OHIOHEALTH CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: OHIOHEALTH CORPORATION (EIN 31-4391798)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201313189349307051
Schema version: 2012v2.0
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
Form 990
Schedule A
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T14:30:13-08:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TUCKER & TUCKER CPAS LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	409 WHEELING AVE	AddressLine1
City	CAMBRIDGE	City
State	OH	State
ZIP Code	43725	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	314391798	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SOUT	NameControl
Phone	7404393561	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1341 CLARK STREET	AddressLine1
City	CAMBRIDGE	City
State	OH	State
ZIP Code	43725	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DONALD P HUELSKAMP	Name
Title	VP FINANCE & CFO	Title
Phone	7404393561	Phone
Date Signed	2012-05-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JEFFREY T TUCKER	Name
Phone	7404395513	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RAYMOND M CHOREY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1341 CLARK ST	AddressLine1
City	CAMBRIDGE	City
State	OH	State
ZIP Code	43725	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	173747928	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SEORMC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1946	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	GENERAL COMMUNITY HOSPITAL WITH A MISSION TO PROVIDE HIGH QUALITY, COMPREHENSIVE, AFFORDABLE, PATIENT-CENTERED HEALTHCARE IN A CARING AND SAFE ENVIRONMENT, WHILE ADDRESSING COMMUNITY NEEDS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	17	NbrIndependentVotingMembers
Total Nbr Employees	941	TotalNbrEmployees
Total Nbr Volunteers	180	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	66500	ContributionsGrantsPriorYear
Contributions Grants Current Year	253838	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	164762444	ProgramServiceRevenuePriorYear
Program Service Revenue CY	168491549	ProgramServiceRevenueCY
Investment Income Prior Year	366222	InvestmentIncomePriorYear
Investment Income Current Year	420485	InvestmentIncomeCurrentYear
Other Revenue Prior Year	421638	OtherRevenuePriorYear
Other Revenue Current Year	467500	OtherRevenueCurrentYear
Total Revenue Prior Year	165616804	TotalRevenuePriorYear
Total Revenue Current Year	169633372	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	37304428	SalariesEtcPriorYear
Salaries Etc Current Year	39249684	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	121545844	OtherExpensePriorYear
Other Expenses Current Year	129311712	OtherExpensesCurrentYear
Total Expenses Prior Year	158850272	TotalExpensesPriorYear
Total Expenses Current Year	168561396	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6766532	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1071976	RevenuesLessExpensesCY
Total Assets BOY	54774022	TotalAssetsBOY
Total Assets EOY	56680806	TotalAssetsEOY
Total Liabilities BOY	47216768	TotalLiabilitiesBOY
Total Liabilities EOY	51244738	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	7557254	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	5436068	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	GENERAL COMMUNITY HOSPITAL WITH A MISSION TO PROVIDE HIGH QUALITY, COMPREHENSIVE,	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	158546865	Expense
Revenue	163443254	Revenue
Description	GENERAL HOSPITAL - MEDICAL SERVICES FOR INPATIENTS AND OUTPATIENTS - SEE ATTACHED SCHEDULE H FOR ADDITIONAL INFORMATION	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	6080266	Expense
Revenue	5048295	Revenue
Description	OPERATION OF PHYSICIAN OFFICES	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	164627131	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	115	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	941	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	17	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DONALD P HUELSKAMP	NamePerson
Telephone Number	7404393561	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1341 CLARK STREET	AddressLine1
City	CAMBRIDGE	City
State	OH	State
ZIP Code	43725	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
MARIBETH WRIGHT
CHAIR	8.00	X	0	0	0
ANDREW S DIX
VICE CHAIR	5.00	X	0	0	0
DANIEL G PADDEN
SECRETARY	5.00	X	0	0	0
SHON GRESS
TREASURER	5.00	X	0	0	0
BRIAN SHANAHAN
TRUSTEE	2.00	X	0	0	0
MATTHEW P ELLI
TRUSTEE	2.00	X	0	0	0
COLLEEN A HEACOCK
TRUSTEE	2.00	X	0	0	0
DONALD J CROCK
TRUSTEE	2.00	X	0	0	0
PHILIP HEARING
TRUSTEE	2.00	X	0	0	0
GREG ADAMS
TRUSTEE	2.00	X	0	0	0
MICHAEL D SARAP MD
TRUSTEE	2.00	X	7130	0	0
DALE H HILEMAN
TRUSTEE	2.00	X	0	0	0
MARCIA WINNETT
TRUSTEE	2.00	X	0	0	0
EYAD MAHAYRI MD FCCP
TRUSTEE	2.00	X	233932	0	5925
SUELLEN JOHNSON
TRUSTEE	2	X
ROBERT G LEY
TRUSTEE	2	X
SHAWN RAY
TRUSTEE	2	X
RAYMOND M CHOREY
PRESIDENT & CEO	40	X		261644	16902	X
DONALD P HUELSKAMP
V.P. FINANCE & CFO	40			146150	16902	X
ANGELA SUE LONG
V.P. NURSING SERVICES	40			136416	11691	X
ANN M ROLLMAN
V.P. HUMAN RESOURCES	40			98235	7735	X
SHARRON LYNN BUXTON
ASSISTANT SECRETARY	40		42394		15552	X
EARL EDWIN CONAWAY
VP MEDICAL AFFAIRS	40		8846	118137	15552	X
COREY A JACKSON DO
PHYSICIAN	40		332714		4404		X
SHANNON R MITCHELL
DIRECTOR REHAB SERVICES	40		121594		11691		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1254353	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	760582	TotalReportableCompFrmRltdOrgs
Total Other Compensation	122817	TotalOtherCompensation
Number Individuals GT100 K	13	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
NORTHSTAR ANESTHESIA OF OHIO
200 E LAMAR BLVD STE 400	ARLINGTON	TX	76006	ANESTHESIA SERVICES	748889
MEDSTAFF SERVICES LLC
PO BOX 1895	POWELL	OH	43065	PHYSICIAN SERVICES HOSPITALOLIGISTS	571250
EMCARE INC
7032 COLLECTION CENTER DR	CHICAGO	IL	60693	EMERGENCY ROOM PHYSICIANS	478444
THE ADVISORY BOARD CO
2445 M STREET NW	WASHINGTON	DC	20037	CONSULTING	475113
ECONOMY LINEN & TOWEL SERVICE
503 HOWARD ST	ZANESVILLE	OH	43701	LAUNDRY & LINEN SERVICE	325714

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	21	NumberOfContractorsGT100K
All Other Contributions	253838	AllOtherContributions
Total Contributions	253838	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn
DIAGNOSTIC IMAGING	622000	33910167
LABORATORY SERVICES	622000	21156571
SURGERY	622000	19246277
EMERGENCY SERVICES	622000	15043009
PHARMACY	622000	10452867

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	68682658	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Program Service Revenue	168491549	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	282840	TotalRevenueColumn
Exclusion	$282,840	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	4252201	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	4114556	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	137645	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	137645	TotalRevenueColumn
Exclusion	$137,645	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	CAFETERIA SALES	Description
Business Code	722300	BusinessCode
Total Revenue Column	467500	TotalRevenueColumn
Exclusion	$467,500	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	467500	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	169633372	TotalRevenueColumn
Related Or Exempt Function Income	168491549	RelatedOrExemptFunctionIncome
Exclusion	$887,985	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	292302	Total
Program Services	249908	ProgramServices
Management And General	42394	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	208434	Total
Program Services	208434	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	30263536	Total
Program Services	30010735	ProgramServices
Management And General	252801	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	946128	Total
Program Services	936315	ProgramServices
Management And General	9813	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4940909	Total
Program Services	4905762	ProgramServices
Management And General	35147	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2598375	Total
Program Services	2575878	ProgramServices
Management And General	22497	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1500000	Total
Program Services	0	ProgramServices
Management And General	1500000	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	145107	Total
Program Services	0	ProgramServices
Management And General	145107	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	67323	Total
Program Services	0	ProgramServices
Management And General	67323	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	10093697	Total
Program Services	8882869	ProgramServices
Management And General	1210828	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	296395	Total
Program Services	296395	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1223416	Total
Program Services	1165974	ProgramServices
Management And General	57442	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1911253	Total
Program Services	1911253	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1861539	Total
Program Services	1800421	ProgramServices
Management And General	61118	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	77517	Total
Program Services	63241	ProgramServices
Management And General	14276	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	44285	Total
Program Services	40784	ProgramServices
Management And General	3501	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	495186	Total
Program Services	495186	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3466045	Total
Program Services	3466045	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1079632	Total
Program Services	1079632	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
ALLOWANCE MEDICARE MEDICAID ETC	87561968	87561968	0
MEDICAL SUPPLIES	9727452	9727452	0
PROVISION FOR DOUBTFUL ACCOUNTS	5238273	5238273	0
REPAIRS & MAINTENANCE	1828659	1786397	42262

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2693965	Total
Program Services	2224209	ProgramServices
Management And General	469756	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	168561396	Total
Program Services	164627131	ProgramServices
Management And General	3934265	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	7309726	BOY
EOY	4366236	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	7804990	BOY
EOY	11335886	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	34039	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	175902	BOY
EOY	207380	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2459902	BOY
EOY	2344927	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2579349	BOY
EOY	2863696	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	85985222	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	64701610	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	20475093	BOY
EOY	21283612	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	12447123	BOY
EOY	13095879	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	615400	BOY
EOY	1137877	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	906537	BOY
EOY	11274	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	54774022	BOY
EOY	56680806	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	29738843	BOY
EOY	34093904	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	13975000	BOY
EOY	12785000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3502925	BOY
EOY	4365834	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	47216768	BOY
EOY	51244738	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7557254	BOY
EOY	5436068	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7557254	BOY
EOY	5436068	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	54774022	BOY
EOY	56680806	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1071976	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	491937	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-3685099	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
Public Support Total170	0	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Pertcentage170	0	PublicSupportPertcentage170
Public Support Total509	0	PublicSupportTotal509
Public Support Percentage509	0	PublicSupportPercentage509
Investment Income Percentage	0	InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	935800	OtherCostOrOtherBasis
Book Value	935800	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	41893517	OtherCostOrOtherBasis
Depreciation	33371331	Depreciation
Book Value	8522186	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	42497532	OtherCostOrOtherBasis
Depreciation	31330279	Depreciation
Book Value	11167253	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	658373	OtherCostOrOtherBasis
Book Value	658373	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	21283612	TotalOfBookValueLandBuildings
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	84767122	TotRevenueEtcAuditedFinclStmt
Other Revenues	3218112	OtherRevenues
Revenue Not Rptd F990	3218112	RevenueNotRptdF990
Revenue Subtotal	81549010	RevenueSubtotal
Other Revenues Not Included	88084362	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	88084362	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	169633372	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	84766385	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	4289351	OtherExpensesIncluded
Expenses Not Rptd F990	4289351	ExpensesNotRptdF990
Expenses Subtotal	80477034	ExpensesSubtotal
Other Expenses Not Included	88084362	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	88084362	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	168561396	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (7 entries)

IdentifierIdentifier	ExplanationExplanation
Pt V Line 4	ENDOWMENT HELD BY PARENT COMPANY GUERNSEY HEALTH SYSTEMS USED FOR SUPPORT OF CHARITABLE HEALTH CARE PURPOSES
Pt X Line 2	ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF AN UNCERTAIN POSITION HAS BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012 AND 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED
Pt X Line 2	TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS.
Pt XI Line 2d	NET REVENUE OF SUPERIOR MED INC PRIOR TO CONVERSION TO LLC 3,218,112
Pt XI Line 4b	ITEMS NETTED AGAINST REVENUE IN AUDIT REPORT. MEDICARE MEDICAID & INSURANCE CONTRACTUAL ALLOWANCES 87,561,968 SALE OF SCRAP & WASTE 474,306 PHYSICIAN LOAN LOSSES 48,088
Pt XII Line 2d	EXPENSES OF SUPERIOR MED INC PRIOR TO CONVERSION TO LLC 4,289,351
Pt XII Line 4b	ITEMS NETTED AGAINST REVENUE IN AUDIT REPORT. MEDICARE MEDICAID & INSURANCE CONTRACTUAL ALLOWANCES 87,561,968 SALE OF SCRAP & WASTE 474,306 PHYSICIAN LOAN LOSSES 48,088

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent250	X	Pcent250
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	9371	PersonsServed
Total Community Benefit Expense	3800970	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1455791	DirectOffsettingRevenue
Net Community Benefit Expense	2345179	NetCommunityBenefitExpense
Percent Of Total Expense	0.01390	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	28068	PersonsServed
Total Community Benefit Expense	15324259	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7923091	DirectOffsettingRevenue
Net Community Benefit Expense	7401168	NetCommunityBenefitExpense
Percent Of Total Expense	0.04390	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	37439	PersonsServed
Total Community Benefit Expense	19125229	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9378882	DirectOffsettingRevenue
Net Community Benefit Expense	9746347	NetCommunityBenefitExpense
Percent Of Total Expense	0.05780	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	29	NumberOfActivitiesOrPrograms
Persons Served	3372	PersonsServed
Total Community Benefit Expense	95802	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5453	DirectOffsettingRevenue
Net Community Benefit Expense	90349	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	154	PersonsServed
Total Community Benefit Expense	101493	TotalCommunityBenefitExpense
Net Community Benefit Expense	101493	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	654	PersonsServed
Total Community Benefit Expense	127883	TotalCommunityBenefitExpense
Net Community Benefit Expense	127883	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	37	NumberOfActivitiesOrPrograms
Persons Served	4180	PersonsServed
Total Community Benefit Expense	325178	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5453	DirectOffsettingRevenue
Net Community Benefit Expense	319725	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	37	NumberOfActivitiesOrPrograms
Persons Served	41619	PersonsServed
Total Community Benefit Expense	19450407	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9384335	DirectOffsettingRevenue
Net Community Benefit Expense	10066072	NetCommunityBenefitExpense
Percent Of Total Expense	0.05970	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	15	PersonsServed
Total Community Building Expense	988	TotalCommunityBuildingExpense
Net Community Building Expense	988	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	233	PersonsServed
Total Community Building Expense	3391	TotalCommunityBuildingExpense
Net Community Building Expense	3391	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	248	PersonsServed
Total Community Building Expense	4379	TotalCommunityBuildingExpense
Net Community Building Expense	4379	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,881,583	BadDebtExpenseAmount
Amount Attributable To	1047019	AmountAttributableTo
Amount Reimbursed By Medicare	28891633	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	30947196	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2055563	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1341 CLARK STREET	AddressLine1
City	CAMBRIDGE	City
State	OH	State
ZIP Code	43725	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	100	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	250	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	true	AmountsGenerallyBilled
Gross Charges	true	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	11	NumberOfOtherFacilities

Other Facilities OtherFacilities (11 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER
10095 BRICK CHURCH ROAD	CAMBRIDGE	OH	43725	OUTPATIENT FACILITY
EYAD MAHAYRI MD
1335 CLARK STREET	CAMBRIDGE	OH	43725	PHYSICIAN OFFICE
CLIFFORD MAXIMO MD
1200 CLARK STREET	CAMBRIDGE	OH	43725	PHYSICIAN OFFICE
MELISSA NAU MD
205 SENECA AVENUE	BYESVILLE	OH	43723	PHYSICIAN OFFICE
SANDRA SCHUBERT MD
9259 CADIZ ROAD	CAMBRIDGE	OH	43725	PHYSICIAN OFFICE
SOUTHEASTERN OHIO ENT
1210 NEAL DRIVE	CAMBRIDGE	OH	43725	PHYSICIAN OFFICE
SIVARAM KOLLENGODE MD
1432 CLARK STREET SUITE B	CAMBRIDGE	OH	43725	PHYSICIAN OFFICE
TONY STARR DO
18125 WOODSFIELD ROAD	CALDWELL	OH	43724	PHYSICIAN OFFICE
SOUTHEASTERN OHIO PEDIATRICS
1420 CLARK STREET	CAMBRIDGE	OH	43725	PHYSICIAN OFFICE
SOUTHEASTERN OHIO ORTHOPEDICS
316 CLARK STREET	CAMBRIDGE	OH	43725	PHYSICIAN OFFICE
COURTNEY BONNER DO
1230 A CLARK STREET	CAMBRIDGE	OH	43725	PHYSICIAN OFFICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

IdentifierIdentifier	ExplanationExplanation
Pt I Line 7 col(f)	BAD DEBTS EXCLUDED FROM COSTS 5,264,583
Pt I Line 7g	NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC HAVE BEEN INCLUDED AS UNSUBSIDIZED HEALTH SERVICES
Pt II	COSTS ASSOCIATED WITH COMMUNITY HEALTH NEEDS PERFORMED WITH OTHER COMMUNITY BASED ORGANIZATIONS
Pt I Line 7	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt III Line 2	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt III Line 3	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt III Line 4	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt III Line 8	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt III Line 9b	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt V Sec B 20d	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt V Sec B 21	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt V Sec B 22	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt VI Line 2	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt VI Line 3	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt VI Line 4	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt VI Line 5	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt VI Line 6	SEE ATTACHED SUPPLEMENTAL INFORMATION
Pt VI Line 7	OHIO

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs
EYAD MAHAYRI MD FCCP
194173	39759	5925	239857
RAYMOND M CHOREY
		14579	14579	217592	44052	2323	263967
DONALD P HUELSKAMP
		14579	14579	134121	12029	2323	148473
COREY A JACKSON DO
313264	19450	4404	337118
CLIFFORD B MAXIMO MD
197578		4613	202191
JOEL LINK MD
126931	32638	5925	165494
TONY STARR DO
150596		5925	156521

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	COREY JACKSON DO	NamePerson
Relationship With Organization	HIGHLY COMP EMP	RelationshipWithOrganization
Purpose Of Loan	PHYSICIAN RECRUIT	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$129,600	OriginalPrincipalAmount
Balance Due	34039	BalanceDue
Default	false	Default
Approved By Board	true	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	34039	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
SOUTHEASTERN OHIO PHYSICIANS INC
PARTIAL OWNERSHIP BY TRUSTEE	182655	MEDICAL SERVICES	false
OBGYN SPECIALISTS OF SE OHIO INC
PARTIAL OWNERSHIP BY FORMER TRUSTEE	200000	MEDICAL SERVICES	false
JAMES KELLER MD
FORMER OFFICER	29878	PROFESSIONAL SERVICES	false
STEPHANIE R BUXTON
FAMILY MEMBER OF OFFICER	44123	EMPLOYMENT	false
JORDI B HARDING
FAMILY MEMBER OF OFFICER	46880	EMPLOYMENT	false
BRENDA L GRESS
FAMILY MEMBER OF TRUSTEE	40272	EMPLOYMENT	false
AMBER E GARBER
FAMILY MEMBER OF OFFICER	47281	EMPLOYMENT	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifier	ExplanationExplanation
Pt VI, Line 11b	FORM 990 REVIEWED BY AUDIT COMMITTEE OF BOARD BEFORE FILING. PROVIDED COPY OF FORM 990 TO ALL BOARD MEMBERS BEFORE FILING
Pt VI, Line 12c	TRUSTEES COMPLETE ANNUAL DISCLOSURE STATEMENT DISCLOSING ALL CONFLICTS
Pt VI, Line 15b	EXECUTIVE COMMITTEE OF BOARD OF TRUSTEES PERFORMS COMPENSATION STUDY OF MANAGEMENT POSITIONS
Pt XI	NET BOOK VALUE TRANSFERRED FROM SUPERIOR MED INC 960,977 CHANGE IN PENSION LIABILITY (3,356,076)
Pt XI	TRANSFER TO SUPERIOR MED INC (1,290,000)
Pt III, Line 2	ON JULY 24, 2012 SUPERIOR MED INC CONVERTED FROM A FOR-PROFIT
Pt III, Line 2	C-CORPORATION SUBJECT TO INCOME TAX TO A SECTION 501(C)(3)
Pt III, Line 2	TAX-EXEMPT ORGANIZATION KNOWN AS SUPERIOR MED LLC, WITH
Pt III, Line 2	SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC AS ITS SOLE MEMBER.
Pt III, Line 2	SUPERIOR MED LLC IS A DISREGARDED ENTITY FOR TAX PURPOSES
Pt III, Line 2	AND ITS ACTIVITY IS REPORTED ON THE FORM 990 OF SOUTHEASTERN
Pt III, Line 2	OHIO REGIONAL MEDICAL CENTER INC. SUPERIOR MED LLC OPERATES
Pt III, Line 2	PHYSICIAN OFFICES IN THE COMMUNITY SERVED BY SOUTHEASTERN
Pt III, Line 2	OHIO REGIONAL MEDICAL CENTER, INC.
Pt VI, Line 15a	EXECUTIVE COMMITTEE OF BOARD OF TRUSTEES PERFORMS COMPENSATION STUDY OF MANAGEMENT POSITIONS
Form 990, Part IX, Line 24f	LICENSES & FEES FOOD PURCHASES SUNDRY BOOKS & SUBSCRIPTIONS DUES & MEMBERSHIPS

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	SUPERIOR MED LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1341 CLARK STREET	AddressLine1
City	CAMBRIDGE	City
State	OH	State
ZIP Code	43725	ZIPCode

Field	Value	IRS element (for citing)
EIN	311311881	EIN
Primary Activities	PHYSICIAN OFFICES	PrimaryActivities
Legal Domicile State	OH	LegalDomicileState
Total Income	5048295	TotalIncome
EOY Assets	1989569	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	GUERNSEY HEALTH SYSTEMS	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1341 CLARK STREET	AddressLine1
City	CAMBRIDGE	City
State	OH	State
ZIP Code	43725	ZIPCode

Field	Value	IRS element (for citing)
EIN	311148352	EIN
Primary Activities	MANAGEMENT & FUND RAISING	PrimaryActivities
Legal Domicile State	OH	LegalDomicileState
Exempt Code Section	501(C)3	ExemptCodeSection
Public Charity Status	11 TYPE II	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Org	false	ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHEASTERN HOME CARE LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1700 EDISON DRIVE	AddressLine1
City	MILFORD	City
State	OH	State
ZIP Code	45150	ZIPCode

Field	Value	IRS element (for citing)
EIN	271219638	EIN
Primary Activity	HOME HEALTH SERVICES	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	56877	ShareOfTotalIncome
Share Of EOY Assets	348017	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.33000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
GUERNSEY HEALTH ENTERPRISES INC
1341 CLARK STREET	CAMBRIDGE	OH	43725	311191428	AMBULANCE SERVICE	OH	GUERNSEY HEALTH SYSTEMS	C	0.00000	false
UNITED AMBULANCE SERVICE OF CAMBRIDGE INC
1341 CLARK STREET	CAMBRIDGE	OH	43725	311086097	AMBULANCE SERVICE	OH	GUERNSEY HEALTH SYSTEMS	C	0.00000	false
SUPERIOR MED INC
1341 CLARK STREET	CAMBRIDGE	OH	43725	311311881	PHYSICIAN OFFICES	OH	GUERNSEY HEALTH SYSTEMS	C	0.00000	false

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
SUPERIOR MED INC
b	1290000	CASH PAID
SUPERIOR MED INC
s	960977	NBV OF ASSETS TRANSFERRED
GUERNSEY HEALTH SYSTEMS
d	102669	CASH OWED
GUERNSEY HEALTH ENTERPRISES INC
d	3671	CASH OWED
GUERNSEY HEALTH SYSTEMS
e	12785000	LOANS GUARANTEED
GUERNSEY HEALTH SYSTEMS
k	248961
SUPERIOR MED INC
j	12670
GUERNSEY HEALTH ENTERPRISES INC
l	50400
GUERNSEY HEALTH SYSTEMS
m	1500000
GUERNSEY HEALTH SYSTEMS
n	100000
GUERNSEY HEALTH SYSTEMS
o	904043
SUPERIOR MED INC
q	51083