Fisher-Titus Affiliated Services
Public records show a registered, tax-exempt organization in good standing.
Points to look into
- It owes more than it owns.
These come from the organization's own tax return. There may be a good explanation; ask the charity.
What it says it does
TO BE THE PRE-HOSPITAL AMBULANCE AND TRANSPORTATION SERVICE THAT OUR COMMUNITIES TRUST WITH THEIR LIVES AND OUR STAFF TRUSTS WITH THEIR CAREERS.
- Income
- $4.3 million
- Spending
- $5.0 million
- Spent on programs
- 83%
- Reserves
- -7.6 months of spending
- Largest source of income
- fees for its services, 75%
- Employees
- 81
- Volunteers
- 12
- Highest pay
- $674,664, president & ceo
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 30 out of 100.
Reserves
0 of 35Spendable reserves are negative: it owes or has committed more than it holds.
Debt
0 of 20It owes 197% of what it owns.
Living within its means
0 of 15Spending exceeded income by 17% of income.
Income trend
15 of 15Income rose 1% on the year before.
Spending floor
15 of 1583% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 95 out of 100.
Independent board
25 of 2510 of 13 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
0 of 5Reports no independent review process for its chief executive's pay.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $4.2 million spent. 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.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since November 1985.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.