2016-11-10T11:42:54-00:00 2015-12-31 990 2015-01-01 340753531 SOUTHWEST GENERAL HEALTH CENTER % Kelly Linson SOUT 4408168000 18697 BAGLEY ROAD MIDDLEBURG HTS OH 441303417 Mary Ann Freas Sr VPCFO 4408166705 2016-10-27 false 2015 2017-02-10 21:41:12Z Thomas Selden 18697 Bagley Road Middleburg Hts OH 44130 360055877 false X www.swgeneral.com X 1920 OH Southwest Generals mission statement Health is our Passion, Quality is our Focus, Compassion is our Way. 21 17 2932 562 277213 85655 1004088 818518 316224216 319557776 11750866 7235194 -981397 -1115474 327997773 326496014 0 0 132473141 133943754 0 0 174287302 178473991 306760443 312417745 21237330 14078269 471036683 473162344 280697374 287679191 190339309 185483153 Southwest Generals vision is to be the leading health care system based in and serving the communities southwest of Cleveland. We aim to be looked to by our communities as their first choice for advanced medicine and an exceptional health care experience leading with unsurpassed quality, dynamic growth, innovative professionals, and advanced facilities. false false 249644635 301460680 The Health Center was founded in 1920 and is a 362 bed acute care facility. In 2015 the Health Center had 16,264 discharges and 317,018 outpatient visits. Southwest General offers state-of-the-art technology, board-certified physicians and a full range of services, including comprehensive medical, surgical and emergency care. Strategic areas of focus include cardiovascular care, neurosciences, orthopedics, oncology, womens health and emergency services. Additionally, patients and families benefit from an extensive program of social services and support groups that provide mental, emotional and spiritual support. Southwest is certified as a Level III Trauma Center and is part of the Northern Ohio Trauma System. Southwest was awarded an A grade in the Leapfrog Hospital Safety Score report and is certified as a Primary Stroke Center by The Joint Commission. Six communities support Southwest by means of a self imposed property tax and 562 volunteers contributed 89,315 hours of service. 2876867 7485239 The Strongsville Medical Center UrgiCare provide easy access to outstanding medical care for family members of all ages as well as state-of-the-art technology for prompt, efficient, diagnosis and treatment. Outpatient services include bone densitometry, CT scan, digital mammography, PET scan, ultrasound, X-ray, cardiac rehabilitation, echocardiography, EKG, laboratory testing, physical therapy, pulmonary rehabilitation, and sports medicine. In 2015 outpatient service visits in the above areas were 41,174. 4321180 9622287 The Brunswick Medical Center ER offers outstanding care from skilled, experienced physicians as well as a variety of convenient outpatient services and emergency care offering treatment from board-certified emergency medicine physicians and specially trained staff. Outpatient services include bone densitometry, CT scan, echocardiography, EKG, laboratory testing, mamography, physical therapy, ultrasound, vascular testing, and X-ray. In 2015 outpatient service visits in the diagnostic areas were 28,455 with an additional 10,699 treated and released emergency visits in the Brunswick ER. 256842682 true true false true false false false false false false true false false false true false false true false false false false false false false false true true false false true true false false false false false false false true true true false false false false false true true true true false true 421 0 true 2932 true true true false false false false false false false false false X 21 17 false false false false true true true true true false false true true true true true true true true true true OH X Kelly Linson 4408168071 18697 Bagley Road Middleburg Hts OH 441303417 X Thomas Selden President/CEO 055.00 005.00 X X 662549 0 37473 Mark Panigutti MD President Medical Staff 003.00 X X 37500 0 0 Michael Deucher MD VP Medical Staff 002.00 X X 0 0 0 Trilok Sharma MD Secretary 001.00 X X 0 0 0 Jeffrey H Peters MD Director 001.00 X 0 0 0 Eileen M Herold Director 001.00 X 0 0 0 Michael Baach Director 001.00 X 0 0 0 Mel Hauser Treasurer 001.00 X X 0 0 0 Rickey J Shyne PhD PE Director 001.00 X 0 0 0 Edward C White MD Director 001.00 X 0 0 0 Samuel Ake Director 001.00 X 0 0 0 Michael A Cogan Director 001.00 X 0 0 0 Richard Hanson Director 001.00 X 0 0 0 Adrian Maldonado Vice Chairman 001.00 X X 0 0 0 Richard Pogue Director 001.00 X 0 0 0 Cynthia Schulz Chairman 001.00 X X 0 0 0 Cindy Zelis MD Director 001.00 X 0 0 0 Paul Tait Director 001.00 X 0 0 0 R Terry Krivak Director 001.00 X 0 0 0 Donald Sheldon MD Director 001.00 X 0 0 0 Todd Zeiger MD Director 001.00 X 0 0 0 Marilyn McNamara VP Medical Affairs 059.00 001.00 X 423811 0 126336 Bradley Rauh Exec VP/COO 060.00 X 402853 0 40646 Mary Ann Freas Sr. VP/CFO 057.00 003.00 X 383882 0 27449 Teresa Barber VP/CIO 059.00 001.00 X 289505 0 32504 Martha Bauschka VP/CNO 060.00 X 265063 0 26726 Judith Murphy VP HR 060.00 X 231476 0 31163 Albert Matyas VP/Marketing 060.00 X 252375 0 39324 Kelly Linson VP Chief Acctg Officer 057.00 003.00 X 234591 0 16910 Donna Williams Physician Assist 040.00 X 192716 0 17304 Jill Barber Dir Managed Care Rev 040.00 X 157505 0 29638 Stacey Zorska Dir Pharmacy 040.00 X 144371 0 30628 John Duldner MD Physician Advisor 040.00 X 195393 0 1169 Sharon Paizs Wilk Dir Critical Care 040.00 X 144620 0 14715 4018210 471985 71 false true false Healthtrust Inc DBA HSS Systems 6640 Carothers Parkway Franklin TN 370676323 Revenue Cycle 1493417 University Hospitals of Cleveland PO Box 78000 Detroit MI 482781887 Purchased Svc 1453325 Medic Management Group LLC 275 Springside Dr Suite 100 Akron OH 443334549 Consulting Mgmt Svc 1286472 Team Health Emergency Med P O Box 634850 Cincinnati OH 452634850 Physicians 954894 Aris Teleradiology Professional PO Box 72078 Cleveland OH 441920002 Purchased Svc 767742 56 38656 779862 818518 Patient Care 622110 319867117 319867117 Rental Income controlled org 621110 727393 15036 712357 Program Related investments 541900 1126870 1787019 -660149 -2163604 -3085930 922326 319557776 6701575 6701575 12347 12347 1480701 2596175 -1115474 -1115474 31351786 133174 30470043 493645 881743 -360471 521272 326496014 318568206 277213 7426279 X 0 0 0 0 3562136 37500 3524636 0 102035942 93492050 8543892 6857452 6127080 730372 13658801 12204032 1454769 7829423 6995529 833894 0 341827 341827 330339 330339 0 563159 563159 34025211 27873668 6151543 1521417 120271 1401146 6008161 5470543 537618 13298386 1623217 11675169 0 8008421 7699399 309022 699578 601600 97978 0 65202 29386 35816 6256604 6256604 0 21904155 17278894 4625261 3165567 206763 2958804 Provision for Bad Debt 16553888 16553888 Medical supplies 36842943 36837518 5425 Drug expense 22261663 22214729 46934 Taxes 4154712 54080 4100632 2472758 1422535 1050223 312417745 256842682 55575063 0 16218237 19174777 6583002 12198297 31951343 34215915 3296460 4618274 6427257 7586929 461481724 258983596 199485529 202498128 182560739 173774936 4387181 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Compensation Reserve 557737 Current portion of long term debt 2748387 Accrued retirement costs 55621678 Drawable earnings due to UHHS 3073173 Due to Third Party payors 5054329 Revenue Bonds Taxable 2012 Series E 7240000 Charitable Trust 77040 94137564 X X 2 Southwest General Health Center adopted ASC 740-10 in 2007 as required. No disclosures were required under GAAP as Southwest General Health Center does not have any material tax contingencies that required disclosures in the footnotes. true true true X 0000000250.000000000000 true X true true false true true 1803523 526006 1277517 0.00410 30872818 17646976 13225842 0.04230 32676341 18172982 14503359 0.04640 1271619 145200 1126419 0.00360 627575 54501 573074 0.00180 12412096 10861807 1550289 0.00500 51551 1664 49887 0.00020 14362841 11063172 3299669 0.01060 47039182 29236154 17803028 0.05700 true 3823948 1072533 73339738 78637224 -5297486 true true Foundation Surgery of Middleburg Ambulatory Surgery 0.20000 0.70000 SW General Heart & Vascular Institute Cardiovascular Services 0.40000 0.13860 0.46140 SW General Gastrointestinal Gastroenterology 0.40000 0.60000 1 1 Southwest General Health Center 18697 Bagley Road Middleburg Hts OH 44130 www.swgeneral.com X X X A A 1 false false true X X X X X X X X 13 true false true true X www/swgeneral.com X www.ohiohospitals.org X true 13 true www.swgeneral.com false false true X 0000000250.000000000000 0000000400.000000000000 X X X X true true X X X true X www.swgeneral.com/pay-my-bill X www.swgeneral.com/pay-my-bill X www.swgeneral.com/pay-my-bill X X X X X true false X X X true X false false Group Southwest General Health Center Line Part V, Section B, Line 5 Southwest General Health Center created a Community Health Needs Assessment Advisory Council which includes leaders within Southwest General and representatives from local community organizations that represent the general community and those at risk. In addition, community health needs assessments were sent to residents in order to obtain self-reported information related to numerous health indicators. Group Southwest General Health Center Line Part V, Section B, Line 6b Southwest General Health Center collaborated with The Center for Health Affairs and multiple other partners to form Cuyahoga County Health Partners. Partnering members included representatives from area hospitals, mental health, public health, schools, universities and agencies that represent the community. Included agencies represented low income and minority populations and the medically underserved UnIted Way, The Salvation Army and Neighborhood Family Practice to name just a few. Group Southwest General Health Center Line Part V, Section B, Line 11 Southwest General Health Center reviewed all the data and prioritized community health needs based on the hospitals scope of practice and expertise. Many of the health indicators identified for adults were currently being addressed through Southwest Generals acute, outpatient and community programs. A decision was made to focus on the following four priorities cardiovascular health, mental health and chemical dependency, cancer, and access to prescriptions. Within these four priority areas, many of the other health indicators i.e. diabetes, womens health, mens health and hypertension also fell within these priorities and will continue to be addressed internally or with our collaborative partners. Needs not addressed are related to safety and social indicators/issues, such as issues pertaining to guns and violence, helping residents pay rent and/or utilities, providing emergency shelter, clothing, legal services, and tax preparation. Also not being addressed at this time, will be oral health. All of these services are available within the community and, as needed, referrals can be made to the appropriate resources. Group Southwest General Health Center Line Part V, Section B, Line 13b Patients provide the necessary financial information to demonstrate financial need to medical indigence or have high deductible plans are eligible for financial assistance based on the family income. Southwest will discount all applicable patient balances income is between 251 and 400 of currently applicable FPG so that patient bill not be billed gross charges and will not be obliged to pay more than the Medicare reimbursement amount for such care in compliance with the Patient Protection and Affordable Care Act. Group Southwest General Health Center Part V, Section B, Line 4 - The tax year the hospital facility last conducted a CHNA was updated from 2012 to 2013 to correspond with the Implementation and Board approval year of 2013. 7 LifeWorks of Southwest General 7390 Old Oak Blvd Middleburg Hts OH 44130 MRI Therapy Southwest Brunswick ED 4065 Center Road Brunswick OH 44212 Emergency Dept. Strongsville Med Center 18181 Pearl Road Strongsville OH 44136 Radiology Lab Pain Management 18780 Bagley Road Middleburg Hts OH 44130 Pain Management Southwest Home Health Services 17951 Jefferson Park Road Middleburg Hts OH 44130 Home Health Services Southwest Hospice Services 18659 Drake Road Strongsville OH 44136 Hospice Brook Park Urgent Care 15900 Snow Road Brook Park OH 44142 Urgent Care Part I Line 3c The amount of charity care discount granted was based on the following guidelines. Patients attest they have no health insurance, provide the necessary financial information to demonstrate financial need, and are at or below 400 of the currently applicable Federal Poverty Guidelines. Patients who apply but do not qualify for a third party payment program and whose family income is less than 250 of the current Federal Poverty Guidelines will qualify for free care. Part I Line 6a Community Benefits are reported in the annual report sent to the Board and members of the community. Part I Line 7 A cost-to-charge ratio was used to complete the charity care Line 7a and means-tested government programs Line 7b. The cost- to- charge ratio was derived from Worksheet 2 that accompanies the instructions to this schedule. Part I Line 7 The hospitals accounting records were used to complete the community health improvement services and community benefit operations Line 7e and health professions education Line 7f. Part I Line 7 g Subsidized health services include costs and direct offsetting revenue for the following services Coumadin Clinic, Hospice, Residential Hospice, Inpatient Mental Health, and Geriatric Mental Health. The hospitals cost accounting system was used to determine revenue and costs on all services. Part I Line 7 column f. In calculating the percent of total expense reported in column f, the total expense as reported on Form 990 Pt IX, Line 25, column a was reduced by 16,553,888 - the amount of bad debt reported on line 24 a. Part III Line 2 A ratio of patient care cost to charges is used on the bad debt reported on the Health Centers financial statement, Part III Line 3 The Health Centers financial statement bad debts and collection indicators are used along with the ratio of patient care cost to charge ratio. Part III Line 4 The Health Center maintains an allowance for bad debts based on the expected collectability of patient accounts receivable. The allowance is based upon managements assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverages, and other collection indicators. Periodically through the year, management assesses the adequacy of the allowance for bad debts based upon historical write-off experience by payor category. The results of this review are then used to make modifications to the provision for bad debts to establish an approriate allowance for the uncollectible receivables. After satisfaction of amounts due from insurance, the Health Center follows established guidelines for placing certain past due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the Health Center. Part III Line 8 Medicare shortfall is considered a community benefit of the Health Center. Medicare shortfall uses Medicare revenue and allowable costs as reported in the Medicare Cost Report less net subsidized health services reported in Part 1 line 7g and health professions education reported in Part 1 line 7f. Part III Line 8 In addition to traditional Medicare costs reported in Part III line 7, the Health Center incurred an additional 8,682,523 in Medicare Advantage plans shortfall. This shortfall is calculated using charges and costs from a cost accounting system. Part III Line 9b Under all circumstances, the collection practices of Southwest are performed in a professional and compassionate manner, consistent with our mission and values and the Federal Fair Debt Collection Practices Act. In fairness to those patients who pay for their services, Southwest will pursue patient accounts through appropriate financial assistance plans for those who are legitimately unable to pay for the care they received. Part VI Line 2 Since its founding by local communities more than 85 years ago, Southwest General has enjoyed a unique partnership with the communities it serves. Representatives from these communities serve on Southwest Community Health System, the Parent of Southwest General Health Center, helping to promote effective communication between the Health Center and its constituencies. Part VI Line 3 We provide financial assistance information via the Southwest General website and patient statements. We provide the contact information as Patient Accounts Department at 844-530-1996. We will also discuss the financial assistance program with patients in person and over the telephone in the various registration areas as well as in the Patient Accounts department. Signage is posted that lists the Federal Provery Guidelines at the following locations Emergency, Seidman Cancer Center, Oakview Outpatient, Physical Medicine SWGHC, Physical Medicine LifeWorks, Timeshare, Lab, Strongsville Hospice, Cashier, Patient Registration, and Strongsville Outpatient. On May 1, 2015, Southwest General Health Center transitioned its billing and collection function to a provider of outsourced services. Through 2015, the Southwest General website continued to include contact information for services provided before and after that date of transition. The financial assistance policy and process remained unchanged. Part VI Line 4 Southwest General draws the majority of its patients from southwestern Cuyahoga, eastern Lorain, and northern Medina counties in Ohio. The primary service area is based on the following cities Berea, Brook Park, Brunswick, Columbia Station, Middleburg Hts, Olmsted Falls, and Strongsville. The secondary service area is comprised of the cities of Hinckley, Parma, Medina, North Royalton, Valley City and the West Park area of Cleveland. Part VI Line 5 Community Geriatric Services does geriatric assessments that utilize a multidisciplinary approach. The core team consists of a geriatrician, geriatric clinical nurse specialist and a social worker. Additional members of the team include a psychologist, dietitian, occupational, physical and speech therapist and conclude with an hour long family summary conference. The program assesses the various dimensions that impact the older adults life, including the ability to maintain independence. Part VI Line 5 The Community Nurse Program provides community health education and health screenings. They provide education through a variety of formats including, but not limited to, health promotion and wellness programs, health fairs, worksite health education programs and community events. Health Connection is a community resource providing physician referrals and a nurse hotline. Part VI Line 5 The School Health Program provides service to the Berea City School District BCSD which is comprised of the following three of our taxing communities Berea, Brook Park and Middelburg Heights. The school health staff regularly provide anecdotal education to parents, students and school staff on a variety of health topics during the course of their everyday work. Part VI Line 5 The Family Life program offers educational classes focusing on helping expectant couples prepare for a healthy pregnancy, labor and birth. Clients within the taxing district receive a discount on class charges. The following programs are offered Family and Friends CPR, Boot Camp for New Dads, Breastfeeding, Grandparenting, Infant Care, Happiest Baby on the Block, Sibling Class, Southwest Safe Sitter, Southwest Safe Sitter-to-Go, and Maternity Tours in Childbirth classes. Staff also participate in health fairs within the surrounding communities to promote classes and provide family health and safety information. Part VI Line 5 Community transportation provides free van transportation service is available to residents of the Health Centers taxing districts who are unable to provide their own transportation to doctor appointments, tests and other clinical services for the following locations Southwest General Health Center, LifeWorks of Southwest General for Physical Medicine and Rehab only and the Strongsville Med Center. Part VI Line 5 The Neighborhood Care Center is a free clinic established in 1998 to assist the growing number of our residents in our taxing districts who are employed but have no health insurance. The sole purpose is to bridge the gap in healthcare for the working poor by providing healthcare services on a temporary basis until such time as they are eligible for health insurance through their employer or through a publicly funded program. Eligible patients must have no health care insurance or government medical care assistance or aid, have an income level within 250 of the federal poverty level and live within one of the six taxing communities. The clinic is owned and operated by the hospita and is staffed by volunteer physicians, nurses and clerical staff. Part VI Line 5 The EMS Education program provides medical direction and ongoing education for paramedics, EMTs and city 911 dispatchers. We provide quality assurance, statistics and education both at the Health Center and at the Fire Stations. The Health Center provides all of the educational programs they need to maintain certification for the State of Ohio. Part VI Line 5 The Drug Replacement program provides patients with up-to-date information regarding medication assistance programs, disease-based assistance, insurance eligibility including federal and state subsides. Part VI Line 5 The SANE program provides care for Sexual Abuse victims that come to Southwest Generals Emergency department as referred by the police department. Trained nurses are on call for the program. Part VI Line 6 Southwest General Health Center is part of a Partnering Agreement with University Hospital Health System UHHS, a large integrated delivery system. UHHS brought the Rainbow Babies and Children, MacDonald Womens and Seidman Cancer programs UHHS Programs to Southwest Generals facilities. Under the Partnering Agreement, UHHS obtained 50 representation on Southwest General Health Centers Board of Directors. true X X X X false true false false false false false false false Thomas Selden President/CEO 455159 89217 118173 20505 16968 700022 Marilyn McNamara VP Medical Affairs 313420 64220 46171 108308 18028 550147 Bradley Rauh Exec VP/COO 329843 51151 21860 16912 23733 443499 Mary Ann Freas Sr. VP/CFO 304661 60996 18224 11780 15670 411331 Teresa Barber VP/CIO 218413 39931 31162 16736 15767 322009 Martha Bauschka VP/CNO 210166 37180 17716 16052 10675 291789 Judith Murphy VP HR 173005 32738 25733 15694 15469 262639 Albert Matyas VP/Marketing 198920 44104 9352 16190 23133 291699 Kelly Linson VP Chief Acctg Officer 191397 34920 8274 8992 7918 251501 Donna Williams Physician Assist 192605 111 9733 7571 210020 Jill Barber Dir Managed Care Rev 150208 7024 273 10175 19463 187143 Stacey Zorska Dir Pharmacy 143840 221 310 7855 22773 174999 John Duldner MD Physician Advisor 186870 7500 1023 1169 196562 Sharon Paizs Wilk Dir Critical Care 143572 221 827 6303 8412 159335 Part I Line 4b Thomas Selden Supplemental nonqualified retirement plan 36,580. Part I Line 4b Marilyn McNamara Supplemental nonqualified retirement plan 17,900. Part I Line 4b Bradley Rauh Supplemental nonqualified retirement plan 18,200. Part I Line 4b Mary Ann Freas Supplemental nonqualified retirement plan 15,300. Part I Line 4b Teresa Barber Supplemental nonqualified retirement plan 9,680. Part I Line 4b Martha Bauschka Supplemental nonqualified retirement plan 8,800. Part I Line 4b Judith Murphy Supplemental nonqualified retirement plan 7,800. Part I Line 4b Albert Matyas Supplemental nonqualified retirement plan 8,401. Part I Line 4b Kelly Linson Supplemental nonqualified retirement plan 7,760. A County of Medina Ohio 346001851 2012-11-29 7605000 Paid off 2007 Bonds used to construct outpatient facilities in Medina County false false B City of Middleburg Heights Ohio 346001879 596126CF7 2012-11-29 89225206 New bed tower, helipad, pay off 2009 bonds and a letter of credit false false C City of Middleburg Heights Ohio 346001879 596126BT8 2011-12-20 62777362 New ER, CCU expansion, parking garage, and refund 1995 bonds. false false A 7605000 7605000 2008 true false true true B 71991065 9407818 3512085 952391 37383493 16281750 2014 true false false true C 62777362 1029778 40000000 21747584 2014 true false false true A false false true false false false false false true B false false true false false false false false true C false false true false false false false false true A false true true false false false B false true true false false false C false true false false false false A true B true C true Heart Vascular Institute Trustee 18109 Partnership interest with HVI false Cardiovascular Med Assoc Trustee 20603 Contractor for Health Services false Benefit Compliance Inc Family member of key employee 18811 Contractor for COBRA Benefits false Eapens Inc Former Officer/Trustee 450000 Contractor for Health Services false Part IV Line 1 Vice President Medical Staff, Michael Deucher, M.D., former President Medical Staff in 2014, Ferdinand Plecha, M.D., and Director Trilok Sharma, M.D. are shareholders in Cardiovascular Medicine Associates which also has a partnership interest in Heart and Vascular Institute. Part IV Line 3 Family member of Judy Murphy - key employee provided COBRA benefit service transactions at arms length. Part IV Line 4 Former Vice President Medical Staff in 2014, Babu Eapen, M.D. has a business that provides medical services to the Health Center. Form 990, Part VI, Section A, Line 6 Southwest Community Health System non profit tax exempt is a voting member. University Hospitals Health System shares in 50 of the net income or loss excluding tax levy receipts of the Health Center under a Partnering Agreement. Form 990, Part VI, Section A, Line 7a Under the partnering agreement referenced in the narrative for Part VI line 6, University Hospitals non profit tax exempt designates 12 full voting governing board members. Form 990, Part VI, Section A, Line 7b Budget is subject to approval by Southwest Community Health System. Form 990, Part VI, Section B, Line 11b The 990 is reviewed internally by the CEO, CFO, and Chief Accounting Officer. It is presented and reviewed at the Audit Committee of the Board of Trustees Governing Board meeting on October 12, 2016. The Audit Committee of the Board of Trustees is a joint committee of the Boards of Southwest Community Health System and Southwest General Health Center. The return is distributed electronically to the entire board before filing. Also prior to filing, the entire Board is presented with a review of the highlights and key points of the 990 at their October meeting. Form 990, Part VI, Section B, Line 12c Southwest has a written conflict of interest policy that requires our officers, directors, and employees to annually disclose potential conflicts of themselves and their family members on a questionnaire distributed by the Compliance Officer. If a designated person discloses in writing a circumstance that falls within the terms and conditions of the Health Centers policy, such disclosures shall be reviewed by the Corporate Compliance Officer and, as applicable, Southwests Legal Counsel to determine the appropriate course of action. The Director and or Vice President or Chief Executive Officer to whom the designated person reports will also be consulted. In some cases, the Governance and Ethics Committee of the Health Center may be included in the review. Form 990, Part VI, Section B, Line 15a Southwest has a CEO Oversight Board Committee that annually reviews the CEOs salary. The committee uses an outside consultant to perform a salary survey using data about similarly situated executives in other organizations. Documentation for these decisions are currently kept by Southwest General Health Centers Human Resources department. Form 990, Part VI, Section B, Line 15b Executive salary actions are reviewed with the CEO Oversight Board Committee. Documentation for these decisions are currently kept by Southwest General Health Centers Human Resources department. Form 990, Part VI, Section C, Line 19 Board of Trustee lists, Mission and Vision statement, as well as the annual report is available on our website at www.swgeneral.com. The 990 is available upon request. Form 990, Part VII, Section A, Line 1 Thomas Selden, President and CEO of Southwest General Health Center is also on the Board of Southwest Community Health System and Southwest Community Health Foundation, both related organizations. Form 990, Part VII, Section A, Line 24 Mary Ann Freas, Sr. VP/Chief Financial Officer of Southwest General Health Center also provides time to Southwest Community Health System and Southwest Community Health Foundation, both related organizations. Form 990, Part VII, Section A, Line 24 The compensation information for the following individual will also be found on related tax exempt organizations 990 returns. The compensation amounts on those other 990 returns is not additive to the amounts on this 990 return for tax ID 34-0753531. Mary Ann Freas 34-1455141 34-1652755. Form 990, Part VII, Section A, Line 22 The compensation information for the following individual will also be found on related tax exempt organizations 990 returns. The compensation amounts on those other 990 returns is not additive to the amounts on this 990 return for tax ID 34-0753531. Marilyn McNamara 34-1652755. Form 990, Part XII, Line 2a In the course of preparing their audit report, the independent auditors reviewed the organizations financial statements. Form 990, Part VII, Section A, Line 1 The compensation information for the following individual will also be found on related tax exempt organizations 990 returns. The compensation amounts on those other 990 returns is not additive to the amounts on this 990 return for tax ID 34-0753531. Thomas A. Selden 34-1455141 34-1455135 34-1652755. Form 990, Part VII, Section A, Line 29 The compensation information for the following individual will also be found on related tax exempt organizations 990 returns. The compensation amounts on those other 990 returns is not additive to the amounts on this 990 return for tax ID 34-0753531. Kelly Linson 34-1455141. Form 990, Part XI, Line 9 Changes in the following fund balance accounts Contribution from Foundation 443,246 Contribution from System 8,751 Drawable credited earning due UHHS 3,073,172 Accrued retirement per actuary estimate 6,049,452. Form 990, Part IX, Line 11g Program Service Consulting 938,392 General admin purchased services 3,603,157 Healthcare purchased services 18,397,958 Repair Service agreements 4,934,161. Management and General Services Consulting 1,624,769 General admin purchased services 4,096,020 Healthcare purchased services 254,224 Repair Service agreements 176,530. Southwest General Medical Group 18697 Bagley Road Middleburg Hts OH 44130 341652755 Physicians OH 501 c 3 11b N/A false Southwest Proctection Svc 18697 Bagley Road Middleburg Hts OH 44130 841661280 Security OH 501 c 3 11a N/A false Southwest Community Hlth System 18697 Bagley Road Middleburg Hts OH 44130 341455141 Parent non-profit OH 501 c 3 9 N/A false Southwest Community Hlth Foundation 18697 Bagley Road Middleburg Hts OH 44130 341455135 Foundation OH 501 c 3 11a SW Hlth Sys false Southwest Holdings Inc 18697 Bagley Road Middleburg Hts OH 44130 341461753 Retail Pharmacy OH Southwest General Health Center C Corp 43815 1070984 1.00000 true true true false false false false false false false false false true true false false true true true false Southwest General Medical Group b 10546606 Amount contributed Southwest General Medical Group a 663195 Amount paid Southwest General Medical Group l 118101 Amount paid Southwest General Medical Group q 57796 Amount paid Southwest General Medical Group m 247185 Amount paid Southwest Holdings Inc l 161659 Amount paid Southwest Community Health Foundation p 112393 Amount Paid Southwest Community Health Foundation q 113413 Amount Paid Southwest Community Health Foundation r 171317 Amount paid