FAIRFIELD MEDICAL CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- FAIRFIELD MEDICAL CENTER (EIN 31-0645626)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-08-15
- IRS object ID
- 201622289349302537
- Schema version
- 2015v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-15T11:50:33-00:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310645626 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fairfield Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAIR | BusinessNameControlTxt |
| Phone | 7406878000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 North Ewing Street | AddressLine1Txt |
| City | Lancaster | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 431303371 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Sky L Gettys | PersonNm |
| Person Title | CFO Treasurer | PersonTitleTxt |
| Phone | 7406878011 | PhoneNum |
| Signature | 2016-08-15 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | John R Janoso Jr | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 North Ewing Street | AddressLine1Txt |
| City | Lancaster | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $297,117,539 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.fmchealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | Fairfield Medical Center delivers outstanding healthcare for our patients, their families and our communities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 2477 | TotalEmployeeCnt |
| Total Volunteers | 239 | TotalVolunteersCnt |
| Total Gross UBI | $395,329 | TotalGrossUBIAmt |
| PY Contributions Grants | $183,664 | PYContributionsGrantsAmt |
| CY Contributions Grants | $23,777 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $231,230,002 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $239,245,347 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,153,110 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,870,552 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,838,837 | PYOtherRevenueAmt |
| CY Other Revenue | $3,755,025 | CYOtherRevenueAmt |
| PY Total Revenue | $239,405,613 | PYTotalRevenueAmt |
| CY Total Revenue | $247,894,701 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $106,567,980 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $110,986,165 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $110,651,510 | PYOtherExpensesAmt |
| CY Other Expenses | $118,863,880 | CYOtherExpensesAmt |
| PY Total Expenses | $217,219,490 | PYTotalExpensesAmt |
| CY Total Expenses | $229,850,045 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $22,186,123 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $18,044,656 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $283,819,471 | TotalAssetsBOYAmt |
| Total Assets EOY | $278,507,402 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $137,221,517 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $124,203,212 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $146,597,954 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $154,304,190 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Fairfield Medical Center delivers outstanding healthcare for our patients, their families and our communities. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $83,405,620 | ExpenseAmt |
| Revenue | $115,019,406 | RevenueAmt |
| Desc | Patient Care Inpatient Medical, Surgical, Emergency, Maternity, ICU, Psychiatry, and Nursing Services 75,797 admissions, procedures visits | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $77,705,668 | ExpenseAmt |
| Revenue | $124,979,216 | RevenueAmt |
| Desc | Patient Care Laboratory, Cardiovascular, Radiology, Therapy, Pharmacy, and Medical Supply Services 2,700,934 procedures dosages | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,763,309 | ExpenseAmt |
| Revenue | $1,054,392 | RevenueAmt |
| Desc | Patient Care Nutritional Services 562,082 meals served Patient Care Laundry Services 1,651,103 pounds Patient Care Plant Engineering, Police, Housekeeping, Central Transport, Interest Depreciation 638,631 square feet | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $182,874,597 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 204 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2477 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Form8886 T Filed | false | Form8886TFiledInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Sky L Gettys | PersonNm |
| Phone | 7406878011 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 North Ewing Street | AddressLine1Txt |
| City | Lancaster | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 431303371 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Linda Sheridan | ||||||||||
| Chair | 003.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| Ron Burris | ||||||||||
| Vice Chair/Secretary | 003.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| James Christian | ||||||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | |||||
| Adam Custer | ||||||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | |||||
| Joseph Ginty MD | ||||||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | |||||
| Dan Fruth | ||||||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | |||||
| Barry Ritchey | ||||||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | |||||
| Carol Seubert Marx | ||||||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | |||||
| Susan Nixon Stoughton | ||||||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | |||||
| Milt Taylor Jr | ||||||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | |||||
| Louis Varga | ||||||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | |||||
| Renee Wagner | ||||||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | |||||
| William Yaple | ||||||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | |||||
| Jeffrey Yenchar MD | ||||||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | |||||
| Sky L Gettys | ||||||||||
| CFO, Treasurer | 048.00 | Yes (X) | $309,574 | $0 | $24,648 | 002.00 | ||||
| John R Janoso Jr | ||||||||||
| President CEO | 055.00 | Yes (X) | $473,858 | $0 | $63,913 | 001.00 | ||||
| Jean L Robertson MD | ||||||||||
| Chief Med. Info. Officer | 024.00 | $148,629 | $0 | $3,110 | Yes (X) | |||||
| Martha Buckley MD | ||||||||||
| Chief Quality Officer | 040.00 | $307,083 | $0 | $19,273 | Yes (X) | |||||
| Debra L Palmer | ||||||||||
| Chief HR Officer | 040.00 | $166,127 | $0 | $17,669 | Yes (X) | |||||
| Cynthia Pearsall | ||||||||||
| House Nursing Supervisor | 040.00 | $228,057 | $0 | $1,112 | Yes (X) | |||||
| Randy L Brown | ||||||||||
| Pharmacy Manager | 045.00 | $165,149 | $0 | $16,938 | Yes (X) | |||||
| Heather B Schultz | ||||||||||
| Advanced Practice Nurse | 040.00 | $170,175 | $0 | $12,133 | Yes (X) | |||||
| Jeffrey M Ayers MD | ||||||||||
| Residency Prog. Dir. | 044.00 | $179,330 | $0 | $30,893 | Yes (X) | |||||
| Pamela L Reed | ||||||||||
| Director OP Services | 040.00 | $176,377 | $0 | $13,901 | Yes (X) | |||||
| Mina H Ubbing | ||||||||||
| Former President CEO | $529,326 | $0 | $0 | Yes (X) | ||||||
| Howard Sniderman | ||||||||||
| Former Chief Operating Officer | 045.00 | $126,667 | $0 | $1,242 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,980,352 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $204,832 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 64 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| McKesson | |||||
| PO Box 98347 | Chicago | IL | 606930001 | Information Technology Services | $3,650,724 |
| Renovo Solutions | |||||
| 1801 E Parkcourt Place Bldg D | Santa Ana | CA | 92701 | Biomedical Services | $2,891,006 |
| Medical Staffing Options | |||||
| P O Box 714309 | Cincinnati | OH | 45271 | Staffing | $840,771 |
| EMP Management Group Ltd | |||||
| 4535 Dressler Rd NW | Canton | OH | 44718 | Physician Services | $638,500 |
| Bricker & Eckler | |||||
| 100 South Third Street | Columbus | OH | 43215 | Attorney Fees | $592,875 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 24 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $23,777 | AllOtherContributionsAmt |
| Total Contributions | $23,777 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Service Revenue Net | Desc |
| Total Revenue Column | $239,245,347 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $239,245,347 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $239,245,347 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,933,277 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $610,312 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $383,923 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $226,389 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $226,389 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $51,695,186 | SecuritiesAmt |
| Other | $81,004 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $48,595,136 | SecuritiesAmt |
| Other | $243,779 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,100,050 | SecuritiesAmt |
| Other | -$162,775 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,937,275 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | BusinessBusinessCd | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Cafeteria Sales | $971,857 | $971,857 | ||
| Patronage Dividends | $595,384 | $595,384 | 900099 | |
| Outside Reference Lab | $355,276 | 621500 | $355,276 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,606,119 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,566,066 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $40,053 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,528,636 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $247,894,701 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $240,811,413 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $395,329 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,567,241 | 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 | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,556,131 | TotalAmt |
| Program Services | $485,192 | ProgramServicesAmt |
| Management And General | $1,070,939 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,024,479 | TotalAmt |
| Program Services | $73,235,561 | ProgramServicesAmt |
| Management And General | $11,788,918 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,015,342 | TotalAmt |
| Program Services | $3,961,397 | ProgramServicesAmt |
| Management And General | $1,053,945 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,256,145 | TotalAmt |
| Program Services | $10,701,561 | ProgramServicesAmt |
| Management And General | $2,554,584 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,134,068 | TotalAmt |
| Program Services | $5,305,150 | ProgramServicesAmt |
| Management And General | $828,918 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $758,378 | TotalAmt |
| Management And General | $758,378 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,399 | TotalAmt |
| Management And General | $102,399 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,368,692 | TotalAmt |
| Program Services | $11,831,824 | ProgramServicesAmt |
| Management And General | $13,536,868 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,034,326 | TotalAmt |
| Program Services | $3,744,748 | ProgramServicesAmt |
| Management And General | $289,578 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,977,664 | TotalAmt |
| Program Services | $3,579,898 | ProgramServicesAmt |
| Management And General | $397,766 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,578,849 | TotalAmt |
| Program Services | $8,814,199 | ProgramServicesAmt |
| Management And General | $4,764,650 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,533 | TotalAmt |
| Management And General | $142,533 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $49,753,710 | $49,591,609 | $162,101 |
| Physician Fees | $9,444,225 | $8,910,303 | $533,922 |
| Other Expenses | $11,703,104 | $2,713,155 | $8,989,949 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,850,045 | TotalAmt |
| Program Services | $182,874,597 | ProgramServicesAmt |
| Management And General | $46,975,448 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,363,967 | BOYAmt |
| EOY | $19,266,404 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,283,164 | BOYAmt |
| EOY | $15,900,345 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,824,129 | BOYAmt |
| EOY | $23,951,652 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,297,523 | BOYAmt |
| EOY | $4,313,915 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,600,626 | BOYAmt |
| EOY | $4,765,919 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $278,080,687 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $159,969,860 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,937,349 | BOYAmt |
| EOY | $118,110,827 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,195,067 | BOYAmt |
| EOY | $59,984,010 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,515,499 | BOYAmt |
| EOY | $4,515,499 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,802,147 | BOYAmt |
| EOY | $27,698,831 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,819,471 | BOYAmt |
| EOY | $278,507,402 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,751,540 | BOYAmt |
| EOY | $6,501,672 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,940,936 | BOYAmt |
| EOY | $95,307,216 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,784,357 | BOYAmt |
| EOY | $1,348,089 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,744,684 | BOYAmt |
| EOY | $21,046,235 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,221,517 | BOYAmt |
| EOY | $124,203,212 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,597,954 | BOYAmt |
| EOY | $154,304,190 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,597,954 | BOYAmt |
| EOY | $154,304,190 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,819,471 | BOYAmt |
| EOY | $278,507,402 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $18,044,656 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,427,438 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,910,982 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,465,302 | OtherCostOrOtherBasisAmt |
| Book Value | $5,465,291 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $87,455 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $114,103,338 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,384,020 | DepreciationAmt |
| Book Value | $57,360,390 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,151,937 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,717,863 | DepreciationAmt |
| Book Value | $229,716 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $150,386,621 | OtherCostOrOtherBasisAmt |
| Depreciation | $95,619,240 | DepreciationAmt |
| Book Value | $52,767,755 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,886,034 | OtherCostOrOtherBasisAmt |
| Depreciation | -$29,216,431 | DepreciationAmt |
| Book Value | $2,287,675 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $118,110,827 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Unamortized bond financing expense | $847,395 |
| Due from related organizations | $6,331,198 |
| Notes receivable/income guarantee | $1,097,998 |
| Investment in subsidiary | $13,919,976 |
| Other receivables | $4,508,833 |
| Third party settlements | $993,431 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $27,698,831 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Accrued payroll and benefits | $15,682,633 |
| Other Liabilities | $5,363,602 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $21,046,235 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,470,341 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,470,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01070 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,634,531 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,648,412 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,986,119 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04340 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,104,872 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,648,412 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,456,460 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05410 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,095,205 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $106,696 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,988,509 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00870 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,535,699 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,537,693 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,998,006 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01300 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,189,603 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,625,138 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,564,465 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03290 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $132,176 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $132,176 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $206,750 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $206,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,159,433 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,269,527 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,889,906 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05610 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,264,305 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,917,939 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,346,366 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11020 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,980 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,980 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,754 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,754 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,912 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,912 | NetCommunityBenefitExpnsAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $87,566 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $87,566 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,676 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,676 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,662 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,662 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $154,550 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $154,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,016,105 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $865,546 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $56,468,715 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $57,516,549 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,047,834 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southeast Ohio Sleep Disorders | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Sleep Lab | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.51000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.49000 | 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 | Fairfield Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 North Ewing Street | AddressLine1Txt |
| City | Lancaster | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.fmchealth.org | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | fmchealth.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | mydh.org/Community-Health-Assessment.html | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 0000000100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0000000300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | 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 (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | fmchealth.org | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | fmchealth.org | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Group Fairfield Medical Center Line Part V, Section B, Line 5 | The community health assessment was cross-sectional in nature and included a written survey of adults and adolescents within Fairfield County. From the beginning, community leaders were actively engaged in the planning process and helped define the content, scope, and sequence of the study. Active engagement of community members throughout the planning process is regarded as an important step in completing a valid needs assessment. |
| Group Fairfield Medical Center Line Part V, Section B, Line 6b | The CHNA was conducted in association with The Fairfield Department of Health, Fairfield Community Health Center and United Way of Fairfield County. |
| Group Fairfield Medical Center Line Part V, Section B, Line 11 | Fairfield Medical Center has always been an advocate of health care access in the area and has provided needed medical care for many years, regardless of ability to pay. Fairfield Medical Center has a state-of-the-art Cardiovascular Lab and a well-equipped Cardio Fitness Center to provide care for those who need it, and programs to help increase the fitness level of those in the area so that they wont need the Cardiovascular Lab. Obesity is a known risk factor for cardiovascular disease FMC is working diligently with other area agencies to help the population increase fitness and lower the rate of obesity. Obesity is also a factor in cancer diagnosis. FMC has many programs available to encourage Tobacco Cessation, exercise and healthy eating to lower the risk of cancer and get more healthy overall. FMC has a Diabetes Support Group to help those with diabetes maintain a healthier lifestyle through better diet. We have excellent physicians who can help those with arthritis and asthma. While most of the issues were addressed in multiple ways, due to funding and expertise, we were not able to address the problems of sexual behaviour, pregnancy outcome or possession of firearms in the home. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part II | Knowing that a strong economy can help build strong people, we have dedicated ourselves to helping our local economy through donations to organizations helping to draw more business to the area and by participating in local Chambers of Commerce and by Leadership Development and Training. We also recognize the importance of recycling as a way to improve the health of our planet, and therefore our people, with environmental improvements. Participation with other community entities by Coalition Building also helps us to keep our pulse on the health of the community through grassroots involvement. |
| Part III Line 3 | The poverty rate, as listed online in the census for Fairfield County, Ohio, is 9.6. That percentage was multiplied time the bad debt expense to estimate the amount attributable to patients eligible under the organizations financial assistance policy. |
| Part III Line 4 | An allowance for uncollectible accounts is established on an aggregate basis by using historical write-off 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 Centers ability to collect outstanding amounts. Uncollectible amounts are written off against the allowance for doubtful accounts in the period they are determined to be uncollectible. The information can be found on page 8 of the financial statements. |
| Part III Line 8 | The total for Medicare Cost is taken directly from the Medicare Cost Report. |
| Part III Line 9b | In all instances of debt collection, patients are given information regarding financial assistance available. In addition, patients are made aware of the availability of financial assistance with an acknowledgement letter of services rendered, regardless of ability to pay or payment source. FMC will do everything possible to help those who qualify for charity care to be made aware of the assistance available. We also provide financial counselors to assist patients in filling out the necessary forms for assistance. The following options are available A. Payment in the form of cash, credit card or checks. A discount is offered with payment at the time of service and within 10 days of receiving the hospital bill. B. H.E.L.P. Bank Financial Program C. Hospital Payment Program D. Assistance with application to Medicare or Medicaid E. Hospital Care Assurance Program HCAP F. Hospital Assistance Program summary defining Fairfield Medical Centers financial opportunities. G. Assistance for the uninsured patient. |
| Part VI Line 2 | In addition to conducting a Community Health Needs Assessment every three years, Fairfield Medical Center stays aware of the health needs of the community by paricipating in multiple local health networks and sharing information with them, as well as a community group that meets regularly to discuss local needs. We also are in regular contact with area physicians who keep us apprised of the health care needs of the community. |
| Part VI Line 3 | An employee from Contracts and Collections meets with patients beore discharge to discuss the many options available under the organizations charity care policy. Those policies are also posted throughout the hospital, including registration, and go into the billing envelopes. |
| Part VI Line 4 | Fairfield Medical Center serves a large demographic area, including Fairfield County 504 square miles and surrounding counties. The demographics include the edge of the Appalacian community. We stay in touch with community organizations of all kinds to keep current on the needs of the community. A committee meets regularly to keep in touch with the perceptions of th eocmmunity in order to better serve our constituents. |
| Part VI Line 5 | Fairfield Medical Center actively promotes community health through education at community groups, newspaper articles and collaboration with other community groups. We reach out to the community through speaking engagements and have many classes to educate the public regarding a plethora of health concerns. |
| Part VI, Line 7 | OH |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fairfield Medical Center Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 North Ewing Street | AddressLine1Txt |
| City | Lancaster | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 208952945 | RecipientEIN |
| IRC Section | 501c3 | IRCSectionDesc |
| Cash Grant | $313,664 | CashGrantAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt |
|---|---|---|---|---|---|---|
| Mina H Ubbing | ||||||
| Former President CEO | $529,326 | $529,326 | ||||
| Sky L Gettys | ||||||
| CFO, Treasurer | $1,775 | $334,222 | $286,668 | $21,131 | $18,550 | $6,098 |
| Cynthia Pearsall | ||||||
| House Nursing Supervisor | $104,821 | $229,169 | $107,432 | $15,804 | $1,112 | |
| Jean L Robertson MD | ||||||
| Chief Med. Info. Officer | $15,666 | $151,739 | $126,485 | $6,478 | $3,110 | |
| Randy L Brown | ||||||
| Pharmacy Manager | $850 | $182,087 | $161,232 | $3,067 | $11,812 | $5,126 |
| Heather B Schultz | ||||||
| Advanced Practice Nurse | $20,689 | $182,308 | $134,236 | $15,250 | $11,977 | $156 |
| Jeffrey M Ayers MD | ||||||
| Residency Prog. Dir. | $925 | $210,223 | $178,405 | $12,506 | $18,387 | |
| Pamela L Reed | ||||||
| Director OP Services | $900 | $190,278 | $170,368 | $5,109 | $10,726 | $3,175 |
| John R Janoso Jr | ||||||
| President CEO | $537,771 | $427,869 | $45,989 | $36,550 | $27,363 | |
| Martha Buckley MD | ||||||
| Chief Quality Officer | $1,100 | $326,356 | $299,031 | $6,952 | $18,550 | $723 |
| Debra L Palmer | ||||||
| Chief HR Officer | $21,100 | $183,796 | $141,285 | $3,742 | $12,047 | $5,622 |
| Howard Sniderman | ||||||
| Former Chief Operating Officer | $36,664 | $127,909 | $70,392 | $19,611 | $1,242 | |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | County of Fairfield Ohio | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 316400066 | BondIssuerEIN |
| CUSIP | 304286AM9 | CUSIPNum |
| Bond Issued | 2013-06-27 | BondIssuedDt |
| Issue Price | $98,511,516 | IssuePriceAmt |
| Purpose | To refund prior issue and to fund new surgical unit. | PurposeDesc |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $56,264,480 | RetiredAmt |
| In Reserve Fund | $6,320,525 | InReserveFundAmt |
| Issuance Costs From Proceeds | $926,511 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $35,000,000 | CapitalExpendituresAmt |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 2 | Various members of the Board of Directors are key employees and/or officers of organizations that may conduct normal, arms length transactions with one another. |
| Form 990, Part VI, Section B, Line 11b | The 990 is reviewed by the President and Treasurer of the organization after review by the Controller. Then it is made available for Board Member review prior to filing. |
| Form 990, Part VI, Section B, Line 12c | Directors, President, Vice Presidents, Managers, Case Management employees, Contracts Collections employees, employees with direct purchasing responsibilities, employed physicians, and employees who are contracted or shared with other organizations 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 15 a b | Annually, the Compensation Committee compares officer and key employee compensation to regional industry averages. This committee consists of independent members of the Board of Directors. Compensation adjustment recommendations are submitted, to be included in the budget, to the Finance and Audit Committee. Compensation adjustments are taken to the Board of Directors for final approval, and if approved are then implemented. |
| Form 990, Part VI, Section C, Line 19 | The governing documents, conflict of interest, and financials are made available to the public by requests made to FMC management. |
| Form 990, Part IX, Line 11g | Other fees for services include lab testing, administrative consulting, outsourced biomedical services, outsourced collection services, outsourced IT services and other general purchased services. |
| Form 990, Part XI, Line 9 | The other change in net assets reported represents intercompany transfers between Fairfield Medical Center and related organizations see Schedule R for fixed asset purchases, shared employees, expenses, and other intercompany transactions. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Home Health Resources | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 North Ewing Street | AddressLine1Txt |
| City | Lancaster | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311159707 | EIN |
| Primary Activities | Durable Med. Equip. | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Zane Properties Corporation | BusinessNameLine1Txt |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Fairfield Healthcare Professionals Inc | |||||||||||
| 401 North Ewing Street | Lancaster | OH | 43130 | 311425884 | Physician Practices | OH | 501c3 | 11a | Fairfield Medical Center | false | |
| Fairfield Medical Center Foundation | |||||||||||
| 401 North Ewing Street | Lancaster | OH | 43130 | 208952945 | Fundraising | OH | 501c3 | 7 | false | N/A | |
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 | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Southeast Ohio Sleep Disorders Center LLC | |||||||||||
| 135 North Ewing Street FL 3 | Lancaster | OH | 43130 | 311639116 | Sleep disorder trmt | OH | Fairfield Medical Center | Related | false | Yes (true) | 0.51000 |
| Simplified Healthcare Solutions LLC | |||||||||||
| 5980 Wilcox Place Suite F | Dublin | OH | 43016 | 201720030 | Claims review/processing | OH | Fairfield Medical Center | Related | false | Yes (true) | 1.00000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Zane Properties Corporation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 North Ewing Street | AddressLine1Txt |
| City | Lancaster | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311202009 | EIN |
| Primary Activities | Holding Company | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fairfield Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corp | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| Southeast Ohio Sleep Disorders Center LLC | |
| a | $42,525 |
| Fairfield Healthcare Professionals Inc | |
| a | $41,208 |
| Fairfield Healthcare Professionals Inc | |
| g | $141,215 |
| Zane Properties Corporation | |
| h | $25,570 |
| Zane Properties Corporation | |
| k | $192,540 |
| Fairfield Healthcare Professionals Inc | |
| o | $6,892,329 |
| Zane Properties Corporation | |
| p | $69,787 |
| Fairfield Healthcare Professionals Inc | |
| q | $2,375,000 |
| Fairfield Healthcare Professionals Inc | |
| r | $961,704 |
| Zane Properties Corporation | |
| q | $77,205 |
| Zane Properies Corporation | |
| r | $941,408 |
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