2024-11-13T14:55:00-06:00 2023-12-31 882730877 CHERRY BEKAERT ADVISORY LLC 101 SOUTH 5TH STREET STE 2100 LOUISVILLE KY 40202 990 2023-01-01 314379519 LICKING MEMORIAL HOSPITAL LICK 2205644528 1320 WEST MAIN STREET NEWARK OH 43055 CYNTHIA L WEBSTER V. P. OF FINANCIAL SERVICES 2205644528 2024-11-13 1 1 MELANIE MCPEAK P01346034 8885871719 2023 2024-10-15 13:58:12Z ROBERT A MONTAGNESE 1320 WEST MAIN STREET NEWARK OH 43055 321834568 0 X WWW.LMHEALTH.ORG X 1898 OH TO IMPROVE THE HEALTH OF THE COMMUNITY. 13 13 1988 174 0 0 1823210 102791 324757441 347807138 849080 1627072 4541756 -31901464 331971487 317635537 0 789797 0 0 146048614 151519563 0 0 0 132913964 144188076 278962578 296497436 53008909 21138101 192905009 189836889 71273588 59327164 121631421 130509725 X LICKING MEMORIAL HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITY. 0 0 277532464 789797 351077000 HEALTH ACTIVITIES AND PROGRAMS FREE-OF-CHARGE TO THE COMMUNITY.THE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, AND MEDICALLY UNDERSERVED.LMH SERVED 7,732 INPATIENTS AND 823 NEWBORNS FOR A TOTAL OF 31,892 PATIENT DAYS AND PROVIDED SERVICES TO 360,152 OUTPATIENTS IN 2023.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 $525,807,000 IN 2023.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. LMH ROUTINELY PROVIDES UNCOMPENSATED CARE TO PATIENTS WHO ARE UNWILLING OR UNABLE TO PAY THEIR HOSPITAL BILLS. IN 2023, LMH WROTE OFF CHARGES OF APPROXIMATELY $25,046,000 IN BAD DEBTS AND $8,392,000 IN CHARITY CARE. 277532464 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 423 0 1 1988 1 0 0 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 0 0 X ANDREW LINK 2205644533 1320 WEST MAIN STREET NEWARK OH 43055 JACQUELINE H PARRILL CHAIR 1.30 1.30 X X 0 0 0 JAMES R COOPER VICE CHAIR 1.30 0.00 X X 0 0 0 PAUL M THOMPSON TREASURER 1.30 0.00 X X 0 0 0 SHARAD THAKKAR SECRETARY 1.30 0.00 X X 0 0 0 MARCIA DOWNES DIRECTOR 1.30 0.00 X 0 0 0 C DANIEL HAYES DIRECTOR 1.50 0.00 X 0 0 0 SCOTT HAYES DIRECTOR 1.30 0.00 X 0 0 0 ALEXANDER MILLER DIRECTOR 1.30 0.00 X 0 0 0 MARK MITCHELL DIRECTOR 1.30 0.00 X 0 0 0 CHARLES MOORE DIRECTOR 1.30 0.00 X 0 0 0 ANDRE M SARAP DIRECTOR, TERM ENDED 09/23 1.30 0.00 X 0 0 0 JACK A TREINISH JR DIRECTOR 1.30 0.00 X 0 0 0 PHILIP H WAGNER DIRECTOR 1.30 0.00 X 0 0 0 JAY YOUNG DIRECTOR 1.30 0.00 X 0 0 0 ROBERT MONTAGNESE PRESIDENT & CEO 30.00 10.30 X 876674 0 49933 CINDY WEBSTER V.P. FINANCIAL SERVICES 30.00 10.30 X 330431 0 19926 BENJAMIN BROYLES V.P. COMMUNITY HEALTH & WELLNESS 40.00 0.00 X 250524 0 41010 HEATHER BURKHART V.P. ACUTE CARE SERVICES 40.00 0.00 X 261171 0 41162 CRAIG CAIRNS V.P. MEDICAL AFFAIRS 40.00 0.00 X 371824 0 14002 BRAD COPLEY DIRECTOR OF EMERGENCY SERVICES 40.00 0.00 X 266895 0 41243 VERONICA PATTON V.P. DEVELOPMENT & PR 20.00 21.30 X 264357 0 12471 2621876 0 219747 211 0 1 0 AYA HEALTHCARE INC 5930 CORNERSTONE COURT WEST SUITE SAN DIEGO CA 92121 MEDICAL STAFFING 2514586 QUEST DIAGNOSTICS 500 PLAZA DRIVE SECAUCUS NJ 07094 DIAGNOSTIC TESTING 1332534 PROLINK HEALTHCARE LLC 9200 SHELBYVILLE ROAD SUITE 400 LOUISVILLE KY 40222 MEDICAL STAFFING 750229 ROBERTSON CONSTRUCTION SERVICES INC 1801 THORNWOOD DRIVE HEATH OH 43056 CONSTRUCTION 698126 MID OHIO CRITICAL CARE LLC 5702 EVANSFARM DRIVE LEWIS CENTER OH 43035 PULMONOLOGY/CRITICAL CARE 610968 31 102791 102791 PATIENT SERVICE REVENUE 621110 346708006 346708006 HOME HEALTH CARE 621610 1099132 1099132 347807138 729812 729812 1322842 1322842 0 1863915 1909534 994673 1881516 869242 28018 897260 897260 RELATED PARTY MANAGEMENT FEES 561000 2458900 2458900 CAFETERIA 722320 1770330 1770330 LOSS ON TERMINATION OF DB PLAN 525100 -36941656 -36941656 810962 810962 -31901464 317635537 351077000 0 -33544254 X 789797 789797 1276964 1276964 114545066 106563548 7981518 518745 481273 37472 26676950 24302980 2373970 8501838 7910425 591413 191968 191968 601627 601627 26720 26720 31910315 28952786 2957529 661845 481876 179969 985063 985063 56928 55968 960 707224 707224 1071758 11251 1060507 14249078 14099498 149580 702346 702346 MEDICAL SUPPLIES 62324305 61284137 1040168 BAD DEBT EXPENSE 25045693 25045693 EQUIPMENT RENTAL AND MA 5653206 5158599 494607 296497436 277532464 18964972 0 678641 180579 10913541 13002831 45435596 41274144 6031419 5536606 2914015 5122143 276612726 179663982 100997252 96948744 5731980 6689340 3229456 16973109 21082502 192905009 189836889 32142552 25669923 30781682 31739242 8349354 1917999 71273588 59327164 X 121631421 130406934 102791 121631421 130509725 192905009 189836889 X 21138101 187192 -12446989 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4228 4228 0 PART II-B, LINE 1: LICKING MEMORIAL HOSPITAL PAID $68,188 IN ANNUAL DUES TO OHIO HOSPITAL ASSOCIATION (OHA). OF THE TOTAL DUES PAID, 6.2% OR $4,228 WAS USED BY OHA TO SUPPORT LOBBYING ACTIVITIES OF THE ASSOCIATION. 431607 15163 446770 427764 3843 431607 427683 81 427764 439711 -12028 427683 433828 5883 439711 0.00000 0.00000 1.00000 0 1 1 1663014 1663014 110606722 66120840 44485882 140037671 90804091 49233580 24305319 22739051 1566268 96948744 TRUSTEE FUNDED DEFERRED COMPENSATION 2519830 RECEIVABLE FROM RELATED 501(C)(3) 10023686 THIRD PARTY SETTLEMENT RECEIVABLE 6550815 RIGHT-OF-USE ASSETS 1988171 21082502 OPERATING LEASE LIABILITY 1917999 1917999 X PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUNDS HELD BY THE LICKING MEMORIAL FOUNDATION IS TO USE THE EARNINGS FOR CAPITAL EQUIPMENT PURCHASES FOR LICKING MEMORIAL HOSPITAL PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS RULED THAT THE SYSTEM, HOSPITAL, FOUNDATION, AND LICKING MEMORIAL HEALTH PROFESSIONALS ARE TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. U.S. 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 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 TAX 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. 1 1 X 1 X 1 X 1 1 0 1 1 2125 2240752 2240752 0.00830 31675 58638621 40174916 18463705 0.06800 33800 60879373 40174916 20704457 0.07630 14370 2841358 71096 2770262 0.01020 742 515381 12500 502881 0.00190 3912 3912 0.00000 506 735538 735538 0.00270 15618 4096189 83596 4012593 0.01480 49418 64975562 40258512 24717050 0.09110 10761 10761 0.00000 1313 146192 146192 0.00050 326 99591 99591 0.00040 250 250 0.00000 399 171171 171171 0.00060 230 16370 16370 0.00010 2268 444335 444335 0.00160 1 25045693 3581534 34865200 53054559 -18189359 X 1 1 1 1 LICKING MEMORIAL HOSPITAL 1320 WEST MAIN STREET NEWARK OH 43055 WWW.LMHEALTH.ORG X X X LICKING MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X 22 1 0 1 1 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 100.000000000000 250.000000000000 X X 1 1 X X X 1 X WWW.LMHEALTH.ORG/PDF-FILES/FORMS/00001-04-23 X WWW.LMHEALTH.ORG/PDF-FILES/FORMS/UNCOMPENSATED-CARE-PACKET-LMH X WWW.LMHEALTH.ORG/PDF-FILES/FORMS/1900-5007-FINANCIAL-ASSISTANCE-SUMMARY X X X X X X 1 X 0 X X X X 1 X 0 0 LICKING MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: REPRESENTATIVES FROM LICKING MEMORIAL HOSPITAL (LMH) PARTICIPATE IN A COLLABORATIVE COMMITTEE WITH THE LICKING COUNTY HEALTH DEPARTMENT KNOWN AS THE LICKING COUNTY COMMUNITY HEALTH IMPROVEMENT COMMITTEE. THIS COMMITTEE WAS CONVENED TO PRIORITIZE PUBLIC HEALTH ISSUES AND IDENTIFY RESOURCES. THE COMMITTEE BEGAN MEETING IN 2010 AND CONTINUES MEETING ON A QUARTERLY BASIS. MEMBERS OF THE COMMITTEE REPRESENT A VARIETY OF LOCAL PUBLIC HEALTH AGENCIES THAT ARE INTERESTED IN IMPROVING THE HEALTH OF LICKING COUNTY RESIDENTS. PARTICIPATING AGENCIES OF THE COMMITTEE INCLUDE: LICKING COUNTY HEALTH DEPARTMENT, LICKING COUNTY BOARD OF HEALTH, LICKING MEMORIAL HEALTH SYSTEMS (LMHS), LICKING COUNTY UNITED WAY, FAMILY HEALTH SERVICES OF EAST CENTRAL OHIO, COMMUNITY HEALTH CLINIC, AMERICAN RED CROSS OF LICKING COUNTY, THE OHIO STATE UNIVERSITY AT NEWARK, PATHWAYS OF CENTRAL OHIO, COMMUNITY MENTAL HEALTH AND RECOVERY BOARD, MENTAL HEALTH AMERICA OF LICKING COUNTY, LICKING COUNTY FIRE CHIEFS ASSOCIATION, LICKING COUNTY AGING PARTNERS, GRANVILLE EXEMPTED VILLAGE SCHOOL DISTRICT, HOSPICE OF CENTRAL OHIO, CENTER FOR THE VISUALLY IMPAIRED, LICKING COUNTY AREA TRANSPORTATION, DENISON UNIVERSITY, LICKING COUNTY BOARD OF DEVELOPMENTAL DISABILITIES. THE AGENCIES REPRESENT MEMBERS OF MEDICALLY UNDERSERVED POPULATIONS AND HAVE SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. LICKING MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: THE LICKING COUNTY HEALTH DEPARTMENT ASSEMBLED THE LICKING COUNTY COMMUNITY HEALTH IMPROVEMENT COMMITTEE WITH REPRESENTATIVES FROM OVER 20 AGENCIES FROM THE PUBLIC HEALTH SECTOR OF LICKING COUNTY. THIS COMMITTEE IDENTIFIES COMMUNITY NEEDS AND DEVELOPS A COMMUNITY HEALTH IMPROVEMENT PLAN THAT ADDRESSES THE TOP FOUR PUBLIC HEALTH PRIORITIES IN THE COUNTY. REPRESENTATIVES FROM LMH PARTICIPATE IN THE COMMITTEE WHICH PROVIDES AN OPPORTUNITY TO BROADEN THE IMPACT OF LMH PROGRAMS. LICKING MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: AFTER COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022, LMHS PRIORITIZED THREE NEEDS TO ADDRESS. BELOW ARE EACH OF THE NEEDS AND THE PLAN TO ADDRESS SUCH:> BEHAVIORAL HEALTH - REDUCE THE BURDEN OF ADDICTION - IMPLEMENT A NEW LEVEL OF SERVICE TO ALLOW FOR THE PROVISION OF RESIDENTIAL SUBSTANCE ABUSE TREATMENT - OFFER FREE QUESTION AND ANSWER SESSIONS WITH AN ADDICTIONOLOGIST - MAKE NALOXONE AND FENTANYL TEST STRIPS MORE READILY AVAILABLE - WORK WITH LOCAL ORGANIZATIONS TO ENSURE EDUCATION ON NEEDED RESOURCES - REDUCE UNTREATED DEPRESSION AND ANXIETY - ADDITION OF TRANSCRANIAL MAGNETIC STIMULATION (TMS) THERAPY FOR TREATMENT OF DEPRESSION FOR PATIENTS WHERE OTHER TREATMENTS HAVE BEEN UNSUCCESSFUL - INCREASING ACCESS/OPTIONS TO RECEIVE SERVICES - PARTNER WITH OTHER PARTICIPANTS TO RAISE AWARENESS OF RESOURCES AVAILABLE.> CHRONIC DISEASE - DECREASE NEGATIVE HEALTH CONDITIONS ASSOCIATED WITH OBESITY - OFFER EXERCISE EQUIPMENT FOR THE GENERAL PUBLIC AT THE WELLNESS CENTERS AT 1717 WEST MAIN STREET AND C-TEC - PROMOTE AND ENCOURAGE PARTICIPATION IN THE WALK WITH A DOC PROGRAM, ACTIVEFIT YOUTH AND ACTIVESENIOR WELLNESS PROGRAMS - OFFER DIABETES EDUCATION WITH LICENSED DIABETES EDUCATORS AND FREE DIABETES SCREENINGS AT COMMUNITY EVENTS - DECREASE THE PREVALENCE OF TOBACCO USE - CONTINUE TO PROVIDE A QUIT FOR YOUR HEALTH PROGRAM THAT OFFERS COUNSELING AND SMOKING CESSATION SUPPORT, INCLUDING NICOTINE REPLACEMENT THERAPY, TO ALL INTERESTED COMMUNITY MEMBERS FREE OF CHARGE - ENCOURAGE EMPLOYERS TO ADOPT SMOKE-FREE WORKPLACE POLICIES AND OFFER INCENTIVES TO THEIR STAFF TO STOP SMOKING - COLLABORATE WITH OUR FUTURES IN LICKING COUNTY INITIATIVE ON YOUTH SMOKING AND ALCOHOL EDUCATION - DECREASE THE BURDEN OF CANCER - IMPROVE ACCESS TO COLON CANCER SCREENINGS THROUGH THE ADDITION OF GASTROENTEROLOGISTS, EXPANDING APPOINTMENT AVAILABILITY, AND THE ADOPTION OF COLOGUARD AS AN OPTION FOR LOW-RISK PATIENTS WHO ARE RELUCTANT TO UNDERGO A COLONOSCOPY PROCEDURE - PROVIDE ROUTINE COMMUNITY EDUCATION ON THE IDENTIFICATION AND TREATMENT OF ALL TYPES OF CANCER, FOCUSING ON SELF-EXAMINATION, COLON CANCER SCREENINGS, LOW-DOSE CT SCANS FOR LUNG CANCER, PATHOLOGY, AND EARLY DETECTION > INFANT MORTALITY RATE - DECREASE THE INFANT MORTALITY RATE - PROMOTE BEST PRACTICES IN INFANT FEEDING AND BONDING THROUGH THE "BABY FRIENDLY" HOSPITAL INITIATIVE - OFFER "SAFE SLEEP" EDUCATION FOR NEW PARENTS INCLUDING A "SAFE SLEEP SACK" - PROVIDE A "ONESIE" TO ALL NEWBORNS THAT STATES "THIS SIDE UP" - CONTINUE OFFERING "QUIT FOR YOU, QUIT FOR BABY" TOBACCO CESSATION PROGRAM AT WOMEN'S HEALTH SERVICES - SUBOXONE CLINIC SPECIFICALLY FOR PREGNANT MOTHERS SUFFERING FROM ADDICTION - MAINTAIN A LEVEL II SPECIAL CARE NURSERY ON SITE TO PROVIDE IMMEDIATE AND ONGOING CARE TO INFANTS WITH CRITICAL NEEDS - PARTICIPATE IN OHIO PERINATAL QUALITY COLLABORATIVE' S MOMS PLUS PROJECT FOR PREGNANT MOTHERS SUFFERING FROM ADDICTION AND SHARE DATA WITH THE OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES TO PROMOTE PHYSICIAN COORDINATION FOR OVERALL HEALTH OF PATIENTS - MOMS PLUS PROGRAM - PROVIDE PRENATAL CLASS/SUPPORT GROUP FOR PREGNANT MOTHERS SUFFERING FROM ADDICTION WHERE MOTHERS MEET INDIVIDUALLY WITH PHYSICIAN AS WELL AS PARTICIPATE IN SUPPORT GROUP WHILE FREE CHILDCARE IS OFFERED FOR PARTICIPANTS LICKING MEMORIAL HOSPITAL PART V, SECTION B, LINE 20E: LICKING MEMORIAL HOSPITAL PROVIDES WRITTEN NOTICE ABOUT EXTRAORDINARY COLLECTIONS ACTIVITIES AND INCLUDES THE FINANCIAL ASSISTANCE PROGRAM APPLICATION WITH THE WRITTEN NOTICE. PART V, LINE 7A, CHNA REPORT WEBSITE: WWW.LMHEALTH.ORG/PDF-FILES/CHNAS/CHNA-2022 PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE: WWW.LMHEALTH.ORG/PDF-FILES/CHNA-IMPLEMENTATION-STRATEGY/2022-IMPLEMENTATION-STRATEGY PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS PREPARED BY LMHS, WHICH INCLUDES LMHS, LMH, LICKING MEMORIAL HEALTH PROFESSIONALS (LMHP), AND LICKING MEMORIAL HEALTH FOUNDATION (LMHF). PART I, LINE 7: THE ORGANIZATION USED THE CBISA SOFTWARE TO DETERMINE COST ACCOUNTING METHODOLOGY. THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, LINE 25A, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $25,045,693. PART II, COMMUNITY BUILDING ACTIVITIES: IT IS IMPORTANT TO NOTE THAT ALL ACTIVITIES ASSOCIATED WITH LMHS REFLECT AND FURTHER THE MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY. WE DEFINE THE HEALTH OF THE COMMUNITY IN A BROAD SENSE TO INCLUDE ACTIVITIES THAT ARE NOT NECESSARILY HEALTH- OR MEDICAL-RELATED, BUT WHICH ARE CRITICAL TO SUSTAINING A HEALTHY COMMUNITY, SUCH AS STRONG SCHOOL SYSTEMS, YOUTH AND SENIOR PROGRAMS, AND THE ARTS. TO PROMOTE HEALTH EDUCATION TO THE COMMUNITY, WE PUBLISH THE COMMUNITY CONNECTION, A QUARTERLY MAGAZINE MAILED TO APPROXIMATELY 43,000 HOUSEHOLDS THAT HIGHLIGHTS ALL OF THE COMMUNITY-BUILDING ACTIVITIES THROUGHOUT THE YEAR. ADVOCACY FOR THE HEALTH OF THE COMMUNITY IS NOT ONLY EVIDENT THROUGH THE COMMUNITY CONNECTION PUBLICATION, BUT THROUGH VARIOUS HEALTH-RELATED PROGRAMS, EVENTS, AND CLASSES INCLUDING HEALTH GOAL PROGRAMS, HEALTH FAIRS, SCHOOL PRESENTATIONS, HEALTH IMPROVEMENT SCREENINGS, AND WORKSHOPS THAT AID IN OVERALL HEALTH EDUCATION OF THE COMMUNITY. LMHS REGULARLY WELCOMES COMMUNITY MEMBERS TO ATTEND FREE EDUCATIONAL PROGRAMS AT LMH. PROGRAMS ARE DESIGNED TO EMPOWER COMMUNITY MEMBERS WITH THE INFORMATION NEEDED TO IMPROVE THEIR HEALTH AND THE HEALTH OF THEIR FAMILIES. TO FURTHER IMPROVE THE HEALTH OF THE COMMUNITY, LMHS SUSTAINS ECONOMIC DEVELOPMENT BY EXISTING AS ONE OF THE COUNTY'S LARGEST EMPLOYERS. PART III, LINE 2: THE ORGANIZATION USED THE CBISA SOFTWARE TO DETERMINE COST ACCOUNTING METHODOLOGY. PART III, LINE 3: THE ORGANIZATION EMPLOYED A PATIENT SCORING METHODOLOGY WHICH COMBINES NUMEROUS FINANCIAL INDICATORS TO ARRIVE AT A NUMERIC CREDIT SCORE. THIS SCORE INCLUDES THE PATIENT'S ABILITY TO PAY BASED ON THE ESTIMATED HOUSEHOLD INCOME AS WELL AS THE PROBABILITY OF PAYMENT BEING MADE ON HISTORICAL CREDIT INFORMATION. BASED ON PATIENT SCORES AND DATA PROVIDED BY LMH'S COLLECTION AGENCIES, AN ESTIMATE WAS MADE AS TO THE PORTION OF BAD DEBTS THAT WOULD HAVE QUALIFIED AS CHARITY CARE; THAT PORTION IS INCLUDED AS COMMUNITY BENEFIT. PART III, LINE 4: SEE PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE SHORTFALL REPRESENTS AN UNDERPAYMENT OF OUR COSTS FOR PROVIDING SERVICES TO TRADITIONAL MEDICARE PATIENTS AND MEDICARE ADVANTAGE, WHICH IS 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 ADVANTAGE PATIENTS AT OR BELOW COST AS A FURTHER BENEFIT TO OUR COMMUNITY. BY ADOPTING THE SAME METHODOLOGY FOR TRADITIONAL MEDICARE ABOVE, THE MEDICARE ADVANTAGE SHORTFALL AMOUNTED TO $36,491,345. PART III, LINE 9B: THE PATIENT ACCOUNTING DEPARTMENT IS RESPONSIBLE FOR THE COLLECTION OF PATIENTS' ACCOUNTS. THE OBJECTIVE OF THE DEPARTMENT IS TO COLLECT ACCOUNTS DUE THE HOSPITAL WHILE MAINTAINING POSITIVE GUEST RELATIONS.- PRIOR TO OR UPON ADMISSION, PATIENT INFORMATION IS OBTAINED BY THE REGISTRATION DEPARTMENT. THIS INFORMATION IS FORWARDED TO THE PATIENT ACCOUNT REPRESENTATIVE FOR MEDASSIST, INC. UPON ADMISSION.- WHENEVER POSSIBLE, SELF-PAY INPATIENTS ARE INTERVIEWED BY THE PATIENT ACCOUNT REPRESENTATIVE PRIOR TO DISCHARGE. PATIENTS WILL BE SCREENED FOR POSSIBLE STATE OR FEDERAL PROGRAM ELIGIBILITY, SUCH AS MEDICAID OR SOCIAL SECURITY DISABILITY. IF PATIENTS DO NOT MEET THE CRITERIA FOR THESE PROGRAMS, THEY WILL BE INFORMED OF THE UNCOMPENSATED CARE PROGRAMS AVAILABLE.- ALL STATEMENTS CONTAIN INFORMATION AND GUIDELINES FOR UNCOMPENSATED CARE. PART VI, LINE 2: WITH A MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY, LMHS CONTINUOUSLY MONITORS AND ASSESSES THE NEEDS OF OUR COMMUNITY IN A VARIETY OF METHODS. OUR ENTIRE LEADERSHIP TEAM IS VERY ACTIVE IN THE COMMUNITY SERVING ON LOCAL NOT-FOR-PROFIT BOARDS AND IN SERVICE CLUBS SUCH AS ROTARY AND KIWANIS. AS ONE OF THE LARGEST EMPLOYERS IN LICKING COUNTY, THE COMMUNITY LOOKS TO OUR MANAGEMENT STAFF FOR SUPPORT AND INVOLVEMENT IN MOST, IF NOT ALL, MAJOR INITIATIVES. THIS COMMUNITY INVOLVEMENT PROVIDES THE OPPORTUNITY TO COLLECT INFORMATION REGARDING THE NEEDS OF THE DIFFERENT ORGANIZATIONS. SENIOR MANAGEMENT IS VERY RESPONSIVE IN PROVIDING ASSISTANCE WHERE NEEDED AS THE INFORMATION BECOMES AVAILABLE. THE BOARDS OF DIRECTORS FOR LMH AND LMHS ARE VERY INTERESTED AND ACTIVELY ENGAGED IN THE COMMUNITY; THEREFORE, THEY ARE A GREAT RESOURCE IN MAKING THE LMHS ADMINISTRATION AWARE OF NEEDS. IN ADDITION, THE BOARD RECEIVES A MONTHLY REPORT AT EACH BOARD MEETING, HIGHLIGHTING ALL OF THE COMMUNITY ACTIVITIES SUPPORTED BY THE HOSPITAL, INCLUDING DONATIONS MADE DURING THAT MONTH, HEALTH FAIRS, HEALTH SCREENINGS, MANAGEMENT, AND PHYSICIAN PRESENTATIONS IN THE COMMUNITY, ETC. PROVIDING ALL OF THIS INFORMATION TO THE BOARD ALLOWS THEM TO BE SUPPORTIVE AS LMHS ADMINISTRATION RECOMMENDS IMPLEMENTING NEW SERVICES OR ENHANCING EXISTING OFFERINGS. ORGANIZED UNDER THE HOSPITAL CORPORATION IS A DEVELOPMENT COUNCIL OF APPROXIMATELY 80 MEMBERS WHOSE PURPOSE IS TO ENHANCE AND PROMOTE MEANINGFUL COMMUNITY RELATIONS AND TO INCREASE CHARITABLE GIVING IN SUPPORT OF THE ORGANIZATION. THE MEMBERS OF THE LMH DEVELOPMENT COUNCIL ARE COMMUNITY LEADERS REPRESENTING ALL AREAS OF BUSINESS, INDUSTRY, AND EDUCATION. THESE ARE THE INDIVIDUALS WHO HAVE THEIR "FINGERS ON THE PULSE" OF THE COMMUNITY, AND ONE OF THEIR RESPONSIBILITIES AS AMBASSADORS IS TO MAKE LMHS ADMINISTRATION AWARE OF NEEDS IN THE COMMUNITY, ESPECIALLY PERTAINING TO HEALTHCARE. 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 FIVE TIMES A YEAR WITH THE LMHS PRESIDENT & CEO. DEVELOPMENT COUNCIL MEMBERS SERVE AS HOSTS, AND THEY INVITE 20 TO 25 PEOPLE WITH SIMILAR INTERESTS. THESE FORUMS ARE ALWAYS VERY INFORMATIVE FOR BOTH ATTENDEES AND THE LMHS ADMINISTRATION, AS INFORMATION IS SHARED ABOUT THE HOSPITAL AND FEEDBACK IS RECEIVED FROM THE COMMUNITY LEADERS WHO ARE PRESENT. MANY TIMES, IDEAS FOR HOSPITAL INITIATIVES COME FROM THESE EVENTS.ANOTHER ACTIVITY OF THE DEVELOPMENT COUNCIL IS A CORPORATE BREAKFAST WHICH IS HELD FOUR TIMES ANNUALLY. THESE EDUCATIONAL SESSIONS NORMALLY DRAW APPROXIMATELY 100 ATTENDEES FOR BREAKFAST AND PROVIDE AN OPPORTUNITY TO EDUCATE COMMUNITY LEADERS REGARDING HOSPITAL ACTIVITIES OR HEALTHCARE IN GENERAL. SPEAKERS AT THESE EVENTS HAVE INCLUDED PHYSICIANS SPEAKING ABOUT OPHTHALMOLOGY, ERGONOMICS, UROLOGICAL SERVICES, NUTRITION, DRUG AWARENESS AND HEALTHY ALTERNATIVES TO STRESS MANAGEMENT, HEART ATTACK AWARENESS, AND REHABILITATION SERVICES. THE LMHS WEBSITE PROVIDES DETAILED INFORMATION ON THE VARIOUS PROGRAMS AVAILABLE AND PROVIDES A MECHANISM FOR COMMUNITY FEEDBACK. ALL REQUESTS COMING THROUGH THE WEBSITE RECEIVE CAREFUL CONSIDERATION AND A DETAILED RESPONSE. LMHS ALSO ENGAGES THE SOCIAL MEDIA AUDIENCE THROUGH AN ACTIVE FACEBOOK PAGE AND EMPLOYS A DEDICATED PUBLIC RELATIONS STAFF MEMBER TO PROVIDE TIMELY INFORMATION CONCERNING ALL UPCOMING EVENTS, PROGRAMS, AND INITIATIVES.AN AFFILIATED PHYSICIAN GROUP, KNOWN AS LICKING MEMORIAL HEALTH PROFESSIONALS, PROVIDES PHYSICIAN INPUT REGARDING THE NEEDS THEY IDENTIFY IN THEIR DAILY PRACTICE AND COMMUNITY INVOLVEMENT. THESE OBSERVATIONS ARE DISCUSSED WITH LMHS ADMINISTRATION FOR DEVELOPMENT OF PROGRAMS AND SERVICES TO ADDRESS SUCH NEEDS. PART VI, LINE 3: LMHS PROVIDES ASSISTANCE TO THOSE WHO ARE ABOVE THE FEDERAL POVERTY LEVEL BY OFFERING DISCOUNTED CARE BASED UPON A SLIDING SCALE UP TO 250% OF THE FEDERAL POVERTY LEVEL. IN ADDITION, THE ORGANIZATION PROVIDES FREE OR DISCOUNTED CARE FOR THOSE WHO ARE CONSIDERED MEDICALLY INDIGENT. IN 2023, LMHS PROVIDED $37.3 MILLION OF UNCOMPENSATED CARE AT STANDARD CHARGES, INCLUDING $9.1 MILLION OF CHARITY CARE.HOWEVER, LMHS PROVIDES CARE TO THE ENTIRE COMMUNITY, REGARDLESS OF INCOME LEVELS. THAT MESSAGE IS SHARED WITH THE COMMUNITY IN A VARIETY OF WAYS. LMHS' WEBSITE PROVIDES INFORMATION ON ASSISTANCE FOR PAYING HOSPITAL BILLS THROUGH THE HOSPITAL CARE ASSURANCE PROGRAM/COMMUNITY ASSISTANCE PROGRAM. THIS IS ALSO COMMUNICATED THROUGH BROCHURES AND APPLICATIONS WHICH HIGHLIGHT THE INCOME LEVEL-BASED NEEDS FOR THE PATIENT. IN ADDITION, THE BILLING STATEMENT SENT TO THE PATIENT OR GUARANTOR PROVIDES INSTRUCTIONS FOR ACCESSING CHARITY CARE. THIS INFORMATION CAN ALSO BE ACCESSED THROUGH THE BILLING OFFICE. FURTHERMORE, LMHS CONTRACTS WITH AN ELIGIBILITY COMPANY TO SCREEN AND IDENTIFY PATIENTS WHO ARE ELIGIBLE FOR ASSISTANCE, AND EMPLOYS USE OF EARLY-OUT AGENCIES TO PERFORM SELF-PAY BILLING SERVICES. THESE AGENCIES ROUTINELY IDENTIFY PATIENTS WHO ARE ELIGIBLE FOR ASSISTANCE AND PROVIDE APPLICATIONS FOR COMPLETION. THE LMH DEVELOPMENT COUNCIL HAS BEEN EDUCATED ABOUT OUR COMMITMENT TO PROVIDE CARE FOR THE ENTIRE COMMUNITY AND SHARES THE MESSAGE IN THE COMMUNITY THROUGH THEIR GRASS ROOTS EFFORTS. PART VI, LINE 4: LICKING MEMORIAL HOSPITAL IS LOCATED IN NEWARK, OHIO, THIRTY MILES EAST OF COLUMBUS. THE CITY OF NEWARK HAS A POPULATION OF APPROXIMATELY 51,000 PEOPLE. THE HOSPITAL SERVES THE COMMUNITY OF NEWARK AND LICKING COUNTY. LICKING COUNTY HAS A POPULATION OF APPROXIMATELY 183,000 (UNITED STATES CENSUS WEBSITE), A MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $79,000, AND A PER CAPITA INCOME OF APPROXIMATELY $40,000. LICKING COUNTY HAS AN AVERAGE UNEMPLOYMENT RATE OF 3.1%. PART VI, LINE 5: THROUGH THE MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY, LMHS PROMOTES HEALTH EDUCATION AND WELLNESS IN A VARIETY OF WAYS. LMHS PROVIDES SERVICES, WHICH INCLUDE PARTICIPATION IN MANY COMMUNITY HEALTH FAIRS THROUGHOUT THE COUNTY TO ENCOURAGE AND ADVANCE HEALTHCARE EDUCATION IN AREA SCHOOLS, CHURCHES, AND BUSINESSES; FREE CLASSES REGARDING TOPICS SUCH AS CHILDBIRTH, INFANT AND CHILD CPR, BREASTFEEDING, SIBLING PREPARATION, DIABETES, NEWBORN BASICS, AND TOBACCO CESSATION; SUPPORT GROUPS FOR VICTIMS, AND FAMILIES OF CANCER, DIABETES, CHEMICAL DEPENDENCY, AND HEART DISEASE; ASSISTANCE TO EDUCATORS THROUGH COALITIONS WITH STUDENT NURSES, OCCUPATIONAL THERAPY, AND PHYSICAL THERAPY INTERNS; SPEAKERS AT SCHOOLS, BUSINESSES, AND VARIOUS ORGANIZATIONS ON TOPICS SUCH AS TOBACCO CESSATION, LEADING AN ACTIVE AND HEALTHY LIFESTYLE, AND DIABETES EDUCATION. THE SCHEDULE IS FOUND ONLINE OR PRINTED THROUGH OUR QUARTERLY COMMUNITY CONNECTION PUBLICATION FOR THE COMMUNITY TO ACKNOWLEDGE. LMHS ALSO PROMOTES HEALTH AND WELLNESS TO THE COMMUNITY THROUGH A VARIETY OF INITIATIVES. IN 2012, LMHS CREATED THE ACTIVEFIT YOUTH WELLNESS PROGRAM, DESIGNED FOR 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. LMHS INCORPORATED ACTIVEFIT WITHIN 22 ELEMENTARY SCHOOLS WITH A PROGRAM TO INCENTIVIZE SCHOOLS TO PROMOTE, INITIATE REGISTRATION, AND ENCOURAGE THE YOUTH TO ACHIEVE THEIR GOALS. IN 2016, LMHS ESTABLISHED A SIMILAR PROGRAM, ACTIVESENIOR, FOR ADULTS, AGES 60 AND UP. CREATED IN CONJUNCTION WITH CLINICAL STAFF AND PHYSICIANS, THE PROGRAM AIMS TO PROVIDE WELL-BEING FOR SENIORS THROUGH A YEAR-LONG GOAL PROGRAM, FEATURING FOUR KEY HEALTH AREAS OF FOCUS, PHYSICAL, NUTRITIONAL, MENTAL, AND SOCIAL. THE PROGRAM ALSO OFFERS GOAL INCENTIVES AND CREATIVE COMMUNITY ACTIVITIES GEARED TOWARD THE SENIOR DEMOGRAPHIC. LMHS ALSO EMPHASIZES THE NEED FOR EXCELLENT PERSONAL HEALTH TO A VARIETY OF DEMOGRAPHICS THROUGH SPECIAL EVENTS. FOR EXAMPLE, EACH SUMMER, LMHS OFFERS THE HEART TO PLAY PROGRAM TO LICKING COUNTY JUNIOR AND HIGH SCHOOL STUDENTS. THE PROGRAM FEATURES HEALTH REVIEW EVENTS THROUGHOUT THE EARLY SUMMER MONTHS WITH AN EKG HEART SCREENING, IN ADDITION TO HEALTH AND CONCUSSION SCREENINGS. OTHER MAJOR HEALTH-RELATED ACTIVITIES INCLUDE FAMILY MOVIE NIGHT EVENTS, PATIENT REUNIONS, YOUTH CAMPS, 5K RUN/WALK AND 1-MILE FUN WALK, CANCER SURVIVORS PICNIC, AND THE CAREGIVERS EXPO. PART VI, LINE 6: LICKING MEMORIAL HEALTH SYSTEMS ("LMHS") IS A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF OHIO TO PROVIDE AND PROMOTE HEALTHCARE SERVICES IN CENTRAL OHIO.LMHS IS THE PARENT ORGANIZATION AND SOLE CORPORATE MEMBER OF LICKING MEMORIAL HOSPITAL ("LMH"), LICKING MEMORIAL HEALTH FOUNDATION ("LMHF"), AND LICKING MEMORIAL HEALTH PROFESSIONALS ("LMHP").LMHP EMPLOYS A STAFF OF PHYSICIANS AND SUPPORT PERSONNEL TO FURTHER THE CHARITABLE PURPOSE OF LMHS. PART VI, LINE 7:NONE 1 LICKING MEMORIAL HEALTH FOUNDATION 1320 WEST MAIN STREET NEWARK OH 43055 311096217 501(C)(3) 789797 0 COMMUNITY SUPPORT 1 PART I, LINE 2: THE ORGANIZATION GIVES FUNDS TO THE LICKING MEMORIAL HEALTH FOUNDATION, WHICH PROVIDES GRANTS TO OTHER 501(C)(3) ORGANIZATIONS BASED ON REQUESTS AND ACTIVITIES IN THE COMMUNITY. THE HOSPITAL RELIES ON THE FOUNDATION TO MONITOR THE USE OF GRANT FUNDS BY MONITORING RECIPIENTS' ACTIVITIES IN THE COMMUNITY. X X X X X X 0 1 0 0 0 0 0 0 0 ROBERT MONTAGNESE PRESIDENT & CEO 785504 0 80000 0 11170 0 7779 0 42154 0 926607 0 0 0 CRAIG CAIRNS V.P. MEDICAL AFFAIRS 364368 0 0 0 7456 0 3299 0 10703 0 385826 0 0 0 CINDY WEBSTER V.P. FINANCIAL SERVICES 328786 0 0 0 1645 0 2932 0 16994 0 350357 0 0 0 BRAD COPLEY DIRECTOR OF EMERGENCY SERVICES 158834 0 107403 0 658 0 2368 0 38875 0 308138 0 0 0 HEATHER BURKHART V.P. ACUTE CARE SERVICES 260311 0 0 0 860 0 2318 0 38844 0 302333 0 0 0 BENJAMIN BROYLES V.P. COMMUNITY HEALTH & WELLNESS 249742 0 0 0 782 0 2223 0 38787 0 291534 0 0 0 VERONICA PATTON V.P. DEVELOPMENT & PR 260598 0 0 0 3759 0 2346 0 10125 0 276828 0 0 0 PART I, LINE 4B ROBERT A. MONTAGNESE, PRESIDENT & CEO, PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). NO CONTRIBUTIONS WERE MADE TO THE PLAN ON HIS BEHALF FOR THE 2023 YEAR. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE RETURN IS REVIEWED FIRST BY INTERNAL MANAGEMENT. AFTER INTERNAL MANAGEMENT HAS REVIEWED THE RETURN AND ANY CHANGES ARE MADE, A DRAFT IS MADE AVAILABLE FOR REVIEW AND PRESENTATION TO THE BOARD. ONCE THE COMMENTS FROM THE BOARD ARE REVIEWED, THE FINAL RETURN IS PREPARED AND SIGNED BY THE VICE PRESIDENT FINANCIAL SERVICES. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL BOARD MEMBERS AND KEY EMPLOYEES TO SIGN A CONFLICT OF INTEREST STATEMENT ONCE A YEAR. THE ORGANIZATION DOES NOT PERMIT BOARD MEMBERS TO HAVE A CONFLICT OF INTEREST. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST THEY ARE ASKED TO RESIGN FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION HAS AN INDEPENDENT COMPENSATION COMMITTEE THAT DETERMINES THE COMPENSATION FOR THE CEO THAT IS THEN APPROVED BY THE BOARD. THE CEO DETERMINES THE COMPENSATION FOR THE OTHER OFFICERS BASED UPON INDEPENDENT SALARY SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CARDIOLOGY: PROGRAM SERVICE EXPENSES 272,726. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 272,726. CASE MANAGEMENT: PROGRAM SERVICE EXPENSES 622,911. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 622,911. CORPORATE COMPLIANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 67,145. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,145. COVID: PROGRAM SERVICE EXPENSES 9,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,500. DIALYSIS: PROGRAM SERVICE EXPENSES 587,675. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 587,675. ENDODIAG LAB: PROGRAM SERVICE EXPENSES 47,785. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,785. INPATIENT REHAB: PROGRAM SERVICE EXPENSES 6,769. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,769. INTERVENTIONAL CARDIOLOGY: PROGRAM SERVICE EXPENSES 551,674. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 551,674. INTERVENTIONAL RADIOLOGY: PROGRAM SERVICE EXPENSES 130,662. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 130,662. LAB: PROGRAM SERVICE EXPENSES 4,367,891. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,367,891. MEDICAL BILLING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,101,240. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,101,240. NEUROVASC LAB: PROGRAM SERVICE EXPENSES 39,536. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,536. NURSING ADMIN: PROGRAM SERVICE EXPENSES 376,935. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 376,935. ONCOLOGY: PROGRAM SERVICE EXPENSES 27,174. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,174. PHARMACY: PROGRAM SERVICE EXPENSES 295,458. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 295,458. PUBLIC RELATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 686,877. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 686,877. PURCHASING: PROGRAM SERVICE EXPENSES 123,965. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123,965. RADIOLOGY: PROGRAM SERVICE EXPENSES 3,877,264. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,877,264. IS: PROGRAM SERVICE EXPENSES 9,737,286. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,737,286. SHEPHERD HILL/BEHAVIORAL HEALTH: PROGRAM SERVICE EXPENSES 62,528. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,528. SLEEP LAB: PROGRAM SERVICE EXPENSES 561,877. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 561,877. ICU: PROGRAM SERVICE EXPENSES 1,157,227. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,157,227. SURGERY: PROGRAM SERVICE EXPENSES 512,987. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 512,987. RESPIRATORY: PROGRAM SERVICE EXPENSES 355,907. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 355,907. FISCAL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 146,126. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 146,126. ENVIRONMENTAL: PROGRAM SERVICE EXPENSES 829,978. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 829,978. PLANT OPERATIONS AND ENGINEERING: PROGRAM SERVICE EXPENSES 887,863. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 887,863. ALL OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,509,208. MANAGEMENT AND GENERAL EXPENSES 956,141. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,465,349. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY 50,390,579. CHANGE IN RETIREE BENEFIT PLAN -2,983,151. NET ASSET TRANSFERS WITH RELATED 501(C)(3) -59,854,417. 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 ("LMH") CONTINUES TO BE AUDITED AS PART OF THE LICKING MEMORIAL HEALTH SYSTEMS ("LMHS")CONSOLIDATED GROUP. LMH IS INCLUDED IN THE LMHS CONSOLIDATED FINANCIAL STATEMENTS. LMHS HAS A FINANCE COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. LICKING MEMORIAL HEALTH SYSTEMS 1320 WEST MAIN STREET NEWARK OH 43055 311096218 PARENT COMPANY FOR THE NONPROFIT OPERATION OF HEALTHCARE ORGANIZATIONS OH 501(C)(3) LINE 12C, 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) LINE 12A, I LICKING MEMORIAL HEALTH SYSTEMS 0 LICKING MEMORIAL HEALTH PROFESSIONALS 1320 WEST MAIN STREET NEWARK OH 43055 311425530 HEALTHCARE ORGANIZATION OH 501(C)(3) LINE 10 LICKING MEMORIAL HEALTH SYSTEMS 0 LICKING MEMORIAL TWIGS 1320 WEST MAIN STREET NEWARK OH 43055 463190381 TO SUPPORT THE OPERATIONS OF LICKING MEMORIAL HEALTH SYSTEMS OH 501(C)(3) LINE 12A, I LICKING MEMORIAL HEALTH SYSTEMS 0 0 1 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 1 1