FIRELANDS REGIONAL MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: FIRELANDS REGIONAL MEDICAL CENTER (EIN 34-4428218)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-15
IRS object ID: 201243209349302919
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-15T10:18:46-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	344428218	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FIRELANDS REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FIRE	NameControl
Phone	4195577400	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	DANIEL J MONCHER	Name
Title	EXEC VP/CHIEF FINANCIAL OFFICE	Title
Phone	4195577400	Phone
Date Signed	2012-11-14	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DANIEL J MONCHER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	250935036	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FIRELANDS.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1919	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	THE MISSION OF FIRELANDS REGIONAL MEDICAL CENTER IS TO BE THE LEADING REGIONAL HEALTH CENTER, PROMOTING PHYSICAL, SPIRITUAL AND MENTAL WELL-BEING FOR GENERATIONS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	39	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	39	NbrIndependentVotingMembers
Total Nbr Employees	2211	TotalNbrEmployees
Total Nbr Volunteers	284	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	934395	ContributionsGrantsPriorYear
Contributions Grants Current Year	684591	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	205088488	ProgramServiceRevenuePriorYear
Program Service Revenue CY	219898079	ProgramServiceRevenueCY
Investment Income Prior Year	7602252	InvestmentIncomePriorYear
Investment Income Current Year	2837530	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6716365	OtherRevenuePriorYear
Other Revenue Current Year	6986446	OtherRevenueCurrentYear
Total Revenue Prior Year	220341500	TotalRevenuePriorYear
Total Revenue Current Year	230406646	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	277522	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1024500	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	92333267	SalariesEtcPriorYear
Salaries Etc Current Year	96496084	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	260462	TotalFundrsngExpCurrentYear
Other Expense Prior Year	117492798	OtherExpensePriorYear
Other Expenses Current Year	121321617	OtherExpensesCurrentYear
Total Expenses Prior Year	210103587	TotalExpensesPriorYear
Total Expenses Current Year	218842201	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	10237913	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11564445	RevenuesLessExpensesCY
Total Assets BOY	386862538	TotalAssetsBOY
Total Assets EOY	394859699	TotalAssetsEOY
Total Liabilities BOY	235255372	TotalLiabilitiesBOY
Total Liabilities EOY	276375870	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	151607166	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	118483829	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF FIRELANDS REGIONAL MEDICAL CENTER IS TO BE THE LEADING REGIONAL HEALTH CENTER, PROMOTING PHYSICAL, SPIRITUAL AND MENTAL WELL-BEING FOR GENERATIONS.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	173833826	Expense
Grants	1024500	Grants
Revenue	219898079	Revenue
Description	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, TODAY'S FIRELANDS REGIONAL MEDICAL CENTER CARRIES ON THE PROUD TRADITION OF DELIVERING A FULL RANGE OF ALLOPATHIC AND OSTEOPATHIC MEDICAL SERVICES TO NEARLY 250,000 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 OVER 2,089 INDIVIDUALS EMPLOYED IN THE HEALTH SYSTEM IN 2011, FIRELANDS PAID OVER $107.4 MILLION IN SALARY AND BENEFITS, WHICH HELPS TO SUPPORT THE LOCAL ECONOMICS. IN FACT, $927,102 WAS PAID IN CITY AND SCHOOL PAYROLL TAXES IN 2011, AND $9.9 MILLION OF GOODS AND SERVICES WERE PURCHASED FROM BUSINESSES IN FIRELANDS' SERVICE AREA.IN TERMS OF HEALTHCARE SERVICES PROVIDED IN 2011, INPATIENT CARE WAS GIVEN TO 9,659 INDIVIDUALS, AND THE HOSPITAL PROVIDED CARE THROUGH 217,714 OUTPATIENT VISITS. THROUGH THE EMERGENCY ROOM, 47,834 PERSONS WERE TREATED AND 704 BABIES WERE BORN AT FIRELANDS.CONSISTENT WITH OUR COMMITMENT TO PROVIDE CARE TO ALL, REGARDLESS OF ABILITY TO PAY, FIRELANDS GAVE THE COMMUNITY BACK OVER $13.0 MILLION OF SERVICES IN FREE OR DISCOUNTED PROGRAMS OR SERVICES. ADDITIONAL CHARITY CARE WAS PROVIDED BY INDEPENDENT PHYSICIANS WHO ARE ON THE MEDICAL STAFF OF FIRELANDS.SPECIFICALLY, IN TERMS OF FREE OR DISCOUNTED CARE PROVIDED, FIRELANDS SERVED THE FOLLOWING NUMBER OF PERSONS WITHIN EACH CATEGORY, AMOUNTING TO SIGNIFICANT DOLLARS INVESTED IN THE COMMUNITY FOR WHICH FIRELANDS DID NOT RECEIVE COMPENSATION.FOR EXAMPLE, 25,676 PERSONS WERE SERVED WHERE THE COSTS OF SERVICES WERE NOT COVERED BY MEDICARE OR MEDICAID. THE COST TO FIRELANDS OF PROVIDING THIS CARE WAS $5,456,110. FOR HEALTH EDUCATION AND OUTREACH, 27,302 PERSONS WERE SERVED, AND THE COST OF PROVIDING THIS CARE WAS $209,675. MEDICAL EDUCATION PROGRAMS SERVED 163 PEOPLE AT A COST OF $1,990,914. THE HOSPITAL ALSO PROVIDED CHARITY CARE TO 14,907 PEOPLE, AT A COST OF $5,016,916. FINALLY, IN-KIND DONATIONS TOTALED $298,435.FIRELANDS' COMMUNITY OUTREACH DEPARTMENT IS DEDICATED TO PROVIDING SCREENINGS, COMMUNITY EDUCATION PROGRAMS, AND PREVENTIVE SERVICES ALL DESIGNED TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED BY FIRELANDS.FIRELANDS' COMMITMENT TO PROVIDE HEALTHCARE TO THE UNDERSERVED IS EVIDENT IN ITS 2011 FUNDING OF $1,152,757 IN SUPPORT OF FAMILY HEALTH SERVICES, A CLINIC FOR LOW INCOME FAMILIES. FAMILY HEALTH SERVICES PROVIDES ACCESS TO PRIMARY CARE PHYSICIANS FOR THOSE WHO OTHERWISE WOULD NOT BE ABLE TO AFFORD A PHYSICIAN. THE CLINIC PROVIDES WELL-CHILD CARE, WOMEN'S HEALTHCARE AND PAP TESTS, TREATMENT OF ACUTE PROBLEMS LIKE COLDS AND FLU, AND MANAGEMENT OF CHRONIC CONDITIONS SUCH AS DIABETES, HIGH BLOOD PRESSURE, DEPRESSION, EMPHYSEMA AND ARTHRITIS. THE CLINIC PROVIDES A MORE APPROPRIATE PLACE OF SERVICE THAN AN EMERGENCY ROOM VISIT, AND AT A MUCH LOWER COST. FIRELANDS IS COMMITTED TO PROVIDING THE BEST QUALITY OF HEALTHCARE TO THE LOCAL COMMUNITY, REGARDLESS OF A PERSON'S ABILITY TO PAY. FIRELANDS HAS SEEN SIGNIFICANT GROWTH IN BRINGING ADVANCED PROCEDURES TO THE LOCAL COMMUNITY SO THAT PERSONS RESIDING IN THE FIVE-COUNTY AREA CAN STAY CLOSE TO HOME FOR ADVANCED CARE SUCH AS HEART SURGERIES AND INTERVENTIONAL PROCEDURES, ADVANCED CARE IN MEDICAL ONCOLOGY AND RADIATION ONCOLOGY SERVICES, THE ADDITION OF NEW TECHNOLOGICALLY ADVANCED EQUIPMENT IN THE RADIOLOGY DEPARTMENT AND WOMEN'S HEALTH AND WELLNESS CENTER, AND THE ADDITION OF MANOMETRY EQUIPMENT TO THE DIGESTIVE HEALTH CENTER. FIRELANDS OPENED A SPINCE CENTER IN 2011 PROVIDING PATIENTS WITH ONE CONVENIENT LOCATION TO RECEIVE A COMPREHENSIVE TEAM APPROACH TO BACK AND NECK PAIN. THE MEDICAL CENTER ALSO PROVIDES TEH AREA'S ONLY ENDOCRINOLOGIST, WHICH PROVIDES LOCAL CARE TO THOSE IN THE REGION WITH DIABETES AND OTHER ENDOCRINE CONDITIONS. DURING 2011, FIRELANDS ALSO EXPANDED SERVICE HOURS FOR NUMEROUS PROGRAMS AND OPENED SATELLITE FACILITIES IN SURROUNDING RURUAL AREAS TO PROVIDE PHYSICAL THERAPY SERVICES, LAB SERVICES, AND DIALYSIS SERVICES.	Description
Total Program Service Expense	173833826	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	146	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2211	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Excess Business Holdings	0	ExcessBusinessHoldings
Taxable Distributions	0	TaxableDistributions
Distribution To Donor	0	DistributionToDonor
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	39	NbrVotingGoverningBodyMembers
Number Independent Voting Members	39	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DENNIS J KOPCO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4195577094	TelephoneNumber

Address US AddressUS

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 Form990PartVIISectionA (48 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
J WILLIAM SPRINGER
CHAIR	2.00	X	0	0	0
JOHN O BACON
VICE CHAIR	2.00	X	0	0	0
THOMAS M WOLF
TREASURER	2.00	X	0	0	0
THOMAS AYLWARD
DIRECTOR	1.00	X	0	0	0
WILLIAM K BALZER PHD
DIRECTOR	1.00	X	0	0	0
KAMAL CHABAN MD
DIRECTOR	1.00	X	0	0	0
VINCENTA GASPAR-YOO MD
DIRECTOR	1.00	X	0	0	0
MARK GROSS
DIRECTOR	1.00	X	0	0	0
ANTHONY S GUERRA
DIRECTOR	1.00	X	0	0	0
ROGER M GUNDLACH
DIRECTOR	1.00	X	0	0	0
FREDRIC ITZKOWITZ DO
DIRECTOR	1.00	X	0	0	0
LEE C JEWETT
DIRECTOR	1.00	X	0	0	0
BRIAN KASPER
DIRECTOR	1.00	X	0	0	0
THEODORE A KASTOR
DIRECTOR	1.00	X	0	0	0
DANIEL KELLER
DIRECTOR	1.00	X	0	0	0
RICHARD R KELLER MD
DIRECTOR	1.00	X	0	0	0
M LEE MCDERMOND JR
DIRECTOR	1.00	X	0	0	0
CAROL A WOLFE
DIRECTOR	1.00	X	0	0	0
PATRICK MCGUINN MD
DIRECTOR	1.00	X	0	0	0
DUFFIELD E MILKIE
DIRECTOR	1.00	X	0	0	0
JAMES MILLER
DIRECTOR	1.00	X	0	0	0
ALLEN R NICKLES
DIRECTOR	1.00	X	0	0	0
BARBARA A NIELSON
DIRECTOR	1.00	X	0	0	0
KARL OBERER DO
DIRECTOR	1.00	X	0	0	0
S BAIRD PFAHL MD
DIRECTOR	1.00	X	33750	0	1907
DEAN J REICHENBACH MD
DIRECTOR	1.00	X	0	0	0
CAROL B STEUK
DIRECTOR	1.00	X	0	0	0
JAMES V STOUFFER JR
DIRECTOR	1.00	X	0	0	0
DAVID A VOIGHT SR
DIRECTOR	1.00	X	0	0	0
ELAINE WATERFIELD
DIRECTOR	1.00	X	0	0	0
JAMES O WIBLE
DIRECTOR	1.00	X	0	0	0
CARL E WILL
DIRECTOR	1.00	X	0	0	0
LEON J WIEBER
SECRETARY	2.00	X	0	0	0
GEORGE L MYLANDER
CHAIR EMERITUS	2.00	X	0	0	0
CHARLES A STARK
PRESIDENT/CEO	40.00	X	873051	0	47755	X
CARLOS LOWELL DO
DIRECTOR	1.00	X	0	0	0
JAMES E PRESTON DO
DIRECTOR	1.00	X	0	0	0
PAULA J RENGEL
DIRECTOR	1.00	X	0	0	0
THOMAS M ROUTH
DIRECTOR	1.00	X	0	0	0
GARY K SCHIMMEL SR
DIRECTOR	1.00	X	0	0	0
JOHN WALDOCK JR
DIRECTOR	1.00	X	0	0	0
ROBERT M MOORE
VP LEGAL	40.00		225074	0	42347	X
DANIEL J MONCHER
EXEC VP/CFO/NON-VOTING	40.00		373011	0	43504	X
TAMARA L JACKSON
CHIEF NURSING OFFICER	40.00		284175	0	56471		X
ERIC MAST
DIR MED ED/RESIDENCY	40.00		223453	0	17324			X
RYAN CHANDLER
CHIEF OPERATING OFFICER	40.00		217043	0	21194			X
SCHRICKEL BEV
VP OPERATIONS	40.00		185775	0	56010			X
JAMES SPICER
PHARMACY DIRECTOR	40.00		180336	0	11897			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2595668	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	298409	TotalOtherCompensation
Number Individuals GT100 K	31	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
UNIVERSITY HOSPITALS HEALTH
PO BOX 70328	CLEVELAND	OH	44190	PHYSICIAN STAFF	2695422
JANOTTA & HERNER INC
309 MONROE ST	MONROEVILLE	OH	44847	CONSTRUCTION SVCS	2244597
PREMIER ANESTHESIA OF SANDUSKY
PO BOX 638144	CINCINNATI	OH	45263	ANESTHESIOLOGY SVCS	1355539
BRIDGE HOMECARE PARTNERS
5335 FAR HILLS AVE	DAYTON	OH	45429	HOME CARE MANAGEMENT	1309864
NORTHERN OHIO ANESTEHESIA SERVICES
303 ALEXANDER COURT	COPLEY	OH	44321	ANESTHESIOLOGY SVCS	780000

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	58	NumberOfContractorsGT100K
Fundraising Events	8625	FundraisingEvents
Related Organizations	42625	RelatedOrganizations
All Other Contributions	633341	AllOtherContributions
Total Contributions	684591	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SVC REV	623000	217084774	217084774
SCHOOL OF NURSING	611600	777791	777791
PROGRAM SVC INVESTMENT	525990	136938	136938

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1898576	TotalRevenueColumn
Related Or Exempt Function Income	1898576	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	219898079	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2576961	TotalRevenueColumn
Exclusion	$2,576,961	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	20222154	Securities
Other	510176	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	20092663	Securities
Other	379098	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	129491	Securities
Other	131078	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	260569	TotalRevenueColumn
Exclusion	$260,569	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	138844	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	8625	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	56629	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	82215	TotalRevenueColumn
Exclusion	$82,215	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
EMPLOYEE PHARMACY	446110	3354291	$3,354,291
DIETARY SERVICES	722210	1458887	$1,458,887
OFFICE RENTS	531190	1426401	$1,426,401

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	664652	TotalRevenueColumn
Exclusion	$664,652	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6904231	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	230406646	TotalRevenueColumn
Related Or Exempt Function Income	219898079	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$9,823,976	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1000000	Total
Program Services	1000000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	24500	Total
Program Services	24500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2858420	Total
Program Services	1085109	ProgramServices
Management And General	1773311	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	74598274	Total
Program Services	54902858	ProgramServices
Management And General	19590314	ManagementAndGeneral
Fundraising	105102	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5065734	Total
Program Services	3695237	ProgramServices
Management And General	1370497	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	8482377	Total
Program Services	6191510	ProgramServices
Management And General	2277729	ManagementAndGeneral
Fundraising	13138	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5491279	Total
Program Services	3969467	ProgramServices
Management And General	1513772	ManagementAndGeneral
Fundraising	8040	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	928057	Total
Program Services	444045	ProgramServices
Management And General	484012	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	311968	Total
Management And General	311968	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	144175	Total
Management And General	144175	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	366549	Total
Management And General	366549	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	20119676	Total
Program Services	13113496	ProgramServices
Management And General	6955371	ManagementAndGeneral
Fundraising	50809	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1065419	Total
Program Services	19984	ProgramServices
Management And General	1025242	ManagementAndGeneral
Fundraising	20193	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	40113838	Total
Program Services	39545872	ProgramServices
Management And General	528296	ManagementAndGeneral
Fundraising	39670	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2163823	Total
Management And General	2163823	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4834624	Total
Program Services	1241057	ProgramServices
Management And General	3593567	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	586014	Total
Program Services	223041	ProgramServices
Management And General	358134	ManagementAndGeneral
Fundraising	4839	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	57493	Total
Management And General	57493	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5636525	Total
Program Services	5636525	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	15082152	Total
Program Services	15082152	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2035179	Total
Program Services	1647762	ProgramServices
Management And General	387417	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
CHARITY CARE	16303967	16303967
BAD DEBTS	7755677	7755677
FRANCHISE TAX	1738567		1738567
PHYSICIAN RECRUITMENT	600578	600578

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1477336	Total
Program Services	1350989	ProgramServices
Management And General	107676	ManagementAndGeneral
Fundraising	18671	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	218842201	Total
Program Services	173833826	ProgramServices
Management And General	44747913	ManagementAndGeneral
Fundraising	260462	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	7179	BOY
EOY	7329	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	8844246	BOY
EOY	3794294	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	422848	BOY
EOY	268356	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	31169878	BOY
EOY	29474123	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2635396	BOY
EOY	2814479	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6538272	BOY
EOY	3483459	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	315241525	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	134412474	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	187645390	BOY
EOY	180829051	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	130293923	BOY
EOY	155593962	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	608586	BOY
EOY	590524	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	15699820	BOY
EOY	15316293	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1707224	BOY
EOY	1493821	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1289776	BOY
EOY	1194008	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	386862538	BOY
EOY	394859699	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	41227843	BOY
EOY	73612428	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	155946598	BOY
EOY	163570684	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	38080931	BOY
EOY	39192758	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	235255372	BOY
EOY	276375870	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	138647910	BOY
EOY	106518694	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8948556	BOY
EOY	8356679	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4010700	BOY
EOY	3608456	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	151607166	BOY
EOY	118483829	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	386862538	BOY
EOY	394859699	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	11564445	ReconcilationRevenueExpenses
Reconcilation Other Changes	-44687782	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$2,858	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	2858	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART IV, SUPPLEMENTAL INFORMATION:	Identifier
Explanation	PART II-B LINE 1 FIRELANDS REGIONAL MEDICAL CENTER PAID MEMBERSHIP DUES TO THE OHIO HOSPITAL ASSOCIATION OF WHICH 5.9% OR $2,858 WAS USED FOR LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12085032	BeginningOfYearBalance
Investment Earnings Or Losses	-581145	InvestmentEarningsOrLosses
Other Expenditures	334843	OtherExpenditures
Administrative Expenses	78642	AdministrativeExpenses
End Of Year Balance	11090402	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10976812	BeginningOfYearBalance
Investment Earnings Or Losses	1502602	InvestmentEarningsOrLosses
Other Expenditures	323668	OtherExpenditures
Administrative Expenses	70714	AdministrativeExpenses
End Of Year Balance	12085032	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9189157	BeginningOfYearBalance
Investment Earnings Or Losses	2221977	InvestmentEarningsOrLosses
Other Expenditures	364993	OtherExpenditures
Administrative Expenses	69329	AdministrativeExpenses
End Of Year Balance	10976812	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13829380	BeginningOfYearBalance
Investment Earnings Or Losses	-4095231	InvestmentEarningsOrLosses
Other Expenditures	467639	OtherExpenditures
Administrative Expenses	77353	AdministrativeExpenses
End Of Year Balance	9189157	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11434476	OtherCostOrOtherBasis
Book Value	11434476	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	143963027	OtherCostOrOtherBasis
Depreciation	40940615	Depreciation
Book Value	103022412	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2432526	OtherCostOrOtherBasis
Depreciation	608131	Depreciation
Book Value	1824395	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	149801992	OtherCostOrOtherBasis
Depreciation	89889246	Depreciation
Book Value	59912746	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7609504	OtherCostOrOtherBasis
Depreciation	2974482	Depreciation
Book Value	4635022	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	180829051	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
CAPITAL LEASE	$3,386,633
SELF-INSURANCE RESERVE	$5,000,000
ACCRUED POST-RETIREMENT AND PENSION	$30,100,419
DEFERRED INCOME GUARANTEE	$685,022
DUE TO RELATED PARTIES	$20,684

Field	Value	IRS element (for citing)
Total Of Amounts	39192758	TotalOfAmounts
Total Revenue	230406646	TotalRevenue
Total Expenses	218842201	TotalExpenses
Excess Or Deficit For Year	11564445	ExcessOrDeficitForYear
Excess Or Deficit Per FS	11564445	ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	ENDOWMENT FUND EXPENDITURES FOR FACILITIES AND PROGRAMS ARE USED TO PROMOTE PHYSICAL AND MENTAL WELL-BEING IN THE COMMUNITY.
		PART XI, LINE 10: FINANCIAL STATEMENTS FOR FIRELANDS REGIONAL MEDICAL CENTER ARE PART OF THE CONSOLIDATED AND AUDITED FINANCIAL STATEMENTS OF FIRELANDS REGIONAL HEALTH SYSTEM. RECONCILIATION IS NOT REQUIRED FOR PARTS XI, XII AND XIII.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	FASHION SHOW	NameOfEvent1
Gross Receipts Event1	56374	GrossReceiptsEvent1
Charitable Contributions Event1	1624	CharitableContributionsEvent1
Gross Revenue Event1	54750	GrossRevenueEvent1
Rent Facility Costs Event1	10151	RentFacilityCostsEvent1
Food And Beverage Event1	6190	FoodAndBeverageEvent1
Other Direct Expenses Event1	1880	OtherDirectExpensesEvent1
Name Of Event2	GOLF OUTING	NameOfEvent2
Gross Receipts Event2	40893	GrossReceiptsEvent2
Charitable Contributions Event2	5050	CharitableContributionsEvent2
Gross Revenue Event2	35843	GrossRevenueEvent2
Cash Prizes Event2	1400	CashPrizesEvent2
Rent Facility Costs Event2	7440	RentFacilityCostsEvent2
Food And Beverage Event2	4842	FoodAndBeverageEvent2
Entertainment Event2	2315	EntertainmentEvent2
Other Direct Expenses Event2	2161	OtherDirectExpensesEvent2
Total Number Of Other Events	3	TotalNumberOfOtherEvents
Gross Receipts Other Events	50202	GrossReceiptsOtherEvents
Charitable Contrib Other Events	1951	CharitableContribOtherEvents
Gross Revenue Other Events	48251	GrossRevenueOtherEvents
Non Cash Prizes Other Events	400	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	1815	RentFacilityCostsOtherEvents
Food And Beverage Other Events	10590	FoodAndBeverageOtherEvents
Entertainment Other Events	1400	EntertainmentOtherEvents
Other Direct Expenses Other Events	6045	OtherDirectExpensesOtherEvents
Gross Receipts Total	147469	GrossReceiptsTotal
Charitable Contributions Total	8625	CharitableContributionsTotal
Gross Revenue Total Events	138844	GrossRevenueTotalEvents
Cash Prizes Total Events	1400	CashPrizesTotalEvents
Non Cash Prizes Total Events	400	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	19406	RentFacilityCostsTotalEvents
Food And Beverage Total Events	21622	FoodAndBeverageTotalEvents
Entertainment Total Events	3715	EntertainmentTotalEvents
Other Direct Expenses Total Events	10086	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	56629	DirectExpenseSummaryEvents
Net Income Summary	82215	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	14907	PersonsServed
Total Community Benefit Expense	7003817	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1986901	DirectOffsettingRevenue
Net Community Benefit Expense	5016916	NetCommunityBenefitExpense
Percent Of Total Expense	0.02580	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	25676	PersonsServed
Total Community Benefit Expense	15514418	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10058308	DirectOffsettingRevenue
Net Community Benefit Expense	5456110	NetCommunityBenefitExpense
Percent Of Total Expense	0.02800	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	40583	PersonsServed
Total Community Benefit Expense	22518235	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12045209	DirectOffsettingRevenue
Net Community Benefit Expense	10473026	NetCommunityBenefitExpense
Percent Of Total Expense	0.05380	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	27302	PersonsServed
Total Community Benefit Expense	304327	TotalCommunityBenefitExpense
Direct Offsetting Revenue	94652	DirectOffsettingRevenue
Net Community Benefit Expense	209675	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	163	PersonsServed
Total Community Benefit Expense	5116323	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3125409	DirectOffsettingRevenue
Net Community Benefit Expense	1990914	NetCommunityBenefitExpense
Percent Of Total Expense	0.01020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	298435	TotalCommunityBenefitExpense
Net Community Benefit Expense	298435	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	27465	PersonsServed
Total Community Benefit Expense	5719085	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3220061	DirectOffsettingRevenue
Net Community Benefit Expense	2499024	NetCommunityBenefitExpense
Percent Of Total Expense	0.01280	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	68048	PersonsServed
Total Community Benefit Expense	28237320	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15265270	DirectOffsettingRevenue
Net Community Benefit Expense	12972050	NetCommunityBenefitExpense
Percent Of Total Expense	0.06660	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	3	PersonsServed
Total Community Building Expense	2010	TotalCommunityBuildingExpense
Net Community Building Expense	2010	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	10000	TotalCommunityBuildingExpense
Net Community Building Expense	10000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Total Community Building Expense	9115	TotalCommunityBuildingExpense
Net Community Building Expense	9115	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	10985	PersonsServed
Total Community Building Expense	1281359	TotalCommunityBuildingExpense
Direct Offsetting Revenue	128602	DirectOffsettingRevenue
Net Community Building Expense	1152757	NetCommunityBuildingExpense
Percent Of Total Expense	0.00530	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	10988	PersonsServed
Total Community Building Expense	1302484	TotalCommunityBuildingExpense
Direct Offsetting Revenue	128602	DirectOffsettingRevenue
Net Community Building Expense	1173882	NetCommunityBuildingExpense
Percent Of Total Expense	0.00530	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$2,717,589	BadDebtExpenseAmount
Amount Attributable To	1007461	AmountAttributableTo
Amount Reimbursed By Medicare	76584422	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	92658954	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-16074532	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 NORTHERN OHIO SURGICAL PROPERTIES	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	PROPERTY OWNERSHIP/MANAGEMENT	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.50000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FIRELANDS REGIONAL MEDICAL CENTER	BusinessNameLine1

Address Address

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)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FIRELANDS REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	18	NumberOfOtherFacilities

Other Facilities OtherFacilities (18 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

ExplanationExplanation
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 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 THEY ARE DETERMINED TO BE UNCOLLECTIBLE. 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 AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.
PART III, LINE 8: FIRELANDS REGIONAL MEDICAL CENTER'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE MEDICARE COSTS REFLECTED IN PART III, LINE 6. THE ORGANIZATION BELIEVES THAT ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THESE SERVICES ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND PROMOTE THE WELL-BEING OF THE COMMUNITY. FURTHERMORE, IT RELIEVES THE BURDEN ON LOCAL GOVERNMENTS.
PART III, LINE 9B: WHEN A PATIENT IS UNINSURED OR INSURANCE PAYMENTS HAVE BEEN RECEIVED AND APPLIED, THEY ARE CLASSIFIED AS SELF PAY. OVER A 90-DAY PERIOD EACH PATIENT RECEIVES A MINIMUM OF 2 BALANCE DUE STATEMENTS AND 1 FINAL STATEMENT. DURING THAT PERIOD THE PATIENT HAS THE OPPORTUNITY TO PAY THE ACCOUNT IN FULL, SET UP PAYMENT ARRANGEMENTS, OR APPLY FOR FINANCIAL AID. IN THE EVENT THE PATIENT DOES NOT PAY THE ACCOUNT IN FULL, SET UP PAYMENT ARRANGEMENTS, APPLY FOR FINANCIAL AID, OR MAKE AN EFFORT TO CONTACT THE FACILITY WITH SPECIAL CIRCUMSTANCES CONCERNING THE UNPAID BALANCE, THE ACCOUNT IS PLACED IN BAD DEBT COLLECTION AT OR ABOUT 120 DAYS FROM THE FIRST STATEMENT OR LAST PAYMENT.SHOULD AN ACCOUNT BE PLACED IN COLLECTION, THE PATIENT HAS AN ADDITIONAL OPPORTUNITY TO APPLY FOR FINANCIAL AID, SET UP PAYMENT ARRANGEMENTS, OR SUPPLY ADDITIONAL INFORMATION RELATED TO THE ACCOUNT. IF ANY OF THESE EVENTS OCCUR, THE COLLECTION ACCOUNT IS EITHER PLACED ON HOLD, BILLED TO INSURANCE, UPDATED WITH THE PAYMENT ARRANGEMENT, OR TAKEN OUT OF BAD DEBT AND ADJUSTED ACCORDING TO FINANCIAL AID GUIDELINES.PART V: DIALYSIS CENTER - FIRELANDS REGIONAL MEDICAL CENTER DIALYSIS PROVIDES INDIVIDUALIZED IN-CENTER HEMODIALYSIS TREATMENTS AND MEDICAL CARE TO ADULT PATIENTS THAT ARE DIAGNOSED WITH END STAGE RENAL DISEASE. THE NURSING CARE DELIVERY SYSTEM IN THE DIALYSIS UNIT IS HOLISTIC AND FAMILY CENTERED, WITH PRIMARY NURSING CARE BEING ENCOURAGED. THIS RESULTS IN GREATER CONTINUITY OF CARE FOR THE DIALYSIS PATIENT AND FAMILY MEMBERS. FIRELANDS REGIONAL MEDICAL CENTER HOME HEALTH SERVICES PROVIDES CARE TO PERSONS LIVING WITHIN ERIE COUNTY AND 12 SURROUNDING COUNTIES. HOME CARE SERVICES ARE PROVIDED ON AN INTERMITTENT BASIS TO PATIENTS IN THEIR PLACE OF RESIDENCE AND INCLUDE SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, HOME HEALTH AIDE , AND MEDICAL SOCIAL SERVICE. FIRELANDS COUNSELING AND RECOVERY SERVICES PROVIDES A CONTINUUM OF CARE OF OUTPATIENT AND INPATIENT MENTAL HEALTH SERVICES FOR CHILDREN, ADOLESCENTS, ADULTS AND OLDER ADULTS. ALL COUNSELING SERVICES ARE PROVIDED BY APPROPRIATELY CREDENTIALED OR LICENSED PROFESSIONALS. SERVICES ARE ALSO AVAILABLE TO PROVIDE TREATMENT IN A SUPPORTIVE AND THERAPEUTIC ENVIRONMENT FOR INDIVIDUALS EXPERIENCING ADDICTION TO ALCOHOL AND/OR OTHER DRUGS WHICH MAY RESULT IN THE LOSS OF THE INDIVIDUAL'S FAMILY, JOB, HEALTH, FRIENDS, MONEY, SELF-ESTEEM, OR EVEN LIFE ITSELF. CHEMICAL DEPENDENCY SERVICES ARE OFFERED FOR ADULTS, ADOLESCENTS, AND THEIR FAMILIES. FIRELANDS COUNSELING AND RECOVERY SERVICES ARE AVAILABLE IN THE CITIES OF SANDUSKY, NORWALK, WILLARD, BELLEVUE, TIFFIN, FOSTORIA, FREMONT, UPPER SANDUSKY, PORT CLINTON AND AMHERST.
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 2, PART V, LINES 19D AND 21 - WE GENERATE A BILL WITH THE SAME CHARGE FOR THE SAME SERVICE FOR ALL PATIENTS. ANY DISCOUNTS GIVEN ARE BASED UPON COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION.
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.
PART VI, LINE 4: FIRELANDS REGIONAL MEDICAL CENTER SERVES A FIVE-COUNTY AREA OF APPROXIMATELY 243,000 RESIDENTS. THE PRIMARY SERVICE AREA IS ERIE COUNTY, WHICH HAS A POPULATION OF NEARLY 79,000 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 14.6% MINORITY. SIXTY-ONE (61)% OF THE POPULATION HAS A HIGH SCHOOL EDUCATION OR SOME COLLEGE. THE COUNTY'S MEDIAN AGE IS 42.5 AND THE MEDIAN HOUSEHOLD INCOME IS $46,593. APPROXIMATELY 61% OF THE COUNTY'S RESIDENTS OWN THEIR OWN HOME, WITH THE MEDIAN HOME VALUE OF $138,100.SECONDARY SERVICE AREAS CONSIST OF THE CONTIGUOUS COUNTIES OF OTTAWA, HURON AND SANDUSKY, WHICH HAVE A COMBINED POPULATION OF APPROXIMATELY 164,000 INDIVIDUALS. FIRELANDS BEHAVIORAL HEALTH 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: PART II, LINE 1 - 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.PART VI, LINE 5: PART II, LINE 3 - 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.PART VI, LINE 5: 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 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)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	FAMILY HEALTH SERVICES OF ERIE	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1912 HAYES AVE	AddressLine1
City	SANDUSKY	City
State	OH	State
ZIP Code	44870	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	263607741	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	1000000	AmountOfCashGrant
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS TO BEGIN OR CONTINUE COURSE WORK	TypeOfGrant
Number Of Recipients	23	NumberOfRecipients
Amount Of Cash Grant	24500	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Explanation	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 WILL SUPPORT 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 ALL FUNDS CONTRIBUTED UNDER THIS LIMITED AGREEMENT IS MONITORED BY THE REVIEW OF FINANCIAL AND PERFORMANCE REPORTS. 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. 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHARLES A STARK
555006	0	269930	0	48115	0	21000	0	26755	0	920806	0	0	0
ROBERT M MOORE
209955	0	12403	0	2716	0	25000	0	17347	0	267421	0	0	0
DANIEL J MONCHER
300539	0	36225	0	36247	0	24000	0	19504	0	416515	0	0	0
TAMARA L JACKSON
226158	0	28420	0	29597	0	41000	0	15471	0	340646	0	0	0
ERIC MAST
222976	0	0	0	477	0	0	0	17324	0	240777	0	0	0
RYAN CHANDLER
185848	0	12070	0	19125	0	4000	0	17194	0	238237	0	0	0
SCHRICKEL BEV
161907	0	11593	0	12275	0	42000	0	14010	0	241785	0	0	0
JAMES SPICER
168205	0	9000	0	3131	0	4000	0	7897	0	192233	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 6	ReturnReference
Explanation	PART I LINE 6A - BONUS AND INCENTIVE COMPENSATION LISTED IN PART II IS PRIMARILY BASED ON A SUCCESS SHARING PLAN MEASURED BY BOTH HOSPITAL PROFITABILITY AND PATIENT SATISFICATION.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CITY OF BELELVUE OHIO
346400096	079283AA5	2003-09-16	8475000	SEE SCHEDULE O	0	0	0
COUNTY OF ERIE OHIO
346400428	29514PAV4	2006-06-01	65951557	SEE SCHEDULE O	0	0	0
COUNTY OF ERIE OHIO
346400428	29514PAW2	2006-06-01	15000000	SEE SCHEDULE O	0	0	0
COUNTY OF ERIE OHIO
346400428		2008-04-29	20000000	SEE SCHEDULE O	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
165000	8961065	801100	169500	7720465	2006	1	1
	68365573	3368356	580938	64416279	2008	1	1
	15492204		134063	15358141	2008	1	1
14292951	20000000		40000	19960000	2008	0	1

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs	Engage Bond Counsel ContractsEngageBondCounselContracts
0	0	0	0	0
0	0	1	0	0	1
0	0	1	0	0	1
0	0	1	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
NA
0	0	0	0	0	0	NA	0	0	0
NA
0	0	0	0	0	0	NA	0	0	0
NA
0	0	0	0	0	0	NA	0	0	0
NA
0	0	0	0	0	0	NA	0	0	0

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K SUPPLENTAL INFORMATION	Identifier
Explanation	FORM 990 SCHEDULE K, PART I, LINE A, COLUMN (F) - $7,504,400 OF BOND PROCEEDS WERE USED TO ACQUIRE, CONSTRUCT AND EQUIP AN ACUTE CARE HOSPITAL FACILITY. $801,100 OF BOND PROCEEDS WERE USED TO FUND A DEBT SERVICE RESERVE FUND FOR THE BONDS. $169,500 OF BOND PROCEEDS WERE USED TO PAY COSTS OF ISSUANCE FOR THE BONDS. FORM 990 SCHEDULE K, PART I, LINE B, COLUMN (F) - $62,002,262.74 OF BOND PROCEEDS WERE USED TO ACQUIRE, CONSTRUCT, FURNISH AND EQUIP ADDITIONS AND IMPROVEMENTS TO HOSPITAL FACILITIES. $3,368,356.26 OF BOND PROCEEDS WERE USED TO FUND A DEBT SERVICE RESERVE FOR THE BONDS. $580,937.50 OF BOND PROCEEDS WERE USED TO PAY COSTS OF ISSUANCE FOR THE BONDS. FORM 990 SCHEDULE K, LINE C, COLUMN (F) - $14,865,937.50 OF BOND PROCEEDS WERE USED TO ACQUIRE, CONSTRUCT, FURNISH AND EQUIP ADDITIONS AND IMPROVEMENTS TO HOSPITAL FACILITIES. $134,062.50 OF BOND PROCEEDS WERE USED TO PAY COSTS OF ISSUANCE FOR THE BONDS. FORM 990 SCHEDULE K, PART I, LINE D, COLUMN (F) - $19,960,000 OF BOND PROCEEDS WERE USED TO ACQUIRE AND EQUIP HOSPITAL FACILITIES. $40,000 OF BOND PROCEEDS WERE USED TO PAY COSTS OF ISSUANCE FOR THE BONDS. FORM 990 SCHEDULE K, PART II, LINE 3, COLUMN A - TOTAL PROCEEDS OF THE ISSUE ARE COMPRISED OF $8,475,000 SALE PROCEEDS PLUS INVESTMENT PROCEEDS OF $216,065.28 FORM 990 SCHEDULE K, LINE 3, COLUMN B - TOTAL PROCEEDS OF THE ISSUE ARE COMPRISED OF $65,951,556.50 SALE PROCEEDS PLUS INVESTMENT PROCEEDS OF $2,414,015.82. FORM 990 SCHEDULE K, PART II, LINE 3, COLUMN C - TOTAL PROCEEDS OF THE ISSUER ARE COMPRISED OF $15,000,000 SALE PROCEEDS PLUS INVESTMENT PROCEEDS OF $492,203.75. FORM 990 SCHEDULE K, PART III, LINE 3A COLUMNS B-D - THE ORGANIZATION HAS DETERMINED THAT ALL MANAGEMENT OR SERVICE AGREEMENTS COMPLY WITH REVENUE PROCEDURE 97-13, AS AMENDED BY REVENUE PROCEDURE 2001-39.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	THE BOARD OF DIRECTORS HAS DELEGATED THE RESPONSIBILITY FOR REVIEWING FORM 990 PRIOR TO FILING TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE. AFTER REVIEW, THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE MAKES A REPORT TO THE BOARD OF DIRECTORS.
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 ANNUALLY AND WAS COMPLETED DURING 2011.
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 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -29,562,689. SCHOOL OF NURSING FUNDING -14,914. POST RETIREMENT ADJUSTMENTS -9,754,833. TRANSFER (TO) FROM AFFILIATES -5,356,848. FUND BALANCE RE-CLASS 1,500. ROUNDING 2. TOTAL TO FORM 990, PART XI, LINE 5: -44,687,782.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
FIRELANDS REGIONAL HEALTH SYSTEM
1111 HAYES AVE	SANDUSKY	OH	44870	341401659	HOSPITAL SUPPORT	OH	501(C)(3)	11-I	N/A	1
THE FOUNDATION FOR FIRELANDS
1111 HAYES AVE	SANDUSKY	OH	44870	341401660	HOSPITAL SUPPORT	OH	501(C)(3)	11-I	N/A	1

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Percentage OwnershipPercentageOwnership
NORTH COAST PROFESSIONAL CO LLC
1111 HAYES AVE	SANDUSKY	OH	44870	341608091	PHYS PRAC MANAGEMENT	OH	N/A	C
CHOICE DIAGNOSTICS INC
1111 HAYES AVE	SANDUSKY	OH	44870	510638893	OUTREACH LAB	OH	N/A	C	1.00000
FIRELANDS PHYSICIANS REGIONAL HEALTH CARE
1111 HAYES AVE	SANDUSKY	OH	44870	341829898	PHO	OH	N/A	C	0.51000
MARINA HOME HEALTH LLC
709 W WASHINGTON ST	SANDUSKY	OH	44870	262573502	MEDICAL EQUIPMENT	OH	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
FIRELANDS PHYSICIANS REGIONAL HEALTH CARE
B	293964	CASH BASIS
MARINA HOME HEALTH LLC
D	313186	CASH BASIS
NORTH COAST PROFESSIONAL COMPANY LLC
O	484396	CASH BASIS
NORTH COAST PROFESSIONAL COMPANY LLC
P	302998	CASH BASIS
FIRELANDS PHYSICIANS REGIONAL HEALTH CARE
P	323797	CASH BASIS
THE FOUNDATION FOR FIRELANDS
Q	5356848	CASH BASIS

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Return Reference	PART IV LINE 4	ReturnReference
Explanation	FIRELANDS REGIONAL MEDICAL CENTER IS ONLY RELATED INDIRECTLY TO FIRELANDS PHYSICIANS REGIONAL HEALTH CARE THROUGH THE FOUNDATION FOR FIRELANDS AND DOES NOT SHARE IN TOTAL INCOME OR END-OF-YEAR ASSETS.	Explanation