Civic Intelligence

Fisher-Titus Health

EIN 34-1476935 • 501(c)3 • Norwalk, OH

Profile

To oversee and coordinate health-related services of fisher-titus health members and to support their individual missions of enhancing the health, welfare, and safety of their patients and of the residents in the communities they serve.

272 Benedict AvenueNorwalk, OH 44857

none

Siviq Scores

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

Liabilities / Assets

78th percentile

0.54x

Higher debt load relative to assets than 78% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

49th percentile

0.21x

Higher debt load relative to revenue than 49% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

15th percentile

-14%

Higher net margin than 15% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

96th percentile

$1,002,626

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 6.5% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

2nd percentile

-59%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

60th percentile

12%

Faster revenue growth than 60% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$5,948,082

Down $8,576,166 (-59%) from 2023

Liabilities

Up

$3,205,628

Up $521,405 (+19%) from 2023

Net Assets

Down

$2,742,454

Down $9,097,571 (-77%) from 2023

Revenue

Up

$15,324,717

Up $1,691,574 (+12%) from 2023

Expenses

Up

$17,441,764

Up $4,030,557 (+30%) from 2023

Net Income

Down

-$2,117,047

Down $2,338,983 (-1054%) from 2023

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2020: $24,384,959Liabilities 2020: $4,840,714Net Assets 2020: $19,544,2452020Assets 2021: $26,776,326Liabilities 2021: $3,682,096Net Assets 2021: $23,094,2302021Assets 2022: $21,575,543Liabilities 2022: $3,237,887Net Assets 2022: $18,337,6562022Assets 2023: $14,524,248Liabilities 2023: $2,684,223Net Assets 2023: $11,840,0252023Assets 2024: $5,948,082Liabilities 2024: $3,205,628Net Assets 2024: $2,742,4542024

Highlighted filing

2024

Assets$5,948,082
Liabilities$3,205,628
Net Assets$2,742,454

Operations Trend

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

$30M$20M$10M$0-$10MRevenue 2020: $17,761,829Expenses 2020: $27,003,501Net Income 2020: -$9,241,6722020Revenue 2021: $13,778,991Expenses 2021: $13,674,149Net Income 2021: $104,8422021Revenue 2022: $11,109,531Expenses 2022: $12,984,119Net Income 2022: -$1,874,5882022Revenue 2023: $13,633,143Expenses 2023: $13,411,207Net Income 2023: $221,9362023Revenue 2024: $15,324,717Expenses 2024: $17,441,764Net Income 2024: -$2,117,0472024

Highlighted filing

2024

Revenue$15,324,717
Expenses$17,441,764
Net Income-$2,117,047

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 12, 2025
Return Version
2024v5.2
Gross Receipts
$15,324,717
Mission and Program Overview

Mission

To oversee and coordinate health-related services of fisher-titus health members and to support their individual missions of enhancing the health, welfare, and safety of their patients and of the residents in the communities they serve.

Fisher-titus health provides direction to each supported 501(c)(3) organization. Fisher-titus health coordinates long term planning, provides managment and centralized control over the systems operations and programs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$1,649,904$1,603,646▼ $46,258
Cash and Non-Interest-Bearing Accounts-$1,349,642-
Land, Buildings, and Equipment, Net$1,002,629$999,712▼ $2,917
Savings and Temporary Cash Investments$845,443--
Other Notes and Loans Receivable, Net$738,471$800,159▲ $61,688
Investments in Publicly Traded Securities$163,030$178,160▲ $15,130
Prepaid Expenses and Deferred Charges$93,144$60,872▼ $32,272
Total Assets$14,524,248$5,948,082▼ $8,576,166
Other Assets Total$10,031,627$955,891▼ $9,075,736
Liabilities
Accounts Payable and Accrued Expenses$1,609,598$2,335,302▲ $725,704
Tax Exempt Bond Liabilities$1,074,625$547,907▼ $526,718
Other Liabilities$0$322,419▲ $322,419
Total Liabilities$2,684,223$3,205,628▲ $521,405
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$11,840,025$2,742,454▼ $9,097,571
Total Net Assets Fund Balance$11,840,025$2,742,454▼ $9,097,571
Total Liabilities and Net Assets / Fund Balance$14,524,248$5,948,082▼ $8,576,166

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$790,982$962,759$1,753,741
Land$208,730-$208,730
Equipment$0$9,882$9,882
Other Assets Org$714,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Muhammad T Sarmini MdPhysicianFT$615,855$386,771$1,002,626
Gregory P Cook MdPhysicianFT$474,515$451,315$925,830
Patrick R Waters MdPhysicianFT$645,489$81,299$726,788
Mohammad a Mouchli MdPhysicianFT$591,001$80,620$671,621
Katy Lue MdPhysicianFT$532,668$133,292$665,960
John K Hughes MdDirectorFT$260,794$137,657$398,451

Board Members and Trustees

NameTitle
Perry DrydenChairman
Brent W Burkey MdPresident & CEO
Jeffery C HuberVice Chairman
Bradley DavisDirector
Dennis DoughtyDirector
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
$0
Program Service Revenue
$13,590,725
Investment Income
$16,263
Other Revenue
$1,717,729
Change in Net Assets
$-2,117,047
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$16,623,135
Other Expenses$818,629
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$15,102,828--$15,102,828
Payroll Taxes$806,871--$806,871
Insurance$473,048--$473,048
Pension Plan Contributions$428,112--$428,112
Other Employee Benefits$285,324--$285,324
Fees for Services Other$112,208$7,988-$120,196
Conferences and Meetings$86,961--$86,961
Office Expenses$45,459--$45,459
Interest$30,210--$30,210
Other Expenses$24,133--$24,133
All Other Expenses$17,637--$17,637
Occupancy$9,357--$9,357
Travel$8,711--$8,711
Depreciation Depletion$2,917--$2,917
Total Functional Expenses$17,433,776$7,988$0$17,441,764
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-See Part VVendorNo$657,346
-See Part VEmploymentNo$631,893
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$328,925
Interest Rate Swap$-6,506

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACounty of Huron Ohio2015-04-02$5,335,000SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$5,335,000$5,285,000$4,801,500$50,000

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
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
Yes
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

The board of directors of fisher-titus health delegated the responsibility for the review of the fisher-titus health 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 fisher-titus health's form 990 prior to filing and reported to the fisher-titus health's board of directors regarding the results of their review. In addition, each member of the fisher-titus health's 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 affilated 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 decisions regarding the area of conflict.

Form 990, Part VI, Section B, Line 15

The fisher-titus health officers receive all of their compensation from 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 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 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.

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.

Filing and Contact Details

Filer

Filer Name
Fisher-titus Health
EIN
34-1476935
Phone
4196688101
Address
272 BENEDICT AVENUE, NORWALK, OH 44857

Signing Officer

Name
Brent W Burkey Md
Title
President
Phone
4196688101
Signed
2025-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brent W Burkey Md
Formed
1985
Legal Domicile
Oh
Voting Board Members
13
Independent Board Members
9
Employees
83
Volunteers
12

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 XI, LINE 9:

Change in interest rate swap -14,742. Unrealized gain/loss bellevue -7,106,272. Transfer from affiliate 140,490.

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, 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 health individual accrued uncertain tax position was $0.00.

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IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt13CHIEF OPERATIONS OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14CHIEF FINANCIAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt15PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt16PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt17PHYSICIAN
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IRS990/MissionDesc0TO OVERSEE AND COORDINATE HEALTH-RELATED SERVICES OF FISHER-TITUS HEALTH MEMBERS AND TO SUPPORT THEIR INDIVIDUAL MISSIONS OF ENHANCING THE HEALTH, WELFARE, AND SAFETY OF THEIR PATIENTS AND OF THE RESIDENTS IN THE COMMUNITIES THEY SERVE.
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IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES
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IRS990/PrincipalOfficerNm0BRENT W BURKEY MD
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IRS990/ProgramServiceRevenueGrp/Desc0NET MEDICAL CARE LLC REVENUE
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IRS990/ProgSrvcAccomActy2Grp/Desc0FISHER-TITUS HEALTH BELIEVES IN LOCAL GUIDANCE AND COORDINATION OF HEALTH CARE SERVICES. TO THAT END, FISHER-TITUS HEALTH CONTRIBUTED FUNDING TO THE BELLEVUE HOSPITAL TO PARTICIPATE IN THE OWNERSHIP OF THEIR LOCAL HOSPITAL. BECAUSE OF FISHER-TITUS HEALTH'S FUNDING AND SIMILAR FUNDING BY ANOTHER 501(C)(3) HOSPITAL, THE BELLEVUE COMMUNITY WAS ABLE TO BUILD A NEW, FULL SERVICE COMMUNITY HOSPITAL TO SERVE THE PATIENTS OF THEIR SERVICE AREA. CLEARLY, THIS WILL ENHANCE THE SERVICE CAPABILITIES IN THE BELLEVUE COMMUNITY AND ALLOW FOR EXPANSION AND GROWTH BETWEEN BELLEVUE AND FISHER-TITUS HEALTH AND BRING MORE MEDICAL SERVICES TO BOTH OF OUR AREAS, THROUGH THIS COOPERATIVE EFFORT IN JOINTLY RECRUITING PHYSICIANS AND MUTUALLY DEVELOPING SERVICES.
IRS990/ProgSrvcAccomActy3Grp/Desc0FISHER-TITUS HEALTH PROVIDES GENERAL DIRECTION TO EACH SUPPORTED 501(C)(3) ORGANIZATION. FISHER-TITUS HEALTH COORDINATES LONG TERM STRATEGIC PLANNING, PROVIDES MANAGEMENT AND CENTRALIZED CONTROL OVER THE SYSTEMS OPERATIONS AND PROGRAMS DESIGNED TO ENHANCE THE HEALTH AND WELFARE OF RESIDENTS IN THE COMMUNITIES SERVED BY THE SUPPORTED ORGANIZATIONS.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE BOARD OF DIRECTORS OF FISHER-TITUS HEALTH ARE THE SAME BOARD MEMBERS FOR FISHER-TITUS MEDICAL CENTER AND FISHER-TITUS AFFILIATED SERVICES. THE FISHER-TITUS HEALTH BOARD OF DIRECTORS HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS OF THE FISHER-TITUS FOUNDATION. THE SENIOR LEADERSHIP TEAM OF FISHER-TITUS HEALTH OVERSEES THE MANAGEMENT OF ALL OF THE SUPPORTED ORGANIZATIONS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1THE BOARD OF DIRECTORS OF FISHER-TITUS HEALTH ARE THE SAME BOARD MEMBERS FOR FISHER-TITUS MEDICAL CENTER AND FISHER-TITUS AFFILIATED SERVICES. THE FISHER-TITUS HEALTH BOARD OF DIRECTORS HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS OF THE FISHER-TITUS FOUNDATION. THE SENIOR LEADERSHIP TEAM OF FISHER-TITUS HEALTH OVERSEES THE MANAGEMENT OF ALL OF THE SUPPORTED ORGANIZATIONS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2NOTIFICATION OF TYPE OF SUPPORT AND AMOUNT OF SUPPORT FOR EACH SUPPORTED ORGANIZATION IS GIVEN ON A MORE FREQUENT BASIS THAN THE ANNUAL WRITTEN NOTIFICATION. COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS ARE ON FILE WITH THE ORGANIZATION'S PRINCIPAL OFFICER WHO IS THE SAME PERSON FOR EACH OF THE SUPPORTED ORGANIZATIONS. ANY CHANGES TO THE ORGANIZATION'S GOVERNING DOCUMENTS ARE UPDATED AND GIVEN TO THE PRINCIPAL OFFICER.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION E, LINE 3A
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1PART IV, SECTION E, LINE 3B
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2PART IV, SECTION D, LINE 1
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