FIRELANDS REGIONAL MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: FIRELANDS REGIONAL MEDICAL CENTER (EIN 34-4428218)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-13
IRS object ID: 201423179349303457
Schema version: 2013v3.0
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	2014-11-13T12:45:37-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1

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 AVENUE	AddressLine1
City	SANDUSKY	City
State	OH	State
ZIP Code	448703323	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL J MONCHER	PersonNm
Person Title	EXECUTIVE VP/CFO	PersonTitleTxt
Phone	4195577400	PhoneNum
Signature	2014-11-12	SignatureDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	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	AddressLine1
City	SANDUSKY	City
State	OH	State
ZIP Code	448703323	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$301,960,802	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	2277	TotalEmployeeCnt
Total Volunteers	268	TotalVolunteersCnt
Total Gross UBI	$3,311	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,311	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$769,282	PYContributionsGrantsAmt
CY Contributions Grants	$1,247,071	CYContributionsGrantsAmt
PY Program Service Revenue	$226,656,601	PYProgramServiceRevenueAmt
CY Program Service Revenue	$230,148,725	CYProgramServiceRevenueAmt
PY Investment Income	$3,581,223	PYInvestmentIncomeAmt
CY Investment Income	$10,692,990	CYInvestmentIncomeAmt
PY Other Revenue	$7,063,000	PYOtherRevenueAmt
CY Other Revenue	$7,477,725	CYOtherRevenueAmt
PY Total Revenue	$238,070,106	PYTotalRevenueAmt
CY Total Revenue	$249,566,511	CYTotalRevenueAmt
PY Grants And Similar Paid	$282,958	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$308,130	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$98,742,566	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$102,377,098	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$277,981	CYTotalFundraisingExpenseAmt
PY Other Expenses	$119,980,001	PYOtherExpensesAmt
CY Other Expenses	$121,487,784	CYOtherExpensesAmt
PY Total Expenses	$219,005,525	PYTotalExpensesAmt
CY Total Expenses	$224,173,012	CYTotalExpensesAmt
PY Revenues Less Expenses	$19,064,581	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,393,499	CYRevenuesLessExpensesAmt
Total Assets BOY	$415,796,088	TotalAssetsBOYAmt
Total Assets EOY	$436,269,224	TotalAssetsEOYAmt
Total Liabilities BOY	$267,959,407	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$227,357,027	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$147,836,681	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$208,912,197	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	$179,282,129	ExpenseAmt
Grant	$308,130	GrantAmt
Revenue	$230,145,414	RevenueAmt
Desc	SEE SCHEDULE OFIRELANDS REGIONAL MEDICAL CENTER IS A 400-BED FACILITY SERVING THE GREATER ERIE COUNTY REGION WITH TOP 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, TODAYS FIRELANDS REGIONAL MEDICAL CENTER CARRIES ON THE PROUD TRADITION OF DELIVERING A FULL RANGE OF ALLOPATHIC AND OSTEOPATHIC MEDICAL SERVICES TO NEARLY 300,000 RESIDENTS IN THE 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 2,255 INDIVIDUALS EMPLOYED IN THE HEALTH SYSTEM IN 2013, $988,765 WAS PAID IN CITY AND SCHOOL PAYROLL TAXES IN 2013, AND $20.2 MILLION OF GOODS AND SERVICES WERE PURCHASED FROM BUSINESSES IN FIRELANDS' SERVICE AREA.IN TERMS OF HEALTHCARE SERVICES PROVIDED IN 2013, INPATIENT CARE WAS GIVEN TO 8,666 INDIVIDUALS, AND THE HOSPITAL PROVIDED CARE THROUGH 241,595 OUTPATIENT VISITS. THROUGH THE EMERGENCY ROOM, INCLUDING EMERGENCY QUICKCARE, SENIOR ER AND URGENT CARE, 70,310 PERSONS WERE TREATED. FIRELANDS HAD 713 BIRTHS IN 2013.CONSISTENT WITH OUR COMMITMENT TO PROVIDE CARE TO ALL, REGARDLESS OF ABILITY TO PAY, FIRELANDS GAVE THE COMMUNITY BACK $12.1 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:CATEGORY: COSTS OF SERVICES NOT COVERED BY MEDICAIDPERSONS SERVED: 23,985COST OF PROVIDING: $4,946,197CATEGORY: COMMUNITY HEALTHPERSONS SERVED: 25,956COST OF PROVIDING: $231,634CATEGORY: HEALTH PROFESSIONSPERSONS SERVED: 145COST OF PROVIDING: $2,160,127CATEGORY: FINANCIAL ASSISTANCEPERSONS SERVED: 15,088COST OF PROVIDING: $ 4,742,344CATEGORY: IN-KIND DONATIONS PERSONS SERVED: COST OF PROVIDING: $50,835FIRELANDS' 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. ADDITIONALLY IN 2013 THE MEDICAL CENTER CONTINUED SEVERAL INITIATIVES	Desc
Total Program Service Expenses	$179,282,129	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	Yes (1)	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	155	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2277	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Excess Business Holdings	0	ExcessBusinessHoldingsInd
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	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	4195577094	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVE	AddressLine1
City	SANDUSKY	City
State	OH	State
ZIP Code	448703323	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
J WILLIAM SPRINGER
VICE CHAIR	2.00	2.00	Yes (X)	$0	$0	$0
JOHN O BACON
CHAIR	2.00	2.00	Yes (X)	$0	$0	$0
THOMAS AYLWARD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
ROGER M GUNDLACH
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
FREDRIC ITZKOWITZ DO
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
BRIAN KASPER
DIRECTOR	1.00	1.00	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	1.00	Yes (X)	$0	$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)	$0	$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	1.00	Yes (X)	$0	$0	$0
KARL OBERER DO
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
CAROL B STEUK
SECRETARY	2.00	2.00	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	1.00	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
LEON J WIEBER
TREASURER	2.00	2.00	Yes (X)	$0	$0	$0
GEORGE L MYLANDER
CHAIR EMERITUS	2.00	0.00	Yes (X)	$0	$0	$0
CARLOS LOWELL DO
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
JAMES E PRESTON DO
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
PAULA J RENGEL
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
THOMAS M ROUTH
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
JOHN WALDOCK JR
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
GERALD GUERRA
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
STEVE LICHTCSIEN
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
DOUGLAS PHARES
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JOHN HOTY
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
VINCENTA GASPAR-YOO MD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
SHELLY CHESBRO
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
LISA CRESCIMANO
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
KAM WONG MD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
CAROL A WOLFE
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
DANIEL J MONCHER
EXEC VP/CFO/NON-VOTING	40.00	2.00		$440,227	$0	$65,574	Yes (X)
MARTIN E TURSKY
PRESIDENT/CEO	40.00	2.00		$576,956	$0	$112,165	Yes (X)
ROBERT M MOORE
VP LEGAL SERVICES	40.00	2.00		$281,357	$0	$66,796		Yes (X)
ERIC MAST
DIR MED ED/RESIDENCY	40.00	0.00		$250,993	$0	$29,862		Yes (X)
BEV SCHRICKEL
VP OPERATIONS	40.00	0.00		$235,418	$0	$79,683		Yes (X)
JIM SENNISH
VP HUMAN RESOURCES	40.00	0.00		$221,335	$0	$52,896		Yes (X)
MIKE CANFIELD
VP OPERATIONS	40.00	0.00		$237,494	$0	$38,150		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,243,780	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$445,126	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	61	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
JANOTTA & HERNER INC
309 MONROE ST	MONROEVILLE	OH	44847	ARCHITECTURAL	$4,886,740
UNIVERSITY HOSPITALS HEALTH SYSTEM
PO BOX 70328	CLEVELAND	OH	44190	PHYSICIAN STAFF	$3,124,960
BRIDGE HOMECARE PARTNERS
5335 FAR HILLS AVE	DAYTON	OH	45429	HOME CARE MANAGEMENT	$1,588,843
PREMIER ANESTHESIA OF SANDUSKY
PO BOX 638144	CINCINNATI	OH	45263	ANESTHESIOLOGY SVCS	$1,344,786
MEDICAL INFORMATION
PO BOX 74569	CHICAGO	IL	60696	HEALTHCARE INFOMATION SYSTEMS	$1,195,814

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	59	CntrctRcvdGreaterThan100KCnt
Fundraising	$2,789	FundraisingAmt
Related Organizations	$48,051	RelatedOrganizationsAmt
All Other Contributions	$1,196,231	AllOtherContributionsAmt
Total Contributions	$1,247,071	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	$225,032,780	$225,032,780
SCHOOL OF NURSING	611600	$797,118	$797,118
PROGRAM SERVICE INVESTMENTS	525990	$722,102	$722,102
PARTNERSHIP INCOME RELATED TO GRO	541900	$116,946	$113,635	$3,311

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,479,779	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,479,779	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$230,148,725	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,581,881	TotalRevenueColumnAmt
Exclusion	$7,581,881	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$55,342,362	SecuritiesAmt
Other	$70,156	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$51,842,787	SecuritiesAmt
Other	$458,622	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,499,575	SecuritiesAmt
Other	-$388,466	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,111,109	TotalRevenueColumnAmt
Exclusion	$3,111,109	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$202,599	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,789	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$92,882	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$109,717	TotalRevenueColumnAmt
Exclusion	$109,717	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EMPLOYEE PHARMACY	446110	$4,089,051	$4,089,051
DIETARY SERVICES	722210	$1,553,647	$1,553,647
OFFICE RENTS	531190	$1,491,209	$1,491,209

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$234,101	TotalRevenueColumnAmt
Exclusion	$234,101	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,368,008	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$249,566,511	TotalRevenueColumnAmt
Related Or Exempt Func Income	$230,145,414	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,311	UnrelatedBusinessRevenueAmt
Exclusion	$18,170,715	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	$283,630	TotalAmt
Program Services	$283,630	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$24,500	TotalAmt
Program Services	$24,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,825,880	TotalAmt
Program Services	$1,210,894	ProgramServicesAmt
Management And General	$1,614,986	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$77,848,696	TotalAmt
Program Services	$57,960,466	ProgramServicesAmt
Management And General	$19,765,954	ManagementAndGeneralAmt
Fundraising	$122,276	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,479,979	TotalAmt
Program Services	$4,853,083	ProgramServicesAmt
Management And General	$1,626,896	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,417,846	TotalAmt
Program Services	$7,006,148	ProgramServicesAmt
Management And General	$2,396,413	ManagementAndGeneralAmt
Fundraising	$15,285	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,804,697	TotalAmt
Program Services	$4,273,276	ProgramServicesAmt
Management And General	$1,522,067	ManagementAndGeneralAmt
Fundraising	$9,354	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$965,218	TotalAmt
Program Services	$563,495	ProgramServicesAmt
Management And General	$401,723	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$164,916	TotalAmt
Management And General	$164,916	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$138,875	TotalAmt
Management And General	$138,875	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$447,632	TotalAmt
Management And General	$447,632	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,490,781	TotalAmt
Program Services	$14,699,830	ProgramServicesAmt
Management And General	$7,729,587	ManagementAndGeneralAmt
Fundraising	$61,364	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$763,569	TotalAmt
Program Services	$1,587	ProgramServicesAmt
Management And General	$747,271	ManagementAndGeneralAmt
Fundraising	$14,711	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,979,070	TotalAmt
Program Services	$39,350,542	ProgramServicesAmt
Management And General	$581,448	ManagementAndGeneralAmt
Fundraising	$47,080	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,285,829	TotalAmt
Management And General	$3,285,829	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,917,118	TotalAmt
Program Services	$1,655,403	ProgramServicesAmt
Management And General	$3,261,715	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$621,774	TotalAmt
Program Services	$212,439	ProgramServicesAmt
Management And General	$401,424	ManagementAndGeneralAmt
Fundraising	$7,911	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$33,648	TotalAmt
Management And General	$33,648	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,204,726	TotalAmt
Program Services	$4,204,726	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,137,157	TotalAmt
Program Services	$14,137,157	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,280,002	TotalAmt
Program Services	$787,484	ProgramServicesAmt
Management And General	$492,518	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
CHARITY CARE	$15,625,137	$15,625,137
BAD DEBTS	$7,753,479	$7,753,479
FRANCHISE TAX	$2,460,998	$2,460,998
PHYSICIAN RECRUITMENT	$526,208	$526,208

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,691,647	TotalAmt
Program Services	$1,691,647	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$224,173,012	TotalAmt
Program Services	$179,282,129	ProgramServicesAmt
Management And General	$44,612,902	ManagementAndGeneralAmt
Fundraising	$277,981	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,829	BOYAmt
EOY	$7,929	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,865,815	BOYAmt
EOY	$10,619,594	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$135,424	BOYAmt
EOY	$85,827	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,128,523	BOYAmt
EOY	$28,287,389	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,853,757	BOYAmt
EOY	$3,133,983	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,183,093	BOYAmt
EOY	$7,478,295	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$331,037,754	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$159,088,814	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$174,454,662	BOYAmt
EOY	$171,948,940	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$171,823,173	BOYAmt
EOY	$194,381,320	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$632,567	BOYAmt
EOY	$679,672	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$17,321,378	BOYAmt
EOY	$17,321,378	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,280,418	BOYAmt
EOY	$1,067,015	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,109,449	BOYAmt
EOY	$1,257,882	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$415,796,088	BOYAmt
EOY	$436,269,224	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$69,602,704	BOYAmt
EOY	$50,955,452	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,212,152	BOYAmt
EOY	$151,397,540	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,144,551	BOYAmt
EOY	$25,004,035	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$267,959,407	BOYAmt
EOY	$227,357,027	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$134,639,821	BOYAmt
EOY	$193,660,706	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,319,298	BOYAmt
EOY	$10,854,761	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,877,562	BOYAmt
EOY	$4,396,730	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$147,836,681	BOYAmt
EOY	$208,912,197	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$415,796,088	BOYAmt
EOY	$436,269,224	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,393,499	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$29,396,781	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$6,285,236	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	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$1,838	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$1,838	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	PART II-B LINE 1G- FIRELANDS REGIONAL MEDICAL CENTER PAID MEMBERSHIP DUES TO THE OHIO HOSPITAL ASSOCIATION OF WHICH 3.4% OR $1,838 WAS USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,976,812	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,502,602	InvestmentEarningsOrLossesAmt
Other Expenditures	$323,668	OtherExpendituresAmt
Administrative Expenses	$70,714	AdministrativeExpensesAmt
End Year Balance	$12,085,032	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,189,157	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,221,977	InvestmentEarningsOrLossesAmt
Other Expenditures	$364,993	OtherExpendituresAmt
Administrative Expenses	$69,329	AdministrativeExpensesAmt
End Year Balance	$10,976,812	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	$11,810,585	OtherCostOrOtherBasisAmt
Book Value	$11,810,585	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$153,665,275	OtherCostOrOtherBasisAmt
Depreciation	$50,216,437	DepreciationAmt
Book Value	$103,448,838	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,722,963	OtherCostOrOtherBasisAmt
Depreciation	$1,610,186	DepreciationAmt
Book Value	$1,112,777	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$157,271,535	OtherCostOrOtherBasisAmt
Depreciation	$103,838,938	DepreciationAmt
Book Value	$53,432,597	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,567,396	OtherCostOrOtherBasisAmt
Depreciation	$3,423,253	DepreciationAmt
Book Value	$2,144,143	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$171,948,940	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
CAPITAL LEASE	$294,354
SELF-INSURANCE RESERVE	$5,000,000
ACCRUED POST-RETIREMENT AND PENSION	$17,189,219
DEFERRED INCOME GUARANTEE	$2,453,639
DUE TO RELATED PARTIES	$66,823

Field	Value	IRS element (for citing)
Total Liability	$25,004,035	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	ENDOWMENT FUND EXPENDITURES FOR FACILITIES AND PROGRAMS ARE USED TO PROMOTE PHYSICAL AND MENTAL WELL-BEING IN THE COMMUNITY.
PART X, LINE 2:	ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITION TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAKING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR NAY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010.
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)
Name Of Event1	FASHION SHOW	NameOfEvent1Amt
Gross Receipts Event1	$99,249	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,934	CharitableContriEvent1Amt
Gross Revenue Event1	$97,315	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$14,820	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$6,519	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$7,851	FoodAndBeverageEvent1Amt
Entertainment Event1	$10,060	EntertainmentEvent1Amt
Other Direct Expenses Event1	$1,494	OtherDirectExpensesEvent1Amt
Name Of Event2	GOLF OUTING	NameOfEvent2Amt
Gross Receipts Event2	$77,568	GrossReceiptsEvent2Amt
Charitable Contri Event2	$855	CharitableContriEvent2Amt
Gross Revenue Event2	$76,713	GrossRevenueEvent2Amt
Cash Prizes Event2	$550	CashPrizesEvent2Amt
Non Cash Prizes Event2	$8,903	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$11,741	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$9,299	FoodAndBeverageEvent2Amt
Entertainment Event2	$3,954	EntertainmentEvent2Amt
Other Direct Expenses Event2	$1,483	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$28,571	GrossReceiptsOtherEventsAmt
Gross Revenue Other Events	$28,571	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$1,750	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$9,273	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$2,275	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$2,910	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$205,388	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,789	CharitableContributionsTotAmt
Gross Revenue Total Events	$202,599	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$550	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$23,723	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$20,010	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$26,423	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$16,289	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$5,887	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$92,882	DirectExpenseSummaryEventsAmt
Net Income Summary	$109,717	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	$6,716,607	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,974,263	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,742,344	NetCommunityBenefitExpnsAmt
Total Expense	0.02360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,126,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,179,916	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,946,197	NetCommunityBenefitExpnsAmt
Total Expense	0.02460	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,842,720	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,154,179	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,688,541	NetCommunityBenefitExpnsAmt
Total Expense	0.04820	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$316,715	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,765	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$224,950	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,693,522	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,533,395	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,160,127	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,843	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,835	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,061,080	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,625,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,435,912	NetCommunityBenefitExpnsAmt
Total Expense	0.01220	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,903,800	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,779,347	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,124,453	NetCommunityBenefitExpnsAmt
Total Expense	0.06040	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	4	PersonsServedCnt
Total Community Benefit Expns	$2,010	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,010	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	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

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,691	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,691	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	10971	PersonsServedCnt
Total Community Benefit Expns	$573,281	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,692	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$458,589	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	10975	PersonsServedCnt
Total Community Benefit Expns	$594,482	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,692	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$479,790	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$2,712,167	BadDebtExpenseAmt
Bad Debt Expense Attributable	$920,170	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$82,417,936	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$102,879,363	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$20,461,427	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	PROPERTY OWNERSHIP/MANAGEMENT	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVENUE	AddressLine1
City	SANDUSKY	City
State	OH	State
ZIP Code	44870	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.FIRELANDS.COM	WebsiteAddressTxt
State License	STATE REGIS	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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 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
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FIRELANDS REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 1J: FIRELANDS REGIONAL MEDICAL CENTER, PART V, SECTION B, LINE 1J, 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 3: FIRELANDS REGIONAL MEDICAL CENTER, PART V, SECTION B, LINE 3, 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 7: FIRELANDS REGIONAL MEDICAL CENTER, PART V, SECTION B, LINE 7, 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 CAN BE FOUND ON THE HOSPITAL'S WEBSITE (WWW.FIRELANDS.COM/ABOUT-US/PUBLICATIONS.ASPX).
FIRELANDS REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 20D: FIRELANDS REGIONAL MEDICAL CENTER, PART V, SECTION B, LINE 20D, PATIENTS WHOSE FAMILY INCOME FALLS AT 200% OR LESS THAN THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR FREE CARE. THOSE WHOSE FAMILY INCOME FALLS BETWEEN 201-300% OF THE FPG ARE PROVIDED A 25% DISCOUNT OFF BILLED CHARGES.

Field	Value	IRS element (for citing)
Facility	18	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
FIRELANDS REG MED CTR SURGERY CENTER
2800 HAYES AVE BLD E	SANDUSKY	OH	44870	OUTPATIENT SURGERY
FIRELANDS REG MED CTR OUTPAT DIALYSIS
904 PIERCE ST	SANDUSKY	OH	44870	OUTPATIENT DIALYSIS
FIRELANDS REG MED CTR OUTPAT DIALYSIS
290 PROGRESS DR STE A	BELLEVUE	OH	44811	OUTPATIENT DIALYSIS
FIRELANDS REG MED CTR HOME HEALTH
1031 PIERCE ST	SANDUSKY	OH	44870	HOME HEALTH AGENCY
FIRELANDS COUNS & REC SVCS OF ERIE CO
1925 HAYES AVE	SANDUSKY	OH	44870	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF OTTAWA CO
127 WEST PERRY ST STE 106	PORT CLINTON	OH	43452	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF HURON CO
292 BENEDICT AVE	NORWALK	OH	44857	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF HURON CO
290 PROGRESS DR STE B	BELLEVUE	OH	44811	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF HURON CO
390 E HOWARD ST STE B	WILLARD	OH	44890	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF SENECA CO
76 ASHWOOD RD	TIFFIN	OH	44883	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF SAND CO
675 BARSTON RD	FREMONT	OH	43420	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF LORAIN CO
315 LEAVITT RD STE A	AMHERST	OH	44001	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF SENECA CO
125 WEST CENTER ST	FOSTORIA	OH	44830	OP MENTAL HEALTH & CD
FIRELANDS REG MED CTR OP PHYS THERAPY
2012 CLEVELAND RD W	HURON	OH	44839	OP PHYSICAL THERAPY
FIRELANDS COUNS & REC SVCS OF WYANDOT CO
777 NORTH SANDUSKY AVE	UPPER SANDUSKY	OH	43351	OP MENTAL HEALTH & CD
FIRELANDS REG MED CTR OP PHYS THERAPY
101 S WASHINGTON ST	CASTALIA	OH	44824	OP PHYSICAL THERAPY
FIRELANDS REG MED CTR OP PHYS THERAPY
348 MILAN AVE 2	NORWALK	OH	44857	OP PHYSICAL THERAPY
FIRELANDS REG MED CTR OP THERAPY
1605 STATE ROUTE 60	VERMILION	OH	44089	OP PHYSICAL THERAPY

Supplemental Information Detail SupplementalInformationDetail (12 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 6A: FIRELANDS REGIONAL MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:	TO DERIVE COSTS OF CHARITY CARE AND OTHER COMMUNITY BENEFITS, A COMBINATION OF COST ACCOUNTING SYSTEM AND COST-TO-CHARGE RATIOS WAS USED. THE LATTER WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OUR COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT TYPES AND PAYER SOURCES.PART II, SEE NARRATIVE UNDER PART VI, LINE 5
PART I, LN 7 COL(F):	THE BAD DEBT AND CHARITY CARE EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $23,378,616.
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 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. PART III LINE 4, AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYERS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYERS.
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 III LINE 9B, 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 PART III LINE 9B, PAYMENT ARRANGEMENT, OR TAKEN OUT OF BAD DEBT AND ADJUSTED ACCORDING TO FINANCIAL AID GUIDELINES.
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.
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 A FINANCIAL COUNSELOR WHO EXPLAINS THE HOSPITAL CHARITY POLICY, ASSISTS WITH THE APPLICATION AND/OR SUPPLIES THEM WITH A CONTACT IF QUESTIONS SHOULD ARISE AFTER DISCHARGE. SELF-PAY INPATIENT ACCOUNTS ARE MONITORED DAILY TO IDENTIFY PATIENTS THAT ARE ELIGIBLE FOR MEDICAID AND HAVE NO PRIOR INSURANCE COVERAGE.ALL SELF-PAY OUTPATIENT ACCOUNTS WITH A BALANCE OF $1,500 OR MORE ARE SCREENED BY A THIRD PARTY AND A MEDICAID APPLICATION IS STARTED FOR THOSE THAT MEET ELIGIBILITY GUIDELINES. DURING THE SCHEDULING PROCESS, IF THE PATIENT STATES THAT 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 THROUGH FRIDAY FROM 7:30 AM TO 5:00 PM. A FINANCIAL COUNSELOR 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 12.5% MINORITY. EIGHTY-NINE (89)% OF THE POPULATION HAS A HIGH SCHOOL EDUCATION OR SOME COLLEGE. THE COUNTY'S MEDIAN AGE IS 43.3 AND THE MEDIAN HOUSEHOLD INCOME IS $46,906. APPROXIMATELY 70% OF THE COUNTY'S RESIDENTS OWN THEIR OWN HOME, WITH THE MEDIAN HOME VALUE OF $139,100.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 OF ERIE, HURON, OTTAWA, SANDUSKY, SENECA, WYANDOT AND LORAIN. HOME HEALTH SERVICES PROVIDED BY THE MEDICAL CENTER REACHES INTO 13 DIFFERENT COUNTIES. DEMOGRAPHICS OF THE 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.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 THROUGH THE DEPARTMENT OF HOMELAND SECURITY, AS WELL AS INCORPORATING SOCIAL MEDIA IN ITS CRISIS COMMUNICATION METHODS.MANAGEMENT STAFF OF FIRELANDS REGIONAL MEDICAL CENTER IS ENCOURAGED TO PARTICIPATE IN LOCAL AND REGIONAL BOARDS AND ACTIVITIES THAT IMPROVE THE LOCAL COMMUNITY. ADVOCACY INCLUDES SUCH ACTIVITIES AS FINANCIAL SUPPORT TO A LOCAL CLINIC THAT SERVES UNINSURED AND UNDERINSURED 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 WHICH WORK TO IMPROVE THE HEALTH OF THE COMMUNITY.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	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)	$249,996	GENERAL SUPPORT
TEEN LEADERSHIP CORPS
26 E CEDAR POINT RD	SANDUSKY	OH	44870	260324101	501(C)(3)	$6,500	GENERAL SUPPORT
ERIE COUNTY ECONOMIC DEVELOPMENT
247 COLUMBUS AVE	SANDUSKY	OH	44870	341590450	501(C)(3)	$12,500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

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	24	RecipientCnt
Cash Grant	$24,500	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II LINE 1	PART II LINE 1. TO EXPAND THE DELIVERY OF HEALTH CARE SERVICES AND PROMOTE A HEALTHY QUALITY OF LIFE FOR THE MEDICALLY UNDERSERVED 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.
PART III LINE 1	PART III LINE 1. SCHOLARSHIPS - TO BE ELIGIBLE FOR THE "EDUCATION PAYMENT PROGRAM", 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 III LINE 1	PART III 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 ORIGIN OR DISABILITY. FUNDS ARE PAID DIRECTLY TO THE SCHOOL ON BEHALF OF THE RECIPIENT.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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
DANIEL J MONCHER
EXEC VP/CFO/NON-VOTING	$327,851	$0	$67,000	$0	$45,376	$0	$38,000	$0	$27,574	$0	$505,801	$0	$0	$0
MARTIN E TURSKY
PRESIDENT/CEO	$494,334	$0	$82,250	$0	$372	$0	$72,797	$0	$39,368	$0	$689,121	$0	$0	$0
ROBERT M MOORE
VP LEGAL SERVICES	$222,747	$0	$54,000	$0	$4,610	$0	$44,000	$0	$22,796	$0	$348,153	$0	$0	$0
ERIC MAST
DIR MED ED/RESIDENCY	$244,733	$0	$5,500	$0	$760	$0	$7,530	$0	$22,332	$0	$280,855	$0	$0	$0
BEV SCHRICKEL
VP OPERATIONS	$188,110	$0	$32,000	$0	$15,308	$0	$61,000	$0	$18,683	$0	$315,101	$0	$0	$0
JIM SENNISH
VP HUMAN RESOURCES	$181,355	$0	$32,000	$0	$7,980	$0	$31,000	$0	$21,896	$0	$274,231	$0	$0	$0
MIKE CANFIELD
VP OPERATIONS	$202,008	$0	$35,000	$0	$486	$0	$26,911	$0	$11,239	$0	$275,644	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4B	PART 1 LINE 4B- FIRELANDS REGIONAL MEDICAL CENTER CONTRIBUTED TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ON BEHALF OF MARTIN TURSKY, PRESIDENT, IN THE AMOUNT OF $72,797 AND MIKE CANFIELD, VP OF OPERATIONS, IN THE AMOUNT OF $19,786.
PART I, LINE 6	PART I LINE 6A - BONUS AND INCENTIVE COMPENSATION LISTED IN PART II IS PRIMARILY BASED ON A SUCCESS SHARING PLAN MEASURED BY BOTH OPERATING RESULTS COMPARED TO BUDGET AND PATIENT SATISFACTION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 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	29514PAV4	2006-06-01	$65,951,557	SEE PART VI	0	0	0
COUNTY OF ERIE OHIO
B	346400428	29514PAW2	2006-06-01	$15,000,000	SEE PART VI	0	0	0
COUNTY OF ERIE OHIO
C	346400428	29514BPD3	2012-08-15	$72,711,827	SEE PART VI	0	0	0
COUNTY OF ERIE OHIO
D	346400428	29514PAU6	2012-08-15	$62,711,827	REFUNDING	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,110,000	$68,365,573	$3,265,889	$580,938	$64,416,279	2008	0	Yes (1)	Yes (1)
B		$15,492,204		$134,063	$15,358,141	2008	0	Yes (1)	Yes (1)
C	$1,825,000	$72,720,689	$1,227,738	$264,264	$72,456,425	2013	Yes (1)	Yes (1)	Yes (1)
D	$68,023,634	$68,260,967		$237,333		2012	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 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)
D	0		0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
(no name)
A	0	0	0	Yes (1)	0	0	0	0	Yes (1)
NA
B	0	0	0	Yes (1)	0	0	0	0	Yes (1)	0
NA
C	0	0	0	Yes (1)	Yes (1)	0	0	0	Yes (1)	0
(no name)
D	0	0	0	0	0	0	0	0	0

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): FINANCE THE ACQUISITION, CONSTRUCTION, FURNISHMENT AND EQUIPMENT OF ADDITIONS AND IMPROVEMENTS TO HOSPITAL FACILITIES. PART I LINE B, COLUMN (F): FINANCE THE ACQUISITION, CONSTRUCTION, FURNISHMENT AND EQUIPMENT OF ADDITIONS AND IMPROVEMENTS TO HOSPITAL FACILITIES. PART I LINE C, COLUMN (F): $62,493,562.83 OF SALES PROCEEDS OF THE BONDS WERE USED TO CURRENTLY REFUND THE COUNTY OF ERIE HOSPITAL FACILITITES REVENUE BONDS, SERIES 2002 (FIRELANDS REGIONAL MEDICAL CENTER) AND $10,218,264.17 OF SALES PROCEEDS OF THE BONDS WERE USED TO FINANCE THE ACQUISITION, CONSTRUCTION AND EQUIPPING OF TECHNOLOGY IMPROVEMENTS AND RENOVATIONS MADE TO HOSPITAL FACILITIES. PART II LINE 3, COLUMN A. TOTAL PROCEEDS OF THE ISSUE ARE COMPRISED OF $65,951,556.50 OF SALES PROCEEDS AND $2,414,015.82 OF INVESTMENT PROCEEDS. PART II LINE 3, COLUMN B. TOTAL PROCEEDS OF THE ISSUE ARE COMPRISED OF $15,000,000 OF SALES PROCEEDS AND $492,203.75 OF INVESTMENT PROCEEDS. PART II LINE 3, COLUMN C. TOTAL PROCEEDS OF THE ISSUE ARE COMPRISED OF $72,711,826.90 OF SALES PROCEEDS AND $8,861.75 OF INVESTMENT PROCEEDS. PART IV LINE 2C, COLUMN A. THE REBATE COMPUTATION WAS PERFORMED JULY 15, 2011. PART IV LINE 2C, COLUMN B. THE REBATE COMPUTATION WAS PERFORMED JULY 15, 2011. PART IV LINE 2C, COLUMN C. THE REBATE COMPUTATION WAS PERFORMED OCTOBER 28, 2013.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JANOTTA HERNER
BUSINESS ENTITY	$4,886,740	CONSTRUCTION SERVICES	0
KAMAL CHABAN MD
BOARD MEMBER	$323,930	EMPLOYMENT	0
FREDERICK ITZKOWITZ DO
BOARD MEMBER	$254,026	CONTRACTED MEDICAL SERVICES	0
PATRICK MCGWINN MD
BOARD MEMBER	$150,561	CONTRACTED MEDICAL SERVICES	0
ALICE SPRINGER
FAMILY MEMBER	$64,676	EMPLOYMENT	0
JODY SENNISH
FAMILY MEMBER	$28,603	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	FREDERICK ITZKOWITZ, DO IS A PARTNER IN AN INDEPENDENTLY CONTRACTED COMPANYTHAT 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 THATPROVIDES 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

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 OF THE UNITED STATES. 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 DONE 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 ALONG WITH THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE ALSO POSTED TIMELY AT HTTP://WWW.MSRB.ORG/ UTILIZING THE EMMA SYSTEM. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC BY SPECIAL REQUEST. FORM 990 PART XI LINE 9: OTHER CHANGES IN NET ASSETS TOTALING $6,402,182 INCLUDE THE FOLLOWING: PENSION ADJUSTMENT $13,326,249, TRANSFERS TO AFFILIATES $(6,911,531), FUNDING FOR SCHOOL OF NURSING $(11,961) AND OTHER $(575).
FORM 990, PART IX, LINE 11G	OTHER: PROGRAM SERVICE EXPENSES 14,699,830. MANAGEMENT AND GENERAL EXPENSES 7,729,587. FUNDRAISING EXPENSES 61,364. TOTAL EXPENSES 22,490,781.
FORM 990, PART XI, LINE 9:	SCHOOL OF NURSING FUNDING -11,961. PENSION ADJUSTMENTS 13,326,249. TRANSFER (TO) FROM AFFILIATES -6,911,531. OTHER -575. PARTNERSHIP INCOME RELATED TO GROUP PURCHASING PROGRAM SERVICES -116,946.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1
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

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MARINA HOME HEALTH LLC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	709 W WASHINGTON ST	AddressLine1
City	SANDUSKY	City
State	OH	State
ZIP Code	44870	ZIPCode

Field	Value	IRS element (for citing)
EIN	262573502	EIN
Primary Activities	MEDICAL EQUIPMENT	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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	FIRELANDS REGIONAL MEDICAL CENTER	C	-$1,016	$12,087	1.00000	0
FIRELANDS PROF CENTER 2 CONDO
1111 HAYES AVE	SANDUSKY	OH	44870	203131059	CONDO ASSOCIATION	OH	FIRELANDS REGIONAL MEDICAL CENTER	C		$72,977	0.69000	0
FIRELANDS PHYSICIANS REGIONAL HEALTH CARE
1111 HAYES AVE	SANDUSKY	OH	44870	341829898	PHO	OH	FIRELANDS REGIONAL MEDICAL CENTER	C	-$4,520	$57,535	0.51000	0
NORTH COAST PROF CO LLC
1111 HAYES AVE	SANDUSKY	OH	44870	341608091	PHYSICIAN PRACTICE MGT	OH	THE FOUNDATION FOR FIRELANDS	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	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	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 (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FIRELANDS PHYSICIANS REGIONAL HEALTH CARE
Q	$63,860	CASH BASIS
NORTH COAST PROFESSIONAL COMPANY LLC
Q	$2,179,230	CASH BASIS
NORTH COAST PROFESSIONAL COMPANY LLC
J	$471,074	CASH BASIS
NORTH COAST PROFESSIONAL COMPANY LLC
P	$698,195	CASH BASIS
FIRELANDS REGIONAL HEALTH SYSTEM
R	$512,579	CASH BASIS
THE FOUNDATION FOR FIRELANDS
R	$6,398,952	CASH BASIS