HOSPICE CARE OHIO: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE CARE OHIO (EIN 34-1771508)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-13
- IRS object ID
- 201243189349302619
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-13T12:38:19-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341771508 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE CARE OHIO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 3307451601 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 HOME CARE PLACE | AddressLine1 |
| City | AKRON | City |
| State | OH | State |
| ZIP Code | 44320 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUE J MCCARTHY | Name |
| Title | TREASURER | Title |
| Phone | 3307451601 | Phone |
| Date Signed | 2012-11-13 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF VISITING NURSE SERVICE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KAREN L MULLEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 HOME CARE PLACE | AddressLine1 |
| City | AKRON | City |
| State | OH | State |
| ZIP Code | 44320 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 19964508 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.VNSA.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | OUR MISSION IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITIES WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 161 | TotalNbrEmployees |
| Total Nbr Volunteers | 715 | TotalNbrVolunteers |
| Total Gross UBI | 587804 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 756178 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 275122 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 17123920 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 16963403 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 257209 | InvestmentIncomePriorYear |
| Investment Income Current Year | 14018 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 35530 | OtherRevenuePriorYear |
| Other Revenue Current Year | 71454 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 18172837 | TotalRevenuePriorYear |
| Total Revenue Current Year | 17323997 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5583806 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5985373 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 11603196 | OtherExpensePriorYear |
| Other Expenses Current Year | 11540025 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 17187002 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17525398 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 985835 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -201401 | RevenuesLessExpensesCY |
| Total Assets BOY | 9880751 | TotalAssetsBOY |
| Total Assets EOY | 10860614 | TotalAssetsEOY |
| Total Liabilities BOY | 1020847 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1905154 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8859904 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8955460 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | OUR MISSION IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITIES WE SERVE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 12919013 | Expense |
| Revenue | 14930276 | Revenue |
| Description | 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1276839 | Expense |
| Revenue | 1516777 | Revenue |
| Description | 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 14195852 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 23 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 161 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DEBBIE GORBACH | NamePerson |
| Telephone Number | 3303446603 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 WABASH AVE | AddressLine1 |
| City | AKRON | City |
| State | OH | State |
| ZIP Code | 44307 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| CHARLES M BILLOW | |||||||
| SEE SCHEDULE O | 0.80 | X | X | 0 | 0 | 0 | |
| MARK BOBER CPA | |||||||
| SEE SCHEDULE O | 0.20 | X | 0 | 0 | 0 | ||
| WILLIAM LOWERY | |||||||
| DIRECTOR | 0.20 | X | 0 | 0 | 0 | ||
| LOIS NORA MD JD | |||||||
| DIRECTOR | 0.20 | X | 0 | 0 | 0 | ||
| SANDRA SELBY REVEREND | |||||||
| DIRECTOR | 0.20 | X | 0 | 0 | 0 | ||
| KAREN L TALBOTT MSCPA | |||||||
| SEE SCHEDULE O | 0.50 | X | X | 0 | 434747 | 198114 | |
| STEPHEN GARY | |||||||
| SEE SCHEDULE O | 0.00 | X | X | 0 | 365876 | 13563 | |
| VINCENT MCCORKLE | |||||||
| SEE SCHEDULE O | 0.30 | X | 0 | 1238616 | 24447 | ||
| KAREN MULLEN | |||||||
| SEE SCHEDULE O | 0.00 | X | X | 0 | 192889 | 18902 | |
| CRAIG BABBITT | |||||||
| SEE SCHEDULE O | 0.40 | X | 0 | 350783 | 35029 | ||
| BARBARA VIMONT | |||||||
| SEE SCHEDULE O | 0.00 | X | 0 | 135551 | 28410 | ||
| DEBORAH GORBACH | |||||||
| SEE SCHEDULE O | 0.20 | X | 0 | 296395 | 45593 | ||
| DAVID FRIGO | |||||||
| SEE SCHEDULE O | 0.00 | X | 0 | 167003 | 27151 | ||
| RANDY FASNACHT | |||||||
| DIRECTOR PHARMACY SERVICES | 45.00 | 133692 | 0 | 18852 | X | ||
| CHERYL ROBINSON | |||||||
| PHARMACIST | 40.00 | 111216 | 0 | 22374 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 244908 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3181860 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 432435 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Related Organizations | 275122 | RelatedOrganizations |
| Total Contributions | 275122 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MEDICARE/MEDICAID | 621610 | 14401432 | 14230454 | 170978 |
| PRIVATE PAY MAJOR MED. | 621610 | 2561971 | 2145145 | 416826 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 16963403 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 48050 | TotalRevenueColumn |
| Exclusion | $48,050 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2604765 | Securities |
| Other | 1714 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2618833 | Securities |
| Other | 21678 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -14068 | Securities |
| Other | -19964 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -34032 | TotalRevenueColumn |
| Exclusion | -$34,032 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| LEASED SERVICES | 541900 | 58080 | 58080 |
| MISC | 9903 | 9903 | |
| MEALS - GUEST/EMPLOYEE | 3471 | 3471 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 71454 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17323997 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16447053 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 587804 | UnrelatedBusinessRevenue |
| Exclusion | $14,018 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5059348 | Total |
| Program Services | 4651783 | ProgramServices |
| Management And General | 407565 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80678 | Total |
| Program Services | 80678 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 416115 | Total |
| Program Services | 350255 | ProgramServices |
| Management And General | 65860 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 429232 | Total |
| Program Services | 368506 | ProgramServices |
| Management And General | 60726 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1855 | Total |
| Program Services | 1855 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13919 | Total |
| Management And General | 13919 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17265 | Total |
| Management And General | 17265 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3806582 | Total |
| Program Services | 3606312 | ProgramServices |
| Management And General | 200270 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17743 | Total |
| Program Services | 17743 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2876458 | Total |
| Program Services | 2723372 | ProgramServices |
| Management And General | 153086 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 506959 | Total |
| Program Services | 441451 | ProgramServices |
| Management And General | 65508 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192559 | Total |
| Program Services | 191161 | ProgramServices |
| Management And General | 1398 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32888 | Total |
| Program Services | 32888 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 236 | Total |
| Management And General | 236 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184699 | Total |
| Program Services | 155886 | ProgramServices |
| Management And General | 28813 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48705 | Total |
| Management And General | 48705 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| ADMIN SVCS FROM PARENT | 2991475 | 734650 | 2256825 |
| BAD DEBT EXPENSE | 822332 | 822332 | |
| MISCELLANEOUS EXPENSE | 13412 | 5084 | 8328 |
| RECRUITING EXPENSES | 12938 | 11896 | 1042 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17525398 | Total |
| Program Services | 14195852 | ProgramServices |
| Management And General | 3329546 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 320 | BOY |
| EOY | 320 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 503655 | BOY |
| EOY | 186456 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2200769 | BOY |
| EOY | 3138461 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104283 | BOY |
| EOY | 115250 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50539 | BOY |
| EOY | 43350 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2584958 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1790190 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 493124 | BOY |
| EOY | 794768 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3819921 | BOY |
| EOY | 2850771 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 239560 | BOY |
| EOY | 240159 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2468580 | BOY |
| EOY | 3491079 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9880751 | BOY |
| EOY | 10860614 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 983501 | BOY |
| EOY | 1684224 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37346 | BOY |
| EOY | 220930 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1020847 | BOY |
| EOY | 1905154 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6813445 | BOY |
| EOY | 6997319 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1100830 | BOY |
| EOY | 1096071 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 945629 | BOY |
| EOY | 862070 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8859904 | BOY |
| EOY | 8955460 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9880751 | BOY |
| EOY | 10860614 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -201401 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 296957 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1253212 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1305571 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1170654 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 791708 | CurrentTaxYearMinus1Year |
| Current Tax Year | 333202 | CurrentTaxYear |
| Total | 4854347 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13968625 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13756794 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 15983430 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17917569 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14520121 | CurrentTaxYear |
| Total | 76146539 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15221837 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 15062365 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17154084 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18709277 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14853323 | CurrentTaxYear |
| Total | 81000886 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 81000886 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 103490 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 107961 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 81147 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 227984 | CurrentTaxYearMinus1Year |
| Current Tax Year | 48050 | CurrentTaxYear |
| Total | 568632 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 103490 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 107961 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 81147 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 227984 | CurrentTaxYearMinus1Year |
| Current Tax Year | 48050 | CurrentTaxYear |
| Total | 568632 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15325327 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 15170326 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17235231 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18937261 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14901373 | CurrentTaxYear |
| Total | 81569518 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99300 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99240 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00700 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00760 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $645 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 645 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | MIDWEST CARE ALLIANCE - $189 NATIONAL ASSOCIATION FOR HOMECARE AND HOSPICE - $370 NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION - $86 | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2046459 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -79882 | InvestmentEarningsOrLosses |
| Other Expenditures | -6944 | OtherExpenditures |
| Administrative Expenses | 1493 | AdministrativeExpenses |
| End Of Year Balance | 1958140 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1937798 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 76034 | InvestmentEarningsOrLosses |
| Other Expenditures | -33931 | OtherExpenditures |
| Administrative Expenses | 1304 | AdministrativeExpenses |
| End Of Year Balance | 2046459 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2291717 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 106808 | InvestmentEarningsOrLosses |
| Other Expenditures | 458959 | OtherExpenditures |
| Administrative Expenses | 1768 | AdministrativeExpenses |
| End Of Year Balance | 1937798 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3559134 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -184830 | InvestmentEarningsOrLosses |
| Other Expenditures | 1079508 | OtherExpenditures |
| Administrative Expenses | 3079 | AdministrativeExpenses |
| End Of Year Balance | 2291717 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.44000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.56000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 227410 | OtherCostOrOtherBasis |
| Depreciation | 43692 | Depreciation |
| Book Value | 183718 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2357548 | OtherCostOrOtherBasis |
| Depreciation | 1746498 | Depreciation |
| Book Value | 611050 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 794768 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTEREST IN FOUNDATION | 1497085 |
| RECEIVEABLES FROM AFFILIATES | 1993994 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3491079 | TotalBookValueOtherAssets |
| Total Revenue | 17323997 | TotalRevenue |
| Total Expenses | 17525398 | TotalExpenses |
| Excess Or Deficit For Year | -201401 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -99580 | NetUnrealizedGLOnInvestments |
| Other | $0 | OtherAmount |
| Total Adjustments | -99580 | TotalAdjustments |
| Excess Or Deficit Per FS | -300981 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 16164144 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -99580 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -99580 | RevenueNotRptdF990 |
| Revenue Subtotal | 16263724 | RevenueSubtotal |
| Other Revenues Not Included | 1060273 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1060273 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 17323997 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 16465125 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 16465125 | ExpensesSubtotal |
| Other Expenses Not Included | 1060273 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1060273 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 17525398 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 | |
| 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 | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | |
| 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 | TITLE AND HOURS FOR RELATED ORGANIZATION |
| 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 | ||
| 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. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| 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. | COMMITTEE RESPONSIBLE FOR OVERSIGHT OF AUDIT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVANCED INFUSION SERVICES LTD | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 HOME CARE PLACE | AddressLine1 |
| City | AKRON | City |
| State | OH | State |
| ZIP Code | 44320 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341847339 | EIN |
| Primary Activities | HOME INFUSION SERVICES | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
| Total Income | 2082911 | TotalIncome |
| EOY Assets | 1170462 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| AKRON GENERAL FOUNDATION | ||||||||||
| 400 WABASH AVENUE | AKRON | OH | 44307 | 341127047 | FUNDRAISING | OH | IRC 501(C)(3) | 7 | AKRON GENERAL HEALTH SYSTEM | 1 |
| AKRON GENERAL MEDICAL CENTER | ||||||||||
| 400 WABASH AVENUE | AKRON | OH | 44307 | 340714478 | HOSPITAL | OH | IRC 501(C)(3) | 3 | AKRON GENERAL HEALTH SYSTEM | 1 |
| COMMUNITY HEALTH VENTURES INC | ||||||||||
| 1 HOME CARE PLACE | AKRON | OH | 44320 | 341478435 | SUPPORTING ORGANIZATION | OH | IRC 501(C)(3) | 11 TYPE III FI | AKRON GENERAL HEALTH SYSTEM | 1 |
| LODI COMMUNITY HOSPITAL | ||||||||||
| 225 ELYRIA STREET | LODI | OH | 44254 | 340718390 | HOSPITAL | OH | IRC 501(C)(3) | 3 | AKRON GENERAL PARTNERS INC | 1 |
| NHV PHYSICIANS PROFESSIONAL CORP | ||||||||||
| 400 WABASH AVENUE | AKRON | OH | 44307 | 341818688 | PRIMARY AND SPECIALTY OUTPATIENT HEALTHCARE | OH | IRC 501(C)(3) | 11 TYPE I | PARTNERS PHYSICIAN GROUP | 1 |
| PARTNERS PHYSICIAN GROUP | ||||||||||
| 400 WABASH AVENUE | AKRON | OH | 44307 | 341843403 | COMMUNITY HEALTH SERVICES | OH | IRC 501(C)(3) | 9 | AKRON GENERAL PARTNERS INC | 1 |
| AKRON GENERAL MEDICAL CENTER SELF INSURANCE TRUST FUND | ||||||||||
| 400 WABASH AVENUE | AKRON | OH | 44307 | 341243687 | SUPPORTING ORGANIZATION | OH | IRC 501(C)(3) | 11 TYPE I | AKRON GENERAL MEDICAL CENTER | 1 |
| VISITING NURSE SERVICE INC | ||||||||||
| 1 HOME CARE PLACE | AKRON | OH | 44320 | 340714779 | HOME HEALTH CARE | OH | IRC 501(C)(3) | 9 | COMMUNITY HEALTH VENTURES INC | 1 |
| VISITING HOURS INC | ||||||||||
| 1 HOME CARE PLACE | AKRON | OH | 44320 | 341347010 | HOME HEALTH CARE | OH | IRC 501(C)(3) | 9 | COMMUNITY HEALTH VENTURES INC | 1 |
| ROSE LANE INC | ||||||||||
| 5425 HIGH MILL AVENUE NW | MASSILLON | OH | 44646 | 341527202 | NURSING HOME | OH | IRC 501(C)(3) | 9 | COMMUNITY HEALTH VENTURES INC | 1 |
| AKRON GENERAL HEALTH SYSTEM | ||||||||||
| 400 WABASH AVENUE | AKRON | OH | 44307 | 341546466 | SUPPORTING ORGANIZATION | OH | IRC 501(C)(3) | 11C, FI | NONE | 0 |
| AKRON GENERAL PARTNERS INC | ||||||||||
| 400 WABASH AVENUE | AKRON | OH | 44307 | 201801493 | SUPPORTING ORGANIZATION | OH | IRC 501(C)(3) | 11 TYPE I | AKRON GENERAL HEALTH SYSTEM | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| CHV HOME MEDICAL EQUIPMENT CO LLC | |||||||
| 1 HOME CARE PL | AKRON | OH | 44320 | 204760456 | DURABLE MEDICAL EQUIPMENT | OH | N/A |
| MONTROSE SLEEP CENTER | |||||||
| 4125 MEDINA ROAD | AKRON | OH | 44333 | 200494491 | SLEEP LAB | OH | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VISITING NURSE EQUIPMENT & SUPPLIES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 HOME CARE PLACE | AddressLine1 |
| City | AKRON | City |
| State | OH | State |
| ZIP Code | 44320 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341442841 | EIN |
| Primary Activity | DURABLE MEDICAL EQUIPMENT | PrimaryActivity |
| Legal Domicile State | OH | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| AKRON GENERAL DEVELOPMENT FOUNDATION | ||
| C | 759440 | FMV |
| VISITING NURSE SERVICE INC | ||
| O | 3132630 | FMV |
| VISITING NURSE SERVICE INC | ||
| P | 2518559 | FMV |
| VISITING NURSE EQUIPMENT & SUPPLIES INC | ||
| O | 115641 | FMV |
| VISITING NURSE EQUIPMENT & SUPPLIES INC | ||
| P | 110000 | FMV |