2024-11-13T18:28:32-06:00 2023-12-31 351178661 BLUE & CO LLC 2670 E 2ND ST BLOOMINGTON IN 47401 990 2023-01-01 311425884 FAIRFIELD HEALTHCARE PROFESSIONALS FAIR 7406878051 401 NORTH EWING STREET LANCASTER OH 431303371 JOHN R JANOSO JR PRESIDENT & CEO 7406896825 2024-11-13 1 1 EMILIE M KNIERIEM CPA P01330194 8123340200 2024-11-13 2023 2024-10-15 13:58:12Z JOHN R JANOSO JR 401 NORTH EWING STREET LANCASTER OH 431303371 39346376 0 X N/A X 1995 OH FHP WAS ESTABLISHED TO PROVIDE ACCESS TO GENERAL AND SPECIALTY PHYSICIAN SERVICES IN VARIOUS COMMUNITIES THROUGHOUT FAIRFIELD COUNTY, OHIO AND SUPPORT THE MISSION OF THE FMC TO PROVIDE QUALITY MEDICAL HEALTHCARE. 6 4 402 4 0 0 1232270 3037731 31385513 35630865 -4049 3476 204889 674304 32818623 39346376 0 0 0 0 52613943 48492686 0 0 0 4064705 11489781 56678648 59982467 -23860025 -20636091 18355946 19334097 13974689 16470604 4381257 2863493 X FAIRFIELD HEALTHCARE PROFESSIONALS (FHP) WAS ESTABLISHED TO PROVIDE ACCESS TO GENERAL AND SPECIALTY PHYSICIAN SERVICES IN VARIOUS COMMUNITIES THROUGHOUT FAIRFIELD COUNTY, OHIO. IT ALSO SUPPORTS THE MISSION OF FAIRFIELD MEDICAL CENTER TO PROVIDE QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. 0 0 53691021 36214043 FAIRFIELD HEALTHCARE PROFESSIONALS (FHP) TOTAL VISITS IN 2023 WERE 205,407. 53691021 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 0 1 1 0 1 0 1 29 0 1 402 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 1 0 0 1 1 0 0 0 1 1 1 1 1 0 1 0 OH X JOHN R JANOSO JR 7406896825 401 NORTH EWING STREET LANCASTER OH 431303371 BRAD HEDGES PHD CHAIR 1.00 0.00 X X 0 0 0 MATT WIDEMAN VICE CHAIR 1.00 0.00 X X 0 0 0 LAURIE LACH SECRETARY 1.00 0.00 X X 0 0 0 ALAN GREENSLADE TREASURER 2.00 40.00 X X 0 326580 50609 LAURA TUSSING DIRECTOR 1.00 3.00 X 0 0 0 RON BURRIS DIRECTOR 1.00 0.00 X 0 0 0 JOHN R JANOSO JR PRESIDENT & CEO 1.00 55.00 X X 0 688696 121634 MICHAEL REINIG MD INTERVENTIONAL CARDIOLOGIS 40.00 0.00 X 1256044 0 45661 JARROD BRUCE MD PULMONARY/CRITICAL CARE PHYSICIAN 40.00 0.00 X 872133 0 48582 JOHN J LAZARUS MD INTERVENTIONAL CARDIOLOGIS 40.00 0.00 X 881063 0 41141 JEREMY BUCKLEY MD INTERVENTIONAL CARDIOLOGIS 40.00 0.00 X 868564 0 49132 ARYEH COHEN MD CARDIOVASCULAR SURGEON 40.00 0.00 X 914610 0 49132 4792414 1015276 405891 111 0 1 0 NAVEEN BEKKAM 4323 VILLAGE CLUB DRIVE POWELL OH 43065 PHYSICIAN SERVICES 362400 CENTRAL OHIO VASCULAR CARE 6488 E MAIN STREET REYNOLDSBURG OH 43068 PHYSICIAN SERVICES 235806 AYA HEALTHCARE 5930 CORNERSTONE COURT W STE 300 SAN DIEGO CA 92121 PERSONNEL SERVICES 219584 VEERA VEERLA 1981 GRANVILLE PIKE LANCASTER OH 43130 PHYSICIAN SERVICES 215963 BEN GUDAPTI 3679 WAKEFIELD DR WEST LAFAYETTE IN 47906 PHYSICIAN SERVICES 120000 5 3037731 3037731 PATIENT CARE SERVICE REVENUE 621110 35630865 35630865 35630865 91126 0 91126 91126 91126 3476 0 3476 3476 3476 INCENTIVE REVENUE 621110 493178 493178 MISCELLANEOUS REVENUE 900099 90000 90000 583178 39346376 36214043 0 94602 39293004 39293004 2089644 2015747 73897 4731139 3136109 1595030 2378899 2296681 82218 1826747 1826747 2927380 2315053 612327 14948 8098 6850 2064203 2064203 369379 351819 17560 391650 380796 10854 106575 106575 BAD DEBT EXPENSE 1884234 1884234 MEDICAL SUPPLIES 1818591 1779877 38714 DUES & SUB. 26630 9380 17250 DIETARY 15484 6192 9292 43960 34062 9898 59982467 53691021 6291446 0 671437 2061087 5334306 4758573 935878 1048817 7042407 3928705 3424768 3113702 84000 84000 7905557 8267918 18355946 19334097 5806763 6946869 1500000 8167926 8023735 13974689 16470604 X 4381257 2863493 4381257 2863493 18355946 19334097 X -20636091 19118327 X X 0 1 X 1 1 1 X X 1 FAIRFIELD MEDICAL CENTER 310645626 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 50367 50367 3559 3559 3423693 1073144 2350549 3564788 2855561 709227 3113702 RIGHT-OF-USE OPERATING LEASE ASSETS 7282068 DUE TO/FROM AFFILIATES 945321 OTHER A/R 40529 8267918 OPERATING LEASE 7691878 MISC LIABILITIES 331857 8023735 X PART X, LINE 2: THE INTERNAL REVENUE SERVICES (IRS) HAS RULED THAT THE HOSPITAL AND FHP ARE TAX EXEMPT UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDING DECEMBER 31, 2023 AND 2022. 0 0 0 0 0 0 0 1 0 MICHAEL REINIG MD INTERVENTIONAL CARDIOLOGIS 751491 0 504050 0 503 0 19800 0 25861 0 1301705 0 0 0 ARYEH COHEN MD CARDIOVASCULAR SURGEON 780000 0 130850 0 3760 0 19800 0 29332 0 963742 0 0 0 JOHN J LAZARUS MD INTERVENTIONAL CARDIOLOGIS 745555 0 130309 0 5199 0 19559 0 21582 0 922204 0 0 0 JARROD BRUCE MD PULMONARY/CRITICAL CARE PHYSICIAN 506797 0 355481 0 9855 0 19800 0 28782 0 920715 0 0 0 JEREMY BUCKLEY MD INTERVENTIONAL CARDIOLOGIS 641435 0 187870 0 39259 0 19800 0 29332 0 917696 0 0 0 JOHN R JANOSO JR PRESIDENT & CEO 0 657016 0 24793 0 6887 0 102300 0 19334 0 810330 0 0 ALAN GREENSLADE TREASURER 0 325437 0 0 0 1143 0 19800 0 30809 0 377189 0 0 PART I, LINE 3 THE FOLLOWING METHODS ARE USED BY A RELATED ORGANIZATION (FAIRFIELD MEDICAL CENTER) TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S CEO: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION COMMITTEE -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 7 THE FOLLOWING ARE TYPES OF BONUSES PAID: THRESHOLD - BONUSES ARE PAID PER WRVU AFTER A SET THRESHOLD IS REACHED; QUALITY - BONUSES ARE PAID TO THE PROVIDER BASED ON PRESET BENCHMARKS FOR QUALITY METRICS AS DEFINED IN THEIR CONTRACT. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS COMMON STOCKHOLDERS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE TREASURER OF THE ORGANIZATION AFTER REVIEW BY THE CFO OF THE RELATED FMC ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYED PHYSICIANS ARE REQUIRED TO COMPLETE AN ANNUAL QUESTIONNAIRE DISCLOSING POTENTIAL CONFLICTS OF INTEREST. IF A KNOWN OR PERCEIVED CONFLICT OF INTEREST ARISES, THE COMPLIANCE OFFICER INVESTIGATES, DOCUMENTS, AND WORKS TO RESOLVE THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15B EMPLOYED PHYSICIAN COMPENSATION IS DETERMINED BASED UPON RECOMMENDATIONS PROVIDED BY PHYSICIAN RECRUITMENT CONSULTANTS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIALS ARE MADE AVAILABLE TO THE PUBLIC BY REQUESTS MADE TO FHP MANAGEMENT. FORM 990, PART XI, LINE 9: TRANSFER OF ASSETS FROM AFFILIATE 20,636,087. PRIOR PERIOD ADJUSTMENT FROM RESTATEMENT OF AUDIT -1,517,760. FORM 990, PART XII, LINE 2C: THE PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR. FAIRFIELD MEDICAL CENTER 401 NORTH EWING STREET LANCASTER OH 43130 310645626 ACUTE CARE HOSPITAL OH 501(C)(3) LINE 3 N/A 0 FAIRFIELD MEDICAL CENTER FOUNDATION 401 NORTH EWING STREET LANCASTER OH 43130 208952945 FUNDRAISING OH 501(C)(3) LINE 7 N/A 0 ZANE PROPERTIES CORPORATION 401 NORTH EWING STREET LANCASTER OH 43130 311202009 HOLDING COMPANY OH N/A C 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1 FAIRFIELD MEDICAL CENTER S 17722668 COST FAIRFIELD MEDICAL CENTER Q 1947779 COST FAIRFIELD MEDICAL CENTER H 122192 COST