FIRELANDS REGIONAL MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: FIRELANDS REGIONAL MEDICAL CENTER (EIN 34-4428218)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201613199349306136
Schema version: 2015v2.1
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	2016-11-14T14:11:02-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	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	DANIEL J MONCHER	PersonNm
Person Title	EXECUTIVE VP / CFO	PersonTitleTxt
Phone	4195577400	PhoneNum
Signature	2016-11-10	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DANIEL J MONCHER	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	$291,450,886	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 OF THOSE WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	37	VotingMembersGoverningBodyCnt
Voting Members Independent	24	VotingMembersIndependentCnt
Total Employee	2429	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	-$444	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$444	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,692,640	PYContributionsGrantsAmt
CY Contributions Grants	$1,490,690	CYContributionsGrantsAmt
PY Program Service Revenue	$225,910,142	PYProgramServiceRevenueAmt
CY Program Service Revenue	$238,973,299	CYProgramServiceRevenueAmt
PY Investment Income	$14,140,060	PYInvestmentIncomeAmt
CY Investment Income	$10,774,576	CYInvestmentIncomeAmt
PY Other Revenue	$9,063,115	PYOtherRevenueAmt
CY Other Revenue	$9,903,171	CYOtherRevenueAmt
PY Total Revenue	$250,805,957	PYTotalRevenueAmt
CY Total Revenue	$261,141,736	CYTotalRevenueAmt
PY Grants And Similar Paid	$339,665	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$401,159	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$108,944,428	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$115,189,198	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$458,455	CYTotalFundraisingExpenseAmt
PY Other Expenses	$113,913,541	PYOtherExpensesAmt
CY Other Expenses	$116,189,047	CYOtherExpensesAmt
PY Total Expenses	$223,197,634	PYTotalExpensesAmt
CY Total Expenses	$231,779,404	CYTotalExpensesAmt
PY Revenues Less Expenses	$27,608,323	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$29,362,332	CYRevenuesLessExpensesAmt
Total Assets BOY	$450,594,880	TotalAssetsBOYAmt
Total Assets EOY	$448,368,741	TotalAssetsEOYAmt
Total Liabilities BOY	$259,469,354	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$252,476,209	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$191,125,526	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$195,892,532	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 OF THOSE WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$181,520,118	ExpenseAmt
Grant	$401,159	GrantAmt
Revenue	$238,967,164	RevenueAmt
Desc	SEE SCHEDULE OFIRELANDS REGIONAL MEDICAL CENTER IS A 400-BED FACILITY SERVING THE GREATER ERIE COUNTY REGION WITH HIGH-QUALITY HEALTHCARE SERVICES DESIGNED TO HELP THE PEOPLE IN OUR COMMUNITIES LIVE HEALTHIER, HAPPIER LIVES. AS A NON-PROFIT ORGANIZATION, FIRELANDS IS COMMITTED TO ITS MISSION OF IMPROVING THE HEALTH OF THOSE WE SERVE. FIRELANDS IS DEDICATED TO PROVIDING CARE TO ALL THOSE IN OUR COMMUNITY REGARDLESS OF ABILITY TO PAY. A RESULT OF COMBINING THREE ORIGINAL HOSPITALS: GOOD SAMARITAN HOSPITAL AND MEMORIAL HOSPITAL IN 1985 AND THEN ADDING PROVIDENCE HOSPITAL IN 2001, 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 THE LARGEST YEAR-ROUND EMPLOYER IN ERIE COUNTY, FIRELANDS REGIONAL MEDICAL CENTER PLAYS AN IMPORTANT ROLE IN THE LOCAL COMMUNITY. WITH 2,312 INDIVIDUALS EMPLOYED IN THE HEALTH SYSTEM IN 2015, $1.33 MILLION WAS PAID IN CITY AND SCHOOL PAYROLL TAXES IN 2015, AND $19.4 MILLION OF GOODS AND SERVICES WERE PURCHASED FROM BUSINESSES IN FIRELANDS' SERVICE AREA.IN TERMS OF HEALTHCARE SERVICES PROVIDED IN 2015, INPATIENT CARE WAS GIVEN TO 8,865 INDIVIDUALS, AND THE HOSPITAL PROVIDED CARE THROUGH 267,183 OUTPATIENT VISITS. THROUGH THE EMERGENCY ROOM, INCLUDING EMERGENCY QUICKCARE, SENIOR ER AND URGENT CARE, 75,032 PERSONS WERE TREATED. FIRELANDS HAD 752 BIRTHS IN 2015.CONSISTENT WITH OUR COMMITMENT TO PROVIDE CARE TO ALL, REGARDLESS OF ABILITY TO PAY, FIRELANDS GAVE BACK TO THE COMMUNITY OVER $12.7 MILLION OF SERVICES IN FREE OR DISCOUNTED PROGRAMS OR SERVICES PER THE TABLE BELOW. 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 CARE37,654 COSTS OF SERVICES $7,616,106 NOT COVERED BY MEDICAID 20,463 COMMUNITY HEALTH $249,940 IMPROVEMENT 158 HEALTH PROFESSIONS $2,260,640 EDUCATION 15,234 FINANCIAL ASSISTANCE $2,556,166 AT COST IN-KIND DONATIONS $56,148 FIRELANDS' COMMUNITY OUTREACH DEPARTMENT IS DEDICATED TO PROVIDING SCREENINGS, COMMUNITY EDUCATION PROGRAMS, AND PREVENTIVE SERVICES ALL DESIGNED TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED BY FIRELANDS. 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 CARDIOLOGY, GASTROENTEROLOGY, NEUROLOGY, ORTHOPEDIC, PHYSIATRY, AND PULMONARY.FIRELANDS' COMMITMENT TO PROVIDE HEALTHCARE TO THE UNDERSERVED IS EVIDENT IN ITS 2015 FUNDING OF $448,584 IN SUPPORT OF FAMILY HEALTH SERVICES, A CLINIC FOR LOW-INCOME FAMILIES. FAMILY HEALTH SERVICES PROVIDES ACCESS TO PRIMARY CARE PHYSICIANS FOR THOSE WHO OTHERWISE WOULD NOT BE ABLE TO AFFORD A PHYSICIAN. THE CLINIC PROVIDES WELL-CHILD CARE, WOMEN'S HEALTHCARE AND PAP TESTS, TREATMENT OF ACUTE PROBLEMS LIKE COLDS AND FLU, AND MANAGEMENT OF CHRONIC CONDITIONS SUCH AS DIABETES, HIGH BLOOD PRESSURE, DEPRESSION, EMPHYSEMA AND ARTHRITIS. THE CLINIC PROVIDES A MORE APPROPRIATE PLACE OF SERVICE THAN AN EMERGENCY ROOM VISIT, AND AT A MUCH LOWER COST. FIRELANDS IS COMMITTED TO PROVIDING THE BEST QUALITY OF HEALTHCARE TO THE LOCAL COMMUNITY, REGARDLESS OF A PERSON'S ABILITY TO PAY. 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 HEART SURGERY, SPINE SURGERY, VASCULAR SURGERY AND ADVANCED CARE IN MEDICAL ONCOLOGY AND RADIATION ONCOLOGY SERVICES. THE MEDICAL CENTER ALSO PROVIDES THE AREA'S ONLY ENDOCRINOLOGIST, WHICH PROVIDES LOCAL CARE TO THOSE IN THE REGION WITH DIABETES AND OTHER ENDOCRINE CONDITIONS. IN 2015, FIRELANDS OPENED THE RENOVATED CENTER FOR WOMEN AND NEWBORNS AT FIRELANDS REGIONAL MEDICAL CENTER, A STATE-OF-THE-ART FACILITY TO ASSIST WOMEN THROUGHOUT ALL STAGES OF LIFE. THE 18,360 SQUARE FOOT RENOVATION PROVIDED ALL NEW PATIENT ROOMS WITH LARGE WINDOWS, NEW AIR HANDLING UNITS TO BETTER CONTROL INDIVIDUAL ROOM TEMPERATURES, NEWLY-INSTALLED TECHNOLOGY, ENHANCED SECURITY, HYDROTHERAPY FOR PAIN RELIEF DURING LABOR, POSTPARTUM SUITES WITH EQUIPMENT FOR IN-ROOM EXAMINATIONS AND INFANT BATHING, AND TRIAGE ROOMS FOR MOTHERS WHO REQUIRE A NON-STRESS TEST OR SHORT STAY EITHER BEFORE OR AFTER DELIVERYTHE CENTER FOR WOMEN AND NEWBORNS PROVIDES CARE TO WOMEN OF ALL AGES, INCLUDING, BUT NOT LIMITED TO, BREAST HEALTH, INCLUDING LACTATION SERVICES, CHILDBIRTH SERVICES, MASTECTOMIES, NEWBORN CARE, OBSTETRICAL CARE, AND PRENATAL CARE.FIRELANDS COUNSELING AND RECOVERY SERVICES ADDED NEW SERVICES IN 2015 TO COMBAT SUBSTANCE ABUSE PROBLEMS AS WELL AS TO HELP THOSE WITH MENTAL ILLNESS.	Desc
Total Program Service Expenses	$181,520,118	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	0	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 With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	182	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2429	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	37	GoverningBodyVotingMembersCnt
Independent Voting Member	24	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	0	InvestmentInJointVentureInd
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	DENNIS J KOPCO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4195577094	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 (47 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
JOHN O BACON
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0
J WILLIAM SPRINGER
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0
LEON J WIEBER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
CAROL B STEUK
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
GEORGE L MYLANDER
CHAIR EMERITUS	1.00	0.00	Yes (X)	$0	$0	$0
THOMAS AYLWARD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
EUGENE SANDERS
direCTOR	1.00	0.00	Yes (X)	$0	$0	$0
WENDY SCHMIEDL
direCTOR	1.00	0.00	Yes (X)	$0	$0	$0
SHELLY CHESBRO
direCTOR	1.00	0.00	Yes (X)	$0	$0	$0
GERALD GUERRA
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
ROGER M GUNDLACH
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JOHN HOTY
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
FREDRIC ITZKOWITZ DO
DIRECTOR	1.00	0.00	Yes (X)	$21,693	$0	$0
BRIAN KASPER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
THEODORE A KASTOR
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
DANIEL KELLER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
RICHARD R KELLER MD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
STEVE LICHTCSIEN
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
CARLOS LOWELL DO
DIRECTOR	1.00	0.00	Yes (X)	$70,584	$0	$0
M LEE MCDERMOND JR
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
PATRICK MCGUINN MD
DIRECTOR	1.00	0.00	Yes (X)	$1,414	$0	$0
DUFFIELD E MILKIE
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JAMES MILLER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
ALLEN R NICKLES
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
KARL OBERER DO
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JAMES E PRESTON DO
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
LISA CRESCIMANO
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
PAULA J RENGEL
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
THOMAS M ROUTH
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JAMES V STOUFFER JR
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
DAVID A VOIGHT SR
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JOHN WALDOCK JR
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
KAM WONG MD
DireCTOR	1.00	0.00	Yes (X)	$0	$0	$0
JAMES O WIBLE
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
CARL E WILL
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
CAROL A WOLFE
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JOHN FRANKEL
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
LUVADA WILSON
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
LEE A ALEXAKOS
DIRECOTR	1.00	0.00	Yes (X)	$0	$0	$0
MARTIN E TURSKY
PRESIDENT/CEO	40.00	0.00		$620,872	$0	$140,040	Yes (X)
DANIEL J MONCHER
EXEC VP/CFO/TREASURER	40.00	0.00		$462,280	$0	$74,796	Yes (X)
ROBERT M MOORE
VP LEGAL/SECRETARY	40.00	0.00		$293,727	$0	$84,641	Yes (X)
ERIC MAST
DIR MED ED/RESIDENCY	40.00	0.00		$282,193	$0	$43,103		Yes (X)
MIKE CANFIELD
VP OPERATIONS	40.00	0.00		$275,688	$0	$44,152		Yes (X)
JIM SENNISH
VP HUMAN RESOURCES	40.00	0.00		$236,738	$0	$84,054		Yes (X)
BEV SCHRICKEL
VP OPERATIONS	40.00	0.00		$248,725	$0	$108,643		Yes (X)
ANUPAM JHA
PHYSICIAN	40.00	0.00		$408,696	$0	$29,297		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,922,610	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$608,726	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	69	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
UNIVERSITY HOSPITALS HEALTH SYSTEM
PO BOX 70328	CLEVELAND	OH	44190	PHYSICIAN STAFF	$3,048,869
NORTH COAST PROFESSIONAL CO
1031 PIERCE ST	SANDUSKY	OH	44870	PHYSICIAN SERVICES	$2,640,347
JANOTTA & HERNER INC
309 MONROE ST	MONROEVILLE	OH	44847	CONSTRUCTION SERVICES	$2,161,777
BRIDGE HOMECARE PARTNERS
5335 FAR HILLS AVE	DAYTON	OH	45429	HOME CARE MANAGEMENT	$1,935,317
LABORATORY CORPORATION OF AMERICA
PO BOX 12140	BURLINGTON	NC	272162140	LAB SERVICES	$1,113,808

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	63	CntrctRcvdGreaterThan100KCnt
Fundraising	$24,811	FundraisingAmt
Related Organizations	$45,710	RelatedOrganizationsAmt
Government Grants	$740,561	GovernmentGrantsAmt
All Other Contributions	$679,608	AllOtherContributionsAmt
Total Contributions	$1,490,690	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	623000	$232,542,317	$232,542,317
SCHOOL OF NURSING	611600	$785,253	$785,253
PARTNERSHIP INCOME RELATED TO GRO	541900	$437,577	$431,442	$6,135
PROGRAM SERVICE INVESTMENTS	525990	$289,363	$289,363

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,918,789	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,918,789	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$238,973,299	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,767,265	TotalRevenueColumnAmt
Exclusion	$9,767,265	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$30,923,597	SecuritiesAmt
Other	$294,212	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$29,778,685	SecuritiesAmt
Other	$431,813	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,144,912	SecuritiesAmt
Other	-$137,601	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,007,311	TotalRevenueColumnAmt
Exclusion	$1,007,311	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$202,470	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$24,811	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$98,652	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$103,818	TotalRevenueColumnAmt
Exclusion	$103,818	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EMPLOYEE PHARMACY	446110	$5,859,294	$5,859,294
OFFICE RENTS	531190	$1,738,558	$1,738,558
DIETARY SERVICES	722210	$1,629,017	$1,629,017

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$572,484	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$13,450	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$6,579	UnrelatedBusinessRevenueAmt
Exclusion	$592,513	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,799,353	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$261,141,736	TotalRevenueColumnAmt
Related Or Exempt Func Income	$238,953,714	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$444	UnrelatedBusinessRevenueAmt
Exclusion	$20,697,776	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	$378,205	TotalAmt
Program Services	$378,205	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$22,954	TotalAmt
Program Services	$22,954	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,437,644	TotalAmt
Program Services	$1,367,285	ProgramServicesAmt
Management And General	$2,070,359	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$87,266,736	TotalAmt
Program Services	$65,400,424	ProgramServicesAmt
Management And General	$21,715,765	ManagementAndGeneralAmt
Fundraising	$150,547	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,621,445	TotalAmt
Program Services	$4,270,202	ProgramServicesAmt
Management And General	$1,351,243	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,406,094	TotalAmt
Program Services	$9,282,159	ProgramServicesAmt
Management And General	$3,105,128	ManagementAndGeneralAmt
Fundraising	$18,807	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,457,279	TotalAmt
Program Services	$4,762,280	ProgramServicesAmt
Management And General	$1,683,489	ManagementAndGeneralAmt
Fundraising	$11,510	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$992,647	TotalAmt
Program Services	$788,012	ProgramServicesAmt
Management And General	$204,635	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$86,188	TotalAmt
Management And General	$86,188	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$159,696	TotalAmt
Management And General	$159,696	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$599,584	TotalAmt
Management And General	$599,584	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,075,651	TotalAmt
Program Services	$16,491,224	ProgramServicesAmt
Management And General	$8,565,088	ManagementAndGeneralAmt
Fundraising	$19,339	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$961,177	TotalAmt
Program Services	$16,720	ProgramServicesAmt
Management And General	$746,810	ManagementAndGeneralAmt
Fundraising	$197,647	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$44,102,278	TotalAmt
Program Services	$43,337,474	ProgramServicesAmt
Management And General	$713,253	ManagementAndGeneralAmt
Fundraising	$51,551	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,869,527	TotalAmt
Management And General	$3,869,527	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,611,021	TotalAmt
Program Services	$1,847,233	ProgramServicesAmt
Management And General	$3,763,788	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$745,501	TotalAmt
Program Services	$252,706	ProgramServicesAmt
Management And General	$483,741	ManagementAndGeneralAmt
Fundraising	$9,054	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$53,600	TotalAmt
Management And General	$53,600	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,487,217	TotalAmt
Program Services	$2,487,217	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,477,571	TotalAmt
Program Services	$14,477,571	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,696,335	TotalAmt
Program Services	$1,188,318	ProgramServicesAmt
Management And General	$508,017	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
CHARITY CARE	$7,531,477	$7,531,477
BAD DEBTS	$2,762,189	$2,762,189
FRANCHISE TAX	$2,661,872	$2,661,872
AFFILIATION FEES	$714,284	$714,284

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,601,232	TotalAmt
Program Services	$1,480,312	ProgramServicesAmt
Management And General	$120,920	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$231,779,404	TotalAmt
Program Services	$181,520,118	ProgramServicesAmt
Management And General	$49,800,831	ManagementAndGeneralAmt
Fundraising	$458,455	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,629	BOYAmt
EOY	$10,504	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,102,418	BOYAmt
EOY	$10,176,734	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$306,298	BOYAmt
EOY	$484,086	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,905,887	BOYAmt
EOY	$34,300,390	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,570,858	BOYAmt
EOY	$3,868,249	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,365,302	BOYAmt
EOY	$4,312,248	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$319,609,606	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$156,123,322	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$169,907,882	BOYAmt
EOY	$163,486,284	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$200,143,515	BOYAmt
EOY	$207,998,436	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,172,102	BOYAmt
EOY	$2,238,903	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$17,530,111	BOYAmt
EOY	$17,530,111	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$853,612	BOYAmt
EOY	$640,209	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,728,266	BOYAmt
EOY	$3,322,587	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$450,594,880	BOYAmt
EOY	$448,368,741	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$78,230,813	BOYAmt
EOY	$74,936,598	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$148,249,523	BOYAmt
EOY	$145,043,476	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,989,018	BOYAmt
EOY	$32,496,135	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$259,469,354	BOYAmt
EOY	$252,476,209	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$175,400,122	BOYAmt
EOY	$181,162,965	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,324,282	BOYAmt
EOY	$10,729,274	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,401,122	BOYAmt
EOY	$4,000,293	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$191,125,526	BOYAmt
EOY	$195,892,532	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$450,594,880	BOYAmt
EOY	$448,368,741	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$29,362,332	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$13,753,993	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$10,841,333	OtherChangesInNetAssetsAmt
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	$2,059	OtherActivitiesAmt
Total Lobbying Expenditures	$2,059	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	FIRELANDS REGIONAL MEDICAL CENTER PAID DUES TO THE OHIO HOSPITAL ASSOCIATION OF WHICH 3.6% WAS USED FOR 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	$14,679,814	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	-$537,109	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$384,564	OtherExpendituresAmt
Administrative Expenses	$85,946	AdministrativeExpensesAmt
End Year Balance	$13,672,195	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,249,152	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$863,616	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$346,433	OtherExpendituresAmt
Administrative Expenses	$86,521	AdministrativeExpensesAmt
End Year Balance	$14,679,814	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,258,468	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$2,441,019	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$368,015	OtherExpendituresAmt
Administrative Expenses	$82,320	AdministrativeExpensesAmt
End Year Balance	$14,249,152	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,090,402	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$1,591,037	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$339,359	OtherExpendituresAmt
Administrative Expenses	$83,612	AdministrativeExpensesAmt
End Year Balance	$12,258,468	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,085,032	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	-$581,145	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$334,843	OtherExpendituresAmt
Administrative Expenses	$78,642	AdministrativeExpensesAmt
End Year Balance	$11,090,402	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
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	$11,372,823	OtherCostOrOtherBasisAmt
Book Value	$11,372,823	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$151,970,012	OtherCostOrOtherBasisAmt
Depreciation	$49,945,205	DepreciationAmt
Book Value	$102,024,807	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,470,673	OtherCostOrOtherBasisAmt
Depreciation	$2,640,054	DepreciationAmt
Book Value	$830,619	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$147,571,514	OtherCostOrOtherBasisAmt
Depreciation	$100,855,775	DepreciationAmt
Book Value	$46,715,739	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,224,584	OtherCostOrOtherBasisAmt
Depreciation	$2,682,288	DepreciationAmt
Book Value	$2,542,296	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$163,486,284	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
CAPITAL LEASE	$796,366
SELF-INSURANCE RESERVE	$5,700,000
ACCRUED POST-RETIREMENT AND PENSION	$25,379,999
DEFERRED INCOME GUARANTEE	$619,770

Field	Value	IRS element (for citing)
Total Liability	$32,496,135	TotalLiabilityAmt

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 1:	FINANCIAL STATEMENTS FOR FIRELANDS REGIONAL MEDICAL CENTER ARE PART OF THE CONSOLIDATED AND AUDITED FINANCIAL STATEMENTS FOR FIRELANDS REGIONAL HEALTH SYSTEM. RECONCILIATION IS NOT REQUIRED FOR PARTS XI AND XII.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	FASHION WEEK	Event1Nm
Gross Receipts Event1	$114,047	GrossReceiptsEvent1Amt
Charitable Contri Event1	$2,900	CharitableContriEvent1Amt
Gross Revenue Event1	$111,147	GrossRevenueEvent1Amt
Cash Prizes Event1	$500	CashPrizesEvent1Amt
Non Cash Prizes Event1	$17,555	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$2,129	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$11,471	FoodAndBeverageEvent1Amt
Entertainment Event1	$9,341	EntertainmentEvent1Amt
Other Direct Expenses Event1	$12,780	OtherDirectExpensesEvent1Amt
Event2	SALUTE	Event2Nm
Gross Receipts Event2	$30,561	GrossReceiptsEvent2Amt
Charitable Contri Event2	$6,961	CharitableContriEvent2Amt
Gross Revenue Event2	$23,600	GrossRevenueEvent2Amt
Cash Prizes Event2	$1,850	CashPrizesEvent2Amt
Non Cash Prizes Event2	$1,068	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$275	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$10,088	FoodAndBeverageEvent2Amt
Entertainment Event2	$775	EntertainmentEvent2Amt
Other Direct Expenses Event2	$1,673	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$82,673	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$14,950	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$67,723	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$750	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$4,190	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$9,135	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$9,899	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$2,913	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$2,260	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$227,281	GrossReceiptsTotalAmt
Charitable Contributions Tot	$24,811	CharitableContributionsTotAmt
Gross Revenue Total Events	$202,470	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$3,100	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$22,813	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$11,539	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$31,458	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$13,029	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$16,713	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$98,652	DirectExpenseSummaryEventsAmt
Net Income Summary	$103,818	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
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,976,774	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,420,608	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,556,166	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,037,086	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,420,980	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,616,106	NetCommunityBenefitExpnsAmt
Total Expense	0.03440	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,013,860	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,841,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,172,272	NetCommunityBenefitExpnsAmt
Total Expense	0.04590	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$326,440	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$249,940	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,924,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,663,705	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,260,640	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,148	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,148	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,306,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,740,205	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,566,728	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,320,793	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,581,793	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,739,000	NetCommunityBenefitExpnsAmt
Total Expense	0.05750	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$119,558	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$119,558	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$12,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$26,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	12187	PersonsServedCnt
Total Community Benefit Expns	$577,046	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$128,462	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$448,584	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	12187	PersonsServedCnt
Total Community Benefit Expns	$735,104	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$128,462	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$606,642	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$964,556	BadDebtExpenseAmt
Bad Debt Expense Attributable	$232,155	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$86,743,495	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$101,666,051	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$14,922,556	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

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 NORTHERN OHIO SURGICAL PROPERTIES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	PROPERTY OWNERSHIP/MANAGEMENT	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

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
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	13	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	WWW.FIRELANDS.COM	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.ERIECOHEALTHOHIO.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	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	300.000000000000	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FIRELANDS REGIONAL MEDICAL CENTER	Part V, Section B, Line 3j: OTHER TOPICS THAT THE CHNA REPORT ADDRESSED INCLUDE WEIGHT CONTROL, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, YOUTH SAFETY, YOUTH VIOLENCE AND PARENTING.
FIRELANDS REGIONAL MEDICAL CENTER	Part V, Section B, Line 5: THE CHNA REPORT WAS COMMISSIONED BY THE ERIE COUNTY COMMUNITY HEALTH ASSESSMENT WORKGROUP, WHICH IS COMPRISED OF THE ERIE COUNTY HEALTH DEPARTMENT, ERIE COUNTY BOARD OF DEVELOPMENTALLY DISABLED, ERIE COUNTY JOB & FAMILY SERVICES, ERIE-OTTAWA MENTAL HEALTH AND RECOVERY BOARD, FAMILY AND CHILDREN FIRST COUNCIL AND UNITED WAY OF ERIE COUNTY. PROJECT MANAGEMENT AND REPORT DEVELOPMENT WAS PROVIDED BY THE HEALTHY COMMUNITIES FOUNDATION OF THE HOSPITAL COUNCIL OF NORTHWEST OHIO WHILE DATA COLLECTION AND ANALYSIS WAS PERFORMED BY REPRESENTATIVES OF THE UNIVERSITY OF TOLEDO.
FIRELANDS REGIONAL MEDICAL CENTER	Part V, Section B, Line 11: NEEDS IDENTIFIED IN THE CHNA REPORT THAT WERE NOT ADDRESSED INCLUDED THE FOLLOWING: DENTAL - PROVIDED BY ERIE COUNTY HEALTH DEPARTMENT; SMOKING CESSATION AND RISKY YOUTH BEHAVIOR WERE ADDRESSED BY BOTH FIRELANDS REGIONAL MEDICAL CENTER AND THE COUNTY HEALTH DEPARTMENT. IMPLEMENTATION STRATEGY FOR THE CHNA IS ATTACHED TO THIS RETURN.
FIRELANDS REGIONAL MEDICAL CENTER	Part V, Section B, Line 16i: FIRELANDS REGIONAL MEDICAL CENTER UTILIZED NEWSLETTERS AND BILLBOARDS AS ADDITIONAL METHODS OF PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY.
FIRELANDS REGIONAL MEDICAL CENTER	Part V, Section B, Line 22d: Firelands regional medical center utilizes the look-back method to determine the amounts generally billed (AGB) to individuals who have insurance covering Emergency or other Medically Necessary Care. The AGB percentage applicable as of 1/1/2016 at each of our facilities is 40% resulting in a discount of 60% applied to gross charges. The percentage was calculated using all claims allowed by both private pay insurers (including Medicare Advantage) and Medicare (Traditional) for both inpatient and outpatient services having discharge dates from January 1, 2015 to August 31, 2015. Total expected payment from allowed claims was divided by total billed charges for such claims.

Field	Value	IRS element (for citing)
Facility	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - FIRELANDS REG MED CTR SURGERY CENTER
2800 HAYES AVE BLD E	SANDUSKY	OH	44870	OUTPATIENT SURGERY
2 - FIRELANDS REG MED CTR OUTPAT DIALYSIS
904 PIERCE ST	SANDUSKY	OH	44870	OUTPATIENT DIALYSIS
3 - FIRELANDS REG MED CTR OUTPAT DIALYSIS
290 PROGRESS DR STE A	BELLEVUE	OH	44811	OUTPATIENT DIALYSIS
4 - FIRELANDS REG MED CTR HOME HEALTH
5420 MILAN ROAD	SANDUSKY	OH	44870	HOME HEALTH AGENCY
5 - FIRELANDS COUNS & REC SVCS OF ERIE CO
1925 HAYES AVE	SANDUSKY	OH	44870	OP MENTAL HEALTH & CD
6 - FIRELANDS COUNS & REC SVCS OF OTTAWA CO
335 BUCKEYE BLVD	PORT CLINTON	OH	43452	OP MENTAL HEALTH & CD
7 - FIRELANDS COUNS & REC SVCS OF HURON CO
292 BENEDICT AVE	NORWALK	OH	44857	OP MENTAL HEALTH & CD
8 - FIRELANDS COUNS & REC SVCS OF HURON CO
290 PROGRESS DR STE B	BELLEVUE	OH	44811	OP MENTAL HEALTH & CD
9 - FIRELANDS COUNS & REC SVCS OF HURON CO
390 E HOWARD ST STE B	WILLARD	OH	44890	OP MENTAL HEALTH & CD
10 - FIRELANDS COUNS & REC SVCS OF SENECA CO
76 ASHWOOD RD	TIFFIN	OH	44883	OP MENTAL HEALTH & CD
11 - FIRELANDS COUNS & REC SVCS OF SAND CO
675 BARSTON RD	FREMONT	OH	43420	OP MENTAL HEALTH & CD
12 - FIRELANDS COUNS & REC SVCS OF LORAIN CO
554 N LEAVITT RD	AMHERST	OH	44001	OP MENTAL HEALTH & CD
13 - FIRELANDS COUNS & REC SVCS OF SENECA CO
122 WEST CENTER ST	FOSTORIA	OH	44830	OP MENTAL HEALTH & CD
14 - FIRELANDS REG MED CTR OP PHYS THERAPY
2012 CLEVELAND RD W	HURON	OH	44839	OP PHYSICAL THERAPY
15 - FIRELANDS COUNS & REC SVCS OF WYANDOT CO
97 HOUPT DR	UPPER SANDUSKY	OH	43351	OP MENTAL HEALTH & CD
16 - FIRELANDS REG MED CTR OP PHYS THERAPY
101 S WASHINGTON ST	CASTALIA	OH	44824	OP PHYSICAL THERAPY
17 - FIRELANDS REG MED CTR OP PHYS THERAPY
348 MILAN AVE 2	NORWALK	OH	44857	OP PHYSICAL THERAPY
18 - FIRELANDS COUNS & REC SVCS OF OTTAWA CO
22052 W STATE RT 51	GENOA	OH	43430	OP MENTAL HEALTH & CD
19 - FIRELANDS REG MED CTR OP THERAPIES&SLEEP
1912 HAYS AVE	SANDUSKY	OH	44870	OP THERAPES & SLEEP LAB
20 - FIRELANDS REG MED CTR OP IMAGING CENTER
250 W STRUB RD	SANDUSKY	OH	44870	OP IMAGING CENTER
21 - FIRELANDS REG MED CTR OP IMAGING&THERAPY
1605 STATE ROUTE 60	VERMILION	OH	44089	OP IMAGING & PHYSICAL THERAPY
22 - FIRELANDS REG MED CTR OP IMAGING CENTER
1740 W MCPHERSON HWY	CLYDE	OH	43410	OP IMAGING CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	FIRELANDS REGIONAL MEDICAL CENTER DOES USE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
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 I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 10,293,666.
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 THE BAD DEBT EXPENSE.
Part III, Line 3:	FOR ESTIMATING THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS FINANCIAL ASSISTANCE 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 II:	SEE NARRATIVE UNDER PART VI, LINE 5.
Part III, Line 4:	AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE 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 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. 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.
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 PART 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. A NEW PROGRAM WAS IMPLEMENTED THIS YEAR FOR ALL ACCOUNTS DEEMED ELIGIBLE FOR BAD DEBT. THEY ARE 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 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 SEEN BY FINANCIAL COUNSELOR WHO EXPLAINS THE HOSPITAL'S CHARITY POLICIES, 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 eligibilty 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. A financial counselor is available during the first shift in the emergency department to assist patients with charity care applications. 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 7:30 AM to 5:00 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 FIVE-COUNTY AREA OF APPROXIMATELY 300,000 RESIDENTS. THE PRIMARY SERVICE AREA IS ERIE COUNTY, WHICH HAS A POPULATION OF NEARLY 77,000 PERSONS AND IS LOCATED ON THE SOUTHERN SHORELINE 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 13.0% MINORITY; 89.9% OF THE POPULATION HAS A HIGH SCHOOL EDUCATION OR SOME COLLEGE. THE COUNTY'S MEDIAN AGE IS 43.8 AND THE MEDIAN HOUSEHOLD INCOME IS $48,204. APPROXIMATELY 70% OF THE COUNTY'S RESIDENTS OWN THEIR OWN HOME, WITH THE MEDIAN HOME VALUE OF $131,900. Secondary service areas consist of the contiguous counties of Ottawa, Huron and Sandusky, which have a combined population of approximately 162,000 individuals. Firelands Counseling and Recovery Services reaches even further, serving 7 surrounding counties including the counties Erie, Huron, Lorain, Ottawa, Sandusky, Seneca and Wyandot. Home Health Services provided by the Medical Center covers 13 counties. Demographics of these counties are similar to the primary service 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, CHARM AND SAFETY. 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. In 2015, Firelands Regional Medical Center also purchased and demolished two derelict homes in an effort to improve the surrounding neighborhood's safety and aesthetics. 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 ot a local clinic that serves uninsured and underinsured along with efforts to organize a federally qualified health center for the community, board level work for community health education entities and area non-profit organizations that work to improve the health of the community.
PART VI, LINE 2:	Firelands Regional Medical Center uses several resources to determine the healthcare needs of the community in 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 needs 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 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
FAMILY HEALTH SERVICES OF ERIE COUNTY
1912 Hayes AVE	Sandusky	OH	44870	263607741	501(c)(3)	$228,000	GENERAL SUPPORT
TEEN LEADERSHIP CORPS
26 E CEDAR POINT RD	sandusky	OH	44870	260324010	501(c)(3)	$6,000	GENERAL SUPPORT
LEADERSHIP ERIE COUNTY
127 W WASHINGTON BLVD	sandusky	OH	44870	341600043	501(c)(3)	$20,000	GENERAL SUPPORT
BELLEVUE RECREATION CLUB
800 MONROE ST	BELLEVUE	OH	44811	341462214	501(C)(3)	$7,500	GENERAL SUPPORT
ERIE COUNTY ECONOMIC DEVELOPMENT
247 COLUMBUS AVE	SANDUSKY	OH	44870	341590450	501(C)(3)	$12,500	GENERAL SUPPORT
BGSU FOUNDATION INC
MILETI ALUMNI CENTER BOWLING GREEN	BOWLING GREEN	OH	43402	346007199	501(C)(3)	$75,000	GENERAL SUPPORT
CITIZENS FOR SANDUSKY PUBLIC SCHOOLS
1020 COVE PARK BLVD	SANDUSKY	OH	44870	346401310		$10,000	GENERAL SUPPORT
UNITED WAY
416 COLUMBUS AVE	SANDUSKY	OH	44870	344443835	501(C)(3)	$5,770	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS TO BEGIN OR CONTINUE COURSE WORK	GrantTypeTxt
Recipient	23	RecipientCnt
Cash Grant	$22,954	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 CUMMULATIVE ACADEMIC AVERAGE OF "C OR BETTER.
PART II LINE 1:	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 ORGIN OR DISABILITY. FUNDS ARE PAID DIRECTLY TO THE SCHOOL ON BEHALF OF THE RECIPIENT.
PART II LINE 1:	TO EXPAND THE DELIVERY OF HEALTH CARE SERVICES AND PROMOTE A HEALTHY QUALITY OF LIFE FOR THE MEDICALLY UNDER-SERVED PERSONS OF ERIE COUNTY, OHIO. FIRELANDS REGIONAL MEDICAL CENTER SUPPORTS THE MISSION OF FAMILY HEALTH SERVICES OF ERIE COUNTY TO ATTAIN THE DESIGNATION OF FEDERALLY QUALIFIED HEALTH CENTER AND DELIVER ITS INTENDED SERVICES. THE USE OF FUNDS CONTRIBUTED IS MONITORED BY THE REVIEW OF FINANCIAL AND PERFORMANCE REPORTS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (8 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
MARTIN E TURSKY
PRESIDENT/CEO	$510,765	$0	$109,297	$0	$810	$0	$84,164	$0	$55,876	$0	$760,912	$0	$0	$0
DANIEL J MONCHER
EXEC VP/CFO/TREASURER	$366,521	$0	$93,348	$0	$2,411	$0	$42,000	$0	$32,796	$0	$537,076	$0	$0	$0
ROBERT M MOORE
VP LEGAL/SECRETARY	$239,340	$0	$51,976	$0	$2,411	$0	$50,000	$0	$34,641	$0	$378,368	$0	$0	$0
ERIC MAST
DIR MED ED/RESIDENCY	$265,189	$0	$16,162	$0	$842	$0	$7,950	$0	$35,153	$0	$325,296	$0	$0	$0
MIKE CANFIELD
VP OPERATIONS	$230,257	$0	$44,205	$0	$1,226	$0	$7,950	$0	$36,202	$0	$319,840	$0	$0	$0
JIM SENNISH
VP HUMAN RESOURCES	$192,745	$0	$41,936	$0	$2,057	$0	$50,000	$0	$34,054	$0	$320,792	$0	$0	$0
BEV SCHRICKEL
VP OPERATIONS	$203,519	$0	$43,020	$0	$2,186	$0	$81,000	$0	$27,643	$0	$357,368	$0	$0	$0
ANUPAM JHA
PHYSICIAN	$232,284	$0	$175,977	$0	$435	$0	$7,950	$0	$21,347	$0	$437,993	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 4b	FIRELANDS REGIONAL MEDICAL CENTER CONTRIBUTED TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ON BEHALF OF MARTIN TURSKY, PRESIDENT, IN THE AMOUNT OF $76,214.50.
Part I, Line 6	BONUS COMPENSATION IS BASED ON A SUCCESS SHARING PLAN MEASURED BY PATIENT QUALITY, PATIENT SATISFACTION, AND OPERATING RESULTS COMPARED TO BUDGET.

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	29514PAU6	2014-08-06	$63,890,000	SEE PART VI	0	0	0
COUNTY OF ERIE OHIO
B	346400428	29514PAW2	2014-08-06	$15,000,000	SEE PART VI	0	0	0
COUNTY OF ERIE OHIO
C	346400428	29514PBD3	2014-08-06	$65,340,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt
A	$67,274,494	$3,344,580	$64,416,279	2008	Yes (1)	Yes (1)	Yes (1)
B	$15,000,000		$15,358,141	2008	Yes (1)	Yes (1)	Yes (1)
C	$65,340,000		$72,456,425	2013	Yes (1)	Yes (1)	Yes (1)	$2,320,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	0	0	Yes (1)
B	Yes (1)	0	0	0	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	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): CURRENTLY REFUND THE COUNTY OF ERIE, OHIO HOSPITAL FACILITIES REVENUE BONDS, SERIES 2006A (FIRELANDS REGIONAL MEDICAL CENTER PROJECT) ISSUED JUNE 1, 2006 AS A RESULT OF A DEEMED REISSUANCE OF SUCH BONDS ON AUGUST 6,2014. PART I LINE B, COLUMN (F): CURRENTLY REFUND THE COUNTY OF ERIE, OHIO HOSPITAL FACILITIES REVENUE BONDS, SERIES 2006B (FIRELANDS REGIONAL MEDICAL CENTER PROJECT) ISSUED JUNE 1, 2006 AS A RESULT OF A DEEMED REISSUANCE OF SUCH BONDS ON AUGUST 6, 2014. PART I LINE C, COLUMN (F): CURRENTLY REFUND THE COUNTY OF ERIE, OHIO HOSPITAL FACILITIED REVENUE AND REVENUE REFUNDING BONDS, SERIES 2012A/B (FIRELANDS REGIONAL MEDICAL CENTER) ISSUED AUGUST 15, 2012 AS A RESULT OF A DEEMED REISSUANCE OF SUCH BONDS ON AUGUST 6, 2014. Part II Line 3, column A. Total proceeds of the issue are comprised of $63,890,000 sale proceeds, $3,344,580 of transferred proceeds from the Debt Service Reserve Fund due to the deemed reissuance and $39,914 of investment proceeds.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JANOTTA HERNER
BUSINESS ENTITY	$2,161,777	CONSTRUCTION SERVICES	0
KAMAL CHABAN MD
HEALTH SYSTEM MEMBER	$369,813	EMPLOYED BY RELATED ORGANIZATION	0
FREDRIC ITZKOWITZ DO
BOARD MEMBER	$268,830	CONTRACTED MEDICAL SERVICES	0
W PATRICK MCGWINN MD
BOARD MEMBER	$310,220	CONTRACTED MEDICAL SERVICES	0
ALICE SPRINGER
Family member	$95,003	EMPLOYMENT	0
JODY SENNISH
FAMILY MEMBER	$30,322	EMPLOYMENT	0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV LINE 1	FIRELANDS REGIONAL MEDICAL CENTER BOARD MEMBER, THEODORE A KASTOR, IS THE DIRECTOR OF MARKETING AND SALES FOR GENERAL CONTRACTOR JANOTTA & HERNER INC. MR. KASTOR HAS RECUSED HIMSELF FROM VOTING OR COMMENTING ON ISSUES CONCERNING JANOTTA & HERNER CONSTRUCTION PROJECTS.
PART IV LINE 2	KAMAL CHABAN, MD IS EMPLOYED BY RELATED ORGANIZATION NORTH COASTPROFESSIONAL CORPORATION AS A PULMANARY, CRITICAL CARE AND SLEEP MEDICINE SPECIALIST.
PART IV LINE 3	FREDRIC ITZKOWITZ, DO IS A PARTNER IN AN INDEPENDENTLY CONTRACTED COMPANY THAT PROVIDES TRAUMA COVERAGE FOR FIRELANDS REGIONAL MEDICAL CENTER AND IS ALSO COMPENSATED FOR HIS TIME SPENT AS AN ACTING MEDICAL DIRECTOR.
PART IV LINE 4	PATRICK MCGWINN, MD IS A MEMBER OF AN INDEPENDENTLY CONTRACTED COMPANY THAT PROVIDES CATH LAB COVERAGE FOR FIRELANDS REGIONAL MEDCIAL CENTER.
PART IV LINE 5	ALICE SPRINGER IS THE WIFE OF BOARD MEMBER J WILLIAM SPRINGER AND ISEMPLOYED BY FIRELANDS REGIONAL MEDICAL CENTER AS DIRECTOR OF DEVELOPMENT.
PART IV LINE 6	JODY SENNISH IS THE WIFE OF JIM SENNISH, VP OF HUMAN RESOURCES, AND ISEMPLOYED BY FIRELANDS REGIONAL MEDICAL CENTER IN THE NURSING DEPARTMENT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, line 11	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 990'S FOR ALL COMPANIES IN THE SYSTEM. THE FINAL VERSION OF THE RESPECTIVE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS 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	THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE ANNUALLY REVIEWS ALL CONFLICT OF INTEREST STATEMENTS FOR ALL APPROPRIATE INDIVIDUALS TO ASSURE PERSONS IDENTIFIED IN THE CONFLICT OF INTEREST POLICY ARE IN COMPLIANCE.
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. THIS 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 CONSTITUENTS, BOND HOLDERS, OR INTERESTED PARTIES WHO REQUEST TO BE ON THE DISTRIBUTION LIST. QUARTERLY REPORTS AND THE THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE 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 8,005,113. Management and general expenses 4,157,636. Fundraising expenses 9,388. Total expenses 12,172,137. PHYSICIAN FEES: Program service expenses 5,298,212. Management and general expenses 2,751,745. Fundraising expenses 6,213. Total expenses 8,056,170. PURCHASED MAINTENANCE: Program service expenses 2,189,078. Management and general expenses 1,136,947. Fundraising expenses 2,567. Total expenses 3,328,592. PROFESSIONAL FEES: Program service expenses 857,921. Management and general expenses 445,580. Fundraising expenses 1,006. Total expenses 1,304,507. COLLECTION AGENCY FEES: Program service expenses 140,900. Management and general expenses 73,180. Fundraising expenses 165. Total expenses 214,245.
Form 990, Part XI, line 9:	SCHOOL OF NURSING FUNDING 131,061. PENSION ADJUSTMENTS -841,323. NET TRANSFER (TO) AFFILIATES -10,920,847. RECLASS CONTRIBUTIONS 1,233,833. PARTNERSHIP INCOME RELATED TO GROUP PURCHASING PROGRAM SERVICES -446,011. RECLASS SCHOLARSHIPS 1,954.

Schedule R IRS990ScheduleR

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)	11-I	N/A	0
THE FOUNDATION FOR FIRELANDS
1111 Hayes Ave	Sandusky	OH	44870	341401660	Hospital support	OH	501(c)(3)	11-I		Yes (1)	FIRELANDS REGIONAL MEDICAL CENTER

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 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	RE HOLDINGS	OH	FIRELANDS REGIONAL MEDICAL CENTER	RELATED	$2,077	$1,065,902	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	-$112,754	$74,456	0	Yes (1)	0.75000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
FIRELANDS VOCATIONAL REHAB
1111 HAYES AVE	SANDUSKY	OH	44870	455448705	VOC REHABILITATION	OH	N/A	C	-$18,705	$42,302	1.00000	0
FIRELANDS PROF CENTER 2 CONDO
1111 HAYES AVE	SANDUSKY	OH	44870	203131059	CONDO ASSOCIATION	OH	N/A	C	-$11	$48,753	0.69000	0
FIRELANDS PHYSICIANS REGIONAL HEALTH CARE
1111 HAYES AVE	SANDUSKY	OH	44870	341829898	PHO	OH	N/A	C	$8,751	$96,606	0.51000	0
NORTH COAST PROF 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	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTH COAST PROFESSIONAL COMPANY LLC
J	$621,300	CASH
NORTH COAST PROFESSIONAL COMPANY LLC
P	$2,761,555	CASH
NORTH COAST PROFESSIONAL COMPANY LLC
Q	$2,683,811	CASH
FIRELANDS PHYSICIANS REGIONAL HEALTH CARE
Q	$55,931	CASH
FIRELANDS REGIONAL HEALTH SYSTEM
R	$536,088	CASH
THE FOUNDATION FOR FIRELANDS
R	$10,384,759	CASH
FIRELANDS-BELLEVUE URGENT CARE OPERATING CO
Q	$55,649	CASH
FIRELANDS-BELLEVUE URGENT CARE OPERATING CO
R	$116,482	CASH
FIRELANDS-BELLEVUE REAL ESTATE HOLDING CO
K	$45,607	CASH
FIRELANDS-BELLEVUE REAL ESTATE HOLDING CO
Q	$45,718	CASH
FIRELANDS-BELLEVUE REAL ESTATE HOLDING CO
P	$10,351	CASH