Civic Intelligence

Fayette Memorial Hospital Association Inc

EIN 35-0900741 • 501(c)3 • Connersville, IN

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Profile

Fayette regional health system is a multi-faceted health care center which provides safe, accurate and compassionate health care through service excellence to the citizens of east central indiana to promote healing and healthy living.

1941 Virginia AveConnersville, IN 47331

www.fayetteregional.org

Siviq Scores

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

Liabilities / Assets

78th percentile

0.62x

Higher debt load relative to assets than 78% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2017

Liabilities / Revenue

58th percentile

0.46x

Higher debt load relative to revenue than 58% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2017

Net Margin

26th percentile

-2.3%

Higher net margin than 26% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2017

Top Officer Pay

62nd percentile

$441,907

Higher top officer pay than 62% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2017

Asset Growth

11th percentile

-6.5%

Faster asset growth than 11% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2016 to 2017

Revenue Growth

27th percentile

-0.8%

Faster revenue growth than 27% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets78th percentile

Assets

Down

$35,962,928

Down $2,497,426 (-6.5%) from 2016

Liabilities

Down

$22,361,283

Down $2,295,750 (-9.3%) from 2016

Net Assets

Down

$13,601,645

Down $201,676 (-1.5%) from 2016

Operations
Liabilities / Revenue58th percentileNet Margin26th percentile

Revenue

Down

$48,245,526

Down $392,867 (-0.8%) from 2016

Expenses

Down

$49,356,141

Down $3,222,115 (-6.1%) from 2016

Net Income

Up

-$1,110,615

Up $2,829,248 (+72%) from 2016

Trend Graphs

Balance Sheet Trend

Asset Growth11th percentile

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

$80M$60M$40M$20M$0Assets 2010: $61,043,758Liabilities 2010: $33,883,764Net Assets 2010: $27,159,9942010Assets 2011: $56,614,183Liabilities 2011: $32,179,472Net Assets 2011: $24,434,7112011Assets 2012: $56,560,397Liabilities 2012: $28,894,609Net Assets 2012: $27,665,7882012Assets 2013: $62,886,645Liabilities 2013: $33,039,767Net Assets 2013: $29,846,8782013Assets 2014: $63,597,928Liabilities 2014: $38,312,251Net Assets 2014: $25,285,6772014Assets 2015: $56,150,827Liabilities 2015: $38,783,089Net Assets 2015: $17,367,7382015Assets 2016: $38,460,354Liabilities 2016: $24,657,033Net Assets 2016: $13,803,3212016Assets 2017: $35,962,928Liabilities 2017: $22,361,283Net Assets 2017: $13,601,6452017

Highlighted filing

2017

Assets$35,962,928
Liabilities$22,361,283
Net Assets$13,601,645
Open 2017 Filing

Operations Trend

Revenue Growth27th percentile

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

$60M$40M$20M$0-$20MExpenses 2010: $59,298,5462010Expenses 2011: $58,205,9552011Expenses 2012: $58,222,9272012Expenses 2013: $55,726,9732013Revenue 2014: $55,450,446Expenses 2014: $59,405,687Net Income 2014: -$3,955,2412014Revenue 2015: $47,369,987Expenses 2015: $54,543,237Net Income 2015: -$7,173,2502015Revenue 2016: $48,638,393Expenses 2016: $52,578,256Net Income 2016: -$3,939,8632016Revenue 2017: $48,245,526Expenses 2017: $49,356,141Net Income 2017: -$1,110,6152017

Highlighted filing

2017

Revenue$48,245,526
Expenses$49,356,141
Net Income-$1,110,615
Open 2017 Filing

Filings

Most recent year

2017 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$35,962,928
Liabilities
$22,361,283
Net assets
$13,601,645
Revenue
$48,245,526
Expenses
$49,356,141
Net income
-$1,110,615
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$36.0$22.4$13.6$48.2$49.4$1.11
2016Detailed filing. Detailed filing data is available for this year.$38.5$24.7$13.8$48.6$52.6$3.94
2015Detailed filing. Detailed filing data is available for this year.$56.2$38.8$17.4$47.4$54.5$7.17
2014Detailed filing. Detailed filing data is available for this year.$63.6$38.3$25.3$55.5$59.4$3.96
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$62.9$33.0$29.8$55.7
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$56.6$28.9$27.7$58.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$56.6$32.2$24.4$58.2
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$61.0$33.9$27.2$59.3
Latest Detailed Filing

The latest 2017 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2016 below.

Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Aug 14, 2017
Return Version
2015v3.0
Gross Receipts
$68,004,069
Mission and Program Overview

Mission

Fayette Regional Health System is a multi-faceted health care center which provides safe, accurate and compassionate health care through service excellence to the citizens of East Central Indiana to promote healing and healthy living.

Our vision is for our team to serve the health needs of the whitewater valley residents by providing compassionate, high quality, cost effective care. Fayette regional health system (frhs) is committed to the healthcare that the community wants and deserves; achieving this goal by continuing to provide a full continuum of inpatient and outpatient healthcare services to connersville and the surrounding area' residents. At frhs, we are committed to providing the care for the needs of the community throughout its lifetime. Founded in 1913, frhs has been providing quality and compassionate health care for over 100 years. The main hospital is located in the heart of connersville, indiana, with facilities in one additional county in order to provide quality services close to home. The equipment and facilities enables us to live our mission.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$25,327,083$19,550,201▼ $5,776,882
Savings and Temporary Cash Investments$1,211,119$4,704,717▲ $3,493,598
Accounts Receivable$8,111,892$4,096,742▼ $4,015,150
Investments in Publicly Traded Securities$13,959,090$3,853,754▼ $10,105,336
Investments Other Securities$4,273,363$1,668,808▼ $2,604,555
Other Notes and Loans Receivable, Net$372,058$1,075,560▲ $703,502
Inventories for Sale or Use$862,921$827,601▼ $35,320
Prepaid Expenses and Deferred Charges$315,659$280,859▼ $34,800
Cash and Non-Interest-Bearing Accounts$3,696$3,496▼ $200
Total Assets$56,150,827$38,460,354▼ $17,690,473
Other Assets Total$1,713,946$2,398,616▲ $684,670
Liabilities
Tax Exempt Bond Liabilities$20,564,009$15,185,845▼ $5,378,164
Accounts Payable and Accrued Expenses$6,541,592$5,870,312▼ $671,280
Other Liabilities$9,803,644$2,628,625▼ $7,175,019
Mortgage Notes Payable Secured by Investment Property$1,873,844$972,251▼ $901,593
Total Liabilities$38,783,089$24,657,033▼ $14,126,056
Net Assets / Fund Balance
Unrestricted Net Assets$16,495,051$12,686,485▼ $3,808,566
Temporarily Rstr Net Assets$872,687$1,116,836▲ $244,149
Total Net Assets Fund Balance$17,367,738$13,803,321▼ $3,564,417
Total Liabilities and Net Assets / Fund Balance$56,150,827$38,460,354▼ $17,690,473

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$15,169,996$36,099,781$51,269,777
Equipment$3,250,090$21,281,526$24,531,616
Land$1,094,402-$1,094,402
Other Land Buildings$35,713-$35,713
Other Assets Org$2,398,616--
Compensation and Service Providers
Top Officer Pay62nd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
James Mueller MDPhysicianFT$397,540$52,460$450,000
Dennis Knoepfler MDPhysicianFT$397,415$48,937$446,352
Shiv Kapoor MDPhysicianFT$345,802$50,869$396,671
William Nesbitt MDPhysicianFT$347,522$7,950$355,472
Amy Hardin MdPhysicianFT$302,480$9,382$311,862
Gabor Tolnay MDChief of StaffFT$309,693$309,693$309,693
Ryan Minnich MDMember & Physician-$296,660$7,428$304,088
Randall WhiteChief Executive OfficerFT$240,385$46,226$286,611
Beth WamplerVP of Patient Care SvcsFT$155,081$17,438$172,519
Rhonda McPhersonVP Human ResourcesFT$118,635$13,209$131,844
Dennis LockardChief Financial OfficerFT$93,993$2,547$96,540
James ThomasBoard Chair-$10,875-$10,875
Louise WhitakerBoard Vice Chair, Oct-Dec 2015-$8,635-$8,635
Joel LongSecretary-$7,135-$7,135
Sandra CatesTreasurer-$7,135-$7,135
Malcolm MilesMember Sep-Dec 2015-$6,000-$6,000
Wende ShipleyMemberFT$4,500-$4,500
Dan ParkerBoard Vice Chair, Jan-Sep 2016-$4,500-$4,500
Melissa MatneyMember-$4,500-$4,500
Charles BrochinMember-$3,750-$3,750

Board Members and Trustees

NameTitle
Krista GibsonMember

Highest Paid Contractors

ContractorServicesLocationCompensation
Singh Medical AsssociatesPhysician Services9020 Heydon Hall Circle, Charlotte, NC 28210$699,200
Osman Clinic and AssociatesPhysician Services3307 West 96th Street, Indianapolis, IN 46368$666,442
Cardinal PhysiciansPhysician Services155 E Market Street, Indianapolis, IN 46204$306,666
Kpmg LLPFinancial ServicesPO Box 120970, Dallas, TX 75312$273,891
South Bend Medical Foundationlaboratory servicespo box 2030, mishawaka, IN 46546$246,646
Revenue and Support

Revenue Composition

Contributions and Grants
$56,233
Program Service Revenue
$48,183,484
Investment Income
$-1,050,572
Other Revenue
$1,449,248
Change in Net Assets
$-3,939,863

Audited Revenue Reconciliation

Revenue per Audited Statements
$49,002,523
Revenue Not Reported on Financial Statements
$-364,130
Revenue Not Reported on Form 990
$131,297
Other Revenue Adjustments
$-572,247
Total Revenue per Audited Statements
$49,133,820
Total Revenue per Form 990
$48,638,393
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$28,325,122
Salaries, Compensation, and Employee Benefits$24,174,435
Grants and Similar Amounts Paid$78,699
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,200,273$2,788,852-$18,989,125
Fees for Services Other$9,736,807$1,360,948-$11,097,755
Office Expenses$5,529,343$951,868-$6,481,211
Occupancy$3,029,550$521,533-$3,551,083
Depreciation Depletion$2,297,537$395,517-$2,693,054
Other Employee Benefits$2,190,131$377,028-$2,567,159
Interest$1,333,970$229,641-$1,563,611
Payroll Taxes$1,147,414$197,526-$1,344,940
Current Officers, Directors, Trustees, and Key Employees$1,079,622$185,855-$1,265,477
Insurance$569,161$97,980-$667,141
Fees for Services Legal$375,355$64,617-$439,972
All Other Expenses$166,210$64,638-$230,848
Advertising$185,333$31,905-$217,238
Fees for Service Investment Mgmnt Fees$177,552$30,565-$208,117
Other Expenses$166,078$28,590-$194,668
Grants to Domestic Orgs$78,699--$78,699
Travel$59,483$10,240-$69,723
Pension Plan Contributions$6,598$1,136-$7,734
Total Functional Expenses$45,166,961$7,411,295$0$52,578,256

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$52,942,386
Total Expenses per Form 990$52,578,256
Expenses per Audited Statements$52,370,139
Expenses Not Reported on Form 990$572,247
Expenses Not Reported on Financial Statements$208,117
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Fayette County SchoolsConnersville, INn/aDonated Athletic Trainer services$39,503
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
Deriviative Liability$2,628,625

Bond Issues

BondIssuerIssuedIssue PricePurpose
AIndiana Finance Authority2016-05-27$15,381,000SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$15,381,000$15,381,000--

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
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 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 B, line 11

“The process of reviewing the Form 990 entails a detailed review of the Form 990 by the organization's CFO and Controller. The governing body reviews and approves the Form 990 including requested schedules, as ultimately filed with the IRS, and are provided to each voting member of the organization's governing body prior to filing.”

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

“Annual information about the conflict of interest and disclosure are provided to members of the Board of Trustees, Chief Executive Officer, Administrative Staff, all department managers, Individuals with influence over purchasing, and individuals with contracts to Fayette Regional Hospital System. Annual questionnaires are to be completed by each member of the Board of Trustees and the Executive team, then reviewed and noted in the Board minutes. In addition, any individual associated with Fayette Regional Health System is to declare situations of actual or potential conflicts of interest as they arise, in writing, and in sufficient detail.”

Form 990, Part VI, Section B, line 15

“The process for determining compensation for the CEO is governed by the Board of Trustees and delegated to the Executive Committee of the board to review and approve annually. In addition, all employment contracts and amendments for the CEO will be reviewed and approved by the Executive Committee of the Board and co-signed by the Chair of the Board of Trustees and the Secretary of the Board. The process for determining compensation for other officers/key employees is reviewed annually by the Executive Committee and CEO. The Secretary of the board of Trustees is responsible for recording in the minutes the deliberation and decisions.”

Form 990, Part VI, Section C, line 19

“The organization makes the governing documents, conflict of interest policy, or financial statements available upon written request.”

Filing and Contact Details

Filer

Filer Name
Fayette Memorial Hospital Association
EIN
35-0900741
Phone
7658255131
Address
1941 Virginia Ave, Connersville, IN 47331
Doing Business As
FAYETTE REGIONAL HOSPITAL SYSTEM Serves Whitewater Valley

Signing Officer

Name
Randall white
Title
CEO
Phone
7658255131
Signed
2017-08-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Randall White
Formed
1913
Legal Domicile
In
Voting Board Members
11
Independent Board Members
8
Employees
681
Volunteers
56

Preparer

Firm
Blue & Co LLC
Address
500 N Meridian St Suite 200, Indianapolis, IN 46204
Preparer
Amber Kocher CPA
Phone
3176334705
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

“Purchased Services: Program service expenses 9,736,807. Management and general expenses 1,360,948. Fundraising expenses 0. Total expenses 11,097,755.”

Form 990, Part XI, line 9:

“Unrealized Change in Temporarily Restricted Net Assets 244,149. Unrealized Gain in Joint Venture 109,199.”

Part XI, line 2C

“The audit committee assumes responsibility for oversight of the audit of the financial statements and selection of the independent accountant; and no processes have changed from prior year.”

Financial Statement Notes

Part X, Line 2:

“Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the System and recognize a tax liability if the System has taken an uncertain position that more likely than not would not be sustained upon examination by various federal and state taxing authorities. Management has analyzed the tax positions taken by the System, and has concluded that as of September 30, 2016 and 2015, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying financial statements. As such, the System is generally exempt from income taxes. However, the System is required to file Federal Form 990 - Return of Organization Exempt from Income Tax which is an informational return only. The System is subject to routine audits by taxing jurisdictions; however, as of the date the financial statements were issued, there were not audits for any tax periods in progress.”

Part XI, Line 2D - Other Adjustments:

“Gain/Loss on Joint Venture 109,199.”

Part XI, Line 4B - Other Adjustments:

“Loss on Fixed Assets -538,142. Rent Expenses -34,105.”

Part XII, Line 2D - Other Adjustments:

“Loss on Fixed Assets 538,142. Rent Expenses 34,105.”

Raw XML AppendixShowing 400 of 1,060 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.

Path#Value
IRS990/AccountantCompileOrReviewInd00
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IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0OUR VISION IS FOR OUR TEAM TO SERVE THE HEALTH NEEDS OF THE WHITEWATER VALLEY RESIDENTS BY PROVIDING COMPASSIONATE, HIGH QUALITY, COST EFFECTIVE CARE. FAYETTE REGIONAL HEALTH SYSTEM (FRHS) IS COMMITTED TO THE HEALTHCARE THAT THE COMMUNITY WANTS AND DESERVES; ACHIEVING THIS GOAL BY CONTINUING TO PROVIDE A FULL CONTINUUM OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO CONNERSVILLE AND THE SURROUNDING AREA' RESIDENTS. AT FRHS, WE ARE COMMITTED TO PROVIDING THE CARE FOR THE NEEDS OF THE COMMUNITY THROUGHOUT ITS LIFETIME. FOUNDED IN 1913, FRHS HAS BEEN PROVIDING QUALITY AND COMPASSIONATE HEALTH CARE FOR OVER 100 YEARS. THE MAIN HOSPITAL IS LOCATED IN THE HEART OF CONNERSVILLE, INDIANA, WITH FACILITIES IN ONE ADDITIONAL COUNTY IN ORDER TO PROVIDE QUALITY SERVICES CLOSE TO HOME. THE EQUIPMENT AND FACILITIES ENABLES US TO LIVE OUR MISSION.
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4South Bend Medical Foundation
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IRS990/Desc0THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SERVICES AND ACUTE REHAB SERVICES. MEDICARE AND MEDICAID WERE APPROXIMATELY 70% OF GROSS PATIENT SERVICE REVENUE PROVIDED BY THE HOSPITAL. UNINSURED CARE WAS APPROXIMATELY $1.1 MILLION, AS CALCULATED BY GROSS CHARGES, FOR THE YEAR ENDED SEPTEMBER 30, 2016.
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IRS990/Form990PartVIISectionAGrp/PersonNm0James Thomas
IRS990/Form990PartVIISectionAGrp/PersonNm1Dan Parker
IRS990/Form990PartVIISectionAGrp/PersonNm2Sandra Cates
IRS990/Form990PartVIISectionAGrp/PersonNm3Joel Long
IRS990/Form990PartVIISectionAGrp/PersonNm4Charles Brochin
IRS990/Form990PartVIISectionAGrp/PersonNm5Krista Gibson
IRS990/Form990PartVIISectionAGrp/PersonNm6Melissa Matney
IRS990/Form990PartVIISectionAGrp/PersonNm7Ryan Minnich MD
IRS990/Form990PartVIISectionAGrp/PersonNm8Wende Shipley
IRS990/Form990PartVIISectionAGrp/PersonNm9Gabor Tolnay MD
IRS990/Form990PartVIISectionAGrp/PersonNm10Malcolm Miles
IRS990/Form990PartVIISectionAGrp/PersonNm11LOUISE WHITAKER
IRS990/Form990PartVIISectionAGrp/PersonNm12Randall White
IRS990/Form990PartVIISectionAGrp/PersonNm13DENNIS LOCKARD
IRS990/Form990PartVIISectionAGrp/PersonNm14Beth Wampler
IRS990/Form990PartVIISectionAGrp/PersonNm15Rhonda McPherson
IRS990/Form990PartVIISectionAGrp/PersonNm16James Mueller MD
IRS990/Form990PartVIISectionAGrp/PersonNm17Dennis Knoepfler MD
IRS990/Form990PartVIISectionAGrp/PersonNm18William Nesbitt MD
IRS990/Form990PartVIISectionAGrp/PersonNm19Shiv Kapoor MD
IRS990/Form990PartVIISectionAGrp/PersonNm20AMY HARDIN MD
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Board Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt1Board Vice Chair, Jan-Sep 2016
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IRS990/Form990PartVIISectionAGrp/TitleTxt3Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt4Member
IRS990/Form990PartVIISectionAGrp/TitleTxt5Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7Member & Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt8Member
IRS990/Form990PartVIISectionAGrp/TitleTxt9Chief of Staff
IRS990/Form990PartVIISectionAGrp/TitleTxt10Member Sep-Dec 2015
IRS990/Form990PartVIISectionAGrp/TitleTxt11Board Vice Chair, Oct-Dec 2015
IRS990/Form990PartVIISectionAGrp/TitleTxt12Chief Executive Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt13CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14VP of Patient Care Svcs
IRS990/Form990PartVIISectionAGrp/TitleTxt15VP Human Resources
IRS990/Form990PartVIISectionAGrp/TitleTxt16Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt17Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt18Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt19Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt20Physician
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IRS990/MissionDesc0Fayette Regional Health System is a multi-faceted health care center which provides safe, accurate and compassionate health care through service excellence to the citizens of East Central Indiana to promote healing and healthy living.
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