Civic Intelligence

Licking Memorial Health Systems

990 • Fiscal year 2013 • EIN 31-1096218

Jan 01, 2013 to Dec 31, 2013 • Filed on Oct 31, 2014

Organization ProfileWWW.LMHEALTH.ORG

View Organization Page

1320 West Main Street43055-3699

(740) 348-4000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

2nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2013

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2013

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2013

Top Officer Pay

54th percentile

$564,936

Higher top officer pay than 54% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2013

Asset Growth

94th percentile

33%

Faster asset growth than 94% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet
Liabilities / Assets2nd percentile

Assets

Up

$161,805,957

Up $39,732,275 (+33%) from 2012

Net Assets

Up

$161,805,957

Up $39,732,275 (+33%) from 2012

Liabilities

Flat

$0

Flat from 2012

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

$0

No earlier filing loaded for comparison.

Expenses

Up

$300

Up $209 (+230%) from 2012

Net Income

-$300

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth94th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$300M$200M$100M$0Assets 2010: $120,971,033Liabilities 2010: $0Net Assets 2010: $120,971,0332010Assets 2011: $113,225,231Liabilities 2011: $0Net Assets 2011: $113,225,2312011Assets 2012: $122,073,682Liabilities 2012: $0Net Assets 2012: $122,073,6822012Assets 2013: $161,805,957Liabilities 2013: $0Net Assets 2013: $161,805,9572013Assets 2014: $172,605,589Liabilities 2014: $0Net Assets 2014: $172,605,5892014Assets 2015: $166,299,982Liabilities 2015: $0Net Assets 2015: $166,299,9822015Assets 2016: $178,916,097Liabilities 2016: $0Net Assets 2016: $178,916,0972016Assets 2018: $188,233,167Liabilities 2018: $0Net Assets 2018: $188,233,1672018Assets 2019: $209,005,048Liabilities 2019: $0Net Assets 2019: $209,005,0482019Assets 2020: $208,729,925Liabilities 2020: $0Net Assets 2020: $208,729,9252020Assets 2021: $258,101,190Liabilities 2021: $0Net Assets 2021: $258,101,1902021Assets 2022: $255,890,260Liabilities 2022: $0Net Assets 2022: $255,890,2602022Assets 2024: $309,513,225Liabilities 2024: $0Net Assets 2024: $309,513,2252024

Highlighted filing

2013

Assets$161,805,957
Liabilities$0
Net Assets$161,805,957
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400$200$0-$200-$400Expenses 2010: $102010Expenses 2011: $02011Expenses 2012: $912012Revenue 2013: $0Expenses 2013: $300Net Income 2013: -$3002013Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $0Expenses 2015: $0Net Income 2015: $02015Revenue 2016: $0Expenses 2016: $0Net Income 2016: $02016Revenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022Revenue 2024: $0Expenses 2024: $0Net Income 2024: $02024

Highlighted filing

2013

Revenue$0
Expenses$300
Net Income-$300
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Oct 31, 2014
Return Version
2013v3.0
Gross Receipts
$0
Mission and Program Overview

Mission

Licking memorial health systems exists to improve the health of the community.

To improve the health of the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$122,073,382$161,805,957▲ $39,732,575
Cash and Non-Interest-Bearing Accounts$300$0▼ $300
Total Assets$122,073,682$161,805,957▲ $39,732,275
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$122,073,682$161,805,957▲ $39,732,275
Total Net Assets Fund Balance$122,073,682$161,805,957▲ $39,732,275
Total Liabilities and Net Assets / Fund Balance$122,073,682$161,805,957▲ $39,732,275

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$161,805,957--
Compensation and Service Providers
Top Officer Pay54th percentile

Board Members and Trustees

NameTitle
William N MannChairman
Robert MontagnesePresident & CEO, Ex Officio W/o Vote
Judith B PierceVice Chairman
Kim FlemingDirector
Linda K DalgarnDirector
Michael CantlinDirector
Patrick GuancialeDirector
Patrick M JeffriesDirector
Walter C GemmellDirector
Gary a RyanSecretary/treasurer
Cindy WebsterVP Financial Services
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-300
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$300
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses-$300-$300
Total Functional Expenses$0$300$0$300
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“The organization has members.”

Form 990, Part VI, Section A, Line 7A

“Members elect board members to three year terms. Approximately one third are elected every year.”

Form 990, Part VI, Section A, Line 7B

“Members must approve changes in plan documents and bylaws.”

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 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 ceo's compensation is determined by an independent compensation committee and 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.”

Filing and Contact Details

Filer

EIN
31-1096218
Phone
7403484000

Signing Officer

Name
Cynthia L Webster
Title
Vice Pres Financial Services
Phone
7403484000
Signed
2014-10-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert Montagnese
Formed
1984
Legal Domicile
Oh
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
9

Preparer

Preparer
Victoria D Buster CPA
Phone
5027491900
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Increase in investment in subsidiaries 39,732,575.”

FORM 990, PAGE 12, PART XII, LINE 2C:

“There was no change in the oversight process or selection process of the independent auditor from prior year. Licking memorial health system is audited as part of the licking memorial health systems consolidated group. Licking memorial health system is included in the licking memorial health systems consolidtaed financial statements. The organization has an finance committee that oversees the audit of the financial statments and the selection of the independent auditor.”

Community Benefit for Licking Memorial Health System Consolidated Group

“Monetary inputs outputs title/department expenses offsets benefit persons 12 lead ekg project cardiology (1712) 139,983 0 139,983 unknown 20th century club cash donations development (1955) 2,660 0 2,660 unknown active fit presentations community outreach (1956) 4,697 0 4,697 1,687 active fit youth wellness events community outreach (1956) 44,871 0 44,871 985 activity and diabetes process improvement (1945) 104 0 104 1 advances in eye care process improvement (1945) 205 0 205 30 alexandria fun days community outreach (1956) 129 0 129 100 american cancer society cash donations development (1955) 3,000 0 3,000 unknown american red cross of licking county cash donations development (1955) 3,870 0 3,870 unknown ask the doc at shepherd hill op chemical dependency (1692) 17,400 0 17,400 1,045 atrial fibrillation process improvement (1945) 209 0 209 28 automated external defibrillators development (1955) 2,819 0 2,819 unknown bed bugs community health education process improvement (1945) 255 0 255 27 behavioral health care partners cash donations development (1955) 500 0 500 unknown big brothers/big sisters cash donations development (1955) 9,700 0 9,700 unknown big brothers/big sisters in kind donations development (1955) 4,151 0 4,151 unknown big brothers/big sisters holiday help program development (1955) 4,524 0 4,524 unknown blessed sacrament school cash donations development (1955) 250 0 250 unknown boy scouts of america simon kenton council cash donations development (1955) 750 0 750 unknown breast ca awareness day free mammograms radiology (1721) 13,453 0 13,453 47 breast feeding basics maternal child (1646) 9,721 7,035 2,686 1,332 breastfeeding mothers support group maternal child (1646) 104 0 104 6 breastfeeding promotion & support program maternal child (1646) 50,720 0 50,720 291 buckeye lake head start speaker community outreach (1956) 117 0 117 4 c tec speaker community outreach (1956) 102 0 102 25 c tec medical assistant externship program admin lmhp (7445) 29,485 0 29,485 13 c tec outstanding student award sponsorship development (1955) 200 0 200 unknown c tec senior citizen day community outreach (1956) 356 0 356 22 cade and katelyn fund committee cash donations development (1955) 400 0 400 unknown camp feelin' fine respiratory therapy (1736) 5,414 0 5,414 39 camp o'bannon cash donations development (1955) 700 0 700 unknown cancer survivor picnic community support development (1955) 9,790 0 9,790 350 carol strawn center cash donations development (1955) 600 0 600 unknown cbisa software fiscal services (1901) 945 0 945 unknown cherry valley elementary health information table community outreach (1956) 319 0 319 65 cherry valley elementary in kind donations development (1955) 180 0 180 70 child advocacy center of licking county cash donations development (1955) 5,000 0 5,000 unknown colorectal cancer awareness community health education process improvement (1945) 797 0 797 16 community benefit reporting hours fiscal services (1901) 6,532 0 6,532 unknown community board/committee meetings (community benefit) executive admin (1950) 36,186 0 36,186 200 community board/committee meetings (community support) executive admin (1950) 31,345 0 31,345 unknown community board/committee meetings (economic development) executive admin (1950) 5,639 0 5,639 unknown community board/committee meetings (housing rehabilitation) executive admin (1950) 788 0 788 unknown community board/committee meetings (workforce development) executive admin (1950) 4,809 0 4,809 unknown community case management services community case management (1976) 795,170 89,603 705,567 unknown community health assessment committee process improvement (1945) 2,493 0 2,493 unknown community leaders' roundtables development (1955) 1,372 0 1,372 75 community needs assessment costs fiscal services (1901) 572 0 572 unknown coronary artery disease community health education process improvement (1945) 216 0 216 12 corporate breakfasts development (1955) 2,035 0 2,035 125 c”

Continued

“High blood pressure community health education process improvement (1945) 168 0 168 12 hope foundation in kind donations development (1955) 500 0 500 unknown hospice of central ohio cash donations development (1955) 825 0 825 unknown immunization of patients ages 65 and over for td admin lmhp (7445) 7,092 0 7,092 257 indian mound mall event health information table community outreach (1956) 177 0 177 50 johnstown high school career speaker community outreach (1956) 492 0 492 159 kirkersville elementary cash donations development (1955) 450 0 450 unknown kiwanis club of granville cash donations development (1955) 650 0 650 unknown lakewood middle school speaker community case management (1976) 423 0 423 500 lakewood youth baseball association cash donations development (1955) 350 0 350 unknown lcesc jr. High career exploration human resources (1951) 662 0 662 23 leads headstart speaker community outreach (1956) 221 0 221 7 liberty middle school speakers bureau community outreach (1956) 430 0 430 260 licco inc. Cash donations development (1955) 250 0 250 unknown licking county aging program speaker community outreach (1956) 681 0 681 98 licking county board of mrdd speaker community outreach (1956) 155 0 155 35 licking county chamber of commerce cash donations development (1955) 925 0 925 unknown licking county christian academy cash donations development (1955) 250 0 250 unknown licking county coalition for housing cash donations development (1955) 300 0 300 unknown licking county coalition of care cash donations development (1955) 750 0 750 unknown licking county education service center in kind donations development (1955) 100 0 100 unknown licking county educational services center cash donations human resources (1951) 500 0 500 unknown licking county family ymca cash donations development (1955) 6,500 0 6,500 unknown licking county health department cash donations development (1955) 400 0 400 unknown licking county health department chlamydia/gc screenings lab (1702) 5,694 0 5,694 146 licking county historical society cash donations development (1955) 500 0 500 unknown licking county junior achievement cash donations development (1955) 250 0 250 unknown licking county players theater community support development (1955) 201 0 201 unknown licking county prayer partners cash donations development (1955) 1,250 0 1,250 unknown licking county safety council speaker community outreach (1956) 1,020 0 1,020 100 licking county school nurses meeting speaker community outreach (1956) 191 0 191 12 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 knox goodwill speaker community outreach (1956) 171 0 171 6 licking valley heritage society cash donations development (1955) 500 0 500 unknown licking valley high school cash donations development (1955) 150 0 150 unknown licking valley youth sports association cash donations development (1955) 1,375 0 1,375 unknown look up center cash donations development (1955) 5,000 0 5,000 unknown lowes safety saturday information table community outreach (1956) 152 0 152 100 lung cancer community health education process improvement (1945) 1,213 0 1,213 4 lungevity foundation cash donations development (1955) 500 0 500 unknown mental health america speakers community outreach (1956) 283 0 283 24 mental health america of licking county cash donations development (1955) 2,785 0 2,785 unknown midland theatre in kind donations development (1955) 5,000 0 5,000 unknown mission trip drugs and supplies development (1955) 295 0 295 unknown mock stemi community outreach (1956) 3,678 0 3,678 60 monroe township fire department health screenings community outreach (1956) 151 0 151 70 mopar nationals community support police (1842) 217 0 217 unknown mound city little league cash donations development (1955) 600 0 600 unknown movie night health screenings community outreac”

Continued

“Precepting students pacu/or surgery (1660) 11,140 0 11,140 5 precepting students pharmacy pharmacy (1730) 108,474 17,950 90,524 11 precepting students radiology radiology (1721) 109,455 0 109,455 34 preceptorships for nurse practitioner/p.a. Students fp family practice east (7425) 35,022 0 35,022 4 preceptorships for nurse practitioner/p.a. Students peds pediatrics (7460) 49,039 0 49,039 13 preceptorships for women's health students womens health center (7455) 50,771 0 50,771 6 preventing caregiver burnout process improvement (1945) 107 0 107 9 preventing diabetes process improvement (1945) 133 0 133 15 psorasis & eczema community health education process improvement (1945) 712 0 712 25 quick and easy meals for diabetes process improvement (1945) 321 0 321 24 red cross blood drive process improvement (1945) 4,140 0 4,140 148 red dress event community outreach (1956) 35,154 0 35,154 335 redskin athletic boosters cash donation development (1955) 600 0 600 unknown relay for life community support development (1955) 440 0 440 unknown relay for life in kind donations development (1955) 250 0 250 unknown resource center/medical library resource center (1975) 1,962 0 1,962 unknown rotary club granville speaker community outreach (1956) 168 0 168 65 rotary club of newark in kind donations food service (1801) 3,736 0 3,736 unknown rotary club of newark speaker community outreach (1956) 165 0 165 25 rotary club of newark heath in kind donations development (1955) 287 0 287 unknown rotary club of newark heath speaker community outreach (1956) 127 0 127 42 rotary club of pataskala cash donations development (1955) 175 0 175 unknown rotary club of pataskala in kind donations food service (1801) 5,323 0 5,323 unknown rotary foundation granville cash donations development (1955) 250 0 250 unknown rotator cuff repair community health education process improvement (1945) 307 0 307 27 safe surroundings safe surroundings (1647) 69,724 22,680 47,044 92 saint luke's church cash donation development (1955) 500 0 500 unknown saint vincent haven cash donations development (1955) 350 0 350 unknown salvation army in kind donations development (1955) 225 0 225 unknown salvation army children's day camp community outreach (1956) 2,642 0 2,642 45 salvation army girls program speaker community outreach (1956) 304 0 304 14 seasoning instead of salt process improvement (1945) 243 0 243 37 should i buy organic? Process improvement (1945) 129 0 129 13 sibling preparation class maternal child (1646) 182 90 92 20 skin cancer awareness and screening process improvement (1945) 1,307 0 1,307 20 south newark civic association health information table community outreach (1956) 137 0 137 20 st. Edward church community support development (1955) 252 0 252 unknown st. Francis de sales school & parish cash donations development (1955) 100 0 100 unknown st. Francis parish festival community support development (1955) 256 0 256 unknown st. Vincent de paul's center in kind donation development (1955) 840 0 840 unknown staying active with arthritis process improvement (1945) 122 0 122 5 stroke awareness community health education process improvement (1945) 537 0 537 7 student internships community case management community case management (1976) 7,091 0 7,091 11 student internships laboratory lab (1702) 17,865 0 17,865 3 student internships op chemical dependency & ip psych op chemical dependency (1692) 13,750 0 13,750 1 student internships physical therapy & speech therapy rehab center (1737) 24,829 0 24,829 4 student internships respiratory therapy respiratory therapy (1736) 966 0 966 1 student internships social work case management (1780) 3,267 0 3,267 1 student nurse & other health professionals management process process improvement (1945) 12,570 0 12,570 unknown student nurse & other health professionals orientation process improvement (1945) 3,209 0 3,209 323 students health administation program process improvement (1945) 1,256 0 1,256 1 summer teacher externship pr”

Financial Statement Notes

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 2009.”

Raw XML AppendixShowing 400 of 471 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO IMPROVE THE HEALTH OF THE COMMUNITY.
IRS990/AnnualDisclosureCoveredPrsnInd01
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IRS990/BooksInCareOfDetail/PhoneNum07403484528
IRS990/BooksInCareOfDetail/USAddress/AddressLine101320 WEST MAIN STREET
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IRS990/Desc0LICKING MEMORIAL HEALTH SYSTEMS (LMHS) 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, LICKING MEMORIAL HEALTH FOUNDATION, AND LICKING MEMORIAL PROFESSIONAL CORPORATION.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 7,764 INPATIENTS AND 1,047 NEWBORNS FOR A TOTAL OF 27,621 PATIENT DAYS, AND PROVIDED SERVICES TO 310,048 OUTPATIENTS IN 2013.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 $161,476,000 OF CHARGES IN 2013.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 2013, LMH WROTE OFF CHARGES OF APPROXIMATELY $20,153,000 IN BAD DEBTS AND $21,638,000 IN CHARITY CARE.LICKING MEMORIAL PROFESSIONAL CORPORATION (LMPC) 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 LMPC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. FURTHER, WE BELIEVE OUR ROLE IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND EDUCATION. THEREFORE, IN KEEPING WITH THAT COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, WE PROVIDED THE FOLLOWING COMMUNITY SERVICES AND EDUCATIONAL PROGRAMS NOTED ON THE FOLLOWING PAGES, MANY OF WHICH WERE FREE OF CHARGE.ADDITIONALLY, LMPC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, BELOW COST IN MANY CASES. TO THE EXTENT REIMBURSEMENT IS BELOW CHARGES, LMPC CONSIDERS THESE AMOUNTS TO BE CONTRACTUAL ADJUSTMENTS, WHICH WILL NEVER BE COLLECTED. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS AMOUNTED TO $17,651,000 OF CHARGES IN 2013.UNCOMPENSATED CARE IS PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES LMPC BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. LMPC ROUTINELY PROVIDES UNCOMPENSATED CARE TO PATIENTS WHO ARE UNWILLING OR UNABLE TO PAY THEIR MEDICAL BILLS. IN 2013, LMPC WROTE OFF CHARGES OF APPROXIMATELY $2,889,000 OF CHARGES IN BAD DEBTS AND $3,516,000 OF CHARGES IN CHARITY CARE.
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IRS990/Form990PartVIISectionAGrp/PersonNm1JUDITH B PIERCE
IRS990/Form990PartVIISectionAGrp/PersonNm2GARY A RYAN
IRS990/Form990PartVIISectionAGrp/PersonNm3KIM FLEMING
IRS990/Form990PartVIISectionAGrp/PersonNm4PATRICK M JEFFRIES
IRS990/Form990PartVIISectionAGrp/PersonNm5WALTER C GEMMELL
IRS990/Form990PartVIISectionAGrp/PersonNm6PATRICK GUANCIALE
IRS990/Form990PartVIISectionAGrp/PersonNm7MICHAEL CANTLIN
IRS990/Form990PartVIISectionAGrp/PersonNm8LINDA K DALGARN
IRS990/Form990PartVIISectionAGrp/PersonNm9ROBERT MONTAGNESE
IRS990/Form990PartVIISectionAGrp/PersonNm10CINDY WEBSTER
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9PRESIDENT & CEO, EX OFFICIO W/O VOTE
IRS990/Form990PartVIISectionAGrp/TitleTxt10VP FINANCIAL SERVICES
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IRS990/MinutesOfCommitteesInd01
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IRS990/MissionDesc0LICKING MEMORIAL HEALTH SYSTEMS EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITY.
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IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0ROBERT MONTAGNESE
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine10LICKING MEMORIAL HOSPITAL
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IRS990ScheduleD/OtherSecuritiesGrp/Desc0INVESTMENT IN SUBSIDARIES
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0C
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE 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 2009.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0ROBERT MONTAGNESE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1CINDY WEBSTER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT & CEO, EX OFFICIO W/O VOTE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1VP FINANCIAL SERVICES
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IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0PART I, LINE 3: THE RELATED ORGANIZATION USES THE FOLLOWING TO ESTABLISH COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1ROBERT MONTAGNESE, PRESIDENT, PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). A CONTRIBUTION WAS MADE TO THE PLAN ON HIS BEHALF FOR THE 2013 YEAR IN THE AMOUNT OF $19,662.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 4B
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MEMBERS ELECT BOARD MEMBERS TO THREE YEAR TERMS. APPROXIMATELY ONE THIRD ARE ELECTED EVERY YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2MEMBERS MUST APPROVE CHANGES IN PLAN DOCUMENTS AND BYLAWS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3A DRAFT OF THE RETURN IS REVIEWED FIRST BY INTERNAL MANAGEMENT. AFTER INTERNAL MANAGEMENT HAS REVIEWED THE RETURN AND 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE CEO'S COMPENSATION IS DETERMINED BY AN INDEPENDENT COMPENSATION COMMITTEE AND THEN APPROVED BY THE BOARD. THE CEO DETERMINES THE COMPENSATION FOR THE OTHER OFFICERS BASED UPON INDEPENDENT SALARY SURVEYS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7INCREASE IN INVESTMENT IN SUBSIDIARIES 39,732,575.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THERE WAS NO CHANGE IN THE OVERSIGHT PROCESS OR SELECTION PROCESS OF THE INDEPENDENT AUDITOR FROM PRIOR YEAR. LICKING MEMORIAL HEALTH SYSTEM IS AUDITED AS PART OF THE LICKING MEMORIAL HEALTH SYSTEMS CONSOLIDATED GROUP. LICKING MEMORIAL HEALTH SYSTEM IS INCLUDED IN THE LICKING MEMORIAL HEALTH SYSTEMS CONSOLIDTAED FINANCIAL STATEMENTS. THE ORGANIZATION HAS AN FINANCE COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9MONETARY INPUTS OUTPUTS TITLE/DEPARTMENT EXPENSES OFFSETS BENEFIT PERSONS 12 LEAD EKG PROJECT CARDIOLOGY (1712) 139,983 0 139,983 UNKNOWN 20TH CENTURY CLUB CASH DONATIONS DEVELOPMENT (1955) 2,660 0 2,660 UNKNOWN ACTIVE FIT PRESENTATIONS COMMUNITY OUTREACH (1956) 4,697 0 4,697 1,687 ACTIVE FIT YOUTH WELLNESS EVENTS COMMUNITY OUTREACH (1956) 44,871 0 44,871 985 ACTIVITY AND DIABETES PROCESS IMPROVEMENT (1945) 104 0 104 1 ADVANCES IN EYE CARE PROCESS IMPROVEMENT (1945) 205 0 205 30 ALEXANDRIA FUN DAYS COMMUNITY OUTREACH (1956) 129 0 129 100 AMERICAN CANCER SOCIETY CASH DONATIONS DEVELOPMENT (1955) 3,000 0 3,000 UNKNOWN AMERICAN RED CROSS OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 3,870 0 3,870 UNKNOWN ASK THE DOC AT SHEPHERD HILL OP CHEMICAL DEPENDENCY (1692) 17,400 0 17,400 1,045 ATRIAL FIBRILLATION PROCESS IMPROVEMENT (1945) 209 0 209 28 AUTOMATED EXTERNAL DEFIBRILLATORS DEVELOPMENT (1955) 2,819 0 2,819 UNKNOWN BED BUGS COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 255 0 255 27 BEHAVIORAL HEALTH CARE PARTNERS CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN BIG BROTHERS/BIG SISTERS CASH DONATIONS DEVELOPMENT (1955) 9,700 0 9,700 UNKNOWN BIG BROTHERS/BIG SISTERS IN KIND DONATIONS DEVELOPMENT (1955) 4,151 0 4,151 UNKNOWN BIG BROTHERS/BIG SISTERS HOLIDAY HELP PROGRAM DEVELOPMENT (1955) 4,524 0 4,524 UNKNOWN BLESSED SACRAMENT SCHOOL CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN BOY SCOUTS OF AMERICA SIMON KENTON COUNCIL CASH DONATIONS DEVELOPMENT (1955) 750 0 750 UNKNOWN BREAST CA AWARENESS DAY FREE MAMMOGRAMS RADIOLOGY (1721) 13,453 0 13,453 47 BREAST FEEDING BASICS MATERNAL CHILD (1646) 9,721 7,035 2,686 1,332 BREASTFEEDING MOTHERS SUPPORT GROUP MATERNAL CHILD (1646) 104 0 104 6 BREASTFEEDING PROMOTION & SUPPORT PROGRAM MATERNAL CHILD (1646) 50,720 0 50,720 291 BUCKEYE LAKE HEAD START SPEAKER COMMUNITY OUTREACH (1956) 117 0 117 4 C TEC SPEAKER COMMUNITY OUTREACH (1956) 102 0 102 25 C TEC MEDICAL ASSISTANT EXTERNSHIP PROGRAM ADMIN LMHP (7445) 29,485 0 29,485 13 C TEC OUTSTANDING STUDENT AWARD SPONSORSHIP DEVELOPMENT (1955) 200 0 200 UNKNOWN C TEC SENIOR CITIZEN DAY COMMUNITY OUTREACH (1956) 356 0 356 22 CADE AND KATELYN FUND COMMITTEE CASH DONATIONS DEVELOPMENT (1955) 400 0 400 UNKNOWN CAMP FEELIN' FINE RESPIRATORY THERAPY (1736) 5,414 0 5,414 39 CAMP O'BANNON CASH DONATIONS DEVELOPMENT (1955) 700 0 700 UNKNOWN CANCER SURVIVOR PICNIC COMMUNITY SUPPORT DEVELOPMENT (1955) 9,790 0 9,790 350 CAROL STRAWN CENTER CASH DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN CBISA SOFTWARE FISCAL SERVICES (1901) 945 0 945 UNKNOWN CHERRY VALLEY ELEMENTARY HEALTH INFORMATION TABLE COMMUNITY OUTREACH (1956) 319 0 319 65 CHERRY VALLEY ELEMENTARY IN KIND DONATIONS DEVELOPMENT (1955) 180 0 180 70 CHILD ADVOCACY CENTER OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 5,000 0 5,000 UNKNOWN COLORECTAL CANCER AWARENESS COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 797 0 797 16 COMMUNITY BENEFIT REPORTING HOURS FISCAL SERVICES (1901) 6,532 0 6,532 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (COMMUNITY BENEFIT) EXECUTIVE ADMIN (1950) 36,186 0 36,186 200 COMMUNITY BOARD/COMMITTEE MEETINGS (COMMUNITY SUPPORT) EXECUTIVE ADMIN (1950) 31,345 0 31,345 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (ECONOMIC DEVELOPMENT) EXECUTIVE ADMIN (1950) 5,639 0 5,639 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (HOUSING REHABILITATION) EXECUTIVE ADMIN (1950) 788 0 788 UNKNOWN COMMUNITY BOARD/COMMITTEE MEETINGS (WORKFORCE DEVELOPMENT) EXECUTIVE ADMIN (1950) 4,809 0 4,809 UNKNOWN COMMUNITY CASE MANAGEMENT SERVICES COMMUNITY CASE MANAGEMENT (1976) 795,170 89,603 705,567 UNKNOWN COMMUNITY HEALTH ASSESSMENT COMMITTEE PROCESS IMPROVEMENT (1945) 2,493 0 2,493 UNKNOWN COMMUNITY LEADERS' ROUNDTABLES DEVELOPMENT (1955) 1,372 0 1,372 75 COMMUNITY NEEDS ASSESSMENT COSTS FISCAL SERVICES (1901) 572 0 572 UNKNOWN CORONARY ARTERY DISEASE COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 216 0 216 12 CORPORATE BREAKFASTS DEVELOPMENT (1955) 2,035 0 2,035 125 C
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10HIGH BLOOD PRESSURE COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 168 0 168 12 HOPE FOUNDATION IN KIND DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN HOSPICE OF CENTRAL OHIO CASH DONATIONS DEVELOPMENT (1955) 825 0 825 UNKNOWN IMMUNIZATION OF PATIENTS AGES 65 AND OVER FOR TD ADMIN LMHP (7445) 7,092 0 7,092 257 INDIAN MOUND MALL EVENT HEALTH INFORMATION TABLE COMMUNITY OUTREACH (1956) 177 0 177 50 JOHNSTOWN HIGH SCHOOL CAREER SPEAKER COMMUNITY OUTREACH (1956) 492 0 492 159 KIRKERSVILLE ELEMENTARY CASH DONATIONS DEVELOPMENT (1955) 450 0 450 UNKNOWN KIWANIS CLUB OF GRANVILLE CASH DONATIONS DEVELOPMENT (1955) 650 0 650 UNKNOWN LAKEWOOD MIDDLE SCHOOL SPEAKER COMMUNITY CASE MANAGEMENT (1976) 423 0 423 500 LAKEWOOD YOUTH BASEBALL ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 350 0 350 UNKNOWN LCESC JR. HIGH CAREER EXPLORATION HUMAN RESOURCES (1951) 662 0 662 23 LEADS HEADSTART SPEAKER COMMUNITY OUTREACH (1956) 221 0 221 7 LIBERTY MIDDLE SCHOOL SPEAKERS BUREAU COMMUNITY OUTREACH (1956) 430 0 430 260 LICCO INC. CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN LICKING COUNTY AGING PROGRAM SPEAKER COMMUNITY OUTREACH (1956) 681 0 681 98 LICKING COUNTY BOARD OF MRDD SPEAKER COMMUNITY OUTREACH (1956) 155 0 155 35 LICKING COUNTY CHAMBER OF COMMERCE CASH DONATIONS DEVELOPMENT (1955) 925 0 925 UNKNOWN LICKING COUNTY CHRISTIAN ACADEMY CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN LICKING COUNTY COALITION FOR HOUSING CASH DONATIONS DEVELOPMENT (1955) 300 0 300 UNKNOWN LICKING COUNTY COALITION OF CARE CASH DONATIONS DEVELOPMENT (1955) 750 0 750 UNKNOWN LICKING COUNTY EDUCATION SERVICE CENTER IN KIND DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN LICKING COUNTY EDUCATIONAL SERVICES CENTER CASH DONATIONS HUMAN RESOURCES (1951) 500 0 500 UNKNOWN LICKING COUNTY FAMILY YMCA CASH DONATIONS DEVELOPMENT (1955) 6,500 0 6,500 UNKNOWN LICKING COUNTY HEALTH DEPARTMENT CASH DONATIONS DEVELOPMENT (1955) 400 0 400 UNKNOWN LICKING COUNTY HEALTH DEPARTMENT CHLAMYDIA/GC SCREENINGS LAB (1702) 5,694 0 5,694 146 LICKING COUNTY HISTORICAL SOCIETY CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN LICKING COUNTY JUNIOR ACHIEVEMENT CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN LICKING COUNTY PLAYERS THEATER COMMUNITY SUPPORT DEVELOPMENT (1955) 201 0 201 UNKNOWN LICKING COUNTY PRAYER PARTNERS CASH DONATIONS DEVELOPMENT (1955) 1,250 0 1,250 UNKNOWN LICKING COUNTY SAFETY COUNCIL SPEAKER COMMUNITY OUTREACH (1956) 1,020 0 1,020 100 LICKING COUNTY SCHOOL NURSES MEETING SPEAKER COMMUNITY OUTREACH (1956) 191 0 191 12 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 KNOX GOODWILL SPEAKER COMMUNITY OUTREACH (1956) 171 0 171 6 LICKING VALLEY HERITAGE SOCIETY CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN LICKING VALLEY HIGH SCHOOL CASH DONATIONS DEVELOPMENT (1955) 150 0 150 UNKNOWN LICKING VALLEY YOUTH SPORTS ASSOCIATION CASH DONATIONS DEVELOPMENT (1955) 1,375 0 1,375 UNKNOWN LOOK UP CENTER CASH DONATIONS DEVELOPMENT (1955) 5,000 0 5,000 UNKNOWN LOWES SAFETY SATURDAY INFORMATION TABLE COMMUNITY OUTREACH (1956) 152 0 152 100 LUNG CANCER COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 1,213 0 1,213 4 LUNGEVITY FOUNDATION CASH DONATIONS DEVELOPMENT (1955) 500 0 500 UNKNOWN MENTAL HEALTH AMERICA SPEAKERS COMMUNITY OUTREACH (1956) 283 0 283 24 MENTAL HEALTH AMERICA OF LICKING COUNTY CASH DONATIONS DEVELOPMENT (1955) 2,785 0 2,785 UNKNOWN MIDLAND THEATRE IN KIND DONATIONS DEVELOPMENT (1955) 5,000 0 5,000 UNKNOWN MISSION TRIP DRUGS AND SUPPLIES DEVELOPMENT (1955) 295 0 295 UNKNOWN MOCK STEMI COMMUNITY OUTREACH (1956) 3,678 0 3,678 60 MONROE TOWNSHIP FIRE DEPARTMENT HEALTH SCREENINGS COMMUNITY OUTREACH (1956) 151 0 151 70 MOPAR NATIONALS COMMUNITY SUPPORT POLICE (1842) 217 0 217 UNKNOWN MOUND CITY LITTLE LEAGUE CASH DONATIONS DEVELOPMENT (1955) 600 0 600 UNKNOWN MOVIE NIGHT HEALTH SCREENINGS COMMUNITY OUTREAC
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11PRECEPTING STUDENTS PACU/OR SURGERY (1660) 11,140 0 11,140 5 PRECEPTING STUDENTS PHARMACY PHARMACY (1730) 108,474 17,950 90,524 11 PRECEPTING STUDENTS RADIOLOGY RADIOLOGY (1721) 109,455 0 109,455 34 PRECEPTORSHIPS FOR NURSE PRACTITIONER/P.A. STUDENTS FP FAMILY PRACTICE EAST (7425) 35,022 0 35,022 4 PRECEPTORSHIPS FOR NURSE PRACTITIONER/P.A. STUDENTS PEDS PEDIATRICS (7460) 49,039 0 49,039 13 PRECEPTORSHIPS FOR WOMEN'S HEALTH STUDENTS WOMENS HEALTH CENTER (7455) 50,771 0 50,771 6 PREVENTING CAREGIVER BURNOUT PROCESS IMPROVEMENT (1945) 107 0 107 9 PREVENTING DIABETES PROCESS IMPROVEMENT (1945) 133 0 133 15 PSORASIS & ECZEMA COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 712 0 712 25 QUICK AND EASY MEALS FOR DIABETES PROCESS IMPROVEMENT (1945) 321 0 321 24 RED CROSS BLOOD DRIVE PROCESS IMPROVEMENT (1945) 4,140 0 4,140 148 RED DRESS EVENT COMMUNITY OUTREACH (1956) 35,154 0 35,154 335 REDSKIN ATHLETIC BOOSTERS CASH DONATION DEVELOPMENT (1955) 600 0 600 UNKNOWN RELAY FOR LIFE COMMUNITY SUPPORT DEVELOPMENT (1955) 440 0 440 UNKNOWN RELAY FOR LIFE IN KIND DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN RESOURCE CENTER/MEDICAL LIBRARY RESOURCE CENTER (1975) 1,962 0 1,962 UNKNOWN ROTARY CLUB GRANVILLE SPEAKER COMMUNITY OUTREACH (1956) 168 0 168 65 ROTARY CLUB OF NEWARK IN KIND DONATIONS FOOD SERVICE (1801) 3,736 0 3,736 UNKNOWN ROTARY CLUB OF NEWARK SPEAKER COMMUNITY OUTREACH (1956) 165 0 165 25 ROTARY CLUB OF NEWARK HEATH IN KIND DONATIONS DEVELOPMENT (1955) 287 0 287 UNKNOWN ROTARY CLUB OF NEWARK HEATH SPEAKER COMMUNITY OUTREACH (1956) 127 0 127 42 ROTARY CLUB OF PATASKALA CASH DONATIONS DEVELOPMENT (1955) 175 0 175 UNKNOWN ROTARY CLUB OF PATASKALA IN KIND DONATIONS FOOD SERVICE (1801) 5,323 0 5,323 UNKNOWN ROTARY FOUNDATION GRANVILLE CASH DONATIONS DEVELOPMENT (1955) 250 0 250 UNKNOWN ROTATOR CUFF REPAIR COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 307 0 307 27 SAFE SURROUNDINGS SAFE SURROUNDINGS (1647) 69,724 22,680 47,044 92 SAINT LUKE'S CHURCH CASH DONATION DEVELOPMENT (1955) 500 0 500 UNKNOWN SAINT VINCENT HAVEN CASH DONATIONS DEVELOPMENT (1955) 350 0 350 UNKNOWN SALVATION ARMY IN KIND DONATIONS DEVELOPMENT (1955) 225 0 225 UNKNOWN SALVATION ARMY CHILDREN'S DAY CAMP COMMUNITY OUTREACH (1956) 2,642 0 2,642 45 SALVATION ARMY GIRLS PROGRAM SPEAKER COMMUNITY OUTREACH (1956) 304 0 304 14 SEASONING INSTEAD OF SALT PROCESS IMPROVEMENT (1945) 243 0 243 37 SHOULD I BUY ORGANIC? PROCESS IMPROVEMENT (1945) 129 0 129 13 SIBLING PREPARATION CLASS MATERNAL CHILD (1646) 182 90 92 20 SKIN CANCER AWARENESS AND SCREENING PROCESS IMPROVEMENT (1945) 1,307 0 1,307 20 SOUTH NEWARK CIVIC ASSOCIATION HEALTH INFORMATION TABLE COMMUNITY OUTREACH (1956) 137 0 137 20 ST. EDWARD CHURCH COMMUNITY SUPPORT DEVELOPMENT (1955) 252 0 252 UNKNOWN ST. FRANCIS DE SALES SCHOOL & PARISH CASH DONATIONS DEVELOPMENT (1955) 100 0 100 UNKNOWN ST. FRANCIS PARISH FESTIVAL COMMUNITY SUPPORT DEVELOPMENT (1955) 256 0 256 UNKNOWN ST. VINCENT DE PAUL'S CENTER IN KIND DONATION DEVELOPMENT (1955) 840 0 840 UNKNOWN STAYING ACTIVE WITH ARTHRITIS PROCESS IMPROVEMENT (1945) 122 0 122 5 STROKE AWARENESS COMMUNITY HEALTH EDUCATION PROCESS IMPROVEMENT (1945) 537 0 537 7 STUDENT INTERNSHIPS COMMUNITY CASE MANAGEMENT COMMUNITY CASE MANAGEMENT (1976) 7,091 0 7,091 11 STUDENT INTERNSHIPS LABORATORY LAB (1702) 17,865 0 17,865 3 STUDENT INTERNSHIPS OP CHEMICAL DEPENDENCY & IP PSYCH OP CHEMICAL DEPENDENCY (1692) 13,750 0 13,750 1 STUDENT INTERNSHIPS PHYSICAL THERAPY & SPEECH THERAPY REHAB CENTER (1737) 24,829 0 24,829 4 STUDENT INTERNSHIPS RESPIRATORY THERAPY RESPIRATORY THERAPY (1736) 966 0 966 1 STUDENT INTERNSHIPS SOCIAL WORK CASE MANAGEMENT (1780) 3,267 0 3,267 1 STUDENT NURSE & OTHER HEALTH PROFESSIONALS MANAGEMENT PROCESS PROCESS IMPROVEMENT (1945) 12,570 0 12,570 UNKNOWN STUDENT NURSE & OTHER HEALTH PROFESSIONALS ORIENTATION PROCESS IMPROVEMENT (1945) 3,209 0 3,209 323 STUDENTS HEALTH ADMINISTATION PROGRAM PROCESS IMPROVEMENT (1945) 1,256 0 1,256 1 SUMMER TEACHER EXTERNSHIP PR
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PAGE 12, PART XII, LINE 2C:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9COMMUNITY BENEFIT FOR LICKING MEMORIAL HEALTH SYSTEM CONSOLIDATED GROUP
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10CONTINUED
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11CONTINUED
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd21
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd30
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine10LICKING MEMORIAL HEALTH SYSTEMS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine11LICKING MEMORIAL HEALTH SYSTEMS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine12LICKING MEMORIAL HEALTH SYSTEMS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine13LICKING MEMORIAL HEALTH SYSTEMS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine10LICKING MEMORIAL HEALTH FOUNDATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine11LICKING MEMORIAL PROFESSIONAL CORPORATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine12LICKING MEMORIAL HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine13LICKING MEMORIAL TWIGS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0311096217
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1311425530
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2314379519
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN3463190381
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt2501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt3501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd3OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PROVIDE FUNDING FOR HEALTHCARE PROGRAMS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1HEALTHCARE ORGANIZATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2HEALTHCARE ORGANIZATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt3TO SUPPORT THE OPERATIONS OF LICKING MEMORIAL HEALTH SYSTEMS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 11A, I
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt19
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt23
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt3LINE 11A, I
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine101320 WEST MAIN STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine111320 WEST MAIN STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine121320 WEST MAIN STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine131320 WEST MAIN STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City0NEWARK
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City1NEWARK
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City2NEWARK
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City3NEWARK
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State0OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State1OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State2OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State3OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode043055
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode143055
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode243055
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode343055
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0OH
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00

Document Assets

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Filings

Displayed year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$161,805,957
Liabilities
$0
Net assets
$161,805,957
Revenue
$0
Expenses
$300
Net income
-$300
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$310$0.00$310$0.00$0.00$0.00
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$256$0.00$256$0.00$0.00$0.00
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$258$0.00$258$0.00$0.00$0.00
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$209$0.00$209$0.00$0.00$0.00
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$209$0.00$209$0.00$0.00$0.00
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$188$0.00$188$0.00$0.00$0.00
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$179$0.00$179$0.00$0.00$0.00
2015Detailed filing. Detailed filing data is available for this year.$166$0.00$166$0.00$0.00$0.00
2014Detailed filing. Detailed filing data is available for this year.$173$0.00$173$0.00$0.00$0.00
2013Detailed filing. Detailed filing data is available for this year.$162$0.00$162$0.00$0.00$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$122$0.00$122$0.00
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$113$0.00$113$0.00
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$121$0.00$121$0.00