Firelands Regional Medical Center

What it reported doing in 2024

Firelands regional medical center is a 287-bed facility serving the greater erie county region. As a non-profit organization, firelands is committed to its mission to: "provide excellent healthcare, promote community wellness, and improve the lives we serve." firelands is dedicated to providing care to all those in the community regardless of ability to pay. Firelands regional medical center today carries on the proud tradition of delivering a full-range of allopathic and osteopathic medical services to nearly 300,000 residents in a five-county area. As one of the largest year-round employers in erie county, firelands regional medical center plays an important role in the local community. With over 2085 individuals employed in the health system in 2024, $1.68 million was paid in city and school payroll taxes in 2024, and over $15 million of goods and services were purchased from businesses in firelands' service area. In terms of healthcare services provided in 2024, inpatient care was given to 9,101 individuals, and the hospital provided care through 323,258 outpatient visits. There were 42,275 persons treated in the emergency room and urgent care, providing multiple levels of emergency and urgent care services for major and minor injuries and illnesses. Firelands had 589 births in 2024.consistent with its commitment to provide care to all, regardless of ability to pay, firelands gave back to the community over $45.7 million of services in free or discounted programs or services. Additional charity care was provided by independent physicians who are on the medical staff of firelands. Specifically, in terms of free or discounted care provided, firelands served the following number of persons within each category, amounting to significant dollars invested in the community for which firelands did not receive compensation: persons served category cost of providing care32,914 costs of services not covered by medicaid $2,590,30715,689 community health improvement $451,47985 health professions education $4,092,3487,809 financial assistance at cost $2,143,163in-kind donations $36,030firelands' community outreach department is dedicated to providing screenings, community education programs and preventive services all designed to improve the health of the communities they serve. These services are provided at free or discounted rates. Firelands also works in conjunction with other healthcare facilities to bring specialized pediatric clinics to the area, such as, gastroenterology, nephrology, neurology, orthopedic and pulmonary care.firelands has seen significant growth in bringing advanced procedures to the local community so that persons residing in the five-county area can stay closer to home for advanced care such as spine surgery, vascular surgery and advanced care in medical oncology and radiation oncology services. In 2024, firelands welcomed seven new physicians specializing in the areas of, gastroenterology, emergency medicine, neurosurgery, family medicine, urology, ophthalmology and pathology.

Financial Efficiency

• Mission deployment rate: 70.6%; rating input score 71
• Program expense ratio: 74.6%; rating input score 75
• Fundraising efficiency: $11.78 raised per $1 spent on fundraising; rating input score 46; 46th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 52.1%; rating input score 52; 10th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 84.2%; rating input score 84; 31st percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 9.4%; rating input score 71; 71st percentile among comparable filings
• Total-asset coverage ratio: 1.86; rating input score 61; 61st percentile among comparable filings
• Liabilities to assets ratio: 0.39; rating input score 46; 46th percentile among comparable filings
• Officer compensation ratio: 2.1%; rating input score 54; 54th percentile among comparable filings

Growth

• Program expense growth: 1.6% per year; rating input score 100; 13th percentile among comparable filings
• Revenue growth: 2.1% per year; rating input score 100; 15th percentile among comparable filings
• Asset growth: 2.1% per year; rating input score 100; 15th percentile among comparable filings