Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $46,862

• 1d · Related organizations

  $43,164

• 1e · Government grants (contributions)

  $9,293,449

• 1f · All other contributions, gifts and grants

  $2,104,375

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

  total $238,432,180 · related or exempt $238,432,180

• 2b · Program service revenue: SCHOOL OF NURSING

  total $556,538 · related or exempt $556,538

• 2c · Program service revenue: PROGRAM SERVICE INVESTMENTS

  total -$1,729 · related or exempt -$1,729

• 2f · All other program service revenue

  total $3,402,403 · related or exempt $3,402,403

• 3 · Investment income

  total $8,891,212 · excluded $8,891,212

• 7a · Gross sales of assets other than inventory

  securities $63,675,615 · other assets $3,598,697

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

  securities $63,051,442 · other assets $2,513,297

• 7c · Gain or loss

  securities $624,173 · other assets $1,085,400

• 7d · Net gain or loss

  total $1,709,573 · excluded $1,709,573

• 8a · Fundraising events: gross income

  $271,495

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

  $46,862

• 8b · Fundraising events: direct expenses

  $91,029

• 8c · Net income from fundraising events

  total $180,466 · excluded $180,466

• 11a · Other revenue: EMPLOYEE PHARMACY

  total $12,812,359 · excluded $12,812,359

• 11b · Other revenue: OFFICE RENTS

  total $2,427,813 · excluded $2,427,813

• 11c · Other revenue: DIETARY SERVICES

  total $843,384 · excluded $843,384

• 11d · All other revenue

  total $2,069,958 · unrelated business $324,489 · excluded $1,745,469

• 11e · Other revenue, total

  $18,153,514

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $19,365 · program services $19,365

• 2 · Grants to domestic individuals

  total $17,000 · program services $17,000

• 5 · Compensation of officers, directors and key employees

  total $5,467,108 · program services $3,391,700 · management and general $2,075,408

• 7 · Other salaries and wages

  total $100,018,200 · program services $73,020,059 · management and general $26,788,736 · fundraising $209,405

• 8 · Pension plan contributions

  total $20,233,424 · program services $14,808,105 · management and general $5,384,248 · fundraising $41,071

• 9 · Other employee benefits

  total $11,199,618 · program services $8,157,628 · management and general $3,018,874 · fundraising $23,116

• 10 · Payroll taxes

  total $7,402,958 · program services $5,372,693 · management and general $2,015,473 · fundraising $14,792

• 11a · Fees: management

  total $2,671,103 · program services $770,376 · management and general $1,900,727

• 11b · Fees: legal

  total $397,856 · management and general $397,856

• 11c · Fees: accounting

  total $253,926 · management and general $253,926

• 11f · Fees: investment management

  total $1,205,568 · management and general $1,205,568

• 11g · Fees: other

  total $29,556,588 · program services $20,208,664 · management and general $9,342,388 · fundraising $5,536

• 12 · Advertising and promotion

  total $766,427 · program services $1,887 · management and general $574,243 · fundraising $190,297

• 13 · Office expenses

  total $59,418,941 · program services $54,543,963 · management and general $4,852,555 · fundraising $22,423

• 14 · Information technology

  total $6,435,382 · management and general $6,435,382

• 16 · Occupancy

  total $6,222,109 · program services $1,493,470 · management and general $4,728,639

• 17 · Travel

  total $622,911 · program services $448,436 · management and general $173,929 · fundraising $546

• 19 · Conferences, conventions and meetings

  total $49,326 · management and general $49,326

• 20 · Interest

  total $3,773,653 · program services $3,773,653

• 22 · Depreciation, depletion and amortization

  total $16,666,988 · program services $16,666,988

• 23 · Insurance

  total $2,271,542 · program services $898,126 · management and general $1,373,416

• 24a · Other expenses: FRANCHISE TAX

  total $7,421,642 · program services $7,421,642

• 24b · Other expenses: AFFILIATION FEES

  total $735,655 · program services $728,816 · fundraising $6,839

• 24e · All other expenses

  total $3,144,047 · program services $2,768,796 · management and general $361,537 · fundraising $13,714

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $10,724 · end of year $10,624

• 2 · Savings and temporary cash investments

  beginning of year $28,445,289 · end of year $26,256,766

• 3 · Pledges and grants receivable

  beginning of year $70,005 · end of year $49,570

• 4 · Accounts receivable

  beginning of year $36,850,843 · end of year $30,173,175

• 8 · Inventories for sale or use

  beginning of year $5,907,955 · end of year $6,086,888

• 9 · Prepaid expenses and deferred charges

  beginning of year $8,614,040 · end of year $13,305,561

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

  $383,720,061

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

  $218,366,951

• 10c · Land, buildings and equipment, net

  beginning of year $176,634,081 · end of year $165,353,110

• 11 · Investments: publicly traded securities

  beginning of year $306,556,325 · end of year $243,317,352

• 12 · Investments: other securities

  beginning of year $4,780,811 · end of year $5,236,258

• 15 · Other assets

  beginning of year $4,313,576 · end of year $1,860,287

• 17 · Accounts payable and accrued expenses

  beginning of year $101,856,864 · end of year $51,370,170

• 20 · Tax-exempt bond liabilities

  beginning of year $139,547,526 · end of year $134,685,768

• 25 · Other liabilities

  beginning of year $30,002,656 · end of year $39,508,626

• 27 · Net assets without donor restrictions

  beginning of year $281,135,096 · end of year $250,643,253

• 28 · Net assets with donor restrictions

  beginning of year $19,641,507 · end of year $15,441,774

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 $318,434.

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 $109,386. NORTH COAST PROFESSIONAL COMPANY, A RELATED PARTY, CONTRIBUTED TO A 409A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN ON THE BEHALF OF SCOTT CAMPBELL, CHIEF MEDICAL OFFICER, IN THE AMOUNT OF $10,828. 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 OFFICER, IN THE AMOUNT OF $28,737

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 -$1,293 · assets $58,252

  Directly controlled by FIRELANDS REGIONAL MEDICAL CENTER

• FIRELANDS HOLDING CO LLC

  MEDICAL SERVICES · OH · income -$214,338 · assets $197,412

  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 -$2,453 · share of assets $996,439 · 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 -$51,593 · share of assets $93,878 · 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 $219,171

• FIRELANDS PHYSICIANS REGIONAL HEALTH CARE

  C · PHO · OH · 51% owned · share of income -$32,298 · share of assets $11,811

• NORTH COAST PROFESSIONAL CO LLC

  C · PHYSICIAN PRACTICE MGT · OH