FISHER TITUS MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: FISHER TITUS MEDICAL CENTER (EIN 34-4430716)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201313189349304941
Schema version: 2012v2.1
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)
Timestamp	2013-11-14T14:40:56-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	351178661	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE & CO LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	8800 LYRA DRIVE SUITE 450	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	43240	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	344430716	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FISHER-TITUS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FISH	NameControl
Phone	4196688101	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1
City	NORWALK	City
State	OH	State
ZIP Code	44857	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DUANE WOODS JR	Name
Title	VP OF FINANCE & CFO	Title
Phone	4196688101	Phone
Date Signed	2013-11-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ROBERT M MORELAND	Name
PTIN	P00418596	PTIN
Phone	6148852583	Phone
Date Prepared	2013-11-14	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ROSS MATLACK	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1
City	NORWALK	City
State	OH	State
ZIP Code	44857	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	132045872	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FTMC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1911	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	SEE SCHEDULE O	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	1074	TotalNbrEmployees
Total Nbr Volunteers	289	TotalNbrVolunteers
Total Gross UBI	1135265	TotalGrossUBI
Net Unrelated Business Txbl Income	108049	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	103445	ContributionsGrantsPriorYear
Contributions Grants Current Year	36739	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	113348908	ProgramServiceRevenuePriorYear
Program Service Revenue CY	113659343	ProgramServiceRevenueCY
Investment Income Prior Year	989771	InvestmentIncomePriorYear
Investment Income Current Year	570568	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1083121	OtherRevenuePriorYear
Other Revenue Current Year	1058327	OtherRevenueCurrentYear
Total Revenue Prior Year	115525245	TotalRevenuePriorYear
Total Revenue Current Year	115324977	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	173780	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	289673	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	58358974	SalariesEtcPriorYear
Salaries Etc Current Year	58430475	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	52898605	OtherExpensePriorYear
Other Expenses Current Year	52373485	OtherExpensesCurrentYear
Total Expenses Prior Year	111431359	TotalExpensesPriorYear
Total Expenses Current Year	111093633	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	4093886	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	4231344	RevenuesLessExpensesCY
Total Assets BOY	186179952	TotalAssetsBOY
Total Assets EOY	193347072	TotalAssetsEOY
Total Liabilities BOY	67931873	TotalLiabilitiesBOY
Total Liabilities EOY	71718381	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	118248079	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	121628691	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	PROVIDE QUALITY HEALTHCARE IN A COST EFFECTIVE MANNER, WHILE RESPECTING THE DIGNITY AND UNIQUENESS OF EACH INDIVIDUAL WE SERVE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	90807687	Expense
Grants	289673	Grants
Revenue	105363051	Revenue
Description	SEE SCHEDULE O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	4943270	Expense
Grants	0	Grants
Revenue	7161027	Revenue
Description	SEE SCHEDULE O	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	95750957	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	119	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1074	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAVID WILSON MBACMA	NamePerson
Telephone Number	4196688101	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1
City	NORWALK	City
State	OH	State
ZIP Code	44857	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
JOHN D PAYNE CPA
DIRECTOR	10.00	X	0	0	0
LESLIE D STONEHAM
CHAIRMAN	15.00	X	0	0	0	X
CHARLES F FUREY
VICE CHAIRMAN	8.00	X	0	0	0	X
GLENN TRIPPE MD
DIRECTOR	8.00	X	0	0	0
WILLIAM B CORNELL MD
DIRECTOR	8.00	X	0	0	0
VIRGINIA H POLING
DIRECTOR	6.00	X	0	0	0
ERIC SCHMIDT MD
DIRECTOR	4.00	X	0	0	0
THOMAS C BLEILE
DIRECTOR	8.00	X	0	0	0
REV FRED WIECHERS
SECRETARY	8.00	X	0	0	0	X
MATT GROSS
TREASURER	12.00	X	0	0	0	X
PATRICK J MARTIN
PRESIDENT	53.00	X	1444319	0	229863	X	12.00
DUANE WOODS
VP OF FINANCE/CFO	44.50		235250	0	63839	X	5.50
LORNA STRAYER
SENIOR VP, ADMIN & BUSINES	50.00		200830	0	74117	X
CHERIE M SPRAGG
SENIOR VP OF NURSING SERVI	50.00		208080	0	84413			X
JOHN BRITTON
VP INFORMATION SERVICES	45.00		190435	0	15297			X
GARY MOOREMAN
VP MEDICAL AFFAIRS	45.00		324074	0	23009			X
PHILLIP J ANNARINO
VP HUMAN RESOURCES	45.00		183758	0	56848			X
JOHN K HUGHES
PHYSICIAN	40.00		116269	117551	32872				X
GEORGE B ELMER
DIRECTOR OF ASSET MGMT/EMS	40.00		171041	0	26527		10.00		X
CHRISTINA CANFIELD
PHYSICIAN	40.00		97570	90685	13972				X
JOSEPH E CENTA
PHYSICIAN	40.00		114282	114579	28137				X
KATHLEEN A MEEHAN - DE LA CRUZ
PHYSICIAN	40.00		102936	88656	25667				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3388844	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	411471	TotalReportableCompFrmRltdOrgs
Total Other Compensation	674561	TotalOtherCompensation
Number Individuals GT100 K	29	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
THE ROBINS & MORTON GROUP
5500 MARYLAND WAY SUITE 100	BRENTWOOD	TN	37027	BUILDING CONTRACTOR	3457363
CERNER CORPORATION
2800 ROCKCREEK PARKWAY	KANSAS CITY	MO	64117	HEALTHCARE INFORMATION TECHNOLOGY	2714418
HOSPITAL MEDICINE ASSOCIATES OF OHIO
PO BOX 634850	CINCINNATI	OH	45263	HOSPITALIST	1425318
BOSTWICK DESIGN PARTNERSHIP
2729 PROSPECT AVE	CLEVELAND	OH	44115	ARCHITECTS	1227906
LABORATORY CORP OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	BLOOD ADMIN & LAB TESTING	645611

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	17	NumberOfContractorsGT100K
Membership Dues	681	MembershipDues
Related Organizations	36058	RelatedOrganizations
Noncash Contributions	36058	NoncashContributions
Total Contributions	36739	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICES	622110	105363051	105363051
NET NURSING HOME & ASSISTED LIVIN	623000	7161027	7161027
MEDICAL LABORATORY	621500	1126418		1126418
HEALTH AND ALLIED SERVICES	621990	8847		8847

Field	Value	IRS element (for citing)
Total Program Service Revenue	113659343	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	384507	TotalRevenueColumn
Exclusion	$384,507	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	145	TotalRevenueColumn
Exclusion	$145	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	16873536	Securities
Other	33275	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	16139162	Securities
Other	581733	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	734374	Securities
Other	-548458	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	185916	TotalRevenueColumn
Exclusion	$185,916	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA SALES	722210	472962	$472,962
OTHER HOSPITAL REVENUE	900099	322249	$322,249
AUXILIARY SALES	453220	263116	$263,116

Field	Value	IRS element (for citing)
Total Other Revenue	1058327	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	115324977	TotalRevenueColumn
Related Or Exempt Function Income	112524078	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1135265	UnrelatedBusinessRevenue
Exclusion	$1,628,895	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	289673	Total
Program Services	289673	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3334132	Total
Program Services	2235549	ProgramServices
Management And General	1098583	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	39668151	Total
Program Services	34437576	ProgramServices
Management And General	5230575	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3851821	Total
Program Services	3343926	ProgramServices
Management And General	507895	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	8200606	Total
Program Services	7135683	ProgramServices
Management And General	1064923	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3375765	Total
Program Services	2952928	ProgramServices
Management And General	422837	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	231872	Total
Program Services	173904	ProgramServices
Management And General	57968	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	112868	Total
Program Services	56434	ProgramServices
Management And General	56434	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	9117145	Total
Program Services	6252453	ProgramServices
Management And General	2864692	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	466670	Total
Program Services	458642	ProgramServices
Management And General	8028	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3781376	Total
Program Services	2563173	ProgramServices
Management And General	1218203	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3538675	Total
Program Services	2861776	ProgramServices
Management And General	676899	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1884273	Total
Program Services	1231721	ProgramServices
Management And General	652552	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	112765	Total
Program Services	97476	ProgramServices
Management And General	15289	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	297544	Total
Program Services	101076	ProgramServices
Management And General	196468	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1325071	Total
Program Services	1253587	ProgramServices
Management And General	71484	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7697376	Total
Program Services	7281065	ProgramServices
Management And General	416311	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	677625	Total
Program Services	488236	ProgramServices
Management And General	189389	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
UBI INCOME TAX	67459	67459
MEDICAL SUPPLIES	14317695	14316661	1034
BAD DEBT EXPENSES	5642815	5642815
OHIO HOSPITAL TAX & SNF	1752197	1752197

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1350059	Total
Program Services	756947	ProgramServices
Management And General	593112	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	111093633	Total
Program Services	95750957	ProgramServices
Management And General	15342676	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5225	BOY
EOY	5225	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	18518902	BOY
EOY	8946760	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	14202026	BOY
EOY	12665479	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	245321	BOY
EOY	222121	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	586299	BOY
EOY	1534477	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1934718	BOY
EOY	2163680	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1999792	BOY
EOY	2040024	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	153145317	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	64651944	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	78382933	BOY
EOY	88493373	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	67547461	BOY
EOY	74581195	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	245374	BOY
EOY	245374	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	348961	BOY
EOY	229542	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2162940	BOY
EOY	2219822	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	186179952	BOY
EOY	193347072	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	34681434	BOY
EOY	39791474	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	314054	BOY
EOY	292163	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	32760000	BOY
EOY	31515000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	176385	BOY
EOY	119744	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	67931873	BOY
EOY	71718381	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	118229778	BOY
EOY	121610373	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	18301	BOY
EOY	18318	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	118248079	BOY
EOY	121628691	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	186179952	BOY
EOY	193347072	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	4231344	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	4615062	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-5465794	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$8,098	OtherActivitiesAmount
Total Lobbying Expenditures IIB	8098	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
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 - 18.41% OF DUES; OHIO HOSPITAL ASSOCIATION - 5.3% OF DUES AND AMERICAN HOSPITAL ASSOCIATION - 23.98% OF DUES.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1487279	OtherCostOrOtherBasis
Book Value	1487279	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	102036940	OtherCostOrOtherBasis
Depreciation	38949221	Depreciation
Book Value	63087719	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	43180189	OtherCostOrOtherBasis
Depreciation	23398255	Depreciation
Book Value	19781934	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6440909	OtherCostOrOtherBasis
Depreciation	2304468	Depreciation
Book Value	4136441	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	88493373	TotalOfBookValueLandBuildings
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	117947372	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	4615062	NetUnrealizedGainsInvestments
Other Revenues	-1730209	OtherRevenues
Revenue Not Rptd F990	2884853	RevenueNotRptdF990
Revenue Subtotal	115062519	RevenueSubtotal
Other Revenues Not Included	262457	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	262457	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	115324976	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	113490524	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	2586243	OtherExpensesIncluded
Expenses Not Rptd F990	2586243	ExpensesNotRptdF990
Expenses Subtotal	110904281	ExpensesSubtotal
Other Expenses Not Included	189352	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	189352	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	111093633	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	ExplanationExplanation
PART XI, LINE 2D - OTHER ADJUSTMENTS:	TRANSFER TO AFFILIATED ENTITY NORWALK AREA HEALTH SYSTEMS -1,517,500. FASB 158 PROVISIONS -4,650,739. HEALTH PROMOTIONS OF NORWALK REVENUE 565,446. FISHER-TITUS PAIN MANAGEMENT LLC REVENUE 3,872,584.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	HOSPITAL AUXIIARY REVENUE 263,823. HOSPITAL EXPENSE ADJUSTMENTS TO REVENUES -1,366.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	HEALTH PROMOTIONS OF NORWALK EXPENSES 474,962. FISHER-TITUS PAIN MANAGEMENT LLC EXPENSES 2,111,281.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	HOSPITAL AUXILIARY EXPENSES 190,719. HOSPITAL EXPENSE ADJUSTMENTS TO REVENUES -1,367.
	PART X LINE 2 - MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012 AND 2011, 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

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	1689	PersonsServed
Total Community Benefit Expense	1723183	TotalCommunityBenefitExpense
Direct Offsetting Revenue	541623	DirectOffsettingRevenue
Net Community Benefit Expense	1181560	NetCommunityBenefitExpense
Percent Of Total Expense	0.01120	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	23597	PersonsServed
Total Community Benefit Expense	13520355	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8176000	DirectOffsettingRevenue
Net Community Benefit Expense	5344355	NetCommunityBenefitExpense
Percent Of Total Expense	0.05070	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	25286	PersonsServed
Total Community Benefit Expense	15243538	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8717623	DirectOffsettingRevenue
Net Community Benefit Expense	6525915	NetCommunityBenefitExpense
Percent Of Total Expense	0.06190	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	39	NumberOfActivitiesOrPrograms
Persons Served	67124	PersonsServed
Total Community Benefit Expense	805534	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51166	DirectOffsettingRevenue
Net Community Benefit Expense	754368	NetCommunityBenefitExpense
Percent Of Total Expense	0.00720	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	158	PersonsServed
Total Community Benefit Expense	73026	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11325	DirectOffsettingRevenue
Net Community Benefit Expense	61701	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	1087955	TotalCommunityBenefitExpense
Direct Offsetting Revenue	214522	DirectOffsettingRevenue
Net Community Benefit Expense	873433	NetCommunityBenefitExpense
Percent Of Total Expense	0.00830	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	1935	PersonsServed
Total Community Benefit Expense	492278	TotalCommunityBenefitExpense
Net Community Benefit Expense	492278	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	48	NumberOfActivitiesOrPrograms
Persons Served	69217	PersonsServed
Total Community Benefit Expense	2458793	TotalCommunityBenefitExpense
Direct Offsetting Revenue	277013	DirectOffsettingRevenue
Net Community Benefit Expense	2181780	NetCommunityBenefitExpense
Percent Of Total Expense	0.02080	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	50	NumberOfActivitiesOrPrograms
Persons Served	94503	PersonsServed
Total Community Benefit Expense	17702331	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8994636	DirectOffsettingRevenue
Net Community Benefit Expense	8707695	NetCommunityBenefitExpense
Percent Of Total Expense	0.08270	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	656	PersonsServed
Total Community Building Expense	16546	TotalCommunityBuildingExpense
Net Community Building Expense	16546	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	3680	PersonsServed
Total Community Building Expense	3680	TotalCommunityBuildingExpense
Net Community Building Expense	3680	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	4336	PersonsServed
Total Community Building Expense	20226	TotalCommunityBuildingExpense
Net Community Building Expense	20226	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$5,642,815	BadDebtExpenseAmount
Amount Attributable To	1692845	AmountAttributableTo
Amount Reimbursed By Medicare	23354802	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	30743129	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7388327	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 NORTH CENTRAL CARENET
PHYSICIAN-HOSPITAL ORGANIZATION	0.50000	0.06380	0.43620
2 FISHER-TITUS PAIN MANAGEMENT LLC
PAIN MANAGEMENT	0.51000		0.49000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FISHER-TITUS MEMORIAL HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1
City	NORWALK	City
State	OH	State
ZIP Code	44857	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FISHER-TITUS MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	11	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	150.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	200.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	1	CollectionActivities
Other Actions	X	OtherActions
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
NORWALK MEMORIAL HOME
272 BENEDICT AVENUE	NORWALK	OH	44857	INTERMEDIATE & SKILLED NURSING FACILITY
THE CARRIAGE HOUSE OF FISHER-TITUS
175 SHADY LANE DRIVE	NORWALK	OH	44857	ASSISTED LIVING FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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 CHARITY CARE CHARGES RECORDED IN 2012. THE COSTING METHODOLOGY USED FOR THE UNREIMBURSED MEDICAID SEGMENT OF THE LINE 7 TABLE WERE CALCULATED USING A COST TO CHARGE RATIO EXTRACTED FROM THE MEDICAID COST REPORT DATA. THE COSTING METHODOLOGY USED FOR "OTHER BENEFITS" SEGMENT OF THE LINE 7 TABLE WERE CALCULATED USING A COMBINATION OF DIRECT COSTS AND OUR COST ACCOUNTING SYSTEM, WHICH TAKES INTO CONSIDERATION ALL PATIENT TYPES AND SEGMENTS.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5642815.
PART II: IN 2012, FISHER-TITUS'S COMMUNITY BUILDING ACTIVITIES AND BENEFITS PROVIDED $15.9 MILLION TO SUPPORT PROGRAMS THAT IMPACTED THE OVERALL HEALTH OF OUR COMMUNITIES AND THE QUALITY OF LIFE OF OUR RESIDENTS. WHILE HOSPITAL-BASED MEDICAL SERVICES ARE THE MOST OBVIOUS WAY WE HELP, FTMC FULFILLS THE HEALTH-CARE NEEDS OF OUR AREA WITH COMMUNITY HEALTH SCREENINGS, EDUCATION CLASSES, PATIENT ASSISTANCE PROGRAMS AND SUPPORT OF HEALTH-RELATED ACTIVITIES. FTMC EMPLOYEES SERVE ON COMMUNITY AND CIVIC BOARDS, HEALTH-ORIENTED ORGANIZATIONS AND ARE INVOLVED IN ECONOMIC DEVELOPMENT ACTIVITIES THROUGHOUT THE COUNTY. FTMC ALSO WORKS WITH SCHOOLS; WORK SITES AND SAFETY NET PROVIDERS TO PROMOTE HEALTH AND WELLNESS AND PREVENT DISEASE. FISHER-TITUS IS A LEADER IN ENVIRONMENTAL STEWARDSHIP, HAVING EARNED NUMEROUS STATE AND NATIONAL AWARDS.
PART III, LINE 4: THE COSTING METHODOLOGY USED FOR COMPLETING THE SCHEDULE H PART III, LINE 2 WAS THE IRS WORKSHEET A "ESTIMATED BAD DEBT EXPENSE (AT COST)" IN THE INSTRUCTIONS. COST TO CHARGE RATIOS WERE CARRIED OVER FROM IRS WORKSHEET 2 "RATIO OF PATIENT CARE COSTS TO CHARGES" AS A BASIS TO ESTIMATE EXPENSE AND WAS APPLIED TO THE BAD DEBT EXPENSE RECORDED IN 2012.
AS A TAX-EXEMPT HOSPITAL, WE MUST PROVIDE NECESSARY MEDICAL CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. AS A NOT-FOR-PROFIT, PATIENT CARE IS PROVIDED TO ALL, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR CARE. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBTS 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, 13-15% 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 $1,692,845 OR 30% OF BAD DEBT. SINCE THIS CALCUALTION IS ON AN ACCRUAL BASIS, WE BELEIVE ESTIMATING 15% 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.	CHARITY IN BAD DEBT EXPENSE:	PART III, LINE 3
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.	FOOTNOTE "ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS":	PART III, LINE 4
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 $7.4 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 44% 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 8:
THE CHARITY POLICY IS A SUBSET OF THE OVERALL COLLLECTION 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 III, LINE 9B
PART V, SECTION B, LINE 3: 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 SURVEYQUESTIONS FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE AND YOUTH RISK BEHAVIOR SURVEILLANCE WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE HURON COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 115 ITEMS FOR THE ADULT SURVEY AND 75 ITEMS FOR THE ADOLESCENT SURVEY. THE DRAFTS WERE REVIEWED AND APPROVED BY THE HEALTH RESEARCHERS AT THE UNIVERSITY OF TOLDEO. 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), ANGELA SMITH (PH) AND KATIE SPAAR (PH) ALL FROM HURON COUNTY GENERAL HEALTH DISTRICT; ANNE WAGONER (PH) AND EMILY HUESTISS (PH) BOTH FROM MERCY WILLARD HOSPITAL; LORNA STRAYER (PH) FISHER-TITUS MEDICAL CENTER; JEAN KING (PH) HURON COUNTY ADAMHS BOARD; KARI SMITH (PH) HURON COUNTY BOARD OF DEVELOPMENT DISABILITIES; RENEE GEROME (PH) FIRELANDSCOUNSELING & RECOVERY SERVICES; DEBRA FISHER (PH) ERIE-HURON COUNTIES, CAC; CHARLOTTE WAGNER, NORTH POINT EDUCATIONAL SERVICE CENTER DIRECTOR; KIM SCHUBERT, BELLEVUE CITY SCHOOLS SUPERINTENDENT; DAVID STUBBLEBINE, MONROEVILLE LOCAL SCHOOLS SUPERINTENDENT; CAROL GIRTON, NEW LONDON LOCAL SCHOOLS SUPERINTENDENT; DENNIS DOUGHTY, NORWALK CITY SCHOOLS SUPERINTENDENT; BENJAMIN CHAFFEE JR, SOUTH CENTRAL SCHOOLS SUPERINTENDENT; RODGE WILSON, WESTERN RESERVE LOCAL SCHOOLS SUPERINTENDENT AND DAN DANHOFF WILLARD CITY SCHOOLS SUPERINTERDENT.	FISHER-TITUS MEMORIAL HOSPITAL
PART V, SECTION B, LINE 4: MERCY HOSPITAL OF WILLARD, THE BELLEVUE HOSPITAL AND FIRELANDS REGIONALHOSPITAL (COUNSELING & RECOVERY CENTER)	FISHER-TITUS MEMORIAL HOSPITAL
PART V, SECTION B, LINE 5C: THE ASSESSMENT IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT HTTP://WWW.FISHER-TITUS.ORG/IMAGES/STORIES/PDFS/HURONCOHEALTHASSESSMENTFINALREPORT 2011.PDF.THE ASSESSMENT IS ALSO AVAILABLE ON THE FOLLOWING ADDITIONAL WEBSITES: HURON COUNTY GENERAL HEALTH DISTRICT - HTTP://WWW.HURONCOHEALTH.COM/HEALTH-ASSESSMENT#!_HEALTH-ASSESSMENT AND THE HOSPITAL COUNCIL OF NORTHWEST OHIO - HTTP://WWW.HCNO.ORG/COMMUNITY/REPORTS.HTML	FISHER-TITUS MEMORIAL HOSPITAL
PART V, SECTION B, LINE 7: 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 SIGNIFICANTRESOURCES ON THE THREE PRIORITY HEALTH NEEDS LISTED IN THE IMPLENTATION PLAN. NEEDS NOT ADDRESSED: 1. 12% OF HURON COUNTY ADULTS WERE WITHOUT HEALTH CARE COVERAGE; 2. 22 % OF HURON COUNTY ADULTS AREDIAGNOSED WITH ARTHRITIS; 3. 10% OF HURON COUNTY ADULTS AND 18% OF YOUTHS WERE DIAGNOSED WITH ASTHMA;4. INSECTS AND MOLD WERE REPORTED AS THE TWO MOST THREATENING ENVIRONMENTAL HEALTH ISSUES BY RESPONDENTS AND 5. 45% OF ADULTS HAD NOT VISITED A DENTIST OR DENTAL CLINIC IN THE PAST YEAR.	FISHER-TITUS MEMORIAL HOSPITAL
PART V, SECTION B, LINE 17E: AS PART OF ITS FINANCIAL ASSISTANCE POLICY, FISHER TITUS MEDICAL CENTER (THE HOSPITAL) MAKES A CONCERTED EFFORT TO DETERMINE IF AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO PROCEEDING WITH COLLECTION ACTIVITIES BY THE HOSPITAL OR BY ENGAGING A THIRD PARTY. THESE EFFORTS INCLUDE NOTIFYING THE INDIVIDUAL OF THE FINANCIAL ASSISTANCE POLICY (FAP) ON ADMISSION, INCLUDING INFORMATION ABOUT THE FAP IN COMMUNICATIONS ABOUT THE INDIVIDUAL'S BILLS AND DOCUMENTING THE HOSPITAL'S DETERMINATION OF AN INDIVIDUAL'S ELIGIBILITY TO RECEIVE ASSISTANCE UNDER THE FAP. IF THE RESULT OF THESE EFFORTS IS UNSUCCESSFUL, THE HOSPITAL WILL PROCEED WITH COLLECTIONS ACTIVITY. THESE ACTIVITIES INCLUDE REPORTING THE INDIVIDUAL TO THE APPROPRIATE CREDIT AGENCY, LEGAL ACTIONS OR LIENS AS DEEMED NECESSARY. IF IT IS DETERMINED THAT AN INDIVIDUAL IS ELIGIBLE UNDER THE FAP SUBSEQUENT TO COLLECTION ACTIVITY BEGINNING, ALL COLLECTION ACTIVITY WILL CEASE.	FISHER-TITUS MEMORIAL HOSPITAL
THE DISCOUNT RATE FOR SELF-PAY PATIENTS WAS SET TO MATCH THE RATE OF OUR TWO PREDOMINANT COMMERCIAL INSURANCE CONTRACTS WHICH MAKE UP 2/3RDS OF OUR POPULATION COVERED BY THIRD PARTY INSURANCE.		PART V, SECTION B 19(D)
FISHER TITUS MEDICAL CENTER INITIALLY CHARGES ALL CLASSES OF PATIENTS THE SAME GROSS CHARGE FOR ANY PARTICULAR SERVICE AND IS REFLECTED AS SUCH ON ALL INITIAL BILLS. AT THE TIME OF ADMISSION, FTMC ATTEMPTS TO COLLECT INFORMATION ON THE INTENDED MEANS OF PAYING FOR SERVICES, INCLUDING DISTRIBUTING INFORMATION ON APPLYING FOR FINANCIAL ASSISTANCE, BUT DO NOT RESTRICT ACCESS BASED ON WHETHER THE INTENDED MEANS OF PAYING FOR SERVICES IS PROVIDED. PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE, EITHER AT THE TIME OF SERVICE OR SUBSEQUENT TO THE SERVICES BEING PROVIDED, HAVE THEIR BILLS PUT ON A "HOLD" STATUS AS SOON AS PATIENTS MAKE ANY CONTACT WITH OUR FINANCIAL COUNSELING STAFF. UPON REVIEW AND APPROVAL OF APPLICATIONS AND ANY DISCUSSION WITH OUR FINANCIAL COUNSELORS GROSS CHARGES ARE THEN ADJUSTED ACCORDING TO FTMC CHARITY POLICY BEFORE ANY FURTHER BILLING PROCESSES ARE RESUMED.		PART V, SECTION B 20, 21 & 22
THE ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND ON THE MEDICAL CENTER'S WEBSITE AT: HTTP://WWW.FISHER-TITUS.ORG/IMAGES/IMPLEMENTATION_STRATEGIES_FOR_2011_CHNA.PDF		PART V, SECTION B LINE 6
PART VI, LINE 2: FISHER-TITUS SPONSORED AND COLLABORATED WITH THE HURON COUNTY GENERAL HEALTH DISTRICT AND OTHER HEALTH-RELATED ORGANIZATIONS (CALLED HURON COUNTY HEALTH PARTNERS) TO DEVELOP AND FUND THE HURON COUNTY HEALTH NEEDS ASSESSMENT IN 2011. LOCAL COMMUNITY AGENCIES WERE INVITED TO PARTICIPATE IN THE HEALTH ASSESSMENT PROCESS, INCLUDING CHOOSING QUESTIONS FOR THE SURVEYS, PROVIDING LOCAL 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 THECOMMUNITY HEALTH NEEDS ASSESSMENT. AT THE EVENT, PARTICIPANTS, PARTICIPATED IN FOCUS GROUPS AND PRIORITIES WERE CHOOSEN FOR HURON COUNTY TO FOCUS ON OVER THE NEXT FEW YEARS. FTMC ALSO USES THIS INFORMATION TO ADD AND EXPAND SERVICES AND TO RECRUIT PHYSICIANS TO MEET THE THEN IDENTIFIED MEDICAL NEEDS OF OUR COMMUNITY. FROM THESE PRIOTIES, FTMC HAS DEVELOPED NUMEROUS PROGRAMS TARGETING THE HURON COUNTY'S HIGH RATE OF OBESITY, DIABETES AND CARDIOVASCULAR ISSUES. PROGRAMS INCLUDING DIABETESSCREENINGS AT HISPANIC HEALTH FAIRS AND VARIOUS LOCATIONS IN THE COUNTY, NUTRITION AND FITNESS FOR SCHOOL CHILDREN, DEVELOPING A COMMUNITY GARDEN AND A COUNTY-WIDE WALKING PROGRAM IN PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION AND LOCAL PHYSICIANS AND BUSINESSES.
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, ERIE AND THE ADJACENT SURROUNDING COMMUNITIES WITH THE LATEST MEDICAL ADVANCEMENTS. THE PRIMARY AREA IS THE GREATER HURON COUNTY AREA IN NORTH CENTRAL OHIO, WHICH IS HOME TO AROUND 60,000 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 COUNTYIN SMALLER CITIES TO PROVIDE EASIER ACCESS TO PHYSICIANS FOR COMMUNITY MEMBERS. THE COUNTY IS HOME TO SEVERAL LARGE MANUFACTURERS WHO HAVE EXPERIENCED MAJOR JOB LOSSES OVER THE PAST 10 YEARS. HURON COUNTYHAD THE TENTH HIGHEST UNEMPLOYMENT RATE IN OHIO IN 2012 WITH AN ANNUAL AVERAGE OF 10.2%. THE LARGEST PERCENTAGE OF RESIDENTS ARE CHILDREN UNDER 18 WITH THOSE 65 AND OLDER MAKING UP THE 2ND LARGEST PERCENTAGE. 91% OF THE RESIDENTS ARE CAUCASIAN WITH A GROWING HISPANIC POPULATION OF 5.9%. THE MEDIAN HOUSEHOLD INCOME IN HURON COUNTY (IN 2010 INFLATION-ADJUSTED DOLLARS) WAS $62,033 WITH 12.9% OF THE FAMILIES LIVING BELOW THE POVERTY LEVEL AND 26.3% LIVING BELOW 200% OF THE POVERTY RATE IN 2010. 12% OFHURON COUNTY ADULTS WERE WITHOUT HEALTH COVERAGE. THE OVERALL TRENDS INDICATE A DECLINE IN EMPLOYMENT-BASED MEDICAL INSURANCE AND INCREASING UNINSURED AND RELIANCE ON GOVERNMENT PROGRAMS.
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 AGINING, CHILDBIRTH, INFANT CARE, EARLY PREGNANCY AND MORE2. FREE BLOOD PRESSURE AND DIABETES SCREENINGS, AND MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW-COST SCREENINGS FOR BREAST, PROSTATE, SKIN AND COLORECTAL CANCERS ANS WELL AS OSTEOPOROSIS ASSESSMENTS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
SERVICES FOR AGING INC
130 SHADY LANE DR	NORWALK	OH	44857	341108780	501(C)(3)	12500	HELP ASSIST SENIORS IN THE LOCAL COMMUNITY IN GETTING LOW-COST HEALTHCARE SERVICES.
HURON COUNTY HEALTH DEPARTMENT
180 MILAN AVE	NORWALK	OH	44857		115	10000	DONATION FOR THE HURON COUNTY HEALTH DEPARTMENT CLINIC AND SERVICES
NORWALK AREA UNITED FUND
10 WEST MAIN ST	NORWALK	OH	44857	340906312	501(C)(3)	20000	CONTRIBUTE TO THE UNITED WAY PACESETTER CAMPAIGN TO HELP THE LOCAL COMMUNITY
NORWALK ECONOMIC DEVELOPMENT FUND
10 1/2 WEST MAIN ST	NORWALK	OH	44857	341787391	501(C)(3)	5000	CONTRIBUTION TO THE NORWALK ECONOMIC DEVELOPMENT CORP TO HELP THE LOCAL COMMUNITY
AMERICAN RED CROSS
300 CENTRAL AVENUE	SANDUSKY	OH	44870	530196605	501(C)(3)	15897	CONTRIBUTIONS TO THE RED CROSS FOR RELIEF EFFORTS DUE TO THE HURRICANE STORM SANDY.
AMERICAN HEART ASSOCIATION
5455 N HIGH STREET	COLUMBUS	OH	43215	135613797	501(C)(3)	17500	CORPORATE SPONSORSHIP FOR THE HURON COUNTY HEART WALK
SHELBY CHRISTIAN AND MISSIONARY ALLIANCE CHURCH
105 SMILEY AVENUE	SHELBY	OH	44875	341354574	501(C)(3)		DONATED MISCELLANEOUS MEDICAL SUPPLIES AND OPERATING SUPPLIES TO CHURCH THIRD WORLD MISSION.	134637	FMV	MISCELLANEOUS OPERATING ROOM MEDICAL SUPPLIES
SHELBY CHRISTIAN AND MISSIONARY ALLIANCE CHURCH
105 SMILEY AVENUE	SHELBY	OH	44875	341354574	501(C)(3)		DONATED MISCELLANEOUS CATH LAB MEDICAL SUPPLIES TO CHURCH THIRD WORLD MISSION.	74139	FMV	MISCELLANEOUS CATH LAB MEDICAL SUPPLIES

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	8	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE MEDICAL CENTER REVIEWS EACH GRANT OR DONATION REQUEST BEFORE IT IS MADE.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PATRICK J MARTIN
PRESIDENT	480756	0	147352	0	816211	0	211011	0	18852	0	1674182	0	793635	0
DUANE WOODS
VP OF FINANCE/CFO	195162	0	39642	0	446	0	48939	0	14900	0	299089	0	0	0
LORNA STRAYER
SENIOR VP, ADMIN & BUSINES	160569	0	39698	0	563	0	47835	0	26282	0	274947	0	0	0
CHERIE M SPRAGG
SENIOR VP OF NURSING SERVI	171841	0	35146	0	1093	0	75034	0	9379	0	292493	0	0	0
JOHN BRITTON
VP INFORMATION SERVICES	158572	0	31662	0	201	0	15297	0	0	0	205732	0	0	0
GARY MOOREMAN
VP MEDICAL AFFAIRS	295344	0	26913	0	1817	0	14525	0	8484	0	347083	0	0	0
PHILLIP J ANNARINO
VP HUMAN RESOURCES	151434	0	31362	0	962	0	39696	0	17152	0	240606	0	0	0
JOHN K HUGHES
PHYSICIAN	113121	115005	0	0	3148	2546	4815	3685	12186	12186	133270	133422	0	0
GEORGE B ELMER
DIRECTOR OF ASSET MGMT/EMS	150658	0	19412	0	971	0	3245	0	23282	0	197568	0	0	0
CHRISTINA CANFIELD
PHYSICIAN	76033	76399	21253	14050	284	236	0	0	6986	6986	104556	97671	0	0
JOSEPH E CENTA
PHYSICIAN	114181	114180	0	0	101	399	2910	2945	11141	11141	128333	128665	0	0
KATHLEEN A MEEHAN - DE LA CRUZ
PHYSICIAN	94346	83949	3321	0	5269	4707	4256	3685	8863	8863	116055	101204	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	PART III	ReturnReference
Explanation	PART I LINE 4B & PART II, LINE 1 - INCLUDED IN MR. MARTIN'S TOTAL W-2 COMPENSATION OF $1,444,319 IS $793,635 WHICH REPRESENTS THE CURRENT YEAR PAYMENT OF DEFERRED COMPENSATION FROM A NON-QUALIFIED RETIREMENT PLAN WHICH WAS DEFERRED ON PRIOR FORM 990'S. INCLUDED IN MR. MARTIN'S TOTAL W-2 COMPENSATION OF $1,444,319 IS $201,868 WHICH REPRESENTS THE PORTION OF MR. MARTIN'S SALARY ALLOCABLE TO THE NORWALK MEMORIAL HOME, A DIVISION OF FISHER-TITUS MEDICAL CENTER. INCLUDED IN THE TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $211,011 IN COLUMN C IS $119,007 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $92,004 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL RETIREMENT BENEFIT BASED ON YEARS OF ELIGILE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 3 - INCLUDED IN DUANE WOOD'S TOTAL W-2 COMPENSATION OF $235,250 IS $35,237 WHICH REPRESENTS THE PORTION OF MR. WOOD'S S SALARY ALLOCABLE TO THE NORWALK MEMORIAL HOME, A DIVISION OF FISHER-TITUS MEDICAL CENTER. INCLUDED IN THE TOTAL CONTRIBUTION TO DEFERRED COMPESATION OF $48,939 IN COLUMN C IS $8,500 OF DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $40,939 FOR THE CURRENT YEAR AND PRIOR YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL RETIREMENT BENEFIT BASED ON YEARS OF ELIBIGLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 6 - INCLUDED IN MR. ANNARINO'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $39,696 IS $7,206 OF DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $32,490 FOR THE CURRENT YEAR AND PRIOR YEAR ACCRUAL 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 FORFEITUE. PART II LINE 8 THRU 11 - JOSEPH CENTA, JOHN HUGHES M.D., KATHLEEN MEEHAN-DELA CRUZ AND CHRISTINA CANFIELD ALL RECEIVED THEIR COMPENSATION FROM FTMC MEDICAL CARE LLC. FTMC MEDICAL CARE LLC WAS A WHOLLY OWNED DISREGARDED ENTITY OF FISHER-TITUS MEDICAL CENTER FROM JANUARY 1ST THRU JUNE 30TH 2012 BEFORE BEING TRANSFERRED ON JULY 1ST 2012 TO OUR PARENT COMPANY, NORWALK AREA HEALTH SYSTEMS, INC. COMPENSATION IS FOR PHYSICIAN SERVICES. PART I 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 INDEPENDENT CONSULTANT REPORTS TO THE JOINT PERSONNEL COMMITTEE ON REVELANT 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 2012.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
COUNTY OF HURON OHIO
A	346400672	447540CC7	2007-06-28	28622597	SEE PART V BELOW	0	0	0
COUNTY OF HURON OHIO
B	346400672	447540BN4	2003-01-08	30000000	SEE PART V BELOW	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Credit EnhancementCreditEnhancement
A	28838308	564200	7215711	21058397	2008	1	0	1	1
B	30714144	524983	27308799	2616937	2005	1	0	1	1	263425

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	1	1	0	0	0
B	0	0	0	1	1	0	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	0	1	0	0	0	0	0	1
B	0	0	1	0	1	0	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0

Form990 Schedule K Part VI Form990ScheduleKPartVI (6 entries)

IdentifierIdentifier	ExplanationExplanation
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 2003A BONDS - PURPOSE WAS TO ACQUIRE, CONSTRUCT AND INSTALL A MULTI-STORY ADDITION TO THE HOSPITAL'S MAIN CAMPUS DEVOTED TO INPATIENT SERVICES AS WELL AS SUPPORT SERVICES AND THE RENOVATION OF SEVERAL AREAS OF THE EXISTING FACILITY.
PART II, LINE 3, COLUMN A	INCLUDED IN THE TOTAL PROCEEDS OF $28,838,308 IS INVESTMENT EARNINGS OF $215,711.
PART II, LINE 11, COLUMN A	$21,058,397 OF THE PROCEEDS WERE USED TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 1996B AND A PORTION OF SERIES 2003A BONDS.
PART II, COLUMN B, LINE 3	INCLUDED IN THE TOTAL PROCEEDS OF $30,714,144 IS INVESTMENT EARNINGS OF $714,144.
PART II, COLUMN B, LINE 11	$2,616,937 OF THE PROCEEDS WERE USED TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 1995A BONDS.

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	CHRISTINA CANFIELD	NamePerson
Purpose Of Loan	PRIVATE PRACTICE OPERATING LOANS	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$373,304	OriginalPrincipalAmount
Balance Due	222121	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	222121	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MRS JOHN BRITTON
SPOUSE OF KEY EMPLOYEE	50615	EMPLOYEMENT	0
BAYLESS PATHMARK
SEE PART V	130000	INDEPENDENT CONTRACTOR	0
MS SCHWAB
FAMILY MEMBER OF OFFICER, LORNA STRAYER	68498	EMPLOYMENT	0
MS RILEY
FAMILY MEMBER OF DIRECTOR, MATT GROSS	64234	EMPLOYMENT	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	PART II LINE 1	Identifier
Explanation	PART II LINE 1 - PURPOSE OF LOAN: PRIVATE PRACTICE OPERATING LOANS BEFORE PRACTICE ACQUISTION. BEGINNING IN 1998 AND CONTINUING THROUGH 2005, FISHER-TITUS MEDICAL CENTER ADVANCED FUNDS TO DR. CHRISTINA CANFIELD AND IN THREE INSTANCES, TO DR. CANFIELD AND HER PROFESSIONAL CORPORATION, "WAKEMAN AREA FAMILY CARE CENTER, INC." (THE CORPORATION). THE CORPORATION IS AN OHIO PROFESSIONAL CORPORATION THAT WAS FORMED IN 1998. DR. CANFIELD IS THE SOLE SHAREHOLDER. THE FUNDS WERE PRIMARILY ADVANCED UNDER INTEREST BEARING LINES OF CREDIT TO FACILIATATE DR. CANFIELD'S INITIAL ESTABLISHMENT AND CONTINUATION OF A FAMILY MEDICAL PRACTICE IN WAKEMAN, OH. WAKEMAN, OHIO IS WITHIN THE SERVICE AREA OF FISHER-TITUS MEDICAL CENTER AND IS AN UNDERSERVED AREA, WITH NO OTHER PROVIDERS AND A HIGHER PROPORTION OF UNINSURED. THE ADVANCES ALSO WERE INTENDED TO ASSIST DR. CANFIELD'S PRACTICE WITH OPERATIONAL EXPENSES INCLUDING TRANSITION FROM A THIRD-PARTY BILLING SERVICE TO AN IN-HOUSE BILLING AND COLLECTION OPERATION AND EXPENSES ASSOCIATED WITH ATTEMPTS TO ADD ADDITIONAL PHYSICIANS TO THE MEDICAL PRACTICE. THE MEDICAL CENTER PROVIDED THE ADVANCES UNDER THE LINES OF CREDIT TO ENHANCE THE ABILITY OF DR. CANFIELD AND HER CORPORATION TO PROVIDE QUALITY MEDICAL SERVICES TO THE RESIDENTS OF WAKEMAN, OHIO. PRIOR TO THE OPENING, DR. CANFIELD'S PRACTICE, RESIDENTS OF WAKEMAN NEEDING MEDICAL CARE WERE REQUIRED TO TRAVEL 10-15 MILES TO OTHER COMMUNITIES TO RECEIVE CARE AS THERE WERE NO PHYSICIANS IN THE WAKEMAN COMMUNITY. THE ADVANCES WERE NECESSARY TO IMPROVE THE QUALITY OF HEALTHCARE IN THE WAKEMAN AREA AND PROVIDE ACCESS TO NEEDED HEALTH SERVICES, BOTH BEING CONSISTENT WITH THE MEDICAL CENTER'S EXEMPT PURPOSE OF PROVIDING MEDICAL CARE AND PROMOTING HEALTH IN ITSSERVICE AREA. SUBSEQUENT TO THE LINE OF CREDIT ADVANCES, DR. CANFIELD AND HER CORPORATIONSOLD THE CORPORATION'S ASSETS AND ACCOUNTS RECEIVABLE TO FTMC MEDICAL CARE LLC, WHICH IS AN OHIO LIMITED LIABILTY COMPANY.FISHER-TITUS MEDICAL CENTER WAS THE SOLE MEMBER OF THE LLC THRU JUNE-30-2012, AT WHICH TIME THE LLC WAS TRANSFERRED TO THE PARENT COMPANY NORWALK AREA HEALTH SYSTEMS. THE ASSET PURCHASE AGREEMENT PROVIDED THAT AFTER PAYMENT OF TRADE PAYABLES OF THE PRACTICE, THE PURCHASE PRICE WOULD BE USED TO PAY OFF THE CORPORATION'S OBLIGATIONS ON THE LINES OF CREDIT, AND TO THE EXTEND PURCHASE PRICE PROCEEDS WERE STILL AVAILABLE, WOULD BE DISTRIBUTED TO DR. CANFIELD WHO WAS REQUIRED TO USE THEM TO PAY BALANCES STILL OUTSTANDING ON LINES OF CREDIT ON WHICH SHE WAS PERSONALLY OBLIGATED. DR. CANFIELD SIMULTANEOUSLY BECAME AN EMPLOYEE OF THE LLC. THE EMPLOYMENT AGREEMENT ALSO PROVIDED FOR A DEDUCTION AGAINST HER COMPENSATION TO BE APPLIED TO OUTSTANDING BALANCES ON THE LINES OF CREDIT. BOTH TRANSACTIONS WERE INTENDED TO FACILITATE REPAYMENT OF THE ADVANCES TO FISHER-TITUS MEDICAL CENTER.PART IV LINE 2 - RELATIONSHIP OF INTERESTED PARTY: FAMILY MEMBER OF OFFICER, LORNA STRAYERPART IV LINE 3 - RELATIONSHIP OF INTERESTED PARTY: FAMILY MEMBER OF DIRECTOR, MATT GROSSPART IV LINE 4 - RELATIONSHIP OF INTERESTED PARTY: DR. WILLIAM CORNELL, M.D. IS A PARTNER OF BAYLESS PATHMARK.	Explanation

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	7525	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	MEDICAL EQUIPMENT	Description
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	28533	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
MISSION STATEMENT	PART I, LINE 1	PROVIDE QUALITY HEALTHCARE IN A COST EFFECTIVE MANNER WHILE RESPECTING THE DIGNITY AND UNIQUENESS OF EACH INDIVIDUAL WE SERVE.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	PART III, LINE 4A/4B	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 2012, THE HOSPITAL PROVIDED 13,381 DAYS OF INPATIENT CARE TO 3,724 PATIENTS. THE HOSPITAL ALSO PROVIDED 90,925 PATIENTS WITH 136,430 OUTPATIENT AND 27,601 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 2012, THE HOME SERVED 386 RESIDENTS AND PROVIDED 24,111 DAYS OF CARE. THE HOME HEALTH CENTER HOME HEALTH AGENCY THE HOME HEALTH CENTER PROVIDED 12,218 HOME VISITS TO 330 DIFFERENT PATIENTS IN 2012. THE CARRIAGE HOUSE OF FISHER-TITUS OPENED IN 1998, THE CARRIAGE HOUSE IS A 48-UNIT ASSISTED LIVING FACILITY, WHICH PROVIDED 16,447 DAYS OF ASSISTED LIVING CARE TO 61 RESIDENTS IN 2012. PROGRAM EXPANSIONS, IMPROVEMENTS, AND ACCREDITATIONS AMONG HEALTHCARE'S MOST WIRED HOSPITALS IN THE NATION IN 2012 FISHER-TITUS WAS NAMED ONE OF HEALTHCARE'S TOP 100 MOST WIRED U.S. HOSPITALS TO RECOGNIZE 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. AS A CERNER CORPORATION SHOWCASE SITE, FISHER-TITUS HAS HOSTED HOSPITALS FROM ALL OVER THE WORLD INCLUDING THE CLEVELAND CLINIC, THE VETERANS ADMINISTRATION, AND BRAZIL'S HOSPITAL ALBERT EINSTEIN TO SEE THIS FULLY INTEGRATED ELECTRONIC HEALTH RECORD SYSTEM AND INTERACTIVE PATIENT-ROOM TECHNOLOGY IN ACTION. ELECTRONIC MEDICAL RECORDS - FISHER TITUS MEDICAL CENTER ACHIEVED THE HEALTH INFORMATION AND MANAGEMENT SYSTEMS SOCIETY, HIMSS LEVEL 6 (THE HIGHEST LEVEL BEING LEVEL 7) FOR ELECTRONIC MEDICAL RECORD (EMR) ADOPTION. FACILITY AND PROGRAM EXPANSIONS NEW EMERGENCY DEPARTMENT / REGISTRATION-ADMITTING / AND OUTPATIENT LABORATORY SERVICES IN JUNE 2012, FISHER-TITUS GREETED THE FIRST PATIENTS TO A NEW AND EXPANDED $12.5 MILLION EMERGENCY DEPARTMENT, REGISTRATION/ADMITTING AREA, AND OUTPATIENT LABORATORY SERVICES. THIS 29,500 SQUARE-FOOT EXPANSION HAS ALLOWED FISHER-TITUS MEDICAL CENTER TO RE-ENGINEER THE ER PATIENT PROCESS FROM ADMISSION AND REGISTRATION TO THE DELIVERY OF CARE TO ENSURE THE BEST OUTCOMES AND THE BEST OVERALL EXPERIENCE FOR PATIENTS AND THEIR FAMILIES. IMAGING SERVICES DEPARTMENT / INFUSION SERVICES / PRE-ADMISSION TESTING. IMMEDIATELY FOLLOWING THE OPENING OF THE NEW ER IN JUNE 2012, CONSTRUCTION BEGAN TO RENOVATE THE VACATED SPACE FOR A NEW IMAGING SERVICES DEPARTMENT. COMPLETED IN APRIL OF 2013, THE $11.7 MILLION CONSTRUCTION PROJECT REPOSITIONED THE DEPARTMENT TO ALLOW QUICKER ACCESS FOR EMERGENCY PATIENTS, A MORE COMFORTABLE RECEPTION AREA AND ADDITIONAL PRIVACY FOR OUTPATIENTS RECEIVING DIAGNOSTIC TESTS. WHILE MOST OF THE EXISTING STATE-OF-THE-ART IMAGING EQUIPMENT WAS MOVED, A NEW OPEN MRI WAS PURCHASED TO MEET THE NEEDS OF CLAUSTROPHOBIC AND BARIATRIC PATIENTS. THE EXPANSION ALSO INCLUDED AN INFUSION CENTER AS WELL AS A NEW PRE-ADMISSION TESTING AREA. FISHER-TITUS ADDS ROBOTIC-ASSISTED SURGERY IN DECEMBER 2012, FISHER-TITUS MEDICAL CENTER WAS FIRST IN THE REGION TO ACQUIRE DAVINCI ROBOTIC-ASSISTED SURGICAL TECHNOLOGY. ROBOTIC-ASSISTED PROCEDURES PROVIDER BENEFITS FOR PATIENTS INCLUDING SMALLER INCISIONS, LESS PAIN, FASTER RECOVERIES AND QUICKER RETURN TO DAILY ACTIVITIES FOR PATIENTS. THE TECHNOLOGY IS APPROVED FOR 140 SURGICAL PROCEDURES INCLUDING GENERAL SURGERY, GYNECOLOGICAL, UROLOGICAL, THORACIC AND ENT PROCEDURES. MULTIPURPOSE MEDICAL OFFICE BUILDING ANNOUNCED IN LATE 2012, FISHER-TITUS INVESTED $1.75 MILLION IN THE PURCHASE OF PROPERTY ON SR 250 NORTH. A FACILITY SCHEDULED FOR CONSTRUCTION IN LATE 2013 WILL HOUSE AN URGENT/AFTER HOURS CLINIC, INDUSTRIAL HEALTH SERVICES, REHABILITATION, LABORATORY SERVICES AND NORTHERN OHIO FOOT & ANKLE SPECIALISTS, PROVIDING EASIER ACCESS TO THESE SERVICE TO RESIDENTS AND BUSINESSES. FISHER-TITUS FIRST IN REGION TO INVEST IN MOST ADVANCED WEAPON IN THE FIGHT AGAINST HOSPITAL INFECTIONS TO KEEP PATIENTS EVEN SAFER FROM INFECTIONS, "TITUS" THE GERM ZAPPER JOINED THE HOSPITAL'S ENVIRONMENTAL SERVICES DEPARTMENT. THE HIGH-TECH ROBOT "PULSES" ULTRAVIOLET LIGHT THAT PENETRATES CELL WALLS OF MICRO-ORGANISMS KILLING THE ORGANISM TO PROVIDE AN EXTRA LAYER OF INFECTION CONTROL FOR PATIENTS. 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, FIRELANDS BOWLING GREEN STATE UNIVERSITY CAMPUS, LORAIN COUNTY COMMUNITY COLLEGE, NORTH CENTRAL STATE COLLEGE, TERRA COMMUNITY COLLEGE, THE OHIO STATE UNIVERSITY, AND OHIO UNIVERSITY 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. 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. IN 2012, FISHER-TITUS EARNED A THREE-YEAR ACCREDITATION BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP). FISHER-TITUS ALSO EARNED RE-DESIGNATION AS A LEVEL 3 TRAUMA CENTER BY OHIO DEPARTMENT OF HEALTH AND THE OHIO DEPARTMENT OF PUBLIC TRANSPORTATION. FISHER-TITUS WAS THE FIRST AREA HOSPITAL TO EARN THAT DESIGNATION IN 2009. FISHER-TITUS WAS ALSO ONE OF 15% U.S. HOSPITALS TO EARN AN A HOSPITAL SAFETY SCORE BY THE LEAPFROG GROUP ON ITS NATIONAL REPORT CARD ON PREVENTABLE MEDICAL ERRORS, INJURIES, ACCIDENTS, AND INFECTIONS. THE MEDICAL CENTER'S FOCUS ON QUALITY CARE AND EXCEPTIONAL SERVICE IS EVIDENCED BY THE MANY DEPARTMENTAL ACCREDITATIONS AND AWARDS AND RECOGNITIONS RECEIVED BY THE MEDICAL CENTER IN 2012: -OHIO DEPARTMENT OF HEALTH MAMMOGRAPHY QUALITY STANDARDS -AMERICAN COLLEGE OF RADIOLOGY (ACR) 3-YEAR ACCREDITATION IN MAGNETIC RESONANCE IMAGING -AMERICAN COLLEGE OF RADIOLOGY (ACR) 3-YEAR ACCREDITATION IN COMPUTED TOMOGRAPHY -AMERICAN ASSOCIATION OF RESPIRATORY CARE, QUALITY RESPIRATORY CARE AWARD -AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES STROKE SILVER PLUS QUALITY ACHIEVEMENT AWARD -AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE -HOMECARE ELITE TOP 100 AGENCY (FISHER-TITUS HOME HEALTH CENTER) -AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION, CARDIAC REHABILITATION -LABORATORY SERVICES CAP ACCREDITATION -BLOOD GAS LABORATORY CAP ACCREDITATION -OHIO HOSPITAL ASSOCIATION SAFETY AWARD -OHIO HOSPITAL ASSOCIATION HEALTH CARE WORKER OF THE YEAR AWARDED TO FISHER-TITUS NURSE SHERRY FISHBAUGH FTMC EMPLOYS 950 AREA RESIDENTS AND IS THE SECOND LARGEST EMPLOYER IN HURON COUNTY AND IS PROUD TO HAVE BEEN NAMED AMONG THE TOP 100 BEST PLACES TO WORK IN HEALTHCARE BY MODERN HEALTHCARE MAGAZINE THREE OF THE FIVE PAST YEARS. FISHER-TITUS ALSO IS A AMERICAN HEART ASSOCIATION FIT-FRIENDLY FACILITY WITH PLATINUM-LEVEL STATUS RECOGNITION FOR ITS COMMITMENT TO PROVIDE VALUE-ADDED BENEFITS TO IMPACT THE OVERALL HEALTH AND FITNESS OF ITS EMPLOYEES INCLUDING WEIGHT WATCHERS, A FULLY OUTFITTED EMPLOYEE FITNESS CENTER, SMOKING CESSATION PROGRAMMING AND WALKING PROGRAMS.
	PART III, LINE 4A/4B CONTINUED	EXCELLENT PHYSICIANS: FISHER-TITUS IS COMMITTED TO RECRUITING PHYSICIANS TO SERVE THE UNIQUE HEALTH-CARE NEEDS OF OUR COMMUNITY MEMBERS. IN 2012, MAHER SALAM, MD, GASTROENTEROLOGIST; ABIGAIL CHUDZINSKI,D.O., PEDIATRICIAN; UPDENDER GEHLOT, M.D., PSYCHIATRY; NICHOLAS BROWN, D.P.M., PODIATRIST; VITAILIY PISCHIK, M.D., HEMATOLOGY/ONCOLOGY; KAMAL CHABAN, M.D., PULMONARY CRITICAL CARE; LEANNE STRACK, D.O., PULMONARY CRITICAL CARE; CHRISTOPHER AVENDANO, M.D., PULMONARY CRITICAL CARE; KERIN KURTZ, D.O., EMERGENCY; RICARDO MACHADO, M.D., EMERGENCY; KHALAD YASSINE, M.D., NEUROLOGY; AND TONY LEE, D.O., EMERGENCY. NEW MEMBERS TO THE FISHER-TITUS HOSPITALISTS TEAM, INTERNAL MEDICINE PHYSICIANS WHO SERVE PATIENTS IN THE HOSPITALS, INCLUDED SHANKAR KURRA, M.D., DIRECTOR; RYAN NAGY, M.D.; AND HASAN AMIR, M.D. COMMUNITY HEALTH AND OUTREACH PROGRAMS FTMC 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. FISHER-TITUS HAS PROVIDED LEADERSHIP AND FUNDING FOR THE HURON COUNTY HEALTH ASSESSMENT ISSUED IN LATE 2011 AND IN ADDRESSING THE NEEDS IDENTIFIED IN THE HEALTH ASSESSMENT. THE PRIORITIES OF FISHER-TITUS COMMUNITY OUTREACH AND COMMUNITY BENEFIT PROGRAMS IN 2012 WERE ALIGNED WITH THE GOALS IDENTIFIED BY THE HURON COUNTY HEALTH PARTNERS WITH FISHER-TITUS HEALTH PROFESSIONALS LEADING AND SERVING ON COMMUNITY-WIDE TASK FORCES THAT ARE ADDRESSING OBESITY, RISKY BEHAVIORS AMONG YOUTH, AND MENTAL HEALTH RESOURCES. FTMC 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 2012, 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 69,217 ENCOUNTERS. AUXILIARY AND VOLUNTEER SERVICE: - DURING 2012, OUR 279 CARING VOLUNTEERS DONATED 51,702 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. IN APPRECIATION FOR THEIR WORK IN 2012, THE MEDICAL CENTER PROVIDED 13,449 FREE MEALS TO THE VOLUNTEER STAFF AT A COST OF $86,074. 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 67,124 PEOPLE IN 2012 AT A COST OF $754,368. 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 158 PARTICIPANTS WAS $61,701. 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 2012 WAS $873,433. 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 2012 WAS $283,502.
	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.
	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 DISSOLUTION OR 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 2012.
	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.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	FASB #158 ADJUSTMENT -4,650,739. TRANSFER OF FUNDS TO AFFILIATED ORGANIZATION, NORWALK AREA HEALTH SYSTEMS -1,464,893. TRANSFER OF FUNDS TO AFFILIATED ORGANIZATION,FISHER-TITUS FOUNDATION -52,607. PAIN MANAGEMENT LLC DIVIDEND PAYMENT TO JOINT VENTURE MEMBER NORWALK PAIN M 702,445. NET ASSETS BALANCE SHEET CHANGE FOR HEALTH PROMOTIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
FTMC MEDICAL CARE LLC
272 BENEDICT AVENUE	NORWALK	OH	44857	161768258	MEDICAL CARE	OH	1127017	0	FISHER TITUS MEDICAL CENTER
FTMC HOLDING 265 LLC
265 BENEDICT AVENUE	NORWALK	OH	44857	344430716	REAL ESTATE	OH	42462	1158169	FISHER TITUS MEDICAL CENTER
NORTH CENTRAL HOLDING LLC
272 BENEDICT AVENUE	NORWALK	OH	44857	344430716	REAL ESTATE	OH	0	0	FISHER TITUS MEDICAL CENTER

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
NORWALK AREA HEALTH SYSTEMS
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	NORWALK AREA HEALTH SYSTEMS
NORWALK AREA HEALTH SERVICES
272 BENEDICT AVENUE	NORWALK	OH	44857	341476934	AMBULANCE	OH	501(C)(3)	LINE 9		0	NORWALK AREA HEALTH SYSTEMS

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	FISHER-TITUS PAIN MANAGEMENT LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1
City	NORWALK	City
State	OH	State
ZIP Code	44857	ZIPCode

Field	Value	IRS element (for citing)
EIN	271471272	EIN
Primary Activity	PAIN MANAGEMENT	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FISHER TITUS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	898266	ShareOfTotalIncome
Share Of EOY Assets	754613	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner
Percentage Ownership	0.51000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH PROMOTIONS OF NORWALK	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	272 BENEDICT AVENUE	AddressLine1
City	NORWALK	City
State	OH	State
ZIP Code	44857	ZIPCode

Field	Value	IRS element (for citing)
EIN	341502102	EIN
Primary Activity	SUPPORT PROF.	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FISHER TITUS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of Total Income	65458	ShareOfTotalIncome
Share Of EOY Assets	451005	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	1	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	1	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	FISHER - TITUS PAIN MANAGEMENT LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	F	TransactionType
Amount Involved	702447	AmountInvolved
Method Of Amt Determination	OWNERSHIP PERCENTAGE	MethodOfAmtDetermination