2025-11-07T12:01:28-06:00 2024-12-31 882730877 CHERRY BEKAERT ADVISORY LLC 101 SOUTH 5TH STREET STE 2100 LOUISVILLE KY 40202 990 2024-01-01 311425530 LICKING MEMORIAL HEALTH PROFESSIONALS LICK 2205644528 1320 WEST MAIN STREET NEWARK OH 430553699 CYNTHIA WEBSTER VP FINANCIAL SERVICES 2205644528 2025-10-30 1 1 STEPHANIE LEW P01080011 8885871719 2024 2025-03-06 01:10:19Z ROBERT MONTAGNESE 1320 WEST MAIN STREET NEWARK OH 430553699 54161816 0 X WWW.LMHEALTH.ORG X 1996 OH TO IMPROVE THE HEALTH OF THE COMMUNITY. 8 8 606 8 0 0 0 0 51776794 52692071 48502 52726 1208160 1416961 53033456 54161758 0 0 0 0 87231393 88828979 0 0 0 22825994 26868861 110057387 115697840 -57023931 -61536082 25167306 32223076 25121047 32162899 46259 60177 X LICKING MEMORIAL HEALTH PROFESSIONALS EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITY. 0 0 108400745 54109032 LICKING MEMORIAL HEALTH PROFESSIONALS ("LMHP") PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, BELOW COST IN MANY CASES. TO THE EXTENT REIMBURSEMENT IS BELOW CHARGES, LMHP CONSIDERS THESE AMOUNTS TO BE CONTRACTUAL ADJUSTMENTS, WHICH WILL NEVER BE COLLECTED. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS AMOUNTED TO $34,994,000 OF CHARGES IN 2024.UNCOMPENSATED CARE IS PROVIDED THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES LMHP BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. LMHP ROUTINELY PROVIDES UNCOMPENSATED CARE TO PATIENTS WHO ARE UNWILLING OR UNABLE TO PAY THEIR BILLS. IN 2024, LMHP WROTE OFF CHARGES OF APPROXIMATELY $4,397,000 OF CHARGES IN BAD DEBTS AND $769,000 OF CHARGES IN CHARITY CARE. 108400745 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 606 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DREW LINK 2205644533 1320 WEST MAIN STREET NEWARK OH 43055 NANCY NEELY DIRECTOR 1.30 2.60 X 0 0 0 MICHAEL J MASSARO CHAIR 1.30 2.60 X X 0 0 0 CRAIG R BALDWIN SECRETARY/TREASURER 1.30 2.60 X X 0 0 0 DAVID E DONEY DIRECTOR 1.30 2.60 X 0 0 0 DANIEL HUNT DIRECTOR 1.30 2.60 X 0 0 0 JOYCE L MALAINY EDD VICE CHAIR 1.30 2.60 X X 0 0 0 CHRISTOPHER MEYER DIRECTOR 1.30 2.60 X 0 0 0 BRIAN J MORTELLARO DIRECTOR 1.30 2.60 X 0 0 0 ROBERT MONTAGNESE PRESIDENT & CEO 8.00 44.00 X 0 929719 259227 CINDY WEBSTER VP FINANCIAL SERVICES 8.00 44.00 X 0 349321 32931 VERONICA PATTON ASSISTANT SECRETARY 8.00 44.00 X 0 280639 21529 GREG WALLIS VP PHYSICIAN PRACTICES 52.00 0.00 X 297157 0 54373 ROY BROWN MD UROLOGIST 40.00 0.00 X 1335355 0 63492 THOMAS HAGELE MD DERMATOLOGIST 40.00 0.00 X 876914 0 60661 ROBERT MUELLER MD ORTHOPEDIC SURGEON 40.00 0.00 X 850063 0 60495 HASSAN RAJJOUB MD HEART SPECIALIST 40.00 0.00 X 1439186 0 64133 ANDREW TERLECKY MD ORTHOPEDIC SURGEON 40.00 0.00 X 819796 0 60309 5618471 1559679 677150 174 0 1 0 0 PHYSICAN SERVICES 621110 52692071 52692071 52692071 52784 52784 58 -58 -58 -58 INCENTIVE PAYMENTS 900099 1416961 1416961 1416961 54161758 54109032 0 52726 351530 351530 74663537 70699546 3963991 1989780 1703864 285916 8119458 7117566 1001892 3704674 3384542 320132 2397 384 2013 8637629 8637629 213126 123117 90009 247801 229835 17966 555218 514098 41120 315003 260567 54436 721375 721375 SHARED PURCHASED SERVIC 4435309 3932214 503095 BAD DEBT EXPENSE 4397121 4397121 MEDICAL SUPPLIES/DRUGS 4385641 4300639 85002 EQUIPMENT RENTAL & MAIN 2958241 2378248 579993 115697840 108400745 7297095 0 3685 3785 2930453 6757661 4541648 5401007 1620227 1356280 6797222 5351986 1651711 1445236 14419582 17259107 25167306 32223076 1840737 2107811 23280310 30055088 25121047 32162899 X 46259 60177 46259 60177 25167306 32223076 X -61536082 61550000 X X 0 1 X 1 0 X 1352629 307965 872297 2532891 43080642 47342439 49598939 52984954 54109032 247116006 44433271 47650404 50471236 52984954 54109032 249648897 0 0 0 249648897 1837 164 10723 48502 52784 114010 1837 164 10723 48502 52784 114010 44435108 47650568 50481959 53033456 54161816 249762907 0.99950 0.99970 0.00050 0.00030 X 366556 356950 9606 6412382 4976752 1435630 18284 18284 0 1445236 TRUSTEE HELD - DEFERRED COMPENSATION 16750407 OPERATING LEASE RIGHT-OF-USE ASSETS 508700 17259107 ACCRUED PENSION AND OTHER RETIREE LIABILITIES 16750170 DUE TO RELATED ENTITIES 12790044 OPERATING LEASE OBLIGATIONS 514874 30055088 X 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. 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. 0 1 0 0 0 0 0 1 0 HASSAN RAJJOUB MD HEART SPECIALIST 1046180 0 388620 0 4386 0 14688 0 49445 0 1503319 0 0 0 ROY BROWN MD UROLOGIST 630315 0 700654 0 4386 0 14624 0 48868 0 1398847 0 0 0 ROBERT MONTAGNESE PRESIDENT & CEO 0 759019 0 159440 0 11260 0 212613 0 46614 0 1188946 0 0 THOMAS HAGELE MD DERMATOLOGIST 396593 0 479412 0 909 0 14341 0 46320 0 937575 0 0 0 ROBERT MUELLER MD ORTHOPEDIC SURGEON 597155 0 246176 0 6732 0 14324 0 46171 0 910558 0 0 0 ANDREW TERLECKY MD ORTHOPEDIC SURGEON 600965 0 217811 0 1020 0 14306 0 46003 0 880105 0 0 0 CINDY WEBSTER VP FINANCIAL SERVICES 0 337093 0 8953 0 3275 0 13908 0 19023 0 382252 0 0 GREG WALLIS VP PHYSICIAN PRACTICES 272536 0 23713 0 908 0 11275 0 43098 0 351530 0 0 0 VERONICA PATTON ASSISTANT SECRETARY 0 275542 0 1100 0 3997 0 11265 0 10264 0 302168 0 0 PART 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 COMPENSATION SURVEY OR STUDY APPROVAL OF THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B ROBERT A. MONTAGNESE, PRESIDENT & CEO, PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN 2024, CONTRIBUTIONS WERE MADE TO THE PLAN ON HIS BEHALF IN THE AMOUNT OF $198,239. PART I, LINE 7 LISTED PHYSICIANS ARE ON A PRE-DETERMINED INCENTIVE PLAN, AND EARN BONUSES BASED ON THEIR ANNUAL METRICS. ONE OFFICER RECEIVED A DISCRETIONARY HOLIDAY BONUS THAT WAS PAID OUT TO ALL EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, AND HE HAS ASSIGNED HIS VOTING RIGHTS OVER TO LICKING MEMORIAL HEALTH SYSTEMS. 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 15 THE ORGANIZATION HAS AN INDEPENDENT COMPENSATION COMMITTEE THAT DETERMINES THE COMPENSATION FOR THE CEO THAT IS THEN APPROVED BY THE BOARD. THE CEO DETERMINES THE COMPENSATION FOR THE OTHER OFFICERS BASED UPON INDEPENDENT SALARY SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS FROM RELATED 501(C)(3) ORGANIZATION 61,550,000. 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 HEALTH PROFESSIONALS ("LMHP") CONTINUES TO BE AUDITED AS PART OF THE LICKING MEMORIAL HEALTH SYSTEMS ("LMHS") CONSOLIDATED GROUP. LMHP 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 HOSPITAL 1320 WEST MAIN STREET NEWARK OH 43055 314379519 HEALTHCARE ORGANIZATION OH 501(C)(3) LINE 3 LICKING MEMORIAL HEALTH SYSTEMS 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 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 0 0 0 1 0 0 0 0 0 1 0 1 1 1 1 0 1 1