2012-11-13T12:38:19-06:00 2011-12-31 990 2011-01-01 341771508 HOSPICE CARE OHIO HOSP 3307451601 1 HOME CARE PLACE AKRON OH 44320 SUE J MCCARTHY 3307451601 2012-11-13 2011 2016-02-24 21:20:13Z HOSPICE OF VISITING NURSE SERVICE KAREN L MULLEN 1 HOME CARE PLACE AKRON OH 44320 19964508 0 X WWW.VNSA.COM X 1994 OH OUR MISSION IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITIES WE SERVE. 5 2 161 715 587804 0 756178 275122 17123920 16963403 257209 14018 35530 71454 18172837 17323997 0 0 0 0 5583806 5985373 0 0 0 11603196 11540025 17187002 17525398 985835 -201401 9880751 10860614 1020847 1905154 8859904 8955460 X OUR MISSION IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITIES WE SERVE. 0 0 12919013 14930276 AT-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.2011 SERVICE LEVELS - HOSPICE OF VISITING NURSE SERVICE PROVIDED CARE TO OVER 1,900 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 2011 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 4,000 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 500 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 25,000 HOURS OF THEIR TIME IN SUPPORT OF HOSPICE SERVICES OF HOSPICE OF VISITING NURSE SERVICE. 1276839 1516777 SINCE 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. 14195852 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 23 0 1 161 1 1 1 0 0 0 0 0 0 0 0 0 X 5 2 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 OH X DEBBIE GORBACH 3303446603 400 WABASH AVE AKRON OH 44307 X CHARLES M BILLOW 0.80 X X 0 0 0 MARK BOBER CPA 0.20 X 0 0 0 WILLIAM LOWERY 0.20 X 0 0 0 LOIS NORA MD JD 0.20 X 0 0 0 SANDRA SELBY REVEREND 0.20 X 0 0 0 KAREN L TALBOTT MSCPA 0.50 X X 0 434747 198114 STEPHEN GARY 0.00 X X 0 365876 13563 VINCENT MCCORKLE 0.30 X 0 1238616 24447 KAREN MULLEN 0.00 X X 0 192889 18902 CRAIG BABBITT 0.40 X 0 350783 35029 BARBARA VIMONT 0.00 X 0 135551 28410 DEBORAH GORBACH 0.20 X 0 296395 45593 DAVID FRIGO 0.00 X 0 167003 27151 RANDY FASNACHT 45.00 X 133692 0 18852 CHERYL ROBINSON 40.00 X 111216 0 22374 244908 3181860 432435 2 0 1 0 SODEXHO MARRIOTT SERV INC PO BOX 70060 CHICAGO IL 606730060 CONTRACTED FOOD SERVICES 277354 ARAMARK 115 NORTH FIRST STREET BURBANK CA 91502 CONTRACTED FACILITY SERVICES 249410 2 275122 275122 MEDICARE/MEDICAID 621610 14401432 14230454 170978 PRIVATE PAY MAJOR MED. 621610 2561971 2145145 416826 16963403 48050 48050 2604765 1714 2618833 21678 -14068 -19964 -34032 -34032 LEASED SERVICES 541900 58080 58080 MISC 9903 9903 MEALS - GUEST/EMPLOYEE 3471 3471 71454 17323997 16447053 587804 14018 X 5059348 4651783 407565 80678 80678 416115 350255 65860 429232 368506 60726 1855 1855 13919 13919 17265 17265 3806582 3606312 200270 17743 17743 2876458 2723372 153086 506959 441451 65508 192559 191161 1398 32888 32888 236 236 184699 155886 28813 48705 48705 ADMIN SVCS FROM PARENT 2991475 734650 2256825 BAD DEBT EXPENSE 822332 822332 MISCELLANEOUS EXPENSE 13412 5084 8328 RECRUITING EXPENSES 12938 11896 1042 17525398 14195852 3329546 0 320 320 503655 186456 2200769 3138461 104283 115250 50539 43350 2584958 1790190 493124 794768 3819921 2850771 239560 240159 2468580 3491079 9880751 10860614 983501 1684224 37346 220930 1020847 1905154 X 6813445 6997319 1100830 1096071 945629 862070 8859904 8955460 9880751 10860614 X -201401 296957 X X 0 1 1 X 0 X 1253212 1305571 1170654 791708 333202 4854347 13968625 13756794 15983430 17917569 14520121 76146539 15221837 15062365 17154084 18709277 14853323 81000886 0 0 0 81000886 103490 107961 81147 227984 48050 568632 103490 107961 81147 227984 48050 568632 15325327 15170326 17235231 18937261 14901373 81569518 0.99300 0.99240 0.00700 0.00760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 645 645 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: MIDWEST CARE ALLIANCE - $189 NATIONAL ASSOCIATION FOR HOMECARE AND HOSPICE - $370 NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION - $86 2046459 -79882 -6944 1493 1958140 1937798 76034 -33931 1304 2046459 2291717 106808 458959 1768 1937798 3559134 -184830 1079508 3079 2291717 0.44000 0.56000 0 0 227410 43692 183718 2357548 1746498 611050 794768 INTEREST IN FOUNDATION 1497085 RECEIVEABLES FROM AFFILIATES 1993994 3491079 17323997 17525398 -201401 -99580 0 -99580 -300981 16164144 -99580 -99580 16263724 1060273 1060273 17323997 16465125 0 16465125 1060273 1060273 17525398 PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE RECLASS 822,332. MANAGEMENT SERVICES RECLASS 220,676. BANK FEES RECLASS 17,265. PART XIII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE RECLASS 822,332. MANAGEMENT SERVICES RECLASS 220,676. BANK FEES RECLASS 17,265. 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. 0 1 0 0 0 0 0 0 0 KAREN L TALBOTT MSCPA 0 123717 0 35820 0 275210 0 158245 0 39869 0 632861 0 0 STEPHEN GARY 0 296353 0 0 0 69523 0 0 0 13563 0 379439 0 0 VINCENT MCCORKLE 0 791084 0 179219 0 268313 0 9800 0 14647 0 1263063 0 0 KAREN MULLEN 0 133466 0 7184 0 52239 0 14343 0 4559 0 211791 0 0 CRAIG BABBITT 0 278986 0 0 0 71797 0 16269 0 18760 0 385812 0 0 BARBARA VIMONT 0 131683 0 0 0 3868 0 14256 0 14154 0 163961 0 0 DEBORAH GORBACH 0 205629 0 50000 0 40766 0 24927 0 20666 0 341988 0 0 DAVID FRIGO 0 130220 0 26092 0 10691 0 13890 0 13261 0 194154 0 0 RANDY FASNACHT 132673 0 0 0 1019 0 320 0 18532 0 152544 0 0 0 PART I, LINE 4B 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 2011. KAREN L. TALBOTT - $20,141 CRAIG BABBITT - $18,000 STEPHEN GARY - $18,047 VINCENT MCCORKLE - $117,995 KAREN MULLEN - $5,916 DEBORAH GORBACH - $19,094 DAVID FRIGO - $3,794 SUPPLEMENTAL INFORMATION PART III COMMUNITY HEALTH VENTURES, INC. (34-1478435) IS THE SOLE MEMBER OF HOSPICE CARE OHIO. THE INDIVIDUAL EMPLOYEE LISTED BELOW IS A PAID EMPLOYEE OF COMMUNITY HEALTH VENTURES, INC. THE AMOUNT SHOWN ON SCHEDULE J PART II REFLECTS COMPENSATION FOR SERVICES TO THAT ORGANIZATION. KAREN L. TALBOTT IN 2011, KAREN MULLEN TRANSITIONED TO HER NEW ROLE AS PRESIDENT OF COMMUNITY HEALTH VENTURES. HER COMPENSATION WAS PAID BY THAT ORGANIZATION BEGINNING IN SEPTEMBER OF 2011. THE AMOUNT SHOWN ON SCHEDULE J PART II REFLECTS COMPENSATION FOR SERVICES TO THAT ORGANIZATION AS WELL AS COMPENSATION PAID BY PARTNERS PHYSICIAN GROUP THROUGH SEPTEMBER OF THAT YEAR FOR SERVICES RENDERED TO THAT ORGANIZATION. AKRON GENERAL HEALTH SYSTEM IS THE SOLE MEMBER OF AKRON GENERAL PARTNERS (20-1801493). AKRON GENERAL PARTNERS IS THE SOLE MEMBER OF PARTNERS PHYSICIAN GROUP (34-1843403). AKRON 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 VISITING HOURS, INC. 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. CRAIG BABBITT STEPHEN GARY VINCENT MCCORKLE BARBARA VIMONT DEBORAH GORBACH DAVID FRIGO FORM 990, PART VI, SECTION A, LINE 6 HOSPICE 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 7A COMMUNITY 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 7B COMMUNITY 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 11 HOSPICE 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 12C HOSPICE 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 POLICY, 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 GOVERNANACE 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 SAEFGUARD 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 DEPARTMENT ANNUALLY IN JANUARY. 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 DEPARTMENT. ANY SUBSEQUENTLY 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 15 THE 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 THE COMPENSATION OF THE REPORTING ORGANIZATION'S TOP MANAGEMENT PERSONNEL THAT IS BASED ON THE SAFE HARBOR DESCRIBED BY 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 THE COMPENSATION COMMITTEE OF THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS. THE COMPENSATION 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 2008. FORM 990, PART VI, SECTION C, LINE 19 CURRENTLY, 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. TITLE AND HOURS FOR RELATED ORGANIZATION FORM 990, PART VII, COLUMNS A AND B CHARLES M. BILLOW - MR. BILLOW SERVED AS A MEMBER OF THE BOARD OF DIRECTORS OF THE REPORTING ORGANIZATION. MR. BILLOW ALSO SERVED ON THE BOARD OF DIRECTORS OF AKRON GENERAL FOUNDATION, A RELATED TAX EXEMPT ORGANIZATION, FOR ALL OF 2011, SPENDING AN AVERAGE OF .5 HOURS PER WEEK ON THOSE DUTIES. IN ADDITION, MR. BILLOW SERVED AS A MEMBER OF THE BOARD OF DIRECTORS OF THE FOLLOWING RELATED, TAX EXEMPT ORGANIZATION THROUGH SEPTEMBER OF 2011, AVERAGE HOURS PER WEEK CORRESPONDING: COMMUNITY HEALTH VENTURES - .60 VISITING NURSE SERVICE - .50 MARK BOBER - THROUGH APRIL 2011, MR. BOBER SERVED AS A MEMBER OF THE BOARD OF DIRECTORS OF THE REPORTING ORGANIZATION. THROUGH SEPTEMBER OF 2011, MR. BOBER ALSO SERVED AS A MEMBER OF THE BOARD OF DIRECTORS OF THE FOLLOWING, RELATED, TAX EXEMPT ORGANIZATION: COMMUNITY HEALTH VENTURES - .20 KAREN TALBOTT - THROUGH JUNE 2011, MS. TALBOTT SERVED AS MEMBER EX OFFICIO OF THE BOARD OF DIRECTORS, PRESIDENT AND TREASURER OF THE REPORTING ORGANIZATION THROUGH JUNE 2011, MS. TALBOTT ALSO SERVED AS MEMBER EX OFFICIO OF THE BOARD OF DIRECTORS, PRESIDENT AND TREASURER OF THE FOLLOWING RELATED, TAX EXEMPT ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: COMMUNITY HEALTH VENTURES - 60.0 VISITING NURSE SERVICE - .50 ALSO THROUGH JUNE 2011, MS. TALBOTT SERVED AS A MEMBER EX OFFICIO OF THE BOARD OF DIRECTORS AND PRESIDENT OF THE FOLLOWING RELATED, TAX EXEMPT ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: ROSE LANE INC - .50 VISITING HOURS INC - .30 STEVE GARY - MR. GARY SERVED AS A MEMBER OF THE BOARD OF DIRECTORS AND TREASURER OF THE REPORTING ORGANIZATION FROM SEPTEMBER OF 2011. MR. GARY ALSO SERVED AS CHIEF FINANCIAL OFFICER AND TREASURER OF AKRON GENERAL HEALTH SYSTEM FROM FEBRUARY 2011, AVERAGING 60.0 HOURS PER WEEK ON THOSE DUTIES. BEGINNING FEBRUARY 2011, MR. GARY ALSO SERVED AS TREASURER OF FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL MEDICAL CENTER - .80 AKRON GENERAL FOUNDATION - .20 PARTNERS PHYSICIAN GROUP - .40 NHV PHYSCIANS PROFESSIONAL CORPORATION - .00 FROM SEPTEMBER OF 2011, MR. GARY ALSO SERVED AS TREASURER OF THE FOLLOWING RELATED ORGANIZATION, AVERAGE HOURS PER WEEK CORRESPONDING: LODI COMMUNITY HOSPITAL - 1.0 IN ADDITION, FROM SEPTEMBER 2011, 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 VISITING HOURS, INC. - .00 FROM SEPTEMBER OF 2011, MR. GARY SERVED AS A MEMBER OF THE BOARD OF DIRECTORS OF THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: PARTNERS PHYSICIAN GROUP - .40 NHV PHYSCIANS PROFESSIONAL CORPORATION - .00 VINCENT J. MCCORKLE - MR. MCCORKLE SERVED AS A MEMBER EX OFFICIO OF THE BOARD OF DIRECTORS FOR THE REPORTING ORGANIZATION. MR. MCCORKLE ALSO SERVED AS CEO AND MEMBER EX-OFFICIO OF THE BOARD OF DIRECTORS FOR AKRON GENERAL HEALTH SYSTEM, AVERAGING 55.0 PER WEEK ON THOSE DUTIES. IN ADDITION, MR. MCCORKLE SERVED AS MEMBER EX-OFFICIO 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 COMMNUITY HEALTH VENTURES, INC. - .30 LODI COMMUNITY HOSPITAL - .30 AKRON GENERAL FOUNDATION - .3 NHV PHYSCIANS PROFESSIONAL CORPORATION - .3 VISITING NURSE SERVICE - .30 VISITING HOURS, INC. - .30 KAREN MULLEN - BEGINNING IN SEPTEMBER OF 2011, MS. MULLEN SERVED ON THE BOARD OF DIRECTORS OF THE REPORTING ORGANIZATION AS A MEMBER EX OFFICIO. ENDING IN SEPTEMBER OF 2011, MS. MULLEN SERVED AS VICE PRESIDENT OF PHYSICIAN PRACTICE SERVICES FOR PARTNERS PHYSICIAN GROUP, A RELATED, TAX EXEMPT ORGANIZATION. MS. MULLEN SPENT AN AVERAGE OF 60.8 HOURS PER WEEK ON THESE DUTIES THROUGH SEPTEMBER. BEGINNING IN SEPTEMBER OF 2011, MS. MULLEN BECAME PRESIDENT OF COMMUNITY HEALTH VENTURES. MS. MULLEN ALSO SERVED ON THE BOARD OF DIRECTORS AS A MEMBER EX OFFICIO. THE AVERAGE HOURS REPORTED IN PART VII REFLECT THE AVERAGE HOURS SPENT ON MS. MULLEN'S DUTIES BEGINNING IN SEPTEMBER. BEGINNING IN SEPTEMBER OF 2011, 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 ROSE LANE, INC. - 0.0 CRAIG BABBITT - FROM SEPTEMBER OF 2011, MR. BABBITT SERVED AS SECRETARY FOR THE REPORTING ORGANIZATION. MR. BABBITT ALSO SERVED AS SR. V.P. LEGAL SERVICES & GENERAL COUNSEL AND SECRETARY FOR AKRON GENERAL HEALTH SYSTEM, AVERAGING 61.8 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 - 1.9 AKRON GENERAL PARTNERS - .60 PARTNERS PHYSICIAN GROUP - 1.4 AKRON GENERAL FOUNDATION - .30 FROM SEPTEMBER OF 2011, MR. BABBITT ALSO SERVED AS A MEMBER OF THE BOARD OF DIRECTORS AND SECRETARY OF THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: COMMNUITY HEALTH VENTURES, INC. - 1.0 VISITING NURSE SERVICE - .50 IN ADDITION, BEGINNING IN SEPTEMBER OF 2011, MR. BABBITT SERVED AS SECRETARY OF THE FOLLOWING RELATED ORGANIZATIONS: VISITING HOURS, INC. - 1.0 LODI COMMUNITY HOSPITAL - 1.0 BARBARA J. VIMONT - BEGINNING IN SEPTEMBER 2011 MS. VIMONT SERVED AS THE ASSISTANT SECRETARY FOR THE REPORTING ORGANIZATION. MS. VIMONT IS ALSO EMPLOYED AS ASSOCIATE LEGAL COUNSEL BY AKRON GENERAL HEALTH SYSTEM, AVERAGING 55.0 HOURS PER WEEK ON THOSE DUTIES. IN ADDITION MS. VIMONT SERVED AS ASSISTANT SECRETARY FOR THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL PARTNERS - .10 LODI COMMUNITY HOSPITAL - 1.0 MS. VIMONT ALSO SERVED AS ASSISTANT SECRETARY FROM SEPTEMBER OF 2011 FOR THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: COMMUNITY HEALTH VENTURES - .00 VISITING NURSE SERVICE - .00 VISITING HOURS, INC. - .00 MS. VIMONT ALSO SERVED AS ASSISTANT SECRETARY FOR AKRON GENERAL FOUNDATION, A RELATED ORGANIZAION, THROUGH SEPTEMBER OF 2011, AVERAGING 0.0 HOURS PER WEEK ON THOSE DUTIES. DEBBIE GORBACH - BEGINNING SEPTEMBER 2011, MRS. GORBACH SERVED AS ASSISTANT TREASURER OF THE REPORTING ORGANIZATION. MRS GORBACH ALSO SERVED AS THE INTERIM CHIEF FINANCIAL OFFICER AND TREASURER OF AKRON GENERAL HEALTH SYSTEM THROUGH FEBRUARY OF 2011 AND BEGINNING FEBRUARY 2011, MRS. GORBACH SERVED AS ASSISTANT TREASURER OF AKRON GENERAL HEALTH SYSTEM. FOR ALL OF 2011 MRS. GORBACH SERVED AS V.P. OF ACCOUNTING AND FINANCE FOR AKRON GENERAL HEALTH SYSTEM, AVERAGING 57.7 HOURS ON ALL AKRON GENERAL HEALTH SYSTEM DUTIES. MRS. GORBACH ALSO SERVED AS INTERIM TREASURER (THROUGH FEBRUARY 2011) AND ASSISTANT TREASURER (FROM FEBRUARY 2011) OF THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL MEDICAL CENTER - .20 AKRON GENERAL FOUNDATION - .30 AKRON GENERAL PARTNERS - .50 MRS. GORBACH ALSO SERVED AS A MEMBER OF THE BOARD OF DIRECTORS (FOR ALL OF 2011) AND INTERIM TREASURER (THROUGH FEBRUARY 2011) OF THE FOLLOWING RELATED ORGANIZATION, AVERAGE HOURS PER WEEK CORRESPONDING: PARTNERS PHYSICIAN GROUP - .50 IN ADDITION, FROM SEPTEMBER OF 2011, MRS. GORBACH SERVED AS ASSISTANT TREASURER OF THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: VISITING NURSE SERVICE - .20 VISITING HOURS, INC. - .20 COMMUNITY HEALTH VENTURES - .20 DAVID FRIGO - MR. FRIGO SERVED AS ASSISTANT TREASURER FOR THE REPORTING ORGANIZATION BEGINNING SEPTEMBER 2011. FOR ALL OF 2011, MR. FRIGO ALSO SERVED AS THE VICE PRESIDENT OF TREASURY SERVICES FOR AKRON GENERAL HEALTH SYSTEM, AVERAGING 57.5 HOURS PER WEEK ON THOSE DUTIES. IN ADDITION, BEGINNING IN SEPTEMBER OF 2011, MR. FRIGO SERVED AS ASSISTANT TREASURER OF THE FOLLOWING RELATED ORGANIZATIONS, AVERAGE HOURS PER WEEK CORRESPONDING: AKRON GENERAL FOUNDATION - .50 COMMUNITY HEALTH VENTURES - .00 VISITING NURSE SERVICE - .00 VISITING HOURS, INC. - .00 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -99,580. CHANGE IN VALUE UNRESTRICTED FUNDS 484,855. CHANGE IN VALUE TEMPORARILY RESTRICTED FUNDS -88,318. TOTAL TO FORM 990, PART XI, LINE 5: 296,957. COMMITTEE RESPONSIBLE FOR OVERSIGHT OF AUDIT FORM 990, PART XII, LINE 2C AKRON 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. 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