2015-08-14T10:08:15-00:00 2014-12-31 990 2014-01-01 310645626 Fairfield Medical Center FAIR 7406878000 401 North Ewing Street Lancaster OH 431303371 Sky L Gettys CFO Treasurer 7406878011 2015-08-13 false 2014 2016-04-25 22:37:26Z John R Janoso Jr 401 North Ewing Street Lancaster OH 43130 383756280 false X www.fmchealth.org X 1982 OH Our mission is to provide efficient, compassionate, safe, high quality healthcare for patients and their families. Fairfield Medical Ctr provides this care to all patients regardless of race, creed, sex, national origin, 15 15 2355 211 364634 293840 183664 224105357 231230002 2724692 3153110 5992542 4838837 233116431 239405613 0 0 107142906 106567980 0 0 105561521 110651510 212704427 217219490 20412004 22186123 262521097 283819471 131499494 137221517 131021603 146597954 Our mission is to provide efficient, compassionate, safe, high quality healthcare for patients and their families. Fairfield Medical Center provides this care to all patients regardless of race, creed, sex, national origin, handicap, age or ability to pay. false false 76854842 96668800 Patient Care Inpatient Medical, Surgical, Emergency, Maternity, ICU, Psychiatry, and Nursing Services 71,982 admissions, procedures visits 74034786 135848833 Patient Care Laboratory, Cardiovascular, Radiology, Therapy, Pharmacy, and Medical Supply Services 2,691,971 procedures dosages 19124114 1026291 Patient Care Nutritional Services 497,201 meals served Patient Care Laundry Services 1,495,688 pounds Patient Care Plant Engineering, Police, Housekeeping, Central Transport, Interest Depreciation 498,426 square feet 170013742 true true false false false false false false false false true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true true false true 173 0 true 2355 true true true false false false false false false false false false false X 15 15 true false false false false false false true true false false false true true true true true true true true true OH X Sky L Gettys 7406878011 401 North Ewing Street Lancaster OH 431303371 Debra Smith Chair 003.00 X X 0 0 0 Ron Burris Vice Chair 003.00 X X 0 0 0 Linda Sheridan Secretary 003.00 X X 0 0 0 James Christian Director 002.00 X 0 0 0 Adam Custer Director 002.00 001.00 X 0 0 0 Joseph Ginty MD Director 002.00 X 0 0 0 Dave Oehlers Director 002.00 X 0 0 0 Barry Ritchey Director 002.00 001.00 X 0 0 0 Carol Seubert Marx Director 002.00 X 0 0 0 Susan Nixon Stoughton Director 002.00 X 0 0 0 Milt Taylor Jr Director 002.00 X 0 0 0 Louis Varga Director 002.00 X 0 0 0 Renee Wagner Director 002.00 X 0 0 0 William Yaple Director 002.00 X 0 0 0 Jeffrey Yenchar MD Director 002.00 X 0 0 0 Mina H Ubbing President CEO X X 539968 0 1961 Sky L Gettys CFO, Treasurer 048.00 002.00 X 388072 0 30555 John R Janoso Jr President CEO 055.00 001.00 X 119974 0 16367 Steven D Cox MD VP - CMO 042.00 040.00 X 241379 209522 28494 Howard Sniderman Chief Operating Officer 045.00 X 265046 0 33058 Cynthia Pearsall VP - CNO 050.00 X 217685 0 16481 Jean L Robertson MD Chief Med. Info. Officer 024.00 X 212514 0 21940 Martha Buckley MD Chief Quality Officer 040.00 X 220527 0 16028 Grant R Brame Physicians Assistant 040.00 X 151077 0 23318 Heather B Schultz Advanced Practice Nurse 040.00 X 156282 0 11133 Jeffrey M Ayers MD Residency Prog. Dir. 041.00 001.00 X 148015 0 21559 Pamela L Reed Director OP Services 040.00 X 161819 0 17062 Cynthia S Steen Chief Strategy Dev. Officer 040.00 X 155084 0 2956 2977442 209522 240912 43 true true false McKesson PO Box 98347 Chicago IL 606930001 Information Technology Services 3499364 Renovo Solutions 1801 E Parkcourt Place Bldg D Santa Ana CA 92701 Biomedical Services 3292445 Central Ohio Orthopedic Consultants 2405 N Columbus Street Suite 120 Lancaster OH 43130 Physician Services 552986 Bricker & Eckler 100 South Third Street Columbus OH 43215 Attorney Fees 493946 Medical Staffing Options PO Box 75357 Chicago IL 60675 Rent 485162 23 183664 183664 Patient Service Revenue Net 231230002 231230002 231230002 1784937 1784937 601561 507357 94204 94204 145139739 71744 143703198 140112 1436541 -68368 1368173 Cafeteria Sales 935859 935859 Patronage Dividends 900099 562187 562187 Outside Reference Lab 621500 326605 326605 2919982 2881953 38029 4744633 239405613 234111955 364634 3282983 X 0 0 0 0 2375938 1274084 1101854 0 82510866 72443168 10067698 4714019 3534284 1179735 10937576 6375266 4562310 6029581 5223916 805665 0 669420 669420 78045 78045 0 0 22127652 9337483 12790169 0 0 0 0 3922053 3604763 317290 0 0 0 3043377 2769473 273904 0 13400579 8165035 5235544 1485033 1485033 Supplies 47025358 46640013 385345 Physician Fees 7928917 7794144 134773 Other Expenses 10971076 2852113 8118963 0 217219490 170013742 47205748 0 8833417 11363967 47925724 32283164 24785317 23824129 3872371 4297523 3704573 4600626 261528631 149591282 86252691 111937349 55696669 62195067 4515499 4515499 26934836 28802147 262521097 283819471 14101009 13751540 98479656 96940936 1684695 1784357 17234134 24744684 131499494 137221517 X 131021603 146597954 131021603 146597954 262521097 283819471 X 22186123 459709 -7069481 X false true X true false X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false 5439732 5439721 87455 93621396 54653649 39055202 3356295 3094339 261956 123284518 88658461 34626057 35739235 3184822 32554413 111937349 Financial derivatives and other financial products Closely-held equity interests Unamortized bond financing expense 931792 Due from related organizations 5821228 Notes receivable/income guarantee 1495804 Investment in subsidiary 15529122 Other receivables 1865401 Third party settlements 3158800 28802147 Federal income taxes Accrued payroll and benefits 17852993 Other Liabilities 6891691 24744684 true true true X true X true true false true true 2645349 2645349 0.01220 32797310 24819976 7977334 0.03670 35442659 24819976 10622683 0.04890 2178742 84328 2094414 0.00960 1311798 4600 1307198 0.00600 15838674 10461377 5377297 0.02480 126493 15293 111200 0.00050 231585 231585 0.00110 19687292 10565598 9121694 0.04200 55129951 35385574 19744377 0.09090 17149 17149 0.00010 1979 1979 11276 11276 0.00010 123100 123100 0.00060 4932 4932 158436 158436 0.00080 true 9483304 1128513 59364897 56277117 3087780 X true true Southeast Ohio Sleep Disorders Sleep Lab 0.51000 0.49000 1 1 Fairfield Medical Center 401 North Ewing Street Lancaster OH 43130 www.fmchealth.org X X X 1 1 1 false false true X X X X X X X X X 13 true false true true X fmchealth.org X true 14 false true false true X 0000000100.000000000000 0000000300.000000000000 X X X true true X X X X true X X X X X X X X X true X false X X X X true X false false 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. Part III Line 3 The poverty rate, as listed online in the census for Fairfield County, is 11.9. That percentage was multiplied times 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 3 An employee from Contracts and Collections meets with patients before 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 geographic 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 committe meets regularly to keep in touch with the perceptions of the community 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. Part VI, Line 7 OH true Fairfield Medical Center Foundation 401 North Ewing Street Lancaster OH 43130 208952945 501c3 283427 1 true true false false false false false true false Mina H Ubbing President CEO 38289 50181 451498 1961 541929 Sky L Gettys CFO, Treasurer 248208 57895 81969 18200 12355 418627 Steven D Cox MD VP - CMO 199157 130106 41422 9281 800 70135 15169 2725 10600 267148 212247 Howard Sniderman Chief Operating Officer 230253 33593 1200 18200 14858 298104 Cynthia Pearsall VP - CNO 189842 26643 1200 12997 3484 234166 Jean L Robertson MD Chief Med. Info. Officer 206644 5870 15299 6641 234454 Grant R Brame Physicians Assistant 103612 23938 23527 10873 10888 172838 Heather B Schultz Advanced Practice Nurse 105924 24769 25589 11004 129 167415 Jeffrey M Ayers MD Residency Prog. Dir. 148015 10672 10887 169574 Pamela L Reed Director OP Services 156633 4286 900 11422 5640 178881 Cynthia S Steen Chief Strategy Dev. Officer 147233 7251 600 2956 158040 Martha Buckley MD Chief Quality Officer 220527 15401 627 236555 A County of Fairfield Ohio 316400066 304286AM9 2013-06-27 98511516 To refund prior issue and to fund new surgical unit. A 56264480 6320525 926511 35000000 true false false true A false false false false A false false false false false false false false false A false 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. Home Health Resources 401 North Ewing Street Lancaster OH 43130 311159707 Durable Med. Equip. OH Zane Properties Corporation 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 N/A false 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 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 true 1.00000 Zane Properties Corporation 401 North Ewing Street Lancaster OH 43130 311202009 Holding Company OH Fairfield Medical Center C Corp 1.00000 false true false false false false false true false false false true false true false true true true true false Southeast Ohio Sleep Disorders Center LLC a 44090 Fairfield Healthcare Professionals Inc a 12000 Fairfield Healthcare Professionals Inc g 145336 Zane Properties Corporation k 192540 Simplified Healthcare Solutions LLC m 187519 Fairfield Healthcare Professionals Inc o 5177644 Zane Properties Corporation p 60709 Fairfield Healthcare Professionals Inc q 2225000 Fairfield Healthcare Professionals Inc r 3387844 Zane Properties Corporation q 110820 Zane Properies Corporation r 50000