SOUTHWEST GENERAL MEDICAL GROUP INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SOUTHWEST GENERAL MEDICAL GROUP INC (EIN 34-1652755)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201223189349302072
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-13T12:25:17-00:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341652755EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHWEST GENERAL MEDICAL GROUP INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone4408168071Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line118697 BAGLEY ROADAddressLine1
CityMIDDLEBURG HEIGHTSCity
StateOHState
ZIP Code441303417ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMarilyn McNamara MDName
TitlePresidentTitle
Date Signed2012-11-13DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMarilyn McNamara MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line118697 Bagley RoadAddressLine1
CityMiddleburg HeightsCity
StateOHState
ZIP Code441303417ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10304248GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Siteswgeneral.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSouthwest Gen Medical Group Inc. was organized to practice and render professional medical services and exercise all express and incidental powers normally permitted such corporations engaged in the practice of medicine. It is operated for charitable purposes within the meaning of section 501c3.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees100TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9785445ProgramServiceRevenuePriorYear
Program Service Revenue CY10304248ProgramServiceRevenueCY
Investment Income Prior Year-1574InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year9783871TotalRevenuePriorYear
Total Revenue Current Year10304248TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9021047SalariesEtcPriorYear
Salaries Etc Current Year9240185SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5355985OtherExpensePriorYear
Other Expenses Current Year5863561OtherExpensesCurrentYear
Total Expenses Prior Year14377032TotalExpensesPriorYear
Total Expenses Current Year15103746TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4593161RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4799498RevenuesLessExpensesCY
Total Assets BOY1975755TotalAssetsBOY
Total Assets EOY2408568TotalAssetsEOY
Total Liabilities BOY3028468TotalLiabilitiesBOY
Total Liabilities EOY2805063TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1052713NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-396495NetAssetsOrFundBalancesEOY
Mission DescriptionSouthwest General Medical Group, Inc. is comprised of separate medical practices with services in the areas of Womens Health, Psychiatry, Neurology, Internal Medicine, Oncology, Neurosurgery, Surgery, and Family Practice.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense14062285Expense
Revenue10304248Revenue
DescriptionPractice of MedicineDescription
Total Program Service Expense14062285TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees100NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKelly LinsonNamePerson
Telephone Number4408168071TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118697 Bagley RoadAddressLine1
CityMiddleburg HtsCity
StateOHState
ZIP Code441303417ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Marilyn McNamara MD
Director, President001.00XX033333618960
Bhupinder Sawhny MD
Physician040.00526235020747X
Kimberly Kraus MD
Physician040.00482937029234X
John Alton MD
Director, Physician040.00X461820032967
Gil Peleg MD
Physician040.00380072030759X
Olga Kovacevic MD
Director, Physician040.00X185962024426
Thomas A Selden
Director001.00X052625027302
Mary Ann Freas
Director001.00X031089523754
Wenhui Zhu
Physician040.00325838030766X
Jennifer Vollweiler MD
Physician040.00321387030511X
G Mervin Ault
Director001.00X000
Lowell Walker
Director001.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org2684251TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1170481TotalReportableCompFrmRltdOrgs
Total Other Compensation269426TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
University Hospital
PO Box 70328ClevelandOH441900328Physician Services1265472
SS & G Healthcare Svc
PO Box 39453ClevelandOH441390453Billing/Management Svc789851
Jackson Coker
PO Box 277638AtlantaGA303847638Physician Services346542
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient CareDescription
Total Revenue Column10343248TotalRevenueColumn
Related Or Exempt Function Income10343248RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10304248TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10304248TotalRevenueColumn
Related Or Exempt Function Income10304248RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total495822Total
Program Services495822ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7253374Total
Program Services7253374ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total249472Total
Program Services249472ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total785638Total
Program Services785638ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total455879Total
Program Services455879ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total819726Total
Management And General819726ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total91074Total
Program Services91074ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1537668Total
Program Services1513311ProgramServices
Management And General24357ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total17366Total
Program Services17366ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total868669Total
Program Services800930ProgramServices
Management And General67739ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total168025Total
Program Services105276ProgramServices
Management And General62749ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total826692Total
Program Services810831ProgramServices
Management And General15861ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total60217Total
Program Services53013ProgramServices
Management And General7204ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total183364Total
Program Services173418ProgramServices
Management And General9946ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total485322Total
Program Services484427ProgramServices
Management And General895ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Billing, Collection PR processing fees1271512715
Dues and subscriptions388943883955
Tax Expense40804080
Miscellaneous Expense1009877270428283

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total648762Total
Program Services648196ProgramServices
Management And General566ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15103746Total
Program Services14062285ProgramServices
Management And General1041461ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY174936BOY
EOY160353EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY568822BOY
EOY677680EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY58329BOY
EOY379200EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2084883LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1264017LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY660882BOY
EOY820866EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY512786BOY
EOY370469EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1975755BOY
EOY2408568EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1141214BOY
EOY1143576EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1887254BOY
EOY1661487EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3028468BOY
EOY2805063EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY50000BOY
EOY50000EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY47853636BOY
EOY53309353EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY-48956349BOY
EOY-53755848EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1052713BOY
EOY-396495EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1975755BOY
EOY2408568EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-4799498ReconcilationRevenueExpenses
Reconcilation Other Changes5455716ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Southwest Gen Hlth CenterBusinessNameLine1
FieldValueIRS element (for citing)
EIN340753531EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Public Support Pertcentage1700.00000PublicSupportPertcentage170
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage
Facts And Circumstances TestPart I Line 11 Southwest General Medical Group supports the Health Center by physician referrals, patient use of the Health Center facilities, inpatient and outpatient - any other medical services allowed by the Health Center.FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9205OtherCostOrOtherBasis
Depreciation238Depreciation
Book Value8967BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis479898OtherCostOrOtherBasis
Depreciation189694Depreciation
Book Value290204BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1595780OtherCostOrOtherBasis
Depreciation1074085Depreciation
Book Value521695BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings820866TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Other Receivables15764
Tax Deferred Annunity345977
Goodwill less accum amortization8728
FieldValueIRS element (for citing)
Total Book Value Other Assets370469TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionInsurance Claims ReserveDescription
Amount$1,661,487Amount
FieldValueIRS element (for citing)
Total Of Amounts1661487TotalOfAmounts
Total Revenue10304248TotalRevenue
Total Expenses15103746TotalExpenses
Excess Or Deficit For Year-4799498ExcessOrDeficitForYear
Excess Or Deficit Per FS-4799498ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10304248TotRevenueEtcAuditedFinclStmt
Revenue Subtotal10304248RevenueSubtotal
Total Revenue Per Form99010304248TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15103746TotExpensesEtcAuditedFinclStmt
Expenses Subtotal15103746ExpensesSubtotal
Total Expenses Per Form99015103746TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierXIdentifier
Return Reference2ReturnReference
ExplanationSouthwest General Medical Group adopted ASC 740-10 in 2007 as required. No disclosures were required under GAAP as Southwest General Medical Group does not have any material tax contingencies that required disclosures in the footnotes.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Marilyn McNamara MD
2750332936628937350615453352295
Bhupinder Sawhny MD
496234275002501138506897546982
Kimberly Kraus MD
448304337069261285016383512169
John Alton MD
3843357614713391715015817494788
Gil Peleg MD
3632351520716301470016059410831
Olga Kovacevic MD
175270102074831020814218210386
Thomas A Selden
40260158510651391470012602553552
Mary Ann Freas
27140424750147421277310981334650
Wenhui Zhu
3256312071490215864356604
Jennifer Vollweiler MD
3204752077051470015811351898

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
I3The Organizations President is compensated by Southwest General Health Center and their Human Resource department conducts periodic performance reviews and uses salary survey data from an outside consultant to determine appropriate compensation.
I4bThomas Seldon - supplemental nonqualified retirement plan 28,523.71. Marilyn McNamara - supplemental nonqualified retirement plan 14,520.19. Mary Ann Freas-spplemental nonqualified retirement plan 12,800.
I5There is only one physician that has a bonus calculated based on the revenue of the organization. This bonus is calculated using the WRVUs Work Relative Value Units quarterly and annually.
I6Each physician is considered an Individual Practice with their own income and expenses allocated to them. Per the physicians contract, a bonus is calculated based the the Individual Practice Net Income the physician generates in any given year. There are additional stipulations if there is a net loss that affects compensation as well.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part VI6Southwest General Health Center is the Shareholder of Southwest General Medical Group
Form 990 Part VI7aThe Shareholders shall elect the Directors annually and shall determine the number of Directors which shall not be less than the lesser of three 3 or the number of Shareholders of record. The Board of Directors shall elect a President, a Secretary and a Treasurer, and may elect a Chairman of the Board, one or more Vice Presidents, and such other officers and assistant officers as the Board may deem necessary.
Form 990 Part VI7bThe business, power and authority of Southwest General Medical Group shall be exercised, conducted and controlled by the Board of Directors, except where the law, the Articles of Incorporation, or the Code of Regulations require action to be authorized or taken by the Shareholders, including but not limited to the adoption of the Corporations fee schedule which shall be based upon the usual, customary and reasonable charges for medical services in the community.
Form 990 Part VI11The 990 is reviewed internally by the CEO, CFO, and Chief Accounting Officer. It is presented and reviewed at the Audit Committee of the Board of Trustees Governing Board meeting on October 12, 2012. The return is distributed electronically to the entire board before filing. Also prior to filing, the entire Board is presented with a review of the highlights and key points of the 990 at their October meeting.
Form 990 Part VI12cSouthwest Medical Group has a written Conflict of Interest Policy that requires our officers, directors, and employees to annually disclose potential conflicts of themselves or their family members on a questionaire distributed by the Privacy Officer. To comply with on-going monitoring, periodic reviews are conducted of the reasonableness of compensation and benefit arrangements whether acquisitions of physicians practices and other provider services result in impermissible private benefit and whether agreements to provide health care and agreements with other health care providers, employees, and third party payors further the Corporations charitable purposes and do not result in impermissible private benefit. In the event of a conflict the Board will determine disciplinary and corrective action.
Form 990 Part VI15abThe CEO and other officers do not receive compensation separate from compensation received from Southwest General Health Center.
Form 990 Part VI19Southwest General Medical Groups organizing documents, conflict of interest policy and financial statements are made available to the public upon request.
Form 990 Part VIIMarilyn McNamara, Thomas Selden and Mary Ann Freas each devote approximateley 38 hours per week to related organizations. The related organization - Southwest General Health Center is where the majority of their time is spent.
Form 990 Part XI55,455,716 represents the change in paid in capital from the beginning of the year. 53,309,353EOY-47,853,636BOY.
Form 990 Part VI Section A Line 6 Southwest General Health Center is the Shareholder of Southwest General Medical Group Form 990 Part VI Section A Line 7a The Shareholders shall elect the Directors annually and shall determine the number of Directors which shall not be less than the lesser of three 3 or the number of Shareholders of record. The Board of Directors shall elect a President, a Secretary and a Treasurer, and may elect a Chairman of the Board, one or more Vice Presidents, and such other officers and assistant officers as the Board may deem necessary. Form 990 Part VI Section A Line 7b The business, power and authority of Southwest General Medical Group shall be exercised, conducted and controlled by the Board of Directors, except where the law, the Articles of Incorporation, or the Code of Regulations require action to be authorized or taken by the Shareholders, including but not limited to the adoption of the Corporations fee schedule which shall be based upon the usual, customary and reasonable charges for medical services in the community. Form 990 Part VI Section B Line 11 The 990 is reviewed internally by the CEO, CFO, and Chief Accounting Officer. It is presented and reviewed at the Audit Committee of the Board of Trustees Governing Board meeting on October 12, 2012. The return is distributed electronically to the entire board before filing. Also prior to filing, the entire Board is presented with a review of the highlights and key points of the 990 at their October meeting. Form 990 Part VI Section B Line 12c Southwest Medical Group has a written Conflict of Interest Policy that requires our officers, directors, and employees to annually disclose potential conflicts of themselves or their family members on a questionaire distributed by the Privacy Officer. To comply with on-going monitoring, periodic reviews are conducted of the reasonableness of compensation and benefit arrangements whether acquisitions of physicians practices and other provider services result in impermissible private benefit and whether agreements to provide health care and agreements with other health care providers, employees, and third party payors further the Corporations charitable purposes and do not result in impermissible private benefit. In the event of a conflict the Board will determine disciplinary and corrective action. Form 990 Part VI Section B Line 15ab The CEO and other officers do not receive compensation separate from compensation received from Southwest General Health Center. Form 990 Part VI Section C Line 19 Southwest General Medical Groups organizing documents, conflict of interest policy and financial statements are made available to the public upon request. Form 990 Part VII Marilyn McNamara, Thomas Selden and Mary Ann Freas each devote approximateley 38 hours per week to related organizations. The related organization - Southwest General Health Center is where the majority of their time is spent. Form 990 Part XI Line 5 5,455,716 represents the change in paid in capital from the beginning of the year. 53,309,353EOY-47,853,636BOY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Southwest General Health Center
18697 Bagley RoadMiddleburg HtsOH44130340753531HospitalOH501 c33Southwest Community Health Sysfalse
Southwest Protection Services
18697 Bagley RoadMiddleburg HtsOH44130841661280SecurityOH501 c311aSouthwest General Health Centerfalse
Southwest Community Health System
18697 Bagley RoadMiddleburg HtsOH44130341455141Parent non profitOH501 c311dfalseN/A
Southwest Community Health Foundation
18697 Bagley RoadMiddleburg HtsOH44130341455135FundraisingOH501 c311aSouthwest Community Health Systemfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Southwest Holdings IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118697 Bagley RoadAddressLine1
CityMiddleburg HtsCity
StateOHState
ZIP Code44130ZIPCode
FieldValueIRS element (for citing)
EIN341461753EIN
Primary ActivityRetail PharmacyPrimaryActivity
Legal Domicile StateOHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityC CorpTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

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