FULTON COUNTY HEALTH CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: FULTON COUNTY HEALTH CENTER (EIN 34-4428214)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-05
IRS object ID: 201433099349300918
Schema version: 2013v3.0
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	2014-11-05T08:46:37-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	65 EAST STATE ST STE 600	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	43215	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	344428214	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FULTON COUNTY HEALTH CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	FULT	BusinessNameControlTxt
Phone	4193352015	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	725 SOUTH SHOOP AVENUE	AddressLine1
City	WAUSEON	City
State	OH	State
ZIP Code	435671701	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PATRICIA A FINN	PersonNm
Person Title	CHIEF EXECUTIVE OFFICER	PersonTitleTxt
Phone	4193352015	PhoneNum
Signature	2014-10-29	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BERNIE OSTROWSKI	PreparerPersonNm
PTIN	P00366367	PTIN
Phone	6148493000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PATRICIA A FINN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	725 SOUTH SHOOP AVENUE	AddressLine1
City	WAUSEON	City
State	OH	State
ZIP Code	435671701	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$84,092,946	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FULTONCOUNTYHEALTHCENTER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1973	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	SERVE THE PULIC BY PROMOTING AND PROVIDING THE MEANS FOR CONTINUED HEALTH AND WELLNESS.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	925	TotalEmployeeCnt
Total Volunteers	208	TotalVolunteersCnt
Total Gross UBI	-$2,642	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$2,642	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$120,964	PYContributionsGrantsAmt
CY Contributions Grants	$123,620	CYContributionsGrantsAmt
PY Program Service Revenue	$76,549,718	PYProgramServiceRevenueAmt
CY Program Service Revenue	$74,949,439	CYProgramServiceRevenueAmt
PY Investment Income	$409,095	PYInvestmentIncomeAmt
CY Investment Income	$386,887	CYInvestmentIncomeAmt
PY Other Revenue	$1,096,711	PYOtherRevenueAmt
CY Other Revenue	$583,334	CYOtherRevenueAmt
PY Total Revenue	$78,176,488	PYTotalRevenueAmt
CY Total Revenue	$76,043,280	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,750	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$11,750	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$40,079,737	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$40,254,564	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$35,808,384	PYOtherExpensesAmt
CY Other Expenses	$35,338,891	CYOtherExpensesAmt
PY Total Expenses	$75,892,871	PYTotalExpensesAmt
CY Total Expenses	$75,605,205	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,283,617	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$438,075	CYRevenuesLessExpensesAmt
Total Assets BOY	$81,644,882	TotalAssetsBOYAmt
Total Assets EOY	$80,598,094	TotalAssetsEOYAmt
Total Liabilities BOY	$39,710,363	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$36,533,612	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$41,934,519	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$44,064,482	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE FULTON COUNTY HEALTH CENTER CONTINUALLY STRIVES TO REACH A HIGH DEGREE OF EXCELLENCE IN MEETING THE NEEDS OF BOTH INTERNAL AND EXTERNAL CUSTOMERS 100% OF THE TIME. QUALITY OF PATIENT/RESIDENT CARE AND ALL OF THE INSTITUTIONAL PRACTICES IS THE PRIMARY CRITERION UTILIZED TO MONITOR THE HEALTH CENTER SERVICES AND TO EVALUATE PROPOSED CHANGES OF PROPOSED NEW SERVICES.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$55,460,267	ExpenseAmt
Grant	$11,750	GrantAmt
Revenue	$75,210,824	RevenueAmt
Desc	SEE SCHEDULE OLOCATION: THE FULTON COUNTY HEALTH CENTER IS LOCATED AT 725 SOUTH SHOOP AVENUE, WAUSEON, OH 43567. THE HEALTH CENTER IS EASILY ACCESSIBLE FROM INTERSTATE 80/90 (OHIO TURNPIKE) AND STATE ROUTE 2. IT IS CENTRALLY LOCATED WITHIN FULTON COUNTY WHERE WAUSEON IS THE COUNTY SEAT. PHILOSOPHY/AUSPICES: THE FULTON COUNTY HEALTH CENTER IS A PRIVATE, NON-PROFIT HOSPITAL, LONG-TERM CARE & INDEPENDENT LIVING FACILITY GOVERNED BY A BOARD OF DIRECTORS. THE HEALTH CENTER IS OPERATED ON THE PRINCIPLE THAT EVERY INDIVIDUAL HAS A BASIC RIGHT TO ATTAIN THE HIGHEST DEGREE OF WELLNESS POSSIBLE BASED ON HIS OR HER OWN NEEDS. THE SERVICES OF THE HOSPITAL SHALL BE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, SEX, AGE, NATIONAL ORIGIN, RELIGIOUS CREED, ECONOMIC CONDITION OR DISABILITY. COMMITMENT TO QUALITY: THE FULTON COUNTY HEALTH CENTER CONTINUALLY STRIVES TO REACH A HIGH DEGREE OF EXCELLENCE IN MEETING THE NEEDS OF BOTH INTERNAL AND EXTERNAL CUSTOMERS 100% OF THE TIME. QUALITY OF PATIENT/RESIDENT CARE AND ALL OF THE INSTITUTIONAL PRACTICES IS THE PRIMARY CRITERION UTILIZED TO MONITOR THE HEALTH CENTER SERVICES AND TO EVALUATE PROPOSED CHANGES OF PROPOSED NEW SERVICES. LEVEL OF CARE: THE HEALTH CENTER IS A SHORT-TERM GENERAL HOSPITAL OFFERING A FULL RANGE OF SERVICES RELATED TO ACUTE CARE. INCLUDED IN THESE SERVICES ARE A WIDE RANGE OF OUTPATIENT SERVICES THAT INVOLVE DIAGNOSTIC AND REHABILITATIVE TREATMENT. THE HEALTH CENTER ALSO HAS LONG-TERM CARE AND INDEPENDENT LIVING AVAILABLE TO OFFER THE CONTINUUM OF CARE. THE LEVEL OF CARE PROVIDED TO ALL PATIENTS AND RESIDENTS IS THE SAME WHETHER INPATIENT OR OUTPATIENT. THIS IS ACCOMPLISHED THROUGH PROGRESSIVE HEALTH AWARENESS. CENTERS OF EXCELLENCE: AMONG THE SPECIAL STRENGTHS OF THE HEALTH CENTER ARE AN OBSTETRICAL UNIT, A CRITICAL CARE/CARDIAC CARE UNIT, A SHORT TERM INPATIENT AND OUTPATIENT ADULT PSYCHIATRIC UNIT, AN EMERGENCY DEPARTMENT THAT IS STAFFED WITH LICENSED PHYSICIANS 24 HOURS PER DAY, EVERY DAY OF THE YEAR, AN INPATIENT AND OUTPATIENT SURGICAL UNIT, SLEEP DISORDER CENTER, RAINBOW HEMATOLOGY/ONCOLOGY TREATEMENT CENTER AND OTHER DIAGNOSTIC AND THERAPEUTIC SERVICES. A HOSPITALIST WAS ADDED IN 2012 AND IS AVAILABLE TO INPATIENTS 24/7. DAILY OUTPATIENT SPECIALTY CLINICS OFFER THE CONSULTATIVE AND DIAGNOSTIC SERVICES OF SEVERAL TYPES OF MEDICAL SPECIALISTS. LONG-TERM CARE AND INDEPENDENT LIVING FACILITY OFFERING THE CONTINUUM OF CARE FROM THE HOSPITAL AREA. A WIDE RANGE OF ORGANIZED EDUCATIONAL AND HEALTH PROMOTION OPPORTUNITIES, INCLUDING A COMPREHENSIVE DIABETIC EDUCATION PROGRAM, ARE PROVIDED FOR PATIENTS, RESIDENTS, EMPLOYEES AND MEMBERS OF THE SURROUNDING COMMUNITIES. FOR 2013, FULTON COUNTY HEALTH CENTER'S SURGERY DEPARTMENT HAS BEEN RECOGNIZED FOR OUTSTANDING QUALITY CARE BY CARECHEX, A DIVISION OF COMPARISON. AS ONE OF THE NATIONS LARGEST PRIVATELY HELD HEALTHCARE INFORMATION SERVICE COMPANIES, COMPARION PROVIDES SERVICES DESIGNED TO MEASURE, MANAGE AND MONITOR THE CLNICAL, FINANCIAL AND MARKET PERFORMANCE OF HEALTHCARE ORGANIZATIONS. CARECHEX HAS RECOGNIZED FCHC'S SURGERY PROGRAMS IN THREE CATEGORIES: BOTH THE JOINT REPLACEMENT SURGERY AND MAJOR ORTHOPEDIC SURGERY PROGRAMS HAVE BEEN RANKED IN THE TOP 10% IN QUALITY NATIONWIDE FOR MEDICAL EXCELLENCE WHILE THE GENERAL SURGERY PROGRAM HAS BEEN RECOGNIZED AS #1 IN THE TOLEDO-FREMONT OHIO MARKET IN QUALITY FOR MEDCIAL EXCELLENCE.FULTON COUNTY HEALTH CENTER WAS ALSO AWARDED A THREE YEAR TERM OF ACCREDITATION IN MAMMOGRAPY. THE ACR GOLD SEAL OF ACCREDITATION REPRESENTS THE HIGHEST LEVEL OF IMAGE QUALITY AND PATIENT SAFETY.FULTON COUNTY HEALTH CENTER WAS NAMED SILVER PARTNER FOR ORGAN DONATION BY DONATE LIFE OHIO. THIS AWARD WAS ISSUED FOR TAKING ACTION TO PROMOTE ORGAN, EYE AND TISSUE DONATION IN 2013.FULTON COUNTY HOSPITAL BECAME THE FIRST HOSPITAL IN NORTHWEST OHIO REGION TO INSTALL A 128-SLICE CT SCANNER IN ITS RADIOLOGY DEPARTMENT DURING 2013. LOADED WITH TOP OF THE LINE HARDWARE AND SOFTWARE, FULTON COUNTY HEALTH CENTER IS ABLE TO OFFER A VARIETY OF NEW SERVICES SUCH AS: 3D HEART SCANS WITH CALCIUM SCORING, ULTRA LOW DOES LUNG SCANS, AND 3D BONE SCANS FOR FRACTURES AND METAL REMOVAL FOR FRACTURES.LIMITATIONS: PATIENTS IN NEED OF TERTIARY CARE ARE REFERRED TO AREA SPECIALTY CENTERS. POPULATION SERVED: THE FULTON COUNTY HEALTH CENTER SERVES THE POPULATION IN FULTON COUNTY AND PATIENTS IN THE IMMEDIATE BORDER AREASOF ADJACENT COUNTIES. TOTAL POPULATION OF OUR SERVICE AREA IS ESTIMATED BETWEEN 42,000 - 45,000. THE STRESS UNIT PRIMARILY SERVES A FOUR COUNTY AREA INCLUDING FULTON, DEFIANCE, HENRY AND WILLIAMS COUNTIES AS WELL AS FROM OUTSIDE OUR IMMEDIATE GEOGRAPHIC AREA. INSTITUTIONAL RELATIONSHIPS: THE HEALTH CENTER MAINTAINS RELATIONSHIPS WITH AREA NURSING HOMES, CITY AND COUNTY ORGANIZATIONS, AND REGIONALTERTIARY CARE CENTERS. THE HEALTH CENTER IS A CLINIC-TRAINING SITE FOR A WIDE RANGE OF HEALTH CARE DISCIPLINES.EDUCATION: THE HEALTH CENTER MAINTAINS AN ACTIVE AND ONGOING IN-SERVICE AND CONTINUING EDUCATION PROGRAM FOR OUR STAFF TO KEEP THEMKNOWLEDGEABLE AND CURRENT ON DEVELOPMENTS IN HEALTH CARE DELIVERY. THE HEALTH CENTER ALSO ENCOURAGES EMPLOYEES TO PURSUE HIGHER EDUCATION.	Desc
Total Program Service Expenses	$55,460,267	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	Yes (1)	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	0	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	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	98	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	925	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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	Yes (1)	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	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	DARRELL TOPMILLER	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	4193352015	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	725 SOUTH SHOOP AVE	AddressLine1
City	WAUSEON	City
State	OH	State
ZIP Code	43567	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DALE L NAFZIGER
PRESIDENT (END IN FEB)	0.80	Yes (X)	Yes (X)	$0	$0	$0
CARL HILL
VP (JAN-FEB)/ PRESIDENT(MAR-DEC)	0.80	Yes (X)	Yes (X)	$0	$0	$0
SANDY BARBER
SECRETARY(JAN-FEB)/VP(MAR-DEC)	0.80	Yes (X)	Yes (X)	$0	$0	$0
SHARON GILLESPIE
TREASURER(JAN-FEB)/SECRETARY(MAR-DEC)	0.80	Yes (X)	Yes (X)	$0	$0	$0
MARK HAGANS
DIRECTOR(JAN-FEB)/TREASURER(MAR-DEC)	0.80	Yes (X)	Yes (X)	$0	$0	$0
BRETT KOLB
DIRECTOR	0.80	Yes (X)		$0	$0	$0
DAVID GRIESER
DIRECTOR	0.80	Yes (X)		$0	$0	$0
JENNIFER MCCULLOUGH
DIRECTOR	0.80	Yes (X)		$0	$0	$0
ALLEN LIECHTY
DIRECTOR	0.80	Yes (X)		$0	$0	$0
STANLEY MULTHAUF
DIRECTOR	0.80	Yes (X)		$0	$0	$0
JASON ROW
DIRECTOR (END IN FEB)	0.80	Yes (X)		$12,600	$0	$0
JON RUPP
DIRECTOR	0.80	Yes (X)		$0	$0	$0
RICK KAZMIERCZAK
DIRECTOR	0.80	Yes (X)		$0	$0	$0
RICK YODER
DIRECTOR	0.80	Yes (X)		$12,600	$0	$0
PATRICIA A FINN
CHIEF EXECUTIVE OFFICER	40.00		Yes (X)	$187,002	$0	$30,729
DARRELL TOPMILLER
DIRECTOR OF FINANCE	40.00		Yes (X)	$114,562	$0	$19,065
JOANN SHORT
DIRECTOR OF NURSING	40.00		Yes (X)	$105,257	$0	$14,107
MARY JO SMALLMAN
FM ADMINISTRATOR	40.00		Yes (X)	$85,297	$0	$17,373
DANIEL MCKERNAN
PHYSICIAN	40.00			$792,954	$0	$19,566	Yes (X)
CHRISTOPHER SPIELES
PHYSICIAN	40.00			$642,944	$0	$19,566	Yes (X)
SEMEGHAGHA FOFUNG
PHYSICIAN	40.00			$274,267	$0	$7,698	Yes (X)
ALAN RIVERA
HOSPITALIST	40.00			$237,491	$0	$0	Yes (X)
RONALD MUSIC
PHYSICIAN	40.00			$167,955	$0	$19,566	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,632,929	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$147,670	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	13	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
R & F INC
6444 MONROE STREET SUITE 5	SYLVANIA	OH	43560	OCCUPATIONAL/PHYSICAL/SPEECH THERAPY	$1,423,543
ALLIED MEDICAL SERVICES
6444 MONROE STREET SUITE 5	SYLVANIA	OH	43560	RESPITORY THERAPY	$757,244
INTERIM PHYSICIANS
12140 WOODCREST EXECUTIVE DR SUITE	ST LOUIS	MO	63141	PHYSICIAN SERVICES	$723,592
APRN SLEEP
6444 MONROE STREET SUITE 5	SYLVANIA	OH	43560	SLEEP STUDIES	$517,145
HLES OF OHIO
PO BOX 277001	ATLANTA	GA	30384	ER DOCTORS	$480,000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Membership Dues	$7,850	MembershipDuesAmt
Fundraising	$47,419	FundraisingAmt
All Other Contributions	$68,351	AllOtherContributionsAmt
Total Contributions	$123,620	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	622110	$74,727,665	$74,727,665
EDUCATION SERVICES	611710	$130,877	$130,877
REBATES AND REFUNDS	900099	$90,897	$90,897

Field	Value	IRS element (for citing)
Total Program Service Revenue	$74,949,439	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$519,559	TotalRevenueColumnAmt
Exclusion	$519,559	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$346,646	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$391,887	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$45,241	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$45,241	TotalRevenueColumnAmt
Related Or Exempt Func Income	$23,848	RelatedOrExemptFuncIncomeAmt
Exclusion	-$69,089	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,486,879	SecuritiesAmt
Other	$9,895	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,605,046	SecuritiesAmt
Other	$24,400	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$118,167	SecuritiesAmt
Other	-$14,505	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$132,672	TotalRevenueColumnAmt
Exclusion	-$132,672	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$27,167	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$47,419	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$27,298	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gaming Gross Income	$926	GamingGrossIncomeAmt
Gaming Direct Expenses	$1,035	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$109	TotalRevenueColumnAmt
Exclusion	-$109	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FOOD SALES	621110	$320,586	$320,586
FITNESS MEMBERSHIPS	621110	$97,483		$97,483
EHR REIMBURSEMENT	621110	$85,297		$85,297

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$125,449	TotalRevenueColumnAmt
Related Or Exempt Func Income	$54,757	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$2,642	UnrelatedBusinessRevenueAmt
Exclusion	$73,334	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$628,815	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$76,043,280	TotalRevenueColumnAmt
Related Or Exempt Func Income	$75,210,824	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$2,642	UnrelatedBusinessRevenueAmt
Exclusion	$711,478	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	$10,250	TotalAmt
Program Services	$10,250	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,500	TotalAmt
Program Services	$1,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$618,017	TotalAmt
Management And General	$618,017	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$31,046,931	TotalAmt
Program Services	$22,664,260	ProgramServicesAmt
Management And General	$8,382,671	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,187,322	TotalAmt
Program Services	$866,745	ProgramServicesAmt
Management And General	$320,577	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,385,668	TotalAmt
Program Services	$3,931,538	ProgramServicesAmt
Management And General	$1,454,130	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,016,626	TotalAmt
Program Services	$1,472,137	ProgramServicesAmt
Management And General	$544,489	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$113,420	TotalAmt
Management And General	$113,420	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$138,957	TotalAmt
Management And General	$138,957	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,673,220	TotalAmt
Program Services	$5,601,451	ProgramServicesAmt
Management And General	$2,071,769	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$293,696	TotalAmt
Management And General	$293,696	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,270,896	TotalAmt
Program Services	$2,477,120	ProgramServicesAmt
Management And General	$1,793,776	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$918,994	TotalAmt
Program Services	$533,017	ProgramServicesAmt
Management And General	$385,977	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,005,209	TotalAmt
Program Services	$2,193,803	ProgramServicesAmt
Management And General	$811,406	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$55,196	TotalAmt
Program Services	$40,293	ProgramServicesAmt
Management And General	$14,903	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,186,013	TotalAmt
Program Services	$687,888	ProgramServicesAmt
Management And General	$498,125	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,489,402	TotalAmt
Program Services	$2,023,853	ProgramServicesAmt
Management And General	$1,465,549	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,195,714	TotalAmt
Management And General	$1,195,714	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$10,293,852	$10,293,852
BAD DEBT EXPENSE	$2,604,887	$2,604,887
EDUCATION PROGRAMS	$54,922	$31,855	$23,067
GIFT SHOP EXPENSES	$26,103	$15,140	$10,963

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,410	TotalAmt
Program Services	$10,678	ProgramServicesAmt
Management And General	$7,732	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$75,605,205	TotalAmt
Program Services	$55,460,267	ProgramServicesAmt
Management And General	$20,144,938	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$281,734	BOYAmt
EOY	$299,700	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,796,173	BOYAmt
EOY	$9,605,640	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,639,093	BOYAmt
EOY	$12,530,516	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,527,788	BOYAmt
EOY	$1,482,044	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$951,500	BOYAmt
EOY	$1,067,481	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$79,497,488	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$41,987,265	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$37,338,036	BOYAmt
EOY	$37,510,223	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$9,823,572	BOYAmt
EOY	$16,286,631	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,500	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,279,486	BOYAmt
EOY	$1,815,859	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$81,644,882	BOYAmt
EOY	$80,598,094	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,791,464	BOYAmt
EOY	$6,263,099	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$50,069	BOYAmt
EOY	$52,161	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,996,667	BOYAmt
EOY	$27,311,668	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,872,163	BOYAmt
EOY	$2,906,684	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,710,363	BOYAmt
EOY	$36,533,612	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,882,519	BOYAmt
EOY	$44,012,482	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$52,000	BOYAmt
EOY	$52,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$41,934,519	BOYAmt
EOY	$44,064,482	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$81,644,882	BOYAmt
EOY	$80,598,094	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$438,075	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$184,139	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,876,027	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	0	FederalGrantAuditRequiredInd

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	$5,223	OtherActivitiesAmt
Total Lobbying Expenditures	$5,223	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	TOTAL DUES PAYMENTS TO OHA AND AHA THAT WERE USED BY THE ORGANIZATIONS FOR LOBBYING PURPOSES: OHIO HOSPITAL ASSOCIATION: 3.4% OF $30,975; $1,053 AMERICAN HOSPITAL ASSOCIATION: 23.65% OF $17,631; $4,170	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$318,411	BeginningYearBalanceAmt
Contributions	$440	ContributionsAmt
Investment Earnings Or Losses	$107	InvestmentEarningsOrLossesAmt
Other Expenditures	$0	OtherExpendituresAmt
End Year Balance	$318,958	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$355,607	BeginningYearBalanceAmt
Contributions	$8,280	ContributionsAmt
Investment Earnings Or Losses	$294	InvestmentEarningsOrLossesAmt
Other Expenditures	$45,770	OtherExpendituresAmt
End Year Balance	$318,411	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$353,930	BeginningYearBalanceAmt
Contributions	$1,260	ContributionsAmt
Investment Earnings Or Losses	$417	InvestmentEarningsOrLossesAmt
End Year Balance	$355,607	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$347,069	BeginningYearBalanceAmt
Contributions	$6,305	ContributionsAmt
Investment Earnings Or Losses	$556	InvestmentEarningsOrLossesAmt
End Year Balance	$353,930	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$463,238	BeginningYearBalanceAmt
Contributions	$5,300	ContributionsAmt
Investment Earnings Or Losses	$923	InvestmentEarningsOrLossesAmt
Other Expenditures	$121,940	OtherExpendituresAmt
Administrative Expenses	$452	AdministrativeExpensesAmt
End Year Balance	$347,069	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.83700	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.16300	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,529,020	OtherCostOrOtherBasisAmt
Book Value	$2,529,020	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,640,210	OtherCostOrOtherBasisAmt
Depreciation	$18,798,031	DepreciationAmt
Book Value	$22,842,179	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,639,785	OtherCostOrOtherBasisAmt
Depreciation	$22,220,556	DepreciationAmt
Book Value	$10,419,229	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,688,473	OtherCostOrOtherBasisAmt
Depreciation	$968,678	DepreciationAmt
Book Value	$1,719,795	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$37,510,223	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	FAIR VALUE OF INTEREST RATE SWAP	Desc
Amt	$2,906,684	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,906,684	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	ENDOWMENT FUNDS WILL BE USED AS DIRECTED BY THE DONOR. BOARD DESIGNATED FUNDS ARE A MEMORIAL ACCOUNT AND FUNDS WILL BE SPENT AS DIRECTED BY THE BOARD OF DIRECTORS.
PART X, LINE 2:	THE INTERNAL REVENUE SERVICE HAS RULED THAT THE HOSPITAL AND ITS SUBSIDIARIES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2010.
PART XI LINE 8:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	GOLF OUTING	NameOfEvent1Amt
Gross Receipts Event1	$55,590	GrossReceiptsEvent1Amt
Charitable Contri Event1	$46,224	CharitableContriEvent1Amt
Gross Revenue Event1	$9,366	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$4,898	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$6,568	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$1,257	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$237	OtherDirectExpensesEvent1Amt
Name Of Event2	GERANIUM SALE	NameOfEvent2Amt
Gross Receipts Event2	$6,356	GrossReceiptsEvent2Amt
Charitable Contri Event2	$0	CharitableContriEvent2Amt
Gross Revenue Event2	$6,356	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$4,791	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$61,946	GrossReceiptsTotalAmt
Charitable Contributions Tot	$46,224	CharitableContributionsTotAmt
Gross Revenue Total Events	$15,722	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$4,898	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$6,568	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$1,257	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$5,028	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$17,751	DirectExpenseSummaryEventsAmt
Net Income Summary	-$2,029	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,661,566	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,095,961	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$565,605	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,137,277	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,623,926	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,513,351	NetCommunityBenefitExpnsAmt
Total Expense	0.04810	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$897,032	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$329,425	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$567,607	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,695,875	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,049,312	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,646,563	NetCommunityBenefitExpnsAmt
Total Expense	0.06360	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$731,942	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,266	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$644,676	NetCommunityBenefitExpnsAmt
Total Expense	0.00880	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,659	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,631	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,028	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$753,601	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,897	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$662,704	NetCommunityBenefitExpnsAmt
Total Expense	0.00900	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,449,476	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,140,209	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,309,267	NetCommunityBenefitExpnsAmt
Total Expense	0.07260	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$2,604,887	BadDebtExpenseAmt
Bad Debt Expense Attributable	$78,147	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$18,213,511	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$18,927,948	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$714,437	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
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	FULTON COUNTY HEALTH CENTER	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	725 S SHOOP AVE	AddressLine1
City	WAUSEON	City
State	OH	State
ZIP Code	43567	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FULTON COUNTY HEALTH CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.FULTONCOUNTYHEALTHCENTER.ORG/	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
Other Needs Addressed	Yes (X)	OtherNeedsAddressedInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	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 (1)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FULTON COUNTY HEALTH CENTER	PART V, SECTION B, LINE 3: FULTON COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION, LOCATED IN TOLEDO, OHIO, TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE HOSPITAL COUNCIL HAS BEEN COMPLETING COMPREHENSIVE HEALTH ASSESSMENTS SINCE 1999. THE PROJECT COORDINATOR FROM THE HOSPITAL COUNCIL OF NW OHIO HOLDS A MASTER'S DEGREE IN PUBLIC HEALTH AND CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM FULTON COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE, YOUTH RISK BEHAVIOR SURVEILLANCE, AND NATIONAL SURVEY OF CHILDREN'S HEALTH SURVEYS WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE FULTON COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 149 ITEMS FOR THE ADULT SURVEY AND 81 ITEMS FOR THE ADOLESCENT SURVEY. THE DRAFTS WERE REVIEWED AND APPROVED BY HEALTH RESEARCHERS AT THE UNIVERSITY OF TOLEDO.THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS, WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS AND OVER-SAMPLED MINORITY POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT AND COMMUNITY PLANNING PROCESS, SUCH FULTON COUNTY HEALTH DEPARTMENT, THE FULTON COUNTY HEALTH CENTER, AND JOB AND FAMILY SERVICES. THE PARTICIPANTS INCLUDED:A (PH) AFTER THEIR NAME INDICATES THEY WORK IN THE PUBLIC HEALTH FIELD OR TEACH PUBLIC HEALTH. FOUR COUNTY ADAMHS BOARD:LES MCCASLIN, CHIEF EXECUTIVE OFFICERFULTON COUNTY BOARD OF DEVELOPMENTAL DISABILITIES:BETH FRIESS, SUPERINTENDENTFULTON COUNTY HEALTH CENTER:PATRICIA FINN, CHIEF EXECUTIVE OFFICERSTEVE MCCOY, DIRECTOR OF MARKETING AND PLANNINGSHARON MORR, DIRECTOR OF CORPORATE AND COMMUNITY HEALTH PROMOTIONFULTON COUNTY HEALTH DEPARTMENT:MICHAEL P. ORICKO, M.S.E.P.H, HEALTH COMMISSIONER (PH)CINDY ROSE, RN, BSN, DIRECTOR OF NURSING (PH)KIM CUPP, RS, BS, DIRECTOR OF ENVIRONMENTAL HEALTH (PH)RACHEL KINSMAN, HEALTH EDUCATION COORDINATOR (PH)FULTON COUNTY FAMILY & CHILDREN FIRST COUNCIL:KAREN PENNINGTON, COORDINATORLOU MOODY, MSN, PROJECT DIRECTOR, HEALTHY CHOICES CARING COMMUNITIES
FULTON COUNTY HEALTH CENTER	PART V, SECTION B, LINE 5D: THE ASSESSMENT IS AVAILABLE ON THE FOLLOWING ADDITIONAL WEBSITES: FULTON COUNTY HEALTH DEPARTMENTHTTP://WWW.FULTONCOUNTYHEALTHCENTER.ORG/MEDIA/49929/2013-FULTON-COUNTY-COMMUNITY-NEEDS-ASSESSMENT.PDFHOSPITAL COUNCIL OF NORTHWEST OHIOHTTP://WWW.HCNO.ORG/PDF/COUNTIES/FULTON%20COUNTY%20FINAL%20REPORT%20REV%207-22-13.PDFALSO, HARD COPIES OF THE FULL REPORT WERE GIVEN TO ALL KEY LEADERS AT THE COMMUNITY EVENT.
FULTON COUNTY HEALTH CENTER	PART V, SECTION B, LINE 6I: ADULT SURVEY: ADULTS AGES 19 AND OVER LIVING IN FULTON COUNTY WERE USED AS THE SAMPLING FRAME FOR THE ADULT SURVEY. SINCE U.S. CENSUS BUREAU AGE CATEGORIES DO NOT CORRESPOND EXACTLY TO THIS AGE PARAMETER, THE INVESTIGATORS CALCULATED THE POPULATION OF THOSE 18 YEARS AND OVER LIVING IN FULTON COUNTY. THERE WERE 31,689 PERSONS AGES 18 AND OVER LIVING IN FULTON COUNTY. THE INVESTIGATORS CONDUCTED A POWER ANALYSIS TO DETERMINE WHAT SAMPLE SIZE WAS NEEDED TO ENSURE A 95% CONFIDENCE LEVEL WITH A CORRESPONDING CONFIDENCE INTERVAL OF 5% (I.E., WE CAN BE 95% SURE THAT THE "TRUE" POPULATION RESPONSES ARE WITHIN A 5% MARGIN OF ERROR OF THE SURVEY FINDINGS.) A SAMPLE SIZE OF AT LEAST 380 ADULTS FROM ALL RACES WERE NEEDED TO ENSURE THIS LEVEL OF CONFIDENCE. THE RANDOM SAMPLE OF MAILING ADDRESSES OF ADULTS FROM FULTON COUNTY WAS OBTAINED FROM AMERICAN CLEARINGHOUSE IN LOUISVILLE, KY.PRIOR TO MAILING THE SURVEY TO ADULTS, AN ADVANCE LETTER WAS MAILED TO 2,000 ADULTS IN FULTON COUNTY. THIS ADVANCE LETTER WAS PERSONALIZED, PRINTED ON FULTON COUNTY PARTNERS FOR HEALTH STATIONERY AND WAS SIGNED BY MIKE ORICKO, HEALTH COMMISSIONER, FULTON COUNTY HEALTH DEPARTMENT. THE LETTER INTRODUCED THE COUNTY HEALTH ASSESSMENT PROJECT AND INFORMED THE READERS THAT THEY MAY BE RANDOMLY SELECTED TO RECEIVE THE SURVEY. THE LETTER ALSO EXPLAINED THAT THE RESPONDENTS' CONFIDENTIALITY WOULD BE PROTECTED AND ENCOURAGED THE READERS TO COMPLETE AND RETURN THE SURVEY PROMPTLY IF THEY WERE SELECTED. TWO WEEKS FOLLOWING THE ADVANCE LETTER, A THREE-WAVE MAILING PROCEDURE WAS IMPLEMENTED TO MAXIMIZE THE SURVEY RETURN RATE. THE INITIAL MAILING INCLUDED A PERSONALIZED HAND SIGNED COVER LETTER (ON FULTON COUNTY PARTNERS FOR HEALTH STATIONERY) DESCRIBING THE PURPOSE OF THE STUDY; A QUESTIONNAIRE PRINTED ON COLORED PAPER; A SELF-ADDRESSED STAMPED RETURN ENVELOPE; AND A $2 INCENTIVE. APPROXIMATELY TWO WEEKS AFTER THE FIRST MAILING, A SECOND WAVE MAILING INCLUDED ANOTHER PERSONALIZED COVER LETTER ENCOURAGING THEM TO REPLY, ANOTHER COPY OF THE QUESTIONNAIRE ON COLORED PAPER, AND ANOTHER REPLY ENVELOPE. A THIRD WAVE POSTCARD WAS SENT TWO WEEKS AFTER THE SECOND WAVE MAILING. SURVEYS RETURNED AS UNDELIVERABLE WERE NOT REPLACED WITH ANOTHER POTENTIAL RESPONDENT. THE ENTIRE MAILING PROCEDURE FOR ADULTS TOOK PLACE FROM JANUARY THROUGH JUNE 2012.THE RESPONSE RATE FOR THE ENTIRE MAILING WAS 50% (N=921). THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY.ADOLESCENT SURVEY: THE PROJECT COORDINATOR MET WITH ALL SCHOOL DISTRICT SUPERINTENDENTS AND OBTAINED APPROVAL FOR THE SURVEY. SCHOOLS AND GRADES WERE RANDOMLY SELECTED. EACH STUDENT IN THAT GRADE HAD TO HAVE AN EQUAL CHANCE OF BEING IN THE CLASS THAT WAS SELECTED, SUCH AS A GENERAL ENGLISH OR HEALTH CLASS. CLASSROOMS WERE CHOSEN BY THE SCHOOL PRINCIPAL. PASSIVE PERMISSION SLIPS WERE MAILED HOME TO PARENTS OF ANY STUDENT WHOSE CLASS WAS SELECTED TO PARTICIPATE. THE RESPONSE RATE WAS 92% (N=469). THE SURVEY CONTAINED 81 QUESTIONS AND HAD A MULTIPLE CHOICE RESPONSE FORMAT. THE STUDENTS WERE SURVEYED IN SEPTEMBER 2012.
FULTON COUNTY HEALTH CENTER	PART V, SECTION B, LINE 7: RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE NEEDS IDENTIFIED THROUGH THE HEALTH ASSESSMENT. OF THE PRIORITY NEEDS IDENTIFIED BY THE COMMUNITY PLANNING PROCESS, THE HOSPITAL IS NOT DIRECTLY ADDRESSING ALL OF THE ISSUES OF YOUTH AND ADULT OBESITY RELATED BEHAVIORS, CARDIOVASCULAR HEALTH, YOUTH AND ADULT DEPRESSION AND SUICIDE, AND YOUTH BULLYING. THIS IS BECAUSE MANY COMMUNITY AGENCIES ACROSS FULTON COUNTY ARE ADDRESSING THESE ISSUES THROUGH THE FOLLOWING ACTION STEPS: -THE FULTON COUNTY HEALTH DEPARTMENT WILL WORK TO EXPAND THE GROW IT, TRY IT, LIKE IT! PROGRAM TO PRESCHOOLS AND THE C.A.T.C.H. PROGRAM IN SCHOOLS. THEY WILL INITIATE FORMALIZED BREASTFEEDING POLICIES FOR EMPLOYERS. ALONG WITH FULTON COUNTY HEALTH CENTER AND HELP ME GROW THEY WILL IMPLEMENT GO, SLOW, WHOA PROGRAM. LASTLY, THEY ARE GOING TO IMPLEMENT MILLION HEARTS INITIATIVE.-HELP ME GROW WILL IMPLEMENT GO, SLOW, WHOA PROGRAM ALONG WITH THE FULTON COUNTY HEALTH DEPARTMENT AND FULTON COUNTY HEALTH CENTER. -FULTON COUNTY PARTNERS FOR HEALTH WILL CREATE A BRANDED LOGO WITH A CONSISTENT MESSAGE TO INCREASE ADULT CARDIOVASCULAR HEALTH.-FOUR COUNTY ADAMHS BOARD WILL CREATE A MENTAL HEALTH DETOXIFICATION UNIT, AND WILL EXPAND EVIDENCE-BASED PROGRAMS TARGETING YOUTH. THEY WILL ALSO, INCREASE THE NUMBER PRIMARY CARE PHYSICIANS SCREENING FOR DEPRESSION DURING OFFICE VISITS (PQH2 AND PQH9).-FOUR COUNTY FAMILY CENTER WILL ASSIST FOUR COUNTY ADAMHS BOARD IN EXPANDING EVIDENCE-BASED PROGRAMS TARGETING YOUTH, AND INCREASE THE NUMBER PRIMARY CARE PHYSICIANS SCREENING FOR DEPRESSION DURING OFFICE VISITS (PQH2 AND PQH9). -PIKE DELTA YORK SCHOOLS WILL IMPLEMENT THE OLWEUS PREVENTION PROGRAM IN FULTON COUNTY SCHOOLS.-CENTER FOR CHILD AND FAMILY ADVOCACY WILL WORK WITH PIKE DELTA YORK SCHOOLS TO IMPLEMENT THE OLWEUS PREVENTION PROGRAM IN FULTON COUNTY SCHOOLS.-THE BOARD OF COMMISSIONERS, AGING CONSORTIUM, AND JOB AND FAMILY SERVICES ARE GOING TO IMPLEMENT A TRANSPORTATION SYSTEM.
FULTON COUNTY HEALTH CENTER	PART V, SECTION B, LINE 14G: FCHC HAS SIGNS POSTED AT EACH PLACE THAT REGISTERS PATIENTS TO INFORM THEM OF FINANCIAL ASSISTANCE AVAILABLE. ALSO, EACH BILLING STATEMENT SENT TO THE PATIENT PROVIDES INFORMATION ON WHO THE PATIENT MAY CONTACT FOR INFORMATION REGARDING FINANCIAL ASSISTANCE. IN ADDITION, FINANCIAL COUNSELORS VISIT CERTAIN PATIENTS IN THE EMERGENCY DEPARTMENT AND ON THE INPATIENT FLOORS TO DISCUSSS THE FINANCIAL ASSISTANCE AVAILABLE TO THEM. FINALLY, FCHC PUBLICIZED THEIR POLICY THROUGH THE FOLLOWING WAYS: POSTED ON THE HOSPITAL FACILITY'S WEBSITE, ATTACHED TO BILLING INVOICES, POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS AND WAITING ROOMS, POSTED IN THE HOSPITAL FACILITY'S ADMISSIONS OFFICES, PROVIDED IN WRITING TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY, AND MADE AVAILABLE UPON REQUEST.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
FULTON MANOR
725 SOUTH SHOOP AVENUE	WAUSEON	OH	43567	SKILLED NURSING FACILITY
FCHC MEDICAL CARE
725 SOUTH SHOOP AVENUE	WAUSEON	OH	43567	PHYSICIAN PRACTICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	NOT APPLICABLE
PART I, LINE 7:	COST OF CHARITY CARE IS CALCULATED USING COST-TO-CHARGE RATIO FROM WORKSHEET 2. COST OF MEDICAID IS PER THE MEDICAID COST REPORT. THE REMAINING ITEMS ARE CALCULATED BASED ON ACTUAL COSTS OF SPECIFIC PROGRAMS WITHOUT THE USE OF A COST ACCOUNTING SYSTEM.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBT EXPENSE THAT WAS REMOVED FROM THE CALCULATION IN PART I LINE 7 COLUMN (F) TOTALED $2,604,887.
PART II, COMMUNITY BUILDING ACTIVITIES:	N/A
PART III, LINE 2:	FCHC CALCULATES BAD DEBT EXPENSE PER THE FINANCIAL STATEMENTS
PART III, LINE 3:	FCHC USED A 3% CALCULATION OF TOTAL BAD DEBT PER THE FINANCIAL STATEMENTS IN ORDER TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD HAVE BEEN ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY
PART III, LINE 4:	FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBT: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS UNPAID CLAIMS BY CERTAIN PAYORS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS.IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OR REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRDPARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.ANY BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY FINANCIAL ASSISTANCE POLICY WOULD BE RECLASSIFIED FROM BAD DEBT TO CHARITY CARE ONCE IT IS IDENTIFIED. THE ENTIRE AMOUNT OF THE BAD DEBT EXPENSE IS REVERSED AND ASSIGNED TO CHARITY CARE.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO.
PART III, LINE 9B:	THE PRACTICES FULTON COUNTY HEALTH CENTER UTILIZES TO COLLECT FROM PATIENTS INCLUDES: PATIENTS ARE SENT STATEMENTS FOR OUTSTANDING BALANCES FOR A PERIOD OF TIME NOT LESS THAN 105 DAYS, AFTER AN EFFORT HAS BEEN MADE TO COLLECT THE BALANCE OR PLAN A PATIENT-PAY ACCOUNT PAYMENT PLAN THROUGH A SERIES OF 4 LETTERS AND 2 TELEPHONE CONTACTS DURING THE AFOREMENTIONED 105 DAY PERIOD, THE ACCOUNT IS TURNED OVER TO A COLLECTION AGENCY FOR FURTHER COLLECTION EFFORTS OR LEGAL ACTION. COLLECTION EFFORTS ARE NOT ENFORCED FOR BALANCES KNOWN TO QUALIFY UNDER CHARITY CARE OR OTHR FINANCIAL ASSISTANCE CRITERIA.
PART VI, LINE 2:	EVERY THREE YEARS, THE ORGANIZATION PERFORMS A COMMUNITY HEALTH NEEDS ASSESSMENT TO DETERMINE THE CURRENT HEALTH NEEDS WITHIN THE COMMUNITY. IN ADDITION, THE MEDICAL STAFF PROVIDES THE HOSPITAL WITH HEALTH CARE NEEDS WITHIN THE COMMUNITY BASED ON THEIR OWN PATIENT HEALTH CARE NEEDS.
PART VI, LINE 3:	FCHC HAS SIGNS POSTED AT EACH PLACE THAT REGISTERS PATIENTS TO INFORM THEM OF FINANCIAL ASSISTANCE AVAILABLE. ALSO, EACH BILLING STATEMENT SENT TO THE PATIENTS PROVIDES INFORMATION ON WHO THE PATIENT MAY CONTACT FOR INFORMATION REGARDING FINANCIAL ASSISTANCE. IN ADDITION, FINANCIAL COUNSELORS VISIT CERTAIN PATIENTS IN THE EMERGENCY DEPARTMENT AND ON THE INPATIENT FLOORS TO DISCUSS THE FINANCIAL ASSISTANCE AVAILABLE TO THEM. FINALLY, FCHC PUBLICIZES THEIR POLICY THROUGH THE FOLLOWING WAYS: POSTED ON THE HOSPITAL FACILITY'S WEBSITE, ATTACHED TO BILLING INVOICES, POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS AND WAITING ROOMS, POSTED IN THE HOSPITAL FACILITY'S ADMISSIONS OFFICES, PROVIDED IN WRITING TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY, AND MADE AVAILABLE UPON REQUEST.
PART VI, LINE 4:	FCHC SERVES FULTON COUNTY, OHIO AS THE PRIMARY SERVICE AREA, AS WELL AS PORTIONS OF HENRY & WILLIAMS COUNTIES IN OHIO AND MORENCI, MICHIGAN AS THE SECONDARY SERVICE AREA. THE POPULATION THAT THE HOSPITAL SERVICES RANGES FROM 40,000 TO 45,000. THERE ARE NO OTHER HOSPITALS IN FULTON COUNTY. THE PERCENTAGE OF PERSONS BELOW THE POVERTY LEVEL IS APPROXIMATELY 9-11%. THE AVERAGE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $59,000. APPROXIMATELY 9% OF FULTON COUNTY RESIDENTS ARE UNINSURED. ALMOST 73% OF RESIDNETS ARE ADULTS OVER THE AGE OF 19, 11% ARE YOUTH AGES 12-18 YEARS AND 16% ARE ADOLESCENTS UNDER THE AGE OF 11. THE MARJORITY (95%) OF THE POPULATION ARE CAUCASIAN. HISPANICS (8%), AFRICAN AMERICANS (<1%), ASIAN (<1%) AND TWO OR MORE RACES (2%) COMPRISE THE REST OF THE POPULATION.
PART VI, LINE 5:	ALL OF THE ORGANIZATION'S BOARD MEMBERS RESIDE IN THE SERVICE AREA OF THE HOSPITAL. BOARD MEMBERS REPRESENT AND LIVE IN THE CITIES AND VILLAGES OF FULTON COUNTY AND ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIES PHYSICIANS IN ITS COMMUNITY THAT MEET THE MEDICAL STAFF BYLAW REQUIREMENTS. THE ORGANIZATION REINVESTS SURPLUS FUNDS INTO THE ORGANIZATION IN THE FORM OF NEW EQUIPMENT, RENOVATIONS, AND ADDITIONAL SERVICES. THE ORGANIZATION HAD 14% OF ITS REVENUE SOURCED FROM MEDICAID AND UNINSURED PATIENTS. FCHC INCURRED $80,457 EXPENSES RELATED TO RECRUITING AND MAINTAINING QUALIFIED PHYSICIANS AND SPECIALISTS TO THE HOSPITAL. THESE PHYSICIANS AND SPECIALISTS ARE CRITITICAL TO ENHANCING THE HEALTH AND LEVEL OF CARE PROVIDED TO THE COMMUNITY. WITHOUT FCHC RECRUITING AND MAINTAINING THESE PHYSICIANS, THE COMMUNITY WOULD NOT HAVE ACCESS TO THESE DOCTORS. AS SUCH, FCHC CONSIDERS THESE PHYSICIAN RECRUITMENT COSTS TO BE A COMMUNITY BENEFIT SERVICE.
PART VI, LINE 6:	N/A

Schedule I IRS990ScheduleI

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	FCHC REVIEWS MANY GRANT REQUESTS THROUGHOUT THE YEAR. ALL GRANTS ARE AT THE DISCRETION OF THE EXECUTIVE DIRECTOR AND BOARD MEMBERS WHO DETERMINE THE AMOUNT OF GRANTS BASED ON THE NEEDS OF THE COMMUNITY. FCHC ROUTINELY ISSUES DONATIONS TO LOCAL NONPROFIT ORGANIZATIONS AND CHARITIES. EMPLOYEES AND BOARD MEMBERS OF FCHC ARE ABLE TO INDIRECTLY MONITOR THE NONPROFITS IN WHICH THEY DONATE TO DUE TO THE NATURE OF THE SMALL COMMUNITY WHERE THE HOSPITAL RESIDES. IN 2013, THERE WAS NO INDIVIDUAL GRANT GREATER THAN $5,000.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	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	0	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 (6 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
PATRICIA A FINN
CHIEF EXECUTIVE OFFICER	$187,002	$0	$0	$0	$0	$0	$9,691	$0	$21,038	$0	$217,731	$0	$0	$0
DANIEL MCKERNAN
PHYSICIAN	$792,954	$0	$0	$0	$0	$0	$0	$0	$19,566	$0	$812,520	$0	$0	$0
CHRISTOPHER SPIELES
PHYSICIAN	$642,944	$0	$0	$0	$0	$0	$0	$0	$19,566	$0	$662,510	$0	$0	$0
SEMEGHAGHA FOFUNG
PHYSICIAN	$274,267	$0	$0	$0	$0	$0	$0	$0	$7,698	$0	$281,965	$0	$0	$0
ALAN RIVERA
HOSPITALIST	$237,491	$0	$0	$0	$0	$0	$0	$0	$0	$0	$237,491	$0	$0	$0
RONALD MUSIC
PHYSICIAN	$167,955	$0	$0	$0	$0	$0	$0	$0	$19,566	$0	$187,521	$0	$0	$0

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 FULTON OHIO	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	346400540	BondIssuerEIN
Bond Issued	2011-10-20	BondIssuedDt
Issue Price	$28,755,000	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$28,755,000	TotalProceedsAmt
Issuance Costs From Proceeds	$318,130	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$28,436,870	OtherSpentProceedsAmt
Substantial Completion	2009	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	Yes (1)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (1)	EngageBondCounselResearchInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE K, PART III, LINE 3A:	FOOTNOTE: UNDER THE SAFE-HARBOR PROVISIONS OF REVENUE PROCEDURE 97-13, THE MANAGEMENT CONTRACTS DO NOT RESULT IN PRIVATE BUSINESS USES.
FORM 990, SCHEDULE K, PART III, LINE 3C:	FOOTNOTE: FULTON COUNTY HEALTH CENTER'S ONCOLOGY DEPARTMENT PARTICIPATES IN THE TOLEDO ONCOLOGY CANCER DRUG RESEARCH PROGRAM. RESEARCH AGREEMENTS RELATED TO THIS PROGRAM DO NOT RESULT IN PRIVATE BUSINESS USE.
FORM 990, SCHEDULE K, PART I, LINE A, COLUMN (F):	FOOTNOTE: CURRENT REFUNDING OF $28,500,000 FULTON COUNTY HEALTH CENTER, COUNTY OF FULTON, OHIO, ADJUSTABLE RATE DEMAND REVENUE BOND SERIES 2005, ISSUED DECEMBER 1, 2005.
FORM 990, SCHEDULE K, PART II, LINE 11:	FOOTNOTE: PROCEEDS USED TO REFUND BONDS DESCRIBED IN PART I, LINE A, COLUM (F), AS REFERRED TO IN PART II, LINE 14. THE ORGANIZATION ENTERED INTO A QUALIFIED HEDGE WITH RESPECT TO THE REFUNDED BOND ISSUE. PURSUANT TO TREASURY REGULATIONS SECTION 1.48-4(H)(3)(IV)(A), THE HEDGE WAS DEEMED TERMINATED UPON ISSUANCE OF THE 2011 REFUNDING BONDS. UNDER TREASURY REGULATIONS SECTION 1.148-4(H)(3)(IV)(C), FOR REBATE PURPOSES THE DEEMED TERMINATION OF THE HEDGE RESULTS IN A DEEMED TERMINATION PAYMENT THAT IS ALLOCATED TO THE 2011 REFUNDING ISSUE. AS A RESULT OF THIS PROVISION, FOR REBATE PURPOSES A PORTION OF THE PROCEEDS OF THE 2011 REFUNDING ISSUE IS DEEMED TO CONSTITUTE A PAYMENT TO THE HEDGE PROVIDER. THE ORGANIZATION HAS REPORTED THE MANNER IN WHICH THE PROCEEDS WERE ACTUALLY SPENT IN PART II, LINES 1-11.
FORM 990, SCHEDULE K, PART IV, LINE 4A:	FOOTNOTE: AS DISCUSSED IN THE SUPPLEMENTAL INFORMATION PROVIDED IN PART II, LINE 11, THE ORGANIZATION ENTERED INTO A QUALIFIED HEDGE WITH RESPECT TO THE BONDS THAT ARE DESCRIBED IN PART I, LINE A, COLUMN (F), WHICH WERE REFUNDED BY THE 2011 REFUNDING ISSUE. THE QUALIFIED HEDGE WAS DEEMED TERMINATED PURSUANT TO TREASURY REGULATIONS SECTION 1.148-4(H)(3)(IV)(A). THE PAYMENTS ON THE HEDGE DO NOT CLOSELY CORRESPOND TO THE PRINCIPAL PAYMENTS ON THE 2011 REFUNDING ISSUE AND THE HEDGE HAS THEREFORE NOT BEEN IDENTIFIED AS A QUALIFYING HEDGE WITH RESPECT TO THE 2011 REFUNDING ISSUE.
FORM 990, SCHEDULE K, PART III, LINE 7:	FOOTNOTE: FULTON COUNTY HEALTH CENTER DOES NOT BELIEVE THAT THE BOND ISSUE MEETS THE PRIVATE SECURITY OR PAYMENT TEST, BUT BECAUSE THERE IS NO PRIVATE BUSINESS USE OF THE BOND-FINANCED FACILITIES, IT HAS NOT FORMALLY CALCULATED WHETHER THE PRIVATE SECURITY OR PAYMENT TEST HAS BEEN MET.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JANET M BUEHRER
EMPLOYEE OF FCHC/SISTER TO SHARON GILLEPSIE (BOARD MEMBER)	$47,011	W-2 WAGES	0
DAWN M KOLB
EMPLOYEE OF FCHC/WIFE TO BRETT KOLB (BOARD MEMBER)	$45,804	W-2 WAGES	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	IN OCTOBER OF 2013 A PEDIATRIC OFFICE WAS OPENED TO PROVIDE PEDIATRIC CARE.
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF THE FORM 990 IS PROVIDED TO AND REVIEWED BY EACH OF THE ORGANIZATION'S BOARD OF DIRECTORS, DIRECTOR OF FINANCE - DARRELL TOPMILLER, AND CHIEF EXECUTIVE OFFICER - PATRICIA A. FINN, BEFORE THE FORM IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST QUESTIONNAIRES ARE DISTRIBUTED ANNUALLY TO THE BOARD OF DIRECTORS AND DEPARTMENT HEADS. NEW BOARD MEMBERS ARE INTERVIEWED BY THE ADMINISTRATOR AND AT THAT TIME, DISCUSS WHETHER ANY CONFLICTS OF INTEREST EXIST. THE BOARD MEMBER IS PRESENTED TO THE EXECUTIVE COMMITTEE WHO REVIEWS ALL PERTINENT INFORMATION TO DETERMINE IF THERE IS A CONFLICT OF INTEREST AND WHETHER THAT PERSON CAN SERVE AS A BOARD MEMBER. VENDORS ARE REVIEWED REGULARLY BY DEPARTMENT HEADS TO DETERMINE IF ANY RELATIONSHIPS EXIST PER THE CONFLICT OF INTEREST QUESTIONNAIRES. AN OFFICER, DIRECTOR, OR KEY EMPLOYEE WHO HAS A CONFLICT OF INTEREST SHALL DISCLOSE THE CONFLICT OF INTEREST WHEN IT ARISES, AND BEFORE ACTION ON THE TRANSACTION OR CLAIM IN QUESTION. DISCLOSURE IS REQUIRED EVEN IF A DECISION CONCERNING THE TRANSACTION OR CLAIM IS NOT SUBJECT TO APPROVAL BY THE OFFICER, DIRECTOR, OR KEY EMPLOYEE OR THE BOARD OR COMMITTEE ON WHICH THE OFFICER, DIRECTOR, OR KEY EMPLOYEE SERVES. THE POLICY PROVIDES A PROCEDURE FOR REPORTING POTENTIAL CONFLICTS WHEN THEY ARISE AND BEFORE ACTION TO APPROVE OR AUTHORIZE THE TRANSACTION IS TAKEN. THE POLICY COVERS DIRECTORS, OFFICERS, EMPLOYEES OR AGENTS OF FULTON COUNTY HEALTH CENTER AND MEMBERS OF COMMITTEES AUTHORIZED TO APPROVE TRANSACTIONS OR ASSERT CLAIMS ON BEHALF OF THE FULTON COUNTY HEALTH CENTER. THE BOARD OF DIRECTORS, OTHER THAN ANY BOARD MEMBER DIRECTLY INVOLVED WITH THE CONFLICT, DETERMINES WHETHER A CONFLICT OF INTEREST INVOLVING AN INDIVIDUAL COVERED BY THE POLICY EXISTS AND REVIEWS ACTUAL CONFLICTS. INDIVIDUALS WITH CONFLICTS ARE NOT PERMITTED TO PARTICIPATE IN DELIBERATIONS OR VOTE TO AUTHORIZE A TRANSACTION OR ASSERTION OF A CLAIM.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, PATRICIA A. FINN, IS APPROVED BY THE BOARD OF DIRECTORS. THE ORGANIZATION PARTICIPATES WITH THE OHA AND USES THEIR WAGE SURVEYS TO HELP DETERMINE THE ADMINISTRATOR'S COMPENSATION. THE ADMINISTRATOR'S COMPENSATION IS REVIEWED ANNUALLY AND DECISIONS ARE DOCUMENTED IN THE BOARD OF DIRECTOR MEETING MINUTES. THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED BY THE BOARD OF DIRECTORS. THE ORGANIZATION PARTICIPATES WITH THE OHA AND USES THEIR WAGE SURVEYS TO HELP DETERMINE OFFICER COMPENSATION. THE BOARD APPROVES THE COMPENSATION OF EMPLOYEES IN THE AGGREGATE. OFFICER COMPENSATION IS REVIEWED ANNUALLY AND DECISIONS ARE DOCUMENTED IN THE BOARD OF DIRECTOR MEETING MINUTES. THE COMPENSATION REVIEW PROCESS FOR THE CEO, OFFICERS, AND KEY EMPLOYEES WAS LAST PERFORMED IN MARCH 2012. NO INCREASES WERE GIVEN IN 2013.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART VI, LINE 9:	DALE NAFZIGER 22386 COUNTY ROAD F. ARCHBOLD, OH 45302 JASON ROW 24706 CO RD E. ARCHBOLD, OH 43502
FORM 990, PART IX, LINE 11G	PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,789,840. MANAGEMENT AND GENERAL EXPENSES 1,031,859. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,821,699. HUMAN RESOURCES: PROGRAM SERVICE EXPENSES 112,304. MANAGEMENT AND GENERAL EXPENSES 41,537. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 153,841. CONSULTING: PROGRAM SERVICE EXPENSES 136,570. MANAGEMENT AND GENERAL EXPENSES 50,512. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 187,082. DIRECTORSHIP/HOUSEKEEPING/OTHER SERVICES: PROGRAM SERVICE EXPENSES 912,757. MANAGEMENT AND GENERAL EXPENSES 337,595. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,250,352. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 1,649,980. MANAGEMENT AND GENERAL EXPENSES 610,266. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,260,246.
FORM 990, PART XI, LINE 9:	K-1 LOSS 20,324. CHANGE IN FAIR VALUE OF INTEREST SWAP AGREEMENTS 1,855,703.
FORM 990, PART XII, LINE 2C:	THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS HAS NOT CHANGED SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
FCHC MEDICAL CARE LLC
725 S SHOOP AVE	WAUSEON	OH	435671702	010877201	PHYSICIAN BILLING AND PHYSICIAN PRACTICES	OH	$4,611,601	$2,014,848	FULTON COUNTY HEALTH CENTER
FCHC MEDICAL SERVICES LLC
725 S SHOOP AVE	WAUSEON	OH	435671702	010877202	HOLD LAND	OH	$0	$380,546	FULTON COUNTY HEALTH CENTER