FISHER TITUS MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: FISHER TITUS MEDICAL CENTER (EIN 34-4430716)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201623199349301597
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-14T10:19:14-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	351178661	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Blue & Co LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	8800 Lyra Drive Suite 450	AddressLine1Txt
City	Columbus	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43240	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	344430716	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Fisher-Titus Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	FISH	BusinessNameControlTxt
Phone	4196688101	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 Benedict Avenue	AddressLine1Txt
City	NORWALK	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44857	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	steven fries	PersonNm
Person Title	senior vp of finance & cfo	PersonTitleTxt
Phone	4196688101	PhoneNum
Signature	2016-10-28	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	NANCY L KIRCHNER	PreparerPersonNm
PTIN	P00386751	PTIN
Phone	6148852583	PhoneNum
Preparation	2016-10-28	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Lorna Strayer	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 Benedict Avenue	AddressLine1Txt
City	NORWALK	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44857	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$154,738,797	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FTMC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1911	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	PROVIDE QUALITY HEALTHCARE IN A COST EFFECTIVE MANNER, WHILE RESPECTING THE DIGNITY AND UNIQUENESS OF EACH INDIVIDUAL WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	1154	TotalEmployeeCnt
Total Volunteers	189	TotalVolunteersCnt
Total Gross UBI	$548,724	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$86,413	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,502,538	PYContributionsGrantsAmt
CY Contributions Grants	$271,405	CYContributionsGrantsAmt
PY Program Service Revenue	$117,261,193	PYProgramServiceRevenueAmt
CY Program Service Revenue	$123,757,150	CYProgramServiceRevenueAmt
PY Investment Income	$7,385,784	PYInvestmentIncomeAmt
CY Investment Income	$1,220,312	CYInvestmentIncomeAmt
PY Other Revenue	$1,190,230	PYOtherRevenueAmt
CY Other Revenue	$1,045,012	CYOtherRevenueAmt
PY Total Revenue	$127,339,745	PYTotalRevenueAmt
CY Total Revenue	$126,293,879	CYTotalRevenueAmt
PY Grants And Similar Paid	$276,265	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$252,381	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$61,373,353	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$62,875,762	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$52,672,335	PYOtherExpensesAmt
CY Other Expenses	$55,993,569	CYOtherExpensesAmt
PY Total Expenses	$114,321,953	PYTotalExpensesAmt
CY Total Expenses	$119,121,712	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,017,792	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,172,167	CYRevenuesLessExpensesAmt
Total Assets BOY	$204,800,606	TotalAssetsBOYAmt
Total Assets EOY	$203,784,452	TotalAssetsEOYAmt
Total Liabilities BOY	$64,402,541	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$59,144,651	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$140,398,065	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$144,639,801	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	provide quality healthcare in a cost effective manner, while respecting the dignity and uniqueness of each individual we serve.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$96,686,244	ExpenseAmt
Grant	$252,381	GrantAmt
Revenue	$116,281,919	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$5,141,724	ExpenseAmt
Revenue	$7,475,231	RevenueAmt
Desc	see schedule o	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$101,827,968	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	111	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1154	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID V WILSON MBACMA	PersonNm
Phone	4196688101	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 Benedict Avenue	AddressLine1Txt
City	NORWALK	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44857	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
matt gross
chairman	15.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
thomas c bleile
VICE CHAIRMAN-ended May 2015	8.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
perry dryden
treasurer	12.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
REV FRED WIECHERS
SECRETARY	8.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
john d payne cpa
director/vice chairman	10.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
Leslie D Stoneham
director	4.00	0.00	Yes (X)		$0	$0	$0
william b cornell md
director-ENDED JUNE 30, 2015	8.00	0.00	Yes (X)		$0	$0	$0
virginia h poling
director-ended May 2015	6.00	0.00	Yes (X)		$0	$0	$0
Eric Schmidt MD
DIRECTOR	4.00	2.00	Yes (X)		$0	$0	$0
GLENN TRIPPE MD
Director	8.00	2.00	Yes (X)		$0	$0	$0
lorna strayer
PRESIDENT	49.50	15.50	Yes (X)	Yes (X)	$391,310	$0	$112,301
Ellen Heinz
director-started July 2015	4.00	0.00	Yes (X)		$0	$0	$0
Dennis Doughty
Director-started July 2015	4.00	0.00	Yes (X)		$0	$0	$0
duane woods
Senior VP of Finance & CFO	44.00	6.00		Yes (X)	$280,743	$0	$64,366
laurie S Delgado
SR VP Operations	45.00	0.00		Yes (X)	$196,433	$0	$21,193
cherie m spragg
VP POPULATION HEALTH	50.00	0.00			$205,786	$0	$64,693	Yes (X)
PHILLIP J ANNARINO
VP HUMAN RESOURCES	45.00	0.00			$217,313	$0	$61,359	Yes (X)
john britton
vp information services	45.00	0.00			$199,980	$0	$33,703	Yes (X)
george b elmer
VP Strategic Planning & dev	50.30	4.70			$188,827	$0	$37,945	Yes (X)
Suzanne s inglis
SENIOR VP OF NURSING SERVI	45.00	0.00			$211,449	$0	$22,061	Yes (X)
Dr Shankar Kurra
Senior VP Medical Affairs	45.00	0.00			$332,735	$0	$72,291	Yes (X)
mitch Esch
director of pharmacy	40.00	0.00			$159,506	$0	$75,700		Yes (X)
Scott P Steinmetz
director of information sv	40.00	0.00			$143,614	$0	$16,371		Yes (X)
sharon harwood
Director Corp Compliance	40.00	0.00			$133,404	$0	$37,760		Yes (X)
John D Overmyer
Assistant Director, Pharma	40.00	0.00			$127,539	$0	$63,041		Yes (X)
Lori Lill
Assistant VP. Clinical Ser	40.00	0.00			$141,760	$0	$46,169		Yes (X)
ross a Matlack
president-former	0.00	0.00			$189,062	$0	$11,767			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,119,461	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$740,720	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	32	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
THE ROBINS & MORTON GROUP
5500 MARYLAND WAY SUITE 100	BRENTWOOD	TN	37027	BUILDING CONTRACTOR	$8,769,737
cerner CORPORATION
2800 ROCKCREEK PARKWAY	KANSAS CITY	MO	64117	HEALTHCARE INFORMATION TECHNOLOGY	$3,782,873
Cleveland Clinic Foundation
PO BOX 931760	CLEVELAND	OH	44193	Spine Center & Cardiology	$1,579,885
Janotta & Herner
309 Monroe Street	Monroeville	OH	44847	BuiLDING CONTRACTOR	$785,518
LABORATORY CORP OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	Blood Admin & Lab Testing	$697,025

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	18	CntrctRcvdGreaterThan100KCnt
Membership Dues	$459	MembershipDuesAmt
Related Organizations	$269,946	RelatedOrganizationsAmt
All Other Contributions	$1,000	AllOtherContributionsAmt
Noncash Contributions	$248,700	NoncashContributionsAmt
Total Contributions	$271,405	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES	623000	$115,733,195	$115,733,195
NURSING HOME & ASSISTED LIVING RE	621500	$7,475,231	$7,475,231
medical laboratory	621500	$542,321		$542,321
health and allied services	612990	$6,403		$6,403

Field	Value	IRS element (for citing)
Total Program Service Revenue	$123,757,150	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,868,400	TotalRevenueColumnAmt
Exclusion	$1,868,400	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$63	TotalRevenueColumnAmt
Exclusion	$63	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$27,796,767	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$28,237,363	SecuritiesAmt
Other	$207,555	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$440,596	SecuritiesAmt
Other	-$207,555	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$648,151	TotalRevenueColumnAmt
Exclusion	-$648,151	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	722210	$484,453	$484,453
AUXILIARY SALES	453220	$315,856	$315,856
OTHER HOSPITAL REVENUE	900099	$244,703	$244,703

Field	Value	IRS element (for citing)
Other Revenue Total	$1,045,012	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$126,293,879	TotalRevenueColumnAmt
Related Or Exempt Func Income	$123,208,426	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$548,724	UnrelatedBusinessRevenueAmt
Exclusion	$2,265,324	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$252,381	TotalAmt
Program Services	$252,381	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,714,487	TotalAmt
Program Services	$1,491,148	ProgramServicesAmt
Management And General	$1,223,339	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$45,343,925	TotalAmt
Program Services	$39,300,760	ProgramServicesAmt
Management And General	$6,043,165	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,712,339	TotalAmt
Program Services	$2,350,855	ProgramServicesAmt
Management And General	$361,484	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,547,321	TotalAmt
Program Services	$7,417,186	ProgramServicesAmt
Management And General	$1,130,135	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,557,690	TotalAmt
Program Services	$3,083,543	ProgramServicesAmt
Management And General	$474,147	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$360,752	TotalAmt
Program Services	$270,564	ProgramServicesAmt
Management And General	$90,188	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$110,764	TotalAmt
Program Services	$55,382	ProgramServicesAmt
Management And General	$55,382	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$102,395	TotalAmt
Management And General	$102,395	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,012,455	TotalAmt
Program Services	$7,152,580	ProgramServicesAmt
Management And General	$2,859,875	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$483,885	TotalAmt
Program Services	$468,177	ProgramServicesAmt
Management And General	$15,708	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,027,678	TotalAmt
Program Services	$2,529,113	ProgramServicesAmt
Management And General	$1,498,565	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,436,449	TotalAmt
Program Services	$3,286,293	ProgramServicesAmt
Management And General	$1,150,156	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,123,312	TotalAmt
Program Services	$1,408,016	ProgramServicesAmt
Management And General	$715,296	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$135,161	TotalAmt
Program Services	$125,084	ProgramServicesAmt
Management And General	$10,077	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$415,093	TotalAmt
Program Services	$152,663	ProgramServicesAmt
Management And General	$262,430	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$948,462	TotalAmt
Program Services	$906,243	ProgramServicesAmt
Management And General	$42,219	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,580,205	TotalAmt
Program Services	$9,123,050	ProgramServicesAmt
Management And General	$457,155	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$648,696	TotalAmt
Program Services	$430,726	ProgramServicesAmt
Management And General	$217,970	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
ubi income tax	$96,157	$96,157
MEDICAL SUPPLIES	$16,037,562	$16,033,762	$3,800
BAD DEBT EXPENSES	$3,549,109	$3,549,109
ohio hospital tax & sn	$1,668,089	$1,668,089

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,257,345	TotalAmt
Program Services	$677,087	ProgramServicesAmt
Management And General	$580,258	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$119,121,712	TotalAmt
Program Services	$101,827,968	ProgramServicesAmt
Management And General	$17,293,744	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,275	BOYAmt
EOY	$5,375	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,209,997	BOYAmt
EOY	$4,521,785	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,889,873	BOYAmt
EOY	$11,827,667	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$371,949	BOYAmt
EOY	$646,245	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,259,003	BOYAmt
EOY	$2,482,762	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,112,247	BOYAmt
EOY	$1,981,449	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$191,163,786	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$80,558,686	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$105,378,150	BOYAmt
EOY	$110,605,100	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$70,534,281	BOYAmt
EOY	$65,793,770	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$6,003,708	BOYAmt
EOY	$2,158,138	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$205,542	BOYAmt
EOY	$193,542	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,830,581	BOYAmt
EOY	$3,568,619	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$204,800,606	BOYAmt
EOY	$203,784,452	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$35,287,206	BOYAmt
EOY	$31,388,163	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$248,380	BOYAmt
EOY	$226,488	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,825,000	BOYAmt
EOY	$27,530,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$41,955	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,402,541	BOYAmt
EOY	$59,144,651	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$140,379,712	BOYAmt
EOY	$144,621,430	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,353	BOYAmt
EOY	$18,371	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$140,398,065	BOYAmt
EOY	$144,639,801	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$204,800,606	BOYAmt
EOY	$203,784,452	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,172,167	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,665,453	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,264,978	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$7,381	OtherActivitiesAmt
Total Lobbying Expenditures	$7,381	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	EXECUTIVE MEMBERS OF THE ORGANIZATION, ON AN OCCASIONAL BASIS, MAY WRITE OR SPEAK TO LEGISLATIVE MEMBERS CONCERNING PROPOSED LEGISLATION THAT MIGHT IMPACT THE LOCAL DELIVERY OF HEALTHCARE SERVICES. THE MEDICAL CENTER HAS MEMBERSHIPS IN VARIOUS HEALTHCARE RELATED ASSOCIATIONS, WHICH PROVIDE STATE AND NATIONAL LEADERSHIP ON LEGAL, REGULATORY, QUALITY AND ACCREDITATION ISSUES. AS A PART OF THAT LEADERSHIP ROLE THESE ORGANIZATIONS DO CONTACT LEGISLATORS TO EXPRESS THEIR ASSOCIATION'S POSITIONS ON MATTERS IMPORTANT TO THEIR MEMBERSHIP. THE FOLLOWING ORGANIZATIONS LISTED BELOW SHOW THE PERCENTAGE OF THE DUES THAT REFLECT LOBBYING AS DETERMINED BY THE IRS: OHIO HEALTH CARE ASSOCIATION - 19.46% OF DUES; OHIO HOSPITAL ASSOCIATION - 3.6% OF DUES AND AMERICAN HOSPITAL ASSOCIATION - 22.12% OF DUES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,601,785	OtherCostOrOtherBasisAmt
Book Value	$1,601,785	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$133,010,407	OtherCostOrOtherBasisAmt
Depreciation	$49,687,163	DepreciationAmt
Book Value	$83,323,244	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,798,747	OtherCostOrOtherBasisAmt
Depreciation	$27,413,315	DepreciationAmt
Book Value	$21,385,432	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,752,847	OtherCostOrOtherBasisAmt
Depreciation	$3,458,208	DepreciationAmt
Book Value	$4,294,639	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$110,605,100	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$126,710,546	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,665,453	NetUnrealizedGainsInvstAmt
Other Revenue	$2,688,326	OtherRevenueAmt
Revenue Not Reported	$1,022,873	RevenueNotReportedAmt
Revenue Subtotal	$125,687,673	RevenueSubtotalAmt
Other Revenues Not Included	$606,206	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$606,206	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$126,293,879	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$121,792,220	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$3,287,792	OtherExpensesIncludedAmt
Expenses Not Reported	$3,287,792	ExpensesNotReportedAmt
Expenses Subtotal	$118,504,428	ExpensesSubtotalAmt
Other Expenses Not Included	$617,284	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$617,284	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$119,121,712	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part X, Line 2:	Management has analyzed the tax positions taken by these entities, and has concluded that as of December 31, 2015 and 2014, 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. Fisher-Titus Medical Center individual accrued uncertain tax position was $0.00
Part XI, Line 2d - Other Adjustments:	health promotions of norwalk revenue 738,279. ADJUSTMENT TO RECOGNIZE FASB #158 (CHANGE IN PENSION LIABILITY) 3,715,050. FISHER-TITUS PAIN MANAGEMENT LLC REVENUE 4,079,297. transers to various affiliated entities -5,074,921. dividends paid to ftmc from pain management join venture 99,394. pension plan settlement -767,830. change in interest swap value -100,943.
Part XI, Line 4b - Other Adjustments:	HOSPITAL AUXIIARY REVENUE 316,327. HOSPITAL EXPENSE ADJUSTMENTS TO REVENUES 289,879.
Part XII, Line 2d - Other Adjustments:	HEALTH PROMOTIONS OF NORWALK EXPENSES 623,655. FISHER-TITUS PAIN MANAGEMENT LLC EXPENSES 2,664,137.
Part XII, Line 4b - Other Adjustments:	HOSPITAL AUXILIARY EXPENSES 327,405. HOSPITAL EXPENSE ADJUSTMENTS TO REVENUES 289,879.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	9120	PersonsServedCnt
Total Community Benefit Expns	$1,581,124	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,463,233	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$17,975,872	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,849,930	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,125,942	NetCommunityBenefitExpnsAmt
Total Expense	0.01840	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	9120	PersonsServedCnt
Total Community Benefit Expns	$19,556,996	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,313,163	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,125,942	NetCommunityBenefitExpnsAmt
Total Expense	0.01840	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	37	ActivitiesOrProgramsCnt
Persons Served	55548	PersonsServedCnt
Total Community Benefit Expns	$740,555	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,028	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$676,527	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	101	PersonsServedCnt
Total Community Benefit Expns	$141,268	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,517	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$138,751	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,219,594	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$451,141	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$768,453	NetCommunityBenefitExpnsAmt
Total Expense	0.00660	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	8231	PersonsServedCnt
Total Community Benefit Expns	$277,077	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$274,527	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	48	ActivitiesOrProgramsCnt
Persons Served	63880	PersonsServedCnt
Total Community Benefit Expns	$2,378,494	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$520,236	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,858,258	NetCommunityBenefitExpnsAmt
Total Expense	0.01610	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	50	ActivitiesOrProgramsCnt
Persons Served	73000	PersonsServedCnt
Total Community Benefit Expns	$21,935,490	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,833,399	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,984,200	NetCommunityBenefitExpnsAmt
Total Expense	0.03450	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	171	PersonsServedCnt
Total Community Benefit Expns	$1,173	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,484	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,484	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4,002	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,002	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,491	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,491	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	875	PersonsServedCnt
Total Community Benefit Expns	$19,758	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,758	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	89	PersonsServedCnt
Total Community Benefit Expns	$1,854	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,854	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	1135	PersonsServedCnt
Total Community Benefit Expns	$38,762	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,762	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,549,108	BadDebtExpenseAmt
Bad Debt Expense Attributable	$887,277	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$26,395,956	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$33,674,577	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,278,621	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 NORTH CENTRAL CARENET
PHYSICIAN-HOSPITAL ORGANIZATION	0.50000	0.06980	0.43020
2 FISHER-TITUS PAIN MANAGEMENT LLC
PAIN MANAGEMENT	0.51000		0.49000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FISHER-TITUS MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1Txt
City	NORWALK	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44857	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.fisher-titus.org	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FISHER-TITUS MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.fisher-titus.org/community-services/overview.html	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	http://www.hcno.org/community	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.fisher-titus.org/community-services/overview.html	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.fisher-titus.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.FISHER-TITUS.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FISHER-TITUS MEMORIAL HOSPITAL	Part V, Section B, Line 5: HURON COUNTY CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NON-PROFIT HOSPITAL ASSOCIATION LOCATED IN TOLEDO, OHIO TO COORDINATE AND MANAGE THE HEALTH ASSESSMENT PROCESS. THE PROJECT COORDINATOR FROM THE HOSPITAL COUNCIL OF NW OHIO CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM HURON COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE, YOUTH RISK FACTOR BEHAVIOR SURVEILLANCE AND THE NATIONAL SURVEY OF CHILDREN'S HEALTH WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE HURON COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 111 ITEMS FOR THE ADULT SURVEY WITH AN ADDITIONAL 30 QUESTIONS FOR PARENTS OF 0-11 YEAR OLDS, AND 77 ITEMS FOR THE ADOLESCENT SURVEY. THE DRAFTS WERE APPROVED BY HEALTH EDUCATION REASEARCHERS AT THE UNIVERSITY OF TOLEDO. THE HOSPITAL COUNCIL OF NW OHIO COLLECTED THE DATA, GUIDED THE HEALTH ASSESSMENT PROCESS AND INTERGRATED SOURCES OF PRIMARY AND SECONDARY DATA INTO THE FINAL REPORT. THE NEEDS OF THE POPULATION, ESPECIALLY THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND POPULATIONS WITH CHRONIC DISEASE NEEDS WERE TAKEN INTO ACCOUNT THROUGH THE SAMPLE METHODOLOGY THAT SURVEYED THESE POPULATIONS. IN ADDITION, THE ORGANIZATIONS THAT SERVE THESE POPULATIONS PARTICIPATED IN THE HEALTH ASSESSMENT PROCESS. THE PARTICIPANTS WHO HAVE A (PH) AFTER THEIR NAME INDICATES THEY WORK IN THE PUBLIC HEALTH FIELD. THE PARTICIPANTS INCLUDED: TIMOTHY HOLLINGER (PH), KATIE SPAAR (PH), ELAINE BARMAN, (PH), KATHERINE SABOURIN, (PH) ALL FROM HURON PUBLIC HEALTH; LORNA STRAYER (PH), MICHELE SKINN (PH), FISHER-TITUS MEDICAL CENTER; JULIE LANDOLL, (PH), MERCY HOSPITAL OF WILLARD; JOANN VENTURA, (PH), MANDI ARTINO, (PH), THE BELLEVUE HOSPITAL; JEAN KING, (PH), HURON COUNTY BOARD OF MENTAL HEALTH AND ADDICTION SERVICES. KIM SCHUBERT, BELLEVUE CITY SCHOOLS; KAREN MALCOLM, IMMACULATE CONCEPTION SCHOOL; GREGG ELCHERT, MONROEVILLE LOCAL SCHOOLS; BRAD RAMANO, NEW LONDON LOCAL SCHOOLS; WAYNE BABCANEC, NORWALK CATHOLIC SCHOOLS; DENNIS DOUGHTY, NORWALK CITY SCHOOLS; DAVID BRAND, SOUTH CENTRAL SCHOOLS; RODGE WILSON, WESTERN RESERVE LOCAL SCHOOLS; JEFF RITZ, WILLARD CITY SCHOOLS; DEBRA FISHER, CAC OF ERIE, HURON & RICHLAND COUNTIES; RENEE GEROME, (PH), FIRELANDS COUNSELLING & RECOVERY; BOB PATUSKY, CITY OF NORWALK.
FISHER-TITUS MEMORIAL HOSPITAL	Part V, Section B, Line 6a: MERCY HOSPITAL OF WILLARD, THE BELLEVUE HOSPITAL, FIRELANDS REGIONAL HOSPITAL (COUNSELING & RECOVERY CENTER), HURON COUNTY PUBLIC HEALTH AND HURON COUNTY BOARD OF MENTAL HEALTH AND ADDICTION services.
FISHER-TITUS MEMORIAL HOSPITAL	Part V, Section B, Line 11: Each of the health needs listed below is important and is being addressed by numerous programs and initiatives supported by Fisher-Titus Medical Center and other community partners of the hospital. The Medical Center does not address these needs listed below as part of this Implementation Plan due to limited financial and human resources and the need to allocate significant resources on the priority health needs listed in the Implementation Plan. Needs not addressed: 1. 14% of Huron County adults have been diagnosed with Asthma;2. 22 % of Huron County adults are diagnosed with arthritis;3. In 2014, only two-thirds (69%) of Huron Country youth in grades 6-12 had visited a dentist for check-up exam, teeth cleaning or other dental work over the past 12 months;4. Insects and mold were reported as the two most threatening environmental health issues by respondents;5. 40% of adults had not visited a dentist or dental clinic in the past year.
PART V, SECTION B line 22d	THE DISCOUNT RATE FOR SELF-PAY PATIENTS WAS SET TO MATCH THE RATE OF OUR TWO PREDOMINANT COMMERCIAL INSURANCE CONTRACTS WHICH MAKE UP 2/3 OF OUR POPULATION COVERED BY THIRD PARTY INSURANCE.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2015. 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 segment.
Part II, Community Building Activities:	In 2015, Fisher-Titus's community building activities and benefits provided $11.3 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 4:	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 SOLELY BASED ON THE COOPERATION OF THE PATIENT TO PROVIDE THE ORGANIZATION ENOUGH FAMILY AND FINANCIAL INFORMATION TO DETERMINE ELIGIBILTY TO MATCH OUR PROGRAMS. HISTORICALLY, IN ADDITION TO THE INTERNALLY IDENTIFIED CHARITY, 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 APPLCIATION PROCESS TO ONLY ELIMINATE ONE CREDITOR AND HAVE NO IMPROVEMENT TO THEIR FINANCIAL STATUS.WE ESTIMATE THAT UNDER THE CURRENT ECONOMIC CONDITIONS UNIDENTIFIED CHARITY IN BAD DEBT EXPENSE IS ESTIMATED TO BE AN ADDITIONAL $887,277 OR 25% OF BAD DEBT. SINCE THIS CALCUALTION IS ON AN ACCRUAL BASIS, WE BELEIVE 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 FOOTNOTE "ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS":	THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN THE HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON SPECIFIC ACCOUNTS, HISTORICAL WRITE OFF EXPERIENCE AND CURRENT MARKET CONDITIONS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH THE MOST UP TO DATE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES.
PART III, LINE 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 $7.3 MILLION DOLLAR SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT, BECAUSE OUR MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT THE CARE AVAILABLE TO ANY PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY. THIS YEAR, MEDICARE ACCOUNTED FOR 43% 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. IN ADDITION, 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:	FISHER-TITUS SPONSORED AND COLLABORATED WITH THE HURON COUNTY PUBLIC HEALTH AND OTHER HEALTH ORGANIZATIONS, SCHOOLS, NON-PROFITS AND BUSINESSES (CALLED HURON COUNTY HEALTH PARTNERS) TO DEVELOP AND FUND THE HURON COUNTY HEALTH NEEDS ASSESSMENT IN 2014. LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING GOVERNMENT DATA, REVIEWING DRAFT REPORTS AND PLANNING THE COMMUITY RELEASE OF THE DATA AND SETTING PRIORITIES. THERE WERE OVER 50 KEY LEADERS FROM THE COMMUNITY THAT REPRESENTED PUBLIC HEALTH, LAW ENFORCEMENT, SCHOOLS, CHURCHES, LOCAL OFFICIALS, SOCIAL AGENCIES AND OTHER VARIOUS COMMUNITY MEMBERS IN ATTENDANCE AT THE PUBLIC RELEASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. AT THE EVENT, PARTICIPANTS, PARTICIPATED IN FOCUS GROUPS AND PRIORITIES WERE CHOOSEN FOR AREAS OF HEALTH CONCERN FOR HURON COUNTY TO FOCUS ON OVER THE NEXT FEW YEARS. FTMC USED THIS INFORMATION TO ADD AND EXPAND SERVICES AND TO RECRUIT PHYSICIANS TO MEET THE THEN IDENTIFIED MEDICAL NEEDS OF OUR COMMUNITY. FROM THESE PRIORITIES, FTMC HAS DEVELOPED NUMEROUS PROGRAMS TARGETING THE COUNTY'S HIGH RATE OF ADULTS WHO ARE OVERWEIGHT OR OBESE; HAVE DIABETES AND/OR CARDIOVASCULAR ISSUES. PROGRAMS INCLUDING NUTRITION AND EXERCISE EDUCATION IN KINDERGARTENS THROUGHOUT HURON COUNTY; WALK WITH A DOC AND WELLNESS WALKS THAT PROVIDE NOT ONLY EXERCISE, BUT ALSO EDUCATION; GLUCOSE AND BLOOD PRESSURE SCREENINGS WHERE ABNORMAL RESULTS ARE SHARED WITH THE INDIVIDUAL'S PRIMARY CARE PHYSICIANS.
Part VI, Line 3:	PATIENTS ARE INTERVIEWED AFTER REGISTRATION TO ASSIST THEM IN DETERMINING EACH PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS AVAILABLE INTERNALLY AND EXTERNALLY. ftmc has bilingual SIGNAGE POSTED IN THE ADMITTING/REGISTRATION AREAS, BILLING OFFICE AND FINANCIAL COUNSELING OFFICES, AND IN THE INPATIENT GUIDES IN ALL PATIENT ROOMS. THE FTMC WEBSITE HAS A SECTION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND CONTRACT INFORMATION. A MESSAGE ABOUT FINANCIAL ASSISTANCE AND CHARITY CARE ALSO IS INCLUDED ON THE BILLS THAT ARE SENT TO THE PATIENTS. MANY MATERIALS ARE BILINGUAL AND INTERPRETATION SERVICES ARE AVAILABLE. THE MEDICAL CENTER SUPPORTS AN OUTSIDE COUNSELOR DEDICATED TO HELPING PATIENTS BECOME QUALIFIED FOR MEDICAID OR OTHER GOVERNMENT PROGRAMS. THEY ALSO REFER PATIENTS WHO DON'T QUALIFY FOR THOSE PROGRAMS TO OUR FTMC FINANCIAL COUNSELORS FOR ASSISTANCE WITH H.C.A.P., FISHER-TITUS CHARITY AND FISHER-TITUS COMMUNITY ASSISTANCE PROGRAMS. OUR SOCIAL SERVICES DEPARTMENT REGULARLY REFERS PATIENTS IN NEED TO OUR FINANCIAL COUNSELORS FOR ASSISTANCE. WE ALSO TAKE REFERRALS FROM THE LOCAL COUNTY HUMAN SERVICES AGENCIES, VICTIMS OF VIOLENT CRIMES, LOCAL HEALTH DEPARTMENTS, LOCAL LAW ENFORCEMENT AGENCIES, 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 59,000 RESIDENTS. FTMC'S 50 ACRE CAMPUS IS IN THE COUNTY SEAT OF NORWALK, WHICH IS THE LARGEST CITY IN THE COUNTY WITH OVER 17,000 RESIDENTS. FTMC HAS NUMEROUS MEDICAL OFFICES THROUGHOUT THE COUNTY TO PROVIDE EASY ACCESS TO PHYSICIANS FOR COMMUNITY RESIDENTS. huron county had the 10th highest level of unemployment with an average of 6.6% in 2015. THE LARGEST PERCENTAGE OF RESIDENTS ARE CHILDREN UNDER 18 WITH THOSE 65 AND OLDER MAKING UP 15.9% OF THE POPULATION. 91% OF THE RESIDENTS ARE CAUCASIAN WITH 6.3% OF THE POPULATION BEING HISPANIC OR LATINO (OF ANY RACE). IN 2013 THE MEDIAN HOUSEHOLD INCOME (FAMILIES) WAS $44,825 COMPARED TO OHIO'S MEDIAN HOUSEHOLD INCOME OF $48,138. IN 2013, 13.5% OF INDIVIDUALS WERE LIVING IN POVERTY WITH THOSE AGED 5-17 LIVING IN POVERTY ESTIMATED TO BE 19%.
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 STEWARDHSIP. FTMC'S MEDICAL STAFF IS OPEN AND PRIVILEGES ARE GRANTED TO ALL QUALIFIED PHYSICIANS WHO APPLY AND MEET THE STANDARDS OF THE MEDICAL CENTER PRIVILEGING PROCESS. THE MEDICAL CENTER UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO THE FOLLOWING:1. EDUCATIONAL PROGRAMS THAT PROVIDE CLASSES AND INFORMATION ON TOBACCO CESSATION, HEALTHY AGING, CHILDBIRTH, INFANT CARE, EARLY PREGNANCY AND MORE.2. FREE BLOOD PRESSURE AND DIABETES SCREENINGS, AND MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW-COST SCREENINGS FOR BREAST, PROSTATE, SKIN AND COLORECTAL CANCERS AS WELL AS OSTEOPOROSIS ASSESSMENTS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
fisher-titus foundation
272 benedict ave	norwalk	OH	44857	341476934	501(C)(3)	$91,000	help TO purchase equipment
NORWALK AREA UNITED FUND
PO BOX 134	NORWALK	OH	44857	340906312	501(C)(3)	$20,000	CONTRIBUTion TO HELP THE LOCAL COMMUNITY
norwalk economic development
12 BENEDICT AVE	norwalk	OH	44857	341787391	501(C)(3)	$5,000	CONTRIBUTion TO HELP THE LOCAL COMMUNITY
SHELBY CHRISTIAN ALLIANCE CHURCH
105 e smiley ave	shelby	OH	44875	341354574	501(C)(3)		SUPPLIES TO AID IN CARRYING OUT THE ORGANIZATION'S CHARITABLE PURPOSE	$50,170	fmv	MISC. MEDICAL AND CATH LAB SUPPLIES
Teen Leadership Corps
26 E Cedar Point Road	Sandusky	OH	44870	260324010	501(C)(3)	$5,000	Contributions to Teen Leadership Classes
City of norwalk-ERNSTHAUSEN
100 republic st	Norwalk	OH	44857		Section 115	$10,000	Grant for Healthy Behaviour Events
Shelby christian ALLIANCE church
105 e smiley ave	Shelby	OH	44875	341354574	501(C)(3)		SUPPLIES TO AID IN CARRYING OUT THE ORGANIZATION'S CHARITABLE PURPOSE	$41,211	FMV	MISC. CATH LAb MEDICAL SUPPLIES
NORWALK CATHOLIC SCHOOLS
93 E MAIN ST	Norwalk	OH	44875		Section 115	$5,000	FRINDS OF THE FUTURE CAMPAIGN
ENDOWMENT FUND NORWALK SCHOOLS
PO BOX 445	Norwalk	OH	44857		501(C)(3)	$10,000	EVENING FOR THE ARTS SCHOLARSHIP PROGRAM
AMERICAN CANCER SOCIETY
10501 EUCLID AVE	CLEVELAND	OH	44106	131788491	501(C)(3)	$5,000	RELAY FOR LIFE WALK SPONSORSHIP
BGSU FOUNDATION INC
MILETI ALUMNI CENTER	BOWLING GREEN	OH	43403	346007199	501(C)(3)	$10,000	ALLIED HEALTH & SCIENCE PROJECT

Field	Value	IRS element (for citing)
Total501c3 Org	11	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	THE MEDICAL CENTER REVIEWS EACH GRANT OR DONATION REQUEST BEFORE the grant or donation IS MADE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
lorna strayer
PRESIDENT	$342,418	$0	$46,436	$0	$2,456	$0	$93,740	$0	$18,561	$0	$503,611	$0	$0	$0
duane woods
Senior VP of Finance & CFO	$225,531	$0	$54,672	$0	$540	$0	$37,568	$0	$26,798	$0	$345,109	$0	$22,699	$0
laurie S Delgado
SR VP Operations	$181,391	$0	$14,346	$0	$696	$0	$10,484	$0	$10,709	$0	$217,626	$0	$0	$0
cherie m spragg
VP POPULATION HEALTH	$178,251	$0	$18,460	$0	$9,075	$0	$53,680	$0	$11,013	$0	$270,479	$0	$0	$0
PHILLIP J ANNARINO
VP HUMAN RESOURCES	$173,947	$0	$42,197	$0	$1,169	$0	$32,584	$0	$28,775	$0	$278,672	$0	$17,747	$0
john britton
vp information services	$176,384	$0	$23,338	$0	$258	$0	$33,703	$0	$0	$0	$233,683	$0	$0	$0
george b elmer
VP Strategic Planning & dev	$171,030	$0	$16,659	$0	$1,138	$0	$11,667	$0	$26,278	$0	$226,772	$0	$0	$0
Suzanne s inglis
SENIOR VP OF NURSING SERVI	$183,149	$0	$24,780	$0	$3,520	$0	$12,688	$0	$9,373	$0	$233,510	$0	$0	$0
Dr Shankar Kurra
Senior VP Medical Affairs	$287,428	$0	$44,601	$0	$706	$0	$46,013	$0	$26,278	$0	$405,026	$0	$0	$0
mitch Esch
director of pharmacy	$146,636	$0	$11,484	$0	$1,386	$0	$56,959	$0	$18,741	$0	$235,206	$0	$0	$0
Scott P Steinmetz
director of information sv	$130,322	$0	$12,895	$0	$397	$0	$6,898	$0	$9,473	$0	$159,985	$0	$0	$0
sharon harwood
Director Corp Compliance	$123,167	$0	$9,494	$0	$743	$0	$21,749	$0	$16,011	$0	$171,164	$0	$0	$0
John D Overmyer
Assistant Director, Pharma	$125,454	$0	$1,040	$0	$1,045	$0	$62,784	$0	$257	$0	$190,580	$0	$0	$0
Lori Lill
Assistant VP. Clinical Ser	$128,357	$0	$12,595	$0	$808	$0	$26,988	$0	$19,181	$0	$187,929	$0	$0	$0
ross a Matlack
president-former	$158,313	$0	$0	$0	$30,749	$0	$2,875	$0	$8,892	$0	$200,829	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Lines 4a-b

INCLUDED IN MS. STRAYER'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $93,740 REPORTED IN COLUMN C IS $39,296 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $54,444 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. INCLUDED IN MR. WOOD'S TOTAL W-2 COMPENSATION OF $280,743 IS $22,699 WHICH REPRESENTS THE CURRENT YEAR PAYMENT OF DEFERRED COMPENSATION FROM A NON-QUALIFIED RETIREMENT PLAN WHICH WAS DEFERRED ON A PRIOR FORM 990. INCLUDED IN THE TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $37,568 IN COLUMN C IS $13,346 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $24,222 FOR THE CURRENT YEAR OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL RETIREMENT BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. INCLUDED IN MR. KURRA'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $46,013 IN COLUMN C IS $15,401 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $30,612 FOR THE CURRENT YEAR OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL RETIREMENT BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. INCLUDED IN MR. ANNARINO'S TOTAL W-2 COMPENSATION OF $217,313 IS $17,747 WHICH REPRESENTS THE CURRENT YEAR PAYMENT OF DEFERRED COMPENSATION FROM A NON-QUALIFIED RETIREMENT PLAN WHICH WAS DEFERRED ON A PRIOR FORM 990. INCLUDED IN THE TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $32,584 IN COLUMN C IS $13,524 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $19,060 FOR THE CURRENT YEAR OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL RETIREMENT BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. INCLUDED IN MR. BRITTON'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $33,703 REPORTED IN COLUMN C IS $15,352 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $18,351 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. included in Mr. Matlack's total W-2 compensation of $189,062 is $159,128 in reportable wages per his wage contract and $29,934 of his severance pay which is to be paid from May 30, 2014 for the next 24 months until May 30, 2016.

Part 1 line 3

RESPONSIBILITY FOR DETERMINING AND RECOMMENDING EXECUTIVE COMPENSATION RESTS WITH THE JOINT PERSONNEL COMMITTEE OF THE FISHER-TITUS MEDICAL CENTER AND NORWALK AREA HEALTH SYSTEMS, INC. BOARDS. THE COMMITTEE RETAINS AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO HELP ESTABLISH CASH COMPENSATION TARGET RANGES AND IDENTIFY REASONABLE AND CUSTOMARY BENEFIT PROGRAMS FOR EXECUTIVES. THE INDEPENDANT CONSULTANT REPORTS TO THE JOINT PERSONNEL COMMITTEE ON RELEVANT PEER GROUPS, CASH COMPENSATION REPORTED IN AVAILABLE SALARY SURVEYS FOR THE PEER GROUP, AND TRENDS IN BENEFITS AND PERQUISITE PROGRAMS CUSTOMARILY AVAILABLE AMONG THE PEER GROUP FOR EXECUTIVES. RECOMMENDATIONS BY THE CONSULTANT ARE PRESENTED TO THE JOINT PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE PROVIDED TO EACH OF THE DIRECTORS OF FTMC AND NAHS. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED first BY THE JOINT PERSONNEL COMMITTEE AND THEN BY THE MEDICAL CENTER'S BOARD OF DIRECTORS BEFORE FINALLY BEING considered BY THE SYSTEM'S BOARD OF DIRECTORS. THE MINUTES OF EACH BOARD MEETING WHERE ACTION IS TAKEN REFLECT SUCH ACTION. THE PROCESS IS PERFORMED ANNUALLY IN THE SPRING AND WAS LAST DONE IN MAY 2015.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COUNTY OF HURON OHIO
A	346400672	447540CC7	2007-06-28	$28,622,597	SEE PART VI BELOW	0	0	0
county of HURON OHIO
B	346400672		2015-04-01	$9,420,000	see PART VI BELOW	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$28,838,308	$564,200	$7,215,711	$21,058,397	2008	Yes (1)	0	Yes (1)	Yes (1)
B	$9,420,000	$50,000		$9,370,000	2015	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	Yes (1)	Yes (1)	0	0	0
B	0	0	0	Yes (1)	Yes (1)	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	0	Yes (1)	0	0	0	0	0	Yes (1)
pnc
B	0	Yes (1)	0	0	Yes (1)	Yes (1)	0	0	Yes (1)	6.800000000000	Yes (1)	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE A	SERIES 2007A BONDS - PURPOSE WAS TO ACQUIRE, CONSTRUCT AND INSTALL A VASCULAR HEART ADDITION TO THE HOSPITAL'S MAIN CAMPUS AS WELL AS SUPPORT SERVICES AND THE RENOVATION OF THE EXISTING EMERGENCY ROOM.
part i, line b	Series 2015A bonds - purpose was to refund the hospital's county of huron revenue bonds, series 2003a bonds.
Part II line 11	INCLUDED IN THE TOTAL PROCEEDS OF $28,838,308 is investment earnings of $215,711
part ii, line 11, column b	INCLUDED IN COLUMN B $9,370,000 OF THE PROCEEDS WERE USED TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE GONDS, SERIES 2003A BONDS
PART II, COLUMN A, LINE 11	Included in column a $21,058,397 of the proceeds were used to refund the hospital's county of huron revenue bonds, series 1966b and a portion of series 2003a bonds

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MS JOHN BRITTON
SPOUSE OF KEY EMPLOYEE	$54,533	EMPLOYMENT	0
BAYLESS PATHMARK
SEE PART V	$130,000	INDEPENDENT CONTRACTOR	0
ms schwab
family member of officer, lorna strayer	$66,051	employment	0
ms riley
family member of director, matt gross	$38,718	employment	0
battles insurance agency
see PART V	$696,530	vendor	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV	FormAndLineReferenceDesc
Explanation	Part IV Line 2 - Dr. William Cornell, board member is an employed physician of Bayless PathmarkPart IV line 3 - Ms. Schwab has a family relationship with Officer Lorna StrayerPart IV Line 4 - Ms. Riley has a family relationship, with a board member Matt GrossPart IV Line 5 - Perry Dryden, board member is president of Battles Insurance Agency and 50% owner.	ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$14,658	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	pylon signs	2	$93,357	fair market value
Yes (X)	piano/office furniture	3	$74,231	fair market value
Yes (X)	medical equipment	1	$35,740	fair market value
Yes (X)	walking path	1	$30,714	fair market value

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FISHER-TITUS MEDICAL CENTER (FTMC) IS AN INDEPENDENT NON-PROFIT COMMUNITY HEALTHCARE ORGANIZATION GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF AREA RESIDENTS INCLUDING BUSINESS AND COMMUNITY LEADERS, PHYSICIANS AND OTHER INTERESTED INDIVIDUALS. FTMC IS COMPOSED OF THE FOLLOWING FOUR OPERATING DIVISIONS: FISHER-TITUS MEMORIAL HOSPITAL THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE RESIDENTS OF HURON, ERIE AND THE ADJACENT COUNTIES OF SANDUSKY, CRAWFORD, LORAIN, ASHLAND AND RICHLAND. IN 2015, THE HOSPITAL PROVIDED 13,085 DAYS OF INPATIENT CARE TO 3,630 PATIENTS. THE HOSPITAL ALSO PROVIDED 93,008 PATIENTS WITH 145,207 OUTPATIENT AND 29,696 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 2015, THE HOME SERVED 358 RESIDENTS AND PROVIDED 23,888 DAYS OF CARE. THE HOME HEALTH CENTER HOME HEALTH AGENCY THE HOME HEALTH CENTER PROVIDED 15,126 HOME VISITS TO 322 DIFFERENT PATIENTS IN 2015. THE CARRIAGE HOUSE OF FISHER-TITUS OPENED IN 1998, THE CARRIAGE HOUSE IS A 48-UNIT ASSISTED LIVING FACILITY, WHICH PROVIDED 17,084 DAYS OF ASSISTED LIVING CARE TO 60 RESIDENTS IN 2015. PROGRAM EXPANSIONS, IMPROVEMENTS, AND ACCREDITATIONS: RANKED MOST WIRED FOR FOURTH CONSECUTIVE YEAR IN 2015, FISHER-TITUS WAS NAMED ONE OF HEALTHCARE'S TOP 100 MOST WIRED U.S. HOSPITALS FOR THE FOURTH CONSECUTIVE YEAR. THE AWARD RECOGNIZES FISHER-TITUS FOR ITS ACCOMPLISHMENTS AS THE NATION'S FIRST ALL-DIGITAL SMART COMMUNITY HOSPITAL AND CONTINUED ADVANCEMENTS IN PATIENT-FOCUSED TECHNOLOGY AIMED AT PROVIDING THE HIGHEST LEVEL OF CLINICAL QUALITY, PATIENT SAFETY, AND COORDINATION OF CARE. IN 2015, ELECTRONIC MEDICAL RECORDS WERE ADDED TO THE WOUND CARE INSTITUTE AT FISHER-TITUS AS WELL AS AN EMR UPGRADE FOR THE HOME HEALTH CENTER. ELECTRONIC MEDICAL RECORDS FISHER-TITUS MEDICAL CENTER ALSO IS RANKED AT HIMSS LEVEL 6 (THE HIGHEST LEVEL BEING LEVEL 7) FOR ELECTRONIC MEDICAL RECORD (EMR) ADOPTION BY THE HEALTH INFORMATION AND MANAGEMENT SYSTEMS SOCIETY. FACILITY AND PROGRAM EXPANSIONS ONE OF THE MOST COMPLEX CONSTRUCTION PROJECTS EVER UNDERTAKEN AT FISHER-TITUS WAS COMPLETED IN APRIL OF 2015. THE $16 MILLION SURGERY EXPANSION PROJECT, WHICH BEGAN IN MARCH 2013 INCLUDED MULTIPLE PHASES OF CONSTRUCTION SO THAT SURGERIES AND OTHER PROCEDURES COULD CONTINUE DURING CONSTRUCTION. THE 42,000 SQUARE FOOT PROJECT FEATURED A NEW SURGERY SEATING AREA, SEVEN STATE-OF-THE-ART ORS, SURGERY CONTROL ROOM, STERILE PROCESSING AND FROZEN SECTION AREAS, CENTRAL STERILE SUPPLY CORE, A 16-BAY PREP AND RECOVERY AREA AND A POST ANESTHESIA CARE UNIT WITH 10 STATIONS. THE PROJECT CONCLUDED WITH THE OPENING OF THE NEW ENDOSCOPY CENTER THAT INCLUDES A NINE-BED PREP AND RECOVERY UNIT, SEATING AREa FOR FAMILIES, FOUR PROCEDURE ROOMS. IN 2015, 785 INPATIENT SURGERIES, 3,274 OUTPATIENT SURGERIES, AND 3,392 ENDOSCOPIC PROCEDURES WERE PERFORMED. PHASE 1 OF A $6.9 MILLION RENOVATION PROJECT FOR THE MAIN LABORATORY, LOCATED IN ONE OF THE OLDEST PARTS OF THE MEDICAL CENTER, AND WAS COMPLETED IN SEPTEMBER 2015 WITH PHASE 2 SCHEDULED FOR COMPLETION IN JANUARY 2016. THE AREAS THAT TRANSITIONED INTO NEW SPACE IN 2015 INCLUDED THE BLOOD BANK, MICROBIOLOGY, HEMATOLOGY, URINALYSIS, COAGULATION, SEROLOGY, POINT OF CARE, MOLECULAR, CHEMISTRY, FRONT OFFICE AND PHLEBOTOMY. THE NEW LAB IS DESIGNED WITH A COMPLETELY OPEN CONCEPT FOR FULL VIEW OF THE LAB SPACE FROM ANY DEPARTMENT WITHIN THE LAB AS WELL AS WITH MODULAR FURNITURE TO ACCOMMODATE NEW INSTRUMENTATION AND GROWTH WITHOUT HAVING TO DO REMODELING. MONITORS IN EACH LAB DEPARTMENT MAKE TECHNOLOGISTS AWARE OF TURNAROUND TIMES DURING TESTING. BEFORE RENOVATIONS, THE LAB WAS 2,100 SQUARE FEET. ONCE THE SECOND PHASE IS COMPLETED IN EARLY 2016, THE NEW LAB WILL TRIPLE IN SIZE TO 6,400 SQUARE FEET. IN APRIL, A $6.3 MILLION PROJECT WAS STARTED TO IMPROVE THE MEDICAL CENTER'S MAIN PARKING AREA AND EXPAND THE PAVILION LOBBY AND CAFETERIA TO BETTER ACCOMMODATE AND ASSIST VISITORS. COMPLETED IN NOVEMBER, THE PROJECT AREA ENCOMPASSED 5,641 SQUARE FEET, INCLUDING ABOUT 1,540 SQUARE FEET OF ADDITIONAL SPACE AND FEATURED A LARGER, MORE WELCOMING AND TECHNOLOGY "SAVVY" LOBBY FOR VISITORS AND PATIENTS. FURNISHINGS FOR THE PAVILION LOBBY AND SHERI'S COFFEE HOUSE "NOOK" WERE DONATED BY THE FISHER-TITUS AUXILIARY. ANOTHER FEATURE, A "PLAYER" GRAND PIANO, WAS DONATED BY A GENEROUS BENEFACTOR AS A GIFT TO RECOGNIZE THE WORK OF THE CAREGIVERS WHO SO SELFLESSLY SERVE THE PATIENTS OF FISHER-TITUS MEDICAL CENTER EVERY DAY. THE OPENING OF THE "NEW" PATIENT PAVILION LOBBY IN NOVEMBER BROUGHT TO A CLOSE A DECADE OF FACILITY IMPROVEMENTS. DURING THAT TIME $225 MILLION WAS INVESTED IN MEDICAL EQUIPMENT, ADVANCED TECHNOLOGIES AND FACILITY EXPANSIONS TO IMPROVE SERVICES FOR PATIENTS AND THE COMMUNITY. FISHER-TITUS MEDICAL CARE, EMPLOYED PROVIDER GROUP, CONTINUED TO GROW IN 2015 WITH THE ADDITION OF ONE PHYSICIAN, INTERNAL MEDICINE SPECIALIST NATHAN ENDERS, M.D. AND FIVE ALLIED HEALTH PROFESSIONALS: BEHAVIORAL HEALTH SPECIALISTS RENEE LEBER, LISW-S AND FELICIA FIOR-NOSSEK CNS; WOMEN'S HEALTH SPECIALIST STEPHANIE HOFFMAN, WHNP; AND FAMILY MEDICINE AMANDA HORN, CNP AND ASHLEY SCHOEN, CNP. FISHER-TITUS MEDICAL CARE SPECIALTIES INCLUDE FAMILY MEDICINE WITH SAME-DAY APPOINTMENTS, INTERNAL MEDICINE, GENERAL SURGERY, BEHAVIORAL HEALTH, WOMEN'S HEALTH, PULMONARY MEDICINE, CONVENIENT CARE AND HOSPITALISTS (PHYSICIANS WHO CARE FOR PATIENTS WHILE THEY ARE IN THE HOSPITAL). TWENTY-EIGHT PHYSICIANS AND ALLIED HEALTH PROFESSIONALS SERVED PATIENTS IN 2015. 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, THE OHIO STATE UNIVERSITY, AND 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: IN 2015, 34 NEW MEMBERS WERE ADDED TO THE FISHER-TITUS MEDICAL STAFF INCLUDING 29 PHYSICIANS AND FOUR ALLIED HEALTH PROFESSIONALS. THE MEDICAL STAFF IS COMPOSED OF BOTH INDEPENDENT PRACTITIONERS AS WELL AS PHYSICIANS AND PROVIDERS EMPLOYED BY FISHER-TITUS MEDICAL CARE. FISHER-TITUS ACTIVELY RECRUITS SPECIALISTS TO SERVE THE NEEDS OF THE SERVICE AREA. JOINING THE MEDICAL STAFF IN 2015 WERE HOSPITALISTS JUAN ESTUPINAN, M.D. AND RAJWINDER KAUR, M.D.; EMERGENCY MEDICINE DANA PARSONS, D.O.; VASCULAR SURGEON DANIEL KASSAVIN, M.D. AND INTERNAL MEDICINE NATHAN ENDERS, M.D. IN ADDITION FOUR NEUROLOGISTS JOINED THE TEAM AS PART OF THE TELESTROKE PROGRAM WITH UNIVERSITY OF TOLEDO MEDICAL CENTER. FISHER-TITUS MEDICAL STAFF REPRESENTS 24 MEDICAL SPECIALTIES. 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. FISHER-TITUS IS ACCREDITED BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP), IS A LEVEL 3 TRAUMA CENTER, PRIMARY STROKE CENTER, A FULLY ACCREDITED CHEST PAIN CENTER, AND HAS ALSO BEEN ACCREDITED BY THE COMMISSION ON CANCER SINCE 1989. IN 2015, FISHER-TITUS ALSO WAS NAMED AMONG HEALTH CARE'S MOST WIRED HOSPITAL FOR THE FOURTH CONSECUTIVE YEAR.
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED	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 2015: - HEALTHCARE'S MOST WIRED AWARD - LEVEL 3 TRAUMA CENTER, OHIO DEPARTMENT OF HEALTH AND DEPARTMENT OF PUBLIC SAFETY - AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION ACCREDITATION - OHIO DEPARTMENT OF HEALTH MAMMOGRAPHY QUALITY STANDARDS - AMERICAN COLLEGE OF RADIOLOGY ACCREDITATION FOR MAGNETIC RESONANCE IMAGING - AMERICAN ASSOCIATION OF RESPIRATORY CARE, QUALITY RESPIRATORY CARE AWARD - AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE - COLLEGE OF PATHOLOGISTS (CAP) ACCREDITATION - DEPARTMENT OF PATHOLOGY & LABORATORY SERVICES & BLOOD GAS LAB - COLLEGE OF PATHOLOGISTS (CAP) PULMONARY MEDICINE - INTERSOCIETAL ACCREDITATION COMMISSION (IAC) - ECHO 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 2014 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 2014, 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 63,953 ENCOUNTERS. AUXILIARY AND VOLUNTEER SERVICE: DURING 2015, OUR 179 CARING VOLUNTEERS DONATED 45,227 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 PRESSURE, BLOOD GLUCOSE, CHOLESTEROL LEVELS, SKIN CANCER, PROSTATE CANCER, OSTEOPOROSIS AND SCREENING MAMMOGRAMS. IN ADDITION, THE MEDICAL CENTER SPONSORS NUMEROUS SUPPORT GROUPS TO PROVIDE EDUCATION, CARE AND EMOTIONAL SUPPORT TO INDIVIDUALS AND FAMILIES AFFECTED BY DISABILITIES AND CHRONIC MEDICAL CONDITIONS. FTMC'S HEALTH MINISTRY PROGRAM, FORMED IN 2000, HAS BEEN A VERY EFFECTIVE GRASSROOTS INITIATIVE TO GATHER INFORMATION AND PROVIDE HEALTH PROGRAMS THROUGHOUT HURON COUNTY. CURRENTLY 50 AREA CONGREGATIONS ARE MEMBERS OF THE FTMC HEALTH MINISTRY PROGRAM WHICH PROVIDES HEALTH AND WELLNESS INFORMATION AND PROGRAMS IN AREA CHURCHES. THE MEDICAL CENTER IN PARTNERSHIP WITH ITS PHYSICIANS AND OTHER COMMUNITY ORGANIZATIONS PROVIDES PUBLIC FORUMS AND EDUCATIONAL SESSIONS ON A VARIETY OF TOPICS, WHICH ARE SOMETIMES HELD IN TANDEM WITH THE HEALTH SCREENINGS PROVIDED. WE ALSO PROVIDE NUMEROUS HEALTH FAIRS DURING THE YEAR IN SEVERAL LOCATIONS THROUGHOUT THE COUNTY AND SURROUNDING COMMUNITIES IN OUR SERVICE AREA. THESE COMMUNITY HEALTH IMPROVEMENT SERVICES BENEFITED 55,548 PEOPLE IN 2015 AT A COST OF $676,527. PROFESSIONAL MEDICAL EDUCATION: THE MEDICAL CENTER SUPPORTS THE FAMILY PRACTICE RESIDENCY PROGRAM AT FIRELANDS REGIONAL MEDICAL CENTER TO ENHANCE THE AVAILABILITY OF FAMILY PRACTICE PHYSICIANS WITHIN THE LOCAL COMMUNITY. FTMC FUNDS THE COST OF A FAMILY PRACTICE RESIDENT THAT SHARES TIME BETWEEN THE HOSPITAL'S EMERGENCY ROOM AND THE COUNTY HEALTH DEPARTMENT CARING FOR THE UNDERSERVED. IN ADDITION, FTMC SUPPORTS AND STAFFS SEVERAL CLASSES FOR HEALTH PROFESSIONALS INCLUDING HEALTHCARE PROVIDER CPR, ADVANCED CARDIAC LIFE SUPPORT, BASIC LIFE SUPPORT INSTRUCTOR COURSE AND PEDIATRIC ADVANCE LIFE SUPPORT. THE TOTAL COST OF PROFESSIONAL MEDICAL EDUCATION PROVIDED TO 101 PARTICIPANTS WAS $138,751. SUBSIDIZED HEALTH SERVICES: THE MEDICAL CENTER ALSO SUBSIDIZES CERTAIN HEALTH SERVICES AND PROCESSES IN ORDER TO ADDRESS SPECIFIC HEALTH ISSUES IN THE COMMUNITY, PROVIDE CARE TO THE UNDERSERVED, OR ENHANCE THE OVERALL QUALITY OF HEALTHCARE WITHIN THE COMMUNITY. ALSO, THE MEDICAL CENTER SUBSIDIZED THE COST OF ELECTRONIC MEDICAL RECORD SOFTWARE USED BY PHYSICIANS IN OUR SERVICE AREA. THE SOFTWARE ENHANCES THE ACCURACY AND SPEED OF MEDICAL INFORMATION AVAILABLE TO HEALTHCARE PROVIDERS WITHIN THE AREA AND TO ASSIST THE COMMUNITY IN MOVING TOWARD A REGIONAL HEALTH INFORMATION DATABASE. THE COST ASSOCIATED WITH THE HEALTH SERVICES AND ELECTRONIC MEDICAL RECORDS SYSTEM IN 2015 WAS $768,453. 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 2015 WAS $274,527.
Form 990, Part VI, Section A, line 6	The sole member of Fisher-Titus Medical Center is the parent company Norwalk Area Health Systems, Inc., an Ohio nonprofit corporation. Effective July-01-2016, the name of the System Parent for Fisher-Titus Medical Center was changed from Norwalk Area Health Systems, Inc. to Fisher-Titus Health. These names are interchangeable in the narrative contained herein and throughout this 2015 Form 990.
Form 990, Part VI, Section A, line 7a	The following powers are reserved exclusively to the member (Norwalk Area Health System, Inc): a) to elect the Directors of the Corporation, and to remove them at will or without cause.
Form 990, Part VI, Section A, line 7b	The following powers are reserved exclusively to the member (Norwalk Area Health System, Inc): a) to amend or repeal the Articles of Incorporation and the Code of Regulations; b) to approve the annual operating and capital budgets of the Corporation; c) to approve any capital or other extraordinary expenditures in excess of the amount prescribed from time to time by the Member, which amount shall be reviewed by the Member annually; d) to approve any borrowing of any sum of money for any purpose in excess of the amount prescribed from time to time by the Member, which amount shall be reviewed by the Member annually; e) to approve any merger of the Corporation or any sale of substantially all its assets; to dissolve or terminate the exsistence of the Corporation and to determine the distribution of assets upon such termination.
Form 990, Part VI, Section B, line 11	THE BOARD OF DIRECTORS OF THE FISHER-TITUS MEDICAL CENTER DELEGATED THE RESPONSIBILITY FOR THE REVIEW OF THE MEDICAL CENTER'S FORM 990, PLUS ALL REQUIRED SCHEDULES AND ATTACHMENTS, TO THE MEDICAL CENTER'S AUDIT COMMITTEE. THE MEMBERS OF THIS COMMITTEE HAVE A STRONG BACKGROUND IN ACCOUNTING, LEGAL, FINANCE, AND BUSINESS AND HAVE THE TECHNICAL EXPERTISE TO PERFORM A SUBSTANTIVE REVIEW. THE AUDIT COMMITTEE REVIEWED THE MEDICAL CENTER'S FORM 990 PRIOR TO FILING AND REPORTED TO THE MEDICAL CENTER'S BOARD OF DIRECTORS REGARDING THE RESULTS OF THEIR REVIEW. IN ADDITION, EACH MEMBER OF THE MEDICAL CenTER'S BOARD OF DIRECTORS HAD ACCESS TO A COPY OF THE FORM 990 FOR VIEWING PRIOR TO FILING VIA A SECURE INTERNET WEBSITE AND A PAPER COPY WAS AVAILABLE FOR REVIEW AT THE BOARD MEETINGS.
Form 990, Part VI, Section B, line 12c	ALL OF OUR AFFILIATED CORPORATE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT UPON JOINING THE BOARD AND ANNUALLY THROUGHOUT THEIR TENURE. THESE ARE RETAINED BY ADMINISTRATION. AREAS OF CONFLICT ARE REVIEWED AND ADDRESSED AS NECESSARY TO THE TRANSACTIONS OF THE BOARD. IF AN AREA OF CONFLICT ARISES, BOARD MEMBERS ARE EXCUSED AND PROHIBITED FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DISCUSSIONS REGARDING THE AREA OF CONFLICT.
Form 990, Part VI, Section B, line 15	RESPONSIBILITY FOR DETERMINING AND RECOMMENDING EXECUTIVE COMPENSATION RESTS WITH THE JOINT PERSONNEL COMMITTEE OF THE FISHER-TITUS MEDICAL CENTER AND NORWALK AREA HEALTH SYSTEMS, INC. BOARDS. THE COMMITTEE RETAINS AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO HELP ESTABLISH CASH COMPENSATION TARGET RANGES AND IDENTIFY REASONABLE AND CUSTOMARY BENEFIT PROGRAMS FOR EXECUTIVES. THE INDEPENDANT CONSULTANT REPORTS TO THE JOINT PERSONNEL COMMITTEE ON RELEVANT PEER GROUPS, CASH COMPENSATION REPORTED IN AVAILABLE SALARY SURVEYS FOR THE PEER GROUP, AND TRENDS IN BENEFITS AND PERQUISITE PROGRAMS CUSTOMARILY AVAILABLE AMONG THE PEER GROUP FOR EXECUTIVES. RECOMMENDATIONS BY THE CONSULTANT ARE PRESENTED TO THE JOINT PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE PROVIDED TO EACH OF THE DIRECTORS OF FTMC AND NAHS. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED first BY THE JOINT PERSONNEL COMMITTEE AND THEN BY THE MEDICAL CENTER'S BOARD OF DIRECTORS BEFORE FINALLY BEING considered BY THE SYSTEM'S BOARD OF DIRECTORS. THE MINUTES OF EACH BOARD MEETING WHERE ACTION IS TAKEN REFLECT SUCH ACTION. THE PROCESS IS PERFORMED ANNUALLY IN THE SPRING AND WAS LAST DONE IN MAY 2015.
Form 990, Part VI, Section C, line 19	WE ISSUE AN ANNUAL REPORT TO THE COMMUNITY THAT IS PLACED IN THE LOCAL NEWSPAPER AND ON OUR WEBSITE THAT PROVIDES OUR OPERATING FINANCIAL STATEMENT, COMMUNITY BENEFIT FIGURES BROKEN DOWN BY CHARITY CARE & FINANCIAL ASSISTANCE, UPAID COSTS OF MEDICAID, COMMUNITY HEALTH & OUTREACH PROGRAMS, DONATIONS & COMMUNITY SUPPORT, SUBSIDIZED HEALTH SERVICES & PROFESSIONAL MEDICAL EDUCATION, & UNPAID COSTS OF MEDICARE & BAD DEBT. AS REQUIRED, WE OFFER A TIMELY RESPONSE TO WRITTEN REQUESTS FOR COPIES OF THE 990S AS WELL AS HAVING THE 990S AVAILABLE UPON THE PREMISES FOR THE PUBLIC TO REVIEW AND ON THE GUIDESTAR INTERNET WEBSITE. ADDITIONALLY, OUR CONFLICT OF INTEREST POLICY, CODE OF REGULATIONS, AND GOVERNING DOCUMENTS ARE ALSO AVAILABLE UPON WRITTEN REQUEST.
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 PRESONS. 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, 1962-2 C.B. 117.
Form 990, Part XI, line 9:	FASB #158 ADJUSTMENT (CHANGE IN PENSION LIABILTIY) 3,715,050. PENSION PLAN SETTLEMENT -767,830. PAIN MANAGEMENT JOINT VENTURE DIVIDNED PAYMENTS TO FISHER-TITUS MEDICAL CTR 963,666. Inter-SYSTEM transfer of Funds Between Affliated 501(c)(3) organizations -5,074,921. CHANGE IN BOND INTEREST SWAP VALUE -100,943.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FTMC HOLDING 265 LLC
265 BENEDICT AVENUE	NORWALK	OH	44857	344430716	REAL ESTATE	OH	$49,402	$1,084,584	FISHER TITUS MEDICAL CENTER
NORTH CENTRAL HOLDING LLC
272 BENEDICT AVENUE	NORWALK	OH	44857	344430716	REAL ESTATE	OH			FISHER TITUS MEDICAL CENTER

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FISHER-TITUS HEALTH
272 BENEDICT AVENUE	NORWALK	OH	44857	341476935	SYSTEM PARENT	OH	501(c)(3)	Line 11c, III-FI	N/A	0
FISHER-TITUS FOUNDATION
272 BENEDICT AVENUE	NORWALK	OH	44857	341476937	FOUNDATION	OH	501(c)(3)	Line 7		0	FISHER-TITUS HEALTH
FISHER-TITUS AFFILIATED SERVICES
272 BENEDICT AVENUE	NORWALK	OH	44857	341476934	AMBULANCE	OH	501(c)(3)	Line 9		0	FISHER-TITUS HEALTH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	FISHER-TITUS PAIN MANAGEMENT LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1Txt
City	NORWALK	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44857	ZIPCd

Field	Value	IRS element (for citing)
EIN	271471272	EIN
Primary Activities	PAIN MANAGEMENT	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FISHER TITUS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$721,732	ShareOfTotalIncomeAmt
Share Of EOY Assets	$589,369	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH PROMOTIONS OF NORWALK	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1Txt
City	NORWALK	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44857	ZIPCd

Field	Value	IRS element (for citing)
EIN	341502102	EIN
Primary Activities	SUPPORT PROF.	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FISHER TITUS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$150,340	ShareOfTotalIncomeAmt
Share Of EOY Assets	$826,994	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	fisher - titus pain management llc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	F	TransactionTypeTxt
Involved	$864,272	InvolvedAmt
Method Of Amount Determination	ownership percentage	MethodOfAmountDeterminationTxt