Fisher-titus Affiliated Services

What it reported doing in 2024

Fisher-titus affiliated services, d.b.a. North central ems provided 7,440 billed service calls in 2024 to the area of huron, erie, ottawa, lorain, sandusky, seneca & the surrounding counties. These runs were classified as follows: emergency 4,794, transportation 2,452, and wheelchair 194.[continued on schedule o]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 5:48 minutes from the receipt of the call, and averaged only 7:09 minutes for all calls received within the 600 sq. Mile service area in 2024. 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 $981,867 from operations in 2024 due to the necessity for a 24 hour a day, 365 day a year, six 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 2023 north central ems received a grant through the northwest hospital council for a community paramedicine rural 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 $379,000 over a three-year period to implement a community paramedicine program focused on health care in a rural area.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 2024, north central ems sponsored 40 classes with 300 people attending. An average of 1 medic taught the course, lasting on average 3.91 hours with 1 hour prep. There is a $60.00 class fee per person with 4 individuals paying $25.00 per person. Two classes charged $17.00 for the 6 individuals attending. Two classes charged $50.00 per person for 53 individuals and six classes charged $20.00 per person for 39 individuals attending. (total hours spent 191; net gain of the program $6,561)2. Provide community automatic external defibrillator (aed) classes to any group or organization. In 2024, north central ems sponsored 31 aed/cpr training classes lasting on average 2.27 hours with 1-hour prep. An average of 1 to 2 medics taught the course, with 295 people attending. There is a $40.00 class fee per person. (total hours spent 101; net gain of the program $3,989) 3. Provide free emergency coverage at 1 local fairgrounds, in 2024. 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 103; cost of the program $3,259)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 2024 was $9,438.

Financial Efficiency

• Mission deployment rate: 96.9%; rating input score 97
• Program expense ratio: 82.9%; rating input score 83
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 91.7%; rating input score 92; 7th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 76.9%; rating input score 77; 13th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -16.9%; rating input score 8; 8th percentile among comparable filings
• Total-asset coverage ratio: 0.44; rating input score 15; 15th percentile among comparable filings
• Liabilities to assets ratio: 1.97; rating input score 1; 1st percentile among comparable filings
• Officer compensation ratio: 4.9%; rating input score 54; 54th percentile among comparable filings

Growth

• Program expense growth: -1.3% per year; rating input score 0; 10th percentile among comparable filings
• Revenue growth: -2.2% per year; rating input score 0; 6th percentile among comparable filings
• Asset growth: 7.9% per year; rating input score 100; 50th percentile among comparable filings