FIRELANDS REGIONAL MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: FIRELANDS REGIONAL MEDICAL CENTER (EIN 34-4428218)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-13
IRS object ID: 201333179349303748
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule 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)
Timestamp	2013-11-13T13:58:07-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	344428218	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FIRELANDS REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FIRE	NameControl
Phone	4195577400	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVENUE	AddressLine1
City	SANDUSKY	City
State	OH	State
ZIP Code	448703323	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DANIEL J MONCHER	Name
Title	EXECUTIVE VP/CFO	Title
Phone	4195577400	Phone
Date Signed	2013-11-12	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DANIEL J MONCHER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVE	AddressLine1
City	SANDUSKY	City
State	OH	State
ZIP Code	448703323	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	280554790	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FIRELANDS.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1919	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	OUR MISSION IS TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR PHYSICIANS, THEIR PATIENTS, OUR VOLUNTEERS AND EMPLOYEES AS WE STRIVE TOGETHER TO IMPROVE THE HEALTH OF THOSE WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	37	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	37	NbrIndependentVotingMembers
Total Nbr Employees	2224	TotalNbrEmployees
Total Nbr Volunteers	276	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	684591	ContributionsGrantsPriorYear
Contributions Grants Current Year	769282	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	219898079	ProgramServiceRevenuePriorYear
Program Service Revenue CY	226656601	ProgramServiceRevenueCY
Investment Income Prior Year	2837530	InvestmentIncomePriorYear
Investment Income Current Year	3581223	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6986446	OtherRevenuePriorYear
Other Revenue Current Year	7063000	OtherRevenueCurrentYear
Total Revenue Prior Year	230406646	TotalRevenuePriorYear
Total Revenue Current Year	238070106	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1024500	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	282958	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	96496084	SalariesEtcPriorYear
Salaries Etc Current Year	98742566	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	243691	TotalFundrsngExpCurrentYear
Other Expense Prior Year	121321617	OtherExpensePriorYear
Other Expenses Current Year	119980001	OtherExpensesCurrentYear
Total Expenses Prior Year	218842201	TotalExpensesPriorYear
Total Expenses Current Year	219005525	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11564445	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	19064581	RevenuesLessExpensesCY
Total Assets BOY	394859699	TotalAssetsBOY
Total Assets EOY	415796088	TotalAssetsEOY
Total Liabilities BOY	276375870	TotalLiabilitiesBOY
Total Liabilities EOY	267959407	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	118483829	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	147836681	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	OUR MISSION IS TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR PHYSICIANS, THEIR PATIENTS, OUR VOLUNTEERS AND EMPLOYEES AS WE STRIVE TOGETHER TO IMPROVE THE HEALTH OF THOSE WE SERVE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	175812385	Expense
Grants	282958	Grants
Revenue	226656601	Revenue
Description	SEE SCHEDULE OFIRELANDS REGIONAL MEDICAL CENTER IS A 400-BED FACILITY SERVING THE GREATER ERIE COUNTY REGION WITH TOP QUALITY HEALTHCARE SERVICES DESIGNED TO HELP THE PEOPLE IN OUR COMMUNITIES LIVE HEALTHIER, HAPPIER LIVES. AS A NON-PROFIT ORGANIZATION, FIRELANDS IS COMMITTED TO ITS MISSION OF IMPROVING THE HEALTH OF THOSE WE SERVE. FIRELANDS IS DEDICATED TO PROVIDING CARE TO ALL THOSE IN OUR COMMUNITY REGARDLESS OF ABILITY TO PAY.A RESULT OF COMBINING THREE ORIGINAL HOSPITALS: GOOD SAMARITAN HOSPITAL AND MEMORIAL HOSPITAL IN 1985 AND THEN ADDING PROVIDENCE HOSPITAL IN 2001, TODAY'S FIRELANDS REGIONAL MEDICAL CENTER CARRIES ON THE PROUD TRADITION OF DELIVERING A FULL RANGE OF ALLOPATHIC AND OSTEOPATHIC MEDICAL SERVICES TO NEARLY 300,000 RESIDENTS IN THE FIVE-COUNTY AREA.AS THE LARGEST YEAR-ROUND EMPLOYER IN ERIE COUNTY, FIRELANDS REGIONAL MEDICAL CENTER PLAYS AN IMPORTANT ROLE IN THE LOCAL COMMUNITY. WITH OVER 2,168 INDIVIDUALS EMPLOYED IN THE HEALTH SYSTEM IN 2012, $900,502 WAS PAID IN CITY AND SCHOOL PAYROLL TAXES IN 2012, AND $9.2 MILLION OF GOODS AND SERVICES WERE PURCHASED FROM BUSINESSES IN FIRELANDS' SERVICE AREA.IN TERMS OF HEALTHCARE SERVICES PROVIDED IN 2012, INPATIENT CARE WAS GIVEN TO 9,393 INDIVIDUALS, AND THE HOSPITAL PROVIDED CARE THROUGH 231,686 OUTPATIENT VISITS. THROUGH THE EMERGENCY ROOM, INCLUDING EMERGENCY QUICKCARE, SENIOR ER AND URGENT CARE, 52,056 PERSONS WERE TREATED. FIRELANDS HAD 732 BIRTHS IN 2012.CONSISTENT WITH OUR COMMITMENT TO PROVIDE CARE TO ALL, REGARDLESS OF ABILITY TO PAY, FIRELANDS GAVE THE COMMUNITY BACK $14 MILLION OF SERVICES IN FREE OR DISCOUNTED PROGRAMS OR SERVICES. ADDITIONAL CHARITY CARE WAS PROVIDED BY INDEPENDENT PHYSICIANS WHO ARE ON THE MEDICAL STAFF OF FIRELANDS.SPECIFICALLY, IN TERMS OF FREE OR DISCOUNTED CARE PROVIDED, FIRELANDS SERVED THE FOLLOWING NUMBER OF PERSONS WITHIN EACH CATEGORY, AMOUNTING TO SIGNIFICANT DOLLARS INVESTED IN THE COMMUNITY FOR WHICH FIRELANDS DID NOT RECEIVE COMPENSATION.FOR EXAMPLE, 25,033 PERSONS WERE SERVED WHERE THE COSTS OF SERVICES WERE NOT COVERED BY MEDICARE OR MEDICAID. THE COST TO FIRELANDS OF PROVIDING THIS CARE WAS $6,623,644. FOR HEALTH EDUCATION AND OUTREACH, 25,579 PERSONS WERE SERVED, AND THE COST OF PROVIDING THIS CARE WAS $182,865. MEDICAL EDUCATION PROGRAMS SERVED 131 PEOPLE AT A COST OF $2,111,202. THE HOSPITAL ALSO PROVIDED CHARITY CARE TO 12,545 PEOPLE, AT A COST OF $5,018,436. FINALLY, IN-KIND DONATIONS TOTALED $103,064.FIRELANDS' COMMUNITY OUTREACH DEPARTMENT IS DEDICATED TO PROVIDING SCREENINGS, COMMUNITY EDUCATION PROGRAMS, AND PREVENTIVE SERVICES ALL DESIGNED TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED BY FIRELANDS. THESE SERVICES ARE PROVIDED AT FREE OR DISCOUNTED RATES. ADDITIONALLY IN 2012 SEVERAL INITIATIVES WERE LAUNCHED TO SPECIFICALLY ADDRESS THE ISSUE OF CHILDHOOD OBESITY, WHICH WAS IDENTIFIED AS A PROBLEM IN ERIE COUNTY IN A COMMUNITY NEEDS ASSESSMENT RELEASED IN 2012 IN CONJUNCTION WITH THE COUNTY HEALTH DEPARTMENT. THESE INITIATIVES WERE LED BY THE POPULATION HEALTH EFFORTS OF THE MEDICAL CENTER. FIRELANDS ALSO WORKS IN CONJUNCTION WITH OTHER HEALTHCARE FACILITIES TO BRING SPECIALIZED PEDIATRIC CLINICS TO THE AREA, SUCH AS PULMONARY, PSYCHIATRY, EPILEPSY, PHYSIATRY, CARDIOLOGY, NEUROLOGY, GASTROENTEROLOGY, AND ORTHOPEDICS. FIRELANDS' COMMITMENT TO PROVIDE HEALTHCARE TO THE UNDERSERVED IS EVIDENT IN ITS 2012 FUNDING OF $408,790 IN SUPPORT OF FAMILY HEALTH SERVICES, A CLINIC FOR LOW INCOME FAMILIES. FAMILY HEALTH SERVICES PROVIDES ACCESS TO PRIMARY CARE PHYSICIANS FOR THOSE WHO OTHERWISE WOULD NOT BE ABLE TO AFFORD A PHYSICIAN. THE CLINIC PROVIDES WELL-CHILD CARE, WOMEN'S HEALTHCARE AND PAP TESTS, TREATMENT OF ACUTE PROBLEMS LIKE COLDS AND FLU, AND MANAGEMENT OF CHRONIC CONDITIONS SUCH AS DIABETES, HIGH BLOOD PRESSURE, DEPRESSION, EMPHYSEMA AND ARTHRITIS. THE CLINIC PROVIDES A MORE APPROPRIATE PLACE OF SERVICE THAN AN EMERGENCY ROOM VISIT, AND AT A MUCH LOWER COST. FIRELANDS IS COMMITTED TO PROVIDING THE BEST QUALITY OF HEALTHCARE TO THE LOCAL COMMUNITY, REGARDLESS OF A PERSON'S ABILITY TO PAY. FIRELANDS HAS SEEN SIGNIFICANT GROWTH IN BRINGING ADVANCED PROCEDURES TO THE LOCAL COMMUNITY SO THAT PERSONS RESIDING IN THE FIVE-COUNTY AREA CAN STAY CLOSE TO HOME FOR ADVANCED CARE SUCH AS HEART SURGERIES AND INTERVENTIONAL PROCEDURES, ADVANCED CARE IN MEDICAL ONCOLOGY AND RADIATION ONCOLOGY SERVICES, THE ADDITION OF NEW TECHNOLOGICALLY ADVANCED EQUIPMENT IN THE RADIOLOGY DEPARTMENT AND WOMEN'S HEALTH AND WELLNESS CENTER, AND THE ADDITION OF MANOMETRY EQUIPMENT TO THE DIGESTIVE HEALTH CENTER. THE MEDICAL CENTER ALSO PROVIDES THE AREA'S ONLY ENDOCRINOLOGIST, WHICH PROVIDES LOCAL CARE TO THOSE IN THE REGION WITH DIABETES AND OTHER ENDOCRINE CONDITIONS. DURING 2012, FIRELANDS ALSO EXPANDED SERVICE HOURS FOR NUMEROUS PROGRAMS AND OPENED SATELLITE FACILITIES IN SURROUNDING RURUAL AREAS TO PROVIDE PHYSICAL THERAPY SERVICES, LAB SERVICES, AND DIALYSIS SERVICES.NEW IN 2012, FIRELANDS REGIONAL MEDICAL CENTER ADDED AN URGENT CARE FACILITY TO SERVE THE REGION, A SENIOR ER, AN ADDITIONAL WOMEN'S IMAGING LOCATION, AND A MEDICATION MANAGEMENT CLINIC WHICH PROVIDES PATIENTS WITH ASSISTANCE IN MANAGING THEIR MEDICATION FOR CHRONIC MEDICAL CONDITIONS.	Description
Total Program Service Expense	175812385	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	147	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2224	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Excess Business Holdings	0	ExcessBusinessHoldings
Taxable Distributions	0	TaxableDistributions
Distribution To Donor	0	DistributionToDonor
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	37	NbrVotingGoverningBodyMembers
Number Independent Voting Members	37	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DENNIS J KOPCO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4195577094	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVE	AddressLine1
City	SANDUSKY	City
State	OH	State
ZIP Code	448703323	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (48 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
J WILLIAM SPRINGER
VICE CHAIR	2.00	0.00	X	0	0	0
JOHN O BACON
CHAIR	2.00	0.00	X	0	0	0
THOMAS AYLWARD
DIRECTOR	1.00	0.00	X	0	0	0
WILLIAM K BALZER PHD
DIRECTOR	1.00	0.00	X	0	0	0
KAMAL CHABAN MD
DIRECTOR	1.00	0.00	X	0	0	0
VINCENTA GASPAR-YOO MD
DIRECTOR	1.00	0.00	X	0	0	0
MARK GROSS
DIRECTOR	1.00	0.00	X	0	0	0
ROGER M GUNDLACH
DIRECTOR	1.00	0.00	X	0	0	0
FREDRIC ITZKOWITZ DO
DIRECTOR	1.00	0.00	X	0	0	0
BRIAN KASPER
DIRECTOR	1.00	0.00	X	0	0	0
THEODORE A KASTOR
DIRECTOR	1.00	0.00	X	0	0	0
DANIEL KELLER
DIRECTOR	1.00	0.00	X	0	0	0
RICHARD R KELLER MD
DIRECTOR	1.00	0.00	X	0	0	0
M LEE MCDERMOND JR
DIRECTOR	1.00	0.00	X	0	0	0
CAROL A WOLFE
DIRECTOR	1.00	0.00	X	0	0	0
PATRICK MCGUINN MD
DIRECTOR	1.00	0.00	X	0	0	0
DUFFIELD E MILKIE
DIRECTOR	1.00	0.00	X	0	0	0
JAMES MILLER
DIRECTOR	1.00	0.00	X	0	0	0
ALLEN R NICKLES
DIRECTOR	1.00	0.00	X	0	0	0
KARL OBERER DO
DIRECTOR	1.00	0.00	X	0	0	0
DEAN J REICHENBACH MD
DIRECTOR	1.00	0.00	X	0	0	0
CAROL B STEUK
SECRETARY	2.00	0.00	X	0	0	0
JAMES V STOUFFER JR
DIRECTOR	1.00	0.00	X	0	0	0
DAVID A VOIGHT SR
DIRECTOR	1.00	0.00	X	0	0	0
ELAINE WATERFIELD
DIRECTOR	1.00	0.00	X	0	0	0
JAMES O WIBLE
DIRECTOR	1.00	0.00	X	0	0	0
CARL E WILL
DIRECTOR	1.00	0.00	X	0	0	0
LEON J WIEBER
TREASURER	2.00	0.00	X	0	0	0
GEORGE L MYLANDER
CHAIR EMERITUS	2.00	0.00	X	0	0	0
CARLOS LOWELL DO
DIRECTOR	1.00	0.00	X	0	0	0
JAMES E PRESTON DO
DIRECTOR	1.00	0.00	X	0	0	0
PAULA J RENGEL
DIRECTOR	1.00	0.00	X	0	0	0
THOMAS M ROUTH
DIRECTOR	1.00	0.00	X	0	0	0
JOHN WALDOCK JR
DIRECTOR	1.00	0.00	X	0	0	0
GERALD GUERRA
DIRECTOR	1.00	0.00	X	0	0	0
MARTIN E TURSKY
PRESIDENT/CEO	40.00	0.00	X	282816	0	55334	X
STEVE LICHTCSIEN
DIRECTOR	1.00	0.00	X	0	0	0
DOUGLAS PHARES
DIRECTOR	1.00	0.00	X	0	0	0
JOHN HOTY
DIRECTOR	1.00	0.00	X	0	0	0
DANIEL J MONCHER
EXEC VP/CFO/NON-VOTING	40.00	0.00		481471	0	59556	X
TAMARA L JACKSON
CHIEF NURSING OFFICER	40.00	0.00		429446	0	72914		X
ROBERT M MOORE
VP LEGAL SERVICES	40.00	0.00		254197	0	54240			X
ERIC MAST
DIR MED ED/RESIDENCY	40.00	0.00		235792	0	29217			X
SCHRICKEL BEV
VP OPERATIONS	40.00	0.00		202531	0	61041			X
JIM SENNISH
VP HUMAN RESOURCES	40.00	0.00		204860	0	47508			X
MIKE CANFIELD
VP OPERATIONS	40.00	0.00		217452	0	28203			X
CHARLES A STARK
FORMER CEO	40.00	0.00		145507	0	10892				X
RYAN CHANDLER
FORMER VP	40.00	0.00		165486	0	15083				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2619558	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	433988	TotalOtherCompensation
Number Individuals GT100 K	10	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
UNIVERSITY HOSPITALS HEALTH SYSTEM
PO BOX 70328	CLEVELAND	OH	44190	PHYSICIAN STAFF	2864496
PREMIER ANESTHESIA OF SANDUSKY
PO BOX 638144	CINCINNATI	OH	45263	ANESTHESIOLOGY SVCS	1386871
BRIDGE HOMECARE PARTNERS
5335 FAR HILLS AVE	DAYTON	OH	45429	HOME CARE MANAGEMENT	1282946
PHILLIPS MEDICAL SYSTEMS
PO BOX 100355	ATLANTA	GA	30384	MEDICAL EQUIP MAINTENANCE	822115
LABORATORY CORPORATION OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	LABORATORY SERVICES	749203

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	71	NumberOfContractorsGT100K
Fundraising Events	5685	FundraisingEvents
Related Organizations	44692	RelatedOrganizations
All Other Contributions	718905	AllOtherContributions
Total Contributions	769282	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE	623000	221514872	221514872
SCHOOL OF NURSING	611600	754968	754968
PROGRAM SERVICE INVESTMENTS	525990	162043	162043

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4224718	TotalRevenueColumn
Related Or Exempt Function Income	4224718	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	226656601	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2891872	TotalRevenueColumn
Exclusion	$2,891,872	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	42670459	Securities
Other	342188	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	41823310	Securities
Other	499986	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	847149	Securities
Other	-157798	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	689351	TotalRevenueColumn
Exclusion	$689,351	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	275711	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	5685	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	161388	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	114323	TotalRevenueColumn
Exclusion	$114,323	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
EMPLOYEE PHARMACY	446110	3672753	$3,672,753
DIETARY SERVICES	722210	1463852	$1,463,852
OFFICE RENTS	531190	1419996	$1,419,996

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	392076	TotalRevenueColumn
Exclusion	$392,076	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6948677	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	238070106	TotalRevenueColumn
Related Or Exempt Function Income	226656601	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$10,644,223	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	253588	Total
Program Services	253588	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	29370	Total
Program Services	29370	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3053546	Total
Program Services	1493007	ProgramServices
Management And General	1560539	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	74833431	Total
Program Services	55447742	ProgramServices
Management And General	19275140	ManagementAndGeneral
Fundraising	110549	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5710130	Total
Program Services	4221494	ProgramServices
Management And General	1488636	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9580191	Total
Program Services	7095041	ProgramServices
Management And General	2471331	ManagementAndGeneral
Fundraising	13819	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5565268	Total
Program Services	4074307	ProgramServices
Management And General	1482504	ManagementAndGeneral
Fundraising	8457	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1045494	Total
Program Services	581609	ProgramServices
Management And General	463885	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	220257	Total
Management And General	220257	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	134575	Total
Management And General	134575	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	368550	Total
Management And General	368550	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	20450025	Total
Program Services	13489889	ProgramServices
Management And General	6946017	ManagementAndGeneral
Fundraising	14119	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	684698	Total
Program Services	2301	ProgramServices
Management And General	665229	ManagementAndGeneral
Fundraising	17168	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	40101993	Total
Program Services	39374732	ProgramServices
Management And General	694635	ManagementAndGeneral
Fundraising	32626	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2763786	Total
Management And General	2763786	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4766659	Total
Program Services	1442398	ProgramServices
Management And General	3324261	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	592770	Total
Program Services	189590	ProgramServices
Management And General	395538	ManagementAndGeneral
Fundraising	7642	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	48083	Total
Management And General	48083	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5188063	Total
Program Services	5188063	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14886922	Total
Program Services	14886922	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2981764	Total
Program Services	2422387	ProgramServices
Management And General	559377	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
CHARITY CARE	14216532	14216532
BAD DEBTS	6860071	6860071
FRANCHISE TAX	2361321	2361321
PHYSICIAN RECRUITMENT	723762	723762

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1584676	Total
Program Services	1458259	ProgramServices
Management And General	87106	ManagementAndGeneral
Fundraising	39311	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	219005525	Total
Program Services	175812385	ProgramServices
Management And General	42949449	ManagementAndGeneral
Fundraising	243691	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	7329	BOY
EOY	7829	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3794294	BOY
EOY	10865815	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	268356	BOY
EOY	135424	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	29474123	BOY
EOY	28128523	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2814479	BOY
EOY	2853757	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3483459	BOY
EOY	7183093	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	321751738	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	147297076	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	180829051	BOY
EOY	174454662	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	155593962	BOY
EOY	171823173	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	590524	BOY
EOY	632567	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	15316293	BOY
EOY	17321378	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1493821	BOY
EOY	1280418	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1194008	BOY
EOY	1109449	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	394859699	BOY
EOY	415796088	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	73612428	BOY
EOY	69602704	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	163570684	BOY
EOY	156212152	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	39192758	BOY
EOY	42144551	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	276375870	BOY
EOY	267959407	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	106518694	BOY
EOY	134639821	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8356679	BOY
EOY	9319298	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3608456	BOY
EOY	3877562	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	118483829	BOY
EOY	147836681	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	394859699	BOY
EOY	415796088	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	19064581	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	18385757	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-8097486	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$2,837	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	2837	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART IV, SUPPLEMENTAL INFORMATION:	Identifier
Explanation	PART II-B LINE 1F- FIRELANDS REGIONAL MEDICAL CENTER PAID MEMBERSHIP DUES TO THE OHIO HOSPITAL ASSOCIATION OF WHICH 5.3% OR $2,837 WAS USED FOR LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11090402	BeginningOfYearBalance
Investment Earnings Or Losses	1591037	InvestmentEarningsOrLosses
Other Expenditures	339359	OtherExpenditures
Administrative Expenses	83612	AdministrativeExpenses
End Of Year Balance	12258468	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12085032	BeginningOfYearBalance
Investment Earnings Or Losses	-581145	InvestmentEarningsOrLosses
Other Expenditures	334843	OtherExpenditures
Administrative Expenses	78642	AdministrativeExpenses
End Of Year Balance	11090402	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10976812	BeginningOfYearBalance
Investment Earnings Or Losses	1502602	InvestmentEarningsOrLosses
Other Expenditures	323668	OtherExpenditures
Administrative Expenses	70714	AdministrativeExpenses
End Of Year Balance	12085032	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9189157	BeginningOfYearBalance
Investment Earnings Or Losses	2221977	InvestmentEarningsOrLosses
Other Expenditures	364993	OtherExpenditures
Administrative Expenses	69329	AdministrativeExpenses
End Of Year Balance	10976812	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13829380	BeginningOfYearBalance
Investment Earnings Or Losses	-4095231	InvestmentEarningsOrLosses
Other Expenditures	467639	OtherExpenditures
Administrative Expenses	77353	AdministrativeExpenses
End Of Year Balance	9189157	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11446489	OtherCostOrOtherBasis
Book Value	11446489	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	146908256	OtherCostOrOtherBasis
Depreciation	45593712	Depreciation
Book Value	101314544	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2432526	OtherCostOrOtherBasis
Depreciation	1094637	Depreciation
Book Value	1337889	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	154910387	OtherCostOrOtherBasis
Depreciation	97400720	Depreciation
Book Value	57509667	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6054080	OtherCostOrOtherBasis
Depreciation	3208007	Depreciation
Book Value	2846073	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	174454662	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
CAPITAL LEASE	$841,488
SELF-INSURANCE RESERVE	$5,000,000
ACCRUED POST-RETIREMENT AND PENSION	$32,126,671
DEFERRED INCOME GUARANTEE	$4,158,176
DUE TO RELATED PARTIES	$18,216

Field	Value	IRS element (for citing)
Total Of Amounts	42144551	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	ENDOWMENT FUND EXPENDITURES FOR FACILITIES AND PROGRAMS ARE USED TO PROMOTE PHYSICAL AND MENTAL WELL-BEING IN THE COMMUNITY.
		PART XI - FINANCIAL STATEMENTS FOR FIRELANDS REGIONAL MEDICAL CENTER ARE PART OF THE CONSOLIDATED AND AUDITED FINANCIAL STATEMENTS OF FIRELANDS REGIONAL HEALTH SYSTEM. RECONCILIATION IS NOT REQUIRED FOR PART XI. PART XII - FINANCIAL STATEMENTS FOR FIRELANDS REGIONAL MEDICAL CENTER ARE PART OF THE CONSOLIDATED AND AUDITED FINANCIAL STATEMENTS OF FIRELANDS REGIONAL HEALTH SYSTEM. RECONCILIATION IS NOT REQUIRED FOR PART XII.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	FASHION SHOW	NameOfEvent1
Gross Receipts Event1	130765	GrossReceiptsEvent1
Charitable Contributions Event1	3857	CharitableContributionsEvent1
Gross Revenue Event1	126908	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	38142	NonCashPrizesEvent1
Rent Facility Costs Event1	1538	RentFacilityCostsEvent1
Food And Beverage Event1	13745	FoodAndBeverageEvent1
Entertainment Event1	4733	EntertainmentEvent1
Other Direct Expenses Event1	14018	OtherDirectExpensesEvent1
Name Of Event2	GOLF OUTING	NameOfEvent2
Gross Receipts Event2	54947	GrossReceiptsEvent2
Charitable Contributions Event2	656	CharitableContributionsEvent2
Gross Revenue Event2	54291	GrossRevenueEvent2
Cash Prizes Event2	334	CashPrizesEvent2
Non Cash Prizes Event2	5147	NonCashPrizesEvent2
Rent Facility Costs Event2	9620	RentFacilityCostsEvent2
Food And Beverage Event2	5685	FoodAndBeverageEvent2
Entertainment Event2	2112	EntertainmentEvent2
Other Direct Expenses Event2	913	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	95684	GrossReceiptsOtherEvents
Charitable Contrib Other Events	1172	CharitableContribOtherEvents
Gross Revenue Other Events	94512	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	3970	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	1500	RentFacilityCostsOtherEvents
Food And Beverage Other Events	23049	FoodAndBeverageOtherEvents
Entertainment Other Events	4970	EntertainmentOtherEvents
Other Direct Expenses Other Events	31912	OtherDirectExpensesOtherEvents
Gross Receipts Total	281396	GrossReceiptsTotal
Charitable Contributions Total	5685	CharitableContributionsTotal
Gross Revenue Total Events	275711	GrossRevenueTotalEvents
Cash Prizes Total Events	334	CashPrizesTotalEvents
Non Cash Prizes Total Events	47259	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	12658	RentFacilityCostsTotalEvents
Food And Beverage Total Events	42479	FoodAndBeverageTotalEvents
Entertainment Total Events	11815	EntertainmentTotalEvents
Other Direct Expenses Total Events	46843	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	161388	DirectExpenseSummaryEvents
Net Income Summary	114323	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5018436	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	5018436	NetCommunityBenefitExpense
Percent Of Total Expense	0.02540	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19059213	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12435569	DirectOffsettingRevenue
Net Community Benefit Expense	6623644	NetCommunityBenefitExpense
Percent Of Total Expense	0.03350	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24077649	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12435569	DirectOffsettingRevenue
Net Community Benefit Expense	11642080	NetCommunityBenefitExpense
Percent Of Total Expense	0.05890	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	274938	TotalCommunityBenefitExpense
Direct Offsetting Revenue	101565	DirectOffsettingRevenue
Net Community Benefit Expense	173373	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5073569	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2962367	DirectOffsettingRevenue
Net Community Benefit Expense	2111202	NetCommunityBenefitExpense
Percent Of Total Expense	0.01070	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	103064	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	103064	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5451571	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3063932	DirectOffsettingRevenue
Net Community Benefit Expense	2387639	NetCommunityBenefitExpense
Percent Of Total Expense	0.01210	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	29529220	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15499501	DirectOffsettingRevenue
Net Community Benefit Expense	14029719	NetCommunityBenefitExpense
Percent Of Total Expense	0.07100	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	4	PersonsServed
Total Community Building Expense	2010	TotalCommunityBuildingExpense
Net Community Building Expense	2010	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	12500	TotalCommunityBuildingExpense
Net Community Building Expense	12500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Total Community Building Expense	9493	TotalCommunityBuildingExpense
Net Community Building Expense	9493	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	10434	PersonsServed
Total Community Building Expense	528108	TotalCommunityBuildingExpense
Direct Offsetting Revenue	119318	DirectOffsettingRevenue
Net Community Building Expense	408790	NetCommunityBuildingExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	10438	PersonsServed
Total Community Building Expense	552111	TotalCommunityBuildingExpense
Direct Offsetting Revenue	119318	DirectOffsettingRevenue
Net Community Building Expense	432793	NetCommunityBuildingExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$2,421,605	BadDebtExpenseAmount
Amount Attributable To	756508	AmountAttributableTo
Amount Reimbursed By Medicare	78490808	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	99724358	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-21233550	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 NORTHERN OHIO SURGICAL PROPERTIES	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	PROPERTY OWNERSHIP/MANAGEMENT	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.50000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FIRELANDS REGIONAL MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1111 HAYES AVENUE	AddressLine1
City	SANDUSKY	City
State	OH	State
ZIP Code	44870	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FIRELANDS REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	18	NumberOfOtherFacilities

Other Facilities OtherFacilities (18 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FIRELANDS REG MED CTR SURGERY CENTER
2800 HAYES AVE BLD E	SANDUSKY	OH	44870	OUTPATIENT SURGERY
FIRELANDS REG MED CTR OUTPAT DIALYSIS
904 PIERCE ST	SANDUSKY	OH	44870	OUTPATIENT DIALYSIS
FIRELANDS REG MED CTR OUTPAT DIALYSIS
290 PROGRESS DR STE A	BELLEVUE	OH	44811	OUTPATIENT DIALYSIS
FIRELANDS REG MED CTR HOME HEALTH
1031 PIERCE ST	SANDUSKY	OH	44870	HOME HEALTH AGENCY
FIRELANDS COUNS & REC SVCS OF ERIE CO
1925 HAYES AVE	SANDUSKY	OH	44870	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF OTTAWA CO
127 WEST PERRY ST STE 106	PORT CLINTON	OH	43452	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF HURON CO
292 BENEDICT AVE	NORWALK	OH	44857	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF HURON CO
290 PROGRESS DR STE B	BELLEVUE	OH	44811	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF HURON CO
390 E HOWARD ST STE B	WILLARD	OH	44890	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF SENECA CO
76 ASHWOOD RD	TIFFIN	OH	44883	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF SAND CO
675 BARSTON RD	FREMONT	OH	43420	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF LORAIN CO
315 LEAVITT RD STE A	AMHERST	OH	44001	OP MENTAL HEALTH & CD
FIRELANDS COUNS & REC SVCS OF SENECA CO
125 WEST CENTER ST	FOSTORIA	OH	44830	OP MENTAL HEALTH & CD
FIRELANDS REG MED CTR OP PHYS THERAPY
2012 CLEVELAND RD W	HURON	OH	44839	OP PHYSICAL THERAPY
FIRELANDS COUNS & REC SVCS OF WYANDOT CO
777 NORTH SANDUSKY AVE	UPPER SANDUSKY	OH	43351	OP MENTAL HEALTH & CD
FIRELANDS REG MED CTR OP PHYS THERAPY
101 S WASHINGTON ST	CASTALIA	OH	44824	OP PHYSICAL THERAPY
FIRELANDS REG MED CTR OP PHYS THERAPY
348 MILAN AVE 2	NORWALK	OH	44857	OP PHYSICAL THERAPY
FIRELANDS REG MED CTR OP THERAPY
1605 STATE ROUTE 60	VERMILION	OH	44089	OP PHYSICAL THERAPY

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 3C: FIRELANDS REGIONAL MEDICAL CENTER DOES USE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.PART I, LINE 6A: FIRELANDS REGIONAL MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7: TO DERIVE COSTS OF CHARITY CARE AND OTHER COMMUNITY BENEFITS, A COMBINATION OF COST ACCOUNTING SYSTEM AND COST-TO-CHARGE RATIOS WAS USED. THE LATTER WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OUR COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT TYPES AND PAYER SOURCES.
SEE NARRATIVE UNDER PART VI, LINE 5	PART II:
THE RATIO DERIVED ON WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES WAS USED TO COMPUTE THE COST ASSOCIATED WITH BAD DEBT EXPENSE	PART III LINE 2:
FOR ESTIMATING THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS FINANCIAL ASSISTANCE POLICY, FIRELANDS REGIONAL MEDICAL CENTER UTILIZED A COMBINATION OF HISTORICAL PATIENT VISIST AND THIRD-PARTY DATA BASED ON ESTIMATED FAMILY SIZE, INCOME AND OTHER DEMOGRAPHICS. ALL ACCOUNTS PLACED INTO BAD DEBT DURING THE YEAR WITH NO PAYMENT ACTIVITY WERE SCORED BASED ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, AND ALL WHO MET THE INCOME CRITEREIA BASED ON FAMILY SIZE WERE ASSUMED TO BE CHARITY ELIGIBLE AND THUS TREATABLE AS A COMMUNITY BENEFIT.	PART III LINE 3:
PART III, LINE 4: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE SYSTEM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYERS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYERS.
PART III, LINE 8: FIRELANDS REGIONAL MEDICAL CENTER'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE MEDICARE COSTS REFLECTED IN PART III, LINE 6. THE ORGANIZATION BELIEVES THAT ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THESE SERVICES ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND PROMOTE THE WELL-BEING OF THE COMMUNITY. FURTHERMORE, IT RELIEVES THE BURDEN ON LOCAL GOVERNMENTS.
PART III, LINE 9B: WHEN A PATIENT IS UNINSURED OR INSURANCE PAYMENTS HAVE BEEN RECEIVED AND APPLIED, THEY ARE CLASSIFIED AS SELF PAY. OVER A 90-DAY PERIOD EACH PATIENT RECEIVES A MINIMUM OF 2 BALANCE DUE STATEMENTS AND 1 FINAL STATEMENT. DURING THAT PERIOD THE PATIENT HAS THE OPPORTUNITY TO PAY THE ACCOUNT IN FULL, SET UP PAYMENT ARRANGEMENTS, OR APPLY FOR FINANCIAL AID. IN THE EVENT THE PATIENT DOES NOT PAY THE ACCOUNT IN FULL, SET UP PAYMENT ARRANGEMENTS, APPLY FOR FINANCIAL AID, OR MAKE AN EFFORT TO CONTACT THE FACILITY WITH SPECIAL CIRCUMSTANCES CONCERNING THE UNPAID BALANCE, THE ACCOUNT IS PLACED IN BAD DEBT COLLECTION AT OR ABOUT 120 DAYS FROM THE FIRST STATEMENT OR LAST PAYMENT.SHOULD AN ACCOUNT BE PLACED IN COLLECTION, THE PATIENT HAS AN ADDITIONAL OPPORTUNITY TO APPLY FOR FINANCIAL AID, SET UP PAYMENT ARRANGEMENTS, OR SUPPLY ADDITIONAL INFORMATION RELATED TO THE ACCOUNT. IF ANY OF THESE EVENTS OCCUR, THE COLLECTION ACCOUNT IS EITHER PLACED ON HOLD, BILLED TO INSURANCE, UPDATED WITH THE PAYMENT ARRANGEMENT, OR TAKEN OUT OF BAD DEBT AND ADJUSTED ACCORDING TO FINANCIAL AID GUIDELINES.PART V: DIALYSIS CENTER - FIRELANDS REGIONAL MEDICAL CENTER DIALYSIS PROVIDES INDIVIDUALIZED IN-CENTER HEMODIALYSIS TREATMENTS AND MEDICAL CARE TO ADULT PATIENTS THAT ARE DIAGNOSED WITH END STAGE RENAL DISEASE. THE NURSING CARE DELIVERY SYSTEM IN THE DIALYSIS UNIT IS HOLISTIC AND FAMILY CENTERED, WITH PRIMARY NURSING CARE BEING ENCOURAGED. THIS RESULTS IN GREATER CONTINUITY OF CARE FOR THE DIALYSIS PATIENT AND FAMILY MEMBERS. FIRELANDS REGIONAL MEDICAL CENTER HOME HEALTH SERVICES PROVIDES CARE TO PERSONS LIVING WITHIN ERIE COUNTY AND 12 SURROUNDING COUNTIES. HOME CARE SERVICES ARE PROVIDED ON AN INTERMITTENT BASIS TO PATIENTS IN THEIR PLACE OF RESIDENCE AND INCLUDE SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, HOME HEALTH AIDE , AND MEDICAL SOCIAL SERVICE. FIRELANDS COUNSELING AND RECOVERY SERVICES PROVIDES A CONTINUUM OF CARE OF OUTPATIENT AND INPATIENT MENTAL HEALTH SERVICES FOR CHILDREN, ADOLESCENTS, ADULTS AND OLDER ADULTS. ALL COUNSELING SERVICES ARE PROVIDED BY APPROPRIATELY CREDENTIALED OR LICENSED PROFESSIONALS. SERVICES ARE ALSO AVAILABLE TO PROVIDE TREATMENT IN A SUPPORTIVE AND THERAPEUTIC ENVIRONMENT FOR INDIVIDUALS EXPERIENCING ADDICTION TO ALCOHOL AND/OR OTHER DRUGS WHICH MAY RESULT IN THE LOSS OF THE INDIVIDUAL'S FAMILY, JOB, HEALTH, FRIENDS, MONEY, SELF-ESTEEM, OR EVEN LIFE ITSELF. CHEMICAL DEPENDENCY SERVICES ARE OFFERED FOR ADULTS, ADOLESCENTS, AND THEIR FAMILIES. FIRELANDS COUNSELING AND RECOVERY SERVICES ARE AVAILABLE IN THE CITIES OF SANDUSKY, NORWALK, WILLARD, BELLEVUE, TIFFIN, FOSTORIA, FREMONT, UPPER SANDUSKY, PORT CLINTON AND AMHERST.
PATIENTS WHOSE FAMILY INCOME FALLS AT 200% OR LESS THAN THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIBGIBLE FOR FREE CARE. THOSE WHOSE FAMILY INCOME FALLS BETWEEN 201-300% OF THE FPG ARE PROVIDED A 25% DICOUNT OFF BILLED CHARGES.	PART V:
PART VI, LINE 2: FIRELANDS REGIONAL MEDICAL CENTER USES SEVERAL RESOURCES TO DETERMINE THE HEALTHCARE NEEDS OF THE COMMUNITY IN WHICH IT SERVES. IT WORKS IN CONJUNCTION WITH THE LOCAL HEALTH DEPARTMENT AND HELPS TO FUND A COMMUNITY NEEDS ASSESSMENT WHICH IS DONE EVERY FEW YEARS. RESULTS OF THE ASSESSMENT ARE ANALYZED AND USED TO DETERMINE THE NEED FOR NEW PROGRAMS, SERVICES, EDUCATIONAL PROGRAMS, AND ACCESS NEEDS. THE MEDICAL CENTER ALSO COMMISSIONS A PHYSICIAN NEEDS STUDY EVERY FEW YEARS TO DETERMINE THE TYPES AND NUMBERS OF PHYSICIANS NEEDED TO ADEQUATELY MEET THE NEEDS OF THE COMMUNITY. ADDITIONALLY, EVERY THREE YEARS A COMMUNITY RESEARCH STUDY IS PERFORMED WHICH ASKS LOCAL RESIDENTS THEIR PERCEPTIONS OF HEALTHCARE SERVICES IN THE AREA AND DETERMINES IF ADDITIONAL SERVICES ARE NEEDED. SECONDARY DATA OF THE REGION IS ANALYZED ANNUALLY TO DETERMINE UTILIZATION OF SPECIFIC SERVICES, OUTMIGRATION OF LOCAL RESIDENTS TO RECEIVE SERVICES, ETC. PROJECTED UTILIZATION STUDIES ENSURE THAT ANY NEW PROGRAMS OR SERVICES EXPLORED MEET THE NEEDS OF THE COMMUNITY.
PART VI, LINE 3: HOSPITAL CARE ASSURANCE PROGRAM SIGNS ARE POSTED IN ALL REGISTRATION AND EMERGENCY AREAS. BILLING AND FINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE WITH INSTRUCTIONS ON WHOM TO CONTACT AND HOW TO APPLY FOR SERVICES. FINANCIAL ASSISTANCE GUIDELINES AND APPLICATIONS ARE ALSO AVAILABLE ON OUR WEBSITE (WWW.FIRELANDS.COM). EVERY PATIENT STATEMENT CONTAINS CHARITY GUIDELINES AND AN APPLICATION.SELF-PAY INPATIENTS ARE SEEN ON-SITE BY A CONTRACTED AGENCY THAT DISCUSSES AND ASSISTS PATIENTS WITH APPLICATIONS FOR MEDICAID OR DISABILITY. THESE PATIENTS ARE ALSO SEEN BY A FINANCIAL COUNSELOR WHO EXPLAINS THE HOSPITAL CHARITY POLICY, ASSISTS WITH THE APPLICATION AND/OR SUPPLIES THEM WITH A CONTACT IF QUESTIONS SHOULD ARISE AFTER DISCHARGE. SELF-PAY INPATIENT ACCOUNTS ARE MONITORED DAILY TO IDENTIFY PATIENTS THAT ARE ELIGIBLE FOR MEDICAID AND HAVE NO PRIOR INSURANCE COVERAGE.ALL SELF-PAY OUTPATIENT ACCOUNTS WITH A BALANCE OF $1,500 OR MORE ARE SCREENED BY A THIRD PARTY AND A MEDICAID APPLICATION IS STARTED FOR THOSE THAT MEET ELIGIBILITY GUIDELINES. DURING THE SCHEDULING PROCESS, IF THE PATIENT STATES THAT THEY HAVE NO INSURANCE OR ARE CONCERNED ABOUT THEIR FINANCIAL LIABILITY, THE PATIENT CALL IS FORWARDED TO A FINANCIAL COUNSELOR WHO WILL EXPLAIN OUR CHARITY PROGRAM AND OFFER TO ASSIST WITH AND/OR MAIL THE FINANCIAL ASSISTANCE APPLICATION.A FINANCIAL COUNSELOR IS AVAILABLE DURING THE FIRST SHIFT IN THE EMERGENCY DEPARTMENT TO ASSIST PATIENTS WITH CHARITY CARE APPLICATIONS. REGISTRATION STAFF SUPPLIES THE PATIENT WITH A BROCHURE AND APPLICATION IF A FINANCIAL COUNSELOR IS NOT AVAILABLE UPON DISCHARGE. FINANCIAL COUNSELING STAFF IS AVAILABLE MONDAY THROUGH FRIDAY FROM 7:30 AM TO 5:00 PM.
PART VI, LINE 4: FIRELANDS REGIONAL MEDICAL CENTER SERVES A FIVE-COUNTY AREA OF APPROXIMATELY 300,000 RESIDENTS. THE PRIMARY SERVICE AREA IS ERIE COUNTY, WHICH HAS A POPULATION OF NEARLY 79,000 PERSONS AND IS LOCATED ON THE SOUTHERN SHORELINE OF LAKE ERIE, HALFWAY BETWEEN CLEVELAND, OH AND TOLEDO, OH. BASED UPON THE LATEST CENSUS DATA, THE MAJORITY OF THE POPULATION'S RACE IS CAUCASIAN, WITH 7.3% MINORITY. SIXTY-ONE (61)% OF THE POPULATION HAS A HIGH SCHOOL EDUCATION OR SOME COLLEGE. THE COUNTY'S MEDIAN AGE IS 43.4 AND THE MEDIAN HOUSEHOLD INCOME IS $46,593. APPROXIMATELY 72% OF THE COUNTY'S RESIDENTS OWN THEIR OWN HOME, WITH THE MEDIAN HOME VALUE OF $138,100.SECONDARY SERVICE AREAS CONSIST OF THE CONTIGUOUS COUNTIES OF OTTAWA, HURON AND SANDUSKY, WHICH HAVE A COMBINED POPULATION OF APPROXIMATELY 155,000 INDIVIDUALS. FIRELANDS COUNSELING AND RECOVERY SERVICES REACHES EVEN FURTHER, SERVING 7 SURROUNDING COUNTIES INCLUDING THE COUNTIES OF ERIE, HURON, OTTAWA, SANDUSKY, SENECA, WYANDOT AND LORAIN. HOME HEALTH SERVICES PROVIDED BY THE MEDICAL CENTER REACHES INTO 13 DIFFERENT COUNTIES. DEMOGRAPHICS OF THE COUNTIES ARE SIMILAR TO THE PRIMARY SERVICE AREA OF ERIE COUNTY.
PART VI, LINE 5: FIRELANDS REGIONAL MEDICAL CENTER ESTABLISHED THE FIRELANDS GARDEN DISTRICT PLAN IN 2007 WITH THE GOAL OF ENHANCING AND REVITALIZING THE MEDICAL CENTER'S NEIGHBORHOOD IN TERMS OF ATTRACTIVENESS, CHARM AND SAFETY. THIS REVITALIZATION IS ACCOMPLISHED THROUGH A PROGRAM PROVIDING FIRELANDS' EMPLOYEES THE RESOURCES NEEDED TO MAKE A DOWN PAYMENT FOR THE PURCHASE OR RESTORATION OF HOMES FOR OCCUPANCY.FIRELANDS PARTICIPATES IN THE NORTHWEST OHIO PUBLIC INFORMATION OFFICER COMMITTEE TO BRING ADDITIONAL SKILLS TO THE AREA REGARDING DISASTER READINESS. IN ADDITION TO MEETING THE REQUIRED INCIDENT COMMAND TRAINING COURSES, THE MEDICAL CENTER HAS GONE ABOVE AND BEYOND BY ATTENDING REGIONAL MEETINGS, COMPLETING CRISIS AND EMERGENCY RISK COMMUNICATION TRAINING, PUBLIC INFORMATION OFFICER TRAINING THROUGH THE OHIO EMERGENCY MANAGEMENT AGENCY AND THROUGH THE DEPARTMENT OF HOMELAND SECURITY, AS WELL AS INCORPORATING SOCIAL MEDIA IN ITS CRISIS COMMUNICATION METHODS.MANAGEMENT STAFF OF FIRELANDS REGIONAL MEDICAL CENTER IS ENCOURAGED TO PARTICIPATE IN LOCAL AND REGIONAL BOARDS AND ACTIVITIES THAT IMPROVE THE LOCAL COMMUNITY. ADVOCACY INCLUDES SUCH ACTIVITIES AS FINANCIAL SUPPORT TO A LOCAL CLINIC THAT SERVES UNINSURED AND UNDERINSURED ALONG WITH EFFORTS TO ORGANIZE A FEDERALLY QUALIFIED HEALTH CENTER FOR THE COMMUNITY, BOARD LEVEL WORK FOR COMMUNITY HEALTH EDUCATION ENTITIES AND AREA NON-PROFIT ORGANIZATIONS WHICH WORK TO IMPROVE THE HEALTH OF THE COMMUNITY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	FAMILY HEALTH SERVICES OF ERIE COUNTY	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1912 HAYES AVE	AddressLine1
City	SANDUSKY	City
State	OH	State
ZIP Code	44870	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	263607741	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	253588	AmountOfCashGrant
Amount Of Non Cash Assistance	0	AmountOfNonCashAssistance
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS TO BEGIN OR CONTINUE COURSE WORK	TypeOfGrant
Number Of Recipients	24	NumberOfRecipients
Amount Of Cash Grant	29370	AmountOfCashGrant
Amount Of Non Cash Assistance	0	AmountOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Explanation	PART II LINE 1. TO EXPAND THE DELIVERY OF HEALTH CARE SERVICES AND PROMOTE A HEALTHY QUALITY OF LIFE FOR THE MEDICALLY UNDERSERVED PERSONS OF ERIE COUNTY, OHIO. FIRELANDS REGIONAL MEDICAL CENTER SUPPORTS THE MISSION OF FAMILY HEALTH SERVICES OF ERIE COUNTY TO ATTAIN THE DESIGNATION OF FEDERALLY QUALIFIED HEALTH CENTER AND DELIVER ITS INTENDED SERVICES. THE USE OF FUNDS CONTRIBUTED IS MONITORED BY THE REVIEW OF FINANCIAL AND PERFORMANCE REPORTS. PART III LINE 1. SCHOLARSHIPS - TO BE ELIGIBLE FOR THE "EDUCATION PAYMENT PROGRAM", A CANDIDATE MUST BE A QUALIFIED FAMILY MEMBER OF A CURRENT ACTIVE EMPLOYEE AND BE SPONSORED BY THEIR FIRELANDS-EMPLOYED FAMILY MEMBER; BE A HIGH SCHOOL GRADUATE (OR EQUIVALENT) OR A HIGH SCHOOL SENIOR PLANNING TO BEGIN OR CONTINUE COURSE WORK AT AN ACCREDITED EDUCATIONAL INSTITUTION WITHIN ONE YEAR OF SUBMITTING A PROGRAM APPLICATION; AND HAVE A CUMMULATIVE ACADEMIC AVERAGE OF "C" OR BETTER. PART III LINE 1. AWARD RECIPIENTS ARE SELECTED BASED ON APPLICATION, PAST ACADEMIC PERFORMANCE, FIELD OF STUDY, EDUCATIONAL INSTITUTION, ECONOMIC NEED AND AVAILABILITY OF FUNDS. THIS PROGRAM IS ADMINISTERED WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, AGE, ANCESTRY, NATIONAL ORIGIN OR DISABILITY. FUNDS ARE PAID DIRECTLY TO THE SCHOOL ON BEHALF OF THE RECIPIENT.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARTIN E TURSKY
PRESIDENT/CEO	233085	0	25000	0	24731	0	22917	0	32417	0	338150	0	0	0
DANIEL J MONCHER
EXEC VP/CFO/NON-VOTING	305227	0	144643	0	31601	0	30000	0	29556	0	541027	0	0	0
TAMARA L JACKSON
CHIEF NURSING OFFICER	230970	0	115000	0	83476	0	48000	0	24914	0	502360	0	0	0
ROBERT M MOORE
VP LEGAL SERVICES	211478	0	40000	0	2719	0	32000	0	22240	0	308437	0	0	0
ERIC MAST
DIR MED ED/RESIDENCY	230314	0	5000	0	478	0	7244	0	21973	0	265009	0	0	0
SCHRICKEL BEV
VP OPERATIONS	159784	0	30000	0	12747	0	43000	0	18041	0	263572	0	0	0
JIM SENNISH
VP HUMAN RESOURCES	167343	0	30000	0	7517	0	26000	0	21508	0	252368	0	0	0
MIKE CANFIELD
VP OPERATIONS	184038	0	33000	0	414	0	6524	0	21679	0	245655	0	0	0
CHARLES A STARK
FORMER CEO	76762	0	0	0	68745	0	0	0	10892	0	156399	0	0	0
RYAN CHANDLER
FORMER VP	99066	0	55000	0	11420	0	0	0	15083	0	180569	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 6	ReturnReference
Explanation	PART I LINE 6A - BONUS AND INCENTIVE COMPENSATION LISTED IN PART II IS PRIMARILY BASED ON A SUCCESS SHARING PLAN MEASURED BY BOTH OPERATING RESULTS COMPARED TO BUDGET AND PATIENT SATISFACTION. PART II LINE 1- MARTIN E TURSKY ACCEPTED THE POSITION OF PRESIDENT AND CEO ON 6/18/12. PART II LINE 9- CHARLES STARK RESIGNED HIS POSITION AS PRESIDENT AND CEO ON 2/08/12. PART II LINE 10- RYAN CHANDLER RESIGNED HIS POSITION AS VP OPERATIONS ON 6/23/12. PART 1 LINE 4B- FIRELANDS REGIONAL MEDICAL CENTER CONTRIBUTED $22,917 TO A SUPPLEMENTAL NONQUALIFIED 457F RETIREMENT PLAN ON BEHALF OF MARTIN TURSKY.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
COUNTY OF ERIE OHIO
A	346400428	29514PAV4	2006-06-01	65951557	SEE PART VI	0	0	0
COUNTY OF ERIE OHIO
B	346400428	29514PAW2	2006-06-01	15000000	SEE PART VI	0	0	0
COUNTY OF ERIE OHIO
C	346400428		2008-04-29	20000000	SEE PART VI	0	0	0
COUNTY OF ERIE OHIO
D	346400428	29514BPD3	2012-08-15	72711827	SEE PART VI	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	4475573	68365573	3359060	580938	64416279	2008	0	1	1
B		15492204		134063	15358141	2008	0	1	1
C	18546238	20000000		40000	19960000	2008	0	1	1
D		72717104	3047291	264264	6947432	2013	1	0	1

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts
A	1	1
B	1	1
C	1	1
D	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
(no name)
A	0	0	0	1	0	0	0	0	0
NA
B	0	0	0	1	0	0	0	0	0	0
NA
C	0	1	0	0	0	0	0	0	0	0
NA
D	0	1	0	0	1	0	0	0	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0
C	0
D	0

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K SUPPLENTAL INFORMATION	Identifier
Explanation	PART I LINE A- ERIE COUNTY BOND 29514PAV4 WAS ISSUED TO ACQUIRE, CONSTRUCT, FURNISH AND EQUIP ADDITIONS AND IMPROVEMENTS TO HOSPITAL FACILITIES. PART I LINE B- ERIE COUNTY BOND 29514PAW2 WAS ISSUED TO ACQUIRE, CONSTRUCT, FURNISH AND EQUIP ADDITIONS AND IMPROVEMENTS TO HOSPITAL FACILITIES. PART 1 LINE C- ERIE COUNTY BOND ISSUED 4/29/08 WAS ISSUED TO EQUIP ADDITIONS AND IMPROVEMENTS MADE TO HOSPITAL FACILITIES. PART 1 LINE D- CURRENT REFUNDING ISSUE- ERIE COUNTY BOND 29514BPD3 WAS ISSUED FOR THE PURPOSE OF REFUNDING SERIES 2002 BONDS AND THE FINANCING OF TECHNOLOGY IMPROVEMENTS, EQUIPMENT AND RENOVATIONS MADE TO HOSPITAL FACILITIES. PART IV LINE 2C- THE REBATE COMPUTATION WAS PERFORMED BY JULY 15, 2011.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CHABAN KAMAL MD
BOARD MEMBER	357472	EMPLOYMENT	0
ITZKOWITZ FREDERICK DO
BOARD MEMBER	251956	CONTRACTED MEDICAL SERVICES	0
MCGWINN PATRICK MD
BOARD MEMBER	210688	CONTRACTED LAB SERVICES	0
SPRINGER ALICE
WIFE OF BOARD MEMBER	60872	EMPLOYMENT	0
STAUFFER MELVYN J
DIRECTOR EMERITI	34895	CONTRACTED LEGAL SERVICES	0

Form990 Schedule L Part V Form990ScheduleLPartV (5 entries)

IdentifierIdentifier	ExplanationExplanation
PART IV LINE 1	DR. CHABAN IS EMPLOYED BY RELATED ORGANIZATION NORTH COAST PROFESSIONAL CORP AS A PULMONARY, CRITICAL CARE AND SLEEP MEDICINE SPECIALIST.
PART IV LINE 2	FREDERICK ITZKOWITZ, DO IS A PARTNER IN AN INDEPENDENTLY CONTRACTED COMPANY THAT PROVIDES TRAUMA COVERAGE FOR FIRELANDS REGIONAL MEDICAL CENTER AND IS ALSO COMPENSATED FOR HIS TIME SPENT AS AN ACTING MEDICAL DIRECTOR.
PART IV LINE 3	PATRICK MCGWINN, MD IS A MEMBER OF AN INDEPENDENTLY CONTRACTED COMPANY THAT PROVIDES CATH LAB COVERAGE FOR FIRELANDS REGIONAL MEDICAL CENTER.
PART IV LINE 4	ALICE SPRINGER IS THE WIFE OF BOARD MEMBER J WILLIAM SPRINGER. SHE IS EMPLOYED BY FIRELANDS REGIONAL MEDICAL CENTER AS DIRECTOR OF DEVELOPMENT.
PART IV LINE 5	MELVYN J STAUFFER IS AN ATTORNEY IN AN INDEPENDENTLY CONTRACTED LAW FIRM THAT PROVIDES LEGAL SERVICES TO FIRELANDS REGIONAL MEDICAL CENTER AS NEEDED.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY BY THE FIRELANDS REGIONAL HEALTH SYSTEM BOARD OF DIRECTORS TO REVIEW AND APPROVE ALL FORM 990'S FOR ALL COMPANIES IN THE SYSTEM. THE FINAL VERSION OF THE RESPECTIVE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE FOR REVIEW AND APPROVAL PRIOR TO THE FORM 990 BEING SUBMITTED TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE ANNUALLY REVIEWS ALL CONFLICT OF INTEREST STATEMENTS FOR ALL APPROPRIATE INDIVIDUALS TO ASSURE PERSONS IDENTIFIED IN THE CONFLICT OF INTEREST POLICY ARE IN COMPLIANCE.
FORM 990, PART VI, SECTION B, LINE 15	THE PROCESS FOR DETERMINING COMPENSATION IS DELEGATED BY THE BOARD OF DIRECTORS TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE APPOINTS A COMPENSATION SUB-COMMITTEE WHICH UTILIZES AN INDEPENDENT THIRD PARTY TO EVALUATE THE APPROPRIATE PAY RANGE FOR THE CEO AND OTHER KEY MANAGEMENT POSITIONS AT LIKE-SIZED AND SIMILAR HOSPITALS IN THE SAME GEOGRAPHIC REGION OF THE UNITED STATES. THIS SUB-COMMITTEE MAKES A RECOMMENDATION TO THE EXECUTIVE COMMITTEE BASED ON THEIR RESEARCH AND FINDINGS. THE EXECUTIVE COMMITTEE APPROVES THE ANNUAL SALARIES OF THE CEO AND ALL VICE PRESIDENTS. THIS PROCESS IS DONE ANNUALLY AND WAS COMPLETED DURING 2012.
FORM 990, PART VI, SECTION C, LINE 19	FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE VIA A QUARTERLY "REPORT TO BOND HOLDERS" WHICH IS SENT TO ANY CONSTITUENTS, BOND HOLDERS, OR INTERESTED PARTIES WHO REQUEST TO BE ON THE DISTRIBUTION LIST. QUARTERLY REPORTS ALONG WITH THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE ALSO POSTED TIMELY AT HTTP://WWW.MSRB.ORG/ UTILIZING THE EMMA SYSTEM. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC BY SPECIAL REQUEST. FORM 990 PART XI LINE 9: OTHER CHANGES IN NET ASSETS INCLUDE THE FOLLOWING: TRANSFER TO AFFILIATES $(3,826,374), PENSION ADJUSTMENTS $(4,299,383), SCHOOL OF NURSING FUNDING $28,783, MCS RECLASS $(512). TOTAL OTHER CHANGES IN NET ASSETS= $(8,097,486).
FORM 990, PART XI, LINE 9:	SCHOOL OF NURSING FUNDING 28,783. PENSION ADJUSTMENTS -4,299,383. TRANSFER (TO) FROM AFFILIATES -3,826,374. FUND BALANCE RE-CLASS -512. ROUNDING	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
FIRELANDS REGIONAL HEALTH SYSTEM
1111 HAYES AVE	SANDUSKY	OH	44870	341401659	HOSPITAL SUPPORT	OH	501(C)(3)	11-I	N/A	0
THE FOUNDATION FOR FIRELANDS
1111 HAYES AVE	SANDUSKY	OH	44870	341401660	HOSPITAL SUPPORT	OH	501(C)(3)	11-I		1	FIRELANDS REGIONAL MEDICAL CENTER

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	MARINA HOME HEALTH LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	709 W WASHINGTON ST	AddressLine1
City	SANDUSKY	City
State	OH	State
ZIP Code	44870	ZIPCode

Field	Value	IRS element (for citing)
EIN	262573502	EIN
Primary Activity	MEDICAL EQUIPMENT	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
FIRELANDS VOCATIONAL REHAB
1111 HAYES AVE	SANDUSKY	OH	44870	455448705	VOC REHABILITATION	OH	FIRELANDS REGIONAL MEDICAL CENTER	C	339	1283	1.00000	0
FIRELANDS PROF CENTER 2 CONDO
1111 HAYES AVE	SANDUSKY	OH	44870	203131059	CONDO ASSOCIATION	OH	FIRELANDS REGIONAL MEDICAL CENTER	C		62213	0.69000	0
FIRELANDS PHYSICIANS REGIONAL HEALTH CARE
1111 HAYES AVE	SANDUSKY	OH	44870	341829898	PHO	OH	FIRELANDS REGIONAL MEDICAL CENTER	C	-1043	53212	0.51000	0
NORTH COAST PROF CO LLC
1111 HAYES AVE	SANDUSKY	OH	44870	341608091	PHYSICIAN PRACTICE MGT	OH	THE FOUNDATION FOR FIRELANDS	C				0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
FIRELANDS PHYSICIANS REGIONAL HEALTH CARE
Q	53798	CASH BASIS
NORTH COAST PROFESSIONAL COMPANY LLC
Q	224081	CASH BASIS
NORTH COAST PROFESSIONAL COMPANY LLC
I	392538	CASH BASIS
NORTH COAST PROFESSIONAL COMPANY LLC
P	296011	CASH BASIS
FIRELANDS REGIONAL HEALTH SYSTEM
R	55000	CASH BASIS
THE FOUNDATION FOR FIRELANDS
R	3771374	CASH BASIS