2025-10-29T14:27:27-05:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 341883284 LIMA MEMORIAL JOINT OPERATING COMPANY LIMA 4192283335 1001 BELLEFONTAINE AVENUE LIMA OH 45804 TIM BUIT VICE-PRESIDENT/CFO 4192283335 2025-10-29 1 1 AMY CIMINELLO P00796388 6148493000 2025-10-29 2024 2025-03-06 01:10:19Z LIMA MEMORIAL HEALTH SYSTEM MICHAEL D SWICK 1001 BELLEFONTAINE AVENUE LIMA OH 45804 318096912 0 X WWW.LIMAMEMORIAL.ORG X 1999 OH AS ONE OF THE LARGEST NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS IN WEST CENTRAL OHIO, LIMA MEMORIAL HEALTH SYSTEM IS COMMITTED TO IMPROVING THE QUALITY OF LIFE IN OUR COMMUNITIES THROUGH COMPREHENSIVE HEALTH SERVICES. LIMA MEMORIAL IS CONTINUALLY IMPROVING ITS SERVICES AND FACILITIES BY KEEPING UP WITH THE LATEST TECHNOLOGIES, PROVIDING CONTINUING EDUCATION TO OUR HEALTH CARE TEAM AND UPDATING OUR FACILITIES. OUR PATIENT SATISFACTION NUMBERS CONTINUE TO IMPROVE AND WE CONTINUALLY ACHIEVE QUALITY SCORES THAT ARE BETTER THEN THE STATE AND NATIONAL AVERAGES. 12 12 1931 276 97074 0 0 0 292248769 310931178 4453805 5972810 817529 997730 297520103 317901718 71026 140060 0 0 127768511 128288886 0 0 272266 149951322 159537406 277790859 287966352 19729244 29935366 564316732 604121346 115487844 118143870 448828888 485977476 X WE ARE HERE TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITIES THROUGH COMPREHENSIVE HEALTH SERVICES. 0 0 233728014 140060 310806728 AS ONE OF THE LARGEST NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS IN WEST CENTRAL OHIO, LIMA MEMORIAL HEALTH SYSTEM IS COMMITTED TO IMPROVING THE QUALITY OF LIFE IN OUR COMMUNITIES THROUGH COMPREHENSIVE HEALTH SERVICES.LIMA MEMORIAL IS CONTINUALLY IMPROVING ITS SERVICES AND FACILITIES BY KEEPING UP WITH THE LATEST TECHNOLOGIES, PROVIDING CONTINUING EDUCATION TO OUR HEALTHCARE TEAM AND UPDATING OUR FACILITIES. OUR PATIENT SATISFACTION NUMBERS CONTINUE TO IMPROVE AND WE CONTINUALLY ACHIEVE QUALITY SCORES THAT ARE BETTER THAN STATE AND NATIONAL AVERAGES.THE HEALTH SYSTEM PROVIDES COMPREHENSIVE HEALTHCARE THAT ALLOWS US TO CARE FOR PATIENTS FROM BIRTH THROUGH ELDER YEARS. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO:- 24-HOUR EMERGENCY SERVICES INCLUDING LEVEL II TRAUMA- ACCREDITED CHEST PAIN CENTER- THE HEART AND VASCULAR INSTITUTE- COMMISSION ON CANCER ACCREDITED CANCER INSTITUTE- ORTHOPEDICS- OBSTETRICS, LEVEL II NURSERY AND PEDIATRICS- WOMEN'S HEALTH CENTER- ROBOTIC SURGERY PROGRAM- DIAGNOSTIC & IMAGING- LABORATORY- INPATIENT AND OUTPATIENT REHABILITATION SERVICES- NEUROSCIENCE PROGRAM- UROLOGYIN 2024, LIMA MEMORIAL CONTRIBUTED AN ESTIMATED $30.9 MILLION IN COMMUNITY VALUE IN TERMS OF COMMUNITY BENEFIT EXPENDITURES, CHARITY CARE AND GOVERNMENT-SPONSORED HEALTH CARE. THIS NUMBER NOT ONLY INDICATES OUR COMMITMENT TO OUR COMMUNITIES, BUT ALSO FULFILLS OUR PURPOSE AS A NOT-FOR-PROFIT ORGANIZATION BY POSITIVELY IMPACTING THE MEMBERS OF THE COMMUNITIES THAT WE SERVE. THOUSANDS OF PEOPLE HAVE BENEFITED FROM THE COMPASSIONATE CARE AND EXPERTISE OF OUR PHYSICIANS, NURSES, ASSOCIATES AND VOLUNTEERS.EXAMPLES OF PROGRAMS BENEFITING THE BROADER COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO:- EMS OUTREACH & EDUCATION- GO RED - HEART HEALTH AWARENESS CAMPAIGN- COLORECTAL AWARENESS CAMPAIGN- JOURNEY TO REMEMBER RAISED FUNDS FOR THE HEART PROGRAM- BREAST CANCER AWARENESS CAMPAIGN- KIDS CLINIC FOR CHILDREN WHO HAVE BEEN SEXUALLY ABUSED- CHILDREN'S DEVELOPMENTAL CENTER SUPPORT- BABY FAIR- CHEST PAIN CENTER- BONE DENSITY SCREENINGS- CARDIAC RISK ASSESSMENT SCREENINGS- PROSTATE CANCER AWARENESS CAMPAIGN & SCREENINGS- KIDNEY DISEASE SCREENINGS- SKIN CANCER SCREENINGS- CANCER RESOURCE CENTER- MEDICARE ELIGIBILITY PROGRAM- BREAST CANCER SURVIVOR SUPPORT GROUP- MENDED HEARTS SUPPORT GROUP- FAMILY BIRTH EDUCATION & CLINICS- DIABETIC EDUCATION- WOMEN'S RESOURCE CENTER- CONGESTIVE HEART FAILURE CLINIC- TV AND RADIO PSAS- BREASTFEEDING CLASS AND CLINIC- SMOKING CESSATION- COMMUNITY BLOOD DRIVESAS HEALTHCARE CONTINUES TO CHANGE, LIMA MEMORIAL WILL CONTINUE TO PROVIDE THE HIGHEST QUALITY OF CARE IN A FAMILY ATMOSPHERE TO OUR PATIENTS BY CONTINUALLY ADVANCING OUR SERVICES AND FACILITIES. IN ADDITION, THE HEALTH SYSTEM SUPPORTS OUR COMMUNITIES, NOT ONLY THROUGH COMPREHENSIVE HEALTHCARE, BUT THROUGH OUTREACH ACTIVITIES SUCH AS HEALTHCARE AWARENESS AND PREVENTION PROGRAMS, FREE PUBLIC HEALTH SCREENINGS, FINANCIAL SUPPORT FOR MANY COMMUNITY NON-PROFIT ORGANIZATIONS, AND OUTREACH TO THE UNDERSERVED.COMMUNITY BENEFIT DEFINITIONSLIMA MEMORIAL HEALTH SYSTEM'S 2024 COMMUNITY BENEFIT REPORT WAS PREPARED IN ACCORDANCE WITH THE REPORTING GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION. COMMUNITY BENEFITS REPORTED BY THE HEALTH SYSTEM RESPOND TO AN IDENTIFIED COMMUNITY NEED AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA:- GENERATE A LOW OR NEGATIVE MARGIN;- RESPOND TO THE NEEDS OF SPECIAL POPULATIONS, SUCH AS MINORITIES, FRAIL, ELDERLY, POOR PERSONS WITH DISABILITIES, THE CHRONICALLY MENTALLY ILL, AND PERSONS WITH AIDS; AND-SUPPLY SERVICES OR PROGRAMS THAT WOULD LIKELY BE DISCONTINUED IF THE DECISION WERE MADE ON A PURELY FINANCIAL BASIS.THESE SERVICES INCLUDE:- COMMUNITY HEALTH SERVICES- HEALTH PROFESSIONS EDUCATION- SUBSIDIZED HEALTH SERVICES- RESEARCH ACTIVITIES- FINANCIAL CONTRIBUTIONS- COMMUNITY BUILDING ACTIVITIES- COMMUNITY BENEFIT OPERATIONS- COST OF CHARITY CARE- GOVERNMENT SPONSORED HEALTH CARE 233728014 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 215 0 1 1931 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X MATT BROWN 4192265197 1001 BELLEFONTAINE AVENUE LIMA OH 45804 JOHN H JOHNSON CHAIR 1.00 0.00 X X 0 0 0 PHILLIP R BUELL TREASURER 1.00 0.00 X X 0 0 0 PATRICIA M MODROWSKI SECRETARY 1.00 0.00 X X 0 0 0 JODI L RUCKER VICE-CHAIR 1.00 0.00 X X 0 0 0 CYNTHIA E SPIERS BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES F BLAIR BOARD MEMBER 1.00 0.00 X 0 0 0 DENNIS E MORRIS BOARD MEMBER 1.00 3.00 X 0 0 0 CLYDE R RAUCH BOARD MEMBER 1.00 0.00 X 0 0 0 TRACIE J SANCHEZ BOARD MEMBER 1.00 2.00 X 0 0 0 SCOTT L SHUTT BOARD MEMBER 1.00 0.00 X 0 0 0 DEBI BROBST BOARD MEMBER 1.00 0.00 X 0 0 0 JANE M WOOD BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL D SWICK PRESIDENT/CEO (SEE SCH J) 44.00 6.00 X 811265 0 110327 ERIC D POHJALA VP FINANCE/CFO(SEE SCH J)THRU 6/24 40.00 6.00 X 545890 0 44421 LYNN M CARPENTER VICE PRESIDENT/COO (SEE SCH J) 40.00 6.00 X 407288 0 32062 ROBERT E ARMSTRONG JR SR VP/CAO (SEE SCH J)THRU 7/24 40.00 10.00 X 837755 0 35951 SUSAN KAUFMAN DO VP OF MEDICAL AFFAIRS (SEE SCH J) 30.00 20.00 X 457344 0 118193 ANN-MARIE JEAN POHL VP/CNO (SEE SCH J)THRU 3/25 50.00 0.00 X 344343 0 25279 TIMOTHY A BUIT VP FINANCE/CFO(SEE SCH J)EFF 6/24 40.00 6.00 X 227222 0 9777 BRETT A RANDOLPH DIRECTOR OF PHARMACY CARE TRAN 40.00 0.00 X 215891 0 23110 JEFFREY N UTZ EXECUTIVE DIRECTOR - LMP 40.00 0.00 X 192824 0 44673 BURLIN L SHERRICK EXECUTIVE DIRECTOR-ANCILLARY SRVC 40.00 0.00 X 183486 0 50969 JOSHUA L HINES EXECUTIVE DIRECTOR - INFO TECH 40.00 0.00 X 179036 0 50655 JAIME QUELLHORST EXECUTIVE DIRECTOR - NURSING 40.00 0.00 X 187812 0 40463 4590156 0 585880 107 0 1 0 AMERICAN HEALTHCARE STAFFING ASSOC 226 E SIXTEENTH ST SUITE A TRAVERSE CITY MI 49684 MEDICAL SERVICES 4636414 VAYA WORKFORCE SOLUTIONS LLC 5505 N CUMBERLAND AVE SUITE 307 CHICAGO IL 606561471 MEDICAL SERVICES 2684976 ALLEN INTENSIVIST GROUP LLC PO BOX 677979 DALLAS TX 752677979 MEDICAL SERVICES 2481895 ENVISION 1111 16TH AVENUE S NASHVILLE TN 37212 MEDICAL SERVICES 1557068 INVERSION 6 31390 VIKING PARKWAY WESTLAKE OH 44145 MEDICAL SERVICES 1054371 44 PATIENT SERVICE REVENUE 621110 307666744 307666744 PHARMACY 900099 3214504 3214504 MEDICAL RECORDS 900099 36151 36151 CLINIC REVENUE 621110 9621 9621 WELLNESS CENTER 900099 2358 2358 1800 1800 310931178 4471070 4471070 21832 195194 -173362 -173362 -173362 1001739 500001 0 0 1001739 500001 1501740 1501740 CAFETERIA SALES 900099 924313 924313 UBI - REFERENCE LAB 621500 97074 97074 YMCA BUILDING INVESTMENT 531390 -99348 -99348 249053 48912 200141 1171092 317901718 310806728 97074 6997916 X 140060 140060 3439676 3439676 96109840 78840267 17144041 125532 2968822 2435367 529577 3878 18849440 15462463 3362357 24620 6921108 5677483 1234585 9040 1121657 1121657 317358 317358 211105 211105 36589361 19966869 16570773 51719 278762 278762 11172951 10368167 783676 21108 2185034 1205280 976822 2932 5018620 3978396 1040105 119 198448 122377 75545 526 2734375 2734375 14628699 12645047 1983652 1751930 1290815 461115 MEDICAL SUPPLIES 28118149 28118149 BAD DEBT EXPENSE 24170767 24170767 DRUGS 19020479 19020479 FRANCHISE FEES 6117197 6117197 5902514 1155694 4714028 32792 287966352 233728014 53966072 272266 10230659 25868406 13830977 17862315 41460361 34791708 7820735 7324444 7031133 7541582 12366551 9982699 327481009 219719193 118142194 107761816 98563303 113471012 7265773 9509914 247605046 270007450 564316732 604121346 23764094 24354368 75799703 74003145 192868 952315 15731179 18834042 115487844 118143870 X 448828888 485977476 448828888 485977476 564316732 604121346 X 29935366 6562686 650536 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 18993 18993 0 PART II-B, LINE 1: LOBBYING EXPENSES ARE INCURRED IN CONNECTION WITH THE DUES PAID TO THE OHIO HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. 4782154 4782154 182967355 116169795 66797560 132740190 100639841 32100349 6991310 2909557 4081753 107761816 INVESTMENTS IN AFFILIATED ORGANIZATIONS 270007450 270007450 ACCRUED PENSION LIABILITY 9509914 PROFESSIONAL LIABILITY RESERVE 1786138 FIN 47 ASBESTOS LIABILITY 599864 THIRD PARTY PAYOR SETTLEMENTS 4428092 LEASE LIABILITY 2510034 18834042 X PART X, LINE 2: THE HEALTH SYSTEM, LIMA MEMORIAL HOSPITAL, LIMA MEMORIAL PROFESSIONAL CORPORATION, LIMA MEMORIAL HOSPITAL FOUNDATION, AND LIMA MEMORIAL HOSPITAL AUXILIARY ARE NOT-FOR-PROFIT CORPORATIONS, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"), AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 510(A) OF THE CODE. ELM TREE FOUNDATION, A FOR-PROFIT CORPORATION AND SUBSIDIARY OF THE HEALTH SYSTEM, WAS A TAXABLE CORPORATION THAT CONVERTED TO A NOT-FOR-PROFIT LLC IN 2021. THE RELATED ASSETS TRANSFERRED TO THE HEALTH SYSTEM, LEAVING ELM TREE FOUNDATION AS A DEFUNCT ENTITY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIIONS TAKEN BY THE HEALTH SYSTEM AND TO RECOGNIZE A TAX LIABILITY IF THE HEALTH SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAXING AUTHORITIES. 1 1 X 1 X 1 X 1 1 1 0 0 3500474 2586717 913757 0.00350 29439154 17033720 12405434 0.04700 32939628 19620437 13319191 0.05050 30867306 0 30867306 0.11700 30867306 30867306 0.11700 63806934 19620437 44186497 0.16750 1 24170767 2175369 49025259 54030193 -5004934 X 1 1 1 LMHS WOMEN'S HEALTH CO-MANAGEMENT COMPANY LLC CO-MANAGEMENT 0.60000 0.60000 1 1 LIMA MEMORIAL HEALTH SYSTEM 1001 BELLEFONTAINE AVE LIMA OH 45804 X X X LIMA MEMORIAL HEALTH SYSTEM 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X HTTPS://WWW.LIMAMEMORIAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 1 22 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X HTTP://WWW.LIMAMEMORIAL.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE X HTTP://WWW.LIMAMEMORIAL.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE X HTTP://WWW.LIMAMEMORIAL.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE X X X X X 1 X 0 X X X X X 1 X 0 0 LIMA MEMORIAL HEALTH SYSTEM PART V, SECTION B, LINE 5: COMMUNITY MEMBERS FROM THE GROUPS, ORGANIZATIONS, AND SECTORS ESTABLISHED THE COMMUNITY SUSTAINABILITY ADVISORY COMMITTEE UNDER THE LIMA-ALLEN COUNTY REGIONAL PLANNING COMMISSION. THE COMMUNITY SUSTAINABILITY ADVISORY COMMITTEE WAS RESPONSIBLE FOR THE IMPLEMENTATION OF THE HEALTHY COMMUNITIES INSTITUTE SOFTWARE, WHICH HAS BEEN USED AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HEALTHY COMMUNITIES INSTITUTE WEBSITE PROVIDED A LIST OF IDENTIFIED HEALTH CONDITIONS AND RELATED INDICATORS FOR ALLEN COUNTY. THE INFORMATION FOR AUGLAIZE AND PUTNAM COUNTIES WAS ANALYZED UNDER THE SAME QUARTILE SYSTEM.ORGANIZATION'S CONTACTED:ALLEN COUNTY ECONOMIC DEVELOPMENT GROUPALLEN COUNTY HEALTH DEPARTMENTLIMA/ALLEN COUNTY CHAMBER OF COMMERCESHAWNEE TOWNSHIP POLICEST. RITA'S MEDICAL CENTERUNITED WAY OF GREATER LIMAYMCAIN ADDITION, LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS WERE CONTACTED. THE HOSPITAL ALSO DERIVES ADDITIONAL INFORMATION FROM THE COMMUNITY HEALTH IMPROVEMENT PLAN COMMITTEE AND THE HEALTHY PEOPLE 2020 COMMITTEE. LIMA MEMORIAL HEALTH SYSTEM PART V, SECTION B, LINE 11: THE HOSPITAL HAS ADOPTED AN IMPLEMENTATION STRATEGY FOR 2023-2027 THAT ADDRESSES THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS REPORT IS POSTED ON THE HOSPITAL'S WEBSITE WWW.LIMAMEMORIAL.ORG WHICH IS PAIRED WITH THE HEALTH SYSTEM'S STRATEGIC PLAN. LIMA MEMORIAL HEALTH SYSTEM PART V, SECTION B, LINE 20E: - CONSPICUOUS NOTICE ON BILLING STATEMENTS- PHONE CALLS LIMA MEMORIAL HEALTH SYSTEM PART V, SECTION B, LINE 21D: ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY ARE CHARGED THE SAME AMOUNT. THE FACILITY ATTEMPTS TO SCREEN ALL SELFPAY PATIENTS AND PROVIDES INFORMATION TO THEM CONCERNING CHARITY POLICIES. AT TIMES, PATIENTS ARE REQUESTED TO PROVIDE PROOF OF INCOME. OF THOSE PATIENTS THAT ARE NOT SCREENED AND DO NOT RETURN THE REQUIRED PAPERWORK, THEY ARE CHARGED FULL PRICE FOR THEIR SERVICE UNTIL PROOF OR A COMPLETED AND SIGNED APPLICATION IS RECEIVED. THE LEAST DISCOUNT RECEIVED IS 40% WHICH IS LARGER THAN THE AVERAGE COMMERCIAL CSA. 3 1 - MEDICAL PARK 525 EASTOWN RD LIMA OH 45807 MRI, CT 2 - YMCA - WELLNESS CENTER 345 S ELIZABETH ST LIMA OH 45801 WELLNESS CENTER 3 - HINO 951 COMMERCE PKWY LIMA OH 45804 CARDIAC TREATMENT PART I, LINE 7: COLUMN C, LINE 7A & 7B: THE HOSPITAL USED A COST-TO-CHARGE COSTING METHODOLOGY TO CALCULATE THE AMOUNTS REPORTED IN LINE 7. THE HOSPITAL DERIVED THE COST-TO-CHARGE RATIO FROM THE USE OF WORKSHEET 2.PART I, LINE 7E:IN ADDITION TO LIMA MEMORIAL JOINT OPERATING COMPANY'S COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS, THIS LINE AMOUNT ALSO INCLUDES COMMUNITY BENEFIT PROVIDED BY LIMA MEMORIAL PROFESSIONAL CORPORATION, WHICH IS A RELATED ENTITY, IN AS MUCH AS LIMA MEMORIAL PROFESSIONAL CORPORATION'S ACTIVITY, ARE CARRIED ON IN A MANNER CONSISTENT WITH AND DIRECTLY IN CONNECTION WITH THE TAX EXEMPT PURPOSE OF LIMA MEMORIAL JOINT OPERATING COMPANY. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 24B, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF THIS COLUMN IS $24,170,767. PART II, COMMUNITY BUILDING ACTIVITIES: LIMA MEMORIAL HEALTH SYSTEM PROMOTES THE HEALTH OF OUR COMMUNITIES BY PROVIDING SERVICE REGARDLESS OF ABILITY TO PAY, FUNDING THROUGH SPONSORSHIP, HEALTH SCREENINGS AND EDUCATION. WE WORK WITH A NUMBER OF ORGANIZATIONS THROUGHOUT THE REGION, INCLUDING THE CHAMBER OF COMMERCE, TO PROMOTE ECONOMIC GROWTH OF THE COMMUNITY. WE ARE ACTIVELY INVOLVED WITH THE RHODES STATE SCHOOL OF NURSING, THE UNIVERSITY OF NORTHWEST OHIO, APOLLO CAREER CENTER, AS WELL AS CONTINUING EDUCATION AND TRAINING FOR EMTS AND PARAMEDICS. PART III, LINE 2: BASED ON GROSS AS PRESENTED IN THE FINANCIAL STATEMENTS. PART III, LINE 3: BAD DEBT ATTRIBUTABLE TO PATIENTS IDENTIFIED UNDER CHARITY CARE WAS ESTIMATED BY A THIRD PARTY THROUGH SCREENING OF BAD DEBT PATIENTS AT POVERTY LEVEL. THE HOSPITAL APPLIES ANY DISCOUNTS/PAYMENTS RECEIVED AGAINST PATIENTS ACCOUNTS BEFORE DETERMINING BAD DEBT EXPENSE. PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. THE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS IS REPORTED AS PART OF THE PATIENT ACOUNTS RECEIVABLE AMOUNT ON THE CONSOLIDATED BALANCE SHEET. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. PART III, LINE 8: CALCULATION IS BASED ON A COST-TO-CHARGE RATIO. THE MEDICARE SHORTFALL IS A COMMUNITY BENEFIT BECAUSE PROVIDING SERVICES TO THE ELDERLY IS A TAX EXEMPT PURPOSE CONSISTENT WITH LIMA MEMORIAL JOINT OPERATING COMPANY'S OVERALL EXEMPT STATUS, AND THE HOSPITAL ACCEPTS THESE PATIENTS REGARDLESS OF ITS IMPACT ON OVERALL PROFITABILITY. PART III, LINE 9B: PATIENTS DO NOT RECEIVE ANY NOTICE FROM LMH UNTIL BALANCES ARE DETERMINED TO BE THE PATIENT'S RESPONSIBILITY. ONCE A FAP APPLICATION IS RECEIVED THE COLLECTION PROCESS IS PUT ON HOLD UNTIL ELIGIBILITY IS DETERMINED. PRIMARY SELF-PAY ACCOUNTS ARE REFERRED TO AN OUTSIDE AGENCY AS AN EXTENSION OF THE BUSINESS OFFICE AT DAY 45. ACCOUNTS REMAIN WITH THE AGENCY UNTIL IT IS AT A ZERO BALANCE OR 150 DAYS. AT 150 DAYS THE ACCOUNT IS CLOSED BACK AND GIVEN TO THE SUBSEQUENT AGENCY FOR REGULAR COLLECTION FOLLOW UP. BALANCE AFTER INSURANCE ACCOUNTS ARE REFERRED TO AN OUTSIDE AGENCY ONCE ANY MONEY IS MOVED INTO SELF-PAY. THE ACCOUNT IS KEPT FOR A MINIMUM OF 90 DAYS AND THEN REFERRED TO A COLLECTION AGENCY. PART VI, LINE 2: LIMA MEMORIAL HEALTH SYSTEM (LMHS) REGULARLY PARTICIPATES IN COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS TO IDENTIFY FAR-REACHING HEALTH NEEDS FACED BY PEOPLE IN THE COMMUNITIES SERVED BY THE HEALTH SYSTEM. ASSESSMENT RESULTS ARE EVALUATED OVER TIME AND SERVE AS THE BASIS TO DEVELOP NEW OR EXPANDED PLANS TO ADDRESS SERVICES IN RESPONSE TO NEEDS.LMHS JOINED OTHER AREA ORGANIZATIONS TO DEVELOP, IMPLEMENT AND UTILIZE THE 2022 ALLEN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS ASSESSMENT COLLECTED DATA FOR ALLEN COUNTY ADULTS (AGES 19 YEARS OF AGE AND OLDER) AND YOUTH (AGES 12 THROUGH 18) WHO PARTICIPATED IN A COUNTY-WIDE ASSESSMENT SURVEY DURING 2022. THE FINDINGS ARE BASED ON SELF-ADMINISTERED SURVEYS USING A STRUCTURED QUESTIONNAIRE. THE QUESTIONS WERE MODELED AFTER SURVEY INSTRUMENTS USED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION FOR THEIR NATIONAL AND STATE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AND YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM.THE SURVEY ASSESSED THE FOLLOWING AREAS: COMMUNITY CONCERNS AND SERVICES, PHYSICAL HEALTH ISSUES AND BEHAVIORAL HEALTH ISSUES. FOR AREAS OUTSIDE OF ALLEN COUNTY, LIMA MEMORIAL UTILIZES DATA FROM ADDITIONAL COUNTY-BASED NEEDS ASSESSMENT WHEN AVAILABLE. SURVEY RESULTS ARE BEING USED TO SHAPE COMMUNITY OUTREACH EFFORTS.IN 2022, LIMA MEMORIAL WAS INVOLVED WITH THE COMMUNITY HEALTH IMPROVEMENT PLANNING COMMITTEE THROUGH PARTICIPATION AND FUNDING IN CONJUNCTION WITH THE CITY OF LIMA AND THE ALLEN COUNTY YMCA. A PORTION OF THIS PROGRAM IS DEDICATED TO REVIEWING THE NEEDS AND RISKS OF ALLEN COUNTY. OBESITY, ESPECIALLY CHILDHOOD OBESITY, WAS DETERMINED TO BE A SIGNIFICANT HEALTH RISK.LIMA MEMORIAL HEALTH SYSTEM IS PART OF THE ACTIVATE ALLEN COUNTY LEADERSHIP COMMITTEE, WHICH ADDRESSES A VARIETY OF HEALTH-RELATED NEEDS IN THE COMMUNITIES WE SERVE. THIS COMMITTEE IS COMMITTED TO REDUCING OBESITY AND SMOKING IN LIMA AND ALLEN COUNTY BY PROBOTING HEALTHY EATING, ACTIVE LIVING AND A TOBACCO-FREE LIFESTYLE.ASSESSMENT SUMMARY: DESIRED OUTCOMES FOR ALLEN COUNTY RESIDENTS: REDUCE RISK FOR CHRONIC DISEASE, REDUCE POOR BIRTH OUTCOMES (E.G. LOW BIRTHWEIGHT AND PRETERM DELIVERIES), REDUCE INFANT MORTALITY, REDUCE SUICIDE RATE, REDUCE SUBSTANCE ABUSE, AND INCREASE ACCESS TO HEALTH CARE. PART VI, LINE 3: ALL PATIENTS OF LIMA MEMORIAL HOSPITAL ARE EDUCATED ON THE HOSPITAL'S CHARITY CARE PROGRAM DURING THE REGISTRATION PROCESS VIA WALL-POSTED STATEMENTS, HOSPITAL PERSONNEL INQUIRIES, ETC. INFORMATION REGARDING THE HOSPITIAL'S CHARITY CARE IS ALSO FOUND ON LIMA MEMORIAL'S WEBSITE. STATEMENTS GOING TO PATIENTS ALSO IDENTIFY THIS PROGRAM. PART VI, LINE 4: AS OF THE CENSUS OF 2020, THERE WERE 102,206 PEOPLE, 41,021 HOUSEHOLDS WITH AN AVERAGE OF 2.4 PERSONS PER HOUSEHOLD RESIDING IN THE COUNTY. THE POPULATION DENSITY WAS 253.9 PEOPLE PER SQUARE MILE. THERE WERE 44,700 HOUSING UNITS WITH 79.2% IN SINGLE UNITS, 15.8% IN MULTI-UNITS, AND 5% IN MOBILE HOMES. THE RACIAL MAKEUP OF THE COUNTY WAS 82.7% CAUCASIAN, 12.7% AFRICAN AMERICAN, 0.9% ASIAN, 0.3% AMERICAN INDIAN AND ALASKA NATIVE ALONE, AND 3.4% FROM TWO OR MORE RACES. 59.3% WERE MARRIED COUPLES LIVING TOGETHER, 15.5% HAD A FEMALE HOUSEHOLDER, 6.2% HAD A MALE HOUSEHOLDER AND 19% WERE NON-FAMILIES. IN THE COUNTY THE POPULATION BY AGE CATEGORY WAS 23% UNDER THE AGE OF 18, 58.2% FROM 18 TO 64, AND 18.8 WHO WERE 65 YEARS OF AGE. THE MEDIAN AGE WAS 39.9 YEARS. MALES REPRESENTED 50.7% AND FEMALES REPRESENTED 49.4% OF THE COUNTY. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $51,497. THE PER CAPITA INCOME FOR THE COUNTY WAS $27,991. ABOUT 15.6% OF THE POPULATION WERE BELOW THE POVERTY LINE. LIMA MEMORIAL HEALTH SYSTEM SERVES A 10 COUNTY AREA THAT INCLUDES MORE THAN 473,340 PEOPLE. THE COUNTIES INCLUDE ALLEN, AUGLAIZE, HANCOCK, HARDIN, MERCER, PUTNAM, LOGAN, SHELBY, PAULDING AND VAN WERT. THE REGION IS PRIMARILY RURAL WITH SMALL COMMUNITIES. THE LARGEST CITY IN THE REGION IS LIMA WITH A POPULATION OF 35,579. PART VI, LINE 5: ON FRIDAY, MARCH 13, 2020, LIMA MEMORIAL VICE PRESIDENT OF MEDICAL AFFAIRS AND CHIEF MEDICAL OFFICER DR. DENNIS MORRIS JOINED ALLEN COUNTY PUBLIC HEALTH AND MERCY HEALTH ST. RITA'S FOR A NEWS CONFERENCE TO ALERT THE COMMUNITY ABOUT THE SERIOUSNESS OF COVID-19 AND ITS POTENTIAL LOCAL IMPACT. THIS EFFORT LAUNCHED LIMA MEMORIAL'S COVID-19 EDUCATIONAL RESPONSES AND AWARENESS CAMPAIGNS FOR OUR COMMUNITY. LIMA MEMORIAL SHARED ACCURATE AND CREDIBLE INFORMATION ABOUT THE VIRUS THROUGH SOCIAL MEDIA, NEWS STORIES AND OUR WEBSITE. LIMA MEMORIAL INCREASED SOCIAL MEDIA FOLLOWERS BY MORE THAN 1,000 INDIVIDUALS DURING THE HEIGHT OF THE PANDEMIC.AT THE ONSET OF THE COVID-19 PANDEMIC, LIMA MEMORIAL HEALTH SYSTEM COLLABORATED WITH HEALTH ORGANIZATIONS TO ESTABLISH A COMMUNITY CALL CENTER AND COMMUNITY EVALUATION CENTERS. THESE CENTERS WERE KEY RESOURCES FOR INDIVIDUALS EXPERIENCING SYMPTOMS OF COVID-19 AND ALLOWED FOR SCREENING, TESTING, PROPER QUARANTINE AND TREATMENT WHEN INDICATED. LIMA MEMORIAL ALSO PROVIDED RESOURCES AND GUIDANCE TO HELP LOCAL NURSING HOMES. THIS HELPED TO MANAGE THE SURGE OF PATIENTS AND PROVIDE MUCH-NEEDED FOOD AND NUTRITION SERVICES WHEN A LOCAL NURSING HOME WAS UNABLE TO DO SO FOR ITS RESIDENTS. LIMA MEMORIAL ALSO SERVED AS A KEY RESOURCE FOR INDIVIDUALS IN OUR REGION IN THE FIGHT AGAINST COVID-19 THROUGH EVALUATION AND TESTING. THIS INCLUDED PARTNERING WITH OHIO NORTHERN UNIVERSITY (ONU) TO BRING PCR COVID-19 TESTING TO THE REGION, MAKING LIMA MEMORIAL THE REGION'S ONLY FACILITY TO OFFER PCR TESTING. FURTHERMORE, COVID-19 ANTIBODY TESTING WAS ALSO MADE AVAILABLE TO THE COMMUNITY THROUGH THE LIMA MEMORIAL LABORATORY. IN ADDITION TO SEVEN REGIONAL TESTING SITES, A DRIVE-THRU TESTING SITE WAS OPENED TO FURTHER EXPAND ACCESS TO QUALITY TESTING AND SWIFT RESULTS FOR INDIVIDUALS IN OUR REGION.DECEMBER 23, 2020 MARKED A HISTORIC MOMENT FOR LIMA MEMORIAL AND A MUCH-ANTICIPATED TURNING POINT IN THE COVID-19 PANDEMIC, AS THE FIRST DOSES OF THE COVID-19 VACCINE WERE RECEIVED. LIMA MEMORIAL WAS AMONG THE FIRST IN THE REGION TO OFFER THE COVID-19 VACCINE TO THE COMMUNITY, PROVIDING THOUSANDS OF VACCINES AT THE ONSET OF AVAILABILITY. PART VI, LINE 6: LIMA MEMORIAL HEALTH SYSTEM DEVELOPS PROGRAMS AND SERVICES TO ADDRESS COMMUNITY HEALTH NEEDS TO SUPPORT THE GOAL OF A HEALTHIER WEST CENTRAL OHIO. PART VI, LINE 7, REPORTS FILED WITH STATES OH 1 LIMA MEMORIAL FOUNDATION 1001 BELLEFONTAINE AVE LIMA OH 45804 341707570 501(C)3 10000 0 HEALTH INITIATIVE RHODES STATE COLLEGE 4240 CAMPUS DRIVE LIMA OH 45804 341266573 501(C)3 45000 0 COMMUNITY DEVELOPMENT/HEALTH AND WELLNESS UNITED WAY OF GREATER LIMA 616 SOUTH COLLETT ST LIMA OH 45805 344466356 501(C)3 20000 0 COMMUNITY DEVELOPMENT/HEALTH AND WELLNESS ALLEN COUNTY PROBATE COURT 1000 WARDHILL AVE LIMA OH 45805 346400019 GOV'T 20000 0 COMMUNITY DEVELOPMENT/HEALTH AND WELLNESS LIMAALLEN COUNTY CHAMBER OF COMMERCE 144 S MAIN ST SUITE 100 LIMA OH 45801 344179070 501(C)3 25060 0 COMMUNITY DEVELOPMENT GREATER LIMA REGION INC 144 SOUTH MAIN ST SUITE 200 LIMA OH 45801 815315417 501(C)3 10000 0 COMMUNITY DEVELOPMENT 6 2 PART I, LINE 2: IN MOST CASES THE EFFECTIVE USE OF FUNDS IS EVIDENT THROUGH THE POSITIVE RESULTS OF THE PROGRAMS WE FUND. IN ADDITION, LIMA MEMORIAL HAS BOARD REPRESENTATION ON MOST OF THE ORGANIZATIONS WE SUPPORT. IF THIS IS NOT THE CASE WE DO ASK FOR THEIR BUSINESS PLAN AND A LIST OF EXPENDITURES. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 MICHAEL D SWICK PRESIDENT/CEO (SEE SCH J) 458035 0 326419 0 26811 0 91278 0 19049 0 921592 0 0 0 ROBERT E ARMSTRONG JR SR VP/CAO (SEE SCH J)THRU 7/24 188841 0 136757 0 512157 0 35160 0 791 0 873706 0 0 0 ERIC D POHJALA VP FINANCE/CFO(SEE SCH J)THRU 6/24 168100 0 133257 0 244533 0 34135 0 10286 0 590311 0 0 0 SUSAN KAUFMAN DO VP OF MEDICAL AFFAIRS (SEE SCH J) 315275 0 126615 0 15454 0 97620 0 20573 0 575537 0 0 0 LYNN M CARPENTER VICE PRESIDENT/COO (SEE SCH J) 295374 0 102196 0 9718 0 21896 0 10166 0 439350 0 0 0 ANN-MARIE JEAN POHL VP/CNO (SEE SCH J)THRU 3/25 233660 0 98685 0 11998 0 25279 0 0 0 369622 0 0 0 BRETT A RANDOLPH DIRECTOR OF PHARMACY CARE TRAN 199014 0 15100 0 1777 0 23110 0 0 0 239001 0 0 0 JEFFREY N UTZ EXECUTIVE DIRECTOR - LMP 144453 0 47407 0 964 0 34507 0 10166 0 237497 0 0 0 TIMOTHY A BUIT VP FINANCE/CFO(SEE SCH J)EFF 6/24 217688 0 0 0 9534 0 0 0 9777 0 236999 0 0 0 BURLIN L SHERRICK EXECUTIVE DIRECTOR-ANCILLARY SRVC 136431 0 44681 0 2374 0 32481 0 18488 0 234455 0 0 0 JOSHUA L HINES EXECUTIVE DIRECTOR - INFO TECH 131034 0 46816 0 1186 0 34016 0 16639 0 229691 0 0 0 JAIME QUELLHORST EXECUTIVE DIRECTOR - NURSING 107972 0 79095 0 745 0 31861 0 8602 0 228275 0 0 0 PART I, LINE 1A LIMA MEMORIAL JOINT OPERATING COMPANY PROVIDES SOCIAL CLUB DUES TO THE CEO; THEY ARE TREATED AS TAXABLE COMPENSATION. PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATED IN AN IRC 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN. THIS PLAN IS FUNDED BY THE HOSPITAL AND VESTS WITH SERVICE THEREFORE IS SUBJECT TO RISK OF FORFEITURE. ROBERT E. ARMSTRONG, JR.: $35,160 MICHAEL D. SWICK: $91,278 ANN POHL: $25,279 ERIC D. POHJALA: $34,135 LYNN CARPENTER: 21,986 ADDITIONAL INFORMATION: COMPENSATION PRESENTED ON FORM 990, PART VII AND SCHEDULE J RELATED TO THE BOARD MEMBERS ARE FOR SERVICES PERFORMED FOR THE ORGANIZATION OUTSIDE THOSE SERVICES PERFORMED ON THE BOARD. THERE IS NO COMPENSATION PAID FOR BOARD SERVICES. A COUNTY OF ALLEN OHIO 346400019 2019-11-22 30000000 SEE PART VI 0 0 0 B COUNTY OF ALLEN OHIO 346400019 2022-12-15 48725000 SEE PART VI 0 0 0 A 2250000 30117980 300000 29817980 2019 1 0 1 1 B 2270000 48725000 226151 48498849 2022 0 0 1 1 A 0 1 1 1 0 0.01900 0.00000 0.01900 0 0 1 B 0 0 1 1 0 0.01900 0.00000 0.01900 0 0 1 A 0 1 1 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 PART 1. ROW A COLUMN (F) THE SERIES 2019A BONDS WERE ISSUED TO (I) FINANCE THE COSTS OF ACQUIRING, CONSTRUCTING, EQUIPPING, INSTALLING AND IMPROVING "HOSPITAL FACILITIES" AS THE TERM S DEFINED IN SECTION 140.01 OF THE OHIO REVISED CODE; AND (II) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2019A BONDS. PART II, LINE 11, COLUMN A: THIS WAS THE AMOUNT OF THE 2019 BOND PROCEEDS USED FOR CURRENT REFUNDING OF THE PRIOR SERIES 2014 OHIO ISSUE. PART II, LINE 3, COLUMN B: THIS WAS THE AMOUNT OF THE SERIES 2019A SALE PROCEEDS ($30,000,000) PLUS $116,240 IN INVESTMENT EARNINGS. PART I, LINE B, COLUMN (F): THE SERIES 2022 BONDS WERE ISSUED TO PROVIDE THE FUNDS WHICH WILL BE USED TO (I) CURRENTLY REFUND THE PRIOR SERIES 2014 OHIO ISSUE, WHICH WAS COMPRISED OF THE: A) STATE OF OHIO HOSPITAL REVENUE REFUNDING BONDS (LIMA MEMORIAL HEALTH SYSTEM 2014 PROJECT), SERIES A; (B) STATE OF OHIO HOSPITAL REVENUE REFUNDING BONDS (LIMA MEMORIAL HEALTH SYSTEM 2014 PROJECT), SERIES B; (C) STATE OF OHIO HOSPITAL REVENUE REFUNDING BONDS (LIMA MEMORIAL HEALTH SYSTEM 2014 PROJECT), SERIES C; AND WHICH FINANCED THE PRIOR SERIES 2014 OHIO PROJECT, WHICH FINANCED THE CAPITAL EXPENDITURES AND EXPENSES RELATED TO ACQUIRING, CONSTRUCTING, IMPROVING, AND EQUIPPING HOSPITAL FACILITIES LOCATED AT 1001 BELLEFONTAINE AVENUE, LIMA, OHIO; THE SERIES 2019 BONDS WERE ALSO USED TO PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2019 BONDS. JESSICA J CUNNINGHAM JESSICA J. CUNNINGHAM IS THE DAUGHTER OF BOARD MEMBER TRACIE SANCHEZ 135942 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS ARE LIMA MEMORIAL HOSPITAL AND PH VENTURES, INC., WHOSE SOLE MEMBER IS PROMEDICA HEALTH SYSTEM, BOTH OHIO NONPROFIT CORPORATIONS. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE OF THE BOARD REVIEWS AND APPROVES THE FORM 990, AND A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD, PRIOR TO FILING. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) HAS AGREED TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES' COMPENSATION INCLUDES: 1) REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE; 2) THE UTILIZATION OF AN INDEPENDENT COMPENSATION CONSULTANT; 3) COMPARABLE DATA; AND 4) CONTEMPORANEOUS DOCUMENTATION. THIS PROCESS WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE CURRENTLY NOT AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE FILED WITH THE RETURN AS REQUIRED. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,447,518. MANAGEMENT AND GENERAL EXPENSES 10,571,102. FUNDRAISING EXPENSES 42,638. TOTAL EXPENSES 14,061,258. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,215,085. MANAGEMENT AND GENERAL EXPENSES 507,145. FUNDRAISING EXPENSES 1,492. TOTAL EXPENSES 2,723,722. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 1,232,343. MANAGEMENT AND GENERAL EXPENSES 2,099,827. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,332,170. FREIGHT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 444,059. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 444,059. WASTE: PROGRAM SERVICE EXPENSES 349,888. MANAGEMENT AND GENERAL EXPENSES 13,346. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 363,234. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 2,384,929. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,384,929. LAUNDRY: PROGRAM SERVICE EXPENSES 302,415. MANAGEMENT AND GENERAL EXPENSES 234,878. FUNDRAISING EXPENSES 705. TOTAL EXPENSES 537,998. CLEANING: PROGRAM SERVICE EXPENSES 194,521. MANAGEMENT AND GENERAL EXPENSES 441,787. FUNDRAISING EXPENSES 436. TOTAL EXPENSES 636,744. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,188,690. MANAGEMENT AND GENERAL EXPENSES 109,733. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,298,423. CODING SERVICES: PROGRAM SERVICE EXPENSES 502,150. MANAGEMENT AND GENERAL EXPENSES 406,968. FUNDRAISING EXPENSES 1,221. TOTAL EXPENSES 910,339. PHYSICIAN ADVISOR SUPPORT SERVICES: PROGRAM SERVICE EXPENSES 439,550. MANAGEMENT AND GENERAL EXPENSES 356,234. FUNDRAISING EXPENSES 1,069. TOTAL EXPENSES 796,853. LABORTORY FEES: PROGRAM SERVICE EXPENSES 384,146. MANAGEMENT AND GENERAL EXPENSES 311,331. FUNDRAISING EXPENSES 934. TOTAL EXPENSES 696,411. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 331,877. MANAGEMENT AND GENERAL EXPENSES 268,971. FUNDRAISING EXPENSES 807. TOTAL EXPENSES 601,655. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 561,591. MANAGEMENT AND GENERAL EXPENSES 455,142. FUNDRAISING EXPENSES 1,366. TOTAL EXPENSES 1,018,099. DIETARY SERVICES: PROGRAM SERVICE EXPENSES 264,388. MANAGEMENT AND GENERAL EXPENSES 214,274. FUNDRAISING EXPENSES 643. TOTAL EXPENSES 479,305. REVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 167,778. MANAGEMENT AND GENERAL EXPENSES 135,976. FUNDRAISING EXPENSES 408. TOTAL EXPENSES 304,162. FORM 990, PART XI, LINE 9: INVESTMENT IN LMHS WOMEN'S HEALTH CO-MANAGEMENT K-1 -3,564. TRANSFER FROM AFFILIATE - UNRESTRICTED 958,100. HINO LEASE PAYMENTS TO PROMEDICA -304,000. FORM 990, PART XI, LINE 2C EXPLANATION: THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, SUPPLEMENTAL FINANCIAL INFORMATION THE CALCULATION RECONCILES THE ORGANIZATION'S OPERATIONS TO THE LIMA MEMORIAL HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS. GAIN (LOSS) FROM OPERATIONS LMH $ 36,740,384 LMP $(35,345,308) FOUNDATION $ 1,583,814 AUXILIARY $ 30,695 TOTAL GAIN (LOSS) FROM OPERATIONS $ 3,009,585 NON-OPERATING REVENUES NET $ 12,403,779 INTEREST RATE SWAP $ 0 AUDITED EXCESS REVENUE $ 15,413,364 NET ASSETS RELEASED FROM RESTRICTION $ 490,145 PPA $ - NET $ 15,903,509 OTHER 990 ADJUSTMENTS WOMEN'S HEALTH K-1 $ 3,564 UNREALIZED GAIN/LOSS $ (7,273,527) CARDINAL HEALTH K-1 $ (75,034) GAIN ON SALE OF ASSETS $ 121,437 AUXILIARY ADJUSTMENT $ - FOUNDATION ADJUSTMENT $ - ROUNDING $ - TOTAL OTHER 990 ADJUSTMENTS $ (7,223,560) NET $ 8,679,949 LMJOC 990 PART 1, LINE 19 $ 29,935,366 LMPC 990 PART 1, LINE 19 $(23,358,982) LMH 990EZ PART 1, LINE 18 $ (75,034) LM FOUNDATION 990 PART 1, LINE 19 $ 2,144,420 LM AUXILIARY 990 $ 34,179 NET TAX RETURNS $ 8,679,949 DIFFERENCE: FINANCIAL STATEMENTS VS TAX RETURN $ - LIMA MEMORIAL HOSPITAL 1001 BELLEFONTAINE AVENUE LIMA OH 45804 344434676 HEALTHCARE OH 501(C)(3) 170(B)(1)(A)(III) LIMA MEMORIAL JOINT OPERATING COMPANY 1 LIMA MEMORIAL HOSPITAL FOUNDATION 1001 BELLEFONTAINE AVENUE LIMA OH 45804 341707570 SUPPORTING ORGANIZATION FOR LIMA MEMORIAL HOSPITAL OH 501(C)(3) 509(A)(3) LIMA MEMORIAL JOINT OPERATING COMPANY 1 LIMA MEMORIAL HOSPITAL AUXILIARY 1001 BELLEFONTAINE AVENUE LIMA OH 45804 341694632 SUPPORTING ORGANIZATION FOR LIMA MEMORIAL HOSPITAL OH 501(C)(3) 509(A)(3) LIMA MEMORIAL JOINT OPERATING COMPANY 1 LIMA MEMORIAL PROFESSIONAL CORPORATION 1001 BELLEFONTAINE AVENUE LIMA OH 45804 341935236 HEALTHCARE OH 501(C)(3) 170(B)(1)(A)(III) LIMA MEMORIAL JOINT OPERATING COMPANY 1 LMHS WOMEN'S HEALTH CO-MANAGEMENT COMPANY LLC 1001 BELLEFONTAINE AVE LIMA OH 45804 271023520 WOMEN'S HEALTH CO-MANAGEMENT OH LIMA MEMORIAL JOINT OPERATING COMPANY RELATED 0 1 0.50000 0 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 LIMA MEMORIAL HOSPITAL FOUNDATION S 958100 EQUITY TRANSFER LIMA MEMORIAL PROFESSIONAL CORPORATION R 22492544 EQUITY TRANSFER