FAIRFIELD HEALTHCARE PROFESSIONALS INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
FAIRFIELD HEALTHCARE PROFESSIONALS INC (EIN 31-1425884)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-13
IRS object ID
202403189349311565
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-13T18:28:32-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12670 E 2ND STAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47401ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311425884EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAIRFIELD HEALTHCARE PROFESSIONALSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFAIRBusinessNameControlTxt
Phone7406878051PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 NORTH EWING STREETAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP431303371ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN R JANOSO JRPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone7406896825PhoneNum
Signature2024-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEMILIE M KNIERIEM CPAPreparerPersonNm
PTINP01330194PTIN
Phone8123340200PhoneNum
Preparation2024-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN R JANOSO JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 NORTH EWING STREETAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP431303371ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$39,346,376GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionFHP WAS ESTABLISHED TO PROVIDE ACCESS TO GENERAL AND SPECIALTY PHYSICIAN SERVICES IN VARIOUS COMMUNITIES THROUGHOUT FAIRFIELD COUNTY, OHIO AND SUPPORT THE MISSION OF THE FMC TO PROVIDE QUALITY MEDICAL HEALTHCARE.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee402TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,232,270PYContributionsGrantsAmt
CY Contributions Grants$3,037,731CYContributionsGrantsAmt
PY Program Service Revenue$31,385,513PYProgramServiceRevenueAmt
CY Program Service Revenue$35,630,865CYProgramServiceRevenueAmt
PY Investment Income-$4,049PYInvestmentIncomeAmt
CY Investment Income$3,476CYInvestmentIncomeAmt
PY Other Revenue$204,889PYOtherRevenueAmt
CY Other Revenue$674,304CYOtherRevenueAmt
PY Total Revenue$32,818,623PYTotalRevenueAmt
CY Total Revenue$39,346,376CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$52,613,943PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$48,492,686CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,064,705PYOtherExpensesAmt
CY Other Expenses$11,489,781CYOtherExpensesAmt
PY Total Expenses$56,678,648PYTotalExpensesAmt
CY Total Expenses$59,982,467CYTotalExpensesAmt
PY Revenues Less Expenses-$23,860,025PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$20,636,091CYRevenuesLessExpensesAmt
Total Assets BOY$18,355,946TotalAssetsBOYAmt
Total Assets EOY$19,334,097TotalAssetsEOYAmt
Total Liabilities BOY$13,974,689TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,470,604TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,381,257NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,863,493NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFAIRFIELD HEALTHCARE PROFESSIONALS (FHP) WAS ESTABLISHED TO PROVIDE ACCESS TO GENERAL AND SPECIALTY PHYSICIAN SERVICES IN VARIOUS COMMUNITIES THROUGHOUT FAIRFIELD COUNTY, OHIO. IT ALSO SUPPORTS THE MISSION OF FAIRFIELD MEDICAL CENTER TO PROVIDE QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$53,691,021ExpenseAmt
Revenue$36,214,043RevenueAmt
DescFAIRFIELD HEALTHCARE PROFESSIONALS (FHP) TOTAL VISITS IN 2023 WERE 205,407.Desc
Total Program Service Expenses$53,691,021TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document29IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee402EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN R JANOSO JRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7406896825PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 NORTH EWING STREETAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP431303371ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRAD HEDGES PHD
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
MATT WIDEMAN
VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
LAURIE LACH
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
ALAN GREENSLADE
TREASURER2.0040.00Yes (X)Yes (X)$0$326,580$50,609
LAURA TUSSING
DIRECTOR1.003.00Yes (X)$0$0$0
RON BURRIS
DIRECTOR1.000.00Yes (X)$0$0$0
JOHN R JANOSO JR
PRESIDENT & CEO1.0055.00Yes (X)Yes (X)$0$688,696$121,634
MICHAEL REINIG MD
INTERVENTIONAL CARDIOLOGIS40.000.00$1,256,044$0$45,661Yes (X)
JARROD BRUCE MD
PULMONARY/CRITICAL CARE PHYSICIAN40.000.00$872,133$0$48,582Yes (X)
JOHN J LAZARUS MD
INTERVENTIONAL CARDIOLOGIS40.000.00$881,063$0$41,141Yes (X)
JEREMY BUCKLEY MD
INTERVENTIONAL CARDIOLOGIS40.000.00$868,564$0$49,132Yes (X)
ARYEH COHEN MD
CARDIOVASCULAR SURGEON40.000.00$914,610$0$49,132Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,792,414TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,015,276TotReportableCompRltdOrgAmt
Total Other Compensation$405,891TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K111IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NAVEEN BEKKAM
4323 VILLAGE CLUB DRIVEPOWELLOH43065PHYSICIAN SERVICES$362,400
CENTRAL OHIO VASCULAR CARE
6488 E MAIN STREETREYNOLDSBURGOH43068PHYSICIAN SERVICES$235,806
AYA HEALTHCARE
5930 CORNERSTONE COURT W STE 300SAN DIEGOCA92121PERSONNEL SERVICES$219,584
VEERA VEERLA
1981 GRANVILLE PIKELANCASTEROH43130PHYSICIAN SERVICES$215,963
BEN GUDAPTI
3679 WAKEFIELD DRWEST LAFAYETTEIN47906PHYSICIAN SERVICES$120,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$3,037,731GovernmentGrantsAmt
Total Contributions$3,037,731TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT CARE SERVICE REVENUEDesc
Business621110BusinessCd
Total Revenue Column$35,630,865TotalRevenueColumnAmt
Related Or Exempt Func Income$35,630,865RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$35,630,865TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$91,126RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$91,126RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$91,126TotalRevenueColumnAmt
Exclusion$91,126ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$3,476OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$3,476OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,476TotalRevenueColumnAmt
Exclusion$3,476ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INCENTIVE REVENUE621110$493,178$493,178
MISCELLANEOUS REVENUE900099$90,000$90,000
FieldValueIRS element (for citing)
Other Revenue Total$583,178OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,346,376TotalRevenueColumnAmt
Related Or Exempt Func Income$36,214,043RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$94,602ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$39,293,004TotalAmt
Program Services$39,293,004ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,089,644TotalAmt
Program Services$2,015,747ProgramServicesAmt
Management And General$73,897ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,731,139TotalAmt
Program Services$3,136,109ProgramServicesAmt
Management And General$1,595,030ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,378,899TotalAmt
Program Services$2,296,681ProgramServicesAmt
Management And General$82,218ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,826,747TotalAmt
Management And General$1,826,747ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,927,380TotalAmt
Program Services$2,315,053ProgramServicesAmt
Management And General$612,327ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,948TotalAmt
Program Services$8,098ProgramServicesAmt
Management And General$6,850ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,064,203TotalAmt
Program Services$2,064,203ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$369,379TotalAmt
Program Services$351,819ProgramServicesAmt
Management And General$17,560ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$391,650TotalAmt
Program Services$380,796ProgramServicesAmt
Management And General$10,854ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$106,575TotalAmt
Management And General$106,575ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
BAD DEBT EXPENSE$1,884,234$1,884,234
MEDICAL SUPPLIES$1,818,591$38,714$1,779,877
DUES & SUB.$26,630$17,250$9,380
DIETARY$15,484$9,292$6,192

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$43,960TotalAmt
Program Services$34,062ProgramServicesAmt
Management And General$9,898ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$59,982,467TotalAmt
Program Services$53,691,021ProgramServicesAmt
Management And General$6,291,446ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$671,437BOYAmt
EOY$2,061,087EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,334,306BOYAmt
EOY$4,758,573EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$935,878BOYAmt
EOY$1,048,817EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,042,407LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,928,705LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,424,768BOYAmt
EOY$3,113,702EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$84,000BOYAmt
EOY$84,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,905,557BOYAmt
EOY$8,267,918EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,355,946BOYAmt
EOY$19,334,097EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,806,763BOYAmt
EOY$6,946,869EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$1,500,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,167,926BOYAmt
EOY$8,023,735EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,974,689BOYAmt
EOY$16,470,604EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,381,257BOYAmt
EOY$2,863,493EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,381,257BOYAmt
EOY$2,863,493EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,355,946BOYAmt
EOY$19,334,097EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$20,636,091ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$19,118,327OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FAIRFIELD MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN310645626EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,367OtherCostOrOtherBasisAmt
Book Value$50,367BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,559OtherCostOrOtherBasisAmt
Book Value$3,559BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,423,693OtherCostOrOtherBasisAmt
Depreciation$1,073,144DepreciationAmt
Book Value$2,350,549BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,564,788OtherCostOrOtherBasisAmt
Depreciation$2,855,561DepreciationAmt
Book Value$709,227BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,113,702TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
RIGHT-OF-USE OPERATING LEASE ASSETS$7,282,068
DUE TO/FROM AFFILIATES$945,321
OTHER A/R$40,529
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,267,918TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OPERATING LEASE$7,691,878
MISC LIABILITIES$331,857
FieldValueIRS element (for citing)
Total Liability$8,023,735TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE INTERNAL REVENUE SERVICES (IRS) HAS RULED THAT THE HOSPITAL AND FHP ARE TAX EXEMPT UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDING DECEMBER 31, 2023 AND 2022.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL REINIG MD
INTERVENTIONAL CARDIOLOGIS$751,491$0$504,050$0$503$0$19,800$0$25,861$0$1,301,705$0$0$0
ARYEH COHEN MD
CARDIOVASCULAR SURGEON$780,000$0$130,850$0$3,760$0$19,800$0$29,332$0$963,742$0$0$0
JOHN J LAZARUS MD
INTERVENTIONAL CARDIOLOGIS$745,555$0$130,309$0$5,199$0$19,559$0$21,582$0$922,204$0$0$0
JARROD BRUCE MD
PULMONARY/CRITICAL CARE PHYSICIAN$506,797$0$355,481$0$9,855$0$19,800$0$28,782$0$920,715$0$0$0
JEREMY BUCKLEY MD
INTERVENTIONAL CARDIOLOGIS$641,435$0$187,870$0$39,259$0$19,800$0$29,332$0$917,696$0$0$0
JOHN R JANOSO JR
PRESIDENT & CEO$0$657,016$0$24,793$0$6,887$0$102,300$0$19,334$0$810,330$0$0
ALAN GREENSLADE
TREASURER$0$325,437$0$0$0$1,143$0$19,800$0$30,809$0$377,189$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE FOLLOWING METHODS ARE USED BY A RELATED ORGANIZATION (FAIRFIELD MEDICAL CENTER) TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S CEO: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION COMMITTEE -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 7THE FOLLOWING ARE TYPES OF BONUSES PAID: THRESHOLD - BONUSES ARE PAID PER WRVU AFTER A SET THRESHOLD IS REACHED; QUALITY - BONUSES ARE PAID TO THE PROVIDER BASED ON PRESET BENCHMARKS FOR QUALITY METRICS AS DEFINED IN THEIR CONTRACT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS COMMON STOCKHOLDERS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS REVIEWED BY THE TREASURER OF THE ORGANIZATION AFTER REVIEW BY THE CFO OF THE RELATED FMC ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 12CEMPLOYED PHYSICIANS ARE REQUIRED TO COMPLETE AN ANNUAL QUESTIONNAIRE DISCLOSING POTENTIAL CONFLICTS OF INTEREST. IF A KNOWN OR PERCEIVED CONFLICT OF INTEREST ARISES, THE COMPLIANCE OFFICER INVESTIGATES, DOCUMENTS, AND WORKS TO RESOLVE THE CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15BEMPLOYED PHYSICIAN COMPENSATION IS DETERMINED BASED UPON RECOMMENDATIONS PROVIDED BY PHYSICIAN RECRUITMENT CONSULTANTS.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIALS ARE MADE AVAILABLE TO THE PUBLIC BY REQUESTS MADE TO FHP MANAGEMENT.
FORM 990, PART XI, LINE 9:TRANSFER OF ASSETS FROM AFFILIATE 20,636,087. PRIOR PERIOD ADJUSTMENT FROM RESTATEMENT OF AUDIT -1,517,760.
FORM 990, PART XII, LINE 2C:THE PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
FAIRFIELD MEDICAL CENTER
401 NORTH EWING STREETLANCASTEROH43130310645626ACUTE CARE HOSPITALOH501(C)(3)LINE 3N/A0
FAIRFIELD MEDICAL CENTER FOUNDATION
401 NORTH EWING STREETLANCASTEROH43130208952945FUNDRAISINGOH501(C)(3)LINE 7N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ZANE PROPERTIES CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 NORTH EWING STREETAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43130ZIPCd
FieldValueIRS element (for citing)
EIN311202009EIN
Primary ActivitiesHOLDING COMPANYPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
FAIRFIELD MEDICAL CENTER
S$17,722,668COST
FAIRFIELD MEDICAL CENTER
Q$1,947,779COST
FAIRFIELD MEDICAL CENTER
H$122,192COST

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