2025-11-17T14:27:45-06:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 344428214 FULTON COUNTY HEALTH CENTER FULT 4193352015 725 SOUTH SHOOP AVENUE WAUSEON OH 435671701 PATRICIA A FINN CHIEF EXECUTIVE OFFICER 4193352015 2025-11-13 1 1 AMY CIMINELLO P00796388 6148493000 2025-11-13 2024 2025-03-06 01:10:19Z PATRICIA A FINN 725 SOUTH SHOOP AVENUE WAUSEON OH 435671701 142073260 0 X WWW.FULTONCOUNTYHEALTHCENTER.ORG X 1973 OH SERVE THE PUBLIC BY PROMOTING AND PROVIDING THE MEANS FOR CONTINUED HEALTH AND WELLNESS. 13 9 1102 55 4428837 0 2816349 229209 113893616 128112870 893037 1176242 7499209 12306191 125102211 141824512 18250 189265 0 0 57180622 72205893 0 0 0 65404379 76551376 122603251 148946534 2498960 -7122022 119445172 116490113 63838173 65920781 55606999 50569332 X THE FULTON COUNTY HEALTH CENTER CONTINUALLY STRIVES TO REACH A HIGH DEGREE OF EXCELLENCE IN MEETING THE NEEDS OF BOTH INTERNAL AND EXTERNAL CUSTOMERS 100% OF THE TIME. QUALITY OF PATIENT/RESIDENT CARE AND ALL OF THE INSTITUTIONAL PRACTICES ARE THE PRIMARY CRITERION UTILIZED TO MONITOR THE HEALTH CENTER SERVICES AND TO EVALUATE PROPOSED CHANGES OF PROPOSED NEW SERVICES. 0 0 131940850 189265 134594350 SEE SCHEDULE O LOCATION: THE FULTON COUNTY HEALTH CENTER IS LOCATED AT 725 SOUTH SHOOP AVENUE, WAUSEON, OH 43567. THE HEALTH CENTER IS EASILY ACCESSIBLE FROM INTERSTATE 80/90 (OHIO TURNPIKE) AND STATE ROUTE 2. IT IS CENTRALLY LOCATED WITHIN FULTON COUNTY WHERE WAUSEON IS THE COUNTY SEAT. PHILOSOPHY/AUSPICES: THE FULTON COUNTY HEALTH CENTER IS A PRIVATE, NON-PROFIT HOSPITAL, LONG-TERM CARE & INDEPENDENT LIVING FACILITY GOVERNED BY A BOARD OF DIRECTORS. THE HEALTH CENTER IS OPERATED ON THE PRINCIPLE THAT EVERY INDIVIDUAL HAS A BASIC RIGHT TO ATTAIN THE HIGHEST DEGREE OF WELLNESS POSSIBLE BASED ON HIS OR HER OWN NEEDS. THE SERVICES OF THE HOSPITAL SHALL BE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, SEX, AGE, NATIONAL ORIGIN, RELIGIOUS CREED, ECONOMIC CONDITION OR DISABILITY. COMMITMENT TO QUALITY: THE FULTON COUNTY HEALTH CENTER CONTINUALLY STRIVES TO REACH A HIGH DEGREE OF EXCELLENCE IN MEETING THE NEEDS OF BOTH INTERNAL AND EXTERNAL CUSTOMERS 100% OF THE TIME. QUALITY OF PATIENT/RESIDENT CARE AND ALL OF THE INSTITUTIONAL PRACTICES IS THE PRIMARY CRITERION UTILIZED TO MONITOR THE HEALTH CENTER SERVICES AND TO EVALUATE PROPOSED CHANGES OF PROPOSED NEW SERVICES. LEVEL OF CARE: THE HEALTH CENTER IS A SHORT-TERM GENERAL HOSPITAL OFFERING A FULL RANGE OF SERVICES RELATED TO ACUTE CARE. INCLUDED IN THESE SERVICES AREA A WIDE RANGE OF OUTPATIENT SERVICES THAT INVOLVE DIAGNOSTIC AND REHABILITATIVE TREATMENT. THE HEALTH CENTER ALSO HAS LONG-TERM CARE AND INDEPENDENT LIVING AVAILABLE TO OFFER THE CONTINUUM OF CARE. THE LEVEL OF CARE PROVIDED TO ALL PATIENTS AND RESIDENTS IS THE SAME WHETHER INPATIENT OR OUTPATIENT. THIS IS ACCOMPLISHED THROUGH PROGRESSIVE HEALTH AWARENESS. CENTERS OF EXCELLENCE: AMONG THE SPECIAL STRENGTHS OF THE HEALTH CENTER ARE AN OBSTETRICAL UNIT, A CRITICAL CARE/CARDIAC CARE UNIT, A SHORT TERM INPATIENT AND INTENSIVE OUTPATIENT GERIATRIC PSYCHIATRIC UNIT, ADULT OUTPATIENT AND PARTIAL HOSPITALIZATION, AN EMERGENCY DEPARTMENT THAT IS STAFFED WITH LICENSED PHYSICIANS 24 HOURS PER DAY, EVERY DAY OF THE YEAR, AN INPATIENT AND OUTPATIENT SURGICAL UNIT, SLEEP DISORDER CENTER, WOUND CARE AND HYPERBARIC CENTER, RAINBOW HEMATOLOGY/ONCOLOGY TREATMENT CENTER, AND OTHER DIAGNOSTIC AND THERAPEUTIC SERVICES. IN ADDITION, A HOSPITALIST IS AVAILABLE TO INPATIENTS 24/7, TELEMEDICINE STROKE NETWORK WITH UTMC AND MERCY ST VS. DAILY OUTPATIENT SPECIALTY CLINICS OFFER THE CONSULTATIVE AND DIAGNOSTIC SERVICES OF SEVERAL TYPES OF MEDICAL SPECIALISTS. LONG-TERM CARE AND INDEPENDENT LIVING FACILITY OFFERING THE CONTINUUM OF CARE FROM THE HOSPITAL AREA. A WIDE RANGE OF ORGANIZED EDUCATIONAL AND HEALTH PROMOTION OPPORTUNITIES, INCLUDING A COMPREHENSIVE DIABETIC EDUCATION PROGRAM, ARE PROVIDED FOR PATIENTS, RESIDENTS, EMPLOYEES AND MEMBERS OF THE SURROUNDING COMMUNITIES. AN URGENT CARE CLINIC TO BRIDGE THE GAP BETWEEN THE DR OFFICE AND EMERGENCY ROOM FOR MEDICAL NEEDS THAT CANNOT WAIT. ALSO AN 11,000 SQ FOOT REHABILITATION CENTER WAS OPENED FOR OCCUPATIONAL AND SPEECH THERAPY, PEDIATRIC TREATMENT AND THERAPEUTIC POOL. IN 2024, FULTON COUNTY HEALTH CENTER WAS HONORED WITH THE 2024 HEALTHY WORKPLACE GOLD LEVEL AWARD. THIS AWARD WAS PRESENTED AS A RESULT OF THE HEALTH CENTER'S COMPREHENSIVE WORKPLACE HEALTH PROMOTION AND WELLNESS PROGRAMS. FCHC WAS ONE OF ONLY 25 MEDIUM SIZE OHIO EMPLOYERS THAT WERE RECOGNIZED FOR THEIR HEALTH WORKPLACE PRACTICES.IN 2024, FULTON COUNTY HEALTH CENTER CELEBRATED 45 YEARS OF OFFERING H.O.P.E (HELPING OTHER PARENTS EXPERIENCE GRIEF). H.O.P.E SUPPORT GROUP OFFERS SUPPORT FOR PARENTS WHO HAVE EXPERIENCED MISCARRIAGE, STILLBIRTH, OR DEATH OF INFANTS, YOUNG CHILDREN, TEENAGERS, OR ADULTS DUE TO ILLNESS, AN ACCIDENT OR SUICIDE.IN 2024, FULTON COUNTY HEALTH CENTER CELEBRATED 43 YEARS OF OFFERING BEHAVIORAL HEALTH SERVICES. FCHC BEHAVIORAL HEALTH OFFERS TWO TYPES OF SERVICES: A HOSPITAL-BASED BASED ADULT INPATIENT AND PARTIAL HOSPITALIZATION/INTENSIVE OUTPATIENT, AS WELL AS A FREESTANDING OUTPATIENT CLINIC. LIMITATIONS: PATIENTS IN NEED OF TERTIARY CARE ARE REFERRED TO AREA SPECIALTY CENTERS. POPULATION SERVED: THE FULTON COUNTY HEALTH CENTER SERVES THE POPULATION IN FULTON COUNTY AND PATIENTS IN THE IMMEDIATE BORDER AREAS OF ADJACENT COUNTIES. TOTAL POPULATION OF OUR SERVICE AREA IS ESTIMATED BETWEEN 42,000 - 45,000. OUR BEHAVIOR HEALTH SERVICES UNIT PRIMARILY SERVES A FOUR COUNTY AREA INCLUDING FULTON, DEFIANCE, HENRY AND WILLIAMS COUNTIES AS WELL AS FROM OUTSIDE OUR IMMEDIATE GEOGRAPHIC AREA. INSTITUTIONAL RELATIONSHIPS: THE HEALTH CENTER MAINTAINS RELATIONSHIPS WITH AREA NURSING HOMES, CITY AND COUNTY ORGANIZATIONS, AND REGIONAL TERTIARY CARE CENTERS. THE HEALTH CENTER IS A CLINIC-TRAINING SITE FOR A WIDE RANGE OF HEALTH CARE DISCIPLINES.EDUCATION: THE HEALTH CENTER MAINTAINS AN ACTIVE AND ONGOING IN-SERVICE AND CONTINUING EDUCATION PROGRAM FOR OUR STAFF TO KEEP THEM KNOWLEDGEABLE AND CURRENT ON DEVELOPMENTS IN HEALTH CARE DELIVERY. THE HEALTH CENTER ALSO ENCOURAGES EMPLOYEES TO PURSUE HIGHER EDUCATION. 131940850 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 83 0 1 1102 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 13 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X MATTHEW WILLEMAN 4193352015 725 SOUTH SHOOP AVE WAUSEON OH 43567 DANIEL MCKERNAN DIRECTOR/PHYSICIAN 45.00 0.00 X 787826 0 30298 SANDY BARBER PRESIDENT - PART YEAR 1.00 0.00 X X 0 0 0 BRETT KOLB PRESIDENT 1.00 0.00 X X 0 0 0 SHARON GILLESPIE SECRETARY 1.00 0.00 X X 0 0 0 MARK HAGANS TREASURER 1.00 0.00 X X 0 0 0 FRANK ONWELLER DIRECTOR 1.00 0.00 X 0 0 0 KIRK WELDY DIRECTOR 1.00 0.00 X 0 0 0 KAYLA MILLER DIRECTOR 1.00 0.00 X 0 0 0 JOHN RUPP DIRECTOR 1.00 0.00 X 0 0 0 RICK KAZMIERCZAK DIRECTOR 1.00 0.00 X 0 0 0 BROCK MEALER VICE PRESIDENT 1.00 0.00 X X 0 0 0 DAVID GRIESER DIRECTOR 1.00 0.00 X 0 0 0 STEPHEN MALONEY DIRECTOR 1.00 0.00 X 0 0 0 MICHELLE SAVAGE DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER MCCULLOUGH DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 PATRICIA A FINN CHIEF EXECUTIVE OFFICER 44.00 1.00 X 393473 0 51651 REBECCA TAYLOR CHIEF OPERATING OFFICER 45.00 0.00 X 217386 0 30534 TIFFANY JOHNSTON DIRECTOR OF NURSING 45.00 0.00 X 175647 0 6141 MARY JO SMALLMAN FM ADMINISTRATOR 45.00 0.00 X 192203 0 29151 MATTHEW WILLEMAN CHIEF FINANCIAL OFFICER 44.00 1.00 X 165372 0 35431 KIRK DAVIS PHYSICIAN 45.00 0.00 X 705577 0 11797 CHRISTOPHER SPIELES PHYSICIAN 45.00 0.00 X 515464 0 35899 CHARLES LASH PHYSICIAN 45.00 0.00 X 593486 0 18083 CHARLES GBUR PHYSICIAN 45.00 0.00 X 746657 0 22352 AHMAD ABDELAAL PHYSICIAN 45.00 0.00 X 443356 0 30861 4936447 0 302198 115 0 1 0 THE SPIEKER COMPANY 2541 TRACY RD NORTHWOOD OH 43619 CONSTRUCTION/CONTRACTOR 3897287 SIMPLE VMS INC 7793 FIVE MILE RD CINCINNATI OH 45230 VENDOR MANAGEMENT SYSTEM 2283696 R&F INC 1133 CORPORATE DR SUITE B HOLLAND OH 43528 THERAPY/PHYSICAL THERAPY 2260445 NORTHERN ANESTHESIA PROVIDERS 602 JACKSON ST PETOSKEY MI 49770 ANESTHESIA SERVICES 1320000 ALLIED MEDICAL SERVICES 1133 CORPORATE DR SUITE B HOLLAND OH 43528 RESPIRATORY THERAPY 1312893 26 7800 59025 11500 150884 229209 PATIENT SERVICES 622110 128026663 128026663 REBATES AND REFUNDS 900099 76069 76069 EDUCATION SERVICES 611710 10138 10138 128112870 1100491 1519 1098972 617279 162099 455180 455180 455180 130565 54814 75751 75751 75751 32365 59025 30515 1850 1850 840 1320 -480 -480 RETAIL PHARMACY 456110 10643561 6216243 4427318 FOOD SALES 621110 563685 563685 FITNESS MEMBERSHIPS 621110 265237 265237 377158 377158 11849641 141824512 134594350 4428837 2572116 X 185265 185265 4000 4000 2115113 818124 1296989 54679950 49761023 4918927 1659368 1545083 114285 9857662 9016394 841268 3893800 3512207 381593 69434 69434 96774 96774 670 670 16637416 15464048 1173368 314456 103260 211196 7203706 3006641 4197065 3019072 2586416 432656 4497589 3685655 811934 25590 22580 3010 1387790 1387790 6386482 4568789 1817693 957097 355348 601749 MEDICAL SUPPLIES 31113528 31099334 14194 BAD DEBT EXPENSE 4810901 4810901 GIFT SHOP EXPENSE 22879 22879 PATIENT EDUCATION 7992 7992 148946534 131940850 17005684 0 992557 386206 18905553 3643305 17531338 18370693 2948861 3715395 2275079 3068361 138283234 79987949 49756932 58295285 24374894 26924767 2659958 2086101 119445172 116490113 9656488 15358849 7633 7633 50397288 49332476 3776764 1221823 63838173 65920781 X 55554999 50517332 52000 52000 55606999 50569332 119445172 116490113 -7122022 2084681 -326 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11223 11223 0 PART II-B, LINE 1: TOTAL DUES PAYMENTS TO OHA AND AHA THAT WERE USED BY THE ORGANIZATIONS FOR LOBBY PURPOSES: -OHIO HOSPITAL ASSOCIATION: 3.70% OF $53,340.56; $1,973.60 -AMERICAN HOSPITAL ASSOCIATION: 39% OF $21,432; $8,358.48 -OCHA DUES: 21.49% OF $4,145.97; $890.97 413454 1044 37495 410481 2973 413454 409507 974 410481 407236 1200 1071 409507 405509 75 1652 407236 0.00000 1.00000 0.00000 0 0 2587651 2587651 71431594 36024641 35406953 57280700 39073656 18207044 6983289 4889652 2093637 58295285 CAPITAL LEASE OBLIGATION 167635 RIGHT TO USE LIABILITY 1054188 1221823 PART V, LINE 4: ENDOWMENT FUNDS WILL BE USED AS DIRECTED BY THE DONOR. BOARD DESIGNATED FUNDS ARE A MEMORIAL ACCOUNT AND FUNDS WILL BE SPENT AS DIRECTED BY THE BOARD OF DIRECTORS. GOLF OUTING 76867 59025 17842 0 9122 7182 1418 500 250 76867 59025 17842 9122 7182 1418 500 250 18472 -630 1 1 X 1 X 1 X 1 1 0 1 1 5335399 94877 5240522 0.03640 11958494 7958556 3999938 0.02780 207431 101998 105433 0.00070 17501324 8155431 9345893 0.06490 911312 81777 829535 0.00580 27630 3312 24318 0.00020 938942 85089 853853 0.00600 18440266 8240520 10199746 0.07090 250 250 0.00000 198670 198670 0.00140 198920 198920 0.00140 0 4810901 248242 22016620 23189490 -1172870 X 1 1 1 1 FULTON COUNTY HEALTH CENTER 725 S SHOOP AVE WAUSEON OH 43567 WWW.FULTONCOUNTYHEALTHCENTER.ORG/ 1177AHR X X X X FULTON COUNTY HEALTH CENTER 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X HTTPS://TINYURL.COM/34A74HF6 X X 1 23 1 HTTPS://TINYURL.COM/24RF7WFD 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X 1 X HTTPS://FULTONCOUNTYHEALTHCENTER.ORG/INSURANCE-BILLING/FINANCIAL-ASSISTANCE X HTTPS://FULTONCOUNTYHEALTHCENTER.ORG/INSURANCE-BILLING/FINANCIAL-ASSISTANCE X HTTPS://FULTONCOUNTYHEALTHCENTER.ORG/INSURANCE-BILLING/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X 1 X 0 0 FULTON COUNTY HEALTH CENTER PART V, SECTION B, LINE 5: FULTON COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION, LOCATED IN TOLEDO, OHIO, TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE HOSPITAL COUNCIL HAS BEEN COMPLETING COMPREHENSIVE HEALTH ASSESSMENTS SINCE 1999. THE PROJECT COORDINATOR FROM THE HOSPITAL COUNCIL OF NW OHIO HOLDS A MASTER'S DEGREE IN PUBLIC HEALTH AND CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM FULTON COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS, YRBSS, AND NSCH SURVEYS WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE FULTON COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED A DRAFT SURVEY CONTAINING 112 ITEMS.THE DRAFTS WERE REVIEWED AND APPROVED BY HEALTH RESEARCHERS AT THE UNIVERSITY OF TOLEDO.LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUNITY EVENT, RELEASE OF THE DATA AND SETTING PRIORITIES. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH AS UNITED WAY OF FULTON COUNTY, FULTON COUNTY JOB & FAMILY SERVICES, NORTHWEST OHIO COMMUNITY ACTION COMMISSION, ETC. THESE ARE THE ORGANIZATIONS WHO PARTICIPATED IN THE HEALTH ASSESSMENT AND STRATEGIC PLANNING PROCESS: A RENEWED MIND, CROSSROADS EVANGELICAL CHURCH, FOUR COUNTY ADAMHS BOARD, FOUR COUNTY SUICIDE PREVENTION COALITION, FULTON COUNTY AGING CONSORTIUM, FULTON COUNTY BOARD OF DEVELOPMENTAL DISABILITIES, FULTON COUNTY COMMISSIONERS OFFICE, FULTON COUNTY ECONOMIC DEVELOPMENT, FULTON COUNTY FAMILY & CHILDREN FIRST COUNCIL, FULTON COUNTY HEALTH CENTER, FULTON COUNTY HEALTH DEPARTMENT, FULTON COUNTY JOB & FAMILY SERVICES, FULTON COUNTY SAFE COMMUNITIES, FULTON COUNTY SCHOOLS, FULTON COUNTY SENIOR CENTER, FULTON COUNTY SHERIFF'S OFFICE, HEALTHY CHOICES CARING COMMUNITIES, MAUMEE VALLEY GUIDANCE CENTER, NORTH STAR BLUESCOPE STEEL, NORTHWESTERN OHIO COMMUNITY ACTION, OHIO FARM BUREAU, OHIO STATE UNIVERSITY EXTENSION, RECOVERY SERVICES OF NORTHWEST OHIO, TRINITY LUTHERAN CHURCH OF DELTA, UNITED WAY OF FULTON COUNTY, VILLAGE OF DELTA POLICE DEPARTMENT, VILLAGE OF SWANTON, AND WAUSEON POLICE DEPARTMENT. FULTON COUNTY HEALTH CENTER PART V, SECTION B, LINE 6B: THESE ARE THE ORGANIZATIONS WHO PARTICIPATED IN THE HEALTH ASSESSMENT AND STRATEGIC PLANNING PROCESS: A RENEWED MIND, CROSSROADS EVANGELICAL CHURCH, FOUR COUNTY ADAMHS BOARD, FOUR COUNTY SUICIDE PREVENTION COALITION, FULTON COUNTY AGING CONSORTIUM, FULTON COUNTY BOARD OF DEVELOPMENTAL DISABILITIES, FULTON COUNTY COMMISSIONERS OFFICE, FULTON COUNTY ECONOMIC DEVELOPMENT, FULTON COUNTY FAMILY & CHILDREN FIRST COUNCIL, FULTON COUNTY HEALTH CENTER, FULTON COUNTY HEALTH DEPARTMENT, FULTON COUNTY JOB & FAMILY SERVICES, FULTON COUNTY SAFE COMMUNITIES, FULTON COUNTY SCHOOLS, FULTON COUNTY SENIOR CENTER, FULTON COUNTY SHERIFF'S OFFICE, HEALTHY CHOICES CARING COMMUNITIES, MAUMEE VALLEY GUIDANCE CENTER, NORTH STAR BLUESCOPE STEEL, NORTHWESTERN OHIO COMMUNITY ACTION, OHIO FARM BUREAU, OHIO STATE UNIVERSITY EXTENSION, RECOVERY SERVICES OF NORTHWEST OHIO, TRINITY LUTHERAN CHURCH OF DELTA, UNITED WAY OF FULTON COUNTY, VILLAGE OF DELTA POLICE DEPARTMENT, VILLAGE OF SWANTON, AND WAUSEON POLICE DEPARTMENT. FULTON COUNTY HEALTH CENTER PART V, SECTION B, LINE 7D: THE ASSESSMENT IS AVAILABLE ON THE FOLLOWING ADDITIONAL WEBSITES: FULTON COUNTY HEALTH DEPARTMENTHTTPS://FULTONCOUNTYHEALTHDEPT.COM/DATA-RESOURCES/HEALTH-ASSESSMENTSHOSPITAL COUNCIL OF NORTHWEST OHIOHTTP://WWW.HCNO.ORG/COMMUNITY-SERVICES/COMMUNITY-HEALTH-ASSESSMENTS/ALSO, PRINTED COPIES WERE GIVEN TO ALL KEY LEADERS AT COMMUNITY EVENT. FULTON COUNTY HEALTH CENTER PART V, SECTION B, LINE 11: BASED ON THE 2022 CHNA, KEY ISSUES WERE IDENTIFIED AND COMMITTEE MEMBERS COMPLETED A KEY RANKING EXERCISE, GIVING A SCORE FOR MAGNITUDE, SERIOUSNESS OF THE CONSEQUENCE AND FEASIBILITY OF CORRECTING, RESULTING IN AN AVERAGE SCORE FOR EACH ISSUE IDENTIFIED. EACH COMMITTEE MEMBER THEN RANKED THE ISSUES FROM 1-10, DISCUSSED THEIR RANKING WITH SECTOR PARTNERS AND SUBMITTED THEIR SCORES. BASED ON THIS EXERCISE, THE FOLLOWING PRIORITIES WERE SELECTED: MENTAL HEALTH & ADDICTION AND CHRONIC DISEASE. ALL NEEDS ARE BEING ADDRESSED EITHER BY FULTON COUNTY HEALTH CENTER (FCHC) OR OTHER COMMUNITY PARTNERS. STRATEGIES ARE LISTED BELOW.THE FULTON COUNTY HEALTH CENTER IS ADDRESSING MENTAL HEALTH/ADDICTION THROUGH THE FOLLOWING STRATEGIES: BUILD COMMUNITY CESSATION PARTNERS TO INCREASE OPPORTUNITIES THROUGH TOBACCO CESSATION - FCHC PARTNERED WITH THE HEALTH DEPARTMENT AND ADDED SCREENING QUESTIONS AND REFERRALS INTO OUR EMR. FCHC ALSO PARTNERED WITH THE HEALTH DEPARTMENT TO PAY FOR ONE OF OUR BEHAVIORAL HEALTH STAFF TO GET CERTIFIED IN TOBACCO TREATMENT. TELEPHONIC TOBACCO CESSATION PROGRAM- FCHC IS PARTNERING WITH THE HEALTH DEPARTMENT AND THE OHIO DEPARTMENT OF HEALTH TO OFFER THE OHIO TOBACCO QUITLINE FREE TO OUR EMPLOYEES AND PATIENTS. THIS IS AN 8 WEEK TELEPHONIC PROGRAM THAT INCLUDES OTC NICOTINE REPLACEMENT THERAPY.OTHER PARTNERS IN FULTON COUNTY WILL ADDRESS MENTAL HEALTH/ADDICTION THROUGH THE FOLLOWING STRATEGIES:IMPLEMENT MENTAL HEALTH WELLNESS MEDICAL CAMPAIGN (FULTON COUNTY HEALTH DEPARTMENT AND FOUR COUNTY ADAMHS BOARD)IMPLEMENT A UNIVERSAL SCHOOL-BASED SUICIDE AWARENESS AND EDUCATION PROGRAM (MAUMEE VALLEY GUIDANCE CENTER)INCREASE YOUTH AND ADULT MENTAL HEALTH FIRST AID TRAININGEXPAND OUR SCHOOL-BASED SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) MODEL (FULTON COUNTY HEALTH DEPARTMENT AND FOUR COUNTY ADAMHS BOARD)PROVIDE VAPING PRESENTATIONS TO MIDDLE SCHOOL STUDENTS ANNUALLYENSURE OUR SCHOOL BASED SOCIAL AND EMOTIONAL INSTRUCTION CONTINUES TO BE SUSTAINABLE (FULTON COUNTY HEALTH DEPARTMENT AND RECOVERY SERVICES OF NORTHWEST OHIO)THE FULTON COUNTY HEALTH CENTER IS ADDRESSING CHRONIC DISEASE THROUGH THE FOLLOWING STRATEGIES:DIABETES PREVENTION PROGRAM, WHICH WAS IMPLEMENTED IN 2021 AND BECAME FULLY CERTIFIED THROUGH THE CDC IN OCTOBER 2023. HYPERTENSION SCREENING AND FOLLOW UPS/REFERRALS, WHICH ARE OFFERED AT VARIOUS TIMES THROUGHOUT THE YEAR AND AT VARIOUS LOCATIONS IN THE COUNTY. INCREASE POINT-OF-PURCHASE PROMPTS FOR HEALTHY FOODSIMPLEMENT COMPETITIVE PRICING FOR HEALTHY FOODSIMPLEMENT FARM-TO-INSTITUTION PROGRAM - FCHC HAS MET WITH THE OHIO STATE UNIVERSITY EXTENSION AND MULTIPLE CSAS IN THE COUNTY AND NONE OF THEM ARE ABLE TO TAKE US ON RIGHT NOW DUE TO HAVING A WAITING LIST. OSU EXTENSION WILL REACH OUT TO US AS NEW YOUNGER FARMERS WANT TO START CSAS. EXPAND INDIVIDUALLY-ADAPTED PHYSICAL ACTIVITY PROGRAMS- FCHC FITNESS HAS INCREASED GYM MEMBERSHIPS AND TRAININGS BY 50% SINCE 2020.EXPAND COMMUNITY FITNESS PROGRAMS- THE NUMBER OF FITNESS CLASSES HAVE DOUBLED SINCE 2020 AND HAVE EXPANDED TO MULTIPLE LOCATIONS IN THE COUNTY. FCHC HAS ALSO OPENED UP TWO SATELLITE SILVER SNEAKERS LOCATIONS. OTHER PARTNERS IN FULTON COUNTY WILL ADDRESS CHRONIC DISEASE THROUGH THE FOLLOWING STRATEGIES:IMPLEMENT SOCIAL SUPPORT INTERVENTIONS FOR HEALTHY EATING IN THE COMMUNITY (FULTON COUNTY HEALTH DEPARTMENT)IMPLEMENT A SCHOOL-BASED NUTRITION EDUCATION PROGRAM (FULTON COUNTY HEALTH DEPARTMENT AND FULTON COUNTY SCHOOLS)IMPLEMENT SOCIAL SUPPORT INTERVENTIONS FOR PHYSICAL ACTIVITY IN THE COMMUNITY (FULTON COUNTY HEALTH DEPARTMENT) FULTON COUNTY HEALTH CENTER PART V, SECTION B, LINE 16J: FCHC HAS SIGNS POSTED AT EACH PLACE THAT REGISTERS PATIENTS TO INFORM THEM OF FINANCIAL ASSISTANCE AVAILABLE. ALSO, EACH BILLING STATEMENT SENT TO THE PATIENT PROVIDES INFORMATION ON WHO THE PATIENT MAY CONTACT FOR INFORMATION REGARDING FINANCIAL ASSISTANCE. IN ADDITION, FINANCIAL COUNSELORS VISIT CERTAIN PATIENTS IN THE EMERGENCY DEPARTMENT AND ON THE INPATIENT FLOORS TO DISCUSS THE FINANCIAL ASSISTANCE AVAILABLE TO THEM. FINALLY, FCHC PUBLICIZED THEIR POLICY THROUGH THE FOLLOWING WAYS: POSTED ON THE HOSPITAL FACILITY'S WEBSITE, ATTACHED TO BILLING INVOICES, POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS AND WAITING ROOMS, POSTED IN THE HOSPITAL FACILITY'S ADMISSIONS OFFICES, PROVIDED IN WRITING TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY, AND MADE AVAILABLE UPON REQUEST. 3 1 - FULTON MANOR 725 SOUTH SHOOP AVENUE WAUSEON OH 43567 SKILLED NURSING HOME 2 - FCHC MEDICAL CARE LLC 725 SOUTH SHOOP AVENUE WAUSEON OH 43567 PHYSICIAN PRACTICES 3 - FCHC PHARM LLC 725 SOUTH SHOOP AVENUE WAUSEON OH 43567 RETAIL PHARMACY PART I, LINE 7: COST OF CHARITY CARE IS CALCULATED USING COST-TO-CHARGE RATIO FROM WORKSHEET 2. COST OF MEDICAID IS PER THE MEDICAID COST REPORT. THE REMAINING ITEMS ARE CALCULATED BASED ON ACTUAL COSTS OF SPECIFIC PROGRAMS WITHOUT THE USE OF A COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT THAT WAS REMOVED FROM THE CALCULATION IN PART I COLUMN (F) TOTALED $4,810,901 PART II, COMMUNITY BUILDING ACTIVITIES: FCHC INCURRED $198,669 EXPENSES RELATED TO RECRUITING AND MAINTAINING QUALIFIED PHYSICIANS AND SPECIALISTS TO THE HOSPITAL. THESE PHYSICIANS AND SPECIALISTS ARE CRITICAL TO ENHANCING THE HEALTH AND LEVEL OF CARE PROVIDED TO THE COMMUNITY. WITHOUT FCHC RECRUITING AND MAINTAINING THESE PHYSICIANS, THE COMMUNITY WOULD NOT HAVE ACCESS TO THESE DOCTORS. PART III, LINE 2: FCHC CALCULATES BAD DEBT EXPENSE PER THE FINANCIAL STATEMENTS. PART III, LINE 3: FCHC USED A 5.16% CALCULATION OF TOTAL BAD DEBT PER THE FINANCIAL STATEMENTS IN ORDER TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD HAVE BEEN ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE PERCENTAGE IS ESTIMATED BASED ON PRIOR HISTORY AND REVIEW OF CHARITY LOGS.ANY BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY FINANCIAL ASSISTANCE POLICY WOULD BE RECLASSIFIED FROM BAD DEBT TO CHARITY CARE ONCE IT IS IDENTIFIED. THE ENTIRE AMOUNT OF THE BAD DEBT EXPENSE IS REVERSED AND ASSIGNED TO CHARITY CARE. PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS UNPAID CLAIMS BY CERTAIN PAYORS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS.IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OR REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. PART III, LINE 8: THE MEDICARE SHORTFALL IS A COMMUNITY BENEFIT BECAUSE PROVIDING SERVICES TO THE ELDERLY IS A TAX EXEMPT PURPOSE CONSISTENT WITH FULTON'S OVERALL EXEMPT STATUS, AND THE HOSPITAL ACCEPTS THESE PATIENTS REGARDLESS OF ITS IMPACT ON OVERALL PROFITABILITY. MEDICARE ALLOWABLE COSTS TAKEN FROM THE FILED MEDICARE COST REPORT WERE CALCULATED USING A COST TO CHARGE RATIO. PART III, LINE 9B: THE PRACTICES FULTON COUNTY HEALTH CENTER UTILIZES TO COLLECT FROM PATIENTS INCLUDES: PATIENTS ARE SENT STATEMENTS FOR OUTSTANDING BALANCES FOR A PERIOD OF TIME NOT LESS THAN 105 DAYS, AFTER AN EFFORT HAS BEEN MADE TO COLLECT THE BALANCE OR PLAN A PATIENT-PAY ACCOUNT PAYMENT PLAN THROUGH A SERIES OF 4 LETTERS AND 2 TELEPHONE CONTACTS DURING THE AFOREMENTIONED 120 DAY PERIOD, THE ACCOUNT IS TURNED OVER TO A COLLECTION AGENCY FOR FURTHER COLLECTION EFFORTS OR LEGAL ACTION. COLLECTION EFFORTS ARE NOT ENFORCED FOR BALANCES KNOWN TO QUALIFY UNDER CHARITY CARE OR OTHER FINANCIAL ASSISTANCE CRITERIA. PART VI, LINE 2: EVERY THREE YEARS, THE ORGANIZATION PERFORMS A COMMUNITY HEALTH NEEDS ASSESSMENT TO DETERMINE THE CURRENT HEALTH NEEDS WITHIN THE COMMUNITY. IN ADDITION, THE MEDICAL STAFF PROVIDES THE HOSPITAL WITH HEALTH CARE NEEDS WITHIN THE COMMUNITY BASED ON THEIR OWN PATIENT HEALTH CARE NEEDS. PART VI, LINE 3: FCHC HAS SIGNS POSTED AT EACH PLACE THAT REGISTERS PATIENTS TO INFORM THEM OF FINANCIAL ASSISTANCE AVAILABLE. ALSO, EACH BILLING STATEMENT SENT TO THE PATIENT PROVIDES INFORMATION ON WHO THE PATIENT MAY CONTACT FOR INFORMATION REGARDING FINANCIAL ASSISTANCE. IN ADDITION, FINANCIAL COUNSELORS VISIT CERTAIN PATIENTS IN THE EMERGENCY DEPARTMENT AND ON THE INPATIENT FLOORS TO DISCUSS THE FINANCIAL ASSISTANCE AVAILABLE TO THEM. FINALLY, FCHC PUBLICIZED THEIR POLICY THROUGH THE FOLLOWING WAYS: POSTED ON THE HOSPITAL FACILITY'S WEBSITE, ATTACHED TO BILLING INVOICES, POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS AND WAITING ROOMS, POSTED IN THE HOSPITAL FACILITY'S ADMISSIONS OFFICES, PROVIDED IN WRITING TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY, AND MADE AVAILABLE UPON REQUEST. PART VI, LINE 4: FCHC SERVES FULTON COUNTY, OHIO AS THE PRIMARY SERVICE AREA, AS WELL AS PORTIONS OF HENRY AND WILLIAMS COUNTIES IN OHIO AND MORENCI, MICHIGAN AS THE SECONDARY SERVICE AREA. THE ORGANIZATION IS A RURAL COMMUNITY. THE HOSPITAL SERVES ALL RESIDENTS WITH VARIOUS DEMOGRAPHIC CHARACTERISTICS. THE POPULATION THAT THE HOSPITAL SERVICES RANGES FROM 40,000 TO 45,000. THERE ARE NO OTHER HOSPITALS IN FULTON COUNTY. THE PERCENTAGE OF PERSONS BELOW THE POVERTY LEVEL IS APPROXIMATELY 8-10%. THE AVERAGE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $61,290. APPROXIMATELY 8.6% OF FULTON COUNTY RESIDENTS ARE UNINSURED. ALMOST 70% OF RESIDENTS ARE ADULTS OVER THE AGE OF 18, 5.7% ARE UNDER THE AGE OF 5 AND 19% ARE OVER THE AGE OF 65. THE MAJORITY (86.5%) OF THE POPULATION ARE CAUCASIAN. HISPANICS (9.3%), AFRICAN AMERICANS (<1%), ASIAN (<1%) AND TWO OR MORE RACES (1.5%) COMPRISE THE REST OF THE POPULATION. PART VI, LINE 5: ALL OF THE ORGANIZATION'S BOARD MEMBERS RESIDE IN THE SERVICE AREA OF THE HOSPITAL. BOARD MEMBERS REPRESENT THE INDIVIDUALS WHO LIVE IN THE CITIES AND VILLAGES OF FULTON COUNTY AND ARE NOT INDEPENDENT CONTRACTORS OF THE ORGANIZATION. IN ADDITION, IN 2020, OUR BOARD HAD ONE EMPLOYED FCHC DOCTOR WHO IS REPRESENTING THE MEDICAL STAFF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY THAT MEET THE MEDICAL STAFF BYLAW REQUIREMENTS. THE ORGANIZATION REINVESTS SURPLUS FUNDS INTO THE ORGANIZATION IN THE FORM OF NEW EQUIPMENT, RENOVATIONS, AND ADDITIONAL SERVICES. THE ORGANIZATION HAD 14% OF ITS REVENUE SOURCED FROM MEDICAID AND UNINSURED PATIENTS. PART VI, LINE 6: N/A 1 FCHC FOUNDATION 725 S SHOOP AVENUE WAUSEON OH 43567 932852549 501(C)(3) 25000 0 GENERAL SUPPORT 1 0 SCHOLARSHIPS 4 4000 PART I, LINE 2: FCHC REVIEWS MANY GRANT REQUESTS THROUGHOUT THE YEAR. ALL GRANTS ARE AT THE DISCRETION OF THE EXECUTIVE DIRECTOR AND BOARD MEMBERS WHO DETERMINE THE AMOUNT OF GRANTS BASED ON THE NEEDS OF THE COMMUNITY. FCHC PARTNERS WITH DR. JAY GALANI TO PROVIDE SCHOLARSHIPS TO STUDENTS FROM HENRY OR FULTON COUNTIES EACH YEAR BASED ON ACADEMICS AND FINANCIAL NEED. X X 0 0 0 0 0 0 0 0 0 DANIEL MCKERNAN DIRECTOR/PHYSICIAN 787826 0 0 0 0 0 0 0 30298 0 818124 0 0 0 CHARLES GBUR PHYSICIAN 746657 0 0 0 0 0 0 0 22352 0 769009 0 0 0 KIRK DAVIS PHYSICIAN 705577 0 0 0 0 0 0 0 11797 0 717374 0 0 0 CHARLES LASH PHYSICIAN 593486 0 0 0 0 0 0 0 18083 0 611569 0 0 0 CHRISTOPHER SPIELES PHYSICIAN 515464 0 0 0 0 0 0 0 35899 0 551363 0 0 0 AHMAD ABDELAAL PHYSICIAN 443356 0 0 0 0 0 0 0 30861 0 474217 0 0 0 PATRICIA A FINN CHIEF EXECUTIVE OFFICER 393473 0 0 0 0 0 20399 0 31252 0 445124 0 0 0 REBECCA TAYLOR CHIEF OPERATING OFFICER 217386 0 0 0 0 0 10940 0 19594 0 247920 0 0 0 MARY JO SMALLMAN FM ADMINISTRATOR 192203 0 0 0 0 0 9599 0 19552 0 221354 0 0 0 MATTHEW WILLEMAN CHIEF FINANCIAL OFFICER 165372 0 0 0 0 0 8518 0 26913 0 200803 0 0 0 TIFFANY JOHNSTON DIRECTOR OF NURSING 175647 0 0 0 0 0 4129 0 2012 0 181788 0 0 0 DAWN M KOLB EMPLOYEE OF FCHC/WIFE TO BRETT KOLB (BOARD MEMBER) 21774 W-2 WAGES 0 JANET M BUEHRER EMPLOYEE OF FCHC/SISTER TO SHARON GILLESPIE (BOARD MEMBER) 82859 W-2 WAGES 0 CLAIRE KOLB EMPLOYEE OF FCHC/DAUGHTER TO BRETT KOLB (BOARD MEMBER) 37881 W-2 WAGES 0 KATHLEEN MILLER EMPLOYEE OF FCHC/MOTHER TO KAYLA MILLER (BOARD MEMBER) 85754 W-2 WAGES 0 AMY WHITE EMPLOYEE OF FCHC/SISTER TO KAYLA MILLER (BOARD MEMBER) 126368 W-2 WAGES 0 TYLER MCCULLOUGH EMPLOYEE OF FCHC/GRANDSON OF JENNIFER MCCULLOUGH (BOARD MEMBER) 67492 W-2 WAGES 0 FORM 990, PART VI, SECTION A, LINE 2 TIFFANY JOHNSTON AND JOHN RUPP HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO AND REVIEWED BY EACH OF THE ORGANIZATION'S BOARD OF DIRECTORS, DIRECTOR OF FINANCE - MATTHEW WILLEMAN, AND CHIEF EXECUTIVE OFFICER - PATRICIA A. FINN, BEFORE THE FORM IS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST QUESTIONNAIRES ARE DISTRIBUTED ANNUALLY TO THE BOARD OF DIRECTORS AND DEPARTMENT HEADS. NEW BOARD MEMBERS ARE INTERVIEWED BY THE ADMINISTRATOR AND AT THAT TIME, DISCUSS WHETHER ANY CONFLICTS OF INTEREST EXIST. THE BOARD MEMBER IS PRESENTED TO THE EXECUTIVE COMMITTEE WHO REVIEWS ALL PERTINENT INFORMATION TO DETERMINE IF THERE IS A CONFLICT OF INTEREST AND WHETHER THAT PERSON CAN SERVE AS A BOARD MEMBER. VENDORS ARE REVIEWED REGULARLY BY DEPARTMENT HEADS TO DETERMINE IF ANY RELATIONSHIPS EXIST PER THE CONFLICT OF INTEREST QUESTIONNAIRES. AN OFFICER, DIRECTOR, OR KEY EMPLOYEE WHO HAS A CONFLICT OF INTEREST SHALL DISCLOSE THE CONFLICT OF INTEREST WHEN IT ARISES, AND BEFORE ACTION ON THE TRANSACTION OR CLAIM IN QUESTION. DISCLOSURE IS REQUIRED EVEN IF A DECISION CONCERNING THE TRANSACTION OR CLAIM IS NOT SUBJECT TO APPROVAL BY THE OFFICER, DIRECTOR, OR KEY EMPLOYEE OR THE BOARD OR COMMITTEE ON WHICH THE OFFICER, DIRECTOR, OR KEY EMPLOYEE SERVES. THE POLICY PROVIDES A PROCEDURE FOR REPORTING POTENTIAL CONFLICTS WHEN THEY ARISE AND BEFORE ACTION TO APPROVE OR AUTHORIZE THE TRANSACTION IS TAKEN. THE POLICY COVERS DIRECTORS, OFFICERS, EMPLOYEES OR AGENTS OF FULTON COUNTY HEALTH CENTER AND MEMBERS OF COMMITTEES AUTHORIZED TO APPROVE TRANSACTIONS OR ASSERT CLAIMS ON BEHALF OF THE FULTON COUNTY HEALTH CENTER. THE BOARD OF DIRECTORS, OTHER THAN ANY BOARD MEMBER DIRECTLY INVOLVED WITH THE CONFLICT, DETERMINES WHETHER A CONFLICT OF INTEREST INVOLVING AN INDIVIDUAL COVERED BY THE POLICY EXISTS AND REVIEWS ACTUAL CONFLICTS. INDIVIDUALS WITH CONFLICTS ARE NOT PERMITTED TO PARTICIPATE IN DELIBERATIONS OR VOTE TO AUTHORIZE A TRANSACTION OR ASSERTION OF A CLAIM. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, PATRICIA A. FINN, IS APPROVED BY THE BOARD OF DIRECTORS. THE ORGANIZATION PARTICIPATES WITH THE OHA AND USES THEIR WAGE SURVEYS TO HELP DETERMINE THE CEO'S COMPENSATION. THE CEO'S COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND DECISIONS ARE DOCUMENTED IN THE BOARD OF DIRECTOR MEETING MINUTES. THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED BY THE BOARD OF DIRECTORS. THE ORGANIZATION PARTICIPATES WITH THE OHA AND USES THEIR WAGE SURVEYS TO HELP DETERMINE OFFICER COMPENSATION. THE BOARD APPROVES THE COMPENSATION OF EMPLOYEES IN THE AGGREGATE. OFFICER COMPENSATION IS REVIEWED ANNUALLY AND DECISIONS ARE DOCUMENTED IN THE BOARD OF DIRECTOR MEETING MINUTES. THE COMPENSATION REVIEW PROCESS FOR THE CEO, OFFICERS, AND KEY EMPLOYEES WAS LAST PERFORMED IN NOVEMBER 2023. A COST OF LIVING RAISE WAS LAST RECEIVED AT THE END OF 2023. THIS WAGE INCREASE WAS CONSISTENT WITH THE WAGE INCREASE FOR ALL FCHC PERSONNEL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G MEDICAL STAFFING: PROGRAM SERVICE EXPENSES 2,505,875. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,505,875. EMPLOYEE RELATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 41,273. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,273. RECRUITMENT: PROGRAM SERVICE EXPENSES 66,686. MANAGEMENT AND GENERAL EXPENSES 81,255. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 147,941. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 10,874,741. MANAGEMENT AND GENERAL EXPENSES 199,396. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,074,137. DATA PROCESSING: PROGRAM SERVICE EXPENSES 92,251. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,251. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 1,017,955. MANAGEMENT AND GENERAL EXPENSES 244,682. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,262,637. MEDICAL DIRECTORSHIP: PROGRAM SERVICE EXPENSES 800,159. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 800,159. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 79,913. MANAGEMENT AND GENERAL EXPENSES 31,173. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,086. FINANCIAL CONSULTING: PROGRAM SERVICE EXPENSES 3,718. MANAGEMENT AND GENERAL EXPENSES 575,589. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 579,307. TEMP STAFFING: PROGRAM SERVICE EXPENSES 22,750. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,750. FORM 990, PART XII, LINE 2C: THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS HAS NOT CHANGED SINCE THE PRIOR YEAR. FCHC MEDICAL CARE LLC 725 S SHOOP AVE WAUSEON OH 435671702 010877201 PHYSICIAN BILLING AND PHYSICIAN PRACTICES OH 14683000 2169505 FULTON COUNTY HEALTH CENTER FCHC MEDICAL SERVICES LLC 725 S SHOOP AVE WAUSEON OH 435671702 010877202 HOLD LAND OH 0 120105 FULTON COUNTY HEALTH CENTER FULTON COUNTY HOLDINGS LLC 725 S SHOOP AVE WAUSEON OH 435671702 852814768 HOLD LAND OH 0 1757917 FULTON COUNTY HEALTH CENTER FCHC PHARM LLC 725 S SHOOP AVE WAUSEON OH 435671702 833101408 RETAIL PHARMACY OH 10643561 1319625 FULTON COUNTY HEALTH CENTER FULTON COUNTY HEALTH CENTER FOUNDATION 725 S SHOOP AVENUE WAUSEON OH 43567 932852549 SUPPORTING ORGANIZATION OF FCHC OH 501(C)3 LINE 12A, I FULTON COUNTY HEALTH CENTER 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0