2024-11-15T09:22:27-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2023-01-01 341401659 FIRELANDS REGIONAL HEALTH SYSTEM FIRE 4195577400 1111 HAYES AVE SANDUSKY OH 448703323 KEVIN RILEY CHIEF FINANCIAL OFFICER 4195577400 2024-11-13 1 1 AMY CIMINELLO P00796388 6148493000 2024-11-13 2023 2024-10-15 13:58:12Z KEVIN RILEY 1111 HAYES AVE SANDUSKY OH 448703323 987410 0 X WWW.FIRELANDS.COM X 1982 OH FIRELANDS REGIONAL HEALTH SYSTEM SERVES AS A HOLDING COMPANY WHICH PROVIDES DIRECTION AND SUPPORT FOR THE HEALTH CARE DELIVERY SYSTEM COMPRISED OF FIRELANDS REGIONAL MEDICAL CENTER AND OTHER RELATED ENTITIES. 13 12 0 12 0 0 0 0 0 0 17326 -39241 0 0 17326 -39241 0 0 0 0 0 0 0 0 0 433713 53330 433713 53330 -416387 -92571 15047068 8671588 7579994 0 7467074 8671588 FIRELANDS REGIONAL HEALTH SYSTEM SERVES AS A HOLDING COMPANY WHICH PROVIDES DIRECTION AND SUPPORT FOR THE HEALTH CARE DELIVERY SYSTEM COMPRISED OF FIRELANDS REGIONAL MEDICAL CENTER AND OTHER RELATED ENTITIES. 0 0 53330 INCREASE ACCESS TO COMMUNITY HEALTH CARE BY SUPPORTING FIRELANDS REGIONAL MEDICAL CENTER AND OTHER AREA HEALTH CARE ORGANIZATIONS INCLUDING THE BELLEVUE HOSPITAL. 53330 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 OH X JACKIE SPRINGER CONTROLLER 4195575544 1111 HAYES AVE SANDUSKY OH 448703323 JAMES O MILLER VICE CHAIR 2.00 3.00 X X 0 0 0 ROGER GUNDLACH CHAIR 2.00 3.00 X X 0 0 0 LEE ALEXAKOS VICE CHAIR ELECT 2.00 2.00 X X 0 0 0 JOHN O BACON DIRECTOR 1.00 1.00 X 0 0 0 JAMES HART DIRECTOR 1.00 1.00 X 0 0 0 BRYAN KASPER DIRECTOR 1.00 2.00 X 0 0 0 TED KASTOR DIRECTOR 1.00 1.00 X 0 0 0 RICHARD KELLER MD DIRECTOR 1.00 1.00 X 0 0 0 ALLEN NICKLES CPA DIRECTOR 1.00 1.00 X 0 0 0 PAULA RENGEL DIRECTOR 1.00 2.00 X 0 0 0 JAMES WIBLE DIRECTOR 1.00 2.00 X 0 0 0 LUVADA WILSON DIRECTOR 1.00 1.00 X 0 0 0 JEREMY NORMINGTON-SLAY PRESIDENT & CEO 2.00 44.00 X 0 685265 172400 SCOTT CAMPBELL MD SECRETARY/NON-VOTING 2.00 44.00 X 0 471811 91598 KEVIN RILEY TREASURER/NON-VOTING 2.00 44.00 X 0 391390 88231 DANIEL J MONCHER FORMER TREASURER/NON-VOTING 0.00 0.00 X 0 117448 13799 0 1665914 366028 0 1 1 0 0 2070 2070 985340 1026651 -41311 -41311 -41311 -39241 0 0 -39241 53330 53330 53330 53330 0 0 772490 0 14274578 8671588 15047068 8671588 159994 0 7420000 0 7579994 0 X 7467074 8671588 7467074 8671588 15047068 8671588 X -92571 41588 1255497 X X 0 1 X 1 0 X X 1 FIRELANDS REGIONAL MEDICAL CENTER 344428218 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 INVESTMENT IN BELLEVUE HOSPITAL 8671588 8671588 1 1 0 0 0 0 0 0 0 JEREMY NORMINGTON-SLAY PRESIDENT & CEO 0 684405 0 50 0 810 0 118416 0 53984 0 857665 0 0 SCOTT CAMPBELL MD SECRETARY/NON-VOTING 0 468247 0 0 0 3564 0 72540 0 19058 0 563409 0 0 KEVIN RILEY TREASURER/NON-VOTING 0 391018 0 0 0 372 0 42298 0 45933 0 479621 0 0 DANIEL J MONCHER FORMER TREASURER/NON-VOTING 0 0 0 0 0 117448 0 0 0 13799 0 131247 0 0 PART I LINE 3 A RELATED ORGANIZATION REVIEWS THE COMPENSATION FOR OFFICERS. THE FOLLOWING METHODS ARE USED: COMPENSATION COMMITTEE AND GOVERNANCE APPROVAL, AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, AND A COMPENSATION SURVEY/STUDY. PART I LINE 4A DANIEL MONCHER, FORMER TREASURER, RECEIVED SEVERANCE IN THE AMOUNT $117,258. PART I LINE 4B RELATED ORGANIZATION, NORTH COAST PROFESSIONAL CO, CONTRIBUTED $218,878 TO A SUPPLEMENTAL NON-QUALIFIED 409A DEFERRED COMPENSATION PLAN FOR ALL OFFICERS. SPECIFICALLY A $111,816 ON BEHALF OF JEREMY NORMININGTON-SLAY, PRESIDENT; $65,940 ON BEHALF OF SCOTT CAMPBELL, SECRETARY; AND $41,122 ON BEHALF OF KEVIN RILEY, TREASURER. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT AND CORPORATE COMMITTEE HAS BEEN DELEGATED THE AUTHORITY BY THE FIRELANDS REGIONAL HEALTH SYSTEM BOARD OF DIRECTORS TO REVIEW AND APPROVE ALL FORM 990S FOR ALL COMPANIES IN THE SYSTEM. THE FINAL VERSION OF THE RESPECTIVE FORM 990 IS MADE AVAILABLE TO THE CHAIR 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 AS PROVIDED IN THE CODE OF REGULATIONS FOR FIRELANDS REGIONAL HEALTH SYSTEM, FIRELANDS REGIONAL MEDICAL CENTER, AND THE FOUNDATION FOR FIRELANDS (COLLECTIVELY KNOWN AS "FIRELANDS"), ANNUALLY, CONFLICT OF INTEREST QUESTIONNAIRES ARE PREPARED AND PROVIDED TO THE DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS OF FIRELANDS. DURING THE ANNUAL MEETINGS OF THE HEALTH SYSTEM, MEDICAL CENTER AND FOUNDATION, THE GENERAL COUNSEL / CORPORATE COMPLIANCE OFFICER PRESENTS A SUMMARY TO THE DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS OF FIRELANDS' CONFLICT OF INTEREST PROGRAM. PART OF THAT SUMMARY IS A REMINDER TO THOSE DIRECTORS, OFFICERS AND COMMITTEE MEMBERS THAT THEY HAVE A DUTY DURING THE YEAR TO REPORT TO THE CHAIR, VICE CHAIR, PRESIDENT/CEO, OR THE GENERAL COUNSEL / CORPORATE COMPLIANCE OFFICER OF A POTENTIAL CONFLICT OF INTEREST. ALL DIRECTORS, OFFICERS AND COMMITTEE MEMBERS ARE REQUIRED TO RETURN THEIR ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE TO THE FIRELANDS LEGAL DEPARTMENT. IF A POTENTIAL CONFLICT OF INTEREST DOES ARISE, THEN THE BOARD POLICY ON RESOLVING CONFLICT, ADMINISTRATIVE POLICY 100.17, IS UTILIZED. THE CONFLICT OF INTEREST QUESTIONNAIRES ARE ON FILE WITH THE FIRELANDS LEGAL DEPARTMENT AND ARE RETAINED FOR A MINIMUM OF TEN (10) YEARS. FORM 990, PART VI, SECTION B, LINE 15 FIRELANDS REGIONAL HEALTH SYSTEM HAS NO EMPLOYEES AND DOES NOT COMPENSATE ANY MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. ANNUAL INFORMATION RETURNS AND APPLICATION FOR EXEMPTION ARE AVAILABLE FOR PUBLIC INSPECTION PER IRS GUIDELINES. FORM 990, PART XI, LINE 9: LOSS ADJUSTMENT ON MINORITY INTEREST -540,951. TRANSFER TO/FROM SUPPORTED ORGANIZATION 1,796,448. FORM 990, PART XII, LINE 2: FINANCIAL STATEMENTS FOR FIRELANDS REGIONAL HEALTH SYSTEM ARE AUDITED BY PLANTE MORAN, PLLC, AS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS. FIRELANDS MANAGEMENT SERVICES (INACTIVE) 1111 HAYES AVE SANDUSKY OH 44870 371742574 INFO SYSTEMS OH 0 0 FIRELANDS REGIONAL FIRELANDS REGIONAL MEDICAL CENTER 1111 HAYES AVE SANDUSKY OH 44780 344428218 HOSPITAL OH 501(C)(3) LINE 3 FIRELANDS REGIONAL HEALTH SYSTEM 1 THE FOUNDATION FOR FIRELANDS 1111 HAYES AVE SANDUSKY OH 44780 341401660 HOSPITAL SUPPORT OH 501(C)(3) LINE 12A, I FIRELANDS REGIONAL HEALTH SYSTEM 1 FIRELANDS PROFESSIONAL CENTER 2 CONDO 1111 HAYES AVE SANDUSKY OH 44870 203131059 CONDO ASSOCIATION OH N/A C 0 FIRELANDS PHYSICIANS REGIONAL HEALTH CARE 1111 HAYES AVE SANDUSKY OH 44870 341829898 PHO OH N/A C 0 NORTH COAST PROFESSIONAL CO LLC 1111 HAYES AVE SANDUSKY OH 44870 341608091 PHYSICIAN PRACTICE MGMT OH N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 FIRELANDS REGIONAL MEDICAL CENTER S 6858487 BASIC/CASH