FISHER TITUS MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: FISHER TITUS MEDICAL CENTER (EIN 34-4430716)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-14
IRS object ID: 202223189349320652
Schema version: 2021v4.2
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-14T22:18:55-06:00	ReturnTs
Tax Period End	2021-12-31	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	2021-01-01	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	2022-11-14	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

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	NATHAN A RODGERS CPA	PreparerPersonNm
PTIN	P01568275	PTIN
Phone	3172757444	PhoneNum
Preparation	2022-11-12	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$203,387,465	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	PROVIDE QUALITY HEALTHCARE IN A COST EFFECTIVE MANNER, WHILE RESPECTING THE DIGNITY AND UNIQUENESS OF EACH INDIVIDUAL WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1089	TotalEmployeeCnt
Total Volunteers	93	TotalVolunteersCnt
Total Gross UBI	$922,546	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$130,741	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$137,226	PYContributionsGrantsAmt
CY Contributions Grants	$216,858	CYContributionsGrantsAmt
PY Program Service Revenue	$152,142,479	PYProgramServiceRevenueAmt
CY Program Service Revenue	$165,654,357	CYProgramServiceRevenueAmt
PY Investment Income	$2,280,199	PYInvestmentIncomeAmt
CY Investment Income	$6,349,179	CYInvestmentIncomeAmt
PY Other Revenue	$885,397	PYOtherRevenueAmt
CY Other Revenue	$763,214	CYOtherRevenueAmt
PY Total Revenue	$155,445,301	PYTotalRevenueAmt
CY Total Revenue	$172,983,608	CYTotalRevenueAmt
PY Grants And Similar Paid	$138,720	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$142,747	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$62,814,146	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$75,510,269	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$69,837,282	PYOtherExpensesAmt
CY Other Expenses	$77,245,630	CYOtherExpensesAmt
PY Total Expenses	$132,790,148	PYTotalExpensesAmt
CY Total Expenses	$152,898,646	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,655,153	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,084,962	CYRevenuesLessExpensesAmt
Total Assets BOY	$230,784,511	TotalAssetsBOYAmt
Total Assets EOY	$249,539,511	TotalAssetsEOYAmt
Total Liabilities BOY	$62,925,345	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$62,882,671	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$167,859,166	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$186,656,840	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	PROVIDE QUALITY HEALTHCARE IN A COST EFFECTIVE MANNER, WHILE RESPECTING THE DIGNITY AND UNIQUENESS OF EACH INDIVIDUAL WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$121,350,533	ExpenseAmt
Grant	$142,747	GrantAmt
Revenue	$157,464,469	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,941,570	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$7,267,342	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$125,292,103	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	Yes (1)	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	136	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1089	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	0	CompensationProcessCEOInd
Compensation Process Other	0	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	DAVID V WILSON MBACMA	PersonNm
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

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
DENNIS DOUGHTY
CHAIRMAN	15.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
PERRY DRYDEN
VICE CHAIRMAN	10.00	2.00	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	$286,891	$67,898
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
JEFFREY C HUBER
DIRECTOR	4.00	3.00	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
BRENT BURKEY
PRESIDENT/CEO	50.50	14.50	Yes (X)	Yes (X)	$607,585	$0	$55,039
MARC D DOLCE
DIRECTOR - BEGAN AUG 2022	4.00	2.00	Yes (X)		$0	$0	$0
SCOTT E ENDSLEY
CHIEF FINANCIAL OFFICER	52.00	8.00		Yes (X)	$296,704	$0	$41,537
MATTHEW MATTNER
CHIEF OPERATIONS OFFICER	43.50	6.50		Yes (X)	$321,105	$0	$68,791
MIRIAM BATKE
CHIEF HUMAN RESOURCE OFFIC	37.00	8.00			$234,573	$0	$34,623	Yes (X)
KATIE CHIEDA
CHIEF NURSING OFFICER	45.00	0.00			$249,691	$0	$65,471	Yes (X)
GARY MOORMAN
CHIEF MEDICAL OFFICER	45.00	0.00			$417,192	$0	$35,627		Yes (X)
LINDA STEVENSON
CHIEF INFORMATION OFFICER	37.00	8.00			$227,938	$0	$51,239		Yes (X)
SUZANNE FARMER
CHIEF ADMINISTRATIVE OFFIC	37.00	5.00			$256,755	$0	$32,714		Yes (X)
SHARON HARWOOD
CHIEF COMPLIANCE OFFICER	40.00	2.00			$221,913	$0	$42,277		Yes (X)
JASON FRONEK
SR DIRECTOR INFORMATION SE	33.00	7.00			$158,292	$0	$41,280		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,991,748	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$286,891	TotReportableCompRltdOrgAmt
Total Other Compensation	$536,496	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	28	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	$3,491,793
METROHEALTH SYSTEMS
PO BOX 73122	CLEVELAND	OH	441931861	SPINE CENTER PROFESSIONAL FEE & TRAUMA P	$3,067,867
MCR GROUP LLC
PO BOX 51325	KNOXVILLE	TN	37950	MEDICARE DEPENDENT CONSULTANTS	$2,389,356
LABORATORY CORPORATION OF AMERICA HOLDIN
PO BOX 12140	BURLINGTON	NC	272162140	BLOOD ADMINISTRATION; LAB TESTING	$1,314,377
NOMS HEALTHCARE
2500 W STRUB ROAD	SANDUSKY	OH	44870	PROFESSIONAL FEES - ORTHOPEDIC	$920,313

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Related Organizations	$216,858	RelatedOrganizationsAmt
Noncash Contributions	$38,148	NoncashContributionsAmt
Total Contributions	$216,858	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	$156,794,847	$156,794,847
NURSING HOME & ASSISTED LIVING RE	623000	$7,267,342	$7,267,342
MEDICAL LABORATORY	621500	$848,721		$848,721
340B PHARMACY REVENUE	446110	$669,622	$669,622
NCCN CREDENTIALING REVENUE	518210	$71,175		$71,175

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,650	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,650	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$165,654,357	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,365,752	TotalRevenueColumnAmt
Exclusion	$2,365,752	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34	TotalRevenueColumnAmt
Exclusion	$34	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$33,489,339	SecuritiesAmt
Other	$897,911	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$29,507,539	SecuritiesAmt
Other	$896,318	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,981,800	SecuritiesAmt
Other	$1,593	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,983,393	TotalRevenueColumnAmt
Exclusion	$3,983,393	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	722210	$420,766	$420,766
HOSPITAL AUXILARY SALES	453220	$222,379	$222,379
MISC. OTHER HOSPITAL REVENUE	900099	$120,069	$120,069

Field	Value	IRS element (for citing)
Other Revenue Total	$763,214	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$172,983,608	TotalRevenueColumnAmt
Related Or Exempt Func Income	$164,731,811	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$922,546	UnrelatedBusinessRevenueAmt
Exclusion	$7,112,393	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	$142,747	TotalAmt
Program Services	$142,747	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,996,583	TotalAmt
Program Services	$1,679,742	ProgramServicesAmt
Management And General	$1,316,841	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$57,291,539	TotalAmt
Program Services	$47,277,455	ProgramServicesAmt
Management And General	$10,014,084	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,915,291	TotalAmt
Program Services	$1,580,515	ProgramServicesAmt
Management And General	$334,776	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,203,200	TotalAmt
Program Services	$7,594,558	ProgramServicesAmt
Management And General	$1,608,642	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,103,656	TotalAmt
Program Services	$3,386,371	ProgramServicesAmt
Management And General	$717,285	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$351,290	TotalAmt
Program Services	$263,468	ProgramServicesAmt
Management And General	$87,822	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$138,332	TotalAmt
Program Services	$69,166	ProgramServicesAmt
Management And General	$69,166	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$144,776	TotalAmt
Management And General	$144,776	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$24,395,351	TotalAmt
Program Services	$20,291,724	ProgramServicesAmt
Management And General	$4,103,627	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$341,307	TotalAmt
Program Services	$341,202	ProgramServicesAmt
Management And General	$105	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,184,786	TotalAmt
Program Services	$2,520,671	ProgramServicesAmt
Management And General	$1,664,115	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,898,625	TotalAmt
Program Services	$3,554,564	ProgramServicesAmt
Management And General	$4,344,061	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,809,598	TotalAmt
Program Services	$2,618,830	ProgramServicesAmt
Management And General	$1,190,768	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$130,642	TotalAmt
Program Services	$107,996	ProgramServicesAmt
Management And General	$22,646	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$276,687	TotalAmt
Program Services	$97,652	ProgramServicesAmt
Management And General	$179,035	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$860,952	TotalAmt
Program Services	$776,844	ProgramServicesAmt
Management And General	$84,108	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,952,535	TotalAmt
Program Services	$6,402,447	ProgramServicesAmt
Management And General	$550,088	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,271,210	TotalAmt
Program Services	$929,154	ProgramServicesAmt
Management And General	$342,056	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$22,701,978	$22,443,557	$258,421
OHIO HOSPITAL TAX & SNF	$2,653,297	$2,653,297	$0
DUES & SUBSCRIPTIONS	$195,326	$31,225	$164,101
UBI INCOME TAX	-$9,792	-$9,792	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$948,730	TotalAmt
Program Services	$538,710	ProgramServicesAmt
Management And General	$410,020	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$152,898,646	TotalAmt
Program Services	$125,292,103	ProgramServicesAmt
Management And General	$27,606,543	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,375	BOYAmt
EOY	$5,640	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$27,672,848	BOYAmt
EOY	$27,094,557	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,777,340	BOYAmt
EOY	$19,327,987	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$160,000	BOYAmt
EOY	$240,000	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$54,679	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,394,186	BOYAmt
EOY	$2,637,257	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,952,704	BOYAmt
EOY	$2,568,032	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$228,956,111	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$115,149,668	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$107,083,745	BOYAmt
EOY	$113,806,443	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$70,068,948	BOYAmt
EOY	$78,180,333	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$673,303	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$471,508	BOYAmt
EOY	$699,354	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,469,875	BOYAmt
EOY	$4,979,908	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$230,784,511	BOYAmt
EOY	$249,539,511	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,720,789	BOYAmt
EOY	$25,245,026	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$32,893	BOYAmt
EOY	$13,117	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,115,248	BOYAmt
EOY	$19,163,130	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,625,570	BOYAmt
EOY	$3,473,313	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,430,845	BOYAmt
EOY	$14,988,085	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,925,345	BOYAmt
EOY	$62,882,671	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	$167,841,188	BOYAmt
EOY	$186,639,340	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,978	BOYAmt
EOY	$17,500	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$167,859,166	BOYAmt
EOY	$186,656,840	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$230,784,511	BOYAmt
EOY	$249,539,511	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$20,084,962	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$407,572	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$879,716	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
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$10,372	OtherActivitiesAmt
Total Lobbying Expenditures	$10,372	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 - 6.2% OF DUES AND AMERICAN HOSPITAL ASSOCIATION - 26.47% 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	$153,381,651	OtherCostOrOtherBasisAmt
Depreciation	$68,128,299	DepreciationAmt
Book Value	$85,253,352	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$62,287,500	OtherCostOrOtherBasisAmt
Depreciation	$42,372,781	DepreciationAmt
Book Value	$19,914,719	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,264,605	OtherCostOrOtherBasisAmt
Depreciation	$4,648,588	DepreciationAmt
Book Value	$6,616,017	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$113,806,443	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
CAPITAL LEASE OBLIGATIONS	$3,479,256
OPERATING LEASE OBLIGATIONS	$760,523
REFUNDABLE ADVANCE OBLIGATIONS	$6,144,089
DUE TO AFFILIATED ENTITIES	$4,604,217

Field	Value	IRS element (for citing)
Total Liability	$14,988,085	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$174,495,190	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$407,572	NetUnrealizedGainsInvstAmt
Other Revenue	$2,286,309	OtherRevenueAmt
Revenue Not Reported	$1,878,737	RevenueNotReportedAmt
Revenue Subtotal	$172,616,453	RevenueSubtotalAmt
Other Revenues Not Included	$367,155	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$367,155	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$172,983,608	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$155,174,748	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,518,036	OtherExpensesIncludedAmt
Expenses Not Reported	$2,518,036	ExpensesNotReportedAmt
Expenses Subtotal	$152,656,712	ExpensesSubtotalAmt
Other Expenses Not Included	$241,934	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$241,934	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$152,898,646	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021 AND 2020, 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.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	TRANSFERS TO VARIOUS AFFILIATED ENTITIES -1,916,424. PROFIT SHARING RELATED TO THE PAIN MANAGEMENT JOINT VENTURE 128,339. CHANGE IN INTEREST SWAP VALUE 130,434. HEALTH PROMOTION OF NORWALK REVENUE 689,554. FISHER-TITUS PAIN MANAGEMENT LLC REVENUE 2,967,548. ADJUSTMENT TO FASB #158 CHANGE IN PENSION LIABILITY 24,822. NET PERIODIC PENSION & POSTRETIREMENT BENEFIT COST 262,036.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	HOSPITAL AUXILIARY REVENUE 222,379. HOSPITAL EXPENSE ADJUSTMENTS TO REVENUES 144,776.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	FISHER-TITUS PAIN MANAGEMENT LLC EXPENSES 2,154,892. HEALTH PROMOTIONS OF NORWALK EXPENSES 363,144.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	HOSPITAL AUXILIARY EXPENSES 97,158. HOSPITAL EXPENSE ADJUSTMENTS TO REVENUES 144,776.

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
Percent200 D	Yes (X)	Percent200DInd
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	893	PersonsServedCnt
Total Community Benefit Expns	$494,602	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$509,245	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$18,533,228	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,193,302	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	893	PersonsServedCnt
Total Community Benefit Expns	$19,027,830	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,702,547	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	60086	PersonsServedCnt
Total Community Benefit Expns	$85,350	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$85,350	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	4	PersonsServedCnt
Total Community Benefit Expns	$7,425	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,425	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$405,972	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$326,944	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,028	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$174,740	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$166,160	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	60090	PersonsServedCnt
Total Community Benefit Expns	$673,487	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$335,524	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$337,963	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	60983	PersonsServedCnt
Total Community Benefit Expns	$19,701,317	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,038,071	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$337,963	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,863,425	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,715,856	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$33,479,211	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$35,241,494	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,762,283	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 2021. 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 2021, FISHER-TITUS'S COMMUNITY BUILDING ACTIVITIES BENEFITS PROVIDED $2.1 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 $1,715,856 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 14.
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 $1,762,283 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 48.2% 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 21ST HIGHEST LEVEL OF UNEMPLOYMENT WITH AN AVERAGE OF 5.8% IN 2021. 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 2020, MEDIAN HOUSEHOLD INCOME WAS $55,041 COMPARED TO OHIO'S MEDIAN HOUSEHOLD INCOME OF $58,116. IN 2020, 12.0% 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 (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
FISHER TITUS FOUNDATION
272 BENEDICT AVE	NORWALK	OH	44857	341476934	501(C)(3)	$27,747	$0	FMV	CONTRIBUTION PLEDGE TO HELP PURCHASE STEMI & CRASH CARTS
NORWALK ATHLETIC BOOSTER
27 WELTON AVENUE	NORWALK	OH	44857	341354358	501(C)(3)	$20,000	$0	FMV	CONTRIBUTION TOWARDS NORWALK MIDDLE SCHOOL TENNIS COURTS
RESTORE NORWALK
PO BOX 271	NORWALK	OH	44857	822398024	501(C)(3)	$10,000	$0	FMV	CONSTRIBUTION TOWARDS SPLASH PAD IN CITY OF NORWALK
NORWALK ECONOMIC DEVELOPMENT CORP
10 1/2 WEST MAIN STREET	NORWALK	OH	44857	341787391	501(C)(3)	$10,000	$0	FMV	CONTRIBUTION TO THE NORWALK ECONOMIC DEVELOPMENT TO HELP THE LOCAL COMMUNITY
VILLAGE OF WAKEMAN
59 HYDE STREET	WAKEMAN	OH	44889			$15,000	$0	FMV	COMMUNITY SUPPORT FOR WELLNESS & FITNESS ACTIVITIES AT RED CAP PARK
NORWALK AREA UNITED FUND
PO BOX 134 2 EAST SEMINARY STREET	NORWALK	OH	44857	340906312	501(C)(3)	$10,000	$0	FMV	CONTRIBUTE TO THE UNITED WAY CAMPAIGN TO HELP THE LOCAL COMMUNITY
CITY OF NORWALK - PARKS & RECREATION
100 REPUBLIC STREET	NORWALK	OH	44857			$50,000	$0	FMV	CONTRIBUTION TOWARDS NORWALK ALL-ABILITIES PARK

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

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
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
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	$447,203	$0	$112,775	$0	$47,607	$0	$54,770	$0	$269	$0	$662,624	$0	$43,307	$0
GARY MOORMAN
CHIEF MEDICAL OFFICER	$352,868	$0	$61,750	$0	$2,574	$0	$11,600	$0	$24,027	$0	$452,819	$0	$0	$0
MATTHEW MATTNER
CHIEF OPERATIONS OFFICER	$252,975	$0	$46,250	$0	$21,880	$0	$39,102	$0	$29,689	$0	$389,896	$0	$0	$0
JOHN K HUGHES MD
DIRECTOR	$0	$234,222	$0	$708	$0	$51,961	$0	$38,100	$0	$29,798	$0	$354,789	$0	$0
SCOTT E ENDSLEY
CHIEF FINANCIAL OFFICER	$231,153	$0	$35,000	$0	$30,551	$0	$32,860	$0	$8,677	$0	$338,241	$0	$0	$0
KATIE CHIEDA
CHIEF NURSING OFFICER	$193,443	$0	$54,286	$0	$1,962	$0	$30,975	$0	$34,496	$0	$315,162	$0	$0	$0
SUZANNE FARMER
CHIEF ADMINISTRATIVE OFFIC	$209,558	$0	$45,176	$0	$2,021	$0	$31,486	$0	$1,228	$0	$289,469	$0	$0	$0
LINDA STEVENSON
CHIEF INFORMATION OFFICER	$190,298	$0	$35,750	$0	$1,890	$0	$27,362	$0	$23,877	$0	$279,177	$0	$0	$0
MIRIAM BATKE
CHIEF HUMAN RESOURCE OFFIC	$223,062	$0	$10,457	$0	$1,054	$0	$24,382	$0	$10,241	$0	$269,196	$0	$0	$0
SHARON HARWOOD
CHIEF COMPLIANCE OFFICER	$168,085	$0	$32,500	$0	$21,328	$0	$26,741	$0	$15,536	$0	$264,190	$0	$0	$0
JASON FRONEK
SR DIRECTOR INFORMATION SE	$147,741	$0	$9,300	$0	$1,251	$0	$6,784	$0	$34,496	$0	$199,572	$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 $54,770 REPORTED IN COLUMN C IS $9,906 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $44,864 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 $32,860 REPORTED IN COLUMN C IS $8,768 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $24,092 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 $30,975 REPORTED IN COLUMN C IS $10,401 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $20,574 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 4 -INCLUDED IN DR. HUGHES'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $38,100 REPORTED IN COLUMN C IS $11,600 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 3 - INCLUDED IN MR. MATTNER'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $39,102 REPORTED IN COLUMN C IS $11,600 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $27,502 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. HARWOOD'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $26,741 REPORTED IN COLUMN C IS $7,569 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $19,172 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. STEVENSON'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $27,362 REPORTED IN COLUMN C IS $7,547 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $19,814 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 $24,382 REPORTED IN COLUMN C IS $4,840 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $19,542 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. FARMERS'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $31,486 REPORTED IN COLUMN C IS $10,287 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $21,199 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 2021.

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	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	$9,420,000	$50,000	$9,370,000	2015	Yes (1)	0	Yes (1)	Yes (1)
B	$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	0

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	Yes (1)	0	0	Yes (1)	Yes (1)	6.800000000000	Yes (1)	0	0	0	Yes (1)
(no name)
B	0	Yes (1)	0	0	0	0				0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

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	$240,000	OriginalPrincipalAmt
Balance Due	$240,000	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	$240,000	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	PERRY DRYDEN, BOARD MEMBER IS PRESIDENT OF BATTLES INSURANCE AGENCY AND 50%	RelationshipDescriptionTxt
Transaction	$1,202,891	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 M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	AUDIOLOGY EQUIPMENT	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$38,148	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE AMOUNT IS THE NUMBER OF CONTRIBUTORS.	ExplanationTxt

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 2021, THE HOSPITAL PROVIDED 13,218 DAYS OF INPATIENT CARE TO 3,801 PATIENTS. THE HOSPITAL HAD 130,721 OUTPATIENT AND 25,073 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 2021, THE HOME SERVED 313 RESIDENTS AND PROVIDED 18,796 DAYS OF CARE. THE HOME HEALTH CENTER HOME HEALTH AGENCY THE HOME HEALTH CENTER PROVIDED 12,133 HOME VISITS TO 307 DIFFERENT PATIENTS IN 2021. THE CARRIAGE HOUSE OF FISHER-TITUS OPENED IN 1998, THE CARRIAGE HOUSE IS A 48-UNIT ASSISTED LIVING FACILITY, WHICH PROVIDED 10,957 DAYS OF ASSISTED LIVING CARE TO 36 RESIDENTS IN 2021. FACILITY AND PROGRAM EXPANSIONS IN JANUARY, NORTH CENTRAL EMS OWNED BY FISHER-TITUS HEALTH PARTNERED WITH METROHEALTH TO LAUNCH A NEW EMERGENCY TRIAGE, TREAT, AND TRANSPORT OR ET3 MODEL PROGRAM. THE ET3 MODEL IS A VOLUNTARY, FIVE-YEAR PAYMENT MODEL THAT WILL PROVIDE GREATER FLEXIBILITY TO AMBULANCE CARE TEAMS TO ADDRESS THE EMERGENCY HEALTH CARE NEEDS OF PATIENTS FOLLOWING A 911 CALL. THIS MODEL ALLOWS NORTH CENTRAL EMS FLEXIBILITY WHEN ASSESSING 911 CALLS UPON ARRIVAL BASED ON PATIENT NEED. IN ADDITION TO TREATING ON SCENE OR TRANSPORTING TO A LOCAL EMERGENCY ROOM, OUR EMS CREWS CAN TRANSPORT TO OTHER DESTINATIONS SUCH AS A PRIMARY CARE OFFICE OR CONVENIENT CARE, BASED ON PATIENT NEED. IN MARCH, FISHER-TITUS BROKE GROUND ON THEIR NEW BUSINESS OPERATIONS CENTER ACROSS FROM THE MEDICAL CENTER. THE RENOVATED BUILDING IS OWNED AND MANAGED BY FISHER-TITUS WITH OVER 7,000 SQUARE FEET RESERVED FOR VARIOUS BUSINESS OPERATIONS DEPARTMENTS. IN ADDITION, OVER 8,000 SQUARE FEET IS RESERVED FOR FAMILY HEALTH SERVICES, A FEDERALLY QUALIFIED HEALTH CENTER, TO PROVIDE BEHAVIORAL HEALTH, PRIMARY CARE, AND DENTISTRY SERVICES TO HURON COUNTY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE NEW FACILITY WAS OPENED IN JULY. IN MAY, THE CARRIAGE HOUSE OF FISHER-TITUS LAUNCHED SHORT-TERM AND TRIAL LIVING OPTIONS FOR SENIORS. THESE OPTIONS ALLOW SENIORS AND FAMILIES TO SEE WHAT LIVING AT THE CARRIAGE HOUSE IS LIKE. IN JUNE, THE FISHER-TITUS PAIN MANAGEMENT CENTER INTRODUCES THREE NEW STATE-OF-THE-ART PROCEDURES: MILD, STIMWAVE, AND PLATELET-RICH PLASMA (PRP) TREATMENT. MILD IS AN OUTPATIENT PROCEDURE THAT CAN HELP PATIENTS DIAGNOSED WITH LUMBAR SPINAL STENOSIS (LSS) TO EXPERIENCE LESS PAIN AND INCREASED MOBILITY. STIMWAVE IS AN OUTPATIENT PROCEDURE THAT USES STIMULATION TO REPROGRAM A PATIENT'S NERVE CELLS TO REPLACE THE PAINFUL SIGNALS TO THE BRAIN. PRP TREATMENT, IS A FORM OF REGENERATIVE MEDICINE THAT CAN IMPROVE THE BODY'S ABILITY TO HEAL ITSELF BY AMPLIFYING THE NATURAL GROWTH FACTORS YOUR BODY USES TO HEAL TISSUE. 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 WORK WITH EHOVE CAREER CENTER, ASHLAND UNIVERSITY, BOWLING GREEN STATE UNIVERSITY FIRELANDS CAMPUS, LORAIN COUNTY COMMUNITY COLLEGE, NORTH CENTRAL STATE COLLEGE, TERRA COMMUNITY COLLEGE, OHIO UNIVERSITY AND MORE 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. 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 37 MEDICAL SPECIALTIES. THE MEDICAL CARE EMPLOYED GROUP INCLUDES PRACTITIONERS REPRESENTING PRIMARY CARE, PEDIATRICS, DIGESTIVE HEALTH, UROLOGY, BEHAVIORAL HEALTH, PULMONOLOGY, CARDIOLOGY, AND VASCULAR CARE. IN 2021, 1 FAMILY MEDICINE, 1 UROLOGY, AND 1 PEDIATRICS PROVIDER JOINED THE GROUP. AWARDS AND ACCREDITATIONS - THROUGHOUT THE YEARS FISHER-TITUS HAS BEEN HIGHLY 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 HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP), WITH ITS LAST THREE-YEAR SURVEY OCCURRING IN 2021. FISHER-TITUS ALSO IS A LEVEL 3 TRAUMA CENTER, HFAP PRIMARY STROKE CENTER, A LEVEL 2 ADULT CARDIAC CATHETERIZATION LABORATORY, AND HAS ALSO BEEN ACCREDITED BY THE COMMISSION ON CANCER SINCE 1989. 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 2021: FISHER-TITUS WAS NAMED TO NEWSWEEK'S 2021 LIST OF BEST MATERNITY CARE HOSPITALS, ONLY ONE OF 217 FACILITIES NATIONWIDE. THIS WAS THE SECOND YEAR IN A ROW THEY RECEIVED THIS RECOGNITION. THE DISTINCTION RECOGNIZES FACILITIES THAT HAVE EXCELLED IN PROVIDING CARE TO MOTHERS, NEWBORNS AND THEIR FAMILIES, AS VERIFIED BY THE 2020 LEAPFROG HOSPITAL SURVEY. BEST MATERNITY CARE HOSPITALS IS PART OF NEWSWEEK, POWERED BY DATA FROM THE LEAPFROG GROUP. IN MARCH, FISHER-TITUS WAS RECOGNIZED AS A 2021 TOP 100 RURAL & COMMUNITY HOSPITAL. COMPILED BY THE CHARTIS CENTER FOR RURAL HEALTH, THIS 11TH ANNUAL RECOGNITION PROGRAM HONORS OUTSTANDING PERFORMANCE AMONG THE NATION'S RURAL HOSPITALS BASED ON THE RESULTS OF THE HOSPITAL STRENGTH INDEX. IN 2021, FISHER-TITUS EARNED AN "A" FOR THE SPRING AND FALL LEAPFROG HOSPITAL SAFETY GRADES. THIS ALSO LEAD TO THEM EARNING A STRAIGHT A DESIGNATION FOR HAVING "A" RATINGS SINCE FALL 2019. THE LEAPFROG GROUP, AN INDEPENDENT NATIONAL WATCHDOG ORGANIZATION, ASSIGNS AN "A," "B," "C," "D, OR "F" GRADE TO GENERAL HOSPITALS ACROSS THE COUNTRY BASED ON OVER 30 NATIONAL PERFORMANCE MEASURES REFLECTING ERRORS, INJURIES, ACCIDENTS, AND INFECTIONS, AS WELL AS SYSTEMS HOSPITALS HAVE IN PLACE TO PREVENT HARM. ALSO FROM LEAPFROG IN 2021, FISHER-TITUS WAS NAMED A TOP RURAL HOSPITAL NATIONALLY ONLY ONE OF TWO IN THE STATE OF OHIO. THE LEAPFROG TOP HOSPITAL AWARD IS WIDELY ACKNOWLEDGED AS ONE OF THE MOST COMPETITIVE AWARDS AMERICAN HOSPITALS CAN RECEIVE. THE TOP HOSPITAL DESIGNATION IS BESTOWED BY THE LEAPFROG GROUP, A NATIONAL WATCHDOG ORGANIZATION OF EMPLOYERS AND OTHER PURCHASERS RECOGNIZED AS THE TOUGHEST STANDARD-SETTERS FOR HEALTH CARE SAFETY AND QUALITY. IN SEPTEMBER, FISHER-TITUS AND NORTH CENTRAL EMS RECEIVED THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE EMS BRONZE RECEIVING ACHIEVEMENT AWARD FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES TO TREAT PATIENTS WHO SUFFER SEVERE HEART ATTACKS. THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE PROGRAM HELPS REDUCE BARRIERS TO PROMPT TREATMENT FOR HEART ATTACKS STARTING FROM WHEN 9-1-1 IS CALLED, TO EMS TRANSPORT, AND CONTINUING THROUGH HOSPITAL TREATMENT AND DISCHARGE. OPTIMAL CARE FOR HEART ATTACK PATIENTS TAKES COORDINATION BETWEEN THE INDIVIDUAL HOSPITAL, EMS, AND HEALTH CARE SYSTEM. IN ADDITION, THE MEDICAL CENTER MAINTAINS THE FOLLOWING ONGOING ACCREDITATIONS: COMMISSION ON CANCER ACCREDITATION, ONCOLOGY, LABORATORY, PHARMACY DEPARTMENTS. FISHER-TITUS ENDOSCOPY CENTER, AMERICAN SOCIETY OF GASTROINTESTINAL ENDOSCOPY (ASGE) RECOGNITION FOR COMMITMENT TO PATIENT SAFETY AND QUALITY IN ENDOSCOPY SERVICES. CARDIOVASCULAR CATH LAB, OHIO DEPARTMENT OF HEALTH FISHER-TITUS SLEEP CENTER, ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC) OHIO DEPARTMENT OF HEALTH MAMMOGRAPHY QUALITY STANDARDS AMERICAN COLLEGE OF RADIOLOGY, MAMMOGRAPHY OHIO DEPARTMENT OF HEALTH, RADIOLOGY NORWALK MEMORIAL HOME AND CARRIAGE HOUSE ASSISTED LIVING, OHIO DEPARTMENT OF HEALTH HOME HEALTH DEPARTMENT, OHIO DEPARTMENT OF HEALTH NUCLEAR MEDICINE, OHIO DEPARTMENT OF HEALTH INTERSOCIETY COMMISSION FOR THE ACCREDITATION OF VASCULAR LAB, ULTRASOUND COLLEGE OF PATHOLOGISTS (CAP) ACCREDITATION DEPT. OF PATHOLOGY & LABORATORY SERVICES & BLOOD GAS LAB COLLEGE OF PATHOLOGISTS (CAP) PULMONARY MEDICINE AMERICAN COLLEGE OF RADIOLOGY ACCREDITATION FOR MAGNETIC RESONANCE IMAGING AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE INTERSOCIETAL ACCREDITATION COMMISSION (IAC) ECHO MATERNITY, OHIO DEPARTMENT OF HEALTH SURVEY
FORM 990, PART III, LINE 4B:	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 NEW HURON COUNTY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND PUBLISHED. 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 PRIORITY THROUGH AN IMPLEMENTATION STRATEGY. 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 2021, 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 60,090 ENCOUNTERS. AUXILIARY AND VOLUNTEER SERVICE: - DURING 2021, OUR 82 CARING VOLUNTEERS DONATED 4,964 HOURS OF AUXILIARY AND VOLUNTEER SERVICES TO THE MEDICAL CENTER. THE VOLUNTEER PROGRAM WAS SUSPENDED IN MID-MARCH 2020 DUE TO COVID. SOME VOLUNTEERS RETURNED THROUGHOUT 2021. 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 VERY 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 60,086 PEOPLE IN 2021 AT A COST OF $85,350. 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 4 PARTICIPANTS WAS $7,425. 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 2021 WAS $79,028. 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 2021 WAS $166,160.
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 2021.
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	HEALTHCARE PROVIDERS: PROGRAM SERVICE EXPENSES 4,365,047. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,365,047. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 15,926,677. MANAGEMENT AND GENERAL EXPENSES 4,103,627. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,030,304.
FORM 990, PART XI, LINE 9:	FASB #158 ADJUSTMENT (CHANGE IN PENSION LIABILTIY) 24,822. PROFIT SHARING RELATED TO PAIN MANAGEMENT 128,339. INTER-SYSTEM TRANSFER OF FUNDS BETWEEN AFFLIATED 501(C)(3) ORGANIZATIONS -1,916,424. CHANGE IN BOND INTEREST SWAP VALUE 130,434. PAIN MANAGMENT JOINT VENTURE DIVIDEND PAYMENTS TO FISHER-TITUS 491,077. NET PERIODIC PENSION & POSTRETIREMENT BENEFIT COST 262,036.

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	$66,843	$4,000,127	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	$419,651	$5,875,474	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	$2,967,548	$1,551,256	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
Share Of Total Income	$1,041,909	ShareOfTotalIncomeAmt
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	Yes (1)	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	Yes (1)	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	$491,077	InvolvedAmt
Method Of Amount Determination	OWNERSHIP PERCENTAGE	MethodOfAmountDeterminationTxt