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← LICKING MEMORIAL HEALTH SYSTEMS

Form 990 for tax year 2022

Filed by LICKING MEMORIAL HEALTH SYSTEMS.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$255,890,260
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$255,890,260
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Listed in Part VII

  • JOYCE L MALAINY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related

  • BRIAN J MORTELLARO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related

  • ESCHOL CURL JR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related

  • MICHAEL J MASSARO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related

  • PATRICK D GUANCIALE

    CHAIR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related

  • NANCY NEELY

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related

  • CRAIG R BALDWIN

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related

  • DAVID DONEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related

  • JACQUILINE H PARRILL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 1.3 related

  • ROBERT MONTAGNESE

    PRESIDENT & CEO, EX OFFICI

    Total calculated
    $872,708
    From this org
    $0
    From related orgs
    $822,340
    Other
    $50,368
    Hours/week
    1.3 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $736,537 related
    Bonus
    $0 + $82,000 related
    Other
    $0 + $3,803 related
    Deferred
    $0 + $13,994 related
    Nontaxable benefits
    $0 + $36,374 related
    Filer's total
    $0 + $872,708 related

  • CINDY WEBSTER

    VP FINANCIAL SERVICES

    Total calculated
    $343,158
    From this org
    $0
    From related orgs
    $316,539
    Other
    $26,619
    Hours/week
    1.3 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $314,539 related
    Bonus
    $0 + $2,000 related
    Other
    $0
    Deferred
    $0 + $11,799 related
    Nontaxable benefits
    $0 + $14,820 related
    Filer's total
    $0 + $343,158 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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 -WRITTEN EMPLOYMENT CONTRACT -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). NO CONTRIBUTIONS WERE MADE TO THE PLAN ON HIS BEHALF FOR THE 2022 YEAR.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • LICKING MEMORIAL HEALTH FOUNDATION

    501(C)(3) · PROVIDE FUNDING FOR HEALTHCARE PROGRAMS · OH · controlled entity

    Directly controlled by LICKING MEMORIAL HEALTH SYSTEMS

  • LICKING MEMORIAL PROFESSIONAL CORPORATION

    501(C)(3) · HEALTHCARE ORGANIZATION · OH · controlled entity

    Directly controlled by LICKING MEMORIAL HEALTH SYSTEMS

  • LICKING MEMORIAL HOSPITAL

    501(C)(3) · HEALTHCARE ORGANIZATION · OH · controlled entity

    Directly controlled by LICKING MEMORIAL HEALTH SYSTEMS

  • LICKING MEMORIAL TWIGS

    501(C)(3) · TO SUPPORT THE OPERATIONS OF LICKING MEMORIAL HEALTH SYSTEMS · OH · controlled entity

    Directly controlled by LICKING MEMORIAL HEALTH SYSTEMS

Provenance

Return type
form_990
Tax year
2022
Filed
10 November 2023
IRS schema version
2022v5.0
Source object
202343189349301844

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