HOSPICE CARE OHIO: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOSPICE CARE OHIO (EIN 34-1771508)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201333169349302693
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T12:47:56-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341771508EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE CARE OHIOBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone3307451601Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HOME CARE PLACEAddressLine1
CityAKRONCity
StateOHState
ZIP Code44320ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUE J MCCARTHYName
TitleTREASURERTitle
Phone3307451601Phone
Date Signed2013-11-12DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF VISITING NURSE SERVICEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonKAREN L MULLENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 HOME CARE PLACEAddressLine1
CityAKRONCity
StateOHState
ZIP Code44320ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16292313GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.VNSA.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees154TotalNbrEmployees
Total Nbr Volunteers854TotalNbrVolunteers
Total Gross UBI738737TotalGrossUBI
Net Unrelated Business Txbl Income30844NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year275122ContributionsGrantsPriorYear
Contributions Grants Current Year26860ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16963403ProgramServiceRevenuePriorYear
Program Service Revenue CY13967246ProgramServiceRevenueCY
Investment Income Prior Year14018InvestmentIncomePriorYear
Investment Income Current Year75309InvestmentIncomeCurrentYear
Other Revenue Prior Year71454OtherRevenuePriorYear
Other Revenue Current Year394350OtherRevenueCurrentYear
Total Revenue Prior Year17323997TotalRevenuePriorYear
Total Revenue Current Year14463765TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5985373SalariesEtcPriorYear
Salaries Etc Current Year6435917SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11540025OtherExpensePriorYear
Other Expenses Current Year7220881OtherExpensesCurrentYear
Total Expenses Prior Year17525398TotalExpensesPriorYear
Total Expenses Current Year13656798TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-201401RevenuesLessExpensesPriorYear
Revenues Less Expenses CY806967RevenuesLessExpensesCY
Total Assets BOY10860614TotalAssetsBOY
Total Assets EOY11796460TotalAssetsEOY
Total Liabilities BOY1905154TotalLiabilitiesBOY
Total Liabilities EOY1610348TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8955460NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10186112NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR MISSION IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITIES WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8989259Expense
Revenue12069245Revenue
DescriptionAT-HOME AND INPATIENT HOSPICE SERVICES INCLUDING SKILLED NURSING, THERAPIES, HOME HEALTH AIDES, SOCIAL SERVICES, SPIRITUAL COUNSELING, PAIN MANAGEMENT, SUPPLIES, EQUIPMENT AND OTHER RELATED SERVICES FOR TERMINALLY ILL PATIENTS.HISTORY - HOSPICE CARE OHIO WAS INCORPORATED IN 1994 AS A CHARITABLE NON-PROFIT CORPORATION UNDER OHIO LAW. HOSPICE CARE OHIO CONDUCTS ITS BUSINESS USING THE NAME HOSPICE OF VISITING NURSE SERVICE.COMMUNITY BENEFIT - HOSPICE OF VISITING NURSE SERVICE'S PURPOSE - THE PURPOSE OF HOSPICE OF VISITING NURSE SERVICE IS TO KEEP PATIENTS WITH A LIFE LIMITING ILLNESS AND THEIR FAMILIES COMFORTABLE, AT PEACE AND IN CONTROL OF THEIR LIVES DURING THIS CHANGING TIME AS WELL AS TO FACILITATE ACCESS TO HOSPICE AND SUPPORTIVE CARE SERVICES THROUGH COMMUNITY EVALUATION, SERVICE EXCELLENCE, COST CONTROL AND COLLABORATIVE VENTURES.2012 SERVICE LEVELS - HOSPICE OF VISITING NURSE SERVICE PROVIDED CARE TO OVER 1,300 PATIENTS AND THEIR FAMILIES.HOSPICE SERVICES:HOSPICE IS A UNIQUE PROGRAM FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. THE FOCUS OF HOSPICE CARE OHIO IS TO HELP THE PATIENT AND FAMILY WITH END OF LIFE DECISION-MAKING, MEETING LIFE'S GOALS, ENHANCING FAMILY RELATIONSHIPS AND PROMOTING COMFORT.HOSPICE CARE IS PROVIDED BY A SPECIALLY TRAINED TEAM OF CARING HEALTH PROFESSIONALS AND VOLUNTEERS WHO STRIVE TO KEEP PATIENTS AND THEIR FAMILIES COMFORTABLE, AT PEACE, AND IN CONTROL OF THEIR LIVES DURING A CHANGING TIME.HOSPICE CARE IS AVAILABLE FOR INDIVIDUALS WHOSE DISEASE PROCESS HAS BEEN DEFINED AS TERMINAL.HOSPICE CARE CAN HELP THE PATIENT AND THE FAMILY BY:MANAGING PAIN AND DISTRESSFUL SYMPTOMS;TEACHING FAMILIES HOW TO COMFORT AND CARE FOR THEIR LOVED ONES;OFFERING SUPPORT FOR PROBLEMS, QUESTIONS, MEDICATION ADJUSTMENTS OR REASSURANCE 24 HOURS A DAY;COVERING MEDICATIONS, MEDICAL EQUIPMENT AND SUPPLIES RELATED TO THE TERMINAL ILLNESS;PROVIDING ASSISTANCE WITH PERSONAL CARE (BATHS, MEALS, LIGHT HOUSEKEEPING).HELPING TO STRENGTHEN RELATIONSHIPS WITH LOVED ONES;ASSISTING WITH THE BURDENS OF DECISION-MAKING AT THE END OF LIFE; ANDSUPPORTING THE FAMILY THROUGH THE BEREAVEMENT PERIOD.BEREAVEMENT SERVICES - HOSPICE OF VISITING NURSE SERVICE PROVIDES BEREAVEMENT SERVICES TO FAMILY MEMBERS OF HOSPICE PATIENTS AS WELL AS TO OTHERS THROUGHOUT THE COMMUNITY NEEDING SUCH SERVICE. BEREAVEMENT SUPPORT INCLUDES INDIVIDUAL SUPPORT, FAMILY MEETINGS, TELEPHONE REASSURANCE, SUPPORT GROUPS, A GRIEF EDUCATION SERIES, QUARTERLY NEWSLETTERS AND MEMORIAL SERVICES.COMMUNITY OUTREACH PROGRAMS - THE 2012 COMMUNITY OUTREACH PROGRAMS FOR HOSPICE OF VISITING NURSE SERVICES INCLUDED EXHIBITS AT 100 COMMUNITY EVENTS AND HEALTH FAIRS AND PROGRAMS. THESE EVENTS INCLUDED THE ANNUAL SUMMIT SENIOR EXPO AND THE SUMMIT COUNTY ANNUAL HEALTH AND HUMAN SERVICES FORUM. ACTIVITES AT MANY EVENTS CONSISTED OF DISTRIBUTION OF HEALTH EDUCATION MATERIALS AND BLOOD PRESSURE SCREENINGS. BEREAVEMENT SUPPORT NEWSLETTER - QUARTERLY NEWSLETTER SENT TO FAMILY MEMBERS OF PATIENTS WHO HAVE DIED IN THE HOSPICE PROGRAM. OFFERED EDUCATIONAL TIPS FOR COPING/GRIEF WORK AND OUTLINED SUPPORT GROUPS OFFERED BY HOSPICE OF VISITING NURSE SERVICE. DISTRIBUTED TO 4,100 PEOPLE QUARTERLY, AS WELL AS TO AREA NURSING FACILITIES, FUNERAL HOMES, AND OVER 300 CHURCHES.HOSPICE GROUNDS DEDICATION SERVICE - THE SERVICE IS HELD AT THE HOSPICE CARE CENTER TO REMEMBER AND HONOR PATIENTS CARED FOR BY THE STAFF AT HOSPICE OF VISITING NURSE SERVICE.QUALITY OF LIFE MATTERS - QUARTERLY NEWSLETTER OFFERED END-OF-LIFE CARE NEWS AND CLINICAL FINDINGS FOR PHYSICIANS. DISTRIBUTED TO 700 PHYSICIANS, NURSING FACILITIES AND ASSISTED LIVING CENTERS.HOSPICE MEMORIAL SERVICE - THE MEMORIAL SERVICE IS HELD TWICE (FALL AND SPRING) TO HONOR AND REMEMBER PATIENTS CARED FOR BY THE STAFF AT HOSPICE OF VISITING NURSE SERVICE.HOSPICE SPREAKER'S BUREAU - PROVIDED PROFESSIONAL SPEAKERS FOR VARIOUS COMMUNITY, CIVIC, AND CHURCH ORGANIZATIONS.VOLUNTEERS - VOLUNTEERS CONTRIBUTED OVER 27,800 HOURS OF THEIR TIME IN SUPPORT OF HOSPICE SERVICES OF HOSPICE OF VISITING NURSE SERVICE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1325279Expense
Revenue1553614Revenue
DescriptionSINCE 2005, HOSPICE CARE OHIO HAS BEEN THE SOLE MEMBER OF ADVANCED INFUSION SERVICES, LTD. THROUGH ADVANCED INFUSION SERVICES, LTD HOSPICE CARE OHIO DELIVERS HIGH-TECH INFUSION SERVICES TO PATIENTS PRIMARILY WITHIN THE AFFILIATED HEALTH SYSTEM AND TO MEDICALLY INDIGENT PATIENTS. ADVANCED INFUSION SERVICES, LTD IS REPORTED AS A DISREGARDED ENTITY ON SCHEDULE R, PART I OF THIS FORM 990 RETURN.Description
FieldValueIRS element (for citing)
Total Program Service Expense10314538TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees154NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDEBBIE GORBACHNamePerson
Telephone Number3303446603TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 AKRON GENERAL AVENUEAddressLine1
CityAKRONCity
StateOHState
ZIP Code44307ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
KAREN MULLEN
SEE SCHEDULE O0.0058.00XX023185657747
STEPHEN GARY
SEE SCHEDULE O0.0061.80XX032331819801
THOMAS STOVER MD
SEE SCHEDULE O0.1052.00X0891568105284
VINCENT MCCORKLE
SEE SCHEDULE O0.3059.40X026928210398
WILLIAM LOWERY
DIRECTOR0.100.00X000
SANDRA SELBY REVEREND
DIRECTOR0.700.20X000
JEAN HANSEN
DIRECTOR BEGINNING 08/13/20130.100.00X000
JODY GILDERSLEEVE
DIRECTOR BEGINNING 08/13/20130.100.00X000
ALEXANDRA JORGENSEN
ASSISTANT SECRETARY0.2055.00X0612797774
BARBARA VIMONT
SEE SCHEDULE O0.0050.30X014055446355
CRAIG BABBITT
SEE SCHEDULE O0.0062.30X039870472714
DAVID FRIGO
SEE SCHEDULE O0.0060.00X015572354411
DEBORAH GORBACH
SEE SCHEDULE O0.1059.90X0266199108520
SUE MCCARTHY
SEE SCHEDULE O0.0056.10X01617933174
CHERYL ROBINSON
PHARMACIST40.000.00111244028769X
RANDY FASNACHT
DIRECTOR PHARMACY SERVICES45.000.00136192026743X
KAREN L TALBOTT MSCPA
SEE SCHEDULE O0.000.00015953534263X
FieldValueIRS element (for citing)
Total Reportable Comp From Org247436TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3059811TotalReportableCompFrmRltdOrgs
Total Other Compensation575953TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PETRUS GROUP INC
224 W EXCHANGE ST SUITE 160AKRONOH44307PHYSICIAN SERVICES511779
SODEXHO MARRIOTT SERVICES INC
PO BOX 70060CHICAGOIL606730060CONTRACTED FOOD SERVICES351286
ARAMARK
115 NORTH FIRST STREETBURBANKCA91502CONTRACTED FACILITY SERVICES111569
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations26860RelatedOrganizations
Total Contributions26860TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MEDICARE/MEDICAID6216101168212811458821223307
PRIVATE PAY MAJOR MED.62161022851181769688515430
FieldValueIRS element (for citing)
Total Program Service Revenue13967246TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column68927TotalRevenueColumn
Exclusion$68,927ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1834930Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1828548Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6382Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6382TotalRevenueColumn
Exclusion$6,382ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CHANGE INTEREST FDTN900099298727298727
MISC9000995144351443
LEASED SERVICES5419004092040920

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3260TotalRevenueColumn
Related Or Exempt Function Income3260RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue394350TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14463765TotalRevenueColumn
Related Or Exempt Function Income13622859RelatedOrExemptFunctionIncome
Unrelated Business Revenue738737UnrelatedBusinessRevenue
Exclusion$75,309ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5326237Total
Program Services4214848ProgramServices
Management And General1111389ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total92816Total
Program Services92816ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total622212Total
Program Services492734ProgramServices
Management And General129478ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total394652Total
Program Services312303ProgramServices
Management And General82349ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3536Total
Management And General3536ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total15225Total
Management And General15225ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1264024Total
Program Services1058443ProgramServices
Management And General205581ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total14528Total
Program Services14528ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2829869Total
Program Services2681198ProgramServices
Management And General148671ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total445887Total
Program Services389920ProgramServices
Management And General55967ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total205955Total
Program Services204557ProgramServices
Management And General1398ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total49047Total
Program Services49047ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total185118Total
Program Services156305ProgramServices
Management And General28813ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total16711Total
Management And General16711ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
ADMIN SVCS FROM PARENT19791374552021523935
BAD DEBT EXPENSE177395177395
MISCELLANEOUS EXPENSE338151474019075
RECRUITING EXPENSES634502132

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13656798Total
Program Services10314538ProgramServices
Management And General3342260ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY320BOY
EOY320EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY186456BOY
EOY411315EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3138461BOY
EOY2038192EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY115250BOY
EOY124144EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY43350BOY
EOY49057EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2770167LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1942908LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY794768BOY
EOY827259EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2850771BOY
EOY3174315EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY240159BOY
EOY240218EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3491079BOY
EOY4931640EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10860614BOY
EOY11796460EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1684224BOY
EOY1607029EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY220930BOY
EOY3319EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1905154BOY
EOY1610348EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6997319BOY
EOY8066079EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1096071BOY
EOY1248928EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY862070BOY
EOY871105EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8955460BOY
EOY10186112EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10860614BOY
EOY11796460EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses806967ReconcilationRevenueExpenses
Reconciliation Unrealized Invest176349ReconciliationUnrealizedInvest
Reconcilation Invest Expenses-1385ReconcilationInvestExpenses
Reconcilation Other Changes248721ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1305571CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1170654CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years791708CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year333202CurrentTaxYearMinus1Year
Current Tax Year26860CurrentTaxYear
Total3627995Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13756794CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15983430CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17917569CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14520121CurrentTaxYearMinus1Year
Current Tax Year15032951CurrentTaxYear
Total77210865Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15062365CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17154084CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18709277CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14853323CurrentTaxYearMinus1Year
Current Tax Year15059811CurrentTaxYear
Total80838860Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50980838860PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years107961CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years81147CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years227984CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48050CurrentTaxYearMinus1Year
Current Tax Year664525CurrentTaxYear
Total1129667Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years107961CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years81147CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years227984CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48050CurrentTaxYearMinus1Year
Current Tax Year664525CurrentTaxYear
Total1129667Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15170326CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17235231CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18937261CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14901373CurrentTaxYearMinus1Year
Current Tax Year15724336CurrentTaxYear
Total81968527Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98620PublicSupportPercentage509
Prior Year Support Percentage0.99300PriorYearSupportPercentage
Investment Income Percentage0.01380InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00700PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,946OtherActivitiesAmount
Total Lobbying Expenditures IIB1946TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationMIDWEST CARE ALLIANCE - $630 NATIONAL ASSOCIATION FOR HOMECARE AND HOSPICE - $380 NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION - $936Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1958140BeginningOfYearBalance
Investment Earnings Or Losses85465InvestmentEarningsOrLosses
Other Expenditures77812OtherExpenditures
Administrative Expenses1385AdministrativeExpenses
End Of Year Balance2120032EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2046459BeginningOfYearBalance
Investment Earnings Or Losses-79882InvestmentEarningsOrLosses
Other Expenditures-6944OtherExpenditures
Administrative Expenses1493AdministrativeExpenses
End Of Year Balance1958140EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1937798BeginningOfYearBalance
Investment Earnings Or Losses76034InvestmentEarningsOrLosses
Other Expenditures-33931OtherExpenditures
Administrative Expenses1304AdministrativeExpenses
End Of Year Balance2046459EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2291717BeginningOfYearBalance
Investment Earnings Or Losses106808InvestmentEarningsOrLosses
Other Expenditures458959OtherExpenditures
Administrative Expenses1768AdministrativeExpenses
End Of Year Balance1937798EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3559134BeginningOfYearBalance
Investment Earnings Or Losses-184830InvestmentEarningsOrLosses
Other Expenditures1079508OtherExpenditures
Administrative Expenses3079AdministrativeExpenses
End Of Year Balance2291717EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.41000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.59000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis295175OtherCostOrOtherBasis
Depreciation77995Depreciation
Book Value217180BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2474992OtherCostOrOtherBasis
Depreciation1864913Depreciation
Book Value610079BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings827259TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
INTEREST IN FOUNDATION1852257
RECEIVABLES FROM AFFILIATES3079383
FieldValueIRS element (for citing)
Total Book Value Other Assets4931640TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt14291230TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments176349NetUnrealizedGainsInvestments
Revenue Not Rptd F990176349RevenueNotRptdF990
Revenue Subtotal14114881RevenueSubtotal
Other Revenues Not Included348884OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt348884RevenueNotRptdOnFinStmt
Total Revenue Per Form99014463765TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13307914TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal13307914ExpensesSubtotal
Other Expenses Not Included348884OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt348884ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013656798TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 4B - OTHER ADJUSTMENTS:MANAGEMENT SERVICES RECLASS 156,264. BANK FEES RECLASS 15,225. BAD DEBT EXPENSE 177,395.
PART XII, LINE 4B - OTHER ADJUSTMENTS:MANAGEMENT SERVICES RECLASS 156,264. BANK FEES RECLASS 15,225. BAD DEBT EXPENSE 177,395.
PART V, LINE 4: THE FUNDS ARE USED TO FURTHER THE EXEMPT PURPOSES OF HOSPICE CARE OHIO.
HOSPICE CARE OHIO ADOPTED FIN48 IN 2007 AS REQUIRED. NO FOOTNOTE DISCLOSURES WERE REQUIRED UNDER GAAP AS HOSPICE CARE OHIO DOES NOT HAVE ANY MATERIAL TAX CONTINGENCIES THAT REQUIRED SUCH DISCLOSURE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KAREN MULLEN
SEE SCHEDULE O01693420371305880105507102676028960300
STEPHEN GARY
SEE SCHEDULE O018625500013706301081908982034311900
THOMAS STOVER MD
SEE SCHEDULE O064816401250000118404086553018731099685200
VINCENT MCCORKLE
SEE SCHEDULE O0173368000959140757502823027968000
BARBARA VIMONT
SEE SCHEDULE O01395230001031033640012715018690900
CRAIG BABBITT
SEE SCHEDULE O0277576059875061253053395019319047141800
DAVID FRIGO
SEE SCHEDULE O013289100022832040776013635021013400
DEBORAH GORBACH
SEE SCHEDULE O0181791045996038412084528023992037471900
SUE MCCARTHY
SEE SCHEDULE O010070404000002108909103083016496700
RANDY FASNACHT
DIRECTOR PHARMACY SERVICES1346520001540052990214440162935000
KAREN L TALBOTT MSCPA
SEE SCHEDULE O0225000001370350280320623101937980163447

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINES 4A-BIN 2011 KAREN TALBOTT SEPARATED FROM SERVICE WITH COMMUNITY HEALTH VENTURES, INC. DURING 2012 MS. TALBOTT RECEIVED A SEPARATION PAYMENT OF $103,491. IN 2012, VINCENT MCCORKLE SEPARATED FROM SERVICE WITH AKRON GENERAL HEALTH SYSTEM. DURING 2012, MR. MCCORKLE RECEIVED A SEPARATION PAYMENT OF $67,000. IN 2012, STEVE GARY SEPARATED FROM SERVICE WITH AKRON GENERAL HEALTH SYSTEM. DURING 2012, MR. GARY RECEIVED SEPARATION PAYMENTS TOTALING $78,462. LINE 4B: THE FOLLOWING EMPLOYEES RECEIVED EMPLOYER CONTRIBUTIONS TO A NONQUALIFIED TAXABLE PLAN. THE BENEFIT IS PAID BY AKRON GENERAL HEALTH SYSTEM (RELATIONSHIP DESCRIBED BELOW). THE CONTRIBUTIONS WERE TAXABLE TO THE EMPLOYEES IN 2012. CRAIG BABBITT - $18,000 DAVE FRIGO - $8,220 DEBBIE GORBACH - $17,280 STEPHEN M. GARY - $15,300 SUE J. MCCARTHY - $6,093 TIM STOVER, M.D. - $40,200 VINCENT MCCORKLE - $30,000 KAREN MULLEN, RN, MBA - $11,319
PART IIIAKRON GENERAL HEALTH SYSTEM (34-1546466) IS THE SOLE MEMBER OF COMMUNITY HEALTH VENTURES, INC. (34-1478435). COMMUNITY HEALTH VENTURES, INC. IS THE SOLE MEMBER OF HOSPICE CARE OHIO. THE INDIVIDUALS LISTED BELOW ARE PAID EMPLOYEES OF AKRON GENERAL HEALTH SYSTEM. THE AMOUNTS SHOWN ON SCHEDULE J PART II REFLECT COMPENSATION FOR SERVICES TO THAT ORGANIZATION. BARBARA VIMONT CRAIG BABBITT DAVID FRIGO DEBORAH GORBACH STEPHEN GARY SUE MCCARTHY THOMAS STOVER, MD VINCENT MCCORKLESUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6HOSPICE CARE OHIO HAS ONE MEMBER, COMMUNITY HEALTH VENTURES, INC. COMMUNITY HEALTH VENTURES, INC. IS ORGANIZED IN OHIO AS A NON-PROFIT ORGANIZATION AND IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC 501(C)(3). COMMUNITY HEALTH VENTURES, INC. IS NOT A PRIVATE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7ACOMMUNITY HEALTH VENTURES, INC. IS THE SOLE MEMBER OF HOSPICE CARE OHIO. AKRON GENERAL HEALTH SYSTEM IS THE SOLE MEMBER OF COMMUNITY HEALTH VENTURES, INC. IN ACCORDANCE WITH THE ORGANIZATION'S CODE OF REGULATIONS, AKRON GENERAL HEALTH SYSTEM NOMINATES CANDIDATES FOR OPENINGS ON THE ORGANIZATION'S BOARD. COMMUNITY HEALTH VENTURES, INC. ELECTS THE MEMBERS FROM AMONG THE NOMINEES.
FORM 990, PART VI, SECTION A, LINE 7BCOMMUNITY HEALTH VENTURES, INC. IS THE SOLE MEMBER OF HOSPICE CARE OHIO. AKRON GENERAL HEALTH SYSTEM IS THE SOLE MEMBER OF COMMUNITY HEALTH VENTURES, INC. COMMUNITY HEALTH VENTURES, INC.'S RESPONSIBILITIES INCLUDE PROVIDING LONG TERM PLANNING, ESTABLISHING SYSTEM POLICIES AND PROCEDURES, AND ASSISTING ORGANIZATIONS OF COMMUNITY HEALTH VENTURES, INC. IN CARRYING OUT THEIR EXEMPT PROGRAMS. GENERALLY, COMMUNITY HEALTH VENTURES, INC. LIMITS ITS POWER OF APPROVAL OVER DECISIONS MADE BY THE BOARD OF HOSPICE CARE OHIO, TO THOSE CONCERNING MEMBERSHIP OF THAT BOARD AND THAT ORGANIZATION'S ANNUAL BUDGET.
FORM 990, PART VI, SECTION B, LINE 11HOSPICE CARE OHIO IS A MEMBER OF THE AKRON GENERAL HEALTH SYSTEM. HOSPICE CARE OHIO PREPARES ITS FORM 990 INTERNALLY. THE RETURN IS SUBJECT TO FINANCIAL REVIEW BY THE CHIEF FINANCIAL OFFICER OF AKRON GENERAL HEALTH SYSTEM, THE VICE PRESIDENT OF ACCOUNTING AND FINANCE OF AKRON GENERAL HEALTH SYSTEM, AND REVIEWED FOR COMPLIANCE WITH THE REPORTING REQUIREMENTS OF FORM 990 BY THE DIRECTOR OF CORPORATE TAX FOR AKRON GENERAL HEALTH SYSTEM.
FORM 990, PART VI, SECTION B, LINE 12CHOSPICE CARE OHIO IS A MEMBER OF THE AKRON GENERAL HEALTH SYSTEM (SYSTEM). AKRON GENERAL HEALTH SYSTEM IS THE PARENT ORGANIZATION OF THE SYSTEM AND AS SUCH IT DETERMINES CERTAIN POLICIES AND PROCEDURES APPLICABLE TO ALL MEMBER ORGANIZATIONS. IN THE CASE OF CONFLICT OF INTEREST REPORTING, AKRON GENERAL HEALTH SYSTEM NOT ONLY DETERMINES THE POLICY AND THE PROCEDURE, IT CARRIES OUT THE PROCEDURE FOR ALL SYSTEM ORGANIZATIONS ITSELF. A CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO ALL BOARD MEMBERS, MANAGEMENT PERSONNEL, EMPLOYED PHYSICIANS AND ANY OTHER PERSONNEL THAT HAVE BEEN DESIGNATED BY MANAGEMENT. THE DISTRIBUTION COVERS ALL SYSTEM ORGANIZATIONS. ALL RESPONSES THAT INDICATE A PERCEIVED CONFLICT OF INTEREST ARE TURNED OVER TO THE GOVERNANCE AND COMPLIANCE COMMITTEE (THE COMMITTEE) OF AKRON GENERAL HEALTH SYSTEM FOR REVIEW. THE COMMITTEE MAKES A DETERMINATION AS TO WHETHER THE PERCEIVED CONFLICT IS LIKELY TO BE AN ACTUAL CONFLICT, THE MATERIALITY OF ANY ACTUAL CONFLICTS AND THE EXTENT OF SAFEGUARDS REQUIRED FOR ANY ACTUAL CONFLICTS. SAFEGUARDS INCLUDE, BUT ARE NOT LIMITED TO, REQUIRING, IN THE CASE OF A BOARD MEMBER, THAT THE PERSON RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSIONS OR VOTING THAT MAY BE AFFECTED BY THE CONFLICT, REQUIRING THE PERSON TO DISENGAGE FROM THE CONDUCT CREATING THE CONFLICT OR REQUIRING THE PERSON TO RESIGN FROM THE POSITION AFFECTED BY THE CONFLICT. THIS PROCESS IS CONDUCTED BY AKRON GENERAL HEALTH SYSTEM'S LEGAL SERVICES DEPARTMENT ANNUALLY. THE CONFLICT OF INTEREST LETTER PUTS THE RECIPIENT ON NOTICE THAT HE OR SHE IS UNDER AN ONGOING DUTY TO REPORT ANY POTENTIAL CONFLICTS THAT MAY ARISE SUBSEQUENT TO THIS FORMAL PROCESS. SUBSEQUENT EVENT REPORTING IS MONITORED BY AKRON GENERAL HEALTH SYSTEM'S LEGAL SERVICES DEPARTMENT. ANY SUBSEQUENT REPORTED ITEMS ARE SUBJECT TO THE AFOREMENTIONED REVIEW PROCESS BY AKRON GENERAL HEALTH SYSTEM'S GOVERNANCE AND COMPLIANCE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15THE REPORTING ORGANIZATION IS A MEMBER OF THE AKRON GENERAL HEALTH SYSTEM. THE EXEMPT PURPOSE OF THE SYSTEM PARENT, AKRON GENERAL HEALTH SYSTEM (AGHS), IS TO SUPPORT THE MEMBERS OF THAT SYSTEM. ONE OF THE SUPPORT SERVICES THAT AGHS PROVIDES IS DETERMINING THE COMPENSATION OF THE TOP MANAGEMENT PERSONNEL OF THE REPORTING ORGANIZATION. AGHS FOLLOWS A PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO AND OTHER TOP MANAGEMENT PERSONNEL THAT IS MODELED AFTER THE REQUIREMENTS FOUND IN INTERNAL REVENUE CODE SECTION 4958 FOR ESTABLISHING THE PRESUMPTION OF REASONABLE COMPENSATION. THEREFORE, THE PROCESS CALLS FOR RECOMMENDATIONS - DEVELOPED BY AN INDEPENDENT COMPENSATION CONSULTANT, BASED ON COMPARABLE MARKET DATA FROM PUBLISHED SURVEYS AND THE FORMS 990 OF COMPARABLE ORGANIZATIONS - THAT ARE WITHIN THE RANGE OF THE COMPENSATION OF SIMILARLY SITUATED PERSONS AT SIMILARLY SITUATED ORGANIZATIONS. THESE RECOMMENDATIONS ARE REVIEWED BY A COMMITTEE OF THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS. THE COMMITTEE IS COMPRISED OF INDEPENDENT PERSONS AND THE DELIBERATIONS ARE DOCUMENTED, CONTEMPORANEOUSLY, IN THE COMMITTEE'S MINUTES. THE COMPENSATION FOR ALL TOP MANAGEMENT WAS REVIEWED FOR REASONABLENESS USING THIS PROCESS IN 2011.
FORM 990, PART VI, SECTION C, LINE 19CURRENTLY, HOSPICE CARE OHIO DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR ITS FINANCIAL STATEMENTS GENERALLY AVAILABLE TO THE PUBLIC. HSOPICE CARE OHIO DOES MAKE THESE DOCUMENTS AVAILABLE ON A CASE BY CASE BASIS.
FORM 990, PART XII, LINE 2CKAREN MULLEN, RN MBA MS. MULLEN SERVED ON THE BOARD OF DIRECTORS OF THE REPORTING ORGANIZATION. MS. MULLEN SERVED AS PRESIDENT OF COMMUNITY HEALTH VENTURES. MS. MULLEN ALSO SERVED ON THE BOARD OF DIRECTORS AS A MEMBER EX OFFICIO, SPENDING AN AVERAGE OF 56.8 HOURS PER WEEK ON THOSE DUTIES. MS MULLEN ALSO SERVED ON THE BOARDS OF DIRECTORS AS A MEMBER EX OFFICIO OF THE FOLLOWING RELATED, TAX EXEMPT ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: VISITING NURSE SERVICES - 0.0 VISITING HOURS, INC. - 0.0 ROSELANE, INC. - 0.0 STEVE GARY MR. GARY SERVED AS A MEMBER OF THE BOARD OF DIRECTORS AND TREASURER OF THE REPORTING ORGANIZATION THROUGH JULY 6, 2012. MR. GARY ALSO SERVED AS CHIEF FINANCIAL OFFICER AND TREASURER OF AKRON GENERAL HEALTH SYSTEM THROUGH JULY 6, 2012, AVERAGING 60.0 HOURS PER WEEK ON THOSE DUTIES. THROUGH JULY 6, 2012, MR. GARY ALSO SERVED AS TREASURER OF FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL MEDICAL CENTER - .80 AKRON GENERAL FOUNDATION - .20 AKRON GENERAL PARTNERS - .40 PARTNERS PHYSICIAN GROUP - .40 NHV PHYSCIANS PROFESSIONAL CORPORATION - .00 IN ADDITION, THROUGH JULY 6, 2012, MR. GARY SERVED AS A MEMBER OF THE BOARD OF DIRECTORS AND TREASURER OF THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: COMMNUITY HEALTH VENTURES, INC. - .00 VISITING NURSE SERVICE - .00 TIM STOVER, MD BEGINNING FEBRUARY 3, 2012, DR. STOVER SERVED AS A MEMBER OF THE THE BOARD OF DIRECTORS OF THE REPORTING ORGANIZATION, AVERAGING .1 HOURS PER WEEK ON THESE DUTIES. THROUGH FEBRUARY 3, 2012, DR. STOVER SERVED AS PRESIDENT OF OUTPATIENT SERVICES FOR AKRON GENERAL HEALTH SYSTEM, A RELATED ORGANIZATION. BEGINNING FEBRUARY 3, 2012, DR. STOVER SERVED AS PRESIDENT, CHIEF EXECUTIVE OFFICER AND MEMBER OF THE BOARD OF DIRECTORS OF AKRON GENERAL HEALTH SYSTEM, AVERAGING 50.8 PER WEEK ON THESE DUTIES. DR. STOVER SERVED AS PRESIDENT AND EX OFFICIO MEMBER OF THE BOARD OF DIRECTORS OF THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL PARTNERS, INC. - .2 DR. STOVER ALSO SERVED AS A MEMBER OF THE BOARD OF DIRECTORS OF THE FOLLOWING RELATED ORGANIZATIONS: PARTNERS PHYSICIAN GROUP - .2 NHV PHYSICIANS PROFESSIONAL CORPORATION - 0 BEGINNING FEBRUARY 3, 2012, DR. STOVER SERVED AS A MEMBER OF THE BOARD OF DIRECTORS OF THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL MEDICAL CENTER - .5 AKRON GENERAL FOUNDATION - .2 COMMUNITY HEALTH VENTURES - .1 VISITING NURSE SERVICE - 0 VISITING HOURS, INC. - 0 VINCENT J. MCCORKLE THROUGH FEBRUARY 3, 2012, MR. MCCORKLE SERVED AS A MEMBER OF THE BOARD OF DIRECTORS FOR THE REPORTING ORGANIZATION. THROUGH FEBRUARY 3, 2012, MR. MCCORKLE SERVED AS CEO AND MEMBER EX-OFFICIO OF THE BOARD OF DIRECTORS FOR AKRON GENERAL HEALTH SYSTEM, A RELATED ORGANIZATION, AVERAGING 55.0 PER WEEK ON THOSE DUTIES. THROUGH FEBRUARY 3, 2012, MR. MCCORKLE SERVED AS A MEMBER OF THE BOARD OF DIRECTORS OF THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL MEDICAL CENTER - 2.0 AKRON GENERAL PARTNERS - .30 COMMUNITY HEALTH VENTURES, INC. - .30 LODI COMMUNITY HOSPITAL - .30 AKRON GENERAL FOUNDATION - .30 NHV PHYSCIANS PROFESSIONAL CORPORATION - .30 SANDRA SELBY SANDRA SELBY SERVED AS A MEMBER OF THE BOARD OF DIRECTORS FOR THE RESPORTING ORGANIZATION SPENDING AN AVERAGE OF .7 HOURS PER WEEK ON THOSE DUTIES. SANDRA SELBY ALSO SERVED AS A MEMBER OF THE BOARD OF DIRECTORS OF THE FOLLOWING RELATED TAX EXEMPT ORGANIZATION, AVERAGE HOURS PER WEEK CORRESPONDING: COMMUNITY HEALTH VENTURES, INC. - .2 BARBARA J. VIMONT THROUGH JUNE OF 2012, MS. VIMONT SERVED AS ASSISTANT SECRETARY FOR THE REPORTING ORGANIZATION, AVERAGING 0 HOURS PER ON THOSE DUTIES: THROUGH JUNE OF 2012, MS. VIMONT SERVED AS ASSISTANT SECRETARY FOR THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL PARTNERS - .1 PARTNERS PHYSICIAN GROUP - .2 COMMUNITY HEALTH VENTURES - 0.0 MS. VIMONT IS EMPLOYED AS ASSOCIATE LEGAL COUNSEL BY AKRON GENERAL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION, AVERAGING 50.0 HOURS PER WEEK ON THOSE DUTIES. CRAIG BABBITT MR. BABBITT SERVED AS SECRETARY FOR THE REPORTING ORGANIZATION. MR. BABBITT SPENT AN AVERAGE OF 0 HOURS PER WEEK ON THE AFOREMENTIONED DUTIES. MR. BABBITT ALSO SERVED AS EXECUTIVE VICE PRESIDENT, BUSINESS DEVELOPMENT AND CHIEF LEGAL OFFICER, AND SECRETARY FOR AKRON GENERAL HEALTH SYSTEM, AVERAGING 60.8 HOURS PER WEEK ON THOSE DUTIES. MR. BABBITT ALSO SERVED AS SECRETARY OF THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL MEDICAL CENTER - .4 AKRON GENERAL PARTNERS - .2 PARTNERS PHYSICIAN GROUP - .1 AKRON GENERAL FOUNDATION - .3 NHV PHYSICIANS PROFESSIONAL CORPORATION - 0 VISITING HOURS, INC. - 0 MR. BABBITT ALSO SERVED AS A MEMBER OF THE BOARD OF DIRECTORS AND SECRETARY OF THE FOLLOWING RELATED ORGANIZATION, AVERAGE HOURS PER WEEK CORRESPONDING: COMMNUITY HEALTH VENTURES, INC. - .1 DAVID FRIGO MR. FRIGO SERVED AS ASSISTANT TREASURER FOR THE REPORTING ORGANIZATION, AVERAGING 0 HOURS PER WEEK ON THOSE DUTIES. MR. FRIGO SERVED AS THE VICE PRESIDENT OF TREASURY SERVICES FOR AKRON GENERAL HEALTH SYSTEM, A RELATED ORGANIZATION, AVERAGING 60 HOURS PER WEEK ON THOSE DUTIES. MR. FRIGO SERVED AS ASSISTANT TREASURER OF THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL FOUNDATION - 0 COMMUNITY HEALTH VENTURES - 0 DEBBIE GORBACH THROUGH JULY 6, 2012, MRS. GORBACH SERVED AS ASSISTANT TREASURER OF THE REPORTING ORGANIZATION. FROM JULY 6, 2012 THROUGH SEPTEMBER 14, 2012, MRS. GORBACH SERVED AS INTERIM TREASURER FOR THE REPORTING ORGANIZATION. FROM SEPTEMBER 14, 2012, MRS. GORBACH SERVED AS ASSISTANT TREASURER OF THE REPORTING ORGANIZATION. MRS. GORBACH SPENT AN AVERAGE OF .1 HOURS PER WEEK ON THE AFOREMENTIONED DUTIES. THROUGH JULY 6, 2012 MRS. GORBACH SERVED THE AKRON GENERAL HEALTH SYSTEM, A RELATED ORGANIZATION, AS ASSISTANT TREASURER. FROM JULY 6, 2012 THROUGH SEPTEMBER 14, 2012, MRS. GORBACH SERVED AKRON GENERAL HEALTH SYSTEM AS INTERIM CHIEF FINANCIAL OFFICER AND INTERIM TREASURER. FROM SEPTEMBER 14, 2012 MRS. GORBACH SERVED AKRON GENERAL HEALTH SYSTEM AS ASSISTANT TREASURER. MRS. GORBACH WAS EMPLOYED BY AKRON GENERAL HEALTH SYSTEM AS V.P. OF ACCOUNTING AND FINANCE FOR THE ENTIRE YEAR. OVERALL, MRS GORBACH SPENT AN AVERAGE OF 57.8 HOURS PER WEEK ON THE AFOREMENTIONED DUTIES. FOR EACH OF THE FOLLOWING RELATED ORGANIZATIONS, MRS. GORBACH SERVED AS ASSISTANT TREASURER THROUGH JULY 6, 2012, AS INTERIM TREASURER FROM JULY 6, 2012 THROUGH SEPTEMBER 14, 2012 AND SERVED AS ASSISTANT TREASURER FROM SEPTEMBER 14 2012. AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL MEDICAL CENTER - .7 AKRON GENERAL FOUNDATION - .4 AKRON GENERAL PARTNERS - .4 NHV PHYSCIANS PROFESSIONAL CORPORATION - 0 COMMUNITY HEALTH VENTURES - .1 THROUGH JULY 6, 2012, MRS. GORBACH SERVED AS ASSISTANT TREASURER OF THE FOLLOWING RELATED ORGANIZATION. FROM JULY 6, 2012 THROUGH SEPTEMBER 14, 2012, MRS. GORBACH SERVED AS ITS INTERIM TREASURER. FROM SEPTEMBER 14, 2012, MRS. GORBACH SERVED AS ITS ASSISTANT TREASURER. MRS. GORBACH WAS A MEMBER OF ITS BOARD OF DIRECTORS FOR ALL OF 2012. AVERAGE HOURS PER WEEK CORRESPONDING: PARTNERS PHYSICIAN GROUP - .4 HOSPICE CARE OHIO - 0 SUE MCCARTHY BEGINNING SEPTEMBER 14, 2012 MS. MCCARTHY SERVED AS TREASURER OF THE REPORTING ORGANIZATION, AVERAGING 0 HOURS PER WEEK ON THOSE DUTIES. BEGINNING SEPTEMBER 14, 2012 MS. MCCARTHY SERVED AS, EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER AND TREASURER OF AKRON GENERAL HEALTH SYSTEM, AVERAGING 54.6 HOURS PER WEEK ON THOSE DUTIES. BEGINNING SEPTEMBER 14, 2012, MS. MCCARTHY SERVED AS TREASURER OF THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL MEDICAL CENTER - 1.1 AKRON GENERAL FOUNDATION - .1 AKRON GENERAL PARTNERS - .1 PARTNERS PHYSICIAN GROUP - .1 NHV PHYSCIANS PROFESSIONAL CORPORATION - 0 COMMNUITY HEALTH VENTURES, INC. - .1 KAREN TALBOTT - MS. TALBOTT IS A FORMER MEMBER OF THE BOARD OF DIRECTORS OF HOSPICE CARE OHIO. MS. TALBOTT IS ALSO THE FORMER PRESIDENT OF COMMUNITY HEALTH VENTURES. MS. TALBOTT SEPARATED FROM SERVICE IN 2011 AND THE COMPENSATION SHOWN IS PAID BY AKRON GENERAL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION, IN ACCORDANCE WITH MS. TALBOTT'S SEVERANCE AGREEMENT WITH COMMUNITY HEALTH VENTURES.TITLE AND HOURS FOR RELATED ORGANIZATION
FORM 990, PART XI, LINE 9:CHANGE IN VALUE TEMPORARILY RESTRICTED FUNDS 163,277. CHANGE IN DEPRECIATION FUND FOR CAPITAL PURPOSES 85,444.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CAKRON GENERAL HEALTH SYSTEM ISSUES AUDITED FINANCIAL STATEMENTS, PREPARED IN ACCORDANCE WITH GAAP, THAT REPRESENT THE CONSOLIDATION OF ITS FINANCIAL STATEMENTS WITH THOSE OF EACH ORGANIZATION WITHIN THE AKRON GENERAL HEALTH SYSTEM (COLLECTIVELY, THE "SYSTEM"). THE FINANCE AND AUDIT COMMITTEE OF AKRON GENERAL HEALTH SYSTEM'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE SYSTEM'S AUDIT.COMMITTEE RESPONSIBLE FOR OVERSIGHT OF AUDIT

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ADVANCED INFUSION SERVICES LTDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 HOME CARE PLACEAddressLine1
CityAKRONCity
StateOHState
ZIP Code44320ZIPCode
FieldValueIRS element (for citing)
EIN341847339EIN
Primary ActivitiesHOME INFUSION SERVICESPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Total Income2244995TotalIncome
EOY Assets1484787EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
AKRON GENERAL FOUNDATION
400 WABASH AVENUEAKRONOH44307341127047FUNDRAISINGOHIRC 501(C)(3)7AKRON GENERAL HEALTH SYSTEM1
AKRON GENERAL MEDICAL CENTER
400 WABASH AVENUEAKRONOH44307340714478HOSPITALOHIRC 501(C)(3)3AKRON GENERAL HEALTH SYSTEM1
COMMUNITY HEALTH VENTURES INC
1 HOME CARE PLACEAKRONOH44320341478435SUPPORTING ORGANIZATIONOHIRC 501(C)(3)11 TYPE III FIAKRON GENERAL HEALTH SYSTEM1
LODI COMMUNITY HOSPITAL
225 ELYRIA STREETLODIOH44254340718390HOSPITALOHIRC 501(C)(3)3AKRON GENERAL PARTNERS INC1
NHV PHYSICIANS PROFESSIONAL CORP
400 WABASH AVENUEAKRONOH44307341818688PRIMARY AND SPECIALTY OUTPATIENT HEALTHCAREOHIRC 501(C)(3)11 TYPE IPARTNERS PHYSICIAN GROUP1
PARTNERS PHYSICIAN GROUP
400 WABASH AVENUEAKRONOH44307341843403COMMUNITY HEALTH SERVICESOHIRC 501(C)(3)9AKRON GENERAL PARTNERS INC1
AKRON GENERAL MEDICAL CENTER SELF INSURANCE TRUST FUND
400 WABASH AVENUEAKRONOH44307341243687SUPPORTING ORGANIZATIONOHIRC 501(C)(3)11 TYPE IAKRON GENERAL MEDICAL CENTER1
VISITING NURSE SERVICE INC
1 HOME CARE PLACEAKRONOH44320340714779HOME HEALTH CAREOHIRC 501(C)(3)9COMMUNITY HEALTH VENTURES INC1
VISITING HOURS INC
1 HOME CARE PLACEAKRONOH44320341347010HOME HEALTH CAREOHIRC 501(C)(3)9COMMUNITY HEALTH VENTURES INC1
ROSE LANE INC
5425 HIGH MILL AVENUE NWMASSILLONOH44646341527202NURSING HOMEOHIRC 501(C)(3)9COMMUNITY HEALTH VENTURES INC1
AKRON GENERAL HEALTH SYSTEM
400 WABASH AVENUEAKRONOH44307341546466SUPPORTING ORGANIZATIONOHIRC 501(C)(3)11C, FINONE0
AKRON GENERAL PARTNERS INC
400 WABASH AVENUEAKRONOH44307201801493SUPPORTING ORGANIZATIONOHIRC 501(C)(3)11 TYPE IAKRON GENERAL HEALTH SYSTEM1

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
CHV HOME MEDICAL EQUIPMENT CO LLC
1 HOME CARE PLAKRONOH44320204760456DURABLE MEDICAL EQUIPMENTOHN/A
MONTROSE SLEEP CENTER
4125 MEDINA ROADAKRONOH44333200494491SLEEP LABOHN/A
AKRON SURGICAL ASSOC LLC
4125 MEDINA ROADAKRONOH44333010672877AMBULATORY SURGERY CENTEROHN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1VISITING NURSE EQUIPMENT & SUPPLIES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 HOME CARE PLACEAddressLine1
CityAKRONCity
StateOHState
ZIP Code44320ZIPCode
FieldValueIRS element (for citing)
EIN341442841EIN
Primary ActivityDURABLE MEDICAL EQUIPMENTPrimaryActivity
Legal Domicile StateOHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
AKRON GENERAL DEVELOPMENT FOUNDATION
C113628FMV
VISITING NURSE SERVICE INC
P359995FMV
VISITING NURSE SERVICE INC
Q240710FMV
VISITING NURSE SERVICE INC
S2205000FMV
VISITING NURSE SERVICE INC
R1852466FMV
VISITING NURSE SERVICE INC
J157006FMV
VISITING NURSE EQUIPMENT & SUPPLIES INC
R200000FMV

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