Civic Intelligence

Fairfield Medical Center

EIN 31-0645626 • 501(c)3 • Lancaster, OH

Profile

Fairfield medical center delivers outstanding healthcare for our patients, their families and our communities.

Refreshing map…

401 North Ewing StreetLancaster, OH 43130-3371

www.fmchealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

76th percentile

0.64x

Higher debt load relative to assets than 76% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

53rd percentile

0.51x

Higher debt load relative to revenue than 53% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

51st percentile

4.3%

Higher net margin than 51% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

60th percentile

$1,068,551

Higher top officer pay than 60% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

20th percentile

-0.9%

Faster asset growth than 20% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

49th percentile

8.4%

Faster revenue growth than 49% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Down

$281,919,969

Down $2,568,414 (-0.9%) from 2023

Liabilities

Up

$180,992,213

Up $4,923,928 (+2.8%) from 2023

Net Assets

Down

$100,927,756

Down $7,492,342 (-6.9%) from 2023

Revenue

Up

$351,630,396

Up $27,292,281 (+8.4%) from 2023

Expenses

Up

$336,464,652

Up $13,015,721 (+4.0%) from 2023

Net Income

Up

$15,165,744

Up $14,276,560 (+1606%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$400M$300M$200M$100M$0Assets 2010: $186,675,728Liabilities 2010: $81,905,531Net Assets 2010: $104,770,1972010Assets 2011: $195,128,210Liabilities 2011: $91,249,309Net Assets 2011: $103,878,9012011Assets 2012: $207,783,812Liabilities 2012: $92,223,240Net Assets 2012: $115,560,5722012Assets 2013: $262,521,097Liabilities 2013: $131,499,494Net Assets 2013: $131,021,6032013Assets 2014: $283,819,471Liabilities 2014: $137,221,517Net Assets 2014: $146,597,9542014Assets 2015: $278,507,402Liabilities 2015: $124,203,212Net Assets 2015: $154,304,1902015Assets 2016: $291,691,301Liabilities 2016: $128,102,514Net Assets 2016: $163,588,7872016Assets 2017: $302,757,751Liabilities 2017: $125,966,681Net Assets 2017: $176,791,0702017Assets 2018: $302,962,502Liabilities 2018: $151,448,549Net Assets 2018: $151,513,9532018Assets 2019: $332,181,004Liabilities 2019: $181,786,041Net Assets 2019: $150,394,9632019Assets 2020: $368,796,028Liabilities 2020: $223,237,255Net Assets 2020: $145,558,7732020Assets 2021: $354,412,820Liabilities 2021: $200,313,757Net Assets 2021: $154,099,0632021Assets 2022: $312,187,807Liabilities 2022: $186,879,567Net Assets 2022: $125,308,2402022Assets 2023: $284,488,383Liabilities 2023: $176,068,285Net Assets 2023: $108,420,0982023Assets 2024: $281,919,969Liabilities 2024: $180,992,213Net Assets 2024: $100,927,7562024

Highlighted filing

2024

Assets$281,919,969
Liabilities$180,992,213
Net Assets$100,927,756

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400M$300M$200M$100M$0Expenses 2010: $188,831,8732010Expenses 2011: $201,111,3902011Expenses 2012: $199,195,4032012Revenue 2013: $233,116,431Expenses 2013: $212,704,427Net Income 2013: $20,412,0042013Revenue 2014: $239,405,613Expenses 2014: $217,219,490Net Income 2014: $22,186,1232014Revenue 2015: $247,894,701Expenses 2015: $229,850,045Net Income 2015: $18,044,6562015Revenue 2016: $261,546,632Expenses 2016: $243,279,019Net Income 2016: $18,267,6132016Revenue 2017: $263,960,779Expenses 2017: $243,771,117Net Income 2017: $20,189,6622017Revenue 2018: $259,753,566Expenses 2018: $252,184,206Net Income 2018: $7,569,3602018Revenue 2019: $279,973,252Expenses 2019: $262,377,619Net Income 2019: $17,595,6332019Revenue 2020: $309,199,229Expenses 2020: $275,925,706Net Income 2020: $33,273,5232020Revenue 2021: $320,521,283Expenses 2021: $285,151,458Net Income 2021: $35,369,8252021Revenue 2022: $313,118,837Expenses 2022: $311,603,910Net Income 2022: $1,514,9272022Revenue 2023: $324,338,115Expenses 2023: $323,448,931Net Income 2023: $889,1842023Revenue 2024: $351,630,396Expenses 2024: $336,464,652Net Income 2024: $15,165,7442024

Highlighted filing

2024

Revenue$351,630,396
Expenses$336,464,652
Net Income$15,165,744

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$282$181$101$352$336$15.2
2023Detailed filing. Detailed filing data is available for this year.$284$176$108$324$323$0.89
2022Detailed filing. Detailed filing data is available for this year.$312$187$125$313$312$1.51
2021Detailed filing. Detailed filing data is available for this year.$354$200$154$321$285$35.4
2020Detailed filing. Detailed filing data is available for this year.$369$223$146$309$276$33.3
2019Detailed filing. Detailed filing data is available for this year.$332$182$150$280$262$17.6
2018Detailed filing. Detailed filing data is available for this year.$303$151$152$260$252$7.57
2017Detailed filing. Detailed filing data is available for this year.$303$126$177$264$244$20.2
2016Detailed filing. Detailed filing data is available for this year.$292$128$164$262$243$18.3
2015Detailed filing. Detailed filing data is available for this year.$279$124$154$248$230$18.0
2014Detailed filing. Detailed filing data is available for this year.$284$137$147$239$217$22.2
2013Detailed filing. Detailed filing data is available for this year.$263$131$131$233$213$20.4
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$208$92.2$116$199
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$195$91.2$104$201
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$187$81.9$105$189
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.2
Gross Receipts
$372,555,663
Mission and Program Overview

Mission

Fairfield medical center delivers outstanding healthcare for our patients, their families and our communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$123,872,555$111,607,440▼ $12,265,115
Investments in Publicly Traded Securities$49,786,643$54,193,530▲ $4,406,887
Accounts Receivable$36,742,113$38,651,352▲ $1,909,239
Savings and Temporary Cash Investments$27,015,946$24,280,583▼ $2,735,363
Investments Other Securities$8,779,458$10,239,540▲ $1,460,082
Intangible Assets$7,527,642$7,527,642→ $0
Inventories for Sale or Use$6,033,479$6,498,660▲ $465,181
Prepaid Expenses and Deferred Charges$6,608,392$5,569,184▼ $1,039,208
Cash and Non-Interest-Bearing Accounts$4,055,607$1,071,655▼ $2,983,952
Other Notes and Loans Receivable, Net$409,911$291,285▼ $118,626
Total Assets$284,488,383$281,919,969▼ $2,568,414
Other Assets Total$13,656,637$21,989,098▲ $8,332,461
Liabilities
Tax Exempt Bond Liabilities$78,851,589$76,453,685▼ $2,397,904
Accounts Payable and Accrued Expenses$37,796,107$50,896,588▲ $13,100,481
Other Liabilities$52,594,684$46,816,035▼ $5,778,649
Mortgage Notes Payable Secured by Investment Property$6,825,905$6,825,905→ $0
Total Liabilities$176,068,285$180,992,213▲ $4,923,928
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$108,420,098$100,927,756▼ $7,492,342
Total Net Assets Fund Balance$108,420,098$100,927,756▼ $7,492,342
Total Liabilities and Net Assets / Fund Balance$284,488,383$281,919,969▼ $2,568,414

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$46,628,544$135,059,971$181,688,515
Buildings$51,942,676$111,653,984$163,596,660
Leasehold Improvements$7,081,098$4,687,610$11,768,708
Land$5,550,394-$5,550,394
Other Land Buildings$404,728-$404,728
Other Assets Org$2,252,746--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
John R Janoso JrDirector, President, & CEOFT$661,947$406,604$1,068,551
Mark T Darnell MdCMOFT$390,221$138,237$528,458
Alan F GreensladeCIO, TreasurerFT$356,080$147,201$503,281
Laura MooreChief Business Strategy &FT$345,267$136,415$481,682
Julie GrowCFOFT$322,779$106,682$429,461
Mark E VanderhoffChief Nursing OfficerFT$281,485$124,776$406,261
Mary NashChief Human Resources OfficerFT$183,064$138,284$321,348
Julie TharpStaff PharmacistFT$169,600$42,340$211,940
Caroline V SegelkenStaff PharmacistFT$179,239$31,887$211,126
Elizabeth BrendselStaff PharmacistFT$168,756$40,305$209,061
Charles DellickDirector Info. ServicesFT$162,625$44,669$207,294
Theresa Dyar DoDirector/residency ProgramPT$182,000$9,153$191,153
Troy HamptonResidency Program DirectorPT$168,998$11,182$180,180

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Renovo SolutionsBiomedical Services4 EXECUTIVE CIRCLE, Irvine, CA 92614$1,983,405
OraclePersonnel ServicesPO BOX 203448, Dallas, TX 75230$1,561,869
ComtexLaundry Services575 HARMON AVENUE, Columbus, OH 43223$1,019,579
Blue & Co LLCAccounting Services500 N MERIDIAN ST STE 200, Indianapolis, IN 46204$621,030
Forvis Mazars LLPProfessional Services910 E ST LOUIS STREET STE 400, Springfield, MO 65806$541,590
Revenue and Support

Revenue Composition

Contributions and Grants
$9,979,953
Program Service Revenue
$328,471,491
Investment Income
$5,963,393
Other Revenue
$7,215,559
Change in Net Assets
$15,165,744
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$201,055,939
Salaries, Compensation, and Employee Benefits$135,408,713
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$93,701,453$10,018,633-$103,720,086
Fees for Services Other$37,435,962$21,369,461-$58,805,423
Other Employee Benefits$13,982,140$1,667,270-$15,649,410
Depreciation Depletion$10,787,775$4,224,716-$15,012,491
Fees for Services Management-$13,275,464-$13,275,464
Payroll Taxes$6,852,636$817,128-$7,669,764
Interest$5,386,389$972,391-$6,358,780
Pension Plan Contributions$3,966,304$472,953-$4,439,257
Occupancy$1,908,615$2,288,160-$4,196,775
Office Expenses$3,370,111$756,045-$4,126,156
Current Officers, Directors, Trustees, and Key Employees$3,550,567$379,629-$3,930,196
Insurance$1,508,635$353,961-$1,862,596
All Other Expenses$357,673$964,366-$1,322,039
Fees for Services Legal-$1,265,998-$1,265,998
Advertising$337,644$243,662-$581,306
Fees for Services Accounting-$503,917-$503,917
Travel$405,619$90,996-$496,615
Other Expenses$238,058$53,406-$291,464
Royalties$38,856--$38,856
Information Technology$6,517$4,703-$11,220
Total Functional Expenses$266,594,968$69,869,684$0$336,464,652
International Activity

International Summary

Offices
0
Employees
0
Spending
$15,146,776

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-00$15,146,776
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Finance Lease Liability$34,927,217
Other Liabilities$8,627,177
Operating Lease Liability$3,261,641

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACounty of Fairfield Ohio2013-06-27$98,511,516To refund prior issue and to fund new surgical unit

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$98,511,516$56,264,480$22,666,516$926,511

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Various members of the board of directors are key employees and/or officers of organizations that may conduct normal, arms length transactions with one another.

Form 990, Part VI, Section B, Line 11B

The 990 is reviewed by the finance board and audit committee of the organization after review by the chief financial officer. Then, it is made available for board member review prior to filing.

Form 990, Part VI, Section B, Line 12C

Directors, president, vice presidents, managers, case management employees, contracts & collections employees, employees with direct purchasing responsibilities, employed physicians, and employees who are contracted or shared with other organizations 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 15

Annually, the compensation committee compares officer and key employee compensation to regional industry averages. This committee consists of independent members of the board of directors. Compensation adjustment recommendations are submitted, to be included in the budget, to the finance and audit committee. Compensation adjustments are taken to the board of directors for final approval, and if approved are then implemented.

Form 990, Part VI, Section C, Line 19

The governing documents, conflict of interest, and financials are made available to the public by request made to fmc management.

Filing and Contact Details

Filer

Filer Name
Fairfield Medical Center
EIN
31-0645626
Phone
7406878051
Address
401 NORTH EWING STREET, LANCASTER, OH 43130-3371

Signing Officer

Name
John R Janoso Jr
Title
President & CEO
Phone
7406878051
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John R Janoso Jr
Formed
1982
Legal Domicile
Oh
Voting Board Members
14
Independent Board Members
12
Employees
2,003
Volunteers
158

Preparer

Firm
Blue & Co LLC
Address
500 N MERIDIAN ST SUITE 200, INDIANAPOLIS, IN 46204
Preparer
Emilie M Knieriem CPA
Phone
3176334705
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Purchased services: program service expenses 19,152,377. Management and general expenses 13,821,422. Fundraising expenses 0. Total expenses 32,973,799. Physician fees: program service expenses 18,087,281. Management and general expenses 7,466,998. Fundraising expenses 0. Total expenses 25,554,279. Consultant fees: program service expenses 196,304. Management and general expenses 81,041. Fundraising expenses 0. Total expenses 277,345.

FORM 990, PART XI, LINE 9:

Asset transfer to affiliates -22,422,217. Change in interest of net assets of foundation -694,514.

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.

Form 990 Part IX Line 11G

Other fees for services include lab testing, administrative consulting, outsourced biomedical services, outsourced collection services, outsourced it services and other general purchased services.

Form 990 Part XI Line 9

The other change in net assets reported represents intercompany transfers between fairfield medical center and related organizations (see schedule r) for fixed asset purchases, shared employees, expenses and other intercompany transactions.

Financial Statement Notes

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, 2024 and 2023.

Raw XML AppendixShowing 400 of 1,273 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm2MATTHEW WIDEMAN
IRS990/Form990PartVIISectionAGrp/PersonNm3LAURI LACH
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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR, PRESIDENT, & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR/RESIDENCY PROGRAM
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14CIO, TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt15CMO
IRS990/Form990PartVIISectionAGrp/TitleTxt16CHIEF BUSINESS STRATEGY &
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IRS990/Form990PartVIISectionAGrp/TitleTxt18CHIEF HUMAN RESOURCES OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt19CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt20STAFF PHARMACIST
IRS990/Form990PartVIISectionAGrp/TitleTxt21STAFF PHARMACIST
IRS990/Form990PartVIISectionAGrp/TitleTxt22STAFF PHARMACIST
IRS990/Form990PartVIISectionAGrp/TitleTxt23RESIDENCY PROGRAM DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt24DIRECTOR INFO. SERVICES
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