Totals
- Total revenue
- $1,344,977
- Total expenses
- $738,555
- Contributions and grants received
- $1,242,950
- Grants paid
- $204,260
- Program service revenue
- $0
- Investment income
- $81,230
- Other revenue
- $20,797
- Total assets, end of year
- $5,333,385
- Total liabilities, end of year
- $987,250
- Net assets or fund balances, end of year
- $4,346,135
- Program services expenses (Part IX)
- $269,297
- Management and general expenses
- $318,884
- Fundraising expenses
- $150,374
- Program service expenses (Part III)
- $269,297
Program services were 36.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
BRENT W BURKEY MD
PRESIDENT & CEO
- Total calculated
- $1,060,510
- From this org
- $0
- From related orgs
- $998,544
- Other
- $61,966
- Hours/week
- 4 + 61 related
Schedule J breakdown matched by us
- Base
- $0 + $478,744 related
- Bonus
- $0 + $517,101 related
- Other
- $0 + $2,699 related
- Deferred
- $0 + $59,116 related
- Nontaxable benefits
- $0 + $2,850 related
- Filer's total
- $0 + $1,060,510 related
-
DR FARID SAID MD
DIRECTOR
- Total calculated
- $80,324
- From this org
- $0
- From related orgs
- $56,611
- Other
- $23,713
- Hours/week
- 8.25 + 32.75 related
-
SKIP WILDE
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 2
-
DR GLENN TRIPPE
VICE CHAIRMAN
- Total calculated
- $186,197
- From this org
- $0
- From related orgs
- $155,829
- Other
- $30,368
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $154,383 related
- Bonus
- $0
- Other
- $0 + $1,446 related
- Deferred
- $0 + $6,339 related
- Nontaxable benefits
- $0 + $24,029 related
- Filer's total
- $0 + $186,197 related
-
JANICE SMITH
TREASURER & SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
PERRY DRYDEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 18 related
-
JON DITZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
JEFFREY C HUBER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 12 related
-
ERIN LENDRUM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
FRANK VANDRESSER JR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
ZACH JONES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
KELLY LIPPUS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
SCOTT E ENDSLEY
CHIEF FINANCIAL OFFICER
- Total calculated
- $341,294
- From this org
- $0
- From related orgs
- $294,156
- Other
- $47,138
- Hours/week
- 2 + 58 related
Schedule J breakdown matched by us
- Base
- $0 + $253,082 related
- Bonus
- $0 + $10,855 related
- Other
- $0 + $30,219 related
- Deferred
- $0 + $33,558 related
- Nontaxable benefits
- $0 + $13,580 related
- Filer's total
- $0 + $341,294 related
-
MATTHEW MATTNER
CHIEF OPERATIONS OFFICER
- Total calculated
- $362,740
- From this org
- $0
- From related orgs
- $292,183
- Other
- $70,557
- Hours/week
- 1.5 + 48.5 related
Schedule J breakdown matched by us
- Base
- $0 + $248,019 related
- Bonus
- $0 + $11,233 related
- Other
- $0 + $32,931 related
- Deferred
- $0 + $40,349 related
- Nontaxable benefits
- $0 + $30,208 related
- Filer's total
- $0 + $362,740 related
-
SUZANNE FARMER
CHIEF ADMINISTRATIVE OFFICER
- Total calculated
- $253,738
- From this org
- $0
- From related orgs
- $221,486
- Other
- $32,252
- Hours/week
- 5 + 37 related
Schedule J breakdown matched by us
- Base
- $0 + $210,996 related
- Bonus
- $0 + $3,986 related
- Other
- $0 + $6,504 related
- Deferred
- $0 + $30,722 related
- Nontaxable benefits
- $0 + $1,530 related
- Filer's total
- $0 + $253,738 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 4B
- PART I LINE 4B & PART II, LINE 1 - INCLUDED IN DR. BURKEY'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $59,116 REPORTED IN COLUMN C IS $12,200 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $46,916 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 $33,558 REPORTED IN COLUMN C IS $8,329 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $25,229 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 2 - INCLUDED IN MR. MATTNER'S TOTAL CONTRIBUTIONS TO DEFERRED COMPENSATION OF $40,349 REPORTED IN COLUMN C IS $12,022 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $28,327 FOR THE CURRENT YEAR ACCRUAL OF A NON-VESTED, NON-QUALIFIED RETIREMENT PLAN. THIS PLAN PROVIDES AND ADDITIONAL BENEFIT BASED ON YEARS OF ELIGIBLE SERVICE AND VESTED STATUS AND REMAINS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. INCLUDED IN MS. FARMERS'S TOTAL CONTRIBUTION TO DEFERRED COMPENSATION OF $30,722 REPORTED IN COLUMN C IS $8,887 OF VESTED DEFERRED WAGES AND QUALIFIED RETIREMENT PLAN CONTRIBUTIONS AND $21,835 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 2022.
- PART II LINE 1, 2 & 3:
- DR. BRENT BURKEY, SCOTT ENDSLEY AND MATTHEW MATTNER ALL RECEIVED THEIR COMPENSATION FROM FISHER-TITUS MEDICAL CENTER, A RELATED ORGANIZATION. THIS INCLUDES COMPENSATION FOR A SIGNIFICANT AMOUNT OF DR. BURKEY'S 65 HOUR AVERAGE WORK WEEK, MR. ENDSLEY'S 60 HOUR AVERAGE WORK WEEK, AND MR. MATTNER'S 50 HOUR AVERAGE WORK WEEK DEVOTED TO THE FUNCTIONING OF FISHER-TITUS MEDICAL CENTER AS WELL AS UNCOMPENSATED TIME DEVOTED TO OTHER COMMONLY CONTROLLED ORGANIZATIONS LISTED IN SCHEDULE R.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$21,517
SUPPORT THE PURCHASE OF BARIATRIC BEDS & RESIDENT ROOM PHONE SYSTEM FOR NORWALK MEMORIAL HOME
-
CITY OF WILLARD
$18,641
SUPPORT FOR THE WILLARD RESERVE WALKING PATH
-
$13,191
SUPPORT THE PURCHASE OF A PRESSURE RELIEVING MATTRESSES FOR NORWALK MEMORIAL HOME
-
SUPPORT FOR THE PURCHASE OF NEW AMBULANCE
-
$5,675
SUPPORT THE ONCOLOGY DEPT. FOR PURCHASE OF ACCUVIEN VISUALIZATION SYSTEM
-
$5,087
SUPPORT THE PURCHASE OF BARD BLADDER SCANNER W/ CART FOR NORWALK MEMORIAL HOME
-
SUPPORT THE AUTISTIC SPECTRUM KIDS PROGRAM MISC SUPPLIES & THERASUIT
-
WEEKENDS WITHOUT HUNGER
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HOSPITAL · OH
Directly controlled by FISHER-TITUS HEALTH
-
501(C)(3) · SYSTEM PARENT · OH
-
FISHER-TITUS AFFILIATED SERVICES
501(C)(3) · AMBULANCE · OH
Directly controlled by FISHER-TITUS HEALTH
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
FISHER-TITUS PAIN MANAGEMENT LLC
PAIN MANAGEMENT · OH
-
PARTNERSHIP IN SURGERY CENTER · OH
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
HEALTH PROMOTIONS OF NORWALK INC
C · SUPPORT PROF. · OH
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 9 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202323139349303482
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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