2014-05-12T10:06:30-05:00 2013-06-30 381357951 PLANTE & MORAN PLLC 65 EAST STATE STREET SUITE 600 COLUMBUS OH 43215 990 2012-07-01 310678022 SOUTHERN OHIO MEDICAL CENTER SOUT 7403567622 1248 KINNEYS LANE PORTSMOUTH OH 45662 DEAN WRAY 7403567622 2014-05-08 1 BERNIE OSTROWSKI P00366367 6148493000 2012 2015-11-30 17:44:51Z SEE SCHEDULE O MR RANDAL ARNETT 1805 27TH STREET PORTSMOUTH OH 45662 315077402 0 X WWW.SOMC.ORG X 1954 OH 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. 11 6 2509 441 0 -35972 343101 882193 290435825 298714796 6153248 7257551 4192874 2370720 301125048 309225260 23768885 25028021 0 0 121980916 126558102 0 0 19775 139513243 145123678 285263044 296709801 15862004 12515459 430168195 446664331 202051367 192863648 228116828 253800683 X 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. 0 0 242521833 25028021 298804877 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. 242521833 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 1 202 0 1 2509 1 1 1 0 0 0 0 1 1 0 0 0 0 X 11 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X RICHARD GILCHER 7403567622 1248 KINNEYS LANE PORTSMOUTH OH 45662 ROBERT E DEVER 1.00 4.00 X 0 0 0 RANDAL ARNETT 40.00 5.00 X X 747796 0 314382 STEVEN A CONLEY 1.00 4.00 X 0 0 0 GARY DUZAN 1.00 4.00 X 0 0 0 GEORGE LAWSON 1.00 4.00 X 0 0 0 RITA RICE-MORRIS PHD 1.00 4.00 X 0 0 0 IBRAHIM ZAYNEH MD 1.00 4.00 X 0 0 0 DARREN ADAMS DO 1.00 4.00 X 84752 0 0 DAVID FOWLER 1.00 4.00 X 0 0 0 GEORGE V JOHNSON MD 1.00 4.00 X 0 0 0 JAMES W STAKER 1.00 4.00 X 0 0 0 ELIE SAAB MD 1.00 5.00 X 0 700577 53959 AARON ADAMS DO 1.00 4.00 X 20193 0 0 DEAN WRAY 40.00 0.00 X 372997 0 126461 KENDALL L STEWART 40.00 1.00 X 519813 0 49704 CLAUDIA L BURCHETT 40.00 1.00 X 286822 0 116137 VICKI A NOEL 40.00 1.00 X 255728 0 81691 LEEANN L SAMMONS 40.00 1.00 X 208564 0 68634 BENJAMIN L GILL 40.00 1.00 X 188043 0 54031 RORY E PHILLIPS 40.00 0.00 X 197895 0 41035 BRENT A RICHARD 40.00 0.00 X 160220 0 31014 CRAIG E GILLILAND 40.00 0.00 X 158368 0 35251 VALERIE DECAMP 40.00 0.00 X 134154 0 29497 LEONARD T GREENE 40.00 0.00 X 150618 0 30150 JOHN TURJOMAN 0.00 0.00 X 19662 0 0 ERNESTO BANALAGAY 0.00 0.00 X 148010 0 0 3653635 700577 1031946 57 1 1 0 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 28 54142 59768 112123 656160 17203 882193 PATIENT SERVICES 622110 287508971 287508971 PHARMACY INCOME 446110 9178556 9178556 LIFE CENTER 622110 1588162 1588162 LAB SERVICES 621500 439107 439107 298714796 5002370 5002370 24491 0 24491 24491 24491 7943633 21764 5252366 457850 2691267 -436086 2255181 2255181 130725 54142 141926 -11201 -11201 CAFETERIA SALES 622110 1739182 1739182 GIFT SHOP REVENUE 900099 192720 192720 NURSING CONTRACT REVENUE 622110 58942 58942 366586 31139 335447 2357430 309225260 298804877 0 9538190 25016741 25016741 11280 11280 3453898 3453898 87182949 66500264 20682685 6239981 4759655 1480326 23062621 17660847 5401774 6618653 5048494 1570159 29561 29561 313710 313710 204470 204470 21468787 16743718 4725069 2266643 2266643 22151418 16896368 5255050 1689806 726559 963247 10334011 7882441 2451570 472944 316764 156180 427765 150046 277719 8165006 7039052 1125954 18076560 15584551 2492009 1282413 1282413 BAD DEBT EXEPENSE 25421720 25421720 MEDICAL SUPPLIES 16153212 16153212 PHARMACY SUPPLIES/DRUGS 12014569 12014569 OHIO FRANCHISE TAX 3220770 3220770 1430313 1046496 364042 19775 296709801 242521833 54168193 19775 7215 6240 15510009 19273276 32960807 31574974 116196 0 3956145 4594172 2790395 2021559 325242479 169241745 167735747 156000734 188609907 210072563 3800202 3489698 2000436 2287471 12681136 17343644 430168195 446664331 24727809 26258618 150174639 147349584 1801617 0 25347302 19255446 202051367 192863648 X 228116828 253800683 0 0 228116828 253800683 430168195 446664331 X 12515459 5542676 7625720 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5704 5704 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: 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. 1819486 58179 169435 9645 43049 1994406 1751554 48512 58318 38898 1819486 1618097 72131 104428 43103 1751553 1640677 75282 -62236 35626 1618097 1555536 65883 51298 32039 1640678 1.00000 1 0 4666227 4666227 91075177 29107912 61967265 108358 77705 30653 217188498 134859068 82329430 12204219 5197060 7007159 156000734 COST REPORT SETTLEMENT 5825202 PENSION LIABILITY 8109907 ACCRUED SELF-INSURED LIABILITY 4004098 CERP DEFERRED COMP LIABILITY 1316239 19255446 X 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. HIKE FOR HOSPICE 68899 40319 28580 10189 2087 30128 PAINT IT PINK 48571 48571 26500 5 62652 13823 48829 3027 694 59953 180122 54142 125980 13216 2781 116581 132578 -6598 1 1 X 1 X 125.000000000000 1 X 1 1 1 0 1 1 4627 8634026 1188908 7445118 0.02740 76318 40172399 30037458 10134941 0.03740 80945 48806425 31226366 17580059 0.06480 105930 105930 0.00040 2439418 1034031 1405387 0.00520 2545348 1034031 1511317 0.00560 80945 51351773 32260397 19091376 0.07040 0 25421720 2377666 75913421 82018077 -6104656 X 1 0 1 1 SOUTHERN OHIO MEDICAL CENTER

1805 27TH STREET PORTSMOUTH OH 45662

X X X X X SOUTHERN OHIO MEDICAL CENTER 1 1 X X X X X X X X 12 1 0 1 X X X X X X X X X X 0 0 1 1 125.000000000000 1 300.000000000000 1 X 1 1 X X X X X 1 0 X X X X 1 X 0 0 6 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 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. SOUTHERN OHIO MEDICAL CENTER 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. PART V, SECTION B, LINE 14(A): THE POLICY FOR THE FAP IS NOT POSTED ONLINE. HOWEVER, THE FINANCIAL ASSISTANCE APPLICATION DESCRIBES THE QUALIFICATIONS FOR ASSISTANCE AND ALERTS THE PATIENT TO THE AVAILABILITY OF ASSISTANCE THROUGH THE FAP. PART 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. 1 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. VARIOUS SPONSORSHIPS AND DONATIONS. PROGRAM DONATION. 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. 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 20 EMPLOYEE RELIEF FUND 12 11239 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. X 0 0 X X X X 0 1 0 0 0 0 0 0 0 RANDAL ARNETT 520537 0 197483 0 29776 0 296016 0 18366 0 1062178 0 0 0 ELIE SAAB MD 0 615467 0 0 0 85110 0 28464 0 25495 0 754536 0 67972 DEAN WRAY 271626 0 83100 0 18271 0 106415 0 20046 0 499458 0 0 0 KENDALL L STEWART 319978 0 92779 0 107056 0 31338 0 18366 0 569517 0 86200 0 CLAUDIA L BURCHETT 226905 0 58913 0 1004 0 93018 0 23119 0 402959 0 0 0 VICKI A NOEL 198105 0 57202 0 421 0 57097 0 24594 0 337419 0 0 0 LEEANN L SAMMONS 161554 0 46677 0 333 0 44939 0 23695 0 277198 0 0 0 BENJAMIN L GILL 146286 0 41497 0 260 0 38234 0 15797 0 242074 0 0 0 RORY E PHILLIPS 164155 0 33602 0 138 0 16140 0 24895 0 238930 0 0 0 BRENT A RICHARD 139125 0 20837 0 258 0 14553 0 16461 0 191234 0 0 0 CRAIG E GILLILAND 131442 0 26566 0 360 0 9756 0 25495 0 193619 0 0 0 VALERIE DECAMP 122895 0 11205 0 54 0 7521 0 21976 0 163651 0 0 0 LEONARD T GREENE 127947 0 22413 0 258 0 13689 0 16461 0 180768 0 0 0 JOHN TURJOMAN 2501 0 0 0 17161 0 0 0 0 0 19662 0 0 0 ERNESTO BANALAGAY 0 0 0 0 148010 0 0 0 0 0 148010 0 148010 0 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). A COUNTY OF SCIOTO OHIO 316400086 808878FN7 2008-07-23 150783464 HOSPITAL ADDITION & RENOVATIONS AND CURRENT REFUNDING OF 2006 BONDS 0 0 0 A 10265000 178921832 10956542 2835003 127600000 1619626 7850000 27628899 2009 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 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. 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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. 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. 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 0 1 1 0 0 0 0 1 0 0 1 1 1 0 1 1 1 1 1 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