2021-11-15T08:31:48-06:00 2020-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST STE 200 INDIANAPOLIS IN 46204 990 2020-01-01 344430716 FISHER-TITUS MEDICAL CENTER FISH 4196688101 272 BENEDICT AVENUE NORWALK OH 448572374 SCOTT ENDSLEY CHIEF FINANCIAL OFFICER 4196688101 2021-11-15 1 SCOTT ENDSLEY 999009999 NATHAN A RODGERS CPA P01568275 3172757444 2021-11-15 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BRENT W BURKEY MD 272 BENEDICT AVENUE NORWALK OH 448572374 190861868 0 X WWW.FISHER-TITUS.ORG X 1911 OH PROVIDE QUALITY HEALTHCARE IN A COST EFFECTIVE MANNER, WHILE RESPECTING THE DIGNITY AND UNIQUENESS OF EACH INDIVIDUAL WE SERVE. 11 7 995 146 820103 0 632102 137226 145648131 152142479 4337193 2280199 1136701 885397 151754127 155445301 195762 138720 0 0 70683635 62814146 0 0 0 67555721 69837282 138435118 132790148 13319009 22655153 217431403 230784511 69099614 62925345 148331789 167859166 X PROVIDE QUALITY HEALTHCARE IN A COST EFFECTIVE MANNER, WHILE RESPECTING THE DIGNITY AND UNIQUENESS OF EACH INDIVIDUAL WE SERVE. 0 0 106678064 138720 143361323 SEE SCHEDULE O 4061799 0 7961053 SEE SCHEDULE O 110739863 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 1 105 0 1 995 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 OH X DAVID V WILSON MBACMA 4196688101 272 BENEDICT AVENUE NORWALK OH 448572374 DENNIS DOUGHTY CHAIRMAN 15.00 3.00 X X 0 0 0 PERRY DRYDEN VICE CHAIRMAN 10.00 2.00 X X 0 0 0 DENNIS C CAMP TREASURER 12.00 2.00 X X 0 0 0 REV FRED WIECHERS SECRETARY-ENDED 04/20 7.00 2.00 X X 0 0 0 JULIE S ROBERTS DDS DIRECTOR/SECRETARY 7.00 2.00 X X 0 0 0 JOHN K HUGHES MD DIRECTOR-STARTED 05/20 4.00 42.00 X 0 294428 69805 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 JEFFREY C HUBER DIRECTOR 4.00 3.00 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 NICHOLAS J LIBEN JR DIRECTOR-ENDED 12/20 4.00 2.00 X 0 0 0 BRENT W BURKEY MD PRESIDENT 50.50 14.50 X X 505149 0 56365 SCOTT E ENDSLEY CHIEF FINANCIAL OFFICER 52.00 8.00 X 246978 0 40663 MATTHEW MATTNER CHIEF OPERATIONS OFFICER 43.50 6.50 X 300823 0 65439 MIRIAM BATKE CHIEF HUMAN RESOURCE OFFICER 37.00 8.00 X 182205 0 48124 KATIE CHIEDA CHIEF NURSING OFFICER 45.00 0.00 X 230703 0 61927 GARY MOORMAN CHIEF MEDICAL OFFICER 45.00 0.00 X 385541 0 33375 LINDA STEVENSON CHIEF INFORMATION OFFICER 37.00 8.00 X 201302 0 49716 SUZANNE FARMER CHIEF ADMINISTRATIVE OFFICER 37.00 5.00 X 232007 0 11174 SHARON HARWOOD CHIEF COMPLIANCE OFFICER 40.00 2.00 X 209864 0 62297 JASON SCHREIBER VP AMBULATORY/POPULATION HEALTH 8.00 32.00 X 177328 0 16587 KAREN LIKES VP SURGICAL SERVICES 40.00 0.00 X 149615 0 6166 JASON FRONEK SR DIRECTOR INFORMATION SERVICES 33.00 7.00 X 149003 0 40082 2970518 294428 561720 38 0 1 0 JANOTTA & HERNER 309 MONROE STREET MONROEVILLE OH 44847 BUILDING CONTRACTOR 5470232 CERNER CORPORATION 2800 ROCKCREEK PATHWAY KANSAS CITY MO 64117 HEALTHCARE INFORMATION TECHNOLOGY 4572970 METROHEALTH SYSTEMS PO BOX 73122 CLEVELAND OH 441931861 SPINE CENTER PROFESSIONAL FEE & TRAUMA P 3579774 MCR GROUP LLC PO BOX 51325 KNOXVILLE TN 37950 MEDICARE DEPENDENT CONSULTANTS 2715084 CARDIOSOLUTION LLC 4675 CORNELL ROAD CINCINNATI OH 45241 CARDIOLOGY PHYSICIAN SERVICES 1663583 25 137226 20156 137226 HOSPITAL NET PATIENT SERVICES 623000 143361323 143361323 NURSING HOME & ASSISTED LIVING RE 623000 7961053 7961053 MEDICAL LABORATORY 621500 717244 717244 KAISER PHARMACY 446110 89976 89976 HEALTH & ALLIED SERVICES 621990 12883 12883 152142479 2071498 2071498 602 602 35268666 356000 35013291 403276 255375 -47276 208099 208099 CAFETERIA SALES 722210 433399 433399 HOSPITAL AUXILARY SALES 453220 287809 287809 MISC. OTHER HOSPITAL REVENUE 900099 164189 164189 885397 155445301 151322376 820103 3165596 X 138720 138720 2408310 1512272 896038 48887212 40342134 8545078 1299939 1072721 227218 6294297 5194107 1100190 3924388 3238438 685950 326784 245088 81696 118979 59490 59489 139987 139987 21119981 17547918 3572063 385147 383412 1735 5062374 3049279 2013095 4999012 2249671 2749341 1833433 1260356 573077 137796 128653 9143 153219 54076 99143 796731 718897 77834 5932913 5463498 469415 1116403 816002 300401 MEDICAL SUPPLIES 18212463 18005147 207316 BAD DEBT EXPENSES 6630815 6630815 OHIO HOSPITAL TAX & SNF 2315148 2315148 UBI INCOME TAX -4033 -4033 560130 318054 242076 132790148 110739863 22050285 0 5375 5375 7845815 27672848 17327635 15777340 80000 160000 607553 54679 2202989 3394186 3008071 1952704 214858801 107775056 102157683 107083745 78862408 70068948 638643 673303 707884 471508 3987347 3469875 217431403 230784511 36927369 21720789 32893 32893 24858223 22115248 2972516 3625570 4308613 15430845 69099614 62925345 X 148313355 167841188 18434 17978 148331789 167859166 217431403 230784511 X 22655153 4029202 -7156978 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 0 1 10055 10055 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 - 19.68% OF DUES; OHIO HOSPITAL ASSOCIATION - 5.85% OF DUES AND AMERICAN HOSPITAL ASSOCIATION - 25.56% OF DUES. 2022355 2022355 150815842 66207550 84608292 52974625 36848110 16126515 9045979 4719396 4326583 107083745 CAPITAL LEASE OBLIGATIONS 3808119 OPERATING LEASE OBLIGATIONS 360462 REFUNDABLE ADVANCE OBLIGATIONS 11262264 15430845 X 154266722 4029202 -4730985 -701783 154968505 476796 476796 155445301 134559920 2265460 2265460 132294460 495688 495688 132790148 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ENTITIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FISHER-TITUS MEDICAL CENTER INDIVIDUAL ACCRUED UNCERTAIN TAX POSITION WAS $0.00. PART XI, LINE 2D - OTHER ADJUSTMENTS: TRANSFERS TO VARIOUS AFFILIATED ENTITIES -8,645,181. PROFIT SHARING RELATED TO THE PAIN MANAGEMENT JOINT VENTURE 79,304. CHANGE IN INTEREST SWAP VALUE -169,402. HEALTH PROMOTION OF NORWALK REVENUE 482,720. FISHER-TITUS PAIN MANAGEMENT LLC REVENUE 2,524,903. ADJUSTMENT TO FASB #158 CHANGE IN PENSION LIABILITY 19,944,025. NET PERIODIC PENSION & POSTRETIREMENT BENEFIT COST -18,947,354. PART XI, LINE 4B - OTHER ADJUSTMENTS: HOSPITAL AUXILIARY REVENUE 287,809. HOSPITAL EXPENSE ADJUSTMENTS TO REVENUES 188,987. PART XII, LINE 2D - OTHER ADJUSTMENTS: HEALTH PROMOTIONS OF NORWALK EXPENSES 370,898. FISHER-TITUS PAIN MANAGEMENT LLC EXPENSES 1,894,562. PART XII, LINE 4B - OTHER ADJUSTMENTS: HOSPITAL AUXILIARY EXPENSES 306,701. HOSPITAL EXPENSE ADJUSTMENTS TO REVENUES 188,987. 1 1 X 1 X 1 X 1 1 0 1 1 1 1220 749495 139223 610272 0.00460 1 15827308 15041167 786141 0.00590 2 1220 16576803 15180390 1396413 0.01050 10 61135 130320 120 130200 0.00100 1 4 3591 100 3491 0.00000 1 0 296449 194399 102050 0.00080 4 1500 121610 8580 113030 0.00090 16 62639 551970 203199 348771 0.00270 18 63859 17128773 15383589 1745184 0.01320 1 6675033 1668758 33767391 33385723 381668 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 MEDICIATION 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 2020. 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 2020, FISHER-TITUS'S COMMUNITY BUILDING ACTIVITIES BENEFITS PROVIDED $1.3 MILLION TO SUPPORT PROGRAMS THAT IMPACTED THE OVERALL HEALTH OF OUR COMMUNITIES AND THE QUALITY OF LIFE OF OUR RESIDENTS. WHILE HOSPITAL-BASED MEDICAL SERVICES ARE THE MOST OBVIOUS WAY WE HELP, FTMC FULFILLS THE HEALTH-CARE NEEDS OF OUR AREA WITH COMMUNITY HEALTH SCREENINGS, EDUCATION CLASSES, PATIENT ASSISTANCE PROGRAMS AND SUPPORT OF HEALTH-RELATED ACTIVITIES. FTMC EMPLOYEES SERVE ON COMMUNITY AND CIVIC BOARDS, HEALTH-ORIENTED ORGANIZATIONS AND ARE INVOLVED IN ECONOMIC DEVELOPMENT ACTIVITIES THROUGHOUT THE COUNTY. FTMC ALSO WORKS WITH SCHOOLS; WORK SITES AND SAFETY NET PROVIDERS TO PROMOTE HEALTH AND WELLNESS AND PREVENT DISEASE. FISHER-TITUS IS A LEADER IN ENVIRONMENTAL STEWARDSHIP, HAVING EARNED NUMEROUS STATE AND NATIONAL AWARDS. PART III, LINE 2: THE COSTING METHODOLOGY USED FOR COMPLETING THE SCHEDULE H PART III, LINE 2 IS DERIVED FROM THE BAD DEBT EXPENSE INCLUDED IN THE AUDITED FINANCIAL STATEMENTS ADJUSTED BY THE AMOUNT OF THE WRITE-OFFS OF THE ACCOUNTS THAT WENT TO BAD DEBT. PART III, LINE 3: AS A TAX-EXEMPT HOSPITAL, NOT-FOR-PROFIT ORGANIZATION WE MUST PROVIDE NECESSARY MEDICAL CARE TO ALL, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBT AS COMMUNITY BENEFIT. THE IDENTIFICATION OF PATIENTS ELIGIBLE FOR CHARITY CARE IS SOLEY BASED ON THE COOPERATION OF THE PATIENT TO PROVIDE THE ORGANIZATION ENOUGH FAMILY AND FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY TO MATCH OUR PROGRAMS. HISTORICALLY, IN ADDITION TO THE INTERNALLY IDENTIFIED CHARITY, 10-13% OF THE ACCOUNT BALANCES TURNED TO COLLECTION WERE SUBSEQUENTLY IDENTIFIED BY THE AGENCY AS CHARITY AND RETURNED. THIS CHARITY IS RECORDED ONLY WHEN IT HAS BEEN IDENTIFIED THROUGH VERIFICATION OF INABILITY TO PAY. WE DO BELIEVE THERE IS A SECOND, RELATIVELY EQUAL SEGMENT OF THE BAD DEBT THAT WOULD QUALIFY FOR CHARITY. PATIENTS WITH POOR CREDIT RATINGS AND MULTIPLE CREDITORS MAKING COLLECTION EFFORT FINDS LITTLE VALUE IN COMPLETING THE CHARITY APPLICATION PROCESS TO ONLY ELIMINATE ONE CREDITOR AND HAVE NO IMPROVEMENT TO THEIR FINANCIAL STATUS. WE ESTIMATE THAT UNDER THE CURRENT ECONOMIC CONDITIONS UNIDENTIFIED CHARITY IN BAD DEBT EXPENSE IS ESTIMATED TO BE AN ADDITIONAL $1,668,758 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 16. 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. IN 2020 FISHER-TITUS MEDICAL CENTER HAD A SURPLUS. 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 STATE SOURCES (E.G. OHIO DEPARTMENT OF HEALTH'S DATA WAREHOUSE), 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 58,560 RESIDENTS. FISHERS-TITUS'S 50 ACRE CAMPUS IS IN THE COUNTY SEAT OF NORWALK, WHICH IS THE LARGEST CITY IN THE COUNTY WITH OVER 17,000 RESIDENTS. FISHERS-TITUS HAS NUMEROUS MEDICAL OFFICES LOCATED THROUGHOUT THE COUNTY TO PROVIDE EASY ACCESS TO PHYSICIANS FOR COMMUNITY RESIDENTS. HURON COUNTY HAD THE 12TH HIGHEST LEVEL OF UNEMPLOYMENT WITH AN AVERAGE OF 9.5% IN 2020. THE LARGEST PERCENTAGE OF RESIDENTS ARE CHILDREN UNDER 18 WITH THOSE INDIVIDUALS 65 AND OLDER MAKING UP 17.6% OF THE POPULATION. 89.9% OF THE RESIDENTS ARE CAUCASIAN WITH 6.9% OF THE POPULATION BEING HISPANIC OR LATINO (OF ANY RACE). IN 2019, MEDIAN HOUSEHOLD INCOME WAS $52,560 COMPARED TO OHIO'S MEDIAN HOUSEHOLD INCOME OF $56,602. IN 2019, 13.2% OF INDIVIDUALS WERE LIVING IN POVERTY WITH THOSE UNDER THE AGE OF 18 LIVING IN POVERTY ESTIMATED TO BE 19.0%. 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) 89200 FMV SUPPORT HIGH SCHOOL CONCUSSION PROGRAM NEW LONDON GREENWICH RAIL TRAIL PO BOX 36 GREENWICH OH 44837 260766650 501(C)(3) 11720 FMV TO HELP WITH COST OF PAVING AT GREENWICH RAIL TRAIL TEEN LEADERSHIP CORPS 11 E AIN ST NORWALK OH 44857 260324010 501(C)(3) 5000 FMV CONTRIBUTION TO TEEN LEADERSIP CLASSES AND ENGAGE THE STUDENTS IN PEER PROGRAMS TO REDUCE RISKY BEHAVIORS AMOUNG YOUTHS. NORWALK ECONOMIC DEVELOPMENT CORP 12 BENEDICT AVENUE NORWALK OH 44857 341787391 501(C)(3) 7800 FMV CONTRIBUTION FOR COURSEWORK ON COVID EDUCATION VILLAGE OF WAKEMAN PO BOX 107 59 HYDE STREET WAKEMAN OH 44889 25000 FMV CONTRIBUTION TOWARDS WAKEMAN FITNESS COURT 4 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 X 0 1 0 0 0 0 0 0 0 BRENT W BURKEY MD PRESIDENT 445250 0 15000 0 44899 0 55440 0 925 0 561514 0 42327 0 GARY MOORMAN CHIEF MEDICAL OFFICER 358077 0 25000 0 2464 0 11400 0 21975 0 418916 0 0 0 MATTHEW MATTNER CHIEF OPERATIONS OFFICER 264040 0 15000 0 21783 0 39960 0 25479 0 366262 0 0 0 JOHN K HUGHES MD DIRECTOR-STARTED 05/20 0 275789 0 500 0 18139 0 40936 0 28869 0 364233 0 0 KATIE CHIEDA CHIEF NURSING OFFICER 195871 0 25000 0 9832 0 28826 0 33101 0 292630 0 0 0 SCOTT E ENDSLEY CHIEF FINANCIAL OFFICER 220055 0 15000 0 11923 0 32265 0 8398 0 287641 0 0 0 SHARON HARWOOD CHIEF COMPLIANCE OFFICER 173982 0 15000 0 20882 0 45901 0 16396 0 272161 0 0 0 LINDA STEVENSON CHIEF INFORMATION OFFICER 184592 0 15000 0 1710 0 26930 0 22786 0 251018 0 0 0 SUZANNE FARMER CHIEF ADMINISTRATIVE OFFICER 192629 0 38200 0 1178 0 9286 0 1888 0 243181 0 0 0 MIRIAM BATKE CHIEF HUMAN RESOURCE OFFICER 149884 0 31341 0 980 0 26633 0 21491 0 230329 0 0 0 JASON SCHREIBER VP AMBULATORY/POPULATION HEALTH 168415 0 7500 0 1413 0 6745 0 9842 0 193915 0 0 0 JASON FRONEK SR DIRECTOR INFORMATION SERVICES 142678 0 5000 0 1325 0 6381 0 33701 0 189085 0 0 0 KAREN LIKES VP SURGICAL SERVICES 140884 0 7500 0 1231 0 5938 0 228 0 155781 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 $55,440 REPORTED IN COLUMN C IS $11,400 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $44,040 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 MR. ENDSLEY'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $32,266 REPORTED IN COLUMN C IS $9,027 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $23,238 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 MS. CHIEDA'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $28,826 REPORTED IN COLUMN C IS $8,073 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $20,753 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 4 - INCLUDED IN DR. HUGHES' TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $40,936 REPORTED IN COLUMN C IS $11,400 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $29,536 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 MR. MATTNER'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $39,960 REPORTED IN COLUMN C IS $11,400 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $28,560 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. HARWOOD'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $45,901 REPORTED IN COLUMN C IS $26,419 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $19,482 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 8 - INCLUDED IN MS. STEVENSON'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $26,930 REPORTED IN COLUMN C IS $7,711 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $19,219 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. BATKE'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $26,633 REPORTED IN COLUMN C IS $6,901 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $19,732 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 1 LINE 3: RESPONSIBILITY FOR DETERMINING AND RECOMMENDING EXECUTIVE COMPENSATION RESTS WITH THE PERSONNEL COMMITTEE OF THE FISHER-TITUS HEALTH, INC. 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 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 2020. 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 9420000 50000 9370000 2015 1 0 1 1 B 17825500 239217 6645200 10941083 2017 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 1 0 0 1 1 PNC 6.800000000000 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 0 B 0 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 160000 160000 0 1 1 160000 BATTLES INSURANCE AGENCY PERRY DRYDEN, BOARD MEMBER IS PRESIDENT OF BATTLES INSURANCE AGENCY AND 50% 951450 VENDOR 0 ZZZ ANESTHESIA NICHOLAS LIBEN, BOARD MEMBER IS OWNER OF ZZZ ANESTHESIA. 470000 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 2020, THE HOSPITAL PROVIDED 11,154 DAYS OF INPATIENT CARE TO 3,467 PATIENTS. THE HOSPITAL HAD 122,591 OUTPATIENT AND 22,246 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 2020, THE HOME SERVED 285 RESIDENTS AND PROVIDED 22,137 DAYS OF CARE. THE HOME HEALTH CENTER HOME HEALTH AGENCY THE HOME HEALTH CENTER PROVIDED 15,384 HOME VISITS TO 387 DIFFERENT PATIENTS IN 2020. THE CARRIAGE HOUSE OF FISHER-TITUS OPENED IN 1998, THE CARRIAGE HOUSE IS A 48-UNIT ASSISTED LIVING FACILITY, WHICH PROVIDED 14,009 DAYS OF ASSISTED LIVING CARE TO 47 RESIDENTS IN 2020. KAISER COMMUNITY PHARMACY AND HOME MEDICAL EQUIPMENT OPENED IN 1941, KAISER-WELLS PHARMACY IS A COMMUNITY LOCAL PHARMACY AND MEDICAL EQUIPMENT STORE. IN NOV-2016, KAISER-WELLS WAS ACQUIRED BY FISHER-TITUS MEDICAL CENTER. KAISER PHARMACY WAS CLOSED AT THE END OF JAN-2020. FACILITY AND PROGRAM EXPANSIONS FISHER-TITUS OFFICIALS AND GUESTS "CUT THE RIBBON" FOR A NEW MEDICAL OFFICE IN NEW LONDON DURING A RIBBON CUTTING CEREMONY ON FRIDAY, FEB. 21. THE NEW FACILITY REPLACES THE FISHER-TITUS FAMILY MEDICINE OFFICE AT 187 WEST MAIN AND PROVIDES SPACE FOR FUTURE MEDICAL SERVICES. IN MARCH, FISHER-TITUS BEGAN RESPONDING TO THE COVID-19 PANDEMIC IN ACCORDANCE WITH RECOMMENDATIONS FROM LOCAL, STATE, AND NATIONAL HEALTH OFFICIALS. VISITATION IN LONG-TERM CARE WAS LIMITED BEGINNING ON MARCH 12. ON MARCH 20, VISITATION FOR ALL AREAS OF THE HOSPITAL AND OTHER FACILITIES WAS RESTRICTED AND NON-URGENT SERVICES AND PROCEDURES WERE POSTPONED. WITH THE PANDEMIC, FISHER-TITUS OFFERED A VARIETY OF OPTIONS TO EVALUATE RESPIRATORY SYMPTOMS THAT MAY BE ASSOCIATED WITH COVID-19, INCLUDING A COUGH, FEVER, SHORTNESS OF BREATH AND/OR A SORE THROAT, FROM THE COMFORT OF YOUR VEHICLE OR HOME. THESE INCLUDED NEW OPTIONS LAUNCHED DURING THE PANDEMIC. MOBILE EMERGENCY DEPARTMENT ASSESSMENT ALLOWED PATIENTS TO SEE EMERGENCY PROVIDERS WITH A THOROUGH MEDICAL EXAM WITHOUT LEAVING THEIR VEHICLE. VIRTUAL VISITS ALLOWS PATIENTS TO SEE PROVIDERS VIA TELEPHONE, SMARTPHONE, TABLET, OR COMPUTER. IF A PATIENT HAS A FISHER-TITUS PROVIDER, THEY CAN SCHEDULE A VIRTUAL VISIT WITH THEM OR REQUEST AN ON-DEMAND VIRTUAL VISIT WITH FISHER-TITUS AND OTHER MEDICAL PROVIDERS THROUGH THE FISHER-TITUS VIRTUAL VISIT APP. IN APRIL, THE FISHER-TITUS LAB ADDED THE LUMINEX ARIES PLATFORM ALLOWING FISHER-TITUS TO CONDUCT COVID-19 TESTING IN HOUSE RESULTING IN FASTER COVID-19 TEST TURNAROUND TIMES AS WELL AS INCREASED ACCESS TO TESTING FOR THE COMMUNITY. ON APRIL 27, FISHER-TITUS BEGAN SAFELY RE-OPENING SERVICES PREVIOUSLY CLOSED DUE TO COVID-19 CONCERNS SUCH AS ROUTINE LAB WORK, DIABETES EDUCATION AND MEDICAL NUTRITION THERAPY, IMAGING, AND OUTPATIENT THERAPY. ELECTIVE SURGERIES, SLEEP LAB, CARDIOVASCULAR, PULMONARY, ENDOSCOPY, AND OTHER OUTPATIENT PROCEDURES RE-OPENED A FEW WEEKS LATER IN MAY. TO BETTER MEET THE NEEDS OF THE COMMUNITY, FISHER-TITUS CONSOLIDATED THEIR GENERAL SURGERY OFFICES FROM THE EXISTING TWO OFFICES INTO ONE CONSOLIDATED SPACE IN MAY. PREVIOUSLY AT TWO SEPARATE LOCATIONS ON EXECUTIVE DRIVE AND IN MEDICAL PARK 3, DRS. MINIER, SCHMIDT, NILL, AND SAID WILL NOW BE SEEING PATIENTS IN THE RENOVATED SPACE IN MEDICAL PARK 3, SUITE 800. THE 4,512 SQUARE FOOT SPACE HAS A TOTAL OF 10 EXAM ROOMS AND TWO PROCEDURE ROOMS AND ALLOWS THE PROVIDERS TO SEE PATIENTS IN THE SAME OFFICE ON THE FISHER-TITUS CAMPUS FOR THE FIRST TIME. IN JUNE, FISHER-TITUS PARTNERED WITH FAMILY HEALTH SERVICES AND HURON COUNTY PUBLIC HEALTH TO OFFER FREE COVID-19 ANTIBODY TESTING FOR HURON COUNTY RESIDENTS WHO WERE CURIOUS IF THEY WERE PREVIOUSLY INFECTED WITH COVID-19. ANTIBODY TESTING WAS OFFERED IN NEW LONDON, NORWALK, AND WILLARD FOR RESIDENTS AGE 10 AND UP. THESE TESTS WERE ABLE TO BE PERFORMED LOCALLY THANKS TO THE CAPABILITIES OF THE FISHER-TITUS LAB. IN SEPTEMBER, A NEW PROCEDURE TO REMOVE A VENOUS (VEIN) CLOT ALSO TOOK PLACE AT FISHER-TITUS. UTILIZING THE INARI MEDICAL RETRIEVAL AND ASPIRATION SYSTEM, THE FISHER-TITUS CARDIOVASCULAR TEAM REMOVED A BLOOD CLOT FROM THE LEG OF A PATIENT TO RESTORE BLOOD FLOW TO THE AREA. WITH THIS NEW TECHNOLOGY, PATIENTS DO NOT REQUIRE AN OVERNIGHT STAY IN THE INTENSIVE CARE UNIT, OR THROMBOLYTIC MEDICATION TO DISSOLVE THE CLOT, WHICH CAN BE EXPENSIVE DEPENDING UPON PATIENT INSURANCE COVERAGE. ON OCTOBER 29, DR. MOHAMMED OSMAN AND THE CARDIOVASCULAR TEAM AT FISHER-TITUS PERFORMED THE FIRST EVER WAVELINQ FISTULA CREATION IN NORTHWEST OHIO. TYPICALLY, A FISTULA IS CREATED THROUGH AN INVASIVE SURGERY WHERE THE PATIENT IS PUT UNDER ANESTHESIA AND THE ARM IS OPENED THROUGH AN INCISION THAT IS TWO TO FOUR INCHES IN LENGTH. USING THE WAVELINQ TECHNOLOGY, TWO THIN, FLEXIBLE, MAGNETIC CATHETERS ARE USED TO CREATE THE FISTULA WITHOUT AN OPEN INCISION, AND IN SHORT TIME; THE FIRST WAVELINQ PROCEDURE WAS COMPLETED IN 33 MINUTES. THIS PROCEDURE IS MINIMALLY INVASIVE, ALLOWS FOR FASTER PATIENT RECOVERY, AND HAS MINIMAL SURGICAL SCARRING. IN NOVEMBER, FISHER-TITUS BEGAN PERFORMING COVID-19 ANTIGEN TESTING IN HOUSE. THIS TESTING WAS USED FOR PATIENTS WITHIN THEIR FIRST 5 DAYS OF SYMPTOM ONSET AND IS USED FOR EMERGENCY DEPARTMENT PATIENTS WITH SYMPTOMS, SYMPTOMATIC HEALTH CARE WORKERS, AND PATIENTS SEEN IN THE AMBULATORY SETTING WHO ARE REFERRED FOR OUTPATIENT TESTING AND MEET THE CRITERIA OF SYMPTOM ONSET. FORM 990, PART III, LINE 4A: CONTINUATION OF PROGRAM SERVICE ACCOMPLISMENT #1: ON CHRISTMAS EVE, FISHER-TITUS BEGAN DISTRIBUTING THE FIRST COVID-19 VACCINES TO THEIR EMPLOYEES. STARTING IN JANUARY, THEY BEGAN ADMINISTERING COVID-19 VACCINES TO THE PUBLIC BASED ON THE OHIO DEPARTMENT OF HEALTH'S VACCINE DISTRIBUTION GUIDANCE. EDUCATION AND RESEARCH - TO ENSURE THAT WE HAVE THE QUALITY WORKFORCE WE NEED TO CARE FOR OUR COMMUNITY IN THE FUTURE, WE ARE COMMITTED TO THE EDUCATION OF CURRENT AND FUTURE CAREGIVERS, AND WE WORK WITH EHOVE CAREER CENTER, ASHLAND UNIVERSITY, BOWLING GREEN STATE UNIVERSITY FIRELANDS CAMPUS, LORAIN COUNTY COMMUNITY COLLEGE, NORTH CENTRAL STATE COLLEGE, TERRA COMMUNITY COLLEGE, OHIO UNIVERSITY AND MORE TO PROVIDE INTERNSHIPS, INSTRUCTORS, CLASSROOM SPACE, AND CLINICAL TRAINING. WE ARE PLEASED TO BE ABLE TO OFFER A COMPREHENSIVE LEARNING EXPERIENCE UTILIZING OUR STATE-OF-THE-ART FACILITIES AND ADVANCED TECHNOLOGY. EXCELLENT PHYSICIANS: THE MEDICAL STAFF IS COMPOSED OF BOTH INDEPENDENT PRACTITIONERS AS WELL AS PHYSICIANS AND PROVIDERS EMPLOYED BY FISHER-TITUS UNDER THE NAME FISHER-TITUS MEDICAL CARE. OVERALL, THE MEDICAL STAFF INCLUDES 269 PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REPRESENTING 35 MEDICAL SPECIALTIES. THE MEDICAL CARE EMPLOYED GROUP INCLUDES PRACTITIONERS REPRESENTING PRIMARY CARE, PEDIATRICS, DIGESTIVE HEALTH, UROLOGY, BEHAVIORAL HEALTH, UROLOGY, PULMONOLOGY, CARDIOLOGY, AND VASCULAR CARE. IN 2020, 3 PULMONARY, 2 CONVENIENT CARE, 1 GENERAL SURGERY, 3 FAMILY MEDICINE, AND 1 CARDIOVASCULAR PROVIDER JOINED THE GROUP. AWARDS AND ACCREDITATIONS - THROUGHOUT THE YEARS FISHER-TITUS HAS BEEN HIGHLY SUCCESSFUL IN MEETING THE CHALLENGES OF AN INCREASINGLY COMPLEX HEALTH-CARE INDUSTRY AND HAS PROVIDED EXCEPTIONAL SERVICE QUALITY TO MEMBERS OF THE SURROUNDING COMMUNITIES. THE MEDICAL CENTER IS ACCREDITED BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP), WITH ITS LAST THREE-YEAR SURVEY OCCURRING IN 2018. FISHER-TITUS ALSO IS A LEVEL 3 TRAUMA CENTER, HFAP PRIMARY STROKE CENTER, A LEVEL 2 ADULT CARDIAC CATHETERIZATION LABORATORY, AND HAS ALSO BEEN ACCREDITED BY THE COMMISSION ON CANCER SINCE 1989. THE MEDICAL CENTER'S FOCUS ON QUALITY CARE AND EXCEPTIONAL SERVICE IS EVIDENCED BY THE MANY HOSPITAL AND DEPARTMENTAL ACCREDITATIONS, AWARDS, AND RECOGNITIONS RECEIVED IN 2020: FISHER-TITUS CELEBRATED 10 YEARS WITHOUT ANY CASES OF VENTILATOR ASSOCIATED PNEUMONIA IN AUGUST. FISHER-TITUS WAS NAMED TO NEWSWEEK'S 2020 LIST OF BEST MATERNITY CARE HOSPITALS, ONLY ONE OF 250 FACILITIES NATIONWIDE TO RECEIVE THIS PRESTIGIOUS ACCOLADE. THE DISTINCTION RECOGNIZES FACILITIES THAT HAVE EXCELLED IN PROVIDING CARE TO MOTHERS, NEWBORNS, AND THEIR FAMILIES, AS VERIFIED BY THE 2019 LEAPFROG HOSPITAL SURVEY. BEST MATERNITY CARE HOSPITALS IS PART OF NEWSWEEK, POWERED BY DATA FROM THE LEAPFROG GROUP. THE LOWN INSTITUTE, A NONPARTISAN THINKTANK, RANKED FISHER-TITUS #8 OUT OF 123 HOSPITALS IN OHIO IN THEIR RECENT INDEX FOR FISHER-TITUS' INCLUSIVITY, HIGH VALUE CARE, AND COMMUNITY BENEFIT. FISHER-TITUS RECEIVED AN OVERALL GRADE OF A+. TO MEASURE OVERALL HOSPITAL PERFORMANCE, THE LOWN INSTITUTE HOSPITALS INDEX COMBINED SCORES FOR CIVIC LEADERSHIP, VALUE OF CARE, AND PATIENT OUTCOMES. FISHER-TITUS HAS RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES THE HOSPITAL'S COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES BASED ON THE LATEST SCIENTIFIC EVIDENCE. ADDITIONALLY, FISHER-TITUS RECEIVED THE ASSOCIATION'S TARGET: STROKE ELITE PLUS HONOR ROLL TO QUALIFY FOR THIS RECOGNITION, HOSPITALS MUST MEET QUALITY MEASURES DEVELOPED TO REDUCE THE TIME BETWEEN THE PATIENT'S ARRIVAL AT THE HOSPITAL AND TREATMENT WITH THE CLOT-BUSTER TISSUE PLASMINOGEN ACTIVATOR, OR TPA, THE ONLY DRUG APPROVED BY THE U.S. FOOD AND DRUG ADMINISTRATION TO TREAT ISCHEMIC STROKE. FISHER-TITUS ALSO RECEIVED THE TARGET: TYPE 2 HONOR ROLL AWARD FROM THE ASSOCIATION. TO EARN THIS RECOGNITION, HOSPITALS MUST MEET QUALITY MEASURES DEVELOPED WITH MORE THAN 90% COMPLIANCE FOR 12 CONSECUTIVE MONTHS FOR THE "OVERALL DIABETES CARDIOVASCULAR INITIATIVE COMPOSITE SCORE." FISHER-TITUS RECEIVED THE "LEADERSHIP IN CARE COORDINATION" POPULATION HEALTH PIONEER AWARD FROM CARAVAN HEALTH FOR THEIR WORK TO INCREASE ENROLLMENT IN THE CHRONIC CARE MANAGEMENT PROGRAM. THE POPULATION HEALTH PIONEER AWARDS ARE PRESENTED TO CARAVAN HEALTH'S PARTNERS WHO HAVE BEST SERVED THEIR PATIENTS, COMMUNITY, AND THE HEALTH CARE INDUSTRY THROUGH THEIR LEADERSHIP, DEDICATION, AND INNOVATION OVER THE PAST YEAR. THE AWARDS HIGHLIGHT NOMINEES WHO INCORPORATED INNOVATIVE APPROACHES TO CARE DURING THE COVID-19 PANDEMIC AND DEMONSTRATED A COMMITMENT TO DIVERSITY, EQUITY, AND INCLUSION IN THE WORKPLACE AND THE COMMUNITIES THEY SERVE. THE FISHER-TITUS BIRTHING CENTER HAS ACHIEVED THE 3-STAR LEVEL IN THE OHIO FIRST STEPS FOR HEALTHY BABIES PROGRAM. OHIO FIRST STEPS FOR HEALTHY BABIES IS A VOLUNTARY BREASTFEEDING INITIATIVE BY THE OHIO DEPARTMENT OF HEALTH AND THE OHIO HOSPITAL ASSOCIATION. FISHER-TITUS MEDICAL CENTER WAS RECOGNIZED FOR HOSPITAL SAFETY, EARNING AN "A" FOR THE SPRING AND FALL 2020 LEAPFROG HOSPITAL SAFETY GRADE. LEAPFROG GRADES ARE A SNAPSHOT OF PAST PATIENT SAFETY OUTCOME MEASURES AND CURRENT SAFETY PROCESS PERFORMANCE. THE GRADE INCLUDES BOTH OBJECTIVE STANDARDS BASED ON 28-NATIONALLY REPORTED MEASURES RELATING TO PATIENT SAFETY AND QUALITY OF CARE, AND A SECOND SECTION IN WHICH HOSPITALS CAN VOLUNTARILY REPORT ONGOING EFFORTS TO ENSURE AND IMPROVE PATIENT SAFETY AND QUALITY. IN ADDITION, THE MEDICAL CENTER MAINTAINS THE FOLLOWING ONGOING ACCREDITATIONS: COMMISSION ON CANCER ACCREDITATION, ONCOLOGY, LABORATORY, PHARMACY DEPARTMENTS. FISHER-TITUS ENDOSCOPY CENTER, AMERICAN SOCIETY OF GASTROINTESTINAL ENDOSCOPY (ASGE) RECOGNITION FOR COMMITMENT TO PATIENT SAFETY AND QUALITY IN ENDOSCOPY SERVICES. CARDIOVASCULAR CATH LAB, OHIO DEPARTMENT OF HEALTH FISHER-TITUS SLEEP CENTER, ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC) OHIO DEPARTMENT OF HEALTH MAMMOGRAPHY QUALITY STANDARDS AMERICAN COLLEGE OF RADIOLOGY, MAMMOGRAPHY OHIO DEPARTMENT OF HEALTH, RADIOLOGY NORWALK MEMORIAL HOME AND CARRIAGE HOUSE ASSISTED LIVING, OHIO DEPARTMENT OF HEALTH HOME HEALTH DEPARTMENT, OHIO DEPARTMENT OF HEALTH NUCLEAR MEDICINE, OHIO DEPARTMENT OF HEALTH INTERSOCIETY COMMISSION FOR THE ACCREDITATION OF VASCULAR LAB, ULTRASOUND COLLEGE OF PATHOLOGISTS (CAP) ACCREDITATION - DEPARTMENT OF PATHOLOGY & LABORATORY SERVICES & BLOOD GAS LAB COLLEGE OF PATHOLOGISTS (CAP) PULMONARY MEDICINE AMERICAN COLLEGE OF RADIOLOGY ACCREDITATION FOR MAGNETIC RESONANCE IMAGING AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE INTERSOCIETAL ACCREDITATION COMMISSION (IAC) ECHO MATERNITY, OHIO DEPARTMENT OF HEALTH SURVEY FORM 990, PART III, LINE 4B: COMMUNITY HEALTH AND OUTREACH PROGRAMS FISHER-TITUS MEDICAL CENTER'S COMMUNITY BENEFITS EXTEND OUTSIDE OUR WALLS TO FAMILIES, BUSINESS, SCHOOLS, CHURCHES AND NEIGHBORHOODS THROUGH OUTREACH PROGRAMS AND OTHER COORDINATED CARE ACTIVITIES THAT MAKE OUR COMMUNITIES HEALTHIER PLACES TO LIVE, WORK AND WORSHIP. OUR GOAL IS TO HELP ALL RESIDENTS EQUALLY ACCESS THE CARE THEY NEED, AND HELP THEM LEARN TO MANAGE THEIR CONDITIONS AND LIVE HEALTHIER, SAFER LIVES. IN 2020 A NEW HURON COUNTY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND PUBLISHED. FISHER-TITUS WAS A LEADER IN THE PROCESS AND PARTNERED WITH HEALTH-RELATED AND CIVIC ORGANIZATIONS THROUGHOUT THE COUNTY TO BOTH FUND THE PROJECT AND ASSIST IN THE ASSESSMENT PROCESS. FROM THAT REPORT, THE BOARD OF DIRECTORS OF FISHER-TITUS MEDICAL CENTER DETERMINED THAT CERTAIN HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT SHOULD BE ADDRESSED AS THE HIGHEST PRIORITY THROUGH AN IMPLEMENTATION STRATEGY. THE PRIORITIES INCLUDE SUPPORTING INITIATIVES GEARED TO HEALTHY WEIGHT; IMPROVING ACCESS TO MENTAL HEALTH SERVICES; REDUCING SUBSTANCE ABUSED THROUGH PREVENTION, SCREENING, AND TREATMENT; IMPROVING ACCESS TO CARE; AND IMPROVING THE PUBLIC HEALTH INFRASTRUCTURE. FISHER-TITUS SUPPORTS OTHER AREA NON-PROFIT COMMUNITY ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICE AND EMPLOYEE VOLUNTEERISM. MANY OF OUR COMMUNITY BENEFIT PROGRAMS ARE ORGANIZED TO WORK COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS. IN 2020, 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 61,139 ENCOUNTERS. AUXILIARY AND VOLUNTEER SERVICE: - DURING 2020, OUR 134 CARING VOLUNTEERS DONATED 102 HOURS OF AUXILIARY AND VOLUNTEER SERVICES TO THE MEDICAL CENTER. THE VOLUNTEER PROGRAM WAS SUSPENDED IN MID-MARCH 2020 DUE TO COVID. SOME VOLUNTEERS RETURNED THROUGHOUT THE FALL AND WINTER. VOLUNTEERS PROVIDE A VARIETY OF SERVICES INCLUDING HELPING FAMILY MEMBERS, PROVIDING TRANSPORTATION, ASSISTING AT COMMUNITY HEALTH PROGRAMS, DELIVERING REFRESHMENTS, MAIL AND FLOWERS TO HOSPITAL PATIENTS AND RESIDENTS OF THE NORWALK MEMORIAL HOME PLUS ESCORTING PATIENTS THROUGHOUT THE BUILDING. THEY ALSO PERFORM CLERICAL DUTIES, STAFF THE MEDICAL CENTER'S GIFT SHOP, AND ORGANIZE SEVERAL FUND-RAISING EVENTS THROUGHOUT THE YEAR. VOLUNTEER "AMBASSADORS" HAVE INSTRUCTED PATIENTS SINCE APRIL 2010 ON THE USE OF THE TELEVISION/COMPUTER SCREENS LOCATED IN EACH PATIENT ROOM. VOLUNTEERS WORKING IN THIS CAPACITY ARE AT FISHER-TITUS MEDICAL CENTER SEVEN DAYS PER WEEK EACH MORNING FOR 2 HOURS. AMONG THE ITEMS PATIENTS ARE INSTRUCTED ON ARE HOW TO ACCESS THE DAY'S MENU, MEDICAL INFORMATION PERTAINING TO THE PERSON'S HEALTH PROBLEMS, ACCESSING THE INTERNET, PLAYING GAMES, OBTAINING THE NAMES OF CAREGIVERS AS THEY ENTER THE PATIENT'S ROOM, CHOOSING MOVIES, ETC. THE PATIENT THEN MAY USE A REMOTE CONTROL OR A WIRELESS KEYBOARD TO ACCESS THIS INFORMATION. INFORMATION SERVICES PROVIDES ALL COMPUTER TRAINING FOR VOLUNTEERS THAT WORK IN THIS CAPACITY. COMMUNITY HEALTH IMPROVEMENT SERVICES: NUMEROUS HEALTH SCREENINGS ARE OFFERED THROUGHOUT THE YEAR AT THE MEDICAL CENTER AND AT VARIOUS COMMUNITY LOCATIONS AND EVENTS THROUGHOUT OUR SERVICE AREA. THESE PROGRAMS INCLUDE SCREENING FOR BLOOD GLUCOSE, CHOLESTEROL LEVELS, SKIN CANCER, PROSTATE CANCER, OSTEOPOROSIS AND SCREENING MAMMOGRAMS. IN ADDITION, THE MEDICAL CENTER SPONSORS NUMEROUS SUPPORT GROUPS TO PROVIDE EDUCATION, CARE AND EMOTIONAL SUPPORT TO INDIVIDUALS AND FAMILIES AFFECTED BY DISABILITIES AND CHRONIC MEDICAL CONDITIONS. FTMC'S HEALTH MINISTRY PROGRAM, FORMED IN 2000, HAS BEEN A VERY EFFECTIVE GRASSROOTS INITIATIVE TO GATHER INFORMATION AND PROVIDE HEALTH PROGRAMS THROUGHOUT HURON COUNTY. CURRENTLY 50 AREA CONGREGATIONS ARE MEMBERS OF THE FTMC HEALTH MINISTRY PROGRAM WHICH PROVIDES HEALTH AND WELLNESS INFORMATION AND PROGRAMS IN AREA CHURCHES. THE MEDICAL CENTER IN PARTNERSHIP WITH ITS PHYSICIANS AND OTHER COMMUNITY ORGANIZATIONS PROVIDES PUBLIC FORUMS AND EDUCATIONAL SESSIONS ON A VARIETY OF TOPICS, WHICH ARE SOMETIMES HELD IN TANDEM WITH THE HEALTH SCREENINGS PROVIDED. WE ALSO PROVIDE NUMEROUS HEALTH FAIRS DURING THE YEAR IN SEVERAL LOCATIONS THROUGHOUT THE COUNTY AND SURROUNDING COMMUNITIES IN OUR SERVICE AREA. THESE COMMUNITY HEALTH IMPROVEMENT SERVICES BENEFITED 61,135 PEOPLE IN 2020 AT A COST OF $130,200. PROFESSIONAL MEDICAL EDUCATION: THE MEDICAL CENTER SUPPORTS AND STAFFS SEVERAL CLASSES FOR HEALTH PROFESSIONALS INCLUDING HEALTHCARE PROVIDER CPR, ADVANCED CARDIAC LIFE SUPPORT, BASIC LIFE SUPPORT INSTRUCTOR COURSE AND PEDIATRIC ADVANCE LIFE SUPPORT. IN ADDITION, FTMC SUPPORTS STUDENTS SHADOWING EMPLOYEES TO LEARN MORE ABOUT THEIR CHOSEN CAREER PATH. THE TOTAL COST OF PROFESSIONAL MEDICAL EDUCATION PROVIDED TO 4 PARTICIPANTS WAS $3,491. 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 2020 WAS $102,050. 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 2020 WAS $113,030. 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 2020. FORM 990, PART VI, SECTION C, LINE 19 WE ISSUE AN ANNUAL REPORT TO THE COMMUNITY THAT IS PLACED IN THE LOCAL NEWSPAPER AND ON OUR WEBSITE THAT PROVIDES OUR OPERATING FINANCIAL STATEMENT, COMMUNITY BENEFIT FIGURES BROKEN DOWN BY CHARITY CARE & FINANCIAL ASSISTANCE, UNPAID COSTS OF MEDICAID, COMMUNITY HEALTH & OUTREACH PROGRAMS, DONATIONS & COMMUNITY SUPPORT, SUBSIDIZED HEALTH SERVICES & PROFESSIONAL MEDICAL EDUCATION, & UNPAID COSTS OF MEDICARE & BAD DEBT. AS REQUIRED, WE OFFER A TIMELY RESPONSE TO WRITTEN REQUESTS FOR COPIES OF THE 990S AS WELL AS HAVING THE 990S AVAILABLE UPON THE PREMISES FOR THE PUBLIC TO REVIEW AND ON THE GUIDESTAR INTERNET WEBSITE. ADDITIONALLY, OUR CONFLICT OF INTEREST POLICY, CODE OF REGULATIONS, AND GOVERNING DOCUMENTS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION A, LINE 1B: INFORMATION RELATING TO FAMILY MEMBERS OF SOME OF THE ORGANIZATION'S GOVERNING BODY COMPENSATED BY THE ORGANIZATION OR INVOLVED IN BUSINESS TRANSACTIONS WITH THE ORGANIZATION IS INCLUDED IN PART IV OF SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS. HOWEVER, MEMBERS OF THE ORGANIZATION'S GOVERNING BODY ARE PROMINENT CITIZENS IN THE COMMUNITIES SERVED BY THE ORGANIZATION FOR PURPOSES OF SATISFYING THE COMMUNITY BENEFIT STANDARD ESTABLISHED BY REVENUE RULING 69-545, 1969-2 C.B. 117. FORM 990, PART IX, LINE 11G HEALTHCARE PROVIDERS: PROGRAM SERVICE EXPENSES 3,684,307. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,684,307. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 13,863,611. MANAGEMENT AND GENERAL EXPENSES 3,572,063. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,435,674. FORM 990, PART XI, LINE 9: FASB #158 ADJUSTMENT (CHANGE IN PENSION LIABILTIY) 19,944,025. PROFIT SHARING RELATED TO PAIN MANAGEMENT 79,304. INTER-SYSTEM TRANSFER OF FUNDS BETWEEN AFFLIATED 501(C)(3) ORGANIZATIONS -8,445,181. CHANGE IN BOND INTEREST SWAP VALUE -169,402. PAIN MANAGMENT JOINT VENTURE DIVIDEND PAYMENTS TO FISHER-TITUS 381,630. NET PERIODIC PENSION & POSTRETIREMENT BENEFIT COST -18,947,354. 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