Totals
- Total revenue
- $92,819
- Total expenses
- $54,994
- Contributions and grants received
- $2,514
- Grants paid
- $49,000
- Program service revenue
- $9,767
- Investment income
- $1
- Other revenue
- $80,537
- Total assets, end of year
- $86,106
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $86,106
- Program services expenses (Part IX)
- $54,994
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $54,994
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
VERONICA PATTON
HOSPITAL LIAISON
- Total calculated
- $268,663
- From this org
- $0
- From related orgs
- $249,459
- Other
- $19,204
- Hours/week
- 1.3 + 38.7 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
-
STEVE SCHLICHER
ADVISORY BOARD
- Total calculated
- $0
- Hours/week
- 1.3
-
JANET WELLS
RECORDING SECRETARY
- Total calculated
- $97,931
- From this org
- $0
- From related orgs
- $86,294
- Other
- $11,637
- Hours/week
- 1.3
-
SHARON WILLS
ADVISORY BOARD
- Total calculated
- $0
- Hours/week
- 1.3
-
LYNNE ROTRUCK
ADVISORY BOARD
- Total calculated
- $0
- Hours/week
- 1.3
-
PAM FROELICH
ADVISORY BOARD
- Total calculated
- $0
- Hours/week
- 1.3
-
MARILYN WEBER
CHAIR
- Total calculated
- $0
- Hours/week
- 1.3
-
EUDORA SUKI NEWHOUSE
VICE CHAIR/ASSISTANT TREAS
- Total calculated
- $0
- Hours/week
- 1.3
-
DARLENE BAKER
TREASURER
- Total calculated
- $0
- Hours/week
- 1.3
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
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 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
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
-
TO PROVIDE FUNDS FOR CAPITAL IMPROVEMENTS FOR THE HOSPITAL.
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.
-
501(C)(3) · HEALTHCARE ORGANIZATION · OH
Directly controlled by LICKING MEMORIAL HEALTH SYTEMS
-
LICKING MEMORIAL HEALTH SYSTEMS
501(C)(3) · PARENT COMPANY FOR THE NONPROFIT OPERATION OF HEALTHCARE ORGANIZATIONS · OH
-
LICKING MEMORIAL HEALTH FOUNDATION
501(C)(3) · PROVIDE FUNDING FOR HEALTHCARE PROGRAMS · OH
Directly controlled by LICKING MEMORIAL HEALTH SYTEMS
-
LICKING MEMORIAL PROFESSIONAL CORPORATION
501(C)(3) · HEALTHCARE ORGANIZATION · OH
Directly controlled by LICKING MEMORIAL HEALTH SYTEMS
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 10 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303189349302315
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