FIRELANDS REGIONAL MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: FIRELANDS REGIONAL MEDICAL CENTER (EIN 34-4428218)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-08
IRS object ID: 201703129349301435
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-08T09:50:49-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	344428218	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FIRELANDS REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	FIRE	BusinessNameControlTxt
Phone	4195577400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVE	AddressLine1Txt
City	SANDUSKY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	448703323	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL J MONCHER	PersonNm
Person Title	EXECUTIVE VP / CFO	PersonTitleTxt
Phone	4195577400	PhoneNum
Signature	2017-11-03	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.59.56.30	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-03	IPDt
IP Tm	06:58:20	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	62F685DCD8B327ED37C30025DF4E68B78D3FE745	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2018-03-14 21:41:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DANIEL J MONCHER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVE	AddressLine1Txt
City	SANDUSKY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	448703323	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$370,105,622	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.Firelands.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1919	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	OUR MISSION IS TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR PHYSICIANS, THEIR PATIENTS, OUR VOLUNTEERS AND EMPLOYEES AS WE STRIVE TOGETHER TO IMPROVE THE HEALTH OF THOSE WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	43	VotingMembersGoverningBodyCnt
Voting Members Independent	34	VotingMembersIndependentCnt
Total Employee	2568	TotalEmployeeCnt
Total Volunteers	267	TotalVolunteersCnt
Total Gross UBI	$22,474	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$21,030	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,490,690	PYContributionsGrantsAmt
CY Contributions Grants	$2,754,468	CYContributionsGrantsAmt
PY Program Service Revenue	$238,973,299	PYProgramServiceRevenueAmt
CY Program Service Revenue	$250,439,736	CYProgramServiceRevenueAmt
PY Investment Income	$10,774,576	PYInvestmentIncomeAmt
CY Investment Income	$6,988,876	CYInvestmentIncomeAmt
PY Other Revenue	$9,903,171	PYOtherRevenueAmt
CY Other Revenue	$9,565,832	CYOtherRevenueAmt
PY Total Revenue	$261,141,736	PYTotalRevenueAmt
CY Total Revenue	$269,748,912	CYTotalRevenueAmt
PY Grants And Similar Paid	$401,159	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$348,705	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$115,189,198	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$121,493,166	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$399,092	CYTotalFundraisingExpenseAmt
PY Other Expenses	$116,189,047	PYOtherExpensesAmt
CY Other Expenses	$127,223,117	CYOtherExpensesAmt
PY Total Expenses	$231,779,404	PYTotalExpensesAmt
CY Total Expenses	$249,064,988	CYTotalExpensesAmt
PY Revenues Less Expenses	$29,362,332	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,683,924	CYRevenuesLessExpensesAmt
Total Assets BOY	$448,368,741	TotalAssetsBOYAmt
Total Assets EOY	$462,328,773	TotalAssetsEOYAmt
Total Liabilities BOY	$252,476,209	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$252,334,013	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$195,892,532	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$209,994,760	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR MISSION IS TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR PHYSICIANS, THEIR PATIENTS, OUR VOLUNTEERS AND EMPLOYEES AS WE STRIVE TOGETHER TO IMPROVE THE HEALTH OF THOSE WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$197,596,328	ExpenseAmt
Grant	$348,705	GrantAmt
Revenue	$250,439,736	RevenueAmt
Desc	SEE SCHEDULE OFirelands Regional Medical Center is a 400-bed facility serving the Greater Erie County region with high-quality healthcare services designed to help the people in our communities live healthier, happier lives. As a non-profit organization, Firelands is committed to its mission of improving the health of those we serve. Firelands is dedicated to providing care to all those in our community regardless of ability to pay. A result of combining three original hospitals: Good Samaritan Hospital and Memorial Hospital in 1985 and then adding Providence Hospital in 2001, Firelands Regional Medical Center today carries on the proud tradition of delivering a full-range of allopathic and osteopathic medical services to nearly 300,000 residents in a five-county area. As the largest year-round employer in Erie County, Firelands Regional Medical Center plays an important role in the local community. With 2,497 individuals employed in the Health System in 2016, $1.6 million was paid in city and school payroll taxes in 2016, and $14.7 million of goods and services were purchased from businesses in Firelands' service area.In terms of healthcare services provided in 2016, inpatient care was given to 9,685 individuals, and the hospital provided care through 270,902 outpatient visits. Through the emergency room, including Emergency QuickCare, Senior ER and Urgent Care, 76,881 persons were treated. Firelands had 740 births in 2016.Consistent with our commitment to provide care to all, regardless of ability to pay, Firelands gave back to the community over $32.3 million of services in free or discounted programs or services per the table below. Additional charity care was provided by independent physicians who are on the medical staff of Firelands. Specifically, in terms of free or discounted care provided, Firelands served the following number of persons within each category, amounting to significant dollars invested in the community for which Firelands did not receive compensation:PERSONS SERVED CATEGORY COST OF PROVIDING CARE38,790 COSTS OF SERVICES $7,694,458 NOT COVERED BY MEDICAID 23,572 COMMUNITY HEALTH $295,727 IMPROVEMENT 148 HEALTH PROFESSIONS $2,445,327 EDUCATION 17,156 FINANCIAL ASSISTANCE $1,993,204 AT COST IN-KIND DONATIONS $337,419 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. These services are provided at free or discounted rates. Firelands also works in conjunction with other healthcare facilities to bring specialized pediatric clinics to the area, such as Cardiology, Gastroenterology, Neurology, Orthopedic, Physiatry, and Pulmonary.Firelands has seen significant growth in bringing advanced procedures to the local community so that persons residing in the five-county area can stay closer to home for advanced care such as heart surgery, spine surgery, vascular surgery and advanced care in medical oncology and radiation oncology services. In 2016, Firelands welcomed 11 new physicians specializing in the areas of pain management, neurology, interventional cardiology, physical medicine and rehabilitation, sports medicine, and numerous adult hospitalists.In addition, Firelands Counseling & Recovery Services is the largest provider of mental health and addiction services in a seven-county area and the largest "hospital based" program in the state of Ohio. Firelands' 24/7/365 Crisis Hotline handled 22,038 calls in 2016 and was characterized as an "elite" provider of addiction and mental health services in its most recent accreditation visit in 2016 by the Commission on Accreditation for Rehabilitation Facilities.	Desc
Total Program Service Expenses	$197,596,328	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	187	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2568	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Taxable Distributions	0	TaxableDistributionsInd
Distribution To Donor	0	DistributionToDonorInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	43	GoverningBodyVotingMembersCnt
Independent Voting Member	34	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DENNIS J KOPCO DIRECTOR OF FINANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4195577094	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVE	AddressLine1Txt
City	SANDUSKY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	448703323	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (50 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN O BACON
CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
J WILLIAM SPRINGER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
LEON J WIEBER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
CAROL B STEUK
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
TIMOTHY MAYLES
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
MARY JANE HILL
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
EUGENE SANDERS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
WENDY SCHMIEDL
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
SHELLY CHESBRO
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
GERALD GUERRA
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
ROGER M GUNDLACH
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
JOHN HOTY
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
FREDRIC ITZKOWITZ DO
DIRECTOR	1.00	0.00	Yes (X)		$24,888	$0	$0
BRIAN KASPER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
THEODORE A KASTOR
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DANIEL KELLER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
RICHARD R KELLER MD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
STEVE LICHTCSIEN
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
CARLOS LOWELL DO
DIRECTOR	1.00	0.00	Yes (X)		$48,447	$0	$0
M LEE MCDERMOND JR
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
PATRICK MCGUINN MD
DIRECTOR	1.00	0.00	Yes (X)		$1,023	$0	$0
DUFFIELD E MILKIE
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
JAMES MILLER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
ALLEN R NICKLES
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
KARL OBERER DO
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
JAMES E PRESTON DO
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
LISA CRESCIMANO
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
PAULA J RENGEL
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
THOMAS M ROUTH
VICE CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JAMES V STOUFFER JR
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DAVID A VOIGHT SR
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
JOHN WALDOCK JR
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
KAM WONG MD
DireCTOR	1.00	0.00	Yes (X)		$0	$0	$0
JAMES O WIBLE
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
CARL E WILL
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
CAROL A WOLFE
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
JOHN FRANKEL
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
LUVADA WILSON
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
LEE A ALEXAKOS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
SCOTT M CAMPBELL
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DARLENE CROOKS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
JANICE W WARNER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
MARTIN E TURSKY
PRESIDENT/CEO	40.00	0.00		Yes (X)	$694,480	$0	$149,911
DANIEL J MONCHER
EXECUTIVE VP/CFO/TREASURER	40.00	0.00		Yes (X)	$438,354	$0	$79,264
ROBERT M MOORE
VP LEGAL/SECRETARY	40.00	0.00		Yes (X)	$281,166	$0	$91,265
ERIC MAST
DIRECTOR MEDICAL ED/RESIDENCY	40.00	0.00			$280,796	$0	$43,745	Yes (X)
JAMES SPICER
ASSISTANT VP OPERATIONS	40.00	0.00			$222,625	$0	$16,105	Yes (X)
JIM SENNISH
VP HUMAN RESOURCES	40.00	0.00			$225,760	$0	$93,464	Yes (X)
BEV SCHRICKEL
VP OPERATIONS	40.00	0.00			$247,394	$0	$144,276	Yes (X)
ANUPAM JHA
PHYSICIAN	40.00	0.00			$528,715	$0	$44,797	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,993,648	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$662,827	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	8	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
NORTH COAST PROFESSIONAL CO
1031 PIERCE ST SUITE D	SANDUSKY	OH	44870	PHYSICIAN SERVICES	$2,824,026
UNIVERSITY HOSPITALS
PO BOX 78000 DEPT 781887	DETROIT	MI	482781887	PHYSICIAN STAFF	$2,791,353
BRIDGE HOMECARE PARTNERS
5335 FAR HILLS AVE	DAYTON	OH	45429	HOME CARE MANAGEMENT	$2,217,873
MEDICAL INFORMATION TECHNOLOGY INC
PO BOX 74569	CHICAGO	IL	60696	COMPUTER SOFTWARE - HOSPITAL	$1,615,499
CLOUDWAVE
DEPT CH 19800	PALATINE	IL	600559800	CLOUD-BASED HEALTHCARE IT SYSTEM	$1,347,810

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	71	CntrctRcvdGreaterThan100KCnt
Fundraising	$24,091	FundraisingAmt
Related Organizations	$46,190	RelatedOrganizationsAmt
Government Grants	$1,072,083	GovernmentGrantsAmt
All Other Contributions	$1,612,104	AllOtherContributionsAmt
Total Contributions	$2,754,468	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	623000	$244,258,497	$244,258,497
SCHOOL OF NURSING	611600	$700,264	$700,264
PARTNERSHIP INCOME RELATED TO GRO	541900	$464,463	$459,728	$4,735
PROGRAM SERVICE INVESTMENTS	525990	$307,383	$307,383

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,709,129	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,709,129	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$250,439,736	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,793,286	TotalRevenueColumnAmt
Exclusion	$4,793,286	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$102,375,377	SecuritiesAmt
Other	$78,624	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$99,792,482	SecuritiesAmt
Other	$465,929	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,582,895	SecuritiesAmt
Other	-$387,305	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,195,590	TotalRevenueColumnAmt
Exclusion	$2,195,590	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$229,460	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$24,091	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$98,299	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$131,161	TotalRevenueColumnAmt
Exclusion	$131,161	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EMPLOYEE PHARMACY	446110	$5,753,348	$5,753,348
OFFICE RENTS	531190	$1,788,163	$1,788,163
DIETARY SERVICES	722210	$1,574,162	$1,574,162

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$318,998	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$134,440	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$17,739	UnrelatedBusinessRevenueAmt
Exclusion	$435,699	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,434,671	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$269,748,912	TotalRevenueColumnAmt
Related Or Exempt Func Income	$250,300,561	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$22,474	UnrelatedBusinessRevenueAmt
Exclusion	$16,671,409	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$328,705	TotalAmt
Program Services	$328,705	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$20,000	TotalAmt
Program Services	$20,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,497,212	TotalAmt
Program Services	$1,815,996	ProgramServicesAmt
Management And General	$1,681,216	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$92,809,275	TotalAmt
Program Services	$70,996,268	ProgramServicesAmt
Management And General	$21,640,597	ManagementAndGeneralAmt
Fundraising	$172,410	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,285,723	TotalAmt
Program Services	$5,531,186	ProgramServicesAmt
Management And General	$1,754,537	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,017,581	TotalAmt
Program Services	$8,410,109	ProgramServicesAmt
Management And General	$2,585,921	ManagementAndGeneralAmt
Fundraising	$21,551	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,883,375	TotalAmt
Program Services	$5,207,715	ProgramServicesAmt
Management And General	$1,662,471	ManagementAndGeneralAmt
Fundraising	$13,189	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$867,345	TotalAmt
Program Services	$723,170	ProgramServicesAmt
Management And General	$144,175	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,003,264	TotalAmt
Management And General	$1,003,264	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$135,750	TotalAmt
Management And General	$135,750	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$630,470	TotalAmt
Management And General	$630,470	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$26,116,333	TotalAmt
Program Services	$17,311,802	ProgramServicesAmt
Management And General	$8,787,082	ManagementAndGeneralAmt
Fundraising	$17,449	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$893,615	TotalAmt
Program Services	$3,672	ProgramServicesAmt
Management And General	$761,363	ManagementAndGeneralAmt
Fundraising	$128,580	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$47,935,372	TotalAmt
Program Services	$47,097,780	ProgramServicesAmt
Management And General	$799,846	ManagementAndGeneralAmt
Fundraising	$37,746	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,301,510	TotalAmt
Management And General	$4,301,510	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,827,829	TotalAmt
Program Services	$1,860,793	ProgramServicesAmt
Management And General	$3,967,036	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$718,125	TotalAmt
Program Services	$251,346	ProgramServicesAmt
Management And General	$458,612	ManagementAndGeneralAmt
Fundraising	$8,167	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$41,148	TotalAmt
Management And General	$41,148	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,365,612	TotalAmt
Program Services	$3,365,312	ProgramServicesAmt
Management And General	$300	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,322,790	TotalAmt
Program Services	$15,322,790	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,897,591	TotalAmt
Program Services	$2,399,274	ProgramServicesAmt
Management And General	$498,317	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
CHARITY CARE	$8,294,235	$8,294,235
BAD DEBTS	$3,284,653	$3,284,653
FRANCHISE TAX	$2,743,580	$2,743,580
AFFILIATION FEES	$465,217	$465,217

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,378,678	TotalAmt
Program Services	$2,162,725	ProgramServicesAmt
Management And General	$215,953	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$249,064,988	TotalAmt
Program Services	$197,596,328	ProgramServicesAmt
Management And General	$51,069,568	ManagementAndGeneralAmt
Fundraising	$399,092	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,504	BOYAmt
EOY	$10,454	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,176,734	BOYAmt
EOY	$16,952,279	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$484,086	BOYAmt
EOY	$735,422	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,300,390	BOYAmt
EOY	$33,930,555	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,868,249	BOYAmt
EOY	$4,325,555	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,312,248	BOYAmt
EOY	$4,632,673	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$332,285,705	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$170,064,881	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$163,486,284	BOYAmt
EOY	$162,220,824	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$207,998,436	BOYAmt
EOY	$213,822,946	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,238,903	BOYAmt
EOY	$2,411,732	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$17,530,111	BOYAmt
EOY	$19,751,761	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$640,209	BOYAmt
EOY	$426,806	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,322,587	BOYAmt
EOY	$3,107,766	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$448,368,741	BOYAmt
EOY	$462,328,773	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$74,936,598	BOYAmt
EOY	$75,220,669	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$145,043,476	BOYAmt
EOY	$140,128,951	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,496,135	BOYAmt
EOY	$36,984,393	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$252,476,209	BOYAmt
EOY	$252,334,013	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$181,162,965	BOYAmt
EOY	$194,460,171	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,729,274	BOYAmt
EOY	$11,436,228	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,000,293	BOYAmt
EOY	$4,098,361	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$195,892,532	BOYAmt
EOY	$209,994,760	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$448,368,741	BOYAmt
EOY	$462,328,773	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$20,683,924	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,394,727	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$36,967	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$12,939,457	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$2,113	OtherActivitiesAmt
Total Lobbying Expenditures	$2,113	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	FIRELANDS REGIONAL MEDICAL CENTER PAID DUES TO THE OHIO HOSPITAL ASSOCIATION OF WHICH 3.5% WAS USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,672,195	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,223,748	InvestmentEarningsOrLossesAmt
Other Expenditures	$369,900	OtherExpendituresAmt
Administrative Expenses	$82,873	AdministrativeExpensesAmt
End Year Balance	$14,443,170	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,679,814	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$537,109	InvestmentEarningsOrLossesAmt
Other Expenditures	$384,564	OtherExpendituresAmt
Administrative Expenses	$85,946	AdministrativeExpensesAmt
End Year Balance	$13,672,195	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,249,152	BeginningYearBalanceAmt
Investment Earnings Or Losses	$863,616	InvestmentEarningsOrLossesAmt
Other Expenditures	$346,433	OtherExpendituresAmt
Administrative Expenses	$86,521	AdministrativeExpensesAmt
End Year Balance	$14,679,814	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,698,653	OtherCostOrOtherBasisAmt
Book Value	$11,698,653	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$154,273,700	OtherCostOrOtherBasisAmt
Depreciation	$55,471,771	DepreciationAmt
Book Value	$98,801,929	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,887,107	OtherCostOrOtherBasisAmt
Depreciation	$3,233,529	DepreciationAmt
Book Value	$2,653,578	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$150,732,930	OtherCostOrOtherBasisAmt
Depreciation	$108,622,643	DepreciationAmt
Book Value	$42,110,287	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,693,315	OtherCostOrOtherBasisAmt
Depreciation	$2,736,938	DepreciationAmt
Book Value	$6,956,377	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$162,220,824	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
CAPITAL LEASE	$2,697,245
SELF-INSURANCE RESERVE	$7,500,000
ACCRUED POST-RETIREMENT & PENSION	$26,343,966
DEFERRED INCOME GUARANTEE	$442,712
DUE TO RELATED PARTIES	$470

Field	Value	IRS element (for citing)
Total Liability	$36,984,393	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	ENDOWMENT FUND EXPENDITURES FOR FACILITIES AND PROGRAMS ARE USED TO PROMOTE PHYSICAL AND MENTAL WELL-BEING IN THE COMMUNITY.
Part X, Line 2:	FINANCIAL STATEMENTS FOR FIRELANDS REGIONAL MEDICAL CENTER ARE PART OF THE CONSOLIDATED AND AUDITED FINANCIAL STATEMENTS OF FIRELANDS REGIONAL HEALTH SYSTEM.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	FASHION WEEK	Event1Nm
Gross Receipts Event1	$129,090	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,400	CharitableContriEvent1Amt
Gross Revenue Event1	$127,690	GrossRevenueEvent1Amt
Cash Prizes Event1	$1,000	CashPrizesEvent1Amt
Non Cash Prizes Event1	$7,687	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$2,981	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$16,803	FoodAndBeverageEvent1Amt
Entertainment Event1	$11,726	EntertainmentEvent1Amt
Other Direct Expenses Event1	$4,807	OtherDirectExpensesEvent1Amt
Event2	SALUTE	Event2Nm
Gross Receipts Event2	$33,826	GrossReceiptsEvent2Amt
Charitable Contri Event2	$7,056	CharitableContriEvent2Amt
Gross Revenue Event2	$26,770	GrossRevenueEvent2Amt
Cash Prizes Event2	$1,850	CashPrizesEvent2Amt
Non Cash Prizes Event2	$2,899	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$275	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$9,105	FoodAndBeverageEvent2Amt
Entertainment Event2	$375	EntertainmentEvent2Amt
Other Direct Expenses Event2	$3,575	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$90,635	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$15,635	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$75,000	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$1,370	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$4,634	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$9,992	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$11,349	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$6,103	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$1,768	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$253,551	GrossReceiptsTotalAmt
Charitable Contributions Tot	$24,091	CharitableContributionsTotAmt
Gross Revenue Total Events	$229,460	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$4,220	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$15,220	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$13,248	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$37,257	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$18,204	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$10,150	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$98,299	DirectExpenseSummaryEventsAmt
Net Income Summary	$131,161	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,380,479	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,387,275	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,993,204	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,482,690	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,788,232	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,694,458	NetCommunityBenefitExpnsAmt
Total Expense	0.03240	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,863,169	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,175,507	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,687,662	NetCommunityBenefitExpnsAmt
Total Expense	0.04080	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$377,845	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,118	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$295,727	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,359,280	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,913,953	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,445,327	NetCommunityBenefitExpnsAmt
Total Expense	0.01030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$377,419	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$377,419	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,114,544	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,996,071	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,118,473	NetCommunityBenefitExpnsAmt
Total Expense	0.01310	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,977,713	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,171,578	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,806,135	NetCommunityBenefitExpnsAmt
Total Expense	0.05390	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$750	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	13378	PersonsServedCnt
Total Community Benefit Expns	$543,720	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$195,135	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$348,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	13380	PersonsServedCnt
Total Community Benefit Expns	$560,470	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$195,135	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$365,335	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,185,431	BadDebtExpenseAmt
Bad Debt Expense Attributable	$266,867	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$90,193,555	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$105,381,801	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,188,246	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 NORTHERN OHIO SURGICAL PROPERTIES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	PROPERTY OWNERSHIP/MANAGEMENT	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FIRELANDS REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVENUE	AddressLine1Txt
City	SANDUSKY	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44870	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.FIRELANDS.COM	WebsiteAddressTxt
State License	STATE REG. #1164	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FIRELANDS REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.FIRELANDS.COM	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.ERIECOHEALTHOHIO.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.FIRELANDS.COM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.FIRELANDS.COM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.FIRELANDS.COM	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FIRELANDS REGIONAL MEDICAL CENTER	Part V, Section B, Line 3j: OTHER TOPICS THAT THE CHNA REPORT ADDRESSED INCLUDE WEIGHT CONTROL, TOBACCO USE, ALCOHOL CONSUMPTION, DRUG USE, SEXUAL BEHAVIOR, YOUTH SAFETY, YOUTH VIOLENCE AND PARENTING.
FIRELANDS REGIONAL MEDICAL CENTER	Part V, Section B, Line 6b: THE CHNA REPORT WAS COMMISSIONED BY THE ERIE COUNTY COMMUNITY HEALTH ASSESSMENT WORKGROUP, WHICH IS COMPRISED OF THE ERIE COUNTY HEALTH DEPARTMENT, ERIE COUNTY BOARD OF DEVELOPMENTALLY DISABLED, ERIE COUNTY JOB & FAMILY SERVICES, ERIE-OTTAWA MENTAL HEALTH AND RECOVERY BOARD, FAMILY AND CHILDREN FIRST COUNCIL AND UNITED WAY OF ERIE COUNTY. PROJECT MANAGEMENT AND REPORT DEVELOPMENT WAS PROVIDED BY THE HEALTHY COMMUNITIES FOUNDATION OF THE HOSPITAL COUNCIL OF NORTHWEST OHIO WHILE DATA COLLECTION AND ANALYSIS WAS PERFORMED BY REPRESENTATIVES OF THE UNIVERSITY OF TOLEDO.
FIRELANDS REGIONAL MEDICAL CENTER	Part V, Section B, Line 11: NEEDS IDENTIFIED IN THE CHNA REPORT THAT WERE NOT ADDRESSED INCLUDED THE FOLLOWING: DENTAL - PROVIDED BY ERIE COUNTY HEALTH DEPARTMENT; SMOKING CESSATION AND RISKY YOUTH BEHAVIOR WERE ADDRESSED BY BOTH FIRELANDS REGIONAL MEDICAL CENTER AND THE COUNTY HEALTH DEPARTMENT. IMPLEMENTATION STRATEGY FOR THE CHNA IS ATTACHED TO THIS RETURN.
FIRELANDS REGIONAL MEDICAL CENTER	Part V, Section B, Line 16j: FIRELANDS REGIONAL MEDICAL CENTER UTILIZED NEWSLETTERS AND BILLBOARDS AS ADDITIONAL METHODS OF PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY.
PART V, SECTION B, LINE 20 A	FIRELANDS REGIONAL MEDICAL CENTER PROVIDES A WRITTEN NOTICE ABOUT UPCOMING ECA'S AND NOTIFIES THE RECIPIENT ABOUT WHERE THEY CAN FIND A PLAIN LANGUAGE SUMMARY OF THE FAP AT LEAST 30 DAYS BEFORE INITIATING THOSE ECA'S.

Field	Value	IRS element (for citing)
Facility	25	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - FIRELANDS REGIONAL MEDICAL CENTER OUTPATIE
904 PIERCE ST	SANDUSKY	OH	44870	OUTPATIENT DIALYSIS
2 - FIRELANDS REGIONAL MEDICAL CENTER OP THERA
1912 HAYES AVE	SANDUSKY	OH	44870	OP THERAPIES & SLEEP LAB
3 - FIRELANDS REGIONAL MEDICAL CENTER SURGERY
2800 HAYES AVE BLD E	SANDUSKY	OH	44870	OUTPATIENT SURGERY
4 - FIRELANDS REGIONAL MEDICAL CENTER HOME HEA
5420 MILAN ROAD	SANDUSKY	OH	44870	HOME HEALTH AGENCY
5 - FIRELANDS REGIONAL MEDICAL CENTER OUTPATIE
290 PROGRESS DR STE A	BELLEVUE	OH	44811	OUTPATIENT DIALYSIS
6 - FIRELANDS REGIONAL MEDICAL CENTER OP IMAGI
2500 W STRUB RD	SANDUSKY	OH	44870	OP IMAGING CENTER
7 - FIRELANDS COUNSELING & RECOVERY SERVICES O
1925 HAYES AVE	SANDUSKY	OH	44870	OP MENTAL HEALTH & CD
8 - FIRELANDS COUNSELING & RECOVERY SERVICES O
292 BENEDICT AVE	NORWALK	OH	44857	OP MENTAL HEALTH & CD
9 - FIRELANDS COUNSELING & RECOVERY SERVICES O
290 PROGRESS DR SUITE B	BELLEVUE	OH	44811	OP MENTAL HEALTH & CD
10 - FIRELANDS COUNSELING & RECOVERY SERVICES O
1100 NEAL ZICK RD	WILLARD	OH	44890	OP MENTAL HEALTH & CD
11 - FIRELANDS COUNSELING & RECOVERY SERVICES O
76 ASHWOOD RD	TIFFIN	OH	44883	OP MENTAL HEALTH & CD
12 - FIRELANDS COUNSELING & RECOVERY SERVICES O
675 BARSTON RD	FREMONT	OH	43420	OP MENTAL HEALTH & CD
13 - FIRELANDS COUNSELING & RECOVERY SERVICES O
554 N LEAVITT RD	AMHERST	OH	44001	OP MENTAL HEALTH & CD
14 - FIRELANDS COUNSELING & RECOVERY SERVICES O
335 BUCKEYE BLVD	PORT CLINTON	OH	43452	OP MENTAL HEALTH & CD
15 - FIRELANDS COUNSELING & RECOVERY SERVICES O
22052 W STATE RT 51	GENOA	OH	43430	OP MENTAL HEALTH & CD
16 - FIRELANDS REGIONAL MEDICAL CENTER OP PHYS
348 MILAN AVE 2	NORWALK	OH	44857	OP PHYSICAL THERAPY
17 - FIRELANDS COUNSELING & RECOVERY SERVICES O
122 WEST CENTER ST	FOSTORIA	OH	44830	OP MENTAL HEALTH & CD
18 - FIRELANDS REGIONAL MEDICAL CENTER OP PHYS
2012 CLEVELAND RD W	HURON	OH	44839	OP PHYSICAL THERAPY
19 - FIRELANDS REGIONAL MEDICAL CENTER OP PHYS
101 S WASHINGTON ST	CASTALIA	OH	44824	OP PHYSICAL THERAPY
20 - FIRELANDS COUNSELING & RECOVERY SERVICES O
97 HOUPT DR	UPPER SANDUSKY	OH	43351	OP MENTAL HEALTH & CD
21 - FIRELANDS REGIONAL MEDICAL CENTER OP IMAGI
1605 STATE ROUTE 60	VERMILION	OH	44089	OP IMAGING & PHYSICAL THERAPY
22 - FIRELANDS REGIONAL MEDICAL CENTER OP IMAGI
1470 W MCPHERSON HWY	CLYDE	OH	43410	OP IMAGING CENTER
23 - FIRELANDS REGIONAL MEDICAL CENTER OP IMAGI
1401 BONE CREEK DRIVE	SANDUSKY	OH	44870	OP IMAGING & PHYSICAL THERAPY
24 - FIRELANDS REGIONAL MEDICAL CENTER OP WOUND
615 FULTON ST	PORT CLINTON	OH	43452	OP WOUND CARE
25 - FIRELANDS OP PHYS THER DIAG READIOLOGY A
3960 E HARBOR ROAD	PORT CLINTON	OH	43452	OP PHYSICAL THERAPY, IMAGING, AND LAB

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	FIRELANDS REGIONAL MEDICAL CENTER DOES USE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
Part I, Line 6a:	FIRELANDS REGIONAL MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT.
Part I, Line 7:	TO DERIVE COSTS OF CHARITY CARE AND OTHER COMMUNITY BENEFITS, A COMBINATION OF COST ACCOUNTING SYSTEM AND COST-TO-CHARGE RATIOS WAS USED. THE LATTER WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OUR COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT TYPES AND PAYER SOURCES.
Part II, Community Building Activities:	SEE NARRATIVE UNDER PART VI, LINE 5
Part III, Line 2:	THE RATIO DERIVED ON WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES WAS APPLIED TO THE ORGANIZATION'S BAD DEBT PROVISION IN ORDER TO COMPUTE THE BAD DEBT EXPENSE.
Part III, Line 3:	FOR ESTIMATING THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS FINANCIAL ASSISTANCE POLICY, FIRELANDS REGIONAL MEDICAL CENTER UTILIZED A COMBINATION OF HISTORICAL PATIENT VISIT AND THIRD-PARTY DATA BASED ON ESTIMATED FAMILY SIZE, INCOME AND OTHER DEMOGRAPHICS. ALL ACCOUNTS PLACED INTO BAD DEBT DURING THE YEAR WITH NO PAYMENT ACTIVITY WERE SCORED BASED ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, AND ALL WHO MET THE INCOME CRITERIA BASED ON FAMILY SIZE WERE ASSUMED TO BE ELIGIBLE FOR CHARITY AND THUS TREATABLE AS COMMUNITY BENEFIT.
Part III, Line 4:	AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE SYSTEM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THAT THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYERS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYERS.
Part III, Line 8:	FIRELANDS REGIONAL MEDICAL CENTER'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE MEDICARE COSTS REFLECTED IN PART III, LINE 6. THE ORGANIZATION BELIEVES THAT ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THESE SERVICES ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND PROMOTE THE WELL-BEING OF THE COMMUNITY. FURTHERMORE, IT RELIEVES THE BURDEN ON LOCAL GOVERNMENTS.
Part III, Line 9b:	WHEN A PATIENT IS UNINSURED OR INSURANCE PAYMENTS HAVE BEEN RECEIVED AND APPLIED, THEY ARE CLASSIFIED AS SELF PAY. OVER A 90-DAY PERIOD EACH PATIENT RECEIVES A MINIMUM OF 2 BALANCE-DUE STATEMENTS AND 1 FINAL STATEMENT. DURING THAT PERIOD THE PATIENT HAS THE OPPORTUNITY TO PAY THE ACCOUNT IN FULL, SET UP PAYMENT ARRANGEMENTS, OR APPLY FOR FINANCIAL AID. IN THE EVENT THE PATIENT DOES NOT PAY THE ACCOUNT IN FULL, SET UP PAYMENT ARRANGEMENTS, APPLY FOR FINANCIAL AID OR MAKE AN EFFORT TO CONTACT PART 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. A NEW PROGRAM WAS IMPLEMENTED THIS YEAR FOR ALL ACCOUNTS DEEMED ELIGIBLE FOR BAD DEBT. THEY ARE SCREENED BY SELF PAY COMPASS, A SOFTWARE APPLICATION THAT SCORES THE PATIENT'S INCOME BASED ON SEVERAL FINANCIAL RESOURCE DATABASES. THE APPLICATION IDENTIFIES ALL ACCOUNTS THAT MEET THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY GUIDELINES BASED ON INCOME. ACCOUNTS THAT MEET 100% OF FPL ARE WRITTEN OFF TO PRESUMPTIVE CHARITY AND NOT PLACED IN BAD DEBT COLLECTION.
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 TO DETERMINE UTILIZATION OF SPECIFIC SERVICES, OUTMIGRATION OF LOCAL RESIDENTS TO RECEIVE SERVICES, ETC. PROJECTED UTILIZATION STUDIES ENSURE THAT ANY NEW PROGRAMS OR SERVICES EXPLORED MEET THE NEEDS OF THE COMMUNITY.
Part VI, Line 3:	HOSPITAL CARE ASSURANCE PROGRAM SIGNS ARE POSTED IN ALL REGISTRATION AND EMERGENCY AREAS. BILLING AND FINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE WITH INSTRUCTIONS ON WHOM TO CONTACT AND HOW TO APPLY FOR SERVICES. FINANCIAL ASSISTANCE GUIDELINES AND APPLICATIONS ARE ALSO AVAILABLE ON OUR WEBSITE (WWW.FIRELANDS.COM). EVERY PATIENT STATEMENT CONTAINS CHARITY GUIDELINES AND AN APPLICATION. SELF-PAY INPATIENTS ARE SEEN ON-SITE BY A CONTRACTED AGENCY THAT DISCUSSES AND ASSISTS PATIENTS WITH APPLICATIONS FOR MEDICAID OR DISABILITY. THESE PATIENTS ARE ALSO SEEN BY FINANCIAL COUNSELOR WHO EXPLAINS THE HOSPITAL'S CHARITY POLICIES, ASSISTS WITH THE APPLICATION AND/OR SUPPLIES THEM with a contact if questions should arise after discharge. Self-pay inpatients are monitored daily to identify patients who are eligible for Medicaid and have no prior insurance coverage. All self-pay 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 eligibilty guidelines. During the scheduling process, if a patient states 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 - Friday 7:30 AM to 5:00 PM. A patient navigator is also available in the cancer center to assist uninsured and underinsured patients with charity care and Medicaid applications, as well as pharmacy vendor programs for oncology drugs.
Part VI, Line 4:	FIRELANDS REGIONAL MEDICAL CENTER SERVES A FIVE-COUNTY AREA OF APPROXIMATELY 300,000 RESIDENTS. THE PRIMARY SERVICE AREA IS ERIE COUNTY, WHICH HAS A POPULATION OF NEARLY 77,000 PERSONS AND IS LOCATED ON THE SOUTHERN SHORELINE OF LAKE ERIE, HALFWAY BETWEEN CLEVELAND, OH AND TOLEDO, OH. BASED UPON THE LATEST CENSUS DATA, THE MAJORITY OF THE POPULATION'S RACE IS CAUCASIAN, WITH 13.0% MINORITY; 89.9% OF THE POPULATION HAS A HIGH SCHOOL EDUCATION OR SOME COLLEGE. THE COUNTY'S MEDIAN AGE IS 43.8 AND THE MEDIAN HOUSEHOLD INCOME IS $48,204. APPROXIMATELY 70% OF THE COUNTY'S RESIDENTS OWN THEIR OWN HOME, WITH THE MEDIAN HOME VALUE OF $131,900. Secondary service areas consist of the contiguous counties of Ottawa, Huron and Sandusky, which have a combined population of approximately 162,000 individuals. Firelands Counseling and Recovery Services reaches even further, serving 7 surrounding counties including the counties Erie, Huron, Lorain, Ottawa, Sandusky, Seneca and Wyandot. Home Health Services provided by the Medical Center covers 13 counties. Demographics of these counties are similar to the primary service area of Erie County.
Part VI, Line 5:	FIRELANDS REGIONAL MEDICAL CENTER ESTABLISHED THE FIRELANDS GARDEN DISTRICT PLAN IN 2007 WITH THE GOAL OF ENHANCING AND REVITALIZING THE MEDICAL CENTER'S NEIGHBORHOOD IN TERMS OF ATTRACTIVENESS, CHARM AND SAFETY. THIS REVITALIZATION IS ACCOMPLISHED THROUGH A PROGRAM PROVIDING FIRELANDS' EMPLOYEES THE RESOURCES NEEDED TO MAKE A DOWN PAYMENT FOR THE PURCHASE OR RESTORATION OF HOMES FOR OCCUPANCY. In 2015, Firelands Regional Medical Center also purchased and demolished two derelict homes in an effort to improve the surrounding neighborhood's safety and aesthetics. 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 the Department of Homeland Security, as well as incorporating social media in its crisis communication methods. Management staff of Firelands Regional Medical Center is encouraged to participate in local and regional boards and activities that improve the local community. Advocacy includes such activities as financial support ot a local clinic that serves uninsured and underinsured along with efforts to organize a federally qualified health center for the community, board level work for community health education entities and area non-profit organizations that work to improve the health of the community.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
FAMILY HEALTH SERVICES OF ERIE COUNTY
1912 Hayes AVE	Sandusky	OH	44870	263607741	501(c)(3)	$30,000	GENERAL SUPPORT
EDISON ATHLETIC BOOSTER CLUB
2603 STATE ROUTE 113 E	MILAN	OH	44846	341286585	501(C)(3)	$250,000	GENERAL SUPPORT
ERIE COUNTY ECONOMIC DEVELOPMENT
247 COLUMBUS AVE	SANDUSKY	OH	44870	341590450	501(C)(3)	$10,000	GENERAL SUPPORT
TEEN LEADERSHIP CORP
26 E CEDAR POINT RD	sandusky	OH	44870	260324010	501(c)(3)	$6,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EDUCATION PAYMENT PROGRAM SCHOLARSHIPS	GrantTypeTxt
Recipient	20	RecipientCnt
Cash Grant	$20,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I LINE 2:

TO EXPAND THE DELIVERY OF HEALTH CARE SERVICES AND PROMOTE A HEALTHY QUALITY OF LIFE FOR THE MEDICALLY UNDER-SERVED PERSONS OF ERIE COUNTY, OHIO. FIRELANDS REGIONAL MEDICAL CENTER SUPPORTS THE MISSION OF FAMILY HEALTH SERVICES OF ERIE COUNTY TO ATTAIN THE DESIGNATION OF FEDERALLY QUALIFIED HEALTH CENTER AND DELIVER ITS INTENDED SERVICES. THE USE OF FUNDS CONTRIBUTED IS MONITORED BY THE REVIEW OF FINANCIAL AND PERFORMANCE RESULTS.

PART III LINE 1

TO BE ELIGIBLE FOR THE "EDUCATION PAYMENT PROGRAM" SCHOLARSHIPS, 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. AWARD RECIPIENTS ARE SELECTED BASED ON APPLICATION, PAST ACADEMIC PERFORMANCE, FIELD OF STUDY, EDUCATIONAL INSTITUTION, ECONOMIC NEED AND AVAILABILITY OF FUNDS. THIS PROGRAM IS ADMINISTERED WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, AGE, ANCESTRY, NATIONAL ORIGIN OR DISABILITY. FUNDS ARE PAID DIRECTLY TO THE SCHOOL ON BEHALF OF THE RECIPIENT.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARTIN E TURSKY
PRESIDENT/CEO	$558,292	$0	$135,353	$0	$835	$0	$7,950	$84,905	$57,056	$0	$759,486	$84,905	$0	$0
DANIEL J MONCHER
EXECUTIVE VP/CFO/TREASURER	$366,422	$0	$69,585	$0	$2,347	$0	$46,000	$0	$33,264	$0	$517,618	$0	$0	$0
ROBERT M MOORE
VP LEGAL/SECRETARY	$241,001	$0	$36,864	$0	$3,301	$0	$57,000	$0	$34,265	$0	$372,431	$0	$0	$0
ERIC MAST
DIRECTOR MEDICAL ED/RESIDENCY	$271,292	$0	$7,623	$0	$1,881	$0	$7,950	$0	$35,795	$0	$324,541	$0	$0	$0
JAMES SPICER
ASSISTANT VP OPERATIONS	$201,780	$0	$19,594	$0	$1,251	$0	$0	$0	$16,105	$0	$238,730	$0	$0	$0
JIM SENNISH
VP HUMAN RESOURCES	$192,493	$0	$30,669	$0	$2,598	$0	$59,000	$0	$34,464	$0	$319,224	$0	$0	$0
BEV SCHRICKEL
VP OPERATIONS	$211,741	$0	$30,409	$0	$5,244	$0	$116,000	$0	$28,276	$0	$391,670	$0	$0	$0
ANUPAM JHA
PHYSICIAN	$219,466	$0	$307,826	$0	$1,423	$0	$7,950	$0	$36,847	$0	$573,512	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 4b	NORTH COAST PROFESSIONAL CORPORATION, A RELATED ENTITY, CONTRIBUTED TO A 409A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ON THE BEHALF OF MARTIN TURSKY, PRESIDENT, IN THE AMOUNT OF $84,904.82.
PART I, LINE 6A	BONUS COMPENSATION IS BASED ON A SUCCESS SHARING PLAN MEASURED BY PATIENT QUALITY, PATIENT SATISFACTION, AND OPERATING RESULTS COMPARED TO BUDGET.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COUNTY OF ERIE OHIO
A	346400428	29514PAV4	2016-08-15	$62,145,000	SEE PART VI	0	0	0
COUNTY OF ERIE OHIO
B	346400428	29514PAV4	2016-08-15	$15,000,000	SEE PART VI	0	0	0
COUNTY OF ERIE OHIO
C	346400428	29514PAV4	2016-03-31	$62,930,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt
A	$62,152,439	$64,416,279	2008	Yes (1)	Yes (1)	Yes (1)
B	$15,000,000	$15,358,141	2008	Yes (1)	Yes (1)	Yes (1)
C	$62,390,000	$72,456,425	2013	Yes (1)	Yes (1)	Yes (1)	$2,510,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	0	0	Yes (1)
B	Yes (1)	0	0	0	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K Supplental Information	FormAndLineReferenceDesc
Explanation	PART I LINE A, COLUMN (F): CURRENTLY REFUND THE COUNTY OF ERIE, OHIO HOSPITAL FACILITIES REVENUE BONDS, SERIES 2006A (FIRELANDS REGIONAL MEDICAL CENTER PROJECT) ISSUED JUNE 1, 2006 AS A RESULT OF A DEEMED REISSUANCE OF SUCH BONDS ON AUGUST 6,2014. PART I LINE B, COLUMN (F): CURRENTLY REFUND THE COUNTY OF ERIE, OHIO HOSPITAL FACILITIES REVENUE BONDS, SERIES 2006B (FIRELANDS REGIONAL MEDICAL CENTER PROJECT) ISSUED JUNE 1, 2006 WHICH WERE PREVIOUSLY DEEMED REISSUED ON AUGUST 6, 2014, AS A RESULT OF A DEEMED RESISSUANCE OF SUCH BONDS ON AUGUST 15, 2016. PART I LINE C, COLUMN (F): CURRENTLY REFUND THE COUNTY OF ERIE, OHIO HOSPITAL FACILITIES REVENUE AND REVENUE REFUNDING BONDS, SERIES 2012A/B (FIRELANDS REGIONAL MEDICAL CENTER) ISSUED AUGUST 15, 2012 AS A RESULT OF A DEEMED REISSUANCE OF SUCH BONDS ON MARCH 31, 2016. PART II LINE 3, COLUMN A. TOTAL PROCEEDS OF THE ISSURE ARE COMPRISED OF $62,145,000 SALE PROCEEDS AND $7,439 OF INVESTMENT PROCEEDS.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
FREDRIC ITZKOWITZ DO
BOARD MEMBER	$250,732	CONTRACTED MEDICAL SERVICES	0
WILLIAM McGUINN
BOARD MEMBER	$309,038	CONTRACTED MEDICAL SERVICES	0
ALICE SPRINGER
Family member	$89,396	EMPLOYMENT	0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV LINE 1	FREDRIC ITZKOWITZ, DO, IS A PARTNER IN AN INDEPENDENTLY CONTRACTED COMPANY, NORTH COAST SURGICAL SERVICES, THAT PROVIDES TRAUMA VOERAGE FOR FIRELANDS REGIONAL MEDICAL CENTER. HE IS ALSO COMPENSATED FOR HIS TIME SPENT AS A MEDICAL DIRECTOR.
PART IV LINE 2	WILLIAM McGUINN, MD, IS A MEMBER OF AN INDEPENDENTLY CONTRACTED COMPANY, NORTH OHIO HEART CENTER, THAT PROVIDES CATH LAB COVERAGE FOR FIRELANDS REGIONAL MEDICAL CENTER
PART IV LINE 3	ALICE SPRINGER IS THE WIFE OF BOARD MEMBER J. WILLIAM SPRINGER AND IS EMPLOYED BY FIRELANDS REGIONAL MEDICAL CENTER AS DIRECTOR OF DEVELOPMENT

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, line 11b	THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY BY THE FIRELANDS REGIONAL HEALTH SYSTEM BOARD OF DIRECTORS TO REVIEW AND APPROVE ALL FORM 990'S FOR ALL COMPANIES IN THE SYSTEM. THE FINAL VERSION OF THE RESPECTIVE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE FOR REVIEW AND APPROVAL PRIOR TO THE FORM 990 BEING SUBMITTED TO THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Section B, line 12c	THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE ANNUALLY REVIEWS ALL CONFLICT OF INTEREST STATEMENTS FOR ALL APPROPRIATE INDIVIDUALS TO ASSURE PERSONS IDENTIFIED IN THE CONFLICT OF INTEREST POLICY ARE IN COMPLIANCE.
Form 990, Part VI, Section B, line 15	THE PROCESS FOR DETERMINING COMPENSATION IS DELEGATED BY THE BOARD OF DIRECTORS TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE APPOINTS A COMPENSATION SUB-COMMITTEE WHICH UTILIZES AN INDEPENDENT THIRD PARTY TO EVALUATE THE APPROPRIATE PAY RANGE FOR THE CEO AND OTHER KEY MANAGEMENT POSITIONS AT LIKE-SIZED AND SIMILAR HOSPITALS IN THE SAME GEOGRAPHIC REGION. 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 COMPLETED ANNUALLY.
Form 990, Part VI, Section C, line 19	FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE VIA A QUARTERLY "REPORT TO BOND HOLDERS" WHICH IS SENT TO ANY CONSTITUENTS, BOND HOLDERS, OR INTERESTED PARTIES WHO REQUEST TO BE ON THE DISTRIBUTION LIST. QUARTERLY REPORTS AND THE THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE 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 IX, line 11g	PURCHASED SERVICES: Program service expenses 8,768,210. Management and general expenses 4,450,546. Fundraising expenses 8,838. Total expenses 13,227,594. PHYSICIAN FEES: Program service expenses 5,423,367. Management and general expenses 2,752,779. Fundraising expenses 5,466. Total expenses 8,181,612. PURCHASED MAINTENANCE: Program service expenses 1,990,163. Management and general expenses 1,010,162. Fundraising expenses 2,006. Total expenses 3,002,331. PROFESSIONAL FEES: Program service expenses 971,246. Management and general expenses 492,983. Fundraising expenses 979. Total expenses 1,465,208. COLLECTION AGENCY FEES: Program service expenses 158,816. Management and general expenses 80,612. Fundraising expenses 160. Total expenses 239,588.
Form 990, Part XI, line 9:	SCHOOL OF NURSING FUNDING 10,788. PENSION ADJUSTMENTS -1,443,712. NET TRANSFER (TO) AFFILIATES -11,110,751. RECLASS CONTRIBUTIONS -19,459. PARTNERSHIP INCOME RELATED TO GROUP PURCHASING PROGRAM SERVICES -377,823. RECLASS SCHOLARSHIPS 1,500.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FIRELANDS REGIONAL HEALTH SYSTEM
1111 Hayes Ave	Sandusky	OH	44870	341401659	Hospital support	OH	501(c)(3)	11-I	N/A	0
THE FOUNDATION FOR FIRELANDS
1111 Hayes Ave	Sandusky	OH	44870	341401660	Hospital support	OH	501(c)(3)	11-I		Yes (1)	FIRELANDS REGIONAL MEDICAL CENTER

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
FIRELANDS-BELLEVUE URGENT CARE REAL ESTATE HOLDING CO
1111 HAYES AVE	SANDUSKY	OH	44870	464069354	REAL ESTATE HOLDINGS	OH	FIRELANDS REGIONAL MEDICAL CENTER	RELATED	$447	$1,057,138	0	Yes (1)	0.75000
FIRELANDS-BELLEVUE URGENT CARE OPERATING CO
1111 HAYES AVE	SANDUSKY	OH	44870	464042889	MEDICAL SERVICES	OH	FIRELANDS REGIONAL MEDICAL CENTER	RELATED	-$134,582	$73,901	0	Yes (1)	0.75000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
FIRELANDS VOCATIONAL REHAB
1111 HAYES AVE	SANDUSKY	OH	44870	455448705	VOCATIONAL REHABILITATION	OH	N/A	C	-$12,647	$30,567	1.00000	0
FIRELANDS PROF CENTER 2 CONDO
1111 HAYES AVE	SANDUSKY	OH	44870	203131059	CONDO ASSOCIATION	OH	N/A	C		$64,665	0.69000	0
FIRELANDS PHYSICIANS REGIONAL HEALTH CARE
1111 HAYES AVE	SANDUSKY	OH	44870	341829898	PHO	OH	N/A	C	-$5,749	$87,572	0.51000	0
NORTH COAST PROF CO LLC
1111 HAYES AVE	SANDUSKY	OH	44870	341608091	PHYSICIAN PRACTICE MGT	OH	N/A	C				0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTH COAST PROFESSIONAL COMPANY LLC
J	$776,342	CASH
NORTH COAST PROFESSIONAL COMPANY LLC
P	$3,171,968	CASH
NORTH COAST PROFESSIONAL COMPANY LLC
Q	$3,466,909	CASH
FIRELANDS PHYSICIANS REGIONAL HEALTH CARE
Q	$69,659	CASH
FIRELANDS REGIONAL HEALTH SYSTEM
R	$540,850	CASH
THE FOUNDATION FOR FIRELANDS
R	$10,569,900	CASH
FIRELANDS-BELLEVUE URGENT CARE OPERATING CO
Q	$60,475	CASH
FIRELANDS-BELLEVUE URGENT CARE OPERATING CO
R	$96,070	CASH
FIRELANDS-BELLEVUE REAL ESTATE HOLDING CO
K	$48,484	CASH
FIRELANDS-BELLEVUE REAL ESTATE HOLDING CO
Q	$72,005	CASH
FIRELANDS-BELLEVUE REAL ESTATE HOLDING CO
P	$9,476	CASH