SOUTHERN OHIO MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN OHIO MEDICAL CENTER (EIN 31-0678022)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-12
IRS object ID
201611339349304421
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-12T14:40:50-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE STREET SUITE 600AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310678022EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN OHIO MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone7403567622PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11248 KINNEYS LANEAddressLine1Txt
CityPORTSMOUTHCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45662ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEAN WRAYPersonNm
Person TitleVP FINANCEPersonTitleTxt
Phone7403567622PhoneNum
Signature2016-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBERNIE OSTROWSKIPreparerPersonNm
PTINP00366367PTIN
Phone6148493000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMR RANDAL ARNETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11805 27TH STREETAddressLine1Txt
CityPORTSMOUTHCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45662ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$363,800,428GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SOMC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionSOUTHERN OHIO MEDICAL CENTER IS AN ACUTE HEALTH CARE SYSTEM LOCATED IN PORTSMOUTH, OHIO. SOMC'S EXEMPT PURPOSE IS TO SERVE SOUTH CENTRAL OHIO AND NORTHEASTERN KENTUCKY WITH STATE-OF-THE-ART FACILITIES AND HEALTH CARE TECHNOLOGIES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee2670TotalEmployeeCnt
Total Volunteers541TotalVolunteersCnt
Total Gross UBI$392,304TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$37,792NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,921,822PYContributionsGrantsAmt
CY Contributions Grants$300,219CYContributionsGrantsAmt
PY Program Service Revenue$309,697,945PYProgramServiceRevenueAmt
CY Program Service Revenue$328,633,430CYProgramServiceRevenueAmt
PY Investment Income$10,445,743PYInvestmentIncomeAmt
CY Investment Income$18,797,958CYInvestmentIncomeAmt
PY Other Revenue$2,211,446PYOtherRevenueAmt
CY Other Revenue$3,287,039CYOtherRevenueAmt
PY Total Revenue$324,276,956PYTotalRevenueAmt
CY Total Revenue$351,018,646CYTotalRevenueAmt
PY Grants And Similar Paid$28,457,285PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$243,757CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$132,921,831PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$146,337,758CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$148,431,214PYOtherExpensesAmt
CY Other Expenses$150,340,452CYOtherExpensesAmt
PY Total Expenses$309,810,330PYTotalExpensesAmt
CY Total Expenses$296,921,967CYTotalExpensesAmt
PY Revenues Less Expenses$14,466,626PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$54,096,679CYRevenuesLessExpensesAmt
Total Assets BOY$473,123,081TotalAssetsBOYAmt
Total Assets EOY$481,970,805TotalAssetsEOYAmt
Total Liabilities BOY$193,620,101TotalLiabilitiesBOYAmt
Total Liabilities EOY$190,214,672TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$279,502,980NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$291,756,133NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAT SOMC, OUR MISSION IS TO MAKE A DIFFERENCE. WE STRIVE TO LIVE OUT THAT MISSION BY PROVIDING OUR REGION WITH THE HIGHEST QUALITY OF CARE, DELIVERED BY PROFESSIONALS WHO ARE AMONG THE BEST IN THEIR FIELDS. WE EXTEND THAT CARE AND PASSION TO MAKE A DIFFERENCE IN THE COMMUNITY BY BEING A VERY GOOD NEIGHBOR, EMPLOYER, AND COMMUNITY SUPPORTER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$230,981,539ExpenseAmt
Grant$243,757GrantAmt
Revenue$329,503,958RevenueAmt
DescSOUTHERN OHIO MEDICAL CENTER IS AN ACTIVE MEMBER OF THE COMMUNITIES IT SERVES AND IS INVOLVED IN VARIOUS PROGRAMS AND ACTIVITIES THROUGHOUT THE AREA. COMMUNITY IS WHAT DRIVES SOMC TO ACHIEVE EXCELLENCE IN HEALTHCARE AND TO MAKE A DIFFERENCE IN THE LIVES OF THOSE AROUND US. THE ECONOMIC, EDUCATIONAL, RECREATIONAL AND CULTURAL ACTIVITIES OF THE LOCAL AREA SHOW THE WIDE SWEEP OF SOMC'S COMMUNITY INVOLVEMENT AND THEIR EFFORTS TO BUILD AND MAINTAIN STRONG RELATIONSHIPS. IT'S THROUGH THESE RELATIONSHIPS THAT SOMC HAS BEEN RECOGNIZED FOR MANY OUTSTANDING ACCOMPLISHMENTS, RECEIVING SUCH NOTABLE HONORS AS ANCC'S MAGNET RECOGNITION, OSHA'S VPP STAR STATUS, PRESS GANEY'S DISTINCTIVE WORKPLACE AWARD, AS WELL AS BEING NAMED ONE OF FORTUNE'S 100 BEST COMPANIES TO WORK FOR AND ONE OF MODERN HEALTHCARE'S 100 BEST PLACES TO WORK. KEY DECISIONS MADE AT SOMC ARE GUIDED BY FIVE STRATEGIC VALUES: SAFETY, QUALITY, SERVICE, RELATIONSHIPS AND PERFORMANCE. RELATIONSHIPS SHAPE MANY FACETS OF CUSTOMER SERVICE AND THE CARE THAT IS PROVIDED WITHIN THE HOSPITAL. IT IS THE HOSPITAL'S GOAL TO LISTEN AND PARTNER WITH CUSTOMERS TO MAKE A DIFFERENCE TO THOSE WE SERVE. ADDITIONAL FEEDBACK IS ALSO GATHERED THROUGH FOCUS GROUPS CONDUCTED BY THE SOMC COMMUNITY RELATIONS DEPARTMENT, AS WELL AS THE SOMC EXECUTIVE TEAM'S "OPEN DOOR POLICY," WHICH BOTH PROVIDE THE OPPORTUNITY TO GATHER INFORMATION AND SUGGESTIONS TO IMPROVE HOSPITAL SERVICES AND UNDERSTAND TECHNOLOGICAL NEEDS. SOMC ESTABLISHES WORKING RELATIONSHIPS WITH ORGANIZATIONS THROUGHOUT THE TRI-STATE AREA TO FOCUS ON THE HEALTH AND WELLNESS OF THE COMMUNITY. SOMC AND ITS EMPLOYEES PARTICIPATE IN A VARIETY OF COMMUNITY-BASED ORGANIZATIONS INCLUDING THE OHIO RIVER VALLEY CHAPTER RED CROSS BOARD, SCIOTO COUNTY HEALTH COALITION THE CHAMBER OF COMMERCE, ROTARY CLUB, UNITED WAY, SOUTHERN OHIO PERFORMING ARTS ASSOCIATION, MAIN STREET PORTSMOUTH, THE PORTSMOUTH AREA ARTS COUNCIL, MORE LITERACY PROGRAMS AS WELL AS AREA SCHOOL BOARDS, COMMITTEES, AND CHURCHES. OTHER PARTICIPATORY PROGRAMS INCLUDE LOCAL LITTLE LEAGUE GROUPS, LEADERSHIP PORTSMOUTH, OHIO PARTNERSHIP FOR EXCELLENCE, TASK FORCE ON DOMESTIC VIOLENCE, PORTSMOUTH KIWANIS SERVICE CLUB, SCIOTO RESIDENTIAL SERVICES BOARD, PARAMEDIC ADVISORY BOARD, SALVATION ARMY, RIVER SWEEP, HABITAT FOR HUMANITY, AND CHOICE HOUSING FOR THE DEVELOPMENTALLY DISABLED. SOUTHERN OHIO CORRECTIONAL FACILITY MINISTRIES, ARTHRITIS FOUNDATION, MEDICAL RESERVE CORP, PARISH NURSE NETWORK, SOUTHERN OHIO DIABETES COALITION, PORTSMOUTH BICENTENNIAL BOARD, THE SHAWNEE STATE UNIVERSITY BOARD, AND THE SOUTHERN OHIO CORRECTIONAL FACILITY COMMUNITY ADVISORY BOARD. MANY BENEFITS ARE CREATED THROUGH THESE PARTNERSHIPS INCLUDING SPONSORSHIPS FOR CULTURAL AFFAIRS, COMMUNITY HEALTH AND WELLNESS PROGRAMS, HEALTH SCREENINGS, EDUCATION, CHILDREN'S PROGRAMS AND YOUTH ACTIVITIES. ONE SUCH COLLABORATIVE EFFORT ALLOWS SOMC TO PROVIDE ADULT IMMUNIZATIONS FOR INFLUENZA, PNEUMONIA AND HEPATITIS B TO HUNDREDS OF COMMUNITY MEMBERS EACH YEAR. THE HOSPITAL OFTEN DONATES USED EQUIPMENT TO LOCAL SCHOOLS. NURSES AND PHYSICIANS VOLUNTEER THEIR TIME AND EFFORT TO TRAVEL AROUND THE SOMC REGION AND TO THIRD-WORLD COUNTRIES TO PROVIDE SERVICES FREE OF CHARGE OR AT A REDUCED RATE TO POPULATIONS WHO GREATLY BENEFIT FROM THEIR ANNUAL VISITS.ANOTHER PROGRAM, TITLED "LOVE YOUR HEART" REACHES HUNDREDS OF KINDERGARTEN STUDENTS EACH YEAR. DEVELOPED IN 2000 BY THE SOMC INTENSIVE CARE UNIT TO PROMOTE EARLY CHILDHOOD HEALTHY HABITS, "LOVE YOUR HEART" USES CHARACTERS FROM THE WIZARD OF OZ TO TEACH CHILDREN HOW TO TAKE CARE OF THEIR HEARTS THROUGH HEALTHY EATING, EXERCISE AND THREE OTHER HANDS-ON STATIONS. HOSPITAL EMPLOYEES, LOCAL NURSING STUDENTS, AND VOLUNTEERS FROM ALL OVER THE COMMUNITY PARTICIPATE IN PROVIDING EDUCATION DURING THIS ANNUAL BELOVED PROGRAM. THROUGH ITS CREATIVE MESSAGE AND INVENTIVE APPROACH, PARTICIPANTS FEEL THEY ARE MAKING A DIFFERENCE AND SERVING AS ROLE MODELS FOR HEALTHY LIVING. THE ICU STAFF WAS AWARDED THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES SEABURY AND SMITH NATIONAL COMMUNITY SERVICE AWARD FOR THIS EXTRAORDINARY PROGRAM. THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT ALSO ACTIVELY SEEKS GRANTS THAT CAN BE USED TOWARD SPECIFIC COMMUNITY-WIDE PROGRAMS. THE SUSAN G. KOMEN GRANT FOR THE HANDS OF HOPE PROGRAM PROVIDES FREE OR REDUCED FEE EDUCATION, SCREENINGS AND MAMMOGRAMS TO PROMOTE EARLY DETECTION OF BREAST DISEASE. IT LINKS BREAST CANCER PATIENTS TO RESOURCES AFTER BREAST CANCER TREATMENT. SOMC IS DEDICATED TO EDUCATING ITS APPALACHIAN COMMUNITY ON SELF-BREAST EXAMS PROVIDING CLINICAL BREAST SERVICES AND DIAGNOSTIC TESTING, WITH A FOCUS ON YEARLY MAMMOGRAMS. FOR EXAMPLE, OCTOBER IS ANNUALLY KNOWN AS BREAST CANCER AWARENESS MONTH, AND OFTEN FEATURES MANY PROGRAMS, SCREENINGS, COMMERCIALS, FLYERS, AND ACTIVITIES THAT FOCUS SPECIFICALLY ON THAT TOPIC AND ITS EDUCATION. SOMC EMPLOYEES, PHYSICIANS, AND MEDICAL STUDENTS GIVE BACK TO THE COMMUNITY THROUGH INTERNAL DONATION CAMPAIGNS SUCH AS THE SCIOTO COUNTY UNITED WAY. MANY MEMBERS OF THE COMMUNITY ALSO VOLUNTEER AT SOMC, SERVING AS COMMUNITY AMBASSADORS. VOLUNTEERS OFFER A FRIENDLY SMILE AND COMFORTING WORDS TO PATIENTS AND FAMILY MEMBERS, WHILE ALSO ASSISTING WITHIN MANY AREAS OF THE HOSPITAL. VOLUNTEERS GIVE BACK TO THE COMMUNITY BY RAISING FUNDS TO PURCHASE MEDICAL EQUIPMENT, ASSISTING WITH PATIENT NEEDS AND PROVIDING VARIOUS COMMUNITY SERVICES TO AID IN MAKING A DIFFERENCE. IN FY15, THESE 541 VOLUNTEERS PROVIDED MORE THAN 44,870 UN-PAID HOURS. WITH THE COMMUNITIES AND SOMC WORKING SO CLOSELY TOGETHER, SOMC CAN PROUDLY SAY IT IS ABLE TO OBTAIN ITS GOAL OF "MAKING A DIFFERENCE."Desc
Total Program Service Expenses$230,981,539TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document205IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2670EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICHARD GILCHERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7403567622PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11248 KINNEYS LANEAddressLine1Txt
CityPORTSMOUTHCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45662ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RANDAL ARNETT
PRESIDENT & CEO40.003.10Yes (X)Yes (X)$702,135$0$314,697
ROBERT E DEVER
CHAIRMAN1.001.10Yes (X)Yes (X)$0$0$0
GARY DUZAN
TREASURER1.001.10Yes (X)Yes (X)$0$0$0
GEORGE LAWSON
SECRETARY1.001.10Yes (X)Yes (X)$0$0$0
STEVEN A CONLEY
DIRECTOR1.001.00Yes (X)$0$0$0
RITA RICE-MORRIS PHD
DIRECTOR1.001.00Yes (X)$0$0$0
DAVID FOWLER
DIRECTOR1.001.10Yes (X)$0$0$0
GEORGE V JOHNSON MD
DIRECTOR1.001.00Yes (X)$0$0$0
JAMES W STAKER
DIRECTOR1.001.00Yes (X)$0$0$0
ELIE SAAB MD
SMD CRITICAL CARE1.0041.00Yes (X)$0$495,493$40,292
CINDY HAMM MD
CHIEF OF STAFF (JULY-DEC 2014)1.0041.00Yes (X)$0$211,712$38,387
DAVID WALKER MD
CHIEF OF STAFF (JAN-JUNE 2015)1.001.00Yes (X)$0$0$0
DEAN WRAY
VP FINANCE40.003.10Yes (X)$387,805$0$133,472
KENDALL L STEWART MD
VP MEDICAL AFFAIRS40.001.00$533,082$0$47,701Yes (X)
CLAUDIA L BURCHETT
VP PATIENT SERVICES/CNO40.001.00$292,401$0$112,626Yes (X)
VICKI A NOEL
VP HR & ORGANIZATIONAL DEV40.001.00$253,233$0$77,684Yes (X)
LEEANN L SAMMONS
VP SAFETY/RISK MGMT (THRU AUGUST)40.001.00$171,658$0$36,226Yes (X)
BENJAMIN L GILL
VP OF SUPPORT SERVICES40.001.00$204,136$0$55,017Yes (X)
RORY E PHILLIPS
ADM DIR OF PHARMACY42.000.00$190,459$0$44,319Yes (X)
BRENT A RICHARD
ADM DIR INFORMATION SYSTEMS44.000.00$161,783$0$33,467Yes (X)
CRAIG E GILLILAND
ADM DIR FINANCIAL SERVICES42.000.00$159,546$0$40,167Yes (X)
JEREMY K JANNEY
PHARMACY MANAGER40.000.00$152,272$0$27,378Yes (X)
KEITH A HILES
REGISTERED PHARMICIST43.000.00$148,661$0$35,448Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,357,171TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$707,205TotReportableCompRltdOrgAmt
Total Other Compensation$1,036,881TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K54IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
REHABCARE GROUP INC
7733 FORSYTH BLVD SUITE 1200ST LOUISMO63105MANAGEMENT SERVICES$6,349,264
BB&E CONSTRUCTION INC
1630 KENDALL AVEPORTSMOUTHOH45662CONSTRUCTION$3,120,089
UNITED COLLECTION BUREAU INC
4100 HORIZONS DR SUITE 101COLUMBUSOH43220PATIENT ACCOUNT BILLING$1,497,861
APOGEE MEDICAL MANAGEMENT
2525 EAST CAMEL BACK ROADPHOENIXAZ85016CONTRACT SERVICES$1,313,597
MAYO COLLABORATIVE SERVICES
200 SW FIRST STROCHESTERMN55905LABORATORY TESTING$1,257,401
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K39CntrctRcvdGreaterThan100KCnt
Related Organizations$256,473RelatedOrganizationsAmt
Government Grants$22,046GovernmentGrantsAmt
All Other Contributions$21,700AllOtherContributionsAmt
Total Contributions$300,219TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES622110$317,501,526$317,501,526
PHARMACY INCOME446110$9,037,926$9,037,926
LIFE CENTER622110$1,690,862$1,690,862
LAB SERVICES621500$403,116$403,116
FieldValueIRS element (for citing)
Total Program Service Revenue$328,633,430TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,584,939TotalRevenueColumnAmt
Exclusion$9,584,939ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$24,138RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$13,479RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$10,659RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,659TotalRevenueColumnAmt
Related Or Exempt Func Income$12,121RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$4,109UnrelatedBusinessRevenueAmt
Exclusion$2,647ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$21,975,403SecuritiesAmt
Other$5,919OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$12,758,952SecuritiesAmt
Other$9,351OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$9,216,451SecuritiesAmt
Other-$3,432OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,213,019TotalRevenueColumnAmt
Exclusion$9,213,019ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA SALES622110$1,806,123$1,806,123
WEST UNION RETAIL PHARMACY446110$480,366$382,516$97,850
MANAGEMENT SERVICES561000$204,407$204,407

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$785,484TotalRevenueColumnAmt
Related Or Exempt Func Income$475,891RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$94,156UnrelatedBusinessRevenueAmt
Exclusion$215,437ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,276,380OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$351,018,646TotalRevenueColumnAmt
Related Or Exempt Func Income$329,503,958RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$392,304UnrelatedBusinessRevenueAmt
Exclusion$20,822,165ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$243,757TotalAmt
Program Services$243,757ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$105,703,289TotalAmt
Program Services$76,732,784ProgramServicesAmt
Management And General$28,970,505ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,884,207TotalAmt
Program Services$4,295,471ProgramServicesAmt
Management And General$1,588,736ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,226,539TotalAmt
Program Services$19,875,373ProgramServicesAmt
Management And General$7,351,166ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,523,723TotalAmt
Program Services$5,492,318ProgramServicesAmt
Management And General$2,031,405ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,851,968TotalAmt
Management And General$1,851,968ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$311,428TotalAmt
Management And General$311,428ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$255,175TotalAmt
Management And General$255,175ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$4,926TotalAmt
Management And General$4,926ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,533,318TotalAmt
Program Services$14,687,975ProgramServicesAmt
Management And General$6,845,343ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,061,083TotalAmt
Program Services$2,061,083ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,290,434TotalAmt
Program Services$17,674,586ProgramServicesAmt
Management And General$2,615,848ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,386,952TotalAmt
Program Services$2,694,843ProgramServicesAmt
Management And General$1,692,109ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,827,852TotalAmt
Program Services$8,120,278ProgramServicesAmt
Management And General$4,707,574ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$342,619TotalAmt
Program Services$196,510ProgramServicesAmt
Management And General$146,109ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$487,973TotalAmt
Program Services$92,187ProgramServicesAmt
Management And General$395,786ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,881,414TotalAmt
Program Services$7,800,868ProgramServicesAmt
Management And General$80,546ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$18,879,080TotalAmt
Program Services$16,084,308ProgramServicesAmt
Management And General$2,794,772ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,009,818TotalAmt
Program Services$2,009,818ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXEPENSE$17,999,745$17,999,745
PHARMACY SUPPLIES/DRUGS$17,823,591$17,823,591
MEDICAL SUPPLIES$16,351,627$16,351,627
OHIO FRANCHISE TAX$3,532,461$3,532,461

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,508,988TotalAmt
Program Services$744,417ProgramServicesAmt
Management And General$764,571ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$296,921,967TotalAmt
Program Services$230,981,539ProgramServicesAmt
Management And General$65,940,428ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,490BOYAmt
EOY$412,244EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$23,609,120BOYAmt
EOY$23,373,793EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$35,960,844BOYAmt
EOY$38,151,784EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,925,885BOYAmt
EOY$5,821,403EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,913,463BOYAmt
EOY$9,401,767EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$343,905,642LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$200,549,320LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$153,430,683BOYAmt
EOY$143,356,322EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$231,301,539BOYAmt
EOY$239,845,597EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,080,795BOYAmt
EOY$4,848,360EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$16,894,262BOYAmt
EOY$16,759,535EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$473,123,081BOYAmt
EOY$481,970,805EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$30,861,162BOYAmt
EOY$30,624,407EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$144,401,046BOYAmt
EOY$141,304,827EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,357,893BOYAmt
EOY$18,285,438EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$193,620,101BOYAmt
EOY$190,214,672EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$279,502,980BOYAmt
EOY$291,756,133EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$279,502,980BOYAmt
EOY$291,756,133EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$473,123,081BOYAmt
EOY$481,970,805EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$54,096,679ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$14,794,363NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$27,049,163OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$1,035DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,891OtherActivitiesAmt
Total Lobbying Expenditures$4,926TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationMEMBERSHIP DUES IN THE AMOUNT OF $46,448 AND $67,991 WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION, RESPECTIVELY. OF THESE DUES, $1,579 AND $2,312 WERE RELATED TO LOBBYING ACTIVITIES. IN ADDITION, THERE WAS A TRIP TO WASHINGTON FOR RORY PHILLIPS THAT AMOUNTED TO $1,035, IN WHICH THERE WAS DIRECT CONTACT WITH LEGISLATORS, THEIR STAFF, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,207,241BeginningYearBalanceAmt
Contributions$102,469ContributionsAmt
Investment Earnings Or Losses$49,280InvestmentEarningsOrLossesAmt
Other Expenditures$210,138OtherExpendituresAmt
Administrative Expenses$28,486AdministrativeExpensesAmt
End Year Balance$2,120,366EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,994,406BeginningYearBalanceAmt
Contributions$43,988ContributionsAmt
Investment Earnings Or Losses$289,748InvestmentEarningsOrLossesAmt
Other Expenditures$90,941OtherExpendituresAmt
Administrative Expenses$29,960AdministrativeExpensesAmt
End Year Balance$2,207,241EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,730,242OtherCostOrOtherBasisAmt
Book Value$4,730,242BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$91,109,418OtherCostOrOtherBasisAmt
Depreciation$34,070,415DepreciationAmt
Book Value$57,039,003BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$200,323OtherCostOrOtherBasisAmt
Depreciation$147,379DepreciationAmt
Book Value$52,944BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$232,124,423OtherCostOrOtherBasisAmt
Depreciation$160,428,375DepreciationAmt
Book Value$71,696,048BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,741,236OtherCostOrOtherBasisAmt
Depreciation$5,903,151DepreciationAmt
Book Value$9,838,085BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$143,356,322TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
COST REPORT SETTLEMENT$5,533,799
PENSION LIABILITY$6,442,028
ACCRUED SELF-INSURED LIABILITY$3,903,472
CERP DEFERRED COMP LIABILITY$2,406,139
FieldValueIRS element (for citing)
Total Liability$18,285,438TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ENDOWMENT FUNDS ARE REPORTED ON SOMC DEVELOPMENT FOUNDATION'S BALANCE SHEET. THEY ARE TO BE SPENT AT THE SOMC DEVELOPMENT FOUNDATION BOARD'S DISCRETION, AND ARE INTENDED TO BE RETAINED FOR FUTURE NEEDS OF THE ORGANIZATION. THE ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY THE SCIOTO FOUNDATION.
PART X, LINE 2:SOUTHERN OHIO MEDICAL CENTER AND ITS SUBSIDIARIES ARE NONPROFIT, TAX-EXEMPT ORGANIZATIONS AND, ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2015, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2012.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other125.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served10701PersonsServedCnt
Total Community Benefit Expns$6,337,729TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,337,729NetCommunityBenefitExpnsAmt
Total Expense0.02270TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served129775PersonsServedCnt
Total Community Benefit Expns$64,997,626TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,279,822DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,717,804NetCommunityBenefitExpnsAmt
Total Expense0.05280TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served140476PersonsServedCnt
Total Community Benefit Expns$71,335,355TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,279,822DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,055,533NetCommunityBenefitExpnsAmt
Total Expense0.07550TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served18037PersonsServedCnt
Total Community Benefit Expns$202,798TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$82,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$120,298NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$250,459TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$250,459NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served35452PersonsServedCnt
Total Community Benefit Expns$289,186TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$289,186NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served53489PersonsServedCnt
Total Community Benefit Expns$742,443TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$82,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$659,943NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served193965PersonsServedCnt
Total Community Benefit Expns$72,077,798TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,362,322DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,715,476NetCommunityBenefitExpnsAmt
Total Expense0.07780TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$17,999,745BadDebtExpenseAmt
Bad Debt Expense Attributable$2,327,774BadDebtExpenseAttributableAmt
Reimbursed By Medicare$85,523,502ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$94,571,015CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,047,513MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN OHIO MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11805 27TH STREETAddressLine1Txt
CityPORTSMOUTHCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45662ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN OHIO MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.SOMC.ORG/PROGRAMS/COMMUNITYHEALTH/DOCUMENTS/CHNAOVERVIEW.PDFOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.SOMC.ORG/PROGRAMS/COMMUNITYHEALTH/DOCUMENTS/CHNAOVERVIEW.PDFStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.SOMC.ORG/ONLINE/ASSETS/FINANCIALASSISTANCEAPP.PDFFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SOUTHERN OHIO MEDICAL CENTERPART V, SECTION B, LINE 5: TWO FOCUS GROUPS WERE HELD ON JANUARY 17, 2013. ONE GROUP WAS DESIGNATED FOR AN INTERNAL STEERING COMMITTEE MADE OF REPRESENTATIVES FROM SOUTHERN OHIO MEDICAL CENTER; THE OTHER GROUP WAS MADE UP OF KEY INFORMANTS FROM THROUGHOUT THE COMMUNITY. FOCUS GROUP PARTICIPANTS INCLUDED 28 KEY INFORMANTS: REPRESENTATIVES FROM PUBLIC HEALTH; PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY LEADERS. A LIST OF RECOMMENDED PARTICIPANTS FOR THE FOCUS GROUPS WAS PROVIDED BY SOMC. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. PARTICIPANTS INCLUDED A REPRESENTATIVE OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHO WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS, AND THOSE WHO WORK WITH PERSONS WITH CHRONIC DISEASE CONDITIONS. FOCUS GROUP CANDIDATES WERE FIRST CONTACTED BY LETTER TO REQUEST THEIR PARTICIPATION. FOLLOW-UP PHONE CALLS WERE THEN MADE TO ASCERTAIN WHETHER OR NOT THEY WOULD BE ABLE TO ATTEND. CONFIRMATION CALLS WERE PLACED THE DAY BEFORE THE GROUPS WERE SCHEDULED TO INSURE A REASONABLE TURNOUT. THE FOLLOWING TABLE LISTS THOSE WHO ATTENDED ONE OF THE TWO FOCUS GROUPS.EXTERNAL FOCUS GROUPS WERE HELD THURSDAY, JANUARY 17TH AT 12PM WHICH INCLUDED THE FOLLOWING ORGANIZATIONS: -WIC-PORTSMOUTH CITY HEALTH DEPARTMENT-COMMUNITY ACTION ORGANIZATION-MAIN STREET PORTSMOUTH-ADVANTAGE HOME CARE-SCIOTO FOUNDATION-PORTSMOUTH CITY POLICE DEPARTMENT-COMMUNITY CHOICE HOME CARE-CHAMBER OF COMMERCE, PORTSMOUTH-SCIOTO COUNTY COURTS-PORTSMOUTH INNER CITY DEVELOPMENT CORPORATION-PORTSMOUTH CITY HEALTH DEPARTMENT-PORTSMOUTH CITY SCHOOLSPOPULATIONS THAT WERE SERVED INCLUDE THE FOLLOWING:-MEDICALLY UNDERSERVED-LOW-INCOME RESIDENTS-MINORITY POPULATION-POPULATION WITH CHRONIC ILLNESSINTERNAL FOCUS GROUPS WERE HELD THURSDAY, JANUARY 17TH AT 9AM WHICH INCLUDED THE FOLLOWING ORGANIZATIONS:-SOUTHERN OHIO MEDICAL CENTER-SOUTHERN OHIO MEDICAL CENTER/INDUSTRIAL REHABPOPULATIONS THAT WERE SERVED INCLUDE THE FOLLOWING:-MEDICALLY UNDERSERVED-LOW-INCOME RESIDENTS-MINORITY POPULATION-POPULATION WITH CHRONIC ILLNESS
SOUTHERN OHIO MEDICAL CENTERPART V, SECTION B, LINE 7D: SOMC IS PART OF A COMMUNITY HEALTH COALITION WITH MULTIPLE AREA AGENCIES, COMMUNITY AND CIVIC GROUPS REPRESENTED. AFTER THE 2013 SOMC CHNA WAS COMPLETED, THE FINAL RESULTS WERE SHARED WITH THE COALITION AND ACCESS WAS GIVEN TO ALL ITS AFFILIATES TO HELP WITH THEIR OWN DATA COLLECTION MEASURES.
SOUTHERN OHIO MEDICAL CENTERPART V, SECTION B, LINE 11: THE FOLLOWING SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA ARE BEING ADDRESSED:TOBACCO IS COVERED MULTI-TIERED:-FREE 6-WEEK CESSATION PROGRAM WITH FREE NICOTINE REPLACEMENT THERAPIES FOR ADULTS (10 OFFERINGS OR MORE EACH YEAR)-FREE 4-WEEK CESSATION CLASS FOR TEENS BY REQUEST-SCHOOL PROGRAMMING DELIVERED AT 17 DIFFERENT SCHOOLS THROUGH IN-CLASS OR AFTER SCHOOL MALL PRESENTATIONS-LUNGS FOR LIFE PROGRAM-HIRED LUNG HEALTH NAVIGATOR TO FACILITATE FREE CT SCAN AND EARLY LUNG CANCER DETECTION PROGRAM-GREAT AMERICAN SMOKEOUT EVENTS INCLUDING SOMC RAVEN ROCK ASH DASH 5K WITH OBSTACLES-SOMC ENDORSES A SMOKE FREE WORKPLACE AND HAS TAKEN A STAND TO HIRE NO SMOKERS AS OF NOVEMBER 2012NUTRITION:-FREE LOSE & WIN 9-WEEK WEIGHT MANAGEMENT CLASSES ON LOCATION (10+ OFFERINGS EACH YEAR)-WEEKLY DIABETES SELF-MANAGEMENT EDUCATION BY PHYSICIAN REFERRAL (BILLED TO INSURANCE)-SCHOOL PROGRAMMING DELIVERED AT 17 DIFFERENT SCHOOLS THROUGH IN-CLASS OR AFTER SCHOOL MALL PRESENTATIONS-FREE MEDICAL NUTRITION THERAPY EDUCATION WITH A REGISTERED AND LICENSED DIETICIAN BY PHYSICIAN REFERRAL/ CONSULT-PARTNERSHIP WEIGHT WATCHERS AND SOMC LIFE CENTER FOR LEARN & BURN PROGRAM-BIOMETRIC SCREENINGS WITH IMMEDIATE RN HEALTH COACHING-CARDIAC RISK SCREENINGS-DIABETES RISK/ HEMOGLOBIN A1C SCREENINGS-BODY FAT & BODY MASS INDEX SCREENINGSPHYSICAL ACTIVITY:-MULTIPLE FREE AND AT SMALL COST PROGRAMS AVAILABLE THROUGH THE SOMC LIFE CENTER-GROUP FITNESS AT COUNTY-WIDE LOCATIONS FOR SPECIAL EVENTS AVAILABLE FOR FREE-SCHOOL PROGRAMMING DELIVERED AT 17 DIFFERENT SCHOOLS THROUGH IN-CLASS OR AFTER SCHOOL MALL PRESENTATIONS-PARTNERSHIP WEIGHT WATCHERS AND SOMC LIFE CENTER FOR LEARN & BURN PROGRAMACCESS TO CARE:1.INCREASE AVAILABILITY OF PRIMARY CARE PROVIDERS, SPECIALIST AND SUPPORT SERVICES IN RURAL AREAS -OPEN SOMC PEDIATRIC ASSOCIATES WITH EXTENDED HOURS, ROTATING PEDIATRIC SPECIALISTS AND A PARTNERSHIP WITH NATIONWIDE CHILDREN'S HOSPITAL -CONVERT PRIMARY CARE OFFICES TO PATIENT CENTERED MEDICAL HOMES2.INCREASE SCREENING EFFORTS AT TARGETED GROUPS: CORPORATE OFFICES, RURAL AND LOW INCOME AREAS, CHURCH AND COMMUNITY ORGANIZATIONS -PARTNER WITH SCIOTO COUNTY COALITION TO TAKE MULTIPLE SCREENINGS TO RURAL OUTREACH AREAS. -INCREASE CORPORATE WELLNESS OFFERINGS -UTILIZE PARISH NURSING PROGRAM3.COLLABORATE WITH KEY AREA COMMUNITY PARTNERS AS OPPORTUNITIES BECOME AVAILABLE -EMERGENCY CARE PARTNERSHIP WITH OHIO HEALTH NETWORK & TELEHEALTH STROKE DETECTION -CANCER SERVICES PARTNERSHIP WITH OHIO HEALTH TO PROVIDE TELEMEDICINE GENETIC RISK ASSESSMENT4.CONTINUE CANCER PREVENTION AND EARLY DETECTION PROGRAMMING -MONTHLY BREAST CANCER SCREENINGS AND KOMEN-FUNDED BREAST HEALTH EFFORTS -SELF-BREAST EXAMINATION EDUCATION -LUNGS FOR LIFE -COLORECTAL CANCER AWARENESS ACTIVITIESTHESE TOPICS WERE DECIDED TO BE ADEQUATELY ADDRESSED BY OTHER SOURCES IN THE COMMUNITY AND NOT CHOSEN TO BE A SPECIFIC PART OF SOMC'S 2012 CHNA IMPLEMENTATION PLAN:-KIDNEY DISEASE-PART OF DIABETES SELF-MANAGEMENT EDUCATION AND MEDICAL NUTRITION THERAPY, 2 DIALYSIS CLINICS IN PORTSMOUTH-AREA-DISABILITY & CHRONIC PAIN-INCLUDED IN THE ACCESS TO CARE PIECE OF THE IMPLEMENTATION PLAN OF 2012, SOMC HIRED TWO PHYSICAL MEDICINE AND REHABILITATION SPECIALISTS, AS WELL AS GREW THE OUTPATIENT REHABILITATION AREAS.-INJURY AND VIOLENCE-SCIOTO COUNTY HEALTH COALITION INCLUDES PORTSMOUTH POLICE FORCE AND SCIOTO COUNTY SHERRIFF OFFICE REPRESENTATIVES-MATERNAL, INFANT, & CHILD HEALTH- INCLUDED IN 2012 ACCESS TO CARE. SOMC HAS HIRED 3 OB/GYNS AND HAS IMPLEMENTED MULTIPLE MATERNAL/ INFANT AWARENESS CAMPAIGNS, INCLUDING SAFE SLEEP, BREASTFEEDING, ETC.-MENTAL HEALTH/ MENTAL DISORDERS -SCIOTO COUNTY AND SECONDARY SERVICE AREA HAVE SHAWNEE FAMILY AND MENTAL HEALTH CENTER AS WELL AS COMPASS COMMUNITY HEALTH TREATMENT CENTERS AVAILABLE. SOMC ADDED UNDER ACCESS TO CARE 2 NURSE PRACTITIONERS IN MENTAL HEALTH-ORAL HEALTH-MULTIPLE DENTIST AND CAO DENTAL CLINIC AVAILABLE TO TOTAL SERVICE AREA-SUBSTANCE ABUSE-INCLUDED IN 2012 ACCESS TO CARE. COMPASS COMMUNITY HEALTH, SHAWNEE FAMILY AND MENTAL HEALTH CENTERS OFFER DRUG COUNSELING AND TREATMENT. SOMC ALSO OPENED THE BREAKTHROUGH-VISION AND HEARING-3 TRAINED RN AVAILABLE TO HELP IN SCHOOLS WITH PRESCHOOL & KINDERGARTEN SCREENINGS. LIMITED RESOURCES.
SOUTHERN OHIO MEDICAL CENTERPART V, SECTION B, LINE 22D: SOMC'S PATIENT PRICING IS BUILT ON CHARGE SPECIFIC COSTS FROM OUR INTERNAL COSTING SYSTEM WHICH THEN IS EVALUATED AGAINST MEDICARE, MEDICAID AND/OR OTHER FEE SCHEDULE IN EFFECT THEN ALSO WITH OTHER HOSPITALS PRICES BOTH LOCALLY AND REGIONALLY WHERE OBTAINABLE. FOR FISCAL YEAR END 2015, SELF-PAY PATIENTS WERE AUTOMATICALLY GIVEN A 40% DISCOUNT. IF THE FAP ELIGIBLE PATIENTS' APPLICATION QUALIFIES FOR FINANCIAL ASSISTANCE THEN THEY ARE ABLE TO RECEIVE UP TO A 100% REDUCTION TO THE CHARGED AMOUNT.
PART V, SECTION B, LINE 14(A):THE POLICY FOR THE FAP IS NOT POSTED ONLINE. HOWEVER, THE FINANCIAL ASSISTANCE APPLICATION DESCRIBES THE QUALIFICATIONS FOR ASSISTANCE AND ALERTS THE PATIENT TO THE AVAILABILITY OF ASSISTANCE THROUGH THE FAP.
PART V, SECTION B, LINE 16FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
SOUTHERN OHIO MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE:WWW.SOMC.ORG/ONLINE/ASSETS/FINANCIALASSISTANCEAPP.PDF
FieldValueIRS element (for citing)
Facility28FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SOMC CANCER CENTER
1121 KINNEYS LANEPORTSMOUTHOH45662CANCER TREATMENT & CARE
WOUND HEALING & SLEEP LAB
1745 27TH STREETPORTSMOUTHOH45662SLEEP LAB
SOMC WHEELERSBURG URGENT CARE
8770 OHIO RIVER ROADWHEELERSBURGOH45694URGENT CARE
SOMC WAVERLY URGENT CARE
835 WEST EMMITT AVENUEWAVERLYOH45690URGENT CARE
HOSPICE IN-PATIENT
2201 25TH STREETPORTSMOUTHOH45662HOSPICE IN-PATIENT
SOMC URGENT CARE CENTER SOUTH CAMPUS
1248 KINNEYS LANEPORTSMOUTHOH45662URGENT CARE
LUCASVILLE LIFE CENTER
10617 US ROUTE 23LUCASVILLEOH45648FITNESS CENTER
PORTSMOUTH LIFE CENTER
1202 18TH STREETPORTSMOUTHOH45662FITNESS CENTER
WHEELERSBURG LIFE CENTER
8430 HAYPORT ROADWHEELERSBURGOH45694FITNESS CENTER
SOMC MCF CARDIOLOGY
1711 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF COUNSELING AND PSYCHIATRIC SER
1735 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF ENT
1711 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF GASTROENTEROLOGY
1711 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF INFECTIOUS DISEASE
1735 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF LUCASVILLE FAMILY PRACTICE
10 THOMAS HOLLOW ROADLUCASVILLEOH45648PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF MINFORD FAMILY PRACTICE
8792 STATE ROUTE 335MINFORDOH45653PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF OBSTETRICS
1735 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF ORTHOPEDICS
1735 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF NEUROLOGY
1735 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF PEDIATRICS
1611 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF PMRA
1735 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF PORTSMOUTH FAMILY PRACTICE
1711 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF PULMONOLOGY
1735 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF SCIOTOVILLE
5611 GALLIA STSCIOTOVILLEOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF MCF SURGICAL ASSOCIATES
1711 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF UROLOGY
1735 27TH STREETPORTSMOUTHOH45662PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF WEST UNION FAMILY PRACTICE
126 NORTH CROSS STWEST UNIONOH45693PROVIDER BASED OUTPATIENT CLINIC
SOMC MCF WHEELERSBURG FAMILY PRACTICE
613 CENTER STREETWHEELERSBURGOH45694PROVIDER BASED OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:COSTS FOR LINES 7A AND 7B WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, AND THE COSTS ON LINES 7E AND 7F WERE BASED ON ACTUAL COSTS. THE CASH AND IN-KIND CONTRIBUTIONS ON LINE 7I IS MADE UP OF THE EXPENSES FROM THE FOLLOWING ACTIVITIES:- BLOOD DRIVES HELD FOR THE RED CROSS- ALLOWING COMMUNITY ORGANIZATIONS TO USE THE FRIENDS COMMUNITY CENTER AT NO CHARGE- EMPLOYEES DONATE TO THE UNITED WAY CAMPAIGN - SOME PHARMACY ITEMS ARE GIVEN OUT AT SMOKING CESSATION PROGRAMS- THE ORGANIZATION AS A WHOLE SUPPORTS COMMUNITY EVENTS AND ORGANIZATIONS THROUGH DONATIONS THAT PROVIDE SERVICES TO THE LOCAL AREA
PART I, LN 7 COL(F):THE TOTAL PERCENTAGE CALCULATED ON LINE 7 IS BASED ON TOTAL EXPENSES FROM FORM 990, PART IX, LESS BAD DEBT EXPENSE FROM PART IX OF $17,999,745.
PART III, LINE 2:TOTAL BAD DEBT EXPENSE REPORTED ON THE FINANCIAL STATEMENTS EXCLUDES AMOUNTS KNOWN TO QUALIFY FOR CHARITY DISCOUNTS. ANY PARTIAL PAYMENTS THAT ARE SUBSEQUENTLY RECEIVED ARE APPLIED AS AN OFFSET TO BAD DEBT EXPENSE. NONE OF THE BAD DEBT EXPENSE REPORTED ON THE FINANCIAL STATEMENTS IS TREATED AS A COMMUNITY BENEFIT.
PART III, LINE 3:THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE REPORTED ON THE FINANCIAL STATEMENTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY REPRESENTS ACCOUNTS THAT WERE DEEMED TO BE BAD DEBT WHICH SUBSEQUENTLY APPLIED FOR FINANCIAL ASSISTANCE. THE ACCOUNTS BELIEVED TO QUALIFY FOR CHARITY CARE HOWEVER WERE NOT MOVED FROM BAD DEBTS.
PART III, LINE 4:AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE ORGANIZATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
PART III, LINE 8:MEDICARE COSTS WERE TAKEN FROM THE MEDICARE COST REPORT, WHICH USES A COST TO CHARGE RATIO ALLOWED UNDER MEDICARE COST REPORT METHODOLOGY. NONE OF THE SHORTFALL IS TREATED AS COMMUNITY BENEFIT.
PART III, LINE 9B:EFFECTIVE SEPTEMBER 2014, ALL SELF-PAY ACCOUNTS AND SELF-PAY AFTER INSURANCE ARE PROCESSED FOR PRESUMPTIVE CHARITY USING ISOLUTIONS. IF THE SELF-PAY PATIENT QUALIFIES, A DISCOUNT IS APPLIED RIGHT AWAY, AND IF THERE IS STILL A BALANCE DUE ON THE ACCOUNT, WE BILL THE CLAIMS FOR PAYMENTS OVER A FOUR STATEMENT CYCLE. IF THERE IS A BALANCE REMAINING AFTER INSURANCE PAYS, THE DISCOUNT IS NOT APPLIED UNTIL AFTER THE 4TH STATEMENT IS SENT AND PHONE CALLS ARE MADE, BUT PRIOR TO THE ACCOUNTS BEING PLACED WITH OUTSIDE AGENCIES FOR COLLECTION.
PART VI, LINE 2:IN JULY OF 2012, THE COMMUNITY HEALTH LEADERSHIP TEAM CONVENED TO DISCUSS THE CHNA. AN INTERNAL STEERING COMMITTEE WAS ASSEMBLED AND THE SCIOTO COUNTY HEALTH COALITION (SCHC) WAS SELECTED AS THE EXTERNAL STEERING COMMITTEE. A TIMELINE FOR THE CHNA WAS ESTABLISHED AND THE MEETING SCHEDULE WAS SET. SOMC SIGNED WITH PRC IN SEPTEMBER 2012 AND PRC BEGAN SURVEYING THE COMMUNITY IN NOVEMBER 2012. THE FINAL SURVEYS WERE COMPLETED IN JANUARY 2013. PRC COMPLETED DATA COMPILATION AND DELIVERED THE FINAL REPORT TO SOMC IN FEBRUARY 2013. UPON REVIEW OF DATA, A PRELIMINARY PLAN WAS DEVELOPED BY KEY STAKEHOLDERS WITH INPUT FROM THE EXTERNAL STEERING COMMITTEE (SCHC) ON MARCH 8, 2013, SOMC COMMUNITY HEALTH, AND SOMC COMMUNITY HEALTH AND WELLNESS TEAM. FURTHER REFINEMENT OF THE PLAN WAS SOLICITED FROM THE INTERNAL STEERING COMMITTEE ON MAY 15, 2013.THIS ASSESSMENT INCORPORATES DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH (THE PRC CHNA) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE QUANTITATIVE COMPONENTS ALLOW FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH A SET OF KEY INFORMANT FOCUS GROUPS.
PART VI, LINE 3:SOMC CONTRACTS WITH ELIGIBILITY ASSISTANCE PROGRAM (EAP) WHOSE STAFF IS LOCATED ON-SITE TO SEE PATIENTS INHOUSE, OFFER ASSISTANCE WITH APPLICATIONS FOR OHIO MEDICAID, HCAP AND/OR CHARITY FUNDING. THEY ALSO CONTACT OUTPATIENTS WITH LARGE BALANCES TO OFFER THE SAME ASSISTANCE. EACH BILLING STATEMENT MAILED TO PATIENTS ALSO OFFERS THE FINANCIAL ASSISTANCE APPLICATION (FOR HCAP AND CHARITY FUNDING) FOR THE PATIENT TO COMPLETE AND RETURN TO THE BUSINESS OFFICE.
PART VI, LINE 4:SOMC IS LOCATED IN PORTSMOUTH, OHIO, A RURAL COMMUNITY WITH A POPULATION OF 20,226 SITUATED ALONG THE WINDING OHIO AND SCIOTO RIVERS. PORTSMOUTH IS SEATED AT THE SOUTHERN TIP OF THE STATE, ACROSS THE RIVER FROM KENTUCKY, AND NEARLY TWO HOURS AWAY FROM THE NEAREST MAJOR CITIES OF COLUMBUS AND CINCINNATI IN OHIO, CHARLESTON IN WEST VIRGINIA AND LEXINGTON IN KENTUCKY. PORTSMOUTH IS A PART OF SCIOTO COUNTY AND IS HOME TO 9,120 HOUSEHOLDS AND 5,216 FAMILIES. THE CITY IS DIVERSE IN TERMS OF RACE, AGE AND EDUCATION, WITH THE MEDIAN INCOME FOR A HOUSEHOLD FALLING BELOW $23,000. SOMC'S PRIMARY MARKET IS SCIOTO COUNTY AND MORE THAN HALF OF THE PATIENTS SERVED RESIDE IN SCIOTO COUNTY. SOMC RECEIVES PATIENTS FROM SIX SURROUNDING COUNTIES INCLUDING PIKE, JACKSON, ADAMS, LAWRENCE, GREENUP AND LEWIS. THESE COUNTIES MAKE UP THE SECONDARY SERVICE AREA. SOUTHERN OHIO MEDICAL CENTER (SOMC) IS A NON-PROFIT HOSPITAL LOCATED IN PORTSMOUTH, OHIO. SOMC HAS 433 LICENSED BEDS, 210 STAFFED BEDS, AND 20 OPERATING ROOMS. SOMC IS COMPRISED OF THREE CAMPUSES IN PORTSMOUTH, AS WELL AS MULTIPLE SATELLITE FACILITIES THROUGHOUT THE CITIES OF LUCASVILLE, MINFORD, PORTSMOUTH, SCIOTOVILLE, WAVERLY AND WHEELERSBURG IN OHIO, AND VANCEBURG IN KENTUCKY.
PART VI, LINE 5:SOUTHERN OHIO MEDICAL CENTER IS AN ACTIVE MEMBER OF THE COMMUNITIES IT SERVES AND IS INVOLVED IN VARIOUS PROGRAMS AND ACTIVITIES THROUGHOUT THE AREA. COMMUNITY IS WHAT DRIVES SOMC TO ACHIEVE EXCELLENCE IN HEALTHCARE AND TO MAKE A DIFFERENCE IN THE LIVES OF THOSE AROUND US. THE ECONOMIC, EDUCATIONAL, RECREATIONAL AND CULTURAL ACTIVITIES OF THE LOCAL AREA SHOW THE WIDE SWEEP OF SOMC'S COMMUNITY INVOLVEMENT AND THEIR EFFORTS TO BUILD AND MAINTAIN STRONG RELATIONSHIPS. IT'S THROUGH THESE RELATIONSHIPS THAT SOMC HAS BEEN RECOGNIZED FOR MANY OUTSTANDING ACCOMPLISHMENTS, RECEIVING SUCH NOTABLE HONORS AS ANCC'S MAGNET RECOGNITION, OSHA'S VPP STAR STATUS, PRESS GANEY'S DISTINCTIVE WORKPLACE AWARD, AS WELL AS BEING NAMED ONE OF FORTUNE'S 100 BEST COMPANIES TO WORK FOR AND ONE OF MODERN HEALTHCARE'S 100 BEST PLACES TO WORK. KEY DECISIONS MADE AT SOMC ARE GUIDED BY FIVE STRATEGIC VALUES: SAFETY, QUALITY, SERVICE, RELATIONSHIPS AND PERFORMANCE. RELATIONSHIPS SHAPE MANY FACETS OF CUSTOMER SERVICE AND THE CARE THAT IS PROVIDED WITHIN THE HOSPITAL. IT IS THE HOSPITAL'S GOAL TO LISTEN AND PARTNER WITH CUSTOMERS TO MAKE A DIFFERENCE TO THOSE WE SERVE. ADDITIONAL FEEDBACK IS ALSO GATHERED THROUGH FOCUS GROUPS CONDUCTED BY THE SOMC COMMUNITY RELATIONS DEPARTMENT, AS WELL AS THE SOMC EXECUTIVE TEAM'S "OPEN DOOR POLICY," WHICH BOTH PROVIDE THE OPPORTUNITY TO GATHER INFORMATION AND SUGGESTIONS TO IMPROVE HOSPITAL SERVICES AND UNDERSTAND TECHNOLOGICAL NEEDS. SOMC ESTABLISHES WORKING RELATIONSHIPS WITH ORGANIZATIONS THROUGHOUT THE TRI-STATE AREA TO FOCUS ON THE HEALTH AND WELLNESS OF THE COMMUNITY. SOMC AND ITS EMPLOYEES PARTICIPATE IN A VARIETY OF COMMUNITY-BASED ORGANIZATIONS INCLUDING THE OHIO RIVER VALLEY CHAPTER RED CROSS BOARD, SCIOTO COUNTY HEALTH COALITION THE CHAMBER OF COMMERCE, ROTARY CLUB, UNITED WAY, SOUTHERN OHIO PERFORMING ARTS ASSOCIATION, MAIN STREET PORTSMOUTH, THE PORTSMOUTH AREA ARTS COUNCIL, MORE LITERACY PROGRAMS AS WELL AS AREA SCHOOL BOARDS, COMMITTEES, AND CHURCHES. OTHER PARTICIPATORY PROGRAMS INCLUDE LOCAL LITTLE LEAGUE GROUPS, LEADERSHIP PORTSMOUTH, OHIO PARTNERSHIP FOR EXCELLENCE, TASK FORCE ON DOMESTIC VIOLENCE, PORTSMOUTH KIWANIS SERVICE CLUB, SCIOTO RESIDENTIAL SERVICES BOARD, PARAMEDIC ADVISORY BOARD, SALVATION ARMY, RIVER SWEEP, HABITAT FOR HUMANITY, AND CHOICE HOUSING FOR THE DEVELOPMENTALLY DISABLED. SOUTHERN OHIO CORRECTIONAL FACILITY MINISTRIES, ARTHRITIS FOUNDATION, MEDICAL RESERVE CORP, PARISH NURSE NETWORK, SOUTHERN OHIO DIABETES COALITION, PORTSMOUTH BICENTENNIAL BOARD, THE SHAWNEE STATE UNIVERSITY BOARD, AND THE SOUTHERN OHIO CORRECTIONAL FACILITY COMMUNITY ADVISORY BOARD. MANY BENEFITS ARE CREATED THROUGH THESE PARTNERSHIPS INCLUDING SPONSORSHIPS FOR CULTURAL AFFAIRS, COMMUNITY HEALTH AND WELLNESS PROGRAMS, HEALTH SCREENINGS, EDUCATION, CHILDREN'S PROGRAMS AND YOUTH ACTIVITIES. ONE SUCH COLLABORATIVE EFFORT ALLOWS SOMC TO PROVIDE ADULT IMMUNIZATIONS FOR INFLUENZA, PNEUMONIA AND HEPATITIS B TO HUNDREDS OF COMMUNITY MEMBERS EACH YEAR. THE HOSPITAL OFTEN DONATES USED EQUIPMENT TO LOCAL SCHOOLS. NURSES AND PHYSICIANS VOLUNTEER THEIR TIME AND EFFORT TO TRAVEL AROUND THE SOMC REGION AND TO THIRD-WORLD COUNTRIES TO PROVIDE SERVICES FREE OF CHARGE OR AT A REDUCED RATE TO POPULATIONS WHO GREATLY BENEFIT FROM THEIR ANNUAL VISITS.ANOTHER PROGRAM, TITLED "LOVE YOUR HEART" REACHES HUNDREDS OF KINDERGARTEN STUDENTS EACH YEAR. DEVELOPED IN 2000 BY THE SOMC INTENSIVE CARE UNIT TO PROMOTE EARLY CHILDHOOD HEALTHY HABITS, "LOVE YOUR HEART" USES CHARACTERS FROM THE WIZARD OF OZ TO TEACH CHILDREN HOW TO TAKE CARE OF THEIR HEARTS THROUGH HEALTHY EATING, EXERCISE AND THREE OTHER HANDS-ON STATIONS. HOSPITAL EMPLOYEES, LOCAL NURSING STUDENTS, AND VOLUNTEERS FROM ALL OVER THE COMMUNITY PARTICIPATE IN PROVIDING EDUCATION DURING THIS ANNUAL BELOVED PROGRAM. THROUGH ITS CREATIVE MESSAGE AND INVENTIVE APPROACH, PARTICIPANTS FEEL THEY ARE MAKING A DIFFERENCE AND SERVING AS ROLE MODELS FOR HEALTHY LIVING. THE ICU STAFF WAS AWARDED THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES SEABURY AND SMITH NATIONAL COMMUNITY SERVICE AWARD FOR THIS EXTRAORDINARY PROGRAM. THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT ALSO ACTIVELY SEEKS GRANTS THAT CAN BE USED TOWARD SPECIFIC COMMUNITY-WIDE PROGRAMS. THE SUSAN G. KOMEN GRANT FOR THE HANDS OF HOPE PROGRAM PROVIDES FREE OR REDUCED FEE EDUCATION, SCREENINGS AND MAMMOGRAMS TO PROMOTE EARLY DETECTION OF BREAST DISEASE. IT LINKS BREAST CANCER PATIENTS TO RESOURCES AFTER BREAST CANCER TREATMENT. SOMC IS DEDICATED TO EDUCATING ITS APPALACHIAN COMMUNITY ON SELF-BREAST EXAMS PROVIDING CLINICAL BREAST SERVICES AND DIAGNOSTIC TESTING, WITH A FOCUS ON YEARLY MAMMOGRAMS. FOR EXAMPLE, OCTOBER IS ANNUALLY KNOWN AS BREAST CANCER AWARENESS MONTH, AND OFTEN FEATURES MANY PROGRAMS, SCREENINGS, COMMERCIALS, FLYERS, AND ACTIVITIES THAT FOCUS SPECIFICALLY ON THAT TOPIC AND ITS EDUCATION. SOMC EMPLOYEES, PHYSICIANS, AND MEDICAL STUDENTS GIVE BACK TO THE COMMUNITY THROUGH INTERNAL DONATION CAMPAIGNS SUCH AS THE SCIOTO COUNTY UNITED WAY. MANY MEMBERS OF THE COMMUNITY ALSO VOLUNTEER AT SOMC, SERVING AS COMMUNITY AMBASSADORS. VOLUNTEERS OFFER A FRIENDLY SMILE AND COMFORTING WORDS TO PATIENTS AND FAMILY MEMBERS, WHILE ALSO ASSISTING WITHIN MANY AREAS OF THE HOSPITAL. VOLUNTEERS GIVE BACK TO THE COMMUNITY BY RAISING FUNDS TO PURCHASE MEDICAL EQUIPMENT, ASSISTING WITH PATIENT NEEDS AND PROVIDING VARIOUS COMMUNITY SERVICES TO AID IN MAKING A DIFFERENCE. IN FY15, THESE 532 VOLUNTEERS PROVIDED MORE THAN 44,870 UN-PAID HOURS. WITH THE COMMUNITIES AND SOMC WORKING SO CLOSELY TOGETHER, SOMC CAN PROUDLY SAY IT IS ABLE TO OBTAIN ITS GOAL OF "MAKING A DIFFERENCE."
PART VI, LINE 6:SOUTHERN OHIO MEDICAL CENTER IS A SINGLE ACUTE CARE PROVIDER OF HEALTH SERVICES AT TWO FACILITIES IN THE PORTSMOUTH, OHIO AREA. SOMC IS THE PARENT ORGANIZATION OF SOMC DEVELOPMENT FOUNDATION, SOMC MEDICAL CARE FOUNDATION, INC., AND SOMC TITLE HOLDING COMPANY.SOMC DEVELOPMENT FOUNDATION RENDERS SERVICES TO SOUTHERN OHIO MEDICAL CENTER OF PORTSMOUTH, OHIO AND ITS PATIENTS AND ASSISTS THE HOSPITAL IN PROMOTING HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH THE OBJECTIVES ESTABLISHED BY THE GOVERNING BOARD OF TRUSTEES OF SOUTHERN OHIO MEDICAL CENTER. IN ADDITION, SOMC DEVELOPMENT FOUNDATION CREATES, RECEIVES AND MAINTAINS A FUND OR FUNDS OF REAL OR PERSONAL PROPERTY OR BOTH, TO USE AND APPLY THE WHOLE OR ANY PART OF THE INCOME THEREFROM AND THE PRINCIPAL THEREOF EXCLUSIVELY FOR THE USE AND BENEFIT OF SOUTHERN OHIO MEDICAL CENTER.SOMC MEDICAL CARE FOUNDATION IS ORGANIZED AND OPERATES EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES FOR THE BENEFIT OF SOMC, AN OHIO NON-PROFIT CORPORATION INCLUDING (A) PROVIDING MEDICAL, SURGICAL AND OTHER HEALTH CARE AND TREATMENT OF THE SICK, DISABLED, AND INJURED, REGARDLESS OF RACE, COLOR, RELIGION, NATIONAL ORIGIN, AGE, HANDICAP, SEX, OR THE ABILITY TO PAY FOR SERVICES; (B) CONDUCTING EDUCATIONAL ACTIVITIES RELATED TO HEALTHCARE AND TREATMENT OF THE SICK, DISABLED, INJURED AND TO PROMOTE AND CARRY ON MEDICAL, SCIENTIFIC AND CLINICAL RESEARCH RELATED TO HEALTH CARE AND TREATMENT OF THE SICK, DISABLED, AND INJURED; AND (C) ENGAGING IN ANY LAWFUL ACTIVITIES FOR WHICH CORPORATIONS MAY BE FORMED UNDER CHAPTER 1785 OF THE OHIO REVISED CODE THAT ARE NOT CONSISTENT WITH THE FOREGOING.SOMC TITLE HOLDING COMPANY OWNS AND MANAGES REAL ESTATE ON BEHALF OF SOUTHERN OHIO MEDICAL CENTER.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
AMERICAN RED CROSS
1801 ROBINSON AVEPORTSMOUTHOH45662314414096501(C)(3)$26,667$1,773FMVFOOD AND PRINTINGYEARLY PLEDGE AND SPONSORSHIP DINNER, DANCING WITH STARS, PRINTING
NOTRE DAME SCHOOLS
2220 SUNRISE AVEPORTSMOUTHOH45662314395524501(C)(3)$5,500DEVELOPMENT FUND, GOLF TEAM SPONSOR, BID YOUR HEART OUT DONATION.
PORTSMOUTH RIVER DAYS INC
PO BOX 132PORTSMOUTHOH45662311068766501(C)(4)$15,000SPONSORSHIP OF RIVER DAYS COMMUNITY FESTIVAL.
PORTSMOUTH AREA ARTS COUNCIL
PO BOX 1258PORTSMOUTHOH45662237073017501(C)(3)$5,000$96FMVPRINTINGSPONSORSHIP POT OF GOLD PROGRAM
SOUTHERN OHIO PERFORMING ARTS
PO BOX 1122PORTSMOUTHOH45662311346687501(C)(3)$15,000$1,320FMVPRINTINGSPONSORSHIP
CIVIC FORUM
5466 STATE RT 139PORTSMOUTHOH45662352339573501(C)(3)$5,000FIREWORKS AND SOAP BOX DERBY
SOUTHERN OHIO MUSEUM
PO BOX 990PORTSMOUTHOH45662310914613501(C)(3)$5,200SPONSOR EXHIBITION
CIRQUE D'ART THEATRE
412-414 CHILLICOTHE STPORTSMOUTHOH45662262867950501(C)(3)$5,000$2,216FMVPRINTINGSPONSOR PRODUCTION AND PRINTING
TIME OUT FOR ME
CLEVELAND AVENUEPORTSMOUTHOH45662611558338501(C)(3)$5,000SPONSORSHIP
PIKE COUNTY YMCA
400 PRIDE DRIVEWAVERLYOH45690311665134501(C)(3)$5,000SPONSORSHIP
BUCKEYE OUTBOARD ASSOC LLC
93 ZIEGLER LANESTOUTOH45684900671886$7,500SPONSOR BOAT RACKS
HFP RACING
PO BOX 164GRANVILLEOH43023472872105$10,000SPONSORSHIP
MAIN STREET PORTSMOUTH
342 2ND STREETPORTSMOUTHOH45662364565140501(C)(3)$6,218SPONSORSHIP
CONNEX
613 CHILLICOTHE STPORTSMOUTHOH45662205389059501(C)(3)$10,000SPONSORSHIP
PIKE COUNTY BICENTENNIAL
126 W 2ND STWAVERLYOH45690274593323501(C)(3)$5,000SPONSORSHIP
PORTSMOUTH AREA BICENTENNIAL
1010 COLES BLVDPORTSMOUTHOH45662274593323501(C)(3)$5,000SPONSORSHIP
ROCK & ROLL HOUSE PARTY
1712 11TH STREETPORTSMOUTHOH45662611297486$5,000SPONSORSHIP
BUCKEYE ELITE
25 MARY ANN STPORTSMOUTHOH45662465162346$5,000SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org13Total501c3OrgCnt
Total Other Org5TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationSOUTHERN OHIO MEDICAL CENTER MAY MAKE CONTRIBUTIONS IN SUPPORT OF ORGANIZATIONS IN THE COMMUNITY. THE FOLLOWING PROCEDURES ARE IN PLACE TO MONITOR THESE FUNDS: ORGANIZATIONS ARE REQUIRED TO FILL OUT A REQUEST FOR DONATION AND ATTACH ADDITIONAL DOCUMENTATION EXPLAINING WHAT THE FUNDS WILL BE USED FOR. DEPENDING ON THE REQUEST, SOMC WILL FOLLOW UP DIRECTLY WITH GRANTEE TO VERIFY THE FUNDS WERE USED FOR ITS INTENDED PURPOSE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RANDAL ARNETT
PRESIDENT & CEO$529,825$0$146,615$0$25,695$0$294,113$0$20,584$0$1,016,832$0$0$0
ELIE SAAB MD
SMD CRITICAL CARE$0$477,855$0$0$0$17,638$0$11,700$0$28,592$0$535,785$0$0
CINDY HAMM MD
CHIEF OF STAFF (JULY-DEC 2014)$0$211,274$0$0$0$438$0$9,795$0$28,592$0$250,099$0$0
DEAN WRAY
VP FINANCE$300,271$0$67,196$0$20,338$0$110,388$0$23,084$0$521,277$0$0$0
KENDALL L STEWART MD
VP MEDICAL AFFAIRS$348,413$0$73,980$0$110,689$0$27,117$0$20,584$0$580,783$0$88,533$0
CLAUDIA L BURCHETT
VP PATIENT SERVICES/CNO$242,820$0$47,194$0$2,387$0$86,090$0$26,536$0$405,027$0$0$0
VICKI A NOEL
VP HR & ORGANIZATIONAL DEV$208,371$0$44,112$0$750$0$50,407$0$27,277$0$330,917$0$0$0
LEEANN L SAMMONS
VP SAFETY/RISK MGMT (THRU AUGUST)$170,991$0$0$0$667$0$9,226$0$27,000$0$207,884$0$0$0
BENJAMIN L GILL
VP OF SUPPORT SERVICES$167,753$0$35,732$0$651$0$36,952$0$18,065$0$259,153$0$0$0
RORY E PHILLIPS
ADM DIR OF PHARMACY$166,412$0$23,789$0$258$0$15,727$0$28,592$0$234,778$0$0$0
BRENT A RICHARD
ADM DIR INFORMATION SYSTEMS$145,943$0$15,582$0$258$0$14,787$0$18,680$0$195,250$0$0$0
CRAIG E GILLILAND
ADM DIR FINANCIAL SERVICES$139,148$0$19,833$0$565$0$11,576$0$28,591$0$199,713$0$0$0
JEREMY K JANNEY
PHARMACY MANAGER$143,887$0$8,331$0$54$0$9,345$0$18,033$0$179,650$0$0$0
KEITH A HILES
REGISTERED PHARMICIST$146,486$0$2,175$0$0$0$6,955$0$28,493$0$184,109$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE ORGANIZATION PAYS FOR A COUNTRY CLUB MEMBERSHIP ON BEHALF OF CEO RANDAL ARNETT AS A MEANS FOR HIM TO NETWORK WITH PHYSICIANS. ALL OF THE COUNTRY CLUB MEMBERSHIP DUES WERE TREATED AS TAXABLE COMPENSATION TO HIM.
PART I, LINE 1BSOUTHERN OHIO MEDICAL CENTER DOES NOT FOLLOW A WRITTEN POLICY FOR REIMBURSEMENT OR A PROVISION OF THE BENEFIT. THE ORGANIZATION PAYS THE COUNTRY CLUB MEMBERSHIP DIRECTLY ON BEHALF OF THE CEO, SO NO REIMBURSEMENT POLICY IS IN PLACE. THE SOMC EXECUTIVE COMMITTEE DETERMINES THE CEO'S EMPLOYMENT CONTRACT, WHICH SETS FORTH THE DECISION FOR THE ORGANIZATION TO FOLLOW TO PROVIDE THE PAYMENT OF THE COUNTRY CLUB DUES AS A BENEFIT TO THE CEO.
PART I, LINE 4BTHE ORGANIZATION MADE CONTRIBUTIONS TO A SERP FOR THE FOLLOWING INDIVIDUALS: RANDAL ARNETT: $288,913 KENDALL STEWART: 21,917 DEAN WRAY: 105,188 CLAUDIA BURCHETT: 81,572 VICKI NOEL: 45,280 LEEANN SAMMONS: 5,729 BENJAMIN GILL: 32,814 THE SERP PLAN IS AVAILABLE ONLY TO INDIVIDUALS WHO HAVE HELD AN EXECUTIVE POSITION FOR ONE YEAR. THE SERP WILL VEST UPON THE OCCURRENCE OF THE FOLLOWING EVENTS: - THE DATE OF THE EXECUTIVE'S DEATH - THE DATE THE EXECUTIVE BECOMES TOTALLY DISABLED - THE DATE A CHANGE OF CONTROL OCCURS - THE EXECUTIVE REACHING THE AGE OF 60 YEARS IF AN EXECUTIVE SEVERS EMPLOYMENT OR IS TERMINATED, A NONCOMPETE AGREEMENT IS IN PLACE FOR 2 YEARS. THE EXECUTIVE FORFEITS ANY SERP PAYMENTS IF HE/SHE DOES NOT CONFORM TO THE NONCOMPETE AGREEMENT. THE EXECUTIVE MUST HAVE FIVE YEARS OF SERP SERVICE BEFORE ENDING THE EMPLOYMENT IN ORDER TO VEST. THE SERP CONTRIBUTIONS LISTED ABOVE ARE INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN C. KENDALL STEWART RECEIVED A VESTED SERP PAYMENT DURING THE CALENDAR YEAR IN THE AMOUNT OF $88,533. THE PAY OUT IS INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN B(III). SOUTHERN OHIO MEDICAL CENTER MADE NO CONTRIBUTIONS TO A CERP (COMMUNITY EMERGENCY RESPONSE PLAN). THE CERP PROGRAM IS AN INCENTIVE PROGRAM FOR PHYSICIANS TO BE AVAILABLE ON CALL IN THE EVENT OF AN EMERGENCY. THE PHYSICIANS HAVE THE ABILITY TO PARTICIPATE IN THE CERP PROGRAM FOR AN INITIAL 10 YEAR TERM AFTERWARDS EACH SUBSEQUENT TERM IS FOR A PERIOD OF 5 YEARS. THE PHYSICIAN WILL VEST IN THE PLAN IF ANY OF THE FOLLOWING CONDITIONS ARE MET: - PARTICIPATE IN THE CERP PROGRAM FOR 10 YEARS, IF ENTERED THE PLAN AFTER 2007 - REACH THE AGE OF 60 YEARS AFTER COMPLETING 20 YEARS OF SERVICE - REACH THE AGE OF 65 YEARS - DATE OF DEATH OR THE DATE OF DETERMINATION OF DISABILITY THE AMOUNT LISTED ABOVE IS INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN C. NO INDIVIDUAL LISTED ON FORM 990, PART VII RECEIVED A VESTED CERP PAYMENT DURING THE 2014 CALENDAR YEAR. THE VESTED PAYMENT, IF MADE, IS REPORTED ON SCHEDULE J, PART II, COLUMN B(III).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF SCIOTO OHIOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN316400086BondIssuerEIN
CUSIP808878FS6CUSIPNum
Bond Issued2008-07-23BondIssuedDt
Issue Price$150,783,464IssuePriceAmt
PurposeHOSPITAL ADDITION & RENOVATIONS AND CURRENT REFUNDING OF 2006 BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$16,200,000RetiredAmt
Total Proceeds$178,990,281TotalProceedsAmt
In Reserve Fund$10,901,433InReserveFundAmt
Capitalized Interest$2,835,076CapitalizedInterestAmt
Refunding Escrow$127,600,000RefundingEscrowAmt
Issuance Costs From Proceeds$1,619,626IssuanceCostsFromProceedsAmt
Working Capital Expenditures$7,850,000WorkingCapitalExpendituresAmt
Capital Expenditures$27,628,899CapitalExpendituresAmt
Substantial Completion2009SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: COUNTY OF SCIOTO, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 05/13/2013
PART II, LINE 1:PART II, LINE 1: RETIRED CUSIP 808878FL1 $2,380,000 & CUSIP# 808878FM9 $2,500,000 & CUSIP# 808878FN7 $2,625,000 & CUSIP# 808878FP2 $2,760,000 & CUSIP# 808878FQ $2,895,000 & CUSIP# 808878FR8 PART II, LINE 3: $150,783,463.55 + $27,422,649.46 UNSPENT FROM 2006 BONDS + INTEREST EARNINGS ON CONSTRUCTION FUND AFTER 07/23/08 $206,249.93 + INTEREST EARNINGS ON EXPENSE FUND $3,806.69 + INTEREST EARNINGS ON CAPITALIZED INTEREST FUND FOR FY-10 $20,894.64 AND $127.02 FOR FY-11 AND (19.16) FOR FY-13 AND $59.50 FOR FY-14 AND 14.30 FOR FY 15 + INTEREST EARNINGS ON DSRF FOR FY-10 $265,277.33 AND FY-11 $40,665.29 + FY-12 $89,211.20 + FY-13 $89,506.19 + FY-14 $39,200.06 + $29,175.35 FY-15 PART II, LINE 5: THE 2,814,000 ESCROW WAS EXPENDED IN JULY 23, 2008, + INTEREST EARNINGS ON THE CAPITALIZED INTEREST FUND FOR FY-10 $20,894.64, FY-11 OF $127.02 AND ($19.16) FY-13. AND $59.50 FY-14 AND $14.30 FY-15. THERE WAS AN ERROR IN FY-11 WHERE $53.11 WAS COUNTED TWICE. PART II, LINE 6: $127,600,000 OF PROCEEDS WERE USED TO CURRENTLY REFUND THE 2006 BONDS. THE ESCROW FUND WAS EXPENDED ON THE DATE OF ISSUANCE OF THE SERIES 2008 BONDS, 07/23/2008. PART II, LINE 7: IS ISSUANCE COST FOR UNDERWRITERS DISCOUNT OF $863,748.18 AND $755,877.87 OF SERIES 2008 PROCEEDS DEPOSITED IN 2008 EXPENSE FUND. PART II, LINE 9: AMOUNT OF WORKING CAPITAL WAS FOR A QUALIFIED HEDGE TERMINATION PAYMENT OF $6,475,000 AND A NON-QUALIFIED HEDGE TERMINATION PAYMENT OF $1,375,000 RELATED TO THE SERIES 2006 BONDS. PART II, LINE 10: CAPITAL EXPENDITURES OF $27,628,899.39 INCLUDES TRANSFERRED PROCEEDS FROM SERIES 2006 BONDS ($27,422,649.46 UNSPENT FOR 2006 BONDS + INTEREST EARNINGS ON THE CONSTRUCTION FUND $206,249.93) PART III, LINE 3A: ALL MANAGEMENT CONTRACTS COMPLY WITH SAFE HARBOR REVENUE PROCEDURE 97-13.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BANNON HOWLAND & DEVER
BOARD CHAIR ROBERT DEVER IS SENIOR PARTNER OF BANNON, HOWLAND, & DEVER$240,000$20,000 PER MONTH RETAINER AS GENERAL COUNSEL TO SOUTHERN OHIO MEDICAL CENTER AND ITS RELATED ENTITIES.0
US BANK
BOARD MEMBER DAVID FOWLER IS AN OFFICER AT US BANK'S PORTSMOUTH BRANCH$154,753SERVICE CHARGES, INTEREST, AND FEES ASSOCIATED WITH SEVERAL DIFFERENT BANK ACCOUNTS.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11FORM 990 INFORMATION IS COMPILED IN THE ACCOUNTING DEPARTMENT THEN SENT TO THE INDEPENDENT TAX ACCOUNTANTS TO ANALYZE THE INFORMATION AND COMPLETE THE TAX RETURN. THE FINAL FORM IS THEN REVIEWED BY FINANCIAL STAFF, TIED OUT TO THE TRIAL BALANCE, AND E-MAILED TO THE BOARD. IN ADDITION, THE CFO PRESENTS FORM 990 TO THE BOARD EXECUTIVE COMPENSATION COMMITTEE BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST STATEMENTS ARE FILLED OUT ANNUALLY IN JANUARY FOR OFFICERS AND FOR NEW AND RETURNING BOARD MEMBERS. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE AUDIT & COMPLIANCE COMMITTEE. ANY CONFLICTS ARE DOCUMENTED IN THE MINUTES AND ADDRESSED. CONFLICTS OF INTEREST ARE RAISED BY OFFICERS OR BOARD MEMBERS ONCE THEY ARE KNOWN BY THE INDIVIDUAL. BOARD MEMBERS ABSTAIN FROM VOTING IF A CONFLICT IS IDENTIFIED THAT THE BOARD MEMBER IS INVOLVED WITH DURING THE FISCAL YEAR.
FORM 990, PART VI, SECTION B, LINE 15ON AN ANNUAL BASIS, AN INDEPENDENT CONSULTANT, INTEGRATED HEALTHCARE STRATEGIES (IHS), PROVIDES THE BOARD COMPENSATION COMMITTEE WITH COMPARABLE DATA AND OTHER FACTS WHICH ARE USED BY THE COMMITTEE TO DETERMINE EXECUTIVE PAY PHILOSOPHY. THE INDEPENDENT CONSULTANT USED COMPENSATION SURVEYS OF THE SURROUNDING AREA TO DETERMINE EXECUTIVE COMPENSATION RECOMMENDATIONS. THE DECISIONS FOR CEO AND OFFICER COMPENSATION ARE DOCUMENTED IN THE BOARD COMPENSATION COMMITTEE MINUTES, AS WELL AS THE BOARD MEETING MINUTES. THIS COMMITTEE DETERMINES THE CEO'S PAY AND SETS PAY RANGES FOR THE OTHER EXECUTIVES. THE PROCESS WAS LAST UNDERTAKEN DURING 2015.
FORM 990, PART VI, SECTION C, LINE 19SOUTHERN OHIO MEDICAL CENTER PROVIDES ITS FINANCIAL STATEMENTS TO THE PUBLIC THROUGH THE FILING OF ITS FORM 990 AS WELL AS ITS BOND DISCLOSURE. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC ON SOUTHERN OHIO MEDICAL CENTER'S WEBSITE.
FORM 990, PART XI, LINE 9:CHANGE IN ACTUARIAL VALUE OF PENSION 109,535. CHANGE IN ACTUARIAL COST -1,021,200. TRANSFER TO SOMC TITLE HOLDING COMPANY -3,207,491. TRANSFER TO SOMC MEDICAL CARE FOUNDATION -22,930,007.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PAGE 1, LINE C:DOING BUSINESS AS: SOMC CANCER CENTER, SOMC HOME HEALTH SERVICES, SOMC L.I.F.E. CENTER, SOMC URGENT CARE CENTER, SOMC HOSPICE CENTER, SOMC WOUND HEALING CENTER.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SOMC DEVELOPMENT FOUNDATION
1805 27TH STREETPORTSMOUTHOH45662310677520FUNDRAISINGOH501(C)(3)LINE 11A, ISOUTHERN OHIO MEDICAL CENTERYes (1)
SOMC MEDICAL CARE FOUNDATION INC
1248 KINNEYS LANEPORTSMOUTHOH45662311374523MEDICINE AND SURGERYOH501(C)(3)LINE 11A, ISOUTHERN OHIO MEDICAL CENTERYes (1)
SOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANY
1805 27TH STREETPORTSMOUTHOH45662311417566MANAGE REAL ESTATEOH501(C)(2)N/ASOUTHERN OHIO MEDICAL CENTERYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SOMC MEDICAL CARE FOUNDATION
R$22,930,007ACCRUAL TRANSACTIONS
SOMC MEDICAL CARE FOUNDATION
L$3,467,277COST PER CONTRACT
SOMC MEDICAL CARE FOUNDATION
M$2,810,831COST PER CONTRACT
SOMC MEDICAL CARE FOUNDATION
O$33,431,862ALLOCATION OF COSTS
SOMC MEDICAL CARE FOUNDATION
P$22,918,697ALLOCATION OF COSTS
SOMC MEDICAL CARE FOUNDATION
Q$11,905,338ALLOCATION OF COSTS
SOMC TITLE HOLDING COMPANY
N$619,686RENTAL CHARGES PER CONTRACT
SOMC TITLE HOLDING COMPANY
K$2,666,813RENTAL CHARGES PER CONTRACT
SOMC TITLE HOLDING COMPANY
O$304,931ALLOCATION OF COSTS
SOMC TITLE HOLDING COMPANY
L$4,949,687ALLOCATION OF COSTS
SOMC TITLE HOLDING COMPANY
N$3,207,491FORGIVENSS OF EXPENSES
SOMC DEVELOPMENT FOUNDATION
O$148,795ALLOCATION OF COSTS
SOMC DEVELOPMENT FOUNDATION
C$256,473ACCRUAL TRANSACTIONS
SOMC MEDICAL CARE FOUNDATION
J$144,943RENTAL CHARGES PER CONTRACT

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.