Form 990 for tax year 2022
Filed by LICKING MEMORIAL HEALTH FOUNDATION.
Totals
- Total revenue
- $5,044,067
- Total expenses
- $5,002,455
- Contributions and grants received
- $1,448,401
- Grants paid
- $643,989
- Program service revenue
- $0
- Investment income
- -$136,146
- Other revenue
- $3,731,812
- Total assets, end of year
- $142,765,267
- Total liabilities, end of year
- $8,576,618
- Net assets or fund balances, end of year
- $134,188,649
- Program services expenses (Part IX)
- $4,448,997
- Management and general expenses
- $185,069
- Fundraising expenses
- $368,389
- Program service expenses (Part III)
- $4,448,997
Program services were 88.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1c · Fundraising events
$225,364
-
1d · Related organizations
$49,000
-
1f · All other contributions, gifts and grants
$1,174,037
-
3 · Investment income
total $1,431,700 · excluded $1,431,700
-
6a · Gross rents
real property $3,736,848
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $3,736,848
-
6d · Net rental income or loss
total $3,736,848 · excluded $3,736,848
-
7a · Gross sales of assets other than inventory
securities $23,069,700
-
7b · Less cost or other basis and sales expenses
securities $24,637,546
-
7c · Gain or loss
securities -$1,567,846
-
7d · Net gain or loss
total -$1,567,846 · excluded -$1,567,846
-
8a · Fundraising events: gross income
$3,200
-
8a · Fundraising events: contributions included on line 1c
$225,364
-
8b · Fundraising events: direct expenses
$8,236
-
8c · Net income from fundraising events
total -$5,036 · excluded -$5,036
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $643,989 · program services $643,989
-
11f · Fees: investment management
total $177,750 · management and general $177,750
-
13 · Office expenses
total $389,391 · program services $292,439 · management and general $7,148 · fundraising $89,804
-
16 · Occupancy
total $488,214 · program services $488,214
-
17 · Travel
total $210 · program services $210
-
19 · Conferences, conventions and meetings
total $15,277 · program services $15,277
-
22 · Depreciation, depletion and amortization
total $2,237,110 · program services $2,237,110
-
23 · Insurance
total $76,442 · program services $76,442
-
24a · Other expenses: SHARED SALARY EXPENSE
total $781,740 · program services $610,808 · fundraising $170,932
-
24b · Other expenses: SHARED PURCHASED SERVIC
total $168,674 · program services $84,337 · fundraising $84,337
-
24c · Other expenses: FOOD
total $23,145 · fundraising $23,145
-
24d · Other expenses: MISCELLANEOUS
total $513 · program services $171 · management and general $171 · fundraising $171
Balance sheet
Part X, book values.
-
3 · Pledges and grants receivable
beginning of year $3,346,525 · end of year $3,121,298
-
10a · Land, buildings and equipment: cost or other basis
$91,628,666
-
10b · Land, buildings and equipment: accumulated depreciation
$27,917,685
-
10c · Land, buildings and equipment, net
beginning of year $55,148,027 · end of year $63,710,981
-
11 · Investments: publicly traded securities
beginning of year $96,383,360 · end of year $68,117,821
-
15 · Other assets
beginning of year $7,217,324 · end of year $7,815,167
-
17 · Accounts payable and accrued expenses
beginning of year $39,922 · end of year $46,945
-
25 · Other liabilities
beginning of year $9,813,356 · end of year $8,529,673
-
27 · Net assets without donor restrictions
beginning of year $143,490,529 · end of year $130,565,440
-
28 · Net assets with donor restrictions
beginning of year $8,751,429 · end of year $3,623,209
Mission and programs · 2022
Mission
LICKING MEMORIAL HEALTH FOUNDATION EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITY.
Activities or mission (Part I)
PROVIDE FUNDING FOR HEALTHCARE PROGRAMS & MAJOR COMMUNITY SERVICE PROGRAMS OF THE HEALTH SYSTEM.
-
WORKING IN CONJUNCTION WITH LICKING MEMORIAL HEALTH SYSTEMS, THE FOUNDATION STRIVES TO SUPPORT THE AVAILABILITY OF SOPHISTICATED STATE-OF-THE-ART HEALTHCARE TO THE CENTRAL-OHIO COMMUNITY OF LICKING COUNTY.
Expenses $4,448,997 · Grants $643,989
As filed on the 2022 return.
Listed in Part VII
-
Eschol Curl JrESCHOL CURL JR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.3 + 2.6 related
-
Patrick M JeffriesPATRICK M JEFFRIES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.3 + 2.6 related
-
Joyce MalainyJOYCE MALAINY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.3 + 2.6 related
-
Linda K DalgarnLINDA K DALGARN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.3 + 2.6 related
-
Brian MortellaroBRIAN MORTELLARO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.3 + 2.6 related
-
David E DoneyDAVID E DONEY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.3 + 2.6 related
-
Gordon WilkenGORDON WILKEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.3
-
Patrick D GuancialePATRICK D GUANCIALE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.3 + 2.6 related
-
Nancy NeelyNANCY NEELY
CHAIR
- Total calculated
- $0
- Hours/week
- 1.3 + 2.6 related
-
Michael MassaroMICHAEL MASSARO
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1.3 + 2.6 related
-
Craig R BaldwinCRAIG R BALDWIN
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1.3 + 2.6 related
-
Robert MontagneseROBERT MONTAGNESE
PRESIDENT/EX OFFICIO W/O V
- Total calculated
- $872,708
- From this org
- $0
- From related orgs
- $822,340
- Other
- $50,368
- Hours/week
- 1 + 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 WebsterCINDY WEBSTER
VP FINANCIAL SERVICES
- Total calculated
- $343,158
- From this org
- $0
- From related orgs
- $316,539
- Other
- $26,619
- Hours/week
- 1 + 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
-
Veronica PattonVERONICA PATTON
VP PR & DEVELOPMENT
- Total calculated
- $268,663
- From this org
- $0
- From related orgs
- $249,459
- Other
- $19,204
- Hours/week
- 26 + 14 related
Schedule J breakdown matched by us
- Base
- $0 + $247,459 related
- Bonus
- $0 + $2,000 related
- Other
- $0
- Deferred
- $0 + $10,413 related
- Nontaxable benefits
- $0 + $8,791 related
- Filer's total
- $0 + $268,663 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
-
NEWARK CAMPUS DEVELOPMENT FUND
$100,000
SPONSORSHIP OF AN EVENT THAT FURTHERS THEIR EXEMPT PURPOSE.
-
MENTAL HEALTH RECOVERY SERVICES FOR LICKING AND KNOX COUNTIES
$39,306
SPONSORSHIP OF AN EVENT THAT FURTHERS THEIR EXEMPT PURPOSE.
-
$38,000
SPONSORSHIP OF AN EVENT THAT FURTHERS THEIR EXEMPT PURPOSE.
-
$26,000
SPONSORSHIP OF AN EVENT THAT FURTHERS THEIR EXEMPT PURPOSE.
-
$25,000
SPONSORSHIP OF AN EVENT THAT FURTHERS THEIR EXEMPT PURPOSE.
-
$17,500
SPONSORSHIP OF AN EVENT THAT FURTHERS THEIR EXEMPT PURPOSE.
-
SPONSORSHIP OF AN EVENT THAT FURTHERS THEIR EXEMPT PURPOSE.
-
$14,600
SPONSORSHIP OF AN EVENT THAT FURTHERS THEIR EXEMPT PURPOSE.
-
$14,200
SPONSORSHIP OF AN EVENT THAT FURTHERS THEIR EXEMPT PURPOSE.
-
$13,300
SPONSORSHIP OF AN EVENT THAT FURTHERS THEIR EXEMPT PURPOSE.
The 10 largest by cash amount. The API serves every itemized grant.
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 SYSTEMS
501(C)(3) · PARENT COMPANY FOR THE NONPROFIT OPERATION OF HEALTHCARE ORGANIZATIONS · OH
-
LICKING MEMORIAL PROFESSIONAL CORPORATION
501(C)(3) · HEALTHCARE ORGANIZATION · OH
Directly controlled by LICKING MEMORIAL HEALTH SYSTEM
-
501(C)(3) · HEALTHCARE ORGANIZATION · OH
Directly controlled by LICKING MEMORIAL HEALTH SYSTEM
-
501(C)(3) · TO SUPPORT THE OPERATIONS OF LICKING MEMORIAL HEALTH SYSTEMS · OH
Directly controlled by LICKING MEMORIAL HEALTH SYSTEM
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 10 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313189349301931
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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