FISHER TITUS MEDICAL CENTER: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- FISHER TITUS MEDICAL CENTER (EIN 34-4430716)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201513179349302916
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T09:42:14-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | 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 | 8800 LYRA DRIVE SUITE 450 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43240 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | 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 | 44857 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DUANE WOODS JR | PersonNm |
| Person Title | VP OF FINANCE & CFO | PersonTitleTxt |
| Phone | 4196688101 | PhoneNum |
| Signature | 2015-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NANCY L KIRCHNER | PreparerPersonNm |
| PTIN | P00386751 | PTIN |
| Phone | 6148852583 | PhoneNum |
| Preparation | 2015-11-04 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LORNA STRAYER | PrincipalOfficerNm |
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) |
|---|---|---|
| Gross Receipts | $165,350,892 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FTMC.COM | 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 | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 1134 | TotalEmployeeCnt |
| Total Volunteers | 192 | TotalVolunteersCnt |
| Total Gross UBI | $991,762 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $213,506 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $78,006 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,502,538 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $117,779,460 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $117,261,193 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,408,497 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,385,784 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,012,473 | PYOtherRevenueAmt |
| CY Other Revenue | $1,190,230 | CYOtherRevenueAmt |
| PY Total Revenue | $122,278,436 | PYTotalRevenueAmt |
| CY Total Revenue | $127,339,745 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $248,606 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $276,265 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $60,915,998 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $61,373,353 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $56,329,215 | PYOtherExpensesAmt |
| CY Other Expenses | $52,672,335 | CYOtherExpensesAmt |
| PY Total Expenses | $117,493,819 | PYTotalExpensesAmt |
| CY Total Expenses | $114,321,953 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,784,617 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,017,792 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $206,627,032 | TotalAssetsBOYAmt |
| Total Assets EOY | $204,800,606 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $59,311,711 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $64,402,541 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $147,315,321 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $140,398,065 | 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 | $90,851,722 | ExpenseAmt |
| Grant | $276,265 | GrantAmt |
| Revenue | $110,099,452 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,889,634 | ExpenseAmt |
| Revenue | $7,161,741 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $95,741,356 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | 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 | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| 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 | 113 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1134 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | 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 | 44857 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MATT GROSS | ||||||||||
| CHAIRMAN | 15.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| THOMAS C BLEILE | ||||||||||
| VICE CHAIRMAN | 8.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PERRY DRYDEN | ||||||||||
| TREASURER | 12.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| REV FRED WIECHERS | ||||||||||
| SECRETARY | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| JOHN D PAYNE CPA | ||||||||||
| DIRECTOR | 10.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| LESLIE D STONEHAM | ||||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |||||
| WILLIAM B CORNELL MD | ||||||||||
| DIRECTOR | 8.00 | Yes (X) | $0 | $0 | $0 | |||||
| VIRGINIA H POLING | ||||||||||
| DIRECTOR | 6.00 | Yes (X) | $0 | $0 | $0 | |||||
| ERIC SCHMIDT MD | ||||||||||
| DIRECTOR | 4.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| GLENN TRIPPE MD | ||||||||||
| DIRECTOR | 8.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROSS MATLACK | ||||||||||
| PRESIDENT - ENDED MAY 2014 | 49.50 | 15.50 | Yes (X) | Yes (X) | $420,178 | $0 | $42,325 | |||
| LORNA STRAYER | ||||||||||
| PRESIDENT/EXECUTIVE VICE PRESIDENT | 49.50 | 15.50 | Yes (X) | Yes (X) | $328,939 | $0 | $95,027 | |||
| DUANE WOODS | ||||||||||
| SENIOR VP OF FINANCE & CFO | 44.00 | 6.00 | Yes (X) | $283,946 | $0 | $55,808 | ||||
| CHERIE M SPRAGG | ||||||||||
| VP POPULATION HEALTH | 50.00 | $222,195 | $0 | $76,767 | Yes (X) | |||||
| PHILLIP J ANNARINO | ||||||||||
| VP HUMAN RESOURCES | 45.00 | $219,368 | $0 | $54,876 | Yes (X) | |||||
| JOHN BRITTON | ||||||||||
| VP INFORMATION SERVICES | 45.00 | $205,525 | $0 | $16,653 | Yes (X) | |||||
| GEORGE B ELMER | ||||||||||
| VP STRATEGIC PLANNING AND BUSINESS DEVELOPMENT | 50.30 | 4.70 | $189,391 | $0 | $32,084 | Yes (X) | ||||
| SUZANNE S INGLIS | ||||||||||
| SENIOR VP OF NURSING SERVICES | 45.00 | $190,622 | $0 | $38,617 | Yes (X) | |||||
| DR SHANKAR KURRA | ||||||||||
| SENIOR VP MEDICAL AFFAIRS | 45.00 | $310,796 | $0 | $61,731 | Yes (X) | |||||
| MITCH ESCH | ||||||||||
| DIRECTOR OF PHARMACY | 40.00 | $161,824 | $0 | $86,346 | Yes (X) | |||||
| SCOTT P STEINMETZ | ||||||||||
| DIRECTOR OF INFORMATION SV | 40.00 | $143,797 | $0 | $16,048 | Yes (X) | |||||
| SHARON HARWOOD | ||||||||||
| DIRECTOR COPORATE COMPLIANCE | 40.00 | $128,902 | $0 | $41,251 | Yes (X) | |||||
| JOHN D OVERMYER | ||||||||||
| ASSISTANT DIRECTOR, PHARMACY | 40.00 | $130,691 | $0 | $49,039 | Yes (X) | |||||
| LORI LILL | ||||||||||
| ASSISTANT VP. CLINICAL SERVICES | 40.00 | $132,645 | $0 | $46,335 | Yes (X) | |||||
| PATRICK J MARTIN | ||||||||||
| SENIOR ADVISOR TO PRESIDENT | 20.00 | 0.00 | $231,833 | $0 | $30,609 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,300,652 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $743,516 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| THE ROBINS & MORTON GROUP | |||||
| 5500 MARYLAND WAY SUITE 100 | BRENTWOOD | TN | 37027 | BUILDING CONTRACTOR | $5,435,135 |
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PARKWAY | KANSAS CITY | MO | 64117 | HEALTHCARE INFORMATION TECHNOLOGY | $4,302,889 |
| JANOTTA & HERNER | |||||
| 309 MONROE STREET | MONROEVILLE | OH | 44847 | BUILDING CONTRACTOR | $2,266,475 |
| CLEVELAND CLINIC FOUNDATION | |||||
| PO BOX 931760 | CLEVELAND | OH | 44193 | SPINE CENTER & CARDIOLOGY | $1,311,558 |
| LABORATORY CORP OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | BLOOD ADMIN & LAB TESTING | $608,292 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $169 | MembershipDuesAmt |
| Related Organizations | $1,502,369 | RelatedOrganizationsAmt |
| Noncash Contributions | $30,405 | NoncashContributionsAmt |
| Total Contributions | $1,502,538 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICES | 900099 | $109,107,690 | $109,107,690 | |
| NET NURSING HOME & ASSISTED LIVIN | 623000 | $7,161,741 | $7,161,741 | |
| MEDICAL LABORATORY | 621500 | $960,289 | $960,289 | |
| HEALTH AND ALLIED SERVICES | 621990 | $31,473 | $31,473 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $117,261,193 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $951,622 | TotalRevenueColumnAmt |
| Exclusion | $951,622 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68 | TotalRevenueColumnAmt |
| Exclusion | $68 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $44,445,241 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $37,746,552 | SecuritiesAmt |
| Other | $264,595 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,698,689 | SecuritiesAmt |
| Other | -$264,595 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,434,094 | TotalRevenueColumnAmt |
| Exclusion | $6,434,094 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA SALES | 722210 | $499,051 | $499,051 |
| OTHER HOSPITAL REVENUE | 900099 | $380,941 | $380,941 |
| AUXILIARY SALES | 453220 | $310,238 | $310,238 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,190,230 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $127,339,745 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $116,269,431 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $991,762 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,576,014 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,265 | TotalAmt |
| Program Services | $276,265 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,844,848 | TotalAmt |
| Program Services | $1,607,501 | ProgramServicesAmt |
| Management And General | $1,237,347 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,114,999 | TotalAmt |
| Program Services | $37,493,896 | ProgramServicesAmt |
| Management And General | $6,621,103 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,987,889 | TotalAmt |
| Program Services | $1,689,532 | ProgramServicesAmt |
| Management And General | $298,357 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,058,678 | TotalAmt |
| Program Services | $7,709,085 | ProgramServicesAmt |
| Management And General | $1,349,593 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,366,939 | TotalAmt |
| Program Services | $2,861,604 | ProgramServicesAmt |
| Management And General | $505,335 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,999 | TotalAmt |
| Program Services | $211,499 | ProgramServicesAmt |
| Management And General | $70,500 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,027 | TotalAmt |
| Program Services | $59,514 | ProgramServicesAmt |
| Management And General | $59,513 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,755 | TotalAmt |
| Management And General | $504,755 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,308,625 | TotalAmt |
| Program Services | $6,380,726 | ProgramServicesAmt |
| Management And General | $2,927,899 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,810 | TotalAmt |
| Program Services | $513,945 | ProgramServicesAmt |
| Management And General | $19,865 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,980,458 | TotalAmt |
| Program Services | $2,531,835 | ProgramServicesAmt |
| Management And General | $1,448,623 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,674,559 | TotalAmt |
| Program Services | $3,371,719 | ProgramServicesAmt |
| Management And General | $1,302,840 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,028,908 | TotalAmt |
| Program Services | $1,305,957 | ProgramServicesAmt |
| Management And General | $722,951 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,411 | TotalAmt |
| Program Services | $135,135 | ProgramServicesAmt |
| Management And General | $11,276 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,730 | TotalAmt |
| Program Services | $104,574 | ProgramServicesAmt |
| Management And General | $221,156 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $636,791 | TotalAmt |
| Program Services | $609,944 | ProgramServicesAmt |
| Management And General | $26,847 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,890,543 | TotalAmt |
| Program Services | $8,461,020 | ProgramServicesAmt |
| Management And General | $429,523 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $764,302 | TotalAmt |
| Program Services | $552,664 | ProgramServicesAmt |
| Management And General | $211,638 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| UBI INCOME TAX | $30,333 | $30,333 | |
| MEDICAL SUPPLIES | $15,295,413 | $15,292,185 | $3,228 |
| BAD DEBT EXPENSES | $2,184,930 | $2,184,930 | |
| OHIO HOSPITAL TAX & SN | $1,558,064 | $1,558,064 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,407,677 | TotalAmt |
| Program Services | $799,429 | ProgramServicesAmt |
| Management And General | $608,248 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,321,953 | TotalAmt |
| Program Services | $95,741,356 | ProgramServicesAmt |
| Management And General | $18,580,597 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,275 | BOYAmt |
| EOY | $5,275 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,435,468 | BOYAmt |
| EOY | $4,209,997 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,473,388 | BOYAmt |
| EOY | $10,889,873 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,470,745 | BOYAmt |
| EOY | $371,949 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,339,813 | BOYAmt |
| EOY | $2,259,003 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,052,470 | BOYAmt |
| EOY | $2,112,247 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $179,009,937 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $73,631,787 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,380,615 | BOYAmt |
| EOY | $105,378,150 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,734,512 | BOYAmt |
| EOY | $70,534,281 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,003,708 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,542 | BOYAmt |
| EOY | $205,542 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,517,204 | BOYAmt |
| EOY | $2,830,581 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,627,032 | BOYAmt |
| EOY | $204,800,606 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,754,609 | BOYAmt |
| EOY | $35,287,206 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,271 | BOYAmt |
| EOY | $248,380 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,205,000 | BOYAmt |
| EOY | $28,825,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,831 | BOYAmt |
| EOY | $41,955 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,311,711 | BOYAmt |
| EOY | $64,402,541 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,296,985 | BOYAmt |
| EOY | $140,379,712 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,336 | BOYAmt |
| EOY | $18,353 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,315,321 | BOYAmt |
| EOY | $140,398,065 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,627,032 | BOYAmt |
| EOY | $204,800,606 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $13,017,792 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,863,317 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$12,071,731 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $7,473 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,473 | 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 - 20.72% OF DUES; OHIO HOSPITAL ASSOCIATION - 3.4% OF DUES AND AMERICAN HOSPITAL ASSOCIATION - 22.80% OF DUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,665,894 | OtherCostOrOtherBasisAmt |
| Book Value | $1,665,894 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $112,454,526 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,099,428 | DepreciationAmt |
| Book Value | $67,355,098 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,227,688 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,484,629 | DepreciationAmt |
| Book Value | $32,743,059 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,661,829 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,047,730 | DepreciationAmt |
| Book Value | $3,614,099 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $105,378,150 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $110,539,841 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$7,863,317 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$8,033,651 | OtherRevenueAmt |
| Revenue Not Reported | -$15,896,968 | RevenueNotReportedAmt |
| Revenue Subtotal | $126,436,809 | RevenueSubtotalAmt |
| Other Revenues Not Included | $902,936 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $902,936 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $127,339,745 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $116,473,161 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3,064,057 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,064,057 | ExpensesNotReportedAmt |
| Expenses Subtotal | $113,409,104 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $912,848 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $912,848 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $114,321,952 | 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, 2014 AND 2013, 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. FISHER-TITUS MEDICAL CENTER INDIVIDUAL ACCRUED UNCERTAIN TAX POSITION WAS $0.00 |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | HEALTH PROMOTIONS OF NORWALK REVENUE 628,602. ADJUSTMENT TO RECOGNIZE FASB #158 (CHANGE IN PENSION LIABILITY) -7,958,173. FISHER-TITUS PAIN MANAGEMENT LLC REVENUE 4,137,675. TRANSERS TO VARIOUS AFFIIATED ENTITIES -4,841,755. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | HOSPITAL AUXIIARY REVENUE 310,418. HOSPITAL EXPENSE ADJUSTMENTS TO REVENUES 592,518. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | HEALTH PROMOTIONS OF NORWALK EXPENSES 526,355. FISHER-TITUS PAIN MANAGEMENT LLC EXPENSES 2,537,702. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | HOSPITAL AUXILIARY EXPENSES 320,330. HOSPITAL EXPENSE ADJUSTMENTS TO REVENUES 592,518. |
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 |
| Percent150 | Yes (X) | Percent150Ind |
| 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 | 2362 | PersonsServedCnt |
| Total Community Benefit Expns | $2,062,651 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $456,955 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,605,696 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01430 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $17,227,629 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,515,874 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,711,755 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02420 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 2362 | PersonsServedCnt |
| Total Community Benefit Expns | $19,290,280 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,972,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,317,451 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03850 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 36 | ActivitiesOrProgramsCnt |
| Persons Served | 62943 | PersonsServedCnt |
| Total Community Benefit Expns | $890,334 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,323 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $824,011 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 241 | PersonsServedCnt |
| Total Community Benefit Expns | $147,524 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,695 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $132,829 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,253,136 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $438,117 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $815,019 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $47,880 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $47,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 769 | PersonsServedCnt |
| Total Community Benefit Expns | $307,257 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $307,207 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 48 | ActivitiesOrProgramsCnt |
| Persons Served | 63953 | PersonsServedCnt |
| Total Community Benefit Expns | $2,646,131 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $519,185 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,126,946 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01890 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 50 | ActivitiesOrProgramsCnt |
| Persons Served | 66315 | PersonsServedCnt |
| Total Community Benefit Expns | $21,936,411 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,492,014 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,444,397 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05740 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 21 | PersonsServedCnt |
| Total Community Benefit Expns | $142 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $142 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $14,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 410 | PersonsServedCnt |
| Total Community Benefit Expns | $20,826 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,826 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 431 | PersonsServedCnt |
| Total Community Benefit Expns | $35,468 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,184,930 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $655,479 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $25,402,385 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $33,047,397 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,645,012 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| 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 (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 NORTH CENTRAL CARENET | |||
| PHYSICIAN-HOSPITAL ORGANIZATION | 0.50000 | 0.06980 | 0.43020 |
| 2 FISHER-TITUS PAIN MANAGEMENT LLC | |||
| PAIN MANAGEMENT | 0.51000 | 0.49000 | |
| 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) |
|---|---|---|
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 14 | 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 | WWW.FISHER-TITUS.ORG/COMMUNITY-SERVICES/OVERVIEW.HTML | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://WWW.HCNO.ORG/COMMUNITY | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.FISHER-TITUS.ORG/COMMUNITY-SERVICES/OVERVIEW.HTML | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FISHER-TITUS MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: HURON COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION LOCATED IN TOLEDO, OHIO TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE PROJECT COORDINATOR FROM THE HOSPITAL COUNCIL OF NW OHIO CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM HURON COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE, YOUTH RISK FACTOR BEHAVIOR SURVEILLANCE AND THE NATIONAL SURVEY OF CHILDREN'S HEALTH WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE HURON COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 111 ITEMS FOR THE ADULT SURVEY WITH AN ADDITIONAL 30 QUESTIONS FOR PARENTS OF 0-11 YEAR OLDS, AND 77 ITEMS FOR THE ADOLESCENT SURVEY. THE DRAFTS WERE APPROVED BY HEALTH EDUCATION REASEARCHERS AT THE UNIVERSITY OF TOLEDO. THE HOSPITAL COUNCIL OF NW OHIO COLLECTED THE DATA, GUIDED THE HEALTH ASSESSMENT PROCESS AND INTERGRATED SOURCES OF PRIMARY AND SECONDARY DATA INTO THE FINAL REPORT. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT PROCESS. THE PARTICIPANTS WHO HAVE A (PH) AFTER THEIR NAME INDICATES THEY WORK IN THE PUBLIC HEALTH FIELD. THE PARTICIPANTS INCLUDED: TIMOTHY HOLLINGER (PH), KATIE SPAAR (PH), ELAINE BARMAN, (PH), KATHERINE SABOURIN, (PH) ALL FROM HURON PUBLIC HEALTH; LORNA STRAYER (PH), MICHELE SKINN (PH), FISHER-TITUS MEDICAL CENTER; JULIE LANDOLL, (PH), MERCY HOSPITAL OF WILLARD; JOANN VENTURA, (PH), MANDI ARTINO, (PH), THE BELLEVUE HOSPITAL; JEAN KING, (PH), HURON COUNTY BOARD OF MENTAL HEALTH AND ADDICTION SERVICES. KIM SCHUBERT, BELLEVUE CITY SCHOOLS; KAREN MALCOLM, IMMACULATE CONCEPTION SCHOOL; GREGG ELCHERT, MONROEVILLE LOCAL SCHOOLS; BRAD RAMANO, NEW LONDON LOCAL SCHOOLS; WAYNE BABCANEC, NORWALK CATHOLIC SCHOOLS; DENNIS DOUGHTY, NORWALK CITY SCHOOLS; DAVID BRAND, SOUTH CENTRAL SCHOOLS; RODGE WILSON, WESTERN RESERVE LOCAL SCHOOLS; JEFF RITZ, WILLARD CITY SCHOOLS; DEBRA FISHER, CAC OF ERIE, HURON & RICHLAND COUNTIES; RENEE GEROME, (PH), FIRELANDS COUNSELLING & RECOVERY; BOB PATUSKY, CITY OF NORWALK. |
| FISHER-TITUS MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6A: MERCY HOSPITAL OF WILLARD, THE BELLEVUE HOSPITAL, FIRELANDS REGIONAL HOSPITAL (COUNSELING & RECOVERY CENTER), HURON COUNTY PUBLIC HEALTH AND HURON COUNTY BOARD OF MENTAL HEALTH AND ADDICTION SERVICES. |
| FISHER-TITUS MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: EACH OF THE HEALTH NEEDS LISTED BELOW IS IMPORTANT AND IS BEING ADDRESSED BY NUMEROUS PROGRAMS AND INITIATIVES SUPPORTED BY FISHER-TITUS MEDICAL CENTER AND OTHER COMMUNITY PARTNERS OF THE HOSPITAL. THE MEDICAL CENTER DOES NOT ADDRESS THESE NEEDS LISTED BELOW AS PART OF THIS IMPLEMENTATION PLAN DUE TO LIMITED FINANCIAL AND HUMAN RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES ON THE PRIORITY HEALTH NEEDS LISTED IN THE IMPLEMENTATION PLAN. NEEDS NOT ADDRESSED: 1. 14% OF HURON COUNTY ADULTS HAVE BEEN DIAGNOSED WITH ASTHMA;2. 22 % OF HURON COUNTY ADULTS ARE DIAGNOSED WITH ARTHRITIS;3. IN 2014, ONLY TWO-THIRDS (69%) OF HURON COUNTRY YOUTH IN GRADES 6-12 HAD VISITED A DENTIST FOR CHECK-UP EXAM, TEETH CLEANING OR OTHER DENTAL WORK OVER THE PAST 12 MONTHS;4. INSECTS AND MOLD WERE REPORTED AS THE TWO MOST THREATENING ENVIRONMENTAL HEALTH ISSUES BY RESPONDENTS;5. 40% OF ADULTS HAD NOT VISITED A DENTIST OR DENTAL CLINIC IN THE PAST YEAR. |
| PART V, SECTION B LINE 22D | THE DISCOUNT RATE FOR SELF-PAY PATIENTS WAS SET TO MATCH THE RATE OF OUR TWO PREDOMINANT COMMERCIAL INSURANCE CONTRACTS WHICH MAKE UP 2/3 OF OUR POPULATION COVERED BY THIRD PARTY INSURANCE. |
| 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 |
|---|---|---|---|---|
| NORWALK MEMORIAL HOME | ||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | INTERMEDIATE & SKILLED NURSING FACILITY |
| 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 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 2014. 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 SEGMENT. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,184,930. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | IN 2014, FISHER-TITUS'S COMMUNITY BUILDING ACTIVITIES AND BENEFITS PROVIDED $14.1 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 4: | 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. COST TO CHARGE RATIOS WERE CARRIED OVER FROM IRS WORKSHEET 2 "RATIO OF PATIENT CARE COSTS TO CHARGES" AS A BASIS TO ESTIMATE EXPENSE AND WAS APPLIED TO THE BAD DEBT EXPENSE RECORDED IN 2014. |
| 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 SOLELY BASED ON THE COOPERATION OF THE PATIENT TO PROVIDE THE ORGANIZATION ENOUGH FAMILY AND FINANCIAL INFORMATION TO DETERMINE ELIGIBILTY TO MATCH OUR PROGRAMS. HISTORICALLY, IN ADDITION TO THE INTERNALLY IDENTIFIED CHARITY, 13-15% 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 APPLCIATION 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 $655,479 OR 30% OF BAD DEBT. SINCE THIS CALCUALTION IS ON AN ACCRUAL BASIS, WE BELEIVE ESTIMATING 15% 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 FOOTNOTE "ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS": | THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN THE HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON SPECIFIC ACCOUNTS, HISTORICAL WRITE OFF EXPERIENCE AND CURRENT MARKET CONDITIONS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH THE MOST UP TO DATE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. |
| 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 $7.6 MILLION DOLLAR SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT, BECAUSE OUR MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT THE CARE AVAILABLE 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 44% 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. IN ADDITION, 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: | FISHER-TITUS SPONSORED AND COLLABORATED WITH THE HURON COUNTY PUBLIC HEALTH AND OTHER HEALTH ORGANIZATIONS, SCHOOLS, NON-PROFITS AND BUSINESSES (CALLED HURON COUNTY HEALTH PARTNERS) TO DEVELOP AND FUND THE HURON COUNTY HEALTH NEEDS ASSESSMENT IN 2014. LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING GOVERNMENT DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUITY RELEASE OF THE DATA AND SETTING PRIORITIES. THERE WERE OVER 50 KEY LEADERS FROM THE COMMUNITY THAT REPRESENTED PUBLIC HEALTH, LAW ENFORCEMENT, SCHOOLS, CHURCHES, LOCAL OFFICIALS, SOCIAL AGENCIES AND OTHER VARIOUS COMMUNITY MEMBERS IN ATTENDANCE AT THE PUBLIC RELEASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. AT THE EVENT, PARTICIPANTS, PARTICIPATED IN FOCUS GROUPS AND PRIORITIES WERE CHOOSEN FOR AREAS OF HEALTH CONCERN FOR HURON COUNTY TO FOCUS ON OVER THE NEXT FEW YEARS. FTMC USED THIS INFORMATION TO ADD AND EXPAND SERVICES AND TO RECRUIT PHYSICIANS TO MEET THE THEN IDENTIFIED MEDICAL NEEDS OF OUR COMMUNITY. FROM THESE PRIORITIES, FTMC HAS DEVELOPED NUMEROUS PROGRAMS TARGETING THE COUNTY'S HIGH RATE OF ADULTS WHO ARE OVERWEIGHT OR OBESE; HAVE DIABETES AND/OR CARDIOVASCULAR ISSUES. PROGRAMS INCLUDING NUTRITION AND EXERCISE EDUCATION IN KINDERGARTENS THROUGHOUT HURON COUNTY; WALK WITH A DOC AND WELLNESS WALKS THAT PROVIDE NOT ONLY EXERCISE, BUT ALSO EDUCATION; GLUCOSE AND BLOOD PRESSURE SCREENINGS WHERE ABNORMAL RESULTS ARE SHARED WITH THE INDIVIDUAL'S PRIMARY CARE PHYSICIANS. |
| 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 ALL PATIENT ROOMS. THE FTMC WEBSITE HAS A SECTION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND CONTRACT 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. THE MEDICAL CENTER SUPPORTS AN OUTSIDE COUNSELOR DEDICATED TO HELPING PATIENTS BECOME QUALIFIED FOR MEDICAID OR OTHER GOVERNMENT PROGRAMS. THEY ALSO REFER PATIENTS WHO DON'T QUALIFY FOR THOSE PROGRAMS TO OUR FTMC FINANCIAL COUNSELORS FOR ASSISTANCE WITH H.C.A.P., FISHER-TITUS CHARITY AND FISHER-TITUS COMMUNITY ASSISTANCE PROGRAMS. 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 60.000 RESIDENTS. FTMC'S 50 ACRE CAMPUS IS IN THE COUNTY SEAT OF NORWALK, WHICH IS THE LARGEST CITY IN THE COUNTY WITH OVER 17,000 RESIDENTS. FTMC HAS NUMEROUS MEDICAL OFFICES THROUGHOUT THE COUNTY TO PROVIDE EASY ACCESS TO PHYSICIANS FOR COMMUNITY RESIDENTS. THE COUNTY IS HOME TO SEVERAL LARGE MANUFACTURERS WHO HAVE EXPERIENCED MAJOR JOB LOSSES OVER THE PAST 10 YEARS. HURON COUNTY WAS TIED (PIKE AND OTTAWA) FOR THE 4TH HIGHEST LEVEL OF UNEMPLOYMENT IN MARCH 2015. THE LARGEST PERCENTAGE OF RESIDENTS ARE CHILDREN UNDER 18 WITH THOSE 65 AND OLDER MAKING UP 13.6% OF THE POPULATION. 94% OF THE RESIDENTS ARE CAUCASIAN WITH 5.7% OF THE POPULATION BEING HISPANIC OR LATINO (OF ANY RACE). IN 2012 THE MEDIAN HOUSEHOLD INCOME (FAMILIES) WAS $56,441 COMPARED TO OHIO'S MEDIAN HOUSEHOLD INCOME OF $60,022. IN 2012, 13.2% OF INDIVIDUALS WERE LIVING IN POVERTY WITH THOSE AGED 9-17 LIVING IN POVERTY ESTIMATED TO BE 20%. THE OVERALL TRENDS INDICATED A DECLINE IN EMPLOYMENT BASED MEDICAL INSURANCE AND INCREASING UNINSURED AND RELIANCE ON GOVERNMENT PROGRAMS. |
| 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 STEWARDHSIP. 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 BLOOD PRESSURE AND DIABETES SCREENINGS, AND MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW-COST SCREENINGS FOR BREAST, PROSTATE, SKIN AND COLORECTAL CANCERS AS WELL AS OSTEOPOROSIS ASSESSMENTS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| FISHER-TITUS FOUNDATION | ||||||||||
| 272 BENEDICT AVE | NORWALK | OH | 44857 | 341476934 | 501(C)(3) | $95,500 | PLEDGE TO HELP PURCHASE EQUIPMENT | |||
| NORWALK AREA UNITED FUND | ||||||||||
| 10 WEST MAIN ST | NORWALK | OH | 44857 | 340906312 | 501(C)(3) | $20,000 | CONTRIBUTION TO HELP THE LOCAL COMMUNITY | |||
| NORWALK ECONOMIC DEVELOPMENT | ||||||||||
| 10 1/2 WEST MAIN ST | NORWALK | OH | 44857 | 341787391 | 501(C)(3) | $14,500 | CONTRIBUTION TO HELP THE LOCAL COMMUNITY | |||
| SHELBY CHRISTIAN & MISSIONARY CHURCH | ||||||||||
| 105 E SMILEY AVE | SHELBY | OH | 44875 | 341354574 | 501(C)(3) | SUPPLIES TO AID IN CARRYING OUT THE ORGANIZATION'S CHARITABLE PURPOSE | $69,725 | FMV | MISC CATH LAB MEDICAL SUPPLIES | |
| TEEN LEADERSHIP CORPS | ||||||||||
| 26 E CEDAR POINT ROAD | SANDUSKY | OH | 44870 | 260324010 | $5,000 | CONTRIBUTIONS TO TEEN LEADERSHIP CLASSES | ||||
| CITY OF NORWALK | ||||||||||
| 100 REPUBLIC ST | NORWALK | OH | 44857 | SECTION 115 | $5,000 | GRANT FOR HEALTHY BEHAVIOUR EVENTS | ||||
| WEEKENDS WITHOUT HUNGER | ||||||||||
| 895 MEADOW LAND | NORWALK | OH | 44857 | $5,000 | WEEKENDS WITHOUT HUNGER PROGRAM | |||||
| SHELBY CHRISTIAN & MISSIONARY CHURCH | ||||||||||
| 105 E SMILEY AVE | SHELBY | OH | 44875 | 341354574 | 501(C)(3) | SUPPLIES TO AID IN CARRYING OUT THE ORGANIZATION'S CHARITABLE PURPOSE | $61,540 | FMV | MISC MEDICAL AND OPERATING SUPPLIES | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | 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 IT 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 | Yes (1) | 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 (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROSS MATLACK | ||||||||||||||
| PRESIDENT - ENDED MAY 2014 | $346,884 | $0 | $72,750 | $0 | $544 | $0 | $17,252 | $0 | $25,073 | $0 | $462,503 | $0 | $0 | $0 |
| LORNA STRAYER | ||||||||||||||
| PRESIDENT/EXECUTIVE VICE PRESIDENT | $270,407 | $0 | $57,540 | $0 | $992 | $0 | $78,297 | $0 | $16,730 | $0 | $423,966 | $0 | $0 | $0 |
| DUANE WOODS | ||||||||||||||
| SENIOR VP OF FINANCE & CFO | $217,909 | $0 | $65,521 | $0 | $516 | $0 | $37,349 | $0 | $18,459 | $0 | $339,754 | $0 | $0 | $0 |
| CHERIE M SPRAGG | ||||||||||||||
| VP POPULATION HEALTH | $165,288 | $0 | $38,212 | $0 | $18,695 | $0 | $67,532 | $0 | $9,235 | $0 | $298,962 | $0 | $0 | $0 |
| PHILLIP J ANNARINO | ||||||||||||||
| VP HUMAN RESOURCES | $167,112 | $0 | $51,144 | $0 | $1,112 | $0 | $31,140 | $0 | $23,736 | $0 | $274,244 | $0 | $0 | $0 |
| JOHN BRITTON | ||||||||||||||
| VP INFORMATION SERVICES | $171,256 | $0 | $34,020 | $0 | $249 | $0 | $16,653 | $0 | $0 | $0 | $222,178 | $0 | $0 | $0 |
| GEORGE B ELMER | ||||||||||||||
| VP STRATEGIC PLANNING AND BUSINESS D | $166,110 | $0 | $22,186 | $0 | $1,095 | $0 | $8,962 | $0 | $23,122 | $0 | $221,475 | $0 | $0 | $0 |
| SUZANNE S INGLIS | ||||||||||||||
| SENIOR VP OF NURSING SERVICES | $169,876 | $0 | $17,500 | $0 | $3,246 | $0 | $29,627 | $0 | $8,990 | $0 | $229,239 | $0 | $0 | $0 |
| DR SHANKAR KURRA | ||||||||||||||
| SENIOR VP MEDICAL AFFAIRS | $275,370 | $0 | $34,731 | $0 | $695 | $0 | $40,618 | $0 | $21,113 | $0 | $372,527 | $0 | $0 | $0 |
| MITCH ESCH | ||||||||||||||
| DIRECTOR OF PHARMACY | $149,912 | $0 | $10,526 | $0 | $1,386 | $0 | $69,866 | $0 | $16,480 | $0 | $248,170 | $0 | $0 | $0 |
| SCOTT P STEINMETZ | ||||||||||||||
| DIRECTOR OF INFORMATION SV | $132,083 | $0 | $11,317 | $0 | $397 | $0 | $7,608 | $0 | $8,440 | $0 | $159,845 | $0 | $0 | $0 |
| SHARON HARWOOD | ||||||||||||||
| DIRECTOR COPORATE COMPLIANCE | $120,271 | $0 | $8,247 | $0 | $384 | $0 | $27,021 | $0 | $14,230 | $0 | $170,153 | $0 | $0 | $0 |
| JOHN D OVERMYER | ||||||||||||||
| ASSISTANT DIRECTOR, PHARMACY | $128,522 | $0 | $1,040 | $0 | $1,129 | $0 | $48,768 | $0 | $271 | $0 | $179,730 | $0 | $0 | $0 |
| LORI LILL | ||||||||||||||
| ASSISTANT VP. CLINICAL SERVICES | $123,323 | $0 | $8,575 | $0 | $747 | $0 | $33,429 | $0 | $12,906 | $0 | $178,980 | $0 | $0 | $0 |
| PATRICK J MARTIN | ||||||||||||||
| SENIOR ADVISOR TO PRESIDENT | $129,817 | $0 | $78,683 | $0 | $23,333 | $0 | $13,409 | $0 | $17,200 | $0 | $262,442 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J PART 1 | FormAndLineReferenceDesc |
| Explanation | PART I LINE 4A & PART II LINE 1: INCLUDED IN MR. MATLACK'S TOTAL W-2 COMPENSATION OF $420,178 IS $208,013 WHICH REPRESENTS THE PORTION OF HIS SALARY IN HIS CAPACITY AS PRESIDENT AND CEO WHICH ENDED ON MAY 30, 2014 AND $212,165 AS PART OF HIS SEVERANCE PAY WHICH WILL BE PAID OVER 24 MONTHS. PART I LINE 4B: INCLUDED IN MS. STRAYER'S TOTAL W-2 COMPENSATION OF $328,939 IS $205,504 WHICH REPRESENTS THE PORTION OF HER SALARY IN HER CAPACITY AS PRESIDENT AND CEO WHICH STARTED JUNE-2014 AND $123,435 IN HER CAPACITY AS EXECUTIVE VICE PRESIDENT DURING THE FIRST HALF OF THE YEAR. INCLUDED IN THE TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $78,297 IN COLUMN C IS $46,752 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $31,545 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL RETIREMENT BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 3: INCLUDED IN MR. WOOD'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $37,349 IN COLUMN C IS $14,128 OF DEFERRED WAGES AND QUALIFIED RETIRMENT PLAN CONTRIBUTIONS AND $23,221 FOR THE CURRENT YEAR ACCRUAL OF NON-VESTED NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL RETIREMENT 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 9 - INCLUDED IN MR. KURRA'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $40,618 IN COLUMN C IS $10,537 OF DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTIRBUTIONS AND $30,081 FOR THE CURRENT YEAR ACCRUAL OF A NON VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL RETIREMENT BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 5 - INCLUDED IN MR. ANNARINO'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $31,140 IN COLUMN C IS $12,922 OF DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $18,218 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL RETIREMENT BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 8 - INCLUDED IN MS INGLIS'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $29,627 IN COLUMN C IS $11,475 OF DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $18,152 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL RETIREMENT BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS REMAINS SUBJECT TO AN SUBSTANTIAL RISK OF FORFEITURE. PART 1 LINE 3 - RESPONSIBILITY FOR DETERMINING AND RECOMMENDING EXECUTIVE COMPENSATION RESTS WITH THE JOINT PERSONNEL COMMITTEE OF THE FISHER-TITUS MEDICAL CENTER AND NORWALK AREA HEALTH SYSTEMS, INC. BOARDS. THE COMMITTEE RETAINS AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO ESTABLISH CASH COMPENSATION TARGET RANGES AND IDENTIFY REASONABLE AND CUSTOMARY BENEFIT PROGRAMS FOR EXECUTIVES. THE INDEPENDENT CONSULTANT REPORTS TO THE JOINT PERSONNEL COMMITTEE ON RELEVANT PEER GROUPS, CASH COMPENSATION REPORTED IN AVAILABLE 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 JOINT PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE PROVIDED TO EACH OF THE DIRECTORS OF FTMC AND NAHS. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED FIRST BY THE JOINT PERSONNEL COMMITTEE AND THEN BY THE MEDICAL CENTER'S BOARD OF DIRECTORS BEFORE FINALLY BEING CONSIDERED BY THE SYSTEM'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 MAY 2014. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| COUNTY OF HURON OHIO | ||||||||
| A | 346400672 | 447540CC7 | 2007-06-28 | $28,622,597 | SEE PART VI BELOW | 0 | 0 | 0 |
| COUNTY OF HURON OHIO | ||||||||
| B | 346400672 | 447540BN4 | 2003-01-08 | $30,000,000 | SEE PART VI BELOW | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Credit EnhancementCreditEnhancementAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $28,838,308 | $564,200 | $7,215,711 | $21,058,397 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $30,714,144 | $524,983 | $27,308,799 | $2,616,937 | 2005 | Yes (1) | 0 | Yes (1) | Yes (1) | $263,425 |
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 | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 |
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 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 | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE A | SERIES 2007A BONDS - PURPOSE WAS TO ACQUIRE, CONSTRUCT AND INSTALL A VASCULAR HEART ADDITION TO THE HOSPITAL'S MAIN CAMPUS AS WELL AS SUPPORT SERVICES AND THE RENOVATION OF THE EXISTING EMERGENCY ROOM. |
| PART I, LINE B | SERIES 2003A BONDS - PURPOSE WAS TO ACQUIRE, CONSTRUCT AND INSTALL A MULTI-STORY ADDITION TO THE HOSPITAL'S MAIN CAMPUS DEVOTED TO INPATIENT SERVICES AS WELL AS SUPPORT SERVICES AND THE RENOVATION OF SEVERAL AREAS OF THE EXISTING FACILITY. |
| PART II, LINE 3, COLUMN A | INCLUDED IN THE TOTAL PROCEEDS OF $28,838,308 IS INVESTMENT EARNINGS OF $215,711. |
| PART II, COLUMN B, LINE 3 | INCLUDED IN THE TOTAL PROCEEDS OF $30,714,144 IS INVESTMENT EARNINGS OF $714,144. |
| PART II, LINE 11, COLUMN A | $21,058,397 OF THE PROCEEDS WERE USED TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 1996B AND A PORTION OF SERIES 2003A BONDS. |
| PART II, COLUMN B, LINE 11 | $2,616,937 OF THE PROCEEDS WERE USED TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 1995A BONDS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MRS JOHN BRITTON | |||
| SPOUSE OF KEY EMPLOYEE | $50,987 | EMPLOYMENT | 0 |
| BAYLESS PATHMARK | |||
| SEE PART V | $130,115 | INDEPENDENT CONTRACTOR | 0 |
| MS SCHWAB | |||
| FAMILY MEMBER OF OFFICER, LORNA STRAYER | $68,227 | EMPLOYMENT | 0 |
| MS RILEY | |||
| FAMILY MEMBER OF DIRECTOR, MATT GROSS | $51,249 | EMPLOYMENT | 0 |
| BATTLES INSURANCE AGENCY | |||
| SEE PART V | $763,275 | VENDOR | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV | FormAndLineReferenceDesc |
| Explanation | PART IV LINE 2 - DR. WILLIAM CORNELL, BOARD MEMBER IS AN EMPLOYED PHYSICIAN OF BAYLESS PATHMARKPART IV LINE 3 - MS. SCHWAB HAS A FAMILY RELATIONSHIP WITH OFFICER LORNA STRAYERPART IV LINE 4 - MS. RILEY HAS A FAMILY RELATIONSHIP, WITH A BOARD MEMBER MATT GROSSPART IV LINE 5 - PERRY DRYDEN, BOARD MEMBER IS PRESIDENT OF BATTLES INSURANCE AGENCY AND 50% OWNER. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $26,857 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | BUILT-IN GRILL | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $3,548 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | 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 FOUR 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 2014, THE HOSPITAL PROVIDED 13,248 DAYS OF INPATIENT CARE TO 3,591 PATIENTS. THE HOSPITAL ALSO PROVIDED 88,470 PATIENTS WITH 134,478 OUTPATIENT AND 27,856 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 2014, THE HOME SERVED 394 RESIDENTS AND PROVIDED 23,595 DAYS OF CARE. THE HOME HEALTH CENTER HOME HEALTH AGENCY THE HOME HEALTH CENTER PROVIDED 15,328 HOME VISITS TO 310 DIFFERENT PATIENTS IN 2014. THE CARRIAGE HOUSE OF FISHER-TITUS OPENED IN 1998, THE CARRIAGE HOUSE IS A 48-UNIT ASSISTED LIVING FACILITY, WHICH PROVIDED 16,606 DAYS OF ASSISTED LIVING CARE TO 55 RESIDENTS IN 2014. PROGRAM EXPANSIONS, IMPROVEMENTS, AND ACCREDITATIONS RANKED MOST WIRED AND TOPS IN SAFETY FOR THIRD CONSECUTIVE YEAR IN 2014 FISHER-TITUS WAS NAMED ONE OF HEALTHCARE'S TOP 100 MOST WIRED U.S. HOSPITALS FOR THE THIRD CONSECUTIVE YEAR. THE AWARD RECOGNIZES FISHER-TITUS FOR ITS ACCOMPLISHMENTS AS THE NATION'S FIRST ALL-DIGITAL SMART COMMUNITY HOSPITAL AND CONTINUED ADVANCEMENTS IN PATIENT-FOCUSED TECHNOLOGY AIMED AT PROVIDING THE HIGHEST LEVEL OF CLINICAL QUALITY, PATIENT SAFETY, AND COORDINATION OF CARE. FISHER-TITUS ALSO EARNED AN A-PLUS GRADE FOR THE THIRD YEAR IN A ROW FOR PATIENT SAFETY BY THE NATIONAL INDEPENDENT RANKING ORGANIZATION, THE LEAPFROG GROUP. ELECTRONIC MEDICAL RECORDS - FISHER TITUS MEDICAL CENTER ALSO IS RANKED AT HIMSS LEVEL 6 (THE HIGHEST LEVEL BEING LEVEL 7) FOR ELECTRONIC MEDICAL RECORD (EMR) ADOPTION BY THE HEALTH INFORMATION AND MANAGEMENT SYSTEMS SOCIETY. A MAJOR FOCUS FOR 2014 WAS TO CONTINUE TO GROW THE PATIENT PORTAL AND PREPARE FOR ICD 10. FACILITY AND PROGRAM EXPANSIONS THE $16 MILLION SURGERY EXPANSION PROJECT, WHICH BEGAN IN MARCH 2013, IS ONE OF THE MOST COMPLEX CONSTRUCTION PROJECTS TO-DATE AT FISHER-TITUS. THERE ARE TWO REASONS FOR THAT: THE DEPARTMENT IS LOCATED IN THE CENTER OF THE OLDER PART OF THE FACILITY AND SURGERIES AND OTHER PROCEDURES MUST CONTINUE WHILE UNDER CONSTRUCTION. PHASE 1, WHICH INCLUDED A NEW SURGERY SEATING AREA, TWO NEW ORS, SURGERY CONTROL ROOM, STERILE PROCESSING AND FROZEN SECTION AREAS, WAS COMPLETED IN 2013. THE PROJECT IS SCHEDULED TO BE FULLY COMPLETED IN APRIL OF 2015. FISHER-TITUS MEDICAL CENTER'S $2.4 MILLION NORTH SIDE MEDICAL OFFICE AT 368 MILAN AVENUE OPENED IN FALL 2014 AND INCLUDES AN 11,762-SQUARE-FOOT MEDICAL OFFICE BUILDING WHICH HOUSES NORTHERN OHIO FOOT & ANKLE SPECIALISTS, LLC; FISHER-TITUS INDUSTRIAL HEALTH SERVICES; FISHER-TITUS CONVENIENT CARE; OUTPATIENT LABORATORY SERVICES AND PHYSICAL THERAPY SERVICES. THE NEW FACILITY ADDS MUCH CONVENIENCE TO RESIDENTS IN THE NORTHERN PART OF THE FISHER-TITUS SERVICES AREA. FISHER-TITUS MEDICAL CARE, LLC EMPLOYED PROVIDER GROUP CONTINUED TO GROW IN 2014. FISHER-TITUS MEDICAL CARE, LLC SPECIALTIES INCLUDE FAMILY MEDICINE WITH SAME-DAY APPOINTMENTS, INTERNAL MEDICINE, GENERAL SURGERY, BEHAVIORAL HEALTH, PULMONARY MEDICINE, CONVENIENT CARE AND HOSPITALISTS (PHYSICIANS WHO CARE FOR PATIENTS WHILE THEY ARE IN THE HOSPITAL). TWENTY-SEVEN PHYSICIANS AND ALLIED HEALTH PROFESSIONALS SERVED PATIENTS IN 2014. FISHER-TITUS MEDICAL CARE, LLC PHYSICIANS ARE MEMBERS OF THE 90-MEMBER FISHER-TITUS MEDICAL STAFF REPRESENTING 24 MEDICAL SPECIALTIES. 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, THE OHIO STATE UNIVERSITY, AND OHIO UNIVERSITY 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: IN 2014, 34 NEW MEMBERS WERE ADDED TO THE FISHER-TITUS MEDICAL STAFF. THE MEDICAL STAFF IS COMPOSED OF BOTH INDEPENDENT PRACTITIONERS AS WELL AS PHYSICIANS AND PROVIDERS EMPLOYED BY FISHER-TITUS MEDICAL CARE, LLC. THE MEDICAL CARE GROUP GREW TO 27 PROVIDERS REPRESENTING FAMILY MEDICINE, INTERNAL MEDICINE, BEHAVIORAL HEALTH, GENERAL SURGERY, PULMONARY MEDICINE AND WOMEN'S HEALTH. FISHER-TITUS ACTIVELY RECRUITS SPECIALISTS TO SERVE THE NEEDS OF THE SERVICE AREA. JOINING THE MEDICAL CARE TEAM IN 2014 WERE: AMY WILBER, D.O., OBSTETRICS & GYNECOLOGY; TARA KERSEY-BARRETT, D.O., FAMILY MEDICINE; JESSICA RAPP, D.O., FAMILY MEDICINE; MICHAEL NILL, M.D., GENERAL SURGERY; MOHAMED SWEDEH, M.D., PULMONARY MEDICINE; RACHEL VELISHEK, LPCC, BEHAVIORAL HEALTH; SARA BELDON, CNP, CONVENIENT CARE; AND HOSPITALISTS DIANA RODRIGUEZ, CNP; HASAN AMIR, M.D.; KRISTEN GENNARI, M.D.; MBANEFO OJUKWU, M.D.; MOHAMAD SAAB, D.O.; PATRICK BRESLIN, D.O.; RENEE OSBORN, CNP; AND TIMOTHY MUMMERT, D.O. 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. FISHER-TITUS IS ACCREDITED BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP), IS A LEVEL 3 TRAUMA CENTER, PRIMARY STROKE CENTER, AND A FULLY ACCREDITED CHEST PAIN CENTER. IN 2014, FOR THE THIRD CONSECUTIVE YEAR, FISHER-TITUS EARNED AN A HOSPITAL SAFETY SCORE BY THE LEAPFROG GROUP ON ITS NATIONAL REPORT CARD ON PREVENTABLE MEDICAL ERRORS, INJURIES, ACCIDENTS, AND INFECTIONS. ALSO, IN 2014, FISHER-TITUS RECEIVED HEALTH CARE'S MOST WIRED HOSPITAL FOR THE THIRD YEAR IN A ROW. 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 2014: * HEALTHCARE FACILITIES ACCREDITATION PROGRAM * A+ RANKING BY THE LEAPFROG GROUP * HEALTHCARE'S MOST WIRED AWARD * FULLY ACCREDITED CHEST PAIN CENTER/AMERICAN COLLEGE OF CHEST PAIN CENTER * COMMISSION ON CANCER ACCREDITATION WITH COMMENDATIONS * OHIO DEPARTMENT OF HEALTH MAMMOGRAPHY QUALITY STANDARDS * AMERICAN COLLEGE OF RADIOLOGY ACCREDITATION FOR DIGITAL MAMMOGRAPHY * AMERICAN ASSOCIATION OF RESPIRATORY CARE, QUALITY RESPIRATORY CARE AWARD * AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE * LABORATORY SERVICES CAP ACCREDITATION * BLOOD GAS LABORATORY CAP ACCREDITATION 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 2014 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. |
| FORM 990, PART II, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED | 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 2014, 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 63,953 ENCOUNTERS. AUXILIARY AND VOLUNTEER SERVICE: - DURING 2014, OUR 182 CARING VOLUNTEERS DONATED 42,681 HOURS OF AUXILIARY AND VOLUNTEER SERVICES TO THE MEDICAL CENTER. VOLUNTEERS PROVIDE A VARIETY OF SERVICES INCLUDING HELPING FAMILY MEMBERS, PROVIDING TRANSPORTATION, ASSISTING AT COMMUNITY HEALTH PROGRAMS, DELIVERING REFRESHMENTS, MAIL AND FLOWERS TO HOSPITAL PATIENTS AND RESIDENTS OF THE NORWALK MEMORIAL HOME PLUS ESCORTING PATIENTS THROUGHOUT THE BUILDING. THEY ALSO PERFORM CLERICAL DUTIES, STAFF THE MEDICAL CENTER'S GIFT SHOP AND ORGANIZE SEVERAL FUND-RAISING EVENTS THROUGHOUT THE YEAR. VOLUNTEER "AMBASSADORS" HAVE INSTRUCTED PATIENTS SINCE APRIL, 2010 ON THE USE OF THE TELEVISION/COMPUTER SCREENS LOCATED IN EACH PATIENT ROOM. VOLUNTEERS WORKING IN THIS CAPACITY ARE AT FISHER-TITUS MEDICAL CENTER SEVEN DAYS PER WEEK EACH MORNING FOR 2 HOURS. AMONG THE ITEMS PATIENTS ARE INSTRUCTED ON ARE HOW TO ACCESS THE DAY'S MENU, MEDICAL INFORMATION PERTAINING TO THE PERSON'S HEALTH PROBLEMS, ACCESSING THE INTERNET, PLAYING GAMES, OBTAINING THE NAMES OF CAREGIVERS AS THEY ENTER THE PATIENT'S ROOM, CHOOSING MOVIES, ETC. THE PATIENT THEN MAY USE A REMOTE CONTROL OR A WIRELESS KEYBOARD TO ACCESS THIS INFORMATION. INFORMATION SERVICES PROVIDES ALL COMPUTER TRAINING FOR VOLUNTEERS THAT WORK IN THIS CAPACITY. COMMUNITY HEALTH IMPROVEMENT SERVICES: NUMEROUS HEALTH SCREENINGS ARE OFFERED THROUGHOUT THE YEAR AT THE MEDICAL CENTER AND AT VARIOUS COMMUNITY LOCATIONS AND EVENTS THROUGHOUT OUR SERVICE AREA. THESE PROGRAMS INCLUDE SCREENING FOR BLOOD PRESSURE, 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 62,943 PEOPLE IN 2014 AT A COST OF $824,011. PROFESSIONAL MEDICAL EDUCATION: THE MEDICAL CENTER SUPPORTS THE FAMILY PRACTICE RESIDENCY PROGRAM AT FIRELANDS REGIONAL MEDICAL CENTER TO ENHANCE THE AVAILABILITY OF FAMILY PRACTICE PHYSICIANS WITHIN THE LOCAL COMMUNITY. FTMC FUNDS THE COST OF A FAMILY PRACTICE RESIDENT THAT SHARES TIME BETWEEN THE HOSPITAL'S EMERGENCY ROOM AND THE COUNTY HEALTH DEPARTMENT CARING FOR THE UNDERSERVED. IN ADDITION, FTMC 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. THE TOTAL COST OF PROFESSIONAL MEDICAL EDUCATION PROVIDED TO 241 PARTICIPANTS WAS $132,829. SUBSIDIZED HEALTH SERVICES: THE MEDICAL CENTER ALSO SUBSIDIZES CERTAIN HEALTH SERVICES AND PROCESSES IN ORDER TO ADDRESS SPECIFIC HEALTH ISSUES IN THE COMMUNITY, PROVIDE CARE TO THE UNDERSERVED, OR ENHANCE THE OVERALL QUALITY OF HEALTHCARE WITHIN THE COMMUNITY. ALSO, THE MEDICAL CENTER SUBSIDIZED THE COST OF ELECTRONIC MEDICAL RECORD SOFTWARE USED BY PHYSICIANS IN OUR SERVICE AREA. THE SOFTWARE ENHANCES THE ACCURACY AND SPEED OF MEDICAL INFORMATION AVAILABLE TO HEALTHCARE PROVIDERS WITHIN THE AREA AND TO ASSIST THE COMMUNITY IN MOVING TOWARD A REGIONAL HEALTH INFORMATION DATABASE. THE COST ASSOCIATED WITH THE HEALTH SERVICES AND ELECTRONIC MEDICAL RECORDS SYSTEM IN 2014 WAS $815,019. 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 2014 WAS $307,207. |
| 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 VI, SECTION A, LINE 6 | THE SOLE MEMBER OF FISHER-TITUS MEDICAL CENTER IS THE PARENT COMPANY NORWALK AREA HEALTH SYSTEMS, INC., AN OHIO NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE FOLLOWING POWERS ARE RESERVED EXCLUSIVELY TO THE MEMBER (NORWALK AREA HEALTH SYSTEM, INC): A) TO ELECT THE DIRECTORS OF THE CORPORATION, AND TO REMOVE THEM AT WILL OR WITHOUT CAUSE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING POWERS ARE RESERVED EXCLUSIVELY TO THE MEMBER (NORWALK AREA HEALTH SYSTEM, INC): A) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND THE CODE OF REGULATIONS; B) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; C) TO APPROVE ANY CAPITAL OR OTHER EXTRAORDINARY EXPENDITURES IN EXCESS OF THE AMOUNT PRESCRIBED FROM TIME TO TIME BY THE MEMBER, WHICH AMOUNT SHALL BE REVIEWED BY THE MEMBER ANNUALLY; D) TO APPROVE ANY BORROWING OF ANY SUM OF MONEY FOR ANY PURPOSE IN EXCESS OF THE AMOUNT PRESCRIBED FROM TIME TO TIME BY THE MEMBER, WHICH AMOUNT SHALL BE REVIEWED BY THE MEMBER ANNUALLY; E) TO APPROVE ANY MERGER OF THE CORPORATION OR ANY SALE OF SUBSTANTIALLY ALL ITS ASSETS; TO DISSOLVE OR TERMINATE THE EXSISTENCE OF THE CORPORATION AND TO DETERMINE THE DISTRIBUTION OF ASSETS UPON SUCH TERMINATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | 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 MEDICAL CENTER'S 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 MEETINGS. |
| 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 JOINT PERSONNEL COMMITTEE OF THE FISHER-TITUS MEDICAL CENTER AND NORWALK AREA HEALTH SYSTEMS, INC. BOARDS. 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 INDEPENDANT CONSULTANT REPORTS TO THE JOINT 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 JOINT PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE PROVIDED TO EACH OF THE DIRECTORS OF FTMC AND NAHS. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED FIRST BY THE JOINT PERSONNEL COMMITTEE AND THEN BY THE MEDICAL CENTER'S BOARD OF DIRECTORS BEFORE FINALLY BEING CONSIDERED BY THE SYSTEM'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 MAY 2014 |
| 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, UPAID 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 XI, LINE 9: | FASB #158 ADJUSTMENT (CHANGE IN PENSION LIABILTIY) -7,958,173. TRANSFER OF FUNDS TO AFFILIATED ORGANIZATION, NORWALK AREA HEALTH SYSTEMS -500,000. PAIN MANAGEMENT JOINT VENTURE DIVIDNED PAYMENTS TO FISHER-TITUS MEDICAL CTR 728,197. INTERTRANSFER OF FUNDS BETWEEN AFFLIATED 501(C)(3) ORGANIZATIONS -4,341,755. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|
| FTMC HOLDING 265 LLC | |||||||||
| 265 BENEDICT AVENUE | NORWALK | OH | 44857 | 344430716 | REAL ESTATE | OH | $48,577 | $1,107,308 | FISHER TITUS MEDICAL CENTER |
| NORTH CENTRAL HOLDING LLC | |||||||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | 344430716 | REAL ESTATE | OH | $0 | $0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NORWALK AREA HEALTH SYSTEMS | |||||||||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | 341476935 | SYSTEM PARENT | OH | 501(C)(3) | LINE 11C, III-FI | N/A | 0 | |
| FISHER-TITUS FOUNDATION | |||||||||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | 341476937 | FOUNDATION | OH | 501(C)(3) | LINE 7 | 0 | NORWALK AREA HEALTH SYSTEMS | |
| NORWALK AREA HEALTH SERVICES | |||||||||||
| 272 BENEDICT AVENUE | NORWALK | OH | 44857 | 341476934 | AMBULANCE | OH | 501(C)(3) | LINE 9 | 0 | NORWALK AREA HEALTH SYSTEMS | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FISHER-TITUS PAIN MANAGEMENT LLC | 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 | 271471272 | EIN |
| Primary Activities | PAIN MANAGEMENT | 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) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $815,986 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $709,803 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
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 | $155,316 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $651,297 | ShareOfEOYAssetsAmt |
| 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 | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | 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 | $728,197 | InvolvedAmt |
| Method Of Amount Determination | OWNERSHIP PERCENTAGE | MethodOfAmountDeterminationTxt |