2024-11-15T09:30:20-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2023-01-01 341401660 THE FOUNDATION FOR FIRELANDS FOUN 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 9619761 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 ORGANIZATION. 12 11 0 11 -22547 0 8674 3750 0 0 1986880 1879854 -10771 -23428 1984783 1860176 0 0 0 0 0 0 0 0 0 514397 490399 514397 490399 1470386 1369777 38937747 45128852 906445 987332 38031302 44141520 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 ORGANIZATION. 0 0 333471 0 0 FINANCIAL SUPPORT FOR MEDICAL EDUCATION, SCHOLARSHIPS, MEDICAL STAFF FEES, INDIGENT CARE, SERVICE TO OUTLYING COMMUNITIES, NURSING EDUCATION AND OTHER OPERATING EXPENSES. 333471 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 12 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 1 1 OH X JACKIE SPRINGER CONTROLLER 4195575544 1111 HAYES AVE SANDUSKY OH 448703323 J WILLIAM SPRINGER CHAIR 2.00 0.00 X X 0 0 0 THOMAS M WOLF VICE CHAIR 2.00 0.00 X X 0 0 0 ROGER GUNDLACH DIRECTOR 1.00 4.00 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 DANIEL KELLER DIRECTOR 1.00 1.00 X 0 0 0 STEVE LICHTCSIEN DIRECTOR 1.00 1.00 X 0 0 0 JAMES O MILLER DIRECTOR 1.00 4.00 X 0 0 0 PAULA RENGEL DIRECTOR 1.00 2.00 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 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 3750 3750 1930637 1930637 7708802 7759585 -50783 -50783 -50783 YE OAKS PROPERTIES 523000 -881 -881 UBI INVESTMENT LOSS 523000 -22547 -22547 -23428 1860176 -881 -22547 1879854 156928 156928 333471 333471 490399 333471 156928 0 6918 8219 37414877 42983682 1447573 1460800 68379 676151 38937747 45128852 906445 987332 906445 987332 X 37211184 43248221 820118 893299 38031302 44141520 38937747 45128852 X 1369777 3874993 865448 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 13890000 0 2 13890000 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 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, LINES 4A-B 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, $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. 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. 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 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 842,901. UNRELATED BUSINESS LOSS 22,547. 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. 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