2013-11-07T14:20:27-06:00 2012-12-31 271235638 MOUNTJOY CHILTON MEDLEY LLP 462 S FOURTH ST SUITE 2600 LOUISVILLE KY 402023445 990 2012-01-01 314379519 LICKING MEMORIAL HOSPITAL LICK 7403484528 1320 WEST MAIN STREET NEWARK OH 43055 CYNTHIA L WEBSTER 7403484528 2013-10-30 1 VICTORIA D BUSTER CPA P00024054 5027491900 2012 2016-02-24 21:20:13Z ROBERT A MONTAGNESE 1320 WEST MAIN STREET NEWARK OH 43055 180782733 0 X WWW.LMHEALTH.ORG X 1898 OH TO IMPROVE THE HEALTH OF THE COMMUNITY. 13 13 1474 126 0 0 0 0 169149310 178311860 475778 320241 1916078 1445479 171541166 180077580 0 0 0 0 70764828 75274257 0 0 0 74057718 74301388 144822546 149575645 26718620 30501935 139138337 147845017 82385476 89448873 56752861 58396144 X LICKING MEMORIAL HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITY. 0 0 130241867 178567652 LICKING MEMORIAL HOSPITAL (LMH) PROVIDES HEALTHCARE SERVICES WITHOUT REGARD TO A PATIENT'S RACE, CREED, GENDER, DISABILITY, ETHNICITY, AGE, RELIGION, CITIZENSHIP, NATIONAL ORIGIN OR SOURCES OF PAYMENT FOR CARE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF LMH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. FURTHER, WE BELIEVE OUR PURPOSE IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND EDUCATION. THEREFORE, IN KEEPING WITH OUR COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, WE PROVIDE: - FREE CARE AND/OR SUBSIDIZED CARE - CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST - HEALTH ACTIVITIES AND PROGRAMS FREE-OF-CHARGE TO THE COMMUNITYTHE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED AND MEDICALLY UNDER SERVED.LMH SERVED 8,103 INPATIENTS AND 1,084 NEWBORNS FOR A TOTAL OF 26,340 PATIENT DAYS, AND PROVIDED SERVICES TO 283,215 OUTPATIENTS IN 2012.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 $142,640,000 IN 2012.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 2012, LMH WROTE OFF CHARGES OF APPROXIMATELY $16,259,000 IN BAD DEBTS AND $19,745,000 IN CHARITY CARE. 130241867 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 379 0 1 1474 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X DAVID CLAYPOOL 7403484528 1320 WEST MAIN STREET NEWARK OH 43055 LINDA K DALGARN 1.30 1.30 X X 0 0 0 KIM FLEMING 1.30 X X 0 0 0 PATRICK D GUANCIALE 1.30 X X 0 0 0 CRAIG R BALDWIN 1.30 X X 0 0 0 MICHAEL D CANTLIN 1.30 X 0 0 0 GENE BRANSTOOL 1.30 X 0 0 0 NANCY G NEELY 1.30 X 0 0 0 GUS A ANDREWS 1.30 X 0 0 0 THOMAS MULLADY 1.30 X 0 0 0 F JENNIFER UTREVIS 1.30 X 0 0 0 BART M WEILER 1.30 X 0 0 0 DEBORAH A KOHMAN 1.30 X 0 0 0 JOYCE L MALAINY 1.30 X 0 0 0 ROBERT MONTAGNESE 30.00 10.00 X 412705 0 100277 CINDY WEBSTER 30.00 10.00 X 165761 0 11087 CRAIG CAIRNS 40.00 X 241641 0 16163 DEBORAH YOUNG 40.00 X 164135 0 10978 SALLIE ARNETT 40.00 X 162518 0 10870 ANNE PETERSON 40.00 X 134272 0 8981 VERONICA LINK 14.00 26.00 X 152104 0 10174 1433136 0 168530 32 0 1 0 GE HEALTHCARE IITS 40 IDX DRIVE SOUTH BERLINGTON VT 05403 EQUIPMENT MAINTENANCE 884790 MEDICAL DOCTOR ASSOCIATES PO BOX 277185 ATLANTA GA 30384 PHYSICIAN SERVICES 798967 MEDICAL INFORMATION TECHNOLOGY MEDITECH CIRCLE WESTWOOD MA 02090 SOFTWARE MAINTENANCE 621529 TURNER CONSTRUCTION 375 HUDSON STREET NEW YORK NY 10014 CONSTRUCTION 455143 CAWLEY JOHNSON GROUP 4015 NINE MCFARLAND DRIVE SUITE 20 ALPHARETTA GA 30004 HEALTHCARE CONSULTANTS 384316 19 PATIENT REVENUE 621110 175719432 175719432 MEANINGFUL USE GRANT 621110 2592428 2592428 178311860 299246 299246 669859 669859 0 38283 18006 0 35294 38283 -17288 20995 20995 CAFETERIA 722210 1189687 1189687 VHA FEES & REBATES 621110 248350 248350 MISCELLANEOUS 900099 7442 7442 1445479 180077580 178567652 0 1509928 689830 689830 53386723 46783387 6603336 17280471 14984197 2296274 3917233 3418619 498614 350439 350439 319993 319993 32255 32255 10071029 6902600 3168429 412269 412269 1379375 1178390 200985 46913 44261 2652 390217 155946 234271 849456 849456 10324626 7998170 2326456 1370979 1370979 MEDICAL SUPPLIES 30191075 29172856 1018219 BAD DEBT EXPENSE 16258725 16258725 EQUIPMENT RENTAL 2226321 1902624 323697 MISCELLANEOUS 77716 38858 38858 149575645 130241867 19333778 0 10967375 3926984 18671084 18726801 2402193 2577491 1645249 996896 211541121 113214999 77915943 98326122 22515685 16811570 5020808 6479153 139138337 147845017 14168068 16513740 28000000 29400000 40217408 43535133 82385476 89448873 X 56752861 58396144 56752861 58396144 139138337 147845017 X 30501935 707175 -29565827 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 2273 2273 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: LICKING MEMORIAL HOSPITAL PAYS $42,887 IN ANNUAL DUES TO OHIO HOSPITAL ASSOCIATION(OHA). OF THE TOTAL DUES PAID, 5.3% OR $2,273 ARE USED BY OHA TO SUPPORT LOBBYING ACTIVITIES OF THE ASSOCIATION. 1802878 1802878 103561094 34696270 68864824 2840000 2149403 690597 102680774 76369326 26311448 656375 656375 98326122 DEFERRED PENSION AND RETIREE LIABILITY 38535258 ACCRUED INTEREST PAYABLE 42864 ACCRUED MALPRACTICE 4887019 THIRD PARTY SETTLEMENT 69992 43535133 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. THE SYSTEM BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008. 1 1 X 1 X 1 X 1 1 0 1 1 18244 9890810 1860761 8030049 0.06020 30426 23043542 12204735 10838807 0.08130 48670 32934352 14065496 18868856 0.14150 22932 1675226 147364 1527862 0.01150 693 649045 14650 634395 0.00480 6477 6477 0.00000 1984 345827 345827 0.00260 25609 2676575 162014 2514561 0.01890 74279 35610927 14227510 21383417 0.16040 238 7251 7251 0.00010 500 28107 28107 0.00020 41618 41618 0.00030 100 100 0.00000 300 300 0.00000 20 34110 34110 0.00030 127 4545 4545 0.00000 885 116031 116031 0.00090 1 16258725 4755677 31957570 33950517 -1992947 X 1 1 1 1 LICKING MEMORIAL HOSPITAL

1320 WEST MAIN STREET NEWARK OH 43055

X X X LICKING MEMORIAL HOSPITAL 1 1 1 100.000000000000 1 250.000000000000 1 X X X X 1 1 X X X X X 1 X 0 1 X 0 0 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, 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 $ 16258725. PART II: 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 IN ORDER 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 PROGRAMS AND ARTS. TO PROMOTE HEALTH EDUCATION TO THE COMMUNITY, WE PUBLISH THE COMMUNITY CONNECTION, A BI-MONTHLY MAGAZINE MAILED TO APPROXIMATELY 50,000 HOUSEHOLDS THAT HIGHLIGHTS ALL OF THE COMMUNITY BUILDING ACTIVITES THROUGHOUT THE YEAR. ADVOCACY FOR THE HEALTH OF THE COMMUNITY IS NOT ONLY EVIDENT THROUGH THE COMMUNITY CONNECTION PUBLICATIONS, BUT THROUGH VARIOUS HEALTH-RELATED EVENTS AND CLASSES INCLUDING 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 THE COUNTY'S LARGEST EMPLOYER. PART III, LINE 4: LINE 2 - THE ORGANIZATION USES THE CBISA SOFTWARE FOR COSTING METHODOLOGY, A SOFTWARE PROGRAM ENDORSED BY BOTH THE OHIO HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION.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 PATIENTS ABILITY TO PAY BASED ON THE ESTIMATED HOUSEHOLD INCOME AS WELL AS THE PROBABILITY OF PAYMENT BEING MADE BASED ON HISTORICAL CREDIT INFORMATION.LINE 4 - SEE PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE SHORTFALL REPRESENTS AN UNDERPAYMENT OF OUR COST 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 $1,740,321.ALONG THAT SAME LINE, THE LICKING MEMORIAL PROFESSIONAL CORPORATION, ANOTHER LMHS SUBSIDIARY, PROVIDED SERVICES TO MEDICARE (TRADITIONAL AND HMO) BENEFICIARIES AT A COST SHORTFALL OF $4,602,043 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 ORSOCIAL 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. LICKING MEMORIAL HOSPITAL PART V, SECTION B, LINE 20D: THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY IN PLACE THAT DISCOUNTS CARE TO THOSE APPLYING FOR AND MEETING THE INCOME LIMITS FOR DISCOUNTED CARE AT A RATE THAT IS GREATER THAN THE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE. 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 THE LARGEST EMPLOYER 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 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 PHYSICIANS SPEAKING 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 INDIVIDUALS WHO HAVE THEIR "FINGERS ON THE PULSE" OF THE COMMUNITY, AND ONE OF THEIR RESPONSIBILITIES AS AMBASSADORS IS TO MAKE THE 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 HEALTH SYSTEMS PRESIDENT & CEO. DEVELOPMENT COUNCIL MEMBERS SERVE AS HOSTS, AND THEY INVITE 20-25 PEOPLE WITH SIMILAR INTERESTS. SOME EXAMPLES OF RECENT ROUNDTABLE GROUPS INCLUDE SCHOOL NURSES, SCHOOL ATHLETIC DIRECTORS AND COACHES, REALTORS, FIRE CHIEFS, LOCAL POLITICIANS, ETC. THESE FORUMS ARE ALWAYS VERY INFORMATIVE FOR BOTH ATTENDEES AND THE ADMINISTRATION AS WE SHARE INFORMATION ABOUT THE HOSPITAL AND THEN ASK FOR FEEDBACK 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 QUARTERLY CORPORATE BREAKFAST. THESE EDUCATIONAL SESSIONS NORMALLY DRAW 100-125 ATTENDEES FOR BREAKFAST AND PROVIDE AN OPPORTUNITY TO EDUCATE THE COMMUNITY LEADERSHIP REGARDING HOSPITAL ACTIVITIES AND TO PROVIDE AN OPEN FORUM TO DISCUSS HEALTH CARE AND OTHER NEEDS WITHIN THE COMMUNITY. SPEAKERS AT THESE EVENTS HAVE RANGED FROM PHYSICIANS SPEAKING ABOUT HEART, VASCULAR, ENDOCRINOLOGY, CARING FOR AGING PATIENTS AND SLEEP MEDICINE, TO OUR DIRECTOR OF PASTORAL CARE PRESENTING ON HOW HIS DEPARTMENT SERVES THE SPIRITUAL NEEDS OF HOSPITAL PATIENTS AND THE COMMUNITY.IN 2012, THE DEVELOPMENT COUNCIL CREATED AN ADDITIONAL EVENT THAT OFFERS COMMUNITY MEMBERS AN OPPORTUNITY TO MEET PHYSICIANS WHO HAVE JOINED THE LMH ACTIVE MEDICAL STAFF. THE NEW PHYSICIAN RECEPTION IS HELD TWICE EACH YEAR TO SHOWCASE THE NEW PHYSICIANS AND PROVIDE COMMUNITY MEMBERS WITH AN OPPORTUNITY TO ASK QUESTIONS TO ASSIST IN THEIR CHOICE OF NEW HEALTHCARE PROVIDERS. THESE EVENTS ALSO PROVIDE EXCELLENT FEEDBACK FROM COMMUNITY MEMBERS AND PHYSICIANS ALIKE. THE HEALTH SYSTEMS' 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.AN AFFILIATED PHYSICIAN GROUP, KNOWN AS THE LICKING MEMORIAL PROFESSIONAL CORPORATION, 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: THE HEALTH SYSTEMS PROVIDES ASSISTANCE TO THOSE WHO ARE ABOVE THE FEDERAL POVERTY LEVEL BY OFFERING DISCOUNTED CARE BASED ON 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 2012, LMHS PROVIDED $42.1 MILLION OF UNCOMPENSATED CARE AT STANDARD CHARGES, INCLUDING $23.0 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. THE HEALTH SYSTEMS' WEBSITE PROVIDES INFORMATION ON ASSISTANCE FOR PAYING HOSPITAL BILLS THROUGH THE HOSPITAL CARE ASSURANCE PROGRAM/ COMMUNITY ASSISTANCE PROGRAM. THIS ALSO IS 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, THE HEALTH SYSTEMS CONTRACTS WITH AN ELIGIBILITY COMPANY TO SCREEN AND IDENTIFY PATIENTS WHO ARE ELIGIBLE FOR ASSISTANCE, AND EMPLOYS THE 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 LOCATED IN NEWARK, OHIO THIRTY THREE MILES EAST OF COLUMBUS. THE CITY OF NEWARK HAS A POPULATION OF ABOUT 48,000 PEOPLE WITH A MEDIAN INCOME OF APPROXIMATELY $38,000. THE HOSPITAL SERVES THE COMMUNITY OF NEWARK AND LICKING COUNTY. LICKING COUNTY HAS A POPULATION OF APPROXIMATELY 166,000 (PER U.S. CENSUS BUREAU), A PER CAPITA INCOME OF APPROXIMATELY $22,000 AND AN UNEMPLOYMENT RATE OF 6.7%. PART VI, LINE 5: THROUGH THE MISSION OF "IMPROVING THE HEALTH OF THE COMMUNITY", LMHS PROMOTES HEALTH EDUCATION AND WELLNESS IN VARIOUS 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 TO 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, THE HEALTH SYSTEMS CREATED THE ACTIVE-FIT 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.THE HEALTH SYSTEMS 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 SUMMER MONTHS WITH AN EKG HEART SCREENING, IN ADDITION TO A HEALTH AND CONCUSSION SCREENING.THE HEALTH SYSTEMS ALSO DEVOTES RESOURCES TO A HEALTH-RELATED COMMUNITY BENEFIT PROJECT EACH YEAR. IN 2012, LMHS PROMOTED COMMUNITY HEALTH BY OFFERING ALL LICKING COUNTY HIGH SCHOOLS THEIR CHOICE OF EXERCISE EQUIPMENT TO BE UTILIZED BY THE STUDENT POPULATION. PART VI, LINE 6: LICKING MEMORIAL HEALTH SYSTEMS (THE SYSTEM) IS A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF OHIO TO PROVIDE AND PROMOTE HEALTH CARE SERVICES IN CENTRAL OHIO.THE SYSTEM IS THE PARENT ORGANIZATION AND SOLE CORPORATE MEMBER OF LICKING MEMORIAL HOSPITAL (THE HOSPITAL), LICKING MEMORIAL HEALTH FOUNDATION (THE FOUNDATION), AND LICKING MEMORIAL PROFESSIONAL CORPORATION (THE PROFESSIONAL CORPORATION).THE PROFESSIONAL CORPORATION EMPLOYS A STAFF OF PHYSICIANS AND SUPPORT PERSONNEL TO FURTHER THE SYSTEM'S CHARITABLE PURPOSE. THE PROFESSIONAL CORPORATION HAS A SOLE PHYSICIAN SHAREHOLDER, WHO, UNDER A SHARED CONTROL AGREEMENT, ASSIGNED THE VOTING RIGHTS OF THE STOCK TO THE SYSTEM. X X X X X X 0 1 0 0 0 0 0 0 0 ROBERT MONTAGNESE 390932 0 1000 0 20773 0 100277 0 0 0 512982 0 0 0 CINDY WEBSTER 150812 0 2316 0 12633 0 11087 0 0 0 176848 0 0 0 CRAIG CAIRNS 226076 0 2205 0 13360 0 16163 0 0 0 257804 0 0 0 DEBORAH YOUNG 149202 0 2316 0 12617 0 10978 0 0 0 175113 0 0 0 SALLIE ARNETT 147688 0 2229 0 12601 0 10870 0 0 0 173388 0 0 0 VERONICA LINK 137354 0 2248 0 12502 0 10174 0 0 0 162278 0 0 0 PART I, LINE 4B ROBERT MONTAGNESE, PRESIDENT, PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). A CONTRIBUTION WAS MADE TO THE PLAN ON HIS BEHALF FOR THE 2012 YEAR IN THE AMOUNT OF $72,672. FORM 990, PART VI, SECTION B, LINE 11 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 15 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY -2,947,803. CHANGE IN RETIREE BENEFIT PLAN -356,170. NET ASSET TRANSFERS WITH RELATED 501(C)(3) -26,261,854. 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 FORM 990, PAGE 2 PROGRAM SERVICES MONETARY INPUTS OUTPUTS TITLE/DEPARTMENT EXPENSES OFFSETS BENEFIT PERSONS 12 LEAD EKG PROJECT CARDIOLOGY (1712) 6,477 0 6,477 UNKNOWN 20TH CENTURY CLUB CASH DONATIONS DEVELOPMENT (1955) 1,260 0 1,260 UNKNOWN AARP SPEAKER PUBLIC RELATIONS (1956) 183 0 183 28 ACTIVE FIT PRESENTATIONS PUBLIC RELATIONS (1956) 22,451 0 22,451 7,582 ACTIVE FIT YOUTH WELLNESS EVENTS PUBLIC RELATIONS (1956) 9,684 0 9,684 520 ACTIVITY AND DIABETES PROCESS IMPROVEMENT (1945) 124 0 124 4 ADVANTAGE CLUB CASH DONATIONS DEVELOPMENT (1955) 300 0 300 UNKNOWN ALCOHOL & DRUG ADDICTION PROCESS IMPROVEMENT (1945) 364 0 364 16 AMERICAN CANCER SOCIETY CASH DONATIONS DEVELOPMENT (1955) 2,490 0 2,490 UNKNOWN AMERICAN RED CROSS IN KIND DONATIONS DEVELOPMENT (1955) 400 0 400 UNKNOWN AMERICAN RED CROSS OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 1,875 0 1,875 UNKNOWN ANXIETY AND DEPRESSION PROCESS IMPROVEMENT (1945) 359 0 359 26 ARE YOU AT RISK FOR A HEART ATTACK? PROCESS IMPROVEMENT (1945) 381 0 381 19 ART FROM THE HEART DEVELOPMENT (1955) 4,545 0 4,545 127 ASK THE DOC AT SHEPHERD HILL OP CHEMICAL DEPENDENCY (1692) 11,527 0 11,527 1,230 ASTHMA AND ALLERGIES PROCESS IMPROVEMENT (1945) 165 0 165 3 BATTLE FOR 161 STICKING IT TO BREAST CANCER CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN BEHAVIORAL HEALTH CARE PARTNERS CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN BEHAVIORAL HEALTH CARE PARTNERS IN KIND DONATIONS DEVELOPMENT (1955) 900 0 900 UNKNOWN BETTER BREATHING PROCESS IMPROVEMENT (1945) 604 0 604 13 BEYOND NEW YEAR'S RESOLUTIONS PROCESS IMPROVEMENT (1945) 548 0 548 16 BIG BROTHERS/BIG SISTERS CASH DONATIONS DEVELOPMENT (1955) 5,550 0 5,550 UNKNOWN BIG BROTHERS/BIG SISTERS HOLIDAY HELP PROGRAM DEVELOPMENT (1955) 5,030 0 5,030 130 BOY SCOUTS OF AMERICA CAMP FALLING ROCK IN KIND DONATION DEVELOPMENT (1955) 500 0 500 UNKNOWN BOY SCOUTS OF AMERICA SIMON KENTON COUNCIL CASH DONATIONS DEVELOPMENT (1955) 2,000 0 2,000 UNKNOWN BREAST CA AWARENESS DAY FREE MAMMOGRAMS RADIOLOGY (1721) 13,486 0 13,486 53 BREAST CANCER AWARENESS & SCREENING EDUCATION (1616) 690 0 690 8 BREAST FEEDING BASICS MATERNAL CHILD (1646) 10,112 7,775 2,337 660 BREASTFEEDING PROMOTION & SUPPORT PROGRAM MATERNAL CHILD (1646) 56,320 0 56,320 352 BREATHE DEEP WALK/RALLY SPEAKER ONCOLOGY (7405) 955 0 955 UNKNOWN C TEC ANNUAL RECOGNITION BRUNCH CASH DONATIONS DEVELOPMENT (1955) 200 0 200 UNKNOWN C TEC MEDICAL ASSISTANT EXTERNSHIP PROGRAM EXECUTIVE ADMIN LMHP (7445) 10,655 0 10,655 4 C TEC OUTSTANDING STUDENT AWARD SPONSORSHIP DEVELOPMENT (1955) 200 0 200 UNKNOWN CADE AND KATELYN FUND COMMITTEE CASH DONATIONS DEVELOPMENT (1955) 400 0 400 UNKNOWN CALL TO COLLEGE MEMORIAL DONATION DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN CAMP FEELIN' FINE RESPIRATORY THERAPY (1736) 5,581 0 5,581 38 CAMP O'BANNON CASH DONATIONS DEVELOPMENT (1955) 1,850 0 1,850 UNKNOWN CAMP O'BANNON IN KIND DONATIONS DEVELOPMENT (1955) 700 0 700 UNKNOWN CAROL STRAWN CENTER CASH DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN CBISA SOFTWARE FISCAL SERVICES (1901) 900 0 900 UNKNOWN CENTER FOR DISABILITY SERVICES IN KIND DONATIONS DEVELOPMENT (1955) 3,050 0 3,050 UNKNOWN CENTER FOR VISUALLY IMPAIRED IN KIND DONATIONS DEVELOPMENT (1955) 200 0 200 UNKNOWN CHAPEL GROVE SPEAKER PUBLIC RELATIONS (1956) 535 0 535 52 CHERRY VALLEY ELEMENTARY IN KIND DONATIONS DEVELOPMENT (1955) 225 0 225 UNKNOWN CHILD ADVOCACY CENTER OF LICKING COUNTY CASH DONATION DEVELOPMENT (1955) 150 0 150 UNKNOWN CHILDREN'S READING FOUNDATION OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN CHRISTIAN COMPANIONS OF SECOND CHURCH OF CHRIST SPEAKER PUBLIC RELATIONS (1956) 1,014 0 1,014 40 CITIZENS FOR PARKS, PATHS AND TRAILS CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN CITY OF NEWARK PARKS AND RECREATION COMMUNITY SUPPORT DEVELOPMENT (1955) 306 0 306 UNKNOWN CLINICAL EDUCATION OF ECHOSONOGRAPHERS (CARDIOLOGY) CARDIOLOGY (1712) 18,188 0 18,188 6 COMMUNITY BENEFIT REPORTING HOURS FISCAL SERVICES (1901) 6,693 0 6,693 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (COMMUNITY BENEFIT) EXECUTIVE ADMIN (1950) 19,483 0 19,483 200 COMMUNITY BOARD/COMMITTEE MEETINGS (COMMUNITY SUPPORT) EXECUTIVE ADMIN (1950) 17,907 0 17,907 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (HOUSING REHABILITATION) EXECUTIVE ADMIN (1950) 992 0 992 238 COMMUNITY BOARD/COMMITTEE MEETINGS (PHYSICAL IMPROVEMENTS) EXECUTIVE ADMIN (1950) 1,675 0 1,675 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (WORKFORCE DEVELOPMENT) EXECUTIVE ADMIN (1950) 5,282 0 5,282 UNKNOWN COMMUNITY CASE MANAGEMENT SERVICES COMMUNITY CASE MANAGEMENT (1976) 724,536 98,171 626,365 UNKNOWN COMMUNITY HEALTH & RECOVERY BOARD CASH DONATIONS DEVELOPMENT (1955) 10,000 0 10,000 UNKNOWN COMMUNITY HEALTH ASSESSMENT COMMITTEE PROCESS IMPROVEMENT (1945) 1,877 0 1,877 UNKNOWN COMMUNITY NEEDS ASSESSMENT COSTS FISCAL SERVICES (1901) 11,105 0 11,105 UNKNOWN COSTS ASSOCIATED WITH POWER OUTAGE PROCESS IMPROVEMENT (1945) 4,129 0 4,129 UNKNOWN COTC LPN CLASS PUBLIC RELATIONS (1956) 132 0 132 31 DAWES ARBORETUM CASH DONATIONS DEVELOPMENT (1955) 900 0 900 UNKNOWN DAWES ARBORETUM EDUCATIONAL SERIES PUBLIC RELATIONS (1956) 526 0 526 102 DELTA KAPPA GAMMA SPEAKER PUBLIC RELATIONS (1956) 439 0 439 25 DENISON UNIVERSITY EMPLOYEE HEALTH FAIR PUBLIC RELATIONS (1956) 177 0 177 250 DENTISTRY FROM THE HEART IN KIND DONATIONS DEVELOPMENT (1955) 159 0 159 UNKNOWN DINING WITH DIABETES PROCESS IMPROVEMENT (1945) 3,400 0 3,400 85 DINING WITH DIABETES HOLIDAY REUNION PUBLIC RELATIONS (1956) 291 0 291 115 DONATION OF CARDIO EQUIPMENT TO HIGH SCHOOLS DEVELOPMENT (1955) 75,260 0 75,260 UNKNOWN DONATION OF MEAT TO SALVATION ARMY DEVELOPMENT (1955) 5,690 0 5,690 UNKNOWN DONATION OF SUPPLIES TO IMPOVERISHED COUNTRIES PURCHASING (1675) 113,318 0 113,318 UNKNOWN DONATION OF UNBRANDED WATER IN KIND DEVELOPMENT (1955) 198 0 198 UNKNOWN DRUG ASSISTANT INDIGENT DRUG RECOVERY EXECUTIVE ADMIN LMHP (7445) 54,419 0 54,419 2,571 EASING THE FEAR OF CANCER PROCESS IMPROVEMENT (1945) 119 0 119 2 EASTSIDE EXPRESS BASEBALL CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN EASY EXERCISES FOR HOME OR WORK PROCESS IMPROVEMENT (1945) 140 0 140 5 EMERGENCY SERVICES FOR INDIGENT PATIENTS FISCAL SERVICES (1901) 166,207 0 166,207 UNKNOWN FAMILY & FRIENDS INFANT AND CHILD CPR MATERNAL CHILD (1646) 1,152 515 637 104 FLOWER PLANTING NEWARK CITY SQUARE VOLUNTEERS (1970) 434 0 434 UNKNOWN GET YOUNG WELLNESS EXPO DERMATOLOGY DOCTOR'S PARK 2 (7417) 1,259 0 1,259 UNKNOWN GLENN'S MARKET SCREENINGS COMMUNITY CASE MANAGEMENT (1976) 1,428 0 1,428 88 GRANVILLE AREA CHAMBER OF COMMERCE CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN GRANVILLE ELEMENTARY AND INTERMEDIATE SCHOOL PTO CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN GRANVILLE HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 1,500 0 1,500 UNKNOWN GRANVILLE KIWANIS CLUB SPEAKER PUBLIC RELATIONS (1956) 182 0 182 50 GRANVILLE MIDDLE SCHOOL SPEAKER PUBLIC RELATIONS (1956) 370 0 370 45 GRANVILLE RECREATION DISTRICT CASH DONATIONS DEVELOPMENT (1955) 750 0 750 UNKNOWN GRANVILLE ROTARY FOUNDATION CASH DONATIONS DEVELOPMENT (1955) 1,500 0 1,500 UNKNOWN HARRY & DAVID SPEAKER PUBLIC RELATIONS (1956) 192 0 192 96 HARTFORD FAIR HEALTH SCREENINGS & HEALTH EDUCATION PUBLIC RELATIONS (1956) 8,633 0 8,633 1,200 HEALTHCARE MEDIA INTERVIEWS PUBLIC RELATIONS (1956) 119 0 119 UNKNOWN HEALTHY DINING CHOICES PROCESS IMPROVEMENT (1945) 148 0 148 9 HEALTHY MEALS FROM START TO FINISH PROCESS IMPROVEMENT (1945) 298 0 298 10 HEARING LOSS PROCESS IMPROVEMENT (1945) 188 0 188 6 HEART FAILURE PROCESS IMPROVEMENT (1945) 323 0 323 12 HEARTBEATS OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 450 0 450 UNKNOWN HEARTBURN & REFLUX PROCESS IMPROVEMENT (1945) 1,267 0 1,267 29 HEATH CHURCH OF CHRIST SPEAKERS BUREAU PUBLIC RELATIONS (1956) 151 0 151 49 HEATH FIRE DEPARTMENT OPEN HOUSE PUBLIC RELATIONS (1956) 167 0 167 60 HEATH HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 375 0 375 UNKNOWN HEATH SERTOMA YOUTH ATHLETIC ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 450 0 450 UNKNOWN HEBRON BABY PANTRY IN KIND DONATIONS DEVELOPMENT (1955) 550 0 550 UNKNOWN HERITAGE MIDDLE SCHOOL SPEAKER PUBLIC RELATIONS (1956) 252 0 252 124 HOSPICE OF CENTRAL OHIO CASH DONATIONS DEVELOPMENT (1955) 800 0 800 UNKNOWN HOSPICE OF CENTRAL OHIO COMMUNITY SUPPORT DEVELOPMENT (1955) 260 0 260 UNKNOWN HOW TO READ A FOOD LABEL PROCESS IMPROVEMENT (1945) 132 0 132 7 IMMUNIZATION OF PATIENTS AGES 65 AND OVER FOR TD EXECUTIVE ADMIN LMHP (7445) 6,479 0 6,479 243 JUVENILE DIABETES RESEARCH FOUNDATION IN KIND DONATIONS DEVELOPMENT (1955) 127 0 127 UNKNOWN KIWANIS CLUB OF GRANVILLE CASH DONATIONS DEVELOPMENT (1955) 150 0 150 UNKNOWN LAKEWOOD GIRLS SUMMER SOFTBALL CASH DONATIONS DEVELOPMENT (1955) 450 0 450 UNKNOWN LAKEWOOD LITTLE LEAGUE CASH DONATIONS DEVELOPMENT (1955) 350 0 350 UNKNOWN LAKEWOOD YOUTH BASEBALL ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 625 0 625 UNKNOWN LCESC JR. HIGH CAREER EXPLORATION HUMAN RESOURCES (1951) 928 0 928 20 LEADS HEADSTART SPEAKER PUBLIC RELATIONS (1956) 300 0 300 146 LEGEND ELEMENTARY IN KIND DONATIONS DEVELOPMENT (1955) 120 0 120 UNKNOWN LIBERTY MIDDLE SCHOOL SPEAKERS BUREAU PUBLIC RELATIONS (1956) 820 0 820 336 LICCO INC. IN KIND DONATIONS DEVELOPMENT (1955) 450 0 450 UNKNOWN LICKING COUNTY AGING PROGRAM IN KIND DONATIONS DEVELOPMENT (1955) 3,875 0 3,875 UNKNOWN LICKING COUNTY AGING PROGRAM SPEAKER PUBLIC RELATIONS (1956) 278 0 278 39 LICKING COUNTY CHAMBER OF COMMERCE CASH DONATIONS DEVELOPMENT (1955) 12,110 0 12,110 UNKNOWN LICKING COUNTY CHAMBER OF COMMERCE GROUND HOG BREAKFAST DEVELOPMENT (1955) 15,157 0 15,157 500 LICKING COUNTY CHAMBER OF COMMERCE BIZ FEST & TASTE OF LICKING CO. COMMUNITY CASE MANAGEMENT (1976) 381 0 381 100 LICKING COUNTY COALITION FOR HOUSING CASH DONATIONS DEVELOPMENT (1955) 650 0 650 UNKNOWN LICKING COUNTY COALITION OF CARE CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN LICKING COUNTY DIABETES FORUM PUBLIC RELATIONS (1956) 226 0 226 25 LICKING COUNTY FAMILY YMCA CASH DONATIONS DEVELOPMENT (1955) 6,750 0 6,750 UNKNOWN LICKING COUNTY FAMILY YMCA IN KIND DONATIONS DEVELOPMENT (1955) 1,100 0 1,100 UNKNOWN LICKING COUNTY GOVERNMENT SPEAKER PUBLIC RELATIONS (1956) 181 0 181 90 LICKING COUNTY HEALTH DEPARTMENT CASH DONATIONS DEVELOPMENT (1955) 400 0 400 UNKNOWN LICKING COUNTY HEALTH DEPARTMENT CHLAMYDIA/GC SCREENINGS LAB (1702) 5,005 0 5,005 126 LICKING COUNTY HISTORICAL SOCIETY CASH DONATIONS DEVELOPMENT (1955) 525 0 525 UNKNOWN LICKING COUNTY HUMANE SOCIETY CASH DONATIONS DEVELOPMENT (1955) 300 0 300 UNKNOWN LICKING COUNTY PRAYER PARTNERS CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN LICKING COUNTY RETIRED TEACHERS SPEAKER PUBLIC RELATIONS (1956) 108 0 108 40 LICKING COUNTY SAFETY COUNCIL SPEAKER PUBLIC RELATIONS (1956) 376 0 376 26 LICKING COUNTY SHERIFF'S DEPARTMENT CASH DONATIONS DEVELOPMENT (1955) 292 0 292 UNKNOWN LICKING COUNTY SOIL & WATER CONSERVATION DISTRICT CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN LICKING COUNTY SPECIAL OLYMPICS CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN LICKING COUNTY SPORTS ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 325 0 325 UNKNOWN LICKING KNOX GOODWILL SPEAKER PUBLIC RELATIONS (1956) 104 0 104 12 LICKING KNOX GOODWILL INDUSTRIES IN KIND DONATIONS DEVELOPMENT (1955) 200 0 200 UNKNOWN LICKING VALLEY HERITAGE SOCIETY CASH DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN LICKING VALLEY HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 200 0 200 UNKNOWN LICKING VALLEY HIGH SCHOOL IN KIND DONATIONS DEVELOPMENT (1955) 147 0 147 UNKNOWN LICKING VALLEY YOUTH SPORTS ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 850 0 850 UNKNOWN LICKING/KNOX COUNTY DENTAL HYGIENE COMPONENT SPEAKER PUBLIC RELATIONS (1956) 296 0 296 10 LOOK UP CENTER CASH DONATIONS DEVELOPMENT (1955) 5,000 0 5,000 UNKNOWN LOOK UP CENTER IN KIND DONATIONS DEVELOPMENT (1955) 2,550 0 2,550 UNKNOWN LOSING WEIGHT THE SAFE AND EFFECTIVE WAY PROCESS IMPROVEMENT (1945) 899 0 899 65 LUNGEVITY SPEAKERS BUREAU PUBLIC RELATIONS (1956) 2,625 0 2,625 200 LUNGEVITY FOUNDATION CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN MASSAGE IN HEALTH CARE PROCESS IMPROVEMENT (1945) 107 0 107 12 MEDICATION FOR DIABETES PROCESS IMPROVEMENT (1945) 213 0 213 5 MENTAL HEALTH AMERICA SPEAKERS PUBLIC RELATIONS (1956) 171 0 171 19 MENTAL HEALTH AMERICA OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 1,100 0 1,100 UNKNOWN MISSION TRIP DRUGS AND SUPPLIES DEVELOPMENT (1955) 2,930 0 2,930 UNKNOWN MONROE TOWNSHIP FIRE DEPARTMENT SPEAKER PUBLIC RELATIONS (1956) 369 0 369 54 MONTESSORI SCHOOL SPEAKERS BUREAU PUBLIC RELATIONS (1956) 143 0 143 20 MOUND CITY LITTLE LEAGUE CASH DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN MOVIE NIGHT HEALTH SCREENINGS PUBLIC RELATIONS (1956) 118 0 118 70 MPW LUNCH AND LEARN PUBLIC RELATIONS (1956) 240 0 240 20 NATIONAL MULTIPLE SCLEROSIS SOCIETY CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN NEW ALBANY BOY'S LACROSSE SPEAKERS BUREAU PUBLIC RELATIONS (1956) 144 0 144 200 NEWARK CAMPUS DEVELOPMENT FUND CASH DONATIONS DEVELOPMENT (1955) 25,000 0 25,000 UNKNOWN NEWARK CATHOLIC COMMUNITY SUPPORT DEVELOPMENT (1955) 114 0 114 UNKNOWN NEWARK CATHOLIC HIGH SCHOOL ATHLETIC DEPT. CASH DONATIONS DEVELOPMENT (1955) 650 0 650 UNKNOWN NEWARK CITY SCHOOLS CASH DONATIONS DEVELOPMENT (1955) 1,050 0 1,050 UNKNOWN NEWARK GENERALS HOCKEY CLUB CASH DONATIONS DEVELOPMENT (1955) 2,000 0 2,000 UNKNOWN NEWARK GRANVILLE SYMPHONY ORCHESTRA CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN NEWARK KIWANIS CLUB CASH DONATIONS DEVELOPMENT (1955) 750 0 750 UNKNOWN NEWARK MIDLAND THEATRE CASH DONATIONS DEVELOPMENT (1955) 1,150 0 1,150 UNKNOWN NEWARK PARKS AND RECREATION DISTRICT SPEAKER PUBLIC RELATIONS (1956) 240 0 240 50 NEWARK PUBLIC LIBRARY SPEAKER PUBLIC RELATIONS (1956) 429 0 429 30 NEWBORN BASICS MATERNAL CHILD (1646) 1,362 460 902 92 NORTH NEWARK BASEBALL CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN NORTH NEWARK BASEBALL IN KIND DONATIONS DEVELOPMENT (1955) 620 0 620 UNKNOWN NORTH NEWARK LITTLE LEAGUE VARSITY AND FARM CASH DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN NORTHRIDGE ATHLETIC BOOSTERS CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN OHIO CANCER RESEARCH ASSOCIATES CASH DONATIONS DEVELOPMENT (1955) 3,250 0 3,250 UNKNOWN OPERATION FEED IN KIND DONATIONS VOLUNTEERS (1970) 18,771 0 18,771 UNKNOWN OPPORTUNITY LINKS SPEAKER PUBLIC RELATIONS (1956) 426 0 426 120 OUR SAVIOR LUTHERAN IN KIND DONATIONS DEVELOPMENT (1955) 360 0 360 UNKNOWN PACKAGING CORP OF AMERICA SPEAKER PUBLIC RELATIONS (1956) 117 0 117 75 PAR EXCELLENCE SPEAKERS PUBLIC RELATIONS (1956) 218 0 218 113 PARKINSON SUPPORT GROUP SPEAKER PUBLIC RELATIONS (1956) 196 0 196 27 PATASKALA AREA CHAMBER OF COMMERCE CASH DONATIONS DEVELOPMENT (1955) 340 0 340 UNKNOWN PATASKALA ELEMENTARY SCHOOL VISIT VOLUNTEERS (1970) 412 0 412 110 PATASKALA RECREATION ASSOCIATION (PRA) CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN PATASKALA'S STERLING THEATER CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN PATHWAYS OF CENTRAL OHIO CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN PEDIATRIC DENTAL CLINIC DENTAL CLINIC (1958) 96,000 40,363 55,637 UNKNOWN PELOTONIA CASH DONATIONS DEVELOPMENT (1955) 2,500 0 2,500 UNKNOWN PRE KINDERGARTEN PHYSICALS FAMILY PRACTICE EAST (7425) 475 0 475 UNKNOWN PRECEPTING NURSING STUDENTS 4N & 4S 4 SOUTH (1614) 19,545 0 19,545 10 PRECEPTING NURSING STUDENTS 5S 5 SOUTH (1612) 5,099 0 5,099 3 PRECEPTING NURSING STUDENTS GI LAB ENDO DIAGNOSTIC LAB (1676) 1,950 0 1,950 1 PRECEPTING NURSING STUDENTS HOME HEALTH CARE HOME HEALTH CARE (1978) 1,216 0 1,216 2 PRECEPTING NURSING STUDENTS ICU, CCU, ER INTENSIVE CARE (1640) 36,314 0 36,314 22 PRECEPTING NURSING STUDENTS MATERNAL CHILD & LABOR AND DELIVERY MATERNAL CHILD (1646) 19,477 0 19,477 7 PRECEPTING NURSING STUDENTS OUTPATIENT CLINIC OUTPATIENT CLINIC (1685) 2,359 0 2,359 1 PRECEPTING NURSING STUDENTS WOUND CLINIC WOUND CLINIC (1677) 4,224 0 4,224 2 PRECEPTING STUDENTS OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY (1700) 14,164 0 14,164 4 PRECEPTING STUDENTS PACU/OR SURGERY (1660) 28,274 0 28,274 13 PRECEPTING STUDENTS PHARMACY PHARMACY (1730) 132,638 14,650 117,988 16 PRECEPTING STUDENTS RADIOLOGY RADIOLOGY (1721) 171,969 0 171,969 49 PRECEPTORSHIPS FOR CERTIFIED NURSE PRACTITIONER STUDENTS FMC FAMILY PRACTICE EAST (7425) 7,625 0 7,625 1 PRECEPTORSHIPS FOR CERTIFIED NURSE PRACTITIONER STUDENTS PEDS PEDIATRICS (7460) 51,435 0 51,435 11 PRECEPTORSHIPS FOR ULTRASOUND STUDENTS VASCULAR LAB NEURO VASCULAR LAB (1674) 15,233 0 15,233 3 PRECEPTORSHIPS FOR WOMEN'S HEALTH STUDENTS WOMENS HEALTH CENTER (7455) 6,935 0 6,935 1 PUBLIC HEALTH PARTNERSHIP, INC. THINK PINK CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN RADON: WHAT YOU NEED TO KNOW PROCESS IMPROVEMENT (1945) 286 0 286 12 RED CROSS BLOOD DRIVE EDUCATION (1616) 6,083 0 6,083 254 RED DRESS EVENT PUBLIC RELATIONS (1956) 33,540 0 33,540 350 REESE ADULT DAY CENTER SPEAKER PUBLIC RELATIONS (1956) 109 0 109 7 RELAY FOR LIFE COMMUNITY SUPPORT DEVELOPMENT (1955) 110 0 110 UNKNOWN RELAY FOR LIFE IN KIND DONATIONS DEVELOPMENT (1955) 118 0 118 UNKNOWN RELAY FOR LIFE SPEAKER ONCOLOGY (7405) 478 0 478 UNKNOWN REPUBLICAN WOMEN EDUCATION SESSION PUBLIC RELATIONS (1956) 337 0 337 35 RESOURCE CENTER/MEDICAL LIBRARY RESOURCE CENTER (1975) 3,638 0 3,638 UNKNOWN ROTARY CLUB OF GRANVILLE CASH DONATIONS DEVELOPMENT (1955) 1,750 0 1,750 UNKNOWN ROTARY CLUB OF NEWARK IN KIND DONATIONS FOOD SERVICE (1801) 3,906 0 3,906 UNKNOWN ROTARY CLUB OF NEWARK HEATH CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN ROTARY CLUB OF NEWARK HEATH SPEAKER PUBLIC RELATIONS (1956) 134 0 134 76 ROTARY CLUB OF PATASKALA CASH DONATIONS DEVELOPMENT (1955) 375 0 375 UNKNOWN ROTATOR CUFF REPAIR PROCESS IMPROVEMENT (1945) 528 0 528 37 SAINT VINCENT HAVEN CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN SAINTS PETER AND PAUL RETREAT CENTER SPEAKERS BUREAU PUBLIC RELATIONS (1956) 1,473 0 1,473 15 SALVATION ARMY IN KIND DONATIONS DEVELOPMENT (1955) 475 0 475 UNKNOWN SALVATION ARMY GIRLS PROGRAM SPEAKER PUBLIC RELATIONS (1956) 316 0 316 33 SAVING MONEY ON HEALTH CARE PROCESS IMPROVEMENT (1945) 107 0 107 3 SEASONING INSTEAD OF SALT PROCESS IMPROVEMENT (1945) 134 0 134 19 SHERIDAN HIGH SCHOOL HEALTH EXPO PUBLIC RELATIONS (1956) 270 0 270 60 SIBLING PREPARATION CLASS MATERNAL CHILD (1646) 174 80 94 23 SKIN CANCER AWARENESS AND SCREENING PROCESS IMPROVEMENT (1945) 1,766 0 1,766 31 SMART GROCERY SHOPPING PROCESS IMPROVEMENT (1945) 111 0 111 3 SOUTHWEST LICKING YOUTH BASEBALL CASH DONATIONS DEVELOPMENT (1955) 3,614 0 3,614 UNKNOWN SPORTS PHYSICALS & ECG'S TAMARACK SPORTS PHYSICALS (7487) 50,311 0 50,311 1,536 ST. FRANCIS DE SALES SCHOOL & PARISH CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN ST. FRANCIS PARISH FESTIVAL COMMUNITY SUPPORT DEVELOPMENT (1955) 266 0 266 UNKNOWN STAYING ACTIVE WITH ARTHRITIS PROCESS IMPROVEMENT (1945) 234 0 234 14 STAYING INDEPENDENT FOR LIFE PROCESS IMPROVEMENT (1945) 127 0 127 9 STUDENT INTERNSHIPS COMMUNITY CASE MANAGEMENT (DIETICIAN) COMMUNITY CASE MANAGEMENT (1976) 14,195 0 14,195 7 STUDENT INTERNSHIPS LABORATORY LAB (1702) 32,469 0 32,469 4 STUDENT INTERNSHIPS PHYSICAL THERAPY & SPEECH THERAPY REHAB CENTER (1737) 31,746 0 31,746 5 STUDENT INTERNSHIPS RESPIRATORY THERAPY RESPIRATORY THERAPY (1736) 3,155 0 3,155 2 STUDENT NURSE & OTHER HEALTH PROFESSIONALS MANAGEMENT PROCESS EDUCATION (1616) 14,631 0 14,631 UNKNOWN STUDENT NURSE & OTHER HEALTH PROFESSIONALS ORIENTATION EDUCATION (1616) 5,549 0 5,549 519 SUMMER FOOD SAFETY PROCESS IMPROVEMENT (1945) 122 0 122 2 TAMARACK FARMS DAIRY HEALTH FAIR SCREENINGS PUBLIC RELATIONS (1956) 230 0 230 21 TAXI TOKENS FISCAL SERVICES (1901) 521 0 521 UNKNOWN TEAM OHIO BASKETBALL CLUB #1020530 CASH DONATIONS DEVELOPMENT (1955) 200 0 200 UNKNOWN THE ENERGY COOPERATIVE CASH DONATIONS DEVELOPMENT (1955) 300 0 300 UNKNOWN THE MAIN PLACE SPEAKERS BUREAU PUBLIC RELATIONS (1956) 168 0 168 18 THE MEDICAL MANAGEMENT OF DIABETES PROCESS IMPROVEMENT (1945) 470 0 470 8 THE WORKS IN KIND DONATIONS FOOD SERVICE (1801) 6,974 0 6,974 UNKNOWN THE WORKS SPEAKER PUBLIC RELATIONS (1956) 465 0 465 300 THYROID DISEASE PROCESS IMPROVEMENT (1945) 544 0 544 35 TIPS TO QUIT SMOKING PROCESS IMPROVEMENT (1945) 109 0 109 6 TOBACCO CESSATION PROGRAM TOBACCO CESSATION (1693) 190,433 0 190,433 365 TOPS HEALTHY WEIGHT LOSS GROUP EDUCATION PUBLIC RELATIONS (1956) 318 0 318 27 TOTAL KNEE REPLACEMENT PROCESS IMPROVEMENT (1945) 287 0 287 24 UNITED WAY AGENCIES CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN UNITED WAY DAY OF CARING IN KIND DONATIONS DEVELOPMENT (1955) 2,030 0 2,030 UNKNOWN UTICA SERTOMA CLUB CASH DONATIONS DEVELOPMENT (1955) 1,000 0 1,000 UNKNOWN VELVET ICE CREAM SPEAKER PUBLIC RELATIONS (1956) 573 0 573 81 VOLUNTEERS TWIGS & EVENTS VOLUNTEERS (1970) 0 0 0 274 WATKINS MEMORIAL CASH DONATIONS DEVELOPMENT (1955) 1,150 0 1,150 UNKNOWN WATKINS MIDDLE SCHOOL SPEAKERS BUREAU PUBLIC RELATIONS (1956) 476 0 476 139 WEATHERVANE PLAYHOUSE CASH DONATIONS DEVELOPMENT (1955) 1,250 0 1,250 UNKNOWN WELLNESS CENTER AT C TEC COMMUNITY BENEFIT C TEC (1977) 132,342 0 132,342 325 WEST LICKING FIRE DEPARTMENT SPEAKER & SCREENINGS PUBLIC RELATIONS (1956) 305 0 305 100 WEST LICKING FIREFIGHTERS ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 300 0 300 UNKNOWN WEST MAIN STREET BILL BOARD IN KIND DONATIONS PUBLIC RELATIONS (1956) 500 0 500 UNKNOWN WOMEN AND AGING PROCESS IMPROVEMENT (1945) 749 0 749 21 WOUNDED WARRIOR CASH DONATIONS DEVELOPMENT (1955) 295 0 295 UNKNOWN YES CLUB SPEAKER PUBLIC RELATIONS (1956) 179 0 179 60 YMCA HEALTH AND FITNESS FEST PUBLIC RELATIONS (1956) 9,703 0 9,703 300 ZONTA CLUB OF NEWARK CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN MISCELLANEOUS IN-KIND DONATIONS 353 0 353 UNKNOWN MISCELLANEOUS CASH DONATIONS 100 0 100 UNKNOWN MISCELLANEOUS COMMUNITY HEALTH EDUCATION 696 0 696 UNKNOWN NUMBER OF PROGRAMS 300 GRAND TOTALS 2,792,606 162,014 2,630,592 26,494 TOTAL OFFSETTING NET EXPENSE REVENUE BENEFIT PERSONS BENEFITS FOR POOR TRADITIONAL CHARITY CARE $12,658,645 $1,860,761 $10,797,884 18,244 UNPAID COST OF MEDICAID $34,660,479 $18,253,339 $16,407,140 30,426 GRAND TOTALS $50,111,730 $20,276,114 $29,835,616 75,164 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) 11 TYPE III - FI N/A 0 LICKING MEMORIAL HEALTH FOUNDATION 1320 WEST MAIN STREET NEWARK OH 43055 311096217 PROVIDE FUNDING FOR HEALTHCARE PROGRAMS OH 501(C)(3) 11 TYPE I LICKING MEMORIAL HEALTH SYSTEMS 0 LICKING MEMORIAL PROFESSIONAL CORPORATION 1320 WEST MAIN STREET NEWARK OH 43055 311425530 HEALTHCARE ORGANIZATION OH 501(C)(3) 9 LICKING MEMORIAL HEALTH SYSTEMS 0 0 1 1 1 0 0 0 0 0 1 1 0 1 1 1 0 1 1 1