2023-11-15T16:49:43-06:00 2022-12-31 341310124 REA & ASSOCIATES INC 905 ZANE STREET 2ND FLOOR ZANESVILLE OH 43701 990 2022-01-01 311148352 GUERNSEY HEALTH SYSTEMS GUER 7404398179 1341 CLARK STREET CAMBRIDGE OH 43725 MICHAEL P BROWNING SR VP AND CFO 7404398179 2023-11-15 1 MICHAEL BROWNING 999009999 0 JEFFREY T TUCKER CPA P00537125 7404542461 2023-11-14 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X MICHAEL P BROWNING 1341 CLARK STREET CAMBRIDGE OH 43725 3883316 0 X N/A X 1985 OH MANAGEMENT OF TAX-EXEMPT HOSPITAL X 9 9 0 53 0 0 160855 140204 0 0 295068 -43775 -13472 -108140 442451 -11711 27167 36755 0 0 0 0 0 0 0 27163 352035 54330 388790 388121 -400501 12764897 0 29092 0 12735805 0 X MANAGEMENT OF TAX-EXEMPT HOSPITAL 0 1 -393 MANAGEMENT OF NON-PROFIT HEALTH CARE SUBSIDIARY - SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER 36755 36755 COMMUNITY HEALTH EDUCATION PROGRAMS PROVIDED AND EQUIPMENT PURCHASED THROUGH NON-PROFIT HEALTH CARE SUBSIDIARY - SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER. 36362 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 1 15 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 1 0 OH X MICHAEL P BROWNING 7404398179 1341 CLARK STREET CAMBRIDGE OH 43725 MARIBETH WRIGHT SECRETARY 8.00 X X 0 0 0 SHAWN RAY CHAIR 8.00 X X 0 0 0 PHILIP HEARING TRUSTEE 2.00 X 0 0 0 MATTHEW P ELLI TRUSTEE 2.00 X 0 0 0 MARCIA WINNETT TRUSTEE 2.00 X 0 0 0 WENDY ELLIOTT PRESIDENT & CEO 40.00 X X 0 0 0 MICHAEL D SARAP MD TRUSTEE 2.00 X 0 3750 0 GREG ADAMS TREASURER 5.00 X X 0 0 0 BRIAN SHANAHAN VICE CHAIR 8.00 X X 0 0 0 TODD DOUGHERTY INTERIM VP OF FINANCE & CF 40.00 X 0 0 0 GINA F WOODS VICE PRESIDENT OF PATIENT 40.00 X 0 0 0 0 3750 0 0 0 0 0 VORYS SATER SEYMOUR AND PEASE LLC 52 EAST GAY ST COLUMBUS OH 43215 LEGAL SERVICES 242076 1 82469 57735 140204 59766 59766 642000 750140 -108140 -108140 -108140 3030535 3134076 -103541 -103541 -103541 10811 82469 10811 0 -11711 0 0 -151915 36755 36755 326612 326612 25816 25816 MISCELLANEOUS -393 -393 388790 36362 352428 0 3629694 0 908390 0 310702 0 97342 0 0 0 19195 0 0 0 0 0 4711473 0 3088101 0 0 0 0 0 12764897 0 29092 0 0 29092 0 X 11940702 0 795103 0 12735805 0 12764897 0 X -400501 -294627 -12040677 X 0 1 X 1 0 X X 1 SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER 314391798 3 1 36755 0 1 36755 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29184 -4248 382 24554 25767 300 3545 428 29184 23218 300 2597 348 25767 19676 250 3631 339 23218 20717 200 -926 315 19676 1.00000 0.00000 0.00000 0 0 0 X PART V, LINE 4: TO FURTHER CHARITABLE HEALTH CARE FUNCTIONS OF THE ORGANIZATION AND RELATED CHARITABLE SUBSIDIARIES. PART X, LINE 2: GUERNSEY HEALTH SYSTEMS AND ITS SUBSIDIARIES ARE TAX-EXEMPT ORGANIZATIONS, EXCEPT FOR GUERNSEY HEALTH ENTERPRISES, INC.; ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND TO REOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAXING AUTHORITIES. GOLF SCRAMBLE 58550 48059 10491 0 346 4800 4973 0 372 WONDERLAND OF TREES 34730 34410 320 0 0 0 0 0 320 93280 82469 10811 346 4800 4973 692 10811 0 1 SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER 1341 CLARK STREET CAMBRIDGE OH 43725 314391798 501(C)(3) 36755 0 FMV N/A COMMUNITY HEALTH CARE 1 0 PART I, LINE 2: ALL GRANTS MADE TO RELATED ORGANIZATION, SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER, ARE FOR COMMUNITY HEALTH CARE NEEDS. ALL ASSETS, LIABILITIES AND NET FUND BALANCE IN COMPLETE MERGER 2022-12-31 12040677 NET BOOK VALUE WAS USED TO DETERMINE THE FAIR MARKET VALUE OF ASSETS DISTRIBUTED DUE TO THE TYPE OF TRANSACTION BEING A COMPANY BEING MERGED INTO A WHOLLY OWNED SUBSIDIARY. 314391798 SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER 1341 CLARK ST CAMBRIDGE OH 43725 501(C)3 0 0 0 0 1 1 1 1 0 FORM 990, PART III, LINE 3 EFFECTIVE DECEMBER 31, 2022 GUERNSEY HEALTH SYSTEMS WAS MERGED OUT OF EXSISTENCE, AS ALL OF ITS ASSETS, LIABILITIES AND NET FUND BALANCE WERE TRANSFERRED TO THE SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER, EIN 31-4391798, A 501(C)3 ORGANIZATION. SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER WAS PREVIOUSLY A WHOLLY OWNED SUBSIDAIRY OF GUERNSEY HEALTH SYSTEMS. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE OCTOBER 10, 2018 GUERNSEY HEALTH SYSTEMS AND THE SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC ENTERED INTO A MANAGEMENT AGREEMENT WITH OHIO HEALTH CORPORATION TO PROVIDE SENIOR LEVEL MANAGEMENT FOR GUERNSEY HEALTH SYSTEMS AND THE SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC BY PROVIDING THE PRESIDENT & CEO, VICE PRESIDENT OF FINANCE & CFO, VICE PRESIDENT OF PATIENT CARE, AND MEDICAL DIRECTOR OF THE ORGANIZATION. THESE OFFICERS ARE LISTED IN PART VII, SECTION A. THE MANAGEMENT DUTIES PERFORMED INCLUDED HIRING, FIRING, AND SUPERVISING PERSONNEL, PLANNING AND EXECUTING BUDGETS AND FINANCIAL OPERATIONS, AND SUPERVISING EXEMPT AND NON EXEMPT OPERATIONS. 2022 REPORTABLE COMPENSATION AMOUNTS PAID BY OHIO HEALTH CORPORATION THAT WERE REIMBURSED BY SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC FOR WENDY ELLIOTT, PRESIDENT & CFO, TODD DOUGHERTY, INTERIM VICE PRESIDENT OF FINANCE AND CFO, AND GINA F. WOODS, VICE PRESIDENT OF PATIENT CARE TOTALLED $531,424. ADDITIONAL PAYMENTS TOTALLING $76,050 FOR MANAGEMENT FEES WERE ALSO PAID BY SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC TO OHIO HEALTH CORPORATION. FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE DECEMBER 31, 2022 GUERNSEY HEALTH SYSTEMS WAS MERGED OUT OF EXSISTENCE, AS ALL ITS ASSETS, LIABILITIES AND NET FUND BALANCE WERE TRANSFERRED TO THE SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER, EIN 31-4391798, A 501(C)3 ORGANIZATION. SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER WAS PREVIOUSLY A WHOLLY OWNED SUBISDIARY OF GUERNSEY HEALTH SYSTEMS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE FORM 990 IS REVIEWED IN DETAIL BY THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS BEFORE FILING. A COMPLETE COPY OF FORM 990 IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS COMPLETE AN ANNUAL DISCLOSURE STATEMENT DISCLOSING ANY CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15B EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PERFORMS COMPENSATION STUDY OF MANAGEMENT POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 ITEMS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER OF ALL ASSETS & LIABILITIES IN MERGER TO SOUTHEASTERN OHIO REGIONA -12,040,677. SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER 1341 CLARK STREET CAMBRIDGE OH 43725 314391798 HOSPITAL OH 501(C)(3) LINE 3 GUERNSEY HEALTH SYSTEMS 1 SOUTHEASTERN HOME CARE LLC 1700 EDISON DRIVE MILFORD OH 45150 271219638 HOME HEALTH SERVICES OH N/A RELATED 0 0 GUERNSEY HEALTH ENTERPRISES INC 1341 CLARK STREET CAMBRIDGE OH 43725 311191428 AMBULANCE SERVICES OH GUERNSEY HEALTH SYSTEMS C 1007 176928 1.00000 0 UNITED AMBULANCE SERVICE OF CAMBRIDGE INC 1341 CLARK STREET CAMBRIDGE OH 43725 311086097 AMBULANCE SERVICES OH GUERNSEY HEALTH SYSTEMS C 6640671 1106500 0 1 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER A 165324 CASH PAID UNITED AMBULANCE SERVICE OF CAMBRIDGE A 65352 CASH PAID SUPERIOR MED LLC A 205194 CASH PAID SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER D 21065 LOANS MADE UNITED AMBULANCE SERVICE OF CAMBRIDGE D 13883 LOANS MADE SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER D 6642000 LOANS GUARANTEED UNITED AMBULANCE SERVICE OF CAMBRIDGE J 65352 CASH PAID SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER J 165324 CASH PAID SUPERIOR MED LLC J 205194 CASH PAID SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER N 100000 ESTIMATED