2023-11-15T16:49:56-06:00 2022-12-31 341310124 REA & ASSOCIATES INC 905 ZANE STREET 2ND FLOOR ZANESVILLE OH 43701 990 2022-01-01 314391798 SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC SOUT 7404398179 1341 CLARK STREET CAMBRIDGE OH 43725 MICHAEL P BROWNING SR VP AND CFO 6147888860 2023-11-15 1 MICHAEL BROWNING 999009999 0 JEFFREY T TUCKER CPA P00537125 7404542461 2023-11-15 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z STEPHEN E MARKOVICH MD 3430 OHIOHEALTH PARKWAY COLUMBUS OH 43202 114163598 0 X OHIOHEALTH.COM X 1946 OH 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. 13 13 869 53 0 0 4854433 1292336 109867550 104671305 1015851 866136 256899 267034 115994733 107096811 0 0 0 0 51136147 47970050 0 0 0 56535139 61358939 107671286 109328989 8323447 -2232178 103375834 84018192 43701071 28117147 59674763 55901045 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. 0 0 96661933 97809454 GENERAL HOSPITAL - MEDICAL SERVICES FOR INPATIENTS AND OUTPATIENTS - SEE ATTACHED SCHEDULE H FOR ADDITONAL INFORMATION 10275053 7128885 OPERATION OF PHYSICIAN OFFICES 106936986 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 0 0 0 1 112 0 1 869 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 1 1 1 OH X FINANCE 6145444350 3430 OHIOHEALTH PARKWAY COLUMBUS OH 43202 GREG ADAMS TREASURER 5.00 X X 0 0 0 SHAWN RAY TRUSTEE 2.00 X 0 0 0 PHILIP HEARING TRUSTEE 2.00 X 0 0 0 MATTHEW P ELLI TRUSTEE 2.00 X 0 0 0 COLLEEN H HEACOCK VICE CHAIR 5.00 X X 0 0 0 PAUL WRIGHT MD TRUSTEE 2.00 X 28080 0 0 MARIBETH WRIGHT CHAIR 8.00 X X 0 0 0 MICHAEL D SARAP MD TRUSTEE 2.00 X 3750 0 0 MARCIA WINNETT TRUSTEE 2.00 X 0 0 0 KATHLEEN JAMIEL SECRETARY 5.00 X 0 0 0 THOMASINA CROCK TRUSTEE 2.00 X 0 0 0 WENDY ELLIOTT PRESIDENT & CEO 0.00 40.00 X X 0 0 0 JAMES A ENDLY TRUSTEE 2.00 X 0 0 0 TODD DOUGHERTY INTERIM VP OF FINANCE & CF 0.00 40.00 X 0 0 0 GINA F WOODS VP OF PATIENT CARE 0.00 40.00 X 0 0 0 ELAINE BEED MD PHYSICIAN 40.00 X 604174 0 0 KARL W KUMLER MD PHYSICIAN 40.00 X 618088 0 6931 CARL F JUENG MD PHYSICIAN 40.00 X 533478 0 5821 EYAD AL MAHAYRI MD PHYSICIAN 40.00 X 539096 0 10654 VANESSA VOYTKO DO PHYSICIAN 40.00 X 480074 0 4150 2806740 0 27556 48 0 1 0 OHIO VALLEY PHYSICIANS INC PO BOX 390 HUNTINGTON WV 25708 MEDICAL SERVICES 4112908 OHIO HEALTH 180 BROAD ST 1OTH FL COLUMBUS OH 43215 MEDICAL SERVICES 1247145 GENESIS HEALTH CARE SYSTEM 2951 MAPLE AVE ZANESVILLE OH 43701 MEDICAL SERVICES 843028 LABORATORY CORPORATION 133 E DAVIS ST BURLINGTON NC 27216 LABORATORY SERVICES 809855 NORTHSTAR ANESTHESIA OHIO LLC 6225 NORTH STATE HIGHWAY 161 STE 20 IRIVING TX 75038 ANESTHESIA SERVICES 685773 23 1252125 40211 1292336 MEDICARE & MEDICAID 622110 50078388 50078388 HEALTH & MEDICAL SERVICES 622110 47464032 47464032 PHYSICIAN OFFICES 622110 7128885 7128885 104671305 1015971 1015971 6916952 7066787 -149835 -149835 -149835 CAFETERIA SALES 722300 260702 260702 SALE OF SCRAP 900099 6332 6332 267034 107096811 104938339 0 866136 X 31830 31830 115595 115595 37886587 37466413 420174 2122929 2116440 6489 4856776 4810001 46775 2956333 2924568 31765 512309 512309 470935 470935 135520 135520 64656 64656 21008730 20774244 234486 230927 230927 1790848 1755563 35285 2086379 2086379 1811446 1811446 6776 6776 14214 14214 201390 201390 3268875 3132717 136158 943030 943030 MEDICAL SUPPLIES 17362598 17362598 BAD DEBT EXPENSE 6152375 6152375 FRANCHISE FEE 2261913 2261913 REPAIRS & MAINTENANCE 2042222 2042222 993796 696345 297451 109328989 106936986 2392003 0 18320232 5649065 12928612 11753662 23050 55003 2581898 2770714 5933232 9897900 116461659 95206656 22486225 21255003 40970785 31662145 131800 185200 0 789500 103375834 84018192 25720929 16754880 10528018 7091306 6609964 360818 3718542 0 1033761 43701071 28117147 X 59674763 55901045 59674763 55901045 103375834 84018192 X -2232178 -5086711 3545171 X 0 1 X 1 0 X 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 1 1 104181 104181 56996043 44543569 12452474 1122452 934141 188311 57890459 49728946 8161513 348524 348524 21255003 MEDICARE SETTLEMENT 250000 OPERATING LEASE LIABILITY 783761 1033761 X 99028491 -5086711 3241754 -1844957 100873448 64656 6158707 6223363 107096811 108144996 5039370 5039370 103105626 64656 6158707 6223363 109328989 PART V, LINE 4: ENDOWMENT FUND HELD BY PARENT COMPANY, GUERNSEY HEALTH SYSTEMS. USED FOR SUPPORT OF CHARITABLE HEALTH CARE SERVICES. PART X, LINE 2: SEORMC AND ITS SUBSIDIARY ARE TAX EXEMPT; 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 RECOGNIZE 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: INCOME OF RELATED COMPANIES INCLUDED IN AUDIT TOTAL REVENUE 3,241,754. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 6,152,375. SALE OF SCRAP 6,332. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF RELATED COMPANIES INCLUDED IN AUDIT TOTAL EXPENSES 5,039,370. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSES 6,152,375. SALE OF SCRAP 6,332. 1 1 1 X 1 X 1 1 1 0 0 3060 1878014 0 1878014 0.01720 32923 21679297 13463256 8216041 0.07510 35983 23557311 13463256 10094055 0.09230 11 1942 20593 0 20593 0.00020 3 8 31258 0 31258 0.00030 1 0 2325 0 2325 0.00000 4 70 9493 0 9493 0.00010 19 2020 63669 63669 0.00060 19 38003 23620980 13463256 10157724 0.09290 1 10 724 0 724 0.00000 11 10 373 0 373 0.00000 46 505 6236 0 6236 0.00010 58 525 7333 7333 0.00010 1 4711473 3747590 38373034 45777438 -7404404 X 1 1 1 1 SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC 1341 CLARK STREET CAMBRIDGE OH 43725 OHIOHEALTH.COM X X X SOUTHEASTERN OHIO REGIONAL MEDICAL CENTE 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEORMC.ORG X 1 22 0 1 0 1 X 150.000000000000 250.000000000000 1 1 X X X 1 X SEORMC.ORG X SEORMC.ORG X SEORMC.ORG X X X X 1 X 0 X X 1 X X 0 0 SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: COMMUNITY HEALTH NEEDS ASSESSMENT - SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER, INC.'S (HEREAFTER, SOUTHEASTERN MED) LONG-STANDING COMMITMENT TO OUR COMMUNITY SPANS MORE THAN SIX DECADES. SOUTHEASTERN MED'S COMMITMENT TO PROVIDE HIGH QUALITY, COST EFFECTIVE, COMPREHENSIVE, AFFORDABLE, PATIENT CENTERED HEALTHCARE IN A CARING AND SAFE ENVIRONMENT, WHILE ADDRESSING COMMUNITY NEEDS, HAS GROWN DURING THIS TIME AS IT IDENTIFIED AND MET THE CHANGING HEALTHCARE NEEDS OF THE COMMUNITY. THE AFFORDABLE CARE ACT STIPULATED THAT AS A NOT-FOR-PROFIT HOSPITAL, SOUTHEASTERN MED MUST COMPLETE A COMMUNITY-WIDE HEALTH NEEDS ASSESSMENT ONCE EVERY THREE YEARS. THE STUDY WAS CONDUCTED IN 2022 BY SOUTHEASTERN MED IN COLLABORATION WITH NUMEROUS COMMUNITY AGENCIES AND LEADERS TO IDENTIFY THE MOST IMPORTANT HEALTH ISSUES IN THE COMMUNITY. THE IMPORTANCE OF THE NEEDS ASSESSMENT IS THE POTENTIAL FOR THE REPORT TO GUIDE OUR ACTIONS AND THOSE OF OTHER AREA ORGANIZATIONS AND AGENCIES TO WORK IN PARTNERSHIP TO IMPROVE HEALTH CARE.THROUGH THE COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, SOUTHEASTERN MED IDENTIFIED THREE PRIORITY HEALTH NEEDS: MENTAL HEALTH AND ADDICTION; CHRONIC DISEASE; AND ACCESS TO CARE. THE BOARD OF DIRECTORS APPROVED THE PLAN AS PRESENTED. THE BOARD IS COMMITTED TO DEDICATING THE APPROPRIATE RESOURCES TOWARDS OUTREACH, PREVENTION, AND WELLNESS OPPORTUNITIES WHERE THE GREATEST IMPACT CAN BE REALIZED.SOUTHEASTERN MED IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN CAMBRIDGE, OHIO. SOUTHEASTERN MED IS THE SOLE HOSPITAL PROVIDER FOR GUERNSEY COUNTY. THE ORGANIZATION EMPLOYS OVER 700 ASSOCIATES AND INCLUDES A MEDICAL STAFF OF APPROXIMATELY 277 PHYSICIANS AND EXTENDED CARE PROVIDERS.MORE THAN TWO-THIRDS OF SOUTHEASTERN MED'S PATIENTS ARE RESIDENTS OF THE GUERNSEY COUNTY COMMUNITY, MAKING GUERNSEY COUNTY THE PRIMARY COMMUNITY SERVED BY THE HOSPITAL. SOUTHEASTERN MED ALSO PROVIDES MEDICAL CARE FOR RESIDENTS OF SURROUNDING COMMUNITIES, SUCH AS NOBLE, MUSKINGUM, BELMONT, AND TUSCARAWAS COUNTIES.METHODSIN 2022, SOUTHEASTERN MED COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AS A FOLLOW-UP TO OUR 2019 ASSESSMENT. SOUTHEASTERN MED DETERMINED THAT IT WOULD BE BEST TO USE THE SURVEY QUESTIONS FROM 2019 SO THAT WE COULD COMPARE THE DATA BETWEEN THE TWO SURVEYS. THE INITIAL SURVEY QUESTIONS WERE PRIMARILY ADOPTED FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AND EXTRA QUESTIONS WERE DRAFTED IN AN EFFORT TO OBTAIN ADDITIONAL INFORMATION TO SUPPORT THE IDENTIFIED PERCEIVED HEALTH NEEDS. THE CONTENT OF THE SURVEY QUESTIONS WAS DRIVEN BY BOTH INTERNAL AND EXTERNAL GROUPS THAT REPRESENTED COMMUNITY AGENCIES AND INTERNAL STAKE HOLDERS.GUERNSEY HEALTH SYSTEMS AND OHIO HEALTH FACILITATED A FOCUS GROUP OF LOCAL HEALTH CARE EXPERTS AND COMMUNITY MEMBERS FROM GUERNSEY AND NOBLE COUNTY TO DEVELOP THE ACTION PLAN ITEMS FOR THE CHNA. COMMITTEES WERE REFORMED AND CO-CHAMPION LEADERS WERE IDENTIFIED FOR EACH HEALTH ISSUE. FURTHERMORE, SUBSTANCE ABUSE, LIFESTYLE RELATED DISEASES AND RISK FACTORS COMMITTEES WERE EXPANDED TO INCLUDE COMMUNITY REPRESENTATIVES FOR THE PURPOSE OF DEVELOPING BROADER COMMUNITY ACTION PLANSTHE ACTION COMMITTEES WERE PROVIDED WITH THE 2022 IDENTIFIED HEALTH PROBLEMS. THE ACTION PLANS AND CURRENT TACTICS APPLIED BY SOUTHEASTERN MED TO ADDRESS THE PROBLEMS, DEVELOP AN OVERALL GOAL, AND CONSIDER FURTHER ACTIONS OR STRATEGIES THAT MAY BE USED TO IMPACT THE HEALTH NEEDS. THE EFFORTS OF EACH TEAM WERE RECORDED AND THEN DEVELOPED TO CREATE AN UPDATED 2022 IMPLEMENTATION STRATEGY WORKSHEET TO PROVIDE A TOOL FOR ONGOING MONITORING OF PROGRESS TOWARDS THE OVERALL GOAL TO IMPROVE THE RELATED HEALTH ISSUE.AFTER REVIEW OF ALL THE DATA, THE HEALTH NEEDS OF THE COUNTY DID NOT CHANGE SIGNIFICANTLY FROM 2019. MENTAL HEALTH AND ADDICTION WERE IDENTIFIED AS THE HIGHEST NEED HEALTH PRIORITY IN 2022. CHRONIC DISEASE AND ACCESS TO HEALTHCARE WERE ALSO IDENTIFIED AS TOP HEALTH NEEDS. IN 2022, THE SOUTHEASTERN MED SENIOR MANAGEMENT TEAM AND BOARD OF DIRECTORS MET TO REVIEW THE IDENTIFIED HEALTH PRIORITIES TO BE ADDRESSED BY THE HOSPITAL AND CONSIDER FOR APPROVAL THE SUGGESTED IMPLEMENTATION STRATEGIES SET FORTH BY THE ASSOCIATE TEAM, AT SOUTHEASTERN MED. AT THAT TIME, IT WAS DETERMINED THAT THE PROPOSED IMPLEMENTATION STRATEGY PLANS WERE REASONABLE AND IN ACCORDANCE WITH THE ESTABLISHED MISSION OF SOUTHEASTERN MED.INCOME AND POVERTYTHE MEDIAN HOUSEHOLD INCOME IN GUERNSEY COUNTY IS SIGNIFICANTLY LOWER THAN THAT OF THE STATE AND THE NATION. ADDITIONALLY, THE PERCENTAGE OF THOSE WHO LIVE BELOW THE POVERTY LEVEL IS CONSIDERABLY HIGHER THAN IN OHIO AS A WHOLE AND IN THE UNITED STATES. SPECIFICALLY, THE PERCENTAGE OF CHILDREN THAT ARE LIVING BELOW THE POVERTY LEVEL REPRESENTS MORE THAN ONE-QUARTER OF ALL CHILDREN IN GUERNSEY COUNTY, WHICH IS STRIKINGLY HIGHER THAN THE STATE AND NATION.COMMUNITY HEALTH NEEDS ASSESSMENT RESPONDENTSIN 2022, SOUTHEASTERN MED HOSTED A VIRTUAL COMMUNITY MEETING THAT WAS ATTENDED BY 15 PERSONS REPRESENTING COMMUNITY AND GOVERNMENT ORGANIZATIONS, INCLUDING: ALLWELL BEHAVIORAL HEALTH SERVICES, AREA AGENCY ON AGING/REGION 9, CEDAR RIDGE BEHAVIORAL HEALTH SOLUTIONS, GUERNSEY COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, GUERNSEY COUNTY SENIOR CITIZENS CENTER, MUSKINGUM VALLEY HEALTH CENTERS, NOBLE COUNTY COMMISSIONERS, NOBLE COUNTY HEALTH DEPARTMENT, OHIOHEALTH, AND THE OHIO STATE UNIVERSITY EXTENSION OFFICE (NOBLE COUNTY). THE OBJECTIVE WAS TO IDENTIFY THE TOP THREE PRIORITY HEALTH NEEDS IN GUERNSEY AND NOBLE COUNTIES. IT WAS DETERMINED BY SOUTHEASTERN MED'S SENIOR MANAGEMENT TEAM THAT THE FOLLOWING HEALTH ISSUES WOULD BE ADDRESSED WITH DEVELOPMENT OF IMPLEMENTATION STRATEGY PLANS BY SOUTHEASTERN MED DURING THE 2023-2025 FISCAL YEARS COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE:1. DRUG DEPENDENCY/SUBSTANCE ABUSE2. CHRONIC DISEASE (ESPECIALLY HEART DISEASE AND OBESITY)3. MENTAL HEALTH (ESPECIALLY DEPRESSION AND ANXIETY)PROGRESS NOTED IN 2022 AND AREAS OF ONGOING OPPORTUNITIES INCLUDE: WAIT TIME FOR A PATIENT REQUIRING AN INITIAL APPOINTMENT WITH A FAMILY PROVIDER HAS CONTINUED TO DECREASE. COLLABORATED AND SUPPORTED GROWTH OF MUSKINGUM VALLEY HEALTH CARE SYSTEM, A FEDERALLY FUNDED HEALTH CARE CLINIC IN CAMBRIDGE. SOUTHEASTERN MED CONTINUED TO ASSIST PATIENTS WITH APPLICATION FOR EXPANDED MEDICAID FOR USE BY THE LOCAL DEPARTMENT OF JOB & FAMILY SERVICES. THE SOUTHEASTERN MED-OWNED CANCER CENTER CONTINUES TO OFFER CHEMOTHERAPY AND RADIATION TREATMENTS FIVE DAYS PER WEEK. FACILITY EXPANSION OF THE CANCER CENTER WAS COMPLETED AND OPENED ITS DOORS FOR BUSINESS IN JANUARY 2021. SOUTHEASTERN MED CONTINUES TO WORK ON IDENTIFYING COMMUNITY PARTNERS TO ENHANCE CANCER SCREENINGS AND EDUCATION IN THE COMMUNITY. EXPANDED OPPORTUNITIES CONTINUE TO OFFER FREE OR REDUCED COST SKIN CANCER SCREENINGS, COLONOSCOPIES, AND MAMMOGRAMS TO COMMUNITY MEMBERS. A PROJECT TO INCREASE AMISH AND RURAL COMMUNITY WOMEN'S ACCESS TO SCREENINGS WAS HELD IN 2022. 54 PARTICIPANTS WERE SCREENED USING THE OHIO HEALTH MOBILE MAMMOGRAPHY UNIT. FOUR LUNG CANCER SCREENINGS WERE HELD IN 2022; A TOTAL OF 23 PATIENTS WERE SCANNED. THE WELLNESS REWARDS PROGRAM WAS PROVIDED TO SOUTHEASTERN MED ASSOCIATES. SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: SEE ATTACHED SUPPLEMENTAL INFORMATION 7 1 - SOUTHEASTERN OHIO REGIONAL MEDICAL CENTE 10095 BRICK CHURCH ROAD CAMBRIDGE OH 43725 OUTPATIENT FACILITY 2 - SUPERIOR MED PULMONOLOGY 1335 CLARK STREET CAMBRIDGE OH 43725 PHYSICIAN OFFICE 3 - SUPERIOR MED UROLOGY 1200 CLARK STREET CAMBRIDGE OH 43725 PHYSICIAN OFFICE 4 - SUPERIOR MED FAMILY PRACTICE 1210 CLARK STREET CAMBRIDGE OH 43725 PHYSICIAN OFFICE 5 - SUPERIOR MED FAMILY PRACTICE - CALDWELL 18125 WOODSFIELD ROAD CALDWELL OH 43724 PHYSICIAN OFFICE 6 - SUPERIOR MED FOOT & ANKLE 1230B CLARK STREET CAMBRIDGE OH 43725 PHYSICIAN OFFICE 7 - SUPERIOR MED ORTHOPEDICS - NORTH 1230A CLARK STREET CAMBRIDGE OH 43725 PHYSICIAN OFFICE PART I, LINE 7: THE COSTING METHODOLOGY USED IS BASED UPON THE SOUTHEASTERN MED'S DETAILED COST-TO-CHARGE RATIO. THE RATIO WAS BASED UPON THE DETAILED CALCULATIONS IN ACCORDANCE WITH THE IRS FORM 990 SCHEDULE H INSTRUCTIONS. THIS CALCULATION ADDRESSES ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF-PAY SERVICES. THE COST-TO-CHARGE RATIO WAS USED FOR SCHEDULE H CALCULATIONS IN LIEU OF USING A COST ACCOUNTING SYSTEM, AND WAS DERIVED FROM SCHEDULE H WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. PART II, COMMUNITY BUILDING ACTIVITIES: BUILDING A HEALTHY COMMUNITY PART VI LINE 5 MYHEALTH PATIENT PORTAL - TECHNOLOGY CONTINUES TO QUICKLY ADVANCE, AND SOUTHEASTERN MED IS COMMITTED TO MEETING THE NEEDS OF OUR COMMUNITY WHILE EMBRACING CHANGES IN TECHNOLOGY. ONE IMPORTANT ADVANCEMENT IN THAT TECHNOLOGY IS THE MYHEALTH PATIENT PORTAL. THE PORTAL ACTIVELY ENGAGES PATIENTS IN THEIR CARE BY GIVING THEM ACCESS TO VALUABLE HEALTH INFORMATION ONLINE. THIS ONLINE TOOL ALLOWS PATIENTS THE ABILITY TO MANAGE A WIDE RANGE OF HEALTH DATA FROM WHEREVER THEY ARE AND AT THEIR CONVENIENCE. PATIENTS CAN ACCESS THEIR ACCOUNT FROM ANYWHERE USING THE INTERNET, INCLUDING THEIR COMPUTER, SMARTPHONE, OR TABLET. IN ADDITION TO HANDLING THEIR OWN CARE, PARENTS AND THOSE WITH AUTHORIZED CONSENT WILL APPRECIATE THE ABILITY TO ACCESS THE RECORDS OF THOSE INDIVIDUALS FOR WHOM THEY MANAGE CARE.THE MYHEALTH PATIENT PORTAL GIVES PATIENTS INSTANT AND SECURE ACCESS TO THE PERSONAL HEALTH INFORMATION THEIR CARE TEAM ENTERED INTO THEIR RECORD. ALL THE INFORMATION IN THE PORTAL COMES FROM SOUTHEASTERN MED'S ELECTRONIC HEALTH RECORD. THIS ENSURES THAT PATIENTS HAVE ACCESS TO THE MOST UP-TO-DATE INFORMATION. THE INFORMATION AVAILABLE THROUGH THE PORTAL INCLUDES ALLERGIES, DISCHARGE INSTRUCTIONS, MEDICATION LISTS, UPCOMING APPOINTMENTS AT SOUTHEASTERN MED, CONDITIONS, LAB RESULTS, DIAGNOSTIC IMAGING RESULTS, AND VISIT HISTORIES. SOUTHEASTERN MED ASSOCIATES PROVIDE EDUCATION TO PATIENTS AND FAMILIES ABOUT THE MYHEALTH PATIENT PORTAL AND ARE AVAILABLE TO ASSIST PATIENTS WITH PORTAL REGISTRATION BEFORE BEING DISCHARGED FROM THE HOSPITAL. THERE ARE MANY RESOURCES AVAILABLE AT SOUTHEASTERN MED TO HELP PATIENTS EASILY SIGN-UP AND VIEW THEIR PORTAL ACCOUNT. PART III, LINE 2: SOUTHEASTERN MED'S COST-TO-CHARGE RATIO IS THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III SECTION A OF SCHEDULE H. OTHER BAD DEBT AMOUNTS HAVE NOT BEEN INCLUDED IN THE COMMUNITY BENEFIT AMOUNTS REPORTED IN PART I LINE 7 OF SCHEDULE H. THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III SECTION A OF SCHEDULE H HAVE BEEN REDUCED BY BAD DEBT RECOVERIES RECEIVED AND COSTS ARE REPORTED NET OF APPLICABLE DISCOUNTS. AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE HAVE BEEN DETERMINED BASED UPON HISTORICAL AVERAGES RELATING TO THE AMOUNT OF SERVICES PROVIDED TO SUCH PATIENTS. PART III, LINE 3: SOUTHEASTERN MED'S COST-TO-CHARGE RATIO IS THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III SECTION A OF SCHEDULE H. OTHER BAD DEBT AMOUNTS HAVE NOT BEEN INCLUDED IN THE COMMUNITY BENEFIT AMOUNTS REPORTED IN PART I LINE 7 OF SCHEDULE H. THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III SECTION A OF SCHEDULE H HAVE BEEN REDUCED BY BAD DEBT RECOVERIES RECEIVED AND COSTS ARE REPORTED NET OF APPLICABLE DISCOUNTS. AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE HAVE BEEN DETERMINED BASED UPON HISTORICAL AVERAGES RELATING TO THE AMOUNT OF SERVICES PROVIDED TO SUCH PATIENTS. PART III, LINE 4: DESCRIPTION OF BAD DEBT EXPENSE: --------------------------------------------------------------------------------------------------------------------- ALLOWANCE FOR DOUBTFUL ACCOUNTS - ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON SOUTHEASTERN MED'S EVALUATION OF ITS MAJOR PAYER SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PAYMENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, SOUTHEASTERN MED RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE DECEMBER 31, 2022 AND 2021 ALLOWANCE FOR DOUBTFUL ACCOUNTS OF $5,643,445 AND $4,403,800, RESPECTIVELY, RELATES TO RESERVES FOR SELF-PAY BALANCES AND CERTAIN THIRD-PARTY RECEIVABLES. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON A PERCENTAGE OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2022 AND 2021. SOUTHEASTERN MED'S SELF-PAY BAD DEBT WRITE-OFFS INCREASED PRIMARILY DUE TO HIGHER SELF PAY GROSS REVENUE. SOUTHEASTERN MED ALSO RESERVES A CERTAIN PORTION OF AMOUNTS DUE FROM THIRD-PARTY PAYERS THAT ARE MORE THAN 365 DAYS OUTSTANDING, WHICH INCREASED, CONTRIBUTING TO THE INCREASE IN BAD DEBT WRITE-OFFS. PART III, LINE 8: SOUTHEASTERN MED HAS USED ITS COST-TO-CHARGE RATIO AS THE BASIS TO PREPARE ITS MEDICARE COST REPORT. THE AMOUNTS REPORTED ON PART III SECTION B LINE 8 ARE TAKEN DIRECTLY FROM THE MEDICARE AND MEDICAID COST REPORTS. THE SHORTFALL REPORTED ON PART III SECTION B LINE 7 HAS NOT BEEN INCLUDED IN THE COMMUNITY BENEFIT AMOUNTS INCLUDED IN PART I LINE 7 OF SCHEDULE H, BUT THEY DO PROVIDE A DIRECT BENEFIT TO THE COMMUNITY IN THAT LOCAL RESIDENTS ARE TREATED IN SPITE OF THIS OUT-OF-POCKET SHORTFALL NOT REIMBURSED TO SOUTHEASTERN MED. PART III, LINE 9B: SOUTHEASTERN MED'S FINANCIAL ASSISTANCE GUIDELINES ALLOW PATIENTS TO RECEIVE HEALTHCARE AT REDUCED RATES BASED ON FINANCIAL STATUS. THE GOAL IS TO WORK WITH EACH INDIVIDUAL PATIENT TO FULLY EXPLORE PAYMENT OPTIONS, INCLUDING GOVERNMENT ASSISTANCE PROGRAMS AND PAYMENT PLANS. PART VI, LINE 3: PART VI LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SOUTHEASTERN MED PROVIDES A COPY OF ITS CHARITY CARE POLICY AND RELATED FINANCIAL ASSISTANCE CONTACT INFORMATION IN: A) ADMISSIONS AREAS, EMERGENCY ROOMS, WAITING AREAS, AND OTHER AREAS OF SOUTHEASTERN MED FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT; B) DIRECTLY TO PATIENTS AS PART OF DISCHARGE MATERIALS; AND C) IN BILLS MAILED TO PATIENTS. SOUTHEASTERN MED HAS ALSO DEDICATED TWO FULL-TIME ASSOCIATES AS FINANCIAL COUNSELORS FOR PATIENTS. THEIR OFFICES HAVE BEEN PLACED IN HIGH TRAFFIC PATIENT AREAS AND ARE AVAILABLE FROM 6:30 A.M. TO 4:30 P.M. THROUGH THE FINANCIAL COUNSELING DEPARTMENT, SOUTHEASTERN MED IS ABLE TO ADD INCREASED FOCUS ON ASSISTING PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR MEDICAID, MARKETPLACE, OR OTHER TYPES OF COVERAGE AND ASSISTANCE. PART VI, LINE 4: PART VI LINE 4 COMMUNITY INFORMATION SOUTHEASTERN MED IS THE SOLE HOSPITAL PROVIDER FOR GUERNSEY COUNTY. THE ORGANIZATION EMPLOYS OVER 700 ASSOCIATES AND INCLUDES A MEDICAL STAFF OF APPROXIMATELY 277 PHYSICIANS AND EXTENDED CARE PROVIDERS. SOUTHEASTERN MED IS LOCATED IN CAMBRIDGE, OHIO WHICH IS IN THE RURAL APPALACHIAN AREA OF EAST CENTRAL AND SOUTHEASTERN OHIO. MORE THAN TWO-THIRDS OF SOUTHEASTERN MED'S PATIENTS ARE RESIDENTS OF THE GUERNSEY COUNTY COMMUNITY, MAKING GUERNSEY COUNTY THE PRIMARY COMMUNITY SERVED BY THE HOSPITAL. SOUTHEASTERN MED ALSO PROVIDES MEDICAL CARE FOR RESIDENTS OF SURROUNDING COMMUNITIES, SUCH AS NOBLE, MUSKINGUM, BELMONT, AND TUSCARAWAS COUNTIES. SOUTHEASTERN MED OFFERS HIGH-QUALITY HEALTH CARE SERVICES AND CONTINUOUSLY REINVESTS TO IMPROVE ITS FACILITIES AND TECHNOLOGY. THE HOSPITAL DEDICATES COUNTLESS RESOURCES TO THE BENEFIT OF THE COMMUNITY IN THE FORM OF HEALTH SCREENINGS, HEALTH FAIRS, EDUCATION, AND FREE OR REDUCED-COST HEALTH SERVICES.THE ACTIVE PROVIDERS ON THE SOUTHEASTERN MED MEDICAL STAFF BRING VAST EXPERIENCE, KNOWLEDGE, AND COMPASSION TO PATIENTS THROUGHOUT GUERNSEY AND NOBLE COUNTIES. WITH MORE THAN 33 MEDICAL SPECIALTIES, SOUTHEASTERN MED PHYSICIANS OFFER QUALITY CARE WITH CLOSE-TO-HOME COMFORT. NINETY-SIX PERCENT OF SOUTHEASTERN MED PHYSICIANS HAVE EARNED BOARD CERTIFICATION, WHICH INVOLVES UNDERGOING RIGOROUS TRAINING, PASSING A NATIONAL EXAM, AND TAKING STEPS TO MAINTAIN BOARD-CERTIFIED STATUS. BOARD CERTIFICATION DEMONSTRATES SOUTHEASTERN MED'S MEDICAL PROFESSIONALS' EXCEPTIONAL EXPERTISE IN THEIR PARTICULAR SPECIALTY OF MEDICAL PRACTICE.SOUTHEASTERN MED IS PROUD TO BE ACCREDITED BY THE JOINT COMMISSION, WHICH IS THE NATIONAL ACCREDITING BODY FOR HOSPITALS AND OTHER HEALTH CARE DELIVERY ORGANIZATIONS. THE JOINT COMMISSION'S MISSION IS TO CONTINUOUSLY IMPROVE THE SAFETY AND QUALITY OF CARE PROVIDED TO THE PUBLIC THROUGH THE PROVISION OF HEALTH CARE ACCREDITATION AND RELATED SERVICES THAT SUPPORT PERFORMANCE IMPROVEMENT IN HEALTH CARE ORGANIZATIONS. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH ADDRESSING THE HEALTH NEEDS OF OUR COMMUNITY IS AN IMPORTANT PART OF OUR NOT-FOR-PROFIT ORGANIZATION'S MISSION. SOUTHEASTERN MED IS COMMITTED TO AND RESPONDS TO THE COMMUNITY'S HEALTH AND WELLNESS NEEDS. IN ADDITION TO PROVIDING HOSPITAL-BASED SERVICES, SOUTHEASTERN MED OFFERS A VARIETY OF HEALTH EDUCATION AND WELLNESS SCREENING OPPORTUNITIES THROUGHOUT THE YEAR. EFFORTS ARE MADE TO ENSURE THAT MEMBERS OF THE COMMUNITY WHO HAVE LIMITED ACCESS TO CARE DUE TO LACK OF FINANCIAL RESOURCES OR AVAILABLE HEALTHCARE COVERAGE ARE ABLE TO RECEIVE REGULAR HEALTH AND WELLNESS SCREENINGS AND/OR EDUCATION. SOUTHEASTERN MED'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA AND SURROUNDING COMMUNITIES. OTHER THAN THE PHYSICIAN CHIEF OF STAFF AND DR. MICHAEL SARAP, TRUSTEE, THEY ARE NEITHER EMPLOYEES NOR CONTRACTORS OF SOUTHEASTERN MED, BUT ARE SUPPORTIVE OF THE EFFORTS BY SOUTHEASTERN MED TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY. RESOURCES ARE APPROVED AND PROVIDED FOR SUPPORTING IMPROVEMENTS IN PATIENT CARE, EDUCATION, AND HEALTH PROMOTION ACROSS THE BROADER COMMUNITY. THE FOLLOWING ARE EXAMPLES OF PROGRAMS REGULARLY OFFERED BY SOUTHEASTERN MED: HEALTH FAIRS IN COLLABORATION WITH AREA EMPLOYERS AND COMMUNITY ORGANIZATIONS: HEARING SCREENINGS; SKIN CANCER SCREENINGS. OTHER SIGNIFICANT HEALTH AND WELLNESS COMMITMENTS BY SOUTHEASTERN MED INCLUDE LOW-COST LUNG CANCER SCREENINGS, UNITED WAY FUNDRAISERS, AS WELL AS CPR CLASSES. SCREENINGS/EVENTS- HEART DISEASE & STROKE - TO INCREASE THE SCOPE OF EDUCATIONAL OPPORTUNITIES FOR AWARENESS OF HEART DISEASE AND STROKE RISK FACTORS AND PREVENTIVE STRATEGIES, SOUTHEASTERN MED TYPICALLY OFFERS CPR CLASSES. APRIL IS NATIONAL DONATE LIFE MONTH. SOUTHEASTERN MED WAS AWARDED THE LIFELINE OF OHIO SILVER AWARD IN 2022.SOUTHEASTERN MED PARTICIPATED IN TWO HEALTH FAIRS AND DISTRIBUTED INFORMATION ON PEDIATRIC OCCUPATIONAL AND PHYSICAL THERAPY, AUDIOLOGY, EXERCISE, HEALTHY EATING AND BLOOD PRESSURE EDUCATION.ANNUAL FUNDRAISERS:THE UNITED WAY OF GUERNSEY AND NOBLE COUNTIES USES LOCALLY RAISED MONEY TO HELP THOSE IN NEED IN GUERNSEY, MONROE, AND NOBLE COUNTIES. SOUTHEASTERN MED IS A BIG SUPPORTER OF THE LOCAL UNITED WAY AGENCY. SEVENTY-NINE HOURS WERE SPENT TO RAISE $14,323.75, WHICH WAS DONATED TO THE UNITED WAY BY SOUTHEASTERN MED ASSOCIATES IN 2022. A PORTION OF THIS MONEY WAS RAISED THROUGH VOLUNTARY PAYROLL DEDUCTION FROM SOUTHEASTERN MED ASSOCIATES. ACCESS TO CARE SENIOR MANAGEMENT CONTINUED TO IMPLEMENT THE PHYSICIAN RECRUITMENT PLAN IN 2022. THIS PLAN WAS TO RECRUIT PHYSICIANS TO JOIN THE SUPERIOR MED MULTI-PHYSICIAN SPECIALTY GROUP OWNED BY SOUTHEASTERN MED OR TO JOIN INDEPENDENT LOCAL PHYSICIAN PRACTICES. ONE NURSE PRACTITIONERS JOINED SUPERIOR MED. IT ALSO CONTINUED TO WORK WITH NATIONWIDE CHILDREN'S HOSPITAL, MUSKINGUM VALLEY HEALTH CENTER AND MEDICAL ASSOCIATES OF CAMBRIDGE TO DETERMINE THE NEED FOR ADDITIONAL PRIMARY CARE. FINANCIAL COUNSELORS ARE CAC (CERTIFIED APPLICATION COUNSELOR) CERTIFIED BY HEALTHCARE MARKETPLACE AND CONTINUE TO ASSIST PATIENTS WITH APPLICATION FOR MEDICAID ONSITE AT SOUTHEASTERN MED AND TO PROVIDE GUIDANCE REGARDING THEIR MEDICAL INSURANCE. SOUTHEASTERN MED IS A QUALIFIED ENTITY FOR MEDICAID ENROLLMENT.KEEPING CANCER PATIENTS CLOSE TO HOMESOUTHEASTERN MED EXPANDED ITS SUCCESSFUL CANCER SERVICE LINE IN 2012 BY PURCHASING THE CAMBRIDGE REGIONAL CANCER CENTER, LOCATED ACROSS THE STREET FROM SOUTHEASTERN MED. AS SOUTHEASTERN MED HAS SEEN AN INCREASE IN CANCER CARE REMAINING IN THE COMMUNITY, A NEED FOR A NEW AND LARGER CANCER CENTER WAS IDENTIFIED. IN JANUARY 2021, SOUTHEASTERN MED OPENED ITS NEW CANCER CENTER, THE JOHN W. & EDNA MCMANUS SHEPARD CANCER CENTER, LOCATED IN THE WM. L BAKER FAMILY MEDICAL BUILDING AT 1455 CLARK STREET, CAMBRIDGE OHIO. A NEW LINEAR ACCELERATOR WAS PURCHASED; INFUSION CAPACITY INCREASED BY 150% AND PHYSICIAN OFFICE VISIT CAPACITY INCREASED BY MORE THAN 300%. SOUTHEASTERN MED IS NOW BETTER POSITIONED TO TAKE CARE OF OUR COMMUNITY WHILE MAINTAINING LOWER WAIT TIMES TO SEE A CANCER SPECIALIST.THE JOHN W. & EDNA MCMANUS SHEPARD CANCER CENTER OFFERS ADVANCED HEMATOLOGY AND MEDICAL ONCOLOGY SERVICES FOR PATIENTS WITH MANY DIFFERENT TYPES OF CANCER, INCLUDING BREAST, LUNG, COLON AND GENITOURINARY CANCERS, AS WELL AS BENIGN AND MALIGNANT BLOOD DISORDERS, SUCH AS ANEMIA, LYMPHOMA, LEUKEMIA AND MYELOMA.CHRONIC DISEASE (CANCER) WAS IDENTIFIED AS THE SECOND HEALTH NEED IN THE COMMUNITY THROUGH THE 2019 AND 2022 CHNAS. SOUTHEASTERN MED CONTINUES TO PROVIDE SERVICES TO THE COMMUNITY FIVE DAYS A WEEK.THE IDEAL ARRANGEMENT FOR QUALITY BREAST CARE IS A CENTER OR CLINIC HOUSING MULTIPLE SPECIALISTS THAT ACT AS A TEAM TO CARE FOR BENIGN AND MALIGNANT BREAST DISEASE. THE SPECIALISTS INVOLVED IN SUCH A CLINIC INCLUDE SURGEONS, RADIOLOGISTS, ONCOLOGISTS, GENETICS COUNSELORS AND BREAST NAVIGATORS. AN ALL-ENCOMPASSING BREAST CENTER IS NOT FEASIBLE IN RESOURCE-LIMITED AREAS. IN MOST SMALL TOWNS AND RURAL AREAS, THERE IS NO ORGANIZED TEAM APPROACH TO BREAST CARE. SCREENING AND DIAGNOSTIC MAMMOGRAMS, ULTRASOUNDS, AND MRI SCANS, AND EVEN BREAST BIOPSIES MAY BE ORDERED BY PRIMARY CARE PHYSICIANS, GYNECOLOGISTS AND EVEN NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. CERTAINLY, IT IS VITALLY IMPORTANT FOR EVERY WOMAN TO BE INVOLVED IN A SCREENING PROGRAM, BUT IT IS JUST AS IMPORTANT FOR ALL WOMEN TO GET THE BEST RETURN ON INVESTMENT IN TERMS OF PROPER INTERPRETATION OF THE FINDINGS AND APPROPRIATE FOLLOW-UP. IN 2016, SOUTHEASTERN MED PURCHASED AND BEGAN OFFERING 3D MAMMOGRAPHY TO OUR COMMUNITY. ALL PRIMARY CARE PROVIDERS CAN AND DO ORDER BREAST IMAGING AND BREAST BIOPSIES WHEN SUGGESTED BY THE INTERPRETING RADIOLOGIST. MANY PRACTITIONERS WILL IMMEDIATELY REFER THE PATIENT TO A SURGEON AT THE TIME OF THE INITIAL ABNORMAL IMAGING. INDIVIDUAL PRACTITIONERS RECEIVE THE RESULTS OF ALL IMAGING AND BIOPSY RESULTS. IN ADDITION, THE BREAST NAVIGATOR COLLECTS RESULTS OF ALL ABNORMAL MAMMOGRAMS, ULTRASOUND STUDIES AND MRI STUDIES AND ALL BIOPSY REPORTS. THE INFORMATION IS COLLATED IN A NOTEBOOK ALONG WITH OTHER PERTINENT PATIENT INFORMATION REGARDING SYMPTOMS AND PHYSICAL EXAMINATIONS. THE LEADERSHIP OF THE BREAST CARE TEAM (BCT) THEN REVIEWS EVERY BIRADS CATEGORY IV AND V MAMMOGRAM, AND EACH BIOPSY PERFORMED BY RADIOLOGY OR OTHER PRACTITIONERS. OUR PROGRAM CARES FOR 25-30 NEW BREAST CANCER PATIENTS PER YEAR. OUR RADIOLOGY DEPARTMENT PERFORMED 149 BREAST BIOPSIES IN 2022 OF WHICH 25 WERE POSITIVE. 568 OVERALL BIOPSIES WERE COMPLETED. THE BREAST HEALTH NAVIGATOR AND BCT ACT AS A TEAM TO REVIEW AND TRACK EVERY PATIENT THAT HAS HAD A BIOPSY OR WHO NEEDS RADIOLOGIC FOLLOW-UP FOR ABNORMAL IMAGES. ANY DISCORDANCE OR IRREGULARITY TRIGGERS CONTACT WITH THE PRIMARY CARE PROVIDER, RADIOLOGIST, PATHOLOGIST, OR SURGEON TO RESOLVE THE ISSUE. THERE IS NO COST TO THE PATIENT FOR THIS QUALITY ASSURANCE ACTIVITY ORGANIZED BY THE BREAST TEAM LEADERSHIP.THE SOUTHEASTERN MED BREAST HEALTH NAVIGATOR SAW 16 WOMEN IN 2022 AND PROVIDED ONE-ON-ONE EDUCATIONAL TRAINING REGARDING THEIR LUMPECTOMY AND OR MASTECTOMY, RESOURCES NEEDED TO NAVIGATE APPOINTMENTS, FINANCIAL RESOURCES, AND EMOTIONAL SUPPORT.IN 2022, THERE WAS ONE COMMUNITY BREAST SCREENING CLINIC WITH A TOTAL OF FOUR PARTICIPANTS. SOUTHEASTERN MED AND PHYSICIANS CONTINUE TO OFFER A FREE OR LOW-COST COLONOSCOPY TO ALL PERSONS WHO NEED THE PROCEDURE BUT DO NOT HAVE HEALTH CARE INSURANCE. IN 2022, 1,443 COLONOSCOPIES WERE PERFORMED AT SOUTHEASTERN MED. DR. MICHAEL SARAP, ALONG WITH HIS PARTNERS, DONATES HIS TIME TO PROVIDE FREE EDUCATION AND COLONOSCOPIES TO THE COMMUNITY ON AN AS-NEEDED BASIS. SOUTHEASTERN MED PHYSICIANS ALSO REGULARLY HOSTS FREE SKIN CANCER SCREENINGS TO COMMUNITY MEMBERS. IN 2022, SOUTHEASTERN MED REMAINED ACCREDITED BY THE COMMISSION ON CANCER (COC), A PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS, RECOGNIZES CANCER CARE PROGRAMS FOR THEIR COMMITMENT FOR PROVIDING COMPREHENSIVE, HIGH-QUALITY, AND MULTIDISCIPLINARY PATIENT-CENTERED CARE. SOUTHEASTERN MED, THROUGH COC, HAS ACCESS TO REPORTING TOOLS TO AID IN BENCHMARKING AND IMPROVING OUTCOMES, AS WELL AS EDUCATIONAL AND TRAINING OPPORTUNITIES, DEVELOPMENT RESOURCES, AND ADVOCACY. THE COMMISSION ON CANCER (COC) IS A CONSORTIUM OF PROFESSIONAL ORGANIZATIONS DEDICATED TO IMPROVING SURVIVAL AND QUALITY OF LIFE FOR CANCER PATIENTS THROUGH STANDARD SETTING, WHICH PROMOTES CANCER PREVENTION, RESEARCH, EDUCATION, AND MONITORING OF COMPREHENSIVE QUALITY CARE.THE MULTIDISCIPLINARY COC: ESTABLISHES STANDARDS TO ENSURE QUALITY, MULTIDISCIPLINARY, AND COMPREHENSIVE CANCER CARE DELIVERY IN HEALTH CARE SETTINGS CONDUCTS SURVEYS IN HEALTH CARE SETTINGS TO ASSESS COMPLIANCE WITH THOSE STANDARDS COLLECTS STANDARDIZED DATA FROM COC-ACCREDITED HEALTH CARE SETTINGS TO MEASURE CANCER CARE QUALITY USES DATA TO MONITOR TREATMENT PATTERNS AND OUTCOME. PART VI, LINE 6: PART VI LINE 6 SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER, INC. WHICH OPERATES A NOT-FOR-PROFIT GENERAL ACUTE CARE HOSPITAL, IS A SUBSIDIARY OF GUERNSEY HEALTH SYSTEMS, A NOT-FOR-PROFIT OHIO CORPORATION. GUERNSEY HEALTH SYSTEMS IS INVOLVED IN FUNDRAISING, THE OWNERSHIP AND OPERATION OF MEDICAL OFFICE BUILDINGS AND OTHER HEALTHCARE RELATED FACILITIES, AND THE EXECUTIVE-LEVEL MANAGEMENT OF ITS RELATED CORPORATIONS. GUERNSEY HEALTH ENTERPRISES, INC., A SUBSIDIARY OF GUERNSEY HEALTH SYSTEMS, IS A FOR-PROFIT HEALTH SERVICES CORPORATION AND IS THE PARENT COMPANY OF UNITED AMBULANCE SERVICE OF CAMBRIDGE, INC., AN EMERGENCY RESPONSE AND TRANSPORT AMBULANCE SERVICE. SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER, INC. IS THE SOLE MEMBER OF SUPERIOR MED, LLC, A DISREGARDED TAX-EXEMPT ORGANIZATION THAT OPERATES PHYSICIAN OFFICES IN THE COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES OH ADDITIONAL INFORMATION FOR PART VI - LINE 5 PROMOTION OF COMMUNITY HEALTH INDIVIDUALS AND REPRESENTATIVES OF MORE THAN 50 CANCER-RELATED ORGANIZATIONS COMPRISE THE MEMBERSHIP OF THE COC AND CONTRIBUTE TO THE DEVELOPMENT OF THE COC STANDARDS AND ACCREDITATION PROGRAM.TODAY, THERE ARE MORE THAN 1,500 COC-ACCREDITED CANCER PROGRAMS IN THE UNITED STATES AND PUERTO RICO. COC ACCREDITATION ENCOURAGES HOSPITALS, TREATMENT CENTERS, AND OTHER FACILITIES TO IMPROVE THEIR QUALITY OF CARE THROUGH VARIOUS CANCER-RELATED PROGRAMS AND ACTIVITIES. THESE PROGRAMS ARE CONCERNED WITH THE FULL CONTINUUM OF CANCERFROM PREVENTION TO SURVIVORSHIP AND END-OF-LIFE-CAREWHILE ADDRESSING BOTH SURVIVAL AND QUALITY OF LIFE.IN 2019, SOUTHEASTERN MED'S BREAST CANCER SERVICES TEAM WAS CERTIFIED FOR ANOTHER THREE YEARS BY THE NAPBC, WHICH IS THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. LIKE THE COC CERTIFICATION EARNED, THE FOCUS OF THE NAPBC IS IN PART ON MULTI-DISCIPLINARY CARE. THE STANDARDS ALSO REQUIRE A FOCUS ON PREVENTION, EARLY DETECTION, PRE-TREATMENT EVALUATION, STAGING, AND MORE. ACCREDITATION BY THE NAPBC IS GRANTED ONLY TO THOSE CENTERS THAT HAVE VOLUNTARILY COMMITTED TO PROVIDE THE HIGHEST QUALITY CARE TO PATIENTS WITH DISEASES OF THE BREAST. EACH CENTER MUST UNDERGO A RIGOROUS EVALUATION AND REVIEW OF ITS PERFORMANCE AND COMPLIANCE WITH THE NAPBC STANDARDS. DISASTER PREPAREDNESS PLAN THE EMERGENCY MANAGEMENT COORDINATOR FOR SOUTHEASTERN MED IS APPOINTED TO THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC) BY THE COUNTY COMMISSIONERS. IT IS THE JOB OF THE LEPC TO DEVELOP AN EMERGENCY RESPONSE PLAN FOR THE COUNTY AND REVIEW IT EVERY YEAR. THE LEPC IS MADE UP OF: ELECTED STATE AND LOCAL OFFICIALS POLICE, FIRE, CIVIL DEFENSE, AND PUBLIC HEALTH PROFESSIONALS ENVIRONMENTAL, TRANSPORTATION, AND HOSPITAL OFFICIALS FACILITY REPRESENTATIVES REPRESENTATIVES FROM COMMUNITY GROUPS AND THE MEDIASOUTHEASTERN MED SHARES ITS OWN EMERGENCY OPERATIONS PLAN (EOP) AND HAZARD VULNERABILITY ANALYSIS (HVA) WITH OUR COMMUNITY PARTNERS.THE EMERGENCY MANAGEMENT COORDINATOR IS A MEMBER OF THE GUERNSEY AND NOBLE COUNTY LEPC. THE LEPC MEETS AT LEAST QUARTERLY. SOUTHEASTERN MED PARTICIPATES IN BOTH GUERNSEY AND NOBLE COUNTY DISASTER DRILLS.SOUTHEASTERN MED IS A PART OF THE OHIO HOSPITAL ASSOCIATION (OHA) REGIONAL HOSPITAL COALITION. THE REGIONAL COALITION MEETS MONTHLY TO DISCUSS AND SHARE IDEAS FOR DISASTER PREPAREDNESS. HOSPITALS THAT PARTICIPATE IN THE REGIONAL COALITION CAN OBTAIN GRANTS FOR EMERGENCY PREPAREDNESS EQUIPMENT, WHICH REMAIN AVAILABLE TO OTHER HOSPITALS IN THE STATE IN THE EVENT OF A SIGNIFICANT DISASTER IN THEIR SERVICE AREA. 0 0 0 0 0 0 0 0 0 KARL W KUMLER MD PHYSICIAN 618088 0 0 0 0 0 0 0 6931 0 625019 0 0 0 ELAINE BEED MD PHYSICIAN 545000 0 53983 0 5191 0 0 0 0 0 604174 0 0 0 EYAD AL MAHAYRI MD PHYSICIAN 449254 0 86788 0 3054 0 0 0 10654 0 549750 0 0 0 CARL F JUENG MD PHYSICIAN 533478 0 0 0 0 0 0 0 5821 0 539299 0 0 0 VANESSA VOYTKO DO PHYSICIAN 464520 0 15554 0 0 0 0 0 4150 0 484224 0 0 0 A CITY OF CAMBRIDGE OHIO 316400220 NONEAVAIL 2019-10-01 7500000 CONSTRUCTION OF CANCER CENTER 0 0 0 A 7500000 58500 7441500 2021 0 0 0 1 A 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 DOMINIC D CROCK FAMILY MEMBER OF TRUSTEE 139507 EMPLOYMENT 0 SOUTHEASTERN OHIO PHYSICIANS INC PARTIAL OWNERSHIP BY TRUSTEE 468058 MEDICAL SERVICES 0 JOSEPH OHANLON DO FAMILY MEMBER OF TRUSTEE 6890 MEDICAL SERVICES 0 FORM 990, PART VI, SECTION A, LINE 3 BOARD MEMBERS ARE ELECTED BY BOARD MEMBERS OF GUERNSEY HEALTH SYSTEMS, THE NOT-FOR-PROFIT PARENT COMPANY OF SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE OCTOBER 10, 2018 GUERNSEY HEALTH SYSTEMS AND THE SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER 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 BY PROVIDING THE PRESIDENT & CEO, VICE PRESIDENT OF FINANCE, 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 & CEO, 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 AMENDED AND RESTATED ARTICLES OF INCORPORATION WERE ADOPTED EFFECTIVE JANUARY 1, 2023. THE SOLE MEMBER OF THE CORPORATION WAS CHANGED FROM GUERNSEY HEALTH SYSTEMS TO OHIOHEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD BEFORE FILING. A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS COMPLETE AN ANNUAL STATEMENT DISCLOSING ALL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15B THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PERFORMS A COMPENSATION STUDY OF MANAGEMENT POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 ALL SUCH ITEMS ARE AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 16,061,703. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,061,703. OTHER SERVICES: PROGRAM SERVICE EXPENSES 3,582,331. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,582,331. LINEN SERVICES: PROGRAM SERVICE EXPENSES 177,738. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 177,738. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 166,884. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,884. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 241,222. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 241,222. PHYSICIAN LOAN LOSSES: PROGRAM SERVICE EXPENSES -16,249. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -16,249. PURCHASE SERVICES: PROGRAM SERVICE EXPENSES 272,010. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 272,010. ANSWERING SERVICES: PROGRAM SERVICE EXPENSES 642. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 642. BILLING SERVICES: PROGRAM SERVICE EXPENSES 287,963. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 287,963. OTHER FEES-MNGMNT-990: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 234,486. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 234,486. FORM 990, PART XI, LINE 9: CHANGE IN PENSION LIABILITY 3,545,171. SUPERIOR MED LLC 1341 CLARK STREET CAMBRIDGE OH 43725 311311881 PHYSICIAN OFFICES OH 7128885 2996139 SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER GUERNSEY HEALTH SYSTEMS 1341 CLARK STREET CAMBRIDGE OH 43725 311148352 MANAGEMENT & FUNDRAISING OH 501(C)(3) 12 TYPE II N/A 0 SOUTHEASTERN HOME CARE LLC 170 EDISON DRIVE MILFORD OH 45150 271219638 HOME HEALTH SERVICES OH N/A RELATED 872816 298318 0 0 0.40000 GUERNSEY HEALTH ENTERPRISES INC 1341 CLARK STREET CAMBRIDGE OH 43725 311191428 AMBULANCE SERVICE OH GUERNSEY HEALTH SYSTEMS C 0 UNITED AMBULANCE SERVICE OF CAMBRIDGE INC 1341 CLARK STREET CAMBRIDGE OH 43725 311086097 AMBULANCE SERVICE OH GUERNSEY HEALTH SYSTEMS C 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 GUERNSEY HEALTH SYSTEMS E 6642000 LOANS GUARANTEED GUERNSEY HEALTH SYSTEMS K 370518 CASH PAID GUERNSEY HEALTH SYSTEMS N 100000 ESTIMATED GUERNSEY HEALTH SYSTEMS E 21065 LOANS FROM