SOUTHERN OHIO MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHERN OHIO MEDICAL CENTER (EIN 31-0678022)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-12
- IRS object ID
- 201431329349301563
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-12T10:06:30-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 65 EAST STATE STREET SUITE 600 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310678022 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHERN OHIO MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOUT | NameControl |
| Phone | 7403567622 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1248 KINNEYS LANE | AddressLine1 |
| City | PORTSMOUTH | City |
| State | OH | State |
| ZIP Code | 45662 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEAN WRAY | Name |
| Title | VP FINANCE | Title |
| Phone | 7403567622 | Phone |
| Date Signed | 2014-05-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BERNIE OSTROWSKI | Name |
| PTIN | P00366367 | PTIN |
| Phone | 6148493000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MR RANDAL ARNETT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1805 27TH STREET | AddressLine1 |
| City | PORTSMOUTH | City |
| State | OH | State |
| ZIP Code | 45662 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 315077402 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SOMC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1954 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | SOUTHERN 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2509 | TotalNbrEmployees |
| Total Nbr Volunteers | 441 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -35972 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 343101 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 882193 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 290435825 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 298714796 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6153248 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7257551 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4192874 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2370720 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 301125048 | TotalRevenuePriorYear |
| Total Revenue Current Year | 309225260 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 23768885 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 25028021 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 121980916 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 126558102 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 19775 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 139513243 | OtherExpensePriorYear |
| Other Expenses Current Year | 145123678 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 285263044 | TotalExpensesPriorYear |
| Total Expenses Current Year | 296709801 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15862004 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 12515459 | RevenuesLessExpensesCY |
| Total Assets BOY | 430168195 | TotalAssetsBOY |
| Total Assets EOY | 446664331 | TotalAssetsEOY |
| Total Liabilities BOY | 202051367 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 192863648 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 228116828 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 253800683 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WE WILL MAKE A DIFFERENCE. AT 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 242521833 | Expense |
| Grants | 25028021 | Grants |
| Revenue | 298804877 | Revenue |
| Description | SOUTHERN OHIO MEDICAL CENTER TAKES PRIDE IN PARTNERING WITH THE LOCAL COMMUNITY TO PROVIDE THE BEST POSSIBLE HEALTH CARE TO THE RESIDENTS OF OUR AREA. WHETHER IT'S THROUGH ANNUAL COLLABORATIVE BLOOD DRIVES, PARTICIPATION DURING COUNTY FAIRS, OR ATTENDANCE AT MONTHLY SCHOOL BOARD MEETINGS, OUR EMPLOYEES GO ABOVE AND BEYOND TO CREATE LASTING RELATIONSHIPS IN AND OUTSIDE OUR HOSPITAL WALLS, HELPING US TRULY MAKE A DIFFERENCE IN THE LIVES OF THOSE AROUND US. IT'S THROUGH THESE RELATIONSHIPS THAT SOMC HAS BEEN RECOGNIZED FOR MANY OUTSTANDING ACCOMPLISHMENTS, RECEIVING SUCH NOTABLE HONORS OVER THE YEARS 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, A BEST EMPLOYER IN OHIO, AND ONE OF MODERN HEALTHCARE'S 100 BEST PLACES TO WORK.IT'S ALSO THROUGH THESE RELATIONSHIPS THAT MANY KEY DECISIONS ARE MADE AT SOMC. AS ONE OF OUR FIVE STRATEGIC VALUES, RELATIONSHIPS (PARTICULARLY THOSE BETWEEN CO-WORKERS, PHYSICIANS, VOLUNTEERS AND THE COMMUNITY) SHAPE MANY FACETS OF CUSTOMER SERVICE AND THE CARE THAT IS PROVIDED WITHIN THE HOSPITAL. IT IS OUR GOAL TO LISTEN AND PARTNER WITH CUSTOMERS TO MAKE A DIFFERENCE TO THOSE WE SERVE. PATIENTS AND FAMILY MEMBERS CAN PARTICIPATE IN THE HOSPITAL'S INPATIENT AND OUTPATIENT SATISFACTION SURVEY PROCESS, CONDUCTED BY A THIRD-PARTY VENDOR TO PROVIDE BENCHMARKED DATA THAT COMPARES SOMC AGAINST MANY HEALTHCARE FACILITIES ACROSS THE NATION. ADDITIONAL FEEDBACK IS ALSO OBTAINED 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 SUGGESTIONS TO IMPROVE HOSPITAL SERVICES AND UNDERSTAND TECHNOLOGICAL NEEDS. IN ADDITION TO PERSONAL RELATIONSHIPS, SOMC ESTABLISHES WORKING RELATIONSHIPS WITH OTHER ORGANIZATIONS THROUGHOUT THE TRI-STATE 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, THE CHAMBER OF COMMERCE, ROTARY CLUB, UNITED WAY, SOUTHERN OHIO PERFORMING ARTS ASSOCIATION, MAIN STREET PORTSMOUTH, THE PORTSMOUTH AREA ARTS COUNCIL, AS WELL AS AREA SCHOOL BOARDS, COMMITTEES AND CHURCHES. OTHER PARTICIPATORY PROGRAMS INCLUDE 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, SOUTHERN OHIO CORRECTIONAL FACILITY MINISTRIES, ARTHRITIS FOUNDATION, MEDICAL RESERVE CORP, PARISH NURSE NETWORK, SOUTHERN OHIO DIABETES COALITION, PORTSMOUTH BICENTENNIAL 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 TO HUNDREDS OF COMMUNITY MEMBERS EACH YEAR. NURSES AND PHYSICIANS VOLUNTEER THEIR TIME AND EFFORT TO TRAVEL AROUND THE AREA AND PROVIDE THIS SERVICE FREE OF CHARGE OR AT A REDUCED RATE TO THE MANY POPULATIONS WHO GREATLY BENEFIT FROM THIS ANNUAL PREVENTIVE MEASURE. ANOTHER SUCH PROGRAM, KNOWN AS "LOVE YOUR HEART," REACHES MORE THAN 1,200 KINDERGARTEN STUDENTS EACH YEAR. DEVELOPED IN 2000 BY THE SOMC INTENSIVE CARE UNIT TO SPECIFICALLY 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 FIVE 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 TRULY FEEL THEY ARE MAKING A DIFFERENCE AND SERVING AS ROLE MODELS FOR HEALTHY LIVING. THE ICU STAFF WAS EVEN AWARDED THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES SEABURY AND SMITH NATIONAL COMMUNITY SERVICE AWARD FOR THIS EXTRAORDINARY PROGRAM.MANY OTHER WELLNESS-RELATED PROGRAMS AND SCREENINGS ARE ALSO CONDUCTED EACH YEAR BY MEMBERS OF THE SOMC COMMUNITY HEALTH AND WELLNESS DEPARTMENT, HELPING THOUSANDS OF COMMUNITY MEMBERS LEARN MORE ABOUT THEIR HEALTH. FOR THE PAST TWO YEARS, THE HOSPITAL HAS DEDICATED EACH MONTH TO A DIFFERENT HEALTH MESSAGE AND WORKS TO PROVIDE EVENTS THAT FOCUS INFORMATION ON THAT PARTICULAR AREA. FOR EXAMPLE, FEBRUARY IS ANNUALLY KNOWN AS HEART HEALTH MONTH, AND OFTEN FEATURES MANY PROGRAMS, SCREENINGS, COMMERCIALS, FLYERS, AND CHILDREN'S ACTIVITIES THAT FOCUS SPECIFICALLY ON THAT TOPIC AND ITS EDUCATION. CONDUCTING PROGRAMS IN THIS FASHION ALLOWS THE HOSPITAL TO DELIVER A CONSISTENT MESSAGE TO THE COMMUNITY, HELPING TO SUCCESSFULLY EDUCATE THOSE WE SERVE. AS ANOTHER MEANS OF PROMOTING HEALTHY EDUCATION, THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT ACTIVELY SEEKS GRANTS THAT CAN BE USED TOWARD SPECIFIC COMMUNITY-WIDE PROGRAMS. A DIABETES GRANT EARNED THROUGH THE OHIO DEPARTMENT OF HEALTH IN 2010 HAS SINCE GROWN TO PROVIDE HUNDREDS OF COMMUNITY MEMBERS WITH A SOLID UNDERSTANDING OF THEIR DISEASE, AND HAS ALSO BEEN USED TO PROVIDE TIPS AND TOOLS TO MANAGE THEIR HEALTH FOR THE LONG-TERM. BOTH THE INPATIENT AND OUTPATIENT DIABETES DEPARTMENTS AT SOMC HAVE GREATLY BENEFITTED FROM THIS INCREASED AWARENESS AND HAVE SEEN A DRAMATIC POSITIVE TURN IN PATIENTS' GLUCOSE, WEIGHT AND A1C RESULTS SINCE THE PROGRAMMING'S IMPLEMENTATION. ADDITIONAL EDUCATION EFFORTS AND COMMUNITY SUPPORT IS ALSO PROVIDED BY THE PHYSICIANS, MEDICAL STUDENTS AND EMPLOYEES OF SOMC DURING MANY VOLUNTEER OPPORTUNITIES THAT ARE AVAILABLE THROUGHOUT THE YEAR, SUCH AS SPORTS PHYSICALS, AND SKIN, BREAST AND PROSTATE SCREENINGS. IN 2012 ALONE, THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT AND OUR VOLUNTEERS WERE ABLE TO PROVIDE HEALTH AND SCREENING EVENTS, THUS TOUCHING THE LIVES OF MORE THAN 7,900 COMMUNITY MEMBERS. SOMC AND ITS EMPLOYEES ALSO GIVE BACK TO THE COMMUNITY THROUGH INTERNAL DONATION CAMPAIGNS AIMED AT RAISING FUNDS OR ITEMS FOR A SPECIFIC CAUSE. EACH YEAR, SOMC SELECTS CHAIRMEN TO LEAD THE ORGANIZATION'S UNITED WAY CAMPAIGN, WHICH DIRECTLY BENEFITS THE MORE THAN 15 LOCAL ORGANIZATIONS THAT MAKE UP THE SCIOTO COUNTY UNITED WAY PROGRAM. MORE THAN 98 PERCENT OF SOMC EMPLOYEES PARTICIPATE IN THE EVENT, CHOOSING TO MAKE DIRECT OR PAYROLL-DEDUCTED MONETARY CONTRIBUTIONS. LAST YEAR'S CAMPAIGN WAS THE HOSPITAL'S MOST SUCCESSFUL EVENT TO DATE. IN ADDITION TO THIS MONETARY CONTRIBUTION, SOMC ALSO SUPPORTS THE UNITED WAY THROUGH AN ANNUAL SCHOOL SUPPLY DRIVE. THROUGH THIS PROGRAM, SOMC EMPLOYEES HELP TO PROVIDE BASIC AND NECESSARY SUPPLIES TO THE STUDENTS OF 11 COUNTY SCHOOLS. ANYWHERE FROM 1,800 TO 3,500 ITEMS HAVE ANNUALLY BEEN COLLECTED IN THE PAST, TRULY SHOWING THAT SOMC INVESTS IN THE EDUCATION OF OUR COMMUNITY'S FUTURE GENERATIONS. THE VOLUNTEERS AND GUILDS OF THE SOMC FRIENDS COMMUNITY CENTER ALSO 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. TOGETHER, THESE IMPORTANT TEAMS ARE TRULY PROVING THAT SOMC CAN MAKE A DIFFERENCE. | Description |
| Total Program Service Expense | 242521833 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 202 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2509 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHARD GILCHER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7403567622 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1248 KINNEYS LANE | AddressLine1 |
| City | PORTSMOUTH | City |
| State | OH | State |
| ZIP Code | 45662 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT E DEVER | ||||||||||
| CHAIRMAN | 1.00 | 4.00 | X | 0 | 0 | 0 | ||||
| RANDAL ARNETT | ||||||||||
| PRESIDENT & CEO | 40.00 | 5.00 | X | 747796 | 0 | 314382 | X | |||
| STEVEN A CONLEY | ||||||||||
| DIRECTOR | 1.00 | 4.00 | X | 0 | 0 | 0 | ||||
| GARY DUZAN | ||||||||||
| TREASURER | 1.00 | 4.00 | X | 0 | 0 | 0 | ||||
| GEORGE LAWSON | ||||||||||
| SECRETARY | 1.00 | 4.00 | X | 0 | 0 | 0 | ||||
| RITA RICE-MORRIS PHD | ||||||||||
| DIRECTOR | 1.00 | 4.00 | X | 0 | 0 | 0 | ||||
| IBRAHIM ZAYNEH MD | ||||||||||
| CHIEF OF STAFF - JAN-JUNE | 1.00 | 4.00 | X | 0 | 0 | 0 | ||||
| DARREN ADAMS DO | ||||||||||
| CHIEF OF STAFF - JULY-DEC | 1.00 | 4.00 | X | 84752 | 0 | 0 | ||||
| DAVID FOWLER | ||||||||||
| DIRECTOR | 1.00 | 4.00 | X | 0 | 0 | 0 | ||||
| GEORGE V JOHNSON MD | ||||||||||
| DIRECTOR | 1.00 | 4.00 | X | 0 | 0 | 0 | ||||
| JAMES W STAKER | ||||||||||
| DIRECTOR | 1.00 | 4.00 | X | 0 | 0 | 0 | ||||
| ELIE SAAB MD | ||||||||||
| SMD CRITICAL CARE | 1.00 | 5.00 | X | 0 | 700577 | 53959 | ||||
| AARON ADAMS DO | ||||||||||
| DIRECTOR JULY-FEB | 1.00 | 4.00 | X | 20193 | 0 | 0 | ||||
| DEAN WRAY | ||||||||||
| VP FINANCE | 40.00 | 0.00 | 372997 | 0 | 126461 | X | ||||
| KENDALL L STEWART | ||||||||||
| VP MEDICAL AFFAIRS | 40.00 | 1.00 | 519813 | 0 | 49704 | X | ||||
| CLAUDIA L BURCHETT | ||||||||||
| VP PATIENT SERVICES | 40.00 | 1.00 | 286822 | 0 | 116137 | X | ||||
| VICKI A NOEL | ||||||||||
| VP HR & ORGANIZATIONAL DEV | 40.00 | 1.00 | 255728 | 0 | 81691 | X | ||||
| LEEANN L SAMMONS | ||||||||||
| VP HEALTH & SAFETY | 40.00 | 1.00 | 208564 | 0 | 68634 | X | ||||
| BENJAMIN L GILL | ||||||||||
| VP OF SUPPORT SERVICES | 40.00 | 1.00 | 188043 | 0 | 54031 | X | ||||
| RORY E PHILLIPS | ||||||||||
| ADM DIR OF PHARMACY | 40.00 | 0.00 | 197895 | 0 | 41035 | X | ||||
| BRENT A RICHARD | ||||||||||
| ADM DIRECTOR INFORMATION SYSTEMS | 40.00 | 0.00 | 160220 | 0 | 31014 | X | ||||
| CRAIG E GILLILAND | ||||||||||
| ADM DIR FINANCIAL SERVICES | 40.00 | 0.00 | 158368 | 0 | 35251 | X | ||||
| VALERIE DECAMP | ||||||||||
| ADM DIR OF NURSING (I/P & | 40.00 | 0.00 | 134154 | 0 | 29497 | X | ||||
| LEONARD T GREENE | ||||||||||
| ADM DIRECTOR OF SURGICAL SERVICES | 40.00 | 0.00 | 150618 | 0 | 30150 | X | ||||
| JOHN TURJOMAN | ||||||||||
| FORMER CHIEF OF STAFF | 0.00 | 0.00 | 19662 | 0 | 0 | X | ||||
| ERNESTO BANALAGAY | ||||||||||
| FORMER CHIEF OF STAFF | 0.00 | 0.00 | 148010 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3653635 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 700577 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1031946 | TotalOtherCompensation |
| Number Individuals GT100 K | 57 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| REHABCARE GROUP INC | |||||
| 7733 FORSYTH BLVD SUITE 1200 | ST LOUIS | MO | 63105 | MANAGEMENT SERVICES | 6124764 |
| DKM CONSTRUCTION INC | |||||
| 584 SMOKEY HOLLOW RD | PIKETON | OH | 45661 | CONSTRUCTION | 4115781 |
| UNITED COLLECTION BUREAU INC | |||||
| 4100 HORIZONS DR SUITE 101 | COLUMBUS | OH | 43220 | PATIENT ACCOUNT BILLING | 1468704 |
| MAYO COLLABORATIVE SERVICES | |||||
| 200 SW FIRST ST | ROCHESTER | MN | 55905 | LABORATORY TESTING | 1086365 |
| HILL VIEW RETIREMENT | |||||
| 1610 28TH ST | PORTSMOUTH | OH | 45662 | HOSPICE PURCHASE SERVICES | 769017 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 28 | NumberOfContractorsGT100K |
| Fundraising Events | 54142 | FundraisingEvents |
| Related Organizations | 59768 | RelatedOrganizations |
| Government Grants | 112123 | GovernmentGrants |
| All Other Contributions | 656160 | AllOtherContributions |
| Noncash Contributions | 17203 | NoncashContributions |
| Total Contributions | 882193 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 622110 | 287508971 | 287508971 |
| PHARMACY INCOME | 446110 | 9178556 | 9178556 |
| LIFE CENTER | 622110 | 1588162 | 1588162 |
| LAB SERVICES | 621500 | 439107 | 439107 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 298714796 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5002370 | TotalRevenueColumn |
| Exclusion | $5,002,370 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 24491 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 24491 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24491 | TotalRevenueColumn |
| Exclusion | $24,491 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7943633 | Securities |
| Other | 21764 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5252366 | Securities |
| Other | 457850 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2691267 | Securities |
| Other | -436086 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2255181 | TotalRevenueColumn |
| Exclusion | $2,255,181 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 130725 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 54142 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 141926 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -11201 | TotalRevenueColumn |
| Exclusion | -$11,201 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA SALES | 622110 | 1739182 | $1,739,182 | |
| GIFT SHOP REVENUE | 900099 | 192720 | $192,720 | |
| NURSING CONTRACT REVENUE | 622110 | 58942 | 58942 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 366586 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31139 | RelatedOrExemptFunctionIncome |
| Exclusion | $335,447 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2357430 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 309225260 | TotalRevenueColumn |
| Related Or Exempt Function Income | 298804877 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $9,538,190 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25016741 | Total |
| Program Services | 25016741 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11280 | Total |
| Program Services | 11280 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3453898 | Total |
| Management And General | 3453898 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87182949 | Total |
| Program Services | 66500264 | ProgramServices |
| Management And General | 20682685 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6239981 | Total |
| Program Services | 4759655 | ProgramServices |
| Management And General | 1480326 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23062621 | Total |
| Program Services | 17660847 | ProgramServices |
| Management And General | 5401774 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6618653 | Total |
| Program Services | 5048494 | ProgramServices |
| Management And General | 1570159 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29561 | Total |
| Management And General | 29561 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313710 | Total |
| Management And General | 313710 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 204470 | Total |
| Management And General | 204470 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21468787 | Total |
| Program Services | 16743718 | ProgramServices |
| Management And General | 4725069 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2266643 | Total |
| Program Services | 2266643 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22151418 | Total |
| Program Services | 16896368 | ProgramServices |
| Management And General | 5255050 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1689806 | Total |
| Program Services | 726559 | ProgramServices |
| Management And General | 963247 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10334011 | Total |
| Program Services | 7882441 | ProgramServices |
| Management And General | 2451570 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 472944 | Total |
| Program Services | 316764 | ProgramServices |
| Management And General | 156180 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 427765 | Total |
| Program Services | 150046 | ProgramServices |
| Management And General | 277719 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8165006 | Total |
| Program Services | 7039052 | ProgramServices |
| Management And General | 1125954 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18076560 | Total |
| Program Services | 15584551 | ProgramServices |
| Management And General | 2492009 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1282413 | Total |
| Program Services | 1282413 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXEPENSE | 25421720 | 25421720 | |
| MEDICAL SUPPLIES | 16153212 | 16153212 | |
| PHARMACY SUPPLIES/DRUGS | 12014569 | 12014569 | |
| OHIO FRANCHISE TAX | 3220770 | 3220770 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1430313 | Total |
| Program Services | 1046496 | ProgramServices |
| Management And General | 364042 | ManagementAndGeneral |
| Fundraising | 19775 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296709801 | Total |
| Program Services | 242521833 | ProgramServices |
| Management And General | 54168193 | ManagementAndGeneral |
| Fundraising | 19775 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7215 | BOY |
| EOY | 6240 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15510009 | BOY |
| EOY | 19273276 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32960807 | BOY |
| EOY | 31574974 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116196 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3956145 | BOY |
| EOY | 4594172 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2790395 | BOY |
| EOY | 2021559 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 325242479 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 169241745 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 167735747 | BOY |
| EOY | 156000734 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 188609907 | BOY |
| EOY | 210072563 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3800202 | BOY |
| EOY | 3489698 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2000436 | BOY |
| EOY | 2287471 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12681136 | BOY |
| EOY | 17343644 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 430168195 | BOY |
| EOY | 446664331 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24727809 | BOY |
| EOY | 26258618 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 150174639 | BOY |
| EOY | 147349584 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1801617 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25347302 | BOY |
| EOY | 19255446 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 202051367 | BOY |
| EOY | 192863648 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 228116828 | BOY |
| EOY | 253800683 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 228116828 | BOY |
| EOY | 253800683 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 430168195 | BOY |
| EOY | 446664331 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 12515459 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 5542676 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 7625720 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $5,704 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 5704 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | MEMBERSHIP DUES IN THE AMOUNT OF $44,865 AND $62,761 WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION, RESPECTIVELY. OF THESE DUES, $2,378 AND $3,326 WERE RELATED TO LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1819486 | BeginningOfYearBalance |
| Contributions | 58179 | Contributions |
| Investment Earnings Or Losses | 169435 | InvestmentEarningsOrLosses |
| Other Expenditures | 9645 | OtherExpenditures |
| Administrative Expenses | 43049 | AdministrativeExpenses |
| End Of Year Balance | 1994406 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1751554 | BeginningOfYearBalance |
| Contributions | 48512 | Contributions |
| Investment Earnings Or Losses | 58318 | InvestmentEarningsOrLosses |
| Administrative Expenses | 38898 | AdministrativeExpenses |
| End Of Year Balance | 1819486 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1618097 | BeginningOfYearBalance |
| Contributions | 72131 | Contributions |
| Investment Earnings Or Losses | 104428 | InvestmentEarningsOrLosses |
| Administrative Expenses | 43103 | AdministrativeExpenses |
| End Of Year Balance | 1751553 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1640677 | BeginningOfYearBalance |
| Contributions | 75282 | Contributions |
| Investment Earnings Or Losses | -62236 | InvestmentEarningsOrLosses |
| Administrative Expenses | 35626 | AdministrativeExpenses |
| End Of Year Balance | 1618097 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1555536 | BeginningOfYearBalance |
| Contributions | 65883 | Contributions |
| Investment Earnings Or Losses | 51298 | InvestmentEarningsOrLosses |
| Administrative Expenses | 32039 | AdministrativeExpenses |
| End Of Year Balance | 1640678 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4666227 | OtherCostOrOtherBasis |
| Book Value | 4666227 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 91075177 | OtherCostOrOtherBasis |
| Depreciation | 29107912 | Depreciation |
| Book Value | 61967265 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 108358 | OtherCostOrOtherBasis |
| Depreciation | 77705 | Depreciation |
| Book Value | 30653 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 217188498 | OtherCostOrOtherBasis |
| Depreciation | 134859068 | Depreciation |
| Book Value | 82329430 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12204219 | OtherCostOrOtherBasis |
| Depreciation | 5197060 | Depreciation |
| Book Value | 7007159 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 156000734 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| COST REPORT SETTLEMENT | $5,825,202 |
| PENSION LIABILITY | $8,109,907 |
| ACCRUED SELF-INSURED LIABILITY | $4,004,098 |
| CERP DEFERRED COMP LIABILITY | $1,316,239 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 19255446 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | ENDOWMENT FUNDS ARE TO BE SPENT AT THE 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. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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 ACCECPTED 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, 2013, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE 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, 2010. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | HIKE FOR HOSPICE | NameOfEvent1 |
| Gross Receipts Event1 | 68899 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 40319 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 28580 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 10189 | NonCashPrizesEvent1 |
| Food And Beverage Event1 | 2087 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 30128 | OtherDirectExpensesEvent1 |
| Name Of Event2 | PAINT IT PINK | NameOfEvent2 |
| Gross Receipts Event2 | 48571 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 48571 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 26500 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 5 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 62652 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 13823 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 48829 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 3027 | NonCashPrizesOtherEvents |
| Food And Beverage Other Events | 694 | FoodAndBeverageOtherEvents |
| Other Direct Expenses Other Events | 59953 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 180122 | GrossReceiptsTotal |
| Charitable Contributions Total | 54142 | CharitableContributionsTotal |
| Gross Revenue Total Events | 125980 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 13216 | NonCashPrizesTotalEvents |
| Food And Beverage Total Events | 2781 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 116581 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 132578 | DirectExpenseSummaryEvents |
| Net Income Summary | -6598 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4627 | PersonsServed |
| Total Community Benefit Expense | 8634026 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1188908 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7445118 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02740 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 76318 | PersonsServed |
| Total Community Benefit Expense | 40172399 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 30037458 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10134941 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03740 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 80945 | PersonsServed |
| Total Community Benefit Expense | 48806425 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31226366 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17580059 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06480 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 105930 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 105930 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2439418 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1034031 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1405387 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2545348 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1034031 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1511317 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00560 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 80945 | PersonsServed |
| Total Community Benefit Expense | 51351773 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32260397 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19091376 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $25,421,720 | BadDebtExpenseAmount |
| Amount Attributable To | 2377666 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 75913421 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 82018077 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -6104656 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHERN OHIO MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1805 27TH STREET | AddressLine1 |
| City | PORTSMOUTH | City |
| State | OH | State |
| ZIP Code | 45662 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
| Er Other | X | ErOther |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHERN OHIO MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 125.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 6 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (6 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SOMC CANCER CENTER | ||||
| 1121 KINNEYS LANE | PORTSMOUTH | OH | 45662 | CANCER TREATMENT & CARE |
| WOUND HEALING & SLEEP LAB | ||||
| 1745 27TH STREET | PORTSMOUTH | OH | 45662 | SLEEP LAB |
| URGENT CARE | ||||
| 8770 OHIO RIVER ROAD | WHEELERSBURG | OH | 45694 | URGENT CARE |
| HEALTH CARE CENTER | ||||
| 1212 18TH STREET | PORTSMOUTH | OH | 45662 | HEALTH CARE CENTER |
| SOMC WAVERLY URGENT CARE | ||||
| 835 WEST EMMITT AVENUE | WAVERLY | OH | 45690 | URGENT CARE |
| HOSPICE IN-PATIENT | ||||
| 2201 25TH STREET | PORTSMOUTH | OH | 45662 | HOSPICE IN-PATIENT |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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. | ||
| PART I, L7 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 $25,421,720. | ||
| PART III, LINE 4: 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. 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.FOOTNOTE TO FINANCIAL STATEMENTS: 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: WE TREAT ALL PATIENTS THE SAME. IF THERE IS INSURANCE COVERAGE, WE BILL THE CLAIMS FOR PAYMENT. IF THERE IS NO INSURANCE - OR IF THERE IS A BALANCE REMAINING AFTER INSURANCE PAYS - THE PATIENT IS SENT THE SAME AMOUNT OF STATEMENTS OVER A PERIOD OF TIME, PHONE ATTEMPTS ARE MADE AND, IF THERE IS NO RESPONSE TO OUR EFFORTS, THE ACCOUNTS ARE PLACED WITH OUTSIDE AGENCIES FOR COLLECTION. | ||
| PART V, SECTION B, LINE 3: 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 CENTER | |
| PART V, SECTION B, LINE 5C: 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 CENTER | |
| PART V, SECTION B, LINE 7: HTTP://WWW.SOMC.ORG/PROGRAMS/COMMUNITYHEALTH/DOCUMENTS/CHNAOVERVIEW.PDF | SOUTHERN OHIO MEDICAL CENTER | |
| PART V, SECTION B, LINE 20D: 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. SOMC CHARGES FAP ELIGIBLE INDIVIDUALS THE SAME INITIALLY AS THEY CHARGE INDIVIDUALS WITH INSURANCE COVERING SUCH MEDICAL CARE. IT IS ONLY AFTER THE FAP ELIGIBLE PATIENTS APPLY FOR FINANCIAL ASSISTANCE THAT THE CHARGED AMOUNT MAY BE ADJUSTED. 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. | SOUTHERN OHIO MEDICAL CENTER | |
| 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 14(A): | |
| 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.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. | ||
| 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: BEING ACTIVELY INVOLVED IN THE COMMUNITY IS WHAT DRIVES SOUTHERN OHIO MEDICAL CENTER TO ACHIEVE EXCELLENCE IN HEALTHCARE AND TO PROVIDE FOR THE NEEDS OF THE COMMUNITY. SOUTHERN OHIO MEDICAL CENTER'S GOAL IS TO PROVIDE HEALTHCARE AND SERVICES TO THE MEMBERS OF THE COMMUNITY. THE ECONOMIC, EDUCATIONAL, RECREATIONAL AND CULTURAL ACTIVITIES OF THE COMMUNITY SHOW THE WIDE SWEEP OF SOUTHERN OHIO MEDICAL CENTER'S INVOLVEMENT IN COMMUNITY ACTIVITIES. IT'S THROUGH THESE RELATIONSHIPS THAT SOMC HAS BEEN RECOGNIZED FOR MANY OUTSTANDING ACCOMPLISHMENTS, RECEIVING SUCH NOTABLE HONORS OVER THE YEARS 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 ITS FIVE STRATEGIC VALUES, WHICH INCLUDE THE FOLLOWING RELATIONSHIPS, SERVICE, PERFORMANCE, SAFETY, AND QUALITY. RELATIONSHIPS SHAPE MANY FACETS OF CUSTOMER SERVICE AND THE CARE THAT IS PROVIDED WITHIN THE HOSPITAL. IT IS THE HOSPITALS 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 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 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 MORE THAN 1,200 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. ADDITIONAL EDUCATION EFFORTS AND COMMUNITY SUPPORT IS PROVIDED BY THE PHYSICIANS, MEDICAL STUDENTS AND EMPLOYEES OF SOMC DURING MANY VOLUNTEER OPPORTUNITIES THROUGHOUT THE YEAR, SUCH AS SPORTS PHYSICALS, DIABETES, HIGH BLOOD PRESSURE AND CANCER SCREENINGS. SOMC AND ITS EMPLOYEES ALSO GIVE BACK TO THE COMMUNITY THROUGH INTERNAL DONATION CAMPAIGNS AIMED AT RAISING FUNDS OR ITEMS FOR A SPECIFIC CAUSE. EACH YEAR, SOMC SELECTS CHAIRMEN TO LEAD THE ORGANIZATION'S UNITED WAY CAMPAIGN, WHICH DIRECTLY BENEFITS THE MORE THAN 15 LOCAL ORGANIZATIONS THAT MAKE UP THE SCIOTO COUNTY UNITED WAY PROGRAM. MORE THAN 98 PERCENT OF SOMC EMPLOYEES PARTICIPATE IN THE EVENT, CHOOSING TO MAKE DIRECT OR PAYROLL-DEDUCTED MONETARY CONTRIBUTIONS. IN ADDITION TO THIS MONETARY CONTRIBUTION, SOMC ALSO SUPPORTS THE UNITED WAY THROUGH AN ANNUAL SCHOOL SUPPLY DRIVE. THROUGH THIS PROGRAM, SOMC EMPLOYEES HELP TO PROVIDE BASIC AND NECESSARY SUPPLIES TO THE STUDENTS OF 11 COUNTY SCHOOLS. ANYWHERE FROM 1,800 TO 3,500 ITEMS HAVE ANNUALLY BEEN COLLECTED IN THE PAST, SHOWING THAT SOMC INVESTS IN THE EDUCATION OF OUR COMMUNITY'S FUTURE GENERATIONS. MANY MEMBERS OF THE COMMUNITY VOLUNTEER AT SOMC, SERVING AS COMMUNITY AMBASSADORS. THEY OFFER A FRIENDLY SMILE AND COMFORTING WORDS TO PATIENTS AND FAMILY MEMBERS, WHILE ALSO ASSISTING IN MORE THAN 40 AREAS WITHIN THE HOSPITAL. THEY 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. THESE 445 VOLUNTEERS PROVIDED MORE THAN 38,673 UN-PAID HOURS IN 2013. 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 FRIENDS OF SOMC, SOMC MEDICAL CARE FOUNDATION, INC., SOMC TITLE HOLDING COMPANY, AND THE SOLE BENEFICIARY OF SOMC FOUNDATION.THE FRIENDS OF SOMC RENDER SERVICE TO SOUTHERN OHIO MEDICAL CENTER OF PORTSMOUTH, OHIO AND ITS PATIENTS AND ASSIST 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, THE FRIENDS OF SOMC CREATE, RECEIVE AND MAINTAIN 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 CONSISTNET WITH THE FOREGOING.SOMC TITLE HOLDING COMPANY OWNS AND MANAGES REAL ESTATE ON BEHALF OF SOUTHERN OHIO MEDICAL CENTER.SOMC FOUNDATION SUPPORTS SOUTHERN OHIO MEDICAL CENTER WITH FINANCIAL TRANSFERS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (24 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| AMERICAN RED CROSS | |||||||||
| 614 GLOVER ST | PORTSMOUTH | OH | 45662 | 314414096 | 501(C)(3) | 24500 | 4752 | FOOD AND PRINTING | YEARLY PLEDGE AND SPONSORSHIP DINNER. |
| NOTRE DAME SCHOOLS | |||||||||
| 2220 SUNRISE AVE | PORTSMOUTH | OH | 45662 | 314395524 | 501(C)(3) | 8500 | DEVELOPMENT FUND, GOLF TEAM SPONSOR, BID YOUR HEART OUT DONATION. | ||
| PORTSMOUTH RIVER DAYS INC | |||||||||
| PO BOX 132 | PORTSMOUTH | OH | 45662 | 311068766 | 501(C)(3) | 15000 | SPONSORSHIP OF RIVER DAYS COMMUNITY FESTIVAL. | ||
| (no name) | |||||||||
| VARIOUS SPONSORSHIPS AND DONATIONS. | |||||||||
| (no name) | |||||||||
| PROGRAM DONATION. | |||||||||
| (no name) | |||||||||
| MATCHING DONATION - PROGRAM SERVICES. | |||||||||
| PORTSMOUTH AREA ARTS COUNCIL | |||||||||
| PO BOX 1258 | PORTSMOUTH | OH | 45662 | 237073017 | 501(C)(3) | 10000 | SPONSORSHIP OF "DICKENS OF A CHRISTMAS" AND "RESPECT IS A MAGIC WORD." | ||
| SCIOTO COUNTY JUNIOR FAIR | |||||||||
| 602 7TH STREET COURTHOUSE ROOM 7 | PORTSMOUTH | OH | 45662 | 311262987 | 501(C)(3) | 7500 | SPONSORSHIP OF CIRCUS AND BUYER'S RECOGNITION DINNER. | ||
| SOMC MEDICAL CARE FOUNDATION INC | |||||||||
| 1248 KINNEYS LANE | PORTSMOUTH | OH | 45662 | 311374523 | 501(C)(3) | 24517089 | INTERCOMPANY SUPPORT. | ||
| SOUTHERN OHIO PERFORMING ARTS | |||||||||
| PO BOX 1122 | PORTSMOUTH | OH | 45662 | 311346687 | 501(C)(3) | 30000 | 1681 | PRINTING | SPONSORSHIP OF "BROADWAY SERIES." |
| CIVIC FORUM | |||||||||
| 5466 STATE RT 139 | PORTSMOUTH | OH | 45662 | 352339573 | 501(C)(3) | 5000 | SPELLING BEE AND FIREWORKS ON JULY 4TH. | ||
| SOUTHERN OHIO MUSEUM | |||||||||
| PO BOX 990 | PORTSMOUTH | OH | 45662 | 310914613 | 501(C)(3) | 5000 | SPONSORSHIP OF "CREAM OF THE CROP" AND DONATIONS. | ||
| (no name) | |||||||||
| RELATIONSHIPS AND DONATIONS. | |||||||||
| PORTSMOUTH ROTARY CLUB | |||||||||
| 7438 CANTERBURY RD | SCIOTOVILLE | OH | 45662 | 316038791 | 501(C)(3) | 6000 | CIVIC SIGN | ||
| STEVEN HUNTER HOPE FUND | |||||||||
| PO BOX 802 | PORTSMOUTH | OH | 45662 | 262211905 | 501(C)(3) | 6000 | PROGRAM DONATION | ||
| CIRQUE D'ART THEATRE | |||||||||
| 412-414 CHILLOCOTHE ST | PORTSMOUTH | OH | 45662 | 262867950 | 501(C)(3) | 7200 | 1662 | SPONSOR OF THE NUTCRACKER | |
| CLAY TOWNSHIP ROSEMOUNT SQUAD 12 | |||||||||
| 1129 ORM AVE | PORTSMOUTH | OH | 45662 | 310891634 | 501(C)(3) | 5595 | EMS EQUIPMENT | ||
| CLAY TOWNSHIP SQUAD 11 | |||||||||
| 6000 STATE ROUTE 139 | LUCASVILLE | OH | 45653 | 310891634 | 501(C)(3) | 5195 | EMS EQUIPMENT | ||
| MINFORD SQUAD | |||||||||
| PO BOX 117 | MCDERMONT | OH | 45652 | 310904494 | 501(C)(3) | 17484 | EMS EQUIPMENT | ||
| SOUTH WEBSTER SQUAD | |||||||||
| 81 MARKET STREET | SOUTH WEBSTER | OH | 45682 | 900979093 | 501(C)(3) | 24431 | EMS EQUIPMENT | ||
| UNION TOWNSHIP SQUAD | |||||||||
| 13055 STATE ROUTE 73 | MCDERMOTT | OH | 45652 | 310835348 | 501(C)(3) | 32760 | EMS EQUIPMENT | ||
| VALLEY TOWNSHIP SQUAD | |||||||||
| PO BOX 595 | LUCASVILLE | OH | 45648 | 316401054 | 501(C)(3) | 10890 | EMS EQUIPMENT | ||
| PIKE COUNTY AGRICULTURE | |||||||||
| 311 MILL STREET | PIKETON | OH | 45661 | 316101189 | 501(C)(3) | 5000 | SPONSOR OF APPRECIATION DINNER | ||
| TIME OUT FOR ME | |||||||||
| PO BOX 765 | PORTSMOUTH | OH | 45662 | 314409973 | 501(C)(3) | 7200 | SPONSOR YOUTH PROGRAM | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 20 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | EMPLOYEE RELIEF FUND | TypeOfGrant |
| Number Of Recipients | 12 | NumberOfRecipients |
| Amount Of Cash Grant | 11239 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: SOUTHERN 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 VARIFY THE FUNDS WERE USED FOR ITS INTENDED PURPOSE. SOMC ALSO PROVIDES FUNDING TO SOMC MEDICAL CARE FOUNDATION. THE FOLLOWING PROCEDURES OUTLINE SOMC'S POLICIES AS IT RELATES TO PROVIDING GRANTS: REQUESTS ARE FIRST CONSIDERED AT THE FINANCE AND ALLOCATIONS SUBCOMMITTEE MEETINGS ON A MONTHLY BASIS. IF THE COMMITTEE APPROVES THE FUNDING REQUEST, THE REQUEST WILL BE PRESENTED AT THE DEVELOPMENT FOUNDATION'S BOARD OF DIRECTORS BIMONTHLY MEETING. THEREFORE, REQUESTS MUST BE RECEIVED IN THE DEVELOPMENT FOUNDATION OFFICE NO LATER THAN THE END OF THE MONTH PRECEDING THE MEETING AT WHICH THE APPLICANT DESIRES FOR THE REQUEST TO BE CONSIDERED. THE FOLLOWING INFORMATION MUST BE INCLUDED IN THE REQUEST: I. TITLE OF PROJECT II. NAME, DEPARTMENT AND CONTACT INFORMATION FOR THE PROJECT MANAGER III. AMOUNT REQUESTED IV. TIME PERIOD FOR THE PROJECT V. PURPOSE OF THE PROJECT VI. STATEMENT THAT DESCRIBES HOW THE PROJECT IS CONSISTENT WITH THE MISSION OF SOMC VII. STATEMENT THAT EXPLAINS WHY FUNDS ARE NOT AVAILABLE FROM SOMC'S OPERATING BUDGET VIII. SIGNATURES OF THE PROJECT MANAGER AND HIS/HER DEPARTMENT DIRECTOR MONITORING USE OF FUNDS: A QUARTERLY REPORT SHALL BE SUBMITTED BY THE PROJECT MANAGER TO THE DEVELOPMENT FOUNDATION OUTLINING THE RESULTS OF THE PROJECT OR AN UPDATE ON THE OUTCOME OF THE FUNDING EXPENDITURE. A FINAL PROJECT REPORT WILL BE DUE WITHIN TWO MONTHS AFTER COMPLETION OF THE PROJECT. FOR GRANTS TO INDIVIDUALS LISTED IN PART III, FUNDS ARE DONATED BY EMPLOYEES AND MATCHED BY SOUTHERN OHIO MEDICAL CENTER. IN THE EVENT THAT AN EMPLOYEE EXPERIENCES AN EMERGENCY WHERE THEY ARE IN SERIOUS FINANCIAL NEED, A COMMITTEE MAY APPROVE GRANTS FROM THE EMPLOYEE RELIEF FUND. THE FOLLOWING PROCEDURES ARE IN PLACE TO MONITOR THE USE OF THESE FUNDS: EMPLOYEES REQUESTING ASSISTANCE MUST COMPLETE A REQUEST FORM IN ORDER TO DETERMINE ELIGIBILITY. YOUR NAME WILL NOT BE SHARED IN THE DETERMINATION, ONLY THE INFORMATION SPECIFIC TO YOUR REQUEST WILL BE DISCUSSED. THE MAXIMUM SINGLE DONATION IS $1,000. DONATIONS ARE SUBJECT TO THE AVAILABILITY OF FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RANDAL ARNETT | ||||||||||||||
| PRESIDENT & CEO | 520537 | 0 | 197483 | 0 | 29776 | 0 | 296016 | 0 | 18366 | 0 | 1062178 | 0 | 0 | 0 |
| ELIE SAAB MD | ||||||||||||||
| SMD CRITICAL CARE | 0 | 615467 | 0 | 0 | 0 | 85110 | 0 | 28464 | 0 | 25495 | 0 | 754536 | 0 | 67972 |
| DEAN WRAY | ||||||||||||||
| VP FINANCE | 271626 | 0 | 83100 | 0 | 18271 | 0 | 106415 | 0 | 20046 | 0 | 499458 | 0 | 0 | 0 |
| KENDALL L STEWART | ||||||||||||||
| VP MEDICAL AFFAIRS | 319978 | 0 | 92779 | 0 | 107056 | 0 | 31338 | 0 | 18366 | 0 | 569517 | 0 | 86200 | 0 |
| CLAUDIA L BURCHETT | ||||||||||||||
| VP PATIENT SERVICES | 226905 | 0 | 58913 | 0 | 1004 | 0 | 93018 | 0 | 23119 | 0 | 402959 | 0 | 0 | 0 |
| VICKI A NOEL | ||||||||||||||
| VP HR & ORGANIZATIONAL DEV | 198105 | 0 | 57202 | 0 | 421 | 0 | 57097 | 0 | 24594 | 0 | 337419 | 0 | 0 | 0 |
| LEEANN L SAMMONS | ||||||||||||||
| VP HEALTH & SAFETY | 161554 | 0 | 46677 | 0 | 333 | 0 | 44939 | 0 | 23695 | 0 | 277198 | 0 | 0 | 0 |
| BENJAMIN L GILL | ||||||||||||||
| VP OF SUPPORT SERVICES | 146286 | 0 | 41497 | 0 | 260 | 0 | 38234 | 0 | 15797 | 0 | 242074 | 0 | 0 | 0 |
| RORY E PHILLIPS | ||||||||||||||
| ADM DIR OF PHARMACY | 164155 | 0 | 33602 | 0 | 138 | 0 | 16140 | 0 | 24895 | 0 | 238930 | 0 | 0 | 0 |
| BRENT A RICHARD | ||||||||||||||
| ADM DIRECTOR INFORMATION SYSTEMS | 139125 | 0 | 20837 | 0 | 258 | 0 | 14553 | 0 | 16461 | 0 | 191234 | 0 | 0 | 0 |
| CRAIG E GILLILAND | ||||||||||||||
| ADM DIR FINANCIAL SERVICES | 131442 | 0 | 26566 | 0 | 360 | 0 | 9756 | 0 | 25495 | 0 | 193619 | 0 | 0 | 0 |
| VALERIE DECAMP | ||||||||||||||
| ADM DIR OF NURSING (I/P & | 122895 | 0 | 11205 | 0 | 54 | 0 | 7521 | 0 | 21976 | 0 | 163651 | 0 | 0 | 0 |
| LEONARD T GREENE | ||||||||||||||
| ADM DIRECTOR OF SURGICAL SERVICES | 127947 | 0 | 22413 | 0 | 258 | 0 | 13689 | 0 | 16461 | 0 | 180768 | 0 | 0 | 0 |
| JOHN TURJOMAN | ||||||||||||||
| FORMER CHIEF OF STAFF | 2501 | 0 | 0 | 0 | 17161 | 0 | 0 | 0 | 0 | 0 | 19662 | 0 | 0 | 0 |
| ERNESTO BANALAGAY | ||||||||||||||
| FORMER CHIEF OF STAFF | 0 | 0 | 0 | 0 | 148010 | 0 | 0 | 0 | 0 | 0 | 148010 | 0 | 148010 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PAYS A COUNTRY CLUB MEMBERSHIP ON THE CEO'S BEHALF AS A MEANS FOR THE CEO TO NETWORK WITH PHYSICIANS. ALL OF THE COUNTRY CLUB MEMBERSHIP DUES WERE TREATED AS TAXABLE COMPENSATION TO THE CEO. |
| PART I, LINE 4B | THE ORGANIZATION MADE CONTRIBUTIONS TO A SERP FOR THE FOLLOWING INDIVIDUALS: RANDAL ARNETT: 276,016 KENDALL STEWART: 13,838 DEAN WRAY: 91,415 CLAUDIA BURCHETT: 71,618 VICKI NOEL: 42,097 LEEANN SAMMONS: 34,428 BENJAMIN GILL: 28,722 THE SERP PLAN IS AVAILABLE ONLY TO INDIVIDUALS WHO HAVE HELD AN EXECUTIVE POSITION FOR ONE YEAR. THE SERP WILL VEST UPON THE EXECUTIVE REACHING A SPECIFIED AGE. 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 AMOUNTS LISTED ABOVE ARE INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN C. KENDALL STEWART'S SERP WAS PAID OUT DURING THE CALENDAR YEAR IN THE AMOUNT OF $86,200. THE PAY OUT IS INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN B(III). THE CERP PROGRAM IS AN INCENTIVE PROGRAM FOR PHYSICIANS TO BE AVAILABLE ON CALL IN THE EVENT OF AN EMERGENCY. A PHYSICIAN MUST PARTICIPATE IN THE PROGRAM FOR 5 YEARS BEFORE BECOMING VESTED AND THE PHYSICIAN ALSO MUST REACH A SPECIFIED AGE. A NONCOMPETE AGREEMENT IS IN PLACE, AND THE PHYSICIAN FORFEITS ANY CERP PAYMENTS IF HE/SHE DOES NOT CONFORM TO THE NONCOMPETE AGREEMENT. SOUTHERN OHIO MEDICAL CENTER MADE CONTRIBUTIONS TO A CERP (COMMUNITY EMERGENCY RESPONSE PLAN) FOR THE FOLLOWING INDIVIDUAL: DR. ELIE SAAB $ 150 THE AMOUNT LISTED ABOVE IS INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN C. ELIE SAAB, DARREN ADAMS, FORMER CHIEF OF STAFF ERNESTO BANALAGAY AND JOHN TURJOMAN'S CERP WAS PAID OUT DURING THE CALENDAR YEAR IN THE FOLLOWING AMOUNTS: ELIE SAAB $ 67,972 DARREN ADAMS $ 58,550 ERNESTO BANALAGAY $148,010 JOHN TURJOMAN $ 17,161 THE PAY OUT IS INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN B(III). |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF SCIOTO OHIO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 316400086 | IssuerEIN |
| CUSIP Number | 808878FN7 | CUSIPNumber |
| Date Issued | 2008-07-23 | DateIssued |
| Issue Price | 150783464 | IssuePrice |
| Description Of Purpose | HOSPITAL ADDITION & RENOVATIONS AND CURRENT REFUNDING OF 2006 BONDS | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 10265000 | AmountRetired |
| Total Proceeds | 178921832 | TotalProceeds |
| Amount In Reserve Fund | 10956542 | AmountInReserveFund |
| Capitalized Interest | 2835003 | CapitalizedInterest |
| Refunding Escrow | 127600000 | RefundingEscrow |
| Issuance Costs From Proceeds | 1619626 | IssuanceCostsFromProceeds |
| Working Capital Expenditures | 7850000 | WorkingCapitalExpenditures |
| Capital Expenditures | 27628899 | CapitalExpenditures |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | 1 | EngageBondCounselContracts |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 1 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 1 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 1 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 1 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE K PART IV, ARBITRAGE, LINE 2C | DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: COUNTY OF SCIOTO, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 05/13/2013 |
| PART II, LINE 1: RETIRED CUSIP 808878FL1 ($2,380,000) AND CUSIP 808878FM9 ($2,500,000) AND CUSIP 808878FN7. PART II, LINE 3: INCLUDES ISSUE PRICE PLUS UNSPENT PROCEEDS FROM 2006 BONDS. INTEREST EARNINGS ON CONSTRUCTION FUND AFTER 7/23/08, INTEREST EARNINGS ON EXPENSE FUND, INTEREST EARNINGS ON CAPITALIZED INTEREST FUND AND INTEREST EARNINGS ON DSFR. PART II, LINE 5: INCLUDES INTEREST EARNINGS ON THE CAPITALIZED INTEREST FUND, WHICH WERE USED TO PAY CAPITALIZED INTEREST ON THE 2008 BONDS. 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 (7/23/08). PART II, LINE 7: INCLUDES UNDERWRITER'S DISCOUNT PLUS SERIES 2008 PROCEEDS DEPOSITED IN 2008 EXPENSE FUND. PART II, LINE 9: INCLUDES QUALIFIED HEDGE TERMINATION PAYMENT PLUS NON-QUALIFIED HEDGE TERMINATION PAYMENT RELATED TO THE 2006 SERIES BONDS. PART II, LINE 10: INCLUDES UNSPENT PROCEEDS FOR 2006 BONDS PLUS INTEREST EARNINGS ON THE CONSTRUCTION FUND. PART III, LINE 3: ALL MANAGEMENT CONTRACTS COMPLY WITH SAFE HARBOR REVENUE PROCEDURE 97-13. PART V: SOMC PLANS TO WORK WITH BOND COUNSEL TO DEVELOP WRITTEN PROCEDURES. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| BANNON HOWLAND & DEVER | |||
| BOARD CHAIR ROBERT DEVER IS SENIOR PARTNER OF BANNON, HOWLAND, & DEVER | 240000 | $20,000 PER MONTH RETAINER AS GENERAL COUNSEL TO SOUTHERN OHIO MEDICAL CENTER AND ITS RELATED ENTITIES. | 0 |
| PORTSMOUTH INSURANCE AGENCY | |||
| BOARD MEMBER GARY DUZAN IS A PARTNER OF PORTSMOUTH INSURANCE AGENCY | 273233 | INSURANCE PROVIDER | 0 |
| US BANK | |||
| BOARD MEMBER DAVID FOWLER IS AN OFFICER AT US BANK'S PORTSMOUTH BRANCH | 265066 | SERVICE CHARGES, INTEREST, AND FEES ASSOCIATED WITH SEVERAL DIFFERENT BANK ACCOUNTS. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 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 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 12C | CONFLICT 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. | |
| FORM 990, PART VI, SECTION B, LINE 15 | ON AN ANNUAL BASIS, AN INDEPENDENT CONSULTANT PROVIDES THE BOARD COMPENSATION COMMITTEE WITH COMPARABLE DATA AND OTHER FACTS WHICH ARE USED BY THE COMMITTEE TO DETERMINE EXECUTIVE PAY PHILOSOPHY. THE DECISIONS REGARDING 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 2012. | |
| FORM 990, PART VI, SECTION C, LINE 19 | SOUTHERN 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 86,800. GAIN FROM DISCONTINUED OPERATIONS (RRC) 261,699. CHANGE IN ACTUARIAL COST 7,552,800. TRANSFER TO SOMC TITLE HOLDING COMPANY -275,579. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XI, 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
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| SOMC FOUNDATION INC | ||||||||||
| 1805 27TH STREET | PORTSMOUTH | OH | 45662 | 311564440 | HOLD INVESTMENTS FOR BENEFIT OF SOUTHERN OHIO MEDICAL CENTER | OH | 501(C)(3) | LINE 11A, I | SOUTHERN OHIO MEDICAL CENTER | 1 |
| THE FRIENDS OF SOUTHERN OHIO MEDICAL CENTER | ||||||||||
| 1805 27TH STREET | PORTSMOUTH | OH | 45662 | 310677520 | FUNDRAISING | OH | 501(C)(3) | LINE 11A, I | SOUTHERN OHIO MEDICAL CENTER | 1 |
| SOMC MEDICAL CARE FOUNDATION INC | ||||||||||
| 1248 KINNEYS LANE | PORTSMOUTH | OH | 45662 | 311374523 | MEDICINE AND SURGERY | OH | 501(C)(3) | LINE 11A, I | SOUTHERN OHIO MEDICAL CENTER | 1 |
| SOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANY | ||||||||||
| 1805 27TH STREET | PORTSMOUTH | OH | 45662 | 311417566 | MANAGE REAL ESTATE | OH | 501(C)(2) | N/A | SOUTHERN OHIO MEDICAL CENTER | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (13 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| SOMC MEDICAL CARE FOUNDATION | ||
| B | 24517089 | ACCRUAL TRANSACTIONS |
| SOMC MEDICAL CARE FOUNDATION | ||
| K | 152514 | RENTAL CHARGES PER CONTRACT |
| SOMC MEDICAL CARE FOUNDATION | ||
| L | 62393 | COST PER CONTRACT |
| SOMC MEDICAL CARE FOUNDATION | ||
| M | 949510 | COST PER CONTRACT |
| SOMC MEDICAL CARE FOUNDATION | ||
| O | 35414614 | ALLOCATION OF COSTS |
| SOMC MEDICAL CARE FOUNDATION | ||
| P | 37737707 | ALLOCATION OF COSTS |
| SOMC MEDICAL CARE FOUNDATION | ||
| Q | 7322678 | ALLOCATION OF COSTS |
| SOMC TITLE HOLDING COMPANY | ||
| K | 1540262 | RENTAL CHARGES PER CONTRACT |
| SOMC TITLE HOLDING COMPANY | ||
| Q | 1260456 | ALLOCATION OF COSTS |
| THE FRIENDS OF SOUTHERN OHIO MEDICAL CENTER | ||
| O | 145424 | ALLOCATION OF COSTS |
| SOMC TITLE HOLDING COMPANY | ||
| H | 87139 | ALLOCATION OF COSTS |
| THE FRIENDS OF SOUTHERN OHIO MEDICAL CENTER | ||
| C | 59768 | CASH AND FMV |
| SOMC TITLE HOLDING COMPANY | ||
| R | 275579 | TRANSFER OF CASH |
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