses Current Year8373290OtherExpensesCurrentYear
Total Expenses Prior Year21719233TotalExpensesPriorYear
Total Expenses Current Year25271135TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5169549RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-6106052RevenuesLessExpensesCY
Total Assets BOY2956712TotalAssetsBOY
Total Assets EOY3762778TotalAssetsEOY
Total Liabilities BOY45131223TotalLiabilitiesBOY
Total Liabilities EOY52043341TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-42174511NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-48280563NetAssetsOrFundBalancesEOY
Mission DescriptionWE ARE HERE TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITIES THROUGH COMPREHENSIVE HEALTH SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense20966355Expense
Grants0Grants
Revenue12609839Revenue
DescriptionPROVISION OF HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY.Description
Total Program Service Expense20966355TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109645NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees289NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STACEY DEITERINGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4199984733TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1121 W HIGH STAddressLine1
CityLIMACity
StateOHState
ZIP Code45801ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES LYNN THOMPSON MD
VICE PRESIDENT/CMO20.00XX024753664598
ERIC D POHJALA
VICE PRESIDENT/CFO5.00XX021307962137
ROBERT E ARMSTRONG JR
VICE PRESIDENT/COO9.00XX022102664403
FRANK BALDAUF MD
VICE CHAIRMAN40.00XX152010021110
KERMIT STROH
BOARD MEMBER1.00X000
KHA TRAN MD
TREASURER40.00XX211080029226
CHERYL WAYMAN PA-C
SECRETARY40.00XX112439021739
THOMAS FREYTAG MC
CHAIRMAN40.00XX14511204365
S KAYE LEE CNP
BOARD MEMBER40.00X9370302811
DAVID LIN MD
BOARD MEMBER40.00X652976016501
BONNIE MCNAMARA MD
BOARD MEMBER40.00X134290026921
STEVE MILLIGAN JR MD
BOARD MEMBER40.00X227202016154
J FRANK OAKS JR MD
BOARD MEMBER40.00X244544030228
NATHAN WALTERS MD
BOARD MEMBER40.00X267452023999
MICHAEL SWICK
CEO OF LMH4.00X0341929116019
LAWRENCE BELL
PHYSICIAN40.00528731025652X
SHABBIR SABIR
PHYSICIAN40.00378713023822X
ABDUL QUAZI
PHYSICIAN40.00339736025652X
ANTHONY BRYM
PHYSICIAN40.00323528025652X
SALIM HANNA
PHYSICIAN40.00316608022878X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4128124TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1023570TotalReportableCompFrmRltdOrgs
Total Other Compensation623867TotalOtherCompensation
Number Individuals GT100 K43NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
STAFF CARE INC
5001 STATESMANIRVINGTX750632414MEDICAL SERVICES541780
EKG ASSOCIATES II LLC
1005 BELLEFONTAINE AVE STE 340LIMAOH45804MEDICAL SERVICES235536
EMERGENCY PHYSICIANS OF NW OHIO
PO BOX 12490TOLEDOOH43606MEDICAL SERVICES175280
HYLANT GROUP
811 MADISON AVETOLEDOOH45804INSURANCE SERVICES155615
MEDICAL DOCTOR ASSOCIATES
145 TECHNOLOGY PARKWAYNOCROSSGA30092MEDICAL SERVICES151025
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Related Organizations6537686RelatedOrganizations
Total Contributions6537686TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REV.Description
Business Code621110BusinessCode
Total Revenue Column12608947TotalRevenueColumn
Related Or Exempt Function Income12608947RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12608947TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2702TotalRevenueColumn
Exclusion$2,702ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BILLING SERVICES5610001485614856
PURCHASE DISCOUNTS621110892892
FieldValueIRS element (for citing)
Total Other Revenue15748TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19165083TotalRevenueColumn
Related Or Exempt Function Income12609839RelatedOrExemptFunctionIncome
Unrelated Business Revenue14856UnrelatedBusinessRevenue
Exclusion$2,702ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2440151Total
Program Services2058987ProgramServices
Management And General381164ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11911594Total
Program Services9529275ProgramServices
Management And General2382319ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total195822Total
Program Services156658ProgramServices
Management And General39164ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1517840Total
Program Services1214272ProgramServices
Management And General303568ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total832438Total
Program Services665950ProgramServices
Management And General166488ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3420246Total
Program Services2736197ProgramServices
Management And General684049ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total102390Total
Program Services81912ProgramServices
Management And General20478ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1226504Total
Program Services981203ProgramServices
Management And General245301ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total70139Total
Program Services56111ProgramServices
Management And General14028ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total31807Total
Program Services25446ProgramServices
Management And General6361ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total75145Total
Program Services60116ProgramServices
Management And General15029ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total146950Total
Program Services117560ProgramServices
Management And General29390ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE31298273129827
EDUCATION & REWARDS872056976417441
MANAGED CARE ORG8232782327
RECRUITMENT750750

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25271135Total
Program Services20966355ProgramServices
Management And General4304780ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY534698BOY
EOY608533EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1993305BOY
EOY2563750EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY64506BOY
EOY110737EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY139039BOY
EOY199990EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis831851LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec552083LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY225164BOY
EOY279768EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2956712BOY
EOY3762778EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY978579BOY
EOY1379389EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY44152644BOY
EOY50663952EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY45131223BOY
EOY52043341EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-42174511BOY
EOY-48280563EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-42174511BOY
EOY-48280563EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2956712BOY
EOY3762778EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-6106052ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis21551OtherCostOrOtherBasis
Book Value21551BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis810300OtherCostOrOtherBasis
Depreciation552083Depreciation
Book Value258217BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings279768TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM LIMA MEMORIAL JOINT OPERATING CO.$50,213,985
PROFESSIONAL LIABILITY RESERVE$449,967
FieldValueIRS element (for citing)
Total Of Amounts50663952TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHARLES LYNN THOMPSON MD
02376890009847048126016472031213400
ERIC D POHJALA
02069580006121039259022878027521600
ROBERT E ARMSTRONG JR
02147430006283041525022878028542900
FRANK BALDAUF MD
13761201439800046380164720173120000
KHA TRAN MD
2060800500000063480228780240306000
DAVID LIN MD
647976050000007350091510669477000
BONNIE MCNAMARA MD
1292900500000040430228780161211000
STEVE MILLIGAN JR MD
222202050000007003091510243356000
J FRANK OAKS JR MD
21841902612500073500228780274772000
NATHAN WALTERS MD
2658900156200011210228780291451000
MICHAEL SWICK
033036900011560093141022878045794800
LAWRENCE BELL
5237310500000073500183020554383000
SHABBIR SABIR
36458501412800073500164720402535000
ABDUL QUAZI
32172001801600073500183020365388000
ANTHONY BRYM
30341302011500073500183020349180000
SALIM HANNA
23121308539500000228780339486000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN AN IRC 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN: ERIC D. PAHJALA $4,869 ROBERT ARMSTRONG $5,342 MIKE SWICK $54,591 C. LYNN THOMPSON $13,176
PART IIIPART 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

FieldValueIRS element (for citing)
Name PersonSHELDON WICAL DONamePerson
Loan From OrganizationXLoanFromOrganization
Original Principal$28,000OriginalPrincipalAmount
Balance Due16097BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due16097TotalBalanceDue

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE L, PART IIIdentifier
ExplanationTHE 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 ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11FORM 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 12CEACH 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 15THE 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 2011.
FORM 990, PART VI, SECTION C, LINE 18FORM 1023, FORM 990 AND FORM 990-T ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE CURRENTLY NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART VIIESTIMATE OF OFFICERS' ALLOCATION OF HOURS WORKED FOR LIMA MEMORIAL PROFESSIONAL CORPORATION RELATED ENTITIES: LIMA MEMORIAL HOSPITAL: -MICHAEL SWICK: 1 -ROBERT E. ARMSTRONG: 1 -ERIC D. POHJALA: 1 -THOMAS FREYTAG, MC: 1 -BARRETT RYDELL: 1 -DEBRA MCCURDY, PHD: 1 -HAROLD WARONKER: 1 -JOHN JOHNSON: 1 -KERMIT STROH: 1 -LAWRENCE D. BELL: 1 -ROBERT L. THOMPSON: 1 LIMA MEMORIAL JOINT OPERATING COMPANY: -MICHAEL SWICK: 34 -ROBERT E. ARMSTRONG: 30 -ERIC D. POHJALA: 34 -C. LYNN THOMPSON, MD: 19 -THOMAS FREYTAG, MC: 1 -BARRETT RYDELL: 1 -DEBRA MCCURDY, PHD: 1 -HAROLD WARONKER: 1 -JOHN JOHNSON: 1 -KERMIT STROH: 1 -LAWRENCE D. BELL: 1 -ROBERT L. THOMPSON: 1 ELM TREE FOUNDATION: -MICHAEL SWICK: 1 -ROBERT E. ARMSTRONG: 1 -ERIC D. POHJALA: 1
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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
LIMA MEMORIAL HOSPITAL
1001 BELLEFONTAINE AVENUELIMAOH45804344434676HEALTHCAREOH501(C)(3)LINE 3LIMA MEMORIAL JOINT OPERATING COMPANY1
LIMA MEMORIAL HOSPITAL FOUNDATION
1001 BELLEFONTAINE AVENUELIMAOH45804341707570SUPPORTING ORGANIZATION FOR LIMA MEMORIAL HOSPITALOH501(C)(3)LINE 11A, ILIMA MEMORIAL JOINT OPERATING COMPANY1
LIMA MEMORIAL HOSPITAL AUXILIARY
1001 BELLEFONTAINE AVENUELIMAOH45804341694632SUPPORTING ORGANIZATION FOR LIMA MEMORIAL HOSPITALOH501(C)(3)LINE 11A, ILIMA MEMORIAL JOINT OPERATING COMPANY1
LIMA MEMORIAL JOINT OPERATING COMPANY
1001 BELLEFONTAINE AVENUELIMAOH45804341883284HEALTHCAREOH501(C)(3)LINE 30N/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LMHS WOMEN'S HEALTH CO-MANAGEMENT COMPANY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11001 BELLEFONTAINE AVEAddressLine1
CityLIMACity
StateOHState
ZIP Code45804ZIPCode
FieldValueIRS element (for citing)
EIN271023520EIN
Primary ActivityWOMEN'S HEALTH CO-MANAGEMENTPrimaryActivity
Legal Domicile StateOHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ELM TREE FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11220 EAST ELM STREETAddressLine1
CityLIMACity
StateOHState
ZIP Code45804ZIPCode
FieldValueIRS element (for citing)
EIN341417720EIN
Primary ActivityRENTAL REAL ESTATEPrimaryActivity
Legal Domicile StateOHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LIMA MEMORIAL JOINT OPERATING COMPANY
C6537686CASH TRANSACTION
LIMA MEMORIAL JOINT OPERATING COMPANY
J270937LEASE CONTRACT
ELM TREE FOUNDATION
J296297LEASE CONTRACT
LIMA MEMORIAL JOINT OPERATING COMPANY
P532565CASH TRANSACTION