2025-11-12T10:29:47-06:00 2024-12-31 351178661 BLUE & CO LLC 9200 WORTHINGTON RD STE 200 WESTERVILLE OH 43082 990 2024-01-01 341476935 FISHER-TITUS HEALTH FISH 4196688101 272 BENEDICT AVENUE NORWALK OH 44857 BRENT W BURKEY MD PRESIDENT 4196688101 2025-11-12 1 1 EMILIE M KNIERIEM CPA P01330194 6148852583 2025-11-12 2024 2025-03-06 01:10:19Z BRENT W BURKEY MD 272 BENEDICT AVENUE NORWALK OH 44857 15324717 0 X NONE X 1985 OH FISHER-TITUS HEALTH PROVIDES DIRECTION TO EACH SUPPORTED 501(C)(3) ORGANIZATION. FISHER-TITUS HEALTH COORDINATES LONG TERM PLANNING, PROVIDES MANAGMENT AND CENTRALIZED CONTROL OVER THE SYSTEMS OPERATIONS AND PROGRAMS. 13 9 83 12 0 0 0 0 10763875 13590725 -9741 16263 2879009 1717729 13633143 15324717 0 0 0 0 12135389 16623135 0 0 0 1275818 818629 13411207 17441764 221936 -2117047 14524248 5948082 2684223 3205628 11840025 2742454 TO OVERSEE AND COORDINATE HEALTH-RELATED SERVICES OF FISHER-TITUS HEALTH MEMBERS AND TO SUPPORT THEIR INDIVIDUAL MISSIONS OF ENHANCING THE HEALTH, WELFARE, AND SAFETY OF THEIR PATIENTS AND OF THE RESIDENTS IN THE COMMUNITIES THEY SERVE. 0 0 17433776 15287374 FISHER-TITUS MEDICAL CARE, LLC IS A MULTISPECIALTY PHYSICIAN AND ALLIED HEALTH PROFESSIONAL PRACTICE WITH OFFICES LOCATED THROUGHOUT THE PRIMARY AND SECONDARY SERVICE AREAS. THESE PRACTICES SEEK TO IMPROVE THE HEALTH AND WELLNESS OF ALL PEOPLE IN THE COMMUNITY BY INTEGRATING ALL ASPECTS OF CARE. WE DO THIS BY DELIVERING HIGH QUALITY, HIGH VALUE CARE COORDINATED ACROSS THE CONTINUUM FOCUSED ON THE PATIENTS WE SERVE. FISHER-TITUS HEALTH BELIEVES IN LOCAL GUIDANCE AND COORDINATION OF HEALTH CARE SERVICES. TO THAT END, FISHER-TITUS HEALTH CONTRIBUTED FUNDING TO THE BELLEVUE HOSPITAL TO PARTICIPATE IN THE OWNERSHIP OF THEIR LOCAL HOSPITAL. BECAUSE OF FISHER-TITUS HEALTH'S FUNDING AND SIMILAR FUNDING BY ANOTHER 501(C)(3) HOSPITAL, THE BELLEVUE COMMUNITY WAS ABLE TO BUILD A NEW, FULL SERVICE COMMUNITY HOSPITAL TO SERVE THE PATIENTS OF THEIR SERVICE AREA. CLEARLY, THIS WILL ENHANCE THE SERVICE CAPABILITIES IN THE BELLEVUE COMMUNITY AND ALLOW FOR EXPANSION AND GROWTH BETWEEN BELLEVUE AND FISHER-TITUS HEALTH AND BRING MORE MEDICAL SERVICES TO BOTH OF OUR AREAS, THROUGH THIS COOPERATIVE EFFORT IN JOINTLY RECRUITING PHYSICIANS AND MUTUALLY DEVELOPING SERVICES. FISHER-TITUS HEALTH PROVIDES GENERAL DIRECTION TO EACH SUPPORTED 501(C)(3) ORGANIZATION. FISHER-TITUS HEALTH COORDINATES LONG TERM STRATEGIC PLANNING, PROVIDES MANAGEMENT AND CENTRALIZED CONTROL OVER THE SYSTEMS OPERATIONS AND PROGRAMS DESIGNED TO ENHANCE THE HEALTH AND WELFARE OF RESIDENTS IN THE COMMUNITIES SERVED BY THE SUPPORTED ORGANIZATIONS. 17433776 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 2 0 1 83 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OH X JANET CRISSINGER 4196602746 272 BENEDICT AVENUE NORWALK OH 44857 PERRY DRYDEN CHAIRMAN 1.50 17.50 X X 0 0 0 JEFFERY C HUBER VICE CHAIRMAN 1.00 12.00 X X 0 0 0 DENNIS C CAMP TREASURER 1.00 13.00 X X 0 0 0 JULIE S ROBERTS DDS SECRETARY 1.00 8.00 X X 0 0 0 MARK E CORIELL DIRECTOR 1.00 5.00 X 0 0 0 BRADLEY DAVIS DIRECTOR 1.00 5.00 X 0 0 0 DENNIS DOUGHTY DIRECTOR 1.00 5.00 X 0 0 0 MARC D DOLCE DIRECTOR 1.00 5.00 X 0 0 0 JOHN K HUGHES MD DIRECTOR 41.00 5.00 X 332344 0 66107 SUSAN S HAZEL DIRECTOR 1.00 5.00 X 0 0 0 JOHN A LENDRUM DIRECTOR 1.00 5.00 X 0 0 0 JONATHAN D ZAHLER DO DIRECTOR 1.00 5.00 X 0 0 0 BRENT W BURKEY MD PRESIDENT & CEO 5.00 60.00 X X 0 607890 66774 MATTHEW E MATTNER CHIEF OPERATIONS OFFICER 2.50 47.50 X 0 311967 67996 SCOTT E ENDSLEY CHIEF FINANCIAL OFFICER 3.00 57.00 X 0 323151 44834 MOHAMMAD A MOUCHLI MD PHYSICIAN 40.00 X 642995 0 28626 GREGORY P COOK MD PHYSICIAN 40.00 X 887841 0 37989 PATRICK R WATERS MD PHYSICIAN 40.00 X 697183 0 29605 KATY LUE MD PHYSICIAN 40.00 X 631892 0 34068 MUHAMMAD T SARMINI MD PHYSICIAN 40.00 X 962187 0 40439 4154442 1243008 416438 49 0 1 0 0 NET MEDICAL CARE LLC REVENUE 621110 13485593 13485593 RENTAL INCOME 621300 105132 105132 13590725 16263 16263 OTHER PHYSICIAN REVENUE 621110 357060 357060 1360669 1339589 21080 1717729 15324717 15287374 0 37343 15102828 15102828 428112 428112 285324 285324 806871 806871 120196 112208 7988 45459 45459 9357 9357 8711 8711 86961 86961 30210 30210 2917 2917 473048 473048 MEDICAL SUPPLIES 24133 24133 17637 17637 17441764 17433776 7988 0 1349642 845443 1649904 1603646 738471 800159 93144 60872 1972353 972641 1002629 999712 163030 178160 10031627 955891 14524248 5948082 1609598 2335302 1074625 547907 0 322419 2684223 3205628 X 11840025 2742454 11840025 2742454 14524248 5948082 X -2117047 -6980524 X X 0 1 X 1 0 X X 3 FISHER-TITUS MEDICAL CENTER 344430716 3 1 0 0 FISHER-TITUS FOUNDATION 341476937 7 1 0 0 FISHER-TITUS AFFILIATED SERVICES 341476934 10 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 PART IV, SECTION E, LINE 3A THE BOARD OF DIRECTORS OF FISHER-TITUS HEALTH ARE THE SAME BOARD MEMBERS FOR FISHER-TITUS MEDICAL CENTER AND FISHER-TITUS AFFILIATED SERVICES. THE FISHER-TITUS HEALTH BOARD OF DIRECTORS HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS OF THE FISHER-TITUS FOUNDATION. THE SENIOR LEADERSHIP TEAM OF FISHER-TITUS HEALTH OVERSEES THE MANAGEMENT OF ALL OF THE SUPPORTED ORGANIZATIONS. PART IV, SECTION E, LINE 3B THE BOARD OF DIRECTORS OF FISHER-TITUS HEALTH ARE THE SAME BOARD MEMBERS FOR FISHER-TITUS MEDICAL CENTER AND FISHER-TITUS AFFILIATED SERVICES. THE FISHER-TITUS HEALTH BOARD OF DIRECTORS HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS OF THE FISHER-TITUS FOUNDATION. THE SENIOR LEADERSHIP TEAM OF FISHER-TITUS HEALTH OVERSEES THE MANAGEMENT OF ALL OF THE SUPPORTED ORGANIZATIONS. PART IV, SECTION D, LINE 1 NOTIFICATION OF TYPE OF SUPPORT AND AMOUNT OF SUPPORT FOR EACH SUPPORTED ORGANIZATION IS GIVEN ON A MORE FREQUENT BASIS THAN THE ANNUAL WRITTEN NOTIFICATION. COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS ARE ON FILE WITH THE ORGANIZATION'S PRINCIPAL OFFICER WHO IS THE SAME PERSON FOR EACH OF THE SUPPORTED ORGANIZATIONS. ANY CHANGES TO THE ORGANIZATION'S GOVERNING DOCUMENTS ARE UPDATED AND GIVEN TO THE PRINCIPAL OFFICER. 208730 208730 1753741 962759 790982 9882 9882 0 999712 DUE FROM RELATED ENTITIES 161254 OTHER RECEIVABLES 80637 INVESTMENT IN FT SHARED SERVICES 714000 955891 INTEREST RATE SWAP -6506 DUE TO AFFILIATES 328925 322419 X PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ENTITIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FISHER-TITUS HEALTH INDIVIDUAL ACCRUED UNCERTAIN TAX POSITION WAS $0.00. X X X X X 0 1 0 0 0 0 0 0 0 MUHAMMAD T SARMINI MD PHYSICIAN 615855 0 320604 0 25728 0 3940 0 36499 0 1002626 0 0 0 GREGORY P COOK MD PHYSICIAN 474515 0 387598 0 25728 0 13800 0 24189 0 925830 0 0 0 PATRICK R WATERS MD PHYSICIAN 645489 0 25966 0 25728 0 13800 0 15805 0 726788 0 0 0 BRENT W BURKEY MD PRESIDENT & CEO 0 546701 0 3820 0 57369 0 63574 0 3200 0 674664 0 54641 MOHAMMAD A MOUCHLI MD PHYSICIAN 591001 0 50000 0 1994 0 5676 0 22950 0 671621 0 0 0 KATY LUE MD PHYSICIAN 532668 0 96518 0 2706 0 13800 0 20268 0 665960 0 0 0 JOHN K HUGHES MD DIRECTOR 260794 0 16192 0 55358 0 40143 0 25964 0 398451 0 29881 0 MATTHEW E MATTNER CHIEF OPERATIONS OFFICER 0 255537 0 0 0 56430 0 42849 0 25147 0 379963 0 31004 SCOTT E ENDSLEY CHIEF FINANCIAL OFFICER 0 287013 0 0 0 36138 0 34661 0 10173 0 367985 0 27160 PART I, 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 2024. PART I, LINE 4B PART I LINE 4B & PART II, LINE 4--INCLUDED IN DR. BURKEY'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $63,574 REPORTED IN COLUMN C IS $13,800 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $49,774 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 9--INCLUDED IN MR. ENDSLEY'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $34,661 REPORTED IN COLUMN C IS $7,896 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $26,765 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 8--INCLUDED IN MR. MATTNER'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $42,849 REPORTED IN COLUMN C IS $12,797 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $30,052 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. INCLUDED IN DR. HUGHES'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $40,143 REPORTED IN COLUMN C IS $13,643 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 II LINES 4, 8, AND 9 DR. BRENT BURKEY, SCOTT ENDSLEY AND MATTHEW MATTNER ALL RECEIVED THEIR COMPENSATION FROM FISHER-TITUS MEDICAL CENTER, A RELATED ORGANIZATION. THIS INCLUDES COMPENSATION FOR A SIGNIFICANT AMOUNT OF DR. BURKEY'S 65 HOUR AVERAGE WORK WEEK, MR. ENDSLEY'S 60 HOUR AVERAGE WORK WEEK, AND MR. MATTNER'S 50 HOUR AVERAGE WORK WEEK DEVOTED TO THE FUNCTIONING OF FISHER-TITUS MEDICAL CENTER AS WELL AS UNCOMPENSATED TIME DEVOTED TO OTHER COMMONLY CONTROLLED ORGANIZATIONS LISTED IN SCHEDULE R. A COUNTY OF HURON OHIO 346400672 2015-04-02 5335000 SEE PART VI 0 0 0 A 4801500 5335000 50000 5285000 2015 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 1 PNC 6.800000000000 1 0 0 0 1 A 1 PART I LINE A PURPOSE WAS TO REFUND THE FISHER-TITUS HEALTH COUNTY OF HURON REVENUE BONDS, SERIES 2003B BONDS. THE 2003B BONDS WERE USED TO PROVIDE "FOR THE COST OF HOSPITAL FACILITIES" FOR THE BELLEVUE HOSPITAL, A 501(C)(3) NON-PROFIT ORGANIZATION, TO CONSTRUCT AND EQUIP A NEW ACUTE CARE HOSPITAL ON 109 ACRES IN THE CITY OF BELLEVUE. FISHER-TITUS HEALTH TOGETHER WITH FIRELANDS REGIONAL HEALTH SYSTEMS AND THE BELLEVUE HOSPITAL ASSOCIATION HAVE AGREED TO JOINTLY FINANCE THIS PROJECT. BATTLES INSURANCE AGENCY SEE PART V 657346 VENDOR 0 KATHY LUE SEE PART V 631893 EMPLOYMENT 0 PART IV LINE 1 PERRY DRYDEN, BOARD MEMBER IS PRESIDENT OF BATTLES INSURANCE AGENCY AND 50% OWNER. PART IV LINE 2 MS. LUE HAS A FAMILY RELATIONSHIP WITH BOARD MEMBER JOHN LENDRUM. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS OF FISHER-TITUS HEALTH DELEGATED THE RESPONSIBILITY FOR THE REVIEW OF THE FISHER-TITUS HEALTH FORM 990 PLUS ALL REQUIRED SCHEDULES AND ATTACHMENTS TO THE FISHER-TITUS AUDIT COMMITTEE. THE MEMBERS OF THIS COMMITTEE HAVE A STRONG BACKGROUND IN ACCOUNTING, LEGAL, FINANCE AND BUSINESS AND HAVE THE TECHNICAL EXPERTISE TO PERFORM A SUBSTANTIVE REVIEW. THE AUDIT COMMITTEE REVIEWED THE FISHER-TITUS HEALTH'S FORM 990 PRIOR TO FILING AND REPORTED TO THE FISHER-TITUS HEALTH'S BOARD OF DIRECTORS REGARDING THE RESULTS OF THEIR REVIEW. IN ADDITION, EACH MEMBER OF THE FISHER-TITUS HEALTH'S BOARD OF DIRECTORS HAD ACCESS TO A COPY OF THE FORM 990 FOR VIEWING PRIOR TO FILING VIA A SECURE INTERNET WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C ALL OF OUR AFFILATED CORPORATE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT UPON JOINING THE BOARD AND ANNUALLY THROUGHOUT THEIR TENURE. THESE ARE RETAINED BY FISHER-TITUS MEDICAL CENTER ADMINISTRATION. AREAS OF CONFLICT ARE REVIEWED AND ADDRESSED AS NECESSARY FOR THE TRANSACTIONS OF THE BOARD. WHEN AN AREA OF CONFLICT ARISES, BOARD MEMBERS ARE EXCUSED AND PROHIBITED FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DECISIONS REGARDING THE AREA OF CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE FISHER-TITUS HEALTH OFFICERS RECEIVE ALL OF THEIR COMPENSATION FROM FISHER-TITUS MEDICAL CENTER, (FTMC) A RELATED ORGANIZATION. SUCH COMPENSATION IS SUBJECT TO THE GUIDANCE OF THE PERSONNEL COMMITTEE OF THE FISHER-TITUS HEALTH BOARD. THE COMMITTEE RETAINS AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO HELP ESTABLISH CASH COMPENSATION TARGET RANGES AND IDENTIFY REASONABLE AND CUSTOMARY BENEFIT PROGRAMS FOR EXECUTIVES. THE INDEPENDENT CONSULTANT REPORTS TO THE PERSONNEL COMMITTEE ON RELEVANT PEER GROUPS, CASH COMPENSATION REPORTED IN AVAILABLE SALARY SURVEYS FOR THE PEER GROUP AND TRENDS IN PERQUISITE PROGRAMS CUSTOMARILY AVAILABLE AMONG THE PEER GROUP FOR EXECUTIVES. RECOMMENDATIONS BY THE CONSULTANT ARE PRESENTED TO THE PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE THEN PROVIDED TO EACH OF THE DIRECTORS OF FISHER-TITUS HEALTH BOARD. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED BY THE PERSONNEL COMMITTEE AND THEN BY THE FISHER-TITUS HEALTH BOARD OF DIRECTORS. THE MINUTES OF EACH BOARD MEETING WHERE SUCH ACTION IS TAKEN REFLECT SUCH ACTION. THIS IS DONE ANNUALLY AND WAS LAST DONE IN MARCH 2024. FORM 990, PART VI, SECTION C, LINE 18 AS REQUIRED, WE OFFER A TIMELY RESPONSE TO WRITTEN REQUESTS FOR COPIES OF THE 990, AS WELL AS HAVING THEM AVAILABLE ON THE PREMISES FOR THE PUBLIC TO REVIEW & ON THE GUIDESTAR INTERNET WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 OUR CONFLICT OF INTEREST, CODE OF REGULATIONS, GOVERNING DOCUMENTS & FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST RATE SWAP -14,742. UNREALIZED GAIN/LOSS BELLEVUE -7,106,272. TRANSFER FROM AFFILIATE 140,490. FORM 990, PART XII, LINE 2C NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. FISHER-TITUS MEDICAL CARE LLC 272 BENEDICT AVENUE NORWALK OH 44857 161768258 PHYSICIAN GROUP PRACTICE OH 15203322 3394717 FISHER-TITUS HEALTH FISHER-TITUS SANDUSKY HOLDING CO LLC 272 BENEDICT AVENUE NORWALK OH 44857 841880427 HOLDING COMPANY OH 29838 192021 FISHER-TITUS HEALTH FISHER TITUS MEDICAL CENTER 272 BENEDICT AVENUE NORWALK OH 44857 344430716 HOSPITAL OH 501(C)(3) LINE 3 FISHER-TITUS HEALTH 1 FISHER TITUS FOUNDATION 272 BENEDICT AVENUE NORWALK OH 44857 341476937 FOUNDATION OH 501(C)(3) LINE 7 FISHER-TITUS HEALTH 1 FISHER-TITUS AFFILIATED SERVICES 272 BENEDICT AVENUE NORWALK OH 44857 341476934 AMBULANCE SERVICE OH 501(C)(3) LINE 10 FISHER-TITUS HEALTH 1 FISHER-TITUS PAIN MANAGEMENT LLC 272 BENEDICT AVENUE NORWALK OH 44857 271471272 PAIN MANAGEMENT OH N/A 0 0 FISHER-TITUS SHARED SERVICES LLC 272 BENEDICT AVENUE NORWALK OH 44857 834555068 SURGERY CENTER OH FISHER-TITUS HEALTH RELATED 347173 1305526 0 0 0.70000 THE SURGERY CENTER OF NORTH CENTRAL OHIO 7110 CROSSROADS BLVD SUITE 200 BRENTWOOD TN 37027 833986181 SURGERY CENTER TN FISHER-TITUS SHARED SERVICES LLC RELATED 325298 1303095 0 0 0.51000 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 1 1 FISHER-TITUS AFFILIATED SERVICES A 105132 SEE PART VII FISHER-TITUS AFFILIATED SERVICES S 300000 SEE PART VII FISHER-TITUS MEDICAL CENTER O 3813683 PAYROLL SYSTEM FISHER-TITUS MEDICAL CENTER R 1550000 SEE PART VII PART V LINE 2: ORGANIZATION #1 FISHER-TITUS AFFILIATED SERVICES OF $105,132. METHOD OF VALUATION: RENT WAS CALCULATED ON ALL RENTAL PROPERTY BASED ON AN AVERAGE 18 YEAR DEPRECIABLE LIFE FOR THE BUILDINGS. EACH YEAR RENT IS INCREASED BY THE ANNUAL CPI INDEX. MONTHLY INVOICES WERE THEN WRITTEN UP AND BILLED TO THE RELATED ORGANIZATION. PART V LINE 2: ORGANIZATION #2 FISHER-TITUS AFFILIATED SERVICES OF $300,000. METHOD OF VALUATION WAS AS NEEDED TO COVER OPERATING CASH FLOW. PART V LINE 2: ORGANIZATION #4 FISHER-TITUS MEDICAL CENTER OF $1,550,000. METHOD OF VALUATION WAS AS NEEDED TO COVER OPERATING CASH FLOW.