2024-11-11T09:18:42-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2023-01-01 341707570 LIMA MEMORIAL FOUNDATION LIMA 4192265073 1001 BELLEFONTAINE AVENUE LIMA OH 45804 TIMOTHY A BUIT VICE-PRESIDENT/CFO 4192265073 2024-11-08 1 0 AMY CIMINELLO P00796388 6148493000 2024-11-08 2023 2024-10-15 13:58:12Z MICHAEL D SWICK 1001 BELLEFONTAINE AVENUE LIMA OH 45804 2265361 0 X SEE SCHEDULE O X 1993 OH THE MISSION OF THE LIMA MEMORIAL FOUNDATION IS TO PROVIDE QUALITY HEALTH CARE THROUGH PHILANTHROPY TO THE COMMUNITIES WHICH LIMA MEMORIAL HEALTH SYSTEM SERVES. 16 12 0 75 0 0 1878984 1929953 0 0 367246 266526 -137100 -158385 2109130 2038094 93000 105000 0 0 0 0 0 0 0 15494 31793 108494 136793 2000636 1901301 8361306 9851253 16053 -2334 8345253 9853587 THE MISSION OF THE LIMA MEMORIAL FOUNDATION IS TO PROVIDE QUALITY HEALTH CARE THROUGH PHILANTHROPY TO THE COMMUNITIES WHICH LIMA MEMORIAL HEALTH SYSTEM SERVES. 0 0 105000 105000 THE CORPORATION WAS ORGANIZED TO OPERATE EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES. SPECIFICALLY, TO ASSIST LMH IN PROVIDING QUALITY HEALTH CARE TO THE COMMUNITY WHICH IT SERVES. 105000 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 4 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 16 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X MATT BROWN 4192265197 1001 BELLEFONTAINE AVENUE LIMA OH 45804 MICHAEL SWICK BOARD MEMBER/LMH CEO 1.00 49.00 X 0 818346 129892 LYNN CARPENTER VP/LMH COO 1.00 49.00 X 0 322814 42504 SCOTT SHUTT CHAIRMAN 1.00 0.00 X X 0 0 0 STEVE ROMEY CHAIRMAN 1.00 0.00 X X 0 0 0 JANICE M VONDEREMBSE TREASURER 1.00 0.00 X X 0 0 0 ERIC WEICHART BOARD MEMBER 1.00 0.00 X 0 0 0 RUSS DECKER BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID HARSH BOARD MEMBER 1.00 1.00 X 0 0 0 BILL TIMMERMEISTER BOARD MEMBER 1.00 0.00 X 0 0 0 ASHLEY COWAN-MEAS BOARD MEMBER 1.00 0.00 X 0 0 0 PRAVEEN MALHOTRA BOARD MEMBER 1.00 3.00 X 0 0 0 CLYDE RAUCH BOARD MEMBER 1.00 0.00 X 0 0 0 JANET HAWK VICE-CHAIRMAN 1.00 0.00 X X 0 0 0 AMY KENTNER BOARD MEMBER 1.00 0.00 X 0 0 0 ADAM RECTOR SECRETARY 1.00 0.00 X X 0 0 0 BETSY WINGET BOARD MEMBER 1.00 0.00 X 0 0 0 DENNIS MORRIS MD BOARD MEMBER/LMH CMO 1.00 49.00 X 0 358845 2257 KERRI ROMES BOARD MEMBER 1.00 0.00 X 0 0 0 0 1500005 174653 0 0 1 0 0 712428 1217525 157385 1929953 266526 266526 68882 712428 227267 -158385 -158385 2038094 0 0 108141 105000 105000 ADMIN AND GENERAL 31793 31793 136793 105000 31793 0 -395805 344706 636944 50252 280927 202532 7833847 9245860 5393 7903 8361306 9851253 16053 -2334 16053 -2334 X 7283221 8968626 1062032 884961 8345253 9853587 8361306 9851253 X 1901301 908757 -1301724 X X 0 1 X 1 0 X X 1 LIMA MEMORIAL JOINT OPERATING COMPANY 341883284 3 1 1331212 0 1 1331212 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 356338 20 54429 466 410321 339892 50060 -32876 738 356338 286694 50600 2751 153 339892 285870 824 286694 282108 3762 285870 0.09000 0.91000 0.00000 0 0 0 MUTUAL FUNDS, BOND FUNDS 9245860 F 9245860 X PART V, LINE 4: AN ENDOWMENT FUND WAS ESTABLISHED ON JULY 2, 2009. THE INTENDED USE OF THE ENDOWMENT FUNDS ARE TO BENEFIT PERSONNEL OF AND SERVICES PROVIDED BY LMHS LABORATORY. IN ADDITION, NURSING PATHFINDER FUNDS WILL BE USED FOR SCHOLARSHIPS AT THE BOARD'S DISCRETION. THE MALHOTRA ENDOWMENT FUND WAS ESTABLISHED IN 2021 TO SUPPORT WOMAN AND CHILDREN. PART X, LINE 2: THE HEALTH SYSTEM, LIMA MEMORIAL HOSPITAL, LIMA MEMORIAL PROFESSIONAL CORPORATION, LIMA MEMORIAL HOSPITAL FOUNDATION, AND LIMA MEMORIAL HOSPITAL AUXILIARY ARE NOT-FOR-PROFIT CORPORATIONS, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. ELM TREE FOUNDATION, A FOR-PROFIT CORPORATION AND SUBSIDIARY OF THE HEALTH SYSTEM, WAS A TAXABLE CORPORATION THAT CONVERTED TO A NOT-FOR-PROFIT LLC IN 2021. THE RELATED ASSETS TRANSFERRED TO THE HEALTH SYSTEM, LEAVING ELM TREE FOUNDATION AS A DEFUNCT ENTITY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HEALTH SYSTEM AND TO RECOGNIZE A TAX LIABILITY IF THE HEALTH SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAXING AUTHORITIES. JOURNEY-FUNDING PRIORITY 578028 578028 JOURNEY LIVE EVENT 177350 129900 47450 157385 51515 1 25932 4500 21432 9183 9184 781310 712428 68882 157385 9183 9184 51515 227267 -158385 1 ASSOCIATE RELIEF FUND 107 105000 PART I, LINE 2: THE ORGANIZATION HAS AN ASSOCIATE RELIEF FUND COMMITTEE WHICH EVALUATES APPLICATION FOR THE INDIVIDUAL TO RECEIVE THE GRANT. THE COMMITTEE TAKES THE INFORMATION FROM THE APPLICATION AND COMPARES THAT TO THE CRITERIA ESTABLISHED BY THE COMMITTEE. FINALLY THE COMMITTEE PROVIDES THE LIST OF ELIGIBLE INDIVIDUALS TO THE ORGANIZATION AND THE GRANTS ARE PROVIDED. 0 1 0 0 0 0 0 0 0 MICHAEL SWICK BOARD MEMBER/LMH CEO 0 418259 0 380104 0 19983 0 110546 0 19346 0 948238 0 0 LYNN CARPENTER VP/LMH COO 0 233506 0 82413 0 6895 0 32887 0 9617 0 365318 0 0 DENNIS MORRIS MD BOARD MEMBER/LMH CMO 0 33020 0 321813 0 4012 0 0 0 2257 0 361102 0 0 PART 1, LINE 3: RELATED ORGANIZATION, LIMA MEMORIAL JOINT OPERATING COMPANY, DETERMINES THE COMPENSATION OF THE ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES BY 1)REVIEW AND APPROVAL OF THE COMPENSATION COMMITTEE; 2)UTILIZATION OF AN INDEPENDENT COMPENSATION CONSULTANT; 3)COMPARABLE DATA; AND 4) CONTEMPORANEOUS DOCUMENTATION. PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATED IN AN IRC 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN. THIS PLAN IS FUNDED BY THE HOSPITAL AND VESTS WITH SERVICE THEREFORE IS SUBJECT TO RISK OF FORFEITURE. MICHAEL D. SWICK: $110,546 LYNN CARPENTER: $32,887 ADDITIONAL INFORMATION: COMPENSATION PRESENTED ON FORM 990, PART VII AND SCHEDULE J RELATED TO THE BOARD MEMBERS ARE FOR SERVICES PERFORMED FOR THE ORGANIZATION OUTSIDE THOSE SERVICES PERFORMED ON THE BOARD. THERE IS NO COMPENSATION PAID FOR BOARD SERVICES. X AUCTION ITEMS 127 157385 DONORS DETERMINATION 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS LIMA MEMORIAL JOINT OPERATING COMPANY. FORM 990, PART VI, SECTION A, LINE 7A LIMA MEMORIAL JOINT OPERATING COMPANY HAS THE POWER TO APPOINT BOARD MEMBERS FOR THE LIMA MEMORIAL HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS OF THE ARTICLES MUST BE APPROVED BY LIMA MEMORIAL JOINT OPERATING COMPANY. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WAS REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR OF THE FOUNDATION. IN ADDITION, THE BOARD MEMBERS ARE GIVEN A COPY FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) HAS AGREED TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER TO/FROM AFFILIATE -1,331,212. CHANGE IN CHARITABLE REMAINDER TRUS 29,488. FORM 990, PART XI, LINE 2C EXPLANATION: THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGE FROM THE PRIOR YEAR. FORM 990, PAGE 1, LINE J: WEBSITE WWW.LIMAMEMORIAL.ORG/COMMUNITY-RELATIONS/LIMA-MEMORIAL-FOUNDATION LIMA MEMORIAL JOINT OPERATING COMPANY 1001 BELLEFONTAINE AVE LIMA OH 45804 341883028 HEALTHCARE OH 501(C)(3) LINE 3 N/A 0 LIMA MEMORIAL HOSPITAL 1001 BELLEFONTAINE AVE LIMA OH 45804 344434676 HEALTHCARE OH 501(C)(3) LINE 3 LIMA MEMORIAL JOINT OPERATING COMPANY 1 LIMA MEMORIAL HOSPITAL AUXILIARY 1001 BELLEFONTAINE AVE LIMA OH 45804 341694632 SUPPORTING ORGANIZATION FOR LIMA MEMORIAL HOSPITAL OH 501(C)(3) LINE 12B, II LIMA MEMORIAL JOINT OPERATING COMPANY 1 LIMA MEMORIAL PROFESSIONAL CORPORATION 1001 BELLEFONTAINE AVE LIMA OH 45804 341935236 HEALTHCARE OH 501(C)(3) LINE 3 LIMA MEMORIAL JOINT OPERATING COMPANY 1 LMHS WOMEN'S HEALTH CO-MANAGEMENT COMPANY LLC 1001 BELLEFONTAINE AVE LIMA OH 45804 271023520 WOMEN'S HEALTH CO-MANAGEMENT OH N/A 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0