2020-05-07T11:13:09-05:00 2019-06-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2018-07-01 311374523 SOMC MEDICAL CARE FOUNDATION INC SOMC 7403567622 1248 KINNEYS LANE PORTSMOUTH OH 45662 DEAN WRAY VP FINANCE 7403567622 2020-04-28 1 AMY CIMINELLO P00796388 6148493000 2020-04-28 65.24.98.214 2020-04-28 10:49:40 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0E91126D0FB3B5231D35CFCADBE487908A76FDB7 2018 2020-09-23 17:36:50Z MR RANDAL ARNETT 1805 27TH STREET PORTSMOUTH OH 45662 37165875 0 X WWW.SOMC.ORG X 1993 OH 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. 10 0 165 0 0 0 0 0 29751055 36902581 162824 188217 65084 75077 29978963 37165875 0 0 0 0 49301699 56792362 0 0 0 13606544 15076087 62908243 71868449 -32929280 -34702574 12347295 9173173 15362889 15307091 -3015594 -6133918 X SEE SCHEDULE O 0 0 8483982 0 2246173 SOMC ANESTHESIA ASSOCIATES - MEDICAL DOCTORS TRAINED TO ADMINISTER ANESTHETICS AND MANAGE THE MEDICAL CARE OF PATIENTS BEFORE, DURING, AND AFTER SURGERY. 10995693 0 4301568 SOMC HEART AND VASCULAR SERVICES - MEDICAL DOCTORS WORKING TO PREVENT, DIAGNOSE, AND TREAT DISORDERS OF THE HEART AND BLOOD VESSELS. 7309842 0 3888144 SOMC RADIOLOGY SERVICES - MEDICAL DOCTORS TRAINED TO USE STATE-OF-THE-ART RADIANT ENERGY MEDICAL IMAGING TECHNOLOGY TO HELP PREVENT, DIAGNOSE, AND TREAT DISEASES. 45078932 0 26541773 VARIOUS SPECIALTIES WHICH INCLUDE, BUT NOT LIMITED TO: SOMC ORTHOPEDIC ASSOCIATES, SOMC PULMONOLOGY ASSOCIATES, SOMC SURGICAL ASSOCIATES, SOMC HOSPITALIST ASSOCIATES, SOMC NEUROLOGY ASSOCIATES. 45078932 0 26541773 71868449 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 165 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X RICHARD GILCHER 7403567622 1248 KINNEYS LANE PORTSMOUTH OH 45662 RANDAL ARNETT PRESIDENT & CEO-SOMC 1.00 42.10 X X 0 1171373 91605 DEAN WRAY VP FINANCE-SOMC 1.00 42.10 X X 0 486184 182480 KARA REDOUTEY ADM DR MEDICAL STAFF 41.00 0.00 X X 0 147943 28433 CLAUDIA L BURCHETT VP PATIENT SERVICES/CNO-SOMC 1.00 40.00 X 0 350569 151395 BENJAMIN L GILL COO & VP SUPPORT SERVICES-SOMC 1.00 42.00 X 0 322403 94094 VICKI A NOEL VP HR & ORGANIZATIONAL DEV 1.00 40.00 X 0 314145 114673 ELIE SAAB MD SMD CRITICAL CARE-SOMC 41.00 2.00 X 555486 0 45824 VINCENT SCARPINATO MD SMD SURGERY-SOMC 41.00 0.10 X 642066 0 37530 KENDALL L STEWART MD VP MEDICAL AFFAIRS-SOMC 1.00 40.00 X 0 647470 75676 JENNIFER R COMBS NURSE PRACTITIONER 40.00 0.00 X 157267 0 18371 MARSHA S SMITH PHYSICIAN - SMD 2.2 40.00 0.00 X X 482205 0 23833 DANIEL B JOVANOVICH PHYSICIAN - SMD 2.2 43.89 0.00 X 1592657 0 38805 TARUN R NAGRANI PHYSICIAN 40.00 0.00 X 1518888 0 34780 JAY M HAMZE PHYSICIAN 41.52 0.00 X 2041281 0 47099 MARION R HOCHSTETLER JR PHYSICIAN - SMD 2.2 45.18 0.00 X 953993 0 45824 DUANE J MARCHYN PHYSICIAN - SMD 2.2 40.00 0.00 X 912557 0 50890 8856400 3440087 1081312 9 0 1 0 0 PATIENT SERVICES 621300 36729726 36729726 OTHER HEALTHCARE SERVICES 621300 172855 172855 36902581 158443 158443 29774 0 29774 29774 29774 REHAB CARE CREDIT 621110 75077 75077 75077 37165875 36977658 0 188217 X 1067990 1067990 31728860 31728860 4739184 4739184 19256328 19256328 3304128 3304128 10216607 10216607 343859 343859 RECRUITMENT 1184332 1184332 COSMETIC PRODUCTS 27161 27161 71868449 71868449 0 0 4800 5100 3972810 1940014 4381649 3058907 1432357 1433631 510 0 2555169 2735521 12347295 9173173 12481732 12087745 2881157 3219346 15362889 15307091 X -3015594 -6133918 -3015594 -6133918 12347295 9173173 X -34702574 27891 31556359 X X 0 1 X 1 0 X X X 1 SOUTHERN OHIO MEDICAL CENTER 310678022 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, LINE 1 SOMC MEDICAL CARE FOUNDATION PROVIDED NONMONETARY SUPPORT TO SOUTHERN OHIO MEDICAL CENTER AS REPORTED IN FORM 990 SCHEDULE R (LEASE OF FACILITIES, PERFORMANCE OF SERVICES, USE OF SHARED EMPLOYEES AND REIMBURSEMENT OF EXPENSES.) 0 MALPRACTICE SELF INSURANCE FUND 2735521 2735521 ACCRUED SELF-INSURED LIABILITY 3219346 3219346 0 1 0 0 0 0 0 0 0 RANDAL ARNETT PRESIDENT & CEO-SOMC 0 679269 0 173907 0 318197 0 66274 0 25331 0 1262978 0 288664 DEAN WRAY VP FINANCE-SOMC 0 384896 0 80450 0 20838 0 154549 0 27931 0 668664 0 0 KARA REDOUTEY ADM DR MEDICAL STAFF 0 129482 0 18413 0 48 0 6801 0 21632 0 176376 0 0 CLAUDIA L BURCHETT VP PATIENT SERVICES/CNO-SOMC 0 292565 0 55416 0 2588 0 123812 0 27583 0 501964 0 0 BENJAMIN L GILL COO & VP SUPPORT SERVICES-SOMC 0 265746 0 55844 0 813 0 70819 0 23275 0 416497 0 0 VICKI A NOEL VP HR & ORGANIZATIONAL DEV 0 260621 0 52769 0 755 0 78098 0 36575 0 428818 0 0 ELIE SAAB MD SMD CRITICAL CARE-SOMC 537228 0 0 0 18258 0 12375 0 33449 0 601310 0 0 0 VINCENT SCARPINATO MD SMD SURGERY-SOMC 623808 0 0 0 18258 0 13750 0 23780 0 679596 0 0 0 KENDALL L STEWART MD VP MEDICAL AFFAIRS-SOMC 0 431394 0 84819 0 131257 0 47962 0 27714 0 723146 0 108075 JENNIFER R COMBS NURSE PRACTITIONER 157207 0 0 0 60 0 6913 0 11458 0 175638 0 0 0 MARSHA S SMITH PHYSICIAN - SMD 2.2 467375 0 0 0 14830 0 12375 0 11458 0 506038 0 0 0 DANIEL B JOVANOVICH PHYSICIAN - SMD 2.2 1252541 0 0 0 340116 0 12375 0 26430 0 1631462 0 321720 0 TARUN R NAGRANI PHYSICIAN 1500334 0 0 0 18554 0 11000 0 23780 0 1553668 0 0 0 JAY M HAMZE PHYSICIAN 2016460 0 0 0 24821 0 11000 0 36099 0 2088380 0 0 0 MARION R HOCHSTETLER JR PHYSICIAN - SMD 2.2 919696 0 0 0 34297 0 12375 0 33449 0 999817 0 0 0 DUANE J MARCHYN PHYSICIAN - SMD 2.2 905023 0 0 0 7534 0 17441 0 33449 0 963447 0 7138 0 PART I, LINE 4B THE ORGANIZATION MADE CONTRIBUTIONS TO A SERP FOR THE FOLLOWING INDIVIDUALS LISTED ON PAGE 7 OF FORM 990: RANDAL ARNETT: $41,524 DEAN WRAY: $132,549 KENDALL STEWART: $25,962 CLAUDIA BURCHETT: $99,062 VICKI NOEL: $58,848 BENJAMIN GILL: $54,319 THE SERP PLAN IS AVAILABLE ONLY TO INDIVIDUALS WHO HAVE HELD AN EXECUTIVE POSITION FOR ONE YEAR. THE SERP WILL VEST UPON THE OCCURRENCE OF THE FOLLOWING EVENTS: - THE DATE OF THE EXECUTIVE'S DEATH - THE DATE THE EXECUTIVE BECOMES TOTALLY DISABLED - THE DATE A CHANGE OF CONTROL OCCURS - THE EXECUTIVE REACHING THE AGE OF 60 YEARS IF AN EXECUTIVE SEVERS EMPLOYMENT OR IS TERMINATED, A NONCOMPETE AGREEMENT IS IN PLACE FOR 2 YEARS. THE EXECUTIVE FORFEITS ANY SERP PAYMENTS IF HE/SHE DOES NOT CONFORM TO THE NONCOMPETE AGREEMENT. THE EXECUTIVE MUST HAVE FIVE YEARS OF SERP SERVICE BEFORE ENDING THE EMPLOYMENT IN ORDER TO VEST. THE SERP CONTRIBUTIONS LISTED ABOVE ARE INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN C. THE FOLLOWING LISTED ON PAGE 7 OF FORM 990, RECEIVED A VESTED SERP PAYMENT DURING THE CALENDAR YEAR: RANDAL ARNETT: $288,664 KENDALL STEWART: $108,075 THE PAY OUT IS INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN B(III). SOUTHERN OHIO MEDICAL CENTER, A RELATED ORGANIZATION, MADE CONTRIBUTIONS TO A CERP (COMMUNITY EMERGENCY RESPONSE PLAN). THE CERP PROGRAM IS AN INCENTIVE PROGRAM FOR PHYSICIANS TO BE AVAILABLE ON CALL IN THE EVENT OF AN EMERGENCY. THE PHYSICIAN WILL VEST IN THE PLAN IF ANY OF THE FOLLOWING THREE CONDITIONS ARE MET: - PARTICIPATE IN THE CERP PROGRAM FOR 10 YEARS, IF ENTERED THE PLAN AFTER 2007 - REACH THE AGE OF 60 YEARS AFTER COMPLETING 20 YEARS OF SERVICE - REACH THE AGE OF 65 YEARS THE ORGANIZATION MADE NO CONTRIBUTIONS TO A CERP FOR THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII: THE AMOUNT LISTED ABOVE IS INCLUDED IN COMPENSATION REPORTED ON SCHEDULE J, PART II, COLUMN C. THE FOLLOWING LISTED ON FORM 990, PART VII RECEIVED A VESTED CERP PAYMENT DURING THE 2018 CALENDAR YEAR: DANIEL JOVANOVICH: $321,720 DUANE MARCHYN: $7,138 PART I, LINE 3: COMPENSATION PAID TO THE ORGANIZATION'S CEO IS ESTABLISHED BY A RELATED ORGANIZATION AND INCLUDES USE OF AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PAGE 2, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: 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. SOMC MEDICAL CARE FOUNDATION IS ORGANIZED AND OPERATES EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR ANY SUCCESSOR STATUTE BY RENDERING ANY TYPE OF PROFESSIONAL SERVICE IN THE PRACTICE OF MEDICINE OR SURGERY OR ANY OF ITS BRANCHES, AUTHORIZED UNDER CHAPTER 4731 OF THE OHIO REVISED CODE, FOR THE BENEFIT OF SOMC, AN OHIO NON-PROFIT CORPORATION INCLUDING (A) PROVIDING MEDICAL,SURGICAL AND OTHER HEALTH CARE AND TREATMENT OF THE SICK, DISABLED, AND INJURED, REGARDLESS OF RACE, COLOR, RELIGION, NATIONAL ORIGIN, AGE, HANDICAP, SEX, OR THE ABILITY TO PAY FOR SERVICES; (B) CONDUCTING EDUCATIONAL ACTIVITIES RELATED TO HEALTHCARE AND TREATMENT OF THE SICK, DISABLED, INJURED AND TO PROMOTE AND CARRY ON MEDICAL, SCIENTIFIC AND CLINICAL RESEARCH RELATED TO HEALTH CARE AND TREATMENT OF THE SICK, DISABLED, AND INJURED; AND (C) ENGAGING IN ANY LAWFUL ACTIVITIES FOR WHICH CORPORATIONS MAY BE FORMED UNDER CHAPTER 1785 OF THE OHIO REVISED CODE THAT ARE NOT CONSISTENT WITH THE FOREGOING. FORM 990, PART VI, SECTION A, LINE 6 SOMC MEDICAL CARE FOUNDATION HAS A SINGLE SHARE OF STOCK OWNED BY DR. KENDALL STEWART, PRESIDENT & CEO. THE ORGANIZATION WAS REQUIRED TO HAVE A SHAREHOLDER UPON ITS FORMATION, IN ORDER TO QUALIFY AS A PROFESSIONAL ASSOCIATION. DR. STEWART REPRESENTS THE TRUSTEE WHO HOLDS LEGAL TITLE TO THE SHARE BUT THE BENEFICIAL OWNER OF THE SHARE, IS SOUTHERN OHIO MEDICAL CENTER. DR. STEWART HAS SIGNED AN AGREEMENT STATING HE HOLDS THE SHARE ONLY BECAUSE A PHYSICIAN IS REQUIRED TO, AND THAT ALL DUTIES REST WITH SOUTHERN OHIO MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A SOMC MEDICAL CARE FOUNDATION'S BOARD OF DIRECTORS ARE ELECTED BY SOUTHERN OHIO MEDICAL CENTER'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B SOMC MEDICAL CARE FOUNDATION'S DECISIONS THAT ARE MADE BY THEIR BOARD OF DIRECTORS CAN BE OVERRULED BY SOUTHERN OHIO MEDICAL CENTER'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B 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 FINAL FORM IS THEN REVIEWED BY FINANCIAL STAFF, TIED OUT TO THE TRIAL BALANCE, AND E-MAILED TO THE BOARD. IN ADDITION, THE CFO PRESENTS FORM 990 TO THE BOARD EXECUTIVE COMPENSATION COMMITTEE BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION FOLLOWS THE RELATED ORGANIZATION'S, SOUTHERN OHIO MEDICAL ASSOCIATION (SOMC), POLICY. 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 DURING THE FISCAL YEAR. WE MONITOR COMPLIANCE THROUGH THE ANNUAL CONFLICT OF INTEREST SURVEY PROCESS. IT MAKES THE CONFLICT KNOWN SO SOMC CAN ENSURE THE CONFLICT IS NOT A COMPLIANCE PROBLEM. WHEN CONFLICTS ARISE WE USE THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROCESS TO ADDRESS THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE RELATED ORGANIZATION, SOMC CONDUCTS THE COMPENSATION REVIEWS. ON AN ANNUAL BASIS, AN INDEPENDENT CONSULTANT, GALLAGHER/INTEGRATED HEALTHCARE STRATEGIES (IHS), PROVIDES THE BOARD COMPENSATION COMMITTEE WITH COMPARABLE DATA AND OTHER FACTS WHICH ARE USED BY THE COMMITTEE TO DETERMINE EXECUTIVE PAY PHILOSOPHY. THE INDEPENDENT CONSULTANT USES BOTH NATIONAL AND REGIONAL EXECUTIVE COMPENSATION SURVEYS FOR COMPARABLE DATA TO DETERMINE EXECUTIVE COMPENSATION RECOMMENDATIONS. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND DELIBERATES THE INDEPENDENT CONSULTANT'S RECOMMENDATIONS AND THROUGH CONTEMPORANOUS SUBSTANTIATION, REACHES A DECISION THAT IS BOTH MARKET COMPETITIVE AND REASONABLE. THE DECISIONS FOR CEO AND EXECUTIVES 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 2019. FORM 990, PART VI, SECTION C, LINE 19 SOMC MEDICAL CARE FOUNDATION, INC. PROVIDES ITS FINANCIAL STATEMENTS TO THE PUBLIC THROUGH 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 IX, LINE 11G LOCUM TENEN COVERAGE: PROGRAM SERVICE EXPENSES 3,718,981. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,718,981. APOGEE: PROGRAM SERVICE EXPENSES 6,253,352. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,253,352. OTHER FEES: PROGRAM SERVICE EXPENSES 244,274. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,274. FORM 990, PART XI, LINE 9: TRANSFER FROM SOUTHERN OHIO MEDICAL CENTER 31,556,359. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SOUTHERN OHIO MEDICAL CENTER 1248 KINNEYS LANE PORTSMOUTH OH 45662 310678022 HEALTH CARE OH 501(C)(3) LINE 3 N/A 0 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 SOMC DEVELOPMENT FOUNDATION 1805 27TH STREET PORTSMOUTH OH 45662 310677520 FUNDRAISING OH 501(C)(3) LINE 12A, I SOUTHERN OHIO MEDICAL CENTER 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 SOUTHERN OHIO MEDICAL CENTER S 31556359 ACCRUAL TRANSACTIONS SOUTHERN OHIO MEDICAL CENTER M 3330068 COST PER CONTRACT SOUTHERN OHIO MEDICAL CENTER L 358649 COST PER CONTRACT SOUTHERN OHIO MEDICAL CENTER O 55770526 ALLOCATION OF COSTS SOUTHERN OHIO MEDICAL CENTER Q 52460172 ALLOCATION OF COSTS SOUTHERN OHIO MEDICAL CENTER P 25274586 ALLOCATION OF COSTS