FISHER TITUS MEDICAL CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- FISHER TITUS MEDICAL CENTER (EIN 34-4430716)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-09
- IRS object ID
- 202323139349303762
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-09T13:26:35-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N MERIDIAN ST STE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 344430716 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FISHER-TITUS MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FISH | BusinessNameControlTxt |
| Phone | 4196688101 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 272 BENEDICT AVENUE | AddressLine1Txt |
| City | NORWALK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 448572374 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT ENDSLEY | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 4196688101 | PhoneNum |
| Signature | 2023-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SCOTT | PersonFirstNm |
| Person Last | ENDSLEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILIE M KNIERIEM CPA | PreparerPersonNm |
| PTIN | P01330194 | PTIN |
| Phone | 3172757444 | PhoneNum |
| Preparation | 2023-11-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRENT W BURKEY MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 272 BENEDICT AVENUE | AddressLine1Txt |
| City | NORWALK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 448572374 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $158,907,532 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FISHER-TITUS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1911 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | DELIVER COMPASSIONATE AND CONVENIENT CARE TO THE HIGHEST LEVEL OF EXCELLENCE THAT PROMOTES LIFELONG HEALTH AND WELLNESS FOR OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1246 | TotalEmployeeCnt |
| Total Volunteers | 46 | TotalVolunteersCnt |
| Total Gross UBI | $636,746 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $32,220 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $216,858 | PYContributionsGrantsAmt |
| CY Contributions Grants | $51,742 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $165,654,357 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $150,335,083 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,349,179 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,479,838 | CYInvestmentIncomeAmt |
| PY Other Revenue | $763,214 | PYOtherRevenueAmt |
| CY Other Revenue | $2,974,726 | CYOtherRevenueAmt |
| PY Total Revenue | $172,983,608 | PYTotalRevenueAmt |
| CY Total Revenue | $158,841,389 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $142,747 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $355,162 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $75,510,269 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $76,650,400 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $77,245,630 | PYOtherExpensesAmt |
| CY Other Expenses | $79,360,051 | CYOtherExpensesAmt |
| PY Total Expenses | $152,898,646 | PYTotalExpensesAmt |
| CY Total Expenses | $156,365,613 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $20,084,962 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,475,776 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $249,539,511 | TotalAssetsBOYAmt |
| Total Assets EOY | $221,553,593 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $62,882,671 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $43,634,256 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $186,656,840 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $177,919,337 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | DELIVER COMPASSIONATE AND CONVENIENT CARE TO THE HIGHEST LEVEL OF EXCELLENCE THAT PROMOTES LIFELONG HEALTH AND WELLNESS FOR OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $123,312,550 | ExpenseAmt |
| Grant | $355,162 | GrantAmt |
| Revenue | $142,324,037 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,804,915 | ExpenseAmt |
| Revenue | $7,374,300 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $131,117,465 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 135 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1246 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRIAN KELLER MBA | PersonNm |
| Phone | 4196602660 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 272 BENEDICT AVENUE | AddressLine1Txt |
| City | NORWALK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 448572374 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| PERRY DRYDEN | |||||||||
| CHAIRMAN | 15.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY C HUBER | |||||||||
| VICE CHAIRMAN | 10.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DENNIS C CAMP | |||||||||
| TREASURER | 12.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JULIE S ROBERTS DDS | |||||||||
| SECRETARY | 7.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN K HUGHES MD | |||||||||
| DIRECTOR | 4.00 | 42.00 | Yes (X) | $0 | $313,701 | $69,422 | |||
| SUSAN S HAZEL | |||||||||
| DIRECTOR | 4.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JONATHAN D ZAHLER DO | |||||||||
| DIRECTOR | 4.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DENNIS DOUGHTY | |||||||||
| DIRECTOR | 4.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK E CORIELL | |||||||||
| DIRECTOR | 4.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN A LENDRUM | |||||||||
| DIRECTOR | 4.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARC D DOLCE | |||||||||
| DIRECTOR | 4.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BRENT BURKEY | |||||||||
| PRESIDENT/CEO | 50.50 | 14.50 | Yes (X) | Yes (X) | $998,544 | $0 | $61,966 | ||
| MATTHEW MATTNER | |||||||||
| CHIEF OPERATIONS OFFICER | 43.50 | 6.50 | Yes (X) | $292,183 | $0 | $70,557 | |||
| SCOTT E ENDSLEY | |||||||||
| CHIEF FINANCIAL OFFICER | 52.00 | 8.00 | Yes (X) | $294,156 | $0 | $47,138 | |||
| MIRIAM BATKE | |||||||||
| CHIEF HUMAN RESOURCE OFFICER | 37.00 | 8.00 | $216,931 | $0 | $47,800 | Yes (X) | |||
| KATIE CHIEDA | |||||||||
| CHIEF NURSING OFFICER | 45.00 | 0.00 | $233,616 | $0 | $65,302 | Yes (X) | |||
| GARY MOORMAN | |||||||||
| CHIEF MEDICAL OFFICER | 45.00 | 0.00 | $373,762 | $0 | $36,330 | Yes (X) | |||
| LINDA STEVENSON | |||||||||
| CHIEF INFORMATION OFFICER | 37.00 | 8.00 | $233,375 | $0 | $51,518 | Yes (X) | |||
| SUZANNE FARMER | |||||||||
| CHIEF ADMINISTRATIVE OFFICER | 37.00 | 5.00 | $221,486 | $0 | $32,252 | Yes (X) | |||
| SHARON HARWOOD | |||||||||
| CHIEF COMPLIANCE OFFICER | 40.00 | 2.00 | $226,182 | $0 | $40,957 | Yes (X) | |||
| JASON W GAHRING | |||||||||
| VP AMBULATORY SERVICES | 40.00 | 0.00 | $173,970 | $0 | $7,697 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,264,205 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $313,701 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $530,939 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 45 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PATHWAY | KANSAS CITY | MO | 64117 | HEALTHCARE INFORMATION TECHNOLOGY | $4,678,535 |
| METROHEALTH SYSTEMS | |||||
| PO BOX 73122 | CLEVELAND | OH | 441931861 | SPINE CENTER PROFESSIONAL FEE & TRAUMA P | $3,206,135 |
| MCR GROUP LLC | |||||
| PO BOX 51325 | KNOXVILLE | TN | 37950 | MEDICARE DEPENDENT CONSULTANTS | $1,967,439 |
| NOMS HEALTHCARE | |||||
| 2500 W STRUB ROAD | SANDUSKY | OH | 44870 | PROFESSIONAL FEES - ORTHOPEDIC | $1,503,805 |
| CARDIOSOLUTION LLC | |||||
| PO BOX 639028 | CINCINNATI | OH | 45263 | CARDIOLOGY PHYSICIAN SERVICES | $846,424 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $45,470 | RelatedOrganizationsAmt |
| All Other Contributions | $6,272 | AllOtherContributionsAmt |
| Total Contributions | $51,742 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| HOSPITAL NET PATIENT SERVICES | 623000 | $138,870,052 | $138,870,052 | |
| NURSING HOME & ASSISTED LIVING RE | 623000 | $7,374,300 | $7,374,300 | |
| 340B PHARMACY REVENUE | 623000 | $2,271,330 | $2,271,330 | |
| RENT REVENUE | 900099 | $1,182,655 | $1,182,655 | |
| MEDICAL LABORATORY | 621500 | $596,896 | $596,896 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,850 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $39,850 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $150,335,083 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,956,864 | TotalRevenueColumnAmt |
| Exclusion | $1,956,864 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $70,587 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $70,587 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,587 | TotalRevenueColumnAmt |
| Exclusion | $70,587 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,589,117 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $66,143 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,589,117 | SecuritiesAmt |
| Other | -$66,143 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,522,974 | TotalRevenueColumnAmt |
| Exclusion | $3,522,974 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISC. HOSPITAL REVENUE | 900099 | $2,140,987 | $2,140,987 |
| CAFETERIA SALES | 722514 | $453,707 | $453,707 |
| HOSPITAL AUXILARY SALES | 900099 | $309,445 | $309,445 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,904,139 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $158,841,389 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $149,698,337 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $636,746 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,454,564 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $355,162 | TotalAmt |
| Program Services | $355,162 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,328,193 | TotalAmt |
| Program Services | $1,679,742 | ProgramServicesAmt |
| Management And General | $648,451 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,051,324 | TotalAmt |
| Program Services | $50,380,060 | ProgramServicesAmt |
| Management And General | $10,671,264 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,950,251 | TotalAmt |
| Program Services | $1,609,364 | ProgramServicesAmt |
| Management And General | $340,887 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,978,242 | TotalAmt |
| Program Services | $5,758,504 | ProgramServicesAmt |
| Management And General | $1,219,738 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,342,390 | TotalAmt |
| Program Services | $3,583,377 | ProgramServicesAmt |
| Management And General | $759,013 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,592 | TotalAmt |
| Program Services | $273,444 | ProgramServicesAmt |
| Management And General | $91,148 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,622 | TotalAmt |
| Program Services | $139,811 | ProgramServicesAmt |
| Management And General | $139,811 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,911 | TotalAmt |
| Management And General | $51,911 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,583,015 | TotalAmt |
| Program Services | $27,112,342 | ProgramServicesAmt |
| Management And General | $4,470,673 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,304 | TotalAmt |
| Program Services | $353,199 | ProgramServicesAmt |
| Management And General | $105 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,552,248 | TotalAmt |
| Program Services | $2,139,667 | ProgramServicesAmt |
| Management And General | $1,412,581 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,441,749 | TotalAmt |
| Program Services | $2,448,913 | ProgramServicesAmt |
| Management And General | $2,992,836 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,904,865 | TotalAmt |
| Program Services | $1,996,890 | ProgramServicesAmt |
| Management And General | $907,975 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,825 | TotalAmt |
| Program Services | $94,179 | ProgramServicesAmt |
| Management And General | $22,646 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $328,334 | TotalAmt |
| Program Services | $115,880 | ProgramServicesAmt |
| Management And General | $212,454 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $638,786 | TotalAmt |
| Program Services | $576,382 | ProgramServicesAmt |
| Management And General | $62,404 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,094,080 | TotalAmt |
| Program Services | $6,532,793 | ProgramServicesAmt |
| Management And General | $561,287 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $795,394 | TotalAmt |
| Program Services | $581,370 | ProgramServicesAmt |
| Management And General | $214,024 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $22,138,800 | $21,886,790 | $252,010 |
| OHIO HOSPITAL TAX & SNF | $3,372,361 | $3,372,361 | |
| DUES & SUBSCRIPTIONS | $234,313 | $37,457 | $196,856 |
| UBI INCOME TAX | $63,404 | $63,404 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,448 | TotalAmt |
| Program Services | $26,374 | ProgramServicesAmt |
| Management And General | $20,074 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,365,613 | TotalAmt |
| Program Services | $131,117,465 | ProgramServicesAmt |
| Management And General | $25,248,148 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,640 | BOYAmt |
| EOY | $112,660 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,094,557 | BOYAmt |
| EOY | $6,593,522 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,327,987 | BOYAmt |
| EOY | $17,916,615 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,000 | BOYAmt |
| EOY | $40,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,637,257 | BOYAmt |
| EOY | $3,073,169 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,568,032 | BOYAmt |
| EOY | $3,093,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $235,998,932 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $122,710,898 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,806,443 | BOYAmt |
| EOY | $113,288,034 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,180,333 | BOYAmt |
| EOY | $71,563,375 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $699,354 | BOYAmt |
| EOY | $819,677 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,979,908 | BOYAmt |
| EOY | $5,052,977 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,539,511 | BOYAmt |
| EOY | $221,553,593 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,245,026 | BOYAmt |
| EOY | $19,596,585 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,117 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,163,130 | BOYAmt |
| EOY | $15,517,739 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,473,313 | BOYAmt |
| EOY | $3,310,190 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,988,085 | BOYAmt |
| EOY | $5,209,742 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,882,671 | BOYAmt |
| EOY | $43,634,256 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,639,340 | BOYAmt |
| EOY | $177,902,275 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,500 | BOYAmt |
| EOY | $17,062 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,656,840 | BOYAmt |
| EOY | $177,919,337 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,539,511 | BOYAmt |
| EOY | $221,553,593 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,475,776 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$14,726,801 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $448,124 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $3,065,398 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,453 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,453 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | EXECUTIVE MEMBERS OF THE ORGANIZATION, ON AN OCCASIONAL BASIS, MAY WRITE OR SPEAK TO LEGISLATIVE MEMBERS CONCERNING PROPOSED LEGISLATION THAT MIGHT IMPACT THE LOCAL DELIVERY OF HEALTHCARE SERVICES. THE MEDICAL CENTER HAS MEMBERSHIPS IN VARIOUS HEALTHCARE RELATED ASSOCIATIONS, WHICH PROVIDE STATE AND NATIONAL LEADERSHIP ON LEGAL, REGULATORY, QUALITY AND ACCREDITATION ISSUES. AS A PART OF THAT LEADERSHIP ROLE, THESE ORGANIZATIONS DO CONTACT LEGISLATORS TO EXPRESS THEIR ASSOCIATION'S POSITIONS ON MATTERS IMPORTANT TO THEIR MEMBERSHIP. THE FOLLOWING ORGANIZATIONS LISTED BELOW SHOW THE PERCENTAGE OF THE DUES THAT REFLECT LOBBYING AS DETERMINED BY THE IRS: OHIO HEALTH CARE ASSOCIATION - 19.64% OF DUES; OHIO HOSPITAL ASSOCIATION - 5.5% OF DUES AND AMERICAN HOSPITAL ASSOCIATION - 27.29% OF DUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,022,355 | OtherCostOrOtherBasisAmt |
| Book Value | $2,022,355 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $178,174,534 | OtherCostOrOtherBasisAmt |
| Depreciation | $69,517,045 | DepreciationAmt |
| Book Value | $108,657,489 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $359,126 | OtherCostOrOtherBasisAmt |
| Depreciation | $264,300 | DepreciationAmt |
| Book Value | $94,826 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,371,969 | OtherCostOrOtherBasisAmt |
| Depreciation | $52,929,553 | DepreciationAmt |
| Book Value | -$557,584 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,070,948 | OtherCostOrOtherBasisAmt |
| Book Value | $3,070,948 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $113,288,034 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $3,688,250 |
| OPERATING LEASE OBLIGATIONS | $554,844 |
| DUE TO AFFILIATED ENTITIES | $273,363 |
| SETTELMENTS PAYABLE | $693,285 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,209,742 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ENTITIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FISHER-TITUS MEDICAL CENTER INDIVIDUAL ACCRUED UNCERTAIN TAX POSITION WAS $0.00. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 645 | PersonsServedCnt |
| Total Community Benefit Expns | $332,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,915 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $291,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $18,533,948 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,220,563 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 645 | PersonsServedCnt |
| Total Community Benefit Expns | $18,866,262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,261,478 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $291,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 60627 | PersonsServedCnt |
| Total Community Benefit Expns | $198,764 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $198,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 20 | PersonsServedCnt |
| Total Community Benefit Expns | $25,397 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,397 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $309,037 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $268,198 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $412,210 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $412,210 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 60647 | PersonsServedCnt |
| Total Community Benefit Expns | $945,408 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $268,198 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $677,210 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 16 | ActivitiesOrProgramsCnt |
| Persons Served | 61292 | PersonsServedCnt |
| Total Community Benefit Expns | $19,811,670 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,529,676 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $968,609 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,787,495 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $946,874 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $29,747,143 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $34,735,989 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,988,846 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 FISHER-TITUS PAIN MANAGEMENT LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | PAIN MANAGEMENT | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.51000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.49000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FISHER-TITUS MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 272 BENEDICT AVENUE | AddressLine1Txt |
| City | NORWALK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44857 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://WWW.FISHER-TITUS.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FISHER-TITUS MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V SUPPLEMENTAL FACILITY INFO | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V SUPPLEMENTAL FACILITY INFO | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V SUPPLEMENTAL FACILITY INFO | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.FISHERTITUS.ORG/FINANCIAL-SERVICES | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FISHER-TITUS MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: THE HOSPITAL PARTICIPATED IN A COMMUNITY WIDE HEALTH NEEDS ASSESSMENT IN CONJUNCTION WITH HURON COUNTY PUBLIC HEALTH AND A THIRD-PARTY CONSULTANT TO REVIEW AND DRAFT THE QUESTIONS. IN JULY-2019, 24 COMMUNITY LEADERS, STAKEHOLDERS AND EMPLOYEES FROM PARTICIPATING ORGANIZATIONS GATHERED TO DISCUSS THEIR PERSPECTIVES ON EMERGING HEALTH ISSUES IN HURON COUNTY. INPUT WAS TAKEN FROM REPRESENTATIVES WITH BROAD INTEREST IN THE COMMUNITY AS WELL AS THE PUBLIC HEALTH DEPARTMENT AND THOSE AGENCIES WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY AS WELL AS MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND THOSE WITH CHRONIC HEALTH NEEDS. THE CHNA PROCESS STARTED WITH THE RESULTS GIVEN TO THE WORK GROUPS, THEN THROUGH THE MAPP PROCESS BY MEETINGS, FOCUS GROUPS AND SURVEYS FROM REPRESENTATIVES OF THE LOCAL COMMUNITY, THE RESULTS WERE ANALYZED, BY REPRESENTATIVES FROM HURON COUNTY PUBLIC HEALTH WHO MET WITH KEY INFORMANTS SUCH AS JUDGES, PHYSICIANS, AND LEADERS/EMPLOYEES OF SOCIAL ORGANIZATIONS THROUGHOUT HURON COUNTY. ADDITIONAL DETAILS CAN BE FOUND ON OUR WEBSITE: HTTPS://WWW.FISHERTITUS.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT-SUPPORT/HEALTH-NEEDS-ASSESSMENT/ |
| FISHER-TITUS MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6A: MERCY HEALTH-WILLARD HOSPITAL |
| FISHER-TITUS MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: MEMBERS OF THE HURON COUNTY HEALTH PARTNERS (THE GROUP WHO WORKED ON THE CHNA) HURON COUNTY PUBLIC HEALTH, FIRELANDS COUNSELING AND RECOVERY SERVICES, HURON COUNTY MENTAL HEALTH AND ADDICTION SERVICES, HURON COUNTY CLERK OF COURTS, HURON COUNTY EMT, HURON COUNTY FAMILY AND CHILDREN FIRST COUNCIL, HURON COUNTY JOB AND FAMILY SERVICES, HURON COUNTY SHERIFF'S OFFICE, HURON COUNTY VICTIMS ASSISTANCE PROGRAM, HURON COUNTY WIC, NATIONAL ALLIANCE ON MENTAL ILLNESS HURON COUNTY, BELLEVUE CITY SCHOOLS, MONROEVILLE LOCAL SCHOOLS, NEW LONDON LOCAL SCHOOLS, NORWALK CATHOLIC SCHOOLS, NORWALK CITY SCHOOLS, PLYMOUTH-SHILOH LOCAL SCHOOL DISTRICT, SOUTH CENTRAL LOCAL SCHOOLS, WESTERN RESERVE LOCAL SCHOOLS, WILLARD CITY SCHOOLS, NORWALK ECONOMIC DEVELOPMENT CORPORATION, NORWALK UNITED FUND, OHIO STATE HIGHWAY PATROL-NORWALK POST. |
| FISHER-TITUS MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: PRIORITIZED HEALTH NEEDS FROM THE MOST RECENT CHNA DONE IN 2020 AND ADOPTED IN 2020 ARE: PHYSICAL HEALTH-PROMOTE HEALTH AND REDUCE CHRONIC DISEASE BY PARTNERING WITH LOCAL SCHOOLS, SUPPORTING LOCAL PROGRAMS THAT ARE PROVIDING HEALTHY MEALS TO CHILDREN, SUPPORTING COMMUNITY BASED PHYSICAL ACTIVITY PROGRAMS, WORKING WITH EMPLOYERS TO EDUCATE EMPLOYEES, PROVIDED WEIGHT LOSS EDUCATION. INCREASING PUBLIC KNOWLEDGE ON DIABETES, CARDIOVASCULAR AND PULMONARY DISEASES. HEALTH SCREENINGS AND WORKING WITH PHYSICIAN OFFICES FOR THOSE ENROLLED IN MEDICARE TO INCREASE THE NUMBER OF WELLNESS VISITS AND CHRONIC CARE MANAGEMENT. ALSO WORKING WITH LOCAL SCHOOLS TO PROVIDE SEXUAL HEALTH PROGRAMS. MENTAL HEALTH AND ADDICTION - COLLABORATING ON PROJECTS WITH OTHER MENTAL HEALTH AGENCIES. COLLABORATING WITH OTHER LOCAL AGENCIES ON OPIOID THRESHOLD ALERT, SUPPORTING LOCAL AGENCIES TO GET ADDICTED INDIVIDUALS INTO APPROPRIATE FACILITIES FOR TREATMENT. ACCESS TO CARE - INCREASE COMPLIANCE WITH MEDICATION THROUGH PROGRAMS THAT ADDRESS BARRIERS FOR ACCESSING MEDICATIONS. INCREASING PUBLIC KNOWLEDGE OF IMPORTANCE OF SCREENING MAMMOGRAMS AND REMOVING BARRIERS TO GETTING MAMMOGRAMS. ADD SERVICES AND PROVIDERS BASED ON COMMUNITY HEALTH AND WELLNESS NEEDS, TAKING INTO CONSIDERATION THE VOLUME OF PATIENTS INCLUDING EXPANDING TELEHEALTH CAPABILITIES. WE ACKNOWLEDGE THE IMPORTANCE OF THESE SIGNIFICANT HEALTH NEEDS BUT ARE UNABLE TO ADDRESS THE FOLLOWING DUE TO LIMITED FINANCIAL RESOURCES. THE AREAS NOT ADDRESSED ARE ORAL HEALTH AND TRANSPORTATION. |
| FISHER-TITUS MEDICAL CENTER: | FORM 990, SCHEDULE H, PART V, LINE 7A, CHNA URL: HTTPS://WWW.FISHERTITUS.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT-SUPPORT/HEALTH-NEEDS-ASSESSMENT/ |
| FISHER-TITUS MEDICAL CENTER: | FORM 990, SCHEDULE H, PART V, LINE 10A, IMPLEMENTATION STRATEGY URL:HTTPS://WWW.FISHERTITUS.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT-SUPPORT/HEALTH-NEEDS-ASSESSMENT/ |
| FISHER-TITUS MEDICAL CENTER: | FORM 990, SCHEDULE H, PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.FISHERTITUS.ORG/PATIENTS-GUESTS/BILLING-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE/ |
| FISHER-TITUS MEDICAL CENTER: | FORM 990, SCHEDULE H, PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.FISHERTITUS.ORG/PATIENTS-GUESTS/BILLING-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - NORWALK MEMORIAL HOME | ||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | INTERMEDIATE & SKILLED NURSING FACILITY |
| 2 - THE CARRIAGE HOUSE OF FISHER-TITUS | ||||
| 175 SHADY LANE DRIVE | NORWALK | OH | 44857 | ASSISTED LIVING FACILITY |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | ALONG WITH THE FEDERAL POVERTY GUIDELINES, FISHER-TITUS USES MEDICAL INDIGENCY AND UNDERINSURANCE STATUS TO HELP DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. |
| PART I, LINE 7: | THE COSTING METHODOLOGY USED FOR THE CHARITY CARE SEGMENT OF THE LINE 7 TABLE WAS THE IRS WORKSHEET 1, "CHARITY CARE AT COSTS" IN THE INSTRUCTIONS. COST TO CHARGE RATIOS WERE CARRIED OVER FROM THE IRS WORKSHEET 2 AS A BASIS TO ESTIMATE EXPENSES AND WAS APPLIED TO THE GROSS PATIENT CHARIY CARE CHARGES RECORDED IN 2022. THE COSTING METHODOLOGY USED FOR THE UNREIMBURSED MEDICAID SEGMENT ON THE LINE 7 TABLE WERE CALCULATED USING A COST TO CHARGE RATIO EXTRACTED FROM THE MEDICAID COST REPORT DATA. THE COSTING METHODOLOGY USED FOR THE "OTHER BENEFITS" SEGMENT OF THE LINE 7 TABLE WERE CALCULATED USING A COMBINATION OF DIRECT COSTS AND OUR COST ACCOUNTING SYSTEM WHICH TAKES INTO CONSIDERATION ALL PATIENT TYPES AND SEGMENTS. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | IN 2022, FISHER-TITUS'S COMMUNITY BUILDING ACTIVITIES BENEFITS PROVIDED $6.9 MILLION TO SUPPORT PROGRAMS THAT IMPACTED THE OVERALL HEALTH OF OUR COMMUNITIES AND THE QUALITY OF LIFE OF OUR RESIDENTS. WHILE HOSPITAL-BASED MEDICAL SERVICES ARE THE MOST OBVIOUS WAY WE HELP, FTMC FULFILLS THE HEALTH-CARE NEEDS OF OUR AREA WITH COMMUNITY HEALTH SCREENINGS, EDUCATION CLASSES, PATIENT ASSISTANCE PROGRAMS AND SUPPORT OF HEALTH-RELATED ACTIVITIES. FTMC EMPLOYEES SERVE ON COMMUNITY AND CIVIC BOARDS, HEALTH-ORIENTED ORGANIZATIONS AND ARE INVOLVED IN ECONOMIC DEVELOPMENT ACTIVITIES THROUGHOUT THE COUNTY. FTMC ALSO WORKS WITH SCHOOLS; WORK SITES AND SAFETY NET PROVIDERS TO PROMOTE HEALTH AND WELLNESS AND PREVENT DISEASE. FISHER-TITUS IS A LEADER IN ENVIRONMENTAL STEWARDSHIP, HAVING EARNED NUMEROUS STATE AND NATIONAL AWARDS. |
| PART III, LINE 2: | THE COSTING METHODOLOGY USED FOR COMPLETING THE SCHEDULE H PART III, LINE 2 IS DERIVED FROM THE BAD DEBT EXPENSE INCLUDED IN THE AUDITED FINANCIAL STATEMENTS ADJUSTED BY THE AMOUNT OF THE WRITE-OFFS OF THE ACCOUNTS THAT WENT TO BAD DEBT. |
| PART III, LINE 3: | AS A TAX-EXEMPT HOSPITAL, NOT-FOR-PROFIT ORGANIZATION WE MUST PROVIDE NECESSARY MEDICAL CARE TO ALL, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBT AS COMMUNITY BENEFIT. THE IDENTIFICATION OF PATIENTS ELIGIBLE FOR CHARITY CARE IS SOLEY BASED ON THE COOPERATION OF THE PATIENT TO PROVIDE THE ORGANIZATION ENOUGH FAMILY AND FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY TO MATCH OUR PROGRAMS. HISTORICALLY, IN ADDITION TO THE INTERNALLY IDENTIFIED CHARITY, 10-13% OF THE ACCOUNT BALANCES TURNED TO COLLECTION WERE SUBSEQUENTLY IDENTIFIED BY THE AGENCY AS CHARITY AND RETURNED. THIS CHARITY IS RECORDED ONLY WHEN IT HAS BEEN IDENTIFIED THROUGH VERIFICATION OF INABILITY TO PAY. WE DO BELIEVE THERE IS A SECOND, RELATIVELY EQUAL SEGMENT OF THE BAD DEBT THAT WOULD QUALIFY FOR CHARITY. PATIENTS WITH POOR CREDIT RATINGS AND MULTIPLE CREDITORS MAKING COLLECTION EFFORT FINDS LITTLE VALUE IN COMPLETING THE CHARITY APPLICATION PROCESS TO ONLY ELIMINATE ONE CREDITOR AND HAVE NO IMPROVEMENT TO THEIR FINANCIAL STATUS. WE ESTIMATE THAT UNDER THE CURRENT ECONOMIC CONDITIONS UNIDENTIFIED CHARITY IN BAD DEBT EXPENSE IS ESTIMATED TO BE AN ADDITIONAL $946,874 OR 25% OF BAD DEBT. SINCE THIS CALCULATION IS ON AN ACCRUAL BASIS, WE BELIEVE ESTIMATING 10% FOR CHARITY TO BE IDENTIFIED IN FUTURE YEARS AND AN ADDITIONAL 15% FOR BALANCES NEVER IDENTIFIED AS CHARITY IS A VERY CONSERVATIVE AND REASONABLE ESTIMATE OF THIS CHARITY CARE VALUE. |
| PART III, LINE 4: | THE FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE TREATMENT IN THE AUDIT FINANCIAL STATEMENTS IS ON PAGE 15. |
| PART III, LINE 8: | FISHER-TITUS MEDICAL CENTER'S MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO EXTRACTED FROM THE MEDICARE COST REPORT DATA. THE MEDICAL CENTER BELIEVES THAT ALL OF THE $4,988,846 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT, BECAUSE OUR MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT MEDICALLY NECESSARY CARE TO ANY PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY. THIS YEAR, MEDICARE ACCOUNTED FOR 50% OF HOSPITAL REVENUES AND THESE MEDICARE BENEFICIARIES WERE PROVIDED CARE IN SPITE OF THIS SHORTFALL. CARING FOR THE MEDICARE BENEFICIARIES RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE TRUE COST FOR THEIR CARE AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. TAX EXEMPT HOSPITALS ARE ALSO EXPECTED TO PARTICIPATE IN THE MEDICARE PROGRAM. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE MEDICAL CENTER IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. |
| PART III, LINE 9B: | THE CHARITY POLICY IS A SUBSET OF THE OVERALL COLLECTION POLICY. WHEN PATIENTS ARE IDENTIFIED AS QUALIFYING FOR ANY OF THE CHARITY CATEGORIES WE SEARCH ACCOUNTS RECEIVABLE AND ACCOUNTS PLACED WITH COLLECTION AGENCIES AND PACKAGE THEM WITH THE APPLICATION. CHARITY INFORMATION IS SHARED WITH OUR RELATED ORGANIZATIONS AND FORMS THE BASIS FOR THEIR CHARITY ADJUSTMENTS. IN ADDITION WITH PATIENT APPROVAL, WE MAY CONTACT LOCAL PHYSICIAN PRACTICES WITH THE INFORMATION AS MANY WILL ADJUST THEIR BALANCES BASED UPON THE INFORMATION PROVIDED. |
| PART VI, LINE 2: | USING A SEVERITY AND SIZE COMPARISON INFORMATION THE HOSPITAL ALSO COMPARED DATA FROM HEALTHY PEOPLE 2020 AND OHIO 2020-2022 STATE IMPROVEMENT PLAN, HOSPITAL ADMISSIONS, LOCAL HEALTH CARE PROVIDER OFFICE VISITS AS WELL AS UNDERSERVED, LOW INCOME AGENCIES ALONG WITH THE CHNA. |
| PART VI, LINE 3: | PATIENTS ARE INTERVIEWED AFTER REGISTRATION TO ASSIST THEM IN DETERMINING EACH PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS AVAILABLE INTERNALLY AND EXTERNALLY. FTMC HAS BILINGUAL SIGNAGE POSTED IN THE ADMITTING/REGISTRATION AREAS, BILLING OFFICE AND FINANCIAL COUNSELING OFFICES, AND IN THE INPATIENT GUIDES IN THE PATIENT ROOMS. THE FTMC WEBSITE HAS A SECTION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND CONTACT INFORMATION. A MESSAGE ABOUT FINANCIAL ASSISTANCE AND CHARITY CARE ALSO IS INCLUDED ON THE BILLS THAT ARE SENT TO THE PATIENTS. MANY MATERIALS ARE BILINGUAL AND INTERPRETATION SERVICES ARE AVAILABLE. OUR SOCIAL SERVICES DEPARTMENT REGULARLY REFERS PATIENTS IN NEED TO OUR FINANCIAL COUNSELORS FOR ASSISTANCE. WE ALSO TAKE REFERRALS FROM THE LOCAL COUNTY HUMAN SERVICES AGENCIES, VICTIMS OF VIOLENT CRIMES, LOCAL HEALTH DEPARTMENTS, LOCAL LAW ENFORCEMENT AGENCIES, CHURCHES, ETC. FTMC IS VERY PROACTIVE IN TAKING THE MESSAGE TO OUR COMMUNITY. BROCHURES ARE AVAILABLE AT COMMUNITY OUTREACH EVENTS HELD IN THE HOSPITAL AND AT OUTSIDE COMMUNITY EVENTS. FTMC COMMUNICATES THE INFORMATION ABOUT CHARITY CARE PROGRAMS THROUGH ITS COMMUNITY NEWSLETTER AND LOCAL NEWS MEDIA. |
| PART VI, LINE 4: | THE FISHER-TITUS MEDICAL CENTER PROVIDES COMPREHENSIVE STATE-OF-THE ART HEALTH CARE SERVICES TO THE RESIDENTS OF HURON AND ERIE AS WELL AS PORTIONS OF OTHER CONTIGUOUS COUNTIES WITH THE LATEST MEDICAL ADVANCEMENTS. FISHER-TITUS'S PRIMARY AREA IS THE GREATER HURON COUNTY AREA IN NORTH CENTRAL OHIO, WHICH IS HOME TO AROUND 58,400 RESIDENTS. FISHERS-TITUS'S 50 ACRE CAMPUS IS IN THE COUNTY SEAT OF NORWALK, WHICH IS THE LARGEST CITY IN THE COUNTY WITH OVER 16,800 RESIDENTS. FISHERS-TITUS HAS NUMEROUS MEDICAL OFFICES LOCATED THROUGHOUT THE COUNTY TO PROVIDE EASY ACCESS TO PHYSICIANS FOR COMMUNITY RESIDENTS. HURON COUNTY HAD THE 9TH HIGHEST LEVEL OF UNEMPLOYMENT WITH AN AVERAGE OF 5.1% IN 2022. THE LARGEST PERCENTAGE OF RESIDENTS ARE CHILDREN UNDER 18 WITH THOSE INDIVIDUALS 65 AND OLDER MAKING UP 18.1% OF THE POPULATION. 89.6% OF THE RESIDENTS ARE CAUCASIAN WITH 7.0% OF THE POPULATION BEING HISPANIC OR LATINO (OF ANY RACE). IN 2021, MEDIAN HOUSEHOLD INCOME WAS $59,049 COMPARED TO OHIO'S MEDIAN HOUSEHOLD INCOME OF $61,938. IN 2021, 12.3% OF INDIVIDUALS WERE LIVING IN POVERTY WITH THOSE UNDER THE AGE OF 18 LIVING IN POVERTY ESTIMATED TO BE 16.0%. |
| PART VI, LINE 5: | THE BOARD OF DIRECTORS IS COMPOSED OF AREA RESIDENTS INCLUDING BUSINESS AND COMMUNITY LEADERS, PHYSICIANS AND OTHER INTERESTED PERSONS. THESE VOLUNTEERS GIVE COUNTLESS HOURS OF SERVICE TO THE MEDICAL CENTER IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, IN FUNDRAISING, AND IN GENERAL STEWARDSHIP. FTMC'S MEDICAL STAFF IS OPEN AND PRIVILEGES ARE GRANTED TO ALL QUALIFIED PHYSICIANS WHO APPLY AND MEET THE STANDARDS OF THE MEDICAL CENTER PRIVILEGING PROCESS. THE MEDICAL CENTER UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO THE FOLLOWING:1. EDUCATIONAL PROGRAMS THAT PROVIDE CLASSES AND INFORMATION ON TOBACCO CESSATION, HEALTHY AGING, CHILDBIRTH, INFANT CARE, EARLY PREGNANCY AND MORE.2. FREE MAMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW-COST SCREENINGS FOR HEART DISEASE, BREAST, PROSTATE, SKIN AND COLORECTAL CANCER AS WELL AS OSTEOPOROSIS ASSESSMENTS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| FISHER TITUS FOUNDATION | ||||||||||
| 272 BENEDICT AVE | NORWALK | OH | 44857 | 341476934 | 501(C)(3) | $20,000 | $0 | CONTRIBUTION TOWARDS THE PRESCRIPTION ASSISTANCE PROGRAM | ||
| NORWALK AREA FRIENDS OF YOUTH SPORT | ||||||||||
| 20 BANEBERRY LANE | NORWALK | OH | 44857 | 472930548 | 501(C)(3) | $50,000 | $0 | CONTRIBUTION TOWARDS NORWALK BIKE BATH | ||
| NORWALK ECONOMIC DEVELOPMENT CORP | ||||||||||
| 10 1/2 WEST MAIN STREET | NORWALK | OH | 44857 | 341787391 | 501(C)(3) | $12,500 | $0 | CONTRIBUTION TO THE MONROEVILLE MAIN STREET PROJECT | ||
| NORWALK ECONOMIC DEVELOPMENT CORP | ||||||||||
| 10 1/2 WEST MAIN STREET | NORWALK | OH | 44857 | 341787391 | 501(C)(3) | $8,520 | $0 | CONTRIBUTION TO JOBS OHIO INCLUSION | ||
| NEW LONDON PARKS & REC | ||||||||||
| 115 E MAIN STREET | NEW LONDON | OH | 44851 | GOVT | $14,385 | $0 | CONTRIBUTION TOWARDS TENNIS COURT LIGHTING | |||
| NEW LONDON PARKS & REC | ||||||||||
| 115 E MAIN STREET | NEW LONDON | OH | 44851 | GOVT | $0 | $38,900 | SUPPORT FOR THE NEW LONDON BATTING CAGES | FMV | PITCHING MACHINES | |
| NEW LONDON PARKS & REC | ||||||||||
| 115 E MAIN STREET | NEW LONDON | OH | 44851 | GOVT | $0 | $18,800 | SUPPORT FOR THE NEW LONDON BATTING CAGES | FMV | INSTALLATION OF BATTING CAGES | |
| CITY OF WILLARD | ||||||||||
| 631 S MYRTLE AVENUE | WILLARD | OH | 44890 | GOVT | $0 | $200,000 | SUPPORT FOR THE WILLARD RESERVE WALKING PATH | FMV | CONCRETE FOR WALKING PATH | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE MEDICAL CENTER REVIEWS EACH GRANT OR DONATION REQUEST BEFORE THE GRANT OR DONATION IS MADE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRENT BURKEY | ||||||||||||||
| PRESIDENT/CEO | $478,744 | $0 | $517,101 | $0 | $2,699 | $0 | $59,116 | $0 | $2,850 | $0 | $1,060,510 | $0 | $0 | $0 |
| GARY MOORMAN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $355,172 | $0 | $16,023 | $0 | $2,567 | $0 | $12,200 | $0 | $24,130 | $0 | $410,092 | $0 | $0 | $0 |
| JOHN K HUGHES MD | ||||||||||||||
| DIRECTOR | $0 | $233,654 | $0 | $27,500 | $0 | $52,547 | $0 | $38,514 | $0 | $30,908 | $0 | $383,123 | $0 | $29,779 |
| MATTHEW MATTNER | ||||||||||||||
| CHIEF OPERATIONS OFFICER | $248,019 | $0 | $11,233 | $0 | $32,931 | $0 | $40,349 | $0 | $30,208 | $0 | $362,740 | $0 | $10,283 | $0 |
| SCOTT E ENDSLEY | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $253,082 | $0 | $10,855 | $0 | $30,219 | $0 | $33,558 | $0 | $13,580 | $0 | $341,294 | $0 | $21,999 | $0 |
| KATIE CHIEDA | ||||||||||||||
| CHIEF NURSING OFFICER | $202,125 | $0 | $19,068 | $0 | $12,423 | $0 | $31,074 | $0 | $34,228 | $0 | $298,918 | $0 | $10,396 | $0 |
| LINDA STEVENSON | ||||||||||||||
| CHIEF INFORMATION OFFICER | $208,865 | $0 | $5,598 | $0 | $18,912 | $0 | $28,288 | $0 | $23,230 | $0 | $284,893 | $0 | $16,868 | $0 |
| SHARON HARWOOD | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $175,933 | $0 | $8,601 | $0 | $41,648 | $0 | $27,650 | $0 | $13,307 | $0 | $267,139 | $0 | $19,588 | $0 |
| MIRIAM BATKE | ||||||||||||||
| CHIEF HUMAN RESOURCE OFFICER | $204,489 | $0 | $10,457 | $0 | $1,985 | $0 | $28,782 | $0 | $19,018 | $0 | $264,731 | $0 | $0 | $0 |
| SUZANNE FARMER | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $210,996 | $0 | $3,986 | $0 | $6,504 | $0 | $30,722 | $0 | $1,530 | $0 | $253,738 | $0 | $0 | $0 |
| JASON W GAHRING | ||||||||||||||
| VP AMBULATORY SERVICES | $166,590 | $0 | $6,100 | $0 | $1,280 | $0 | $6,947 | $0 | $750 | $0 | $181,667 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | PART I LINE 4B & PART II, LINE 1 - INCLUDED IN DR. BURKEY'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $59,116 REPORTED IN COLUMN C IS $12,200 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $46,916 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 5 - INCLUDED IN MR. ENDSLEY'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $33,558 REPORTED IN COLUMN C IS $8,329 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $25,229 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 6 - INCLUDED IN MS. CHIEDA'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $31,074 REPORTED IN COLUMN C IS $9,716 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $21,358 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 3 - INCLUDED IN DR. HUGHES'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $38,514 REPORTED IN COLUMN C IS $12,014 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $26,500 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 4 - INCLUDED IN MR. MATTNER'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $40,349 REPORTED IN COLUMN C IS $12,022 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $28,327 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 8 - INCLUDED IN MS. HARWOOD'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $27,650 REPORTED IN COLUMN C IS $7,788 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $19,862 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 7 - INCLUDED IN MS. STEVENSON'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $28,288 REPORTED IN COLUMN C IS $7,464 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $20,824 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 9 - INCLUDED IN MS. BATKE'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $28,782 REPORTED IN COLUMN C IS $8,449 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $20,333 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 10 - INCLUDED IN MS. FARMERS'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $30,722 REPORTED IN COLUMN C IS $8,887 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $21,835 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. |
| PART 1 LINE 3: | RESPONSIBILTY FOR DETERMINING AND RECOMMENDING EXECUTIVE COMPENSATION RESTS WITH THE PERSONNEL COMMITTEE OF THE FISHER-TITUS HEALTH BOARD. THE COMMITTEE RETAINS AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO HELP ESTABLISH CASH COMPENSATION TARGET RANGES AND IDENTIFY REASONABLE AND CUSTOMARY BENEFIT PROGRAMS FOR EXECUTIVES. THE INDEPENDENT CONSULTANT REPORTS TO THE PERSONNEL COMMITTEE ON RELEVANT PEER GROUPS, CASH COMPENSATION REPORTED IN AVAILABLE SALARY SURVEYS FOR THE PEER GROUP AND TRENDS IN PERQUISITE PROGRAMS CUSTOMARILY AVAILABLE AMONG THE PEER GROUP FOR EXECUTIVES. RECOMMENDATIONS BY THE CONSULTANT ARE PRESENTED TO THE PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE THEN PROVIDED TO EACH OF THE DIRECTORS OF THE FISHER-TITUS HEALTH BOARD. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED BY THE PERSONNEL COMMITTEE AND THEN BY THE FISHER-TITUS HEALTH BOARD OF DIRECTORS. THE MINUTES OF EACH BOARD MEETING WHERE SUCH ACTION IS TAKEN REFLECT SUCH ACTION. THIS IS DONE ANNUALLY AND WAS LAST DONE IN MARCH 2022. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| COUNTY OF HURON OHIO | |||||||
| A | 346400672 | 2015-04-01 | $9,420,000 | SEE PART VI BELOW | 0 | 0 | 0 |
| COUNTY OF HURON OHIO | |||||||
| B | 346400672 | 2017-08-15 | $17,825,000 | SEE PART VI BELOW | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $6,594,000 | $9,420,000 | $50,000 | $9,370,000 | 2015 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $4,930,442 | $17,825,500 | $239,217 | $10,941,083 | 2017 | Yes (1) | 0 | Yes (1) | Yes (1) | $6,645,200 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PNC | ||||||||||||
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | Yes (1) | 6.800000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | ||||||||||||
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE A: | SERIES 2015A BONDS - PURPOSE WAS TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 2003A BONDS. |
| PART 1, LINE B: | SERIES 2017A BONDS - PURPOSE WAS TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 2007A BONDS AND ACQUIRE ADDITIONAL HOSPITAL EQUIPMENT. |
| PART II, LINE 11, COLUMN A: | INCLUDED IN COLUMN A $9,370,000 OF THE PROCEEDS WERE USED TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 2003A BONDS. |
| PART II, LINE 11, COLUMN B: | INCLUDED IN COLUMN B $10,941,083 OF THE PROCEEDS WERE USED TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 2007A BONDS. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRENT BURKEY | PersonNm |
| Relationship With Org | PRESIDENT | RelationshipWithOrgTxt |
| Loan Purpose | SEE PART V | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $320,000 | OriginalPrincipalAmt |
| Balance Due | $40,000 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $40,000 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BATTLES INSURANCE AGENCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $1,407,535 | TransactionAmt |
| Transaction | VENDOR | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV: | PART IV, LINE 5 - PERRY DRYDEN, BOARD MEMBER IS PRESIDENT OF BATTLES INSURANCE AGENCY AND 50% OWNER. |
| PART IV: | PART II LINE 1 - THE LOAN REPRESENTS THE VALUE OF THE PURCHASE OF A SPLIT-DOLLOAR LIFE INSURANCE POLICY TO SUPPLEMENT RETIREMENT INCOME AND RETURN PREMIUMS TO THE ORGANIZATION BASED ON THE AGREEMENT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A: | FISHER-TITUS MEDICAL CENTER (FTMC) IS AN INDEPENDENT NON-PROFIT COMMUNITY HEALTHCARE ORGANIZATION GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF AREA RESIDENTS INCLUDING BUSINESS AND COMMUNITY LEADERS, PHYSICIANS, AND OTHER INTERESTED INDIVIDUALS. FTMC IS COMPOSED OF THE FOLLOWING FIVE OPERATING DIVISIONS: FISHER-TITUS MEMORIAL HOSPITAL THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE RESIDENTS OF HURON, ERIE AND THE ADJACENT COUNTIES OF SANDUSKY, CRAWFORD, LORAIN, ASHLAND, AND RICHLAND. IN 2022, THE HOSPITAL PROVIDED 11,164 DAYS OF INPATIENT CARE TO 3,035 PATIENTS. THE HOSPITAL HAD 131,149 OUTPATIENT AND 26,964 EMERGENCY ROOM VISITS DURING THE YEAR. THE NORWALK MEMORIAL HOME THE NORWALK MEMORIAL HOME PROVIDES SKILLED AND LONG-TERM CARE IN ITS TRANSITIONAL AND EXTENDED CARE UNITS. DURING 2022, THE HOME SERVED 339 RESIDENTS AND PROVIDED 19,144 DAYS OF CARE. THE HOME HEALTH CENTER HOME HEALTH AGENCY THE HOME HEALTH CENTER PROVIDED 12,501 HOME VISITS TO 248 DIFFERENT PATIENTS IN 2022. THE CARRIAGE HOUSE OF FISHER-TITUS OPENED IN 1998, THE CARRIAGE HOUSE IS A 48-UNIT ASSISTED LIVING FACILITY, WHICH PROVIDED 10,680 DAYS OF ASSISTED LIVING CARE TO 32 RESIDENTS IN 2022. FACILITY AND PROGRAM EXPANSIONS FISHER-TITUS PARTNERED WITH OHA AND THE OHIO NATIONAL GUARD DURING THE JANUARY 2022 COVID-19 SURGE TO PROVIDE INCREASED DRIVE-THRU TESTING AND OPERATIONAL SUPPORT TO ENSURE COMMUNITY PATIENT NEEDS WERE MET LOCALLY. THROUGHOUT 2022, FISHER-TITUS CONTINUED TO OFFER ACCESS TO COVID-19 IMMUNIZATIONS AND TESTING TO PREVENT THE SPREAD OF COVID-19 AND ADDRESS COMMUNITY TRANSMISSION LEVELS. IN JUNE, FISHER-TITUS REINSTITUTED THE ANNUAL SENSORY-FRIENDLY SAFETY TOWN, THE FIRST OFFERED SINCE 2019. SENSORY-FRIENDLY SAFETY TOWN IS AN OFFERING OF SAFETY TOWN THAT HAS BEEN ADAPTED FOR CHILDREN, AGES 6-12 YEARS, WITH DISABILITIES. THIS MODIFIED PROGRAM TEACHES CHILDREN HOW TO MAKE SAFE CHOICES WHEN CROSSING THE STREET, HOW TO ACT IN EMERGENCY SITUATIONS, FIRE SAFETY, MEDICATION SAFETY, AND MORE. IN JULY, THE CITY OF WILLARD AND FISHER-TITUS HELD A RIBBON CUTTING CEREMONY FOR THE NEW FISHER-TITUS WALKING PATH AT THE WILLARD RESERVOIR. THE NEW CONCRETE WALKING PATH IS 2.32 MILES AROUND THE WILLARD RESERVOIR AND PROMOTES HEALTHY LIVING BY PROVIDING A PLACE TO EXERCISE BY RUNNING, WALKING, CYCLING, AND ROLLERBLADING. THE ADA STANDARD PATH NOW ALSO INCLUDES TEN STORYBOARDS FOCUSING ON CURRENT HEALTH TOPICS. FISHER-TITUS PARTNERED WITH WESTERN RESERVE SCHOOL DISTRICT AND WESTERN RESERVE ATHLETIC BOOSTERS TO ANNOUNCE A PLAN TO COMPLETE A SERIES OF IMPROVEMENTS TO THE CURRENT FOOTBALL STADIUM. THE GOAL OF THE PROJECT WAS TO FOCUS ON IMPROVEMENTS TO THE OUTDOOR AREA OF OUR CURRENT STADIUM INCLUDING IMPROVING HANDICAP ACCESSIBILITY FOR ONSITE EVENTS. IN ADDITION TO BEING A BENEFIT FOR SPORTING EVENTS AND PRACTICES, THE NEW TRACK WILL PROVIDE A COMMUNITY VENUE FOR WALKING AND RUNNING. ADDITIONAL COMMUNITY PROJECTS FISHER-TITUS FUNDED TO ENHANCE WALKABILITY AND HEALTHY LIFESTYLES INCLUDE: -FISHER-TITUS WALKING PATH AT CONTRACTORS FIELD CONNECTS THE BALLPARK TO THE NEW BIKE TRAIL. -WAKEMAN FITNESS PARK USES BODY WEIGHT "MACHINES" TO CREATE A WORKOUT FOR EVERY LEVEL OF ATHLETE. -MCGUAN ALL-ABILITIES PARK HELPED BUILD/SPONSOR AN ACCESSIBLE PLAYGROUND IN NORWALK. -REINTRODUCED HEALTHY KIDS, HEALTHY YOU BACK INTO THE KINDERGARTEN CLASSROOMS POST-COVID TO REINFORCE HEALTHY EATING HABITS THROUGH EDUCATION. IN OCTOBER, FISHER-TITUS HOSTED A WOMEN'S HEALTH FAIR. THE FAIR FOCUSED ON NEW PARENTS AND THEIR FAMILIES. NEW OR SOON-TO-BE PARENTS, GRANDPARENTS, AUNTS, UNCLES, SIBLINGS, AND OTHER CAREGIVERS WERE INVITED TO THE HEALTH FAIR TO HELP THEM PREPARE FOR THE ARRIVAL OF THE NEW BABY IN THEIR LIFE. THE WELLNESS FAIR FEATURED THE FISHER-TITUS PERINATAL BABY BOOT CAMP PROGRAM ALONG WITH ANTEPARTUM LACTATION SUPPORT SERVICES. IN NOVEMBER, FISHER-TITUS AND THE VILLAGE OF NEW LONDON CELEBRATED THE OPENING OF THE NEW BATTING CAGES IN NEW LONDON WITH A RIBBON CUTTING CEREMONY. FISHER-TITUS SUPPORTED THE BATTING CAGE PROJECT AS WELL AS TENNIS COURT LIGHTING. IN DECEMBER, FISHER-TITUS HOSTED THEIR SIXTH REDUCED-RATE COMMUNITY HEALTH SCREENING FOR LAB TESTS, INCLUDING: COMPLETE BLOOD COUNTWITH DIFFERENTIALBASIC METABOLIC PANEL, LIPID PANEL, AND HEPATIC PROFILE, PSA, HEMOGLOBIN A1C, THYROID TEST (TSH) AND VITAMIN D. EDUCATION AND RESEARCH TO ENSURE THAT WE HAVE THE QUALITY WORKFORCE WE NEED TO CARE FOR OUR COMMUNITY IN THE FUTURE, WE ARE COMMITTED TO THE EDUCATION OF CURRENT AND FUTURE CAREGIVERS, AND WE COLLABORATE WITH LOCAL HIGH SCHOOLS AND OHIO UNIVERSITIES TO PROVIDE INTERNSHIPS, INSTRUCTORS, CLASSROOM SPACE, AND CLINICAL TRAINING. WE ARE PLEASED TO BE ABLE TO OFFER A COMPREHENSIVE LEARNING EXPERIENCE UTILIZING OUR STATE-OF-THE-ART FACILITIES AND ADVANCED TECHNOLOGY. THE HEALTHCAREERS PROGRAM WAS CONCEIVED IN LATE 2022 AND IMPLEMENTED IN 2023 TO IDENTIFY LOCAL HIGH SCHOOL STUDENTS WHO ARE INTERESTED IN FUTURE HEALTHCARE CAREERS. THE LPN TO RN CLINICAL LADDER PROGRAM CONTINUES TO SUPPORT THE ADVANCEMENT AND RETENTION OF OUR CLINICAL NURSES PROVIDING CARE TO THE HURON COUNTY COMMUNITY AND BEYOND. EXCELLENT PHYSICIANS THE MEDICAL STAFF IS COMPOSED OF BOTH INDEPENDENT PRACTITIONERS AS WELL AS PHYSICIANS AND PROVIDERS EMPLOYED BY FISHER-TITUS UNDER THE NAME FISHER-TITUS MEDICAL CARE. OVERALL, THE MEDICAL STAFF INCLUDES 266 PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REPRESENTING 36 MEDICAL SPECIALTIES. THE MEDICAL CARE EMPLOYED GROUP INCLUDES PRACTITIONERS REPRESENTING PRIMARY CARE, PEDIATRICS, DIGESTIVE HEALTH, UROLOGY, BEHAVIORAL HEALTH, PULMONOLOGY, CARDIOLOGY, AND VASCULAR CARE. AWARDS AND ACCREDITATIONS THROUGHOUT THE YEARS FISHER-TITUS HAS BEEN SUCCESSFUL IN MEETING THE CHALLENGES OF AN INCREASINGLY COMPLEX HEALTH-CARE INDUSTRY AND HAS PROVIDED EXCEPTIONAL SERVICE QUALITY TO MEMBERS OF THE SURROUNDING COMMUNITIES. THE MEDICAL CENTER IS ACCREDITED BY THE ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC). FISHER-TITUS ALSO IS A LEVEL III TRAUMA CENTER, HFAP PRIMARY STROKE CENTER, A LEVEL 2 ADULT CARDIAC CATHETERIZATION LABORATORY, AND SINCE 1989 ACCREDITED BY THE COMMISSION ON CANCER. THE MEDICAL CENTER'S FOCUS ON QUALITY CARE AND EXCEPTIONAL SERVICE IS EVIDENCED BY THE MANY HOSPITAL AND DEPARTMENTAL ACCREDITATIONS, AWARDS, AND RECOGNITIONS RECEIVED IN 2022: FISHER-TITUS WAS NAMED TO NEWSWEEK'S 2022 LIST OF BEST MATERNITY CARE HOSPITALS, ONLY ONE OF 384 FACILITIES NATIONWIDE. THIS WAS THE FOURTH YEAR IN A ROW THEY RECEIVED THIS RECOGNITION. THE DISTINCTION RECOGNIZES FACILITIES THAT HAVE EXCELLED IN PROVIDING CARE TO MOTHERS, NEWBORNS, AND THEIR FAMILIES. BEST MATERNITY CARE HOSPITALS IS PART OF NEWSWEEK, POWERED BY DATA FROM THE LEAPFROG GROUP. FISHER-TITUS WAS NAMED TO MONEY'S INAUGURAL LIST OF THE BEST HOSPITALS IN AMERICA. THEY ARE ONE OF 148 HOSPITALS IN THE COUNTRY AND ONE OF ONLY FOUR IN OHIO. IN PARTNERSHIP WITH THE LEAPFROG GROUPA NONPROFIT THAT HAS BEEN VETTING HOSPITALS FOR MORE THAN 20 YEARSTHE MONEY (FORMERLY KNOWN AS MONEY MAGAZINE) LIST IS DESIGNED TO SPOTLIGHT THE FACILITIES THAT CONSISTENTLY DELIVER THE SAFEST, HIGHEST-VALUE CARE FOR PATIENTS. ACCORDING TO MONEY, THE LIST IS MEANT TO GIVE PATIENTS PEACE OF MIND WHEN MAKING DECISIONS ABOUT WHERE TO RECEIVE THEIR HEALTH CARE. THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME) RELEASED THEIR COVETED DIGITAL HEALTH MOST WIRED SURVEY RESULTS FOR THE 2022 DATA COLLECTION PERIOD. FISHER-TITUS WAS PROUD TO ANNOUNCE THEIR LEVEL 7 ACHIEVEMENT FOR THE ACUTE SURVEY SELECTION. THEY WERE THE ONLY HOSPITAL IN THE REGION TO RECEIVE THIS RECOGNITION. FISHER-TITUS WAS AWARDED A THREE-YEAR TERM OF ACCREDITATION IN NUCLEAR MEDICINE AS THE RESULT OF A RECENT REVIEW BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). NUCLEAR MEDICINE IS A BRANCH OF MEDICAL IMAGING THAT USES TINY AMOUNTS OF RADIOACTIVE MATERIAL, INGESTED BY THE PATIENT, TO DIAGNOSE AND TREAT A VARIETY OF DISEASE, INCLUDING MANY TYPES OF CANCERS, HEART DISEASE AND CERTAIN OTHER ABNORMALITIES WITHIN THE BODY. IN JUNE, FISHER-TITUS RECEIVED THREE AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES ACHIEVEMENT AWARDS FOR DEMONSTRATING COMMITMENT TO FOLLOWING UP-TO-DATE, RESEARCH-BASED GUIDELINES FOR THE TREATMENT OF HEART DISEASE AND STROKE, LEADING TO MORE LIVES SAVED, SHORTER RECOVERY TIMES AND FEWER READMISSIONS TO THE HOSPITAL. NORWALK MEMORIAL HOME WAS NAMED TO U.S. NEWS AND WORLD REPORT'S LIST OF BEST NURSING HOMES. ONLY 15% OF NURSING HOMES IN THE UNITED STATES MAKE THIS LIST. FISHER-TITUS WAS RECOGNIZED AS A WINNER OF THE 2022 COMMUNITY OF THE YEAR POPULATION HEALTH PIONEER AWARDS, PRESENTED BY CARAVAN HEALTH, PART OF SIGNIFY HEALTH. THE AWARD IS GIVEN TO ACCOUNTABLE CARE ORGANIZATIONS (ACOS) AND PARTNERS EACH YEAR WHO HAVE DEMONSTRATED EXEMPLARY WORK WHILE SERVING THEIR PATIENTS, COMMUNITY, AND THE HEALTHCARE INDUSTRY. |
| FORM 990, PART III, LINE 4B: | FISHER-TITUS HAS EARNED THE FOLLOWING ACCREDITATIONS AND ACHIEVEMENTS: -ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC) -AMERICAN COLLEGE OF CARDIOLOGY ACCREDITED CHEST PAIN CENTER -AMERICAN COLLEGE OF RADIOLOGY -AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER -AMERICAN COLLEGE OF SURGEONS VERIFIED LEVEL III TRAUMA CENTER -AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD -CERTIFIED LEVEL II ADULT CARDIAC CATHETERIZATION LAB (OHIO DEPARTMENT OF HEALTH) -INTERSOCIETAL ACCREDITATION COMMISSION ACCREDITED FACILITY IN VASCULAR TESTING - ULTRASOUND -NEWSWEEK'S BEST MATERNITY HOSPITAL -PRIMARY STROKE CENTER (ACCREDITATION COMMISSION FOR HEALTH CARE - ACHC) -THE LOWN INSTITUTE #8 IN OHIO FOR INCLUSIVITY, HIGH VALUE CARE, AND COMMUNITY BENEFIT. FISHER-TITUS RECEIVED AN OVERALL GRADE OF A+. -TOP 100 RURAL HEALTH HOSPITALS (THE CHARTIS CENTER) -NAMED TO MONEY'S INAUGURAL LIST OF THE BEST HOSPITALS IN AMERICA -2022 COMMUNITY OF THE YEAR POPULATION HEALTH PIONEER AWARDS, PRESENTED BY CARAVAN HEALTH, PART OF SIGNIFY HEALTH -THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES' DIGITAL HEALTH MOST WIRED -U.S. NEWS AND WORLD REPORT'S LIST OF BEST NURSING HOMES COMMUNITY HEALTH AND OUTREACH PROGRAMS FISHER-TITUS MEDICAL CENTER'S COMMUNITY BENEFITS EXTEND OUTSIDE OUR WALLS TO FAMILIES, BUSINESS, SCHOOLS, CHURCHES AND NEIGHBORHOODS THROUGH OUTREACH PROGRAMS AND OTHER COORDINATED CARE ACTIVITIES THAT MAKE OUR COMMUNITIES HEALTHIER PLACES TO LIVE, WORK AND WORSHIP. OUR GOAL IS TO HELP ALL RESIDENTS EQUALLY ACCESS THE CARE THEY NEED AND HELP THEM LEARN TO MANAGE THEIR CONDITIONS AND LIVE HEALTHIER, SAFER LIVES. IN 2020, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND PUBLISHED, WHICH IS CONDUCTED, IN PARTNERSHIP WITH HURON COUNTY PUBLIC HEALTH DEPARTMENT, EVERY THREE YEARS. FISHER-TITUS WAS A LEADER IN THE PROCESS AND PARTNERED WITH HEALTH-RELATED AND CIVIC ORGANIZATIONS THROUGHOUT THE COUNTY TO BOTH FUND THE PROJECT AND ASSIST IN THE ASSESSMENT PROCESS. FROM THAT REPORT, THE BOARD OF DIRECTORS OF FISHER-TITUS MEDICAL CENTER DETERMINED THAT CERTAIN HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT SHOULD BE ADDRESSED AS THE HIGHEST. THE PRIORITIES INCLUDE SUPPORTING INITIATIVES GEARED TO HEALTHY WEIGHT; IMPROVING ACCESS TO MENTAL HEALTH SERVICES; REDUCING SUBSTANCE ABUSED THROUGH PREVENTION, SCREENING, AND TREATMENT; IMPROVING ACCESS TO CARE; AND IMPROVING THE PUBLIC HEALTH INFRASTRUCTURE. FISHER-TITUS SUPPORTS OTHER AREA NON-PROFIT COMMUNITY ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICE, AND EMPLOYEE VOLUNTEERISM. MANY OF OUR COMMUNITY BENEFIT PROGRAMS ARE ORGANIZED TO WORK COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS, AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS. IN 2022, WE OFFERED COMMUNITY HEALTH EDUCATION PROGRAMS, INCLUDING SCHOOL-BASED PROGRAMS, SUPPORT GROUPS, COMMUNITY-BASED HEALTH FAIRS AND SCREENINGS, AND WALKING AND FITNESS PROGRAMS THAT IMPACTED OUR RESIDENTS THROUGH 60,647 ENCOUNTERS. AUXILIARY AND VOLUNTEER SERVICE: DURING 2022, OUR 35 CARING VOLUNTEERS DONATED 5,953 HOURS OF AUXILIARY AND VOLUNTEER SERVICES TO THE MEDICAL CENTER. VOLUNTEERS PROVIDE A VARIETY OF SERVICES INCLUDING HELPING FAMILY MEMBERS, PROVIDING TRANSPORTATION, ASSISTING AT COMMUNITY HEALTH PROGRAMS, DELIVERING REFRESHMENTS, MAIL AND FLOWERS TO HOSPITAL PATIENTS AND RESIDENTS OF THE NORWALK MEMORIAL HOME PLUS ESCORTING PATIENTS THROUGHOUT THE BUILDING. THEY ALSO PERFORM CLERICAL DUTIES, STAFF THE MEDICAL CENTER'S GIFT SHOP, AND ORGANIZE SEVERAL FUND-RAISING EVENTS THROUGHOUT THE YEAR. VOLUNTEER "AMBASSADORS" HAVE INSTRUCTED PATIENTS SINCE APRIL 2010 ON THE USE OF THE TELEVISION/COMPUTER SCREENS LOCATED IN EACH PATIENT ROOM. VOLUNTEERS WORKING IN THIS CAPACITY ARE AT FISHER-TITUS MEDICAL CENTER SEVEN DAYS PER WEEK EACH MORNING FOR 2 HOURS. AMONG THE ITEMS PATIENTS ARE INSTRUCTED ON ARE HOW TO ACCESS THE DAY'S MENU, MEDICAL INFORMATION PERTAINING TO THE PERSON'S HEALTH PROBLEMS, ACCESSING THE INTERNET, PLAYING GAMES, OBTAINING THE NAMES OF CAREGIVERS AS THEY ENTER THE PATIENT'S ROOM, CHOOSING MOVIES, ETC. THE PATIENT THEN MAY USE A REMOTE CONTROL OR A WIRELESS KEYBOARD TO ACCESS THIS INFORMATION. INFORMATION SERVICES PROVIDES ALL COMPUTER TRAINING FOR VOLUNTEERS THAT WORK IN THIS CAPACITY. COMMUNITY HEALTH IMPROVEMENT SERVICES: NUMEROUS HEALTH SCREENINGS ARE OFFERED THROUGHOUT THE YEAR AT THE MEDICAL CENTER AND AT VARIOUS COMMUNITY LOCATIONS AND EVENTS THROUGHOUT OUR SERVICE AREA. THESE PROGRAMS INCLUDE SCREENING FOR BLOOD GLUCOSE, CHOLESTEROL LEVELS, SKIN CANCER, PROSTATE CANCER, OSTEOPOROSIS, AND SCREENING MAMMOGRAMS. IN ADDITION, THE MEDICAL CENTER SPONSORS NUMEROUS SUPPORT GROUPS TO PROVIDE EDUCATION, CARE AND EMOTIONAL SUPPORT TO INDIVIDUALS AND FAMILIES AFFECTED BY DISABILITIES AND CHRONIC MEDICAL CONDITIONS. FTMC'S HEALTH MINISTRY PROGRAM, FORMED IN 2000, HAS BEEN A HIGHLY EFFECTIVE GRASSROOTS INITIATIVE TO GATHER INFORMATION AND PROVIDE HEALTH PROGRAMS THROUGHOUT HURON COUNTY. CURRENTLY 50 AREA CONGREGATIONS ARE MEMBERS OF THE FTMC HEALTH MINISTRY PROGRAM WHICH PROVIDES HEALTH AND WELLNESS INFORMATION AND PROGRAMS IN AREA CHURCHES. THE MEDICAL CENTER IN PARTNERSHIP WITH ITS PHYSICIANS AND OTHER COMMUNITY ORGANIZATIONS PROVIDES PUBLIC FORUMS AND EDUCATIONAL SESSIONS ON A VARIETY OF TOPICS, WHICH ARE SOMETIMES HELD IN TANDEM WITH THE HEALTH SCREENINGS PROVIDED. WE ALSO PROVIDE NUMEROUS HEALTH FAIRS DURING THE YEAR IN SEVERAL LOCATIONS THROUGHOUT THE COUNTY AND SURROUNDING COMMUNITIES IN OUR SERVICE AREA. THESE COMMUNITY HEALTH IMPROVEMENT SERVICES BENEFITED 60,627 PEOPLE IN 2022 AT A COST OF $198,764. PROFESSIONAL MEDICAL EDUCATION: THE MEDICAL CENTER SUPPORTS AND STAFFS SEVERAL CLASSES FOR HEALTH PROFESSIONALS INCLUDING HEALTHCARE PROVIDER CPR, ADVANCED CARDIAC LIFE SUPPORT, BASIC LIFE SUPPORT INSTRUCTOR COURSE AND PEDIATRIC ADVANCE LIFE SUPPORT. IN ADDITION, FTMC SUPPORTS STUDENTS SHADOWING EMPLOYEES TO LEARN MORE ABOUT THEIR CHOSEN CAREER PATH. THE TOTAL COST OF PROFESSIONAL MEDICAL EDUCATION PROVIDED TO 20 PARTICIPANTS WAS $25,397. SUBSIDIZED HEALTH SERVICES: THE MEDICAL CENTER SUBSIDIZES CERTAIN HEALTH SERVICES AND PROCESSES TO ADDRESS SPECIFIC HEALTH ISSUES IN THE COMMUNITY, PROVIDE CARE TO THE UNDERSERVED, OR ENHANCE THE OVERALL QUALITY OF HEALTHCARE WITHIN THE COMMUNITY. THE COST ASSOCIATED WITH THE HEALTH SERVICES IN 2022 WAS $40,839. DONATIONS AND COMMUNITY SUPPORT: THE MEDICAL CENTER MAKES CASH AND NON-CASH CONTRIBUTIONS ANNUALLY TO LOCAL NON-PROFIT ORGANIZATIONS THAT BENEFIT THE HEALTH AND DEVELOPMENT OF OUR LOCAL COMMUNITY AND ITS RESIDENTS. IN ADDITION, THE MEDICAL CENTER SUPPORTS AREA SCHOOLS BY AWARDING SPECIAL HEALTH EDUCATION GRANTS TO SCHOOL DISTRICTS IN OUR SERVICE TERRITORY TO FUND INNOVATIVE PROGRAMS IN THE AREAS OF SCIENCE, MATH, HEALTH, AND HEALTH RELATED EDUCATION. THE TOTAL COST OF THESE DONATIONS AND SUPPORT IN 2022 WAS $412,210. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF FISHER-TITUS MEDICAL CENTER IS THE PARENT COMPANY FISHER-TITUS HEALTH, AN OHIO NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS SHALL BE COMPOSED OF THOSE INDIVIDUALS WHO ARE VOTING DIRECTORS OF THE MEMBER AT ANY TIME, AS DETERMINED UNDER THE CODE OF REGULATIONS OF THE MEMBER (FISHER-TITUS HEALTH). |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING POWERS ARE RESERVED EXCLUSIVELY TO THE MEMBER (FISHER-TITUS HEALTH): A) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND THE CODE OF REGULATIONS; B) TO APPROVE ANY MERGER OF THE CORPORATION OR ANY SALE OF SUBSTANTIALLY ALL OF ITS ASSETS; TO DISSOLVE OR TERMINATE THE EXISTENCE OF THE CORPORATION AND TO DETERMINE THE DISTRIBUTION OF ASSETS UPON SUCH TERMINATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF DIRECTORS OF THE FISHER-TITUS MEDICAL CENTER DELEGATED THE RESPONSIBILITY FOR THE REVIEW OF THE MEDICAL CENTER'S FORM 990, PLUS ALL REQUIRED SCHEDULES AND ATTACHMENTS, TO THE FISHER-TITUS AUDIT COMMITTEE. THE MEMBERS OF THIS COMMITTEE HAVE A STRONG BACKGROUND IN ACCOUNTING, LEGAL, FINANCE, AND BUSINESS AND HAVE THE TECHNICAL EXPERTISE TO PERFORM A SUBSTANTIVE REVIEW. THE AUDIT COMMITTEE REVIEWED THE MEDICAL CENTER'S FORM 990 PRIOR TO FILING AND REPORTED TO THE MEDICAL CENTER'S BOARD OF DIRECTORS REGARDING THE RESULTS OF THEIR REVIEW. IN ADDITION, EACH MEMBER OF THE MEDICAL CENTER'S BOARD OF DIRECTORS HAD ACCESS TO A COPY OF THE FORM 990 FOR VIEWING PRIOR TO FILING VIA A SECURE INTERNET WEBSITE AND A PAPER COPY WAS AVAILABLE FOR REVIEW AT THE BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL OF OUR AFFILIATED CORPORATE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT UPON JOINING THE BOARD AND ANNUALLY THROUGHOUT THEIR TENURE. THESE ARE RETAINED BY ADMINISTRATION. AREAS OF CONFLICT ARE REVIEWED AND ADDRESSED AS NECESSARY TO THE TRANSACTIONS OF THE BOARD. IF AN AREA OF CONFLICT ARISES, BOARD MEMBERS ARE EXCUSED AND PROHIBITED FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DISCUSSIONS REGARDING THE AREA OF CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | RESPONSIBILITY FOR DETERMINING AND RECOMMENDING EXECUTIVE COMPENSATION RESTS WITH THE PERSONNEL COMMITTEE OF THE FISHER-TITUS HEALTH BOARD. THE COMMITTEE RETAINS AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO HELP ESTABLISH CASH COMPENSATION TARGET RANGES AND IDENTIFY REASONABLE AND CUSTOMARY BENEFIT PROGRAMS FOR EXECUTIVES. THE INDEPENDENT CONSULTANT REPORTS TO THE PERSONNEL COMMITTEE ON RELEVANT PEER GROUPS, CASH COMPENSATION REPORTED IN AVAILABLE SALARY SURVEYS FOR THE PEER GROUP, AND TRENDS IN BENEFITS AND PERQUISITE PROGRAMS CUSTOMARILY AVAILABLE AMONG THE PEER GROUP FOR EXECUTIVES. RECOMMENDATIONS BY THE CONSULTANT ARE PRESENTED TO THE PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE PROVIDED TO EACH OF THE DIRECTORS OF FISHER-TITUS HEALTH. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED FIRST BY THE JOINT PERSONNEL COMMITTEE AND THEN BY THE FISHER-TITUS HEALTH'S BOARD OF DIRECTORS. THE MINUTES OF EACH BOARD MEETING WHERE ACTION IS TAKEN REFLECT SUCH ACTION. THE PROCESS IS PERFORMED ANNUALLY IN THE SPRING AND WAS LAST DONE IN MARCH 2022. |
| FORM 990, PART VI, SECTION C, LINE 19 | WE ISSUE AN ANNUAL REPORT TO THE COMMUNITY THAT IS PLACED IN THE LOCAL NEWSPAPER AND ON OUR WEBSITE THAT PROVIDES OUR OPERATING FINANCIAL STATEMENT, COMMUNITY BENEFIT FIGURES BROKEN DOWN BY CHARITY CARE & FINANCIAL ASSISTANCE, UNPAID COSTS OF MEDICAID, COMMUNITY HEALTH & OUTREACH PROGRAMS, DONATIONS & COMMUNITY SUPPORT, SUBSIDIZED HEALTH SERVICES & PROFESSIONAL MEDICAL EDUCATION, & UNPAID COSTS OF MEDICARE & BAD DEBT. AS REQUIRED, WE OFFER A TIMELY RESPONSE TO WRITTEN REQUESTS FOR COPIES OF THE 990S AS WELL AS HAVING THE 990S AVAILABLE UPON THE PREMISES FOR THE PUBLIC TO REVIEW AND ON THE GUIDESTAR INTERNET WEBSITE. ADDITIONALLY, OUR CONFLICT OF INTEREST POLICY, CODE OF REGULATIONS, AND GOVERNING DOCUMENTS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. |
| FORM 990, PART VI, SECTION A, LINE 1B: | INFORMATION RELATING TO FAMILY MEMBERS OF SOME OF THE ORGANIZATION'S GOVERNING BODY COMPENSATED BY THE ORGANIZATION OR INVOLVED IN BUSINESS TRANSACTIONS WITH THE ORGANIZATION IS INCLUDED IN PART IV OF SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS. HOWEVER, MEMBERS OF THE ORGANIZATION'S GOVERNING BODY ARE PROMINENT CITIZENS IN THE COMMUNITIES SERVED BY THE ORGANIZATION FOR PURPOSES OF SATISFYING THE COMMUNITY BENEFIT STANDARD ESTABLISHED BY REVENUE RULING 69-545, 1969-2 C.B. 117. |
| FORM 990, PART IX, LINE 11G | FEES FOR OTHER SERVICES: PROGRAM SERVICE EXPENSES 17,351,228. MANAGEMENT AND GENERAL EXPENSES 4,470,673. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,821,901. MEDICAL PROVIDERS: PROGRAM SERVICE EXPENSES 9,761,114. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,761,114. |
| FORM 990, PART XI, LINE 9: | FASB #158 ADJUSTMENT (CHANGE IN PENSION LIABILTIY) 645,014. INTER-SYSTEM TRANSFER OF FUNDS BETWEEN AFFLIATED 501(C)(3) ORGANIZATIONS 2,000,000. CHANGE IN BOND INTEREST SWAP VALUE 282,068. PAIN MANAGMENT JOINT VENTURE DIVIDEND PAYMENTS TO FISHER-TITUS 366,806. NET PERIODIC PENSION & POSTRETIREMENT BENEFIT COST -228,490. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| FISHER TITUS SPECIALISTS LLC DBA EXECUTIVE UROLOGY | |||||||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | 474681100 | PHYSICIAN GROUP | OH | $0 | $0 | FISHER TITUS MEDICAL CENTER |
| KAISER COMMUNITY PHARMACY | |||||||||
| 251 BENEDICT AVENUE | NORWALK | OH | 44857 | 812899103 | PHARMACY AND MEDICAL HOME EQUIPMENT | OH | $0 | $0 | FISHER TITUS MEDICAL CENTER |
| FTMC HOLDING 265 LLC | |||||||||
| 265 BENEDICT AVENUE | NORWALK | OH | 44857 | 344430716 | REAL ESTATE | OH | $285,346 | $4,055,215 | FISHER TITUS MEDICAL CENTER |
| NORTH CENTRAL HOLDING LLC | |||||||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | 344430716 | REAL ESTATE | OH | $0 | $0 | FISHER TITUS MEDICAL CENTER |
| FISHER -TITUS NORTHSIDE LLC | |||||||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | 842595421 | REAL ESTATE | OH | $366,638 | $6,034,168 | FISHER TITUS MEDICAL CENTER |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FISHER-TITUS HEALTH | |||||||||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | 341476935 | SYSTEM PARENT | OH | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| FISHER-TITUS FOUNDATION | |||||||||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | 341476937 | FOUNDATION | OH | 501(C)(3) | LINE 7 | 0 | FISHER-TITUS HEALTH | |
| FISHER-TITUS AFFILIATED SERVICES | |||||||||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | 341476934 | AMBULANCE | OH | 501(C)(3) | LINE 10 | 0 | FISHER-TITUS HEALTH | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FISHER-TITUS PAIN MANAGEMENT LLC | ||||||||||||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | 271471272 | PAIN MANAGEMENT | OH | FISHER TITUS MEDICAL CENTER | RELATED | $640,228 | $409,026 | 0 | 0 | 0.51000 | |
| FISHER-TITUS SHARED SERVICES | ||||||||||||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | 834555068 | PARTNER IN SURGERY CENTER | OH | 0 | 0 | N/A | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH PROMOTIONS OF NORWALK | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 272 BENEDICT AVENUE | AddressLine1Txt |
| City | NORWALK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44857 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341502102 | EIN |
| Primary Activities | SUPPORT PROF. | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FISHER TITUS MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FISHER - TITUS PAIN MANAGEMENT LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | F | TransactionTypeTxt |
| Involved | $366,806 | InvolvedAmt |
| Method Of Amount Determination | OWNERSHIP PERCENTAGE | MethodOfAmountDeterminationTxt |