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LIMA MEMORIAL JOINT OPERATING COMPANY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LIMA MEMORIAL JOINT OPERATING COMPANY (EIN 34-1883284)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201223209349304777
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)
EIN341883284EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIMA MEMORIAL JOINT OPERATING COMPANYBusinessNameLine1
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 Signed2012-11-13DateSigned
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

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1LIMA MEMORIAL HEALTH SYSTEMBusinessNameLine1
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 Receipts158092476GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIMAMEMORIAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees1604TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI341039TotalGrossUBI
Net Unrelated Business Txbl Income-64854NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year386040ContributionsGrantsPriorYear
Contributions Grants Current Year259882ContributionsGrantsCurrentYear
Program Service Revenue Prior Year151272113ProgramServiceRevenuePriorYear
Program Service Revenue CY156231426ProgramServiceRevenueCY
Investment Income Prior Year506565InvestmentIncomePriorYear
Investment Income Current Year585912InvestmentIncomeCurrentYear
Other Revenue Prior Year739744OtherRevenuePriorYear
Other Revenue Current Year847070OtherRevenueCurrentYear
Total Revenue Prior Year152904462TotalRevenuePriorYear
Total Revenue Current Year157924290TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5184182GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6923116GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year68291428SalariesEtcPriorYear
Salaries Etc Current Year68609202SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year117150TotalFundrsngExpCurrentYear
Other Expense Prior Year74091486OtherExpensePriorYear
Other Expenses Current Year78513770OtherExpensesCurrentYear
Total Expenses Prior Year147567096TotalExpensesPriorYear
Total Expenses Current Year154046088TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5337366RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3878202RevenuesLessExpensesCY
Total Assets BOY209668000TotalAssetsBOY
Total Assets EOY218263113TotalAssetsEOY
Total Liabilities BOY76001280TotalLiabilitiesBOY
Total Liabilities EOY80976539TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY133666720NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY137286574NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE HERE TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITIES THROUGH COMPREHENSIVE HEALTH SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense126099024Expense
Grants6923116Grants
Revenue156737457Revenue
DescriptionSEE SCHEDULE OAS 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.THE HEALTH SYSTEM PROVIDES COMPREHENSIVE HEALTH CARE THAT ALLOW US TO CARE FOR OUR 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-ORTHOPEDICS-OBSTETRICS AND PEDIATRICS-LEVEL II NEONATAL NURSERY-WOMEN'S HEALTH CENTER-RADIOLOGY-LABORATORY-INPATIENT AND OUTPATIENT REHABILITATION SERVICES-NEUROLOGY-RENAL SERVICES -WELLNESS SERVICES-OCCUPATIONAL HEALTHIN 2011, LIMA MEMORIAL CONTRIBUTED AN ESTIMATED $25 MILLION IN COMMUNITY VALUE IN TERMS OF COMMUNITY BENEFIT EXPENDITURES, CHARITY CARE AND GOVERNMENT-SPONSORED HEALTH CARE AND NEARLY $5 MILLION IN CHARITY 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:-GO RED - HEART HEALTH AWARENESS FOR WOMEN EVENTS-JOURNEY TO REMEMBER WOMEN'S HEALTH BENEFIT-MEALS ON WHEELS -KIDS CLINIC-CHILDREN'S DEVELOPMENTAL CENTER-BABY FAIR-CHEST PAIN CENTER-BONE DENSITY SCREENINGS-VASCULAR SCREENINGS-VEIN SCREENINGS-PROSTATE SCREENINGS-CANCER RESOURCE CENTER-MEDICARE ELIGIBILITY PROGRAM-BREAST CANCER SURVIVOR SUPPORT GROUP-FAMILY BIRTH CLINICS-WOMEN'S RESOURCE CENTER-TV AND RADIO PSAS-BREAST FEEDING CLASS AND CLINIC-BLOOD DRIVESAS HEALTH CARE 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 WILL SUPPORT OUR COMMUNITIES, NOT ONLY THROUGH COMPREHENSIVE HEALTH CARE, BUT ALSO THROUGH OUTREACH ACTIVITIES SUCH AS HEALTH CARE 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 2011 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.THESES 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; AND-GOVERNMENT SPONSORED HEALTH CARE.Description
Total Program Service Expense126099024TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Assets1ReportOtherAssets
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
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
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 With1096282NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1604NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
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 Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
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
JOHN H JOHNSON
CHAIRPERSON1.00XX000
BARBARA STEELE
VICE-CHAIR1.00XX000
JACK RANDOLPH
SECRETARY1.00XX000
KERMIT STROH
TREASURER1.00XX000
BILL ROBINSON
BOARD MEMBER1.00X000
BARRETT RYDELL
BOARD MEMBER1.00X000
GARY AKENBERGER
BOARD MEMBER1.00X000
LAWRENCE D BELL MD
BOARD MEMBER1.00X052873125652
THOMAS R FREYTAG MD
BOARD MEMBER1.00X01451124365
DEBRA MCCURDY PHD
BOARD MEMBER1.00X000
ROBERT L THOMPSON
BOARD MEMBER1.00X000
HAROLD WARONKER
BOARD MEMBER1.00X000
MICHAEL SWICK
PRESIDENT & CEO34.00X3419290116019
ROBERT E ARMSTRONG JR
SENIOR VP & COO30.00X221026064403
ERIC D POHJALA
VP OF FINANCE & CFO34.00X213079062137
CHARLES LYNN THOMPSON MD
VICE PRESIDENT & CMO19.00247536064598X
LYNN CARPENTER
LMPC EXECUTIVE DIRECTOR4.00128552026803X
ANITA GOOD
ADMINISTRATIVE DIRECTOR40.00118639020085X
JASON SCHUMACHER
CLINICAL INFORMATICS PHARMACIST40.00123329026691X
MARK RECKER
DIRECTOR OF PHARMACY40.00120549012834X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1514639TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs673843TotalReportableCompFrmRltdOrgs
Total Other Compensation423587TotalOtherCompensation
Number Individuals GT100 K22NumberIndividualsGT100K
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
LIMA ANESTHESIA & PAIN TREATMENT PC
PO BOX 33058PALM BEACH GARDENSFL33420MEDICAL SERVICES3268651
HEALTH PERFORMANCE MANAGEMENT
1001 BELLEFONTAINE AVELIMAOH45804MEDICAL SERVICES1392125
HYLANT GROUP
811 MADISON AVETOLEDOOH43603NONEMPLOYEE COMPENSATION1261609
APOGEE MEDICAL MANAGEMENT INC
2525 E CAMELBACK RDPHOENIXAZ85016MEDICAL SERVICES1118745
MAYO COLLABORATIVE SERVICES
200 FIRST STROCHESTERMN55905MEDICAL SERVICES846259
FieldValueIRS element (for citing)
Number Of Contractors GT100 K34NumberOfContractorsGT100K
Related Organizations202835RelatedOrganizations
Government Grants57047GovernmentGrants
Total Contributions259882TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REV621110155982376155982376
RENT FROM AFFILIATE900099249050249050
FieldValueIRS element (for citing)
Total Program Service Revenue156231426TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column601755TotalRevenueColumn
Exclusion$601,755ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other152343Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other168186Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-15843Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-15843TotalRevenueColumn
Exclusion-$15,843ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REFERENCE LAB541380341039341039
EDUCATIONAL SERVICES6211105455754557
HEALTH PERFORMANCE K-15259905038450384

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column401090TotalRevenueColumn
Related Or Exempt Function Income401090RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue847070TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column157924290TotalRevenueColumn
Related Or Exempt Function Income156737457RelatedOrExemptFunctionIncome
Unrelated Business Revenue341039UnrelatedBusinessRevenue
Exclusion$585,912ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6920239Total
Program Services6920239ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total2877Total
Program Services2877ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1000851Total
Management And General1000851ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total51504068Total
Program Services41113226ProgramServices
Management And General10278307ManagementAndGeneral
Fundraising112535Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1276538Total
Program Services1021230ProgramServices
Management And General255308ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11047352Total
Program Services8837882ProgramServices
Management And General2209470ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3780393Total
Program Services3024314ProgramServices
Management And General756079ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total23907733Total
Program Services19126048ProgramServices
Management And General4781512ManagementAndGeneral
Fundraising173Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total383475Total
Program Services306557ProgramServices
Management And General76639ManagementAndGeneral
Fundraising279Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total25259486Total
Program Services20204818ProgramServices
Management And General5051205ManagementAndGeneral
Fundraising3463Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total280Total
Program Services224ProgramServices
Management And General56ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2139071Total
Program Services1711257ProgramServices
Management And General427814ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total289246Total
Program Services231397ProgramServices
Management And General57849ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2137219Total
Program Services1709775ProgramServices
Management And General427444ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9189694Total
Program Services7351755ProgramServices
Management And General1837939ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1426775Total
Program Services1141420ProgramServices
Management And General285355ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT EXPENSE66443206644320
INTEREST RATE SWAP49129414912941
RECRUITING12096011028161181440
EDUCATION & REWARDS670546535877133969700

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total343383Total
Program Services274706ProgramServices
Management And General68677ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total154046088Total
Program Services126099024ProgramServices
Management And General27829914ManagementAndGeneral
Fundraising117150Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9490568BOY
EOY10343207EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6024076BOY
EOY6012460EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY21570962BOY
EOY23192073EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2773209BOY
EOY1653935EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4693774BOY
EOY4582296EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1427623BOY
EOY3373502EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis200113695LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec115344614LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY87597861BOY
EOY84769081EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY24556055BOY
EOY25984842EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1707712BOY
EOY1894312EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY49826160BOY
EOY56457405EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY209668000BOY
EOY218263113EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11546614BOY
EOY12870023EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY47617500BOY
EOY46055000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY629296BOY
EOY383847EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16207870BOY
EOY21667669EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY76001280BOY
EOY80976539EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY133597397BOY
EOY137252469EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY69323BOY
EOY34105EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY133666720BOY
EOY137286574EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY209668000BOY
EOY218263113EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3878202ReconcilationRevenueExpenses
Reconcilation Other Changes-258348ReconcilationOtherChanges
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$11,327OtherActivitiesAmount
Total Lobbying Expenditures IIB11327TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationLOBBYING EXPENSES ARE INCURRED IN CONNECTION WITH THE DUES PAID TO THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4465715OtherCostOrOtherBasis
Book Value4465715BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis129836812OtherCostOrOtherBasis
Depreciation86277268Depreciation
Book Value43559544BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis64086952OtherCostOrOtherBasis
Depreciation28590546Depreciation
Book Value35496406BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1724216OtherCostOrOtherBasis
Depreciation476800Depreciation
Book Value1247416BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings84769081TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BOND ISSUE COSTS475900
INVESTMENTS IN AFFILIATED ORG.55981505
FieldValueIRS element (for citing)
Total Book Value Other Assets56457405TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION LIABILITY$2,208,887
PROFESSIONAL LIABILITY RESERVE$767,000
FIN 47 ASBESTOS LIABILITY$2,821,856
THIRD PARTY PAYOR SETTLEMENTS$2,830,713
MINORITY INTEREST IN CONSOLIDATED SUBS$334,907
FAIR VALUE OF INTEREST RATE SWAP AG$12,704,306
FieldValueIRS element (for citing)
Total Of Amounts21667669TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6500908TotalCommunityBenefitExpense
Direct Offsetting Revenue1510762DirectOffsettingRevenue
Net Community Benefit Expense4990146NetCommunityBenefitExpense
Percent Of Total Expense0.03240PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense19062194TotalCommunityBenefitExpense
Direct Offsetting Revenue12174942DirectOffsettingRevenue
Net Community Benefit Expense6887252NetCommunityBenefitExpense
Percent Of Total Expense0.04470PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense25563102TotalCommunityBenefitExpense
Direct Offsetting Revenue13685704DirectOffsettingRevenue
Net Community Benefit Expense11877398NetCommunityBenefitExpense
Percent Of Total Expense0.07710PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6778794TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense6778794NetCommunityBenefitExpense
Percent Of Total Expense0.04400PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense326980TotalCommunityBenefitExpense
Net Community Benefit Expense326980NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense324990TotalCommunityBenefitExpense
Net Community Benefit Expense324990NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7430764TotalCommunityBenefitExpense
Net Community Benefit Expense7430764NetCommunityBenefitExpense
Percent Of Total Expense0.04820PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense32993866TotalCommunityBenefitExpense
Direct Offsetting Revenue13685704DirectOffsettingRevenue
Net Community Benefit Expense19308162NetCommunityBenefitExpense
Percent Of Total Expense0.12530PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$2,054,464BadDebtExpenseAmount
Amount Attributable To390341AmountAttributableTo
Amount Reimbursed By Medicare41304200AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare47111974CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5807774MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 HEALTH PERFORMANCE MANAGEMENT COMPANY LLC
CARDIOLOGY CO-MANAGEMENT0.250000.75000
2 LMHS WOMEN'S HEALTH CO-MANAGEMENT COMPANY LLC
CO-MANAGEMENT0.500000.50000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIMA MEMORIAL HEALTH SYSTEMBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11001 BELLEFONTAINE AVEAddressLine1
CityLIMACity
StateOHState
ZIP Code45804ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LIMA MEMORIAL HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MEDICAL PARK
525 EASTOWN RDLIMAOH45807MRI, CT
YMCA - WELLNESS CENTER
345 S ELIZABETH STLIMAOH45801WELLNESS CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7: 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, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF THIS COLUMN IS $6,644,320.
PART II: BEYOND THE NUMBERS: KEY COMMUNITY BENEFITS ACTIVITIES OF 2011 - LIMA MEMORIAL DEVELOPS PROGRAMS AND SERVICES TO ADDRESS COMMUNITY HEALTH NEEDS AND MAKES INVESTMENTS IN INITIATIVES THAT ALIGN WITH THE HEALTH SYSTEM'S MISSION, VISION, AND VALUES. THE MAJORITY OF LIMA MEMORIAL'S COMMUNITY BENEFIT INVESTMENT WAS IN THE AREA OF CHARITABLE CARE TO ENSURE THAT THOSE WITHOUT INSURANCE OR WITH LIMITED INSURANCE HAVE ACCESS TO NEEDED 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, AS WELL AS OTHER COMMUNITY ORGANIZATIONS. COMMUNITY HEALTH SERVICESIN 2011, LIMA MEMORIAL HEALTH SYSTEM PROVIDED AND/OR PARTICIPATED IN MORE THAN 100 COMMUNITY HEALTH SERVICE PROGRAMS. INCLUDED IN THIS CATEGORY ARE 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, 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 2011 TO FURTHER THE CAPABILITIES OF AREA MEDICAL PERSONNEL.OUR SCHOOLS OF NURSING PROGRAM PROVIDED A TRAINING SITE FOR NEARLY 300 NURSING STUDENTS IN 2011. LIMA MEMORIAL PROVIDES EDUCATION OUTREACH BEYOND THE WALLS OF THE HOSPITAL TO SUPPORT MEDICAL EDUCATION IN THE 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 COMMUNITY ORGANIZATIONS. THE SPONSORSHIP FUND PROVIDES FUNDING SUPPORT TO WEST-CENTRAL OHIO PROGRAMS THAT ADDRESS IDENTIFIED COMMUNITY NEEDS AND SERVE VULNERABLE POPULATIONS. IN 2011, LIMA MEMORIAL CONTRIBUTED TO MORE THAN 50 ORGANIZATIONS INCLUDING THE EQUESTRIAN THERAPY PROGRAM, YMCA OF LIMA, AMERICAN CANCER SOCIETY, THE ALLEN COUNTY SHERIFFS DEPARTMENT, THE UNITED WAY, AND THE AMERICAN RED CROSS. COMMUNITY BENEFIT OPERATIONSFOR 2011, THE ONLY COMMUNITY BENEFITS EXPENSE RECORDED IS THE STAFF EXPENSE TO TRACK AND REPORT ON THE HEALTH SYSTEM'S COMMUNITY BENEFIT INVESTMENT. 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. WHEN A PATIENT IS APPROVED TO RECEIVE FINANCIAL ASSISTANCE, THAT APPROVAL IS FOR A SIX-MONTH PERIOD AND INCLUDES ALL HOSPITAL CARE. 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 $12,694,654 IN 2011.
PART III, LINE 4: 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.THE HOSPITAL MULTIPLIES GROSS WRITE-OFF CHARGES BY THE COST-TO-CHARGE RATIO DETERMINED IN WORKSHEET 2 TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 2 AND 3. ADDITIONAL 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: 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 2011 WAS $47,111,974. THE PAYMENTS RELATED TO THESE SERVICES WERE $41,304,200. LEAVING A MEDICARE SHORTFALL OF $5,807,774 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: 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 V, SECTION B, LINE 19D: 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.LIMA MEMORIAL HEALTH SYSTEM
PART VI, LINE 2: LIMA MEMORIAL HEALTH SYSTEM REGULARLY PARTICIPATES IN COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS TO IDENTIFY FAR-REACHING HEALTH NEEDS FACED BY PEOPLE IN THE COMMUNITIES SERVED BY THE HOSPITAL. ASSESSMENT RESULTS ARE EVALUATED OVER TIME AND SERVE AS THE BASIS TO DEVELOP NEW OR EXPANDED PLANS TO ADDRESS SERVICES IN RESPONSE TO NEED.LIMA MEMORIAL HEALTH SYSTEM 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 THE 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. THE RESULTS OF THIS SURVEY ARE BEING USED TO SHAPE LIMA MEMORIAL COMMUNITY OUTREACH EFFORTS.IN 2011, LMHS ALSO PARTICIPATED AND HELPED FUND THE PIONEERING HEALTHY COMMUNITIES IN CONJUNCTION WITH THE CITY OF LIMA AND THE ALLEN COUNTY YMCA. AS PART OF THE PROGRAM, NEED AND RISKS OF THE ALLEN COUNTY AREA WERE LOOKED AT. OBESITY, ESPECIALLY CHILDHOOD OBESITY, WAS DETERMINED TO BE A SIGNIFICANT HEALTH RISK. ALSO LMHS IS PART OF THE COMMUNITY SUSTAINABILITY ADVISORY COMMITTEE, WHICH IS ADDRESSING 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 NEED IN THE COUNTY IN 2009. CRIME PREVENTION SERVICES WAS RANKED THE SECOND MOST IMPORTANT/MOST NEEDED SERVICE IN 2009.OTHER IMPORTANT AND EMERGING COMMUNITY PROBLEMS ARE FAMILY ISSUES OF DOMESTIC VIOLENCE, QUALITY OF LIFE, AND PARENTING. OTHER IMPORTANT SERVICES INCLUDED HEALTH CARE 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 ONLY 1% OF ADULTS REPORTED THEY DID NOT KNOW WHERE TO LOOK FOR ASSISTANCE.PREVIOUS ASSESSMENTS BROUGHT TO LIGHT SOME OF THE PHYSICAL HEALTH CHALLENGES ALLEN COUNTY RESIDENTS FACED AND HIGH RATES OF CHRONIC DISEASE. ALTHOUGH ALLEN COUNTY DEATH RATES FOR HEART DISEASE, CANCER, STROKE, AND DIABETES HAVE DECREASED, THE NUMBER OF ADULTS WHO REPORT HAVING CLINICAL INDICATORS AND LIFESTYLE CHARACTERISTICS ASSOCIATED WITH THEM HAS INCREASED IN SEVERAL AREAS. TWO AREAS THAT HAVE INCREASED SINCE A 2002 SURVEY ARE CONSIDERABLY ABOVE STATE AND NATIONAL RATES ARE HIGH BLOOD PRESSURE AND EXCESSIVE BODY WEIGHT. ABOUT 3 OUT OF 4 ALLEN COUNTY ADULTS ARE CONSIDERED OVERWEIGHT OR OBESE BY BODY MASS INDEX STANDARDS(BMI). SOME POSITIVE CHANGES WERE NOTED - FEWER ADULTS REPORT NO LEISURE TIME ACTIVITY, INDICATING THEY ARE MORE ACTIVE THAN PREVIOUS ASSESSMENTS FOUND, AND CIGARETTE SMOKING IS DOWN IN ALLEN COUNTY, THOUGH STILL SLIGHTLY HIGHER THAN STATE AND NATIONAL RATES.HEALTH CARE WAS IDENTIFIED AS ONE OF THE TOP THREE MOST IMPORTANT SERVICES IN ALLEN COUNTY AND THE MAJORITY OF ADULTS (86%) REPORT HAVING HEALTH CARE 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 HAVE 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, AND LACK OF SAFETY HABITS SUCH AS WEARING HELMETS WHEN RIDING BICYCLES AND ATVS, 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, HARDING, LOGAN, SHELBY, PAULDING, AND VAN WERT. THE MEDIUM 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 TAKES PART IN NUMEROUS HEALTH-RELATED COMMUNITY ACTIVITIES. HEALTH FAIRS IN OUR SERVICE AREA, FREE AND REDUCED MAMMOGRAMS, SPECIAL DISCOUNTS FOR LAB SERVICES FOR FREQUENTLY NEEDED TESTS ALL HELP LMHS ADDRESS THE NEEDS OF THE UNINSURED AND UNDERINSURED IN OUR AREA.
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.
OHREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
TOLEDO CHILDREN'S HOSPITAL FOUNDATION
2142 N COVE BLVDTOLEDOOH43606341901463501(C)610000COMMUNITY DEVELOPMENT/HEALTH AND WELLNESS
EQUESTRIAN THERAPY PROGRAM
22532 BOWSHER RDCRIDERSVILLEOH45806341376159501(C)310000THERAPY PROGRAM FOR CHILDREN WITH DISABILITIES
LIMA AREA FAMILY YMCA
345 S ELIZABETH STLIMAOH45801344431173501(C)3262994COMMUNITY DEVELOPMENT/HEALTH AND WELLNESS
LIMA SYMPHONY ORCHESTRA
133 N ELIZABETH STLIMAOH45807344465022501(C)312000COMMUNITY DEVELOPMENT SUPPORTING ARTS
AMERICAN RED CROSS
610 S COLLET STLIMAOH45805530196605501(C)310000COMMUNITY DEVELOPMENT/HEALTH AND WELLNESS
LIMA MEMORIAL FOUNDATION
1001 BELLEFONTAINE AVELIMAOH45804341707570501(C)310000HEALTH INITIATIVE
LIMA ALLEN COUNTY REGIONAL PLANNING COMMISSION
130 W NORTH STLIMAOH45801999999999SEE PART VI5000COMMUNITY DEVELOPMENT
THE LIMA NEWS
3515 ELIDA RDLIMAOH458073444669185000COMMUNITY HEALTH EDUCATION
LIMA MEMORIAL PROFESSIONAL CORPORATION
1001 BELLEFONTAINE AVELIMAOH45804341935236501(C)36537686GENERAL SUPPORT FOR RELATED TAX-EXEMPT ENTITY
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations3TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEDUCATIONAL LOANTypeOfGrant
Amount Of Cash Grant2877AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:PART I, LINE 2:SCHEDULE I, 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 IILIMA ALLEN COUNTY REGIONAL PLANNING COMMISSION IS A GOVERNMENTAL ENTITY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (7 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
LAWRENCE D BELL MD
0523731050000007350018302055438300
MICHAEL SWICK
330369000115600931410228780457948000
ROBERT E ARMSTRONG JR
21474300062830415250228780285429000
ERIC D POHJALA
20695800061210392590228780275216000
CHARLES LYNN THOMPSON MD
23768900098470481260164720312134000
LYNN CARPENTER
1223650006187039250228780155355000
JASON SCHUMACHER
1233290000038130228780150020000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ALIMA MEMORIAL JOINT OPERATING COMPANY PROVIDES SOCIAL CLUB DUES TO THE CEO; THEY ARE TREATED AS TAXABLE COMPENSATION.
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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF LIMA-2007 BONDS
346400789532567DH42007-07-1825000000SPIRIT OF CARING CAPITAL PROJECT000
CITY OF LIMA-2003 BONDS
346400789532567DG62003-04-1010000000EMERGENCY CENTER CAPITAL PROJECT000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Issuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
3176932500000020080011
1787831000000020040011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001100.000000.000000.000001
001100.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
010001
010001

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE 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 11THE 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 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, 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 2011.
FORM 990, PART VI, SECTION C, LINE 18FORM 990 AND FORM 1023 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 JOINT OPERATING COMPANY 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 ELM TREE FOUNDATION: -MICHAEL SWICK: 1 -ROBERT E. ARMSTRONG: 1 -ERIC D. POHJALA: 1 LIMA PROFESSIONAL CORPORATION: -MICHAEL SWICK: 4 -ROBERT E. ARMSTRONG: 9 -ERIC D. POHJALA: 5 -C. LYNN THOMPSON, MD: 20 -THOMAS FREYTAG, MC: 40 -KERMIT STROH: 1 -LAWRENCE D. BELL: 40
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -148,950. PRIOR PERIOD ADJUSTMENTS: -5. IMPLEMENTATION OF NEW ACCOUNTING PRONOUNCEMENT -60,028. INVESTMENT IN HEALTH PERFORMANCE MANAGEMENT COMPANY LLC -50,384. INVESTMENT IN LMHS WOMEN'S HEALTH CO-MANAGEMENT K-1 1,019. TOTAL TO FORM 990, PART XI, LINE 5: -258,348.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C EXPLANATIONTHE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED 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 StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
LIMA MEMORIAL HOSPITAL
1001 BELLEFONTAINE AVENUELIMAOH45804344434676HEALTHCAREOH501(C)(3)170(B)(1)(A)(III)N/A0
LIMA MEMORIAL HOSPITAL FOUNDATION
1001 BELLEFONTAINE AVENUELIMAOH45804341707570SUPPORTING ORGANIZATION FOR LIMA MEMORIAL HOSPITALOH501(C)(3)509(A)(3)N/A1
LIMA MEMORIAL HOSPITAL AUXILIARY
1001 BELLEFONTAINE AVENUELIMAOH45804341694632SUPPORTING ORGANIZATION FOR LIMA MEMORIAL HOSPITALOH501(C)(3)509(A)(3)N/A1
LIMA MEMORIAL PROFESSIONAL CORPORATION
1001 BELLEFONTAINE AVENUELIMAOH45804341935236HEALTHCAREOH501(C)(3)170(B)(1)(A)(III)N/A1

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
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income-1019ShareOfTotalIncome
Share Of EOY Assets79830ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.54545PercentageOwnership

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
Share Of Total Income855632ShareOfTotalIncome
Share Of EOY Assets7462621ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
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 Orgs1RentalOfFacilitiesToOtherOrgs
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 Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LIMA MEMORIAL HOSPITAL FOUNDATION
C202835CASH TRANSACTION
LIMA MEMORIAL PROFESSIONAL CORPORATION
B6537696CASH TRANSACTION
LIMA MEMORIAL PROFESSIONAL CORPORATION
I270937LEASE CONTRACT
ELM TREE FOUNDATION
J105618LEASE CONTRACT
LIMA MEMORIAL PROFESSIONAL CORPORATION
O532565CASH TRANSACTION
ELM TREE FOUNDATION
P150000CASH TRANSACTION