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Nonprofiteer
← LICKING MEMORIAL HEALTH FOUNDATION

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 Jr

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related
  • Patrick M Jeffries

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related
  • Joyce Malainy

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related
  • Linda K Dalgarn

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related
  • Brian Mortellaro

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related
  • David E Doney

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related
  • Gordon Wilken

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3
  • Patrick D Guanciale

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related
  • Nancy Neely

    CHAIR

    Total calculated
    $0
    Hours/week
    1.3 + 2.6 related
  • Michael Massaro

    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
  • Robert 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 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 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

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.

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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