2026-01-21T11:17:54-06:00 2025-06-30 825354495 GRAY GRIFFITH & MAYS - MORGANTOWN PLLC 400 FORT PIERPONT DR SUITE 202 MORGANTOWN WV 26508 990 2024-07-01 341484014 CRAWFORD COUNTY SHARED HEALTH SERVICES INC CRAW 4194687985 1220 NORTH MARKET STREET GALION OH 44833 JEROME B MORASKO BOARD PRESIDENT 4194687985 2026-01-16 1 1 WILLIAM T CUPPETT P01201114 3042411267 2024 2025-03-06 01:10:19Z AVITA HOME HEALTH & HOSPICE JEROME B MORASKO 1220 NORTH MARKET STREET GALION OH 44833 5397558 0 X WWW.AVITAHOMEHEALTH.ORG X 1985 OH PROVIDE IN-HOME MEDICAL CARE TO THOSE UNDER A DOCTOR'S CARE, BUT NOT NEEDING FULL-TIME MEDICAL CARE AND COMPREHENSIVE HOSPICE SERVICES TO THOSE ELECTING INDIVIDUALS WITH A LIFE EXPECTANCY OF LESS THAN SIX MONTHS. 7 7 70 23 0 0 249039 102741 5833230 5177941 59837 94716 171662 9503 6313768 5384901 0 0 0 0 3725736 4125132 0 0 0 2412421 2143517 6138157 6268649 175611 -883748 5141123 3859707 776783 673365 4364340 3186342 TO PROVIDE QUALITY COMMUNITY HEALTH CARE AND IMPROVE THE QUALITY OF HEALTH IN FAMILIES THROUGHOUT THEIR LIFESPAN. 0 0 4219281 5182525 THE ORGANIZATON SERVED 428 MEDICARE, 39 MEDICAID, AND 857 OTHER HOME HEALTH PATIENTS COMPLETING A TOTAL OF 25,548 VISITS. THE ORGANIZATION ALSO SERVED 235 HOSPICE PATIENTS PROVIDING 11,228 DAYS OF CARE. THESE SERVICES ARE IN ADDITION TO VARIOUS PERSONAL CARE SERVICES (44 VISITS) PROVIDED TO ASSIST 25 PATIENTS TO BE SERVED IN THE HOME RATHER THAN AN INSTITUTIONAL SETTING. THESE SERVICES ARE PROVIDED BY APPROXIMATELY 37 FTE EMPLOYEES PROVIDING NURSING, SOCIAL SERVICES, AIDES SERVICES, AND ADMINISTRATIVE OVERSIGHT/SUPPORT, AND APPROXIMATELY 6 CONTRACTED FTES PROVIDING THERAPY SERVICES. 4219281 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 11 0 1 70 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X NATALIE EARL 4194687985 1220 N MARKET ST GALION OH 448330327 X JEROME B MORASKO PRESIDENT 0.30 X X 0 0 0 KAY MCDONALD SECRETARY/TREASURER 0.30 X X 0 0 0 MARK SCHNEIDER BOARD MEMBER 0.30 X 0 0 0 JASON R MCMULLEN BOARD MEMBER 0.30 X 0 0 0 KIM WINKLE BOARD MEMBER 0.30 X 0 0 0 ERIC DRAIME BOARD MEMBER 0.30 X 0 0 0 KYM FOX BOARD MEMBER 0.30 X 0 0 0 AMANDA KOVOLYAN MEDICAL DIRECTOR 4.00 X 48750 0 0 CATHERINE SAPP EXECUTIVE DIRECTOR 40.00 X 200640 0 0 NATALIE EARL FINANCIAL DIRECTOR 40.00 X 124415 0 0 373805 0 0 2 0 1 0 BUCURUS COMMUNITY HOSPITAL 629 NORTH SANDUSKY AVENUE BUCYRUS OH 44820 MEDICAL & HEALTH CARE PT, ST & OT 459091 AVITA SUMMIT THERAPY 269 PORTLAND WAY NORTH GALION OH 44833 PT, ST & OT 372830 2 86470 16271 102741 PATIENT REVENUE, NET 621400 5177941 5177941 5177941 95151 95151 11341 11776 -435 -435 -435 5365 881 4484 4484 REFUND OF BWC AND OTHE 621400 5019 5019 5019 5384901 5182525 0 99635 X 320707 320707 2758023 1758779 999244 44314 21350 22964 760145 512022 248123 241943 152706 89237 10787 10787 1286693 1232859 53834 41212 41212 64116 34910 29206 59644 31152 28492 158289 150992 7297 12242 6394 5848 87540 45722 41818 15093 7883 7210 MEDICAL EXPENSE 203357 203357 OTHER EXPENSES 174762 17199 157563 EQUIPMENT RENTAL AND RE 29782 2744 27038 6268649 4219281 2049368 0 110211 11107 3292349 2668886 1157064 546734 13080 21918 2118960 1509398 566919 609562 1500 1500 5141123 3859707 438035 409722 86470 252278 263643 776783 673365 X 4358840 3180842 5500 5500 4364340 3186342 5141123 3859707 -883748 -294250 0 X X 0 0 0 X 42740 510471 365779 249039 102741 1270770 2521343 5019315 4753190 5833230 5177941 23305019 2564083 5529786 5118969 6082269 5280682 24575789 0 0 0 24575789 478 2358 47702 59837 95151 205526 478 2358 47702 59837 95151 205526 -81 20763 14697 171662 9513 216554 2564480 5552907 5181368 6313768 5385346 24997869 0.98310 0.97740 0.00820 0.00440 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 494 494 0 PART II-B, LINE 1, LOBBYING ACTIVITIES CRAWFORD PAYS ANNUAL DUES TO THE OHIO COUNCIL FOR HOME CARE AND HOSPICE OF WHICH 13% PERTAINED TO LOBBYING ACTIVITIES INCURRED BY THE ORGANIZATION ON BEHALF OF THEIR MEMBER ORGANIZATIONS. 78400 78400 1442203 1047026 395177 598357 462372 135985 609562 SCHEDULE D - PART VI ALL PROPERTY AND EQUIPMENT IS USED IN SUPPORT OF THE TAX-EXEMPT ACTIVITIES CONDUCTED. X X 0 0 0 0 0 0 0 0 0 CATHERINE SAPP EXECUTIVE DIRECTOR 198225 0 0 0 2415 0 0 0 0 0 200640 0 0 0 REX A CRAMER BOARD MEMBER (FORMER) 54 THE BOARD MEMBER IS THE OWNER OF QUAY DRUGS. THE TAX-EXEMPT ENTITY PURCHASES DRUGS AND OTHER SUPPLIES USED IN THE PROVISION OF HOME HEALTH AND HOSPICE SERVICES. 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE ORGANIZATION SHALL CONSIST OF HEALTH CARE SERVICE PROVIDERS AND SHALL BE THE FOLLOWING ENTITIES: (1) BUCYRUS COMMUNITY HOSPITAL (2) GALION COMMUNITY HOSPITAL BUCYRUS COMMUNITY HOSPITAL AND GALION COMMUNITY HOSPITAL ARE UNDER THE MANAGEMENT OF AVITA HEALTH SYSTEM. THE PRESIDENT OF THE BOARD IS THE CEO OF AVITA HEALTH SYSTEM AND ONLY VOTES IN THE EVENT OF A TIE. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER SHALL HAVE THE RIGHT TO ELECT THREE (3) DIRECTORS. THE MEMBERS SHALL ELECT THE DIRECTORS AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING OF THE MEMBERS CALLED FOR THAT PURPOSE. FORM 990, PART VI, SECTION A, LINE 7B THE POWERS OF THE CORPORATION SHALL BE EXERCISED, ITS BUSINESS AND AFFAIRS CONDUCTED, AND ITS PROPERTY MANAGED UNDER THE DIRECTION OF THE BOARD EXCEPT AS OTHERWISE PROVIDED BY THE LAWS OF THE STATE OF OHIO, BY THE ARTICLES OF INCORPORATION, OR BY THE CODE OF REGULATIONS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD AT A MEETING SCHEDULED PRIOR TO THE FILING DEADLINE (NORMAL OR UNDER EXTENSION). THEY PROVIDE COMMENTS TO MANAGEMENT AS NEEDED. THE BOARD VOTES TO APPROVE AND ACCEPT THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C FORM 990, PART VI, SECTION B, LINE 12C: THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED AND SIGNED BY EACH OFFICER AND VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY, EACH OFFICER AND BOARD MEMBER WILL RECUSE THEMSELVES FROM ANY DISCUSSION AND VOTE FOR WHICH A CONFLICT FOR THEMSELVES OR THEIR FAMILY EXISTS. DETERMINATIONS OF WHETHER A CONFLICT EXISTS ARE MADE AT A MANAGEMENT, BOARD MEMBER, OFFICER AND INDIVIDUAL LEVEL. ADDITIONALLY, EMPLOYEES ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST FORM ANNUALLY AND DISCLOSE ANY INFORMATION REGARDING THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION FOLLOWS THE PROCESS DESCRIBED IN TREASURY REGULATION 4958(6)(C) FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS IN THE REVIEW, APPROVAL AND DOCUMENTATION OF OFFICER, KEY MANAGEMENT, AND DIRECTOR COMPENSATION. AS PART OF THE ANNUAL BUDGETING PROCESS, THE ENTIRE GOVERNING BOARD REVIEWS AND APPROVES THE ENTIRE COMPENSATION PACKAGE OF EACH PERSON BASED ON COMPARABILITY FACTORS INCLUDING BUT NOT LIMITED TO THE SIZE OF THE ORGANIZATION, THE GEOGRAPHICAL LOCATION OF THE ORGANIZATION, AND THE EMPLOYEE'S LENGTH OF SERVICE. THE GOVERNING BODY APPOINTS A COMPENSATION COMMITTEE TO GATHER COMPARABLE DATA AND TO MAKE RECOMMENDATIONS TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990 PART VII: DIRECTORS COMPENSATION FROM RELATED ORGANIZATIONS BOARD OF DIRECTORS COMPENSATION FROM RELATED ORGANIZATIONS WAS REQUESTED FOR DISCLOSURE; HOWEVER, THE INFORMATION WAS NOT PROVIDED AS IT IS DISCLOSED IN THE FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AS APPLICABLE, FOR THE RELATED ORGANIZATION. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 1,232,859. MANAGEMENT AND GENERAL EXPENSES 53,834. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,286,693. FORM 990 PART XII LINE 2C: RESPONSIBILITY FOR FINANCIAL OVERSIGHT THE BOARD OF DIRECTORS APPROVES ANY CHANGE IN THE INDEPENDENT ACCOUNTANT. THEY ALSO APPROVE THE INTERNAL FINANCIAL STATEMENTS ON A MONTHLY BASIS AND THE COMPILED OR AUDITED FINANCIAL STATEMENTS ANNUALLY. AVITA HEALTH SYSTEM 269 PORTLAND WAY S GALION OH 44833 274385692 MANAGEMENT COMPANY -GALION COMMUNITY HOSPITAL AND BUCYRUS COMMUNITY HOSPITAL OH 501(C)(3) 170(B)(1)(A)(III) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 BUCYRUS COMMUNITY HOSPITAL P 459467 STANDARD CHARGES AVITA SUMMIT THERAPY & PERFORMANCE CENTER P 372830 STANDARD CHARGES GALION COMMUNITY HOSPITAL P 41912 STANDARD CHARGES AVITA ONTARIO PHARMACY P 66595 STANDARD CHARGES