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Nonprofiteer
← LICKING MEMORIAL HOSPITAL

Form 990 for tax year 2023

Filed by LICKING MEMORIAL HOSPITAL.

Totals

Total revenue
$317,635,537
Total expenses
$296,497,436
Contributions and grants received
$102,791
Grants paid
$789,797
Program services expenses (Part IX)
$277,532,464
Management and general expenses
$18,964,972
Fundraising expenses
$0
Program service expenses (Part III)
$277,532,464

Program services were 93.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JACQUELINE H PARRILL

    CHAIR

    Total calculated
    $0
    Hours/week
    1.3 + 1.3 related
  • JAMES R COOPER

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1.3
  • PAUL M THOMPSON

    TREASURER

    Total calculated
    $0
    Hours/week
    1.3
  • SHARAD THAKKAR

    SECRETARY

    Total calculated
    $0
    Hours/week
    1.3
  • MARCIA DOWNES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3
  • C DANIEL HAYES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5
  • SCOTT HAYES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3
  • ALEXANDER MILLER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3
  • MARK MITCHELL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3
  • CHARLES MOORE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3
  • ANDRE M SARAP

    DIRECTOR, TERM ENDED 09/23

    Total calculated
    $0
    Hours/week
    1.3
  • JACK A TREINISH JR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3
  • PHILIP H WAGNER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3
  • JAY YOUNG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3
  • ROBERT MONTAGNESE

    PRESIDENT & CEO

    Total calculated
    $926,607
    From this org
    $876,674
    From related orgs
    $0
    Other
    $49,933
    Hours/week
    30 + 10.3 related

    Schedule J breakdown matched by us

    Base
    $785,504
    Bonus
    $80,000
    Other
    $11,170
    Deferred
    $7,779
    Nontaxable benefits
    $42,154
    Filer's total
    $926,607
  • CINDY WEBSTER

    V.P. FINANCIAL SERVICES

    Total calculated
    $350,357
    From this org
    $330,431
    From related orgs
    $0
    Other
    $19,926
    Hours/week
    30 + 10.3 related

    Schedule J breakdown matched by us

    Base
    $328,786
    Bonus
    $0
    Other
    $1,645
    Deferred
    $2,932
    Nontaxable benefits
    $16,994
    Filer's total
    $350,357
  • BENJAMIN BROYLES

    V.P. COMMUNITY HEALTH & WELLNESS

    Total calculated
    $291,534
    From this org
    $250,524
    From related orgs
    $0
    Other
    $41,010
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $249,742
    Bonus
    $0
    Other
    $782
    Deferred
    $2,223
    Nontaxable benefits
    $38,787
    Filer's total
    $291,534
  • HEATHER BURKHART

    V.P. ACUTE CARE SERVICES

    Total calculated
    $302,333
    From this org
    $261,171
    From related orgs
    $0
    Other
    $41,162
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $260,311
    Bonus
    $0
    Other
    $860
    Deferred
    $2,318
    Nontaxable benefits
    $38,844
    Filer's total
    $302,333
  • CRAIG CAIRNS

    V.P. MEDICAL AFFAIRS

    Total calculated
    $385,826
    From this org
    $371,824
    From related orgs
    $0
    Other
    $14,002
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $364,368
    Bonus
    $0
    Other
    $7,456
    Deferred
    $3,299
    Nontaxable benefits
    $10,703
    Filer's total
    $385,826
  • BRAD COPLEY

    DIRECTOR OF EMERGENCY SERVICES

    Total calculated
    $308,138
    From this org
    $266,895
    From related orgs
    $0
    Other
    $41,243
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,834
    Bonus
    $107,403
    Other
    $658
    Deferred
    $2,368
    Nontaxable benefits
    $38,875
    Filer's total
    $308,138
  • VERONICA PATTON

    V.P. DEVELOPMENT & PR

    Total calculated
    $276,828
    From this org
    $264,357
    From related orgs
    $0
    Other
    $12,471
    Hours/week
    20 + 21.3 related

    Schedule J breakdown matched by us

    Base
    $260,598
    Bonus
    $0
    Other
    $3,759
    Deferred
    $2,346
    Nontaxable benefits
    $10,125
    Filer's total
    $276,828

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 — 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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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 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.

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

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.

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202413189349308951

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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