2021-11-15T15:17:35-06:00 2020-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2020-01-01 310645626 FAIRFIELD MEDICAL CENTER FAIR 7406878051 401 NORTH EWING STREET LANCASTER OH 431303371 ALAN GREENSLADE TREASURER 7406878051 2021-11-15 1 ALAN GREENSLADE 999009999 NATHAN A RODGERS CPA P01568275 3176334705 2021-11-15 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOHN R JANOSO JR 401 NORTH EWING STREET LANCASTER OH 431303371 323147909 0 X WWW.FMCHEALTH.ORG X 1982 OH FAIRFIELD MEDICAL CENTER DELIVERS OUTSTANDING HEALTHCARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITIES. 14 12 2450 210 255489 147958 150717 39391249 275149943 264487191 2455044 -1191465 2217548 6512254 279973252 309199229 0 170910 0 0 122558199 119710131 0 0 0 139819420 156044665 262377619 275925706 17595633 33273523 332181004 368796028 181786041 223237255 150394963 145558773 FAIRFIELD MEDICAL CENTER DELIVERS OUTSTANDING HEALTHCARE FOR OUR PATIENTS, THEIR FAMILIES AND OUR COMMUNITIES. 0 0 222522237 170910 270311159 A) PATIENT CARE: INPATIENT MEDICAL, SURGICAL, EMERGENCY, MATERNITY, ICU, PSYCHIATRY, AND NURSING SERVICES (61,512 DISCHARGES, PROCEDURES & VISITS) B) PATIENT CARE: LABORATORY, CARDIOVASCULAR, RADIOLOGY, THERAPY, PHARMACY, AND MEDICAL SUPPLY SERVICES (5,824,030 PROCEDURES & DOSAGES) C) PATIENT CARE: NUTRITIONAL SERVICES (390,428 MEALS SERVED) PATIENT CARE: LAUNDRY SERVICES (1,109,723 POUNDS) PATIENT CARE: PLANT ENGINEERING, POLICE, HOUSEKEEPING, CENTRAL TRANSPORT, INTEREST & DEPRECIATION (773,338 SQUARE FEET) 222522237 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 177 0 1 2450 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH X ALAN GREENSLADE 7406896825 401 NORTH EWING STREET LANCASTER OH 431303371 LAURA TUSSING CHAIR 3.00 1.00 X X 0 0 0 BRADLEY HEDGES PHD VICE CHAIR 3.00 0.00 X X 0 0 0 AUNDREA CORDLE DIRECTOR 2.00 1.00 X 0 0 0 MATTHEW WIDEMAN SECRETARY 3.00 0.00 X X 0 0 0 THERESA DYAR DO DIRECTOR/RESIDENCY PRGRM DIRECTOR 27.00 0.00 X 177675 0 7995 DAN FRUTH DIRECTOR 2.00 1.00 X 0 0 0 ANGELA KRILE DIRECTOR 2.00 0.00 X 0 0 0 RON LINEHAN MD DIRECTOR 2.00 0.00 X 0 0 0 MICAH RIGGENBACH DIRECTOR 2.00 0.00 X 0 0 0 LAURIANNE SCOTT DIRECTOR 2.00 0.00 X 0 0 0 SUSAN NIXON STOUGHTON DIRECTOR 2.00 0.00 X 0 0 0 MILT TAYLOR JR DIRECTOR 2.00 0.00 X 0 0 0 WILLIAM YAPLE DIRECTOR 2.00 0.00 X 0 0 0 JOHN R JANOSO JR DIRECTOR, PRESIDENT, & CEO 55.00 1.00 X X 584094 0 32761 SKY L GETTYS CFO, TREASURER JAN-APR '20 48.00 2.00 X 328201 0 17930 LAURA MOORE CHIEF BUSINESS STRATEGY AND DEV. OFFICER 40.00 0.00 X 253103 0 34857 RENEE A WAGNER MD CHIEF MEDICAL OFFICER 40.00 0.00 X 352496 0 36179 ALAN F GREENSLADE CIO, TREASURER APR-DEC'20 40.00 2.00 X 268429 0 36097 DEBRA L PALMER CHIEF HR OFFICER 40.00 0.00 X 211996 0 12928 HELEN F HARDING CHIEF NURSING OFFICER 40.00 0.00 X 235281 0 26465 MARK E VANDERHOFF DIRECTOR, PATIENT SERVICES 40.00 0.00 X 187698 0 30890 ROBERT L ZEE DO RESIDENCY PROGRAM DIRECTOR 32.00 0.00 X 210906 0 13483 DORALEA METZGER DIRECTOR, PATIENT SERVICES 40.00 0.00 X 162405 0 13271 TROY HAMPTON DO RESIDENCY PROGRAM DIRECTOR 26.00 0.00 X 163155 0 24354 CAROLINE SEGELKEN STAFF PHARMACIST 41.00 0.00 X 157515 0 29036 3292954 0 316246 80 0 1 0 FAIRFIELD ANESTHESIA ASSOCIATES PO BOX 427 LANCASTER OH 43130 PHYSICIAN SERVICES 3351380 RENOVO SOLUTIONS 1801 E PARKCOURT PLACE BLDG D SANTA ANA CA 92701 BIOMEDICAL SERVICES 1710669 US ACUTE CARE SOLUTIONS 4535 DRESSLER RD NW CANTON OH 44718 PHYSICIAN SERVICES 1596333 COMTEX 575 HARMON AVE COLUMBUS OH 43223 LAUNDRY SERVICES 805619 B E SMITH PO BOX 219241 KANSAS CITY MO 64121 PERSONNEL SERVICES 773869 33 39296390 94859 39391249 PATIENT SERVICE REVENUE 621110 264487191 264487191 264487191 987965 987965 251053 24926 632465 0 -381412 24926 -356486 24926 -381412 11108106 28679 12984492 331723 -1876386 -303044 -2179430 -2179430 JOINT VENTURE INCOME 900099 4746538 4746538 CAFETERIA SALES 722514 814209 814209 OUTSIDE REFERENCE LAB 621500 226381 226381 1081612 1077430 4182 6868740 309199229 270311159 255489 -758668 X 170910 170910 2616485 1428576 1187909 90683767 81924351 8759416 4795568 4284654 510914 14812367 13234274 1578093 6801944 6077273 724671 7026824 7026824 848104 848104 93000 93000 43225391 26850512 16374879 588689 341932 246757 2939534 2400916 538618 28592 16607 11985 4552319 2070310 2482009 248255 202767 45488 6734104 5704318 1029786 16631585 11951235 4680350 1211791 981507 230284 MEDICAL SUPPLIES 63580865 63157338 423527 FRANCHISE FEE 5326144 5326144 DIETARY 1282282 1047326 234956 RECRUITMENT 384729 314234 70495 1342457 363197 979260 275925706 222522237 53403469 0 9598760 73535454 13885642 14244387 40939668 34701554 1353442 4255868 4865907 14836593 4397708 374243881 222248305 159113698 151995576 55517073 47683283 13519879 7527642 7527642 26506060 14971196 332181004 368796028 23542931 28750613 87373205 85395301 9560908 9560908 61308997 99530433 181786041 223237255 X 150394963 145558773 150394963 145558773 332181004 368796028 X 33273523 -3633061 -9560812 -24915840 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6307362 6307362 132499 114082636 68738099 45477036 11124708 3485166 7639542 237708595 146649816 91058779 4888081 3375224 1512857 151995576 OTHER LIABILITIES 20087364 FINANCE LEASE LIABILITY 38684844 OPERATING LEASE LIABILITY 6589735 REFUNDABLE ADVANCE 34168490 99530433 X PART X, LINE 2: 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, 2020 AND 2019. 1 1 1 X 1 X 1 1 0 1 1 5387952 2291 5385661 0.01950 55512312 31733650 23778662 0.08620 60900264 31735941 29164323 0.10570 12 1352285 47450 1304835 0.00470 3 5374631 3445970 1928661 0.00700 1 6915762 6241324 674438 0.00240 1 184029 184029 0.00070 3 30091 30091 0.00010 20 13856798 9734744 4122054 0.01490 20 74757062 41470685 33286377 0.12060 1 4559 4559 0.00000 1 12695 12695 0.00000 2 2 11855 11855 0.00000 1 12361 12361 0.00000 5 2 41470 41470 0.00000 1 16383708 63714709 67011479 -3296770 X 1 1 1 1 FAIRFIELD MEDICAL CENTER 401 NORTH EWING STREET LANCASTER OH 43130 WWW.FMCHEALTH.ORG X X X X FAIRFIELD MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X FMCHEALTH.ORG X HTTPS://WWW.MYFDH.ORG/PDF/FC-2019-CHA-REPORT.PDF X 1 19 1 FMCHEALTH.ORG 0 1 X 100.000000000000 300.000000000000 X X X 1 1 X X X X 1 X FMCHEALTH.ORG X FMCHEALTH.ORG X FMCHEALTH.ORG X X X X X 1 X 0 X X X X 1 X 0 0 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 HEALTHS 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: THIS SECTION LISTS FAIRFIELD COUNTY'S PRIORITIZED HEALTH NEEDS, AS IDENTIFIED BY THE COMMUNITY PARTNERS DURING THEIR OCTOBER 7, 2019 MEETING. THE SIGNIFICANT HEALTH NEEDS FACING FAIRFIELD COUNTY RESIDENTS ARE OBESITY, SUBSTANCE USE/ADDICTION, AND MENTAL HEALTH FOCUSING ON DEPRESSION. THESE HEALTH NEEDS ARE INTERRELATED, IF NOT CO-OCCURRING/CO-MORBID. FOR EXAMPLE, POOR MENTAL HEALTH CAN INCREASE THE RISK OF SUBSTANCE USE BEHAVIORS, AND WEIGHT PROBLEMS CAN CO-OCCUR WITH DEPRESSION. OBESITY, WITH ITS RELATED CATEGORIES OF POOR DIET AND LACK OF EXERCISE, IS THE TOP PRIORITY FOR FAIRFIELD COUNTY. OBESITY CAN LEAD TO A RANGE OF CARDIOVASCULAR ISSUES, INCLUDING CORONARY ARTERY DISEASE WHICH IS THE LEADING CAUSE OF MORTALITY IN FAIRFIELD COUNTY. OBESITY ALSO INCREASES RISKS OF HEART ATTACK, STROKE, AND ATRIAL FLUTTER, WHICH COMMONLY OCCUR AMONG COUNTY RESIDENTS. SUBSTANCE USE AND ADDICTION IS THE SECOND HIGHEST PRIORITY HEALTH NEED. CONTINUED USE OF ALCOHOL, TOBACCO, OR OTHER DRUGS CAN LEAD TO ADDICTION AND NEGATIVE IMPACTS ON HEALTH, INCLUDING COPD AND CANCER. ADDITIONALLY, SUBSTANCE USE IN YOUTH IS ASSOCIATED WITH AN INCREASED CHANCE OF CONTINUED USE AND POTENTIAL ABUSE LATER IN LIFE. THE THIRD HIGHEST PRIORITY FOR FAIRFIELD COUNTY IS MENTAL HEALTH, SPECIFICALLY DEPRESSION. DEPRESSION CAN LEAD TO SUICIDAL THOUGHTS AND BEHAVIORS. VICTIMS OF DOMESTIC VIOLENCE, CHILD ABUSE, AND BULLYING MAY BE AT SPECIAL RISK TO EXPERIENCE MENTAL HEALTH ISSUES. 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, 2020 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: A NEW COMMUNITY HEALTH NEEDS ASSESSMENT WAS MADE AVAILABLE IN 2019. FAIRFIELD MEDICAL CENTER MET WITH COMMUNITY LEADERS TO HELP DETERMINE THE NEEDS OF THE ASSESSMENT THAT COULD BE MET WITH LOCAL EXPERTISE AND AVAILABLE FUNDING. IN ADDITION TO THE NEEDS PRIORITIZED BY THE COUNTY, FMC ALSO DECIDED TO FOCUS ON CANCER, CARDIOPULMONARY DISEASE AND ACCESS TO CARE. FAIRFIELD MEDICAL CENTER IS HEAVILY INVOLVED WITH OTHER HEALTH CARE ORGANIZATIONS IN THE AREA, SUCH AS THE FAIRFIELD COMMUNITY HEALTH CENTER, TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY. WE ALSO HOST LOCAL EMS MEETINGS TO FURTHER ASSESS NEEDS. PERSONNEL ARE ALSO AWARE OF THE NEEDS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND WORK WITH OTHER COMMUNITY ORGANIZATIONS TO HELP MEET THE NEEDS WITH THE RESOURCES AVAILABLE. 70.2 PERCENT OF THE PEOPLE IN FAIRFIELD CO. ARE CONSIDERED TO BE EITHER OVERWEIGHT OR OBESE. FAIRFIELD MEDICAL CENTER HAS PROGRAMS TO ENCOURAGE EXERCISE. THERE IS ALSO A DIABETES SUPPORT GROUP TO ASSIST THOSE WITH DIABETES. WE ALSO HAVE COOKING DEMONSTRATIONS TO ENCOURAGE HEALTHY COOKING. PROJECT DAWN EDUCATES THE PUBLIC REGARDING DRUG ABUSE AND NARCAN DISBURSEMENT. WOMENS HEALTH, CANCER AND HEART SCREENINGS ARE ALSO AVAILABLE. FMCS STRATEGIC PLANNING PROCESS ASSESSES NEW SERVICES AND PROVIDERS THAT CAN BE BROUGHT TO THE COMMUNITY TO IMPROVE ACCESS TO CARE. FAIRFIELD MEDICAL CENTER ACKNOWLEDGES THE WIDE RANGE OF HEALTH ISSUES IMPACTING OUR COMMUNITY AND WERE IDENTIFIED DURING THE CHNA PROCESS. WE HAVE DETERMINED THAT WE CAN ONLY FOCUS ON THE NEEDS THAT WE CURRENTLY HAVE THE RESOURCES AVAILABLE FOR AND ABILITY TO POSITIVELY IMPACT. WE WILL NOT BE ADDRESSING THE FOLLOWING HEALTH NEEDS: INCOME AND POVERTY (WHILE WE ARE THE LARGEST EMPLOYER IN THE COUNTY, WE DO NOT PLAN TO DIRECTLY ADDRESS THIS NEED THROUGH OUR PORTFOLIO OF AVAILABLE HEALTH SERVICES). ACCESS TO TRANSPORTATION (WE DO NOT HAVE THE RESOURCES AVAILABLE TO DIRECTLY IMPACT THIS PARTICULAR NEED). ALZHEIMERS DISEASE AND DEMENTIA (WHILE WE ARE COMMITTED TO PROVIDING CARE FOR PATIENTS IN NEED, WE DO NOT PLAN TO DIRECTLY ADDRESS THIS NEED). THERE ARE COMMUNITY PARTNERS WHO HAVE MORE SPECIFIC RESOURCES TO DEAL WITH THIS NEED. 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 FAIRFIELD COUNTY AND SURROUNDING COUNTIES INCLUDING PERRY AND HOCKING COUNTIES. PART VI, LINE 5: FAIRFIELD MEDICAL CENTER ACTIVELY PROMOTES COMMUNITY HEALTH EDUCATION AT COMMUNITY GROUPGS, NEWSPAPER ARTICLES AND COLLABORATION WITH OTHER COMMUNITY GROUPS. WE REACH OUT TO THE COMMUNITY THROUGH SPEAKING ENGAGEMENTS AND HAVE MANY CLASSES TO EDUCATE THE PUBLIC REGARDING A PLETHORA OF HEALTH CONCERNS. PART VI, LINE 7: OH 1 FAIRFIELD MEDICAL CENTER FOUNDATION 401 NORTH EWING STREET LANCASTER OH 43130 208952945 501(C)(3) 170910 SUPPORT TO COVER OPERATING EXPENSES 1 PART I, LINE 2: THE ORGANIZATION WORKS CLOSELY ALONGSIDE THE FOUNDATION TO MONITOR FUNDS; THE FOUNDATION'S ACCOUNTING IS DONE BY EMPLOYEES OF FMC. X X X X 0 1 0 0 0 0 0 1 0 JOHN R JANOSO JR DIRECTOR, PRESIDENT, & CEO 549048 0 23364 0 11682 0 17600 0 15161 0 616855 0 0 0 RENEE A WAGNER MD CHIEF MEDICAL OFFICER 351333 0 0 0 1163 0 17100 0 19079 0 388675 0 0 0 SKY L GETTYS CFO, TREASURER JAN-APR '20 282253 0 42666 0 3282 0 13050 0 4880 0 346131 0 0 0 ALAN F GREENSLADE CIO, TREASURER APR-DEC'20 267248 0 0 0 1181 0 16538 0 19559 0 304526 0 0 0 LAURA MOORE CHIEF BUSINESS STRATEGY AND DEV. OFF 251913 0 0 0 1190 0 15384 0 19473 0 287960 0 0 0 HELEN F HARDING CHIEF NURSING OFFICER 234081 0 0 0 1200 0 13339 0 13126 0 261746 0 0 0 DEBRA L PALMER CHIEF HR OFFICER 210724 0 0 0 1272 0 12928 0 0 0 224924 0 0 0 ROBERT L ZEE DO RESIDENCY PROGRAM DIRECTOR 210906 0 0 0 0 0 12483 0 1000 0 224389 0 0 0 MARK E VANDERHOFF DIRECTOR, PATIENT SERVICES 186553 0 0 0 1145 0 11722 0 19168 0 218588 0 0 0 TROY HAMPTON DO RESIDENCY PROGRAM DIRECTOR 162682 0 0 0 473 0 8478 0 15876 0 187509 0 0 0 CAROLINE SEGELKEN STAFF PHARMACIST 157515 0 0 0 0 0 10079 0 18957 0 186551 0 0 0 THERESA DYAR DO DIRECTOR/RESIDENCY PRGRM DIRECTOR 177675 0 0 0 0 0 7995 0 0 0 185670 0 0 0 DORALEA METZGER DIRECTOR, PATIENT SERVICES 161950 0 0 0 455 0 9731 0 3540 0 175676 0 0 0 A COUNTY OF FAIRFIELD OHIO 316400066 304286AM9 2013-06-27 98511516 TO REFUND PRIOR ISSUE AND TO FUND NEW SURGICAL UNIT 0 0 0 A 56264480 6320525 926511 35000000 1 0 0 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 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 17,129,946. MANAGEMENT AND GENERAL EXPENSES 12,361,924. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,491,870. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,619,365. MANAGEMENT AND GENERAL EXPENSES 3,145,513. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,764,878. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 2,101,201. MANAGEMENT AND GENERAL EXPENSES 867,442. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,968,643. FORM 990, PART XI, LINE 9: ASSET TRANSFER TO AFFILIATES -25,110,783. CHANGE IN INTEREST OF NET ASSETS OF FAIRFIELD MEDICAL CENTER FOUNDATION 194,943. 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. HOME HEALTH RESOURCES 401 NORTH EWING STREET LANCASTER OH 43130 311159707 DURABLE MED. EQUIP. OH ZANE PROPERTIES CO 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 N/A 0 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 N/A 0 ZANE PROPERTIES CORPORATION 401 NORTH EWING STREET LANCASTER OH 43130 311202009 HOLDING COMPANY OH FAIRFIELD MEDICAL CENTER C 75097 2915503 1.00000 0 OHIO PHYSICAL MEDICINE & REHAB INC 2405 N COLUMBUS ST SUITE 210 LANCASTER OH 43130 311639119 PHYSIATRISTS OH N/A S 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 1 1 0 1 1 FAIRFIELD HEALTHCARE PROFESSIONALS INC G 105495 FAIRFIELD HEALTHCARE PROFESSIONALS INC O 17056201 ZANE PROPERTIES CORPORATION P 83115 FAIRFIELD HEALTHCARE PROFESSIONALS INC P 3859087 ZANE PROPERTIES CORPORATION Q 71191 FAIRFIELD HEALTHCARE PROFESSIONALS INC R 3850000 ZANE PROPERTIES CORPORATION S 250000