Civic Intelligence

Southwest General Health Center

EIN 34-0753531 • 501(c)3 • Cleveland, OH

Profile

Southwest Generals vision is to be the leading health care system based in and serving the communities southwest of Cleveland. We aim to be looked to by our communities as their first choice for advanced medicine and an exceptional health care experience leading with unsurpassed quality, dynamic growth, innovative professionals, and advanced facilities.

18697 Bagley RoadCleveland, OH 44130

www.swgeneral.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

67th percentile

0.49x

Higher debt load relative to assets than 67% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

57th percentile

0.57x

Higher debt load relative to revenue than 57% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

25th percentile

-2.0%

Higher net margin than 25% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

49th percentile

$828,864

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

16th percentile

-2.3%

Faster asset growth than 16% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

44th percentile

7.1%

Faster revenue growth than 44% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Down

$523,563,156

Down $12,195,886 (-2.3%) from 2023

Liabilities

Down

$255,188,064

Down $4,237,526 (-1.6%) from 2023

Net Assets

Down

$268,375,092

Down $7,958,360 (-2.9%) from 2023

Revenue

Up

$449,561,763

Up $29,859,990 (+7.1%) from 2023

Expenses

Up

$458,370,664

Up $31,013,420 (+7.3%) from 2023

Net Income

Down

-$8,808,901

Down $1,153,430 (-15%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$800M$600M$400M$200M$0Assets 2010: $307,845,982Liabilities 2010: $153,954,091Net Assets 2010: $153,891,8912010Assets 2011: $356,880,136Liabilities 2011: $207,096,398Net Assets 2011: $149,783,7382011Assets 2012: $438,016,377Liabilities 2012: $276,878,991Net Assets 2012: $161,137,3862012Assets 2013: $469,648,855Liabilities 2013: $258,151,082Net Assets 2013: $211,497,7732013Assets 2014: $471,036,683Liabilities 2014: $280,697,374Net Assets 2014: $190,339,3092014Assets 2015: $473,162,344Liabilities 2015: $287,679,191Net Assets 2015: $185,483,1532015Assets 2016: $478,507,452Liabilities 2016: $281,081,576Net Assets 2016: $197,425,8762016Assets 2017: $498,170,646Liabilities 2017: $266,442,133Net Assets 2017: $231,728,5132017Assets 2018: $494,997,719Liabilities 2018: $268,746,159Net Assets 2018: $226,251,5602018Assets 2019: $532,276,123Liabilities 2019: $287,894,595Net Assets 2019: $244,381,5282019Assets 2020: $593,328,591Liabilities 2020: $342,861,833Net Assets 2020: $250,466,7582020Assets 2021: $614,338,132Liabilities 2021: $326,659,802Net Assets 2021: $287,678,3302021Assets 2022: $543,076,182Liabilities 2022: $269,876,251Net Assets 2022: $273,199,9312022Assets 2023: $535,759,042Liabilities 2023: $259,425,590Net Assets 2023: $276,333,4522023Assets 2024: $523,563,156Liabilities 2024: $255,188,064Net Assets 2024: $268,375,0922024

Highlighted filing

2024

Assets$523,563,156
Liabilities$255,188,064
Net Assets$268,375,092

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600M$400M$200M$0-$200MExpenses 2010: $268,971,4652010Expenses 2011: $270,039,4992011Expenses 2012: $280,450,4672012Revenue 2013: $311,593,848Expenses 2013: $288,233,961Net Income 2013: $23,359,8872013Revenue 2014: $327,997,773Expenses 2014: $306,760,443Net Income 2014: $21,237,3302014Revenue 2015: $326,496,014Expenses 2015: $312,417,745Net Income 2015: $14,078,2692015Revenue 2016: $335,776,998Expenses 2016: $322,501,110Net Income 2016: $13,275,8882016Revenue 2017: $363,255,847Expenses 2017: $343,575,301Net Income 2017: $19,680,5462017Revenue 2018: $377,176,711Expenses 2018: $356,416,154Net Income 2018: $20,760,5572018Revenue 2019: $390,498,903Expenses 2019: $384,499,305Net Income 2019: $5,999,5982019Revenue 2020: $373,513,244Expenses 2020: $371,157,703Net Income 2020: $2,355,5412020Revenue 2021: $427,573,638Expenses 2021: $410,771,293Net Income 2021: $16,802,3452021Revenue 2022: $414,399,819Expenses 2022: $414,005,148Net Income 2022: $394,6712022Revenue 2023: $419,701,773Expenses 2023: $427,357,244Net Income 2023: -$7,655,4712023Revenue 2024: $449,561,763Expenses 2024: $458,370,664Net Income 2024: -$8,808,9012024

Highlighted filing

2024

Revenue$449,561,763
Expenses$458,370,664
Net Income-$8,808,901

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$524$255$268$450$458$8.81
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$536$259$276$420$427$7.66
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$543$270$273$414$414$0.39
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$614$327$288$428$411$16.8
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$593$343$250$374$371$2.36
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$532$288$244$390$384$6.00
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$495$269$226$377$356$20.8
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$498$266$232$363$344$19.7
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$479$281$197$336$323$13.3
2015Detailed filing. Detailed filing data is available for this year.$473$288$185$326$312$14.1
2014Detailed filing. Detailed filing data is available for this year.$471$281$190$328$307$21.2
2013Detailed filing. Detailed filing data is available for this year.$470$258$211$312$288$23.4
2012XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$438$277$161$280
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$357$207$150$270
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$308$154$154$269
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 2, 2023
Return Version
2022v5.0
Gross Receipts
$537,405,455
Mission and Program Overview

Mission

Southwest Generals vision is to be the leading health care system based in and serving the communities southwest of Cleveland. We aim to be looked to by our communities as their first choice for advanced medicine and an exceptional health care experience leading with unsurpassed quality, dynamic growth, innovative professionals, and advanced facilities.

Southwest Generals mission statement Health is our Passion, Quality is our Focus, Compassion is our Way.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$286,266,697$222,261,924▼ $64,004,773
Land, Buildings, and Equipment, Net$177,664,257$173,544,129▼ $4,120,128
Accounts Receivable$43,125,389$47,630,390▲ $4,505,001
Savings and Temporary Cash Investments$27,881,342$23,705,018▼ $4,176,324
Prepaid Expenses and Deferred Charges$7,515,698$8,983,559▲ $1,467,861
Cash and Non-Interest-Bearing Accounts$34,332,552$7,836,846▼ $26,495,706
Inventories for Sale or Use$7,963,798$6,372,269▼ $1,591,529
Investments Program Related$4,269,936$4,270,556▲ $620
Total Assets$614,338,132$543,076,182▼ $71,261,950
Other Assets Total$25,318,463$48,471,491▲ $23,153,028
Liabilities
Tax Exempt Bond Liabilities$135,857,625$132,544,855▼ $3,312,770
Accounts Payable and Accrued Expenses$73,428,438$69,433,152▼ $3,995,286
Other Liabilities$117,373,739$67,898,244▼ $49,475,495
Total Liabilities$326,659,802$269,876,251▼ $56,783,551
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$287,678,330$273,199,931▼ $14,478,399
Total Net Assets Fund Balance$287,678,330$273,199,931▼ $14,478,399
Total Liabilities and Net Assets / Fund Balance$614,338,132$543,076,182▼ $71,261,950

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$123,792,002$208,804,779$332,596,781
Equipment$39,156,747$107,991,065$147,147,812
Land$7,570,529-$15,915,568
Other Land Buildings$2,823,986-$2,823,986
Leasehold Improvements$200,865$723,263$924,128
Other Assets Org$25,071,466--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
William A Young JrPresident/CEOFT$557,253$209,078$766,331
John Alton MDPresident Medical Staff-$347,746$141,643$489,389
Martha BauschkaVP/CNOFT$284,798$131,885$416,683
Linda BrashearPhysician AdvisorFT$291,607$87,180$395,992
Kelly LinsonSr. VP/CFOFT$341,965$31,704$373,669
Albert MatyasVP/MarketingFT$254,888$116,442$371,330
Cheryl OMalleyChief Transformation OfficerFT$251,429$74,367$333,477
Michael WaggonerDirector of Behavioral HealthFT$156,265$87,467$315,035
Eric D RenzClinical NurseFT$185,106$47,191$232,368
Ferdinand PlechaChief Medical OfficerFT$191,404$38,391$229,798
Jill BarberDirector Managed Care RevFT$194,540$102,756$218,725
Gregory Rogers MDVP Medical Staff-$206,458$7,295$213,266
Donna WilliamsPhysician AssistFT$167,530$44,485$194,810

Highest Paid Contractors

ContractorServicesLocationCompensation
Cerner CorporationHealthcare Information Technology2800 Rockcreek Parkway, Kansas City, MO 64117$11,011,827
Healthtrust Inc DBA HSS SystemsRevenue Cycle1100 DR Martin L King Jr Blvd, Nashville, TN 37203$7,734,348
ABM Healthcare Support ServicesContract LaborPO Box 74008829, Chicago, IL 60674-8829$5,450,808
Community Hospitalists LLCPhysicians7500 Rialto Blvd Suite 140, Austin, TX 78735$4,224,912
University Hospitals Health SysPurchased SvcPO Box 78000, Detroit, MI 48278-1887$3,839,329
Revenue and Support

Revenue Composition

Contributions and Grants
$3,215,411
Program Service Revenue
$397,505,619
Investment Income
$10,173,995
Other Revenue
$3,504,794
Change in Net Assets
$394,671
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$249,446,363
Salaries, Compensation, and Employee Benefits$164,263,187
Grants and Similar Amounts Paid$295,598
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$119,447,149$8,330,252-$127,777,401
Fees for Services Other$41,730,531$10,196,161-$51,926,692
Information Technology$17,175,083$4,891,752-$22,066,835
Depreciation Depletion$20,260,334$1,775,631-$22,035,965
Other Employee Benefits$12,041,746$1,083,452-$13,125,198
Other Expenses$13,459$12,523,650-$12,537,109
Occupancy$10,147,204$449,195-$10,596,399
Pension Plan Contributions$9,547,765$859,057-$10,406,822
Office Expenses$8,752,083$1,419,614-$10,171,697
Payroll Taxes$8,708,332$783,530-$9,491,862
Insurance$176,724$7,982,975-$8,159,699
Interest-$4,808,493-$4,808,493
Current Officers, Directors, Trustees, and Key Employees-$3,461,904-$3,461,904
All Other Expenses$1,386,802$583,726-$1,970,528
Advertising$600,778$708,499-$1,309,277
Fees for Service Investment Mgmnt Fees-$853,342-$853,342
Fees for Services Legal-$652,943-$652,943
Travel$496,727$4,647-$501,374
Fees for Services Accounting-$447,796-$447,796
Grants to Domestic Orgs$295,598--$295,598
Conferences and Meetings$34,097$87,835-$121,932
Total Functional Expenses$352,100,694$61,904,454$0$414,005,148
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Ukrainian Medical Association of North America - Ohio ChapterChicago, IL501 c 3General Support to Ukraine-
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Former Officer/DirectorContractor for Health ServicesNo$468,022
Cardiovascular Med AssocOfficer/DirectorContractor for Health ServicesNo$39,182
Heart Vascular InstituteOfficer/DirectorPartnership interest with HVINo$10,241
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued retirement costs$28,255,000
Due to Third Party payors$11,860,021
Workers Compensation Reserve$10,462,308
Notes Payable and Capital Lease obligations$10,385,722
Federal income taxes$3,220,558
Current portion of long term debt$2,719,057
Other Liabilities$530,509
Insurance Claim Reserve$386,319
Drawable earnings due to UHHS$78,750
Revenue Bonds Taxable-
Charitable Trust-
Lease Liabilities - operating-
Medicare COVID-19 Advance-

Bond Issues

BondIssuerIssuedIssue PricePurpose
CCity of Middleburg Heights Ohio2021-05-04$61,066,286Used to defease Series 2011 Bonds
DCity of Middleburg Heights Ohio2020-08-03$50,567,021Improvement endoscopy and maternity and new born units, refund 2012 bonds
BCity of Middleburg Heights Ohio2021-12-13$21,331,312Used to defease 2012 Series B and 2012 Series C Bonds
ACounty of Medina Ohio2021-12-31$7,605,000Paid off 2012 Bonds used to construct outpatient facilities in Medina County

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
C$61,066,286$60,671,728--
D$50,567,021$25,029,437--
B$21,331,312$21,331,312-$536,046
A$7,605,000$7,605,000-$392,355

Bond Financing Compliance

No rebate due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
No
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Southwest Community Health System non profit tax exempt is a voting member. University Hospitals Health System shares in 50 of the net income or loss excluding tax levy receipts of the Health Center under a Partnering Agreement.

Form 990, Part VI, Section A, Line 7A

Under the partnering agreement referenced in the narrative for Part VI line 6, University Hospitals non profit tax exempt has a 50 representation on the Health Centers board.

Form 990, Part VI, Section A, Line 7B

Budget is subject to approval by Southwest Community Health System.

Form 990, Part VI, Section B, Line 11B

The 990 is reviewed internally by the CEO and CFO. It is presented and reviewed at the Audit Committee of the Board of Trustees Governing Board at their October meeting. The Audit Committee of the Board of Trustees is a joint committee of the Boards of Southwest Community Health System and Southwest General Health Center. The return is distributed electronically to the entire board before filing. Also prior to filing, the entire Board is presented with a review of the highlights and key points of the 990 at their October meeting.

Form 990, Part VII, Section B, Line 12C

Southwest Community Health System has a written conflict of interest policy that requires our officers, directors, and key employees to annually disclose potential conflicts of themselves and their family members on a questionnaire distributed by the Compliance Officer. If a designated person discloses in writing a circumstance that falls within the terms and conditions of the Southwest Community Health System policy, such disclosure shall be reviewed by the Compliance Officer and, as applicable, Southwest Community Health Systems Legal Counsel, senior leadership, and the Governance and Ethics Committee to determine the appropriate course of action. Southwest Community Health System requires all new physicians to disclose in writing any potential conflicts as part of the onboarding process. Southwest Community Health System also requires requests for proposals from vendors, suppliers, or contractors to disclose whether the bidder or any of the bidding companys officers or key personnel or their family members have a conflict with Southwest Community Health System. The Compliance Officer monitors potential conflicts disclosed from year to year and addresses changes in disclosures appropriately such as evaluating whether a disclosed conflicted interest still exists when a designated persons disclosure is inconsistent from their previous conflicts reported on the annual questionnaire. Southwest Community Health System enforces the conflict of interest policy in various ways on a case by case basis such as requiring a person to abstain from voting, advocating, or participating in decisions involving the conflicted interest or by requiring severing the relationship. The Compliance Officer is responsible for administering the conflict of interest program and documenting all actions required by the policy.

Form 990, Part VI, Section B, Line 15A

Southwest has a CEO Oversight Board Committee that annually reviews the CEOs salary. The committee uses an outside consultant to perform a salary survey using data about similarly situated executives in other organizations. Documentation for these decisions are currently kept by Southwest General Health Centers Human Resources department. In 2022 the review was done in December.

Form 990, Part VI, Section B, Line 15B

Executive salary actions are reviewed with the CEO Oversight Board Committee. Documentation for these decisions are currently kept by Southwest General Health Centers Human Resources department.

Form 990, Part VI, Section C, Line 19

Board of Trustee lists, Mission and Vision statement, and a consolidated financial summary are available on our website at www.swgeneral.com. The 990 is available upon request. Quarterly and annual financial statement disclosure is available to the public at www.dacbond.com and https//emma.msrb.org/. Conflict of interest policy available upon request.

Form 990, Part VII, Section A, Line 1

William A Young Jr, President and CEO of Southwest General Health Center is also on the Board of Southwest Community Health System and Southwest Community Health Foundation, both related organizations.

Form 990, Part VII, Section A, Line 3

The compensation information for the following individual will also be found on related tax exempt organizations 990 returns. The compensation amounts on those other 990 returns is not additive to the amounts on this 990 return for tax ID 34-0753531. Ferdinand Plecha 34-1652755.

Form 990, Part VII, Section A, Line 7

Kelly Linson SVP/Chief Financial Offer also provides time to Southwest Community Health System and Southwest Community Health Foundation, both related organizations.

Form 990, Part VII, Section A, Line 1

The compensation information for the following individual will also be found on related tax exempt organizations 990 returns. The compensation amounts on those other 990 returns is not additive to the amounts on this 990 return for tax ID 34-0753531. William A. Young Jr 34-1455141 34-1455135 34-1652755.

Form 990, Part VII, Section A, Line 7

The compensation information for the following individual will also be found on related tax exempt organizations 990 returns. The compensation amounts on those other 990 returns is not additive to the amounts on this 990 return for tax ID 34-0753531. Kelly Linson 34-1455141 34-1652755.

Filing and Contact Details

Filer

Filer Name
Southwest General Health Center
EIN
34-0753531
Phone
4408168000
Address
18697 BAGLEY ROAD, MIDDLEBURG HTS, OH 44130-3417

Signing Officer

Name
Kelly Linson
Title
Svpcfo
Phone
4408168000
Signed
2023-11-02
Discuss with paid preparer
No

Organization Details

Formed
1920
Legal Domicile
Oh
Voting Board Members
23
Independent Board Members
21
Employees
3,097
Volunteers
319
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Program Services Consulting 2,540,549 General admin purchased services 6,859,303 Healthcare purchased services 25,668,689 Repair Service agreements 6,661,990. Management and General Services Consulting 1,406,931 General admin purchased services 8,589,302 Healthcare purchased services 131,545 Repair Service agreements 68,383.

Form 990, Part XI, Line 9

Changes in the following fund balance accounts Contribution to Foundation 820,706 Drawable credited earning due from UHHS 25,071,466 and implementation of ASU 2016-01 change in equity investment reporting 10,552,908

Form 990, Part XII, Line 2B

In the course of preparing their audit report, the independent auditors reviewed the organizations financial statements.

Form 990, Part I, Line 19

The decrease between prior and current year is primarily due to higher costs associated with purchased services, combined with a reduction in investment income and COVID-19 relief funding.

Raw XML AppendixShowing 400 of 1,534 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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