LICKING MEMORIAL HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- LICKING MEMORIAL HOSPITAL (EIN 31-4379519)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-10
- IRS object ID
- 202043159349304654
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-10T15:04:55-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271235638 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCM CPAS & ADVISORS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 462 S FOURTH ST SUITE 2600 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 402023445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 314379519 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LICKING MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LICK | BusinessNameControlTxt |
| Phone | 2205644528 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WEST MAIN STREET | AddressLine1Txt |
| City | NEWARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43055 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CYNTHIA L WEBSTER | PersonNm |
| Person Title | V. P. OF FINANCIAL SERVICES | PersonTitleTxt |
| Phone | 2205644528 | PhoneNum |
| Signature | 2020-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ELEANOR A LIVINGSTON CPA MST | PreparerPersonNm |
| PTIN | P00226461 | PTIN |
| Phone | 5027491900 | PhoneNum |
| Preparation | 2020-11-04 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 69.135.99.226 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-05 | IPDt |
| IP Tm | 11:29:22 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | ABF3FD6B8946D73BC2BC3E5AC7AD0D6C90682342 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4FAEF7150ADA40DF8DED0D3DCB50166E5CCA29B1 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT A MONTAGNESE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WEST MAIN STREET | AddressLine1Txt |
| City | NEWARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43055 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $314,357,138 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LMHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1898 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1987 | TotalEmployeeCnt |
| Total Volunteers | 91 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $263,005,798 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $278,040,186 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,212,105 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,964,262 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,640,022 | PYOtherRevenueAmt |
| CY Other Revenue | $4,612,900 | CYOtherRevenueAmt |
| PY Total Revenue | $268,857,925 | PYTotalRevenueAmt |
| CY Total Revenue | $285,617,348 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $106,252,199 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $114,399,350 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $110,157,630 | PYOtherExpensesAmt |
| CY Other Expenses | $112,604,784 | CYOtherExpensesAmt |
| PY Total Expenses | $216,409,829 | PYTotalExpensesAmt |
| CY Total Expenses | $227,004,134 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $52,448,096 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $58,613,214 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $167,338,286 | TotalAssetsBOYAmt |
| Total Assets EOY | $174,875,817 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $95,090,543 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $92,292,930 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $72,247,743 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $82,582,887 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LICKING MEMORIAL HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $211,479,350 | ExpenseAmt |
| Revenue | $280,931,911 | RevenueAmt |
| Desc | HEALTH ACTIVITIES AND PROGRAMS FREE-OF-CHARGE TO THE COMMUNITY.THE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED AND MEDICALLY UNDERSERVED.LMH SERVED 7,831 INPATIENTS AND 992 NEWBORNS FOR A TOTAL OF 30,181 PATIENT DAYS, AND PROVIDED SERVICES TO 312,777 OUTPATIENTS IN 2019.ADDITIONALLY, LMH PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, BELOW COST IN MANY CASES. TO THE EXTENT REIMBURSEMENT IS BELOW CHARGES, LMH CONSIDERS THESE AMOUNTS TO BE CONTRACTUAL ADJUSTMENTS, WHICH WILL NEVER BE COLLECTED. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS AMOUNTED TO $338,828,000 IN 2019.UNCOMPENSATED CARE IS PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES LMH BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THE HOSPITAL ROUTINELY PROVIDES UNCOMPENSATED CARE TO PATIENTS WHO ARE UNWILLING OR UNABLE TO PAY THEIR HOSPITAL BILLS. IN 2019, LMH WROTE OFF CHARGES OF APPROXIMATELY $25,700,000 IN BAD DEBTS AND $10,964,000 IN CHARITY CARE. | Desc |
| Total Program Service Expenses | $211,479,350 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1231 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1987 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID CLAYPOOL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2205644528 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WEST MAIN STREET | AddressLine1Txt |
| City | NEWARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43055 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOYCE L MALAINY | ||||||||
| CHAIR | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID E DONEY | ||||||||
| VICE CHAIR | 1.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRIAN J MORTELLARO | ||||||||
| TREASURER | 1.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LAUREL B KENNEDY | ||||||||
| SECRETARY | 1.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BART M WEILER | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH A KOHMAN | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| JACQUELINE H PARRILL | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| SHARAD THAKKAR | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| DAVID L HILE | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| PAUL M THOMPSON | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| JAMES R COOPER | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| MARK MITCHELL | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT HAYES | ||||||||
| DIRECTOR | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT MONTAGNESE | ||||||||
| PRESIDENT & CEO | 30.00 | Yes (X) | $735,091 | $0 | $70,612 | 10.00 | ||
| CINDY WEBSTER | ||||||||
| VP FINANCIAL SERVICES | 30.00 | Yes (X) | $264,693 | $0 | $25,077 | 10.00 | ||
| VERONICA PATTON | ||||||||
| VP PR & DEVELOPMENT | 13.00 | $214,448 | $0 | $22,477 | 27.00 | Yes (X) | ||
| CRAIG CAIRNS | ||||||||
| VP MEDICAL STAFF AFFAIRS | 40.00 | $323,944 | $0 | $23,283 | Yes (X) | |||
| DEBBIE YOUNG | ||||||||
| VP PATIENT CARE SERVICES | 40.00 | $225,001 | $0 | $18,163 | Yes (X) | |||
| SALLIE ARNETT | ||||||||
| VP INFORMATION SYSTEMS | 40.00 | $239,156 | $0 | $23,755 | Yes (X) | |||
| ANNE PETERSON | ||||||||
| VP HR AND SUPPORT SERVICES | 40.00 | $211,275 | $0 | $22,313 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,213,608 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $205,680 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 66 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CORNA KOKOSING CONSTRUCTION | |||||
| 6235 WESTERVILLE RD | WESTERVILLE | OH | 43081 | CONSTRUCTION | $6,890,008 |
| ROBERTSON CONSTRUCTION SERVICES | |||||
| 1801 THORNWOOD DR SW | HEATH | OH | 43056 | CONSTRUCTION | $1,245,887 |
| FRONTIER REMODELING CO | |||||
| 7615 PLAZA CT | WILLOWBROOK | IL | 60527 | CONSTRUCTION | $853,054 |
| STEDMAN FLOOR COMPANY LLC | |||||
| 420 LOWERY CT | GROVEPORT | OH | 43125 | CONSTRUCTION SUPPLIES | $605,290 |
| LIMBACH COMPANY LLC | |||||
| 822 CLEVELAND AVE | COLUMBUS | OH | 43201 | ENGINEERING | $578,827 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 164 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621110 | $277,220,741 | $277,220,741 |
| HOME HEALTH CARE | 621610 | $819,445 | $819,445 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $278,040,186 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $498,005 | TotalRevenueColumnAmt |
| Exclusion | $498,005 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,680,345 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,680,345 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $29,497,894 | SecuritiesAmt |
| Other | $27,808 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $26,992,460 | SecuritiesAmt |
| Other | $66,985 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,505,434 | SecuritiesAmt |
| Other | -$39,177 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,466,257 | TotalRevenueColumnAmt |
| Exclusion | $2,466,257 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MISCELLANEOUS | 900099 | $2,311,321 | $2,311,321 | |
| CAFETERIA | 722210 | $1,721,175 | $1,721,175 | |
| VHA FEES & REBATES | 621110 | $580,404 | $580,404 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,612,900 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $285,617,348 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $280,931,911 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,685,437 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,096,731 | TotalAmt |
| Management And General | $1,096,731 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,530,701 | TotalAmt |
| Program Services | $76,310,414 | ProgramServicesAmt |
| Management And General | $6,220,287 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,755,728 | TotalAmt |
| Program Services | $22,585,790 | ProgramServicesAmt |
| Management And General | $2,169,938 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,016,190 | TotalAmt |
| Program Services | $5,555,953 | ProgramServicesAmt |
| Management And General | $460,237 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,221 | TotalAmt |
| Management And General | $212,221 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $542,818 | TotalAmt |
| Management And General | $542,818 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,318 | TotalAmt |
| Management And General | $38,318 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,244,583 | TotalAmt |
| Program Services | $15,539,495 | ProgramServicesAmt |
| Management And General | $2,705,088 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,953 | TotalAmt |
| Program Services | $362,262 | ProgramServicesAmt |
| Management And General | $218,691 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $824,079 | TotalAmt |
| Program Services | $824,079 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,323 | TotalAmt |
| Program Services | $54,685 | ProgramServicesAmt |
| Management And General | $638 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $544,918 | TotalAmt |
| Program Services | $544,918 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $807,043 | TotalAmt |
| Program Services | $10,843 | ProgramServicesAmt |
| Management And General | $796,200 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,269,274 | TotalAmt |
| Program Services | $12,104,433 | ProgramServicesAmt |
| Management And General | $164,841 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,014 | TotalAmt |
| Program Services | $593,014 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $48,249,248 | $47,551,285 | $697,963 |
| BAD DEBT EXPENSE | $25,700,406 | $25,700,406 | |
| EQUIPMENT RENTAL | $3,942,586 | $3,741,773 | $200,813 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227,004,134 | TotalAmt |
| Program Services | $211,479,350 | ProgramServicesAmt |
| Management And General | $15,524,784 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,009,212 | BOYAmt |
| EOY | $5,370,418 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,303,826 | BOYAmt |
| EOY | $14,923,234 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,640,558 | BOYAmt |
| EOY | $31,920,532 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,251,471 | BOYAmt |
| EOY | $4,161,089 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,921,796 | BOYAmt |
| EOY | $3,970,500 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $235,811,858 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $146,217,075 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,982,798 | BOYAmt |
| EOY | $89,594,783 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,642,453 | BOYAmt |
| EOY | $6,210,150 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,586,172 | BOYAmt |
| EOY | $18,725,111 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,338,286 | BOYAmt |
| EOY | $174,875,817 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,986,586 | BOYAmt |
| EOY | $27,002,929 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,895,500 | BOYAmt |
| EOY | $32,798,759 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,208,457 | BOYAmt |
| EOY | $32,491,242 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,090,543 | BOYAmt |
| EOY | $92,292,930 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,247,743 | BOYAmt |
| EOY | $82,582,887 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,247,743 | BOYAmt |
| EOY | $82,582,887 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,338,286 | BOYAmt |
| EOY | $174,875,817 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $58,613,214 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$631,956 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$47,646,114 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,081 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,081 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LICKING MEMORIAL HOSPITAL PAYS $52,225 IN ANNUAL DUES TO OHIO HOSPITAL ASSOCIATION(OHA). OF THE TOTAL DUES PAID, 5.9% OR $3,081 ARE USED BY OHA TO SUPPORT LOBBYING ACTIVITIES OF THE ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $433,828 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,883 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $439,711 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $429,264 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,564 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $433,828 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $427,243 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,021 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $429,264 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $426,403 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $840 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $427,243 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $426,393 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $197 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $187 | OtherExpendituresAmt |
| End Year Balance | $426,403 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,802,879 | OtherCostOrOtherBasisAmt |
| Book Value | $1,802,879 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $114,359,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,167,050 | DepreciationAmt |
| Book Value | $58,192,424 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $116,617,918 | OtherCostOrOtherBasisAmt |
| Depreciation | $87,498,441 | DepreciationAmt |
| Book Value | $29,119,477 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,031,587 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,551,584 | DepreciationAmt |
| Book Value | $480,003 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $89,594,783 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| TRUSTEE FUNDED DEFERRED COMPENSATION | $1,845,955 |
| RECEIVABLE FROM RELATED 501(C)(3) | $16,879,156 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $18,725,111 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED PENSION AND RETIREE LIABILITY | $28,453,982 |
| ACCRUED INTEREST PAYABLE | $128,822 |
| ACCRUED MALPRACTICE | $2,839,865 |
| ESTIMATED DUE TO THIRD PARTY SETTLEMENT | $1,068,573 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $32,491,242 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INTENDED USE OF THE ENDOWMENT FUNDS HELD BY THE LICKING MEMORIAL FOUNDATION IS TO USE THE EARNINGS FOR CAPITAL EQUIPMENT PURCHASES FOR LICKING MEMORIAL HOSPITAL |
| PART X, LINE 2: | THE INTERNAL REVENUE SERVICE HAS RULED THAT THE SYSTEM, HOSPITAL, PROFESSIONAL CORPORATION AND FOUNDATION ARE TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GAAP REQUIRES THE SYSTEM TO EVALUATE ITS TAX POSITIONS AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). THE SYSTEM HAS EVALUATED ITS TAX POSITIONS AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 9975 | PersonsServedCnt |
| Total Community Benefit Expns | $3,135,683 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,135,683 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 34450 | PersonsServedCnt |
| Total Community Benefit Expns | $41,579,954 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,726,264 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,853,690 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11850 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 44425 | PersonsServedCnt |
| Total Community Benefit Expns | $44,715,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,726,264 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,989,373 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13410 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 18933 | PersonsServedCnt |
| Total Community Benefit Expns | $2,659,522 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $106,680 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,552,842 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01270 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 722 | PersonsServedCnt |
| Total Community Benefit Expns | $562,438 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $551,938 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $39,370 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,370 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4834 | PersonsServedCnt |
| Total Community Benefit Expns | $592,605 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $592,605 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 24489 | PersonsServedCnt |
| Total Community Benefit Expns | $3,853,935 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $117,180 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,736,755 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01850 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 68914 | PersonsServedCnt |
| Total Community Benefit Expns | $48,569,572 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,843,444 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,726,128 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15260 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $70,312 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $70,312 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 56 | PersonsServedCnt |
| Total Community Benefit Expns | $42,622 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,622 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 215 | PersonsServedCnt |
| Total Community Benefit Expns | $148,734 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $148,734 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $400 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,405 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 223 | PersonsServedCnt |
| Total Community Benefit Expns | $167,712 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $167,712 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 494 | PersonsServedCnt |
| Total Community Benefit Expns | $433,685 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $433,685 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $25,700,406 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,675,158 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $36,293,784 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $43,719,776 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,425,992 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LICKING MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 WEST MAIN STREET | AddressLine1Txt |
| City | NEWARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43055 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LMHEALTH.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LICKING MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.LMHEALTH.ORG/PDF-FILES/CHNAS/CHNA-2019.ASPX | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.LMHEALTH.ORG/PDF-FILES/CHNAS/CHNA-2019.ASPX | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.LMHEALTH.ORG/PDF-FILES/FORMS/00001-04-23.ASPX | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.LMHEALTH.ORG/PDF-FILES/FORMS/UNCOMPENSATED-CARE-PACKET-LMH.ASPX | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.LMHEALTH.ORG/PDF-FILES/FORMS/FAP-SUMMARY-FLYER.ASPX | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LICKING MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: REPRESENTATIVES FROM LICKING MEMORIAL HOSPITAL PARTICIPATE IN A COLLABORATIVE COMMITTEE WITH THE LICKING COUNTY HEALTH DEPARTMENT KNOWN AS THE LICKING COUNTY COMMUNITY HEALTH IMPROVEMENT COMMITTEE. THIS COMMITTEE WAS CONVENED TO PRIORITIZE PUBLIC HEALTH ISSUES AND TO IDENTIFY RESOURCES TO ADDRESS THEM. THE COMMITTEE MEETS QUARTERLY ON AN ONGOING BASIS, BEGINNING IN APRIL 2010. MEMBERS OF THE COMMITTEE REPRESENT A VARIETY OF LOCAL PUBLIC HEALTH SYSTEM AGENCIES THAT ARE INTERESTED IN IMPROVING THE HEALTH OF LICKING COUNTY RESIDENTS. PARTICIPATING AGENCIES OF THE COMMITTEE INCLUDE, LICKING COUNTY HEALTH DEPARTMENT, LICKING COUNTY BOARD OF HEALTH, LICKING MEMORIAL HEALTH SYSTEMS, LICKING COUNTY UNITED WAY, FAMILY HEALTH SERVICES OF EAST CENTRAL OHIO, COMMUNITY HEALTH CLINIC, AMERICAN RED CROSS OF LICKING COUNTY, OHIO STATE UNIVERSITY EXTENSION - LICKING COUNTY, PATHWAYS OF CENTRAL OHIO, COMMUNITY MENTAL HEALTH AND RECOVERY BOARD, MENTAL HEALTH AMERICA OF LICKING COUNTY, LICKING COUNTY FIRE CHIEFS ASSOCIATION, LICKING COUNTY AGING PROGRAM, GRANVILLE SCHOOL DISTRICT, HOSPICE OF CENTRAL OHIO, CENTER FOR THE VISUALLY IMPAIRED, LICKING COUNTY AREA TRANSPORTATION, DENISON UNIVERSITY, LICKING COUNTY BOARD OF DEVELOPMENTAL DISABILITIES, MANY OF WHICH REPRESENT PERSONS WHO ARE THE MEMBERS OF THE MEDICALLY UNDERSERVED GROUPS AND THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. |
| LICKING MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: THE LICKING COUNTY HEALTH DEPARTMENT BROUGHT TOGETHER THE LICKING COUNTY COMMUNITY HEALTH IMPROVEMENT COMMITTEE, COMPRISED OF REPRESENTATIVES FROM OVER 20 AGENCIES FROM THE PUBLIC HEALTH SYSTEM IN LICKING COUNTY. THIS COMMITTEE IDENTIFIES COMMUNITY NEEDS AND DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN THAT ADDRESSES THE TOP FOUR PUBLIC HEALTH PRIORITIES IN THE COUNTY. REPRESENTATIVES FROM LICKING MEMORIAL HOSPITAL PARTICIPATED IN THIS COMMITTEE WHICH PROVIDED AN OPPORTUNITY TO BROADEN THE IMPACT OF ITS PROGRAMS. |
| LICKING MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: AFTER COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT, LICKING MEMORIAL HEALTH SYSTEMS PRIORITIZED FIVE NEEDS TO ADDRESS. BELOW ARE EACH OF THOSE NEEDS AND OUR PLAN TO ADDRESS THEM:REDUCE TOBACCO USAGE-PROVIDE A QUIT FOR YOUR HEALTH PROGRAM THAT PROVIDES COUNSELING AND SMOKING CESSATION SUPPORT, INCLUDING NICOTINE REPLACEMENT THERAPY, TO ALL INTERESTED COMMUNITY MEMBERS FREE OF CHARGE. WE WILL ALSO ADDRESS ANY NEED FOR ADDITIONAL ADVERTISING OF THE QUIT FOR YOUR HEALTH PROGRAM.-ENCOURAGE EMPLOYERS TO ADOPT SMOKE-FREE WORKPLACE POLICIES AND OFFER INCENTIVES TO THEIR STAFF TO STOP SMOKING. WE WILL CONSIDER DEVELOPMENT OF BUSINESS WELLNESS TOOLKITS THAT COUNTY EMPLOYERS CAN UTILIZE FOR STAFF EDUCATION.-CONDUCT FOCUS STUDIES WITH YOUTH GROUPS TO GAUGE TOBACCO USAGE HABITS IN THE YOUTH POPULATION AND LEVERAGE THE INFORMATION FOR TOBACCO CESSATION AND PREVENTION EDUCATION. COLLABORATE WITH OUR FUTURES IN LICKING COUNTY INITIATIVE ON YOUTH SMOKING AND ALCOHOL EDUCATION.REDUCE OBESITY-CONTINUE OUR ACTIVE FIT YOUTH WELLNESS PROGRAM PROMOTING HEALTHY LIFESTYLES, EXERCISE, AND DIET CHOICES AMONG THE YOUTH OF LICKING COUNTY, IN CONJUNCTION WITH OTHER COMMUNITY HEALTH LEADERS.-PROMOTE MEMBERSHIP IN THE LICKING COUNTY WELLNESS COALITION.-INCREASE AWARENESS AND PROMOTE DIABETES EDUCATION WITHIN THE COMMUNITY, INCLUDING INTENSIVE ONE-ON-ONE EDUCATION WITH LICENSED DIABETES EDUCATORS AND COMPLIMENTARY COMMUNITY EDUCATION PROGRAMMING.-PROVIDE FREE DIABETES SCREENINGS AT COMMUNITY EVENTS.-PROVIDE COMMUNITY EDUCATION PROGRAMMING FOCUSED ON HEALTHIER FOOD CHOICES, EXERCISE AND GOOD LIFESTYLE HABITS.DECREASE BREAST CANCER MORTALITY-PROVIDE ROUTINE COMMUNITY EDUCATION ON THE IDENTIFICATION AND TREATMENT OF BREAST CANCER, FOCUSING ON SELF-EXAMINATION, PATHOLOGY AND EARLY DETECTION. PROGRAMS WILL INCLUDE FREE BREAST CANCER EXAMS FOR ATTENDEES.-PROVIDE MAMMOGRAM DAYS IN WHICH UNDERSERVED OR UNINSURED COMMUNITY MEMBERS MAY RECEIVE MAMMOGRAMS FREE OF CHARGE.DECREASE COLON CANCER MORTALITY-INCREASE COLON CANCER SCREENINGS THROUGH PRIMARY CARE PRACTICES/OFFICES.-INCREASE GASTROENTEROLOGIST PHYSICIAN COVERAGE TO IMPROVE PATIENT ACCESS TO AVAILABLE APPOINTMENTS AND INCREASE OPPORTUNITIES FOR COLON CANCER SCREENINGS.-EVALUATE THE USE OF SEPTIN 9 BIOMARKERS FOR USE IN PATIENTS WHO ARE AVERSE TO COLONOSCOPY.-PROVIDE FREE COMMUNITY EDUCATION PROGRAMMING WITH FOCUS ON REGULAR SCREENING, SYMPTOMS/PATHOLOGY AND EARLY DIAGNOSIS.MOBILIZE PARTNERSHIPS AND DEVELOP STRATEGIES TO ADDRESS COMMUNITY HEALTH OBJECTIVES WITHIN THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE-EVALUATE EXISTING PROGRAMS AND DEVELOP NEW INITIATIVES DESIGNED TO REDUCE CANCER RISKS, PROVIDE EARLY DETECTION, ENHANCE TREATMENT, AND IMPROVE SURVIVOR QUALITY OF LIFE. KEY MEMBERS OF LICKING MEMORIAL HEALTH SYSTEMS WILL SERVE AS ADVISORS OR ON THIS COMMITTEE.-FOCUS ON IMPROVING COLONOSCOPY RATES WITHIN THE COUNTY.-PROVIDE EDUCATIONAL SESSIONS ON PRESCRIPTION DRUG ABUSE IN LICKING COUNTY.-HOLD PRESCRIPTION DRUG "TAKE BACK" EVENTS. |
| LICKING MEMORIAL HOSPITAL | PART V, SECTION B, LINE 16J: THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY IN PLACE THAT DISCOUNTS CARE AT A RATE THAT IS GREATER THAN THE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE. |
| LICKING MEMORIAL HOSPITAL | PART V, SECTION B, LINE 20E: LICKING MEMORIAL HOSPITAL PROVIDES WRITTEN NOTICE ABOUT EXTRAORDINARY COLLECTIONS ACTIVITIES AND INCLUDES THE FINANCIAL ASSISTANCE PROGRAM APPLICATION WITH THE WRITTEN NOTICE. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT IS PREPARED BY LICKING MEMORIAL HEALTH SYSTEMS AND INCLUDES LICKING MEMORIAL HEALTH SYSTEMS, LICKING MEMORIAL HOSPITAL, LICKING MEMORIAL PROFESSIONAL CORPORATION, AND LICKING MEMORIAL HEALTH FOUNDATION. |
| PART I, LINE 7: | THE ORGANIZATION USED THE CBISA SOFTWARE TO DETERMINE THE COST ACCOUNTING METHODOLOGY. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 25,700,406. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | IT IS IMPORTANT TO NOTE THAT ALL ACTIVITIES ASSOCIATED WITH LICKING MEMORIAL HEALTH SYSTEMS (LMHS) REFLECT AND FURTHER THE MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY. WE DEFINE THE HEALTH OF THE COMMUNITY IN A BROAD SENSE TO INCLUDE ACTIVITIES THAT ARE NOT NECESSARILY HEALTH AND MEDICALLY RELATED, BUT WHICH ARE CRITICAL TO SUSTAINING A HEALTHY COMMUNITY, SUCH AS STRONG SCHOOL SYSTEMS, YOUTH AND SENIOR PROGRAMS AND THE ARTS. TO PROMOTE HEALTH EDUCATION TO THE COMMUNITY, WE PUBLISH THE COMMUNITY CONNECTION, A BI-MONTHLY MAGAZINE MAILED TO APPROXIMATELY 42,750 HOUSEHOLDS THAT HIGHLIGHTS ALL OF THE COMMUNITY BUILDING ACTIVITIES THROUGHOUT THE YEAR. ADVOCACY FOR THE HEALTH OF THE COMMUNITY IS NOT ONLY EVIDENT THROUGH THE COMMUNITY CONNECTION PUBLICATION, BUT THROUGH VARIOUS HEALTH-RELATED PROGRAMS, EVENTS AND CLASSES - INCLUDING HEALTH GOAL PROGRAMS, HEALTH FAIRS, SCHOOL PRESENTATIONS, HEALTH IMPROVEMENT SCREENINGS AND WORKSHOPS THAT AID IN OVERALL HEALTH EDUCATION OF THE COMMUNITY. LMHS REGULARLY WELCOMES COMMUNITY MEMBERS TO ATTEND FREE EDUCATIONAL PROGRAMS AT THE HOSPITAL. PROGRAMS ARE DESIGNED TO EMPOWER COMMUNITY MEMBERS WITH THE INFORMATION NEEDED TO IMPROVE THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. TO FURTHER IMPROVE THE HEALTH OF THE COMMUNITY, LMHS SUSTAINS ECONOMIC DEVELOPMENT BY EXISTING AS ONE OF THE COUNTY'S LARGEST EMPLOYERS. |
| PART III, LINE 2: | THE ORGANIZATION USED THE CBISA SOFTWARE TO DETERMINE COST ACCOUNTING METHODOLOGY. |
| PART III, LINE 3: | THE ORGANIZATION EMPLOYED A PATIENT SCORING METHODOLOGY WHICH COMBINES NUMEROUS FINANCIAL INDICATORS TO ARRIVE AT A NUMERIC CREDIT SCORE. THIS SCORE INCLUDES THE PATIENT'S ABILITY TO PAY BASED ON THE ESTIMATED HOUSEHOLD INCOME AS WELL AS THE PROBABILITY OF PAYMENT BEING MADE ON HISTORICAL CREDIT INFORMATION. |
| PART III, LINE 4: | SEE PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL REPRESENTS AN UNDERPAYMENT OF OUR COSTS FOR PROVIDING SERVICES TO TRADITIONAL MEDICARE PATIENTS, OUR LARGEST PAYER. SINCE THIS SHORTFALL RELATES TO SUCH A LARGE PORTION OF OUR COMMUNITY, WE FEEL THE COST SHORTFALL IS A RELEVANT FACTOR WHEN CONSIDERING COMMUNITY BENEFIT.WE USE THE MEDICARE COST REPORT FOR COSTING METHODOLOGY FOR CALCULATING THE MEDICARE SHORTFALL.IN ADDITION TO TRADITIONAL MEDICARE SHORTFALLS, THE HOSPITAL PROVIDES SERVICES TO MEDICARE HMO PATIENTS AT OR BELOW COST AS A FURTHER BENEFIT TO OUR COMMUNITY. BY ADOPTING THE SAME METHODOLOGY FOR TRADITIONAL MEDICARE ABOVE, THE MEDICARE HMO SHORTFALL AMOUNTED TO $9,327,300.ALONG THAT SAME LINE, LICKING MEMORIAL PROFESSIONAL CORPORATION, ANOTHER LMHS SUBSIDIARY, PROVIDED SERVICES TO MEDICARE (TRADITIONAL AND HMO) BENEFICIARIES AT A COST SHORTFALL OF $14,053,668 USING A CBISA SOFTWARE COSTING METHOD. THE CBISA SOFTWARE IS ENDORSED BY BOTH THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION AS A COSTING METHOD UTILIZED FOR DETERMINING SHORTFALLS. |
| PART III, LINE 9B: | THE PATIENT ACCOUNTING DEPARTMENT IS RESPONSIBLE FOR THE COLLECTION OF PATIENTS' ACCOUNTS. THE OBJECTIVE OF THE DEPARTMENT IS TO COLLECT ACCOUNTS DUE THE HOSPITAL WHILE MAINTAINING POSITIVE GUEST RELATIONS.-PRIOR TO OR UPON ADMISSION, PATIENT INFORMATION IS OBTAINED BY THE REGISTRATION DEPARTMENT. THIS INFORMATION IS FORWARDED TO THE PATIENT ACCOUNT REPRESENTATIVE FOR MEDASSIST, INC. UPON ADMISSION.-WHENEVER POSSIBLE, SELF-PAY INPATIENTS ARE INTERVIEWED BY THE PATIENT ACCOUNT REPRESENTATIVE PRIOR TO DISCHARGE. PATIENTS WILL BE SCREENED FOR POSSIBLE STATE OR FEDERAL PROGRAM ELIGIBILITY, SUCH AS MEDICAID OR SOCIAL SECURITY DISABILITY. IF PATIENTS DO NOT MEET THE CRITERIA FOR THESE PROGRAMS, THEY WILL BE INFORMED OF THE UNCOMPENSATED CARE PROGRAMS AVAILABLE.-ALL STATEMENTS CONTAIN INFORMATION AND GUIDELINES FOR UNCOMPENSATED CARE. |
| PART VI, LINE 2: | WITH A MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY, LMHS CONTINUOUSLY MONITORS AND ASSESSES THE NEEDS OF OUR COMMUNITY IN A VARIETY OF METHODS. OUR ENTIRE LEADERSHIP TEAM IS VERY ACTIVE IN THE COMMUNITY SERVING ON LOCAL NOT-FOR-PROFIT BOARDS AND IN SERVICE CLUBS SUCH AS ROTARY AND KIWANIS. AS ONE OF THE LARGEST EMPLOYERS IN LICKING COUNTY, THE COMMUNITY LOOKS TO OUR MANAGEMENT STAFF FOR SUPPORT AND INVOLVEMENT IN MOST, IF NOT ALL, MAJOR INITIATIVES. THIS COMMUNITY INVOLVEMENT PROVIDES THE OPPORTUNITY TO COLLECT INFORMATION REGARDING THE NEEDS OF THE DIFFERENT ORGANIZATIONS. SENIOR MANAGEMENT IS VERY RESPONSIVE IN PROVIDING ASSISTANCE WHERE NEEDED AS THE INFORMATION BECOMES AVAILABLE.THE BOARDS OF DIRECTORS FOR LICKING MEMORIAL HOSPITAL (LMH) AND THE HEALTH SYSTEMS ARE VERY INTERESTED AND ACTIVELY ENGAGED IN THE COMMUNITY; THEREFORE, THEY ARE A GREAT RESOURCE IN MAKING THE LMH ADMINISTRATION AWARE OF NEEDS. IN ADDITION, THE BOARD RECEIVES A MONTHLY REPORT AT EACH BOARD MEETING, HIGHLIGHTING ALL OF THE COMMUNITY ACTIVITIES SUPPORTED BY THE HOSPITAL, INCLUDING DONATIONS MADE DURING THAT MONTH, HEALTH FAIRS, HEALTH SCREENINGS, MANAGEMENT AND PHYSICIAN PRESENTATIONS IN THE COMMUNITY, ETC. PROVIDING ALL OF THIS INFORMATION TO THE BOARD ALLOWS THEM TO BE SUPPORTIVE AS ADMINISTRATION RECOMMENDS IMPLEMENTING NEW SERVICES OR ENHANCING EXISTING OFFERINGS.ORGANIZED UNDER THE HOSPITAL CORPORATION IS A 75-MEMBER DEVELOPMENT COUNCIL WHOSE PURPOSE IS TO EDUCATE THE COMMUNITY ABOUT THE HOSPITAL AND TO COMPLETE FUNDRAISING ACTIVITIES IN SUPPORT OF THE ORGANIZATION. THE MEMBERS OF THE LMH DEVELOPMENT COUNCIL ARE COMMUNITY LEADERS REPRESENTING ALL AREAS OF BUSINESS, INDUSTRY AND EDUCATION IN THE COMMUNITY. THESE ARE THE INDIVIDUALS WHO HAVE THEIR "FINGERS ON THE PULSE" OF THE COMMUNITY, AND ONE OF THEIR RESPONSIBILITIES AS AMBASSADORS IS TO MAKE ADMINISTRATION AWARE OF NEEDS IN THE COMMUNITY, ESPECIALLY PERTAINING TO HEALTH CARE. AMONG MANY OUTREACH ACTIVITIES OF THE DEVELOPMENT COUNCIL, PROBABLY THE MOST PRODUCTIVE ARE THE COMMUNITY LEADER ROUNDTABLES THAT ARE SPONSORED BY THIS GROUP. THESE ARE LUNCHEONS SCHEDULED MONTHLY WITH THE LMHS PRESIDENT & CEO. DEVELOPMENT COUNCIL MEMBERS SERVE AS HOSTS, AND THEY INVITE 20-25 PEOPLE WITH SIMILAR INTEREST. SOME EXAMPLES OF RECENT ROUNDTABLE GROUPS INCLUDE POLICE AND FIRE CHIEFS, YOUTH PROGRAM LEADERS, ATHLETIC DIRECTORS, EDUCATORS, AND LOCAL POLITICIANS. THESE FORUMS ARE ALWAYS VERY INFORMATIVE FOR BOTH ATTENDEES AND THE ADMINISTRATION AS INFORMATION IS SHARED ABOUT THE HOSPITAL AND FEEDBACK IS RECEIVED FROM THE COMMUNITY LEADERS WHO ARE PRESENT. MANY TIMES, IDEAS FOR HOSPITAL INITIATIVES COME FROM THESE EVENTS.ANOTHER ACTIVITY OF THE DEVELOPMENT COUNCIL IS A CORPORATE BREAKFAST WHICH IS HELD FOUR TIMES ANNUALLY. THESE EDUCATIONAL SESSIONS NORMALLY DRAW 100-125 ATTENDEES FOR BREAKFAST, AND PROVIDE AN OPPORTUNITY TO EDUCATE COMMUNITY LEADERS REGARDING HOSPITAL ACTIVITIES OR HEALTH CARE IN GENERAL. SPEAKERS AT THESE EVENTS HAVE INCLUDED PHYSICIANS SPEAKING ABOUT OPHTHALMOLOGY, UROLOGICAL SERVICES, HEART ATTACK AWARENESS, REHABILITATION SERVICES AND OTOLARYNGOLOGY. IN ADDITION, NEW PHYSICIANS ARE INTRODUCED TO THE COMMUNITY LEADERS IN ATTENDANCE AT THE CORPORATE BREAKFAST EVENTS.THE LMHS WEBSITE PROVIDES DETAILED INFORMATION ON THE VARIOUS PROGRAMS AVAILABLE AND PROVIDES A MECHANISM FOR COMMUNITY FEEDBACK. ALL REQUESTS COMING THROUGH THE WEBSITE RECEIVE CAREFUL CONSIDERATION AND A DETAILED RESPONSE. LMHS ALSO ENGAGES THE SOCIAL MEDIA AUDIENCE THROUGH AN ACTIVE FACEBOOK PAGE, AND EMPLOYS A DEDICATED PUBLIC RELATIONS STAFF MEMBER TO PROVIDE TIMELY INFORMATION CONCERNING ALL UPCOMING EVENTS, PROGRAMS AND INITIATIVES.AN AFFILIATED PHYSICIAN GROUP, KNOWN AS LICKING MEMORIAL HEALTH PROFESSIONALS, PROVIDES PHYSICIAN INPUT REGARDING THE NEEDS THEY IDENTIFY IN THEIR DAILY PRACTICE AND COMMUNITY INVOLVEMENT. THESE OBSERVATIONS ARE DISCUSSED WITH ADMINISTRATION FOR DEVELOPMENT OF PROGRAMS AND SERVICES TO ADDRESS SUCH NEEDS. |
| PART VI, LINE 3: | LMHS PROVIDES ASSISTANCE TO THOSE WHO ARE ABOVE THE FEDERAL POVERTY LEVEL BY OFFERING DISCOUNTED CARE BASED UPON A SLIDING SCALE UP TO 250% OF THE FEDERAL POVERTY LEVEL. IN ADDITION, THE ORGANIZATION PROVIDES FREE OR DISCOUNTED CARE FOR THOSE WHO ARE CONSIDERED MEDICALLY INDIGENT. IN 2019 LMHS PROVIDED $40.5 MILLION OF UNCOMPENSATED CARE AT STANDARD CHARGES, INCLUDING $12.0 MILLION OF CHARITY CARE.HOWEVER, LMHS PROVIDES CARE TO THE ENTIRE COMMUNITY, REGARDLESS OF INCOME LEVELS. THAT MESSAGE IS SHARED WITH THE COMMUNITY IN A VARIETY OF WAYS. LMHS' WEBSITE PROVIDES INFORMATION ON ASSISTANCE FOR PAYING HOSPITAL BILLS THROUGH THE HOSPITAL CARE ASSURANCE PROGRAM/ COMMUNITY ASSISTANCE PROGRAM. THIS IS ALSO COMMUNICATED THROUGH BROCHURES AND APPLICATIONS WHICH HIGHLIGHT THE INCOME LEVEL-BASED NEEDS FOR THE PATIENT. IN ADDITION, THE BILLING STATEMENT SENT TO THE PATIENT OR GUARANTOR PROVIDES INSTRUCTIONS FOR ACCESSING CHARITY CARE. THIS INFORMATION ALSO CAN BE ACCESSED THROUGH THE BILLING OFFICE. FURTHERMORE, LMHS CONTRACTS WITH AN ELIGIBILITY COMPANY TO SCREEN AND IDENTIFY PATIENTS WHO ARE ELIGIBLE FOR ASSISTANCE, AND EMPLOYS USE OF EARLY-OUT AGENCIES TO PERFORM SELF-PAY BILLING SERVICES. THESE AGENCIES ROUTINELY IDENTIFY PATIENTS WHO ARE ELIGIBLE FOR ASSISTANCE AND PROVIDE APPLICATIONS FOR COMPLETION. THE LMH DEVELOPMENT COUNCIL HAS BEEN EDUCATED ABOUT OUR COMMITMENT TO PROVIDE CARE FOR THE ENTIRE COMMUNITY - THAT MESSAGE IS SHARED IN THE COMMUNITY THROUGH THEIR GRASS ROOTS EFFORTS. |
| PART VI, LINE 4: | LICKING MEMORIAL HOSPITAL IS LOCATED IN NEWARK, OHIO THIRTY MILES EAST OF COLUMBUS. THE CITY OF NEWARK HAS A POPULATION OF 50,315 PEOPLE WITH A MEDIAN INCOME OF APPROXIMATELY $42,000. THE HOSPITAL SERVES THE COMMUNITY OF NEWARK AND LICKING COUNTY. LICKING COUNTY HAS A POPULATION OF APPROXIMATELY 177,000 (PER US CENSUS BUREAU), A PER CAPITA INCOME OF APPROXIMATELY $30,000 AND AN AVERAGE UNEMPLOYMENT RATE OF 3.7%. |
| PART VI, LINE 5: | THROUGH THE MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY, LMHS PROMOTES HEALTH EDUCATION AND WELLNESS IN A VARIETY OF WAYS. LMHS PROVIDES SERVICES, WHICH INCLUDE PARTICIPATION IN MANY COMMUNITY HEALTH FAIRS THROUGHOUT THE COUNTY TO ENCOURAGE AND ADVANCE HEALTHCARE EDUCATION IN AREA SCHOOLS, CHURCHES, AND BUSINESSES; PROVIDED MANY FREE CLASSES REGARDING TOPICS SUCH AS CHILDBIRTH, INFANT AND CHILD CPR, BREASTFEEDING, SIBLING PREPARATION, DIABETES, NEWBORN BASICS, AND TOBACCO CESSATION; PROVIDED SUPPORT GROUPS FOR VICTIMS AND FAMILIES OF CANCER, DIABETES, CHEMICAL DEPENDENCY, AND HEART DISEASE; PROVIDED ASSISTANCE TO EDUCATORS THROUGH COALITIONS WITH STUDENT NURSES, OCCUPATIONAL THERAPY, AND PHYSICAL THERAPY INTERNS; PROVIDED SPEAKERS AT SCHOOLS, BUSINESSES, AND VARIOUS ORGANIZATIONS ON TOPICS SUCH AS TOBACCO CESSATION, LEADING AN ACTIVE AND HEALTHY LIFESTYLE, AND DIABETES EDUCATION. THE SCHEDULE IS FOUND ONLINE OR PRINTED THROUGH OUR BI-MONTHLY COMMUNITY CONNECTION PUBLICATION FOR THE COMMUNITY TO ACKNOWLEDGE.LMHS ALSO PROMOTES HEALTH AND WELLNESS TO THE COMMUNITY THROUGH A VARIETY OF INITIATIVES. IN 2012, LMHS CREATED THE ACTIVEFIT YOUTH WELLNESS PROGRAM, TARGETING YOUTH AGES 6-12. THE PROGRAM OFFERS A FREE ONLINE GOAL-ORIENTED WELLNESS ACTIVITY PLAN WITH INCENTIVES FOR THOSE WHO COMPLETE THEIR GOALS. THE PROGRAM ALSO FEATURES UNIQUE COMMUNITY EVENTS TO HELP THE PARTICIPANTS STAY ACTIVE AND LEARN HOW TO BETTER CARE FOR THEIR PERSONAL HEALTH. THE PROGRAM HAS BEEN PROMOTED DIRECTLY TO THE YOUTH WITH SCHOOL ASSEMBLY PRESENTATIONS AND THROUGH AN AGGRESSIVE ADVERTISING AND MARKETING CAMPAIGN TO THE COMMUNITY. FOR THE PAST TWO YEARS, LMHS INCORPORATED ACTIVEFIT WITHIN 22 ELEMENTARY SCHOOLS WITH A PROGRAM TO INCENTIVIZE SCHOOLS TO PROMOTE, INITIATE REGISTRATION AND ENCOURAGE THE YOUTH TO ACHIEVE THEIR GOALS. IN 2016, LMHS BEGAN A SIMILAR PROGRAM - ACTIVESENIOR - TO ADULTS, AGES 60 AND UP. CREATED IN CONJUNCTION WITH CLINICAL STAFF AND PHYSICIANS, THE PROGRAM AIMS TO PROVIDE WELL-BEING FOR SENIORS THROUGH A YEAR-LONG GOAL PROGRAM FEATURING FOUR KEY HEALTH AREAS OF FOCUS - PHYSICAL, NUTRITIONAL, MENTAL AND SOCIAL. THE PROGRAM ALSO OFFERS GOAL INCENTIVES AND CREATIVE COMMUNITY ACTIVITIES GEARED TOWARD THE SENIOR DEMOGRAPHIC.LMHS ALSO EMPHASIZES THE NEED FOR EXCELLENT PERSONAL HEALTH TO A VARIETY OF DEMOGRAPHICS THROUGH SPECIAL EVENTS. FOR EXAMPLE, LMHS INVITES COMMUNITY MEMBERS EACH YEAR TO A RED DRESS GALA EVENT FEATURING SPEAKER PRESENTATIONS, DEMONSTRATIONS, HEALTH SCREENINGS AND HEART-HEALTHY FOODS. EACH SUMMER, LMHS OFFERS THE HEART TO PLAY PROGRAM TO LICKING COUNTY JUNIOR AND HIGH SCHOOL STUDENTS. THE PROGRAM FEATURES HEALTH REVIEW EVENTS THROUGHOUT THE EARLY SUMMER MONTHS WITH AN EKG HEART SCREENING, IN ADDITION TO HEALTH AND CONCUSSION SCREENINGS. OTHER MAJOR HEALTH-RELATED ACTIVITIES INCLUDE FAMILY MOVIE NIGHT EVENTS, PATIENT REUNIONS, YOUTH CAMPS, 5K AND WALK EVENT, AND A BABY EXPO. |
| PART VI, LINE 6: | LICKING MEMORIAL HEALTH SYSTEMS IS A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF OHIO TO PROVIDE AND PROMOTE HEALTH CARE SERVICES IN CENTRAL OHIO.LMHS IS THE PARENT ORGANIZATION AND SOLE CORPORATE MEMBER OF LICKING MEMORIAL HOSPITAL (LMH), LICKING MEMORIAL HEALTH FOUNDATION (LMHF), AND LICKING MEMORIAL PROFESSIONAL CORPORATION (LMPC).LMPC EMPLOYS A STAFF OF PHYSICIANS AND SUPPORT PERSONNEL TO FURTHER THE CHARITABLE PURPOSE OF LMHS. LMPC HAS A SOLE PHYSICIAN SHAREHOLDER, WHO, UNDER A SHARED CONTROL AGREEMENT, ASSIGNED THE VOTING RIGHTS OF THE STOCK TO LMHS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT MONTAGNESE | ||||||||||||||
| PRESIDENT & CEO | $658,941 | $0 | $74,892 | $0 | $1,258 | $0 | $39,377 | $0 | $31,235 | $0 | $805,703 | $0 | $0 | $0 |
| CINDY WEBSTER | ||||||||||||||
| VP FINANCIAL SERVICES | $263,543 | $0 | $1,150 | $0 | $0 | $0 | $12,177 | $0 | $12,900 | $0 | $289,770 | $0 | $0 | $0 |
| VERONICA PATTON | ||||||||||||||
| VP PR & DEVELOPMENT | $211,298 | $0 | $3,150 | $0 | $0 | $0 | $9,865 | $0 | $12,612 | $0 | $236,925 | $0 | $0 | $0 |
| CRAIG CAIRNS | ||||||||||||||
| VP MEDICAL STAFF AFFAIRS | $320,794 | $0 | $3,150 | $0 | $0 | $0 | $14,903 | $0 | $8,380 | $0 | $347,227 | $0 | $0 | $0 |
| DEBBIE YOUNG | ||||||||||||||
| VP PATIENT CARE SERVICES | $223,851 | $0 | $1,150 | $0 | $0 | $0 | $10,351 | $0 | $7,812 | $0 | $243,164 | $0 | $0 | $0 |
| SALLIE ARNETT | ||||||||||||||
| VP INFORMATION SYSTEMS | $238,006 | $0 | $1,150 | $0 | $0 | $0 | $11,002 | $0 | $12,753 | $0 | $262,911 | $0 | $0 | $0 |
| ANNE PETERSON | ||||||||||||||
| VP HR AND SUPPORT SERVICES | $210,125 | $0 | $1,150 | $0 | $0 | $0 | $9,719 | $0 | $12,594 | $0 | $233,588 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | ROBERT MONTAGNESE, PRESIDENT, PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). A CONTRIBUTION WAS MADE TO THE PLAN ON HIS BEHALF FOR THE 2018 YEAR IN THE AMOUNT OF $5,560. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT OF THE RETURN IS REVIEWED FIRST BY INTERNAL MANAGEMENT. AFTER INTERNAL MANAGEMENT HAS REVIEWED THE RETURN AND ANY CHANGES ARE MADE A DRAFT IS MADE AVAILABLE FOR REVIEW AND PRESENTATION TO THE BOARD. ONCE THE COMMENTS FROM THE BOARD ARE REVIEWED, THE FINAL RETURN IS PREPARED AND SIGNED BY THE VICE PRESIDENT OF FINANCIAL SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ALL BOARD MEMBERS AND KEY EMPLOYEES TO SIGN A CONFLICT OF INTEREST STATEMENT ONCE A YEAR. THE ORGANIZATION DOES NOT PERMIT BOARD MEMBERS TO HAVE A CONFLICT OF INTEREST. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST THEY ARE ASKED TO RESIGN FROM THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE ORGANIZATION HAS AN INDEPENDENT COMPENSATION COMMITTEE THAT DETERMINES THE COMPENSATION FOR THE CEO THAT IS THEN APPROVED BY THE BOARD. THE CEO DETERMINES THE COMPENSATION FOR THE OTHER OFFICERS BASED UPON INDEPENDENT SALARY SURVEYS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | CHANGE IN MINIMUM PENSION LIABILITY -1,327,917. CHANGE IN RETIREE BENEFIT PLAN -873,249. NET ASSET TRANSFERS WITH RELATED 501(C)(3) -45,401,972. NET ASSET ADJUSTMENTS - OTHER -42,976. |
| FORM 990, PAGE 12, PART XII LINE 2C: | THERE WAS NO CHANGE IN THE OVERSIGHT PROCESS OR SELECTION PROCESS OF THE INDEPENDENT AUDITOR. LICKING MEMORIAL HOSPITAL CONTINUES TO BE AUDITED AS PART OF THE LICKING MEMORIAL HEALTH SYSTEMS CONSOLIDATED GROUP. LICKING MEMORIAL HOSPITAL IS INCLUDED IN THE LICKING MEMORIAL HEALTH SYSTEMS CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION HAS A FINANCE COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. |
| COMMUNITY BENEFIT FOR LICKING MEMORIAL HEALTH SYSTEM CONSOLIDATED GROUP | MONETARY INPUTS OUTPUTS TITLE/DEPARTMENT EXPENSES OFFSETS BENEFIT PERSONS #CHODEATS FOODIES FEEDING FAMILIES IN KIND DONATIONS DEVELOPMENT (1955) 531 0 531 UNKNOWN 12 LEAD EKG PROJECT NON INVASIVE CARDIOLOGY (1712) 39,370 0 39,370 UNKNOWN 20TH CENTURY CLUB CASH DONATIONS DEVELOPMENT (1955) 1,996 0 1,996 UNKNOWN 20TH CENTURY CLUB IN KIND DONATIONS DEVELOPMENT (1955) 580 0 580 UNKNOWN ACTIVE FIT PRESENTATIONS COMMUNITY OUTREACH (1956) 645 0 645 557 ACTIVE FIT YOUTH WELLNESS EVENTS COMMUNITY OUTREACH (1956) 55,408 0 55,408 1,165 ACTIVE SENIOR PRESENTATIONS COMMUNITY OUTREACH (1956) 951 0 951 222 ACTIVE SENIOR WELLNESS EVENTS COMMUNITY OUTREACH (1956) 79,219 0 79,219 716 ADVANCE CARE PLANNING COMMUNITY OUTREACH (1956) 5,775 0 5,775 1,885 ADVENTURES IN PLANT BASED EATING COMMUNITY OUTREACH (1956) 5,638 0 5,638 84 AMERICAN CANCER SOCIETY CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN AMERICAN CHILDHOOD CANCER ORGANIZATION CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN AMERICAN HEART ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 15,625 0 15,625 UNKNOWN AMERICAN HEART ASSOCIATION IN KIND DONATIONS DEVELOPMENT (1955) 2,289 0 2,289 14 AMERICAN RED CROSS OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 5,500 0 5,500 UNKNOWN ANOMATIC CORPORATION SPEAKER COMMUNITY OUTREACH (1956) 710 0 710 1,315 ASK THE DOC AT SHEPHERD HILL OP CHEMICAL DEPENDENCY (1692) 2,087 0 2,087 325 ATHLETICS BASEBALL ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 150 0 150 UNKNOWN ATLANTA MISSION CASH DONATIONS DEVELOPMENT (1955) 5,000 0 5,000 UNKNOWN AUTOMATED EXTERNAL DEFIBRILLATORS DEVELOPMENT (1955) 1,255 0 1,255 UNKNOWN BE WISE, IMMUNIZE PEDIATRICS TAMARACK (7460) 12,238 0 12,238 432 BEHAVIORAL HEALTH CARE PARTNERS CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN BEHAVIORAL HEALTH CARE PARTNERS IN KIND DONATIONS PROCESS IMPROVEMENT (1945) 5,830 0 5,830 UNKNOWN BIG BROTHERS/BIG SISTERS CASH DONATIONS DEVELOPMENT (1955) 12,000 0 12,000 UNKNOWN BIG BROTHERS/BIG SISTERS IN KIND DONATIONS DEVELOPMENT (1955) 5,587 0 5,587 500 BIG BROTHERS/BIG SISTERS HOLIDAY HELP PROGRAM DEVELOPMENT (1955) 804 0 804 UNKNOWN BLESSED SACRAMENT SCHOOL SPEAKERS COMMUNITY OUTREACH (1956) 140 0 140 23 BOY SCOUTS OF AMERICA CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN BOY SCOUTS OF AMERICA IN KIND DONATIONS DEVELOPMENT (1955) 131 0 131 UNKNOWN BOYS & GIRLS CLUB OF NEWARK CASH DONATIONS DEVELOPMENT (1955) 10,000 0 10,000 UNKNOWN BOYS & GIRLS CLUB OF NEWARK IN KIND DONATIONS DEVELOPMENT (1955) 425 0 425 UNKNOWN BREAST CA AWARENESS DAY FREE MAMMOGRAMS RADIOLOGY (1721) 18,183 0 18,183 48 BREASTFEEDING AND INFANT HEALTH FAIR COMMUNITY OUTREACH (1956) 158 0 158 50 BREASTFEEDING BASICS MATERNAL CHILD (1646) 7,471 0 7,471 400 BREASTFEEDING MOTHERS SUPPORT GROUP MATERNAL CHILD (1646) 216 0 216 5 BREASTFEEDING PROMOTION & SUPPORT PROGRAM MATERNAL CHILD (1646) 39,071 0 39,071 228 C TEC CASH DONATIONS DEVELOPMENT (1955) 1,200 0 1,200 UNKNOWN C TEC IN KIND DONATIONS DEVELOPMENT (1955) 850 0 850 UNKNOWN C TEC MEDICAL ASSISTANT EXTERNSHIP PROGRAM LMHP STUDENTS LMPC ADMINISTRATION (7445) 6,556 0 6,556 6 C TEC SENIOR CITIZEN DAY COMMUNITY OUTREACH (1956) 226 0 226 92 CALL TO COLLEGE MEMORIAL CASH DONATIONS DEVELOPMENT (1955) 1,500 0 1,500 UNKNOWN CAMP A1C COMMUNITY OUTREACH (1956) 16,143 0 16,143 20 CAMP COURAGE COMMUNITY OUTREACH (1956) 9,507 0 9,507 15 CAMP FEELIN' FINE COMMUNITY OUTREACH (1956) 10,010 0 10,010 30 CAMP MED COMMUNITY OUTREACH (1956) 27,656 0 27,656 29 CANAL MARKET DISTRICT CASH DONATIONS DEVELOPMENT (1955) 750 0 750 UNKNOWN CANCER SURVIVOR PICNIC COMMUNITY SUPPORT DEVELOPMENT (1955) 22,124 0 22,124 215 CANDLEWICK APARTMENTS SPEAKER COMMUNITY OUTREACH (1956) 475 0 475 4 CARING FOR AGING LOVED ONES DEVELOPMENT (1955) 7,630 0 7,630 350 CAROL STRAWN CENTER IN KIND DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN CAROL STRAWN CENTER CASH DONATIONS DEVELOPMENT (1955) 300 0 300 UNKNOWN CBISA SOFTWARE FISCAL SERVICES (1901) 1,120 0 1,120 UNKNOWN CDF FREEDOM SCHOOLS OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 5,000 0 5,000 UNKNOWN CENTER FOR DISABILITY SERVICES CASH DONATIONS DEVELOPMENT (1955) 10,000 0 10,000 UNKNOWN CENTRAL OHIO TECHNICAL COLLEGE CASH DONATIONS DEVELOPMENT (1955) 2,000 0 2,000 UNKNOWN CENTRAL OHIO TECHNICAL COLLEGE IN KIND DONATIONS DEVELOPMENT (1955) 1,100 0 1,100 UNKNOWN CENTRAL OHIO TECHNICAL COLLEGE LEADERSHIP DEVELOPMENT DEVELOPMENT (1955) 3,000 0 3,000 UNKNOWN CHEER FORCE ONE CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN CHILDBIRTH EDUCATION MATERNAL CHILD (1646) 4,036 0 4,036 166 CHILDREN'S READING FOUNDATION OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 4,650 0 4,650 UNKNOWN CHIMES TERRACE SPEAKERS COMMUNITY OUTREACH (1956) 452 0 452 5 CHRONIC OBSTRUCTIVE PULMONARY DISEASE COMMUNITY OUTREACH (1956) 546 0 546 19 CITIZENS FOR SENIORS CASH DONATIONS DEVELOPMENT (1955) 3,000 0 3,000 UNKNOWN CITY OF PATASKALA CASH DONATIONS DEVELOPMENT (1955) 1,950 0 1,950 UNKNOWN CITY OF PATASKALA SPEAKERS COMMUNITY OUTREACH (1956) 308 0 308 4 COMMUNITY BENEFIT REPORTING HOURS FISCAL SERVICES (1901) 6,408 0 6,408 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (COMMUNITY BENEFIT) EXECUTIVE ADMINISTRATION (1950) 65,570 0 65,570 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (COMMUNITY SUPPORT) EXECUTIVE ADMINISTRATION (1950) 81,321 0 81,321 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (ECONOMIC DEVELOPMENT) EXECUTIVE ADMINISTRATION (1950) 15,272 0 15,272 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (WORKFORCE DEVELOPMENT) EXECUTIVE ADMINISTRATION (1950) 19,294 0 19,294 UNKNOWN COMMUNITY CASE MANAGEMENT SERVICES COMMUNITY CASE MANAGEMENT (1976) 1,046,564 72,400 974,164 UNKNOWN COMMUNITY HEALTH IMPROVEMENT COMMITTEE PROCESS IMPROVEMENT (1945) 1,128 0 1,128 UNKNOWN COMMUNITY NEEDS ASSESSMENT COSTS FISCAL SERVICES (1901) 33,143 0 33,143 UNKNOWN COMMUNITY WELLNESS COMMUNITY WELLNESS (1977) 215,627 0 215,627 628 CORPORATE BREAKFASTS DEVELOPMENT (1955) 9,017 0 9,017 296 DAWES ARBORETUM TURKEY TRAIL CHALLENGE DEVELOPMENT (1955) 773 0 773 44 DEFEATING CANCER COMMUNITY OUTREACH (1956) 8,125 0 8,125 62 DENISON UNIVERSITY SPEAKERS COMMUNITY OUTREACH (1956) 4,548 0 4,548 467 DENISON UNIVERSITY IN KIND DONATIONS DEVELOPMENT (1955) 538 0 538 UNKNOWN DINING WITH DIABETES COMMUNITY OUTREACH (1956) 5,489 0 5,489 78 |
| COMMUNITY BENEFIT FOR LICKING MEMORIAL HEALTH SYSTEM CONSOLIDATED GROUP | DONATION OF LABORATORY SUPPLIES LABORATORY (1702) 4,029 0 4,029 69 DONATION OF MEAT TO SALVATION ARMY DEVELOPMENT (1955) 7,579 0 7,579 UNKNOWN DONATION OF UNBRANDED WATER IN KIND DONATIONS DEVELOPMENT (1955) 311 0 311 UNKNOWN DOWNTOWN NEWARK ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 5,320 0 5,320 UNKNOWN DRUG ASSISTANT INDIGENT DRUG RECOVERY LMPC ADMINISTRATION (7445) 53,123 0 53,123 1,439 EAST OHIO ROBOTICS CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN EMERGENCY SERVICES FOR INDIGENT PATIENTS REFERRALS FISCAL SERVICES (1901) 193,254 0 193,254 UNKNOWN EMS APPRECIATION WEEK COMMUNITY OUTREACH (1956) 1,903 0 1,903 56 ENGAGE NEWARK CHURCH CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN EXCELLENCE IN LEARNING COMMUNITY CO OP (ELCC) CASH DONATIONS DEVELOPMENT (1955) 1,200 0 1,200 UNKNOWN EXCELLENCE IN LEARNING COMMUNITY CO OP (ELCC) SPEAKERS COMMUNITY OUTREACH (1956) 292 0 292 15 FAMILY & FRIENDS INFANT AND CHILD CPR MATERNAL CHILD (1646) 1,943 0 1,943 106 FAMILY HEALTH SERVICES IN KIND DONATIONS DEVELOPMENT (1955) 1,200 0 1,200 UNKNOWN FIRST UNITED METHODIST CHURCH NEWARK IN KIND DONATIONS DEVELOPMENT (1955) 312 0 312 UNKNOWN FIRST UNITED METHODIST CHURCH, NEWARK COMMUNITY SUPPORT DEVELOPMENT (1955) 296 0 296 UNKNOWN FOOD PANTRY NETWORK CASH DONATIONS DEVELOPMENT (1955) 8,385 0 8,385 UNKNOWN FOR YOUR HEALTH 5K AND FUN WALK DEVELOPMENT (1955) 54,410 0 54,410 1,700 FOSTERING FURTHER CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN FOSTERING FURTHER SPEAKER COMMUNITY OUTREACH (1956) 356 0 356 20 FREEDOM SCHOOL SPEAKERS COMMUNITY OUTREACH (1956) 460 0 460 60 FRIENDS OF LICKING COUNTY LIBRARY CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN FRIENDSHIP CLUB OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN FRUITS AND VEGETABLE PRESCRIPTION PROGRAM (FVRX) CULINARY SERVICES (1801) 10,841 0 10,841 130 GIRLS SCOUTS SPEAKERS COMMUNITY OUTREACH (1956) 351 0 351 25 GO HEALTHY DIABETES PREVENTION PROGRAM COMMUNITY CASE MANAGEMENT (1976) 7,892 0 7,892 14 GRANDPARENTS CLASS MATERNAL CHILD (1646) 324 0 324 21 GRANVILLE ATHLETIC BOOSTERS CASH DONATIONS DEVELOPMENT (1955) 5,100 0 5,100 UNKNOWN GRANVILLE CHRISTIAN ACADEMY CASH DONATIONS DEVELOPMENT (1955) 1,100 0 1,100 UNKNOWN GRANVILLE HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN GRANVILLE RECREATION DISTRICT CASH DONATIONS DEVELOPMENT (1955) 10,083 0 10,083 UNKNOWN HABITAT FOR HUMANITY MIDOHIO CASH DONATIONS DEVELOPMENT (1955) 35,000 0 35,000 UNKNOWN HABITAT FOR HUMANITY MIDOHIO PHYSICAL IMPROVEMENTS/HOUSING DEVELOPMENT (1955) 33,512 0 33,512 UNKNOWN HEALTHCARE MEDIA INTERVIEWS COMMUNITY OUTREACH (1956) 11,907 0 11,907 UNKNOWN HEALTHIER FOR LIFE WORKSHOP & REUNION COMMUNITY OUTREACH (1956) 7,417 0 7,417 75 HEART TO PLAY PROGRAM SPORTS PHYSICALS (7487) 42,200 0 42,200 469 HEATH BAND BOOSTERS CASH DONATIONS DEVELOPMENT (1955) 175 0 175 UNKNOWN HEATH HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 2,250 0 2,250 UNKNOWN HEATH HIGH SCHOOL COMMUNITY BASED CLINICAL SERVICES OCCUPATIONAL HEALTH (7440) 521 0 521 UNKNOWN HEATH HIGH SCHOOL IN KIND DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN HEATH MIDDLE SCHOOL SPEAKERS COMMUNITY OUTREACH (1956) 342 0 342 120 HEATH MIDDLE SCHOOL IN KIND DONATIONS DEVELOPMENT (1955) 282 0 282 UNKNOWN HEATH SERTOMA YOUTH ATHLETIC ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 550 0 550 UNKNOWN HEBRON YOUTH SOFTBALL CASH DONATIONS DEVELOPMENT (1955) 400 0 400 UNKNOWN HILLVIEW ELEMENTARY SPEAKERS COMMUNITY OUTREACH (1956) 313 0 313 460 HOMER VOLUNTEER FIRE DEPARTMENT CASH DONATIONS DEVELOPMENT (1955) 450 0 450 UNKNOWN HOSPICE OF CENTRAL OHIO CASH DONATIONS DEVELOPMENT (1955) 2,830 0 2,830 UNKNOWN IMMUNIZATION OF PATIENTS AGES 65 AND OVER FOR TD LMPC ADMINISTRATION (7445) 11,633 0 11,633 343 JILL GRIESSE MEMORIAL INVITATIONAL IN KIND DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN JOHNSTOWN CHOIR BOOSTERS CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN KENDAL AT GRANVILLE HEALTH & WELLNESS FAIR FOR SENIORS COMMUNITY OUTREACH (1956) 361 0 361 35 KENDAL AT GRANVILLE SPEAKERS COMMUNITY OUTREACH (1956) 441 0 441 39 KINSHIP CARE RESOURCE FAIR DEVELOPMENT (1955) 6,537 0 6,537 150 KIWANIS CLUB OF GRANVILLE CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN KNOW YOUR GIRLS BREAST CANCER AWARENESS SPEAKER COMMUNITY OUTREACH (1956) 1,390 0 1,390 50 LAKEWOOD YOUTH BASEBALL ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 350 0 350 UNKNOWN LC GOVERNMENTAL PRESERVATION SOCIETY COMMUNITY SUPPORT DEVELOPMENT (1955) 100 0 100 UNKNOWN LCESC JR. HIGH CAREER EXPLORATION HUMAN RESOURCES (1951) 582 0 582 20 LCL ATHLETIC DIRECTORS IN KIND DONATIONS DEVELOPMENT (1955) 850 0 850 UNKNOWN LCL/MVL ALL STAR FOOTBALL GAME CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN LIBERTY MIDDLE SCHOOL SPEAKERS BUREAU COMMUNITY OUTREACH (1956) 111 0 111 45 LICKING COUNTY AGING PROGRAM SPEAKERS COMMUNITY OUTREACH (1956) 1,778 0 1,778 91 LICKING COUNTY CENTER FOR 60+ ADULTS CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN LICKING COUNTY CHAMBER OF COMMERCE CASH DONATIONS DEVELOPMENT (1955) 5,500 0 5,500 UNKNOWN LICKING COUNTY CHAMBER OF COMMERCE GROUNDHOG BREAKFAST DEVELOPMENT (1955) 700 0 700 UNKNOWN LICKING COUNTY CHAMBER OF COMMERCE IN KIND DONATIONS DEVELOPMENT (1955) 378 0 378 UNKNOWN LICKING COUNTY COALITION FOR HOUSING CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN LICKING COUNTY COALITION OF CARE CASH DONATIONS DEVELOPMENT (1955) 1,200 0 1,200 UNKNOWN LICKING COUNTY COLORECTAL CANCER CAMPAIGN LABORATORY (1702) 475 0 475 23 LICKING COUNTY FAMILY YMCA CASH DONATIONS DEVELOPMENT (1955) 41,350 0 41,350 UNKNOWN LICKING COUNTY FOUNDATION CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN LICKING COUNTY FOUNDATION IN KIND DONATIONS DEVELOPMENT (1955) 1,442 0 1,442 70 LICKING COUNTY HEALTH DEPARTMENT CASH DONATIONS DEVELOPMENT (1955) 400 0 400 UNKNOWN LICKING COUNTY HEALTH DEPARTMENT CHLAMYDIA/GC SCREENINGS LABORATORY (1702) 1,802 0 1,802 46 LICKING COUNTY HEALTH DEPT IN KIND DONATIONS LABORATORY (1702) 1,708 0 1,708 UNKNOWN LICKING COUNTY HISTORICAL SOCIETY CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN LICKING COUNTY HUMANE SOCIETY IN KIND DONATIONS DEVELOPMENT (1955) 2,750 0 2,750 UNKNOWN LICKING COUNTY JAIL MINISTRIES CASH DONATIONS DEVELOPMENT (1955) 10,000 0 10,000 UNKNOWN LICKING COUNTY JAIL MINISTRIES IN KIND DONATIONS DEVELOPMENT (1955) 2,100 0 2,100 UNKNOWN LICKING COUNTY LACROSSE CLUB CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN LICKING COUNTY LEADERSHIP PROGRAM DEVELOPMENT (1955) 405 0 405 UNKNOWN LICKING COUNTY SHERIFF'S DEPARTMENT CASH DONATIONS DEVELOPMENT (1955) 300 0 300 UNKNOWN |
| COMMUNITY BENEFIT FOR LICKING MEMORIAL HEALTH SYSTEM CONSOLIDATED GROUP | LICKING COUNTY TASK FORCE ON AGING IN KIND DONATIONS DEVELOPMENT (1955) 625 0 625 UNKNOWN LICKING COUNTY TASK FORCE ON AGING SPEAKERS COMMUNITY OUTREACH (1956) 863 0 863 73 LICKING HEIGHTS MIDDLE SCHOOL WORKFORCE DEVELOPMENT COMMUNITY OUTREACH (1956) 1,130 0 1,130 155 LICKING HEIGHTS YOUTH ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN LICKING LAND TRUST ENVIRONMENTAL IMPROVEMENTS DEVELOPMENT (1955) 400 0 400 UNKNOWN LICKING VALLEY HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN LICKING VALLEY HIGH SCHOOL IN KIND DONATIONS DEVELOPMENT (1955) 120 0 120 UNKNOWN LICKING VALLEY INTERMEDIATE SCHOOL IN KIND DONATIONS DEVELOPMENT (1955) 252 0 252 UNKNOWN LICKING VALLEY LITTLE LEAGUE CASH DONATIONS DEVELOPMENT (1955) 900 0 900 UNKNOWN LIFELINE OF OHIO CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN LIFELINE OF OHIO GIFT OF LIFE/TREE OF LIFE EVENT COMMUNITY OUTREACH (1956) 2,496 0 2,496 43 LIVING WELL WITH HEARING LOSS COMMUNITY OUTREACH (1956) 467 0 467 28 LOOK UP CENTER CASH DONATIONS DEVELOPMENT (1955) 3,500 0 3,500 UNKNOWN LUNGEVITY FOUNDATION CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN MACI'S MENDED HEART IN KIND DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN MEDBEN SPEAKER COMMUNITY OUTREACH (1956) 902 0 902 65 MENTAL HEALTH & RECOVERY FOR KNOX & LICKING COUNTY IN KIND DEVELOPMENT (1955) 132,859 0 132,859 UNKNOWN MENTAL HEALTH & RECOVERY FOR LICKING & KNOX COUNTIES CASH DONATION DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN MENTAL HEALTH AMERICA YES CLUB IN KIND DONATIONS DEVELOPMENT (1955) 1,470 0 1,470 UNKNOWN MENTAL HEALTH AMERICA OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 1,840 0 1,840 UNKNOWN MENTAL HEALTH AMERICA OF LICKING COUNTY IN KIND DONATIONS DEVELOPMENT (1955) 5,150 0 5,150 UNKNOWN MIDDLETON SENIOR LIVING SPEAKER COMMUNITY OUTREACH (1956) 209 0 209 12 MIDLAND THEATRE IN KIND DONATIONS CULINARY SERVICES (1801) 4,747 0 4,747 UNKNOWN MOUND CITY LITTLE LEAGUE CASH DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN MOUNDBUILDERS VFW POST 1060 CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN MOUNT VERNON NAZARENE UNIVERSITY CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN MOVIE NIGHT HEALTH SCREENINGS COMMUNITY OUTREACH (1956) 161 0 161 150 NATIONAL YOUTH ADVOCATE PROGRAM CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN NEW BEGINNINGS CASH DONATIONS DEVELOPMENT (1955) 750 0 750 UNKNOWN NEW BEGINNINGS IN KIND DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN NEWARK CAMPUS DEVELOPMENT FUND CASH DONATIONS DEVELOPMENT (1955) 100,000 0 100,000 UNKNOWN NEWARK CATHOLIC COMMUNITY SUPPORT DEVELOPMENT (1955) 296 0 296 UNKNOWN NEWARK CATHOLIC HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 6,200 0 6,200 UNKNOWN NEWARK CATHOLIC HIGH SCHOOL SPEAKERS COMMUNITY OUTREACH (1956) 773 0 773 94 NEWARK CATHOLIC HIGH SCHOOL ATHLETIC DEPT. CASH DONATIONS DEVELOPMENT (1955) 400 0 400 UNKNOWN NEWARK CATHOLIC SOFTBALL CASH DONATIONS DEVELOPMENT (1955) 200 0 200 UNKNOWN NEWARK CHURCH OF THE NAZARENE IN KIND DONATIONS DEVELOPMENT (1955) 850 0 850 UNKNOWN NEWARK CITIZEN POLICE ACADEMY ALUMNI ASSOCIATION DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN NEWARK CITY SCHOOL IN KIND DONATIONS DEVELOPMENT (1955) 168 0 168 UNKNOWN NEWARK CITY SCHOOLS CASH DONATIONS DEVELOPMENT (1955) 1,450 0 1,450 UNKNOWN NEWARK DEVELOPMENT PARTNERS COMMUNITY IMPROVEMENT CORPORATION DEVELOPMENT (1955) 6,250 0 6,250 UNKNOWN NEWARK FIREFIGHTERS CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN NEWARK GRANVILLE SYMPHONY ORCHESTRA CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN NEWARK HIGH SCHOOL ATHLETIC BOOSTERS CASH DONATIONS DEVELOPMENT (1955) 750 0 750 UNKNOWN NEWARK KIWANIS CLUB CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN NEWARK KIWANIS CLUB IN KIND DONATIONS DEVELOPMENT (1955) 374 0 374 UNKNOWN NEWARK LIONS CLUB CASH DONATIONS DEVELOPMENT (1955) 1,500 0 1,500 UNKNOWN NEWARK MIDLAND THEATRE CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN NEWARK PUBLIC LIBRARY SPEAKER COMMUNITY OUTREACH (1956) 243 0 243 10 NEWARK ROTARY CLUB FOUNDATION CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN NEWARK TOPS SPEAKER COMMUNITY OUTREACH (1956) 169 0 169 10 NEWARK YOUTH SOFTBALL CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN NEWBORN BASICS MATERNAL CHILD (1646) 3,105 0 3,105 106 NEWTON ELEMENTARY IN KIND DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN NORTH NEWARK BASEBALL CASH DONATIONS DEVELOPMENT (1955) 10,000 0 10,000 UNKNOWN NORTH NEWARK LITTLE LEAGUE VARSITY AND FARM CASH DONATIONS DEVELOPMENT (1955) 900 0 900 UNKNOWN NORTHRIDGE ATHLETIC BOOSTERS IN KIND DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN NORTHRIDGE PTO CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN NORTHRIDGE YOUTH ATHLETIC ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN OHIO CANCER RESEARCH ASSOCIATES CASH DONATIONS DEVELOPMENT (1955) 350 0 350 UNKNOWN OHIO MBE CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN OHIOCAN CHANGE ADDICTION NOW CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN OPENING DAY YOUTH SPORTS CEREMONIES IN KIND DONATIONS COMMUNITY OUTREACH (1956) 14,419 0 14,419 3,650 OPERATION FEED IN KIND DONATIONS HUMAN RESOURCES (1951) 3,014 0 3,014 UNKNOWN OUR FUTURES LICKING COUNTY IN KIND DONATIONS DEVELOPMENT (1955) 240 0 240 UNKNOWN PAID STUDENT INTERNSHIPS OTHER HEALTH PROFESSIONAL EDUCATION HUMAN RESOURCES (1951) 131,405 0 131,405 29 PAR EXCELLENCE ACADEMY (A NOBLE CAUSE) IN KIND DONATIONS DEVELOPMENT (1955) 253 0 253 UNKNOWN PAR EXCELLENCE ACADEMY CASH DONATIONS DEVELOPMENT (1955) 10,000 0 10,000 UNKNOWN PASTORAL CARE BREAKFAST DEVELOPMENT (1955) 1,619 0 1,619 31 PATASKALA AREA CHAMBER OF COMMERCE IN KIND DONATIONS DEVELOPMENT (1955) 3,455 0 3,455 56 PATASKALA LIONS CLUB CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN PATHWAYS OF CENTRAL OHIO CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN PBJ CONNECTIONS CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN PEDIATRIC DENTAL CLINIC DENTAL CLINIC (1958) 96,236 10,039 86,197 UNKNOWN PELOTONIA CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN PINK STRIDES TRAIL RUN & WELLNESS WALK IN KIND DONATIONS DEVELOPMENT (1955) 818 0 818 100 PRECEPTING NURSING STUDENTS 4N & 4S 4 SOUTH (1614) 6,208 0 6,208 6 PRECEPTING NURSING STUDENTS 5S 5 SOUTH (1612) 1,950 0 1,950 2 PRECEPTING NURSING STUDENTS ER & URGENT CARE EMERGENCY DEPARTMENT (1678) 8,900 0 8,900 7 PRECEPTING NURSING STUDENTS ICU & CCU INTENSIVE CARE (1640) 11,331 0 11,331 10 PRECEPTING NURSING STUDENTS INPATIENT REHAB INPATIENT REHAB (1615) 2,207 0 2,207 1 PRECEPTING NURSING STUDENTS MATERNAL CHILD & LABOR AND DELIVERY MATERNAL CHILD (1646) 8,364 0 8,364 7 PRECEPTING STUDENTS CARDIOLOGY NON INVASIVE CARDIOLOGY (1712) 5,824 0 5,824 6 PRECEPTING STUDENTS PACU/OR SURGERY (1660) 12,384 0 12,384 6 PRECEPTING STUDENTS PHARMACY PHARMACY (1730) 83,520 10,500 73,020 13 |
| COMMUNITY BENEFIT FOR LICKING MEMORIAL HEALTH SYSTEM CONSOLIDATED GROUP | PRECEPTING STUDENTS RADIOLOGY RADIOLOGY (1721) 24,684 0 24,684 23 PRECEPTORSHIPS FOR NURSE PRACTICIONERS/PA STUDENTS FAMILY PRACTICE EAST (7425) 69,994 0 69,994 18 PRECEPTORSHIPS FOR MEDICAL STUDENTS UNKNOWN (0) 71,546 0 71,546 25 PRECEPTORSHIPS FOR PEDIATRICS STUDENTS PEDIATRICS TAMARACK (7460) 17,378 0 17,378 7 PRECEPTORSHIPS FOR WOMEN'S HEALTH STUDENTS WOMEN'S HEALTH NEWARK (7455) 21,364 0 21,364 7 PRENATAL PATIENT CENTERING MATERNAL CHILD (1646) 848 0 848 7 PREPARING FOR BABY A RESOURCE FAIR DEVELOPMENT (1955) 7,877 0 7,877 100 PROJECT SEARCH HUMAN RESOURCES (1951) 13,440 0 13,440 6 RED CROSS BLOOD DRIVE PROCESS IMPROVEMENT (1945) 3,774 0 3,774 228 RED DRESS EVENT COMMUNITY OUTREACH (1956) 34,846 0 34,846 298 RELAY FOR LIFE SPEAKER HEMATOLOGY/ONCOLOGY (7405) 628 0 628 20 RESOURCE CENTER/MEDICAL LIBRARY RESOURCE CENTER (1975) 1,936 0 1,936 UNKNOWN RONALD MCDONALD HOUSE CHARITIES OF CENTRAL OHIO CASH DONATIONS DEVELOPMENT (1955) 5,000 0 5,000 UNKNOWN ROTARY CLUB OF GRANVILLE CASH DONATIONS DEVELOPMENT (1955) 3,000 0 3,000 UNKNOWN ROTARY CLUB OF NEWARK HEATH CASH DONATIONS DEVELOPMENT (1955) 1,500 0 1,500 UNKNOWN ROTARY CLUB OF NEWARK HEATH IN KIND DONATIONS DEVELOPMENT (1955) 127 0 127 UNKNOWN ROTARY CLUB OF NEWARK HEATH SPEAKERS COMMUNITY OUTREACH (1956) 313 0 313 120 ROTARY CLUB OF PATASKALA CASH DONATIONS DEVELOPMENT (1955) 300 0 300 UNKNOWN SAFE SITTER SEMINAR MATERNAL CHILD (1646) 3,625 0 3,625 57 SAFE SURROUNDINGS SAFE SURROUNDINGS (1647) 115,125 24,241 90,884 221 SAINT LUKE'S CHURCH CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN SAINT VINCENT HAVEN CASH DONATIONS DEVELOPMENT (1955) 800 0 800 UNKNOWN SALVATION ARMY IN KIND DONATIONS DEVELOPMENT (1955) 6,438 0 6,438 UNKNOWN SALVATION ARMY GIRLS PROGRAM SPEAKER COMMUNITY OUTREACH (1956) 185 0 185 17 SALVATION ARMY OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN SIBLING PREPARATION CLASS MATERNAL CHILD (1646) 1,059 0 1,059 32 SOUTHWEST LICKING SCHOOLS IN KIND DONATIONS DEVELOPMENT (1955) 163 0 163 UNKNOWN SOUTHWEST LICKING YOUTH BASEBALL CASH DONATIONS DEVELOPMENT (1955) 4,008 0 4,008 UNKNOWN SPRING HILLS BAPTIST CHURCH SPEAKERS COMMUNITY OUTREACH (1956) 305 0 305 20 ST. EDWARD CHURCH COMMUNITY SUPPORT DEVELOPMENT (1955) 317 0 317 UNKNOWN ST. FRANCIS CHURCH SPEAKERS COMMUNITY OUTREACH (1956) 272 0 272 75 ST. FRANCIS DE SALES SCHOOL & PARISH CASH DONATIONS DEVELOPMENT (1955) 850 0 850 UNKNOWN ST. FRANCIS PARISH FESTIVAL COMMUNITY SUPPORT DEVELOPMENT (1955) 287 0 287 UNKNOWN ST. VINCENT DE PAUL'S CENTER IN KIND DONATIONS DEVELOPMENT (1955) 3,439 0 3,439 UNKNOWN STUDENT INTERNSHIPS CASE MANAGEMENT CASE MANAGEMENT (1780) 4,780 0 4,780 2 STUDENT INTERNSHIPS COMMUNITY CASE MANAGEMENT COMMUNITY CASE MANAGEMENT (1976) 1,175 0 1,175 1 STUDENT INTERNSHIPS INFORMATION SYSTEMS INFORMATION SYSTEMS (1936) 952 0 952 1 STUDENT INTERNSHIPS LABORATORY LABORATORY (1702) 19,791 0 19,791 12 STUDENT INTERNSHIPS OTHER HEALTH PROFESSIONAL EDUCATION FISCAL SERVICES (1901) 2,053 0 2,053 2 STUDENT INTERNSHIPS PHYSICAL THERAPY & SPEECH THERAPY PHYSICAL THERAPY (1737) 22,558 0 22,558 5 STUDENT NURSE & OTHER HEALTH PROFESSIONALS MANAGEMENT PROCESS PROCESS IMPROVEMENT (1945) 26,366 0 26,366 524 STUDENT VOLUNTEER PROGRAM VOLUNTEERS (1970) 1,060 0 1,060 12 STUDENTS HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION (1768) 1,148 0 1,148 2 SUMMER TEACHER EXTERNSHIP PROGRAM HUMAN RESOURCES (1951) 1,000 0 1,000 1 SUSAN MOSURE MEMORIAL FOUNDATION CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN TAXI TOKENS FISCAL SERVICES (1901) 1,180 0 1,180 UNKNOWN THE ENERGY COOPERATIVE CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN THE ENERGY COOPERATIVE SPEAKER COMMUNITY OUTREACH (1956) 504 0 504 122 THE ENERGY COOPERATIVE EARTH AND ENERGY DAY COMMUNITY OUTREACH (1956) 627 0 627 234 THE GATHERING PLACE SPEAKERS COMMUNITY OUTREACH (1956) 266 0 266 30 THE MAIN PLACE IN KIND DONATIONS DEVELOPMENT (1955) 633 0 633 UNKNOWN THE WOODLANDS CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN THE WORKS CASH DONATIONS DEVELOPMENT (1955) 10,000 0 10,000 UNKNOWN THE WORKS IN KIND DONATIONS CULINARY SERVICES (1801) 3,397 0 3,397 UNKNOWN THE WORKS SPEAKERS COMMUNITY OUTREACH (1956) 831 0 831 38 TOBACCO CESSATION PROGRAM TOBACCO CESSATION (1693) 325,714 0 325,714 713 TOGETHER WE GROW, INC. CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN TOPS JOHNSTOWN COMMUNITY OUTREACH (1956) 132 0 132 12 TRI VILLAGE CHRISTIAN CHURCH SPEAKER/INFO TABLES COMMUNITY OUTREACH (1956) 951 0 951 10 TRUECORE FOUNDATION CASH DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN UNITED METHODIST CHURCH PATASKALA SPEAKERS COMMUNITY OUTREACH (1956) 187 0 187 12 UNITED WAY SPEAKERS COMMUNITY OUTREACH (1956) 123 0 123 85 UNITED WAY AGENCIES CASH DONATIONS DEVELOPMENT (1955) 61,268 0 61,268 UNKNOWN UNITED WAY AGENCIES IN KIND DONATIONS HUMAN RESOURCES (1951) 240 0 240 UNKNOWN UNITED WAY WEEK OF CARING IN KIND DONATIONS DEVELOPMENT (1955) 1,520 0 1,520 UNKNOWN UPS SPEAKER COMMUNITY OUTREACH (1956) 270 0 270 32 VOLUNTEERS TWIGS & EVENTS VOLUNTEERS (1970) 0 0 0 189 WALK WITH A DOC COMMUNITY OUTREACH (1956) 36,283 0 36,283 295 WARMING CENTER TASK FORCE TRAINING SPEAKERS COMMUNITY OUTREACH (1956) 302 0 302 23 WASHINGTON SQUARE APARTMENTS SPEAKERS/HEALTH INFORMATION COMMUNITY CASE MANAGEMENT (1976) 116 0 116 80 WATKINS HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 150 0 150 UNKNOWN WATKINS HIGH SCHOOL IN KIND DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN WATKINS MEMORIAL ATHLETIC ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 490 0 490 UNKNOWN WATKINS MEMORIAL ATHLETIC ASSOCIATION IN KIND DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN WEATHERVANE PLAYHOUSE CASH DONATIONS DEVELOPMENT (1955) 2,000 0 2,000 UNKNOWN WEST LICKING FIREFIGHTERS ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 3,015 0 3,015 UNKNOWN WEST LICKING HISTORICAL SOCIETY CASH DONATIONS DEVELOPMENT (1955) 120 0 120 UNKNOWN WHOLE LIVING RECOVERY IN KIND DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN WILSON MIDDLE SCHOOL SPEAKERS COMMUNITY OUTREACH (1956) 296 0 296 30 YES CLUB SPEAKER COMMUNITY OUTREACH (1956) 161 0 161 41 YMCA SPEAKER COMMUNITY OUTREACH (1956) 171 0 171 25 YOUNG LIFE CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN YOUTH LEAGUE SCHOLARSHIPS DEVELOPMENT (1955) 5,802 0 5,802 60 ZONTA CLUB OF NEWARK CASH DONATIONS DEVELOPMENT (1955) 200 0 200 UNKNOWN ZONTA CLUB OF NEWARK IN KIND DONATIONS DEVELOPMENT (1955) 207 0 207 UNKNOWN |
| COMMUNITY BENEFIT FOR LICKING MEMORIAL HEALTH SYSTEM CONSOLIDATED GROUP | MISCELLANEOUS - CASH AND IN-KIND CONTRIBUTIONS 366 0 366 UNKNOWN MISCELLANEOUS - COMMUNITY BUILDING ACTIVITIES 195 0 195 UNKNOWN MISCELLANEOUS - COMMUNITY HEALTH IMPROVEMENT SERVICES 581 0 581 249 TOTALS NUMBER OF PROGRAMS 344 EXPENSES $4,287,620 OFFSETS 117,180 BENEFIT $4,170,440 OUTPUTS 24,983 BENEFITS FOR THE UNDERSERVED TRADITIONAL CHARITY CARE EXPENSES $4,141,092 OFFSETS 0 NET BENEFIT $4,141,092 PERSONS 9,975 UNPAID COST OF MEDICAID EXPENSES $63,028,627 OFFSETS 25,235,991 NET BENEFIT $37,792,636 PERSONS 34,450 TOTAL UNDERSERVED EXPENSES $67,169,719 OFFSETS 25,235,991 NET BENEFIT $41,933,728 PERSONS 44,425 GRAND TOTALS EXPENSES $71,457,339 OFFSETS 25,353,171 NET BENEFIT $46,104,168 PERSONS 69,408 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LICKING MEMORIAL HEALTH SYSTEMS | |||||||||||
| 1320 WEST MAIN STREET | NEWARK | OH | 43055 | 311096218 | PARENT COMPANY FOR THE NONPROFIT OPERATION OF HEALTHCARE ORGANIZATIONS | OH | 501(C)(3) | LINE 12D, III-O | N/A | 0 | |
| LICKING MEMORIAL HEALTH FOUNDATION | |||||||||||
| 1320 WEST MAIN STREET | NEWARK | OH | 43055 | 311096217 | PROVIDE FUNDING FOR HEALTHCARE PROGRAMS | OH | 501(C)(3) | LINE 12B, II | 0 | LICKING MEMORIAL HEALTH SYSTEMS | |
| LICKING MEMORIAL PROFESSIONAL CORPORATION | |||||||||||
| 1320 WEST MAIN STREET | NEWARK | OH | 43055 | 311425530 | HEALTHCARE ORGANIZATION | OH | 501(C)(3) | LINE 11 | 0 | LICKING MEMORIAL HEALTH SYSTEMS | |
| LICKING MEMORIAL TWIGS | |||||||||||
| 1320 WEST MAIN STREET | NEWARK | OH | 43055 | 463190381 | TO SUPPORT THE OPERATIONS OF LICKING MEMORIAL HEALTH SYSTEMS | OH | 501(C)(3) | LINE 12B, II | 0 | LICKING MEMORIAL HEALTH SYSTEMS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Comments