2023-11-13T16:13:23-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2022-01-01 341401660 THE FOUNDATION FOR FIRELANDS FOUN 4195577400 1111 HAYES AVE SANDUSKY OH 448703323 KEVIN RILEY CHIEF FINANCIAL OFFICER 4195577400 2023-11-10 1 KEVIN RILEY 999009999 1 AMY CIMINELLO P00796388 6148493000 2023-11-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KEVIN RILEY 1111 HAYES AVE SANDUSKY OH 44870 8769168 0 X WWW.FOUNDATIONFORFIRELANDS.COM X 1982 OH THE FOUNDATION FOR FIRELANDS SERVES COMMUNITY HEALTHCARE NEEDS BY PROVIDING FINANCIAL SUPPORT TO FIRELANDS REGIONAL MEDICAL CENTER, A 501(C)(3) HOSPITAL, AND/OR ANY OTHER RELATED NONPROFIT CORPORATION. 13 12 0 12 -9703 0 7685 8674 0 0 5356510 1986880 -243 -10771 5363952 1984783 0 0 0 0 0 0 0 0 0 516585 514397 516585 514397 4847367 1470386 45938908 38937747 1218450 906445 44720458 38031302 THE FOUNDATION FOR FIRELANDS SERVES COMMUNITY HEALTHCARE NEEDS BY PROVIDING FINANCIAL SUPPORT TO FIRELANDS REGIONAL MEDICAL CENTER, A 501(C)(3) HOSPITAL, AND/OR ANY OTHER RELATED NONPROFIT CORPORATION. 0 0 336036 0 0 FINANCIAL SUPPORT FOR MEDICAL EDUCATION, SCHOLARSHIPS, MEDICAL STAFF FEES, INDIGENT CARE, SERVICE TO OUTLYING COMMUNITIES, NURSING EDUCATION AND OTHER OPERATING EXPENSES. 336036 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 1 1 0 1 0 0 0 1 1 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 1 1 1 1 OH X JACKIE SPRINGER CONTROLLER 4195575544 1111 HAYES AVE SANDUSKY OH 448703323 THOMAS M WOLF CHAIR 2.00 0.00 X 0 0 0 JOHN O BACON DIRECTOR 1.00 2.00 X 0 0 0 ROGER DUNDLACH DIRECTOR 1.00 2.00 X 0 0 0 DANIEL KELLER DIRECTOR 1.00 1.00 X 0 0 0 CHARLES RAINGER DIRECTOR 1.00 0.00 X 0 0 0 STEVE LICHTCSIEN DIRECTOR 1.00 1.00 X 0 0 0 J WILLIAM SPRINGER VICE CHAIR 2.00 0.00 X 0 0 0 JAMES STOUFFER DIRECTOR 1.00 1.00 X 0 0 0 JAMES WIBLE DIRECTOR 1.00 2.00 X 0 0 0 PAULA RENGEL DIRECTOR 1.00 2.00 X 0 0 0 MARY J HILL DIRECTOR 1.00 1.00 X 0 0 0 BRYAN KASPER DIRECTOR 1.00 2.00 X 0 0 0 JEREMY NORMINGTON-SLAY PRESIDENT & CEO 2.00 42.00 X 0 903755 178402 ROBERT M MOORE SECRETARY/NON-VOTING 2.00 42.00 X 0 444007 126485 KEVIN RILEY TREASURER/NON-VOTING 2.00 42.00 X 0 21163 4188 DANIEL J MONCHER TREASURER/NON-VOTING FORMER 2.00 42.00 X 0 626026 36309 0 1994951 345384 0 1 1 0 0 8674 8674 1939640 1939640 6831625 6784385 47240 47240 47240 YE OAKS PROPERTIES 523000 -1068 -1068 UBI INVESTMENT LOSS 523000 -9703 -9703 -10771 1984783 -1068 -9703 1986880 178361 178361 336036 336036 514397 336036 178361 0 5753 6918 44280155 37414877 1579890 1447573 73110 68379 45938908 38937747 1218450 906445 1218450 906445 X 43641052 37211184 1079406 820118 44720458 38031302 45938908 38937747 X 1470386 -8459868 300326 X X 0 1 X 1 0 X X 2 FIRELANDS REGIONAL HEALTH SYSTEM 341401659 3 1 0 0 NORTH COAST PROFESSIONAL COMPANY 341608091 3 1 12570000 0 2 12570000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 JEREMY NORMINGTON-SLAY PRESIDENT & CEO 0 672498 0 229647 0 1610 0 121586 0 56816 0 1082157 0 0 DANIEL J MONCHER TREASURER/NON-VOTING FORMER 0 172843 0 130659 0 322524 0 652 0 35657 0 662335 0 0 ROBERT M MOORE SECRETARY/NON-VOTING 0 339848 0 98948 0 5211 0 90000 0 36485 0 570492 0 0 PART I, LINE 3 NO CURRENT OR FORMER OFFICERS OR DIRECTORS ARE DIRECTLY COMPENSATED BY THE FOUNDATION FOR FIRELANDS. PART I, LINES 4A-B PART I LINE 4A SEVERENCE WAS PAID TO DANIEL MONCHER, FORMER TREASURER, 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. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT AND COMPLIANCE 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 EACH FORM 990 IS MADE AVAILABLE TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE FOR REVIEW AND APPROVAL BEFORE BEING SUBMITTED TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE ANNUALLY REVIEWS CONFLICT OF INTEREST STATEMENTS FOR ALL APPROPRIATE INDIVIDUALS TO ASSURE THAT THEY ARE IN COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION FOR FIRELANDS 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: TRANSFER TO/FROM SUPPORTED ORGANIZATIONS 290,623. UNRELATED BUSINESS INCOME 9,703. FORM 990, PART XII, LINE 2: FINANCIAL STATEMENTS FOR THE FOUNDATION FOR FIRELANDS ARE AUDITED BY PLANTE MORAN, PLLC AS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF FIRELANDS REGIONAL HEALTH SYSTEM. FIRELANDS DIALYSIS SERVICES LLC 1111 HAYES AVE SANDUSKY OH 44870 383901167 MEDICAL SERVICES OH 58262 875448 THE FOUNDATION FOR FIRELANDS FIRELANDS REGIONAL MEDICAL CENTER 1111 HAYES AVE SANDUSKY OH 44870 344428218 HOSPITAL OH 501(C)(3) 3 FIRELANDS REGIONAL MEDICAL CENTER 1 FIRELANDS REGIONAL MEDICAL CENTER 1111 HAYES AVE SANDUSKY OH 44870 341401659 HOSPITAL SUPPORT OH 501(C)(3) 11-I N/A 0 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 PRACTICES OH THE FOUNDATION FOR FIRELANDS C -17024542 5308196 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 FIRELANDS REGIONAL MEDICAL CENTER S 12860621 CASH NORTH COAST PROFESSIONAL COMPANY LLC R -12570000 CASH