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SOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANY (EIN 31-1417566)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-12
IRS object ID
201411329349301561
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-12T10:06:30-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE ST STE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311417566EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone7403567622Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11805 27TH STREETAddressLine1
CityPORTSMOUTHCity
StateOHState
ZIP Code45662ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEAN WRAYName
TitleVP FINANCE - SOMCTitle
Phone7403567622Phone
Date Signed2014-05-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
PTINP00366367PTIN
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMR RANDAL ARNETTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11805 27TH STREETAddressLine1
CityPORTSMOUTHCity
StateOHState
ZIP Code45662ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2362743GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionOWN AND MANAGE REAL ESTATE ON BEHALF OF SOUTHERN OHIO MEDICAL CENTER, A RELATED 501(C)(3) ORGANIZATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI-35972TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1593077ProgramServiceRevenuePriorYear
Program Service Revenue CY1734560ProgramServiceRevenueCY
Investment Income Prior Year-97382InvestmentIncomePriorYear
Investment Income Current Year50610InvestmentIncomeCurrentYear
Other Revenue Prior Year-25024OtherRevenuePriorYear
Other Revenue Current Year-170176OtherRevenueCurrentYear
Total Revenue Prior Year1470671TotalRevenuePriorYear
Total Revenue Current Year1614994TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year663869GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY735341GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2211255OtherExpensePriorYear
Other Expenses Current Year1988613OtherExpensesCurrentYear
Total Expenses Prior Year2875124TotalExpensesPriorYear
Total Expenses Current Year2723954TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1404453RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1108960RevenuesLessExpensesCY
Total Assets BOY18201380TotalAssetsBOY
Total Assets EOY17943373TotalAssetsEOY
Total Liabilities BOY145482TotalLiabilitiesBOY
Total Liabilities EOY720856TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18055898NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY17222517NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE WILL MAKE A DIFFERENCE. AT SOMC, OUR MISSION IS TO MAKE A DIFFERENCE. WE STRIVE TO LIVE OUT THAT MISSION BY PROVIDING OUR REGION WITH THE HIGHEST QUALITY OF CARE, DELIVERED BY PROFESSIONALS WHO ARE AMONG THE BEST IN THEIR FIELDS. WE EXTEND THAT CARE AND PASSION TO MAKE A DIFFERENCE IN THE COMMUNITY BY BEING A VERY GOOD NEIGHBOR, EMPLOYER, AND COMMUNITY SUPPORTER.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionMAINTAINED AND MANAGED REAL PROPERTY USED TO ACCOMPLISH THE EXEMPT PURPOSES OF SOUTHERN OHIO MEDICAL CENTER, A RELATED IRC SEC. 501(C)(3) ORGANIZATION.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RICHARD GILCHERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7403567622TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11248 KINNEYS LANEAddressLine1
CityPORTSMOUTHCity
StateOHState
ZIP Code45662ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
ROBERT E DEVER
CHAIRMAN2.003.00XX000
RANDAL ARNETT
PRESIDENT & CEO-SOMC2.0043.00XX0747796314382
STEVEN A CONLEY
DIRECTOR2.003.00X000
GARY DUZAN
TREASURER2.003.00XX000
GEORGE LAWSON
SECRETARY2.003.00XX000
RITA RICE-MORRIS PHD
DIRECTOR2.003.00X000
IBRAHIM ZAYNEH MD
CHIEF OF STAFF - JAN-JUNE2.003.00XX000
DARREN ADAMS DO
CHIEF OF STAFF - JULY-DEC2.003.00XX0847520
DAVID FOWLER
DIRECTOR2.003.00X000
GEORGE V JOHNSON MD
DIRECTOR2.003.00X000
JAMES W STAKER
DIRECTOR2.003.00X000
ELIE SAAB MD
SMD CRITICAL CARE2.004.00X070057753959
AARON ADAMS DO
DIRECTOR - JULY-FEB2.003.00X0201930
DEAN WRAY
VP FINANCE2.0043.00X0372997126461
JOHN TURJOMAN
FORMER CHIEF OF STAFF0.000.000196620X
ERNESTO BANALAGAY
FORMER CHIEF OF STAFF0.000.0001480100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2093987TotalReportableCompFrmRltdOrgs
Total Other Compensation494802TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRENTAL INCOMEDescription
Business Code532000BusinessCode
Total Revenue Column1734560TotalRevenueColumn
Related Or Exempt Function Income1734560RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1734560TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real541044Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real711220Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-170176Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-170176TotalRevenueColumn
Unrelated Business Revenue-35972UnrelatedBusinessRevenue
Exclusion-$134,204ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other87139Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other36529Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other50610Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column50610TotalRevenueColumn
Exclusion$50,610ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1614994TotalRevenueColumn
Related Or Exempt Function Income1734560RelatedOrExemptFunctionIncome
Unrelated Business Revenue-35972UnrelatedBusinessRevenue
Exclusion-$83,594ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total735341Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total279074Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total62916Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total643632Total

Interest Interest

FieldValueIRS element (for citing)
Total9684Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total993307Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2723954Total
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35155087LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17211714LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18201380BOY
EOY17943373EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18201380BOY
EOY17943373EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY145482BOY
EOY720856EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY145482BOY
EOY720856EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18055898BOY
EOY17222517EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18055898BOY
EOY17222517EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18201380BOY
EOY17943373EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1108960ReconcilationRevenueExpenses
Reconcilation Other Changes275579ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis486157OtherCostOrOtherBasis
Book Value486157BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17692007OtherCostOrOtherBasis
Depreciation8856578Depreciation
Book Value8835429BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4815OtherCostOrOtherBasis
Depreciation2890Depreciation
Book Value1925BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15506126OtherCostOrOtherBasis
Depreciation7903430Depreciation
Book Value7602696BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1465982OtherCostOrOtherBasis
Depreciation448816Depreciation
Book Value1017166BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17943373TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationSOUTHERN 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.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1SOMC MEDICAL CARE FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11248 KINNEYS LANEAddressLine1
CityPORTSMOUTHCity
StateOHState
ZIP Code45662ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient311374523EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant735341AmountOfCashGrant
Purpose Of GrantFORGIVENESS OF RENTAL CHARGESPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: SOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANY FORGAVE RENTAL INCOME CHARGED TO RELATED, TAX-EXEMPT ORGANIZATIONS. SOMC TITLE HOLDING COMPANY MAINTAINS RECORDS WHICH KEEP TRACK OF THE RELATED PARTY RENTAL INCOME.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RANDAL ARNETT
PRESIDENT & CEO-SOMC0520537019748302977602960160183660106217800
ELIE SAAB MD
SMD CRITICAL CARE0615467000851100284640254950754536067972
DEAN WRAY
VP FINANCE02716260831000182710106415020046049945800
JOHN TURJOMAN
FORMER CHIEF OF STAFF02501000171610000019662017161
ERNESTO BANALAGAY
FORMER CHIEF OF STAFF00000148010000001480100148010

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BA RELATED ORGANIZATION, SOUTHERN OHIO MEDICAL CENTER MADE CONTRIBUTIONS TO A SERP FOR THE FOLLOWING INDIVIDUALS: RANDAL ARNETT: 276,016 DEAN WRAY: 91,415 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 SERP CONTRIBUTIONS LISTED ABOVE ARE INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN C. 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, A RELATED ORGANIZATION, 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).
PART IIIPART 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.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6SOMC TITLE HOLDING COMPANY IS ORGANIZED AS A SUBSIDIARY OF SOUTHERN OHIO MEDICAL CENTER, THE PARENT ORGANIZATION AND SOLE VOTING MEMBER FOR THE CONSOLIDATED GROUP.
FORM 990, PART VI, SECTION A, LINE 7ASOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANY'S BOARD OF DIRECTORS ARE ELECTED BY SOUTHERN OHIO MEDICAL CENTER'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BSOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANY'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 11FORM 990 INFORMATION IS COMPILED IN THE ACCOUNTING DEPARTMENT THEN SENT TO THE INDEPENDENT TAX ACCOUNTANTS TO ANALYZE THE INFORMATION AND COMPLETE THE TAX RETURN. THE FORM IS THEN REVIEWED BY FINANCIAL STAFF, TIED OUT TO THE TRIAL BALANCE, AND E-MAILED TO THE BOARD. IN ADDITION, THE CFO PRESENTS FORM 990 TO THE BOARD EXECUTIVE COMPENSATION COMMITTEE BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST STATEMENTS ARE FILLED OUT ANNUALLY IN JANUARY FOR OFFICERS AND FOR NEW AND RETURNING BOARD MEMBERS. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE AUDIT & COMPLIANCE COMMITTEE. ANY CONFLICTS ARE DOCUMENTED IN THE MINUTES AND ADDRESSED. CONFLICTS OF INTEREST ARE RAISED BY OFFICERS OR BOARD MEMBERS ONCE THEY ARE KNOWN BY THE INDIVIDUAL. BOARD MEMBERS ABSTAIN FROM VOTING IF A CONFLICT IS IDENTIFIED THAT THE BOARD MEMBER IS INVOLVED WITH.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION REVIEW IS COMPLETED BY A RELATED ORGANIZATION, SOUTHERN OHIO MEDICAL CENTER. 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 INDEPENDENT CONSULTANT USED COMPENSATION SURVEYS OF THE SURROUNDING AREA TO DETERMINE EXECUTIVE COMPENSATION RECOMMENDATIONS. THE DECISIONS FOR CEO AND OFFICER COMPENSATION ARE DOCUMENTED IN THE BOARD COMPENSATION COMMITTEE MINUTES, WHICH WAS LAST PERFORMED DURING 2012. THIS COMMITTEE DETERMINES THE CEO'S PAY AND SETS PAY RANGES FOR THE OTHER EXECUTIVES.
FORM 990, PART VI, SECTION C, LINE 19SOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANY 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 11GPURCHASED SERVICES: TOTAL EXPENSES 60,439. ALLOCATED WAGES: TOTAL EXPENSES 124,650. ALLOCATED EMPLOYEE BENEFITS: TOTAL EXPENSES 93,985.OTHER FEES
FORM 990, PART XI, LINE 9:FORIGIVENESS OF RENTAL CHARGES FROM SOMC 275,579.CHANGES IN NET ASSETS OR FUND BALANCES:
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SOUTHERN OHIO MEDICAL CENTER
1248 KINNEYS LANEPORTSMOUTHOH45662310678022HEALTH CAREOH501(C)(3)LINE 3N/A0
SOMC FOUNDATION INC
1805 27TH STREETPORTSMOUTHOH45662311564440HOLD INVESTMENTS FOR BENEFIT OF SOUTHERN OHIO MEDICAL CENTEROH501(C)(3)LINE 11A, I1SOUTHERN OHIO MEDICAL CENTER
SOMC MEDICAL CARE FOUNDATION INC
1248 KINNEYS LANEPORTSMOUTHOH45662311374523MEDICINE AND SURGERYOH501(C)(3)LINE 11A, I1SOUTHERN OHIO MEDICAL CENTER
THE FRIENDS OF SOUTHERN OHIO MEDICAL CENTER
1805 27TH STREETPORTSMOUTHOH45662310677520FUNDRAISINGOH501(C)(3)LINE 11A, I1SOUTHERN OHIO MEDICAL CENTER
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org1SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SOUTHERN OHIO MEDICAL CENTER
J1540262RENTAL CHARGES PER CONTRACT
SOMC MEDICAL CARE FOUNDATION
A735341RENTAL CHARGES PER CONTRACT
SOMC MEDICAL CARE FOUNDATION
B735341FORGIVENESS OF RENTAL CHARGES
SOUTHERN OHIO MEDICAL CENTER
G87139ALLOCATION OF COSTS
SOUTHERN OHIO MEDICAL CENTER
S275579TRANSFER OF CASH