TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) PERRY DRYDEN...................................................................... CHAIRMAN	15.00 ................. 4.00	X	X			0	0	0
(2) JEFFERY C HUBER...................................................................... VICE CHAIRMAN	10.00 ................. 3.00	X	X			0	0	0
(3) DENNIS C CAMP...................................................................... TREASURER	12.00 ................. 2.00	X	X			0	0	0
(4) JULIE S ROBERTS DDS...................................................................... SECRETARY	7.00 ................. 2.00	X	X			0	0	0
(5) BRADLEY DAVIS...................................................................... DIRECTOR	4.00 ................. 2.00	X				0	0	0
(6) JOHN K HUGHES MD...................................................................... DIRECTOR	4.00 ................. 42.00	X				0	332,344	66,107
(7) SUSAN S HAZEL...................................................................... DIRECTOR	4.00 ................. 2.00	X				0	0	0
(8) JONATHAN D ZAHLER DO...................................................................... DIRECTOR	4.00 ................. 2.00	X				0	0	0
(9) DENNIS DOUGHTY...................................................................... DIRECTOR	4.00 ................. 2.00	X				0	0	0
(10) MARK E CORIELL...................................................................... DIRECTOR	4.00 ................. 2.00	X				0	0	0
(11) JOHN A LENDRUM...................................................................... DIRECTOR	4.00 ................. 2.00	X				0	0	0
(12) MARC D DOLCE...................................................................... DIRECTOR	4.00 ................. 2.00	X				0	0	0
(13) BRENT BURKEY...................................................................... PRESIDENT/CEO	50.50 ................. 14.50	X	X			607,890	0	66,774
(14) MATTHEW MATTNER...................................................................... CHIEF OPERATIONS OFFICER	43.50 ................. 6.50		X			311,967	0	67,996
(15) SCOTT E ENDSLEY...................................................................... CHIEF FINANCIAL OFFICER	52.00 ................. 8.00		X			323,151	0	44,834
(16) KATIE CHIEDA...................................................................... CHIEF NURSING OFFICER	45.00 ................. 0.00			X		235,737	0	67,638
(17) MIRIAM BATKE...................................................................... CHIEF HUMAN RESOURCE OFFIC	45.00 ................. 8.00				X	255,032	0	55,771

(A) Name and business address	(B) Description of services	(C) Compensation
CERNER CORPORATION 2800 ROCKCREEK PATHWAY KANSAS CITY,MO64117	HEALTHCARE INFORMATION TECHNOLOGY	4,964,249
METROHEALTH SYSTEMS PO BOX 73122 CLEVELAND,OH441931861	SPINE CENTER PROF. SERVICE FEE & TRAUMA	2,991,003
NOMS HEALTHCARE 2500 W STRUB ROAD SANDUSKY,OH44870	PROFESSIONAL FEES - ORTHOPEDIC	1,357,069
LABORATORY CORPORATION OF AMERICA HOLDIN PO BOX 12140 BURLINGTON,NC27216	BLOOD ADMINISTRATION	751,633
CLARITY CARE LLC 1837 CEDAR POINT ROAD SANDUSKY,OH44870	NEUROLOGY ON-CALL	520,500
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 25

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

FISHER-TITUS MEDICAL CENTER

Employer identification number

34-4430716

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

FISHER-TITUS MEDICAL CENTER

Employer identification number

34-4430716

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization FISHER-TITUS MEDICAL CENTER

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization FISHER-TITUS MEDICAL CENTER		Employer identification number 34-4430716

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization FISHER-TITUS MEDICAL CENTER			Employer identification number 34-4430716
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

FISHER-TITUS MEDICAL CENTER

Employer identification number

34-4430716

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

13,404

Total. Add lines 1c through 1i ....................................................................................................

13,404

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	EXECUTIVE MEMBERS OF THE ORGANIZATION, ON AN OCCASIONAL BASIS, MAY WRITE OR SPEAK TO LEGISLATIVE MEMBERS CONCERNING PROPOSED LEGISLATION THAT MIGHT IMPACT THE LOCAL DELIVERY OF HEALTHCARE SERVICES. THE MEDICAL CENTER HAS MEMBERSHIPS IN VARIOUS HEALTHCARE RELATED ASSOCIATIONS, WHICH PROVIDE STATE AND NATIONAL LEADERSHIP ON LEGAL, REGULATORY, QUALITY AND ACCREDITATION ISSUES. AS A PART OF THAT LEADERSHIP ROLE, THESE ORGANIZATIONS DO CONTACT LEGISLATORS TO EXPRESS THEIR ASSOCIATION'S POSITIONS ON MATTERS IMPORTANT TO THEIR MEMBERSHIP. THE FOLLOWING ORGANIZATIONS LISTED BELOW SHOW THE PERCENTAGE OF THE DUES THAT REFLECT LOBBYING AS DETERMINED BY THE IRS: OHIO HEALTH CARE ASSOCIATION - 21.49% OF DUES; OHIO HOSPITAL ASSOCIATION - 3.7% OF DUES AND AMERICAN HOSPITAL ASSOCIATION - 39.00% OF DUES.

Return Reference

Explanation

PART II-B, LINE 1:

EXECUTIVE MEMBERS OF THE ORGANIZATION, ON AN OCCASIONAL BASIS, MAY WRITE OR SPEAK TO LEGISLATIVE MEMBERS CONCERNING PROPOSED LEGISLATION THAT MIGHT IMPACT THE LOCAL DELIVERY OF HEALTHCARE SERVICES. THE MEDICAL CENTER HAS MEMBERSHIPS IN VARIOUS HEALTHCARE RELATED ASSOCIATIONS, WHICH PROVIDE STATE AND NATIONAL LEADERSHIP ON LEGAL, REGULATORY, QUALITY AND ACCREDITATION ISSUES. AS A PART OF THAT LEADERSHIP ROLE, THESE ORGANIZATIONS DO CONTACT LEGISLATORS TO EXPRESS THEIR ASSOCIATION'S POSITIONS ON MATTERS IMPORTANT TO THEIR MEMBERSHIP. THE FOLLOWING ORGANIZATIONS LISTED BELOW SHOW THE PERCENTAGE OF THE DUES THAT REFLECT LOBBYING AS DETERMINED BY THE IRS: OHIO HEALTH CARE ASSOCIATION - 21.49% OF DUES; OHIO HOSPITAL ASSOCIATION - 3.7% OF DUES AND AMERICAN HOSPITAL ASSOCIATION - 39.00% OF DUES.

Schedule C (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

FISHER-TITUS MEDICAL CENTER

Employer identification number

34-4430716

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	2,323,813		2,323,813
b	Buildings ....	177,970,618	84,500,257	93,470,361
c	Leasehold improvements	359,126	304,939	54,187
d	Equipment ....	65,785,248	49,164,077	16,621,171
e	Other .....	2,658,209		2,658,209
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				115,127,741

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
CAPITAL LEASE OBLIGATIONS	2,638,262
OPERATING LEASE OBLIGATIONS	171,685
DUE TO AFFILIATED ENTITIES	182,762
SETTELMENTS PAYABLE	90,554
INTEREST RATE SWAP	13,381




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3,096,644
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ENTITIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FISHER-TITUS MEDICAL CENTER INDIVIDUAL ACCRUED UNCERTAIN TAX POSITION WAS $0.00.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right arrow

Attach to Form 990. Right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization
FISHER-TITUS MEDICAL CENTER

Employer identification number

34-4430716

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	NORTH AMERICA	0	0	INVESTMENTS	1,835,556
















3a	Sub-total ....	0	0		1,835,556
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		1,835,556

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) (Rev. 1-2025)

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) (Rev. 1-2025)

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation

Schedule F (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

FISHER-TITUS MEDICAL CENTER

Employer identification number

34-4430716

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	1	830	511,785	2,339	509,446	0.320 %
b	Medicaid (from Worksheet 3, column a) . . . . .	1		11,239,262	12,414,264	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	2	830	11,751,047	12,416,603	509,446	0.320 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	12	187,209	147,820	20,058	127,762	0.080 %
f	Health professions education (from Worksheet 5) . . .	1	14	10,964	1,050	9,914	0.010 %
g	Subsidized health services (from Worksheet 6) . . . .	1		716,036	495,966	220,070	0.140 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	4		188,499		188,499	0.120 %
j	Total. Other Benefits . .	18	187,223	1,063,319	517,074	546,245	0.350 %
k	Total. Add lines 7d and 7j .	20	188,053	12,814,366	12,933,677	1,055,691	0.670 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

9,824,411

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

2,456,103

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

31,170,466

Enter Medicare allowable costs of care relating to payments on line 5.....

34,548,218

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-3,377,752

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 FISHER-TITUS PAIN MANAGEMENT LLC	PAIN MANAGEMENT	51.000 %	49.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	FISHER-TITUS MEMORIAL HOSPITAL 272 BENEDICT AVENUE NORWALK,OH44857 HTTPS://WWW.FISHERTITUS.ORG 120AHR	X	X	X

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FISHER-TITUS MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 23

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V SUPPLEMENTAL FACILITY INFO

Other website (list url): SEE PART V SUPPLEMENTAL FACILITY INFO

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V SUPPLEMENTAL FACILITY INFO

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FISHER-TITUS MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, PAGE 8

The FAP application form was widely available on a website (list url):

SEE PART V, PAGE 8

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PAGE 8

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	FISHER-TITUS MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FISHER-TITUS MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
FISHER-TITUS MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: THE HOSPITAL PARTICIPATED IN A COMMUNITY WIDE HEALTH NEEDS ASSESSMENT IN CONJUNCTION WITH THE HURON COUNTY HEALTH PARTNERS, WHO WORKED WITH A THIRD-PARTY CONSULTANT TO REVIEW AND DRAFT THE QUESTIONS. INPUT WAS TAKEN FROM REPRESENTATIVES WITH BROAD INTEREST IN THE COMMUNITY AS WELL AS THE PUBLIC HEALTH DEPARTMENT AND THOSE AGENCIES WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY AS WELL AS MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND THOSE WITH CHRONIC HEALTH NEEDS. IN FEBRUARY 2023, 22 COMMUNITY LEADERS, STAKEHOLDERS, AND EMPLOYEES FROM PARTICIPATING ORGANIZATIONS GATHERED TO DISCUSS THEIR PERSPECTIVES ON EMERGING HEALTH ISSUES IN HURON COUNTY. THE CHNA PROCESS STARTED WITH THE RESULTS GIVEN TO THE WORK GROUPS, THEN THROUGH THE MAPP PROCESS BY MEETINGS, FOCUS GROUPS AND SURVEYS FROM REPRESENTATIVES OF THE LOCAL COMMUNITY, THE RESULTS WERE ANALYZED, BY REPRESENTATIVES FROM HURON COUNTY PUBLIC HEALTH WHO MET WITH KEY INFORMANTS SUCH AS JUDGES, PHYSICIANS, AND LEADERS/EMPLOYEES OF SOCIAL ORGANIZATIONS THROUGHOUT HURON COUNTY.ADDITIONAL DETAILS CAN BE FOUND ON OUR WEBSITE: HTTPS://WWW.FISHERTITUS.ORG/COMMUNITY-INVOLVEMENT-SUPPORT/CHNA
FISHER-TITUS MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6A: MERCY HEALTH-WILLARD HOSPITAL
FISHER-TITUS MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: MEMBERS OF THE HURON COUNTY HEALTH PARTNERS (THE GROUP WHO WORKED ON THE CHNA):HURON COUNTY PUBLIC HEALTH, BELLEVUE CITY SCHOOL DISTRICT, CITY OF NORWALK, CITY OF WILLARD, ENRICHMENT CENTERS OF HURON COUNTY, FAMILY HEALTH SERVICES, FISHER-TITUS MEDICAL CENTER, HURON COUNTY BOARD OF MENTAL HEALTH AND ADDICTION SERVICES, HURON COUNTY CLERK OF COURTS, MERCY HEALTH WILLARD HOSPITAL, MONROEVILLE SCHOOLS, NEW LONDON SCHOOLS, NORTH CENTRAL EMS, PROSPER COALITION, WESTERN RESERVE LOCAL SCHOOLS, WILLARD CITY SCHOOLS AND WILLARD FIRE AND RESCUE.
FISHER-TITUS MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: PRIORITIZED HEALTH NEEDS FROM THE MOST RECENT CHNA DONE IN 2023 AND ADOPTED IN 2023 ARE:CHRONIC DISEASE PREVENTION, METABOLIC SYNDROME AND YOUTH SUBSTANCE ABUSE BY PARTNERING WITH LOCAL SCHOOLS, SUPPORTING COMMUNITY BASED PHYSICAL ACTIVITY PROGRAMS, WORKING WITH EMPLOYERS TO EDUCATE EMPLOYEES, AND PROVIDING EVIDENCE-BASED LIFESTYLE PROGRAMS. INCREASING PUBLIC KNOWLEDGE ON DIABETES, CARDIOVASCULAR AND PULMONARY DISEASES. ALSO WORKING WITH LOCAL SCHOOLS TO PROVIDE EDUCATIONAL PROGRAMING ON AWARENESS OF VAPING RISKS.CHRONIC DISEASE PREVENTION SUPPORT ENVIRONMENTAL AND POLICY CHANGES THAT PROMOTE PHYSICAL ACTIVITY. PROVIDE EDUCATION AND AWARENESS ON YOUTH HPV VACCINATIONS. INTEGRATE LIFE'S ESSENTIAL 8 CARDIOVASCULAR HEALTH DOMAINS INTO COMMUNITY EDUCATION AND CLINICAL PREVENTATIVE CARE. EXPAND OUTREACH WITH PHYSICIAN OFFICES TO INCREASE THE NUMBER OF WELLNESS VISITS, CANCER SCREENINGS, CHRONIC CARE MANAGEMENT AND CHRONIC CARE SCREENINGS.YOUTH SUBSTANCE ABUSE- LAUNCH PEER-LED CAMPAIGNS ON SOCIAL MEDIA CONCERNING PREVENTION OF SUBSTANCE ABUSE. REINFORCE POSITIVE LIFESTYLE BEHAVIORS THROUGH A PEER-LED CAMPAIGN. ACCESS TO CARE AND SERVICES- ACCESS TO JOBS, TRAINING, TRANSPORTATION, AND SUPPORTIVE SERVICES IS A CRITICAL COMPONENT OF COMMUNITY HEALTH. RESIDENTS IN THE FISHER-TITUS SERVICE AREA, ESPECIALLY IN RURAL AREAS, FACE CHALLENGES RELATED TO EMPLOYMENT AND ACCESS TO ESSENTIAL RESOURCES. CONNECT PATIENTS TO NON-CLINICAL SERVICES.WE ACKNOWLEDGE THE IMPORTANCE OF THESE SIGNIFICANT HEALTH NEEDS BUT ARE UNABLE TO ADDRESS THE FOLLOWING DUE TO LIMITED FINANCIAL RESOURCES OR OTHER ORGANIZATIONS ADDRESSING THESE ISSUES. THE AREAS NOT ADDRESSED ARE ORAL HEALTH AND MENTAL HEALTH.
FISHER-TITUS MEDICAL CENTER:	FORM 990, SCHEDULE H, PART V, LINE 7A, CHNA URL: HTTPS://WWW.FISHERTITUS.ORG/COMMUNITY-INVOLVEMENT-SUPPORT/CHNA
FISHER-TITUS MEDICAL CENTER:	FORM 990, SCHEDULE H, PART V, LINE 7B, OTHER WEBSITE: HTTPS://WWW.HURONCOHEALTH.COM/HURON-COUNTY-HEALTH-PARTNERS
FISHER-TITUS MEDICAL CENTER:	FORM 990, SCHEDULE H, PART V, LINE 10A, IMPLEMENTATION STRATEGY URL:HTTPS://WWW.FISHERTITUS.ORG/COMMUNITY-INVOLVEMENT-SUPPORT/CHNA
FISHER-TITUS MEDICAL CENTER:	FORM 990, SCHEDULE H, PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.FISHERTITUS.ORG/PATIENTS-GUESTS/BILL-AND-FINANCIAL-ASSISTANCE
FISHER-TITUS MEDICAL CENTER:	FORM 990, SCHEDULE H, PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.FISHERTITUS.ORG/PATIENTS-GUESTS/BILL-AND-FINANCIAL-ASSISTANCE
FISHER-TITUS MEDICAL CENTER:	SCHEDULE H, PART V, LINE 10:THE MOST RECENTLY COMPLETED AND APPROVED IMPLEMENTATION STRATEGY WAS FROM 2020. THE HOSPITAL COMPLETED THE CHNA IN 2023 AS REQUIRED, HOWEVER THE 2023 IMPLEMENTATION STRATEGY WAS DELAYED DUE TO UNPLANNED STAFF DEPARTURES. AN IMPLEMENTATION STRATEGY WAS COMPLETED IN 2025.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address		Type of Facility (describe)
1	1 - NORWALK MEMORIAL HOME 272 BENEDICT AVENUE NORWALK,OH44857	INTERMEDIATE & SKILLED NURSING FACILITY
2	2 - THE CARRIAGE HOUSE OF FISHER-TITUS 175 SHADY LANE DRIVE NORWALK,OH44857	ASSISTED LIVING FACILITY
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	ALONG WITH THE FEDERAL POVERTY GUIDELINES, FISHER-TITUS USES MEDICAL INDIGENCY AND UNDERINSURANCE STATUS TO HELP DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
PART I, LINE 7:	THE COSTING METHODOLOGY USED FOR THE CHARITY CARE SEGMENT OF THE LINE 7 TABLE WAS THE IRS WORKSHEET 1, "CHARITY CARE AT COSTS" IN THE INSTRUCTIONS. COST TO CHARGE RATIOS WERE CARRIED OVER FROM THE IRS WORKSHEET 2 AS A BASIS TO ESTIMATE EXPENSES AND WAS APPLIED TO THE GROSS PATIENT CHARIY CARE CHARGES RECORDED IN 2024. THE COSTING METHODOLOGY USED FOR THE UNREIMBURSED MEDICAID SEGMENT ON THE LINE 7 TABLE WERE CALCULATED USING A COST TO CHARGE RATIO EXTRACTED FROM THE MEDICAID COST REPORT DATA. THE COSTING METHODOLOGY USED FOR THE "OTHER BENEFITS" SEGMENT OF THE LINE 7 TABLE WERE CALCULATED USING A COMBINATION OF DIRECT COSTS AND OUR COST ACCOUNTING SYSTEM WHICH TAKES INTO CONSIDERATION ALL PATIENT TYPES AND SEGMENTS.
PART II, COMMUNITY BUILDING ACTIVITIES:	IN 2024, FISHER-TITUS'S COMMUNITY BUILDING ACTIVITIES BENEFITS PROVIDED $13.0 MILLION TO SUPPORT PROGRAMS THAT IMPACTED THE OVERALL HEALTH OF OUR COMMUNITIES AND THE QUALITY OF LIFE OF OUR RESIDENTS. WHILE HOSPITAL-BASED MEDICAL SERVICES ARE THE MOST OBVIOUS WAY WE HELP, FTMC FULFILLS THE HEALTH-CARE NEEDS OF OUR AREA WITH COMMUNITY HEALTH SCREENINGS, EDUCATION CLASSES, PATIENT ASSISTANCE PROGRAMS AND SUPPORT OF HEALTH-RELATED ACTIVITIES. FTMC EMPLOYEES SERVE ON COMMUNITY AND CIVIC BOARDS, HEALTH-ORIENTED ORGANIZATIONS AND ARE INVOLVED IN ECONOMIC DEVELOPMENT ACTIVITIES THROUGHOUT THE COUNTY. FTMC ALSO WORKS WITH SCHOOLS; WORK SITES AND SAFETY NET PROVIDERS TO PROMOTE HEALTH AND WELLNESS AND PREVENT DISEASE. FISHER-TITUS IS A LEADER IN ENVIRONMENTAL STEWARDSHIP, HAVING EARNED NUMEROUS STATE AND NATIONAL AWARDS.
PART III, LINE 2:	THE COSTING METHODOLOGY USED FOR COMPLETING THE SCHEDULE H PART III, LINE 2 IS DERIVED FROM THE BAD DEBT EXPENSE INCLUDED IN THE AUDITED FINANCIAL STATEMENTS ADJUSTED BY THE AMOUNT OF THE WRITE-OFFS OF THE ACCOUNTS THAT WENT TO BAD DEBT.
PART III, LINE 3:	AS A TAX-EXEMPT HOSPITAL, NOT-FOR-PROFIT ORGANIZATION WE MUST PROVIDE NECESSARY MEDICAL CARE TO ALL, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES PROVIDED. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES BAD DEBT AS COMMUNITY BENEFIT. THE IDENTIFICATION OF PATIENTS ELIGIBLE FOR CHARITY CARE IS SOLEY BASED ON THE COOPERATION OF THE PATIENT TO PROVIDE THE ORGANIZATION ENOUGH FAMILY AND FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY TO MATCH OUR PROGRAMS. HISTORICALLY, IN ADDITION TO THE INTERNALLY IDENTIFIED CHARITY, 10-13% OF THE ACCOUNT BALANCES TURNED TO COLLECTION WERE SUBSEQUENTLY IDENTIFIED BY THE AGENCY AS CHARITY AND RETURNED. THIS CHARITY IS RECORDED ONLY WHEN IT HAS BEEN IDENTIFIED THROUGH VERIFICATION OF INABILITY TO PAY. WE DO BELIEVE THERE IS A SECOND, RELATIVELY EQUAL SEGMENT OF THE BAD DEBT THAT WOULD QUALIFY FOR CHARITY. PATIENTS WITH POOR CREDIT RATINGS AND MULTIPLE CREDITORS MAKING COLLECTION EFFORT FINDS LITTLE VALUE IN COMPLETING THE CHARITY APPLICATION PROCESS TO ONLY ELIMINATE ONE CREDITOR AND HAVE NO IMPROVEMENT TO THEIR FINANCIAL STATUS. WE ESTIMATE THAT UNDER THE CURRENT ECONOMIC CONDITIONS UNIDENTIFIED CHARITY IN BAD DEBT EXPENSE IS ESTIMATED TO BE AN ADDITIONAL $2,456,103 OR 25% OF BAD DEBT. SINCE THIS CALCULATION IS ON AN ACCRUAL BASIS, WE BELIEVE ESTIMATING 10% FOR CHARITY TO BE IDENTIFIED IN FUTURE YEARS AND AN ADDITIONAL 15% FOR BALANCES NEVER IDENTIFIED AS CHARITY IS A VERY CONSERVATIVE AND REASONABLE ESTIMATE OF THIS CHARITY CARE VALUE.
PART III, LINE 4:	THE FOOTNOTE THAT DISCUSSES BAD DEBT EXPENSE TREATMENT IN THE AUDIT FINANCIAL STATEMENTS IS ON PAGE 15.
PART III, LINE 8:	FISHER-TITUS MEDICAL CENTER'S MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO EXTRACTED FROM THE MEDICARE COST REPORT DATA. THE MEDICAL CENTER BELIEVES THAT ALL OF THE $3,377,752 SHORTFALL SHOULD BE CONSIDERED AS COMMUNITY BENEFIT, BECAUSE OUR MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT MEDICALLY NECESSARY CARE TO ANY PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY. THIS YEAR, MEDICARE ACCOUNTED FOR 50% OF HOSPITAL REVENUES AND THESE MEDICARE BENEFICIARIES WERE PROVIDED CARE IN SPITE OF THIS SHORTFALL. CARING FOR THE MEDICARE BENEFICIARIES RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE TRUE COST FOR THEIR CARE AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. TAX EXEMPT HOSPITALS ARE ALSO EXPECTED TO PARTICIPATE IN THE MEDICARE PROGRAM. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE MEDICAL CENTER IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY.
PART III, LINE 9B:	THE CHARITY POLICY IS A SUBSET OF THE OVERALL COLLECTION POLICY. WHEN PATIENTS ARE IDENTIFIED AS QUALIFYING FOR ANY OF THE CHARITY CATEGORIES WE SEARCH ACCOUNTS RECEIVABLE AND ACCOUNTS PLACED WITH COLLECTION AGENCIES AND PACKAGE THEM WITH THE APPLICATION. CHARITY INFORMATION IS SHARED WITH OUR RELATED ORGANIZATIONS AND FORMS THE BASIS FOR THEIR CHARITY ADJUSTMENTS. IN ADDITION WITH PATIENT APPROVAL, WE MAY CONTACT LOCAL PHYSICIAN PRACTICES WITH THE INFORMATION AS MANY WILL ADJUST THEIR BALANCES BASED UPON THE INFORMATION PROVIDED.
PART VI, LINE 2:	USING A SEVERITY AND SIZE COMPARISON INFORMATION THE HOSPITAL ALSO COMPARED DATA FROM HEALTHY PEOPLE 2030 AND OHIO 2020-2022 STATE IMPROVEMENT PLAN, HOSPITAL ADMISSIONS, LOCAL HEALTH CARE PROVIDER OFFICE VISITS AS WELL AS UNDERSERVED, LOW INCOME AGENCIES ALONG WITH THE CHNA.
PART VI, LINE 3:	PATIENTS ARE INTERVIEWED AFTER REGISTRATION TO ASSIST THEM IN DETERMINING EACH PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS AVAILABLE INTERNALLY AND EXTERNALLY. FTMC HAS BILINGUAL SIGNAGE POSTED IN THE ADMITTING/REGISTRATION AREAS, BILLING OFFICE AND FINANCIAL COUNSELING OFFICES, AND IN THE INPATIENT GUIDES IN THE PATIENT ROOMS. THE FTMC WEBSITE HAS A SECTION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND CONTACT INFORMATION. A MESSAGE ABOUT FINANCIAL ASSISTANCE AND CHARITY CARE ALSO IS INCLUDED ON THE BILLS THAT ARE SENT TO THE PATIENTS. MANY MATERIALS ARE BILINGUAL AND INTERPRETATION SERVICES ARE AVAILABLE. OUR SOCIAL SERVICES DEPARTMENT REGULARLY REFERS PATIENTS IN NEED TO OUR FINANCIAL COUNSELORS FOR ASSISTANCE. WE ALSO TAKE REFERRALS FROM THE LOCAL COUNTY HUMAN SERVICES AGENCIES, VICTIMS OF VIOLENT CRIMES, LOCAL HEALTH DEPARTMENTS, LOCAL LAW ENFORCEMENT AGENCIES, CHURCHES, ETC. FTMC IS VERY PROACTIVE IN TAKING THE MESSAGE TO OUR COMMUNITY. BROCHURES ARE AVAILABLE AT COMMUNITY OUTREACH EVENTS HELD IN THE HOSPITAL AND AT OUTSIDE COMMUNITY EVENTS. FTMC COMMUNICATES THE INFORMATION ABOUT CHARITY CARE PROGRAMS THROUGH ITS COMMUNITY NEWSLETTER AND LOCAL NEWS MEDIA.
PART VI, LINE 4:	THE FISHER-TITUS MEDICAL CENTER PROVIDES COMPREHENSIVE STATE-OF-THE ART HEALTH CARE SERVICES TO THE RESIDENTS OF HURON AND ERIE AS WELL AS PORTIONS OF OTHER CONTIGUOUS COUNTIES WITH THE LATEST MEDICAL ADVANCEMENTS. FISHER-TITUS'S PRIMARY AREA IS THE GREATER HURON COUNTY AREA IN NORTH CENTRAL OHIO, WHICH IS HOME TO AROUND 58,400 RESIDENTS. FISHERS-TITUS'S 50 ACRE CAMPUS IS IN THE COUNTY SEAT OF NORWALK, WHICH IS THE LARGEST CITY IN THE COUNTY WITH OVER 16,800 RESIDENTS. FISHERS-TITUS HAS NUMEROUS MEDICAL OFFICES LOCATED THROUGHOUT THE COUNTY TO PROVIDE EASY ACCESS TO PHYSICIANS FOR COMMUNITY RESIDENTS. HURON COUNTY HAD THE 15TH HIGHEST LEVEL OF UNEMPLOYMENT WITH AN AVERAGE OF 5.2% IN 2024. THE LARGEST PERCENTAGE OF RESIDENTS ARE CHILDREN UNDER 18 WITH THOSE INDIVIDUALS 65 AND OLDER MAKING UP 18% OF THE POPULATION. 89.6% OF THE RESIDENTS ARE CAUCASIAN WITH 7.0% OF THE POPULATION BEING HISPANIC OR LATINO (OF ANY RACE). IN 2023, MEDIAN HOUSEHOLD INCOME WAS $65,972 AS COMPARED TO OHIO'S MEDIAN HOUSEHOLD INCOME OF $69,680. IN 2023, 12% OF INDIVIDUALS WERE LIVING IN POVERTY WITH THOSE UNDER THE AGE OF 18 LIVING IN POVERTY ESTIMATED TO BE 15.96%.
PART VI, LINE 5:	THE BOARD OF DIRECTORS IS COMPOSED OF AREA RESIDENTS INCLUDING BUSINESS AND COMMUNITY LEADERS, PHYSICIANS AND OTHER INTERESTED PERSONS. THESE VOLUNTEERS GIVE COUNTLESS HOURS OF SERVICE TO THE MEDICAL CENTER IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, IN FUNDRAISING, AND IN GENERAL STEWARDSHIP. FTMC'S MEDICAL STAFF IS OPEN AND PRIVILEGES ARE GRANTED TO ALL QUALIFIED PHYSICIANS WHO APPLY AND MEET THE STANDARDS OF THE MEDICAL CENTER PRIVILEGING PROCESS. THE MEDICAL CENTER UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND TO EXPAND ACCESS POINTS OF CARE TO PATIENTS THROUGHOUT THE COMMUNITY INCLUDING, BUT NOT LIMITED TO THE FOLLOWING:1. EDUCATIONAL PROGRAMS THAT PROVIDE CLASSES AND INFORMATION ON TOBACCO CESSATION, HEALTHY AGING, CHILDBIRTH, INFANT CARE, EARLY PREGNANCY AND MORE.2. FREE MAMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW-COST SCREENINGS FOR HEART DISEASE, BREAST, PROSTATE, SKIN AND COLORECTAL CANCER AS WELL AS OSTEOPOROSIS ASSESSMENTS.

Schedule H (Form 990) 2024

Additional Data

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Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
FISHER-TITUS MEDICAL CENTER

Employer identification number
34-4430716

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) EHOVE CAREER CENTER 316 WEST MASON ROAD MILAN,OH44846	90-0428582	GOV'T	252,110	GRANT FOR LPN TO RN WAGES AND BENEFITS
(2) HURON COUNTY CHAMBER OF COMMERCE 12 BENEDICT AVE NORWALK,OH44857	34-4445500	501(C)(6)	10,000	CONTRIBUTE TOWARDS PROGRAMS AND SERVICES FOR THE LOCAL COMMUNITY
(3) MAGRUDER HOSPITAL 615 FULTON STREET PORT CLINTON,OH43452	34-4441792	501(C)(3)	73,334	GRANT FOR LPN TO RN WAGES AND BENEFITS
(4) MONROEVILLE ATHLETIC BOOSTERS PO BOX 661 MONROEVILLE,OH44847	34-1386280	501(C)(3)	50,000	CONTRIBUTE TOWARDS MONROEVILLE SCHOOLS TRACK
(5) NORWALK AREA UNITED FUND 2 EAST SEMINARY STREET NORWALK,OH44857	34-0906312	501(C)(3)	10,000	CONTRIBUTE TOWARDS PROGRAMS AND SERVICES FOR THE LOCAL COMMUNITY
(6) TERRA STATE COMMUNITY COLLEGE 2830 NAPOLEON ROAD FREMONT,OH43420		GOV'T	129,317	GRANT FOR LPN TO RN WAGES AND BENEFITS
(7) WESTERN RESERVE ATHLETIC BOOSTERS 3841 US ROUTE 20 EAST COLLINS,OH44826	34-1386280	501(C)(3)	50,000	CONTRIBUTE TOWARDS WESTERN RESERVE SCHOOLS TRACK

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	THE MEDICAL CENTER REVIEWS EACH GRANT OR DONATION REQUEST BEFORE THE GRANT OR DONATION IS MADE.

Schedule I (Form 990) Rev. 1-2025

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

FISHER-TITUS MEDICAL CENTER

Employer identification number

34-4430716

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1BRENT BURKEY PRESIDENT/CEO	(i) (ii)	546,701 ------------- 0	3,820 ------------- 0	57,369 ------------- 0	63,574 ------------- 0	3,200 ------------- 0	674,664 ------------- 0	54,641 ------------- 0
2JOHN K HUGHES MD DIRECTOR	(i) (ii)	0 ------------- 260,794	0 ------------- 16,192	0 ------------- 55,358	0 ------------- 40,143	0 ------------- 25,964	0 ------------- 398,451	0 ------------- 29,881
3MATTHEW MATTNER CHIEF OPERATIONS OFFICER	(i) (ii)	255,537 ------------- 0	0 ------------- 0	56,430 ------------- 0	42,849 ------------- 0	25,147 ------------- 0	379,963 ------------- 0	31,004 ------------- 0
4SCOTT E ENDSLEY CHIEF FINANCIAL OFFICER	(i) (ii)	287,013 ------------- 0	0 ------------- 0	36,138 ------------- 0	34,661 ------------- 0	10,173 ------------- 0	367,985 ------------- 0	27,160 ------------- 0
5LINDA STEVENSON CHIEF INFORMATION OFFICER	(i) (ii)	247,317 ------------- 0	0 ------------- 0	24,473 ------------- 0	30,453 ------------- 0	25,062 ------------- 0	327,305 ------------- 0	22,338 ------------- 0
6MIRIAM BATKE CHIEF HUMAN RESOURCE OFFIC	(i) (ii)	231,028 ------------- 0	0 ------------- 0	24,004 ------------- 0	31,133 ------------- 0	24,638 ------------- 0	310,803 ------------- 0	22,031 ------------- 0
7KATIE CHIEDA CHIEF NURSING OFFICER	(i) (ii)	210,678 ------------- 0	0 ------------- 0	25,059 ------------- 0	32,472 ------------- 0	35,166 ------------- 0	303,375 ------------- 0	23,194 ------------- 0
8SUZANNE FARMER CHIEF ADMINISTRATIVE OFFIC	(i) (ii)	220,120 ------------- 0	0 ------------- 0	30,825 ------------- 0	33,205 ------------- 0	2,664 ------------- 0	286,814 ------------- 0	23,899 ------------- 0
9DAVID LEVINE CHIEF MEDICAL OFFICER	(i) (ii)	250,442 ------------- 0	0 ------------- 0	1,183 ------------- 0	10,225 ------------- 0	13,900 ------------- 0	275,750 ------------- 0	0 ------------- 0
10SHARON HARWOOD CHIEF COMPLIANCE OFFICER	(i) (ii)	181,195 ------------- 0	0 ------------- 0	43,664 ------------- 0	27,905 ------------- 0	11,015 ------------- 0	263,779 ------------- 0	21,614 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 4B

PART I LINE 4B & PART II, LINE 1--INCLUDED IN DR. BURKEY'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $63,574 REPORTED IN COLUMN C IS $13,800 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $49,774 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 4--INCLUDED IN MR. ENDSLEY'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $34,661 REPORTED IN COLUMN C IS $7,896 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $26,765 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 7--INCLUDED IN MS. CHIEDA'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $32,472 REPORTED IN COLUMN C IS $9,813 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $22,659 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 2--INCLUDED IN DR. HUGHES'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $40,143 REPORTED IN COLUMN C IS $13,643 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $26,500 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 3--INCLUDED IN MR. MATTNER'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $42,849 REPORTED IN COLUMN C IS $12,797 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $30,052 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 10--INCLUDED IN MS. HARWOOD'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $27,905 REPORTED IN COLUMN C IS $6,833 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $21,072 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 5--INCLUDED IN MS. STEVENSON'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $30,453 REPORTED IN COLUMN C IS $8,361 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $22,092 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 6--INCLUDED IN MS. BATKE'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $31,133 REPORTED IN COLUMN C IS $9,561 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $21,572 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PART I LINE 4B & PART II, LINE 8--INCLUDED IN MS. FARMERS'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $33,205 REPORTED IN COLUMN C IS $10,040 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $23,165 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AN ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE.

PART 1 LINE 3:

RESPONSIBILTY FOR DETERMINING AND RECOMMENDING EXECUTIVE COMPENSATION RESTS WITH THE PERSONNEL COMMITTEE OF THE FISHER-TITUS HEALTH BOARD. THE COMMITTEE RETAINS AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO HELP ESTABLISH CASH COMPENSATION TARGET RANGES AND IDENTIFY REASONABLE AND CUSTOMARY BENEFIT PROGRAMS FOR EXECUTIVES. THE INDEPENDENT CONSULTANT REPORTS TO THE PERSONNEL COMMITTEE ON RELEVANT PEER GROUPS, CASH COMPENSATION REPORTED IN AVAILABLE SALARY SURVEYS FOR THE PEER GROUP AND TRENDS IN PERQUISITE PROGRAMS CUSTOMARILY AVAILABLE AMONG THE PEER GROUP FOR EXECUTIVES. RECOMMENDATIONS BY THE CONSULTANT ARE PRESENTED TO THE PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE THEN PROVIDED TO EACH OF THE DIRECTORS OF THE FISHER-TITUS HEALTH BOARD. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED BY THE PERSONNEL COMMITTEE AND THEN BY THE FISHER-TITUS HEALTH BOARD OF DIRECTORS. THE MINUTES OF EACH BOARD MEETING WHERE SUCH ACTION IS TAKEN REFLECT SUCH ACTION. THIS IS DONE ANNUALLY AND WAS LAST DONE IN MARCH 2024.

Schedule J (Form 990) (Rev. 1-2025)

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
FISHER-TITUS MEDICAL CENTER

Employer identification number
34-4430716

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COUNTY OF HURON OHIO	34-6400672		04-01-2015	9,420,000	SEE PART VI BELOW		X		X		X
B	COUNTY OF HURON OHIO	34-6400672		08-15-2017	17,825,000	SEE PART VI BELOW		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	8,478,000		7,125,160
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	9,420,000		17,825,500
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	50,000		239,217
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			6,645,200
11 Other spent proceeds .............	9,370,000		10,941,083
12 Other unspent proceeds .............
13 Year of substantial completion .............	2015		2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X
b Exception to rebate? ........	X		X
c No rebate due? .........		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X
b Name of provider ..........	PNC
c Term of hedge .........	680.0000000000 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
PART I, LINE A:	SERIES 2015A BONDS - PURPOSE WAS TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 2003A BONDS.
PART 1, LINE B:	SERIES 2017A BONDS - PURPOSE WAS TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 2007A BONDS AND ACQUIRE ADDITIONAL HOSPITAL EQUIPMENT.
PART II, LINE 11, COLUMN A:	INCLUDED IN COLUMN A $9,370,000 OF THE PROCEEDS WERE USED TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 2003A BONDS.
PART II, LINE 11, COLUMN B:	INCLUDED IN COLUMN B $10,941,083 OF THE PROCEEDS WERE USED TO REFUND THE HOSPITAL'S COUNTY OF HURON REVENUE BONDS, SERIES 2007A BONDS.

Schedule K (Form 990) (Rev. 1-2025)

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Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

FISHER-TITUS MEDICAL CENTER

Employer identification number

34-4430716

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No
(1) BRENT BURKEY	PRESIDENT	SEE PART V		X	320,000	200,000		No	Yes		Yes



Total ............... $						200,000

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) (Rev. 1-2025)

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) BATTLES INSURANCE AGENCY	SEE PART V	1,229,457	VENDOR		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
PART IV:	PART IV, LINE 5 - PERRY DRYDEN, BOARD MEMBER IS PRESIDENT OF BATTLES INSURANCE AGENCY AND 50% OWNER.
PART IV:	PART II LINE 1 - THE LOAN REPRESENTS THE VALUE OF THE PURCHASE OF A SPLIT-DOLLOAR LIFE INSURANCE POLICY TO SUPPLEMENT RETIREMENT INCOME AND RETURN PREMIUMS TO THE ORGANIZATION BASED ON THE AGREEMENT.

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

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SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

FISHER-TITUS MEDICAL CENTER

Employer identification number

34-4430716

Return Reference	Explanation
FORM 990, PART III, LINE 4A:	FISHER-TITUS MEDICAL CENTER (FTMC) IS AN INDEPENDENT NON-PROFIT COMMUNITY HEALTHCARE ORGANIZATION GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF AREA RESIDENTS INCLUDING BUSINESS AND COMMUNITY LEADERS, PHYSICIANS, AND OTHER INTERESTED INDIVIDUALS. FTMC IS COMPOSED OF THE FOLLOWING FIVE OPERATING DIVISIONS: FISHER-TITUS MEMORIAL HOSPITAL THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE RESIDENTS OF HURON, ERIE AND THE ADJACENT COUNTIES OF SANDUSKY, CRAWFORD, LORAIN, ASHLAND, AND RICHLAND. IN 2024, THE HOSPITAL PROVIDED 12,891 DAYS OF INPATIENT CARE TO 3,421 PATIENTS. THE HOSPITAL HAD 135,939 OUTPATIENT AND 27,697 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 2024, THE HOME SERVED 394 RESIDENTS AND PROVIDED 22,414 DAYS OF CARE. THE HOME HEALTH CENTER HOME HEALTH AGENCY THE HOME HEALTH CENTER PROVIDED 12,310 HOME VISITS TO 237 DIFFERENT PATIENTS IN 2024. THE CARRIAGE HOUSE OF FISHER-TITUS OPENED IN 1998, THE CARRIAGE HOUSE IS A 48-UNIT ASSISTED LIVING FACILITY, WHICH PROVIDED 10,347 DAYS OF ASSISTED LIVING CARE TO 47 RESIDENTS IN 2024. FACILITY AND PROGRAM EXPANSIONS IN FEBRUARY 2024, FISHER-TITUS WELCOMED MOHAMAD MOUCHLI, MD, GASTROENTEROLOGIST, TO ITS TEAM OF PROVIDERS. DR. MOUCHLI SPECIALIZES IN CARING FOR PATIENTS WITH DISORDERS AND DISEASES THAT AFFECT THE DIGESTIVE SYSTEM. HE JOINS FISHER-TITUS WITH GASTROENTEROLOGY EXPERIENCE FROM THE CLEVELAND CLINIC. HIS PASSION FOR GASTROENTEROLOGY SHOWS IN HIS MEMBERSHIP IN THE AMERICAN MEDICAL ASSOCIATION AND THE AMERICAN COLLEGE OF GASTROENTEROLOGISTS. HE HAS ALSO CONTRIBUTED TO WRITING NEARLY 50 PEER-REVIEWED ARTICLES, ALONG WITH APPEARING IN THE MEDIA AND NEWS COVERAGE TO EDUCATE OTHERS ON IMPORTANT GASTROENTEROLOGY ISSUES. IN MARCH 2024, FISHER-TITUS CELEBRATED THE OFFICIAL OPENING OF THE WILLARD HEALTH CENTER IN WILLARD, OHIO. AS WE EXPAND IN THE WILLARD COMMUNITY, THE NEW HEALTH CENTER NOW INCLUDES FAMILY MEDICINE, CARDIOLOGY CARE, CARDIOVASCULAR TESTING, PHYSICAL THERAPY, LABORATORY SERVICES, BEHAVIORAL HEALTH SERVICES IN A CENTRALIZED AND CONVENIENT LOCATION. IN AUGUST, TWO PEDIATRICS PROVIDERS WERE ADDED TO THE NEW WILLARD LOCATION EXPANDING SERVICES ALONG WITH NEW X-RAY SERVICES. IN APRIL, HEALTH SCREENINGS WERE OFFERED FOR EARLY DETECTION OF COLORECTAL CANCER AND FOR GENERAL WELLNESS TESTING. OUR DIETETICS TEAM OFFERED GROCERY SHOPPING CLASSES AT OUR LOCAL SUPERMARKET TO PROVIDE TIPS ON HOW TO SPOT NUTRITIONAL "TRAPS" IN PREPARED FOODS THAT CAN HAVE NEGATIVE HEALTH IMPACTS OVER TIME. LASTLY, OUR HEALTHY KIDS, HEALTHY YOU PROGRAM KICKED OFF IN SEVERAL LOCAL SCHOOL SYSTEMS FOCUSED ON YOUNG LEARNERS AND ENCOURAGING HEALTHY EATING AND PORTION CONTROL. IN SEPTEMBER 2024, FISHER-TITUS BROKE GROUND ON THE WAKEMAN HEALTH CENTER, AN EXPANSION TO THE EXISTING WAKEMAN FAMILY MEDICINE BUILDING. THIS EXPANSION WILL BRING NEW SERVICES TO THE WAKEMAN COMMUNITY, INCLUDING PEDIATRICS, RADIOLOGY, UROLOGY, AND REHAB SERVICES, AND EXPAND ACCESS TO FAMILY MEDICINE AND PODIATRY. THIS HEALTH CENTER CONCEPT WILL ENSURE THAT AREA RESIDENTS HAVE CONVENIENT ACCESS TO THE CARE THEY NEED FOR YEARS TO COME. IN DECEMBER, FISHER-TITUS OPENED A NEW 3800-SQUARE-FOOT OFFICE SPECIALIZING IN UROLOGY AND GENERAL SURGERY IN BELLEVUE, OHIO. THE NEW SETTING ALLOWS OUR PROVIDERS TO PERFORM A WIDER RANGE OF MEDICAL AND DIAGNOSTIC PROCEDURES IN-OFFICE, AT A LOWER COST OF CARE, WHILE SAVING PATIENTS THE HASSLE OF SCHEDULING A SEPARATE TRIP TO A HOSPITAL OR OTHER FACILITY AND MAKING FOR MUCH FASTER DIAGNOSIS AND TREATMENT. THE UROLOGY TEAM AT THIS NEW LOCATION CONSISTS OF PATRICK WATERS, MD, KATHY LUE, MD, JENNIFER PERRY, PA-C, AURORA ORZECH, FNP-C, AND ALYSHA GALEA, FNP-C. GENERAL SURGERY CARE IS OFFERED BY MICHAEL NILL, MD. IN 2024, FISHER-TITUS PARTNERED TO SPONSOR SOUTH CENTRAL SCHOOLS FIELD AND TRACK PROJECT. LIKE IN 2022 AND 2023, FISHER-TITUS WORKED WITH WESTERN RESERVE SCHOOLS AND MONROEVILLE CITY TO FUND PROJECTS THAT IMPROVE WALKABILITY AND PROMOTE HEALTHY LIVING IN OUR COMMUNITIES. FISHER TITUS CONTINUES TO BE A LEAD SUPPORTER IN THE COMMUNITY FOR LOCAL 5K'S AND FITNESS EVENTS THROUGHOUT THE YEAR. ADDITIONAL COMMUNITY PROGRAMS AND PROJECTS FISHER-TITUS FUNDED TO ENHANCE WALKABILITY AND HEALTHY LIFESTYLES INCLUDE: FIRELANDS RAILS TO TRAILS WALKING PATH CONSERVATION EFFORTS (NEW LONDON, WAKEMAN, NORWALK, BELLEVUE) MELON FEST 5K WILLARD LAKEFEST 5K STRAWBERRY FESTIVAL 5K MEANINGFUL MILES 5K WILLARD 5K HOLIDAY LANE WALK TO END ALZHEIMER'S SAVE YOUR PUMPKINS 5K FISHER-TITUS ADDITIONALLY HOSTS SEVERAL SUPPORT GROUPS THROUGHOUT THE YEAR SUPPORTING COMMUNITY WELLNESS, HEALTH ADVOCACY AND PROVIDES NETWORKING SUPPORT FOR CAREGIVERS. THESE INCLUDE: LACTATION SUPPORT STROKE SUPPORT ALZHEIMER'S SUPPORT LASTLY, FISHER-TITUS PROVIDED MONTHLY LOW-COST LAB SCREENS TO ALL OUTPATIENT LOCATIONS AND AT THE MAIN HOSPITAL TO ENSURE COMMUNITY ACCESS TO THESE SERVICES. LOCATIONS ROTATED THROUGHOUT THE CALENDAR YEAR TO ENSURE LOCAL ACCESS TO THESE IMPORTANT TESTS, OFFERED AT REDUCED RATES. HEALTH SCREENINGS INCLUDE: BLOOD ANALYSIS (INCLUDES COMPLETE BLOOD COUNT (WITH DIFFERENTIAL), BASIC METABOLIC PANEL, LIPID PANEL, HEPATIC PROFILE), PROSTATE SPECIFIC ANTIGEN (PSA) TEST, HEMOGLOBIN A1C, THYROID TEST (TSH), AND VITAMIN D. MONTHLY HIGHLIGHTS: JANUARY 2024 -SHOPPING WITH A DIETICIAN CLASSES WERE KICKED OFF TO SUPPORT HEALTHY EATING AND BEHAVIORS IN 2024. THESE CLASSES STARTED IN EARLY JANUARY WITH EDUCATION CONTINUING THROUGH MARCH SUPPORTING HEALTHY EATING MONTH. -WELLNESS PRESCRIBED PODCAST "EXERCISE WITH EXPERTISE" FEATURING JEN OAKLEY SWARTZ, PT, MPT, OCS, CSMS FEBRUARY 2024 - HEART MONTH -FTMC CELEBRATED ITS 5-YEAR ANNIVERSARY OF BEING A LEVEL II ADULT CATH LAB PROVIDING EMERGENT AND ELECTIVE CARDIAC INTERVENTION. -COMMUNITY EVENT KNOW YOUR NUMBERS WHERE WE HOSTED A PRESENTATION FOR OUR COMMUNITY TO LEARN ABOUT HOW BLOOD GLUCOSE, BMI, BLOOD PRESSURE, CHOLESTEROL, AND KIDNEY FUNCTION PLAY A SIGNIFICANT ROLE IN HEART HEALTH. -WELLNESS PRESCRIBED PODCAST RYAN CHRISOFFERSON, MD KEEP YOUR HEALTH HEALTHY MARCH 2024 -COMMUNITY EVENT JOINT PAIN AND ARTHRITIS: ROBERT CROMLEY, DO, FISHER-TITUS FAMILY MEDICINE - MILAN, AMANDA SPRINGER, PA-C, MPAS FROM FISHER-TITUS PAIN MANAGEMENT, AND JACOB ROSPERT, ATC, FMS, CSMS FROM FISHER-TITUS REHABILITATION COVERED COMMON CAUSES OF AND MANY OPTIONS FOR MANAGING JOINT PAIN AND ARTHRITIS. OUR KEY TAKEAWAY, LIMITATIONS TO MOBILITY AND ACTIVITIES OF DAILY LIVING, AND/OR CHRONIC PAIN ARE NOT INEVITABLE. REACH OUT FOR HELP FROM YOUR PRIMARY CARE PROVIDER AND/OR FROM A PAIN MANAGEMENT SPECIALIST OR PHYSICAL THERAPIST/OCCUPATIONAL THERAPIST AS NEEDED TO IMPROVE YOUR HEALTH AND QUALITY OF LIFE. MAY 2024 -FISHER-TITUS GRADUATED THEIR SECOND COHORT OF HEALTH CAREER INTERNS IN MAY 2024. AS INTERNS, THEY COMPLETED SIX MONTHS OF ROTATIONS THROUGH VARIOUS DEPARTMENTS WITHIN THE ORGANIZATION, UNDERSTANDING THE IMPORTANCE OF EACH ROLE AND DEPARTMENT. THE LAST THREE MONTHS, THEY SPENT IN THEIR MOST FAVORED UNIT LEARNING MORE ABOUT THE DEPARTMENT AND CARE PROVIDED TO PATIENTS. DURING THIS TIME, THEY COLLABORATED WITH TRAINED PROFESSIONALS AND INTERACTED WITH PATIENTS, GAINING VALUABLE EXPERIENCE FOR THEIR FUTURE CAREERS IN HEALTHCARE. WHILE CONTINUING THEIR REGULAR SCHOOLWORK, THIS CLASS CONTRIBUTED TO DEPARTMENTS SUCH AS THE EMERGENCY DEPARTMENT, OBSTETRICS DEPARTMENT, REHAB DEPARTMENT, AND MORE. THEIR GRADUATION CEREMONY TOOK PLACE IN APRIL AT THE END OF THEIR ROTATIONS. -ON MAY 6, FISHER-TITUS HOSTED A COMMUNITY EVENT "BUILDING A HEALTHIER TOMORROW: PREVENTION OF COMMON CANCERS". OUR MEDICAL EXPERTS PROVIDED EDUCATION ON PREVENTING SKIN, COLON, AND LUNG CANCER ALONG WITH LEARNING THE IMPORTANCE OF REGULAR SCREENINGS. NANCY L. CLOAK, MD, AND MARY DEMBOSKE, APRN, NPC, FROM THE ONCOLOGY DEPARTMENT AT FISHER-TITUS PRESENTED THIS EVENT. JULY 2024 -FISHER-TITUS PEDIATRIC THERAPY HOSTED A KID'S DAY WITH OBSTACLE COURSES AND CRAFTS AT MINI MAIN STREET IN MONROEVILLE, OHIO. THE EVENT WAS SENSORY FRIENDLY AND ACCESSIBLE TO ALL PARTICIPANTS.
FORM 990, PART III, LINE 4A CONTINUED:	AUGUST 2024 -FISHER-TITUS PARTNERED WITH THE LOCAL ALZHEIMER'S ASSOCIATION TO BEGIN HOSTING MONTHLY CAREGIVER SUPPORT GROUPS ONSITE AT THE HOSPITAL. THESE SUPPORT GROUPS ARE CONDUCTED BY TRAINED FACILITATORS AND ARE A SAFE AND SUPPORTIVE PLACE FOR INDIVIDUALS TO CARE FOR A LOVED ONE WITH DEMENTIA. -THE WESTERN RESERVE FIELD AND TRACK COMPLEX OFFICIALLY OPENED IN AUGUST AS THE 2024 SCHOOL YEAR BEGAN. FISHER -TITUS IS PROUD TO HAVE BEEN A KEY SPONSOR OF THIS PROJECT PROVIDING FOR A HEALTH AND WELLNESS COMMUNITY ASSET. SEPTEMBER 2024 -THE 2024 HEALTHY HEART WALK HELD ON SEPTEMBER 7TH TO ENCOURAGE HEALTHY HEART BEHAVIOR AND DRIVE COMMUNITY INVOLVEMENT. REPRESENTATIVES FROM THE FISHER-TITUS HEART & VASCULAR DEPARTMENT OFFERED EDUCATION ON TWO ESSENTIAL STEPS TO SAVE A LIFE IN LESS THAN NINETY SECONDS. OCTOBER 2024 -THE FISHER TITUS OCCUPATIONAL HEALTH TEAM VISITED NEW LONDON SCHOOLS TO PARTICIPATE IN THEIR EMPLOYEE HEALTH FAIR ASSISTING WITH THEIR EMPLOYEE WELLNESS PROGRAM. THESE WELLNESS EVENTS PROVIDED SCREENINGS THAT RANGED FROM BODY MASS INDEX (BMI), LAB TESTING, BLOOD PRESSURE CHECKS, HEALTHY LIVING EDUCATION, AND VACCINATIONS. NOVEMBER 2024 -WELLNESS PRESCRIBED PODCAST "WHAT TO EXPECT IN THE ER" FEATURING JOHN PARENTE, MD. AS DIRECTOR OF THE FISHER-TITUS EMERGENCY DEPARTMENT, HE TELLS WHAT THEY COMMONLY SEE IN THE EMERGENCY ROOM, WHAT YOU CAN EXPECT WHEN YOU VISIT THE ER, AND PREVENTION TIPS TO AVOID VISITING THE ER. DECEMBER 2024 -FISHER-TITUS SPONSORED MULTIPLE HOLIDAY EVENTS ACROSS HURON COUNTY TO DRIVE COMMUNITY INVOLVEMENT AND SUPPORT LOCAL COMMUNITIES. THESE INCLUDED: NORWALK'S LIGHT UP NORWALK WHO LONDON IN NEW LONDON HOMETOWN HOLIDAYS IN PLYMOUTH WILLARD CHRISTMAS PARADE EDUCATION AND RESEARCH - TO ENSURE THAT WE HAVE THE QUALITY WORKFORCE WE NEED TO CARE FOR OUR COMMUNITY IN THE FUTURE, WE ARE COMMITTED TO THE EDUCATION OF CURRENT AND FUTURE CAREGIVERS, AND WE COLLABORATE WITH LOCAL HIGH SCHOOLS AND OHIO UNIVERSITIES TO PROVIDE INTERNSHIPS, INSTRUCTORS, CLASSROOM SPACE, AND CLINICAL TRAINING. WE ARE PLEASED TO BE ABLE TO OFFER COMPREHENSIVE LEARNING EXPERIENCE UTILIZING OUR STATE-OF-THE-ART FACILITIES AND ADVANCED TECHNOLOGY. THE HEALTHCAREERS PROGRAM CONCEIVED POST-PANDEMIC CONTINUED INTO ITS FULL SECOND YEAR. THIS PROGRAM CONTINUED SUCCESSFULLY TO IDENTIFY AND RECRUIT LOCAL HIGH SCHOOL STUDENTS WHO ARE INTERESTED IN FUTURE HEALTHCARE CAREERS. THE LPN TO RN CLINICAL LADDER PROGRAM CONTINUES TO SUPPORT THE ADVANCEMENT AND RETENTION OF OUR CLINICAL NURSES PROVIDING CARE TO THE HURON COUNTY COMMUNITY AND BEYOND. IN 2024, FISHER-TITUS MEDICAL CENTER, IN PARTNERSHIP WITH ERIE HURON OTTAWA VOCATIONAL EDUCATION (EHOVE) CAREER CENTER, MAGRUDER HOSPITAL, AND TERRA STATE COMMUNITY COLLEGE, IS PROUD TO ANNOUNCE IT HAS BEEN AWARDED A $4 MILLION GRANT FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), AN AGENCY OF THE U.S DEPARTMENT OF HEALTH AND HUMAN SERVICES. THIS FUNDING AIMS TO IMPROVE THE SUPPLY AND GEOGRAPHIC DISTRIBUTION OF THE REGISTERED NURSE (RN) WORKFORCE THROUGHOUT ERIE, OTTAWA, SANDUSKY, SENECA, AND HURON COUNTIES. OVER THE FOUR-YEAR PERIOD, FUNDING WILL BE UTILIZED TO: 1) RECRUIT AND TRAIN 250 LICENSED PRACTICAL NURSES (LPNS) TO BECOME RNS THROUGH LPN TO RN BRIDGE PROGRAMS AT EHOVE AND TERRA STATE COMMUNITY COLLEGE. 2) PROVIDE DIRECT SUPPORT TO STUDENTS TO BREAK DOWN BARRIERS THAT LICENSED PRACTICAL NURSES (LPNS) MAY EXPERIENCE THAT PREVENT THEM FROM ADVANCING THEIR CAREERS, SUCH AS TRANSPORTATION, CHILDCARE, AND TECHNOLOGY COSTS. 3) INCREASE HANDS-ON CLINICAL EXPERIENCES IN BOTH HEALTHCARE AND COMMUNITY-BASED SETTINGS, PROVIDING STUDENTS WITH LONGITUDINAL EXPERIENTIAL TRAINING AND ADDITIONAL PRECEPTORSHIP OPPORTUNITIES. WHILE LPN TO RN PROGRAMS CURRENTLY EXIST IN THE REGION, FACULTY SHORTAGES AND LACK OF PRECEPTORS HAVE MADE IT DIFFICULT TO PROVIDE THE NEEDED LEVEL OF SUPERVISION AND TRAINING STUDENTS REQUIRE TO BE SUCCESSFUL IN THE FIELD. FISHER-TITUS WAS ONE OF ONLY NINE ORGANIZATIONS NATIONWIDE AWARDED THIS FUNDING THROUGH HRSA. ENROLLMENT FOR BOTH LPN TO RN PROGRAMS BEGAN IN SPRING 2024, AND CLASSES STARTED IN AUG. 2024. EXCELLENT PHYSICIANS: THE MEDICAL STAFF IS COMPOSED OF INDEPENDENT PRACTITIONERS, PHYSICIANS, AND PROVIDERS EMPLOYED BY FISHER-TITUS UNDER THE NAME FISHER-TITUS MEDICAL CARE. THE MEDICAL STAFF INCLUDES 266 PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REPRESENTING 36 MEDICAL SPECIALTIES. THE MEDICAL CARE EMPLOYED GROUP INCLUDES PRACTITIONERS REPRESENTING PRIMARY CARE, PEDIATRICS, DIGESTIVE HEALTH, UROLOGY, BEHAVIORAL HEALTH, PULMONOLOGY, CARDIOLOGY, AND VASCULAR CARE. THROUGHOUT THE YEARS FISHER-TITUS HAS BEEN SUCCESSFUL IN MEETING THE CHALLENGES OF AN INCREASINGLY COMPLEX HEALTH-CARE INDUSTRY AND HAS PROVIDED EXCEPTIONAL SERVICE QUALITY TO MEMBERS OF THE SURROUNDING COMMUNITIES. THE MEDICAL CENTER IS ACCREDITED BY THE ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC). FISHER-TITUS ALSO IS A LEVEL III TRAUMA CENTER, ACHC PRIMARY STROKE CENTER, A LEVEL 2 ADULT CARDIAC CATHETERIZATION LABORATORY, AND SINCE 1989 ACCREDITED BY THE COMMISSION ON CANCER. THE MEDICAL CENTER'S FOCUS ON QUALITY CARE AND EXCEPTIONAL SERVICE IS EVIDENCED BY THE MANY HOSPITAL AND DEPARTMENTAL ACCREDITATIONS, AWARDS, AND RECOGNITIONS RECEIVED IN 2024: -INTERSOCIETAL ACCREDITATION COMMISSION (IAC) ACCREDITATION IN VASCULAR TESTING IN ULTRASOUND -LOWN INSTITUTE RANKING: #8 IN OHIO FOR INCLUSIVITY, HIGH-VALUE CARE, AND COMMUNITY BENEFIT, WITH AN OVERALL GRADE OF A+ -BECKER'S HOSPITAL REVIEW RECOGNITION AS ONE OF THE TOP 153 COMMUNITY HOSPITALS -THE CHARTIS CENTER DESIGNATION AS ONE OF THE TOP 100 RURAL & COMMUNITY HOSPITALS
FORM 990, PART III, LINE 4B:	FISHER-TITUS RECEIVED FIVE AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES ACHIEVEMENT AWARDS FOR DEMONSTRATING A COMMITMENT TO FOLLOWING UP-TO-DATE, RESEARCH-BASED GUIDELINES FOR TREATING HEART DISEASE AND STROKE, LEADING TO MORE LIVES SAVED, SHORTER RECOVERY TIMES, AND FEWER READMISSIONS TO THE HOSPITAL. AHA GET WITH THE GUIDELINES-STROKE: GOLD PLUS ACHIEVEMENT AHA GET WITH THE GUIDELINES-STROKE: RURAL STROKE SILVER AHA GET WITH THE GUIDELINES HEART FAILURE: SILVER PLUS ACHIEVEMENT AHA STROKE HONOR ROLL AHA TYPE 2 DIABETES - HONOR ROLL NORWALK MEMORIAL HOME WAS NAMED TO U.S. NEWS AND WORLD REPORT'S LIST OF BEST NURSING HOMES. ONLY 15% OF NURSING HOMES IN THE UNITED STATES MAKE THIS LIST. FISHER-TITUS HAS EARNED THE FOLLOWING ACCREDITATIONS AND ACHIEVEMENTS: ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC) ACCREDITATION AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) ACCREDITATION CAP - FISHER TITUS MEDIAL CENTER LAB & RESPIRATORY THERAPY AMERICAN COLLEGE OF CARDIOLOGY ACCREDITED CHEST PAIN CENTER AMERICAN COLLEGE OF RADIOLOGY AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AMERICAN COLLEGE OF SURGEONS VERIFIED LEVEL III TRAUMA CENTER AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD CERTIFIED LEVEL II ADULT CARDIAC CATHETERIZATION LAB (OHIO DEPARTMENT OF HEALTH) INTERSOCIETAL ACCREDITATION COMMISSION ACCREDITED FACILITY IN CARDIOVASCULAR ECHOCARDIOGRAPHY, ULTRASOUND NEWSWEEK'S BEST MATERNITY HOSPITAL PRIMARY STROKE CENTER (ACCREDITATION COMMISSION FOR HEALTH CARE - ACHC) THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES' DIGITAL HEALTH MOST WIRED U.S. NEWS AND WORLD REPORT'S LIST OF BEST NURSING HOMES COMMUNITY HEALTH AND OUTREACH PROGRAMS: FISHER-TITUS MEDICAL CENTER'S COMMUNITY BENEFITS EXTEND OUTSIDE OUR WALLS TO FAMILIES, BUSINESS, SCHOOLS, CHURCHES AND NEIGHBORHOODS THROUGH OUTREACH PROGRAMS AND OTHER COORDINATED CARE ACTIVITIES THAT MAKE OUR COMMUNITIES HEALTHIER PLACES TO LIVE, WORK AND WORSHIP. OUR GOAL IS TO HELP ALL RESIDENTS EQUALLY ACCESS THE CARE THEY NEED AND HELP THEM LEARN TO MANAGE THEIR CONDITIONS AND LIVE HEALTHIER, SAFER LIVES. IN 2023, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND PUBLISHED, AND CONDUCTED, IN PARTNERSHIP WITH HURON COUNTY PUBLIC HEALTH DEPARTMENT, EVERY THREE YEARS. FISHER-TITUS WAS A LEADER IN THE PROCESS AND PARTNERED WITH HEALTH-RELATED AND CIVIC ORGANIZATIONS THROUGHOUT THE COUNTY TO BOTH FUND THE PROJECT AND ASSIST IN THE ASSESSMENT PROCESS. FROM THAT REPORT, THE BOARD OF DIRECTORS OF FISHER-TITUS MEDICAL CENTER DETERMINED THAT CERTAIN HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT SHOULD BE ADDRESSED AS THE HIGHEST. THE PRIORITIES INCLUDE SUPPORTING INITIATIVES GEARED TO HEALTHY WEIGHT; IMPROVING ACCESS TO MENTAL HEALTH SERVICES; REDUCING SUBSTANCE ABUSED THROUGH PREVENTION, SCREENING, AND TREATMENT; IMPROVING ACCESS TO CARE; AND IMPROVING THE PUBLIC HEALTH INFRASTRUCTURE. FISHER-TITUS SUPPORTS OTHER AREA NON-PROFIT COMMUNITY ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICE, AND EMPLOYEE VOLUNTEERISM. MANY OF OUR COMMUNITY BENEFIT PROGRAMS ARE ORGANIZED TO WORK COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS, AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS. IN 2023, 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 144,428 ENCOUNTERS. AUXILIARY AND VOLUNTEER SERVICE: DURING 2024, OUR 35 CARING VOLUNTEERS DONATED OVER 5,500 HOURS TO THE AUXILIARY AND VOLUNTEER SERVICES AT FISHER-TITUS. VOLUNTEERS PROVIDE A VARIETY OF SERVICES INCLUDING ASSISTING COMMUNITY MEMBERS NAVIGATE THE MEDICAL CENTER, PROVIDING TRANSPORTATION TO RESIDENTS AT THE CARRIAGE HOUSE, ASSISTING IN COMMUNITY HEALTH PROGRAMS, DELIVERING MAIL AND FLOWERS TO HOSPITAL PATIENTS AND RESIDENTS OF NORWALK MEMORIAL HOME, COORDINATING PRINTING OF VARIOUS DEPARTMENTS, AND ESCORTING PATIENTS THROUGHOUT THE BUILDING. THEY ALSO STAFF THE FISHER-TITUS GIFT SHOP WHERE THEY ASSIST IN DAILY STORE OPERATIONS, MERCHANDISING AND HELP ORGANIZE SEVERAL FUNDRAISING EVENTS THROUGHOUT THE YEAR. SOME VOLUNTEERS SEW WALKER BAGS FOR OUR THERAPY DEPARTMENT AND HOME HEALTH, AND CROCHET BLANKETS FOR OUR RESIDENTS. OTHER VOLUNTEERS HELP OUR BILLING DEPARTMENT AND OTHERS ASSIST THE ACTIVITIES COORDINATORS AT THE MEMORIAL HOME AND CARRIAGE HOUSE. VARIOUS PROJECTS ARE FUNDED THROUGHOUT THE YEAR THANKS TO THE AUXILIARY. SOME OF THE PROJECTS SUPPORTED IN 2024 INCLUDE SWADDLE SACKS, MAMMOGRAPHY EQUIPMENT, AND CHRISTMAS DCOR AND GIFTS FOR THE CARRIAGE HOUSE AND NORWALK MEMORIAL HOME. COMMUNITY HEALTH IMPROVEMENT SERVICES: NUMEROUS HEALTH SCREENINGS ARE OFFERED THROUGHOUT THE YEAR AT THE MEDICAL CENTER AND AT VARIOUS COMMUNITY LOCATIONS AND EVENTS THROUGHOUT OUR SERVICE AREA. THESE PROGRAMS INCLUDE SCREENING FOR BLOOD GLUCOSE, CHOLESTEROL LEVELS, SKIN CANCER, PROSTATE CANCER, OSTEOPOROSIS, AND SCREENING MAMMOGRAMS. IN ADDITION, THE MEDICAL CENTER SPONSORS NUMEROUS SUPPORT GROUPS TO PROVIDE EDUCATION, CARE AND EMOTIONAL SUPPORT TO INDIVIDUALS AND FAMILIES AFFECTED BY DISABILITIES AND CHRONIC MEDICAL CONDITIONS. FTMC'S HEALTH MINISTRY PROGRAM, FORMED IN 2000, HAS BEEN A HIGHLY EFFECTIVE GRASSROOTS INITIATIVE TO GATHER INFORMATION AND PROVIDE HEALTH PROGRAMS THROUGHOUT HURON COUNTY. CURRENTLY 50 AREA CONGREGATIONS ARE MEMBERS OF THE FTMC HEALTH MINISTRY PROGRAM WHICH PROVIDES HEALTH AND WELLNESS INFORMATION AND PROGRAMS IN AREA CHURCHES. THE MEDICAL CENTER, IN PARTNERSHIP WITH ITS PHYSICIANS AND OTHER COMMUNITY ORGANIZATIONS, PROVIDES PUBLIC FORUMS AND EDUCATIONAL SESSIONS ON A VARIETY OF TOPICS, WHICH ARE SOMETIMES HELD IN TANDEM WITH THE HEALTH SCREENINGS PROVIDED. WE ALSO PROVIDE NUMEROUS HEALTH FAIRS DURING THE YEAR IN SEVERAL LOCATIONS THROUGHOUT THE COUNTY AND SURROUNDING COMMUNITIES IN OUR SERVICE AREA. THESE COMMUNITY HEALTH IMPROVEMENT SERVICES BENEFITED 187,209 PEOPLE IN 2024 AT A COST OF $127,762. PROFESSIONAL MEDICAL EDUCATION: THE MEDICAL CENTER SUPPORTS AND STAFFS SEVERAL CLASSES FOR HEALTH PROFESSIONALS INCLUDING HEALTHCARE PROVIDER CPR, ADVANCED CARDIAC LIFE SUPPORT, BASIC LIFE SUPPORT INSTRUCTOR COURSE AND PEDIATRIC ADVANCE LIFE SUPPORT. IN ADDITION, FTMC SUPPORTS STUDENTS SHADOWING EMPLOYEES TO LEARN MORE ABOUT THEIR CHOSEN CAREER PATH. THE TOTAL COST OF PROFESSIONAL MEDICAL EDUCATION PROVIDED TO 14 PARTICIPANTS WAS $9,914. SUBSIDIZED HEALTH SERVICES: THE MEDICAL CENTER SUBSIDIZES CERTAIN HEALTH SERVICES AND PROCESSES TO ADDRESS SPECIFIC HEALTH ISSUES IN THE COMMUNITY, PROVIDE CARE TO THE UNDERSERVED, OR ENHANCE THE OVERALL QUALITY OF HEALTHCARE WITHIN THE COMMUNITY. THE COST ASSOCIATED WITH THE HEALTH SERVICES IN 2024 WAS $220,070. 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 2024 WAS $188,499.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF FISHER-TITUS MEDICAL CENTER IS THE PARENT COMPANY FISHER-TITUS HEALTH, AN OHIO NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS SHALL BE COMPOSED OF THOSE INDIVIDUALS WHO ARE VOTING DIRECTORS OF THE MEMBER AT ANY TIME, AS DETERMINED UNDER THE CODE OF REGULATIONS OF THE MEMBER (FISHER-TITUS HEALTH).
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING POWERS ARE RESERVED EXCLUSIVELY TO THE MEMBER (FISHER-TITUS HEALTH): A) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND THE CODE OF REGULATIONS; B) TO APPROVE ANY MERGER OF THE CORPORATION OR ANY SALE OF SUBSTANTIALLY ALL OF ITS ASSETS; TO DISSOLVE OR TERMINATE THE EXISTENCE OF THE CORPORATION AND TO DETERMINE THE DISTRIBUTION OF ASSETS UPON SUCH TERMINATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE BOARD OF DIRECTORS OF THE FISHER-TITUS MEDICAL CENTER DELEGATED THE RESPONSIBILITY FOR THE REVIEW OF THE MEDICAL CENTER'S FORM 990, PLUS ALL REQUIRED SCHEDULES AND ATTACHMENTS, TO THE FISHER-TITUS AUDIT COMMITTEE. THE MEMBERS OF THIS COMMITTEE HAVE A STRONG BACKGROUND IN ACCOUNTING, LEGAL, FINANCE, AND BUSINESS AND HAVE THE TECHNICAL EXPERTISE TO PERFORM A SUBSTANTIVE REVIEW. THE AUDIT COMMITTEE REVIEWED THE MEDICAL CENTER'S FORM 990 PRIOR TO FILING AND REPORTED TO THE MEDICAL CENTER'S BOARD OF DIRECTORS REGARDING THE RESULTS OF THEIR REVIEW. IN ADDITION, EACH MEMBER OF THE MEDICAL CENTER'S BOARD OF DIRECTORS HAD ACCESS TO A COPY OF THE FORM 990 FOR VIEWING PRIOR TO FILING VIA A SECURE INTERNET WEBSITE AND A PAPER COPY WAS AVAILABLE FOR REVIEW AT THE BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	ALL OF OUR AFFILIATED CORPORATE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT UPON JOINING THE BOARD AND ANNUALLY THROUGHOUT THEIR TENURE. THESE ARE RETAINED BY ADMINISTRATION. AREAS OF CONFLICT ARE REVIEWED AND ADDRESSED AS NECESSARY TO THE TRANSACTIONS OF THE BOARD. IF AN AREA OF CONFLICT ARISES, BOARD MEMBERS ARE EXCUSED AND PROHIBITED FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DISCUSSIONS REGARDING THE AREA OF CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	RESPONSIBILITY FOR DETERMINING AND RECOMMENDING EXECUTIVE COMPENSATION RESTS WITH THE PERSONNEL COMMITTEE OF THE FISHER-TITUS HEALTH BOARD. THE COMMITTEE RETAINS AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT TO HELP ESTABLISH CASH COMPENSATION TARGET RANGES AND IDENTIFY REASONABLE AND CUSTOMARY BENEFIT PROGRAMS FOR EXECUTIVES. THE INDEPENDENT CONSULTANT REPORTS TO THE PERSONNEL COMMITTEE ON RELEVANT PEER GROUPS, CASH COMPENSATION REPORTED IN AVAILABLE SALARY SURVEYS FOR THE PEER GROUP, AND TRENDS IN BENEFITS AND PERQUISITE PROGRAMS CUSTOMARILY AVAILABLE AMONG THE PEER GROUP FOR EXECUTIVES. RECOMMENDATIONS BY THE CONSULTANT ARE PRESENTED TO THE PERSONNEL COMMITTEE WHICH PREPARES MINUTES OF ITS DELIBERATIONS REGARDING EXECUTIVE COMPENSATION INCLUDING RECOMMENDATIONS THAT ARE PROVIDED TO EACH OF THE DIRECTORS OF FISHER-TITUS HEALTH. THE RECOMMENDATIONS TO BE ACTED ON MUST BE APPROVED FIRST BY THE JOINT PERSONNEL COMMITTEE AND THEN BY THE FISHER-TITUS HEALTH'S BOARD OF DIRECTORS. THE MINUTES OF EACH BOARD MEETING WHERE ACTION IS TAKEN REFLECT SUCH ACTION. THE PROCESS IS PERFORMED ANNUALLY IN THE SPRING AND WAS LAST DONE IN MARCH 2024.
FORM 990, PART VI, SECTION C, LINE 19	WE ISSUE AN ANNUAL REPORT TO THE COMMUNITY THAT IS PLACED IN THE LOCAL NEWSPAPER AND ON OUR WEBSITE THAT PROVIDES OUR OPERATING FINANCIAL STATEMENT, COMMUNITY BENEFIT FIGURES BROKEN DOWN BY CHARITY CARE & FINANCIAL ASSISTANCE, UNPAID COSTS OF MEDICAID, COMMUNITY HEALTH & OUTREACH PROGRAMS, DONATIONS & COMMUNITY SUPPORT, SUBSIDIZED HEALTH SERVICES & PROFESSIONAL MEDICAL EDUCATION, & UNPAID COSTS OF MEDICARE & BAD DEBT. AS REQUIRED, WE OFFER A TIMELY RESPONSE TO WRITTEN REQUESTS FOR COPIES OF THE 990S AS WELL AS HAVING THE 990S AVAILABLE UPON THE PREMISES FOR THE PUBLIC TO REVIEW AND ON THE GUIDESTAR INTERNET WEBSITE. ADDITIONALLY, OUR CONFLICT OF INTEREST POLICY, CODE OF REGULATIONS, AND GOVERNING DOCUMENTS ARE ALSO AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART VI, SECTION A, LINE 1B:	INFORMATION RELATING TO FAMILY MEMBERS OF SOME OF THE ORGANIZATION'S GOVERNING BODY COMPENSATED BY THE ORGANIZATION OR INVOLVED IN BUSINESS TRANSACTIONS WITH THE ORGANIZATION IS INCLUDED IN PART IV OF SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS. HOWEVER, MEMBERS OF THE ORGANIZATION'S GOVERNING BODY ARE PROMINENT CITIZENS IN THE COMMUNITIES SERVED BY THE ORGANIZATION FOR PURPOSES OF SATISFYING THE COMMUNITY BENEFIT STANDARD ESTABLISHED BY REVENUE RULING 69-545, 1969-2 C.B. 117.
FORM 990, PART IX, LINE 11G	FEES FOR OTHER SERVICES: PROGRAM SERVICE EXPENSES 11,307,878. MANAGEMENT AND GENERAL EXPENSES 2,913,559. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,221,437. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 12,203,545. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,203,545.
FORM 990, PART XI, LINE 9:	FASB #158 ADJUSTMENT (CHANGE IN PENSION LIABILTIY) INTER-SYSTEM TRANSFER OF FUNDS BETWEEN AFFLIATED 501(C)(3) ORGANIZATIONS CHANGE IN BOND INTEREST SWAP VALUE -106,800. PAIN MANAGMENT JOINT VENTURE DIVIDEND PAYMENTS TO FISHER-TITUS NET PERIODIC PENSION & POSTRETIREMENT BENEFIT COST CHANGE IN PENSION LIABILITY 1,706,188. EQUITY TRANSFER 641,153. NET PERIODIC PENSION & POSTRETIREME -2,922,369.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

FISHER-TITUS MEDICAL CENTER

Employer identification number

34-4430716

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) FTMC HOLDING 265 LLC 265 BENEDICT AVENUE NORWALK,OH44857 34-4430716	REAL ESTATE	OH	290,709	4,213,366	FISHER TITUS MEDICAL CENTER
(2) FISHER-TITUS NORTHSIDE LLC 272 BENEDICT AVENUE NORWALK,OH44857 84-2595421	REAL ESTATE	OH	451,369	6,389,489	FISHER TITUS MEDICAL CENTER

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)FISHER-TITUS HEALTH 272 BENEDICT AVENUE NORWALK,OH44857 34-1476935	SYSTEM PARENT	OH	501(C)(3)	LINE 12C, III-FI	N/A		No
(2)FISHER-TITUS FOUNDATION 272 BENEDICT AVENUE NORWALK,OH44857 34-1476937	FOUNDATION	OH	501(C)(3)	LINE 7	FISHER-TITUS HEALTH		No
(3)FISHER-TITUS AFFILIATED SERVICES 272 BENEDICT AVENUE NORWALK,OH44857 34-1476934	AMBULANCE	OH	501(C)(3)	LINE 10	FISHER-TITUS HEALTH		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) FISHER-TITUS PAIN MANAGEMENT LLC 272 BENEDICT AVENUE NORWALK,OH44857 27-1471272	PAIN MANAGEMENT	OH	FISHER TITUS MEDICAL CENTER	RELATED	471,364	285,026		No			No	51.000 %
(2) FISHER-TITUS SHARED SERVICES 272 BENEDICT AVENUE NORWALK,OH44857 83-4555068	PARTNER IN SURGERY CENTER	OH	N/A					No			No
(3) THE SURGERY CENTER OF NORTH CENTRAL OHIO 7110 CROSSROADS BLVD SUITE 200 BRENTWOOD,TN37027 83-3986181	SURGERY CENTER	TN	N/A					No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

Yes

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) FISHER - TITUS PAIN MANAGEMENT LLC	F	641,153	OWNERSHIP PERCENTAGE

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: DELIVER COMPASSIONATE AND CONVENIENT CARE TO THE HIGHEST LEVEL OF EXCELLENCE THAT PROMOTES LIFELONG HEALTH AND WELLNESS FOR OUR COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	1,508
6	Total number of volunteers (estimate if necessary) .............	6	47
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,188,792
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	761,863

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,915,522	1,156,684
9	Program service revenue (Part VIII, line 2g) .........	155,249,419	155,666,361
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,081,298	5,713,209
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,916,443	2,961,883
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	167,162,682	165,498,137
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	699,324	677,192
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	87,470,910	78,742,830
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	75,459,807	79,568,001
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	163,630,041	158,988,023
19	Revenue less expenses. Subtract line 18 from line 12.......	3,532,641	6,510,114
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	231,754,707	237,294,843
21	Total liabilities (Part X, line 26).............	42,862,175	40,774,122
22	Net assets or fund balances. Subtract line 21 from line 20.....	188,892,532	196,520,721

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 127,499,088 including grants of $ 677,192 ) (Revenue $ 148,850,262 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ 7,232,304 including grants of $ ) (Revenue $ 8,469,960 )
	SEE SCHEDULE O

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses134,731,392

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) DAVID LEVINE........................................................................ CHIEF MEDICAL OFFICER	40.00 .......................0.00	X	251,625	0	24,125
(19) LINDA STEVENSON........................................................................ CHIEF INFORMATION OFFICER	37.00 .......................8.00	X	271,790	0	55,515
(20) SUZANNE FARMER........................................................................ CHIEF ADMINISTRATIVE OFFIC	37.00 .......................5.00	X	250,945	0	35,869
(21) SHARON HARWOOD........................................................................ CHIEF COMPLIANCE OFFICER	40.00 .......................2.00	X	224,859	0	38,920

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	2,732,996	332,344	523,549

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	116,961
e	Government grants (contributions)		1e	969,206

f	All other contributions, gifts, grants, and similar amounts not included above		1f	70,517

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,156,684

		Business Code
2a	HOSPITAL NET PATIENT S	623000	144,990,182	144,990,182
b	NURSING HOME & ASSISTE	623000	8,469,960	8,469,960
c	RENT REVENUE	900099	1,231,312	1,231,312
d	340B PHARMACY REVENUE	623000	730,364	730,364
e	MEDICAL LABORATORY	621500	244,543		244,543
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		155,666,361

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,862,921		944,249	3,918,672
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	87,693
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	87,693
d	Net rental income or (loss).......			87,693			87,693
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	18,279,354	302,692
b	Less: cost or other basis and sales expenses	7b	17,533,352	198,406
c	Gain or (loss)	7c	746,002	104,286
d	Net gain or (loss).........			850,288			850,288
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	MISC. HOSPITAL REVENUE		900099	2,140,009	1,898,404		241,605
b	CAFETERIA SALES		722514	441,116			441,116
c	HOSPITAL AUXILARY SALE		900099	293,065			293,065
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,874,190
12	Total revenue. See instructions.....			165,498,137	157,320,222	1,188,792	5,832,439

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	677,192	677,192
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,725,985	1,725,985
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	62,352,717	51,453,981	10,898,736
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,895,527	1,564,205	331,322
9	Other employee benefits .......	8,285,163	6,836,986	1,448,177
10	Payroll taxes ...........	4,483,438	3,699,771	783,667
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	320,117	240,088	80,029
c	Accounting ...........	388,057	194,029	194,028
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	261,093		261,093
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	26,424,982	23,511,423	2,913,559
12	Advertising and promotion ....	634,199	634,094	105
13	Office expenses .......	3,072,229	1,854,840	1,217,389
14	Information technology ......	6,758,396	3,041,434	3,716,962
15	Royalties ..
16	Occupancy ...........	2,102,537	1,445,346	657,191
17	Travel ............	145,916	123,270	22,646
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	273,003	96,352	176,651
20	Interest ...........	889,370	802,486	86,884
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	7,643,583	7,038,819	604,764
23	Insurance ...	1,398,387	1,022,110	376,277
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	24,342,483	24,065,388	277,095
b	OHIO HOSPITAL TAX & SNF	4,648,771	4,648,771
c	DUES & SUBSCRIPTIONS	250,025	39,969	210,056
d	UBI INCOME TAX	14,853	14,853
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	158,988,023	134,731,392	24,256,631	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			153,783	1	598,627
2	Savings and temporary cash investments .........			1,466,198	2	4,705,763
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			16,766,646	4	23,388,260
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				80,000	5	200,000
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			3,176,386	8	3,166,318
9	Prepaid expenses and deferred charges ......			5,175,941	9	5,619,673
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	249,097,014
b	Less: accumulated depreciation	10b	133,969,273	115,138,597	10c	115,127,741
11	Investments—publicly traded securities .			78,740,093	11	75,684,770
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			783,144	14	738,615
15	Other assets. See Part IV, line 11 ...........			10,273,919	15	8,065,076
16	Total assets. Add lines 1 through 15 (must equal line 33)...			231,754,707	16	237,294,843

17	Accounts payable and accrued expenses .....	19,003,347	17	18,937,090
18	Grants payable ...		18
19	Deferred revenue .........	250	19	0
20	Tax-exempt bond liabilities .........	13,522,011	20	11,483,337
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	6,649,160	23	7,257,051
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	3,687,407	25	3,096,644
26	Total liabilities. Add lines 17 through 25..	42,862,175	26	40,774,122

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	188,876,859	27	196,505,729
28	Net assets with donor restrictions ...........	15,673	28	14,992
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	188,892,532	32	196,520,721
33	Total liabilities and net assets/fund balances ........	231,754,707	33	237,294,843

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No