FIRELANDS REGIONAL MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- FIRELANDS REGIONAL MEDICAL CENTER (EIN 34-4428218)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-10
- IRS object ID
- 201123149349300847
- Schema version
- 2010v3.4
- 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 M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-10T11:44:01-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | 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 | EXECUTIVE VP/CFO | Title |
| Phone | 4195577400 | Phone |
| Date Signed | 2011-11-09 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CHARLES A STARK | 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 | 316725950 | 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 | 2131 | TotalNbrEmployees |
| Total Nbr Volunteers | 268 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1628535 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 934395 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 437642899 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 205088488 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6808285 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7602252 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5623055 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6716365 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 451702774 | TotalRevenuePriorYear |
| Total Revenue Current Year | 220341500 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 156683 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 277522 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 95307216 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 92333267 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 263660 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 349436215 | OtherExpensePriorYear |
| Other Expenses Current Year | 117492798 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 444900114 | TotalExpensesPriorYear |
| Total Expenses Current Year | 210103587 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6802660 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 10237913 | RevenuesLessExpensesCY |
| Total Assets BOY | 386124489 | TotalAssetsBOY |
| Total Assets EOY | 386862538 | TotalAssetsEOY |
| Total Liabilities BOY | 233312897 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 235255372 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 152811592 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 151607166 | 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 | 171298181 | Expense |
| Grants | 227022 | Grants |
| Revenue | 205088488 | 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 PROVIDING PHYSICAL, SPIRITUAL AND MENTAL WELL-BEING NOW AND FOR FUTURE GENERATIONS. 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 2,035 INDIVIDUALS EMPLOYED IN THE HEALTH SYSTEM IN 2010, FIRELANDS PAID OVER $100 MILLION IN SALARY AND BENEFITS, WHICH HELPS TO SUPPORT THE LOCAL ECONOMICS. IN FACT, $856,351 WAS PAID IN CITY AND SCHOOL PAYROLL TAXES IN 2010, AND NEARLY $3.46 MILLION OF GOODS AND SERVICES WERE PURCHASED FROM BUSINESSES IN FIRELANDS' SERVICE AREA.IN TERMS OF HEALTHCARE SERVICES PROVIDED, FIRELANDS SERVED 132,924 PERSONS IN 2010. OUT OF THESE NUMBERS, INPATIENT CARE WAS GIVEN TO 10,365 INDIVIDUALS, AND THE HEALTH SYSTEM PROVIDED CARE THROUGH 204,518 OUTPATIENT VISITS. THROUGH THE EMERGENCY ROOM, 48,218 PERSONS WERE TREATED AND 687 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 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, 24,832 PERSONS WERE SERVED WHERE THE COSTS OF SERVICES WERE NOT COVERED BY MEDICARE OR MEDICAID. THE COST TO FIRELANDS OF PROVIDING THIS CARE WAS $5.27 MILLION. FOR HEALTH EDUCATION AND OUTREACH, 25,447 PERSONS WERE SERVED, AND THE COST OF PROVIDING THIS CARE WAS $213,076. FOR PATIENT EDUCATION ON DISEASE PREVENTION & HOMECARE, 1,498 PERSONS WERE SERVED AND THE COST OF PROVIDING THIS CARE WAS $73,633. SUBSIDIZED HEALTH SERVICES (OPERATIONS OF THE FAMILY PRACTICE CLINIC) HELPED SERVE 1,248 PEOPLE, AND THE COST OF PROVIDING THIS CARE WAS $720,661. MEDICAL EDUCATION PROGRAMS SERVED 146 PEOPLE AT A COST OF $2.3 MILLION. THE HOSPITAL ALSO PROVIDED CHARITY CARE TO 13,282 PEOPLE, AT A COST OF $5.3 MILLION. FINALLY, IN-KIND DONATIONS TOTALED $34,038.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 2010 FUNDING OF $720,661 TO OPERATE THE 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. THE PAST YEAR AT 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. DURING 2010, 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 | 171298181 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 0 | 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 | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 160 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2131 | 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 | |||
| LEON J WIEBER | ||||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | |||
| GEORGE M MUEHLHAUSER III | ||||||||
| CHAIR EMERITUS | 2.00 | X | 0 | 0 | 0 | |||
| GEORGE L MYLANDER | ||||||||
| CHAIR EMERITUS | 2.00 | X | 0 | 0 | 0 | |||
| THOMAS AYLWARD | ||||||||
| 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 | |||
| PATRICK MCGUINN 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 | |||
| FREDRICK 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 | |||
| DANIEL KELLER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD R KELLER MD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CARLOS LOWELL DO | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| M LEE MCDERMOND JR | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| B JEAN MILLER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ALLEN R NICKLES | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| BARBARA A NIELSEN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| KARL OBERER DO | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| S BAIRD PFHAL MD | ||||||||
| DIRECTOR | 4.00 | X | 23309 | 0 | 1785 | |||
| JAMES E PRESTON DO | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DEAN J REICHENBACH MD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| PAULA J RENGAL | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| THOMAS M ROUTH | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM P SCHEID SR | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| GARY K SCHIMMEL SR | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| LEROY E SIZEMORE JR | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CHARLES H STANLEY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MELVIN J STAUFFER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CAROL B STEUK | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DAVID A VOIGHT SR | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JOHN WALDOCK JR | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JOHN WASYLIK DO | ||||||||
| 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 | |||
| CAROL A WOLFE | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CHARLES A STARK | ||||||||
| PRESIDENT/CEO | 40.00 | X | 829387 | 0 | 44874 | X | ||
| DANIEL J MONCHER | ||||||||
| EXEC VP/CFO/NON-VOTING | 40.00 | 340653 | 0 | 41787 | X | |||
| TAMARA L JACKSON | ||||||||
| CNO | 40.00 | 267615 | 0 | 52884 | X | |||
| BEV SCHRICKEL | ||||||||
| VP OPERATIONS | 40.00 | 186005 | 0 | 53669 | X | |||
| ERIC MAST | ||||||||
| DIR MED ED/RESIDENCY | 40.00 | 224439 | 0 | 19089 | X | |||
| ROBERT M MOORE | ||||||||
| VP LEGAL | 40.00 | 224705 | 0 | 37678 | X | |||
| RYAN CHANDLER | ||||||||
| COO | 40.00 | 184931 | 0 | 19461 | X | |||
| ROBERT AYERS | ||||||||
| DIR INFO SYSTEMS | 40.00 | 246292 | 0 | 55530 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2527336 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 326757 | TotalOtherCompensation |
| Number Individuals GT100 K | 38 | 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 | 3052637 |
| PHYLIPS MEDICAL CAPITAL | |||||
| PO BOX 92449 | CLEVELAND | OH | 44193 | CONSTRUCTION SVCS | 2215222 |
| JANOTTA & HERNER INC | |||||
| 309 MONROE ST | MONROEVILLE | OH | 44847 | CONSTRUCTION SVCS | 1941865 |
| PREMIER ANESTHESIA OF SANDUSKY | |||||
| PO BOX 638144 | CINCINNATI | OH | 45263 | ANESTHESIOLOGY SVCS | 1589569 |
| BRIDGE HOMECARE PARTNERS | |||||
| 5335 FAR HILLS AVE | DAYTON | OH | 45429 | HOME CARE MANAGEMENT | 1580027 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 46 | NumberOfContractorsGT100K |
| Related Organizations | 45572 | RelatedOrganizations |
| All Other Contributions | 888823 | AllOtherContributions |
| Noncash Contributions | 105000 | NoncashContributions |
| Total Contributions | 934395 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SVC REV | 623000 | 200339809 | 200339809 |
| PROGRAM SVC INVESTMENT | 525990 | 2238272 | 2238272 |
| SCHOOL OF NURSING | 611600 | 768452 | 768452 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1741955 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1741955 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 205088488 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2488679 | TotalRevenueColumn |
| Exclusion | $2,488,679 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 101349203 | Securities |
| Other | 104189 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 96204007 | Securities |
| Other | 135812 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5145196 | Securities |
| Other | -31623 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5113573 | TotalRevenueColumn |
| Exclusion | $5,113,573 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 105923 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 6410 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 44631 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 61292 | TotalRevenueColumn |
| Exclusion | $61,292 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| EMPLOYEE PHARMACY | 446110 | 3440203 | $3,440,203 |
| DIETARY SERVICES | 722210 | 1467579 | $1,467,579 |
| OFFICE RENTS | 531190 | 1264733 | $1,264,733 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 482558 | TotalRevenueColumn |
| Exclusion | $482,558 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6655073 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 220341500 | TotalRevenueColumn |
| Related Or Exempt Function Income | 205088488 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $14,318,617 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257022 | Total |
| Program Services | 257022 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20500 | Total |
| Program Services | 20500 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1577200 | Total |
| Program Services | 473475 | ProgramServices |
| Management And General | 1103725 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71295659 | Total |
| Program Services | 53645185 | ProgramServices |
| Management And General | 17539588 | ManagementAndGeneral |
| Fundraising | 110886 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5516975 | Total |
| Program Services | 4108251 | ProgramServices |
| Management And General | 1408724 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8680605 | Total |
| Program Services | 6479450 | ProgramServices |
| Management And General | 2187294 | ManagementAndGeneral |
| Fundraising | 13861 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5262828 | Total |
| Program Services | 3901016 | ProgramServices |
| Management And General | 1353329 | ManagementAndGeneral |
| Fundraising | 8483 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 566338 | Total |
| Program Services | 307660 | ProgramServices |
| Management And General | 258678 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 680514 | Total |
| Management And General | 680514 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129700 | Total |
| Management And General | 129700 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 317306 | Total |
| Management And General | 317306 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19652765 | Total |
| Program Services | 13429492 | ProgramServices |
| Management And General | 6154561 | ManagementAndGeneral |
| Fundraising | 68712 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 853674 | Total |
| Program Services | 10517 | ProgramServices |
| Management And General | 832991 | ManagementAndGeneral |
| Fundraising | 10166 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36715798 | Total |
| Program Services | 36259629 | ProgramServices |
| Management And General | 409631 | ManagementAndGeneral |
| Fundraising | 46538 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2009145 | Total |
| Management And General | 2009145 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4065765 | Total |
| Program Services | 668479 | ProgramServices |
| Management And General | 3397286 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 480565 | Total |
| Program Services | 166592 | ProgramServices |
| Management And General | 309593 | ManagementAndGeneral |
| Fundraising | 4380 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34668 | Total |
| Management And General | 34668 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7002975 | Total |
| Program Services | 7002975 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14846610 | Total |
| Program Services | 14846610 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1231821 | Total |
| Program Services | 896375 | ProgramServices |
| Management And General | 335446 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| CHARITY CARE | 16423542 | 16423542 |
| BAD DEBTS | 7654170 | 7654170 |
| FRANCHISE TAX | 2119229 | 2119229 |
| PHYSICIAN RECRUITMENT | 1118548 | 1118548 |
| INDIGENT FUND | 528291 | 528291 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1061374 | Total |
| Program Services | 981173 | ProgramServices |
| Management And General | 79567 | ManagementAndGeneral |
| Fundraising | 634 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210103587 | Total |
| Program Services | 171298181 | ProgramServices |
| Management And General | 38541746 | ManagementAndGeneral |
| Fundraising | 263660 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6479 | BOY |
| EOY | 7179 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9940553 | BOY |
| EOY | 8844246 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 406486 | BOY |
| EOY | 422848 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32474374 | BOY |
| EOY | 31169878 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2338336 | BOY |
| EOY | 2635396 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6987815 | BOY |
| EOY | 6538272 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 307894289 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 120248899 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192071572 | BOY |
| EOY | 187645390 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131403074 | BOY |
| EOY | 130293923 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8795406 | BOY |
| EOY | 608586 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 427749 | BOY |
| EOY | 15699820 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1707224 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1272645 | BOY |
| EOY | 1289776 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 386124489 | BOY |
| EOY | 386862538 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31578195 | BOY |
| EOY | 41227843 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 157386137 | BOY |
| EOY | 155946598 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44348565 | BOY |
| EOY | 38080931 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 233312897 | BOY |
| EOY | 235255372 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141038280 | BOY |
| EOY | 138647910 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8073481 | BOY |
| EOY | 8948556 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3699831 | BOY |
| EOY | 4010700 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152811592 | BOY |
| EOY | 151607166 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 386124489 | BOY |
| EOY | 386862538 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 10237913 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -11442339 | 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 | $2,380 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Total Lobbying Expenditures IIB | 2380 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 1 | 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% OR $2,380 WAS USED FOR LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| 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 Minus1 Year CurrentYearMinus1Year
| 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 Minus2 Years CurrentYearMinus2Years
| 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 | 11699226 | OtherCostOrOtherBasis |
| Book Value | 11699226 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 142619777 | OtherCostOrOtherBasis |
| Depreciation | 36403457 | Depreciation |
| Book Value | 106216320 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2432526 | OtherCostOrOtherBasis |
| Depreciation | 121626 | Depreciation |
| Book Value | 2310900 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 146071737 | OtherCostOrOtherBasis |
| Depreciation | 80956699 | Depreciation |
| Book Value | 65115038 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5071023 | OtherCostOrOtherBasis |
| Depreciation | 2767117 | Depreciation |
| Book Value | 2303906 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 187645390 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE | $8,670,285 |
| SELF-INSURANCE RESERVE | $4,200,000 |
| ACCRUED POST-RETIREMENT AND PENSION | $22,638,562 |
| DEFERRED INCOME GUARANTEE | $2,494,145 |
| DUE TO RELATED PARTIES | $77,939 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 38080931 | TotalOfAmounts |
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 | 52465 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 52465 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 2295 | NonCashPrizesEvent1 |
| Food And Beverage Event1 | 7790 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 7992 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 1478 | OtherDirectExpensesEvent1 |
| Name Of Event2 | FITNESS PLEDGE | NameOfEvent2 |
| Gross Receipts Event2 | 20687 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 20687 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 612 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 850 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 8543 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 3 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 39181 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 6410 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 32771 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 94 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 1149 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 7454 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 1709 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 4665 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 112333 | GrossReceiptsTotal |
| Charitable Contributions Total | 6410 | CharitableContributionsTotal |
| Gross Revenue Total Events | 105923 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 2389 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 1149 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 15856 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 10551 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 14686 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 44631 | DirectExpenseSummaryEvents |
| Net Income Summary | 61292 | 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 |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 13282 | PersonsServed |
| Total Community Benefit Expense | 7226807 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1954205 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5272602 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02830 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 24832 | PersonsServed |
| Total Community Benefit Expense | 14648823 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9334361 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5314462 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02860 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 38114 | PersonsServed |
| Total Community Benefit Expense | 21875630 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11288566 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10587064 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05690 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 26945 | PersonsServed |
| Total Community Benefit Expense | 305429 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 49768 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 255661 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 146 | PersonsServed |
| Total Community Benefit Expense | 4929157 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2668097 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2261060 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01220 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1248 | PersonsServed |
| Total Community Benefit Expense | 767910 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 47249 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 720661 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00390 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34030 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 34030 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 28339 | PersonsServed |
| Total Community Benefit Expense | 6036526 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2765114 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3271412 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01770 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 66453 | PersonsServed |
| Total Community Benefit Expense | 27912156 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14053680 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13858476 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07460 | 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 | 750 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 750 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 32 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 31048 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 31048 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 33 | NumberOfActivitiesOrPrograms |
| Persons Served | 3 | PersonsServed |
| Total Community Building Expense | 31798 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 31798 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,627,269 | BadDebtExpenseAmount |
| Amount Attributable To | 1600451 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 72934820 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 93396455 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -20461635 | 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 | 2 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 | 400.000000000000 | 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 |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| 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 | 17 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (17 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 |
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 I, LINE 7G: SUBSIDIZED HEALTH SERVICES PERTAINS ENTIRELY TO OUR FAMILY HEALTH SERVICES CLINIC THAT SERVES INDIGENT AND LOW-INCOME MEMBERS OF THE COMMUNITY.PART I, LINE 7, COLUMN (F): CHARITY CARE ($16,423,542) AND BAD DEBT ($7,654,170) THAT WERE INCLUDED IN PART IX TOTAL FUNCTIONAL EXPENSES WERE SUBTRACTED FOR THE PURPOSE OF CALCULATING THE NET COMMUNITY BENEFIT EXPENSE PERCENTAGE OF TOTAL FUNCTIONAL EXPENSE. |
| 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 12% MINORITY. SIXTY (60)% OF THE POPULATION HAS A HIGH SCHOOL EDUCATION OR SOME COLLEGE. THE COUNTY'S MEDIAN AGE IS 39.5 AND THE MEDIAN HOUSEHOLD INCOME IS $42,746. APPROXIMATELY 65% OF THE COUNTY'S RESIDENTS OWN THEIR OWN HOME, WITH THE MEDIAN HOME VALUE OF $109,800.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 SENECA, WYANDOT AND LORAIN. HOME HEALTH SERVICES PROVIDED BY THE MEDICAL CENTER REACH INTO 13 DIFFERENT COUNTIES. DEMOGRAPHICS OF THE COUNTIES ARE SIMILAR TO THE PRIMARY SERVICE AREA OF ERIE COUNTY. |
| PART VI, LINE 6: 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 A SEAT ON THE OHIO HOSPITAL ASSOCIATION BOARD, 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 | 250812 | 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 | 21 | NumberOfRecipients |
| Amount Of Cash Grant | 20500 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER INFORMATION: | Identifier |
| Return Reference | PART IV: | ReturnReference |
| 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 | 1 | 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 | 0 | 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 | |||||||||||||
| 665672 | 0 | 135000 | 0 | 28715 | 0 | 17000 | 0 | 27874 | 0 | 874261 | 0 | 0 | 0 |
| DANIEL J MONCHER | |||||||||||||
| 290333 | 0 | 19689 | 0 | 30631 | 0 | 21000 | 0 | 20787 | 0 | 382440 | 0 | 0 | 0 |
| TAMARA L JACKSON | |||||||||||||
| 214606 | 0 | 29022 | 0 | 23987 | 0 | 36000 | 0 | 16884 | 0 | 320499 | 0 | 0 | 0 |
| BEV SCHRICKEL | |||||||||||||
| 158013 | 0 | 9811 | 0 | 18181 | 0 | 38000 | 0 | 15669 | 0 | 239674 | 0 | 0 | 0 |
| ERIC MAST | |||||||||||||
| 219489 | 0 | 4472 | 0 | 478 | 0 | 0 | 0 | 19089 | 0 | 243528 | 0 | 0 | 0 |
| ROBERT M MOORE | |||||||||||||
| 205849 | 0 | 9959 | 0 | 8897 | 0 | 19000 | 0 | 18678 | 0 | 262383 | 0 | 0 | 0 |
| RYAN CHANDLER | |||||||||||||
| 158649 | 0 | 22113 | 0 | 4169 | 0 | 1000 | 0 | 18461 | 0 | 204392 | 0 | 0 | 0 |
| ROBERT AYERS | |||||||||||||
| 122812 | 0 | 2407 | 0 | 121073 | 0 | 39000 | 0 | 16530 | 0 | 301822 | 0 | 0 | 0 |
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 |
|---|---|---|---|---|---|---|---|
| COUNTY OF ERIE OHIO | |||||||
| 346400428 | 29514PAR3 | 2002-05-22 | 79190180 | HOSPITAL FACILITIES REVENUE BONDS SERIES 2002 | 0 | 1 | 0 |
| COUNTY OF ERIE OHIO | |||||||
| 346400428 | 29514PAU6 | 2006-06-01 | 65951557 | HOSPITAL FACILITIES REVENUE BONDS SERIES 2006A | 0 | 1 | 0 |
| COUNTY OF ERIE OHIO | |||||||
| 346400428 | 29514PAW2 | 2006-06-01 | 15000000 | HOSPITAL FACILITIES REVENUE BONDS SERIES 2006B | 0 | 1 | 0 |
| COUNTY OF ERIE OHIO | |||||||
| 346400428 | 2008-04-29 | 20000000 | TAX EXEMPT CAPITAL LEASE | 0 | 1 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|
| 83989980 | 5528525 | 30671606 | 915000 | 46874849 | 46874849 | 2006 | 0 | 1 | 1 | 1 |
| 65951556 | 3368356 | 715000 | 61868200 | 61868200 | 2008 | 0 | 0 | 1 | 1 | |
| 15000000 | 15000000 | 15000000 | 2008 | 0 | 0 | 1 | 1 | |||
| 20000000 | 20000000 | 20000000 | 2008 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|
| NA | ||||||
| 0 | 0 | 0 | 0 | NA | 0 | 0 |
| NA | ||||||
| 0 | 0 | 0 | 0 | NA | 0 | 0 |
| NA | ||||||
| 0 | 0 | 0 | 0 | NA | 0 | 0 |
| NA | ||||||
| 0 | 0 | 0 | 0 | NA | 0 | 0 |
Schedule M IRS990ScheduleM
Real Estate Other RealEstateOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 105000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV APPRAISAL | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990 PART I LINE 9 | FOR 2010, GROSS PROGRAM SERVICE REVENUE OF $470,033,482 IS SHOWN NET OF CONTRACTUAL ALLOWANCES IN THE AMOUNT OF $269,693,673. IN PREVIOUS YEARS, GROSS PROGRAM SERVICE REVENUE WAS REPORTED WHILE CONTRACTUAL ALLOWANCES WERE INCLUDED WITH TOTAL OTHER EXPENSES. THIS RE-CLASSIFICATION HAS NO IMPACT ON LINE 19 REVENUE LESS EXPENSES. | |
| FORM 990 PART I LINE 17 | IN 2010, OTHER EXPENSES INCLUDES A RE-CLASSIFICATION OF CONTRACTUAL ALLOWANCES IN THE AMOUNT OF $269,693,673 FROM TOTAL EXPENSE TO OFFSET PROGRAM SERVICE REVENUE. THIS RE-CLASSIFICATION DOES NOT CHANGE LINE 19 REVENUE LESS EXPENSES. | |
| 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 11 | |
| 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 2010. | |
| 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 X LINE 14 | WITH THE ACQUISITION OF THE REMAINING 45% OF THE OUTSTANDING INTEREST, FIRELANDS REGIONAL MEDICAL CENTER'S INVESTMENT IN NORTHERN OHIO SURGICAL CENTER WAS RE-CLASSIFIED AS A PROGRAM SERVICE INVESTMENT. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -10,385,488. SCHOOL OF NURSING FUNDING 46,895. POST RETIREMENT ADJUSTMENTS 2,957,743. TRANSFER (TO) FROM AFFILIATES -3,883,986. FUND BALANCE RE-CLASS -177,500. ROUNDING -3. TOTAL TO FORM 990, PART XI, LINE 5: -11,442,339. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHERN OHIO SURGICAL CENTER LTD | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 HAYES AVE BLD E | AddressLine1 |
| City | SANDUSKY | City |
| State | OH | State |
| ZIP Code | 44870 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 870630291 | EIN |
| Primary Activities | SURGICAL CENTER | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
| Total Income | 835559 | TotalIncome |
| EOY Assets | 1432888 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (3 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 (FKA FIRELANDS FUND) | ||||||||||
| 1111 HAYES AVE | SANDUSKY | OH | 44870 | 341401660 | HOSPITAL SUPPORT | OH | 501(C)(3) | 11-I | N/A | 1 |
| HAYES AVENUE PROFESSIONAL CORP | ||||||||||
| 1111 HAYES AVE | SANDUSKY | OH | 44870 | 341843103 | HOSPITAL SUPPORT | OH | 501(C)(3) | 11-I | N/A | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHERN OHIO SURGICAL CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 HAYES AVE BLD E | AddressLine1 |
| City | SANDUSKY | City |
| State | OH | State |
| ZIP Code | 44870 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 870630291 | EIN |
| Primary Activity | PHYSICIAN PRACTICE | PrimaryActivity |
| Legal Domicile State | OH | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 1295924 | ShareOfTotalIncome |
| Share Of EOY Assets | 94043 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.55000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | 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 | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HAYES AVENUE PROFESSIONAL CORP | ||
| C | 56220 | CASH BASIS |
| NORTH COAST PROFESSIONAL COMPANY LLC | ||
| O | 499261 | CASH BASIS |
| THE FOUNDATION FOR FIRELANDS | ||
| Q | 3940207 | CASH BASIS |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I | ReturnReference |
| Explanation | ON OCTOBER 1, 2010, FIRELANDS REGIONAL MEDICAL CENTER ACQUIRED THE REMAINING 45 PERCENT OF THE OUTSTANDING INTEREST OF NORTHERN OHIO SURGICAL CENTER (NOSC) AND BECAME THE SOLE MEMBER OF NOSC AS A RESULT OF THIS ACQUISITION. | Explanation |