STRATEGY STUDIO / PUBLIC DATA EXPLORER

SOUTHERN OHIO MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN OHIO MEDICAL CENTER (EIN 31-0678022)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-08
IRS object ID
201301289349301345
Schema version
2011v1.5
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)
Timestamp2013-05-08T15:43:14-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 STREET SUITE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310678022EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN OHIO MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone7403567622Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameDEAN WRAYName
TitleVP FINANCETitle
Phone7403567622Phone
Date Signed2013-05-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
PTINP00366367PTIN
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1
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 Receipts305035971GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SOMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1954YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSOUTHERN OHIO MEDICAL CENTER IS AN ACUTE HEALTH CARE SYSTEM LOCATED IN PORTSMOUTH, OHIO. SOMC'S EXEMPT PURPOSE IS TO SERVE SOUTH CENTRAL OHIO AND NORTHEASTERN KENTUCKY WITH STATE-OF-THE-ART FACILITIES AND HEALTH CARE TECHNOLOGIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees2425TotalNbrEmployees
Total Nbr Volunteers441TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income-4273NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year555337ContributionsGrantsPriorYear
Contributions Grants Current Year343101ContributionsGrantsCurrentYear
Program Service Revenue Prior Year269717227ProgramServiceRevenuePriorYear
Program Service Revenue CY290435825ProgramServiceRevenueCY
Investment Income Prior Year4556771InvestmentIncomePriorYear
Investment Income Current Year6153248InvestmentIncomeCurrentYear
Other Revenue Prior Year5073710OtherRevenuePriorYear
Other Revenue Current Year4192874OtherRevenueCurrentYear
Total Revenue Prior Year279903045TotalRevenuePriorYear
Total Revenue Current Year301125048TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year19877368GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY23768885GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year115992741SalariesEtcPriorYear
Salaries Etc Current Year121980916SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year20712TotalFundrsngExpCurrentYear
Other Expense Prior Year135798503OtherExpensePriorYear
Other Expenses Current Year139513243OtherExpensesCurrentYear
Total Expenses Prior Year271668612TotalExpensesPriorYear
Total Expenses Current Year285263044TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8234433RevenuesLessExpensesPriorYear
Revenues Less Expenses CY15862004RevenuesLessExpensesCY
Total Assets BOY415553074TotalAssetsBOY
Total Assets EOY430168195TotalAssetsEOY
Total Liabilities BOY194361513TotalLiabilitiesBOY
Total Liabilities EOY202051367TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY221191561NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY228116828NetAssetsOrFundBalancesEOY
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
Expense226894036Expense
Grants23768885Grants
Revenue292830328Revenue
DescriptionSEE SCHEDULE OSOUTHERN OHIO MEDICAL CENTER IS AN ACTIVE MEMBER OF THE COMMUNITIES IT SERVES AND IS INVOLVED IN VARIOUS PROGRAMS AND ACTIVITIES THROUGHOUT THE AREA. WHETHER IT'S THROUGH ANNUAL COLLABORATIVE BLOOD DRIVES, PARTICIPATION DURING COUNTY FAIRS, ATTENDANCE AT MONTHLY SCHOOL BOARD MEETINGS, OR MENTORING CHILDREN THROUGH THE MORE LITERACY LOCAL SCHOOL PROGRAM, 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 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. ONE OF OUR FIVE STRATEGIC VALUES, RELATIONSHIPS, SHAPES 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. 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. IN ADDITION TO PERSONAL RELATIONSHIPS, SOMC ESTABLISHES WORKING RELATIONSHIPS WITH 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, PNEUMONIA AND HEPATITIS B TO HUNDREDS OF COMMUNITY MEMBERS EACH YEAR. 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.MANY WELLNESS-RELATED PROGRAMS AND SCREENINGS ARE CONDUCTED EACH YEAR BY THE SOMC COMMUNITY HEALTH AND WELLNESS DEPARTMENT IN AN EFFORT TO IMPROVE THE OVERALL WELLBEING OF THE LOCAL COMMUNITY. THE DEPARTMENT OFTEN DEDICATES EACH MONTH TO A DIFFERENT HEALTH MESSAGE AND THEN WORKS TO PROVIDE EVENTS THAT FOCUS INFORMATION ON THAT PARTICULAR AREA. 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. 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.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 431 VOLUNTEERS PROVIDED MORE THAN 37,828 UN-PAID HOURS IN 2012. WITH THE COMMUNITIES AND SOMC WORKING SO CLOSELY TOGETHER, SOMC CAN PROUDLY SAY IT IS ABLE TO OBTAIN ITS GOAL OF "MAKING A DIFFERENCE."Description
Total Program Service Expense226894036TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
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 Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096226NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2425NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
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 Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
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 (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT E DEVER
CHAIRMAN1.00XX000
RANDAL ARNETT
PRESIDENT & CEO40.00XX5686900261303
STEVEN A CONLEY
DIRECTOR1.00X000
GARY DUZAN
TREASURER1.00XX000
GEORGE LAWSON
SECRETARY1.00XX000
RITA RICE-MORRIS PHD
DIRECTOR1.00X000
JOHN TURJOMAN MD
CHIEF OF STAFF - JUL-DEC 20111.00XX615100
DAVID FOWLER
DIRECTOR1.00X000
GEORGE V JOHNSON MD
DIRECTOR1.00X000
JAMES W STAKER
DIRECTOR1.00X000
AARON ADAMS DO
DIRECTOR1.00X1628800
DARREN ADAMS DO
CHIEF OF STAFF - JAN-JUN 20121.00XX000
DEAN WRAY
VP FINANCE40.00X2952580113833
KENDALL L STEWART
VP MEDICAL AFFAIRS30.00418989050278X
CLAUDIA L BURCHETT
VP PATIENT SERVICES40.002276890105715X
VICKI A NOEL
VP HR & DEVELOPMENT40.00200834070646X
LEEANN L SAMMONS
VP HEALTH & SAFETY40.00162070059032X
RORY E PHILLIPS
ADMINISTRATIVE DIRECTOR OF PHARMACY40.00173185038580X
ROGER L DONINI
ASSISTANT NURSE MANAGER40.00143030032652X
KEITH A HILES
REGISTERED PHARMACIST40.00142007031228X
BRIAN MISSLER
REGISTERED PHARMACIST40.00136667034117X
BENJAMIN L GILL
VP SUPPORT SERVICES40.00146221031420X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2637079TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation828804TotalOtherCompensation
Number Individuals GT100 K42NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE GROUP INC
7733 FORSYTH BLVD SUITE 1200ST LOUISMO63105MANAGEMENT SERVICES5926233
UNITED COLLECTION BUREAU INC
4100 HORIZON DR SUITE 101COLUMBUSOH43220PATIENT ACCOUNT BILLING1989028
MAYO COLLABORATIVE SERVICES
200 SW FIRST STREETROCHESTERMN55905LABORATORY TESTING1218582
DKM CONSTRUCTION INC
584 SMOKEY HOLLOW RDPIKETONOH45661CONSTRUCTION1083651
HILL VIEW RETIREMENT
1610 28TH STREETPORTSMOUTHOH45662HOSPICE PURCHASE SERVICE697214
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
Fundraising Events58737FundraisingEvents
Related Organizations52567RelatedOrganizations
Government Grants131294GovernmentGrants
All Other Contributions100503AllOtherContributions
Noncash Contributions47108NoncashContributions
Total Contributions343101TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES621300277706688277706688
PHARMACY INCOME9000991119485911194859
RENTAL INCOME531110933287933287
LAB SERVICES900099600991600991
FieldValueIRS element (for citing)
Total Program Service Revenue290435825TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3954386TotalRevenueColumn
Exclusion$3,954,386ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real38721Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real38721Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column38721TotalRevenueColumn
Exclusion$38,721ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5381558Securities
Other605232Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3743977Securities
Other43951Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1637581Securities
Other561281Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2198862TotalRevenueColumn
Exclusion$2,198,862ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events121959GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events58737CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses122995FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-1036TotalRevenueColumn
Exclusion-$1,036ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
LIFE CENTER90009915318211531821
CAFETERIA SALES9000991528162$1,528,162
GIFT SHOP SALES900099199466199466

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column895740TotalRevenueColumn
Related Or Exempt Function Income663216RelatedOrExemptFunctionIncome
Exclusion$232,524ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4155189TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column301125048TotalRevenueColumn
Related Or Exempt Function Income292830328RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,951,619ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total23760885Total
Program Services23760885ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total8000Total
Program Services8000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2901111Total
Management And General2901111ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total87840482Total
Program Services67001809ProgramServices
Management And General20838673ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5405277Total
Program Services4122970ProgramServices
Management And General1282307ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19113388Total
Program Services14636612ProgramServices
Management And General4476776ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6720658Total
Program Services5126300ProgramServices
Management And General1594358ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total22005Total
Management And General22005ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total312315Total
Management And General312315ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total227250Total
Management And General227250ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total20033108Total
Program Services15624018ProgramServices
Management And General4409090ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2138815Total
Program Services2138815ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total50488361Total
Program Services38510849ProgramServices
Management And General11977512ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1400577Total
Program Services602200ProgramServices
Management And General798377ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9240575Total
Program Services7048404ProgramServices
Management And General2192171ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total463007Total
Program Services310109ProgramServices
Management And General152898ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total350743Total
Program Services123029ProgramServices
Management And General227714ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8297540Total
Program Services7153309ProgramServices
Management And General1144231ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17831523Total
Program Services15373218ProgramServices
Management And General2458305ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total931872Total
Program Services931872ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE2348221923482219
OHIO FRANCHISE TAX29680632968063
PHYSICIAN RECRUITMENT569543569543
BIO MEDICAL EXPENSE193822193822

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total561905Total
Program Services176053ProgramServices
Management And General365140ManagementAndGeneral
Fundraising20712Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total285263044Total
Program Services226894036ProgramServices
Management And General58348296ManagementAndGeneral
Fundraising20712Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7240BOY
EOY7215EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17773237BOY
EOY15510009EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3465BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY28695733BOY
EOY32960807EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY144790BOY
EOY116196EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3956968BOY
EOY3956145EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1328905BOY
EOY2790395EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis325742199LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec158006452LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY171799950BOY
EOY167735747EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY171057210BOY
EOY188609907EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5369172BOY
EOY3800202EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1979080BOY
EOY2000436EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13437324BOY
EOY12681136EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY415553074BOY
EOY430168195EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18977979BOY
EOY24727809EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY152834169BOY
EOY150174639EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1965017BOY
EOY1801617EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20584348BOY
EOY25347302EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY194361513BOY
EOY202051367EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY221188096BOY
EOY228116828EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3465BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY221191561BOY
EOY228116828EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY415553074BOY
EOY430168195EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses15862004ReconcilationRevenueExpenses
Reconcilation Other Changes-8936737ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$5,781OtherActivitiesAmount
Total Lobbying Expenditures IIB5781TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationMEMBERSHIP DUES IN THE AMOUNT OF $43,985 AND $64,352 WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION, RESPECTIVELY. OF THESE DUES, $2,199 AND $3,582 WERE RELATED TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1751554BeginningOfYearBalance
Contributions48512Contributions
Investment Earnings Or Losses58318InvestmentEarningsOrLosses
Administrative Expenses38898AdministrativeExpenses
End Of Year Balance1819486EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1618098BeginningOfYearBalance
Contributions72131Contributions
Investment Earnings Or Losses104428InvestmentEarningsOrLosses
Administrative Expenses43103AdministrativeExpenses
End Of Year Balance1751554EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1640678BeginningOfYearBalance
Contributions75282Contributions
Investment Earnings Or Losses-62236InvestmentEarningsOrLosses
Administrative Expenses35626AdministrativeExpenses
End Of Year Balance1618098EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1555536BeginningOfYearBalance
Contributions65883Contributions
Investment Earnings Or Losses51298InvestmentEarningsOrLosses
Administrative Expenses32039AdministrativeExpenses
End Of Year Balance1640678EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4360622OtherCostOrOtherBasis
Book Value4360622BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis96910155OtherCostOrOtherBasis
Depreciation31349998Depreciation
Book Value65560157BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis145025OtherCostOrOtherBasis
Depreciation103251Depreciation
Book Value41774BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis210544896OtherCostOrOtherBasis
Depreciation121568731Depreciation
Book Value88976165BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13781501OtherCostOrOtherBasis
Depreciation4984472Depreciation
Book Value8797029BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings167735747TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
PENSION LIABILITY$15,465,330
COST REPORT SETTLEMENTS$5,949,776
INTERCOMPANY PAYABLES$20,536
ACCRUED SELF-INSURED LIABILITY$3,163,268
CERP DEFERRED COMP LIABILITY$748,392
FieldValueIRS element (for citing)
Total Of Amounts25347302TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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: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, 2012, 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, 2009.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1HIKE FOR HOSPICENameOfEvent1
Gross Receipts Event151156GrossReceiptsEvent1
Charitable Contributions Event151083CharitableContributionsEvent1
Gross Revenue Event173GrossRevenueEvent1
Non Cash Prizes Event11561NonCashPrizesEvent1
Food And Beverage Event11407FoodAndBeverageEvent1
Other Direct Expenses Event118277OtherDirectExpensesEvent1
Name Of Event2PAINT IT PINKNameOfEvent2
Gross Receipts Event251982GrossReceiptsEvent2
Charitable Contributions Event23184CharitableContributionsEvent2
Gross Revenue Event248798GrossRevenueEvent2
Other Direct Expenses Event225250OtherDirectExpensesEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events77558GrossReceiptsOtherEvents
Charitable Contrib Other Events4470CharitableContribOtherEvents
Gross Revenue Other Events73088GrossRevenueOtherEvents
Non Cash Prizes Other Events3744NonCashPrizesOtherEvents
Food And Beverage Other Events2890FoodAndBeverageOtherEvents
Other Direct Expenses Other Events69866OtherDirectExpensesOtherEvents
Gross Receipts Total180696GrossReceiptsTotal
Charitable Contributions Total58737CharitableContributionsTotal
Gross Revenue Total Events121959GrossRevenueTotalEvents
Non Cash Prizes Total Events5305NonCashPrizesTotalEvents
Food And Beverage Total Events4297FoodAndBeverageTotalEvents
Other Direct Expenses Total Events113393OtherDirectExpensesTotalEvents
Direct Expense Summary Events122995DirectExpenseSummaryEvents
Net Income Summary-1036NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage125.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage125.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served4871PersonsServed
Total Community Benefit Expense8051979TotalCommunityBenefitExpense
Direct Offsetting Revenue1024515DirectOffsettingRevenue
Net Community Benefit Expense7027464NetCommunityBenefitExpense
Percent Of Total Expense0.02680PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense42267099TotalCommunityBenefitExpense
Direct Offsetting Revenue29150483DirectOffsettingRevenue
Net Community Benefit Expense13116616NetCommunityBenefitExpense
Percent Of Total Expense0.05010PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served4871PersonsServed
Total Community Benefit Expense50319078TotalCommunityBenefitExpense
Direct Offsetting Revenue30174998DirectOffsettingRevenue
Net Community Benefit Expense20144080NetCommunityBenefitExpense
Percent Of Total Expense0.07690PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served30790PersonsServed
Total Community Benefit Expense127479TotalCommunityBenefitExpense
Net Community Benefit Expense127479NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1335758TotalCommunityBenefitExpense
Net Community Benefit Expense1335758NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense221299TotalCommunityBenefitExpense
Net Community Benefit Expense221299NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served30790PersonsServed
Total Community Benefit Expense1684536TotalCommunityBenefitExpense
Net Community Benefit Expense1684536NetCommunityBenefitExpense
Percent Of Total Expense0.00640PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served35661PersonsServed
Total Community Benefit Expense52003614TotalCommunityBenefitExpense
Direct Offsetting Revenue30174998DirectOffsettingRevenue
Net Community Benefit Expense21828616NetCommunityBenefitExpense
Percent Of Total Expense0.08330PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$23,482,219BadDebtExpenseAmount
Amount Attributable To2126969AmountAttributableTo
Amount Reimbursed By Medicare72327587AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare74495285CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2167698MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN OHIO MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11805 27TH STREETAddressLine1
CityPORTSMOUTHCity
StateOHState
ZIP Code45662ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
Er OtherXErOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN OHIO MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent125.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent125.000000000000FPGDiscountPercent
Explains Basis0ExplainsBasis
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
URGENT CARE
8770 OHIO RIVER ROADWHEELERSBURGOH45694URGENT CARE
SOMC CANCER CENTER
1121 KINNEYS LANEPORTSMOUTHOH45662CANCER TREATMENT & CARE
HOSPICE IN-PATIENT
2201 25TH STREETPORTSMOUTHOH45662HOSPICE IN-PATIENT
HEALTH CARE CENTER
1212 18TH STREETPORTSMOUTHOH45662HEALTH CARE CENTER
WOUND HEALING & SLEEP LAB
1745 27TH STREETPORTSMOUTHOH45662SLEEP LAB

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 3C: THE HOSPITAL USES FEDERAL POVERTY GUIDELINES
PART I, LINE 6A: NOT APPLICABLE
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, 7F, AND 7I WERE BASED ON ACTUAL COSTS.
PART I, LINE 7G: NOT APPLICABLE
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 23482219.
PART II: NOT APPLICABLE
PART III, LINE 4: TOTAL BAD DEBT EXPENSE REPORTED ON THE FINANCIAL STATEMENTS EXCLUDES AMOUNTS KNOWN TO QUALIFY FOR CHARITY DISCOUNTS. ANY PARTIAL PAYMENTS THAT ARE SUBSEQUENTLY RECEIVED ARE APPLIED AS AN OFFSET TO BAD DEBT EXPENSE. NONE OF THE BAD DEBT EXPENSE REPORTED ON THE FINANCIAL STATEMENTS IS TREATED AS A COMMUNITY BENEFIT. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE REPORTED ON THE FINANCIAL STATEMENTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY REPRESENTS ACCOUNTS THAT WERE DEEMED TO BE BAD DEBT WHICH SUBSEQUENTLY APPLIED FOR FINANCIAL ASSISTANCE. THE ACCOUNTS BELIEVED TO QUALIFY FOR CHARITY CARE HOWEVER WERE NOT MOVED FROM BAD DEBTS.FOOTNOTE TO FINANCIAL STATEMENTS: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE ORGANIZATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
PART III, LINE 8: MEDICARE COSTS WERE TAKEN FROM THE MEDICARE COST REPORT, WHICH USES A COST TO CHARGE RATIO ALLOWED UNDER MEDICARE COST REPORT METHODOLOGY. NONE OF THE SHORTFALL IS TREATED AS COMMUNITY BENEFIT.
PART III, LINE 9B: WE TREAT ALL PATIENTS THE SAME. IF THERE IS INSURANCE COVERAGE, WE BILL THE CLAIMS FOR PAYMENT. IF THERE IS NO INSURANCE - OR IF THERE IS A BALANCE REMAINING AFTER INSURANCE PAYS - THE PATIENT IS SENT THE SAME AMOUNT OF STATEMENTS OVER A PERIOD OF TIME, PHONE ATTEMPTS ARE MADE AND, IF THERE IS NO RESPONSE TO OUR EFFORTS, THE ACCOUNTS ARE PLACED WITH OUTSIDE AGENCIES FOR COLLECTION.
PART V, SECTION B, LINE 19D: 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 OTHER INDIVIDUALS WITH INSURANCE COVERING 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 RECIEVE UP TO A 100% REDUCTION TO THE CHARGED AMOUNT.SOUTHERN OHIO MEDICAL CENTER
PART VI, LINE 2: THE COMMUNITY RELATIONS AND THE WORKFORCE DEVELOPMENT DEPARTMENTS CONDUCT ANNUAL FOCUS GROUPS WITH OUR KEY CUSTOMERS AS WELL AS EVALUATE THE DISEASE PROCESSES EFFECTING OUR COMMUNITY. DATA FOR THESE DISEASE PROCESSES IS COLLECTED THROUGH INTERNAL DATABASES AS WELL AS THROUGH THE CDC AND PORTSMOUTH HEALTH DEPARTMENT. COMMUNITY FOCUS GROUPS ARE CONTRACTED THROUGH A THIRD PARTY VENDOR AND ARE HELD EACH YEAR AFTER SOUTHERN OHIO MEDICAL CENTER'S STRATEGIC PLANNING PROCESS.
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 AT THE CONFLUENCE OF THE OHIO AND SCIOTO RIVERS IN THE SOUTHERNMOST TIP OF THE STATE. SOMC'S TOTAL MARKET AREA INCLUDES SCIOTO, PIKE, LAWRENCE AND ADAMS COUNTIES IN OHIO, AND LEWIS AND GREENUP COUNTIES IN KENTUCKY WITH A TOTAL MARKET POPULATION OF 246,537 (WWW.CENSUS.GOV/POPEST/COUNTIES). SOMC PROVIDES A FULL CONTINUUM OF HEALTH CARE SERVICES TO OUR COMMUNITIES THROUGH A STATE-OF-THE-ART 233-BED ACUTE CARE FACILITY AT OUR MAIN CAMPUS AS WELL AS MULTIPLE PHYSICIAN SATELLITE FACILITIES THROUGHOUT THE COMMUNITIES OF LUCASVILLE, MINFORD, PORTSMOUTH, SCIOTOVILLE, WAVERLY, WHEELERSBURG, WEST UNION AND VANCEBURG IN KENTUCKY.SOMC'S LARGEST PAYER GROUPS ARE MEDICARE AND MEDICAID. THE UNITED STATES CENSUS BUREAU DATA (2010) SHOWS THAT SCIOTO COUNTY RESIDENTS HAVE A MEAN HOUSEHOLD INCOME NEARLY 15,000 LESS THAN MEDIAN HOUSEHOLD INCOME FOR THE STATE OF OHIO, AS WELL AS 16.9% OF FAMILIES BELOW POVERTY LEVEL, COMPARED TO OHIO'S RATE OF 10.8%. THE SAME DATA ALSO SHOWS THAT SCIOTO COUNTY HAS A 12.0% UNEMPLOYMENT RATE COMPARED TO THE STATE OF OHIO'S RATE OF 6.0%. SOUTHERN OHIO MEDICAL CENTER PROVIDED MORE THAN $20 MILLION IN CHARITY CARE OVER THE LAST YEAR.
PART VI, LINE 5: SOUTHERN OHIO MEDICAL CENTER IS AN ACTIVE MEMBER OF THE COMMUNITIES IT SERVES AND IS INVOLVED IN VARIOUS PROGRAMS AND ACTIVITIES THROUGHOUT THE AREA. WHETHER IT'S THROUGH ANNUAL COLLABORATIVE BLOOD DRIVES, PARTICIPATION DURING COUNTY FAIRS, ATTENDANCE AT MONTHLY SCHOOL BOARD MEETINGS, OR MENTORING CHILDREN THROUGH THE MORE LITERACY LOCAL SCHOOL PROGRAM, 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 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. ONE OF OUR FIVE STRATEGIC VALUES, RELATIONSHIPS, SHAPES 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. 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. IN ADDITION TO PERSONAL RELATIONSHIPS, SOMC ESTABLISHES WORKING RELATIONSHIPS WITH 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, PNEUMONIA AND HEPATITIS B TO HUNDREDS OF COMMUNITY MEMBERS EACH YEAR. 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.MANY WELLNESS-RELATED PROGRAMS AND SCREENINGS ARE CONDUCTED EACH YEAR BY THE SOMC COMMUNITY HEALTH AND WELLNESS DEPARTMENT IN AN EFFORT TO IMPROVE THE OVERALL WELLBEING OF THE LOCAL COMMUNITY. THE DEPARTMENT OFTEN DEDICATES EACH MONTH TO A DIFFERENT HEALTH MESSAGE AND THEN WORKS TO PROVIDE EVENTS THAT FOCUS INFORMATION ON THAT PARTICULAR AREA. 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. 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.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 431 VOLUNTEERS PROVIDED MORE THAN 37,828 UN-PAID HOURS IN 2012. WITH THE COMMUNITIES AND SOMC WORKING SO CLOSELY TOGETHER, SOMC CAN PROUDLY SAY IT IS ABLE TO OBTAIN ITS GOAL OF "MAKING A DIFFERENCE."
PART VI, LINE 6: SOUTHERN OHIO MEDICAL CENTER IS A SINGLE ACUTE CARE PROVIDER OF HEALTH SERVICES AT TWO FACILITIES IN THE PORTSMOUTH, OHIO AREA. SOMC IS THE PARENT ORGANIZATION OF FRIENDS OF SOMC, SOMC MEDICAL CARE FOUNDATION, INC., SOMC TITLE HOLDING COMPANY, AND THE SOLE BENEFICIARY OF SOMC FOUNDATION.THE FRIENDS OF SOMC RENDER SERVICE TO SOUTHERN OHIO MEDICAL CENTER OF PORTSMOUTH, OHIO AND ITS PATIENTS AND ASSIST THE HOSPITAL IN PROMOTING HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH THE OBJECTIVES ESTABLISHED BY THE GOVERNING BOARD OF TRUSTEES OF SOUTHERN OHIO MEDICAL CENTER. IN ADDITION, THE FRIENDS OF SOMC CREATE, RECEIVE AND MAINTAIN A FUND OR FUNDS OF REAL OR PERSONAL PROPERTY OR BOTH, TO USE AND APPLY THE WHOLE OR ANY PART OF THE INCOME THEREFROM AND THE PRINCIPAL THEREOF EXCLUSIVELY FOR THE USE AND BENEFIT OF SOUTHERN OHIO MEDICAL CENTER.SOMC MEDICAL CARE FOUNDATION IS ORGANIZED AND OPERATES EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES FOR THE BENEFIT OF SOMC, AN OHIO NON-PROFIT CORPORATION INCLUDING (A) PROVIDING MEDICAL, SURGICAL AND OTHER HEALTH CARE AND TREATMENT OF THE SICK, DISABLED, AND INJURED, REGARDLESS OF RACE, COLOR, RELIGION, NATIONAL ORIGIN, AGE, HANDICAP, SEX, OR THE ABILITY TO PAY FOR SERVICES; (B) CONDUCTING EDUCATIONAL ACTIVITIES RELATED TO HEALTHCARE AND TREATMENT OF THE SICK, DISABLED, INJURED AND TO PROMOTE AND CARRY ON MEDICAL, SCIENTIFIC AND CLINICAL RESEARCH RELATED TO HEALTH CARE AND TREATMENT OF THE SICK, DISABLED, AND INJURED; AND (C) ENGAGING IN ANY LAWFUL ACTIVITIES FOR WHICH CORPORATIONS MAY BE FORMED UNDER CHAPTER 1785 OF THE OHIO REVISED CODE THAT ARE NOT CONSISTNET WITH THE FOREGOING.SOMC TITLE HOLDING COMPANY OWNS AND MANAGES REAL ESTATE ON BEHALF OF SOUTHERN OHIO MEDICAL CENTER.SOMC FOUNDATION SUPPORTS SOUTHERN OHIO MEDICAL CENTER WITH FINANCIAL TRANSFERS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN RED CROSS
614 GLOVER STPORTSMOUTHOH45662314414096501(C)(3)22225YEARLY PLEDGE AND SPONSORSHIP DINNER.
NOTRE DAME SCHOOLS
2220 SUNRISE AVEPORTSMOUTHOH45662311652882501(C)(3)6090DEVELOPMENT FUND, GOLD TEAM SPONSOR, BID YOUR HEART OUT DONATION.
PORTSMOUTH RIVER DAYS INC
PO BOX 132PORTSMOUTHOH45662314395524501(C)(3)10000SPONSORSHIP OF RIVER DAYS COMMUNITY FESTIVAL.
SHAWNEE STATE UNIVERSITY
940 2ND STREETPORTSMOUTHOH45662237073017501(C)(3)52850VARIOUS SPONSORSHIPS AND DONATIONS.
SOUTHERN OHIO GROWTH PARTNERSHIP
PO BOX 509PORTSMOUTHOH45662311068766501(C)(3)5000PROGRAM DONATION.
PORTSMOUTH AREA ARTS COUNCIL
PO BOX 1258PORTSMOUTHOH45662310916197501(C)(3)7277SPONSORSHIP OF "DICKENS OF A CHRISTMAS" AND "RESPECT IS A MAGIC WORD."
SCIOTO COUNTY JUNIOR FAIR
602 7TH STREET COURTHOUSE ROOM 7PORTSMOUTHOH45662311115810501(C)(3)6500SPONSORSHIP OF CIRCUS.
SOMC MEDICAL CARE FOUNDATION INC
1248 KINNEYS LANEPORTSMOUTHOH45662311374523501(C)(3)23476090INTERCOMPANY SUPPORT.
SOUTHERN OHIO PERFORMING ARTS
PO BOX 1122PORTSMOUTHOH45662311346687501(C)(3)15000SPONSORSHIP OF "BROADWAY SERIES."
CIVIC FORUM
5466 STATE RT 139PORTSMOUTHOH45662312339573501(C)(3)5000SPELLING BEE AND FIREWORKS ON JULY 4TH.
SOUTHERN OHIO MUSEUM
PO BOX 990PORTSMOUTHOH45662310914613501(C)(3)15000SPONSORSHIP OF "CREAM OF THE CROP" AND DONATIONS.
CIRQUE D'ART THEATRE
412-414 CHILLICOTHE STPORTSMOUTHOH45662262867950501(C)(3)7277SPONSORSHIP OF "THE NUTCRACKER."
WAVERLY CITY SCHOOLS
1 TIGER DRIVEWAVERLYOH45690316401098501(C)(3)5000RELATIONSHIPS AND DONATIONS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants13TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEMPLOYEE RELIEF FUNDTypeOfGrant
Number Of Recipients8NumberOfRecipients
Amount Of Cash Grant8000AmountOfCashGrant

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 MAY MAKE CONTRIBUTIONS IN SUPPORT OF ORGANIZATIONS IN THE COMMUNITY. 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base 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
51937602955301976102432280180750829993000
DEAN WRAY
2645950124510182120943890194440409091000
KENDALL L STEWART
3148120140480901290322030180750469267000
CLAUDIA L BURCHETT
2179930873609600830880226270333404000
VICKI A NOEL
1919100851704070463230243230271480000
LEEANN L SAMMONS
1549080684803140358170232150221102000
RORY E PHILLIPS
1679200512701380141050244750211765000
ROGER L DONINI
142765026500071760254760175682000
KEITH A HILES
141537047000065520246760173235000
BRIAN MISSLER
13591504700282097410243760170784000
BENJAMIN L GILL
1402660571602390158460155740177641000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATHE ORGANIZATION PAYS A COUNTRY CLUB MEMBERSHIP ON THE CEO'S BEHALF AS A MEANS FOR THE CEO TO NETWORK WITH PHYSICIANS. NONE OF THE COUNTRY CLUB MEMBERSHIP DUES WERE TREATED AS TAXABLE COMPENSATION TO THE CEO.
PART I, LINE 1BSOUTHERN OHIO MEDICAL CENTER DOES NOT FOLLOW A WRITTEN POLICY FOR REIMBURSEMENT OR A PROVISION OF THE BENEFIT. THE ORGANIZATION PAYS THE COUNTRY CLUB MEMBERSHIP DIRECTLY ON BEHALF OF THE CEO, SO NO REIMBURSEMENT POLICY IS IN PLACE. THE CEO'S EMPLOYMENT CONTRACT SETS FORTH THE DECISION FOR THE ORGANIZATION TO FOLLOW TO PROVIDE THE PAYMENT OF THE COUNTRY CLUB DUES AS A BENEFIT TO THE CEO.
PART I, LINE 4BTHE ORGANIZATION MADE CONTRIBUTIONS TO A SERP FOR THE FOLLOWING INDIVIDUALS: RANDAL ARNETT: 226,078 KENDALL STEWART: 17,503 DEAN WRAY: 79,689 CLAUDIA BURCHETT: 63,222 VICKI NOEL: 34,158 LEEANN SAMMONS: 27,666 BENJAMIN GILL: 9,178 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 $69,273. THE PAY OUT IS INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN B(III).
PART I, LINE 6SOMC COMPENSATES INDIVIDUALS LISTED IN PART VII, SECTION A, LINE 1A, AS WELL AS OTHER ELIGIBLE EMPLOYEES, INCENTIVE COMPENSATION BASED ON TARGET GOALS THAT ARE, IN PART, CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION. RECIPIENTS MUST MEET CERTAIN SPECIFIC OBJECTIVES/GOALS, ONE OF WHICH IS NET EARNINGS OF THE ORGANIZATION, IN ORDER TO RECEIVE ANY BONUS. THE NET EARNINGS OF THE ORGANIZATION TARGET REPRESENTS ONLY ONE COMPONENT THAT MAKES UP THE INDIVIDUAL'S BONUS CALCULATION. IN ADDITION, WHEN CONSIDERING ALL FACTORS OF THE BONUS CALCULATION, THERE IS A MAXIMUM BONUS AMOUNT THAT EACH INDIVIDUAL IS ENTITLED TO RECEIVE THAT IS BASED ON A SPECIFIED PERCENTAGE OF THE EMPLOYEE'S COMPENSATION.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF SCIOTO OHIOBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN316400086IssuerEIN
CUSIP Number808878FP2CUSIPNumber
Date Issued2008-07-23DateIssued
Issue Price150783464IssuePrice
Description Of PurposeHOSPITAL ADDITION & RENOVATIONS AND CURRENT REFUNDING OF 2006 BONDSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired7505000AmountRetired
Total Proceeds178832345TotalProceeds
Amount In Reserve Fund10956614AmountInReserveFund
Capitalized Interest2835022CapitalizedInterest
Refunding Escrow127600000RefundingEscrow
Issuance Costs From Proceeds1619626IssuanceCostsFromProceeds
Working Capital Expenditures7850000WorkingCapitalExpenditures
Capital Expenditures27628899CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts1EngageBondCounselContracts
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
ExplanationPART 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.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BANNON HOWLAND & DEVER
BOARD CHAIR ROBERT DEVER IS SENIOR PARTNER OF BANNON, HOWLAND, & DEVER240593$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 AGENCY372495INSURANCE PROVIDER0
US BANK
BOARD MEMBER DAVID FOWLER IS AN OFFICER AT US BANK'S PORTSMOUTH BRANCH203150SERVICE CHARGES, INTEREST, AND FEES ASSOCIATED WITH SEVERAL DIFFERENT BANK ACCOUNTS.0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionCLOTHING, FURNISHINGS, AND FOODDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99047108NoncashContribsRptdF990
Method Of Determining RevenuesCOST OF DONATED ITEMMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 15ON 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 2011. 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 PROVIDES ITS FINANCIAL STATEMENTS TO THE PUBLIC THROUGH THE FILING OF ITS FORM 990 AS WELL AS ITS BOND DISCLOSURE. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC ON SOUTHERN OHIO MEDICAL CENTER'S WEBSITE.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -2,410,361. CHANGE IN ACTUARIAL VALUE OF PENSION -6,615,000. INCREASE IN CASH SURRENDER VALUE OF CERP 88,624. TOTAL TO FORM 990, PART XI, LINE 5: -8,936,737.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.
FORM 990, PAGE 1, LINE C:DOING BUSINESS AS: SOMC CANCER CENTER, SOMC HOME HEALTH SERVICES, SOMC L.I.F.E. CENTER, RIVERVIEW RETIREMENT CENTER, SOMC URGENT CARE CENTER, SOMC HOSPICE CENTER, SOMC WOUND HEALING CENTER.
FORM 990, PART VII: THE FOLLOWING BOARD MEMBERS DEVOTED TIME TO THE FOLLOWING RELATED PARTIES: SOMC MEDICAL CARE FOUNDATION: RANDAL ARNETT 1 HOUR KENDALL STEWART 10 HOURS DEAN WRAY 1 HOUR CLAUDIA BURCHETT 1 HOUR VICKI NOEL 1 HOUR LEEANN SAMMONS 1 HOUR BENJAMIN GILL 1 HOUR THE FRIENDS OF SOUTHERN OHIO MEDICAL CENTER: RANDAL ARNETT 1 HOUR DEAN WRAY 1 HOUR CLAUDIA BURCHETT 1 HOUR VICKI NOEL 2 HOURS LEEANN SAMMONS 1 HOUR BENJAMIN GILL 1 HOUR SOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANY: RANDAL ARNETT 1 HOUR DEAN WRAY 1 HOUR CLAUDIA BURCHETT 1 HOUR VICKI NOEL 1 HOUR LEEANN SAMMONS 1 HOUR BENJAMIN GILL 2 HOURS SOMC FOUNDATION, INC. RANDAL ARNETT 1 HOUR DEAN WRAY 1 HOUR CLAUDIA BURCHETT 1 HOUR VICKI NOEL 2 HOURS LEEANN SAMMONS 1 HOUR BENJAMIN GILL 1 HOUR

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 OrgControlledOrg
SOMC FOUNDATION INC
1805 27TH STREETPORTSMOUTHOH45662311564440HOLD INVESTMENTS FOR BENEFIT OF SOUTHERN OHIO MEDICAL CENTEROH501(C)(3)LINE 11A, IN/A1
THE FRIENDS OF SOUTHERN OHIO MEDICAL CENTER
1805 27TH STREETPORTSMOUTHOH45662310677520FUNDRAISINGOH501(C)(3)LINE 11A, IN/A1
SOMC MEDICAL CARE FOUNDATION INC
1248 KINNEYS LANEPORTSMOUTHOH45662311374523MEDICINE AND SURGERYOH501(C)(3)LINE 11A, IN/A1
SOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANY
1805 27TH STREETPORTSMOUTHOH45662311417566MANAGE REAL ESTATEOH501(C)(2)N/AN/A1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SOMC MEDICAL CARE FOUNDATION
B23476090ACCRUAL TRANSACTIONS
SOMC MEDICAL CARE FOUNDATION
J148148RENTAL CHARGES PER CONTRACT
SOMC MEDICAL CARE FOUNDATION
K151961COST PER CONTRACT
SOMC MEDICAL CARE FOUNDATION
L154276COST PER CONTRACT
SOMC MEDICAL CARE FOUNDATION
N30508017ALLOCATION OF COSTS
SOMC MEDICAL CARE FOUNDATION
O12351874ALLOCATION OF COSTS
SOMC MEDICAL CARE FOUNDATION
P6185815ALLOCATION OF COSTS
SOMC TITLE HOLDING COMPANY
J1556930RENTAL CHARGES PER CONTRACT
SOMC TITLE HOLDING COMPANY
O1165782ALLOCATION OF COSTS
THE FRIENDS OF SOUTHERN OHIO MEDICAL CENTER
P137414ALLOCATION OF COSTS
SOMC TITLE HOLDING COMPANY
N320022ALLOCATION OF COSTS