2023-11-09T13:26:35-06:00 2022-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST STE 200 INDIANAPOLIS IN 46204 990 2022-01-01 344430716 FISHER-TITUS MEDICAL CENTER FISH 4196688101 272 BENEDICT AVENUE NORWALK OH 448572374 SCOTT ENDSLEY CHIEF FINANCIAL OFFICER 4196688101 2023-11-09 1 SCOTT ENDSLEY 999009999 0 EMILIE M KNIERIEM CPA P01330194 3172757444 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BRENT W BURKEY MD 272 BENEDICT AVENUE NORWALK OH 448572374 158907532 0 X WWW.FISHER-TITUS.ORG X 1911 OH DELIVER COMPASSIONATE AND CONVENIENT CARE TO THE HIGHEST LEVEL OF EXCELLENCE THAT PROMOTES LIFELONG HEALTH AND WELLNESS FOR OUR COMMUNITY. 12 8 1246 46 636746 32220 216858 51742 165654357 150335083 6349179 5479838 763214 2974726 172983608 158841389 142747 355162 0 0 75510269 76650400 0 0 0 77245630 79360051 152898646 156365613 20084962 2475776 249539511 221553593 62882671 43634256 186656840 177919337 X DELIVER COMPASSIONATE AND CONVENIENT CARE TO THE HIGHEST LEVEL OF EXCELLENCE THAT PROMOTES LIFELONG HEALTH AND WELLNESS FOR OUR COMMUNITY. 0 0 123312550 355162 142324037 SEE SCHEDULE O 7804915 7374300 SEE SCHEDULE O 131117465 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 135 0 1 1246 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH X BRIAN KELLER MBA 4196602660 272 BENEDICT AVENUE NORWALK OH 448572374 PERRY DRYDEN CHAIRMAN 15.00 4.00 X X 0 0 0 JEFFREY C HUBER VICE CHAIRMAN 10.00 3.00 X X 0 0 0 DENNIS C CAMP TREASURER 12.00 2.00 X X 0 0 0 JULIE S ROBERTS DDS SECRETARY 7.00 2.00 X X 0 0 0 JOHN K HUGHES MD DIRECTOR 4.00 42.00 X 0 313701 69422 SUSAN S HAZEL DIRECTOR 4.00 2.00 X 0 0 0 JONATHAN D ZAHLER DO DIRECTOR 4.00 2.00 X 0 0 0 DENNIS DOUGHTY DIRECTOR 4.00 2.00 X 0 0 0 MARK E CORIELL DIRECTOR 4.00 2.00 X 0 0 0 JOHN A LENDRUM DIRECTOR 4.00 2.00 X 0 0 0 MARC D DOLCE DIRECTOR 4.00 2.00 X 0 0 0 BRENT BURKEY PRESIDENT/CEO 50.50 14.50 X X 998544 0 61966 MATTHEW MATTNER CHIEF OPERATIONS OFFICER 43.50 6.50 X 292183 0 70557 SCOTT E ENDSLEY CHIEF FINANCIAL OFFICER 52.00 8.00 X 294156 0 47138 MIRIAM BATKE CHIEF HUMAN RESOURCE OFFICER 37.00 8.00 X 216931 0 47800 KATIE CHIEDA CHIEF NURSING OFFICER 45.00 0.00 X 233616 0 65302 GARY MOORMAN CHIEF MEDICAL OFFICER 45.00 0.00 X 373762 0 36330 LINDA STEVENSON CHIEF INFORMATION OFFICER 37.00 8.00 X 233375 0 51518 SUZANNE FARMER CHIEF ADMINISTRATIVE OFFICER 37.00 5.00 X 221486 0 32252 SHARON HARWOOD CHIEF COMPLIANCE OFFICER 40.00 2.00 X 226182 0 40957 JASON W GAHRING VP AMBULATORY SERVICES 40.00 0.00 X 173970 0 7697 3264205 313701 530939 45 0 1 0 CERNER CORPORATION 2800 ROCKCREEK PATHWAY KANSAS CITY MO 64117 HEALTHCARE INFORMATION TECHNOLOGY 4678535 METROHEALTH SYSTEMS PO BOX 73122 CLEVELAND OH 441931861 SPINE CENTER PROFESSIONAL FEE & TRAUMA P 3206135 MCR GROUP LLC PO BOX 51325 KNOXVILLE TN 37950 MEDICARE DEPENDENT CONSULTANTS 1967439 NOMS HEALTHCARE 2500 W STRUB ROAD SANDUSKY OH 44870 PROFESSIONAL FEES - ORTHOPEDIC 1503805 CARDIOSOLUTION LLC PO BOX 639028 CINCINNATI OH 45263 CARDIOLOGY PHYSICIAN SERVICES 846424 25 45470 6272 51742 HOSPITAL NET PATIENT SERVICES 623000 138870052 138870052 NURSING HOME & ASSISTED LIVING RE 623000 7374300 7374300 340B PHARMACY REVENUE 623000 2271330 2271330 RENT REVENUE 900099 1182655 1182655 MEDICAL LABORATORY 621500 596896 596896 39850 39850 150335083 1956864 1956864 70587 0 70587 70587 70587 3589117 0 66143 3589117 -66143 3522974 3522974 MISC. HOSPITAL REVENUE 900099 2140987 2140987 CAFETERIA SALES 722514 453707 453707 HOSPITAL AUXILARY SALES 900099 309445 309445 2904139 158841389 149698337 636746 8454564 X 355162 355162 2328193 1679742 648451 61051324 50380060 10671264 1950251 1609364 340887 6978242 5758504 1219738 4342390 3583377 759013 364592 273444 91148 279622 139811 139811 51911 51911 31583015 27112342 4470673 353304 353199 105 3552248 2139667 1412581 5441749 2448913 2992836 2904865 1996890 907975 116825 94179 22646 328334 115880 212454 638786 576382 62404 7094080 6532793 561287 795394 581370 214024 MEDICAL SUPPLIES 22138800 21886790 252010 OHIO HOSPITAL TAX & SNF 3372361 3372361 DUES & SUBSCRIPTIONS 234313 37457 196856 UBI INCOME TAX 63404 63404 46448 26374 20074 156365613 131117465 25248148 0 5640 112660 27094557 6593522 19327987 17916615 240000 40000 2637257 3073169 2568032 3093564 235998932 122710898 113806443 113288034 78180333 71563375 699354 819677 4979908 5052977 249539511 221553593 25245026 19596585 13117 0 19163130 15517739 3473313 3310190 14988085 5209742 62882671 43634256 X 186639340 177902275 17500 17062 186656840 177919337 249539511 221553593 X 2475776 -14726801 448124 3065398 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 1 10453 10453 0 PART II-B, LINE 1: EXECUTIVE MEMBERS OF THE ORGANIZATION, ON AN OCCASIONAL BASIS, MAY WRITE OR SPEAK TO LEGISLATIVE MEMBERS CONCERNING PROPOSED LEGISLATION THAT MIGHT IMPACT THE LOCAL DELIVERY OF HEALTHCARE SERVICES. THE MEDICAL CENTER HAS MEMBERSHIPS IN VARIOUS HEALTHCARE RELATED ASSOCIATIONS, WHICH PROVIDE STATE AND NATIONAL LEADERSHIP ON LEGAL, REGULATORY, QUALITY AND ACCREDITATION ISSUES. AS A PART OF THAT LEADERSHIP ROLE, THESE ORGANIZATIONS DO CONTACT LEGISLATORS TO EXPRESS THEIR ASSOCIATION'S POSITIONS ON MATTERS IMPORTANT TO THEIR MEMBERSHIP. THE FOLLOWING ORGANIZATIONS LISTED BELOW SHOW THE PERCENTAGE OF THE DUES THAT REFLECT LOBBYING AS DETERMINED BY THE IRS: OHIO HEALTH CARE ASSOCIATION - 19.64% OF DUES; OHIO HOSPITAL ASSOCIATION - 5.5% OF DUES AND AMERICAN HOSPITAL ASSOCIATION - 27.29% OF DUES. 2022355 2022355 178174534 69517045 108657489 359126 264300 94826 52371969 52929553 -557584 3070948 3070948 113288034 CAPITAL LEASE OBLIGATIONS 3688250 OPERATING LEASE OBLIGATIONS 554844 DUE TO AFFILIATED ENTITIES 273363 SETTELMENTS PAYABLE 693285 5209742 X PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ENTITIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FISHER-TITUS MEDICAL CENTER INDIVIDUAL ACCRUED UNCERTAIN TAX POSITION WAS $0.00. 1 1 X 1 X 1 X 1 1 0 1 1 1 645 332314 40915 291399 0.00190 1 18533948 20220563 0 0.00000 2 645 18866262 20261478 291399 0.00190 8 60627 198764 198764 0.00130 1 20 25397 25397 0.00020 1 309037 268198 40839 0.00030 4 412210 412210 0.00260 14 60647 945408 268198 677210 0.00440 16 61292 19811670 20529676 968609 0.00630 1 3787495 946874 29747143 34735989 -4988846 X 1 1 1 FISHER-TITUS PAIN MANAGEMENT LLC PAIN MANAGEMENT 0.51000 0.49000 1 1 FISHER-TITUS MEMORIAL HOSPITAL 272 BENEDICT AVENUE NORWALK OH 44857 HTTPS://WWW.FISHER-TITUS.ORG X X X FISHER-TITUS MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 1 1 1 X SEE PART V SUPPLEMENTAL FACILITY INFO X SEE PART V SUPPLEMENTAL FACILITY INFO X 1 20 1 SEE PART V SUPPLEMENTAL FACILITY INFO 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X WWW.FISHERTITUS.ORG/FINANCIAL-SERVICES X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X 1 X 0 X X X 1 X 0 0 FISHER-TITUS MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE HOSPITAL PARTICIPATED IN A COMMUNITY WIDE HEALTH NEEDS ASSESSMENT IN CONJUNCTION WITH HURON COUNTY PUBLIC HEALTH AND A THIRD-PARTY CONSULTANT TO REVIEW AND DRAFT THE QUESTIONS. IN JULY-2019, 24 COMMUNITY LEADERS, STAKEHOLDERS AND EMPLOYEES FROM PARTICIPATING ORGANIZATIONS GATHERED TO DISCUSS THEIR PERSPECTIVES ON EMERGING HEALTH ISSUES IN HURON COUNTY. INPUT WAS TAKEN FROM REPRESENTATIVES WITH BROAD INTEREST IN THE COMMUNITY AS WELL AS THE PUBLIC HEALTH DEPARTMENT AND THOSE AGENCIES WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY AS WELL AS MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND THOSE WITH CHRONIC HEALTH NEEDS. THE CHNA PROCESS STARTED WITH THE RESULTS GIVEN TO THE WORK GROUPS, THEN THROUGH THE MAPP PROCESS BY MEETINGS, FOCUS GROUPS AND SURVEYS FROM REPRESENTATIVES OF THE LOCAL COMMUNITY, THE RESULTS WERE ANALYZED, BY REPRESENTATIVES FROM HURON COUNTY PUBLIC HEALTH WHO MET WITH KEY INFORMANTS SUCH AS JUDGES, PHYSICIANS, AND LEADERS/EMPLOYEES OF SOCIAL ORGANIZATIONS THROUGHOUT HURON COUNTY. ADDITIONAL DETAILS CAN BE FOUND ON OUR WEBSITE: HTTPS://WWW.FISHERTITUS.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT-SUPPORT/HEALTH-NEEDS-ASSESSMENT/ FISHER-TITUS MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: MERCY HEALTH-WILLARD HOSPITAL FISHER-TITUS MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: MEMBERS OF THE HURON COUNTY HEALTH PARTNERS (THE GROUP WHO WORKED ON THE CHNA) HURON COUNTY PUBLIC HEALTH, FIRELANDS COUNSELING AND RECOVERY SERVICES, HURON COUNTY MENTAL HEALTH AND ADDICTION SERVICES, HURON COUNTY CLERK OF COURTS, HURON COUNTY EMT, HURON COUNTY FAMILY AND CHILDREN FIRST COUNCIL, HURON COUNTY JOB AND FAMILY SERVICES, HURON COUNTY SHERIFF'S OFFICE, HURON COUNTY VICTIMS ASSISTANCE PROGRAM, HURON COUNTY WIC, NATIONAL ALLIANCE ON MENTAL ILLNESS HURON COUNTY, BELLEVUE CITY SCHOOLS, MONROEVILLE LOCAL SCHOOLS, NEW LONDON LOCAL SCHOOLS, NORWALK CATHOLIC SCHOOLS, NORWALK CITY SCHOOLS, PLYMOUTH-SHILOH LOCAL SCHOOL DISTRICT, SOUTH CENTRAL LOCAL SCHOOLS, WESTERN RESERVE LOCAL SCHOOLS, WILLARD CITY SCHOOLS, NORWALK ECONOMIC DEVELOPMENT CORPORATION, NORWALK UNITED FUND, OHIO STATE HIGHWAY PATROL-NORWALK POST. FISHER-TITUS MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: PRIORITIZED HEALTH NEEDS FROM THE MOST RECENT CHNA DONE IN 2020 AND ADOPTED IN 2020 ARE: PHYSICAL HEALTH-PROMOTE HEALTH AND REDUCE CHRONIC DISEASE BY PARTNERING WITH LOCAL SCHOOLS, SUPPORTING LOCAL PROGRAMS THAT ARE PROVIDING HEALTHY MEALS TO CHILDREN, SUPPORTING COMMUNITY BASED PHYSICAL ACTIVITY PROGRAMS, WORKING WITH EMPLOYERS TO EDUCATE EMPLOYEES, PROVIDED WEIGHT LOSS EDUCATION. INCREASING PUBLIC KNOWLEDGE ON DIABETES, CARDIOVASCULAR AND PULMONARY DISEASES. HEALTH SCREENINGS AND WORKING WITH PHYSICIAN OFFICES FOR THOSE ENROLLED IN MEDICARE TO INCREASE THE NUMBER OF WELLNESS VISITS AND CHRONIC CARE MANAGEMENT. ALSO WORKING WITH LOCAL SCHOOLS TO PROVIDE SEXUAL HEALTH PROGRAMS. MENTAL HEALTH AND ADDICTION - COLLABORATING ON PROJECTS WITH OTHER MENTAL HEALTH AGENCIES. COLLABORATING WITH OTHER LOCAL AGENCIES ON OPIOID THRESHOLD ALERT, SUPPORTING LOCAL AGENCIES TO GET ADDICTED INDIVIDUALS INTO APPROPRIATE FACILITIES FOR TREATMENT. ACCESS TO CARE - INCREASE COMPLIANCE WITH MEDICATION THROUGH PROGRAMS THAT ADDRESS BARRIERS FOR ACCESSING MEDICATIONS. INCREASING PUBLIC KNOWLEDGE OF IMPORTANCE OF SCREENING MAMMOGRAMS AND REMOVING BARRIERS TO GETTING MAMMOGRAMS. ADD SERVICES AND PROVIDERS BASED ON COMMUNITY HEALTH AND WELLNESS NEEDS, TAKING INTO CONSIDERATION THE VOLUME OF PATIENTS INCLUDING EXPANDING TELEHEALTH CAPABILITIES. WE ACKNOWLEDGE THE IMPORTANCE OF THESE SIGNIFICANT HEALTH NEEDS BUT ARE UNABLE TO ADDRESS THE FOLLOWING DUE TO LIMITED FINANCIAL RESOURCES. THE AREAS NOT ADDRESSED ARE ORAL HEALTH AND TRANSPORTATION. FISHER-TITUS MEDICAL CENTER: FORM 990, SCHEDULE H, PART V, LINE 7A, CHNA URL: HTTPS://WWW.FISHERTITUS.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT-SUPPORT/HEALTH-NEEDS-ASSESSMENT/ FISHER-TITUS MEDICAL CENTER: FORM 990, SCHEDULE H, PART V, LINE 10A, IMPLEMENTATION STRATEGY URL:HTTPS://WWW.FISHERTITUS.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT-SUPPORT/HEALTH-NEEDS-ASSESSMENT/ FISHER-TITUS MEDICAL CENTER: FORM 990, SCHEDULE H, PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.FISHERTITUS.ORG/PATIENTS-GUESTS/BILLING-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE/ FISHER-TITUS MEDICAL CENTER: FORM 990, SCHEDULE H, PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.FISHERTITUS.ORG/PATIENTS-GUESTS/BILLING-FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE/ 2 1 - NORWALK MEMORIAL HOME 272 BENEDICT AVENUE NORWALK OH 44857 INTERMEDIATE & SKILLED NURSING FACILITY 2 - THE CARRIAGE HOUSE OF FISHER-TITUS 175 SHADY LANE DRIVE NORWALK OH 44857 ASSISTED LIVING FACILITY PART I, LINE 3C: ALONG WITH THE FEDERAL POVERTY GUIDELINES, FISHER-TITUS USES MEDICAL INDIGENCY AND UNDERINSURANCE STATUS TO HELP DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PART I, LINE 7: THE COSTING METHODOLOGY USED FOR THE CHARITY CARE SEGMENT OF THE LINE 7 TABLE WAS THE IRS WORKSHEET 1, "CHARITY CARE AT COSTS" IN THE INSTRUCTIONS. COST TO CHARGE RATIOS WERE CARRIED OVER FROM THE IRS WORKSHEET 2 AS A BASIS TO ESTIMATE EXPENSES AND WAS APPLIED TO THE GROSS PATIENT CHARIY CARE CHARGES RECORDED IN 2022. THE COSTING METHODOLOGY USED FOR THE UNREIMBURSED MEDICAID SEGMENT ON THE LINE 7 TABLE WERE CALCULATED USING A COST TO CHARGE RATIO EXTRACTED FROM THE MEDICAID COST REPORT DATA. THE COSTING METHODOLOGY USED FOR THE "OTHER BENEFITS" SEGMENT OF THE LINE 7 TABLE WERE CALCULATED USING A COMBINATION OF DIRECT COSTS AND OUR COST ACCOUNTING SYSTEM WHICH TAKES INTO CONSIDERATION ALL PATIENT TYPES AND SEGMENTS. PART II, COMMUNITY BUILDING ACTIVITIES: IN 2022, FISHER-TITUS'S COMMUNITY BUILDING ACTIVITIES BENEFITS PROVIDED $6.9 MILLION TO SUPPORT PROGRAMS THAT IMPACTED THE OVERALL HEALTH OF OUR COMMUNITIES AND THE QUALITY OF LIFE OF OUR RESIDENTS. WHILE HOSPITAL-BASED MEDICAL SERVICES ARE THE MOST OBVIOUS WAY WE HELP, FTMC FULFILLS THE HEALTH-CARE NEEDS OF OUR AREA WITH COMMUNITY HEALTH SCREENINGS, EDUCATION CLASSES, PATIENT ASSISTANCE PROGRAMS AND SUPPORT OF HEALTH-RELATED ACTIVITIES. FTMC EMPLOYEES SERVE ON COMMUNITY AND CIVIC BOARDS, HEALTH-ORIENTED ORGANIZATIONS AND ARE INVOLVED IN ECONOMIC DEVELOPMENT ACTIVITIES THROUGHOUT THE COUNTY. FTMC ALSO WORKS WITH SCHOOLS; WORK SITES AND SAFETY NET PROVIDERS TO PROMOTE HEALTH AND WELLNESS AND PREVENT DISEASE. FISHER-TITUS IS A LEADER IN ENVIRONMENTAL STEWARDSHIP, HAVING EARNED NUMEROUS STATE AND NATIONAL AWARDS. PART III, LINE 2: THE COSTING METHODOLOGY USED FOR COMPLETING THE SCHEDULE H PART III, LINE 2 IS DERIVED FROM THE BAD DEBT EXPENSE INCLUDED IN THE AUDITED FINANCIAL STATEMENTS ADJUSTED BY THE AMOUNT OF THE WRITE-OFFS OF THE ACCOUNTS THAT WENT TO BAD DEBT. PART III, LINE 3: AS A TAX-EXEMPT HOSPITAL, NOT-FOR-PROFIT ORGANIZATION WE MUST PROVIDE NECESSARY MEDICAL CARE TO ALL, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBT AS COMMUNITY BENEFIT. THE IDENTIFICATION OF PATIENTS ELIGIBLE FOR CHARITY CARE IS SOLEY BASED ON THE COOPERATION OF THE PATIENT TO PROVIDE THE ORGANIZATION ENOUGH FAMILY AND FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY TO MATCH OUR PROGRAMS. HISTORICALLY, IN ADDITION TO THE INTERNALLY IDENTIFIED CHARITY, 10-13% OF THE ACCOUNT BALANCES TURNED TO COLLECTION WERE SUBSEQUENTLY IDENTIFIED BY THE AGENCY AS CHARITY AND RETURNED. THIS CHARITY IS RECORDED ONLY WHEN IT HAS BEEN IDENTIFIED THROUGH VERIFICATION OF INABILITY TO PAY. WE DO BELIEVE THERE IS A SECOND, RELATIVELY EQUAL SEGMENT OF THE BAD DEBT THAT WOULD QUALIFY FOR CHARITY. PATIENTS WITH POOR CREDIT RATINGS AND MULTIPLE CREDITORS MAKING COLLECTION EFFORT FINDS LITTLE VALUE IN COMPLETING THE CHARITY APPLICATION PROCESS TO ONLY ELIMINATE ONE CREDITOR AND HAVE NO IMPROVEMENT TO THEIR FINANCIAL STATUS. WE ESTIMATE THAT UNDER THE CURRENT ECONOMIC CONDITIONS UNIDENTIFIED CHARITY IN BAD DEBT EXPENSE IS ESTIMATED TO BE AN ADDITIONAL $946,874 OR 25% OF BAD DEBT. SINCE THIS CALCULATION IS ON AN ACCRUAL BASIS, WE BELIEVE ESTIMATING 10% FOR CHARITY TO BE IDENTIFIED IN FUTURE YEARS AND AN ADDITIONAL 15% FOR BALANCES NEVER IDENTIFIED AS CHARITY IS A VERY CONSERVATIVE AND REASONABLE ESTIMATE OF THIS CHARITY CARE VALUE. PART III, LINE 4: THE FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE TREATMENT IN THE AUDIT FINANCIAL STATEMENTS IS ON PAGE 15. PART III, LINE 8: FISHER-TITUS MEDICAL CENTER'S MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO EXTRACTED FROM THE MEDICARE COST REPORT DATA. THE MEDICAL CENTER BELIEVES THAT ALL OF THE $4,988,846 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT, BECAUSE OUR MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT MEDICALLY NECESSARY CARE TO ANY PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY. THIS YEAR, MEDICARE ACCOUNTED FOR 50% OF HOSPITAL REVENUES AND THESE MEDICARE BENEFICIARIES WERE PROVIDED CARE IN SPITE OF THIS SHORTFALL. CARING FOR THE MEDICARE BENEFICIARIES RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE TRUE COST FOR THEIR CARE AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. TAX EXEMPT HOSPITALS ARE ALSO EXPECTED TO PARTICIPATE IN THE MEDICARE PROGRAM. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE MEDICAL CENTER IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. PART III, LINE 9B: THE CHARITY POLICY IS A SUBSET OF THE OVERALL COLLECTION POLICY. WHEN PATIENTS ARE IDENTIFIED AS QUALIFYING FOR ANY OF THE CHARITY CATEGORIES WE SEARCH ACCOUNTS RECEIVABLE AND ACCOUNTS PLACED WITH COLLECTION AGENCIES AND PACKAGE THEM WITH THE APPLICATION. CHARITY INFORMATION IS SHARED WITH OUR RELATED ORGANIZATIONS AND FORMS THE BASIS FOR THEIR CHARITY ADJUSTMENTS. IN ADDITION WITH PATIENT APPROVAL, WE MAY CONTACT LOCAL PHYSICIAN PRACTICES WITH THE INFORMATION AS MANY WILL ADJUST THEIR BALANCES BASED UPON THE INFORMATION PROVIDED. PART VI, LINE 2: USING A SEVERITY AND SIZE COMPARISON INFORMATION THE HOSPITAL ALSO COMPARED DATA FROM HEALTHY PEOPLE 2020 AND OHIO 2020-2022 STATE IMPROVEMENT PLAN, HOSPITAL ADMISSIONS, LOCAL HEALTH CARE PROVIDER OFFICE VISITS AS WELL AS UNDERSERVED, LOW INCOME AGENCIES ALONG WITH THE CHNA. PART VI, LINE 3: PATIENTS ARE INTERVIEWED AFTER REGISTRATION TO ASSIST THEM IN DETERMINING EACH PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS AVAILABLE INTERNALLY AND EXTERNALLY. FTMC HAS BILINGUAL SIGNAGE POSTED IN THE ADMITTING/REGISTRATION AREAS, BILLING OFFICE AND FINANCIAL COUNSELING OFFICES, AND IN THE INPATIENT GUIDES IN THE PATIENT ROOMS. THE FTMC WEBSITE HAS A SECTION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND CONTACT INFORMATION. A MESSAGE ABOUT FINANCIAL ASSISTANCE AND CHARITY CARE ALSO IS INCLUDED ON THE BILLS THAT ARE SENT TO THE PATIENTS. MANY MATERIALS ARE BILINGUAL AND INTERPRETATION SERVICES ARE AVAILABLE. OUR SOCIAL SERVICES DEPARTMENT REGULARLY REFERS PATIENTS IN NEED TO OUR FINANCIAL COUNSELORS FOR ASSISTANCE. WE ALSO TAKE REFERRALS FROM THE LOCAL COUNTY HUMAN SERVICES AGENCIES, VICTIMS OF VIOLENT CRIMES, LOCAL HEALTH DEPARTMENTS, LOCAL LAW ENFORCEMENT AGENCIES, CHURCHES, ETC. FTMC IS VERY PROACTIVE IN TAKING THE MESSAGE TO OUR COMMUNITY. BROCHURES ARE AVAILABLE AT COMMUNITY OUTREACH EVENTS HELD IN THE HOSPITAL AND AT OUTSIDE COMMUNITY EVENTS. FTMC COMMUNICATES THE INFORMATION ABOUT CHARITY CARE PROGRAMS THROUGH ITS COMMUNITY NEWSLETTER AND LOCAL NEWS MEDIA. PART VI, LINE 4: THE FISHER-TITUS MEDICAL CENTER PROVIDES COMPREHENSIVE STATE-OF-THE ART HEALTH CARE SERVICES TO THE RESIDENTS OF HURON AND ERIE AS WELL AS PORTIONS OF OTHER CONTIGUOUS COUNTIES WITH THE LATEST MEDICAL ADVANCEMENTS. FISHER-TITUS'S PRIMARY AREA IS THE GREATER HURON COUNTY AREA IN NORTH CENTRAL OHIO, WHICH IS HOME TO AROUND 58,400 RESIDENTS. FISHERS-TITUS'S 50 ACRE CAMPUS IS IN THE COUNTY SEAT OF NORWALK, WHICH IS THE LARGEST CITY IN THE COUNTY WITH OVER 16,800 RESIDENTS. FISHERS-TITUS HAS NUMEROUS MEDICAL OFFICES LOCATED THROUGHOUT THE COUNTY TO PROVIDE EASY ACCESS TO PHYSICIANS FOR COMMUNITY RESIDENTS. HURON COUNTY HAD THE 9TH HIGHEST LEVEL OF UNEMPLOYMENT WITH AN AVERAGE OF 5.1% IN 2022. THE LARGEST PERCENTAGE OF RESIDENTS ARE CHILDREN UNDER 18 WITH THOSE INDIVIDUALS 65 AND OLDER MAKING UP 18.1% OF THE POPULATION. 89.6% OF THE RESIDENTS ARE CAUCASIAN WITH 7.0% OF THE POPULATION BEING HISPANIC OR LATINO (OF ANY RACE). IN 2021, MEDIAN HOUSEHOLD INCOME WAS $59,049 COMPARED TO OHIO'S MEDIAN HOUSEHOLD INCOME OF $61,938. IN 2021, 12.3% OF INDIVIDUALS WERE LIVING IN POVERTY WITH THOSE UNDER THE AGE OF 18 LIVING IN POVERTY ESTIMATED TO BE 16.0%. PART VI, LINE 5: THE BOARD OF DIRECTORS IS COMPOSED OF AREA RESIDENTS INCLUDING BUSINESS AND COMMUNITY LEADERS, PHYSICIANS AND OTHER INTERESTED PERSONS. THESE VOLUNTEERS GIVE COUNTLESS HOURS OF SERVICE TO THE MEDICAL CENTER IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, IN FUNDRAISING, AND IN GENERAL STEWARDSHIP. FTMC'S MEDICAL STAFF IS OPEN AND PRIVILEGES ARE GRANTED TO ALL QUALIFIED PHYSICIANS WHO APPLY AND MEET THE STANDARDS OF THE MEDICAL CENTER PRIVILEGING PROCESS. THE MEDICAL CENTER UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO THE FOLLOWING:1. EDUCATIONAL PROGRAMS THAT PROVIDE CLASSES AND INFORMATION ON TOBACCO CESSATION, HEALTHY AGING, CHILDBIRTH, INFANT CARE, EARLY PREGNANCY AND MORE.2. FREE MAMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW-COST SCREENINGS FOR HEART DISEASE, BREAST, PROSTATE, SKIN AND COLORECTAL CANCER AS WELL AS OSTEOPOROSIS ASSESSMENTS. 1 FISHER TITUS FOUNDATION 272 BENEDICT AVE NORWALK OH 44857 341476934 501(C)(3) 20000 0 CONTRIBUTION TOWARDS THE PRESCRIPTION ASSISTANCE PROGRAM NORWALK AREA FRIENDS OF YOUTH SPORT 20 BANEBERRY LANE NORWALK OH 44857 472930548 501(C)(3) 50000 0 CONTRIBUTION TOWARDS NORWALK BIKE BATH NORWALK ECONOMIC DEVELOPMENT CORP 10 1/2 WEST MAIN STREET NORWALK OH 44857 341787391 501(C)(3) 12500 0 CONTRIBUTION TO THE MONROEVILLE MAIN STREET PROJECT NORWALK ECONOMIC DEVELOPMENT CORP 10 1/2 WEST MAIN STREET NORWALK OH 44857 341787391 501(C)(3) 8520 0 CONTRIBUTION TO JOBS OHIO INCLUSION NEW LONDON PARKS & REC 115 E MAIN STREET NEW LONDON OH 44851 GOVT 14385 0 CONTRIBUTION TOWARDS TENNIS COURT LIGHTING NEW LONDON PARKS & REC 115 E MAIN STREET NEW LONDON OH 44851 GOVT 0 38900 FMV PITCHING MACHINES SUPPORT FOR THE NEW LONDON BATTING CAGES NEW LONDON PARKS & REC 115 E MAIN STREET NEW LONDON OH 44851 GOVT 0 18800 FMV INSTALLATION OF BATTING CAGES SUPPORT FOR THE NEW LONDON BATTING CAGES CITY OF WILLARD 631 S MYRTLE AVENUE WILLARD OH 44890 GOVT 0 200000 FMV CONCRETE FOR WALKING PATH SUPPORT FOR THE WILLARD RESERVE WALKING PATH 5 PART I, LINE 2: THE MEDICAL CENTER REVIEWS EACH GRANT OR DONATION REQUEST BEFORE THE GRANT OR DONATION IS MADE. X X X X X 0 1 0 0 0 0 0 0 0 BRENT BURKEY PRESIDENT/CEO 478744 0 517101 0 2699 0 59116 0 2850 0 1060510 0 0 0 GARY MOORMAN CHIEF MEDICAL OFFICER 355172 0 16023 0 2567 0 12200 0 24130 0 410092 0 0 0 JOHN K HUGHES MD DIRECTOR 0 233654 0 27500 0 52547 0 38514 0 30908 0 383123 0 29779 MATTHEW MATTNER CHIEF OPERATIONS OFFICER 248019 0 11233 0 32931 0 40349 0 30208 0 362740 0 10283 0 SCOTT E ENDSLEY CHIEF FINANCIAL OFFICER 253082 0 10855 0 30219 0 33558 0 13580 0 341294 0 21999 0 KATIE CHIEDA CHIEF NURSING OFFICER 202125 0 19068 0 12423 0 31074 0 34228 0 298918 0 10396 0 LINDA STEVENSON CHIEF INFORMATION OFFICER 208865 0 5598 0 18912 0 28288 0 23230 0 284893 0 16868 0 SHARON HARWOOD CHIEF COMPLIANCE OFFICER 175933 0 8601 0 41648 0 27650 0 13307 0 267139 0 19588 0 MIRIAM BATKE CHIEF HUMAN RESOURCE OFFICER 204489 0 10457 0 1985 0 28782 0 19018 0 264731 0 0 0 SUZANNE FARMER CHIEF ADMINISTRATIVE OFFICER 210996 0 3986 0 6504 0 30722 0 1530 0 253738 0 0 0 JASON W GAHRING VP AMBULATORY SERVICES 166590 0 6100 0 1280 0 6947 0 750 0 181667 0 0 0 PART I, LINE 4B PART I LINE 4B & PART II, LINE 1 - INCLUDED IN DR. BURKEY'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $59,116 REPORTED IN COLUMN C IS $12,200 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $46,916 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 5 - INCLUDED IN MR. ENDSLEY'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $33,558 REPORTED IN COLUMN C IS $8,329 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $25,229 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 6 - INCLUDED IN MS. CHIEDA'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $31,074 REPORTED IN COLUMN C IS $9,716 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $21,358 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 3 - INCLUDED IN DR. HUGHES'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $38,514 REPORTED IN COLUMN C IS $12,014 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $26,500 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 4 - INCLUDED IN MR. MATTNER'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $40,349 REPORTED IN COLUMN C IS $12,022 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $28,327 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 8 - INCLUDED IN MS. HARWOOD'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $27,650 REPORTED IN COLUMN C IS $7,788 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $19,862 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 7 - INCLUDED IN MS. STEVENSON'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $28,288 REPORTED IN COLUMN C IS $7,464 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $20,824 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 9 - INCLUDED IN MS. BATKE'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $28,782 REPORTED IN COLUMN C IS $8,449 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $20,333 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 10 - INCLUDED IN MS. FARMERS'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $30,722 REPORTED IN COLUMN C IS $8,887 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $21,835 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART 1 LINE 3: RESPONSIBILTY FOR DETERMINING AND RECOMMENDING EXECUTIVE COMPENSATION RESTS WITH THE PERSONNEL COMMITTEE OF THE FISHER-TITUS HEALTH BOARD. THE COMMITTEE RETAINS AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO HELP ESTABLISH CASH COMPENSATION TARGET RANGES AND IDENTIFY REASONABLE AND CUSTOMARY BENEFIT PROGRAMS FOR EXECUTIVES. THE INDEPENDENT CONSULTANT REPORTS TO THE PERSONNEL COMMITTEE ON RELEVANT PEER GROUPS, CASH COMPENSATION REPORTED IN AVAILABLE SALARY SURVEYS FOR THE PEER GROUP AND TRENDS IN PERQUISITE PROGRAMS CUSTOMARILY AVAILABLE AMONG THE PEER GROUP FOR EXECUTIVES. RECOMMENDATIONS BY THE CONSULTANT ARE PRESENTED TO THE PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE THEN PROVIDED TO EACH OF THE DIRECTORS OF THE FISHER-TITUS HEALTH BOARD. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED BY THE PERSONNEL COMMITTEE AND THEN BY THE FISHER-TITUS HEALTH BOARD OF DIRECTORS. THE MINUTES OF EACH BOARD MEETING WHERE SUCH ACTION IS TAKEN REFLECT SUCH ACTION. THIS IS DONE ANNUALLY AND WAS LAST DONE IN MARCH 2022. A COUNTY OF HURON OHIO 346400672 2015-04-01 9420000 SEE PART VI BELOW 0 0 0 B COUNTY OF HURON OHIO 346400672 2017-08-15 17825000 SEE PART VI BELOW 0 0 0 A 6594000 9420000 50000 9370000 2015 1 0 1 1 B 4930442 17825500 239217 6645200 10941083 2017 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 1 A 0 0 1 0 1 1 PNC 6.800000000000 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 B 1 PART I, LINE A: SERIES 2015A BONDS - PURPOSE WAS TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 2003A BONDS. PART 1, LINE B: SERIES 2017A BONDS - PURPOSE WAS TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 2007A BONDS AND ACQUIRE ADDITIONAL HOSPITAL EQUIPMENT. PART II, LINE 11, COLUMN A: INCLUDED IN COLUMN A $9,370,000 OF THE PROCEEDS WERE USED TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 2003A BONDS. PART II, LINE 11, COLUMN B: INCLUDED IN COLUMN B $10,941,083 OF THE PROCEEDS WERE USED TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 2007A BONDS. BRENT BURKEY PRESIDENT SEE PART V X 320000 40000 0 1 1 40000 BATTLES INSURANCE AGENCY SEE PART V 1407535 VENDOR 0 PART IV: PART IV, LINE 5 - PERRY DRYDEN, BOARD MEMBER IS PRESIDENT OF BATTLES INSURANCE AGENCY AND 50% OWNER. PART IV: PART II LINE 1 - THE LOAN REPRESENTS THE VALUE OF THE PURCHASE OF A SPLIT-DOLLOAR LIFE INSURANCE POLICY TO SUPPLEMENT RETIREMENT INCOME AND RETURN PREMIUMS TO THE ORGANIZATION BASED ON THE AGREEMENT. FORM 990, PART III, LINE 4A: FISHER-TITUS MEDICAL CENTER (FTMC) IS AN INDEPENDENT NON-PROFIT COMMUNITY HEALTHCARE ORGANIZATION GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF AREA RESIDENTS INCLUDING BUSINESS AND COMMUNITY LEADERS, PHYSICIANS, AND OTHER INTERESTED INDIVIDUALS. FTMC IS COMPOSED OF THE FOLLOWING FIVE OPERATING DIVISIONS: FISHER-TITUS MEMORIAL HOSPITAL THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE RESIDENTS OF HURON, ERIE AND THE ADJACENT COUNTIES OF SANDUSKY, CRAWFORD, LORAIN, ASHLAND, AND RICHLAND. IN 2022, THE HOSPITAL PROVIDED 11,164 DAYS OF INPATIENT CARE TO 3,035 PATIENTS. THE HOSPITAL HAD 131,149 OUTPATIENT AND 26,964 EMERGENCY ROOM VISITS DURING THE YEAR. THE NORWALK MEMORIAL HOME THE NORWALK MEMORIAL HOME PROVIDES SKILLED AND LONG-TERM CARE IN ITS TRANSITIONAL AND EXTENDED CARE UNITS. DURING 2022, THE HOME SERVED 339 RESIDENTS AND PROVIDED 19,144 DAYS OF CARE. THE HOME HEALTH CENTER HOME HEALTH AGENCY THE HOME HEALTH CENTER PROVIDED 12,501 HOME VISITS TO 248 DIFFERENT PATIENTS IN 2022. THE CARRIAGE HOUSE OF FISHER-TITUS OPENED IN 1998, THE CARRIAGE HOUSE IS A 48-UNIT ASSISTED LIVING FACILITY, WHICH PROVIDED 10,680 DAYS OF ASSISTED LIVING CARE TO 32 RESIDENTS IN 2022. FACILITY AND PROGRAM EXPANSIONS FISHER-TITUS PARTNERED WITH OHA AND THE OHIO NATIONAL GUARD DURING THE JANUARY 2022 COVID-19 SURGE TO PROVIDE INCREASED DRIVE-THRU TESTING AND OPERATIONAL SUPPORT TO ENSURE COMMUNITY PATIENT NEEDS WERE MET LOCALLY. THROUGHOUT 2022, FISHER-TITUS CONTINUED TO OFFER ACCESS TO COVID-19 IMMUNIZATIONS AND TESTING TO PREVENT THE SPREAD OF COVID-19 AND ADDRESS COMMUNITY TRANSMISSION LEVELS. IN JUNE, FISHER-TITUS REINSTITUTED THE ANNUAL SENSORY-FRIENDLY SAFETY TOWN, THE FIRST OFFERED SINCE 2019. SENSORY-FRIENDLY SAFETY TOWN IS AN OFFERING OF SAFETY TOWN THAT HAS BEEN ADAPTED FOR CHILDREN, AGES 6-12 YEARS, WITH DISABILITIES. THIS MODIFIED PROGRAM TEACHES CHILDREN HOW TO MAKE SAFE CHOICES WHEN CROSSING THE STREET, HOW TO ACT IN EMERGENCY SITUATIONS, FIRE SAFETY, MEDICATION SAFETY, AND MORE. IN JULY, THE CITY OF WILLARD AND FISHER-TITUS HELD A RIBBON CUTTING CEREMONY FOR THE NEW FISHER-TITUS WALKING PATH AT THE WILLARD RESERVOIR. THE NEW CONCRETE WALKING PATH IS 2.32 MILES AROUND THE WILLARD RESERVOIR AND PROMOTES HEALTHY LIVING BY PROVIDING A PLACE TO EXERCISE BY RUNNING, WALKING, CYCLING, AND ROLLERBLADING. THE ADA STANDARD PATH NOW ALSO INCLUDES TEN STORYBOARDS FOCUSING ON CURRENT HEALTH TOPICS. FISHER-TITUS PARTNERED WITH WESTERN RESERVE SCHOOL DISTRICT AND WESTERN RESERVE ATHLETIC BOOSTERS TO ANNOUNCE A PLAN TO COMPLETE A SERIES OF IMPROVEMENTS TO THE CURRENT FOOTBALL STADIUM. THE GOAL OF THE PROJECT WAS TO FOCUS ON IMPROVEMENTS TO THE OUTDOOR AREA OF OUR CURRENT STADIUM INCLUDING IMPROVING HANDICAP ACCESSIBILITY FOR ONSITE EVENTS. IN ADDITION TO BEING A BENEFIT FOR SPORTING EVENTS AND PRACTICES, THE NEW TRACK WILL PROVIDE A COMMUNITY VENUE FOR WALKING AND RUNNING. ADDITIONAL COMMUNITY PROJECTS FISHER-TITUS FUNDED TO ENHANCE WALKABILITY AND HEALTHY LIFESTYLES INCLUDE: -FISHER-TITUS WALKING PATH AT CONTRACTORS FIELD CONNECTS THE BALLPARK TO THE NEW BIKE TRAIL. -WAKEMAN FITNESS PARK USES BODY WEIGHT "MACHINES" TO CREATE A WORKOUT FOR EVERY LEVEL OF ATHLETE. -MCGUAN ALL-ABILITIES PARK HELPED BUILD/SPONSOR AN ACCESSIBLE PLAYGROUND IN NORWALK. -REINTRODUCED HEALTHY KIDS, HEALTHY YOU BACK INTO THE KINDERGARTEN CLASSROOMS POST-COVID TO REINFORCE HEALTHY EATING HABITS THROUGH EDUCATION. IN OCTOBER, FISHER-TITUS HOSTED A WOMEN'S HEALTH FAIR. THE FAIR FOCUSED ON NEW PARENTS AND THEIR FAMILIES. NEW OR SOON-TO-BE PARENTS, GRANDPARENTS, AUNTS, UNCLES, SIBLINGS, AND OTHER CAREGIVERS WERE INVITED TO THE HEALTH FAIR TO HELP THEM PREPARE FOR THE ARRIVAL OF THE NEW BABY IN THEIR LIFE. THE WELLNESS FAIR FEATURED THE FISHER-TITUS PERINATAL BABY BOOT CAMP PROGRAM ALONG WITH ANTEPARTUM LACTATION SUPPORT SERVICES. IN NOVEMBER, FISHER-TITUS AND THE VILLAGE OF NEW LONDON CELEBRATED THE OPENING OF THE NEW BATTING CAGES IN NEW LONDON WITH A RIBBON CUTTING CEREMONY. FISHER-TITUS SUPPORTED THE BATTING CAGE PROJECT AS WELL AS TENNIS COURT LIGHTING. IN DECEMBER, FISHER-TITUS HOSTED THEIR SIXTH REDUCED-RATE COMMUNITY HEALTH SCREENING FOR LAB TESTS, INCLUDING: COMPLETE BLOOD COUNTWITH DIFFERENTIALBASIC METABOLIC PANEL, LIPID PANEL, AND HEPATIC PROFILE, PSA, HEMOGLOBIN A1C, THYROID TEST (TSH) AND VITAMIN D. EDUCATION AND RESEARCH TO ENSURE THAT WE HAVE THE QUALITY WORKFORCE WE NEED TO CARE FOR OUR COMMUNITY IN THE FUTURE, WE ARE COMMITTED TO THE EDUCATION OF CURRENT AND FUTURE CAREGIVERS, AND WE COLLABORATE WITH LOCAL HIGH SCHOOLS AND OHIO UNIVERSITIES TO PROVIDE INTERNSHIPS, INSTRUCTORS, CLASSROOM SPACE, AND CLINICAL TRAINING. WE ARE PLEASED TO BE ABLE TO OFFER A COMPREHENSIVE LEARNING EXPERIENCE UTILIZING OUR STATE-OF-THE-ART FACILITIES AND ADVANCED TECHNOLOGY. THE HEALTHCAREERS PROGRAM WAS CONCEIVED IN LATE 2022 AND IMPLEMENTED IN 2023 TO IDENTIFY LOCAL HIGH SCHOOL STUDENTS WHO ARE INTERESTED IN FUTURE HEALTHCARE CAREERS. THE LPN TO RN CLINICAL LADDER PROGRAM CONTINUES TO SUPPORT THE ADVANCEMENT AND RETENTION OF OUR CLINICAL NURSES PROVIDING CARE TO THE HURON COUNTY COMMUNITY AND BEYOND. EXCELLENT PHYSICIANS THE MEDICAL STAFF IS COMPOSED OF BOTH INDEPENDENT PRACTITIONERS AS WELL AS PHYSICIANS AND PROVIDERS EMPLOYED BY FISHER-TITUS UNDER THE NAME FISHER-TITUS MEDICAL CARE. OVERALL, THE MEDICAL STAFF INCLUDES 266 PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REPRESENTING 36 MEDICAL SPECIALTIES. THE MEDICAL CARE EMPLOYED GROUP INCLUDES PRACTITIONERS REPRESENTING PRIMARY CARE, PEDIATRICS, DIGESTIVE HEALTH, UROLOGY, BEHAVIORAL HEALTH, PULMONOLOGY, CARDIOLOGY, AND VASCULAR CARE. AWARDS AND ACCREDITATIONS THROUGHOUT THE YEARS FISHER-TITUS HAS BEEN SUCCESSFUL IN MEETING THE CHALLENGES OF AN INCREASINGLY COMPLEX HEALTH-CARE INDUSTRY AND HAS PROVIDED EXCEPTIONAL SERVICE QUALITY TO MEMBERS OF THE SURROUNDING COMMUNITIES. THE MEDICAL CENTER IS ACCREDITED BY THE ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC). FISHER-TITUS ALSO IS A LEVEL III TRAUMA CENTER, HFAP PRIMARY STROKE CENTER, A LEVEL 2 ADULT CARDIAC CATHETERIZATION LABORATORY, AND SINCE 1989 ACCREDITED BY THE COMMISSION ON CANCER. THE MEDICAL CENTER'S FOCUS ON QUALITY CARE AND EXCEPTIONAL SERVICE IS EVIDENCED BY THE MANY HOSPITAL AND DEPARTMENTAL ACCREDITATIONS, AWARDS, AND RECOGNITIONS RECEIVED IN 2022: FISHER-TITUS WAS NAMED TO NEWSWEEK'S 2022 LIST OF BEST MATERNITY CARE HOSPITALS, ONLY ONE OF 384 FACILITIES NATIONWIDE. THIS WAS THE FOURTH YEAR IN A ROW THEY RECEIVED THIS RECOGNITION. THE DISTINCTION RECOGNIZES FACILITIES THAT HAVE EXCELLED IN PROVIDING CARE TO MOTHERS, NEWBORNS, AND THEIR FAMILIES. BEST MATERNITY CARE HOSPITALS IS PART OF NEWSWEEK, POWERED BY DATA FROM THE LEAPFROG GROUP. FISHER-TITUS WAS NAMED TO MONEY'S INAUGURAL LIST OF THE BEST HOSPITALS IN AMERICA. THEY ARE ONE OF 148 HOSPITALS IN THE COUNTRY AND ONE OF ONLY FOUR IN OHIO. IN PARTNERSHIP WITH THE LEAPFROG GROUPA NONPROFIT THAT HAS BEEN VETTING HOSPITALS FOR MORE THAN 20 YEARSTHE MONEY (FORMERLY KNOWN AS MONEY MAGAZINE) LIST IS DESIGNED TO SPOTLIGHT THE FACILITIES THAT CONSISTENTLY DELIVER THE SAFEST, HIGHEST-VALUE CARE FOR PATIENTS. ACCORDING TO MONEY, THE LIST IS MEANT TO GIVE PATIENTS PEACE OF MIND WHEN MAKING DECISIONS ABOUT WHERE TO RECEIVE THEIR HEALTH CARE. THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME) RELEASED THEIR COVETED DIGITAL HEALTH MOST WIRED SURVEY RESULTS FOR THE 2022 DATA COLLECTION PERIOD. FISHER-TITUS WAS PROUD TO ANNOUNCE THEIR LEVEL 7 ACHIEVEMENT FOR THE ACUTE SURVEY SELECTION. THEY WERE THE ONLY HOSPITAL IN THE REGION TO RECEIVE THIS RECOGNITION. FISHER-TITUS WAS AWARDED A THREE-YEAR TERM OF ACCREDITATION IN NUCLEAR MEDICINE AS THE RESULT OF A RECENT REVIEW BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). NUCLEAR MEDICINE IS A BRANCH OF MEDICAL IMAGING THAT USES TINY AMOUNTS OF RADIOACTIVE MATERIAL, INGESTED BY THE PATIENT, TO DIAGNOSE AND TREAT A VARIETY OF DISEASE, INCLUDING MANY TYPES OF CANCERS, HEART DISEASE AND CERTAIN OTHER ABNORMALITIES WITHIN THE BODY. IN JUNE, FISHER-TITUS RECEIVED THREE AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES ACHIEVEMENT AWARDS FOR DEMONSTRATING COMMITMENT TO FOLLOWING UP-TO-DATE, RESEARCH-BASED GUIDELINES FOR THE TREATMENT OF HEART DISEASE AND STROKE, LEADING TO MORE LIVES SAVED, SHORTER RECOVERY TIMES AND FEWER READMISSIONS TO THE HOSPITAL. NORWALK MEMORIAL HOME WAS NAMED TO U.S. NEWS AND WORLD REPORT'S LIST OF BEST NURSING HOMES. ONLY 15% OF NURSING HOMES IN THE UNITED STATES MAKE THIS LIST. FISHER-TITUS WAS RECOGNIZED AS A WINNER OF THE 2022 COMMUNITY OF THE YEAR POPULATION HEALTH PIONEER AWARDS, PRESENTED BY CARAVAN HEALTH, PART OF SIGNIFY HEALTH. THE AWARD IS GIVEN TO ACCOUNTABLE CARE ORGANIZATIONS (ACOS) AND PARTNERS EACH YEAR WHO HAVE DEMONSTRATED EXEMPLARY WORK WHILE SERVING THEIR PATIENTS, COMMUNITY, AND THE HEALTHCARE INDUSTRY. FORM 990, PART III, LINE 4B: FISHER-TITUS HAS EARNED THE FOLLOWING ACCREDITATIONS AND ACHIEVEMENTS: -ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC) -AMERICAN COLLEGE OF CARDIOLOGY ACCREDITED CHEST PAIN CENTER -AMERICAN COLLEGE OF RADIOLOGY -AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER -AMERICAN COLLEGE OF SURGEONS VERIFIED LEVEL III TRAUMA CENTER -AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD -CERTIFIED LEVEL II ADULT CARDIAC CATHETERIZATION LAB (OHIO DEPARTMENT OF HEALTH) -INTERSOCIETAL ACCREDITATION COMMISSION ACCREDITED FACILITY IN VASCULAR TESTING - ULTRASOUND -NEWSWEEK'S BEST MATERNITY HOSPITAL -PRIMARY STROKE CENTER (ACCREDITATION COMMISSION FOR HEALTH CARE - ACHC) -THE LOWN INSTITUTE #8 IN OHIO FOR INCLUSIVITY, HIGH VALUE CARE, AND COMMUNITY BENEFIT. FISHER-TITUS RECEIVED AN OVERALL GRADE OF A+. -TOP 100 RURAL HEALTH HOSPITALS (THE CHARTIS CENTER) -NAMED TO MONEY'S INAUGURAL LIST OF THE BEST HOSPITALS IN AMERICA -2022 COMMUNITY OF THE YEAR POPULATION HEALTH PIONEER AWARDS, PRESENTED BY CARAVAN HEALTH, PART OF SIGNIFY HEALTH -THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES' DIGITAL HEALTH MOST WIRED -U.S. NEWS AND WORLD REPORT'S LIST OF BEST NURSING HOMES COMMUNITY HEALTH AND OUTREACH PROGRAMS FISHER-TITUS MEDICAL CENTER'S COMMUNITY BENEFITS EXTEND OUTSIDE OUR WALLS TO FAMILIES, BUSINESS, SCHOOLS, CHURCHES AND NEIGHBORHOODS THROUGH OUTREACH PROGRAMS AND OTHER COORDINATED CARE ACTIVITIES THAT MAKE OUR COMMUNITIES HEALTHIER PLACES TO LIVE, WORK AND WORSHIP. OUR GOAL IS TO HELP ALL RESIDENTS EQUALLY ACCESS THE CARE THEY NEED AND HELP THEM LEARN TO MANAGE THEIR CONDITIONS AND LIVE HEALTHIER, SAFER LIVES. IN 2020, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND PUBLISHED, WHICH IS CONDUCTED, IN PARTNERSHIP WITH HURON COUNTY PUBLIC HEALTH DEPARTMENT, EVERY THREE YEARS. FISHER-TITUS WAS A LEADER IN THE PROCESS AND PARTNERED WITH HEALTH-RELATED AND CIVIC ORGANIZATIONS THROUGHOUT THE COUNTY TO BOTH FUND THE PROJECT AND ASSIST IN THE ASSESSMENT PROCESS. FROM THAT REPORT, THE BOARD OF DIRECTORS OF FISHER-TITUS MEDICAL CENTER DETERMINED THAT CERTAIN HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT SHOULD BE ADDRESSED AS THE HIGHEST. THE PRIORITIES INCLUDE SUPPORTING INITIATIVES GEARED TO HEALTHY WEIGHT; IMPROVING ACCESS TO MENTAL HEALTH SERVICES; REDUCING SUBSTANCE ABUSED THROUGH PREVENTION, SCREENING, AND TREATMENT; IMPROVING ACCESS TO CARE; AND IMPROVING THE PUBLIC HEALTH INFRASTRUCTURE. FISHER-TITUS SUPPORTS OTHER AREA NON-PROFIT COMMUNITY ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICE, AND EMPLOYEE VOLUNTEERISM. MANY OF OUR COMMUNITY BENEFIT PROGRAMS ARE ORGANIZED TO WORK COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS, AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS. IN 2022, WE OFFERED COMMUNITY HEALTH EDUCATION PROGRAMS, INCLUDING SCHOOL-BASED PROGRAMS, SUPPORT GROUPS, COMMUNITY-BASED HEALTH FAIRS AND SCREENINGS, AND WALKING AND FITNESS PROGRAMS THAT IMPACTED OUR RESIDENTS THROUGH 60,647 ENCOUNTERS. AUXILIARY AND VOLUNTEER SERVICE: DURING 2022, OUR 35 CARING VOLUNTEERS DONATED 5,953 HOURS OF AUXILIARY AND VOLUNTEER SERVICES TO THE MEDICAL CENTER. VOLUNTEERS PROVIDE A VARIETY OF SERVICES INCLUDING HELPING FAMILY MEMBERS, PROVIDING TRANSPORTATION, ASSISTING AT COMMUNITY HEALTH PROGRAMS, DELIVERING REFRESHMENTS, MAIL AND FLOWERS TO HOSPITAL PATIENTS AND RESIDENTS OF THE NORWALK MEMORIAL HOME PLUS ESCORTING PATIENTS THROUGHOUT THE BUILDING. THEY ALSO PERFORM CLERICAL DUTIES, STAFF THE MEDICAL CENTER'S GIFT SHOP, AND ORGANIZE SEVERAL FUND-RAISING EVENTS THROUGHOUT THE YEAR. VOLUNTEER "AMBASSADORS" HAVE INSTRUCTED PATIENTS SINCE APRIL 2010 ON THE USE OF THE TELEVISION/COMPUTER SCREENS LOCATED IN EACH PATIENT ROOM. VOLUNTEERS WORKING IN THIS CAPACITY ARE AT FISHER-TITUS MEDICAL CENTER SEVEN DAYS PER WEEK EACH MORNING FOR 2 HOURS. AMONG THE ITEMS PATIENTS ARE INSTRUCTED ON ARE HOW TO ACCESS THE DAY'S MENU, MEDICAL INFORMATION PERTAINING TO THE PERSON'S HEALTH PROBLEMS, ACCESSING THE INTERNET, PLAYING GAMES, OBTAINING THE NAMES OF CAREGIVERS AS THEY ENTER THE PATIENT'S ROOM, CHOOSING MOVIES, ETC. THE PATIENT THEN MAY USE A REMOTE CONTROL OR A WIRELESS KEYBOARD TO ACCESS THIS INFORMATION. INFORMATION SERVICES PROVIDES ALL COMPUTER TRAINING FOR VOLUNTEERS THAT WORK IN THIS CAPACITY. COMMUNITY HEALTH IMPROVEMENT SERVICES: NUMEROUS HEALTH SCREENINGS ARE OFFERED THROUGHOUT THE YEAR AT THE MEDICAL CENTER AND AT VARIOUS COMMUNITY LOCATIONS AND EVENTS THROUGHOUT OUR SERVICE AREA. THESE PROGRAMS INCLUDE SCREENING FOR BLOOD GLUCOSE, CHOLESTEROL LEVELS, SKIN CANCER, PROSTATE CANCER, OSTEOPOROSIS, AND SCREENING MAMMOGRAMS. IN ADDITION, THE MEDICAL CENTER SPONSORS NUMEROUS SUPPORT GROUPS TO PROVIDE EDUCATION, CARE AND EMOTIONAL SUPPORT TO INDIVIDUALS AND FAMILIES AFFECTED BY DISABILITIES AND CHRONIC MEDICAL CONDITIONS. FTMC'S HEALTH MINISTRY PROGRAM, FORMED IN 2000, HAS BEEN A HIGHLY EFFECTIVE GRASSROOTS INITIATIVE TO GATHER INFORMATION AND PROVIDE HEALTH PROGRAMS THROUGHOUT HURON COUNTY. CURRENTLY 50 AREA CONGREGATIONS ARE MEMBERS OF THE FTMC HEALTH MINISTRY PROGRAM WHICH PROVIDES HEALTH AND WELLNESS INFORMATION AND PROGRAMS IN AREA CHURCHES. THE MEDICAL CENTER IN PARTNERSHIP WITH ITS PHYSICIANS AND OTHER COMMUNITY ORGANIZATIONS PROVIDES PUBLIC FORUMS AND EDUCATIONAL SESSIONS ON A VARIETY OF TOPICS, WHICH ARE SOMETIMES HELD IN TANDEM WITH THE HEALTH SCREENINGS PROVIDED. WE ALSO PROVIDE NUMEROUS HEALTH FAIRS DURING THE YEAR IN SEVERAL LOCATIONS THROUGHOUT THE COUNTY AND SURROUNDING COMMUNITIES IN OUR SERVICE AREA. THESE COMMUNITY HEALTH IMPROVEMENT SERVICES BENEFITED 60,627 PEOPLE IN 2022 AT A COST OF $198,764. PROFESSIONAL MEDICAL EDUCATION: THE MEDICAL CENTER SUPPORTS AND STAFFS SEVERAL CLASSES FOR HEALTH PROFESSIONALS INCLUDING HEALTHCARE PROVIDER CPR, ADVANCED CARDIAC LIFE SUPPORT, BASIC LIFE SUPPORT INSTRUCTOR COURSE AND PEDIATRIC ADVANCE LIFE SUPPORT. IN ADDITION, FTMC SUPPORTS STUDENTS SHADOWING EMPLOYEES TO LEARN MORE ABOUT THEIR CHOSEN CAREER PATH. THE TOTAL COST OF PROFESSIONAL MEDICAL EDUCATION PROVIDED TO 20 PARTICIPANTS WAS $25,397. SUBSIDIZED HEALTH SERVICES: THE MEDICAL CENTER SUBSIDIZES CERTAIN HEALTH SERVICES AND PROCESSES TO ADDRESS SPECIFIC HEALTH ISSUES IN THE COMMUNITY, PROVIDE CARE TO THE UNDERSERVED, OR ENHANCE THE OVERALL QUALITY OF HEALTHCARE WITHIN THE COMMUNITY. THE COST ASSOCIATED WITH THE HEALTH SERVICES IN 2022 WAS $40,839. DONATIONS AND COMMUNITY SUPPORT: THE MEDICAL CENTER MAKES CASH AND NON-CASH CONTRIBUTIONS ANNUALLY TO LOCAL NON-PROFIT ORGANIZATIONS THAT BENEFIT THE HEALTH AND DEVELOPMENT OF OUR LOCAL COMMUNITY AND ITS RESIDENTS. IN ADDITION, THE MEDICAL CENTER SUPPORTS AREA SCHOOLS BY AWARDING SPECIAL HEALTH EDUCATION GRANTS TO SCHOOL DISTRICTS IN OUR SERVICE TERRITORY TO FUND INNOVATIVE PROGRAMS IN THE AREAS OF SCIENCE, MATH, HEALTH, AND HEALTH RELATED EDUCATION. THE TOTAL COST OF THESE DONATIONS AND SUPPORT IN 2022 WAS $412,210. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF FISHER-TITUS MEDICAL CENTER IS THE PARENT COMPANY FISHER-TITUS HEALTH, AN OHIO NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS SHALL BE COMPOSED OF THOSE INDIVIDUALS WHO ARE VOTING DIRECTORS OF THE MEMBER AT ANY TIME, AS DETERMINED UNDER THE CODE OF REGULATIONS OF THE MEMBER (FISHER-TITUS HEALTH). FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING POWERS ARE RESERVED EXCLUSIVELY TO THE MEMBER (FISHER-TITUS HEALTH): A) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND THE CODE OF REGULATIONS; B) TO APPROVE ANY MERGER OF THE CORPORATION OR ANY SALE OF SUBSTANTIALLY ALL OF ITS ASSETS; TO DISSOLVE OR TERMINATE THE EXISTENCE OF THE CORPORATION AND TO DETERMINE THE DISTRIBUTION OF ASSETS UPON SUCH TERMINATION. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS OF THE FISHER-TITUS MEDICAL CENTER DELEGATED THE RESPONSIBILITY FOR THE REVIEW OF THE MEDICAL CENTER'S FORM 990, PLUS ALL REQUIRED SCHEDULES AND ATTACHMENTS, TO THE FISHER-TITUS AUDIT COMMITTEE. THE MEMBERS OF THIS COMMITTEE HAVE A STRONG BACKGROUND IN ACCOUNTING, LEGAL, FINANCE, AND BUSINESS AND HAVE THE TECHNICAL EXPERTISE TO PERFORM A SUBSTANTIVE REVIEW. THE AUDIT COMMITTEE REVIEWED THE MEDICAL CENTER'S FORM 990 PRIOR TO FILING AND REPORTED TO THE MEDICAL CENTER'S BOARD OF DIRECTORS REGARDING THE RESULTS OF THEIR REVIEW. IN ADDITION, EACH MEMBER OF THE MEDICAL CENTER'S BOARD OF DIRECTORS HAD ACCESS TO A COPY OF THE FORM 990 FOR VIEWING PRIOR TO FILING VIA A SECURE INTERNET WEBSITE AND A PAPER COPY WAS AVAILABLE FOR REVIEW AT THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C ALL OF OUR AFFILIATED CORPORATE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT UPON JOINING THE BOARD AND ANNUALLY THROUGHOUT THEIR TENURE. THESE ARE RETAINED BY ADMINISTRATION. AREAS OF CONFLICT ARE REVIEWED AND ADDRESSED AS NECESSARY TO THE TRANSACTIONS OF THE BOARD. IF AN AREA OF CONFLICT ARISES, BOARD MEMBERS ARE EXCUSED AND PROHIBITED FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DISCUSSIONS REGARDING THE AREA OF CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 RESPONSIBILITY FOR DETERMINING AND RECOMMENDING EXECUTIVE COMPENSATION RESTS WITH THE PERSONNEL COMMITTEE OF THE FISHER-TITUS HEALTH BOARD. THE COMMITTEE RETAINS AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO HELP ESTABLISH CASH COMPENSATION TARGET RANGES AND IDENTIFY REASONABLE AND CUSTOMARY BENEFIT PROGRAMS FOR EXECUTIVES. THE INDEPENDENT CONSULTANT REPORTS TO THE PERSONNEL COMMITTEE ON RELEVANT PEER GROUPS, CASH COMPENSATION REPORTED IN AVAILABLE SALARY SURVEYS FOR THE PEER GROUP, AND TRENDS IN BENEFITS AND PERQUISITE PROGRAMS CUSTOMARILY AVAILABLE AMONG THE PEER GROUP FOR EXECUTIVES. RECOMMENDATIONS BY THE CONSULTANT ARE PRESENTED TO THE PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE PROVIDED TO EACH OF THE DIRECTORS OF FISHER-TITUS HEALTH. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED FIRST BY THE JOINT PERSONNEL COMMITTEE AND THEN BY THE FISHER-TITUS HEALTH'S BOARD OF DIRECTORS. THE MINUTES OF EACH BOARD MEETING WHERE ACTION IS TAKEN REFLECT SUCH ACTION. THE PROCESS IS PERFORMED ANNUALLY IN THE SPRING AND WAS LAST DONE IN MARCH 2022. FORM 990, PART VI, SECTION C, LINE 19 WE ISSUE AN ANNUAL REPORT TO THE COMMUNITY THAT IS PLACED IN THE LOCAL NEWSPAPER AND ON OUR WEBSITE THAT PROVIDES OUR OPERATING FINANCIAL STATEMENT, COMMUNITY BENEFIT FIGURES BROKEN DOWN BY CHARITY CARE & FINANCIAL ASSISTANCE, UNPAID COSTS OF MEDICAID, COMMUNITY HEALTH & OUTREACH PROGRAMS, DONATIONS & COMMUNITY SUPPORT, SUBSIDIZED HEALTH SERVICES & PROFESSIONAL MEDICAL EDUCATION, & UNPAID COSTS OF MEDICARE & BAD DEBT. AS REQUIRED, WE OFFER A TIMELY RESPONSE TO WRITTEN REQUESTS FOR COPIES OF THE 990S AS WELL AS HAVING THE 990S AVAILABLE UPON THE PREMISES FOR THE PUBLIC TO REVIEW AND ON THE GUIDESTAR INTERNET WEBSITE. ADDITIONALLY, OUR CONFLICT OF INTEREST POLICY, CODE OF REGULATIONS, AND GOVERNING DOCUMENTS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION A, LINE 1B: INFORMATION RELATING TO FAMILY MEMBERS OF SOME OF THE ORGANIZATION'S GOVERNING BODY COMPENSATED BY THE ORGANIZATION OR INVOLVED IN BUSINESS TRANSACTIONS WITH THE ORGANIZATION IS INCLUDED IN PART IV OF SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS. HOWEVER, MEMBERS OF THE ORGANIZATION'S GOVERNING BODY ARE PROMINENT CITIZENS IN THE COMMUNITIES SERVED BY THE ORGANIZATION FOR PURPOSES OF SATISFYING THE COMMUNITY BENEFIT STANDARD ESTABLISHED BY REVENUE RULING 69-545, 1969-2 C.B. 117. FORM 990, PART IX, LINE 11G FEES FOR OTHER SERVICES: PROGRAM SERVICE EXPENSES 17,351,228. MANAGEMENT AND GENERAL EXPENSES 4,470,673. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,821,901. MEDICAL PROVIDERS: PROGRAM SERVICE EXPENSES 9,761,114. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,761,114. FORM 990, PART XI, LINE 9: FASB #158 ADJUSTMENT (CHANGE IN PENSION LIABILTIY) 645,014. INTER-SYSTEM TRANSFER OF FUNDS BETWEEN AFFLIATED 501(C)(3) ORGANIZATIONS 2,000,000. CHANGE IN BOND INTEREST SWAP VALUE 282,068. PAIN MANAGMENT JOINT VENTURE DIVIDEND PAYMENTS TO FISHER-TITUS 366,806. NET PERIODIC PENSION & POSTRETIREMENT BENEFIT COST -228,490. 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