FIRELANDS REGIONAL MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: FIRELANDS REGIONAL MEDICAL CENTER (EIN 34-4428218)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-17
IRS object ID: 202543219349316939
Schema version: 2024v5.2
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-17T15:03:48-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	331498605	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	250 S HIGH ST SUITE 100	AddressLine1Txt
City	COLUMBUS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43215	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	344428218	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FIRELANDS REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	FIRE	BusinessNameControlTxt
Phone	4195577400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVE	AddressLine1Txt
City	SANDUSKY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	448703323	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN RILEY	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	4195577400	PhoneNum
Signature	2025-11-17	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY CIMINELLO	PreparerPersonNm
PTIN	P00796388	PTIN
Phone	6148493000	PhoneNum
Preparation	2025-11-17	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KEVIN RILEY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVE	AddressLine1Txt
City	SANDUSKY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	448703323	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$355,665,225	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FIRELANDS.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1919	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	OUR MISSION IS TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR PHYSICIANS, THEIR PATIENTS, OUR VOLUNTEERS AND EMPLOYEES AS WE STRIVE TOGETHER TO IMPROVE THE HEALTH AND WELL BEING OF THOSE WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	38	VotingMembersGoverningBodyCnt
Voting Members Independent	32	VotingMembersIndependentCnt
Total Employee	2213	TotalEmployeeCnt
Total Volunteers	129	TotalVolunteersCnt
Total Gross UBI	-$43,494	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$6,540,336	PYContributionsGrantsAmt
CY Contributions Grants	$6,101,061	CYContributionsGrantsAmt
PY Program Service Revenue	$256,849,515	PYProgramServiceRevenueAmt
CY Program Service Revenue	$260,735,993	CYProgramServiceRevenueAmt
PY Investment Income	$6,068,286	PYInvestmentIncomeAmt
CY Investment Income	$23,238,459	CYInvestmentIncomeAmt
PY Other Revenue	$17,872,476	PYOtherRevenueAmt
CY Other Revenue	$23,499,920	CYOtherRevenueAmt
PY Total Revenue	$287,330,613	PYTotalRevenueAmt
CY Total Revenue	$313,575,433	CYTotalRevenueAmt
PY Grants And Similar Paid	$251,317	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$69,200	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$129,681,568	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$133,932,483	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$517,735	CYTotalFundraisingExpenseAmt
PY Other Expenses	$144,797,339	PYOtherExpensesAmt
CY Other Expenses	$150,046,406	CYOtherExpensesAmt
PY Total Expenses	$274,730,224	PYTotalExpensesAmt
CY Total Expenses	$284,048,089	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,600,389	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$29,527,344	CYRevenuesLessExpensesAmt
Total Assets BOY	$519,944,951	TotalAssetsBOYAmt
Total Assets EOY	$527,496,388	TotalAssetsEOYAmt
Total Liabilities BOY	$235,805,302	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$205,493,941	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$284,139,649	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$322,002,447	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR MISSION IS TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR PHYSICIANS, THEIR PATIENTS, OUR VOLUNTEERS AND EMPLOYEES AS WE STRIVE TOGETHER TO IMPROVE THE HEALTH AND WELL BEING OF THOSE WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$211,969,023	ExpenseAmt
Grant	$69,200	GrantAmt
Revenue	$260,735,993	RevenueAmt
Desc	FIRELANDS REGIONAL MEDICAL CENTER IS A 287-BED FACILITY SERVING THE GREATER ERIE COUNTY REGION. AS A NON-PROFIT ORGANIZATION, FIRELANDS IS COMMITTED TO ITS MISSION TO: "PROVIDE EXCELLENT HEALTHCARE, PROMOTE COMMUNITY WELLNESS, AND IMPROVE THE LIVES WE SERVE." FIRELANDS IS DEDICATED TO PROVIDING CARE TO ALL THOSE IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY. FIRELANDS REGIONAL MEDICAL CENTER TODAY CARRIES ON THE PROUD TRADITION OF DELIVERING A FULL-RANGE OF ALLOPATHIC AND OSTEOPATHIC MEDICAL SERVICES TO NEARLY 300,000 RESIDENTS IN A FIVE-COUNTY AREA. AS ONE OF THE LARGEST YEAR-ROUND EMPLOYERS IN ERIE COUNTY, FIRELANDS REGIONAL MEDICAL CENTER PLAYS AN IMPORTANT ROLE IN THE LOCAL COMMUNITY. WITH OVER 2085 INDIVIDUALS EMPLOYED IN THE HEALTH SYSTEM IN 2024, $1.68 MILLION WAS PAID IN CITY AND SCHOOL PAYROLL TAXES IN 2024, AND OVER $15 MILLION OF GOODS AND SERVICES WERE PURCHASED FROM BUSINESSES IN FIRELANDS' SERVICE AREA. IN TERMS OF HEALTHCARE SERVICES PROVIDED IN 2024, INPATIENT CARE WAS GIVEN TO 9,101 INDIVIDUALS, AND THE HOSPITAL PROVIDED CARE THROUGH 323,258 OUTPATIENT VISITS. THERE WERE 42,275 PERSONS TREATED IN THE EMERGENCY ROOM AND URGENT CARE, PROVIDING MULTIPLE LEVELS OF EMERGENCY AND URGENT CARE SERVICES FOR MAJOR AND MINOR INJURIES AND ILLNESSES. FIRELANDS HAD 589 BIRTHS IN 2024.CONSISTENT WITH ITS COMMITMENT TO PROVIDE CARE TO ALL, REGARDLESS OF ABILITY TO PAY, FIRELANDS GAVE BACK TO THE COMMUNITY OVER $45.7 MILLION OF SERVICES IN FREE OR DISCOUNTED PROGRAMS OR SERVICES. ADDITIONAL CHARITY CARE WAS PROVIDED BY INDEPENDENT PHYSICIANS WHO ARE ON THE MEDICAL STAFF OF FIRELANDS. SPECIFICALLY, IN TERMS OF FREE OR DISCOUNTED CARE PROVIDED, FIRELANDS SERVED THE FOLLOWING NUMBER OF PERSONS WITHIN EACH CATEGORY, AMOUNTING TO SIGNIFICANT DOLLARS INVESTED IN THE COMMUNITY FOR WHICH FIRELANDS DID NOT RECEIVE COMPENSATION:PERSONS SERVED CATEGORY COST OF PROVIDING CARE32,914 COSTS OF SERVICES NOT COVERED BY MEDICAID $2,590,30715,689 COMMUNITY HEALTH IMPROVEMENT $451,47985 HEALTH PROFESSIONS EDUCATION $4,092,3487,809 FINANCIAL ASSISTANCE AT COST $2,143,163IN-KIND DONATIONS $36,030FIRELANDS' COMMUNITY OUTREACH DEPARTMENT IS DEDICATED TO PROVIDING SCREENINGS, COMMUNITY EDUCATION PROGRAMS AND PREVENTIVE SERVICES ALL DESIGNED TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THESE SERVICES ARE PROVIDED AT FREE OR DISCOUNTED RATES. FIRELANDS ALSO WORKS IN CONJUNCTION WITH OTHER HEALTHCARE FACILITIES TO BRING SPECIALIZED PEDIATRIC CLINICS TO THE AREA, SUCH AS, GASTROENTEROLOGY, NEPHROLOGY, NEUROLOGY, ORTHOPEDIC AND PULMONARY CARE.FIRELANDS HAS SEEN SIGNIFICANT GROWTH IN BRINGING ADVANCED PROCEDURES TO THE LOCAL COMMUNITY SO THAT PERSONS RESIDING IN THE FIVE-COUNTY AREA CAN STAY CLOSER TO HOME FOR ADVANCED CARE SUCH AS SPINE SURGERY, VASCULAR SURGERY AND ADVANCED CARE IN MEDICAL ONCOLOGY AND RADIATION ONCOLOGY SERVICES. IN 2024, FIRELANDS WELCOMED SEVEN NEW PHYSICIANS SPECIALIZING IN THE AREAS OF, GASTROENTEROLOGY, EMERGENCY MEDICINE, NEUROSURGERY, FAMILY MEDICINE, UROLOGY, OPHTHALMOLOGY AND PATHOLOGY.	Desc
Total Program Service Expenses	$211,969,023	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	Yes (1)	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	0	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	Yes (1)	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	Yes (1)	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	271	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2213	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
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Taxable Distributions	0	TaxableDistributionsInd
Distribution To Donor	0	DistributionToDonorInd
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	38	GoverningBodyVotingMembersCnt
Independent Voting Member	32	IndependentVotingMemberCnt
Family Or Business Rln	0	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	0	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	JACKIE SPRINGER CONTROLLER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4195575544	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVE	AddressLine1Txt
City	SANDUSKY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	448703323	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS WILLIAMSON MD
DIRECTOR/PHYSICIANS	1.00	40.00	Yes (X)	$355,544	$0	$56,958
KARL OBERER DO
DIRECTOR/PHYSICIANS	1.00	40.00	Yes (X)	$276,582	$0	$53,068
FREDRIC ITZKOWITZ DO
DIRECTOR	1.00	0.00	Yes (X)	$24,717	$0	$0
W PATRICK MCGUINN MD
DIRECTOR	1.00	0.00	Yes (X)	$13,472	$0	$0
STEVEN BENEDICT
DIRECTOR	1.00	0.00	Yes (X)	$5,275	$0	$0
BRADLEY MITCHEL
DIRECTOR	1.00	0.00	Yes (X)	$1,700	$0	$0
CARLOS LOWELL DO
DIRECTOR	1.00	0.00	Yes (X)	$635	$0	$0
JAMES MILLER
CHAIR	2.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
LEE A ALEXAKOS
VICE CHAIR	2.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
JOHN O BACON
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
SHELLY CHESBRO
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
DARLENE CROOKS
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
GREGORY GRAVES
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
ROGER M GUNDLACH
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
JAMES HART
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
MARY JANE HILL
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
JOHN HOTY
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
CURITS JOHNSON JR
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
BRYAN KASPER
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
THEODORE A KASTOR
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
DANIEL KELLER
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
RICHARD R KELLER MD
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
KEVIN KIEFFER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
MATTHEW KOSIOR
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
STEVE LICHTCSIEN
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
TIMOTHY MAYLES
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
ALLEN R NICKLES
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
JAMES E PRESTON DO
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
PAULA J RENGEL
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
EUGENE SANDERS
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JAMES SCHERGER DDS
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
WENDY SCHMIEDL
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JAMES V STOUFFER JR
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
JANICE W WARNER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JAMES O WIBLE
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
LUVADA WILSON
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
CHRISSY WOSTON
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
JEREMY NORMINGTON-SLAY
PRESIDENT & CEO	40.00	4.00		$976,582	$0	$191,614	Yes (X)
SCOTT M CAMPBELL MD
VP & CHIEF MEDICAL OFFICER (NON-VOTING)	40.00	4.00		$606,504	$0	$110,380	Yes (X)
KEVIN RILEY
CHIEF FINANCIAL OFFICER, TREASURER (NON-VOTING)	40.00	4.00		$484,910	$0	$109,109	Yes (X)
GEORGE KOROMIA
PHYSICIAN	40.00	0.00		$590,541	$0	$19,304		Yes (X)
LINDA NJOROGE
PHYSICIAN	40.00	0.00		$581,302	$0	$53,980		Yes (X)
ADEYEMI MARCUS MD
PHYSICIAN	40.00	0.00		$427,449	$0	$63,819		Yes (X)
JAMES SPICER
VP OPERATIONS	40.00	0.00		$400,761	$0	$16,896		Yes (X)
DENISE PARRISH
VP & CHIEF NURSING OFFICER	40.00	0.00		$353,055	$0	$91,699		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,099,029	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$766,827	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	10	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
COMMUNITY HOSPITALISTS LLC
7500 RIALTO BLVD BLDG 1 SUITE 140	AUSTIN	TX	78735	MEDICAL SERVICES	$6,511,516
PREMIER ANESTHESIA
PO BOX 638144	CINCINNATI	OH	45263	ANESTHESIA SERVICES	$2,840,904
GE MEDICAL SYSTEMS INFORMATION
9900 W INNOVATION DR	WAUWATOSA	WI	53226	PATIENT FOCUSED TECHNOLOGIES	$1,893,823
MEDICAL INFORMATION TECHNOLOGY
7 BLUE HILL RIVER ROAD	CANTON	MA	02021	MEDITECH HEALTH INFORMATION	$1,518,971
MCPC INC
21500 AEROSPACE PKWY	CLEVELAND	OH	44142	INFORMATION TECHNOLOGY SERVICES	$1,410,182

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	107	CntrctRcvdGreaterThan100KCnt
Fundraising	$55,450	FundraisingAmt
Related Organizations	$49,423	RelatedOrganizationsAmt
Government Grants	$4,510,695	GovernmentGrantsAmt
All Other Contributions	$1,485,493	AllOtherContributionsAmt
Total Contributions	$6,101,061	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	623000	$257,567,463	$257,567,463
COMM. HOSP. PATIENT CARE FEES	900099	$578,275	$578,275
SCHOOL OF NURSING	611600	$551,832	$551,832
PROGRAM SERVICE INVESTMENTS	525990	$127,116	$127,116

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,911,307	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,911,307	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$260,735,993	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,725,330	TotalRevenueColumnAmt
Exclusion	$17,725,330	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$46,390,702	SecuritiesAmt
Other	$1,107,309	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$41,979,326	SecuritiesAmt
Other	$5,556	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,411,376	SecuritiesAmt
Other	$1,101,753	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,513,129	TotalRevenueColumnAmt
Exclusion	$5,513,129	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$282,169	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$55,450	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$104,910	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$177,259	TotalRevenueColumnAmt
Exclusion	$177,259	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EMPLOYEE PHARMACY	456110	$17,913,786	$17,913,786
OFFICE RENTS	531190	$2,402,625	$2,402,625
DIETARY SERVICES	722514	$945,703	$945,703

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,060,547	TotalRevenueColumnAmt
Unrelated Business Revenue	-$43,494	UnrelatedBusinessRevenueAmt
Exclusion	$2,104,041	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$23,322,661	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$313,575,433	TotalRevenueColumnAmt
Related Or Exempt Func Income	$260,735,993	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$43,494	UnrelatedBusinessRevenueAmt
Exclusion	$46,781,873	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	$56,007	TotalAmt
Program Services	$56,007	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$13,193	TotalAmt
Program Services	$13,193	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,820,058	TotalAmt
Program Services	$3,782,675	ProgramServicesAmt
Management And General	$2,037,383	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$102,568,970	TotalAmt
Program Services	$72,894,801	ProgramServicesAmt
Management And General	$29,442,995	ManagementAndGeneralAmt
Fundraising	$231,174	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,051,542	TotalAmt
Program Services	$5,082,092	ProgramServicesAmt
Management And General	$1,953,533	ManagementAndGeneralAmt
Fundraising	$15,917	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,782,427	TotalAmt
Program Services	$7,641,738	ProgramServicesAmt
Management And General	$3,116,633	ManagementAndGeneralAmt
Fundraising	$24,056	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,709,486	TotalAmt
Program Services	$5,460,114	ProgramServicesAmt
Management And General	$2,232,812	ManagementAndGeneralAmt
Fundraising	$16,560	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,506,069	TotalAmt
Program Services	$278,794	ProgramServicesAmt
Management And General	$1,227,275	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$532,318	TotalAmt
Management And General	$532,318	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$180,000	TotalAmt
Management And General	$180,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,114,563	TotalAmt
Management And General	$1,114,563	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$33,953,208	TotalAmt
Program Services	$25,321,575	ProgramServicesAmt
Management And General	$8,625,493	ManagementAndGeneralAmt
Fundraising	$6,140	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$765,836	TotalAmt
Management And General	$584,601	ManagementAndGeneralAmt
Fundraising	$181,235	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$60,000,408	TotalAmt
Program Services	$55,391,219	ProgramServicesAmt
Management And General	$4,588,820	ManagementAndGeneralAmt
Fundraising	$20,369	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,825,352	TotalAmt
Management And General	$8,825,352	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,740,547	TotalAmt
Program Services	$1,077,022	ProgramServicesAmt
Management And General	$4,663,525	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$530,234	TotalAmt
Program Services	$428,450	ProgramServicesAmt
Management And General	$101,695	ManagementAndGeneralAmt
Fundraising	$89	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$47,139	TotalAmt
Management And General	$47,139	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,221,117	TotalAmt
Program Services	$6,221,117	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,012,423	TotalAmt
Program Services	$17,012,423	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$996,031	TotalAmt
Program Services	-$242,390	ProgramServicesAmt
Management And General	$1,238,421	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
FRANCHISE TAX	$8,292,802	$8,292,802
PHYSICIAN RECRUITMENT	$1,536,511	$1,536,511
AFFILIATION FEES	$544,032	$536,682	$7,350
BELLEVUE PROMISSORY NOT	$500,000			$500,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,747,816	TotalAmt
Program Services	$1,184,198	ProgramServicesAmt
Management And General	$548,773	ManagementAndGeneralAmt
Fundraising	$14,845	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$284,048,089	TotalAmt
Program Services	$211,969,023	ProgramServicesAmt
Management And General	$71,561,331	ManagementAndGeneralAmt
Fundraising	$517,735	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,838	BOYAmt
EOY	$9,838	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$23,636,117	BOYAmt
EOY	$25,735,395	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,019	BOYAmt
EOY	$37,978	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$33,572,843	BOYAmt
EOY	$41,585,800	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,132,378	BOYAmt
EOY	$6,391,502	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$20,835,754	BOYAmt
EOY	$9,262,863	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$395,965,737	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$241,387,154	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$158,579,084	BOYAmt
EOY	$154,578,583	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$262,677,032	BOYAmt
EOY	$280,228,815	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$5,833,533	BOYAmt
EOY	$5,726,127	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,646,353	BOYAmt
EOY	$3,939,487	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$519,944,951	BOYAmt
EOY	$527,496,388	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$61,109,733	BOYAmt
EOY	$53,886,754	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$136,225,002	BOYAmt
EOY	$130,736,269	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$38,470,567	BOYAmt
EOY	$20,870,918	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$235,805,302	BOYAmt
EOY	$205,493,941	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	$267,401,272	BOYAmt
EOY	$303,957,119	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,738,377	BOYAmt
EOY	$18,045,328	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$284,139,649	BOYAmt
EOY	$322,002,447	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$519,944,951	BOYAmt
EOY	$527,496,388	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$29,527,344	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,259,658	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$75,796	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	$2,683	OtherActivitiesAmt
Total Lobbying Expenditures	$2,683	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	OHIO HOSPITAL ASSOCIATION ANNUAL DUES OF WHICH 3.7% IS RELATED TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,310,750	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,087,356	InvestmentEarningsOrLossesAmt
Other Expenditures	$733,867	OtherExpendituresAmt
Administrative Expenses	$104,345	AdministrativeExpensesAmt
End Year Balance	$16,559,894	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,138,897	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,032,457	InvestmentEarningsOrLossesAmt
Other Expenditures	$764,560	OtherExpendituresAmt
Administrative Expenses	$96,044	AdministrativeExpensesAmt
End Year Balance	$15,310,750	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,066,638	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$2,956,325	InvestmentEarningsOrLossesAmt
Other Expenditures	$882,155	OtherExpendituresAmt
Administrative Expenses	$89,261	AdministrativeExpensesAmt
End Year Balance	$14,138,897	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,884,280	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,048,359	InvestmentEarningsOrLossesAmt
Other Expenditures	$762,850	OtherExpendituresAmt
Administrative Expenses	$103,151	AdministrativeExpensesAmt
End Year Balance	$18,066,638	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,226,787	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,498,063	InvestmentEarningsOrLossesAmt
Other Expenditures	$745,247	OtherExpendituresAmt
Administrative Expenses	$95,323	AdministrativeExpensesAmt
End Year Balance	$16,884,280	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,777,276	OtherCostOrOtherBasisAmt
Book Value	$13,777,276	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$188,788,791	OtherCostOrOtherBasisAmt
Depreciation	$97,460,611	DepreciationAmt
Book Value	$91,328,180	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,543,432	OtherCostOrOtherBasisAmt
Depreciation	$2,868,910	DepreciationAmt
Book Value	$4,674,522	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$173,609,156	OtherCostOrOtherBasisAmt
Depreciation	$137,368,042	DepreciationAmt
Book Value	$36,241,114	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,247,082	OtherCostOrOtherBasisAmt
Depreciation	$3,689,591	DepreciationAmt
Book Value	$8,557,491	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$154,578,583	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
CAPITAL LEASE	$9,373,676
SELF-INSURANCE RESERVE	$6,770,000
ACCRUED POST-RETIREMENT & PENSION	$354,075
DEFERRED INCOME GUARANTEE	$3,280,320
DUE TO RELATED PARTIES	$1,092,847

Field	Value	IRS element (for citing)
Total Liability	$20,870,918	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	ENDOWMENT FUND EXPENDITURES FOR FACILITIES AND PROGRAMS ARE USED TO PROMOTE PHYSICAL AND MENTAL WELL-BEING IN THE COMMUNITY.
PART X, LINE 2:	FINANCIAL STATEMENTS FOR FIRELANDS REGIONAL MEDICAL CENTER ARE PART OF THE CONSOLIDATED AND AUDITED FINANCIAL STATEMENTS OF FIRELANDS REGIONAL HEALTH SYSTEM.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CADDYSHACK OPEN	Event1Nm
Gross Receipts Event1	$161,119	GrossReceiptsEvent1Amt
Charitable Contri Event1	$250	CharitableContriEvent1Amt
Gross Revenue Event1	$160,869	GrossRevenueEvent1Amt
Cash Prizes Event1	$500	CashPrizesEvent1Amt
Non Cash Prizes Event1	$2,150	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$11,100	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$7,782	FoodAndBeverageEvent1Amt
Entertainment Event1	$7,605	EntertainmentEvent1Amt
Other Direct Expenses Event1	$11,887	OtherDirectExpensesEvent1Amt
Event2	BEST SUMMER BASH	Event2Nm
Gross Receipts Event2	$176,500	GrossReceiptsEvent2Amt
Charitable Contri Event2	$55,200	CharitableContriEvent2Amt
Gross Revenue Event2	$121,300	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$620	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$27,511	FoodAndBeverageEvent2Amt
Entertainment Event2	$22,750	EntertainmentEvent2Amt
Other Direct Expenses Event2	$13,005	OtherDirectExpensesEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$337,619	GrossReceiptsTotalAmt
Charitable Contributions Tot	$55,450	CharitableContributionsTotAmt
Gross Revenue Total Events	$282,169	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$500	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$2,150	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$11,720	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$35,293	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$30,355	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$24,892	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$104,910	DirectExpenseSummaryEventsAmt
Net Income Summary	$177,259	NetIncomeSummaryAmt

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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	302.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$2,143,163	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,143,163	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,068,818	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,478,511	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,590,307	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,211,981	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,478,511	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,733,470	NetCommunityBenefitExpnsAmt
Total Expense	0.01660	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$561,888	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$110,409	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$451,479	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,358,300	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,265,952	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,092,348	NetCommunityBenefitExpnsAmt
Total Expense	0.01440	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,030	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,030	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,956,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,376,361	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,579,857	NetCommunityBenefitExpnsAmt
Total Expense	0.01610	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,168,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,854,872	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,313,327	NetCommunityBenefitExpnsAmt
Total Expense	0.03270	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	35306	PersonsServedCnt
Total Community Benefit Expns	$612,421	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$110,144	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$502,277	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	35306	PersonsServedCnt
Total Community Benefit Expns	$612,421	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$110,144	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$502,277	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,239,983	BadDebtExpenseAmt
Bad Debt Expense Attributable	$256,756	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$105,457,037	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$138,314,413	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$32,857,376	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 NORTHERN OHIO SURGICAL PROPERTIES
PROPERTY OWNERSHIP/MANAGEMENT	0.50000	0.30730
2 ERIE SHORES SURGERY CENTER
OWNERSHIP OF AMBULATORY SURGICAL CENTER	0.56730	0.26730
3 BBD PROFESSIONAL PROPERTY MANAGEMENT
PROPERTY OWNERSHIP/MANAGEMENT	0.25000	0.75000

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	FIRELANDS REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVENUE	AddressLine1Txt
City	SANDUSKY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44870	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.FIRELANDS.COM	WebsiteAddressTxt
State License	STATE REG. #1164	StateLicenseNum
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	FIRELANDS REGIONAL 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
Other	Yes (X)	OtherInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	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	FIRELANDS.COM	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	ERIECOHEALTHOHIO.COM	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	302.000000000000	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
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	WWW.FIRELANDS.COM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.FIRELANDS.COM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.FIRELANDS.COM	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 Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
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 Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FIRELANDS REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 3J: OTHER TOPICS THAT THE CHNA REPORT ADDRESSED INCLUDE SOCIAL DETERMINANTS, PERSONAL HEALTH STATUS, ACCESS TO HEALTH CARE, MENTAL HEALTH, ORAL HEALTH, SMOKING/TOBACCO USE, ALCOHOL AND SUBSTANCE ABUSE, MATERNAL/INFANT/CHILD HEALTH, HEALTHY LIVING, COMMUNICABLE DISEASES, VACCINATIONS AND PREVENTION SERVICES, CHRONIC DISEASE MANAGEMENT, TRANSPORTATION, HOUSING, ENVIRONMENTAL QUALITY, SAFETY/INJURY/VIOLENCE, AND REPRODUCTIVE/SEXUAL HEALTH.
FIRELANDS REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6B: THE CHNA REPORT WAS FUNDED BY THE ERIE COUNTY HEALTH DEPARTMENT, FIRELANDS HEALTH - FIRELANDS REGIONAL MEDICAL CENTER, AND THE ADAMHS BOARD OF ERIE COUNTY. PROJECT MANAGEMENT AND REPORT DEVELOPMENT WAS PROVIDED BY THE CENTER FOR REGIONAL DEVELOPMENT AT BGSU.
FIRELANDS REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED TOP PRIORITY HEALTH NEEDS IN OUR REGION BASED ON SURVEY DATA, HEALTH DATA, AND DEMOGRAPHIC DATA. THOSE PRIORITY NEEDS INCLUDE ACCESS TO HEALTH CARE, ALCOHOL & SUBSTANCE ABUSE, CHANGING DEMOGRAPHICS AND SOCIAL DETERMINANTS OF HEALTH, MENTAL HEALTH, AND OBESITY & HEALTHY LIFESTYLE CHOICES. FIRELANDS REGIONAL MEDICAL CENTER INCLUDED PLANS TO ADDRESS EACH OF THESE NEEDS IN THE CHNA IMPLEMENTATION PLAN ATTACHED TO THIS RETURN.
FIRELANDS REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 16J: FIRELANDS REGIONAL MEDICAL CENTER UTILIZES NEWSLETTERS AND BILLBOARDS AND HAS FINANCIAL SERVICES STAFF ATTEND APPROXIMATELY TEN MARKETING EVENTS EACH CALENDAR YEAR AS ADDITIONAL METHODS OF PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY.

Field	Value	IRS element (for citing)
Facility	19	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - FIRELANDS REGIONAL MEDICAL CENTER OUTPAT
904 PIERCE ST	SANDUSKY	OH	44870	OUTPATIENT DIALYSIS
2 - FIRELANDS REGIONAL MEDICAL CENTER OP THE
1912 HAYES AVE	SANDUSKY	OH	44870	OP THERAPIES & SLEEP LAB
3 - FIRELANDS REGIONAL MEDICAL CENTER HOME H
5420 MILAN ROAD	SANDUSKY	OH	44870	HOME HEALTH AGENCY
4 - FIRELANDS REGIONAL MEDICAL CENTER OUTPAT
290 PROGRESS DR SUITE A	BELLEVUE	OH	44811	OUTPATIENT DIALYSIS
5 - FIRELANDS REGIONAL MEDICAL CENTER OP IMA
2500 W STRUB RD	SANDUSKY	OH	44870	OP IMAGING CENTER
6 - FIRELANDS COUNSELING & RECOVERY SERVICES
1925 HAYES AVE	SANDUSKY	OH	44870	OP MENTAL HEALTH & CD
7 - FIRELANDS COUNSELING & RECOVERY SERVICES
292 BENEDICT AVE	NORWALK	OH	44857	OP MENTAL HEALTH & CD
8 - FIRELANDS COUNSELING & RECOVERY SERVICES
290 PROGRESS DR SUITE B	BELLEVUE	OH	44811	OP MENTAL HEALTH & CD
9 - FIRELANDS COUNSELING & RECOVERY SERVICES
76 ASHWOOD RD	TIFFIN	OH	44883	OP MENTAL HEALTH & CD
10 - FIRELANDS COUNSELING & RECOVERY SERVICES
675 BARSTON RD	FREMONT	OH	43420	OP MENTAL HEALTH & CD
11 - FIRELANDS COUNSELING & RECOVERY SERVICES
335 BUCKEYE BLVD	PORT CLINTON	OH	43452	OP MENTAL HEALTH & CD
12 - FIRELANDS REGIONAL MEDICAL CENTER OP PHY
348 MILAN AVE 2	NORWALK	OH	44857	OP PHYSICAL THERAPY
13 - FIRELANDS REGIONAL MEDICAL CENTER OP PHY
101 S WASHINGTON ST	CASTALIA	OH	44824	OP PHYSICAL THERAPY
14 - FIRELANDS REGIONAL MEDICAL CENTER OP IMA
1470 W MCPHERSON HWY	CLYDE	OH	43410	OP IMAGING CENTER
15 - FIRELANDS REGIONAL MEDICAL CENTER OP IMA
1401 BONE CREEK DRIVE	SANDUSKY	OH	44870	OP IMAGING & PHYSICAL THERAPY
16 - FIRELANDS OP DIAG RADIOLOGY AND LAB SE
3960 E HARBOR ROAD	PORT CLINTON	OH	43452	OP IMAGING, AND LAB
17 - FIRELANDS REGIONAL MEDICAL CENTER OP PHY
2801 CLEVELAND ROAD	SANDUSKY	OH	44870	OP PHYSICAL & SPEECH THERAPY
18 - FIRELANDS REGIONAL MEDICAL CENTER OP RAD
2520 COLUMBUS AVE SUITE C	SANDUSKY	OH	44870	OP IMAGING CENTER
19 - FIRELANDS REGIONAL MEDICAL CENTER OP LAB
2520 COLUMBUS AVE SUITE D	SANDUSKY	OH	44870	OP LAB

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	FIRELANDS REGIONAL MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:	TO DERIVE COSTS OF CHARITY CARE AND OTHER COMMUNITY BENEFITS, A COMBINATION OF COST ACCOUNTING SYSTEM AND COST-TO-CHARGE RATIOS WAS USED. THE LATTER WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OUR COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT TYPES AND PAYER SOURCES.
PART II, COMMUNITY BUILDING ACTIVITIES:	SEE NARRATIVE UNDER PART VI, LINE 5
PART III, LINE 2:	THE RATIO DERIVED ON WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES WAS APPLIED TO THE ORGANIZATION'S BAD DEBT PROVISION IN ORDER TO COMPUTE BAD DEBT EXPENSE.
PART III, LINE 3:	FOR ESTIMATING THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS FINANCIAL POLICY, FIRELANDS REGIONAL MEDICAL CENTER UTILIZED A COMBINATION OF HISTORICAL PATIENT VISIT AND THIRD-PARTY DATA BASED ON ESTIMATED FAMILY SIZE, INCOME, AND OTHER DEMOGRAPHICS. ALL ACCOUNTS PLACED INTO BAD DEBT DURING THE YEAR WITH NO PAYMENT ACTIVITY WERE SCORED BASED ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, AND ALL WHO MET THE INCOME CRITERIA BASED ON FAMILY SIZE WERE ASSUMED TO BE ELIGIBLE FOR CHARITY AND THUS TREATABLE AS COMMUNITY BENEFIT.
PART III, LINE 4:	AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYERS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYERS.AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGEING. LOSS RATE ACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE SYSTEM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THAT THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
PART III, LINE 8:	FIRELANDS REGIONAL MEDICAL CENTER'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE MEDICARE COSTS REFLECTED IN PART III, LINE 6. THE ORGANIZATION BELIEVES THAT ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THESE SERVICES ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND PROMOTE THE WELL-BEING OF THE COMMUNITY. FURTHERMORE, IT RELIEVES THE BURDEN ON LOCAL GOVERNMENTS.
PART III, LINE 9B:	WHEN A PATIENT IS UNINSURED OR INSURANCE PAYMENTS HAVE BEEN RECEIVED AND APPLIED, THEY ARE CLASSIFIED AS SELF PAY. OVER A 90-DAY PERIOD EACH PATIENT RECEIVES A MINIMUM OF 2 BALANCE-DUE STATEMENTS AND 1 FINAL STATEMENT. DURING THAT PERIOD THE PATIENT HAS THE OPPORTUNITY TO PAY THE ACCOUNT IN FULL, SET UP PAYMENT ARRANGEMENTS, OR APPLY FOR FINANCIAL AID. IN THE EVENT THE PATIENT DOES NOT PAY THE ACCOUNT IN FULL, SET UP PAYMENT ARRANGEMENTS, APPLY FOR FINANCIAL AID, OR MAKE AN EFFORT TO CONTACT THE FACILITY WITH SPECIAL CIRCUMSTANCES CONCERNING THE UNPAID BALANCE, THE ACCOUNT IS PLACED IN BAD DEBT COLLECTION AT OR ABOUT 120 DAYS FROM THE FIRST STATEMENT OR LAST PAYMENT. SHOULD AN ACCOUNT BE PLACED IN COLLECTION, THE PATIENT HAS AN ADDITIONAL OPPORTUNITY TO APPLY FOR FINANCIAL AID, SET UP PAYMENT ARRANGEMENTS, OR SUPPLY ADDITIONAL INFORMATION RELATED TO THE ACCOUNT. IF ANY OF THESE EVENTS OCCUR, THE COLLECTION ACCOUNT IS EITHER PLACED ON HOLD, BILLED TO INSURANCE, UPDATED WITH THE PAYMENT ARRANGEMENT, OR TAKEN OUT OF BAD DEBT AND ADJUSTED ACCORDING TO FINANCIAL AID GUIDELINES. PRIOR TO PLACING AN ACCOUNT IN BAD DEBT, THE ACCOUNT IS SCREENED BY SELF PAY COMPASS, A SOFTWARE APPLICATION THAT SCORES THE PATIENT'S INCOME BASED ON SEVERAL FINANCIAL RESOURCE DATABASES. THE APPLICATION IDENTIFIES ALL ACCOUNTS THAT MEET THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY GUIDELINES BASED ON INCOME. ACCOUNTS THAT MEET 100% OF FPL ARE WRITTEN OFF TO PRESUMPTIVE CHARITY AND NOT PLACED IN BAD DEBT COLLECTION.
PART VI, LINE 2:	FIRELANDS REGIONAL MEDICAL CENTER USES SEVERAL RESOURCES TO DETERMINE THE HEALTHCARE NEEDS OF THE COMMUNITY IT WHICH IT SERVES. IT WORKS IN CONJUNCTION WITH THE LOCAL HEALTH DEPARTMENT AND HELPS TO FUND A COMMUNITY NEEDS ASSESSMENT, WHICH IS DONE EVERY FEW YEARS. RESULTS OF THE ASSESSMENT ARE ANALYZED AND USED TO DETERMINE THE NEED FOR NEW PROGRAMS, SERVICES, EDUCATIONAL PROGRAMS, AND ACCESS NEEDS. THE MEDICAL CENTER ALSO COMMISSIONS A PHYSICIAN STUDY EVERY FEW YEARS TO DETERMINE THE TYPES AND NUMBERS OF PHYSICIANS NEEDED TO ADEQUATELY MEET THE NEEDS OF THE COMMUNITY. ADDITIONALLY, EVERY THREE YEARS A COMMUNITY RESEARCH STUDY IS PERFORMED WHICH ASKS LOCAL RESIDENTS FOR THEIR PERCEPTIONS OF HEALTHCARE SERVICES IN THE AREA AND DETERMINES IF ADDITIONAL SERVICES ARE NEEDED. SECONDARY DATA OF THE REGION IS ANALYZED ANNUALLY TO DETERMINE UTILIZATION OF SPECIFIC SERVICES, OUTMIGRATION OF LOCAL RESIDENTS TO RECEIVE SERVICES, ETC. PROJECTED UTILIZATION STUDIES ENSURE THAT ANY NEW PROGRAMS OR SERVICES EXPLORED MEET THE NEEDS OF THE COMMUNITY.
PART VI, LINE 3:	HOSPITAL CARE ASSURANCE PROGRAM SIGNS ARE POSTED IN ALL REGISTRATION AND EMERGENCY AREAS. BILLING AND FINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE WITH INSTRUCTIONS ON WHOM TO CONTACT AND HOW TO APPLY FOR SERVICES. FINANCIAL ASSISTANCE GUIDELINES AND APPLICATIONS ARE ALSO AVAILABLE ON OUR WEBSITE (WWW.FIRELANDS.COM). EVERY PATIENT STATEMENT CONTAINS CHARITY GUIDELINES AND AN APPLICATION. SELF-PAY INPATIENTS ARE SEEN ON-SITE BY A CONTRACTED AGENCY THAT DISCUSSES AND ASSISTS PATIENTS WITH APPLICATIONS FOR MEDICAID OR DISABILITY. THESE PATIENTS ARE ALSO SCREENED BY A FINANCIAL COUNSELOR WHO EXPLAINS THE HOSPITAL'S CHARITY PROCESS, ASSISTS WITH THE APPLICATION, AND/OR SUPPLIES THEM WITH A CONTACT IF QUESTIONS SHOULD ARISE AFTER DISCHARGE. SELF-PAY INPATIENTS ARE MONITORED DAILY TO IDENTIFY PATIENTS WHO ARE ELIGIBLE FOR MEDICAID AND HAVE NO PRIOR INSURANCE COVERAGE. ALL SELF-PAY ACCOUNTS WITH A BALANCE OF $1,500 OR MORE ARE SCREENED BY A THIRD PARTY AND A MEDICAID APPLICATION IS STARTED FOR THOSE THAT MEET ELIGIBILITY GUIDELINES. DURING THE SCHEDULING PROCESS, IF A PATIENT STATES THEY HAVE NO INSURANCE OR ARE CONCERNED ABOUT THEIR FINANCIAL LIABILITY, THE PATIENT CALL IS FORWARDED TO A FINANCIAL COUNSELOR WHO WILL EXPLAIN OUR CHARITY PROGRAM AND OFFER TO ASSIST WITH AND/OR MAIL THE FINANCIAL ASSISTANCE APPLICATION. REGISTRATION STAFF SUPPLIES THE PATIENT WITH A BROCHURE AND APPLICATION IF A FINANCIAL COUNSELOR IS NOT AVAILABLE UPON DISCHARGE. FINANCIAL COUNSELING STAFF IS AVAILABLE MONDAY - FRIDAY 8:00 AM TO 4:30 PM. A PATIENT NAVIGATOR IS ALSO AVAILABLE IN THE CANCER CENTER TO ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH CHARITY CARE AND MEDICAID APPLICATIONS, AS WELL AS PHARMACY VENDOR PROGRAMS FOR ONCOLOGY DRUGS.
PART VI, LINE 4:	FIRELANDS REGIONAL MEDICAL CENTER SERVES A FOUR-COUNTY AREA OF APPROXIMATELY 233,000 RESIDENTS. THE PRIMARY SERVICE AREA IS ERIE COUNTY, WHICH HAS A POPULATION OF ABOUT 75,000 PERSONS AND IS LOCATED ON THE SOUTHERN SHORE OF LAKE ERIE, HALFWAY BETWEEN CLEVELAND, OH AND TOLEDO, OH. BASED UPON THE LATEST CENSUS DATA, THE MAJORITY OF THE POPULATION'S RACE IS CAUCASIAN, WITH 18% MINORITY; 96.1% OF THE POPULATION HAS A HIGH SCHOOL EDUCATION OR AT LEAST SOME COLLEGE. THE COUNTY'S MEDIAN AGE IS 47 AND THE MEDIAN HOUSEHOLD INCOME IS $61,648. APPROXIMATELY, 70% OF THE COUNTY'S RESIDENTS OWN THEIR HOME, WITH THE MEDIAN HOME VALUE OF $197,000. SECONDARY SERVICE AREAS CONSIST OF THE CONTIGUOUS COUNTIES OF OTTAWA, HURON AND SANDUSKY, WHICH HAVE A COMBINED POPULATION OF 158,000 INDIVIDUALS. FIRELANDS COUNSELING AND RECOVERY SERVICES REACHES EVEN FURTHER, SERVING 5 SURROUNDING COUNTIES INCLUDING THE COUNTIES OF ERIE, HURON, SANDUSKY, OTTAWA, SENECA. HOME HEALTH SERVICES PROVIDED BY THE MEDICAL CENTER COVERS 13 COUNTIES. DEMOGRAPHICS OF THESE COUNTIES ARE SIMILAR TO THE PRIMARY AREA OF ERIE COUNTY.
PART VI, LINE 5:	FIRELANDS REGIONAL MEDICAL CENTER ESTABLISHED THE FIRELANDS GARDEN DISTRICT PLAN IN 2007 WITH THE GOAL OF ENHANCING AND REVITALIZING THE MEDICAL CENTER'S NEIGHBORHOOD IN TERMS OF ATTRACTIVENESS, SAFETY, AND APPEAL. THIS REVITALIZATION IS ACCOMPLISHED THROUGH A PROGRAM PROVIDING FIRELANDS EMPLOYEES THE RESOURCES NEEDED TO MAKE A DOWN PAYMENT FOR THE PURCHASE OR RESTORATION OF HOMES FOR OCCUPANCY.FIRELANDS PARTICIPATES IN THE NORTHWEST OHIO PUBLIC INFORMATION OFFICER COMMITTEE TO BRING ADDITIONAL SKILLS TO THE AREA REGARDING DISASTER READINESS. IN ADDITION TO MEETING THE REQUIRED INCIDENT COMMAND TRAINING COURSES, THE MEDICAL CENTER HAS GONE ABOVE AND BEYOND BY ATTENDING REGIONAL MEETINGS, COMPLETING CRISIS AND EMERGENCY RISK COMMUNICATION TRAINING, PUBLIC INFORMATION OFFICER TRAINING THROUGH THE OHIO EMERGENCY MANAGEMENT AGENCY AND THE DEPARTMENT OF HOMELAND SECURITY, AS WELL AS INCORPORATING SOCIAL MEDIA IN ITS CRISIS COMMUNICATION METHODS.MANAGEMENT STAFF OF FIRELANDS REGIONAL MEDICAL CENTER IS ENCOURAGED TO PARTICIPATE IN LOCAL AND REGIONAL BOARDS AND ACTIVITIES THAT IMPROVE THE LOCAL COMMUNITY. ADVOCACY INCLUDES SUCH ACTIVITIES AS FINANCIAL SUPPORT TO A LOCAL CLINIC THAT SERVES UNINSURED AND UNDERINSURED PATIENTS ALONG WITH EFFORTS TO ORGANIZE A FEDERALLY QUALIFIED HEALTH CENTER FOR THE COMMUNITY, AND BOARD LEVEL WORK FOR COMMUNITY HEALTH EDUCATION ENTITIES AND AREA NON-PROFIT ORGANIZATIONS THAT WORK TO IMPROVE THE HEALTH OF THE COMMUNITY.

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	FIRELANDS PHYSICIANS REGIONAL HEALTH CARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVE	AddressLine1Txt
City	SANDUSKY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44870	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	341829898	RecipientEIN
IRC Section	501(C) (3)	IRCSectionDesc
Cash Grant	$22,837	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	FINANCIAL ASSISTANCE TO RELATED ORGANIZATION	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EDUCATION PAYMENT PROGRAM SCHOLARSHIPS	GrantTypeTxt
Recipient	14	RecipientCnt
Cash Grant	$13,193	CashGrantAmt
Valuation Method Used	N/A	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 2:

THE USE OF FUNDS CONTRIBUTED IS MONITORED BY THE REVIEW OF FINANCIAL AND PERFORMANCE RESULTS.

PART III LINE 1:

TO BE ELIGIBLE FOR THE EDUCATION PAYMENT PROGRAM SCHOLARSHIPS, A CANDIDATE MUST BE A QUALIFIED FAMILY MEMBER OF A CURRENT ACTIVE EMPLOYEE AND BE SPONSORED BY THEIR FIRELANDS-EMPLOYED FAMILY MEMBER, BE A HIGH SCHOOL GRADUATE (OR EQUIVALENT) OR A HIGH SCHOOL SENIOR PLANNING TO BEGIN OR CONTINUE COURSE WORK AT AN ACCREDITED EDUCATIONAL INSTITUTION WITHIN ONE YEAR OF SUBMITTING A PROGRAM APPLICATION AND HAVE A CUMULATIVE ACADEMIC AVERAGE OF "C OR BETTER. AWARD RECIPIENTS ARE SELECTED BASED ON APPLICATION, PAST ACADEMIC PERFORMANCE, FIELD OF STUDY, EDUCATIONAL INSTITUTION, ECONOMIC NEED, AND AVAILABILITY OF FUNDS. THIS PROGRAM IS ADMINISTERED WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, AGE, ANCESTRY, NATIONAL ORIGIN, OR DISABILITY. FUNDS ARE PAID DIRECTLY TO THE SCHOOL ON BEHALF OF THE RECIPIENT.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
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	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
JEREMY NORMINGTON-SLAY
PRESIDENT & CEO	$707,535	$0	$268,268	$0	$779	$0	$129,740	$0	$61,874	$0	$1,168,196	$0	$0	$0
SCOTT M CAMPBELL MD
VP & CHIEF MEDICAL OFFICER (NON-VOTI	$603,077	$0	$0	$0	$3,427	$0	$89,209	$0	$21,171	$0	$716,884	$0	$0	$0
LINDA NJOROGE
PHYSICIAN	$519,446	$0	$61,557	$0	$299	$0	$1,965	$0	$52,015	$0	$635,282	$0	$0	$0
GEORGE KOROMIA
PHYSICIAN	$525,681	$0	$64,607	$0	$253	$0	$0	$0	$19,304	$0	$609,845	$0	$0	$0
KEVIN RILEY
CHIEF FINANCIAL OFFICER, TREASURER (	$384,515	$0	$98,162	$0	$2,233	$0	$56,179	$0	$52,930	$0	$594,019	$0	$0	$0
ADEYEMI MARCUS MD
PHYSICIAN	$414,081	$0	$12,866	$0	$502	$0	$13,800	$0	$50,019	$0	$491,268	$0	$0	$0
DENISE PARRISH
VP & CHIEF NURSING OFFICER	$279,823	$0	$70,999	$0	$2,233	$0	$42,495	$0	$49,204	$0	$444,754	$0	$0	$0
JAMES SPICER
VP OPERATIONS	$319,764	$0	$80,218	$0	$779	$0	$0	$0	$16,896	$0	$417,657	$0	$0	$0
THOMAS WILLIAMSON MD
DIRECTOR/PHYSICIANS	$305,123	$0	$39,250	$0	$11,171	$0	$13,800	$0	$43,158	$0	$412,502	$0	$0	$0
KARL OBERER DO
DIRECTOR/PHYSICIANS	$225,263	$0	$48,070	$0	$3,249	$0	$11,212	$0	$41,856	$0	$329,650	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I LINE 4B

NORTH COAST PROFESSIONAL COMPANY, A RELATED PARTY, CONTRIBUTED TO A 409A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN ON THE BEHALF OF JEREMY NORMINGTON-SLAY, PRESIDENT, IN THE AMOUNT $115,940. NORTH COAST PROFESSIONAL COMPANY, A RELATED PARTY, CONTRIBUTED TO A 409A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN ON THE BEHALF OF SCOTT CAMPBELL, CHIEF MEDICAL OFFICER, IN THE AMOUNT $75,409. NORTH COAST PROFESSIONAL COMPANY, A RELATED PARTY, CONTRIBUTED TO A 409A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN ON THE BEHALF OF KEVIN RILEY, CHIEF FINANCIAL OFFICER, IN THE AMOUNT $42,379. NORTH COAST PROFESSIONAL COMPANY, A RELATED PARTY, CONTRIBUTED TO A 409A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN ON THE BEHALF OF DENISE PARRISH, CHIEF NURSING OFFICE, IN THE AMOUNT $31,022.

PART I LINE 6A

BONUS COMPENSATION IS BASED ON A SUCCESS SHARING PLAN MEASURED BY PATIENT SATISFACTION, QUALITY/ACCREDITATION, FINANCIAL PERFORMANCE, AND EMPLOYEE ENGAGEMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COUNTY OF ERIE OHIO
A	346400428	000000000	2019-12-23	$10,000,000	SEE PART VI	0	0	0
COUNTY OF ERIE OHIO
B	346400428	000000000	2020-04-15	$13,968,800	SEE PART VI	0	0	0
COUNTY OF ERIE OHIO
C	346400428	000000000	2023-02-15	$121,260,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$2,860,000	$10,108,088	$54,600	$10,053,488	2021	0	Yes (1)	Yes (1)
B	$7,083,250	$13,968,800			2017	Yes (1)	Yes (1)	Yes (1)	$13,968,800
C	$6,305,000	$121,260,000	$394,571		2013	Yes (1)	Yes (1)	Yes (1)	$120,865,429

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	0	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K SUPPLENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	PART I LINE A, COLUMN (F): (I) ACQUIRE, CONSTRUCT, RENOVATE, INSTALL AND EQUIP HOSPITAL FACILITIES; AND (II) PAY COSTS OF ISSUANCE. PART I LINE B, COLUMN (F): CURRENTLY REFUND THE COUNTY OF ERIE, OHIO HOSPITAL FACILITIES REVENUE AND REVENUE REFUNDING BONDS, SERIES 2017 (FIRELANDS REGIONAL MEDICAL CENTER PROJECT), ISSUED JULY 11, 2017 AND WHICH WERE DEEMED REISSUED ON APRIL 15, 2020. PART I LINE C, COLUMN (F): CURRENTLY REFUND THE (A) COUNTY OF ERIE, OHIO HOSPITAL FACILITIES REVENUE BONDS, SERIES 2006A (FIRELANDS REGIONAL MEDICAL CENTER PROJECT) ISSUED JUNE 1, 2006, WHICH WERE PREVIOUSLY DEEMED REISSUED ON AUGUST 6, 2014, AS A RESULT OF A DEEMED REISSUANCE OF SUCH BONDS ON AUGUST 15, 2016; (B) COUNTY OF ERIE, OHIO HOSPITAL FACILITIES REVENUE BONDS SERIES, 2006B (FIRELANDS REGIONAL MEDICAL CENTER PROJECT) ISSUED JUNE 1, 2006, WHICH WERE PREVIOUSLY DEEMED REISSUED ON AUGUST 6, 2014, AS A RESULT OF A DEEMED REISSUANCE OF SUCH BONDS ON AUGUST 15, 2016; (C) COUNTY OF ERIE, OHIO HOSPITAL FACILITIES REVENUE AND REVENUE REFUNDING BONDS, SERIES 2012A/B (FIRELANDS REGIONAL MEDICAL CENTER) ISSUED AUGUST 15, 2012, WHICH WERE PREVIOUSLY DEEMED REISSUED ON AUGUST 6, 2014 AND MARCH 31, 2016, AS A RESULT OF A DEEMED REISSUANCE OF SUCH BONDS ON NOVEMBER 5, 2021; AND (D) CITY OF BELLEVUE, OHIO, HOSPITAL FACILITIES REVENUE BONDS, SERIES 2003 (FIRELANDS REGIONAL MEDICAL CENTER) ISSSUED SEPTEMBER 16, 2003; AND (II) PAY COSTS OF ISSUANCE. PART II LINE 3, COLUMN A: TOTAL PROCEEDS OF THE ISSUE ARE COMPRISED OF $10,000,000 SALE PROCEEDS AND $108,088 OF INVESTMENT PROCEEDS.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLARITY CARE LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	BUSINESS ENTITY	RelationshipDescriptionTxt
Transaction	$384,302	TransactionAmt
Transaction	NEUROLOGY COVERAGE COMPENSATION	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV LINE 1	FormAndLineReferenceDesc
Explanation	BOARD MEMBER STEVEN BENEDICT FULLY OWNS CLARITY CARE LLC.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY BY THE FIRELANDS REGIONAL HEALTH SYSTEM BOARD OF DIRECTORS TO REVIEW AND APPROVE ALL FORM 990S FOR ALL COMPANIES IN THE SYSTEM. THE FINAL VERSION OF THE RESPECTIVE FORM 990 IS MADE AVAILABLE TO THE CHAIR OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE FOR REVIEW AND APPROVAL PRIOR TO THE FORM 990 BEING SUBMITTED TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	AS PROVIDED IN THE CODE OF REGULATIONS FOR FIRELANDS REGIONAL HEALTH SYSTEM, FIRELANDS REGIONAL MEDICAL CENTER, AND THE FOUNDATION FOR FIRELANDS (COLLECTIVELY KNOWN AS "FIRELANDS"), ANNUALLY, CONFLICT OF INTEREST QUESTIONNAIRES ARE PREPARED AND PROVIDED TO THE DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS OF FIRELANDS. DURING THE ANNUAL MEETINGS OF THE HEALTH SYSTEM, MEDICAL CENTER AND FOUNDATION, THE GENERAL COUNSEL / CORPORATE COMPLIANCE OFFICER PRESENTS A SUMMARY TO THE DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS OF FIRELANDS' CONFLICT OF INTEREST PROGRAM. PART OF THAT SUMMARY IS A REMINDER TO THOSE DIRECTORS, OFFICERS AND COMMITTEE MEMBERS THAT THEY HAVE A DUTY DURING THE YEAR TO REPORT TO THE CHAIR, VICE CHAIR, PRESIDENT/CEO, OR THE GENERAL COUNSEL / CORPORATE COMPLIANCE OFFICER OF A POTENTIAL CONFLICT OF INTEREST. ALL DIRECTORS, OFFICERS AND COMMITTEE MEMBERS ARE REQUIRED TO RETURN THEIR ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE TO THE FIRELANDS LEGAL DEPARTMENT. IF A POTENTIAL CONFLICT OF INTEREST DOES ARISE, THEN THE BOARD POLICY ON RESOLVING CONFLICT, ADMINISTRATIVE POLICY 100.17, IS UTILIZED. THE CONFLICT OF INTEREST QUESTIONNAIRES ARE ON FILE WITH THE FIRELANDS LEGAL DEPARTMENT AND ARE RETAINED FOR A MINIMUM OF TEN (10) YEARS
FORM 990, PART VI, SECTION B, LINE 15	THE PROCESS FOR DETERMINING COMPENSATION IS DELEGATED BY THE BOARD OF DIRECTORS TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE APPOINTS A COMPENSATION SUB-COMMITTEE WHICH UTILIZES AN INDEPENDENT THIRD PARTY TO EVALUATE THE APPROPRIATE PAY RANGE FOR THE CEO AND OTHER KEY MANAGEMENT POSITIONS AT LIKE-SIZED AND SIMILAR HOSPITALS IN THE SAME GEOGRAPHIC REGION. THE SUB-COMMITTEE MAKES A RECOMMENDATION TO THE EXECUTIVE COMMITTEE BASED ON THEIR RESEARCH AND FINDINGS. THE EXECUTIVE COMMITTEE APPROVES THE ANNUAL SALARIES OF THE CEO AND ALL VICE PRESIDENTS. THIS PROCESS IS COMPLETED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE VIA A QUARTERLY "REPORT TO BOND HOLDERS" WHICH IS SENT TO ANY CONSTITUANTS, BOND HOLDERS OR INTERESTED PARTIES WHO REQUEST TO BE ON THE DISTRIBUTION LIST. QUARTERLY REPORTS AND THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE ALSO POSTED TIMELY AT HTTP://WWW.MSRB.ORG/ UTILIZING THE EMMA SYSTEM. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC BY SPECIAL REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,791,248. MANAGEMENT AND GENERAL EXPENSES 6,634,247. FUNDRAISING EXPENSES 6,140. TOTAL EXPENSES 12,431,635. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 16,624,364. MANAGEMENT AND GENERAL EXPENSES 1,238,882. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,863,246. PURCHASED MAINTENANCE: PROGRAM SERVICE EXPENSES 2,098,360. MANAGEMENT AND GENERAL EXPENSES 400,081. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,498,441. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 807,603. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 807,603. COLLECTION AGENCY FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 352,283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 352,283.
FORM 990, PART XI, LINE 9:	SCHOOL OF NURSING FUNDING -80,053. PENSION ADJUSTMENTS 15,971,857. NET TRANSFER (TO)/FROM AFFILIATES -15,860,505. PARTNERSHIP INCOME/(LOSS) RELATED TO SCHEDULE K-1S 43,497. RECLASS SCHOLARSHIPS 1,000.
FORM 990, PART XII, LINE 2:	FINANCIAL STATEMENTS FOR FIRELANDS REGIONAL MEDICAL CENTER ARE AUDITED BY PLANTE MORAN, PLLC AS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF FIRELANDS REGIONAL HEALTH SYSTEM.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FIRELANDS VOCATIONAL REHABILITATION LLC
1111 HAYES AVE	SANDUSKY	OH	44870	455448705	VOCATIONAL REHABILITATION	OH	-$647	$56,071	FIRELANDS REGIONAL MEDICAL CENTER
FIRELANDS HOLDING CO LLC
1111 HAYES AVE	SANDUSKY	OH	44870	841894622	MEDICAL SERVICES	OH	$25,543	$403,947	FIRELANDS REGIONAL MEDICAL CENTER

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FIRELANDS REGIONAL HEALTH SYSTEM
1111 HAYES AVE	SANDUSKY	OH	44870	341401659	HOSPITAL SUPPORT	OH	501(C)(3)	LINE 12A, I	N/A	0
THE FOUNDATION FOR FIRELANDS
1111 HAYES AVE	SANDUSKY	OH	44870	341401660	HOSPITAL SUPPORT	OH	501(C)(3)	LINE 12A, I		0	FIRELANDS REGIONAL HEALTH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
FIRELANDS-BELLEVUE URGENT CARE REAL ESTATE HOLDING CO
1111 HAYES AVE	SANDUSKY	OH	44870	464069354	REAL ESTATE HOLDINGS	OH	FIRELANDS REGIONAL MEDICAL CENTER	RELATED	$11,310	$721,233	0	Yes (1)	0.75000
FIRELANDS-BELLEVUE URGENT CARE OPERATING CO
1111 HAYES AVE	SANDUSKY	OH	44870	464042889	MEDICAL SERVICES	OH	FIRELANDS REGIONAL MEDICAL CENTER	RELATED	-$186,884	$26,787	0	Yes (1)	0.75000
ERIE SHORES SURGERY CENTER
3004 HAYES AVE	SANDUSKY	OH	44870	834395754	MEDICAL SERVICES	OH	FIRELANDS REGIONAL MEDICAL CENTER	RELATED	$101,917	$670,294	0	Yes (1)	0.56700

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt
FIRELANDS PROFESSIONAL CENTER 2 CONDO
1111 HAYES AVE	SANDUSKY	OH	44870	203131059	CONDO ASSOCIATION	OH	N/A	C	$290,617	0.94000	Yes (1)
FIRELANDS PHYSICIANS REGIONAL HEALTH CARE
1111 HAYES AVE	SANDUSKY	OH	44870	341829898	PHO	OH	N/A	C		0.51000	Yes (1)	-$5,641
NORTH COAST PROFESSIONAL CO LLC
1111 HAYES AVE	SANDUSKY	OH	44870	341608091	PHYSICIAN PRACTICE MGT	OH	N/A	C			0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	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	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	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	0	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 (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTH COAST PROFESSIONAL COMPANY LLC
J	$980,049	CASH
NORTH COAST PROFESSIONAL COMPANY LLC
P	$1,819,105	CASH
NORTH COAST PROFESSIONAL COMPANY LLC
Q	$7,517,536	CASH
THE FOUNDATION FOR FIRELANDS
R	$13,157,867	CASH
FIRELANDS-BELLEVUE URGENT CARE OPERATING CO
Q	$57,811	CASH
FIRELANDS-BELLEVUE URGENT CARE OPERATING CO
R	$155,759	CASH
FIRELANDS-BELLEVUE REAL ESTATE HOLDING CO
Q	$57,502	CASH
FIRELANDS-BELLEVUE REAL ESTATE HOLDING CO
S	$300,000	CASH
NORTH COAST PROFESSIONAL COMPANY LLC
P	$294,266	INTERCOMPANY TRANSFER
NORTH COAST PROFESSIONAL COMPANY LLC
Q	$2,496,904	INTERCOMPANY TRANSFER