Civic Intelligence

Fisher-Titus Affiliated Services

EIN 34-1476934 • 501(c)3 • Norwalk, OH

Profile

To be the pre-hospital ambulance and transportation service that our communities trust with their lives and our staff trusts with their careers.

272 Benedict AvenueNorwalk, OH 44857

www.northcentralems.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

98th percentile

1.97x

Higher debt load relative to assets than 98% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

88th percentile

1.02x

Higher debt load relative to revenue than 88% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

16th percentile

-17%

Higher net margin than 16% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

43rd percentile

1.4%

Faster asset growth than 43% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2022 to 2024

Revenue Growth

36th percentile

0.5%

Faster revenue growth than 36% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2022 to 2024

Assets

Up

$2,212,044

Up $62,140 (+2.9%) from 2022

Liabilities

Up

$4,367,430

Up $1,645,278 (+60%) from 2022

Net Assets

Down

-$2,155,386

Down $1,583,138 (-277%) from 2022

Revenue

Up

$4,299,940

Up $45,759 (+1.1%) from 2022

Expenses

Up

$5,027,206

Up $54,691 (+1.1%) from 2022

Net Income

Down

-$727,266

Down $8,932 (-1.2%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0-$2.0M-$4.0MAssets 2021: $1,676,290Liabilities 2021: $1,529,620Net Assets 2021: $146,6702021Assets 2022: $2,149,904Liabilities 2022: $2,722,152Net Assets 2022: -$572,2482022Assets 2024: $2,212,044Liabilities 2024: $4,367,430Net Assets 2024: -$2,155,3862024

Highlighted filing

2024

Assets$2,212,044
Liabilities$4,367,430
Net Assets-$2,155,386

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2021: $4,268,256Expenses 2021: $5,124,054Net Income 2021: -$855,7982021Revenue 2022: $4,254,181Expenses 2022: $4,972,515Net Income 2022: -$718,3342022Revenue 2024: $4,299,940Expenses 2024: $5,027,206Net Income 2024: -$727,2662024

Highlighted filing

2024

Revenue$4,299,940
Expenses$5,027,206
Net Income-$727,266

Filings

Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 9, 2023
Return Version
2022v5.0
Gross Receipts
$4,254,181
Mission and Program Overview

Mission

To be the pre-hospital ambulance and transportation service that our communities trust with their lives and our staff trusts with their careers.

North central ems provides rapid and skilled emergency advanced life support and transportation services to the communities we serve to save lives and reduce the effect of trauma on the injured.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$819,799$909,702▲ $89,903
Accounts Receivable$505,624$899,881▲ $394,257
Savings and Temporary Cash Investments$231,185$246,900▲ $15,715
Prepaid Expenses and Deferred Charges$60,898$60,754▼ $144
Cash and Non-Interest-Bearing Accounts$400$500▲ $100
Total Assets$1,676,290$2,149,904▲ $473,614
Other Assets Total$58,384$32,167▼ $26,217
Liabilities
Other Liabilities$1,174,159$2,415,203▲ $1,241,044
Accounts Payable and Accrued Expenses$355,461$289,959▼ $65,502
Deferred Revenue-$16,990-
Total Liabilities$1,529,620$2,722,152▲ $1,192,532
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$146,670$-572,248▼ $718,918
Total Net Assets Fund Balance$146,670$-572,248▼ $718,918
Total Liabilities and Net Assets / Fund Balance$1,676,290$2,149,904▲ $473,614

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$858,943$1,391,340$2,250,283
Buildings$50,759$93,567$144,326
Compensation and Service Providers

Board Members and Trustees

NameTitle
Perry DrydenChairman
Brent W Burkey MdPresident & CEO
Jeffrey C HuberVice Chairman
Dennis DoughtyDirector
John K Hughes MdDirector
John a LendrumDirector
Jonathan D Zahler DoDirector
Marc D DolceDirector
Mark E CoriellDirector
Susan S HazelDirector
Scott E EndsleyChief Financial Officer
Matthew E MattnerChief Operations Officer
Julie S Roberts DdsSecretary
Dennis C CampTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$1,069,546
Program Service Revenue
$3,090,226
Investment Income
$0
Other Revenue
$94,409
All Other Contributions
$75,000
Change in Net Assets
$-718,334
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,361,904
Other Expenses$1,610,611
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,513,089$217,450-$2,730,539
Other Employee Benefits$326,301$28,234-$354,535
Travel$227,806--$227,806
Fees for Services Other$121,475$103,172-$224,647
Payroll Taxes$185,870$16,083-$201,953
Depreciation Depletion$171,587$2,854-$174,441
Occupancy$142,127--$142,127
Insurance$124,576$14,991-$139,567
Office Expenses$59,131$33,504-$92,635
Pension Plan Contributions$68,914$5,963-$74,877
Fees for Services Legal-$21,157-$21,157
All Other Expenses$12,918$4,079-$16,997
Information Technology$3,558$4,843-$8,401
Conferences and Meetings-$1,016-$1,016
Other Expenses$268$6,880-$268
Total Functional Expenses$4,120,537$851,978$0$4,972,515
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-See Part VVendorNo$176,696
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$2,358,906
Operating Lease Obligations$32,167
Other Liabilities$24,130
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of fisher-titus affiliated services is the parent company fisher-titus health, an ohio non-profit corporation

Form 990, Part VI, Section A, Line 7A

The board of directos 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.

Form 990, Part VI, Section A, Line 7B

The following powers are reserved exclusively to the member (fisher-titus health): a) 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 and c) to dissolve or terminate the existence of the corporation and to determine the distribution of asstes upon termination.

Form 990, Part VI, Section B, Line 11B

The board of directors of the fisher-titus affiliated services delegated the responsibility for the review of the affiliated services 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 services form 990 prior to filing and reported to the services board of directors regarding the results of their review. In addition, each member of the services board of directors had access to a copy of the form 990 for viewing prior to filing via a secure internet website.

Form 990, Part VI, Section B, Line 12C

All of our 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 fisher-titus medical center administration. Areas of conflict are reviewed and addressed as necessary for the transactions of the board. When an area of conflict arises, board members are excused and prohibited from participating in the board's deliberations and discussions regarding the area of conflict.

Form 990, Part VI, Section B, Line 15

The fisher-titus affiliated services (ems) officers receive all of their compensation from the fisher-titus medical center, (ftmc) a related organization. Such compensation is subject to the guidance of the personnel committee of the fisher-titus health board. The committee retains an independent executive compensation consultant to help establish cash compensation target ranges and identify reasonable and customary benefit programs for executives. The independent consultant reports to the personnel committee on relevant peer groups, cash compensation reported in available salary surveys for the peer group, and trends in 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 2022.

Form 990, Part VI, Section C, Line 18

As required, we offer a timely response to written requests for copies of the 990, as well as having them available on the premises for the public to review & on the guidestar internet website.

Form 990, Part VI, Section C, Line 19

Our conflict of interest, code of regulations, governing documents & financial statements are available upon written request.

Form 990, Part VII, Section A, Lines 1 ,2 & 4

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.

Filing and Contact Details

Filer

Filer Name
Fisher-titus Affiliated Services
EIN
34-1476934
Phone
4196688101
Address
272 BENEDICT AVENUE, NORWALK, OH 44857
Doing Business As
North Central Ems

Signing Officer

Name
Scott E Endsley
Title
Chief Financial Officer
Phone
4196688101
Signed
2023-11-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brent W Burkey Md
Formed
1985
Legal Domicile
Oh
Voting Board Members
12
Independent Board Members
8
Employees
64
Volunteers
11

Preparer

Firm
Blue & Co LLC
Address
9200 WORTHINGTON RD STE 200, WESTERVILLE, OH 43082
Preparer
Emilie M Knieriem CPA
Phone
6148852583
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2C

No processes have changed from prior year.

Financial Statement Notes

PART X, LINE 2:

Management has analyzed the tax positions taken by these entities, and has concluded that as of december 31, 2022 and 2021, 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 affiliated services individual tax position was $0.00.

Raw XML AppendixShowing 400 of 719 raw XML fields

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IRS990/ActivityOrMissionDesc0NORTH CENTRAL EMS PROVIDES RAPID AND SKILLED EMERGENCY ADVANCED LIFE SUPPORT AND TRANSPORTATION SERVICES TO THE COMMUNITIES WE SERVE TO SAVE LIVES AND REDUCE THE EFFECT OF TRAUMA ON THE INJURED.
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IRS990/Desc0FISHER-TITUS AFFILIATED SERVICES, D.B.A. NORTH CENTRAL EMS PROVIDED 8,105 BILLED SERVICE CALLS IN 2022 TO THE AREA OF HURON, ERIE, OTTAWA, LORAIN, SANDUSKY, SENECA & THE SURROUNDING COUNTIES. THESE RUNS WERE CLASSIFIED AS FOLLOWS: EMERGENCY - 5,216, TRANSPORTATION - 2,538 AND WHEELCHAIR - 351.NORTH CENTRAL EMS PROVIDES RAPID AND SKILLED EMERGENCY ADVANCED LIFE SUPPORT AND TRANSPORTATION SERVICES TO THE COMMUNITIES WE SERVE TO SAVE LIVES AND REDUCE THE EFFECT OF TRAUMA ON THE INJURED. THEIR ARRIVAL TO EMERGENCIES WITHIN THE CITY OF NORWALK AVERAGED 6:40 MINUTES FROM THE RECEIPT OF THE CALL, AND AVERAGED ONLY 10:42 MINUTES FOR ALL CALLS RECEIVED WITHIN THE 600 SQ. MILE SERVICE AREA IN 2022. THIS QUICK RESPONSE DECREASES THE MORTALITY RATE, SHOCK AND DISABLING CONDITIONS THAT WOULD OTHERWISE OCCUR WITHOUT SUCH A HIGH-LEVEL RAPID RESPONSE SERVICE. IN ADDITION, NORTH CENTRAL EMS PROVIDES NON-EMERGENCY TRANSPORTATION SERVICES THROUGHOUT NORTHERN OHIO COVERING OVER A 2,000 SQ. MILE SERVICE AREA.THE EMERGENCY SERVICES LOST $564,369 FROM OPERATIONS IN 2022 DUE TO THE NECESSITY FOR A 24 HOUR A DAY, 365 DAY A YEAR, SEVEN STATION OPERATION. THE TRANSPORTATION AND WHEELCHAIR UNIT SERVICES PROVIDED TO THE COMMUNITIES HELPED OFFSET SOME OF THIS LOSS.NORTH CENTRAL EMS SERVES AS ONE OF THE PUBLIC SERVICE ANSWERING POINTS FOR THE HURON AND ERIE COUNTY 911 EMERGENCY SYSTEMS. THEY ALSO PROVIDES DISPATCHING SERVICES FOR THE VILLAGE OF MILAN POLICE AND FIRE DEPARTMENTS AND BERLIN TOWNSHIP POLICE AND FIRE DEPARTMENTS.IN 2020 NORTH CENTRAL EMS RECEIVED A GRANT THROUGH THE OHIO DEPARTMENT OF HEALTH (ODH) FOR A COMMUNITY PARAMEDICINE RURAL PILOT PROGRAM. THEY ARE ONE OF THREE EMERGENCY MEDICAL SERVICE ORGANIZATIONS IN THE STATE OF OHIO TO RECEIVE THIS GRANT. THIS GRANT PROVIDES NORTH CENTRAL EMS WITH UP TO $225,000 OVER A THREE-YEAR PERIOD TO IMPLEMENT A COMMUNITY PARAMEDICINE PROGRAM FOCUSED ON HEALTH CARE IN A RURAL AREA.IN MAY-2022, FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION RECOGNIZED THE NEED FOR NEW LIFESAVING EQUIPMENT AND AWARDED NORTH CENTRAL EMS A $28,000 GRANT TO PURCHASE A BATTERY-POWERED CHEST COMPRESSION SYSTEM FOR NORTH CENTRAL EMS CREWS, ULTIMATELY HELPING SAVE MORE LIVES.NORTH CENTRAL PROVIDES THE FOLLOWING PROGRAMS TO THE MEMBERS OF THE COMMUNITIES IN WHICH WE PROVIDE SERVICES:1. PROVIDE COMMUNITY FIRST AID/CPR/AED CLASSES TO ANY GROUP OR ORGANIZATION. IN 2022, NORTH CENTRAL EMS SPONSORED 46 CLASSES WITH 383 PEOPLE ATTENDING. AN AVERAGE OF 1 MEDIC TAUGHT THE COURSE, LASTING ON AVERAGE 5.01 HOURS WITH 1 HOUR PREP. THERE IS A $60.00 CLASS FEE PER PERSON WITH FOUR INDIVIDUALS ATTENDING FOR FREE. THIRTEEN CLASSES CHARGED $50.00 FOR THE 129 INDIVIDUALS ATTENDING. ONE CLASS CHARGED $25.00 PER PERSON FOR 35 INDIVIDUALS AND ONE CLASS CHARGED $40.00 PER PERSON FOR 8 INDIVIDUALS ATTENDING. (TOTAL HOURS SPENT 284; NET GAIN OF THE PROGRAM $4,344)2. PROVIDE COMMUNITY AUTOMATIC EXTERNAL DEFIBRILLATOR (AED) CLASSES TO ANY GROUP OR ORGANIZATION. IN 2022, NORTH CENTRAL EMS SPONSORED 30 AED/CPR TRAINING CLASSES LASTING ON AVERAGE 3.03 HOURS WITH 1-HOUR PREP. AN AVERAGE OF 1 TO 2 MEDICS TAUGHT THE COURSE, WITH 269 PEOPLE ATTENDING. THERE IS A $40.00 CLASS FEE PER PERSON. (TOTAL HOURS SPENT 121; NET GAIN OF THE PROGRAM $4,151)3. PROVIDE FREE EMERGENCY COVERAGE AT 1 LOCAL FAIRGROUNDS IN 2022. DURING THE FAIR, BETWEEN TWO AND THREE PARAMEDICS WERE UTILIZED WORKING BETWEEN FIVE AND EIGHT-HOUR SHIFTS EACH DAY DURING THE 6 DAY LONG FAIR WEEK. (TOTAL HOURS SPENT 105; COST OF THE PROGRAM $3,279)4. NORTH CENTRAL EMS PROVIDED CHARITY CARE BY TO PATIENTS BASED ON THEIR ABILITY TO PAY. INDIVIDUALS ARE INTERVIEWED TO ASSIST THEM IN DETERMINING EACH PERSON'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS AVAILABLE EXTERNALLY. CHARITY CARE PROVIDED TO PATIENTS IN OUR SERVICE AREA DURING 2022 WAS $1,443.
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