Appalachian Community Visiting Nurse Association Hospice and Health Services

“Persons listed in Part VII may have a "business relationship" with each other by virtue of sitting on related OhioHealth entity boards or by virtue of their employment with related OhioHealth entities. OhioHealth Corporation has an ownership interest in limited liability companies (LLCs) that provide healthcare or related services. As a member of such LLCs, OhioHealth Corporation has the right to appoint two individuals to the managing board of such LLCs. As a result, these individuals may be deemed to have a "business relationship" with each other for purposes of Part VI, Section A, Line 2. Kerrii B. Anderson, Treasurer of OhioHealth Corporation, and John P. McConnell, Vice Chair of OhioHealth Corporation, have a business relationship.”

“The organization entered into a management agreement with HomeReach, an Ohio not-for-profit corporation, effective from November 6, 2012. This agreement was in effect until Appalachian Community Visiting Nurse Association ("ACVNA") became part of OhioHealth in January of 2014. HomeReach is a wholly-owned subsidiary of OhioHealth Corporation, an Ohio nonprofit corporation that is exempt from federal income tax under Section 501(c)(3). The management agreement required the management company to perform management services and oversight of daily operations, IT and support services, billing and collection services, and compliance with laws and regulations.”

“Sheltering Arms Hospital Foundation, Inc. d/b/a O'Bleness Memorial Hospital is the sole member of the organization.”

“The sole member has the right to elect or appoint members of the governing body.”

“Governance decisions of the organization, such as approval of the election or removal of members of the governing body and decisions to dissolve, are reserved for the sole member.”

“Corporate Finance, using a public accounting tax firm, prepares the Form 990. Multiple levels of internal review occur, as well as a presentation to the Board Finance and Audit Committee, prior to copies being provided to the Board before filing.”

“The conflict of interest policy has been reviewed by independent tax counsel to assure its compliance with the requirements of the Internal Revenue Service. The policy requires all officers, directors and key employees to complete an annual questionnaire pertaining to conflicts of interest. The questionnaire is administered by the General Counsel of OhioHealth. The responses are recorded and reported to the Board in the format approved by the Chair of the Board (a community member). In the interim between questionnaires, conflicts are to be reported to the General Counsel, who will advise the conflicted officer, director or key employee on the steps required to manage or clear the conflict. Failure to report a conflict, or failure to follow the steps advised to clear the conflict, constitutes grounds for disciplinary action. Members of the governing board with a transactional conflict are required to recuse themselves from any discussion and/or vote pertaining to the conflicted transaction, and this is reflected in the minutes of the organization. Legal counsel attends Board meetings and Board committee meetings with the instruction to assure the conflict of interest policy is followed.”

“For the period 07/01/2013 - 01/07/2014, the CEO was compensated through an unrelated management company, OhioHealth Hospital Management Services, LLC. The contract with the management company is reviewed and approved by the board. The compensation for the CEO is reviewed and approved by the management company.”

“Information is made available as required.”

“Net Assets Released from Restriction -103,617. Inherent Contributions from Acquisition of Hospitals 113,766. Temp Restriction Reclass from Operating Cash -7,036. Restricted Contributions 56,415.”