FISHER TITUS HEALTH: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
FISHER TITUS HEALTH (EIN 34-1476935)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-11
IRS object ID
202403169349300325
Schema version
2023v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-11T06:57:42-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19200 WORTHINGTON RD STE 200AddressLine1Txt
CityWESTERVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43082ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341476935EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FISHER-TITUS HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFISHBusinessNameControlTxt
Phone4196688101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1272 BENEDICT AVENUEAddressLine1Txt
CityNORWALKCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44857ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT E ENDSLEYPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone4196688101PhoneNum
Signature2024-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEMILIE M KNIERIEM CPAPreparerPersonNm
PTINP01330194PTIN
Phone6148852583PhoneNum
Preparation2024-10-29PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRENT W BURKEY MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1272 BENEDICT AVENUEAddressLine1Txt
CityNORWALKCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44857ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,633,143GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressNONEWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionFISHER-TITUS HEALTH PROVIDES DIRECTION TO EACH SUPPORTED 501(C)(3) ORGANIZATION. FISHER-TITUS HEALTH COORDINATES LONG TERM PLANNING, PROVIDES MANAGMENT AND CENTRALIZED CONTROL OVER THE SYSTEMS OPERATIONS AND PROGRAMS.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee55TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$9,559,781PYProgramServiceRevenueAmt
CY Program Service Revenue$10,763,875CYProgramServiceRevenueAmt
PY Investment Income$6,787PYInvestmentIncomeAmt
CY Investment Income-$9,741CYInvestmentIncomeAmt
PY Other Revenue$1,542,963PYOtherRevenueAmt
CY Other Revenue$2,879,009CYOtherRevenueAmt
PY Total Revenue$11,109,531PYTotalRevenueAmt
CY Total Revenue$13,633,143CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,242,714PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,135,389CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$741,405PYOtherExpensesAmt
CY Other Expenses$1,275,818CYOtherExpensesAmt
PY Total Expenses$12,984,119PYTotalExpensesAmt
CY Total Expenses$13,411,207CYTotalExpensesAmt
PY Revenues Less Expenses-$1,874,588PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$221,936CYRevenuesLessExpensesAmt
Total Assets BOY$21,575,543TotalAssetsBOYAmt
Total Assets EOY$14,524,248TotalAssetsEOYAmt
Total Liabilities BOY$3,237,887TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,684,223TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,337,656NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,840,025NetAssetsOrFundBalancesEOYAmt
MissionTO OVERSEE AND COORDINATE HEALTH-RELATED SERVICES OF FISHER-TITUS HEALTH MEMBERS AND TO SUPPORT THEIR INDIVIDUAL MISSIONS OF ENHANCING THE HEALTH, WELFARE, AND SAFETY OF THEIR PATIENTS AND OF THE RESIDENTS IN THE COMMUNITIES THEY SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,383,774ExpenseAmt
Revenue$13,552,271RevenueAmt
DescFISHER-TITUS MEDICAL CARE, LLC IS A MULTISPECIALTY PHYSICIAN AND ALLIED HEALTH PROFESSIONAL PRACTICE WITH OFFICES LOCATED THROUGHOUT THE PRIMARY AND SECONDARY SERVICE AREAS. THESE PRACTICES SEEK TO IMPROVE THE HEALTH AND WELLNESS OF ALL PEOPLE IN THE COMMUNITY BY INTEGRATING ALL ASPECTS OF CARE. WE DO THIS BY DELIVERING HIGH QUALITY, HIGH VALUE CARE COORDINATED ACROSS THE CONTINUUM FOCUSED ON THE PATIENTS WE SERVE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescFISHER-TITUS HEALTH BELIEVES IN LOCAL GUIDANCE AND COORDINATION OF HEALTH CARE SERVICES. TO THAT END, FISHER-TITUS HEALTH CONTRIBUTED FUNDING TO THE BELLEVUE HOSPITAL TO PARTICIPATE IN THE OWNERSHIP OF THEIR LOCAL HOSPITAL. BECAUSE OF FISHER-TITUS HEALTH'S FUNDING AND SIMILAR FUNDING BY ANOTHER 501(C)(3) HOSPITAL, THE BELLEVUE COMMUNITY WAS ABLE TO BUILD A NEW, FULL SERVICE COMMUNITY HOSPITAL TO SERVE THE PATIENTS OF THEIR SERVICE AREA. CLEARLY, THIS WILL ENHANCE THE SERVICE CAPABILITIES IN THE BELLEVUE COMMUNITY AND ALLOW FOR EXPANSION AND GROWTH BETWEEN BELLEVUE AND FISHER-TITUS HEALTH AND BRING MORE MEDICAL SERVICES TO BOTH OF OUR AREAS, THROUGH THIS COOPERATIVE EFFORT IN JOINTLY RECRUITING PHYSICIANS AND MUTUALLY DEVELOPING SERVICES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescFISHER-TITUS HEALTH PROVIDES GENERAL DIRECTION TO EACH SUPPORTED 501(C)(3) ORGANIZATION. FISHER-TITUS HEALTH COORDINATES LONG TERM STRATEGIC PLANNING, PROVIDES MANAGEMENT AND CENTRALIZED CONTROL OVER THE SYSTEMS OPERATIONS AND PROGRAMS DESIGNED TO ENHANCE THE HEALTH AND WELFARE OF RESIDENTS IN THE COMMUNITIES SERVED BY THE SUPPORTED ORGANIZATIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$13,383,774TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee55EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIAN KELLER MBABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4196602660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1272 BENEDICT AVENUEAddressLine1Txt
CityNORWALKCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44857ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
PERRY DRYDEN
CHAIRMAN1.5017.50Yes (X)Yes (X)$0$0$0
JEFFERY C HUBER
VICE CHAIRMAN1.0012.00Yes (X)Yes (X)$0$0$0
DENNIS C CAMP
TREASURER1.0013.00Yes (X)Yes (X)$0$0$0
JULIE S ROBERTS DDS
SECRETARY1.008.00Yes (X)Yes (X)$0$0$0
MARK E CORIELL
DIRECTOR1.005.00Yes (X)$0$0$0
DENNIS DOUGHTY
DIRECTOR1.005.00Yes (X)$0$0$0
MARC D DOLCE
DIRECTOR1.005.00Yes (X)$0$0$0
JOHN K HUGHES MD
DIRECTOR41.005.00Yes (X)$370,401$0$71,135
SUSAN S HAZEL
DIRECTOR1.005.00Yes (X)$0$0$0
JOHN A LENDRUM
DIRECTOR1.005.00Yes (X)$0$0$0
JONATHAN D ZAHLER DO
DIRECTOR1.005.00Yes (X)$0$0$0
BRENT W BURKEY MD
PRESIDENT & CEO5.0060.00Yes (X)Yes (X)$0$658,836$63,374
MATTHEW E MATTNER
CHIEF OPERATIONS OFFICER2.5047.50Yes (X)$0$318,823$66,142
SCOTT E ENDSLEY
CHIEF FINANCIAL OFFICER3.0057.00Yes (X)$0$314,818$52,893
MAHER SALAM MD
PHYSICIAN40.000.00$1,019,191$0$37,689Yes (X)
PATRICK R WATERS MD
PHYSICIAN40.000.00$783,240$0$42,605Yes (X)
RYAN D CHRISTOFFERSON MD
PHYSICIAN40.000.00$728,215$0$40,990Yes (X)
GREGORY P COOK MD
PHYSICIAN40.000.00$752,595$0$35,744Yes (X)
KATHY LUE
PHYSICIAN40.000.00$710,674$0$23,651Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,364,316TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,292,477TotReportableCompRltdOrgAmt
Total Other Compensation$434,223TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K45IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PILLAR UROLOGY LLCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1984 S NORWALK ROAD WESTAddressLine1Txt
CityNORWALKCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44857ZIPCd
FieldValueIRS element (for citing)
ServicesUROLOGIST PHYSICIAN SERVICESServicesDesc
Compensation$101,920CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET MEDICAL CARE LLC REVENUE621110$10,649,185$10,649,185
RENTAL INCOME621300$114,690$114,690
FieldValueIRS element (for citing)
Total Program Service Revenue$10,763,875TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$9,741TotalRevenueColumnAmt
Exclusion-$9,741ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER PHYSICIAN REVENUEDesc
Business621110BusinessCd
Total Revenue Column$726,308TotalRevenueColumnAmt
Related Or Exempt Func Income$726,308RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,152,701TotalRevenueColumnAmt
Related Or Exempt Func Income$2,062,088RelatedOrExemptFuncIncomeAmt
Exclusion$90,613ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,879,009OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,633,143TotalRevenueColumnAmt
Related Or Exempt Func Income$13,552,271RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$80,872ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$290,545TotalAmt
Program Services$290,545ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,744,085TotalAmt
Program Services$10,744,085ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$370,472TotalAmt
Program Services$370,472ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,279TotalAmt
Program Services$5,279ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$725,008TotalAmt
Program Services$725,008ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$412,772TotalAmt
Program Services$385,339ProgramServicesAmt
Management And General$27,433ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$380TotalAmt
Program Services$380ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,031TotalAmt
Program Services$10,031ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,474TotalAmt
Program Services$3,474ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$90,144TotalAmt
Program Services$90,144ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$38,722TotalAmt
Program Services$38,722ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,923TotalAmt
Program Services$2,923ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$691,924TotalAmt
Program Services$691,924ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMEDICAL SUPPLIESDesc
Total$19,594TotalAmt
Program Services$19,594ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,854TotalAmt
Program Services$5,854ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,411,207TotalAmt
Program Services$13,383,774ProgramServicesAmt
Management And General$27,433ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$422,991BOYAmt
EOY$845,443EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,293,240BOYAmt
EOY$1,649,904EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$813,961BOYAmt
EOY$738,471EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$93,144EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,972,353LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$969,724LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,005,553BOYAmt
EOY$1,002,629EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$144,411BOYAmt
EOY$163,030EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,895,387BOYAmt
EOY$10,031,627EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,575,543BOYAmt
EOY$14,524,248EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,638,829BOYAmt
EOY$1,609,598EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,593,410BOYAmt
EOY$1,074,625EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,648BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,237,887BOYAmt
EOY$2,684,223EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,337,656BOYAmt
EOY$11,840,025EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,337,656BOYAmt
EOY$11,840,025EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,575,543BOYAmt
EOY$14,524,248EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$221,936ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$6,719,567OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations3SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
FISHER-TITUS MEDICAL CENTER
3444307163Yes (1)$0$0
FISHER-TITUS FOUNDATION
3414769377Yes (1)$0$0
FISHER-TITUS AFFILIATED SERVICES
34147693410Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice Investment0SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, SECTION E, LINE 3ATHE BOARD OF DIRECTORS OF FISHER-TITUS HEALTH ARE THE SAME BOARD MEMBERS FOR FISHER-TITUS MEDICAL CENTER AND FISHER-TITUS AFFILIATED SERVICES. THE FISHER-TITUS HEALTH BOARD OF DIRECTORS HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS OF THE FISHER-TITUS FOUNDATION. THE SENIOR LEADERSHIP TEAM OF FISHER-TITUS HEALTH OVERSEES THE MANAGEMENT OF ALL OF THE SUPPORTED ORGANIZATIONS.
PART IV, SECTION E, LINE 3BTHE BOARD OF DIRECTORS OF FISHER-TITUS HEALTH ARE THE SAME BOARD MEMBERS FOR FISHER-TITUS MEDICAL CENTER AND FISHER-TITUS AFFILIATED SERVICES. THE FISHER-TITUS HEALTH BOARD OF DIRECTORS HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS OF THE FISHER-TITUS FOUNDATION. THE SENIOR LEADERSHIP TEAM OF FISHER-TITUS HEALTH OVERSEES THE MANAGEMENT OF ALL OF THE SUPPORTED ORGANIZATIONS.
PART IV, SECTION D, LINE 1NOTIFICATION OF TYPE OF SUPPORT AND AMOUNT OF SUPPORT FOR EACH SUPPORTED ORGANIZATION IS GIVEN ON A MORE FREQUENT BASIS THAN THE ANNUAL WRITTEN NOTIFICATION. COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS ARE ON FILE WITH THE ORGANIZATION'S PRINCIPAL OFFICER WHO IS THE SAME PERSON FOR EACH OF THE SUPPORTED ORGANIZATIONS. ANY CHANGES TO THE ORGANIZATION'S GOVERNING DOCUMENTS ARE UPDATED AND GIVEN TO THE PRINCIPAL OFFICER.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$208,730OtherCostOrOtherBasisAmt
Book Value$208,730BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,753,741OtherCostOrOtherBasisAmt
Depreciation$959,842DepreciationAmt
Book Value$793,899BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,882OtherCostOrOtherBasisAmt
Depreciation$9,882DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,002,629TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
EQUITY IN THE BELLEVUE HOSPITAL$7,106,272
INVESTMENT FT SHARED SERVICES$714,000
DUE FROM RELATED ENTITIES$2,168,391
INTEREST RATE SWAP$21,248
OTHER RECEIVABLES$21,716
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,031,627TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ENTITIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FISHER-TITUS HEALTH INDIVIDUAL ACCRUED UNCERTAIN TAX POSITION WAS $0.00.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MAHER SALAM MD
PHYSICIAN$793,882$0$201,101$0$24,208$0$11,390$0$26,299$0$1,056,880$0$0$0
PATRICK R WATERS MD
PHYSICIAN$666,864$0$91,348$0$25,028$0$12,200$0$30,405$0$825,845$0$0$0
GREGORY P COOK MD
PHYSICIAN$475,579$0$251,988$0$25,028$0$12,200$0$23,544$0$788,339$0$0$0
RYAN D CHRISTOFFERSON MD
PHYSICIAN$700,687$0$25,000$0$2,528$0$9,992$0$30,998$0$769,205$0$0$0
KATHY LUE
PHYSICIAN$555,452$0$152,694$0$2,528$0$12,653$0$10,998$0$734,325$0$0$0
BRENT W BURKEY MD
PRESIDENT & CEO$0$533,480$0$21,953$0$103,403$0$60,524$0$2,850$0$722,210$0$100,108
JOHN K HUGHES MD
DIRECTOR$260,816$0$54,857$0$54,728$0$39,700$0$31,435$0$441,536$0$29,929$0
MATTHEW E MATTNER
CHIEF OPERATIONS OFFICER$0$253,025$0$7,921$0$57,877$0$42,218$0$23,924$0$384,965$0$31,437
SCOTT E ENDSLEY
CHIEF FINANCIAL OFFICER$0$273,172$0$7,055$0$34,591$0$35,135$0$17,758$0$367,711$0$25,580

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3RESPONSIBILTY FOR DETERMINING AND RECOMMENDING EXECUTIVE COMPENSATION RESTS WITH THE PERSONNEL COMMITTEE OF THE FISHER-TITUS HEALTH BOARD. THE COMMITTEE RETAINS AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO HELP ESTABLISH CASH COMPENSATION TARGET RANGES AND IDENTIFY REASONABLE AND CUSTOMARY BENEFIT PROGRAMS FOR EXECUTIVES. THE INDEPENDENT CONSULTANT REPORTS TO THE PERSONNEL COMMITTEE ON RELEVANT PEER GROUPS, CASH COMPENSATION REPORTED IN AVAILABLE SALARY SURVEYS FOR THE PEER GROUP AND TRENDS IN PERQUISITE PROGRAMS CUSTOMARILY AVAILABLE AMONG THE PEER GROUP FOR EXECUTIVES. RECOMMENDATIONS BY THE CONSULTANT ARE PRESENTED TO THE PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE THEN PROVIDED TO EACH OF THE DIRECTORS OF THE FISHER-TITUS HEALTH BOARD. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED BY THE PERSONNEL COMMITTEE AND THEN BY THE FISHER-TITUS HEALTH BOARD OF DIRECTORS. THE MINUTES OF EACH BOARD MEETING WHERE SUCH ACTION IS TAKEN REFLECT SUCH ACTION. THIS IS DONE ANNUALLY AND WAS LAST DONE IN MARCH 2023.
PART I, LINE 4BPART I LINE 4B & PART II, LINE 6--INCLUDED IN DR. BURKEY'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $60,524 REPORTED IN COLUMN C IS $12,200 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $48,324 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 9--INCLUDED IN MR. ENDSLEY'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $35,135 REPORTED IN COLUMN C IS $9,149 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $25,986 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 7--INCLUDED IN DR. HUGHES'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $39,700 REPORTED IN COLUMN C IS $13,200 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $26,500 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 8--INCLUDED IN MR. MATTNER'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $42,218 REPORTED IN COLUMN C IS $13,041 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $29,177 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE.
PART II LINES 5, 7, AND 9DR. BRENT BURKEY, SCOTT ENDSLEY AND MATTHEW MATTNER ALL RECEIVED THEIR COMPENSATION FROM FISHER-TITUS MEDICAL CENTER, A RELATED ORGANIZATION. THIS INCLUDES COMPENSATION FOR A SIGNIFICANT AMOUNT OF DR. BURKEY'S 65 HOUR AVERAGE WORK WEEK, MR. ENDSLEY'S 60 HOUR AVERAGE WORK WEEK, AND MR. MATTNER'S 50 HOUR AVERAGE WORK WEEK DEVOTED TO THE FUNCTIONING OF FISHER-TITUS MEDICAL CENTER AS WELL AS UNCOMPENSATED TIME DEVOTED TO OTHER COMMONLY CONTROLLED ORGANIZATIONS LISTED IN SCHEDULE R.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF HURON OHIOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN346400672BondIssuerEIN
Bond Issued2015-04-02BondIssuedDt
Issue Price$5,335,000IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$4,268,000RetiredAmt
Total Proceeds$5,335,000TotalProceedsAmt
Issuance Costs From Proceeds$50,000IssuanceCostsFromProceedsAmt
Other Spent Proceeds$5,285,000OtherSpentProceedsAmt
Substantial Completion2015SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1PNCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge6.800000000000TermOfHedgePct
Superintegrated HedgeYes (1)SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I LINE AFormAndLineReferenceDesc
ExplanationPURPOSE WAS TO REFUND THE FISHER-TITUS HEALTH COUNTY OF HURON REVENUE BONDS, SERIES 2003B BONDS. THE 2003B BONDS WERE USED TO PROVIDE "FOR THE COST OF HOSPITAL FACILITIES" FOR THE BELLEVUE HOSPITAL, A 501(C)(3) NON-PROFIT ORGANIZATION, TO CONSTRUCT AND EQUIP A NEW ACUTE CARE HOSPITAL ON 109 ACRES IN THE CITY OF BELLEVUE. FISHER-TITUS HEALTH TOGETHER WITH FIRELANDS REGIONAL HEALTH SYSTEMS AND THE BELLEVUE HOSPITAL ASSOCIATION HAVE AGREED TO JOINTLY FINANCE THIS PROJECT.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BATTLES INSURANCE AGENCY
SEE PART V$1,014,243VENDOR0
KATHY LUE
SEE PART V$710,674EMPLOYMENT0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV LINE 1PERRY DRYDEN, BOARD MEMBER IS PRESIDENT OF BATTLES INSURANCE AGENCY AND 50% OWNER.
PART IV LINE 2MS. LUE HAS A FAMILY RELATIONSHIP WITH BOARD MEMBER JOHN LENDRUM.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD OF DIRECTORS OF FISHER-TITUS HEALTH DELEGATED THE RESPONSIBILITY FOR THE REVIEW OF THE FISHER-TITUS HEALTH FORM 990 PLUS ALL REQUIRED SCHEDULES AND ATTACHMENTS TO THE FISHER-TITUS AUDIT COMMITTEE. THE MEMBERS OF THIS COMMITTEE HAVE A STRONG BACKGROUND IN ACCOUNTING, LEGAL, FINANCE AND BUSINESS AND HAVE THE TECHNICAL EXPERTISE TO PERFORM A SUBSTANTIVE REVIEW. THE AUDIT COMMITTEE REVIEWED THE FISHER-TITUS HEALTH'S FORM 990 PRIOR TO FILING AND REPORTED TO THE FISHER-TITUS HEALTH'S BOARD OF DIRECTORS REGARDING THE RESULTS OF THEIR REVIEW. IN ADDITION, EACH MEMBER OF THE FISHER-TITUS HEALTH'S BOARD OF DIRECTORS HAD ACCESS TO A COPY OF THE FORM 990 FOR VIEWING PRIOR TO FILING VIA A SECURE INTERNET WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12CALL OF OUR AFFILATED 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 FISHER-TITUS MEDICAL CENTER ADMINISTRATION. AREAS OF CONFLICT ARE REVIEWED AND ADDRESSED AS NECESSARY FOR THE TRANSACTIONS OF THE BOARD. WHEN AN AREA OF CONFLICT ARISES, BOARD MEMBERS ARE EXCUSED AND PROHIBITED FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DECISIONS REGARDING THE AREA OF CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15THE FISHER-TITUS HEALTH OFFICERS RECEIVE ALL OF THEIR COMPENSATION FROM FISHER-TITUS MEDICAL CENTER, (FTMC) A RELATED ORGANIZATION. SUCH COMPENSATION IS SUBJECT TO THE GUIDANCE OF THE PERSONNEL COMMITTEE OF THE FISHER-TITUS HEALTH BOARD. THE COMMITTEE RETAINS AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO HELP ESTABLISH CASH COMPENSATION TARGET RANGES AND IDENTIFY REASONABLE AND CUSTOMARY BENEFIT PROGRAMS FOR EXECUTIVES. THE INDEPENDENT CONSULTANT REPORTS TO THE PERSONNEL COMMITTEE ON RELEVANT PEER GROUPS, CASH COMPENSATION REPORTED IN AVAILABLE SALARY SURVEYS FOR THE PEER GROUP AND TRENDS IN PERQUISITE PROGRAMS CUSTOMARILY AVAILABLE AMONG THE PEER GROUP FOR EXECUTIVES. RECOMMENDATIONS BY THE CONSULTANT ARE PRESENTED TO THE PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE THEN PROVIDED TO EACH OF THE DIRECTORS OF FISHER-TITUS HEALTH BOARD. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED BY THE PERSONNEL COMMITTEE AND THEN BY THE FISHER-TITUS HEALTH BOARD OF DIRECTORS. THE MINUTES OF EACH BOARD MEETING WHERE SUCH ACTION IS TAKEN REFLECT SUCH ACTION. THIS IS DONE ANNUALLY AND WAS LAST DONE IN MARCH 2023.
FORM 990, PART VI, SECTION C, LINE 18AS REQUIRED, WE OFFER A TIMELY RESPONSE TO WRITTEN REQUESTS FOR COPIES OF THE 990, AS WELL AS HAVING THEM AVAILABLE ON THE PREMISES FOR THE PUBLIC TO REVIEW & ON THE GUIDESTAR INTERNET WEBSITE.
FORM 990, PART VI, SECTION C, LINE 19OUR CONFLICT OF INTEREST, CODE OF REGULATIONS, GOVERNING DOCUMENTS & FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST RATE SWAP -27,491. UNREALIZED GAIN/LOSS BELLEVUE -6,817,516. TRANSFER FROM AFFILIATE 125,440.
FORM 990, PART XII, LINE 2CNO PROCESSES HAVE CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FISHER-TITUS MEDICAL CARE LLC
272 BENEDICT AVENUENORWALKOH44857161768258PHYSICIAN GROUP PRACTICEOH$13,523,690$4,527,819FISHER-TITUS HEALTH
FISHER-TITUS SANDUSKY HOLDING CO LLC
272 BENEDICT AVENUENORWALKOH44857841880427HOLDING COMPANYOH$58,813$245,614FISHER-TITUS HEALTH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
FISHER TITUS MEDICAL CENTER
272 BENEDICT AVENUENORWALKOH44857344430716HOSPITALOH501(C)(3)LINE 3FISHER-TITUS HEALTHYes (1)
FISHER TITUS FOUNDATION
272 BENEDICT AVENUENORWALKOH44857341476937FOUNDATIONOH501(C)(3)LINE 7FISHER-TITUS HEALTHYes (1)
FISHER-TITUS AFFILIATED SERVICES
272 BENEDICT AVENUENORWALKOH44857341476934AMBULANCE SERVICEOH501(C)(3)LINE 10FISHER-TITUS HEALTHYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
FISHER-TITUS PAIN MANAGEMENT LLC
272 BENEDICT AVENUENORWALKOH44857271471272PAIN MANAGEMENTOHFISHER-TITUS MEDICAL CENTERYes (1)0
FISHER-TITUS SHARED SERVICES LLC
272 BENEDICT AVENUENORWALKOH44857834555068SURGERY CENTEROHFISHER-TITUS HEALTHYes (1)0RELATED$296,015$1,430,0220.70000
THE SURGERY CENTER OF NORTH CENTRAL OHIO
7110 CROSSROADS BLVD SUITE 200BRENTWOODTN37027833986181SURGERY CENTERTNFISHER-TITUS SHARED SERVICES LLC00RELATED$425,339$2,039,3980.51000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
FISHER-TITUS AFFILIATED SERVICES
A$114,689SEE PART VII
FISHER-TITUS AFFILIATED SERVICES
S$139,000SEE PART VII
FISHER-TITUS MEDICAL CENTER
O$4,028,466PAYROLL SYSTEM
FISHER-TITUS MEDICAL CENTER
R$8,151,724BOOK VALUE

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V LINE 2ORGANIZATION #1 FISHER-TITUS AFFILIATED SERVICES OF $114,689. METHOD OF VALUATION: RENT WAS CALCULATED ON ALL RENTAL PROPERTY BASED ON AN AVERAGE 18 YEAR DEPRECIABLE LIFE FOR THE BUILDINGS. EACH YEAR RENT IS INCREASED BY THE ANNUAL CPI INDEX. MONTHLY INVOICES WERE THEN WRITTEN UP AND BILLED TO THE RELATED ORGANIZATION.
PART V LINE 2ORGANIZATION #2 FISHER-TITUS AFFILIATED SERVICES OF $139,000. METHOD OF VALUATION WAS AS NEEDED TO COVER OPERATING CASH FLOW.

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