FAIRFIELD MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- FAIRFIELD MEDICAL CENTER (EIN 31-0645626)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202203189349314330
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T21:24:33-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N MERIDIAN ST SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310645626 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAIRFIELD MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAIR | BusinessNameControlTxt |
| Phone | 7406878051 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 NORTH EWING STREET | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 431303371 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN R JANOSO JR | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 7406878051 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOHN | PersonFirstNm |
| Person Last | JANOSO JR | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NATHAN A RODGERS CPA | PreparerPersonNm |
| PTIN | P01568275 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2022-11-08 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN R JANOSO JR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 NORTH EWING STREET | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 431303371 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $371,317,644 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FMCHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | FAIRFIELD MEDICAL CENTER DELIVERS OUTSTANDING HEALTHCARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 2357 | TotalEmployeeCnt |
| Total Volunteers | 156 | TotalVolunteersCnt |
| Total Gross UBI | $274,836 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $206,432 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $39,391,249 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,003,645 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $264,487,191 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $302,024,320 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,191,465 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,480,143 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,512,254 | PYOtherRevenueAmt |
| CY Other Revenue | $16,013,175 | CYOtherRevenueAmt |
| PY Total Revenue | $309,199,229 | PYTotalRevenueAmt |
| CY Total Revenue | $320,521,283 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $170,910 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $119,365 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $119,710,131 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $118,106,737 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $156,044,665 | PYOtherExpensesAmt |
| CY Other Expenses | $166,925,356 | CYOtherExpensesAmt |
| PY Total Expenses | $275,925,706 | PYTotalExpensesAmt |
| CY Total Expenses | $285,151,458 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $33,273,523 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $35,369,825 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $368,796,028 | TotalAssetsBOYAmt |
| Total Assets EOY | $354,412,820 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $223,237,255 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $200,313,757 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $145,558,773 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $154,099,063 | NetAssetsOrFundBalancesEOYAmt |
| Mission | FAIRFIELD MEDICAL CENTER DELIVERS OUTSTANDING HEALTHCARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $224,248,977 | ExpenseAmt |
| Grant | $119,365 | GrantAmt |
| Revenue | $317,674,551 | RevenueAmt |
| Desc | A) PATIENT CARE: INPATIENT MEDICAL, SURGICAL, EMERGENCY, MATERNITY, ICU, PSYCHIATRY, AND NURSING SERVICES (71,109 DISCHARGES, PROCEDURES & VISITS) | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | B) PATIENT CARE: LABORATORY, CARDIOVASCULAR, RADIOLOGY, THERAPY, PHARMACY, AND MEDICAL SUPPLY SERVICES (6,497,684 PROCEDURES & DOSAGES) | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | C) PATIENT CARE: NUTRITIONAL SERVICES (420,617 MEALS SERVED) PATIENT CARE: LAUNDRY SERVICES (1,218,898 POUNDS) PATIENT CARE: PLANT ENGINEERING, POLICE, HOUSEKEEPING, CENTRAL TRANSPORT, INTEREST & DEPRECIATION (750,056 SQUARE FEET) | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $224,248,977 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 158 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2357 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN R JANOSO JR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7406896825 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 NORTH EWING STREET | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 431303371 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN R JANOSO JR | |||||||||
| DIRECTOR, PRESIDENT, & CEO | 55.00 | 1.00 | Yes (X) | Yes (X) | $820,576 | $0 | $32,730 | ||
| ALAN F GREENSLADE | |||||||||
| CIO, TREASURER | 40.00 | 2.00 | $332,297 | $0 | $37,089 | Yes (X) | |||
| LAURA MOORE | |||||||||
| CHIEF BUSINESS & STRATEGY OFFICER | 40.00 | 0.00 | $317,132 | $0 | $36,984 | Yes (X) | |||
| MARK T DARNELL MD | |||||||||
| CMO-TERM BEGAN FEB'21 | 40.00 | 0.00 | $323,598 | $0 | $12,109 | Yes (X) | |||
| JONATHAN KELLY | |||||||||
| CFO-TERM BEGAN FEB'21 | 40.00 | 0.00 | Yes (X) | $242,824 | $0 | $26,864 | |||
| HELEN F HARDING | |||||||||
| CNO-TERM ENDED JAN'21 | 40.00 | 0.00 | $261,346 | $0 | $7,840 | Yes (X) | |||
| MARK E VANDERHOFF | |||||||||
| CHIEF NURSING OFFICER | 40.00 | 0.00 | $229,675 | $0 | $33,403 | Yes (X) | |||
| ROBERT L ZEE DO | |||||||||
| RESIDENCY PROGRAM DIRECTOR | 32.00 | 0.00 | $208,156 | $0 | $13,483 | Yes (X) | |||
| MICHAEL MEYER | |||||||||
| DIRECTOR, FINANCIAL SERVICES | 40.00 | 0.00 | $180,478 | $0 | $26,964 | Yes (X) | |||
| PAMELA STARLIN | |||||||||
| DIRECTOR, ENVIRONMENTAL SVCS | 26.00 | 0.00 | $165,996 | $0 | $28,396 | Yes (X) | |||
| THERESA DYAR DO | |||||||||
| DIRECTOR/RESIDENCY PRGRM D | 27.00 | 0.00 | Yes (X) | $182,559 | $0 | $8,950 | |||
| ELIZABETH BRENDSEL | |||||||||
| STAFF PHARMACIST | 41.00 | 0.00 | $159,666 | $0 | $28,453 | Yes (X) | |||
| JEFFREY COLLINS | |||||||||
| DIRECTOR, PATIENT SERVICES | 40.00 | 0.00 | $165,176 | $0 | $14,593 | Yes (X) | |||
| LAURA TUSSING | |||||||||
| CHAIR | 3.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRADLEY HEDGES PHD | |||||||||
| VICE CHAIR | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW WIDEMAN | |||||||||
| SECRETARY | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RON BURRIS | |||||||||
| DIRECTOR-TERM BEGAN JUNE'21 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAN FRUTH | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANGELA KRILE | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LAURI LACH | |||||||||
| DIRECTOR-TERM BEGAN AUG'21 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RON LINEHAN MD | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICAH RIGGENBACH | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LAURIANNE SCOTT | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN SWICK | |||||||||
| DIRECTOR-TERM BEGAN JUNE'21 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIE WARD | |||||||||
| DIRECTOR-TERM BEGAN AUG'21 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM YAPLE | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| AUNDREA CORDLE | |||||||||
| DIRECTOR-TERM ENDED MAR'21 | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN NIXON STOUGHTON | |||||||||
| DIRECTOR-TERM ENDED MAY'21 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MILT TAYLOR JR | |||||||||
| DIRECTOR-TERM ENDED MAY'21 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,589,479 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $307,858 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 94 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FAIRFIELD ANESTHESIA ASSOCIATES | |||||
| PO BOX 427 | LANCASTER | OH | 43130 | PHYSICIAN SERVICES | $3,503,232 |
| RENOVO SOLUTIONS | |||||
| 1801 E PARKCOURT PLACE BLDG D | SANTA ANA | CA | 92701 | BIOMEDICAL SERVICES | $1,718,171 |
| SPECIALTY CARE MISS SERVICES | |||||
| DEPT 1614 | BIRMINGHAM | AL | 35246 | PERSONNEL SERVICES | $1,386,965 |
| US ACUTE CARE SOLUTIONS | |||||
| 4535 DRESSLER RD NW | CANTON | OH | 44718 | PHYSICIAN SERVICES | $1,132,167 |
| COMTEX | |||||
| 575 HARMON AVE | COLUMBUS | OH | 43223 | LAUNDRY SERVICES | $870,075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $528 | GovernmentGrantsAmt |
| All Other Contributions | $1,003,117 | AllOtherContributionsAmt |
| Total Contributions | $1,003,645 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $302,024,320 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $302,024,320 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $302,024,320 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,332,732 | TotalRevenueColumnAmt |
| Exclusion | $1,332,732 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $288,920 | RealAmt |
| Personal | $24,926 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,087,550 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$798,630 | RealAmt |
| Personal | $24,926 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$773,704 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $24,926 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$798,630 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $49,811,217 | SecuritiesAmt |
| Other | $45,005 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $49,447,130 | SecuritiesAmt |
| Other | $261,681 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $364,087 | SecuritiesAmt |
| Other | -$216,676 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $147,411 | TotalRevenueColumnAmt |
| Exclusion | $147,411 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| JOINT VENTURE INCOME | 900099 | $4,702,974 | $4,702,974 | ||
| CAFETERIA SALES | 722514 | $886,738 | $886,738 | ||
| OUTSIDE REFERENCE LAB | 621500 | $245,062 | $245,062 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,952,105 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,947,257 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,848 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $16,786,879 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $320,521,283 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $317,674,551 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $274,836 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,568,251 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,365 | TotalAmt |
| Program Services | $119,365 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,905,976 | TotalAmt |
| Program Services | $2,625,279 | ProgramServicesAmt |
| Management And General | $280,697 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,434,431 | TotalAmt |
| Program Services | $81,699,099 | ProgramServicesAmt |
| Management And General | $8,735,332 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,125,958 | TotalAmt |
| Program Services | $4,579,844 | ProgramServicesAmt |
| Management And General | $546,114 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,904,486 | TotalAmt |
| Program Services | $11,529,657 | ProgramServicesAmt |
| Management And General | $1,374,829 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,735,886 | TotalAmt |
| Program Services | $6,018,252 | ProgramServicesAmt |
| Management And General | $717,634 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,900,658 | TotalAmt |
| Management And General | $13,900,658 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,273,147 | TotalAmt |
| Management And General | $1,273,147 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,741 | TotalAmt |
| Management And General | $138,741 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,561,800 | TotalAmt |
| Program Services | $25,374,113 | ProgramServicesAmt |
| Management And General | $16,187,687 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,900 | TotalAmt |
| Program Services | $350,186 | ProgramServicesAmt |
| Management And General | $252,714 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,611,799 | TotalAmt |
| Program Services | $2,133,233 | ProgramServicesAmt |
| Management And General | $478,566 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,567 | TotalAmt |
| Program Services | $16,012 | ProgramServicesAmt |
| Management And General | $11,555 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,867,434 | TotalAmt |
| Program Services | $2,213,619 | ProgramServicesAmt |
| Management And General | $2,653,815 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,721 | TotalAmt |
| Program Services | $181,095 | ProgramServicesAmt |
| Management And General | $40,626 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,303,590 | TotalAmt |
| Program Services | $5,339,639 | ProgramServicesAmt |
| Management And General | $963,951 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,612,451 | TotalAmt |
| Program Services | $11,937,485 | ProgramServicesAmt |
| Management And General | $4,674,966 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $679,617 | TotalAmt |
| Program Services | $550,465 | ProgramServicesAmt |
| Management And General | $129,152 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $67,893,572 | $67,441,317 | $452,255 |
| FRANCHISE FEE | $6,152,966 | $6,152,966 | |
| DIETARY | $1,455,891 | $1,189,125 | $266,766 |
| RECRUITMENT | $442,958 | $361,794 | $81,164 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,178,544 | TotalAmt |
| Program Services | $589,398 | ProgramServicesAmt |
| Management And General | $1,589,146 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,151,458 | TotalAmt |
| Program Services | $224,248,977 | ProgramServicesAmt |
| Management And General | $60,902,481 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,535,454 | BOYAmt |
| EOY | $15,587,672 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,244,387 | BOYAmt |
| EOY | $14,937,470 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,701,554 | BOYAmt |
| EOY | $35,657,913 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,353,442 | BOYAmt |
| EOY | $1,110,704 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,865,907 | BOYAmt |
| EOY | $6,066,816 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,397,708 | BOYAmt |
| EOY | $6,817,466 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $366,465,324 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $218,445,097 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,995,576 | BOYAmt |
| EOY | $148,020,227 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,683,283 | BOYAmt |
| EOY | $88,001,767 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,519,879 | BOYAmt |
| EOY | $15,303,820 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,527,642 | BOYAmt |
| EOY | $7,527,642 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,971,196 | BOYAmt |
| EOY | $15,381,323 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,796,028 | BOYAmt |
| EOY | $354,412,820 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,750,613 | BOYAmt |
| EOY | $27,785,859 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,395,301 | BOYAmt |
| EOY | $83,317,397 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,560,908 | BOYAmt |
| EOY | $4,310,908 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,530,433 | BOYAmt |
| EOY | $84,899,593 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $223,237,255 | BOYAmt |
| EOY | $200,313,757 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,558,773 | BOYAmt |
| EOY | $154,099,063 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,558,773 | BOYAmt |
| EOY | $154,099,063 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,796,028 | BOYAmt |
| EOY | $354,412,820 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $35,369,825 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,270,007 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$31,099,542 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $4,405 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,405 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF DUES PAID TO OHIO HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,307,362 | OtherCostOrOtherBasisAmt |
| Book Value | $6,307,362 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $132,499 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $113,646,389 | OtherCostOrOtherBasisAmt |
| Depreciation | $71,080,498 | DepreciationAmt |
| Book Value | $42,698,390 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,379,485 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,679,323 | DepreciationAmt |
| Book Value | $7,700,162 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $225,007,100 | OtherCostOrOtherBasisAmt |
| Depreciation | $140,167,832 | DepreciationAmt |
| Book Value | $84,839,268 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,992,489 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,517,444 | DepreciationAmt |
| Book Value | $6,475,045 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $148,020,227 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES | $17,554,618 |
| FINANCE LEASE LIABILITY | $38,326,545 |
| OPERATING LEASE LIABILITY | $5,396,115 |
| REFUNDABLE ADVANCE | $23,622,315 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $84,899,593 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE INTERNAL REVENUE SERVICES (IRS) HAS RULED THAT THE HOSPITAL AND FHP ARE TAX EXEMPT UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDING DECEMBER 31, 2021 AND 2020. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,827,640 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,320,245 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $507,395 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,060,128 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,458,148 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,601,980 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,887,768 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,778,393 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,109,375 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01440 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 20 | PersonsServedCnt |
| Total Community Benefit Expns | $1,089,815 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,600 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,051,215 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,268,928 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,394,062 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,874,866 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,838,389 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,765,877 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $72,512 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $114,294 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $114,294 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $64,522 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $64,522 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Persons Served | 20 | PersonsServedCnt |
| Total Community Benefit Expns | $13,375,948 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,198,539 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,177,409 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01120 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Persons Served | 20 | PersonsServedCnt |
| Total Community Benefit Expns | $58,263,716 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,976,932 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,286,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02560 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $8,850 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,850 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,387 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,387 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $8,478 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,478 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $20,702 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,702 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $15,778 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,778 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $59,195 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $59,195 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,202,463 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $60,886,613 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $59,637,223 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,249,390 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAIRFIELD MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 NORTH EWING STREET | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.FMCHEALTH.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAIRFIELD MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | FMCHEALTH.ORG | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTPS://WWW.MYFDH.ORG/PDF/FC-2019-CHA-REPORT.PDF | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | FMCHEALTH.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | FMCHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | FMCHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | FMCHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FAIRFIELD MEDICAL CENTER | PART V, SECTION B, LINE 5: FAIRFIELD MEDICAL CENTER CONTRACTED WITH ILLUMINOLOGY, A CENTRAL OHIO BASED RESEARCH FIRM, AND THE CENTER FOR PUBLIC HEALTH PRACTICE, WITHIN THE OHIO STATE UNIVERSITY COLLEGE OF PUBLIC HEALTH, TO ASSIST WITH THIS WORK. THE PRIMARY PHASES OF THE ASSESS NEEDS AND RESOURCES PROCESS, AS ADAPTED FOR USE IN FAIRFIELD COUNTY, INCLUDED THE FOLLOWING STEPS:(1) PREPARE TO ASSESS / GENERATE QUESTIONS. COMMUNITY PARTNERS WERE CLOSELY INVOLVED WITH THE FAIRFIELD COUNTY 2019 COMMUNITY HEALTH ASSESSMENT. ON FEBRUARY 25TH, 2019, 17 COMMUNITY LEADERS, STAKEHOLDERS, AND EMPLOYEES FROM PARTICIPATING ORGANIZATIONS GATHERED TO DISCUSS THEIR PERSPECTIVES ON EMERGING HEALTH ISSUES IN FAIRFIELD COUNTY. FACILITATED BY ILLUMINOLOGY, THIS SESSION PROVIDED AN OPPORTUNITY FOR COMMUNITY MEMBERS TO BETTER UNDERSTAND THE UPCOMING COMMUNITY HEALTH ASSESSMENT PROCESS, TO PARTICIPATE IN CONVERSATION WITH ONE ANOTHER ABOUT THE CURRENT STATE OF HEALTH IN THE COUNTY, AND TO SUGGEST INDICATORS TO BE CONSIDERED IN THE COMMUNITY HEALTH ASSESSMENT. BOTH SMALL GROUP DISCUSSIONS AND LARGE GROUP REPORT-OUTS OCCURRED DURING THIS SESSION. ILLUMINOLOGY USED THE INFORMATION FROM THIS SESSION AND ADDITIONAL FEEDBACK FROM THE FAIRFIELD DEPARTMENT OF HEALTH AND FAIRFIELD MEDICAL CENTER TO IDENTIFY WHICH INDICATORS COULD BE ASSESSED VIA SECONDARY SOURCES AND WHICH INDICATORS NEEDED TO BE INCLUDED AS PART OF THE PRIMARY DATA COLLECTION EFFORTS.(2) COLLECT SECONDARY DATA. SECONDARY DATA FOR THIS HEALTH ASSESSMENT CAME FROM NATIONAL SOURCES (E.G., U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES: HEALTHY PEOPLE 2020; U.S. CENSUS BUREAU), STATE SOURCES (E.G., OHIO DEPARTMENT OF HEALTH'S DATA WAREHOUSE), AND LOCAL SOURCES (E.G., FAIRFIELD MEDICAL CENTER). RATES AND/OR PERCENTAGES WERE CALCULATED WHEN NECESSARY. THE CENTER FOR PUBLIC HEALTH PRACTICE LOCATED AND RECORDED THIS INFORMATION INTO A SECONDARY DATA REPOSITORY. ALL DATA SOURCES ARE IDENTIFIED IN THE REFERENCE SECTION AT THE END OF THE REPORT. TO ENSURE COMMUNITY STAKEHOLDERS ARE ABLE TO USE THIS REPORT TO MAKE WELL-INFORMED DECISIONS, ONLY THE MOST RECENT DATA AVAILABLE AT THE TIME OF REPORT PREPARATION ARE PRESENTED. TO BE CONSIDERED FOR INCLUSION IN THE FAIRFIELD COUNTY 2019 COMMUNITY HEALTH ASSESSMENT, SECONDARY DATA MUST HAVE BEEN COLLECTED OR PUBLISHED IN 2013 OR LATER.(3) COLLECT PRIMARY DATA. PRIMARY DATA FOR THIS HEALTH ASSESSMENT CAME FROM THE 2019 FAIRFIELD COUNTY HEALTH SURVEY, A REPRESENTATIVE SURVEY OF FAIRFIELD COUNTY ADULT RESIDENTS. FIELDED IN MULTIPLE WAVES FROM APRIL 25, 2019 THROUGH JULY 8, 2019, THE QUESTIONNAIRES COULD BE COMPLETED VIA INTERNET OR BY MAIL. |
| FAIRFIELD MEDICAL CENTER | PART V, SECTION B, LINE 6A: DILEY RIDGE MEDICAL CENTER |
| FAIRFIELD MEDICAL CENTER | PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN ASSOCIATION WITH FAIRFIELD DEPT OF HEALTH AND FAIRFIELD MEDICAL CENTER AS A COLLABORATIVE EFFORT INCLUDING; DALAN & STARRIT ADULT GROUP HOME, FAIRFIELD COMMUNITY HEALTH CENTER, FAIRFIELD COUNT 2-1-1 (211), FAIRFIELD COUNTY ADAMH BOARD, FAIRFIELD COUNTY JOB & FAMILY SERVICES, FAIRFIELD COUNTY SHERIFF'S OFFICE, FAIRFIELD DEPARTMENT OF HEALTH, FAIRFIELD MEDICAL CENTER, LANCASTER FAIRFIELD COMMUNITY ACTION AGENCY, LANCASTER FAIRFIELD PUBLIC TRANSIT, MOUNT CARMEL HEALTH SYSTEM, OHIO STATE UNIVERSITY EXTENSION OFFICE, OHIOGUIDESTONE, PROJECT FORT/MAJOR CRIMES UNIT, SOUTHEASTERN OHIO CENTER FOR INDEPENDENT LIVING, UNITED WAY OF FAIRFIELD COUNTY, VIOLET TOWNSHIP FIRE DEPARTMENT. |
| FAIRFIELD MEDICAL CENTER | PART V, SECTION B, LINE 11: FAIRFIELD MEDICAL CENTER REVIEWED THE HEALTH NEEDS IDENTIFIED IN THE CHNA PROCESS AND DETERMINED THE FOLLOWING ALIGNED WITH OUR MISSION, GOALS, RESOURCES AND STRATEGIC PRIORITIES: MENTAL HEALTH, SUBSTANCE USE/ABUSE, CANCER CARE, CARDIOPULMONARY DISEASE, OBESITY AND ACCESS TO CARE. WE THEN DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) OUTLINING TACTICS, AN IMPLEMENTATION TIMELINE, RESOURCES AND MEASURES OF SUCCESS FOR EACH AREA. THERE WERE SEVERAL AREAS WHICH WERE IDENTIFIED IN THE CHNA WHICH FMC DOES NOT HAVE THE RESOURCES OR ABILITY TO POSITIVELY IMPACT AND/OR OTHER COMMUNITY PARTNERS HAVE SPECIFIC RESOURCES AND CAPABILITIES TO MORE EFFECTIVELY ADDRESS: INCOME AND POVERTY, ACCESS TO TRANSPORTATION, ALZHEIMER'S AND DEMENTIA. IN 2021, WE MONITORED OUR PROGRESS ON THE CHIP AND MADE ADJUSTMENTS BASED ON THE SHIFTING NEEDS OF THE COMMUNITY LARGELY DUE TO THE COVID-19 PANDEMIC. PROGRESS WAS MADE ON MOST ACTIONS WITH THE EXCEPTION OF COMMUNITY EDUCATION, OUTREACH, SCREENINGS AND FITNESS ACTIVITIES WHICH HAD TO BE CANCELLED OR SIGNIFICANTLY SCALED BACK DUE TO THE PANDEMIC. NEW INITIATIVES THAT WERE ADDED AS A RESULT OF THE PANDEMIC INCLUDED: SERVICES TO CARE FOR COVID-19 PATIENTS (INPATIENT UNIT, TESTING CAPABILITIES, DRIVE-IN SCREENING, ETC.), TELEPHONE AND TELEHEALTH VISITS TO INCREASE ACCESS TO CARE AND RELOCATION OF CERTAIN SERVICES TO SAFER LOCATIONS OFF OF THE HOSPITAL CAMPUS. WE ALSO ADDED SEVERAL INITIATIVES TO THE CHIP AS A RESULT OF NEW OR EMERGING STRATEGIC INITIATIVES INCLUDING: TAVR AND ADVANCED EP SERVICES, A NEW LINEAR ACCELERATOR FOR CANCER CARE, TOBACCO CESSATION, HOSPITALIST SERVICES FOR OB AND PEDIATRICS, RELOCATION OF RESIDENCY CLINIC AND FREE TRANSPORTATION FOR SELECT PATIENTS. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, COMMUNITY BUILDING ACTIVITIES: | KNOWING THAT A STRONG ECONOMY CAN HELP BUILD STRONG PEOPLE, WE HAVE DEDICATED OURSELVES TO HELPING OUR LOCAL ECONOMY THROUGH DONATIONS TO ORGANIZATIONS HELPING TO DRAW MORE BUSINESS TO THE AREA AND BY PARTICIPATING IN LOCAL CHAMBERS OF COMMERCE. FAIRFIELD MEDICAL CENTER (FMC) SUPPORTS OUR COMMUNITIES WITH POLICE ASSISTANCE AND BY EMERGENCY PLANNING WITH OTHER COMMUNITY ORGANIZATIONS. GOOD LEADERS ARE IMPORTANT TO THE FUTURE OF OUR COMMUNITY, SO WE ARE ACTIVELY INVOLVED IN LEADERSHIP DEVELOPMENT AND TRAINING. WE ALSO RECOGNIZE THE IMPORTANCE OF RECYCLING AS A WAY TO IMPROVE THE HEALTH OF OUR PLANET, AND THEREFORE OUR PEOPLE, WITH ENVIRONMENTAL IMPROVEMENTS. PARTICIPATION WITH OTHER COMMUNITY ENTITIES BY COALITION BUILDING ALSO HELPS US TO KEEP OUR PULSE ON THE HEALTH OF THE COMMUNITY THROUGH GRASSROOTS INVOLVEMENT. |
| PART III, LINE 2: | AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CENTER'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. |
| PART III, LINE 4: | SEE PAGES 12 & 13 OF THE DECEMBER 31, 2021 AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | ALL MEDICARE SHORTFALL IS CONSIDERED COMMUNITY BENEFIT BECAUSE FAIRFIELD MEDICAL CENTER TREATS ALL PATIENTS, REGARDLESS OF ABILITY TO PAY AND REGARDLESS OF SUPPLEMENTAL INSURANCE COVERAGE, IN THE CASE OF MEDICARE PATIENTS. IT IS FOR THE BETTERMENT OF THE COMMUNITY THAT WE TREAT MEDICARE PATIENTS, REGARDLESS OF THE SHORTFALL OR SURPLUS.THE TOTAL FOR MEDICARE COST IS TAKEN DIRECTLY FROM THE MEDICARE COST REPORT. |
| PART III, LINE 9B: | IN ALL INSTANCES OF DEBT COLLECTION, PATIENTS ARE GIVEN INFORMATION REGARDING FINANCIAL ASSISTANCE AVAILABLE. IN ADDITION, PATIENTS ARE MADE AWARE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE WITH AN ACKNOWLEDGEMENT LETTER OF SERVICES RENDERED, REGARDLESS OF ABILITY TO PAY OR PAYMENT SOURCE. FMC WILL DO EVERYTHING POSSIBLE TO HELP THOSE WHO QUALIFY FOR CHARITY CARE TO BE MADE AWARE OF THE ASSISTANCE AVAILABLE. WE ALSO PROVIDE FINANCIAL COUNSELORS TO ASSIST PATIENTS IN FILLING OUT THE NECESSARY FORMS FOR ASSISTANCE. THE FOLLOWING OPTIONS ARE AVAILABLE:A. PAYMENT IN THE FORM OF CASH, CREDIT CARD OR CHECKS. A DISCOUNT IS OFFERED WITH PAYMENT AT THE TIME OF SERVICE AND WITHIN 10 DAYS OF RECEIVING THE HOSPITAL BILL. B. H.E.L.P. BANK FINANCIAL PROGRAMC. HOSPITAL PAYMENT PROGRAM D. ASSISTANCE WITH APPLICATION TO MEDICARE OR MEDICAIDE. HOSPITAL CARE ASSURANCE PROGRAM (HCAP) F. HOSPITAL ASSISTANCE PROGRAM SUMMARYDEFINING FAIRFIELD MEDICAL CENTER'S FINANCIAL OPPORTUNITIES. G. ASSISTANCE FOR THE UNINSURED PATIENT. |
| PART VI, LINE 2: | IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR FAIRFIELD COUNTY AS REPORTED IN PART V, SECTION B, FAIRFIELD MEDICAL CENTER ASSESSES THE HEALTH CARE NEEDS OF THE BROADER COMMUNITY WE SERVE BY PARTICIPATING IN THE PERRY COUNTY COMMUNITY HEALTH NEEDS ASSESSMENTS AND COMMUNITY HEALTH IMPROVEMENT PLAN. ADDITIONALLY, WE PARTICIPATE IN LOCAL HEALTH NETWORKS FOR PERRY, HOCKING AND FAIRFIELD COUNTIES WHICH MEET ON A MONTHLY BASIS TO DISCUSS EVOLVING HEALTH ISSUES AND CONCERNS. WE ALSO PARTICIPATE IN THE LOGAN, PERRY AND LANCASTER CHAMBER OF COMMERCE AS WELL AS NUMEROUS GROUPS OR NETWORKS FOCUSING ON SPECIFIC POPULATIONS INCLUDING THE ELDERLY (OLDER ADULT NETWORK, ADULT FAMILY CHILD FIRST COUNCIL), CHILDREN (SAFE KIDS/SAFE COMMUNITIES, YMCA), AND MENTAL HEALTH (INNERSYSTEMS). ADDITIONALLY, FMC'S STRATEGIC PLANNING PROCESS ASSESSES NEW SERVICES, TECHNOLOGIES AND PROVIDERS THAT FMC CAN OFFER LOCALLY SO THAT RESIDENTS DO NOT HAVE TO LEAVE THE COMMUNITY AND TRAVEL LONG DISTANCES TO RECEIVE NECESSARY SERVICES. |
| PART VI, LINE 3: | THERE ARE PROMINENT SIGNS IN REGISTRATION AND IN CONTRACTS AND COLLECTIONS SHOWING OUR FINANCIAL POLICY. EVERY HOSPITAL BILL SENT TO PATIENTS HAS A FLYER INCLUDED WITH OUR FINANCIAL POLICY CLEARLY DESCRIBED. FINANCIAL COUNSELORS MEET WITH PATIENTS BEFORE THEY'RE DISCHARGED FROM THE HOSPITAL SO THAT EACH PATIENT IS PERSONALLY MADE AWARE OF OUR POLICY AND ALSO TO IDENTIFY THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE, THEN THE FINANCIAL COUNSELORS ASSIST WITH COMPLETING THE ASSISTANCE INFORMATION SHOULD HELP BE NEEDED. |
| PART VI, LINE 4: | FAIRFIELD MEDICAL CENTER SERVES A THREE COUNTY AREA IN SOUTH EASTERN OHIO COMPRISED OF FAIRFIELD, HOCKING AND PERRY COUNTIES. THE TOTAL POPULATION IS 224,000 WITH 35% OF THE POPULATION LIVING IN A RURAL AREA. THE SOUTHERN PORTION OF PERRY COUNTY IS A LARGELY UNDERSERVED REGION IN THE RURAL HILLS OF APPALACHIA. |
| PART VI, LINE 5: | FAIRFIELD MEDICAL CENTER HAS AN OPEN MEDICAL STAFF, COMMUNITY BOARD AND FOUNDATION WHICH PLAYS A VITAL ROLE IN SUPPORTING ACCESS TO MEDICAL CARE AND WELLNESS PROGRAMS THROUGHOUT FAIRFIELD, HOCKING AND PERRY COUNTIES. WE ALSO SPONSOR COMMUNITY HEART WATCH WHICH IS A COLLABORATIVE EFFORT OF AREA EMS, BUSINESSES, SCHOOLS AND OTHER ORGANIZATIONS DEDICATED TO IMPROVING SURVIVAL FROM CARDIAC ARREST. |
| PART VI, LINE 7: | OH |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAIRFIELD MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 NORTH EWING STREET | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 208952945 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $119,365 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | SUPPORT TO COVER OPERATING EXPENSES | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION WORKS CLOSELY ALONGSIDE THE FOUNDATION TO MONITOR FUNDS; THE FOUNDATION'S ACCOUNTING IS DONE BY EMPLOYEES OF FMC. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN R JANOSO JR | ||||||||||||||
| DIRECTOR, PRESIDENT, & CEO | $590,814 | $0 | $164,116 | $0 | $65,646 | $0 | $17,400 | $0 | $15,330 | $0 | $853,306 | $0 | $0 | $0 |
| ALAN F GREENSLADE | ||||||||||||||
| CIO, TREASURER | $292,421 | $0 | $36,553 | $0 | $3,323 | $0 | $17,400 | $0 | $19,689 | $0 | $369,386 | $0 | $0 | $0 |
| LAURA MOORE | ||||||||||||||
| CHIEF BUSINESS & STRATEGY OFFICER | $275,239 | $0 | $40,688 | $0 | $1,205 | $0 | $17,400 | $0 | $19,584 | $0 | $354,116 | $0 | $0 | $0 |
| MARK T DARNELL MD | ||||||||||||||
| CMO-TERM BEGAN FEB'21 | $322,595 | $0 | $0 | $0 | $1,003 | $0 | $10,983 | $0 | $1,126 | $0 | $335,707 | $0 | $0 | $0 |
| JONATHAN KELLY | ||||||||||||||
| CFO-TERM BEGAN FEB'21 | $241,828 | $0 | $0 | $0 | $996 | $0 | $11,425 | $0 | $15,439 | $0 | $269,688 | $0 | $0 | $0 |
| HELEN F HARDING | ||||||||||||||
| CNO-TERM ENDED JAN'21 | $9,069 | $0 | $0 | $0 | $252,277 | $0 | $7,840 | $0 | $0 | $0 | $269,186 | $0 | $0 | $0 |
| MARK E VANDERHOFF | ||||||||||||||
| CHIEF NURSING OFFICER | $204,526 | $0 | $23,702 | $0 | $1,447 | $0 | $14,150 | $0 | $19,253 | $0 | $263,078 | $0 | $0 | $0 |
| ROBERT L ZEE DO | ||||||||||||||
| RESIDENCY PROGRAM DIRECTOR | $208,156 | $0 | $0 | $0 | $0 | $0 | $12,483 | $0 | $1,000 | $0 | $221,639 | $0 | $0 | $0 |
| MICHAEL MEYER | ||||||||||||||
| DIRECTOR, FINANCIAL SERVICES | $159,182 | $0 | $10,576 | $0 | $10,720 | $0 | $7,948 | $0 | $19,016 | $0 | $207,442 | $0 | $0 | $0 |
| PAMELA STARLIN | ||||||||||||||
| DIRECTOR, ENVIRONMENTAL SVCS | $151,388 | $0 | $12,699 | $0 | $1,909 | $0 | $10,150 | $0 | $18,246 | $0 | $194,392 | $0 | $0 | $0 |
| THERESA DYAR DO | ||||||||||||||
| DIRECTOR/RESIDENCY PRGRM D | $182,559 | $0 | $0 | $0 | $0 | $0 | $8,209 | $0 | $741 | $0 | $191,509 | $0 | $0 | $0 |
| ELIZABETH BRENDSEL | ||||||||||||||
| STAFF PHARMACIST | $159,379 | $0 | $0 | $0 | $287 | $0 | $10,207 | $0 | $18,246 | $0 | $188,119 | $0 | $0 | $0 |
| JEFFREY COLLINS | ||||||||||||||
| DIRECTOR, PATIENT SERVICES | $164,234 | $0 | $0 | $0 | $942 | $0 | $7,526 | $0 | $7,067 | $0 | $179,769 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF FAIRFIELD OHIO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 316400066 | BondIssuerEIN |
| CUSIP | 304286AM9 | CUSIPNum |
| Bond Issued | 2013-06-27 | BondIssuedDt |
| Issue Price | $98,511,516 | IssuePriceAmt |
| Purpose | TO REFUND PRIOR ISSUE AND TO FUND NEW SURGICAL UNIT | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $56,264,480 | RetiredAmt |
| In Reserve Fund | $6,320,525 | InReserveFundAmt |
| Issuance Costs From Proceeds | $926,511 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $35,000,000 | CapitalExpendituresAmt |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | VARIOUS MEMBERS OF THE BOARD OF DIRECTORS ARE KEY EMPLOYEES AND/OR OFFICERS OF ORGANIZATIONS THAT MAY CONDUCT NORMAL, ARMS LENGTH TRANSACTIONS WITH ONE ANOTHER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS REVIEWED BY THE TREASURER OF THE ORGANIZATION AFTER REVIEW BY THE DIRECTOR OF FINANCIAL SERVICES. THEN, IT IS MADE AVAILABLE FOR BOARD MEMBER REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, PRESIDENT, VICE PRESIDENTS, MANAGERS, CASE MANAGEMENT EMPLOYEES, CONTRACTS & COLLECTIONS EMPLOYEES, EMPLOYEES WITH DIRECT PURCHASING RESPONSIBILITIES, EMPLOYED PHYSICIANS, AND EMPLOYEES WHO ARE CONTRACTED OR SHARED WITH OTHER ORGANIZATIONS ARE REQUIRED TO COMPLETE AN ANNUAL QUESTIONNAIRE DISCLOSING POTENTIAL CONFLICTS OF INTEREST. IF A KNOWN OR PERCEIVED CONFLICT OF INTEREST ARISES, THE COMPLIANCE OFFICER INVESTIGATES, DOCUMENTS, AND WORKS TO RESOLVE THE CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | ANNUALLY, THE COMPENSATION COMMITTEE COMPARES OFFICER AND KEY EMPLOYEE COMPENSATION TO REGIONAL INDUSTRY AVERAGES. THIS COMMITTEE CONSISTS OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. COMPENSATION ADJUSTMENT RECOMMENDATIONS ARE SUBMITTED, TO BE INCLUDED IN THE BUDGET, TO THE FINANCE AND AUDIT COMMITTEE. COMPENSATION ADJUSTMENTS ARE TAKEN TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL, AND IF APPROVED ARE THEN IMPLEMENTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIALS ARE MADE AVAILABLE TO THE PUBLIC BY REQUEST MADE TO FMC MANAGEMENT. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 18,497,429. MANAGEMENT AND GENERAL EXPENSES 13,348,776. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,846,205. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 6,649,644. MANAGEMENT AND GENERAL EXPENSES 2,745,182. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,394,826. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 227,040. MANAGEMENT AND GENERAL EXPENSES 93,729. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 320,769. |
| FORM 990, PART XI, LINE 9: | ASSET TRANSFER TO AFFILIATES -30,313,659. CHANGE IN INTEREST OF NET ASSETS OF FAIRFIELD MEDICAL CENTER FOUNDATION -785,883. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990 PART IX LINE 11G | OTHER FEES FOR SERVICES INCLUDE LAB TESTING, ADMINISTRATIVE CONSULTING, OUTSOURCED BIOMEDICAL SERVICES, OUTSOURCED COLLECTION SERVICES, OUTSOURCED IT SERVICES AND OTHER GENERAL PURCHASED SERVICES. |
| FORM 990 PART XI LINE 9 | THE OTHER CHANGE IN NET ASSETS REPORTED REPRESENTS INTERCOMPANY TRANSFERS BETWEEN FAIRFIELD MEDICAL CENTER AND RELATED ORGANIZATIONS (SEE SCHEDULE R) FOR FIXED ASSET PURCHASES, SHARED EMPLOYEES, EXPENSES AND OTHER INTERCOMPANY TRANSACTIONS. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOME HEALTH RESOURCES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 NORTH EWING STREET | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311159707 | EIN |
| Primary Activities | DURABLE MED. EQUIP. | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ZANE PROPERTIES CO | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FAIRFIELD HEALTHCARE PROFESSIONALS INC | |||||||||||
| 401 NORTH EWING | LANCASTER | OH | 43130 | 311425884 | PHYSICIAN PRACTICES | OH | 501(C)(3) | LINE 11 | FAIRFIELD MEDICAL CENTER | 0 | |
| FAIRFIELD MEDICAL CENTER FOUNDATION | |||||||||||
| 401 NORTH EWING | LANCASTER | OH | 43130 | 208952945 | FUNDRAISING | OH | 501(C)(3) | LINE 7 | 0 | N/A | |
| FAIRFIELD MEDICAL CENTER TWIG II | |||||||||||
| 1724 E MAIN STREET | LANCASTER | OH | 43130 | 237146033 | SUPPORT FAIRFIELD MEDICAL CENTER | OH | 501(C)(3) | LINE 12D, III-O | 0 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ZANE PROPERTIES CORPORATION | |||||||||||||
| 401 NORTH EWING STREET | LANCASTER | OH | 43130 | 311202009 | HOLDING COMPANY | OH | FAIRFIELD MEDICAL CENTER | C | $79,554 | $2,818,574 | 1.00000 | 0 | |
| OHIO PHYSICAL MEDICINE & REHAB INC | |||||||||||||
| 2405 N COLUMBUS ST SUITE 210 | LANCASTER | OH | 43130 | 311639119 | PHYSIATRISTS | OH | S | 0 | N/A | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| FAIRFIELD HEALTHCARE PROFESSIONALS INC | |
| G | $169,891 |
| FAIRFIELD HEALTHCARE PROFESSIONALS INC | |
| O | $18,246,479 |
| FAIRFIELD HEALTHCARE PROFESSIONALS INC | |
| P | $3,899,071 |
| ZANE PROPERTIES CORPORATION | |
| P | $8,290 |
| ZANE PROPERTIES CORPORATION | |
| Q | $76,801 |
| FAIRFIELD HEALTHCARE PROFESSIONALS INC | |
| R | $6,626,000 |
| ZANE PROPERTIES CORPORATION | |
| S | $240,000 |