FISHER TITUS MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: FISHER TITUS MEDICAL CENTER (EIN 34-4430716)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-11
IRS object ID: 201133159349301418
Schema version: 2010v3.4
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)
Timestamp	2011-11-11T09:18:13-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE & CO LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	8800 LYRA DRIVE SUITE 450	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	43240	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	344430716	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FISHER-TITUS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FISH	NameControl
Phone	4196688101	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1
City	NORWALK	City
State	OH	State
ZIP Code	44857	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DUANE WOODS JR	Name
Title	VP OF FINANCE & CFO	Title
Phone	4196688101	Phone
Date Signed	2011-11-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	NANCY KIRCHNER	Name
Phone	6148852583	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PATRICK MARTIN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1
City	NORWALK	City
State	OH	State
ZIP Code	44857	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	141837224	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FTMC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1911	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	SEE SCHEDULE O	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	1111	TotalNbrEmployees
Total Nbr Volunteers	299	TotalNbrVolunteers
Total Gross UBI	1339412	TotalGrossUBI
Net Unrelated Business Txbl Income	405543	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	481897	ContributionsGrantsPriorYear
Contributions Grants Current Year	71950	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	111328419	ProgramServiceRevenuePriorYear
Program Service Revenue CY	111729373	ProgramServiceRevenueCY
Investment Income Prior Year	-2391486	InvestmentIncomePriorYear
Investment Income Current Year	-2317815	InvestmentIncomeCurrentYear
Other Revenue Prior Year	930556	OtherRevenuePriorYear
Other Revenue Current Year	923594	OtherRevenueCurrentYear
Total Revenue Prior Year	110349386	TotalRevenuePriorYear
Total Revenue Current Year	110407102	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	505000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	137479	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	55493309	SalariesEtcPriorYear
Salaries Etc Current Year	57489634	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	-5775	TotalFundrsngExpCurrentYear
Other Expense Prior Year	50795154	OtherExpensePriorYear
Other Expenses Current Year	53352621	OtherExpensesCurrentYear
Total Expenses Prior Year	106793463	TotalExpensesPriorYear
Total Expenses Current Year	110979734	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	3555923	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-572632	RevenuesLessExpensesCY
Total Assets BOY	178217521	TotalAssetsBOY
Total Assets EOY	181032523	TotalAssetsEOY
Total Liabilities BOY	63557138	TotalLiabilitiesBOY
Total Liabilities EOY	61750318	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	114660383	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	119282205	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	PROVIDE QUALITY HEALTHCARE IN A COST EFFECTIVE MANNER, WHILE RESPECTING THE DIGNITY AND UNIQUENESS OF EACH INDIVIDUAL WE SERVE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	89640176	Expense
Grants	137479	Grants
Revenue	103314731	Revenue
Description	SEE SCHEDULE O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	5739534	Expense
Grants	0	Grants
Revenue	7075230	Revenue
Description	SEE SCHEDULE O	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	95379710	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	135	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1111	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAVID WILSON MBACMAFHFMA	NamePerson
Telephone Number	4196688101	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1
City	NORWALK	City
State	OH	State
ZIP Code	44857	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
JOHN D PAYNE CPA
CHAIRMAN	8.00	X	X	0	0	0
LESLIE D STONEHAM
VICE CHAIRMAN	6.00	X	X	0	0	0
MARJORIE A HARPER
SECRETARY	3.00	X	X	0	0	0
CHARLES F FUREY
TREASURER	5.00	X	X	0	0	0
GLENN TRIPPE MD
DIRECTOR	4.00	X		0	0	0
JAMES E GERKEN
DIRECTOR-PARTIAL	4.00	X		0	0	0
WILLIAM B CORNELL MD
DIRECTOR	4.00	X		0	0	0
VIRGINIA H POLING
DIRECTOR	4.00	X		0	0	0
THOMAS C BLEILE
DIRECTOR	4.00	X		0	0	0
JAMES R RAMSEY
DIRECTOR-NON VOTING	4.00	X		0	0	0
REV FRED WIECHERS
DIRECTOR	4.00	X		0	0	0
DAVID W DEEHR DO
DIRECTOR-PARTIAL	4.00	X		0	0	0
MATT GROSS
DIRECTOR	5.00	X		0	0	0
PATRICK J MARTIN
PRESIDENT	53.00	X	X	585668	0	362648
MARGARET BAIRD
EXECUTIVE VICE PRESIDENT	60.00		X	309144	0	365052
DUANE WOODS
VP OF FINANCE/CFO	44.50		X	183100	0	22475
CHERIE M SPRAGG
VP OF NURSING SERVICES	50.00			178181	0	58151	X
LORNA STRAYER
VP REHAB & BUSINESS DEVELOPMENT	45.00			164127	0	51903	X
JOHN BRITTON
VP INFORMATION SERVICES	45.00			161653	0	11657	X
JOHN K HUGHES
PHYSICIAN	40.00			172518	0	26081		X
GEORGE B ELMER
DIRECTOR OF ASSET MGMT	40.00			161426	0	24469		X
CHRISTINA CANFIELD
PHYSICIAN	40.00			170999	0	16472		X
JOHN M KOVESDI
PHYSICIAN	40.00			162904	0	21673		X
JOSEPH E CENTA
PHYSICIAN	40.00			334177	0	10192		X
WENDY MELCHING
SPECIAL PROJECTS MGR/FORMER OFFICER	24.00			107835	0	13985			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2691732	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	984758	TotalOtherCompensation
Number Individuals GT100 K	14	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CERNER CORPORATION
2800 ROCKCREEK PARKWAY	KANSAS CITY	MO	64117	HEALTHCARE INFORMATION TECHNOLOGY	4332522
JANOTTA & HERNER
309 MONROE STREET	MONROEVILLE	OH	44847	BUILDING CONTRACTOR	1112338
INPATIENT CARE UNIFIED INC
PO BOX 389	AKRON	OH	44309	HOSPITALISTS	1038094
LABORATORY CORP OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	BLOOD ADMINISTRATION	463484
AMERICAN RED CROSS
PO BOX 73013	CHICAGO	IL	73013	BLOOD TESTING	449759

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	15	NumberOfContractorsGT100K
Membership Dues	482	MembershipDues
Related Organizations	71468	RelatedOrganizations
Noncash Contributions	45145	NoncashContributions
Total Contributions	71950	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICES	622110	103314731	103314731
NET NURSING HOME & ASS	623000	7075230	7075230
MEDICAL LABORATORY	621500	1335978		1335978
HEALTH AND ALLIED SERV	621990	3434		3434

Field	Value	IRS element (for citing)
Total Program Service Revenue	111729373	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	536167	TotalRevenueColumn
Exclusion	$536,167	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	28520440	Securities
Other	55700	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	31191943	Securities
Other	238179	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-2671503	Securities
Other	-182479	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-2853982	TotalRevenueColumn
Exclusion	-$2,853,982	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA SALES	722210	488474	$488,474
AUXILIARY SALES	453220	275928	$275,928
OTHER HOSPITAL REVENUE	900099	159192	$159,192

Field	Value	IRS element (for citing)
Total Other Revenue	923594	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	110407102	TotalRevenueColumn
Related Or Exempt Function Income	110389961	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1339412	UnrelatedBusinessRevenue
Exclusion	-$1,394,221	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	137479	Total
Program Services	137479	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2453759	Total
Program Services	1798547	ProgramServices
Management And General	655212	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	41209712	Total
Program Services	35342256	ProgramServices
Management And General	5867456	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3324397	Total
Program Services	2851068	ProgramServices
Management And General	473329	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6934960	Total
Program Services	5962225	ProgramServices
Management And General	972735	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3566806	Total
Program Services	3058963	ProgramServices
Management And General	507843	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	232691	Total
Program Services	174518	ProgramServices
Management And General	58173	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	100435	Total
Program Services	50218	ProgramServices
Management And General	50217	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	9534121	Total
Program Services	7138894	ProgramServices
Management And General	2401002	ManagementAndGeneral
Fundraising	-5775	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	573723	Total
Program Services	562930	ProgramServices
Management And General	10793	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	21449964	Total
Program Services	20206430	ProgramServices
Management And General	1243534	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1964442	Total
Program Services	249165	ProgramServices
Management And General	1715277	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2096912	Total
Program Services	1518972	ProgramServices
Management And General	577940	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	117206	Total
Program Services	107266	ProgramServices
Management And General	9940	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	307220	Total
Program Services	88716	ProgramServices
Management And General	218504	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1436871	Total
Program Services	1362171	ProgramServices
Management And General	74700	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7139775	Total
Program Services	6797923	ProgramServices
Management And General	341852	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	539387	Total
Program Services	327569	ProgramServices
Management And General	211818	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
UBI INCOME TAX	158700	158700
BAD DEBT EXPENSES	5860067	5860067
STATE FRANCHISE FEE	1153357	1153357
DUES AND SUBSCRIPTIONS	263376	47902	215474
PHYSICIAN RECRUITMENT	259600	259600

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	164774	Total
Program Services	164774	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	110979734	Total
Program Services	95379710	ProgramServices
Management And General	15605799	ManagementAndGeneral
Fundraising	-5775	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5475	BOY
EOY	5475	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	26296826	BOY
EOY	17263330	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	13830675	BOY
EOY	19438399	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	286880	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	258331	BOY
EOY	669314	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2343941	BOY
EOY	1887494	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3010303	BOY
EOY	1946136	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	134321801	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	54415208	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	77754431	BOY
EOY	79906593	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	52155068	BOY
EOY	57058369	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	200308	BOY
EOY	271050	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	394121	BOY
EOY	366431	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1968042	BOY
EOY	1933052	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	178217521	BOY
EOY	181032523	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	27725438	BOY
EOY	27178703	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	357826	BOY
EOY	335945	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	35075000	BOY
EOY	33945000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	398874	BOY
EOY	290670	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	63557138	BOY
EOY	61750318	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	114642162	BOY
EOY	119263921	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	18221	BOY
EOY	18284	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	114660383	BOY
EOY	119282205	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	178217521	BOY
EOY	181032523	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-572632	ReconcilationRevenueExpenses
Reconcilation Other Changes	5194454	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$8,244	OtherActivitiesAmount
Total Lobbying Expenditures IIB	8244	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
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 - 36.64% OF DUES; OHIO HOSPITAL ASSOCIATION - 5% OF DUES; AMERICAN HOSPITAL ASSOCIATION - 24.42% OF DUES.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1165800	OtherCostOrOtherBasis
Book Value	1165800	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	91805807	OtherCostOrOtherBasis
Depreciation	33363540	Depreciation
Book Value	58442267	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35050284	OtherCostOrOtherBasis
Depreciation	18590697	Depreciation
Book Value	16459587	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6299910	OtherCostOrOtherBasis
Depreciation	2460971	Depreciation
Book Value	3838939	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	79906593	TotalOfBookValueLandBuildings
Total Revenue	110407102	TotalRevenue
Total Expenses	110979734	TotalExpenses
Excess Or Deficit For Year	-572632	ExcessOrDeficitForYear
Net Unrealized GL On Investments	6085311	NetUnrealizedGLOnInvestments
Other	-$158,268	OtherAmount
Total Adjustments	5927043	TotalAdjustments
Excess Or Deficit Per FS	5354411	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	117785498	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	6085311	NetUnrealizedGainsInvestments
Other Revenues	1602244	OtherRevenues
Revenue Not Rptd F990	7687555	RevenueNotRptdF990
Revenue Subtotal	110097943	RevenueSubtotal
Other Revenues Not Included	309159	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	309159	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	110407102	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	112519287	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1737778	OtherExpensesIncluded
Expenses Not Rptd F990	1737778	ExpensesNotRptdF990
Expenses Subtotal	110781509	ExpensesSubtotal
Other Expenses Not Included	198225	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	198225	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	110979734	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	ExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:	FASB #158 ADJUSTMENT -97,273. CONSOLIDATING ADJUSTMENT TO DONATIONS ERROR -26,323. CHANGES IN NET ASSETS FOR HEALTH PROMOTIONS OF NORWALK 20,605. FISHER-TITUS PAIN MANAGEMENT JOINT VENTURE CAPITAL CONTRIBUTION 88,200. TRANSFER OF FUNDS TO AFFILIATED ORGANIZATION, NORWALK AREA HEALTH SYSTEMS -500,000. CHANGES IN NET ASSETS FOR FISHER TITUS PAIN MANAGEMENT 441,134. CHANGES IN NET ASSETS FOR FISHER TITUS AUXILIARY -84,611.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	TRANSFER TO AFFILIATED ENTITY NORWALK AREA HEALTH SYSTEMS -500,000. FASB 158 PROVISIONS -97,273. HEALTH PROMOTIONS OF NORWALK REVENUE 402,105. FISHER-TITUS PAIN MANAGEMENT LLC REVENUE 1,797,412.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	HOSPITAL AUXIIARY REVENUE 276,448. HOSPITAL EXPENSE ADJUSTMENTS TO REVENUES 6,388. CONSOLIDATING ADJUSTMENT DONATIONS 26,323.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:	HEALTH PROMOTIONS OF NORWALK EXPENSES 381,500. FISHER-TITUS PAIN MANAGEMENT LLC EXPENSES 1,356,278.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:	HOSPITAL AUXILIARY EXPENSES 191,837. HOSPITAL EXPENSE ADJUSTMENTS TO REVENUES 6,388.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	2562	PersonsServed
Total Community Benefit Expense	2293325	TotalCommunityBenefitExpense
Direct Offsetting Revenue	464062	DirectOffsettingRevenue
Net Community Benefit Expense	1829263	NetCommunityBenefitExpense
Percent Of Total Expense	0.01740	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	16285	PersonsServed
Total Community Benefit Expense	10754327	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6541174	DirectOffsettingRevenue
Net Community Benefit Expense	4213153	NetCommunityBenefitExpense
Percent Of Total Expense	0.03800	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	18847	PersonsServed
Total Community Benefit Expense	13047652	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7005236	DirectOffsettingRevenue
Net Community Benefit Expense	6042416	NetCommunityBenefitExpense
Percent Of Total Expense	0.05540	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	754	NumberOfActivitiesOrPrograms
Persons Served	63533	PersonsServed
Total Community Benefit Expense	1007633	TotalCommunityBenefitExpense
Direct Offsetting Revenue	64169	DirectOffsettingRevenue
Net Community Benefit Expense	943464	NetCommunityBenefitExpense
Percent Of Total Expense	0.00850	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	48	NumberOfActivitiesOrPrograms
Persons Served	171	PersonsServed
Total Community Benefit Expense	64557	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8835	DirectOffsettingRevenue
Net Community Benefit Expense	55722	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	878876	TotalCommunityBenefitExpense
Direct Offsetting Revenue	145961	DirectOffsettingRevenue
Net Community Benefit Expense	732915	NetCommunityBenefitExpense
Percent Of Total Expense	0.00660	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	355753	TotalCommunityBenefitExpense
Net Community Benefit Expense	355753	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	806	NumberOfActivitiesOrPrograms
Persons Served	63704	PersonsServed
Total Community Benefit Expense	2306819	TotalCommunityBenefitExpense
Direct Offsetting Revenue	218965	DirectOffsettingRevenue
Net Community Benefit Expense	2087854	NetCommunityBenefitExpense
Percent Of Total Expense	0.01880	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	808	NumberOfActivitiesOrPrograms
Persons Served	82551	PersonsServed
Total Community Benefit Expense	15354471	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7224201	DirectOffsettingRevenue
Net Community Benefit Expense	8130270	NetCommunityBenefitExpense
Percent Of Total Expense	0.07420	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	614	PersonsServed
Total Community Building Expense	5578	TotalCommunityBuildingExpense
Net Community Building Expense	5578	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	160	PersonsServed
Total Community Building Expense	322	TotalCommunityBuildingExpense
Net Community Building Expense	322	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	901	PersonsServed
Total Community Building Expense	11668	TotalCommunityBuildingExpense
Net Community Building Expense	11668	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	1675	PersonsServed
Total Community Building Expense	17568	TotalCommunityBuildingExpense
Net Community Building Expense	17568	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$2,881,005	BadDebtExpenseAmount
Amount Attributable To	864301	AmountAttributableTo
Amount Reimbursed By Medicare	24506049	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	30940547	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6434498	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 NORTH CENTRAL CARENET
PHYSICIAN-HOSPITAL ORGANIZATION	0.50000	0.05060	0.44940
2 FISHER-TITUS PAIN MANAGEMENT LLC
PAIN MANAGEMENT	0.51000		0.49000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FISHER-TITUS MEMORIAL HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1
City	NORWALK	City
State	OH	State
ZIP Code	44857	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FISHER-TITUS MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
NORWALK MEMORIAL HOME
272 BENEDICT AVENUE	NORWALK	OH	44857	SKILLED NURSING FACILITY
THE CARRIAGE HOUSE OF FISHER-TITUS
175 SHADY LANE DRIVE	NORWALK	OH	44857	ASSISTED LIVING FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
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 CHARITY CARE CHARGES RECORDED IN 2010. THE COSTING METHODOLOGY USED FOR THE UNREIMBURSED MEDICAID SEGMENT OF THE LINE 7 TABLE WERE CALCULATED USING A COST TO CHARGE RATIO EXTRACTED FROM THE MEDICAID COST REPORT DATA. THE COSTING METHODOLOGY USED FOR "OTHER BENEFITS" SEGMENT OF THE LINE 7 TABLE WERE CALCULATED USING A COMBINATION OF DIRECT COSTS AND OUR COST ACCOUNTING SYSTEM, WHICH TAKES INTO CONSIDERATION ALL PATIENT TYPES AND SEGMENTS.
PART 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 $ 5860067.
NOT APPLICABLE	PART I, LINE 3C:
NOT APPLICABLE	PART I, LINE 6A:
NOT APPLICABLE	PART I, LINE 7G
PART II: IN 2010, FISHER-TITUS'S COMMUNITY BUILDING ACTIVITIES AND BENEFITS PROVIDED $15 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 ACTIVITES. FTMC EMPLOYEES SERVE ON COMMUNITY AND CIVIC BOARDS, HEALTH-ORIENTED ORGANIZATONS, 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 WAS THE IRS WORKSHEET A "ESTIMATED BAD DEBT EXPENSE (AT COST)" IN THE INSTRUCTIONS. 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 2010.
AS A TAX-EXEMPT HOSPITAL, WE MUST PROVIDE NECESSARY MEDICAL CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. AS A NOT-FOR-PROFIT, PATIENT CARE IS PROVIDED TO ALL, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR CARE. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBTS 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 $864,301 OR 30% OF BAD DEBT AT COST. 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 REASONABLE ESTIMATE OF THIS CHARITY CARE VALUE.	PART III, LINE 3	CHARITY IN BAD DEBT EXPENSE:
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 4	FOOTNOTE "ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS":
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 6.4 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 8:
THE CHARITY POLICY IS A SUBSET OF THE OVERALL COLLLECTION 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 ADDITON, WITH PATIENT APPROVAL, WE MAY CONTACT LOCAL PHYSICIAN PRACTICES WITH THE INFORMATION AS MANY WILL ADJUST THEIR BALANCES BASED UPON THE INFORMATION PROVIDED.	PART III, LINE 9B
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, ETC. FTMC IS VERY PROACTIVE IN TAKING THE MESSAGE TO THE 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 PROVIDED SERVICES TO THE RESIDENTS OF HURON, ERIE, AND THE ADJACENT COUNTIES OF SANDUSKY, CRAWFORD, LORAIN, AND ASHLAND. THE PRIMARY AREA IS THE GREATER HURON COUNTY AREA IN NORTH CENTRAL OHIO, WHICH IS HOME TO OVER 62,000 RESIDENTS. FTMC'S 50 ACRE CAMPUS IS IN THE COUNTY SEAT OF NORWALK, WHICH IS THE LARGEST CITY IN THE COUNTY WITH 17,000 RESIDENTS. FTMC HAS NUMEROUS MEDICAL OFFICES THROUGHOUT THE COUNTY IN SMALLER CITIES TO PROVIDE EASIER ACCESS TO PHYSICIANS FOR COMMUNITY MEMBERS. THE COUNTY IS HOME TO SEVERAL LARGE MANUFACTURERS WHO HAVE EXPERIENCED MAJOR JOB LOSSES OVER THE PAST 10 YEARS. HURON COUNTY HAD THE TENTH HIGHEST UNEMPLOYMENT RATE IN OHIO IN 2010 WITH AN ANNUAL AVERAGE OF 13.5%. THE LARGEST PERCENTAGE OF RESIDENTS ARE 65 AND OLDER. 92% OF THE RESIDENTS ARE CAUCASIAN WITH A GROWING HISPANIC POPULATION OF 5.6% THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS $46,542 WITH 12.9% OF THE FAMILIES LIVING BELOW THE POVERTY LEVEL AND 26.3% LIVING BELOW 200% OF THE POVERTY RATE. THE OVERALL TRENDS INDICATE A DECLINE IN EMPLOYMENT-BASED MEDICAL INSURANCE AND INCREASING UNINSURED AND RELIANCE ON GOVERNMENT PROGRAMS.
PART VI, LINE 6: 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 AGINING, CHILDBIRTH, INFANT CARE, EARLY PREGNANCY AND MORE2. FREE BLOOD PRESSURE AND DIABETES SCREENINGS, AND MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW-COST SCREENINGS FOR BREAST, PROSTATE, SKIN AND COLORECTAL CANCERS ANS WELL AS OSTEOPOROSIS ASSESSMENTS.
FISHER-TITUS SPONSORED AND COLLABORATED WITH THE HURON COUNTY HEALTH DEPARTMENT AND OTHER HEALTH-RELATED ORGANIZATONS (CALLED HURON COUNTY HEALTH PARTNERS) TO DEVELOP AND FUND THE HURON COUNTY NEEDS ASSESSMENT IN 2007. THE HURON COUNTY HEALTH PARTNERS AND FISHER-TITUS USED THE RESULTS TO ADDRESS AND MONITOR HEALTH PRIORITIES IN THE COUNTY. FTMC ALSO USES THIS INFORMATION TO ADD AND EXPAND SERVICES AND TO RECRUIT PHYSICIANS TO MEET THE THEN IDENTIFIED MEDICAL NEEDS OF THE COMMUNITY. FROM THESE PRIORITIES, FTMC HAS DEVELOPED NUMEROUS PROGRAMS TARGETING THE HURON COUNTY'S HIGH RATE OF OBESITY, DIABETES AND CARDIOVASCULAR ISSUES. PROGRAMS INCLUDED DIABETES SCREENINGS AT HISPANIC HEALTH FAIRS AND AT SALVATION ARMY SOUP KITCHENS, NUTRITION AND FITNESS FOR SCHOOL CHILDREN, AND A COUNTY-WIDE WALKING PROGRAM IN PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION AND LOCAL BUSINESS.	PART VI, LINE 2

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
SERVICES FOR AGING INC
130 SHADY LANE DR	NORWALK	OH	44857	341108780	501(C)(3)	12500	HELP ASSIST SENIORS IN THE LOCAL COMMUNITY IN GETTING LOW-COST HEALTHCARE SERVICES.
HURON COUNTY HEALTH DEPARTMENT
180 MILAN AVE	NORWALK	OH	44857			15000	HELP THE LOCAL COMMUNITY IN PROVIDING LOW-COST HEALTH CARE SERVICES.
NORWALK AREA UNITED FUND
10 WEST MAIN ST	NORWALK	OH	44857	340906312	501(C)(3)	20000	CONTRIBUTE TO THE UNITED WAY PACESETTER CAMPAIGN TO HELP THE LOCAL COMMUNITY
AMERICAN RED CROSS
PO BOX 73013	CHICAGO	IL	60673		501(C)(3)	15887	CONTRIBUTE FUNDS TO HAITI RELIEF FUND
NORWALK ECONOMIC DEVELOPMENT CORP
10 1/2 WEST MAIN STREET	NORWALK	OH	44857	341787391	501(C)(3)	5000	CONTRIBUTION TO THE NORWALK ECONOMIC DEVELOPMENT CORP TO HELP THE LOCAL COMMUNITY
AMERICAN HEART ASSOCIATION
5455 N HIGH ST	COLUMBUS	OH	43214		501(C)(3)	17500	CORPORATE SPONSORSHIP FOR THE HURON COUNTY HEART WALK
SHELBY CHRISTIAN & MISSIONARY ALLIANCE CHURCH
105 E SMILEY AVENUE	SHELBY	OH	44875	341354574	501(C)(3)		DONATED MISCELLANEOUS OPERATING ROOM MEDICAL SUPPLIES TO CHURCH THIRD WORLD MISSION	43951	FMV	MISCELLANEOUS OPERATING ROOM MEDICAL SUPPLIES
SHELBY CHRISTIAN & MISSIONARY ALLIANCE CHURCH
105 E SMILEY AVENUE	SHELBY	OH	44875	341354574	501(C)(3)		DONATED MISCELLANEOUS CATH LAB MEDICAL SUPPLIES TO CHURCH THIRD WORLD MISSION	25849	FMV	MISCELLANEOUS CATH LAB MEDICAL SUPPLIES
VILLAGE OF WAKEMAN
59 HYDE STREET	WAKEMAN	OH	44889				DONATED BUILDING TO LOCAL GOVERNMENT MUNICIPALITY FOR USE AS A COMMUNITY CENTER	80592	BOOK	BUILDING & LAND
NORTH CENTRAL STATE COLLEGE
2441 KENWOOD CIRCLE	MANSFIELD	OH	44901				DONATED USED PATIENT BEDS TO BE UTILIZED IN THE NURSING LABS	20000	FMV	PATIENT BEDS

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	7	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE MEDICAL CENTER REVIEWS EACH GRANT OR DONATION REQUEST BEFORE IT IS MADE.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PATRICK J MARTIN
429592	0	113659	0	42417	0	340126	0	22522	0	948316	0	0	0
MARGARET BAIRD
238992	0	26563	0	43589	0	345331	0	19721	0	674196	0	0	0
DUANE WOODS
142194	0	25684	0	15222	0	7499	0	14976	0	205575	0	0	0
CHERIE M SPRAGG
134502	0	4297	0	39382	0	47471	0	10680	0	236332	0	0	0
LORNA STRAYER
132392	0	17501	0	14234	0	29395	0	22508	0	216030	0	0	0
JOHN BRITTON
132440	0	16160	0	13053	0	10847	0	810	0	173310	0	0	0
JOHN K HUGHES
155308	0	0	0	17210	0	6614	0	19467	0	198599	0	0	0
GEORGE B ELMER
134429	0	16556	0	10441	0	4983	0	19486	0	185895	0	0	0
CHRISTINA CANFIELD
119706	0	23040	0	28253	0	3475	0	12997	0	187471	0	0	0
JOHN M KOVESDI
149993	0	0	0	12911	0	4118	0	17555	0	184577	0	0	0
JOSEPH E CENTA
98136	0	0	0	236041	0	1290	0	8902	0	344369	0	0	0
WENDY MELCHING
77790	0	15001	0	15044	0	4398	0	9587	0	121820	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUPPLEMENTAL INFORMATION	PART III	PART 1 LINE 4B - INCLUDED IN MR. MARTIN'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $340,126 IS $93,459 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $246,667 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 A SUBSTANTIAL RISK OF FORFEITURE.
SUPPLEMENTAL INFORMATION	PART III	PART II LINE 1 - INCLUDED IN PATRICK MARTIN'S TOTAL W-2 COMPENSATION OF $585,668 IS $180,860 WHICH REPRESENTS THE PORTION OF MR. MARTIN'S SALARY ALLOCABLE TO THE NORWALK MEMORIAL HOME, A DIVISION OF FISHER-TITUS MEDICAL CENTER.
SUPPLEMENTAL INFORMATION	PART III	PART 1 LINE 4B & PART II, LINE 2 - INCLUDED IN MARGARET BAIRD'S TOTAL W-2 COMPENSATION OF $309,144 IS $129,282 WHICH REPRESENTS THE PORTION OF MS. BAIRD'S SALARY ALLOCABLE TO THE NORWALK MEMORIAL HOME, A DIVISION OF FISHER-TITUS MEDICAL CENTER. INCLUDED IN THE TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $345,331 IN COLUMN C IS $166,207 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTION AND $179,124 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN.
SUPPLEMENTAL INFORMATION	PART III	PART II LINE 3 - INCLUDED IN DUANE WOOD'S TOTAL W-2 COMPENSATION OF $183,100 IS $28,014 WHICH REPRESENTS THE PORTION OF MR. WOOD'S SALARY ALLOCABLE TO THE NORWALK MEMORIAL HOME, A DIVISION OF FISHER-TITUS MEDICAL CENTER.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
COUNTY OF HURON OHIO
346400672	447540CC7	2007-06-28	28622597	SEE PART V BELOW	0	0	0
COUNTY OF HURON OHIO
346400672	447540BN4	2003-01-08	30000000	SEE PART V BELOW	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Credit EnhancementCreditEnhancement
28838308	564200	7215711	21058397	2008	1	0	1	1
30714144	524983	27308799	2616937	2005	1	0	1	1	263425

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	1
0	0	0	0	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	1	0	0	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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, COLUMN A, LINE 3		INLCUDED IN THE TOTAL PROCEEDS OF $28,838,308 IS INVESTMENT EARNINGS OF $175,711.
PART II, COLUMN A, LINE 11		$21,058,397 OF THE PROCEEDS WERE USED TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 1996B AND PORTION OF THE SERIES 2003A.
PART II, COLUMN B, LINE 3		INCLUDED IN THE TOTAL PROCEEDS OF $30,714,144 IS INVESTMENT EARNINGS OF $714,144.
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

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
CHRISTINA CANFIELD
PRIVATE PRACTICE OPERATING LOANS	X	$373,304	257848	0	1	1
JOSEPH CENTA
PRIVATE PRRACTICE GUARANTEE AGREEMENT BEFORE PRACTICE ACQUISITION.	X	$889,562	29032	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	286880	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MRS JOHN BRITTON
SPOUSE OF KEY EMPLOYEE	52075	EMPLOYEMENT	0
BAYLESS PATHMARK
DIRECTOR WILLIAM CORNELL IS A PARTNER OF BAYLESS PATHMARK.	130000	INDEPENDENT CONTRACTOR	0

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS	PART II, LOANS TO INTERESTED PERSON - DR. CANFIELD	BEGINNING IN 1998 AND CONTINUING THROUGH 2005, FISHER-TITUS MEDICAL CENTER ADVANCED FUNDS TO DR. CHRISTINA CANFIELD AND IN THREE INSTANCES, TO DR. CANFIELD AND HER PROFESSIONAL CORPORATION, "WAKEMAN AREA FAMILY CARE CENTER, INC." (THE "CORPORATION"). THE CORPORATION IS AN OHIO PROFESSIONAL CORPORATION THAT WAS FORMED IN 1998. DR. CANFIELD IS ITS SOLE SHAREHOLDER.THE FUNDS WERE PRIMARILY ADVANCED UNDER INTEREST BEARING LINES OF CREDIT TO FACILITATE DR. CANFIELD'S INITIAL ESTABLISHMENT AND CONTINUATION OF A FAMILY MEDICAL PRACTICE IN WAKEMAN, OHIO. WAKEMAN, OHIO IS WITHIN THE SERVICE AREA OF FISHER-TITUS MEDICAL CENTER AND IS AN UNDERSERVED AREA, WITH NO OTHER PROVIDERS AND A HIGHER PORPORTION OF UNINSURED. THE ADVANCES ALSO WERE INTENDED TO ASSIST DR. CANFIELD'S PRACTICE WITH OPERATIONAL EXPENSES INCLUDING TRANSITION FROM A THIRD-PARTY BILLING SERVICE TO AN IN-HOUSE BILLING AND COLLECTION OPERATION AND EXPENSES ASSOCIATED WITH ATTEMPTS TO ADD ADDITIONAL PHYSICIANS TO THE MEDICAL PRACTICE.THE MEDICAL CENTER PROVIDED THE ADVANCES UNDER THE LINES OF CREDIT TO ENHANCE THE ABILITY OF DR. CANFIELD AND HER CORPORATION TO PROVIDE QUALITY MEDICAL SERVICES TO RESIDENTS OF WAKEMAN, OHIO. PRIOR TO THE OPENING OF DR. CANFIELD'S PRACTICE, RESIDENTS OF WAKEMAN NEEDING MEDICAL CARE WERE REQUIRED TO TRAVEL 10-15 MILES TO OTHER COMMUNITIES TO RECEIVE CARE AS THERE WERE NO PHYSICIANS IN THE WAKEMAN COMMUNITY. THE ADVANCES WERE NECESSARY TO IMPROVE THE QUALITY OF HEALTH CARE IN THE WAKEMAN AREA AND PROVIDE ACCESS TO NEEDED HEALTH SERVICES, BOTH BEING CONSISTENT WITH THE MEDICAL CENTER'S EXEMPT PURPOSE OF PROVIDING MEDICAL CARE AND PROMOTING HEALTH IN ITS SERVICE AEA.SUBSEQUENT TO THE LINE OF CREDIT ADVANCES, DR. CANFIELD AND HER CORPORATION SOLD THE CORPORATION'S ASSETS AND ACCOUNTS RECEIVABLE TO FTMC MEDICAL CARE, LLC. FTMC MEDICAL CARE, LLC IS AN OHIO LIMITED LIABIITY COMPANY. FISHER-TITUS MEDICAL CENTER IS THE SOLE MEMBER OF THE LLC. THE PURCHASE PRICE FOR THE ASSETS WAS BASED ON AN INDEPENDENT APPRAISAL. THE ASSET PURCHASE AGREEMENT PROVIDED THAT AFTER PAYMENT OF TRADE PAYABLES OF THE PRACTICE, THE PURCHASE PRICE WOULD BE USED TO PAY OFF THE CORPORATION'S OBLIGATIONS ON THE LINES OF CREDIT, AND TO THE EXTENT PURCHASE PRICE PROCEEDS WERE STILL AVAILABLE, WOULD BE DISTRIBUTED TO DR. CANFIELD WHO WAS REQUIRED TO USE THEM TO PAY BALANCES STILL OUTSTANDING ON THE LINES OF CREDIT ON WHICH SHE WAS PERSONALLY OBLIGATED. DR. CANFIELD SIMULTANEOUSLY BECAME AN EMPLOYEE OF THE LLC. THE EMPLOYMENT AGREEMENT ALSO PROVIDED FOR A DEDUCTION AGAINST HER COMPENSATION TO BE APPLIED TO OUTSTANDING BALANCES ON THE LINES OF CREDIT. BOTH TRANSACTIONS WERE INTENDED TO FACILITATE REPAYMENT OF THE ADVANCES TO FISHER-TITUS MEDICAL CENTER.
SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS	PART II, LOANS TO INTERESTED PERSON - DR. CENTA	IN DECEMBER OF 2005, DR. CENTA ENTERED INTO A GUARANTEE AGREEMENT FOR ASSISTANCE IN ESTABLISHING A SURGICAL PRACTICE IN THE MEDICAL CENTER'S SERVICE AREA. THE ADVANCES WERE NECESSARY TO IMPROVE THE QUALITY OF HEALTH CARE IN THE AREA AND PROVIDE ACCESS TO NEEDED HEALTH SERVICES, BOTH BEING CONSISTENT WITH THE MEDICAL CENTER'S EXEMPT PURPOSE OF PROVIDING MEDICAL CARE AND PROMOTING HEALTH IN ITS SERVICE AREA. IN ADDITION, THE RECRUITMENT OF DR. CENTA SUPPORTED THE ESTABLISHMENT OF TRAUMA SERVICES IN THE MEDICAL CENTER'S 40-MILE SERVICE AREA. START UP AND OPERATING EXPENSES WERE ADVANCED TO SUPPORT THE PRACTICE OVER A THREE YEAR PERIOD IN EXCHANGE FOR THE GUARANTEE THAT DR. CENTA PRACTICE IN THE AREA FOR 5 YEARS. AS TIME EXPIRED ON THE 5 YEAR AGREEMENT TO SERVE THE LOCAL POPULATION, A PRORATED SHARE OF THE ADVANCES WERE FORGIVEN AND REPORTED AS INCOME TO DR. CENTA ANNUALLY. THE REMAINING BALANCE AT THE END OF 2010 IS REPORTED ON SCHEDULE L. SUBSEQUENT TO THE END OF THE 5 YEAR GUARANTEE PERIOD, DR. CENTA SOLD THE CORPORATION TO FTMC MEDICAL CARE, LLC. FTMC MEDICAL CARE, LLC IS AN OHIO LIMITED LIABILITY COMPANY. FISHER-TITUS MEDICAL CENTER IS THE SOLE MEMBER OF THE LLC. THE PURCHASE PRICE FOR THE ASSETS WAS BASED ON AN INDEPENDENT APPRAISAL. DR. CENTA SIMULTANEOUSLY BECAME AN EMPLOYEE OF THE LLC.

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	45145	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
MISSION STATEMENT	PART I, LINE 1	PROVIDE QUALITY HEALTHCARE IN A COST EFFECTIVE MANNER WHILE RESPECTING THE DIGNITY AND UNIQUENESS OF EACH INDIVIDUAL WE SERVE.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	PART III, LINE 4A/4B	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 2010, THE HOSPITAL PROVIDED 18,106 DAYS OF DAYS OF INPATIENT CARE TO 4,545 PATIENTS. THE HOSPITAL ALSO PROVIDED 83,055 PATIENTS WITH 131,029 OUTPATIENT VISITS, AND THERE WERE 25,849 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 2010, THE HOME SERVED 404 RESIDENTS AND PROVIDED 23,780 DAYS OF CARE. THE HOME HEALTH CENTER HOME HEALTH AGENCY THE HOME HEALTH CENTER PROVIDED 14,677 HOME VISITS TO 410 DIFFERENT PATIENTS IN 2010. THE CARRIAGE HOUSE OF FISHER-TITUS OPENED IN 1998, THE CARRIAGE HOUSE IS A 48 UNIT ASSISTED LIVING FACILITY WHICH PROVIDED 16,755 DAYS OF ASSISTED LIVING CARE TO 61 RESIDENTS IN 2010. PROGRAM EXPENSION, IMPROVEMENTS, AND ACCREDITATIONS AMERICA'S FIRST ALL-DIGITAL SMART HOSPITAL: AT MIDNIGHT ON APRIL, 27, 2010, FISHER-TITUS MEDICAL CENTER BECAME THE NATION'S FIRST ALL-DIGITAL SMART COMMUNITY HOSPITAL BY IMPLEMENTING A FULLY INTEGRATED ELECTRONIC HEALTH RECORD SYSTEM AND INTERACTIVE TECHNOLOGY IN "SMART" HOSPITAL ROOMS TO EMPOWER PATIENTS TO MORE ACTIVELY PARTICIPATE IN THEIR CARE. IN PARTNERSHIP WITH LEADING INTERNATIONAL HEALTH-CARE TECHNOLOGY COMPANY, CERNER CORPORATION, FISHER-TITUS PHYSICIANS, CAREGIVERS, AND EMPLOYEES, REPRESENTING ALL AREAS OF THE MEDICAL CENTER, HELPED DESIGN THE SYSTEM TO ENHANCE CLINICAL QUALITY, PATIENT SAFETY, AND COORDINATION OF CARE. FISHER-TITUS IS NOW AMONG JUST 5% OF HOSPITALS IN THE NATION HAVING THIS LEVEL OF MEDICAL TECHNOLOGY, BRINGING US TO AN EVEN GREATER LEVEL OF SAFE AND HIGH-QUALITY PATIENT-FOCUSED CARE. ELECTRONIC MEDICAL RECORDS - FISHER TITUS MEDICAL CENTER REACHED A HIMSS LEVEL 6 (THE HIGHEST LEVEL BEING LEVEL 7) FOR ELECTRONIC MEDICAL RECORD (EMR) ADOPTION. FTMC IS AMONG 4% OF HOSPITALS THAT HAVE ACHIEVED THIS LEVEL OF TECHNOLOGY TOWARDS A PAPERLESS PATIENT RECORD ENVIRONMENT. 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 CURRRENT AND FUTURE CAREGIVERS, AND WE WORK WITH EHOVE, FIRELANDS BGSU, 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 FINANCIAL ASSISTANCE TO COMMUNITY MEMBERS AND MEDICAL CENTER EMPLOYEES TO PURSUE TRAINING IN MEDICAL "SHORTAGE" AREAS, SUCH AS REGISTERED NURSING, RESPIRATORY THERAPY, RADIOLOGY TECHNOLOGISTS, REHABILITIATION SPECIALISTS, AND LABORATORY TECHNICIANS. AWARDS AND ACCREDITATIONS: THROUGHOUT THE YEARS, FTMC HAS BEEN HIGHLY SUCCESSFUL IN MEETING THE CHALLENGES OF AN INCREASINGLY COMPLEX HEALTHCARE INDUSTRY AND HAS PROVIDED EXCEPTIONAL SERVICE QUALITY TO MEMBERS OF THE SURROUNDING COMMUNITIES. FTMC IS ONE OF LESS THAN 2% OF HOSPITALS IN THE NATION DUALLY ACCREDITED BY THE JOINT COMMISSION (TJC) AND THE AMERICAN OSTEOPATHIC ASSOCIATION(AOA). FTMC WAS RE-ACCREDITIED BY BOTH ORGANIZATIONS IN 2009. IN 2010, FTMC WAS THE FIRST AREA HOSPITAL DESIGNATED AS A LEVEL 3 TRAUMA CENTER. FTMC WAS ACCREDITIED IN 2010 AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION AND WAS THE FIRST HOSPITAL BETWEEN CLEVELAND AND TOLEDO TO ACHIEVE THIS DESIGNATION. THE MEDICAL CENTER'S FOCUS ON QUALITY CARE AND EXCEPTIONAL SERVICE IS EVIDENCED BY THE MANY AWARDS AND RECOGNITIONS EARNED IN 2010 INCLUDING THE FOLLOWING: TOP 100 BEST PLACES TO WORK IN HEALTHCARE/MODERN HEALTH CARE MAGAZINE: FTMC EMPLOYS 950 AREA RESIDENTS AND IS THE SECOND LARGEST EMPLOYER IN HURON COUNTY. IN 2010 FTMC WAS RECOGNIZED FOR THE THIRD CONSECUTIVE YEAR AS ONE OF THE TOP 100 BEST PLACES TO WORK IN HEALTHCARE BY MODERN HEALTHCARE MAGAZINE AND WAS THE ONLY HOSPITAL IN OHIO TO ACHIEVE THIS RECOGNITION 3 YEARS IN A ROW. HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AWARD 2010: FOR TWO YEARS IN A ROW, FTMC WAS RECOGNIZED AMONG THE NATION'S TOP 10 PERCENT OF HOSPITALS NATIONWIDE FOR PATIENT EXPERIENCE. HEALTHGRADES IS THE NATION'S LEADING HEALTH-CARE RATINGS ORGANIZATION. AMERICAN HEART ASSOCIATION FIT-FRIENDLY HOSPITAL: FTMC EARNED PLATINUM-LEVEL STATUS RECOGNITION FOR ITS COMMITMENT TO PROVIDE VALUE-ADDED BENEFITS TO IMPACT THE OVERALL HEALTH AND FITNESS OF ITS EMPLOYEES INCLUDING WEIGHT WATCHERS, A FULLY OUTFITTED FITNESS CENTER, SMOKING CESSATION PROGRAMMING, AND THE FISHER-TITUS STRIDERS WALKING PROGRAM. AMERICAN ASSOCIATION FOR RESPIRATORY CARE'S QUALITY RESPIRATORY CARE RECOGNITION: FTMC'S PULMONARY MEDICINE DEPARTMENT WAS NAMED A "QUALITY RESPIRATORY CARE PROVIDER" FOR THE SEVENTH CONSECUTIVE YEAR. FTMC IS THE ONLY AREA HOSPTIAL TO HAVE RECEIVED THIS AWARD EVERY YEAR SINCE THE PROGRAM'S INCEPTION IN 2003. JUST 15% OF U.S. HOSPITALS HAVE EARNED THIS RECOGNITION. EXCELLENT PHYSICIANS: FTMC IS COMMITTED TO RECRUITING PHYSICIANS TO SERVE THE UNIQUE HEALTH-CARE NEEDS OF OUR COMMUNITY MEMBERS. IN 2010, WE WELCOMED THESE NEW PHYSICIANS TO OUR MEDICAL STAFF: DR. DONALD SMITH JOINED EXECUTIVE UROLOGY, DR. AMY BROWNE, FAMILY PRACTITIONER, JOINED DR. GOTTFRIED AND ROGERS, AND DR. JONATHAN ZAHLER, OPHTHALMOLOGIST, JOINED NORTH CENTRAL EYE ASSOCIATES. COMMUNITY HEALTH AND OUTREACH PROGRAMS FTMC COMMUNITY BENEFITS EXTEND OUTSIDE OUR WALLS TO FAMILIES, BUSINESSES, SCHOOLS, CHURCHES, AND AND NEIGHBORHOODS THROUGH OUTREACH PROGRAMS AND OTHER COORDINATED CARE ACTIVITES THAT MAKE OUR COMMUNITIES HEALTHIER PLACES TO LIVE, WORK AND WORSHIP. OVER THE PAST TWO YEARS, FISHER-TITUS HAS USED THE 2007 HURON COUNTY HEALTH ASSESSMENT FINDINGS TO DEVELOP PROGRAMS AND WORK IN PARTNERHSIP WITH OUR PHYSICIANS, RESIDENTS, AND COMMUNITY LEADERS, AS WELL AS CIVIC, SOCIAL, AND MEDICAL ORGANIZATIONS, TO ADDRESS THESE HEALTH NEEDS AND PROVIDE HIGH-QUALITY CARE FOR OUR RESIDENTS. THE NEEDS ASSESSMENT IDENTIFIED HEART DISEASE, DIABETES, OBESITY, AND TOBACCO USE AS LEADING HEALTH ISSUES IN HURON COUNTY. THE INCREASING RATES OF DIABETES AND OBESITY, AND THE HEALTH CHALLENGES THESE TWO CONDITIONS PRESENT, CONTINUE TO BE THE FOCUS OF OUR COMMUNITY PROGRAMS. WE REACH OUT TO THESE HIGH RISK CONSTITUENTS THROUGH CHURCHES, LOCAL COMMUNITY ORGANIZATIONS, AND OTHER GRASSROOTS EFFORTS. 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. FTMC SUPPORTS NON-PROFIT COMMUNITY ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICE, AND EMPLOYEE VOLUNTEERISM. MANY OF COUR 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 2010, WE OFFERED COMMUNITY HEALTH EDUCATION PROGRAMS, INCLUDING SCHOOL-BASED PROGRAMS, SUPPORT GROUPS, COMMUNITY-BASED HEALTH FAIRS, AND SCREENING THAT IMPACTED OUR RESIDENTS THROUGH 66,869 ENCOUNTERS. AUXILIARY AND VOLUNTEER SERVICE: DURING 2010, OUR 285 CARING VOLUNTEERS DONATED 58,693 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 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.
	PART III, LINE 4A/4B CONTINUED	IN APPRECIATION FOR THEIR WORK IN 2010, THE MEDICAL CENTER PROVIDED 8,846 FREE MEALS TO THE VOLUNTEER STAFF AT A COST OF $52,015. 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. THESE COMMUNITY HEALTH IMPROVEMENT SERVICES BENEFITED 63,533 PEOPLE IN 2010 AT A COST OF $943,464. 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 171 PARTICIPANTS WAS $55,722. 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 2010 WAS $732,915.
	PART III, LINE 4A/4B CONTINUED	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 THE 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 2010 WAS $355,753.
FORM 990, PART VI, SECTION A, LINE 4		IN MAY 2009, THE BOARD OF TRUSTEES OF FISHER-TITUS MEDICAL CENTER INCREASED THE AUTHORIZED NUMBER OF DIRECTORS OF FISHER-TITUS MEDICAL CENTER WITH VOTING RIGHTS.
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 APPROVING EXECUTIVE COMPENSATION PROGRAMS 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 2010.
	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.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS 6,085,311. FASB #158 ADJUSTMENT -97,273. CONSOLIDATING ADJUSTMENT TO DONATIONS ERROR -26,323. NET ASSETS BEGINNING BALANCE FOR HEALTH PROMOTIONS OF NORWALK -175,461. FISHER-TITUS PAIN MANAGEMENT JOINT VENTURE CAPITAL CONTRIBUTION -91,800. TRANSFER OF FUNDS TO AFFILIATED ORG., NORWALK AREA HEALTH SYSTEMS, INC. -500,000. TOTAL TO FORM 990, PART XI, LINE 5: 5,194,454.
	PART XII, LINE 2C	THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets
FTMC MEDICAL CARE LLC
272 BENEDICT AVENUE	NORWALK	OH	44857	161768258	MEDICAL CARE	OH	1551805	292490
FTMC HOLDING 265 LLC
265 BENEDICT AVENUE	NORWALK	OH	44857	344430716	REAL ESTATE	OH	0	763559
NORTH CENTRAL HOLDING LLC
272 BENEDICT AVENUE	NORWALK	OH	44857	344430716	REAL ESTATE	OH	0	0

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
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

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	FISHER-TITUS PAIN MANAGEMENT LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1
City	NORWALK	City
State	OH	State
ZIP Code	44857	ZIPCode

Field	Value	IRS element (for citing)
EIN	271471272	EIN
Primary Activity	PAIN MANAGEMENT	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	224979	ShareOfTotalIncome
Share Of EOY Assets	390982	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner
Percentage Ownership	0.51000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH PROMOTIONS OF NORWALK	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1
City	NORWALK	City
State	OH	State
ZIP Code	44857	ZIPCode

Field	Value	IRS element (for citing)
EIN	341502102	EIN
Primary Activity	SUPPORT PROF.	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Share Of Total Income	23996	ShareOfTotalIncome
Share Of EOY Assets	422402	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	1	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg