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SOMC MEDICAL CARE FOUNDATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SOMC MEDICAL CARE FOUNDATION INC (EIN 31-1374523)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201101369349304445
Schema version
2009v1.7
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)
Timestamp2011-05-16T14:55:22-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311374523EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOMC MEDICAL CARE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOMCNameControl
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 Signed2011-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBernie OstrowskiName
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11805 27TH STREETAddressLine1
CityPORTSMOUTHCity
StateOHState
ZIP Code45662ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36855903GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.SOMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees59TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI318127TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year17332770ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11651398ProgramServiceRevenuePriorYear
Program Service Revenue CY19080052ProgramServiceRevenueCY
Investment Income Prior Year47043InvestmentIncomePriorYear
Investment Income Current Year64189InvestmentIncomeCurrentYear
Other Revenue Prior Year370569OtherRevenuePriorYear
Other Revenue Current Year378127OtherRevenueCurrentYear
Total Revenue Prior Year12069010TotalRevenuePriorYear
Total Revenue Current Year36855138TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20321165SalariesEtcPriorYear
Salaries Etc Current Year29480017SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8921407OtherExpensePriorYear
Other Expenses Current Year8155679OtherExpensesCurrentYear
Total Expenses Prior Year29242572TotalExpensesPriorYear
Total Expenses Current Year37635696TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-17173562RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-780558RevenuesLessExpensesCY
Total Assets BOY5816366TotalAssetsBOY
Total Assets EOY6661152TotalAssetsEOY
Total Liabilities BOY2573160TotalLiabilitiesBOY
Total Liabilities EOY4175861TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3243206NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2485291NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OWe 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 Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense7645133Expense
Grants0Grants
Revenue3112786Revenue
DescriptionSOMC ANESTHESIA ASSOCIATES - MEDICAL DOCTORS TRAINED TO ADMINISTER ANESTHETICS AND MANAGE THE MEDICAL CARE OF PATIENTS BEFORE, DURING, AND AFTER SURGERY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6055648Expense
Grants0Grants
Revenue1838668Revenue
DescriptionSOMC HEART AND VASCULAR SERVICES - MEDICAL DOCTORS WORKING TO PREVENT, DIAGNOSE, AND TREAT DISORDERS OF THE HEART AND BLOOD VESSELS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4844748Expense
Grants0Grants
Revenue3918199Revenue
DescriptionSOMC RADIOLOGY SERVICES - MEDICAL DOCTORS TRAINED TO USE STATE-OF-THE-ART RADIANT ENERGY MEDICAL IMAGING TECHNOLOGY TO HELP PREVENT, DIAGNOSE, AND TREAT DISEASES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense18952188Expense
Grants0Grants
Revenue10270399Revenue
DescriptionVARIOUS SPECIALTIESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp18952188TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev10270399TotalOfOtherProgramServiceRev
Total Program Service Expense37497717TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees59NumberOfEmployees
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 Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
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 (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
RANDAL ARNETT
PRESIDENT & CEO-SOMC1.00XX0638464284902
CLAUDIA BURCHETT
VP OF NURSING & CNO-SOMC1.00X0231035106608
LI-FEN CHANG MD
SMD RADIATION ONCOLOGY1.00X1086127034938
BEN GILL
ADM DRCTR, PHYSICIAN SRV1.00X09664824846
VICKI NOEL
VP HUMAN RESOURCES-SOMC1.00X018903869052
ELIE SAAB MD
SMD CRITICAL CARE-SOMC1.00X5677760118472
LEEANN SAMMONS
VP SAFETY & CSO-SOMC1.00X017046561045
VINCENT SCARPINATO MD
SMD SURGERY-SOMC1.00X5623770114990
KENDALL L STEWART MD
VP MEDICAL AFFAIRS-SOMC1.00X0373814139765
DEAN WRAY
VP FINANCE & CFO-SOMC1.00XX0318671117966
DANIEL B JOVANOVICH
PHYSICIAN40.0010243480134507X
JAMES PETTEY
PHYSICIAN40.00914298033869X
HENRY E CHILDERS IV
PHYSICIAN40.008209270142870X
ROBERT J SCHRIMPF
PHYSICIAN40.006565100100029X
ERIC P MACDONALD
PHYSICIAN40.00582726032744X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6215089TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2018135TotalReportableCompFrmRltdOrgs
Total Other Compensation1516603TotalOtherCompensation
Number Individuals GT100 K55NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEDICAL DOCTOR ASSOCIATES INC
145 TECHNOLOGY PKWY NWNORCROSSGA30092TEMPORARY PHYSICIAN STAFFING1188707
WEATHERY LOCUMS INC
PO BOX 972633DALLASTX75397TEMPORARY PHYSICIAN STAFFING153480
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations17332770RelatedOrganizations
Total Contributions17332770TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code621300BusinessCode
Total Revenue Column19080052TotalRevenueColumn
Related Or Exempt Function Income19080052RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue19080052TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column64954TotalRevenueColumn
Exclusion$64,954ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other765Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-765Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-765TotalRevenueColumn
Exclusion-$765ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT SERVICES561000173843173843
BILLING SERVICE FEES561000144284144284
REHAB CARE CREDIT6211106000060000
FieldValueIRS element (for citing)
Total Other Revenue378127TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36855138TotalRevenueColumn
Related Or Exempt Function Income19140052RelatedOrExemptFunctionIncome
Unrelated Business Revenue318127UnrelatedBusinessRevenue
Exclusion$64,189ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2508940Total
Program Services2508940ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total23106582Total
Program Services23021016ProgramServices
Management And General85566ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total57472Total
Program Services56076ProgramServices
Management And General1396ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3807023Total
Program Services3786210ProgramServices
Management And General20813ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1434152Total
Program Services1433463ProgramServices
Management And General689ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3464084Total
Program Services3463556ProgramServices
Management And General528ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total581236Total
Program Services576701ProgramServices
Management And General4535ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total124710Total
Program Services107671ProgramServices
Management And General17039ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total527195Total
Program Services522780ProgramServices
Management And General4415ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total3370Total
Program Services3275ProgramServices
Management And General95ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8025Total
Program Services7604ProgramServices
Management And General421ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total124478Total
Program Services123496ProgramServices
Management And General982ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total530109Total
Program Services530109ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Physician Recruitment10381871038187
Education26859426857816
OTHER EXPENSES51539500551484

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total37635696Total
Program Services37497717ProgramServices
Management And General137979ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1400BOY
EOY1800EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2266924BOY
EOY1972973EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1469563BOY
EOY2393370EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY44586BOY
EOY4808EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY911466BOY
EOY651467EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1857141LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1097884LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY422427BOY
EOY759257EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY700000BOY
EOY877477EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5816366BOY
EOY6661152EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2038004BOY
EOY3006367EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY535156BOY
EOY1169494EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2573160BOY
EOY4175861EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3243206BOY
EOY2485291EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3243206BOY
EOY2485291EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5816366BOY
EOY6661152EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN OHIO MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN310678022EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

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 D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2861OtherCostOrOtherBasis
Depreciation1055Depreciation
Book Value1806BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1757561OtherCostOrOtherBasis
Depreciation1096829Depreciation
Book Value660732BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis96719OtherCostOrOtherBasis
Book Value96719BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings759257TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionmALPRACTICE SELF INSURANCE FUNDDescription
Book Value877477BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets877477TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED SELF-INSURED LIABILITYDescription
Amount$1,169,494Amount
FieldValueIRS element (for citing)
Total Of Amounts1169494TotalOfAmounts
Total Revenue36855138TotalRevenue
Total Expenses37635696TotalExpenses
Excess Or Deficit For Year-780558ExcessOrDeficitForYear
Net Unrealized GL On Investments22643NetUnrealizedGLOnInvestments
Total Adjustments22643TotalAdjustments
Excess Or Deficit Per FS-757915ExcessOrDeficitPerFS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 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
049900501171930222660258430026472092336600
CLAUDIA BURCHETT
01963860337520897081950024658033764300
LI-FEN CHANG MD
9556170001305100950002543801121065000
VICKI NOEL
01590280297070303040751028301025809000
ELIE SAAB MD
551186000165900925530259190686248000
LEEANN SAMMONS
01435880263320545035904025141023151000
VINCENT SCARPINATO MD
5382140002416301002190147710677367000
KENDALL L STEWART MD
02989460555300193380120856018909051357900
DEAN WRAY
0251692048840018139097957020009043663700
DANIEL B JOVANOVICH
92489600099452010849202601501158855000
JAMES PETTEY
87856200035736030806030630948167000
HENRY E CHILDERS IV
7595280006139901180820247880963797000
ROBERT J SCHRIMPF
639752000167580806590193700756539000
ERIC P MACDONALD
5825880001380173500153940615470000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4aSOUTHERN OHIO MEDICAL CENTER, A RELATED ORGANIZATION, MADE CONTRIBUTIONS TO A SERP FOR THE FOLLOWING INDIVIDUALS: RANDAL ARNETT: $242,030 KENDALL STEWART: 106,756 DEAN WRAY: 83,857 CLAUDIA BURCHETT: 64,328 VICKI NOEL: 31,610 LEEANN SAMMONS: 27,927 SOUTHERN OHIO MEDICAL CENTER, A RELATED ORGANIZATION, MADE CONTRIBUTIONS TO A CERP (COMMUNITY EMERGENCY RESPONSE PLAN) FOR THE FOLLOWING INDIVIDUALS: DR. HENRY CHILDERS: 43,775 DR. DANIEL JOVANOVICH: 53,171 DR. ERIC MACDONALD: 14,550 DR. JAMES PETTEY: 25,571 DR. ELIE SAAB: 13,701 DR. VINCENT SCARPINATO: 26,893 DR. ROBERT SCHRIMPF: 8,011 THE AMOUNTS LISTED ABOVE ARE INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II.
Part IIIPART I, LINE 3: COMPENSATION PAID TO THE ORGANIZATION'S CEO IS ESTABLISHED BY A RELATED ORGANIZATION AND INCLUDES USE OF AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS, A WRITTEN EMPLOYMENT CONTRACT, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.Supplemental Information

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDR HENRY CHILDERSNamePerson
Purpose Of LoanEDUCATIONAL LOANPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$25,000OriginalPrincipalAmount
Balance Due4808BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due4808TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part III, line 2New Program ServicesSEE PAGE 2, PART III, LINE 4C
Form 990, Part VI, Section A, line 6SOMC MEDICAL CARE FOUNDATION HAS A SINGLE SHARE OF STOCK OWNED BY DR. KENDALL STEWART, PRESIDENT & CEO. THE ORGANIZATION WAS REQUIRED TO HAVE A SHAREHOLDER UPON ITS FORMATION, IN ORDER TO QUALIFY AS A PROFESSIONAL ASSOCIATION. DR. STEWART REPRESENTS THE TRUSTEE WHO HOLDS LEGAL TITLE TO THE SHARE BUT THE BENEFICIAL OWNER OF THE SHARE IS SOUTHERN OHIO MEDICAL CENTER. DR. STEWART HAS SIGNED AN AGREEMENT STATING HE HOLDS THE SHARE ONLY BECAUSE A PHYSICIAN IS REQUIRED TO, AND THAT ALL DUTIES REST WITH SOUTHERN OHIO MEDICAL CENTER.
Form 990, Part VI, Section A, line 7aSOMC MEDICAL CARE FOUNDATION'S BOARD OF DIRECTORS ARE ELECTED BY SOUTHERN OHIO MEDICAL CENTER'S BOARD OF DIRECTORS.
Form 990, Part VI, Section A, line 7bSOMC MEDICAL CARE FOUNDATION'S DECISIONS THAT ARE MADE BY THEIR BOARD OF DIRECTORS CAN BE OVERRULED BY SOUTHERN OHIO MEDICAL CENTER'S BOARD OF DIRECTORS.
Form 990, Part VI, Section B, line 11FORM 990 INFORMATION IS COMPILED IN THE ACCOUNTING DEPARTMENT AND THEN SENT TO THE INDEPENDENT TAX ACCOUNTANTS TO ANALYZE THE INFORMATION AND COMPLETE THE RETURN. THE FORM IS THEN REVIEWED BY FINANCIAL STAFF AND E-MAILED TO THE BOARD, AND THE CFO PRESENTS THE FORM 990 TO THE COMPENSATION COMMITTEE BEFORE THE TAX RETURN IS FILED. IN ADDITION, THE ACCOUNTING DEPARTMENT REVIEWED THE NUMBERS TO TIE OUT TO THE TRIAL BALANCE.
Form 990, Part VI, Section B, line 12cCONFLICT OF INTEREST STATEMENTS ARE FILLED OUT ANNUALLY IN JANUARY FOR NEW AND RETURNING BOARD MEMBERS. COMPLETED CONFLICT OF INTEREST POLICIES ARE REVIEWED BY THE AUDIT & COMPLIANCE COMMITTEE. ANY CONFLICTS ARE DOCUMENTED IN THE MINUTES AND ADDRESSED. CONFLICTS OF INTEREST ARE RAISED BY 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 DECISIONS FOR OFFICER COMPENSATION ARE DOCUMENTED IN THE BOARD COMPENSATION COMMITTEE MINUTES, WHICH WAS LAST PERFORMED DURING 2010. THIS COMMITTEE DETERMINES THE CEO'S PAY AND SETS PAY RANGES FOR THE OTHER EXECUTIVES.
Form 990, Part VI, Section C, line 19SOMC MEDICAL CARE FOUNDATION, INC. PROVIDES ITS FINANCIAL STATEMENTS TO THE PUBLIC THROUGH THE FILING OF ITS FORM 990 AS WELL AS ITS BOND DISCLOSURE. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC ON SOUTHERN OHIO MEDICAL CENTER'S WEBSITE.
FORM 990, PART XI, LINE 2B:SOMC MEDICAL CARE FOUNDATION, INC. DID NOT HAVE AN AUDIT COMPLETED ON A STAND-ALONE BASIS BUT THE ORGANIZATION WAS INCLUDED IN A CONSOLIDATED AUDIT WITH SOMC, THE FRIENDS OF SOMC, SOMC FOUNDATION, INC., AND SOMC TITLE HOLDING COMPANY.
FORM 990, PART XI, LINE 2C:THE AUDIT OVERSIGHT PROCESS AND THE PROCESS OF SELECTION OF AN INDEPENDENT ACCOUNTANT HAVE NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PAGE 1, PART I, LINE 1:SOMC Medical Care Foundation is organized and operates exclusively for charitable, educational and scientific purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code of 1986, as amended, or any successor statute by rendering any type of professional service in the practice of medicine or surgery or any of its branches, authorized under Chapter 4731 of the Ohio Revised Code, for the benefit of SOMC, an Ohio non-profit corporation including (a) providing medical, surgical and other health care and treatment of the sick, disabled, and injured, regardless of race, color, religion, national origin, age, handicap, sex, or the ability to pay for services; (b) conducting educational activities related to healthcare and treatment of the sick, disabled, injured and to promote and carry on medical, scientific and clinical research related to health care and treatment of the sick, disabled, and injured; and (c) engaging in any lawful activities for which corporations may be formed under Chapter 1785 of the Ohio Revised Code that are not consistent with the foregoing.
FORM 990, PAGE 7, PART VIITHE FOLLOWING OFFICERS DEVOTED TIME TO SOUTHERN OHIO MEDICAL CENTER: RANDAL ARNETT 40 HRS DEAN WRAY 40 HRS KENDALL STEWART 40 HRS CLAUDIA BURCHETT 40 HRS VICKI NOEL 40 HRS LEEANN SAMMONS 40 HRS BEN GILL 40 HRS

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 NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SOUTHERN OHIO MEDICAL CENTER
1248 KINNEYS LANEPORTSMOUTHOH45662310678022HEALTH CAREOH501(C)(3)3N/A
SOMC FOUNDATION INC
1805 27TH STREETPORTSMOUTHOH45662311564440HOLD INVESTMENTS FOR BENEFIT OF SOUTHERN OHIO MEDICAL CENTEROH501(C)(3)11SOUTHERN OHIO MEDICAL CENTER
SOUTHERN OHIO MEDICAL CENTER TITLE HOLDING COMPANY
1805 27TH STREETPORTSMOUTHOH45662311417566MANAGE REAL ESTATEOH501(C)(2)N/ASOUTHERN OHIO MEDICAL CENTER
THE FRIENDS OF SOUTHERN OHIO MEDICAL CENTER
1805 27TH STREETPORTSMOUTHOH45662310677520FUNDRAISINGOH501(C)(3)11SOUTHERN OHIO MEDICAL CENTER
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
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 Orgs1RentalOfFacilitiesToOtherOrgs
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 (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SOUTHERN OHIO MEDICAL CENTER
C16843770
SOUTHERN OHIO MEDICAL CENTER
I175724
SOUTHERN OHIO MEDICAL CENTER
K139252
SOUTHERN OHIO MEDICAL CENTER
L56817
SOUTHERN OHIO MEDICAL CENTER
N3193993
sOUTHERN OHIO MEDICAL CENTER
O28702798
sOUTHERN OHIO MEDICAL CENTER
P9794862
SOMC TITLE HOLDING COMPANY
J489000
SOMC TITLE HOLDING COMPANY
C489000