Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $57,050

• 1d · Related organizations

  $47,016

• 1e · Government grants (contributions)

  $5,008,606

• 1f · All other contributions, gifts and grants

  $1,427,664

• 2a · Program service revenue: NET PATIENT SERVICE REVENUE

  total $244,998,574 · related or exempt $244,998,574

• 2b · Program service revenue: 340B DRUG PROGRAM

  total $8,732,062 · related or exempt $8,732,062

• 2c · Program service revenue: SCHOOL OF NURSING

  total $650,190 · related or exempt $650,190

• 2d · Program service revenue: PROGRAM SERVICE INVESTMENTS

  total $402,730 · related or exempt $402,730

• 2f · All other program service revenue

  total $2,065,959 · related or exempt $2,065,959

• 3 · Investment income

  total $8,532,339 · excluded $8,532,339

• 7a · Gross sales of assets other than inventory

  securities $27,894,342 · other assets $2,273,187

• 7b · Less cost or other basis and sales expenses

  securities $28,680,600 · other assets $3,950,982

• 7c · Gain or loss

  securities -$786,258 · other assets -$1,677,795

• 7d · Net gain or loss

  total -$2,464,053 · excluded -$2,464,053

• 8a · Fundraising events: gross income

  $298,929

• 8a · Fundraising events: contributions included on line 1c

  $57,050

• 8b · Fundraising events: direct expenses

  $108,532

• 8c · Net income from fundraising events

  total $190,397 · excluded $190,397

• 11a · Other revenue: EMPLOYEE PHARMACY

  total $12,638,013 · excluded $12,638,013

• 11b · Other revenue: OFFICE RENTS

  total $2,302,704 · excluded $2,302,704

• 11c · Other revenue: DIETARY SERVICES

  total $883,162 · excluded $883,162

• 11d · All other revenue

  total $1,858,200 · unrelated business -$7,129 · excluded $1,865,329

• 11e · Other revenue, total

  $17,682,079

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $231,317 · program services $231,317

• 2 · Grants to domestic individuals

  total $20,000 · program services $20,000

• 5 · Compensation of officers, directors and key employees

  total $4,727,867 · program services $2,700,867 · management and general $2,027,000

• 7 · Other salaries and wages

  total $100,093,232 · program services $71,439,401 · management and general $28,446,224 · fundraising $207,607

• 8 · Pension plan contributions

  total $6,574,446 · program services $4,761,661 · management and general $1,799,028 · fundraising $13,757

• 9 · Other employee benefits

  total $10,707,201 · program services $7,617,988 · management and general $3,067,071 · fundraising $22,142

• 10 · Payroll taxes

  total $7,578,822 · program services $5,369,552 · management and general $2,194,158 · fundraising $15,112

• 11a · Fees: management

  total $2,061,488 · program services $483,611 · management and general $1,577,877

• 11b · Fees: legal

  total $373,868 · management and general $373,868

• 11c · Fees: accounting

  total $155,700 · management and general $155,700

• 11f · Fees: investment management

  total $1,059,804 · management and general $1,059,804

• 11g · Fees: other

  total $28,525,684 · program services $19,505,449 · management and general $9,016,185 · fundraising $4,050

• 12 · Advertising and promotion

  total $750,122 · management and general $567,960 · fundraising $182,162

• 13 · Office expenses

  total $57,876,198 · program services $50,280,386 · management and general $7,578,658 · fundraising $17,154

• 14 · Information technology

  total $7,494,780 · management and general $7,494,780

• 16 · Occupancy

  total $5,777,329 · program services $1,259,933 · management and general $4,517,396

• 17 · Travel

  total $570,143 · program services $466,616 · management and general $103,527

• 19 · Conferences, conventions and meetings

  total $48,222 · management and general $48,222

• 20 · Interest

  total $6,033,326 · program services $6,033,326

• 22 · Depreciation, depletion and amortization

  total $17,007,370 · program services $17,007,370

• 23 · Insurance

  total $5,031,095 · program services $3,646,724 · management and general $1,384,371

• 24a · Other expenses: FRANCHISE TAX

  total $7,878,329 · program services $7,878,329

• 24b · Other expenses: AFFILIATION FEES

  total $532,317 · program services $528,192 · fundraising $4,125

• 24e · All other expenses

  total $3,621,564 · program services $2,813,062 · management and general $802,016 · fundraising $6,486

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $10,624 · end of year $9,838

• 2 · Savings and temporary cash investments

  beginning of year $26,256,766 · end of year $23,636,117

• 3 · Pledges and grants receivable

  beginning of year $49,570 · end of year $22,019

• 4 · Accounts receivable

  beginning of year $30,173,175 · end of year $33,572,843

• 8 · Inventories for sale or use

  beginning of year $6,086,888 · end of year $6,132,378

• 9 · Prepaid expenses and deferred charges

  beginning of year $13,305,561 · end of year $20,835,754

• 10a · Land, buildings and equipment: cost or other basis

  $386,484,506

• 10b · Land, buildings and equipment: accumulated depreciation

  $227,905,422

• 10c · Land, buildings and equipment, net

  beginning of year $165,353,110 · end of year $158,579,084

• 11 · Investments: publicly traded securities

  beginning of year $243,317,352 · end of year $262,677,032

• 12 · Investments: other securities

  beginning of year $5,236,258 · end of year $5,833,533

• 15 · Other assets

  beginning of year $1,860,287 · end of year $8,646,353

• 17 · Accounts payable and accrued expenses

  beginning of year $51,370,170 · end of year $61,109,733

• 20 · Tax-exempt bond liabilities

  beginning of year $134,685,768 · end of year $136,225,002

• 25 · Other liabilities

  beginning of year $39,508,626 · end of year $38,470,567

• 27 · Net assets without donor restrictions

  beginning of year $250,643,253 · end of year $267,401,272

• 28 · Net assets with donor restrictions

  beginning of year $15,441,774 · end of year $16,738,377

The filer's explanations (Part III)

PART I, LINES 4A-B

SEVERENCE WAS PAID TO DANIEL MONCHER, FORMER EXECUTIVE VP & CFO, IN THE AMOUNT OF $117,258.

PART I LINE 4B

NORTH COAST PROFESSIONAL COMPANY, A RELATED PARTY, CONTRIBUTED TO A 409A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN ON THE BEHALF OF JEREMY NORMINGTON-SLAY, PRESIDENT, IN THE AMOUNT $111,817. NORTH COAST PROFESSIONAL COMPANY, A RELATED PARTY, CONTRIBUTED TO A 409A SUPPLEMENTAL NON-QUALIFIED DEFERREDCOMPENSATION PLAN ON THE BEHALF OF SCOTT CAMPBELL, CHIEF MEDICAL OFFICER, IN THE AMOUNT $65,940. NORTH COAST PROFESSIONAL COMPANY, A RELATED PARTY, CONTRIBUTED TO A 409A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN ON THE BEHALF OF KEVIN RILEY, CHIEF FINANCIAL OFFICER, IN THE AMOUNT $41,122. NORTH COAST PROFESSIONAL COMPANY, A RELATED PARTY, CONTRIBUTED TO A 409A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN ON THE BEHALF OF JODY MEISLER-MCKILLIPS, VICE PRESIDENT HUMAN RESOURCES, IN THE AMOUNT $25,710. NORTH COAST PROFESSIONAL COMPANY, A RELATED PARTY, CONTRIBUTED TO A 409A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN ON THE BEHALF OF DENISE PARRISH, CHIEF NURSING OFFICE, IN THE AMOUNT $29,779.

PART I LINE 6A

BONUS COMPENSATION IS BASED ON A SUCCESS SHARING PLAN MEASURED BY PATIENT SATISFACTION, QUALITY/ACCREDITATION, FINANCIAL PERFORMANCE, AND EMPLOYEE ENGAGEMENT.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• FIRELANDS VOCATIONAL REHABILITATION LLC

  VOCATIONAL REHABILITATION · OH · income -$664 · assets $57,364

  Directly controlled by FIRELANDS REGIONAL MEDICAL CENTER

• FIRELANDS HOLDING CO LLC

  MEDICAL SERVICES · OH · income $155,449 · assets $352,861

  Directly controlled by FIRELANDS REGIONAL MEDICAL CENTER

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• FIRELANDS-BELLEVUE URGENT CARE REAL ESTATE HOLDING CO

  RELATED · REAL ESTATE HOLDINGS · OH · 75% owned · share of income $4,559 · share of assets $998,624 · general or managing partner

  Directly controlled by FIRELANDS REGIONAL MEDICAL CENTER

• FIRELANDS-BELLEVUE URGENT CARE OPERATING CO

  RELATED · MEDICAL SERVICES · OH · 75% owned · share of income -$30,053 · share of assets $70,775 · general or managing partner

  Directly controlled by FIRELANDS REGIONAL MEDICAL CENTER

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• FIRELANDS PROFESSIONAL CENTER 2 CONDO

  C · CONDO ASSOCIATION · OH · 94% owned · share of assets $259,057 · controlled entity

• FIRELANDS PHYSICIANS REGIONAL HEALTH CARE

  C · PHO · OH · 51% owned · share of income $2,344 · share of assets $12,033 · controlled entity

• NORTH COAST PROFESSIONAL CO LLC

  C · PHYSICIAN PRACTICE MGT · OH