1
EXHIBIT 2.1
CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF
SCHEDULES 4.8, 4.11(G) AND 4.20 OF THIS EXHIBIT. THE CONFIDENTIAL
PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
SECURITIES AND EXCHANGE COMMISSION
STOCK PURCHASE AGREEMENT
AMONG
COMMUNITY CARE SERVICES, INC.,
AS XXXXX
AND
XXXXXX XXXXXXXX, XXXXX XXXXX
AND XXXXXXX X. XXXXX,
AS XXXXXXX
MAY 10, 1997
2
STOCK PURCHASE AGREEMENT
AMONG
COMMUNITY CARE SERVICES, INC.,
AS XXXXX
AND
XXXXXX XXXXXXXX, XXXXX XXXXX AND XXXXXXX X. XXXXX,
AS XXXXXXX
TABLE OF CONTENTS
PAGE
Preliminary Statement .......................................................1
ARTICLE 1 CERTAIN DEFINITIONS ...............................................1
ARTICLE 2 SALE AND PURCHASE OF SHARES ......................................5
2.1 Shares to be Acquired ...................................................5
2.2 Purchase Price ..........................................................5
ARTICLE 3 CERTAIN SPECIFIC MATTERS RELATING TO EMPLOYMENT,
NON-COMPETITION, APPOINTMENTS OF SELLERS AND PURCHASE
SHARES ........................................................6
3.1 Employment Agreements ...................................................6
3.2 Employment Agreements with Sellers ......................................6
3.3 Appointments of Sellers..................................................6
3.4 Tag Along Rights.........................................................6
ARTICLE 4 REPRESENTATIONS AND WARRANTIES OF SELLER ..........................7
4.1 Representations Regarding the Company and the Shares.....................7
4.2 Compliance with Law......................................................8
4.3 Authority and Compliance.................................................8
4.4 Inventory, Machinery, Equipment and Other Property.......................9
4.5 Contracts................................................................11
4.6 Facilities...............................................................12
4.7 Legal Proceedings, Etc...................................................12
4.8 Substantial Clients......................................................13
4.9 Substantial Suppliers....................................................14
4.10 No Finder...............................................................14
4.11 Absence of Certain Events...............................................14
4.12 Dating of Schedules.....................................................15
4.13 Delivery of Documents...................................................15
4.14 Taxes .........................................................15
4.15 Officers and Directors..................................................15
3
TABLE OF CONTENTS (contd)
4.16 Bank Accounts...........................................................16
4.17 Business Operations.....................................................16
4.18 Contracts and Agreement with Sellers....................................17
4.19 Financial Statements....................................................17
4.20 Compliance with ERASE...................................................18
4.21 Authority...............................................................19
4.22 Relationships...........................................................19
4.23 No Omissions or Untrue Statements.......................................20
4.24 Medicare, Medicaid and Other Third Party Payers.........................20
4.25 Company Employees.......................................................21
4.26 Labor Relations.........................................................22
4.27 WARN Act................................................................22
ARTICLE 5 REPRESENTATIONS AND WARRANTIES OF BUYER..................22
5.1 Organization and Good Standing..........................................22
5.2 Compliance with Law.....................................................23
5.3 Authority and Compliance................................................23
5.4 No Finder...............................................................24
5.5 Legal Proceedings, Etc..................................................24
5.6 No Omissions or Untrue Statements.......................................24
5.7 Absence of Certain Events...............................................25
5.8 Taxes 26
5.9 Business Operations.....................................................26
5.10 Medicare, Medicaid and Other Third-Party Payers.........................27
5.11 Labor Relations.........................................................28
ARTICLE 6 CLOSING PROCEDURES.......................................29
6.1 Closing ................................................................29
6.2 Closing Deliveries of Sellers...........................................29
6.3 Closing Deliveries of Buyer.............................................30
ARTICLE 7 ENVIRONMENTAL MATTERS....................................31
7.1 Definitions.............................................................31
7.2 Environmental Representations and Warranties............................32
7.3 Application of Article 9................................................33
ARTICLE 8 CERTAIN COVENANTS OF THE PARTIES
8.1 Third Party Consents....................................................33
8.2 Medicare and Medicaid Reporting.........................................33
8.3 Cooperation.............................................................34
8.4 Confidentiality.........................................................34
8.5 Insurance. . . . . . . . . . . . . . . . . . . . . .....................34
8.6 Automobile. . . . ......................................................34
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TABLE OF CONTENTS (contd)
ARTICLE 9 INDEMNIFICATION..........................................35
9.1 Indemnification of Buyer................................................35
9.2 Indemnification of Sellers..............................................35
9.3 Indemnification Procedures Involving
Only Sellers and Buyer...............................................36
9.4 Certain Procedures Regarding
Indemnification of Third Party Claims, Etc..............................37
9.5 Limitations on Indemnification..........................................37
9.6 Application of Notes....................................................40
ARTICLE 10 MISCELLANEOUS MATTERS....................................40
10.1 Survival of Representations and Warranties.............................40
10.2 Further Assurances; Access to Records..................................40
10.3 Mail .........................................................40
10.4 Changes, Waivers.......................................................40
10.5 Expenses, Etc..........................................................41
10.6 Counterparts...........................................................41
10.7 Contents of Agreement; Parties in Interest;
Assignment, Etc.......................................................41
10.8 Conflict with Related Agreements.......................................42
10.9 Dispute Resolution.....................................................42
10.10 Receipt of Monies or Other Assets ..................................43
10.11 Section Headings and Gender............................................43
10.12 Schedules..............................................................43
10.13 Notices................................................................43
10.14 Governing Law..........................................................44
SCHEDULES
EXHIBITS
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STOCK PURCHASE AGREEMENT
STOCK PURCHASE AGREEMENT dated May 10, 1997, among COMMUNITY CARE
SERVICES, INC., a New York corporation ("Buyer") and XXXXXX XXXXXXXX
("Xxxxxxxx"), XXXXX XXXXX ("Xxxxx") and XXXXXXX X. XXXXX ("Xxxxx") (Xxxxxxxx,
Xxxxx and Xxxxx are collectively referred to herein as "Sellers").
Preliminary Statement
WHEREAS, Sellers own Fifty Two and one-half (52.5) shares of the issued
and outstanding capital stock, par value $10.00 per share (the "Shares"), of
METROPOLITAN RESPIRATOR SERVICE, INC. D/B/A METROPOLITAN HOME CARE SERVICE, a
New York corporation (the "Company");
WHEREAS, Sellers wish to sell and Xxxxx wishes to buy the
Shares; and
WHEREAS, Sellers and Buyer desire to provide for an orderly transition
of the Company from Sellers to Buyer and for other arrangements ancillary to the
purchase and sale of the Shares.
NOW, THEREFORE, in consideration of the premises and mutual and
dependent promises set forth herein, the parties hereto agree as follows:
ARTICLE 1 CERTAIN DEFINITIONS.
The following defined terms shall have the following meanings:
1.1 "Affiliate" means, with respect to the Company, Sellers or Buyer,
another corporation, partnership, joint venture, other entity of any type or
individual that directly or indirectly through one or more intermediaries
controls, is controlled by, or is under common control with the Company or
Buyer, respectively, other than Grand Avenue Associates.
1.2 "Agreement" means this Agreement, as the same may be extended,
modified, supplemented or terminated from time to time.
1.3 "Business" means the business of providing home health care products
conducted by the Company as of the date hereof.
1.4 "Company" has the meaning set forth in the Preliminary Statement to
this Agreement.
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1.5 "Copyrights" means all copyrights, domestic or foreign, whether
registered or unregistered, owned or controlled by Seller relating to the
Business, and all materials and matter (and, if in writing, shall include any
machine-readable forms) to which such copyrights relate.
1.6 "Employee Benefit Plan" shall have the meaning set forth in Section
3(3) of ERISA.
1.7 "ERISA" means the Employee Retirement Income Security Act of 1974,
as amended from time to time, and the rules and regulations promulgated
thereunder from time to time in effect.
1.8 "ERISA Affiliate" means any trade or business (whether or not
incorporated) that is treated as a single employer together with the Company
under Section 414 of the Internal Revenue Code, as amended from time to time.
1.9 "Facilities" means the office and warehouse space leased by the
Company at 0000-00 Xxxxxx Xxxx, Xxxxx, XX 00000, 0000 Xxxxxx Xxxx, Xxxxx, Xxx
Xxxx 00000, 0000 Xxxxxx Xxxx, Xxxxx, Xxx Xxxx 00000 and 00 Xxxxxx Xxxxxx, Xxxx
Xxxxx, Xxx Xxxx.
1.10 "Financial Statements" has the meaning set forth in Section 4.19
hereto.
1.11 "Governmental Rights" means all governmental permits, easements,
rights and other authorizations related to the Business owned or controlled by
the Company.
1.12 "Indemnities" means a party asserting a claim for indemnification
under Article 9 hereof.
1.13 "Indemnity" means the party from whom indemnification is sought
under Article 9 hereof.
1.14 "Leases" means the leases for the Facilities as set forth on
Schedule 1.14 hereto.
1.15 "March 31 Compilation" means the financial statements of the
Company as of March 31, 1997.
1.16 "Material" means (i) with respect to contracts, commitments and
agreements of a party, those contracts, commitments and agreements under which a
party's undischarged obligations exceed
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Ten Thousand Dollars ($10,000), (ii) with respect to other liabilities of a
party, those liabilities and obligations under which a party's liability or
potential liability exceeds Ten Thousand Dollars ($10,000) and (iii) with
respect to the assets of a party, those assets having a value in excess of Ten
Thousand Dollars ($10,000).
1.17 "Notes" has the meaning set forth in Section 2.2(b) hereof.
1.18 "Notice Date" has the meaning set forth in Section 9.3(a) hereof.
1.19 "Operational Matters" means any and all matters directly or
indirectly related to the operation of the Business, not including regulatory
matters, tax assessments owed by the Company (including matters relating to
Employee Benefits Plans), or any other matters relating to events prior to the
Closing which results in litigation against Buyer or the Company.
1.20 "Outstanding Debt" means the Company's current outstanding line of
credit in the amount of $800,000 from Xxxxxxx Xxxxx, bearing interest at the
rate of prime plus one percent% per annum.
1.21 "Patents" means all United States and foreign patents and patent
applications (and any patents issuing therefrom), together with any extensions,
reissues, renewals, divisions, continuations or continuations in part thereof
and any foreign equivalents of any of the foregoing.
1.22 "Prince" means Xxxx Xxxxxx.
1.23 "Products" means the medical supplies and equipment offered for
sale or rent to the clients of the Company, as set forth as Schedule 1.23
hereto.
1.24 "Programs" has the meaning set forth in Section 4.24(a).
1.25 "Purchase Price" means the aggregate amount to be paid by Buyer to
Sellers for the Shares, as set forth in Section 2.2 hereof.
1.26 "Related Agreements" means
(a) the stock powers provided for in Section 6.2, below;
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(b) the Employment Agreements to be executed by Sellers
provided for in Section 3.1, below;
(c) the Non-Competition Agreements to be executed by Sellers
provided for in Section 3.2, below;
(d) the Convertible Promissory Notes provided for in Section
2.2(b), below;
(e) The Escrow Agreement to be executed by Xxxxx and Xxxxxxxxx
& Hand, as escrow agent, provided for in Section 2.2(c) below; and
(f) all other instruments, agreements and documents to be
executed and delivered at Closing by Sellers, Buyer or their Affiliates and
which are referred to in this Agreement.
1.27 "Shares" has the meaning set forth in the Preliminary Statement of
this Agreement.
1.28 "Stockholders Agreement" means the Agreement among Xxxxxx Xxxxxx,
Xxxxx, Xxxxxxxx and the Company dated October 20, 1981.
1.29 "Trade Secrets" means any and all information developed by or for
and/or owned or controlled by the Company at the Closing, including but not
limited to any data processing or research; compilations; programs; methods;
ideas; inventions; discoveries; know-how; show-how; improvements; procedures;
results; designs; product ordering, handling, storage and distribution systems;
products components or composition; product quality and sanitary or cleanliness
protocols and specifications; sales, marketing or client service manuals or
methods; client and prospective client lists, requirements and preferences,
purchase and credit information, and other client and prospective client data;
supplier and distributor lists, terms, ordering and other supplier and
distributor data; business files, records, plans, notebooks, quality and
sanitary control data, books and publications, and other business information;
computer programs and data.
1.30 "Trademarks" includes all U.S. and foreign trademarks, tradenames,
or service marks, whether registered, under application or in common law, or
with respect to which an Intent to Use filing has been made as of the Closing
Date (collectively, the "Trademarks").
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ARTICLE 2 SALE AND PURCHASE OF SHARES.
Subject to the terms and conditions and on the basis of and in reliance
on the representations, warranties, obligations and agreements set forth in this
Agreement, the parties agree as follows:
2.1 Shares to be Acquired. At the Closing, Sellers shall sell, assign,
transfer and convey, and Buyer shall purchase and accept, the Shares, free and
clear of any liens, claims or encumbrances of any kind.
2.2 Purchase Price. The Purchase Price for the Shares is ($5,838,000).
The Purchase Price shall be paid by Xxxxx as follows:
(a) Two Million Eight Hundred Thousand Dollars ($2,800,000),
payable by certified check, to be divided among Sellers as set forth on Schedule
2.2(a) hereto;
(b) ($2,789,028) issued to Xxxxxxxx and Xxxxx payable
pursuant to Non-Negotiable Convertible Promissory Notes in the form of Exhibit
2.2(b) attached hereto (the "Notes").
(c) Sixty Two Thousand Two Hundred Forty Three (62,243)
shares of Buyer's common stock, par value $.01 per share (the "Purchase Shares")
to Xxxxx, 7,842 of such shares to be deposited in escrow pursuant to the Escrow
Agreement, it being understood that (i) the Purchase Shares shall be "restricted
securities", as such term is defined under rule 144 promulgated under the
Securities Act of 1933, as amended, and shall be subjected to all restrictions
imposed by law on restricted securities, (ii) may not be sold, gifted, pledged,
hypothecated or otherwise transferred for a period of two years, unless
otherwise permitted as provided herein and (iii) the Purchase Shares placed into
escrow shall immediately be released from escrow if Buyer sells Fifty One
percent (51%) or more of the Company's outstanding capital stock or sells
substantially all of the assets of the Company.
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ARTICLE 3 CERTAIN SPECIFIC MATTERS RELATING TO EMPLOYMENT, NON-
COMPETITION, APPOINTMENTS OF SELLERS AND PURCHASE SHARES.
3.1 Employment Agreements. Upon the execution of this Agreement, Xxxxx
will enter into three year Employment Agreements with each Seller, substantially
in the forms attached as Exhibit 3.1 hereto.
3.2 Non-Competition Agreements With Sellers. Upon the execution of this
Agreement, each Seller shall deliver to Buyer a Non-Competition Agreement,
substantially in the forms attached as Exhibit 3.2 hereto, for a period equal to
the greater of (i) four years or (ii) the duration of each Seller's Employment
Agreement plus one year.
3.3 Appointments of Sellers. After Closing, Buyer shall use its best
efforts to cause Xxxxxxxx to be appointed or elected to Xxxxx's Board of
Directors for at least a period of two years following the Closing, including
listing Xxxxxxxx on the slate of candidates for election to the Board of
Directors proposed by Xxxxx's Management. Xxxxx and Xxxxx will be permitted by
Buyer to attend meetings of Xxxxx's Board of Directors for a period of
twenty-four (24) months following the Closing, subject to their delivery of
written agreements to treat all matters discussed by the Board in their presence
as highly confidential information, such agreements to be substantially in the
forms attached as Exhibit 3.3 hereto. Xxxxx will also cause (i) Xxxxx, Xxxxxxxx
and Xxxxx to be appointed or elected as the Company's President, Vice President
and Secretary, respectively, and (ii) each of the Sellers to be elected to the
Company's Board of Directors for so long as such individuals are employed by
Buyer.
3.4 Tag Along Rights. In the event Buyer conducts a secondary public
offering, Xxxxx and, to the extent provided in the Notes are converted, Xxxxxxxx
and/or Rocco, shall have the opportunity to sell the Purchase Shares and the
shares issued upon the conversion of the Notes in such offering to the same
extent and in proportion to the rights that the other executive officers of
Xxxxx and Xxxx Xxxxx (collectively, with Sellers, the "Executives") have to
include their own shares of Buyer's common stock in the offering, subject to the
approval of the underwriter(s) of such offering, if any. If the underwriter(s)
determine that all of the stock which Executives wish to sell in the offering
cannot be sold, the amount of shares which each individual officer may include
in the offering shall be determined by multiplying (a) the total number of
shares owned by
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the Executives as a group, which the underwriter(s) will allow to be included in
the offering by (b) a fraction, the numerator of which is the number of shares
an individual Executive desired to have included in the offering and the
denominator of which is the total number of shares which the Executive as a
group, desired to have included in the offering. For example, assume that the
Executives as a group, desired to include 500,000 shares in the offering, of
which 100,000 shares were owned by Officer X. Assume further that the
underwriter(s) will permit the Executives as a group, to sell only 300,000
shares in the offering. The number of shares which Executives may sell in the
offering shall be 60,000, determined by multiplying 300,000 by 100,000 over
500,000.
ARTICLE 4 REPRESENTATIONS AND WARRANTIES OF SELLERS.
As an inducement to Buyer to enter into this Agreement and to consummate
the transactions contemplated hereby, Sellers hereby represent and warrant to
Buyer that as of the date of this Agreement:
4.1 Representations Regarding the Company and the Shares.
(a) Subsidiaries. Except as set forth an Schedule 4.1(a), the
Company has no subsidiaries and does not own stock or any other interest in or
directly or indirectly control any corporation, association or business entity.
The Company is not a party to any joint venture or partnership agreement.
(b) Capitalization. The aggregate number of shares which the
Company is authorized to issue is Two Thousand (2,000) shares of common stock,
par value Ten Dollars ($10.00) per share, of which Seventy Seven and one-half
(77.5) shares are issued, presently outstanding, Fifty Two and one-half (52.5)
of which are owned by Sellers in the amounts set forth on Schedule 4.1(b)
hereto. The Company has no authorized capital stock except for the common stock
and there are no shares of capital stock reserved for issuance. All of the
Shares have been validly issued and are fully paid and non-assessable. The
Company has no outstanding subscriptions, contracts, options, warrants, or other
obligations (including conversion or preemptive rights) to issue, sell or
otherwise dispose of, or to purchase, redeem or otherwise acquire, any of its
capital stock. The sale of the Shares to Buyer will not give rise to any rights
of first refusal of any person or entity. Except for Prince, no person or entity
other than Sellers owns or has any interest in
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the capital stock of the Company. Sellers own the Shares free and clear of any
encumbrances, pledges, security interests, liens, charges, claims, equities and
options of whatever nature and have the full right and authority to transfer the
Shares to Buyer. The Shares are not subject to any agreement, commitments or
restrictions with respect to their transferability. Upon transfer of the Shares
to Buyer, Xxxxx shall receive title to the Shares free and clear of all
encumbrances, pledges, security interests, liens, charges, claims, equities and
options of whatever nature.
(c) Organization and Good Standing. The Company is a
corporation duly organized, validly existing and in good standing under the laws
of the State of New York and is duly qualified to conduct business and is in
good standing in each of the jurisdictions in which it conducts business where
the failure to be so qualified would have a material adverse effect on the
Company or the Business.
(d) Charter, By-Laws, Minutes. True, complete and correct
copies of the Certificate of Incorporation and By-Laws of the Company, as
currently in effect, and the Company's minute book, stock ledger and stock
transfer register have been provided by Sellers to Buyer.
4.2 Compliance with Law. Except as set forth on Schedule 4.2 hereto,
there are no authorizations, including those of any governmental authority,
court or regulatory body, that are required to be obtained by Sellers or the
Company in order to permit Sellers to execute and deliver and consummate and
perform the transactions contemplated by this Agreement and the Related
Agreements to which all or any one or more of the Sellers is a party, it being
understood that Buyer has agreed that no such authorization is required to be
obtained from Medicare or Medicaid, other than a notification of the change of
ownership of the Company, which notification will be made by Buyer.
4.3 Authority and Compliance.
(a) The Company has all requisite corporate power and
authority to own or lease the assets used in the Business.
(b) Each Seller has the unencumbered right to execute and
deliver this Agreement and the Related Agreements to which each is a party and
to perform the transactions contemplated hereby and thereby. This Agreement and
each of the Related Agreements
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constitutes a legal, valid and binding obligation of each Seller enforceable
against each of them in accordance with its terms, except that (i) such
enforcement may be subject to bankruptcy, insolvency, reorganization, moratorium
or other similar laws now or hereafter in effect relating to creditors rights
generally and (ii) the remedy of specific performance and other forms of
equitable relief may be subject to equitable defenses and to the discretion of
the court before which any proceeding therefor may be brought.
(c) The execution and the delivery of this Agreement and the
Related Agreements to which each of the Sellers is a party and the consummation
and performance by Sellers of the transactions contemplated hereby and thereby
will not: (i) violate the Certificate of Incorporation or By-Laws of the
Company; (ii) conflict with or result in a breach of any of the terms,
conditions or provisions of, or constitute a default under, any instrument,
agreement, mortgage, judgment, order, award, or decree to which Sellers, the
Company or any of their Affiliates is a party or by which Sellers, the Company
or any of their Affiliates is bound, or (iii) give any third party the right
under any instrument, agreement, mortgage, judgment, order, award or decree to
terminate, modify or otherwise change the rights or obligations of all or any
one or more of the Sellers or the Company under such instrument, agreement,
mortgage, judgment, order, award or decree.
4.4 Inventory, Machinery, Equipment and other Property.
(a) Schedule 4.4(a) sets forth a list of the Material
machinery, medical and other equipment, warehouse and office furniture, computer
hardware and software and vehicles owned by the Company. The Company owns such
property free and clear of all liens, claims and encumbrances of any kind
whatsoever and no other person or entity has any rights to any of such property.
(b) Seller makes no representation as to the condition of the
Company's machinery and equipment, warehouse and office furniture, computer
hardware and vehicles, such assets being sold as is.
(c) Schedule 4.4(c) sets forth a list of Material leases of
tangible personal property to which the Company is a party. The Company and
Sellers have not received any notice of cancellation or termination of any such
lease, or of the exercise or non-exercise of any option or right reserved to the
lessor of any such lease. The Company has not received written notice of any
default in the
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performance of any term of such lease, and Sellers have no knowledge of any
event which has occurred which, with notice or lapse of time or both, would
constitute a default by the Company under any such lease. To Sellers knowledge,
without further inquiry, the transactions contemplated by this Agreement do not
constitute and shall not trigger a default under any such lease, except for the
Company's agreement with Blue Cross/Blue Shield of Connecticut, which requires
five days advance notice of any change in ownership (the "BC/BS Connecticut
Agreement"), it being understood that Sellers will have no liability to Buyer
for failing to deliver such notice.
(d) Schedule 4.4(d) lists the Company's inventory of Material
Products and supplies, including packing materials, pallets and other shipping
and handling materials.
(e) The Company does not own, license or use any Patents.
(f) The Company does not own, license or use any Trademarks.
(g) The Company does not own, license or use any registered
Copyrights.
(h) Neither any of the Sellers, nor the Company are aware of
any claim that the Company has infringed the patent or other proprietary or
intellectual rights of any other person. The Company has not received any
written notification that it is subject to any outstanding order, judgment or
decree of any court or administrative agency, and has not entered into any
stipulation or agreement, restricting the Company's use of any Patents,
Trademarks, Trade Secrets or Copyrights.
(i) Schedule 4.4(i) lists the Company's accounts receivable.
Sellers expressly do not make any representation regarding the collectability of
any account receivable.
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(j) Schedule 4.4(j) sets forth lists of (i)
substantially all of the patients serviced by the Company, (ii) personnel
records of the Company (including descriptions of both hard and electronic
copies) and (iii) all corporate records used in operating the Business,
including, without limitation, personnel policies and files and manuals,
accounting records and computer software.
4.5 Contracts.
(a) Schedule 4.5 lists all of the Company's Material
contracts, including, without limitation:
(i) all Material contracts for the purchase, sale or
lease of real property;
(ii) all Material contracts for the lease or sublease
of tangible personal property;
(iii) all Material contracts for the purchase or sale
of Inventory, commodities, merchandise, other materials or tangible personal
property;
(iv) all Material contracts for the furnishing or
receipt of services or sale or lease of products;
(v) all Material supplier, distributor dealer,
manufacturer's representative, sales agency or advertiser agreements;
(vi) all Material customer contracts;
(vii) all Material contracts relating to the Patents,
Trademarks, Copyrights, Trade Secrets or other proprietary or intellectual
property to which the Company is a party and
(viii) all other Material contracts, whether or not
made in the ordinary course of business, which affects the Company.
(b) To Sellers knowledge, without undertaking any inquiry:
(i) all contracts set forth in Schedule 4.5 are in full force and effect, and
are legal, valid and binding obligations of the Company, enforceable against the
Company, in accordance with their terms, except where (a) such enforcement may
be subject to bankruptcy, insolvency, reorganization, moratorium or other
similar laws now or hereafter in effect relating to creditors rights
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generally and (b) the remedy of specific performance and other forms of
equitable relief may be subject to equitable defenses and to the discretion of
the court before which any proceeding therefor may be brought, (ii) the Company
is not now in default in the performance of any term of any such contract, and
no event has occurred which, with notice or lapse of time or both, would
constitute a default by the Company under any such contract (except with respect
to the failure to give notice required under the BC/BS Connecticut Agreement)
and (iii) the transactions contemplated by this Agreement do not constitute and
shall not trigger a default under any such contract which would have a material
adverse effect on the Company.
(c) The suppliers, distributors and representatives that are
parties to the contracts listed on Schedule 4.5 constitute substantially all
suppliers, distributors and representatives being used by the Company. Within
the last twelve (12) months, the Company has not made any claims against or
initiated any disputes with any such supplier, distributor or representative and
has not received notice of any claim or dispute with Seller or the Company from
any such supplier, distributor or representative.
(d) The sale of the Shares to Buyer will not constitute an
assignment under any contract listed on Schedules 4.4(c) and 4.5 which would
require the consent of the other party to the contract, except the BC/BS
Connecticut Agreement.
4.6 Facilities.
(a) In the last five years, all of the Company's activities
have been conducted at the Facilities.
(b) The Company has not received written notice that the
operations of the Business as currently conducted by the Company do not comply
in all material respects with the terms of the Leases, all applicable federal,
State and local laws, regulations and ordinances, including but not limited to
the Americans with Disabilities Act, and any equivalent applicable State or
local laws, regulations and ordinances, all Environmental Laws (as defined in
Section 9.1(c)), and all applicable zoning regulations and building and fire
codes.
4.7 Legal Proceedings, Etc.
(a) Except as set forth on Schedule 4.7(a) hereto, there are
no claims or actions pending or, threatened in writing against
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the Company or Sellers before any court, governmental authority, or arbitrator
(i) pertaining to the Company or involving the Shares or the assets of the
Company or (ii) which question or challenge the validity of this Agreement or
any of the Related Agreements or any action taken, or to be taken, by the
Sellers pursuant to this Agreement or any of the Related Agreements, or in
connection with the transactions contemplated hereby or thereby, which, if
decided adversely against the Company or any of the Sellers, would have a
material adverse effect upon the ability of the Sellers to carry out their
obligations under this Agreement or any of the Related Agreements or would have
a material adverse effect on the Company or the Business. Neither the Company
nor any of the Sellers (with respect to the operation of the Business) is
subject to or in default with respect to any indictment, order, injunction,
decree or award of any court, arbitrator or governmental agency.
(b) The Company and Sellers have not received written notice
of any claim for any action or proceeding, against the Company (or any officer,
director, employee, agent of the Company) or any Seller arising out of any
statute, ordinance or regulation relating to wages, collective bargaining,
discrimination in employment or employment practices or occupational safety and
health standards (including, without limitation, the Fair Labor Standards Act,
Title VII of the Civil Rights Act of 1964, as amended, the Occupational Safety
and Health Act, the Age Discrimination in Employment Act of 1967 or the
Americans With Disabilities Act).
(c) Neither the Company nor the Sellers have made any
kickback, bribe or payment to any person or entity, directly or indirectly, for
referring, recommending or arranging current business or patients with, to or
for the Company, which action could have a material adverse effect on the
Business. None of the Company's current contracts and no current activity of the
Company or Sellers violates Paragraph 1877 of the Social Security Act or any
similar provision of applicable state law in any material respect. None of the
Company's current contracts and no current activity of the Company or Sellers
violates provisions of applicable state law relating to the corporate practice
of medicine in any material respect.
4.8 Substantial Clients. Listed on Schedule 4.8 are the Company's ten
largest clients during the twelve-month periods ended December 31, 1995 and
December 31, 1996, as well as the dollar amount for which each such client was
invoiced during such period. Regarding the clients set forth in Schedule 4.8 for
the twelve-month
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18
period ended December 31, 1996, the Company and Sellers have not received any
notice from any of such clients, that such client will cease to purchase or
materially decrease its purchases.
4.9 Substantial Suppliers. Listed on Schedule 4.9 are the Company's ten
largest suppliers for the twelve-month periods (ending March 31, 1997, as well
as the dollar amount of goods and services purchased from each such supplier
during such period. The Company and Sellers have not received any notice from
any of such suppliers that such supplier will cease to sell goods or services to
Buyer on terms and conditions similar to those imposed on prior sales to the
Company, or have given any written complaint to the Company or Sellers.
4.10 No Finder. None of the Sellers has paid or become obligated to pay
any fee or commission to any broker, finder or intermediary for or on account of
the transactions provided for in this Agreement; except to Xxxx Xxxxxx, which
will be paid by Xxxxx in the form of a Convertible Non-negotiable Promissory
Note convertible into 125,000 shares of Buyer's common stock.
4.11 Absence of Certain Events. To Sellers' knowledge without
undertaking any inquiry, since December 31, 1996, the Company has not, other
than in the ordinary course of business consistent with past practices:
(a) incurred or discharged any liabilities;
(b) except as required in connection with the
transactions contemplated by this Agreement, transferred any of its
assets or properties;
(c) subjected any of the assets of the Company to any
encumbrance;
(d) made or suffered any amendment or termination of any
Material contract (excluding real property leases for the Company's facilities
in The Bronx, New York, which have expired pursuant to their terms), or waived
any Material debts, claims or rights, including intellectual property rights;
(e) suffered any Material damage to its tangible assets,
destruction or casualty loss;
(f) suffered any labor trouble involving any union or other
group of employees or suffered the loss of any key employee;
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19
(g) increased the salaries, benefits or other compensation
of, or made any advance or loan to, any of its officers or employees of the
Company, except as set forth on Schedule 4.11(g);
(h) made any capital expenditure or capital addition or
betterment (including any capitalized lease transaction);
(i) changed any of the accounting practices followed by it,
except as set forth on Schedule 4.11(i);
(j) entered into any agreement or made any commitment to take
any of the types of action described in subparagraphs (a) through (i) above or
(k) suffered any change to its business which, either
individually or in the aggregate, had or will have a material adverse effect on
the Company's financial condition.
4.12 Dating of Schedules. The information set forth in the Schedules
attached hereto is true and complete as of the date specified on the first page
of each Schedule, provided that if no date is specified on a schedule, it is
true and correct as of the date hereof.
4.13 Delivery of Documents. Sellers have delivered or made available to
Buyer true, correct and complete copies of all Material documents, including all
amendments, supplements or modifications thereof or waivers currently in effect
thereunder, described in any Schedule to any Section of this Agreement unless
otherwise expressly provided in any such Schedule.
4.14 Taxes. The Company has timely filed all local, state and federal
tax returns required to be filed by it as of the date of this Agreement and has
paid all taxes shown as due on such tax returns.
4.15 Officers and Directors. The officers and directors of the Company
are as follows:
Officers
Xxxxxx Xxxxxxxx President
Xxxxx Xxxxx Vice President and Secretary
Xxxx Xxxxxx Vice President and Treasurer
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Directors
Xxxxxx Xxxxxxxx
Xxxxx Xxxxx
Xxxx Xxxxxx
4.16 Bank Accounts. Schedule 4.16 hereof sets forth a list of all bank
accounts, money market accounts and safety deposit boxes of Company, together
with a description of the authorized signatories for such accounts. All the
Company's cash and cash equivalents are maintained in the aforesaid accounts and
boxes, and nowhere else.
4.17 Business Operations.
(a) To Sellers' knowledge, without undertaking inquiry, the
Company has all permits, licenses and other authorizations necessary for the
operation of the Business as currently conducted, copies of which are annexed
hereto as Schedule 4.17(a). To Sellers' knowledge without undertaking any
inquiry, the Business is currently conducted in compliance with all applicable
laws, rules and regulations, and all applicable statements and reports required
to be filed by law as to which the Business is currently subject have been filed
by the Company. The Company is not in violation of any applicable federal, State
or local laws, rules or regulations, which singly or in the aggregate would have
a material adverse effect on the Business or the Company. To Sellers' knowledge,
without undertaking any inquiry, the Company currently conforms with all
policies, procedures, contracts, laws, rules and regulations with respect to
reimbursement from any source, including governmental sources (including without
limitation Medicare and Medicaid), third party payors and individual payors.
Neither the Company nor any one or more of the Sellers has made any payment or
other inducement to any individual or entity in return for buying, leasing or
renting, using or ordering Products or Services from the Company, or in return
for referring or influencing another individual or entity to buy, lease or rent,
use or order Products or services from the Company, which arrangement is in
effect on the date hereof. Neither the Company nor any one or more of the
Sellers has received any payment or other inducement from any individual or
entity in return for buying, leasing or renting, using or ordering products or
services from any health care provider or in return for referring or influencing
another individual or entity to buy, lease or rent, use or order products or
services from any health care provider, which arrangement is in effect on the
date hereof.
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21
(b) To Sellers' knowledge and without undertaking any
inquiry, (i) each employee of the Company who the Company employs as a licensed
respiratory therapist has all licenses and permits required for each such
employee to perform such employee's designated functions and duties for the
Company in connection with conducting the Business, and there exists no waivers
or exemptions relating thereto and (ii) there is no default under, nor does
there exist any grounds for revocation, suspension or limitation of, any such
licenses and permits.
(c) The Company is duly accredited by the Joint Commission on
Accreditation of Health Care Organizations ("JCAHO") to operate and conduct the
Business.
4.18 Contracts and Agreements With Sellers. With respect to the Company,
none of the Sellers is a party to any (a) lease of real or personal property;
(b) royalty, distribution, agency or license agreement; (c) contract or
employment agreement with any officer, employee, professional personnel, or firm
or independent contractor providing services or Products to or receiving
services or Products from, the Company; (d) agreement guaranteeing the payment
or performance of the obligations of others; (e) vendor contract or agreement;
(f) commitment, contract or agreement requiring the services of or Products of
the Company for which a prepayment or advance has been made; (g) commitment or
agreement with any party for the sale of all or any part of the Shares or assets
of the Company (except as set forth in this Agreement) or (h) any other
contract, commitment or agreement extending by their terms beyond the date
hereof.
4.19 Financial Statements.
(a) Audited financial statements of the Company as of
December 31, 1996, including the balance sheet of the Company as of such date,
have been previously provided to Buyer by Sellers (the "Financial Statements").
To Sellers' knowledge, the Financial Statements have been prepared in accordance
with generally accepted accounting principles, are true, complete and correct
and fairly present the financial position of the Company as of their respective
dates and the results of operations for their respective year and periods then
ended. As of December 31, 1996, the Company did not have any Material
liabilities, absolute, accrued, contingent or otherwise, except as reflected in
the Financial Statements or on the Schedules hereto, and at the Closing Date
there will be no other Material liabilities relating to the Business except
those incurred
-17-
22
since December 31, 1996 in the ordinary course of business. Except as stated on
the Financial Statements or set forth in Schedule 4.5, the Company has no
obligations of future performance due after the Closing Date under Material
contracts, Material open purchase orders, Material leases, Material licenses and
other Material agreements.
(b) As of the Closing, the Company shall have no Material
liabilities, accrued, contingent or otherwise, except as set forth in Section
4.19(a), above, or the March 31 Compilation or as set forth in SCHEDULE 4.19(b).
4.20 Compliance with ERISA.
(a) The employee benefit plans set forth in Schedule 4.20 (a)
are the only Employee Benefit Plans, programs, arrangements or practices which
the Company and its ERISA Affiliates maintain or contribute (the "Plans"). The
Company and its ERISA Affiliates are not parties to any Multiemployer Plan (as
defined under ERISA Section 3(37)). The Company and its ERISA Affiliates have no
obligation to create any additional such plan or to amend any Plan so as to
increase benefits thereunder.
(b) The Company and each ERISA Affiliate have operated and
administered each Plan in compliance with all applicable laws. Neither the
Company nor any ERISA Affiliate has incurred any liability pursuant to Title I
or Title IV of ERISA or the penalty or excise tax provisions of the Internal
Revenue Code of 1986, as amended (the "Code") relating to Employee Benefit
Plans, and no event, transaction or condition has occurred or exists that could
reasonably be expected to result in the incurrence of any such liability by the
Company or any ERISA Affiliate, or in the imposition of any lien, charge, claim
or encumbrance (a "Lien") on any of the rights, properties or assets of the
Company or any ERISA Affiliate, in either case pursuant to Title I or Title IV
of ERISA or to such penalty or excise tax provisions or to Section 401(a)(29) or
Section 412 of the Code, other than such liabilities or Liens as would not be
individually or in the aggregate material. Each Plan which is intended to be
"qualified" within the meaning of Section 401(a) of the Code has been determined
by the Internal Revenue Service to be so qualified and such determination has
not been modified, revoked or limited by failure to satisfy any condition
thereof or by a subsequent amendment thereto or a failure to amend. There is no
pending, or to the knowledge of the Sellers, threatened or anticipated claims
involving any of the Plans other than claims for benefits in the ordinary
course.
-18-
23
(c) The present value of the aggregate benefit liabilities
under each of the Plans, determined as of the end of such Plan's most recently
ended plan year on the basis of the actuarial assumptions specified for funding
purposes in such Plan's most recent actuarial valuation report, did not exceed
the aggregate current value of the assets of such Plan allocable to such benefit
liabilities by more than $1,000 in the aggregate for all Plans. The term
"benefit liabilities" has the meaning specified in section 4001 of ERISA and the
terms "current value" and "present value" have the meanings specified in Section
3 of ERISA.
(d) The Company and its ERISA Affiliates have not incurred
withdrawal liabilities (and are not subject to contingent withdrawal
liabilities) under Section 4201 or 4204 of ERISA in respect of Multiemployer
Plans.
(e) The expected postretirement benefit obligation
(determined as of the last day of the Company's most recently ended fiscal year
in accordance with Financial Accounting Standards Board Statement No. 106,
without regard to liabilities attributable to continuation coverage mandated by
Section 4980B of the Code) of the Company and its Subsidiaries is not material.
(f) The execution and delivery of this Agreement and the
Related Agreements and the performance and consummation of the transactions
contemplated hereby and thereby will not involve any transaction that is subject
to the prohibitions of Section 406 of ERISA or in connection with which a tax
could be imposed pursuant to Section 4975(c)(1)(A) through Section
4975(c)(1)(D), inclusive, of the Code. There have been no prohibited
transactions within the meaning of Section 406 and 407 of ERISA or Section 4975
of the Code that could result in penalties, taxes or liabilities.
(g) Neither the Pension Benefit Guaranty Corporation nor any
plan administrator has instituted proceedings to terminate any of the Plans
subject to Title IV of ERISA other than in a "standard termination" described in
Section 4041(b) of ERISA.
4.21 Authority. Sellers, singly and jointly, have full power and
authority to execute and deliver this Agreement and the Related Agreements to
which they are parties and to consummate the transactions contemplated hereunder
and thereunder.
4.22 Relationships. None of Sellers nor any of their immediate family
(including spouses, lineal descendants, parents and siblings)
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24
owns directly or indirectly any interest in any supplier, customer, lessor or
distributor of the Company, nor any interest in any party that has entered into
a contract, commitment or understanding with the Company (other than interests
of less than five percent in companies whose stock is publicly traded).
4.23 No Omissions or Untrue Statements. To each Sellers' knowledge,
without having made any investigation, no representation or warranty made by the
other Sellers in this Agreement (including the Exhibits and Schedules hereto) or
in any Certificate or other instrument furnished by any Seller to Buyer pursuant
to this Agreement, or in connection with the transactions contemplated hereby,
contains any untrue statement of a material fact or omits to state a material
fact necessary to make the statements contained herein or therein not misleading
and which would have a material adverse effect on the Company.
4.24 Medicare, Medicaid and Other Third-Party Payors.
(a) The Company participates in the Medicare and Medicaid
Programs (collectively, the "Programs"). A list of and copies of its existing
Medicare and Medicaid contracts and other documentation evidencing such
participation (collectively, the "Program Agreements") are included in Schedule
4.5 attached hereto. To Sellers' knowledge, without undertaking any inquiry, the
Company is in compliance in all material respects with all of the terms,
conditions and provisions of the Program Agreements.
(b) No notice of any offsets against future reimbursements
under or pursuant to the Programs has been received by either the Company any of
the Sellers. There are no pending appeals, adjustments, challenges, audits,
litigation or notices of intent to recoup past or present reimbursements with
respect to the Programs. The Company has not been subject to or threatened with
loss of waiver of liability for utilization review denials with respect to the
Programs during the past twelve (12) months, nor has either the Company or any
of the Sellers received written notice of any pending or threatened
decertification or other loss of participation in any of the Programs.
(c) The Company currently has contractual arrangements with
Blue Cross and other third party payors. A list of and copies of its existing
Blue Cross contract(s) and other third party payor contract(s) are included in
Schedule 4.5 attached hereto. The Company is, and will be at the time of
Closing, in full compliance
-20-
25
with all of the material terms, conditions and provisions of such contracts,
except for the failure to give notice required under the BC/BS Connecticut
Agreement.
(d) All liabilities and contractual adjustments of the
Company under any third party payor or reimbursement programs in excess of
Twenty-Five Thousand Dollars ($25,000) individually have been properly reflected
and adequately reserved for in the Financial Statements. In the event that,
following Closing, the Company suffers any offsets against any reimbursement
under any third-party payor or reimbursement programs due to Buyer or the
Company relating to the periods on or prior to the Closing, then the Sellers
shall immediately pay to the Company the amounts so offset in excess of
Twenty-Five Thousand Dollars ($25,000).
(e) The Company is not now subject to any Material asserted
claim or lawsuit with respect to tax, environmental, Medicare and Medicaid fraud
laws, third party reimbursement for the Company's Products or services or
product liability matters, nor, to the best knowledge of Sellers, is there any
basis for any Material claim to be made against the Company relating to any of
such matters.
(f) Neither any of the Sellers nor the Company is subject to
any Material inquiry or dispute of any nature with the United States Department
of Health and Human Services (Medicare), the New York State Department of Social
Services (Medicaid), the New York State Deputy Attorney General for Medicaid
Fraud Control, the New York State Department of Health, or any other federal,
State or local governmental agency that regulates or has the authority to
regulate the Company or Business of the Company which would have a Material
adverse effect on the Company's financial condition. Neither any of the Sellers
nor the Company is subject to any Material inquiry or dispute with any insurance
company or other entity responsible for paying or administering reimbursement
for Products and services of the Company and its Business.
4.25 Company Employees. Schedule 4.25 attached hereto sets forth: (a) a
complete list of all of the Company's employees and rates of pay, (b) true and
correct copies of any and all fringe benefits and personnel policies, (c) the
employment dates and job titles of each such person, (d) categorization of each
such person as a full-time or part-time employee of the Company and (e) a list
of all ex-employees of the Company utilizing or eligible to utilize COBRA
(health insurance). For purposes of this Section, "part-time
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26
employee" means an employee who is employed for an average of fewer than
twenty-hours per week or who has been employed for fewer than six (6) of the
twelve (12) months preceding the date on which notice is required pursuant to
the Worker Adjustment and Retraining Notification Act ("WARN"), 29 U.S.C.
Section 2102 et seq. Except as provided in Schedule 4.5, the Company has no
employment agreements with its employees and all such employees are employed on
an "at will" basis.
4.26 Labor Relations. The Company is not a party to any labor contract,
collective bargaining agreement, contract, letter of understanding, or any other
arrangement, formal or informal, with any labor union or organization which
obligates the Company to compensate the Company's employees at prevailing rates
or union scale, nor are any of its employees represented by any labor union or
organization. There is no pending or, to the best knowledge of Sellers, asserted
labor dispute, work stoppage, unfair labor practice complaint, strike,
administrative or court proceeding or order between the Company and any present
or former employee(s) of the Company which Sellers' reasonably believe will
result in litigation. There is no pending or, to the best knowledge of Sellers,
asserted, suit, action, investigation or claim between the Company and any
present or former employee(s) of the Company which Sellers' reasonably believe
will result in litigation. There has not been any labor union organizing
activity at any location of the Company, or elsewhere, with respect to the
Company's employees within the last three years.
4.27 WARN Act. Since ninety (90) days prior to the date hereof, the
Company has not temporarily or permanently closed or shut down any single site
of employment or any facility or any operating unit, department or service
within a single site of employment, as such terms are used in WARN.
ARTICLE 5 REPRESENTATIONS AND WARRANTIES OF BUYER.
As an inducement to Sellers to enter into this Agreement and to
consummate the transactions contemplated hereby, Buyer hereby represents and
warrants to the Sellers that as of the date of this Agreement:
5.1 Organization and Good Standing. Buyer is a corporation duly
organized, validly existing and in good standing under the laws of the State of
New York and is duly qualified to conduct business
-22-
27
and is in good standing in each of the jurisdictions in which it conducts
business where the failure to be so qualified would have a material adverse
effect on Buyer's business or assets.
5.2 Compliance with Law. There are no licenses, permits, approvals,
registrations, qualifications, certificates or other authorizations including
those of any governmental authority, court or regulatory body, that are required
to be obtained by Buyer in order to permit Buyer to execute and deliver and
consummate and perform the transactions contemplated by this Agreement and the
Related Agreements to which Buyer is a party.
5.3 Authority and Compliance.
(a) Xxxxx has full corporate power and authority to execute
and deliver this Agreement and the Related Agreements to which it is a party and
to perform the transactions contemplated hereby and thereby. The execution,
delivery and performance of this Agreement and such Related Agreements by Xxxxx
has been duly authorized and approved by all requisite corporate action on the
part of the Buyer. This Agreement and each of the Related Agreements to be
executed by Buyer constitutes a legal, valid and binding obligation of Buyer
enforceable in accordance with its terms, except that (i) such enforcement may
be subject to bankruptcy, insolvency, reorganization, moratorium or other
similar laws now or hereafter in effect relating to creditors rights generally
and (ii) the remedy of specific performance and other forms of equitable relief
may be subject to equitable defenses and to the discretion of the court before
which any proceeding therefor may be brought.
(b) The execution and the delivery of this Agreement and the
Related Agreements and the consummation and performance by Buyer of the
transactions contemplated thereby will not: (i) violate the Certificate of
Incorporation or By-Laws of Buyer; (ii) conflict with or result in a breach of
any of the terms, conditions or provisions of, or constitute a default under,
any instrument, agreement, mortgage, judgment, order, award, or decree to which
Buyer is a party or by which Buyer is bound or (iii) give any third party the
right under any instrument, agreement, mortgage, judgment, order, award or
decree to terminate, modify or otherwise change the rights or obligations of
Buyer under such instrument, agreement, mortgage, judgment, order, award or
decree.
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5.4 No Finder. Buyer has not paid or become obligated to pay any fee or
commission to any broker, finder or intermediary for or on account of the
transactions provided for in this Agreement.
5.5 Legal Proceedings, Etc.
(a) Buyer is not subject to or in default with respect to any
indictment, order, injunction, decree or award of any court, arbitrator or
governmental agency which would adversely affect the ability of the Buyer to
execute, deliver and carry out its obligations under this Agreement and the
Related Agreements or have a material adverse effect on Buyer's business. There
are no claims or actions pending, or to Buyer's best knowledge, threatened in
writing against Buyer before any court, governmental authority, or arbitrator,
which question or challenge the validity of this Agreement or any of the Related
Agreements or any action taken, or to be taken, by Buyer pursuant to this
Agreement or any of the Related Agreements, or in connection with the
transactions contemplated hereby or thereby, which, if decided adversely against
Buyer, would have a material adverse effect upon the ability of Buyer to carry
out its obligations under this Agreement or any Related Agreement or have a
material adverse effect on Buyer's business.
(b) Buyer has not received written notice of any claim for
any action or proceeding, against Buyer (or any officer, director, employee,
agent of Buyer) arising out of any statute, ordinance or regulation relating to
wages, collective bargaining, discrimination in employment or employment
practices or occupational safety and health standards (including, without
limitation, the Fair Labor Standards Act, Title VII of the Civil Rights Act of
1964, as amended, the Occupational Safety and Health Act, the Age Discrimination
in Employment Act of 1967 or the Americans With Disabilities Act).
(c) Buyer has not made any kickback, bribe or payment to any
person or entity, directly or indirectly, for referring, recommending or
arranging current business or patients with, to or for Buyer, which action could
have a material adverse effect on the business of Buyer. None of Buyer's current
contracts and no current activity of Buyer violates Paragraph 1877 of the Social
Security Act or any similar provision of applicable state law in any material
respect. None of Buyer's current contracts and no current activity of Buyer
violates provisions of applicable state law relating to the corporate practice
of medicine in any material respect.
-24-
29
5.6 No Omissions or Untrue Statements. To Buyer's knowledge, without
having made any investigation, no representation or warranty made by Buyer in
this Agreement (including the Exhibits and Schedules hereto) or in any
Certificate or other instrument furnished or to be furnished by Buyer to Sellers
pursuant hereto, or in connection with the transactions contemplated hereby,
contains any untrue statement of a material fact or omits to state a material
fact necessary to make the statements contained herein or therein not misleading
and which would have a material adverse effect on Buyer.
5.7 Absence of Certain Events. To Xxxxx's knowledge without undertaking
any inquiry, since March 31, 1996, Xxxxx has not, other than in the ordinary
course of business consistent with past practices:
(a) incurred or discharged any liabilities, except for (i)
indebtedness to The Bank of New York and (ii) the settlement of the Xxxxx
litigation;
(b) except as required in connection with the transactions
contemplated by this Agreement, transferred any of its assets or properties;
(c) subjected any of its assets to any encumbrance, except
security interests granted in favor of The Bank of New York;
(d) made or suffered any amendment or termination of any
Material contract, or waived any Material debts, claims or rights, including
intellectual property rights, except in connection with the settlement of the
Xxxxx litigation;
(e) suffered any Material damage to its tangible assets,
destruction or casualty loss;
(f) suffered any labor trouble involving any union or other
group of employees or suffered the loss of any key employee;
(g) increased the salaries, benefits or other compensation
of, or made any advance or loan to, any of its officers or employees of the
Company;
(h) made any capital expenditure or capital addition or
betterment (including any capitalized lease transaction), other than
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30
the construction currently being undertaken at its Mt. Xxxxxx, New York,
facility;
(i) changed any of the accounting practices followed by it;
(j) entered into any agreement or made any commitment to take
any of the types of action described in subparagraphs (a) through (i) above or
(k) suffered any change to its business which, either
individually or in the aggregate, had or will have a material adverse effect on
Buyer's financial condition.
5.8 Taxes. Buyer has timely filed all local, state and federal tax
returns required to be filed by it as of the date of this Agreement and has paid
all taxes shown as due on such tax returns.
5.9 Business Operations.
(a) To Buyer's knowledge, without undertaking inquiry, Xxxxx
has all permits, licenses and other authorizations necessary for the operation
of its business as currently conducted. To Buyer's knowledge without undertaking
any inquiry, its business is currently conducted in compliance with all
applicable laws, rules and regulations, and all applicable statements and
reports required to be filed by law as to which its Business is currently
subject have been filed by Buyer. Buyer is not in violation of any applicable
federal, State or local laws, rules or regulations, which singly or in the
aggregate would have a material adverse effect on its business or Buyer. To
Buyer's knowledge, without undertaking any inquiry, Xxxxx currently conforms
with all policies, procedures, contracts, laws, rules and regulations with
respect to reimbursement from any source, including governmental sources
(including without limitation Medicare and Medicaid), third party payors and
individual payors. Buyer has not made any payment or other inducement to any
individual or entity in return for buying, leasing or renting, using or ordering
products or services from Buyer, or in return for referring or influencing
another individual or entity to buy, lease or rent, use or order products or
services from Buyer, which arrangement is in effect on the date hereof. Buyer
has not received any payment or other inducement from any individual or entity
in return for buying, leasing or renting, using or ordering products or services
from any health care provider or in return for referring or
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31
influencing another individual or entity to buy, lease or rent, use or order
products or services from any health care provider, which arrangement is in
effect on the date hereof.
(b) To Buyer's knowledge and without undertaking any inquiry,
(i) each employee of Buyer who Buyer employs as a licensed respiratory therapist
has all licenses and permits required for each such employee to perform such
employee's designated functions and duties for Buyer in connection with
conducting its business, and there exists no waivers or exemptions relating
thereto and (ii) there is no default under, nor does there exist any grounds for
revocation, suspension or limitation of, any such licenses and permits.
(c) Buyer is duly accredited by the Joint Commission on
Accreditation of Health Care Organizations ("JCAHO") to operate and conduct the
Business.
5.10 Medicare, Medicaid and Other Third-Party Payors.
(a) Buyer participates in the Programs. To Buyer's knowledge,
without undertaking any inquiry, Xxxxx is in compliance in all material respects
with all of the terms, conditions and provisions of its Program Agreements.
(b) No notice of any offsets against future reimbursements
under or pursuant to the Programs has been received by Xxxxx. There are no
pending appeals, adjustments, challenges, audits, litigation or notices of
intent to recoup past or present reimbursements with respect to the Programs.
Buyer has not been subject to or threatened with loss of waiver of liability for
utilization review denials with respect to the Programs during the past twelve
(12) months, nor has Buyer received written notice of any pending or threatened
decertification or other loss of participation in any of the Programs.
(x) Xxxxx currently has contractual arrangements with Blue
Cross and other third party payors. Buyer is, and will be at the time of
Closing, in full compliance with all of the material terms, conditions and
provisions of such contracts.
(d) All liabilities and contractual adjustments of the Buyer
under any third party payor or reimbursement programs in excess of Twenty-Five
Thousand Dollars ($25,000) individually have
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32
been properly reflected and adequately reserved for in Buyer's audited Financial
Statements.
(e) Buyer is not now subject to any Material asserted claim
or lawsuit with respect to tax, environmental, Medicare and Medicaid fraud laws,
third party reimbursement for Buyer's products or services or product liability
matters, nor, to the best knowledge of Buyer, is there any basis for any
Material claim to be made against Buyer relating to any of such matters.
(f) The Buyer is not subject to any Material inquiry or
dispute of any nature with the United States Department of Health and Human
Services (Medicare), the New York State Department of Social Services
(Medicaid), the New York State Deputy Attorney General for Medicaid Fraud
Control, the New York State Department of Health, or any other federal, State or
local governmental agency that regulates or has the authority to regulate Buyer
or its business which would have a material adverse effect on Buyer's financial
condition. Buyer is not subject to any Material inquiry or dispute with any
insurance company or other entity responsible for paying or administering
reimbursement for products and services of Buyer and its business.
5.11 Labor Relations. Buyer is not a party to any labor contract,
collective bargaining agreement, contract, letter of understanding, or any other
arrangement, formal or informal, with any labor union or organization which
obligates Buyer to compensate Buyer's employees at prevailing rates or union
scale, nor are any of its employees represented by any labor union or
organization. There is no pending or, to the best knowledge of Xxxxx, asserted
labor dispute, work stoppage, unfair labor practice complaint, strike,
administrative or court proceeding or order between Buyer and any present or
former employee(s) of Buyer which Buyer reasonably believe will result in
litigation. There is no pending or, to the best knowledge of Buyer, asserted,
suit, action, investigation or claim between Xxxxx and any present or former
employee(s) of Buyer which Buyer reasonably believe will result in litigation.
There has not been any labor union organizing activity at any location of Buyer,
or elsewhere, with respect to Buyer's employees within the last three years.
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ARTICLE 6 CLOSING PROCEDURES.
Subject to the fulfillment of the conditions precedent specified the
following will occur:
6.1 Closing Date. The Closing shall take place at the offices of Buyer
simultaneous to the execution of this Agreement.
6.2 Closing Deliveries of Sellers. Simultaneous to the execution of this
Agreement, Sellers shall deliver to Buyer the following:
(a) Stock certificates evidencing the Shares (or affidavits
of lost stock certificates in form acceptable to Buyer) and such stock powers
and other instruments as are necessary or reasonably desirable to vest in Buyer
all right, title and interest in and to the Shares;
(b) all of the documents, Related Agreements, instruments and
opinions required to be delivered by Sellers to Buyer under this Agreement;
(c) A list certified by an officer of the Company setting
forth the names of all of the officers and directors of the Company;
(d) The minute books, stock ledgers and other similar
corporate records of the Company;
(e) Copies of the final tax returns of Metropolitan Home Care
Services, Inc., Metropolitan Respirator Service of New Jersey, Inc. and Home
Diagnostic Services, Inc and an undertaking to promptly file such returns and to
file with the appropriate Secretary of State Certificates of Dissolution for
such corporations as soon as practicable, or an undertaking to provide such
copies as soon as possible, if not available at the closing. Certified copies of
such Certificates of Dissolution will be delivered by Sellers to Buyer promptly
after being obtained by Sellers;
(f) The opinion of Xxxxxxx & Xxxxx, counsel for the Company,
dated the Closing Date, reasonably satisfactory in form and substance to Buyer;
(g) Each of the Related Agreements to which Sellers are a
party, duly executed and delivered by Xxxxxxx;
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(h) All documents and instruments required to effect the
change of control over the Company's bank accounts, money market accounts and
safe deposit box to Buyer;
(i) A copy of the Company's liability insurance policy in
effect as of the date hereof and satisfactory evidence of the payment of all
premiums due thereon through the date hereof, which insurance provides coverage
for the Company of at least $1,000,000.00 for personal injury and/or property
damage resulting from the Company's products and related services sold, leased
or distributed prior to the date hereof;
(j) Investor suitability letters in the form attached hereto
as Exhibit 6.2(j);
(k) The March 31 Compilation;
(l) Certificates of accreditation issued by the JCAHO, and
copies of the most recent JCAHO accreditation survey report, including a list of
deficiencies, if any, and
(m) Certified copies of the Company's Certificate of
Incorporation and By-Laws.
6.3 Closing Deliveries of Buyer. Simultaneous to the execution of this
Agreement, Xxxxx shall deliver to Seller the following:
(a) Certified checks or wire transfers in the aggregate
amount of Two Million Eight Hundred Thousand Dollars ($2,800,000) to Xxxxxxxx,
Xxxxx and Xxxxx, as provided in Section 2.2(a);
(b) The Notes;
(c) The return of the personal guarantees issued by
Xxxxxxxx,and Xxxxx guaranteeing the Outstanding Debt, to be delivered to
Xxxxxxxx and Xxxxx no later than May 31, 1997;
(d) Copies of resolutions duly adopted by Xxxxx's Board of
Directors authorizing the transactions contemplated hereby, certified by the
Secretary of Buyer as being true, complete and in effect as of date hereof;
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(e) The opinion of Nordlicht & Hand, counsel for Buyer, dated
the Closing Date, reasonably satisfactory in form and substance to Sellers and
(f) Each of the Related Agreements to which Xxxxx is a party,
duly executed and delivered by Xxxxx.
ARTICLE 7 ENVIRONMENTAL MATTERS.
7.1 Definitions.
(a) "Company's Facilities" shall mean the Facilities and all
other real property owned, leased or occupied by the Company at any time prior
to the Closing.
(b) "Environmental Condition" shall mean the presence of
Hazardous Materials at the Company's Facilities which requires removal,
remediation, or corrective action pursuant to standards established under
applicable Environmental Laws or orders or other directives from any local,
state or federal government agency.
(c) "Environmental Laws" shall mean any applicable laws
relating to or imposing liability or standards of conduct concerning hazardous
or toxic materials and substances, air pollution (including noise and odors),
water pollution, liquid and solid waste, pesticides, drinking water, community
and employee health, environmental land use management, stormwater, sediment
control, radiation, wetlands, endangered species, environmental permitting and
petroleum products, whether now in effect or becoming effective at any time
after the date hereof, including but not limited to those dealing with public
health and safety and the protection of the environment, such as the Federal
Insecticide, Fungicide, and Rodenticide Act, 7 U.S.C. 136 et seq., as amended;
the Toxic Substances Control Act, 15 U.S.C. 2601 et seq., as amended; the Clean
Water Act, 33 U.S.C. 1251 et seq., as amended; the National Environmental Policy
Act, 42 U.S.C. 4321 et seq., as amended; the Solid Waste Disposal Act, 42 U.S.C.
6901 et seq., as amended; the Comprehensive Environmental Response, Compensation
and Liability Act, 42 U.S.C. 9601 et seq., as amended; the Clean Air Act, 42
U.S.C. 7401 et seq., as amended; the Emergency Planning and Community
Right-to-Know Act, 42 U.S.C. 11001 et seq., as amended; the Occupational Safety
and Health Act, 29 U.S.C. 651 et seq., as amended; the Resource Conservation and
Recovery Act, as amended; all New York State, county and local laws and
ordinances relating to
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environmental, health and safety matters; and all rules and regulations
promulgated pursuant to such federal, State, county and local laws and
ordinances.
(d) "Hazardous Material" means any pollutant, contaminant,
hazardous, toxic or dangerous waste, substance or material, including, but not
limited to, any chemical products, petroleum substances, PCBs, asbestos, urea
formaldehyde, ammonia, nitrates, semi-volatile or purgeable organic, flammable
explosives, radioactive materials, hazardous waste, metals or other materials or
substances defined as or included in the definition of substances defined as
"hazardous substances," "hazardous materials," "solid waste," "hazardous waste,"
"toxic substances" or analogous definitions under any Environmental Law.
(e) "Material Compliance" means compliance which is not
reasonably likely to produce any material adverse change in or effect on the
operations, properties or condition (financial or otherwise), assets or
liabilities of the Company and which would not result in civil or criminal
liability to the Buyer, the Company or any individual.
7.2 Environmental Representations and Warranties. Sellers represent and
warrant that:
(a) To Sellers knowledge, without undertaking any inquiry,
there have been no studies, reports, notices, orders, warnings or similar
documents undertaken or created analyzing, describing or otherwise relating to
Environmental Conditions or activities at the Company's Facilities;
(b) To Sellers' knowledge, without undertaking any inquiry,
there has been no spill, discharge, burial, release, seepage or infiltration of
any Hazardous Material at, on or from the Company's Facilities in amounts which
exceed reportable thresholds under applicable Environmental Laws;
(c) To Sellers' knowledge, without undertaking any inquiry,
there have not been any underground or aboveground storage tanks at the
Company's Facilities during the times such facilities were owned or occupied by
the Company;
(d) To Sellers' knowledge, without undertaking any inquiry,
there is no condition at the Company's Facilities which could cause the
imposition of a lien or assessment of penalties
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against the Company or any of the Company's assets or which could require
remediation under any Environmental Law;
(e) To Sellers' knowledge, without undertaking any inquiry,
the Company has all federal, state and local permits, approvals and
authorizations related to environmental matters required by applicable
Environmental Laws to operate the Facility in the manner conducted prior to the
date hereof;
(f) To Sellers' knowledge, without undertaking any inquiry,
the handling and disposal of all Hazardous Materials used or produced by the
Company has been conducted in Material Compliance with all applicable
Environmental Laws and
(g) The Company has not received any written notice that its
activities fail to comply in any respect with any Environmental Law.
7.3 Application of Article 9 . The indemnification provisions of Article
9 hereof shall be applicable in the event of any breach of Sellers'
representations and warranties under Section 7.2 above.
ARTICLE 8 CERTAIN COVENANTS OF THE PARTIES
8.1 Third Party Consents. To the extent the transactions contemplated
hereby will constitute an assignment of the Company's rights under any
agreement, contract, lease or other property which requires the consent of any
person not a party to this Agreement,and the parties jointly agree to close
without having previously obtained such consent, Sellers will use their best
efforts to obtain such consent as soon as practicable following the closing,
unless such obligation is waived in writing by Buyer.
8.2 Medicare and Medicaid Reporting. Subject to the limitations on
Sellers' indemnification obligations set forth in Section 9.5 hereof, Sellers
shall assume and be responsible for any Material liability incurred by the
Company as a result of the actual improper filing of all reports and claims of
every kind, nature or description required by law or by written or oral contract
to be filed with respect to the purchases of services by third party payors,
including, without limitation, Medicare, Medicaid and Blue Cross. In addition,
if any Material adverse adjustments or offsets regarding operations of the
Company on or after the date hereof are the result of the willful acts of
omissions, or gross negligence, of
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the Company, Sellers, and/or the Company's employees, representatives and agents
on or prior to the date hereof, Sellers shall also be responsible for such
adjustments and offsets(subject to the limitations set forth in Section 9.5).
8.3 Cooperation. Buyer and Sellers shall cooperate with each other and
proceed, as promptly as is reasonably practicable, to prepare and file the
notifications and other filings required by applicable law in connection with
the transactions described in this Agreement, to seek to obtain all necessary
consents and approvals from lenders, lessors and other third parties, and to
endeavor to comply with all other legal or contractual requirements for or
preconditions to the execution, consummation and performance of this Agreement.
8.4 Confidentiality. Sellers shall keep all financial, technical and
other information concerning the Company known to them strictly confidential and
shall not disclose any of such information to any third party, except in
connection with (i) disclosure of information which is generally known by others
engaged in activities similar to the Company or which has been publicly
disseminated through no fault of Sellers, (ii) information necessary for the
preparation of Sellers' tax returns and responses to any audits or inquiries of
tax regulatory authorities and (iii) disclosure of information which is
compelled by operation of law, provided that in each case, Sellers will deliver
written notice to Buyer before making any such disclosure. Sellers shall use
reasonable efforts to ensure that such information is not used or disclosed by
any other persons or entities except as permitted by this Agreement. Sellers
acknowledge the competitive value and confidential nature of such information
and the damage that would result to Buyer and the Company if such information is
disclosed to a third party or used by Sellers in violation of this Agreement.
Accordingly, Sellers agree that both injunctive relief and monetary relief,
alone or in combination, are appropriate remedies for any breach of this Section
8.4 by Sellers or their advisors.
8.5 Insurance. Buyer will cause the Company to maintain no less then its
current insurance coverage so long as Sellers are subject to the provisions of
Article 9 hereof.
8.6 Automobile. Title to the 1994 Lexus currently used by Xxxxxxxx is
being simultaneously transferred to Xxxxxxxx by the Company.
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ARTICLE 9 INDEMNIFICATION.
9.1 Indemnification of Buyer. Subject to the provisions of Section 9.5
hereof, from and after the date hereof, Sellers shall each jointly and severally
defend, indemnify and hold harmless Buyer from and against:
(a) any and all Material obligations of the Company which
are not disclosed in this Agreement or the Financial Statements or
the March 31, 1997 Compilation;
(b) any and all damages, losses and liabilities resulting
from or relating to the Company and/or Operational Matters arising on or prior
to the Closing Date, (including claims made after the Closing Date which relate
to matters or events in existence or which arose prior to the Closing Date),
including, without limitation, all liabilities arising from the provision,
shipment, sale, lease or rental prior to the Closing Date of Products and
services of the Company, whether accrued, absolute, contingent or otherwise;
(c) excluding what is covered by Sections 9.1(a) and 9.1(b)
above, any and all damages, losses and liabilities whatsoever resulting from any
misrepresentation or nonfulfillment of any covenant or agreement on the part of
Sellers hereunder, under any certificate or other instrument furnished or to be
furnished under this Agreement, and
(d) any and all actions, suits, claims, proceedings,
investigations, audits, demands, assessments, fines, judgments, costs and other
reasonable expenses (including reasonable legal fees) arising out of or incident
to any of the foregoing.
9.2 Indemnification of Sellers. From and after the Closing Date, Xxxxx
shall defend, indemnify and hold harmless Sellers from and against:
(a) any and all obligations of the Company disclosed in this
Agreement or the Financial Statements or the March 31, 1997 compilation;
(b) any and all damages, losses and liabilities resulting
from or relating to the Company and/or Operational Matters arising after the
Closing Date including, without limitation, all liabilities arising from the
provision, shipment, sale, lease or rental after the Closing Date of Products,
and services of the
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Company (excluding liabilities arising from or relating to the service,
maintenance and repair of Products on or prior to the Closing Date), whether
accrued, absolute, contingent or otherwise;
(c) excluding what is covered by Sections 9.2(a) and 9.2(b)
above, any and all damages, losses and liabilities whatsoever resulting from any
misrepresentation or any breach of any warranty or nonfulfillment of any
covenant or agreement on the part of Buyer hereunder, under any certificate or
other instrument to be furnished under this Agreement, or under any of the
Related Agreements and
(d) any and all actions, suits, claims, proceedings,
investigations, audits, demands, assessments, fines, judgments, costs and other
reasonable expenses (including reasonable legal fees) arising out of or incident
to any of the foregoing;
(e) any and all other obligations of the Company which
Sellers are not responsible for pursuant to the terms of this Agreement;
(f) any and all actions, suits, claims, proceedings,
investigations, audits, demands, assessments, fines, judgments, costs and other
reasonable expenses (including reasonable legal fees) arising from Xxxxxxxx'x
and Xxxxx's personal guarantees of the Outstanding Debt; and
(g) any and all actions, suits, claims, proceedings,
investigations, audits, demands, assessments, fines, judgments, costs and other
reasonable expenses (including reasonable legal fees) resulting from a
litigation commenced against any Seller by Prince xxxxxxx from the execution of
this Agreement or the consummation of the transactions contemplated hereby.
9.3 Indemnification Procedures Involving Only Sellers and Buyer. Any
party to this Agreement asserting a claim for indemnification in connection with
this Agreement shall proceed as follows:
(a) Notice. The party asserting the claim shall so notify the
other party in writing, setting forth the provision of this Agreement under
which the claim is made, and in reasonable detail the grounds therefor. The date
on which such notice is sent is the "Notice Date."
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(b) Good Faith Discussions. Within ten (10) days after the
Notice Date, the parties shall meet, either in person or by telephone, for the
purpose of resolving the claim. Both parties agree that they will meet and
negotiate in good faith for this purpose. Such discussions and negotiations
shall be conducted in accordance with the provisions for dispute resolution set
forth in Section 10.9(a) and (b).
9.4 Certain Procedures Regarding Indemnification of Third Party Claim,
Etc. All claims for indemnification under this Agreement shall be made as
follows: In the event a claim or demand is made by a third party against an
Indemnitee, the Indemnitee shall promptly notify the Indemnitor of such claim or
demand, specifying the nature and the amount (the "Claim Notice"). The
Indemnitee shall be responsible for handling the defense of such matter. The
Indemnitee shall keep the Indemnitor informed of all material developments in
such matter and will permit the Indemnitor (at Indemnitor's sole cost and
expense) to participate in settlement negotiations or the defense of any matter
for which the Indemnitor is liable hereunder through counsel chosen by the
Indemnitor. The Indemnitee agrees to preserve and provide access to all evidence
that may be useful in defending against such claim and to provide reasonable
cooperation in the defense thereof or in the prosecution of any action against a
third party in connection therewith. The Indemnitee's defense of any claim or
demand shall not constitute an admission or concession of liability therefor or
otherwise operate in derogation of any rights the Indemnitee may have against
the Indemnitor or any third party.
9.5 Limitations on Indemnity.
(a) The aggregate liability of Sellers for all claims made
against it under this Agreement for indemnification for Operational Matters will
be Nine Hundred Thousand ($900,000), provided that if the reason for such
liability is the commission of fraud by any Seller or by the Company prior to
the Closing, there shall be no limit on the amount of Sellers' indemnification
obligations hereunder, provided that only those Sellers who are responsible for
the commission of the fraud shall be liable to Buyer hereunder for losses and
liabilities resulting from the commission of the fraud. Claims by Xxxxx for
indemnification for Operational Matters may not be made after the first
anniversary of the Closing.
(b) With respect to (i) taxes owed by Sellers or the Company
(including matters relating to Employee Benefit Plans) and
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(ii) medicare and medicaid regulatory matters. Without limiting the generality
of the foregoing, claims for breaches of the representations and warranties of
Sellers set forth in Sections 4.7(c), 4.14, 4.17 and 4.24, above, are excluded
from the limitations on indemnification set forth above, and shall be treated
pursuant to this Section 9.5(b). Claims by Xxxxx for indemnification for the
matters covered in this Section 12.5(b) may not be made after the third
anniversary of the Closing. Sellers shall have no liability for any claim of the
type described in this Section 9.5(b) under which the total liability is less
than Twenty Five Thousand Dollars ($25,000) and will have no liability for the
first Twenty Five Thousand Dollars ($25,000) of any claim under this Section
9.5(b) under which the total liability exceeds Twenty Five Thousand Dollars
($25,000); provided, however, that if more than four claims in excess of Twenty
Five Thousand Dollars ($25,000) arise under this Section 9.5(b), commencing with
the fifth claim, Sellers will be responsible for the full amount of the claim,
subject to the other limitations set forth in this Section 9.5.
(c) With respect to any matter which results in litigation,
arbitration or other proceedings involving either the Company or Buyer, Sellers
shall have no liability for any settlement or award of any court, arbitrator,
agency or other tribunal against Buyer or the Company for any matter under which
Buyer is entitled to indemnification under this Agreement unless the total award
against Buyer or the Company exceeds Ten Thousand Dollars ($10,000) and Sellers
will have no liability for the first Ten Thousand Dollars ($10,000) of any claim
for indemnification under this Section 9.5(c) pursuant to which the total
liability of Buyer or the Company exceeds Ten Thousand Dollars ($10,000);
provided, however, that if more than four litigations or other proceedings
result in awards against Buyer and/or the Company in excess of Ten Thousand
Dollars ($10,000), commencing with the fifth such award, Sellers will be
responsible for the full amount of the claim, subject to the other limitations
set forth in this Section 9.5. With respect to legal fees and expenses incurred
by the Company and/or Buyer in defending, negotiating a settlement or
investigating such matters, Sellers will be responsible for and will reimburse
Buyer for the first Twenty Five Thousand Dollars ($25,000) of such fees and
expenses for each of the first four proceedings brought against the Company
and/or Buyer, with Xxxxx paying the remainder of such expenses. Commencing with
the fifth such proceeding, Buyer shall be responsible for One Hundred Percent
(100%) of such legal fees and expenses. Claims by Xxxxx for indemnification for
matters covered in this Section 9.5(c) may not be made after two years from the
date hereof. For the
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purpose of clarification, if Xxxxx receives notice of a litigation or other
legal proceeding during such two year period and notifies Seller of its intent
to seek indemnification for such claims pursuant to this Section 9.5(c), Sellers
will be fully responsible for any award and legal fees incurred by Buyer to the
extent described in this Section, whether or not the award is paid and fees paid
during the two year period, or thereafter. However, Sellers will not have any
liability for litigation or other legal proceedings commenced after the
termination of the two year period.
(d) A basket of up to Six Hundred Fifty Thousand Dollars
($650,000) (the "Basket") shall apply to the all claims for indemnification
ultimately resolved to be owed to Buyer hereunder, except for claims arising
from the commission of fraud by the Company or any Seller, to which the Basket
will not apply. The Basket is subject to reduction for all expenses related to
the Company's pension plan and the legal, accounting and other professional fees
of Sellers which are paid by Xxxxx. In addition, to the extent that the
Outstanding Debt exceeds Eight Hundred Thousand Dollars ($800,000) and is not
otherwise paid by Sellers, the excess amount shall also be deducted from the
Basket. In the event that there are insufficient funds remaining in the Basket
for Sellers to use, Sellers will have the right to use a second basket of the
Two Hundred Thousand Dollars ($200,000) for claims covered by Section 9.5(b) and
9.5(c).
(e) Notwithstanding anything else herein to the contrary, the
liability of each of the Sellers with respect to any matter for which Sellers
are required to indemnify Buyer hereunder shall be limited to the a percentage
based on the total percentage of the Purchase Price paid to each Seller, as
follows: Xxxxxxxx, 42.85714%, Xxxxx, 46.66666% and Xxxxx, 10.47619%. For
example, if, after application of all thresholds and the Basket provided for
herein, Sellers are required to indemnify Buyer for a $100,000 liability, such
liability will be divided among Sellers as follows: Xxxxxxxx, $42,857.14, Xxxxx,
$46,666.66 and Xxxxx, $10,476.19.
(f) Notwithstanding anything else herein to the contrary,
Sellers will have no responsibility for any matter which is fully covered by the
Company's or Buyer's insurance.
(g) Notwithstanding anything else herein to the contrary,
Xxxxx will not seek indemnification from Sellers for any matter which Buyer has
been advised in writing prior to the date hereof might constitute a
misrepresentation, breach of warranty or breach
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of covenant by any Seller, or which Buyer, in the course of its due diligence
acting in good faith, has discovered and failed to disclose to Sellers.
(h) Notwithstanding anything else herein to the contrary,
while the parties believe that the Stockholders Agreement is of no further force
and effect, if there is a breach of any representation or covenant of Sellers
hereunder or as a result of any circumstances arising out of the Stockholders
Agreement, Buyer will not seek indemnification hereunder from Sellers for such
breach.
9.6 Application of Notes. In the event Sellers have any obligation to
indemnify Buyer under this Article 9 after the application of all thresholds and
the Basket, Xxxxx will be entitled to and agrees to first offset amounts due
Sellers under the notes against Sellers' indemnification obligations hereunder.
ARTICLE 10 MISCELLANEOUS MATTERS.
10.1 Survival of Representations and Warranties. All representations and
warranties shall survive the Closing for the time periods applicable pursuant to
Section 9.5 hereof.
10.2 Further Assurances; Access to Records. At any time and from time to
time after the date hereof, at the request of Xxxxx and without further
consideration, Sellers shall execute, acknowledge and deliver all such further
documents, and shall do and perform all such further acts and deeds, as may
reasonably be requested to more effectively vest in Buyer the rights and
benefits intended to be conferred hereby and to consummate more effectively the
transactions contemplated hereby. Buyer shall make available to Sellers after
the date hereof such records regarding the Company as Seller may require for the
purposes set forth in Section 8.4.
10.3 Mail. After the date hereof and for a period of one year
thereafter, Xxxxx shall remit to Sellers all mail and other communications
received by Xxxxx that does not relate to the Company, and Sellers shall remit
to Buyer all mail and other communications received by Xxxxxxx that relates to
the Company.
10.4 Changes, Waivers. This Agreement may not be changed in any manner
except by a written agreement signed by each of the parties hereto. The failure
of any party to enforce at any time any of the provisions of this Agreement
shall in no way be construed to
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be a waiver of any such provision, nor in any way affect the validity of this
Agreement or any part thereof or the right of either party thereafter to enforce
each and every such provision. No waiver of any breach of this Agreement shall
be held to be a waiver of any other or subsequent breach.
10.5 Expenses, Etc. Buyer and Sellers shall be responsible for and bear
all of its or their own costs and expenses (including without limitation
attorneys' fees and costs, accountants' fees and costs and other professionals'
fees and costs) incurred in connection with the negotiation, preparation,
execution and delivery of this Agreement and the Related Agreements and the
consummation of the proposed transactions described in this Agreement; provided
that Sellers shall have the option of requiring Buyer to pay such professional
fees, in which case such payment shall be deducted from the Basket as described
in Section 9.5 above. Sellers shall be responsible for the purchase of any stock
transfer stamps and payment of any assignment, recording or filing fees
triggered by or imposed upon the transactions contemplated by this Agreement. No
broker's, finder's or similar fees shall be payable in connection with the
proposed transactions described in this Agreement, except as set forth in
Section 4.10, and each party to this Agreement shall indemnify the other parties
hereto with respect to any such fees.
10.6 Counterparts. This Agreement may be executed in two or more
counterparts, each of which shall be deemed to be an original, but all of such
counterparts together shall be deemed to be one and the same instrument.
10.7 Contents of Agreement; Parties in Interest; Assignment, Etc.
(a) This Agreement, including the Schedules and Exhibits
hereto and the documents referred to herein, sets forth the entire understanding
and agreement of the parties hereto with respect to the subject matter hereof.
All previous agreements, promises, representations, commitments and
understandings, whether verbal or written, between the parties regarding the
subject matter hereof are merged into and superseded by this Agreement. All
representations, warranties, covenants, terms and conditions of this Agreement
shall be binding upon and inure to the benefit of and be enforceable by the
respective legal representatives, successors and permitted assigns of the
parties hereto. Nothing contained in this Agreement, express or implied, is
intended to confer upon any person or entity other than the parties hereto and
their respective successors and permitted
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assigns any rights or remedies under or by reason of this Agreement or any
Related Agreement.
(b) This Agreement may not be assigned by any party hereto
without the prior written consent of the other party.
10.8 Conflict with Related Agreements. In the event that the terms of
this Agreement conflict with the terms of any of the Related Agreements, the
terms of this Agreement shall govern.
10.9 Dispute Resolution.
(a) Good Faith Negotiation. In the event of any controversy,
claim or dispute, the party initiating the controversy, claim or dispute shall
provide to the other party a written notice containing a brief and concise
statement of the matter, together with relevant supporting facts. During a
period of sixty (60) days or such longer period as mutually agreed, the parties
shall attempt to settle the matter by good faith negotiation. Such efforts shall
include, but not be limited to, full presentation by each party of its claims,
with or without counsel, with the presentation of Sellers to be made to the
Chief Executive Officer of Buyer.
(b) Outside Decisionmaker. If efforts under Section 10.9(a)
are not successful, the dispute shall be referred to an outside decisionmaker.
Such decisionmaker shall be a person reasonably acceptable to Xxxxx and a
majority of Sellers. If the parties cannot agree on one person, then each shall
select one person and those two individuals shall hear the claim. If they cannot
arrive at a unanimous decision, then they shall select a third person who shall
act independently. The decision of the outside decisionmaker(s) shall not be
binding on the parties, but shall be used as a basis for resolving disputes
prior the institution of litigation. In any case, the outside decisionmaker(s)
shall be required to render a decision on the claim in writing within thirty
(30) days of being retained for this purpose by either party, or sixty (60) days
if a third person is necessary. The costs and expenses of this decisionmaker
shall be shared equally by the parties. Failure to comply with Sections 10.9(a)
and 10.9(b) with respect to any controversy, claim or dispute shall be an
absolute bar to the institution of any litigation or other proceeding.
(c) In the event any action is required to enforce the terms
of this Agreement, the unsuccessful party in such action shall
-42-
47
reimburse the prevailing party for all costs and expenses (including reasonable
attorneys' fees) incurred by the prevailing party.
10.10 Receipt of Monies or Other Assets. If any monies or other assets
are received by Sellers or Buyer to which the other party is entitled in
accordance with the terms of this Agreement, such party shall hold such monies
or assets in trust and shall promptly notify and account therefor to the other
within fifteen (15) days of receipt.
10.11 Section Headings and Gender. The section headings herein have been
inserted for convenience of reference only and shall in no way modify or
restrict any of the terms or provisions hereof. The use of masculine or any
other pronoun herein when referred to any party is for convenience only and
shall be deemed to refer to the particular party intended regardless of the
actual gender of such party.
10.12 Schedules. The Schedules and Exhibits to this Agreement shall be
construed with and as an integral party of this Agreement to the same extent as
if the same had been set forth verbatim herein.
10.13 Notices. All notices, consents, waivers or other communications
which are required or permitted hereunder shall be in writing and shall be
sufficient if delivered personally (including by means of a nationally
recognized overnight courier service for which a written receipt is given) or by
registered or certified mail, return receipt requested, postage prepaid, or by
facsimile transmission providing a receipt, as follows (or to such other address
as shall be set forth in a notice given in the same manner):
IF TO BUYER:
Xx. Xxxx X. Xxxxxxxxx
President and Chief Executive Officer
Community Care Services, Inc.
00 Xxxxxxx Xxxxx
Xxxxx Xxxxxx, Xxx Xxxx 00000
FAX: 000-000-0000
WITH A REQUIRED COPY TO:
Xxx X. Xxxxxxxxx, Esq.
Nordlicht & Hand
000 Xxxxx Xxxxxx
Xxx Xxxx, Xxx Xxxx 00000
FAX: 000-000-0000
-43-
48
IF TO SELLERS:
Xx. Xxxxxx Xxxxxxxx
0 Xxxxxxx Xxxxxx
Xxxxx Xxxxxx, Xxx Xxxx 00000
Xx. Xxxxx Xxxxx
00 Xxxxx Xxxx
Xxxxxxxxx Xxxxxx, Xxx Xxxx 00000
Xx. Xxxxxxx X. Xxxxx
000 Xxxxxxxxx Xxxxxx
Xxxxxxxxx Xxxxxx, Xxx Xxxx 00000
WITH REQUIRED COPIES TO:
Xxxxxxx X. Xxxxxxx, Esq.
Xxxxxxx & Xxxxx
000 Xxxx Xxxxxx
Xxx Xxxx, Xxx Xxxx 00000
FAX: 000-000-0000
Xxxxxxx X. Xxxxxxxxx, Esq.
0000 Xxxxxxxx Xxxxxx, Xxxxx 000
Xxxxxx Xxxx, Xxx Xxxx 00000
FAX: 000-000-0000
All such notices shall be deemed to have been given on the date personally
delivered, upon possession of a receipt establishing a facsimile transmission
was received or five (5) days after being mailed in the manner provided above.
14.14 Governing Law. This Agreement shall be construed and enforced in
accordance with the laws of the State of New York without giving effect to the
principles of conflicts of laws.
-44-
49
IN WITNESS WHEREOF, this Agreement has been executed as of the day and
year first above written.
/s/Xxxxxx Xxxxxxxx
-----------------------------
Xxxxxx Xxxxxxxx
/s/Xxxxx Xxxxx
-----------------------------
Xxxxx Xxxxx
/s/Xxxxxxx X. Xxxxx
------------------------------
Xxxxxxx X. Xxxxx
COMMUNITY CARE SERVICES, INC.
By: /s/Xxxx X. Xxxxxxxxx
---------------------------
Xxxx X. Xxxxxxxxx
President and Chief Executive Officer
-45-
50
SCHEDULES
Schedule 1.14 Facility Leases
Schedule 1.23 Products
Schedule 2.2(a) Allocation of Purchase Price
Schedule 2.2(c) Allocation of Purchase Shares
Schedule 4.1(a) Subsidiaries
Schedule 4.1(b) Share Ownership
Schedule 4.2 Consents and Approvals (Sellers)
Schedule 4.4(a) Machinery and Equipment
Schedule 4.4(c) Leases of Tangible Personal Property
Schedule 4.4(d) Inventory
Schedule 4.4(i) Accounts Receivable
Schedule 4.4(j) Records
Schedule 4.5 Contracts
Schedule 4.7(a) Litigation
Schedule 4.8 Customers
Schedule 4.9 Suppliers
Schedule 4.11(g) Compensation and Benefits
Schedule 4.11(i) Change in Accounting Procedures
Schedule 4.16 Bank Accounts
Schedule 4.17(a) Licenses and Permits
Schedule 4.19(b) Liabilities
Schedule 4.20 Employee Benefit Plans
Schedule 4.22 Relationships
Schedule 4.25 Employees
51
EXHIBITS
Exhibit 2.1(b)(i) Non-Negotiable Convertible Promissory Note of Community
Care Services, Inc. in favor of Xxxxxx Xxxxxxxx.
Exhibit 2.1(b)(ii) Non-Negotiable Convertible Promissory Note of Community
Care Services, Inc. in favor of Xxxxx Xxxxx.
Exhibit 2.1(b)(iii) Non-Negotiable Convertible Promissory Note of Community
Care Services, Inc. in favor of Xxxxxxx X. Xxxxx.
Exhibit 3.1(a) Employment Agreement between Community Care Services,
Inc. and Xxxxxx Xxxxxxxx
Exhibit 3.1(b) Employment Agreement between Community Care Services,
Inc. and Xxxxx Xxxxx
Exhibit 3.1(c) Employment Agreement between Community Care Services,
Inc. and Xxxxxxx X. Xxxxx
Exhibit 3.2(a) Non-Competition Agreement between Community Care
Services, Inc. and Xxxxxx Xxxxxxxx
Exhibit 3.2(b) Non-Competition Agreement between Community Care
Services, Inc. and Xxxxx Xxxxx
Exhibit 3.2(c) Non-Competition Agreement between Community Care
Services, Inc. and Xxxxxxx X. Xxxxx
Exhibit 3.3 Form of Confidentiality Agreement
Exhibit 6.2(j) Form of Investor Suitability Letter
52
SCHEDULE 1.14
FACILITY LEASES
Facility leases between Metropolitan Home Care Service, Inc and:
Xxxxx & Xxxxxxx Xxxxxx
0000-0000 Xxxxxx Xxxx
Xxxxx, XX
Xxxx & Xxxxx Xxxxxxx
0000 Xxxxxx Xxxx
Xxxxx, XX
Bobron Bros.
00 Xxxxxx Xxxxxx
Xxxx Xxxx, XX
53
SCHEDULE 1.23
PRODUCTS
See Schedule 4.4(d)
54
SCHEDULE 2.2(a)
ALLOCATION OF PURCHASE PRICE
Xxxxxx Xxxxxxxx $ 970,598
Xxxxx Xxxxx $1,063,502
Xxxxxxx X. Xxxxx $ 765,900
55
SCHEDULE 4.1(a)
SUBSIDIARIES
Metropolitan Home Care Services, Inc.
Metropolitan Respirator Services of New Jersey, Inc.
56
SCHEDULE 4.1(b)
SHARE OWNERSHIP
Xxxxxx Xxxxxxxx 22.5
Xxxxx Xxxxx 24.5
Xxxxxxx X. Xxxxx 5.5
57
SCHEDULE 4.2
CONSENTS AND APPROVALS
None
58
SCHEDULE 4.4 (a)
MACHINERY AND EQUIPMENT
59
METROPOLITAN HOME CARE
PROPERTY SCHEDULE
=============================================================================================================================
AREA DESKS WANG FASTRACK PC'S PHONE FILE FAX MISC.
TERMINALS TERMINALS CABINET MACHINE
=============================================================================================================================
WW Office 1 1 1 1 1-computer desk
1-Wood Desk
-----------------------------------------------------------------------------------------------------------------------------
Respiratory Cube 2 2 1 2 1 Partitions
-----------------------------------------------------------------------------------------------------------------------------
DD Office 1 1 1 Wood desk and shelves
-----------------------------------------------------------------------------------------------------------------------------
Customer Service 12 12 11 1 11 4 2
-----------------------------------------------------------------------------------------------------------------------------
Rehab Room 2 1 1 1 2 3 1-IBM Typewriter
2-Computer Desks
1-2D, 2-5D
-----------------------------------------------------------------------------------------------------------------------------
Wire Closet 1-32 Port Mux
1-12 Port Mux
-----------------------------------------------------------------------------------------------------------------------------
Machine Room 1-Fast Wang Printer
1-Fastrack Printer
1-Folding Machine
2-Electric Typewriters
-----------------------------------------------------------------------------------------------------------------------------
File Room 1-Small step ladder/platform
1-Computer Desk
12-File Racks
-----------------------------------------------------------------------------------------------------------------------------
Respiratory Room 1 2 1 3 2
-----------------------------------------------------------------------------------------------------------------------------
Billing 10 10 7 3 10 5 1
-----------------------------------------------------------------------------------------------------------------------------
Rx Room 6 7 2 5 7 2 1 1-4D
1-5D
-----------------------------------------------------------------------------------------------------------------------------
Purchasing 2 1 1 1 2 4 2-5D
1-4D
1-3D
-----------------------------------------------------------------------------------------------------------------------------
Clean-up Room 1 3 4 2 5 1 A/C Unit
1-Supply Cabinet
1-Wood Desk
-----------------------------------------------------------------------------------------------------------------------------
LR Office 1 1 1 1-A/C Unit
2-Computer Desks
Wood Desk
-----------------------------------------------------------------------------------------------------------------------------
Lunch Room 3-48" Round Tables
1-Microwave
1-Small Refrigerator
-----------------------------------------------------------------------------------------------------------------------------
Sales Office 5 1 1 1 Laptop PC w/ Printer
1-5DL
-----------------------------------------------------------------------------------------------------------------------------
Bill's Office 2 2 2 3 1-5DL
1-5D
1-5DL
-----------------------------------------------------------------------------------------------------------------------------
DF Office 2 1 1-Large Safe
2-Wood Desks
-----------------------------------------------------------------------------------------------------------------------------
Supply Warehouse 1 51-Big Rack Sections
2-Hand Carts
-----------------------------------------------------------------------------------------------------------------------------
Main Warehouse 2-Steam Cleaners Misc. Tools
30-Big Rack Sections
1-Step Platform
Phone System w/Voic.
-----------------------------------------------------------------------------------------------------------------------------
48 38 29 21 47 24 6
Only 4 PC's are good
60
PERSONAL PROPERTY AT XXXX COVE RETAIL LOCATION
QUANTITY DESCRIPTION
1 AT&T COMMUNICATION SYSTEM MODEL 2448
6 24 BUTTON SPIRIT TELEPHONES
1 FAX SHARP MODEL UX-177
1 AT&T ANSWER MACHINE MODEL 1750
1 CREDIT CARD TRANSACTION LINE MODEL 380
1 CASH REGISTER SANYO MODEL ECR-270
1 XEROX COPY MACHINE ON ROLLING CART
1 VIDEO SURVEILLANCE SYSTEM W/4 CAMERAS
1 EXECUTIVE OFFICE FURNITURE SET CONSISTING OF:
DESK W/ SWIVEL CHAIR
SIDE CREDENZA
2 DRAWER FILE CABINET
CONFERENCE TABLE W/6 CHAIRS
4 DESKS 48" BLACK METAL W/FORMICA TOP
1 GLASS DISPLAY CASE
1 EMPLOYEE TIME CLOCK
1 MICROWAVE OVEN TOSHIBA
1 25" RCA TV W/BUILT-IN VCR
2 PORTABLE STEREO/RADIOS
1 486 PC W/13" MONITOR & PRINTER
1 286 PC W/13" MONITOR & PRINTER
2 4 DRAWER (BLACK) METAL FILE CABINETS
3 FIRE EXTINGUISHERS
1 UPRIGHT VACUUM CLEANER
2 WALL MOUNTED FANS
Page 1
61
SCHEDULE 4.4 (c)
LEASES OF PERSONAL PROPERTY
METROPOLITAN HOME CARE
OUTSTANDING LEASES AS OF MARCH 31, 1997
VENDORS EXPIRATION DATE AMOUNT DUE
SUN MED 7/20/97 $74,586.42 12431.47
AIRSEP CORP 1/15/98 $10,740.00
AIRSEP CORP 2/18/98 $10,979.00
AIRSEP CORP 10/20/97 $8,239.50
AIRSEP CORP 9/20/97 $7,324
AIRSEP CORP 12/4/97 $10,064.12
AIRSEP CORP 6/17/97 $4,577.50
AIRSEP CORP 5/20/97 $3,662.00
AIRSEP CORP 7/7/97 $4,577.50 1222.77
AIRSEP CORP 11/7/97 $8,239.50
INVACARE 5432 1/16/98 $70,859.31
INVACARE 2143 9/1/97 $28,645.26
INVACARE 4754 5/1/98 $80,910.30
INVACARE 516 8/1/97 $6,007.86 1001.31
INVACARE 510 7/1/97 $7,230.90 1446.86
INVACARE 2298 7/1/97 $9,164.10 1832.87
INVACARE 932 3/18/97 $2,044.42 6979.02
INVACARE 1638 7/1/97 $20,270.10 4054.02
INVACARE 1428 5/1/97 4,806.81 1602.27
INVACARE 4271 3/1/98 $89,921.26
INVACARE 3848 1/1/96 $70,193.86
GENERAL FUNDING 4/8/98 $35,985.04 789 57
VGM LEASING (LIFE CARE) 7/19/97 $11,146.95 2229 35
GM LEASING 11/30/98 $58,926.42
REPUBLIC LEASING 4/1/98 $11,053.98 787
UNISTAR (NEXLEASE) 5/24/97 $51,755.42 500
XXXXXXX XXXXX (LOAN) 8/1/97 $70,861.07 15000
TAIS CREDIT (TELEPHONE) 1/7/20 $17,295.60
1996 FORD ESCORT 8/11/99 $8,760.92
1993 GEO PRISM 3/11/99 $6,943.20
1994 CHEVY TRUCK (GMAC) 4/13/98 $4,178.46
1994 CHEVY TRUCK (GMAC) 4/13/98 $4,083.95
1993 PATHFINDER 9/15/98 $6,300.00
1993 LEXUS 12/1/20 $19,799.56
INVACARE CREDIT CARD $85,000.00
INVACARE 5917 96436.45
XXX VOLVO 1996 12100 APP.
TOTAL $983,670.29
Page 1
62
SCHEDULE 4.4 (d)
INVENTORY
SEE ATTACHED SCHEDULE
63
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
DME BOOT, CAST S,M,L,XL XXXXX XXXXXX 333 EA $5.95 9 $53.55 A 1
------------------------------------------------------------------------------------------------------------------------------------
DME POST-OP SHOE 342 EA $5.40 6 $32.40 A 1
------------------------------------------------------------------------------------------------------------------------------------
DME WRIST BRACE 825 EA $3.85 15 $57.75 A 1
------------------------------------------------------------------------------------------------------------------------------------
DME COCK UP SPLINT XXXXXXX XX $27.95 14 $391.30 A 1
------------------------------------------------------------------------------------------------------------------------------------
DME CERVICAL XXXXXX MEDISOURCE 34310 EA $3.25 14 $45.50 A 1
------------------------------------------------------------------------------------------------------------------------------------
DME PUTTY, THERAPY 2OZ XXXXXXX 5071/72/73/71 EA $3.75 14 $52.50 A 2
------------------------------------------------------------------------------------------------------------------------------------
DME SOCK&STOCK XXXX XXXXXXX 2084 EA $5.75 10 $57.50 A 2
------------------------------------------------------------------------------------------------------------------------------------
DME TENS UNIT XXXXX 8131 EA $69.90 5 $349.50 A 2
------------------------------------------------------------------------------------------------------------------------------------
DME TENS ELECTRODES XXXXX 8131-RE CS $3.90 2 $7.80 A 2
------------------------------------------------------------------------------------------------------------------------------------
DME TENS LEADWIRE 36" XXXXX 8131-W PR $5.50 24 $132.00 A 2
------------------------------------------------------------------------------------------------------------------------------------
DME TENS GEL 2 OZ XXXXX 8131-G EA $1.25 4 $5.00 A 2
------------------------------------------------------------------------------------------------------------------------------------
DME WEIGHT, VELCRO 5LB MEDISOURCE 82412 EA $7.95 2 $15.90 A 6
------------------------------------------------------------------------------------------------------------------------------------
DME WEIGHT, VELCRO 2LB MEDISOURCE 82404 EA $5.80 6 $34.80 A 6
------------------------------------------------------------------------------------------------------------------------------------
DME WEIGHT, VELCRO 1LB MEDISOURCE 82400 EA $4.80 4 $19.20 A 6
------------------------------------------------------------------------------------------------------------------------------------
DME WEIGHT, VELCRO 3LB MEDISOURCE 82408 EA $6.75 5 $33.75 A 6
------------------------------------------------------------------------------------------------------------------------------------
DME TOOTHETTES SUB/OSTOMY 5601 BX/25 $51.35 2 $102.70 A 7
------------------------------------------------------------------------------------------------------------------------------------
DME PAD, MOIST HEAT 10X12 MEDISOURCE 84250 EA $5.75 3 $17.25 A 7
------------------------------------------------------------------------------------------------------------------------------------
DME PAD, MOIST HEAT
(ELECTRIC) MEDISOURCE 84110 EA $18.40 4 $73.60 A 7
------------------------------------------------------------------------------------------------------------------------------------
DME REACHER 26" XXXXXXX 4109 EA $9.95 5 $49.75 A
------------------------------------------------------------------------------------------------------------------------------------
DME SHOEHORN, LONG
HANDLE 16 1/4" XXXXXXX 2065 EA $2.25 7 $15.75 A
------------------------------------------------------------------------------------------------------------------------------------
DME BATH SPONGE,
LONG HANDLE 18" XXXXXXX 6298 EA $2.50 6 $15.00 A
------------------------------------------------------------------------------------------------------------------------------------
DME DRESSING STICK,
DRESSING 26" XXXXXXX 2109 EA $2.95 7 $20.65 A
------------------------------------------------------------------------------------------------------------------------------------
DME SLING, HEMI XXXXXXX 6160 EA $19.95 10 $199.50 A
------------------------------------------------------------------------------------------------------------------------------------
DME BUNNY BOOT,
BOOT ONLY XXXXXXX 6172 EA $12.95 4 $51.80 A
------------------------------------------------------------------------------------------------------------------------------------
DME BUNNY BOOT,
FRAME ONLY XXXXXXX 6173 EA $15.50 7 $108.50 A
------------------------------------------------------------------------------------------------------------------------------------
DME TENS UNIT XXXXXX FIELD GF-3 EA OBSOLETE 22 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
DME ORTHODERM BED
SYST BIOCLINIC EA $1,895.00 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
DME BATH SEAT W BACK GUARDIAN 30400 EA $26.00 7 $182.00 F 2
------------------------------------------------------------------------------------------------------------------------------------
DME BATH SEAT W/BACK LUMEX 7921 EA $28.78 1 $28.78 F 3
------------------------------------------------------------------------------------------------------------------------------------
DME BATH SEAT W/CUTOUT GUARDIAN 98020 EA $48.34 1 $48.34 F 3
------------------------------------------------------------------------------------------------------------------------------------
DME BATH SEAT W/O BACK TEMGO 1992 EA $15.98 1 $15.98 F 4
------------------------------------------------------------------------------------------------------------------------------------
DME BATH SEAT X-WIDE 500 LBS TFI 4328 EA $33.11 1 $33.11 F 4
------------------------------------------------------------------------------------------------------------------------------------
DME BATH SEAT W/O BACK GUARDIAN 20401 EA $19.00 0 $19.00 F 4
------------------------------------------------------------------------------------------------------------------------------------
64
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
65
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
DME SHOWERALL W/
DIVERTOR VALVE XXXXX MEDICAL 2200 EA $12.60 12 $151.20 F 5
------------------------------------------------------------------------------------------------------------------------------------
DME SHOWER ALL TEMCO 2011-6 EA $12.00 11 $132.00 F 5
------------------------------------------------------------------------------------------------------------------------------------
DME VERSA FRAME LUMEX 6460 PR $18.25 7 $127.75 F 5
------------------------------------------------------------------------------------------------------------------------------------
DME TOILET SEAT,
RAISED W/ARMS GUARDIAN 30270 EA $39.47 2 $78.94 F 6
------------------------------------------------------------------------------------------------------------------------------------
DME TOILET SEAT,
RAISED W/ARMS XXXXXX FIELD 6907 EA $31.00 3 $93.00 F 6
------------------------------------------------------------------------------------------------------------------------------------
DME TOILET SEAT,
RAISED TEMCO 6910 EA $38.25 0 $0.00 F 8
------------------------------------------------------------------------------------------------------------------------------------
DME TOILET SEAT,
RAISED TEMCO 6905 EA $17.00 6 $102.00 F 8
------------------------------------------------------------------------------------------------------------------------------------
DME TUB RAIL TALL LUMEX 69663 EA $34.70 2 $69.40 F 9
------------------------------------------------------------------------------------------------------------------------------------
DME TUB RAIL LUMEX 69603 EA $38.80 2 $77.60 F 9
------------------------------------------------------------------------------------------------------------------------------------
DME TUB RAIL LUMEX 69623 EA $29.40 4 $117.60 F 9
------------------------------------------------------------------------------------------------------------------------------------
DME TUB RAIL TFI DME80 CS/6 $16.78 4 $67.12 F 9
------------------------------------------------------------------------------------------------------------------------------------
DME TUB RAIL GUARDIAN 98005 EA $50.00 8 $400.00 F 9
------------------------------------------------------------------------------------------------------------------------------------
DME TRANSFER BENCH
PADDED LUMEX 7955 EA $76.40 0 $0.00 F 10
------------------------------------------------------------------------------------------------------------------------------------
DME TRANSFER BENCH TEMCO 1997 EA $45.00 3 $135.00 F 10
------------------------------------------------------------------------------------------------------------------------------------
DME TRANSFER BENCH
PADDED GUARDIAN 98338 EA $62.00 4 $248.00 F 11
------------------------------------------------------------------------------------------------------------------------------------
DME TRANSFER BENCH GUARDIAN 98308 EA $44.00 6 $264.00 F 12
------------------------------------------------------------------------------------------------------------------------------------
DME TRANSFER BENCH TEMCO 1995-1 EA $39.50 2 $79.00 F 13
------------------------------------------------------------------------------------------------------------------------------------
DME TRANSFER BENCH X-WIDE TFI 4379 EA $94.49 0 $0.00 F 13
------------------------------------------------------------------------------------------------------------------------------------
DME COMMODE, 3-1 GUARDIAN 30213 EA $29.00 6 $174.00 F 14
------------------------------------------------------------------------------------------------------------------------------------
DME TRANSFER BENCH
PADDED LUMEX 7956 EA $95.76 1 $95.76 F
------------------------------------------------------------------------------------------------------------------------------------
DME BATH SEAT W/O BACK OMPOSITE GUARDIAN 12200 EA $17.54 0 $0.00 F
------------------------------------------------------------------------------------------------------------------------------------
DME BATH SEAT W/BACK OMPOSITE GUARDIAN 12000 EA $23.22 0 $0.00 F
------------------------------------------------------------------------------------------------------------------------------------
DME BATH SEAT W/BACK
CUT OUT LUMEX 7923 EA $34.05 4 $136.20 F
------------------------------------------------------------------------------------------------------------------------------------
DME BATH SEAT W/BACK LUMEX 7944 EA $62.80 4 $251.20 F
------------------------------------------------------------------------------------------------------------------------------------
DME TOILET SEAT RAISED GUARDIAN 30250 EA $11.79 0 $0.00 F
------------------------------------------------------------------------------------------------------------------------------------
DME TUB RAIL LUMEX 7966 EA $30.50 2 $61.00 F
------------------------------------------------------------------------------------------------------------------------------------
DME TUB RAIL XXXXXXX STEW 700 EA $25.11 3 $75.33 F
------------------------------------------------------------------------------------------------------------------------------------
DME TUB RAIL SAFETY CARE SCP-2 EA $13.77 3 $41.31 F
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX XXXXXX INVACARE 6291-JR EA $31.31 11 $344.41 G 1
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX, FOLDING
LTWT LUMEX 615050 EA $30.50 0 $0.00 G 1
------------------------------------------------------------------------------------------------------------------------------------
XXX XXXXXX, RED DOT ADULT GUARDIAN 7755 EA $43.00 0 $0.00 G 2
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX ADULT GUARDIAN 30755P EA $29.00 16 $464.00 G 3
66
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX ADULT INVACARE 6291-A EA $31.31 5 $156.55 G 4
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX, NON
FOLDING ADULT GUARDIAN 7720 EA $42.07 2 $84.14 G 4 U
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
67
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
XXX XXXXXX, RED DOT JUNIOR GUARDIAN 7756 CS/4 $43.00 7 $301.00 G 5
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX YOUTH GUARDIAN 30756P CS/4 $29.00 0 $0.00 G 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX, XXXX XXXXXX-FIELD 1941 EA $45.08 1 $45.08 G 7
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX T.F.I. 2113 EA $60.69 2 $121.38 G 7
------------------------------------------------------------------------------------------------------------------------------------
XXX XXXXXX, STAIRCLIMB ADULT XXXXXX-FIELD 1911 EA $68.90 0 $0.00 G 7
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX X-WIDE TFI 2138 EA $63.47 2 $126.94 G 8
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX, 300LBS X-WIDE GUARDIAN 7766 CS/2 $52.81 5 $264.05 G 8
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX CHILD GUARDIAN 7749 EA $52.63 8 $421.04 G 9
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX, BAIL
FOLDING YOUTH GUARDIAN 7738 CS/2 $58.43 2 $116.86 G 9
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX, BAIL
FOLDING ADULT GUARDIAN 7737 CS/2 $58.43 0 $0.00 G 9
------------------------------------------------------------------------------------------------------------------------------------
DME CANE, SIDE-STEPPER LUMEX 6015 CS/2 $36.50 1 $36.50 G 10
------------------------------------------------------------------------------------------------------------------------------------
DME CANE, SIDE STEPPER JUNIOR GUARDIAN 7771 EA $36.16 2 $72.32 G 10
------------------------------------------------------------------------------------------------------------------------------------
DME CANE, SIDE STEPPER ADULT GUARDIAN 7770 CS/2 $36.16 3 $108.48 G 10
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX, RECIPROCAL XXXXXX-FIELD 1916 EACH $73.45 1 $73.45 G 11
------------------------------------------------------------------------------------------------------------------------------------
DME CANE, QUAD WIDE GUARDIAN 30340 CS/2 $14.50 6 $87.00 G 11
------------------------------------------------------------------------------------------------------------------------------------
DME CANE, QUAD GUARDIAN 5345 EA $20.00 5 $100.00 G 11
------------------------------------------------------------------------------------------------------------------------------------
DME CANE, QUAD NARROW GUARDIAN 30345 EA $14.50 4 $58.00 G 11
------------------------------------------------------------------------------------------------------------------------------------
DME CANE, QUAD NARROW GUARDIAN 5845 EA $21.45 4 $85.80 G 11
------------------------------------------------------------------------------------------------------------------------------------
DME CANE, QUAD WIDE GUARDIAN 5340 EA $20.00 3 $60.00 G 11
------------------------------------------------------------------------------------------------------------------------------------
DME COMMODE, X-WIDE +700LBS TFI 3240 EA $81.27 2 $162.54 G 12
------------------------------------------------------------------------------------------------------------------------------------
DME GRAB BAR,
RT ANGLE 16" GUARDIAN 98135 EA $27.34 11 $300.74 G 13
------------------------------------------------------------------------------------------------------------------------------------
DME GRAB BAR,
LFT ANGLE 16" GUARDIAN 98136 EA $27.34 6 $164.04 G 13
------------------------------------------------------------------------------------------------------------------------------------
DME GRAB BAR KNURLED 24" MEDISOURCE 91324 EA $11.72 0 $0.00 G 13
------------------------------------------------------------------------------------------------------------------------------------
DME GRAB BAR KNURLED 12" MEDISOURCE 91312 EA $8.75 5 $43.75 G 13
------------------------------------------------------------------------------------------------------------------------------------
DME GRAB BAR 12" LUMEX 4012 EA $8.20 3 $24.60 G 14
------------------------------------------------------------------------------------------------------------------------------------
DME GRAB BAR 16" LUMEX 4016 EA $8.20 6 $49.20 G 14
------------------------------------------------------------------------------------------------------------------------------------
DME GRAB BAR 18" LUMEX 4018 EA $8.85 0 $0.00 G 14
------------------------------------------------------------------------------------------------------------------------------------
DME GRAB BAR 24" LUMEX 4024 EA $8.50 9 $76.50 G 14
------------------------------------------------------------------------------------------------------------------------------------
DME GRAB BAR 32" LUMEX 4032 EA $8.75 3 $26.25 G 14
------------------------------------------------------------------------------------------------------------------------------------
DME COMMODE, X-WIDE +350LBS INVACARE 6496 EA $72.03 3 $216.09 G 15
------------------------------------------------------------------------------------------------------------------------------------
DME COMMODE, DROP ARM INVACARE 9669 EA $79.63 2 $159.26 G 15
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
68
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
DME COMMODE, DROP ARM LUMEX 6435 EA $103.95 4 $415.80 G 15
------------------------------------------------------------------------------------------------------------------------------------
DME TRANSFER BENCH
PADDED GUARDIAN 98015 EA $123.69 0 $0.00 G
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX LUMEX 605050 EA 5 G
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX FLD
W/WHEELS ADULT LUMEX 603074 EA $61.20 0 $0.00 G
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX FLD TODDLER GUARDIAN 7750 EA $52.63 1 $52.63 G
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX FLD LTWT JUNIOR LUMEX 605150 EA $37.00 3 $111.00 G
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX FLD JUNIOR CAREX 440010 EA $29.00 3 $87.00 G
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX ROLLING ADULT GUARDIAN 7962 EA $226.80 1 $226.80 G
------------------------------------------------------------------------------------------------------------------------------------
DME GRAB BAR 32" MEDI-SOURCE 91332 EA $11.95 6 $71.70 G
------------------------------------------------------------------------------------------------------------------------------------
DME GRAB BAR 16" MEDI-SOURCE 91316 EA $8.95 6 $53.70 G
------------------------------------------------------------------------------------------------------------------------------------
DME GRAB BAR 18" MEDI-SOURCE 91318 EA $9.45 8 $75.60 G
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX YOUTH TFI 2142 EA $39.66 0 $0.00 G
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX XXXXXX LUMEX 605150 EA $36.95 0 $0.00 G
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX W/SWIVEL
WHEELS GUARDIAN 7985 EA $105.42 0 $0.00 G
------------------------------------------------------------------------------------------------------------------------------------
DME WALKANE LUMEX 6051 EA 2 $0.00 G
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX FOLDING ADULT XXXXXX-FIELD GF1905-2 EA 3 $0.00 G
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX NON/FOLDING YOUTH T.F.I. EA 1 $0.00 G
------------------------------------------------------------------------------------------------------------------------------------
DME TUB RAIL GUARDIAN 98005 EA $50.00 40 $2,000.00 G
------------------------------------------------------------------------------------------------------------------------------------
DME WEDGE, BED 26X24X10 XXXXX 3826 EA $17.60 9 $158.40 H 4
------------------------------------------------------------------------------------------------------------------------------------
DME TIPS, CRUTCH GUARDIAN 8571 EA $1.61 0 $0.00 H 5
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS CHILD GUARDIAN 7723 PR $26.60 6 $159.60 H 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS
W/GLIDE BRAKE GLIDE BRK GUARDIAN 7733 PR $33.13 2 $66.26 H 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS 3" CHILD GUARDIAN 7729 PR $16.60 0 $0.00 H 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX GLIDE
FOOTPIECES GUARDIAN 7732 PR $16.60 0 $0.00 H 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS 3" GUARDIAN 7821 PR $41.17 6 $247.02 H 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX GLIDE
BRAKES GUARDIAN 7733 PR $33.13 0 $0.00 H 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS
W/BRAKE 3" GUARDIAN 7820 PR $41.17 3 $123.51 H 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS 3" GUARDIAN 7731 PR $13.00 12 $156.00 H 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS 5" GUARDIAN 7722 PR $16.00 13 $208.00 H 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX EXTENSION
LEGS GUARDIAN 7712 PR $15.70 2 $31.40 H 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS
W/ EXT LEGS 5" GUARDIAN 7725 PR $35.38 2 $70.76 H 6
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
69
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN
CATEGORY DESCRIPTION SIZE MANUF REORDER # OR MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
DME BRAKE FOOTPIECE GUARDIAN 7730 PR 13 4 $52.00 H 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX EXTENSION
LEGS GUARDIAN 7722 PR $16.00 12 $192.00 H 6
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX EXTENTION
LEG INVACARE 6275 $11.37 4 $45.48 H 7
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS,
AUTO STOP 5" INVACARE 6271 PR $15.53 6 $93.18 H 7
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS INVACARE 6270 PR $11.17 5 $55.85 H 7
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS
SWIVEL TYPE 3" GUARDIAN 7825 PR $22.09 3 $66.27 H 7
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS
& BRAKE GUARDIAN 7832 PR $21.70 10 $217.00 H 7
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS INVACARE 6257 PR $32.00 6 $192.00 H 7
------------------------------------------------------------------------------------------------------------------------------------
DME GLIDE BRAKES 10" INVACARE 6274 PR 15.24 2 $30.48 H 7
------------------------------------------------------------------------------------------------------------------------------------
DME FOOTPIECE
W/SUCTION SUP GUARDIAN 98040 PR $10.61 1 $10.61 H 8
------------------------------------------------------------------------------------------------------------------------------------
DME FOOTPIECE
W/SUCTION CUP GUARDIAN 98019 PR $10.61 0 $0.00 H 8
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEEL 5" LUMEX 605450 PR $17.60 2 $35.20 H 8
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS 5" LUMEX 605650 PR $15.90 2 $31.80 H 8
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS 3" TFI 2132 PR $12.35 2 $24.70 H 8
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS 3" LUMEX 605630 PR $14.10 9 $126.90 H 8
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, FOREARM CHILD GUARDIAN 5163 PR $52.00 21 $1,092.00 H 9
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, FOREARM 2'-3' GUARDIAN 5144 PR $68.78 7 $481.46 H 9
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, FOREARM 4'2"-5'2" GUARDIAN 5162 PR $52.00 3 $156.00 H 9
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, GAITER AID 5'6"-6'4" GUARDIAN 5180 EA $72.11 1 $72.11 H 9
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, FOREARM 10"-6'6" GUARDIAN 5175 PR $78.22 9 $703.98 H 9
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, FOREARM 5'-6'2" GUARDIAN 5161 PR $52.00 7 $364.00 H 9
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, FOREARM 3'2"-4'6" GUARDIAN 5160 PR $52.00 3 $156.00 H 9
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, ARMREST 5'10"-6'6" GUARDIAN 5190 EA $65.61 2 $131.22 H 10
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, ARMREST 2"-5'10" GUARDIAN 5191 EA $65.61 1 $65.61 H 10
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, FOREARM 5'5"-6'4" LUMEX 6341 PR $49.90 5 $249.50 H 10
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, FOREARM 4'0"-5'8" LUMEX 6343 PR $49.90 2 $99.80 H 10
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, FOREARM 5'-6' LUMEX 6342 PR $49.90 3 $149.70 H 10
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, UNDERARM LUMEX 6242 PR $50.50 0 $0.00 H 10
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX TRAY GUARDIAN 7850 EA $26.80 $0.00 H 11
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH ATTACHMENT GUARDIAN 7706 EA $40.94 2 $81.88 H 11
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX, PLATFORM
ATTACHMENT GUARDIAN 7702 EA $39.00 5 $195.00 H 11
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX, PLATFORM
ATTACHMENT LUMEX 6132 PR $94.05 0 $0.00 H 11
------------------------------------------------------------------------------------------------------------------------------------
70
XXX XXXXXX, ARMREST GUARDIAN 7702 EA $39.00 2 $78.00 H 11
------------------------------------------------------------------------------------------------------------------------------------
DME CRUTCHS, ALUMINUM GUARDIAN 91214 PR $18.94 5 $94.70 H 12
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
71
INVENTORY COUNT SHEET
-----------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN
CATEGORY DESCRIPTION SIZE MANUF REORDER # OR MEA COST QTY EXT $ AISLE # R MIN MAX
-----------------------------------------------------------------------------------------------------------------------------------
DME CRUTCHS, ALUMINUM GUARDIAN 90214 PR $18.94 5 $94.70 H 12
-----------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, REDDOT 4'6"-5'2" GUARDIAN 92214 PR $18.94 0 $0.00 H 12
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE, OFFSET
CURVED GUARDIAN 5371 EA $9.21 3 $27.63 H 15
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE, UNIPOISE ADULT GUARDIAN 5355 EA $11.00 14 $154.00 H 15
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE, UNIPOISE YOUTH GUARDIAN 5358 EA $12.29 6 $73.74 H 15
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE, UNIPOISE YOUTH GUARDIAN 5357 EA $12.29 7 $86.03 H 15
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE, ADJ GUARDIAN 5370 EA $6.80 6 $40.80 H 15
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE GUARDIAN 5362 EA $16.08 5 $80.40 H 15
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE, UNIPOISE ADULT GUARDIAN 5356 EA $11.00 1 $11.00 H 15
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE, ADJ LUMEX 6220 EA $6.50 0 $0.00 H 16
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE, SUREGRIP BRITE GUARDIAN 5555 EA $14.73 12 $176.76 H 16
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE, SUREGRIP BLACK GUARDIAN 5556 EA $14.73 10 $147.30 H 16
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE LUMEX 6323 EA $11.25 35 $393.75 H 16
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE, ORTHOEASE LUMEX 6322 CS/6 $12.35 $0.00 H 16
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE, X-TALL LUMEX 6333 CS/6 $13.50 $0.00 H 16
-----------------------------------------------------------------------------------------------------------------------------------
DME CANE, X-TALL
ORTHOEASE LUMEX 6332 CS/6 $14.60 $0.00 H 16
-----------------------------------------------------------------------------------------------------------------------------------
DME TUB RAIL TFI 5485 EA $21.33 0 $0.00 H 17
-----------------------------------------------------------------------------------------------------------------------------------
DME TRANSFER BOARD DUROMED 1753 EA $16.90 $0.00 H
-----------------------------------------------------------------------------------------------------------------------------------
DME MATTRESS, EGGCRATE 33X74X3 XXXXX 6025 EA $9.90 $0.00 H
-----------------------------------------------------------------------------------------------------------------------------------
DME PAD, XXXXX XXXXX 6039 EA $4.45 0 $0.00 H
-----------------------------------------------------------------------------------------------------------------------------------
DME CRIB BUMPER XXXXX 3821 EA $43.50 0 $0.00 H
-----------------------------------------------------------------------------------------------------------------------------------
DME BUMPER, SIDE RAIL XXXXX 3800 PR $28.90 1 $28.90 H
-----------------------------------------------------------------------------------------------------------------------------------
DME BED WEDGE 6X24X1 XXXXX 3827 EA $12.25 6 $73.50 H
-----------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX XXXXXX TFI 2125 EA $21.15 0 $0.00 H
-----------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX W/ WHEELS ADULT TFI 2146 EA $69.18 0 $0.00 H
-----------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX YOUTH TFI 2135 EA $35.61 0 $0.00 H
-----------------------------------------------------------------------------------------------------------------------------------
DME CRUTCH, WOOD MISC EA $6.00 0 $0.00 H
-----------------------------------------------------------------------------------------------------------------------------------
XXX XXXX, COMMODE
W/LID GUARDIAN 10101 EA $5.09 0 $0.00 H
-----------------------------------------------------------------------------------------------------------------------------------
DME SPLASH GUARDS XXXXXXX 1129 EA $2.75 21 $57.75 H
-----------------------------------------------------------------------------------------------------------------------------------
DME OVERDOOR PULLEY MASON 8141 EA $8.95 9 $80.55 H
-----------------------------------------------------------------------------------------------------------------------------------
DME OVERDOOR TRACTION XXXXX 8140 EA $8.95 4 $35.80 H
-----------------------------------------------------------------------------------------------------------------------------------
DME XXXXXXX XXXXXX FIELD 5945 EA $41.90 0 $0.00 H
-----------------------------------------------------------------------------------------------------------------------------------
DME TRANSFER BOARD
CUT OUT 30" DUROMED 1756 EA $55.80 0 $0.00 H
-----------------------------------------------------------------------------------------------------------------------------------
DME TRANSFER BOARD 27" DUROMED 1761 EA $35.80 2 $71.60 H
-----------------------------------------------------------------------------------------------------------------------------------
DME BED, END FULL
72
ELECTRIC INVACARE 5401 EA $205.00 0 $0.00 J
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
73
INVENTORY COUNT SHEET
-----------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN
CATEGORY DESCRIPTION SIZE MANUF REORDER # OR MEA COST QTY EXT $ AISLE # R MIN MAX
-----------------------------------------------------------------------------------------------------------------------------------
DME BED, END MULTI
HEIGHT INVACARE 5301 EA $189.00 1 $189.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME BED, FOOT FRAME
FULL INVACARE 5890 EA $351.00 3 $1,053.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME BED, FOOT FRAME
FULL INVACARE 5490 EA $464.00 0 $0.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME BED, FULL ELECTRIC INVACARE 5410 EA $590.00 0 $0.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME BED, MULTI HEIGHT INVACARE 5307 EA $295.79 3 $887.37 J
-----------------------------------------------------------------------------------------------------------------------------------
DME BED, SEMI ELECTRIC INVACARE 5310 EA $476.28 0 $0.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME BED, HEAD FRAME INVACARE 5000 EA $54.00 4 $216.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME BED, FOOT FRAME INVACARE 5770 EA $122.00 12 $1,464.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME BED, FIXED HEIGHT INVACARE 5107 EA $183.33 0 $0.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME BED, END SEMI
ELECTRIC INVACARE 5301 EA $189.00 0 $0.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME BED, END FIXED
HEIGHT INVACARE 5100 EA $93.00 0 $0.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME MATTRESS, RAISER XXXXX 8025 EA $8.95 0 $0.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME MATTRESS, INNER 36X80X6 XXXXX 3637-2 EA $53.00 4 $212.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME MATTRESS, FOAM 6X80X5 XXXXX 3501 EA $39.00 12 $468.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME RAILS, 1/2 BED INVACARE 6630 SET $72.72 0 $0.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME RAILS, HOME XXX XXXXXX-FIELD GF 6408 PR $68.57 3 $205.71 J
-----------------------------------------------------------------------------------------------------------------------------------
DME RAILS, HOSPITAL
BED XXXXXX-FIELD GF 6570 1 PR $41.00 15 $615.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME RAILS, HOSPITAL
XXX XXXXXX-FIELD GF 6570 1 PR $41.00 7 $287.00 J U
-----------------------------------------------------------------------------------------------------------------------------------
DME BLANKET CRADLE XXXXXX FIELD 80-1997 EA $35.25 0 $0.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME RAILS, HOME
XXXXX-XXX XXXXXX-FIELD RP 6413 PR $16.87 1 $16.87 J
-----------------------------------------------------------------------------------------------------------------------------------
ME BED FULL ELECTRIC
SPRING SUNMED SB30 EA $482.40 0 $0.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME BED ENDS SUNMED SB710 EA $144.00 0 $0.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX FLD EA 0 $0.00 J U
-----------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX NON/FLD EA 0 $0.00 J U
-----------------------------------------------------------------------------------------------------------------------------------
DME TRAPEZE, FLOOR
STAND INVACARE 7714 EA $76.00 10 $760.00 J
-----------------------------------------------------------------------------------------------------------------------------------
DME I.V. XXXX XXXXXX-FIELD 7012 EA $16.95 1 $16.95 K 4
-----------------------------------------------------------------------------------------------------------------------------------
DME I.V. XXXX XXXXXX-FIELD 7012 EA $16.95 8 $135.60 K 4 U
-----------------------------------------------------------------------------------------------------------------------------------
DME OVER BED TABLE XXXXXX-FIELD GF8900-1 EA $53.10 2 $106.20 K 4
-----------------------------------------------------------------------------------------------------------------------------------
DME OVER BED TABLE XXXXXX-FIELD GF8900-1 EA $53.10 3 $159.30 K 4 U
-----------------------------------------------------------------------------------------------------------------------------------
DME HIP CHAIR JOFRA 4401-1 EA $187.95 0 $0.00 K 4
-----------------------------------------------------------------------------------------------------------------------------------
DME HIP CHAIR JOFRA 4401-1 EA $187.95 0 $0.00 K 4 U
-----------------------------------------------------------------------------------------------------------------------------------
DME TRAPEZE INVACARE 7750 EA $76.40 5 $382.00 K 7 OBSO
74
------------------------------------------------------------------------------------------------------------------------------------
DME LIFT, C BAXE INVACARE 9886 EA $321.60 0 $0.00 K 8
------------------------------------------------------------------------------------------------------------------------------------
DME LIFT, CRANK MAST INVACARE 9816 EA $372.00 0 $0.00 K 8
------------------------------------------------------------------------------------------------------------------------------------
DME LIFT, HYDRAULIC
MAST INVACARE 9800 EA $427.20 0 $0.00 K 8
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
75
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN
CATEGORY DESCRIPTION SIZE MANUF REORDER # OR MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
DME LIFT, PT MAST RENTAL INVACARE 9816 EA $130.20 0 $0.00 K 8
------------------------------------------------------------------------------------------------------------------------------------
DME LIFT, ADJ. BASE INVACARE 9884 EA $321.60 2 $643.20 K 8 U
------------------------------------------------------------------------------------------------------------------------------------
DME LIFT, OFFSET BASE INVACARE 9885 EA $427.20 0 $0.00 K 8
------------------------------------------------------------------------------------------------------------------------------------
DME COMMODE SEAT
PADDED INVACARE 6310 EA $35.09 0 $0.00 K 8
------------------------------------------------------------------------------------------------------------------------------------
DME SLING, CANVAS GUARDIAN 112-C EA $35.00 10 $350.00 K 12
------------------------------------------------------------------------------------------------------------------------------------
DME SLING, CANVAS
W/CUT OUT GUARDIAN 113-C EA $35.95 10 $359.50 K 12
------------------------------------------------------------------------------------------------------------------------------------
DME CHAIR, XXXX INVACARE 6907 EA $328.00 0 $0.00 K 16
------------------------------------------------------------------------------------------------------------------------------------
DME CHAIR, XXXX INVACARE 6907 EA $328.00 9 $2,952.00 K 16 U
------------------------------------------------------------------------------------------------------------------------------------
DME APP PAD XXXXX 2001 EA $13.90 23 $319.70 M 4
------------------------------------------------------------------------------------------------------------------------------------
DME APP PUMP XXXXX 2000 EA $55.00 19 $1,045.00 M 4 U
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX FOLDING ADULT GUARDIAN EA $29.00 2 $58.00 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX FOLDING JUNIOR GUARDIAN EA $29.00 2 $58.00 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
DME PORTABLE TANK CART E EA $20.95 2 $41.90 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
DME Q-CANE LG BASE GUARDIAN EA $14.50 1 $14.50 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
DME Q-CANE SM BASE GUARDIAN EA $14.50 2 $29.00 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
DME CANE STD GUARDIAN EA $6.80 2 $13.60 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS GUARDIAN EA $13.00 4 $52.00 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
DME APP PUMP/PAD XXXXX XX $59.90 1 $59.90 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX FLD ADULT GUARDIAN EA $29.00 1 $29.00 TK(J.V) MDL
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS 5" GUARDIAN EA $16.00 1 $16.00 TK(J.V) MDL
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX WHEELS 3" GUARDIAN EA $13.00 1 $13.00 TK(J.V) MDL
------------------------------------------------------------------------------------------------------------------------------------
DME BED SEMI/ELEC
W/MATT &RAILS EA $571.40 1 $571.40 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
DME BED MULTI HT
W/MATT &RAILS EA $375.79 1 $375.79 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
DME OXYGEN STAND H B&F EA $16.45 2 $32.90 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
DME WALKANE EA $34.11 1 $34.11 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
DME COMMODE GUARDIAN EA $30.00 1 $30.00 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
DME REGULATOR H MADA EA $43.65 6 $261.90 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
DME REGULATOR E MADA EA $49.90 6 $299.40 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
DME FLOWMETER, LIQUID EA $43.99 5 $219.95 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
DME HAND HELD SHOWER XXXXX XX $14.00 1 $14.00 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
DME WEIGHT, VELCRO MEDISOURCE 82410 EA $7.95 4 $31.80
------------------------------------------------------------------------------------------------------------------------------------
DME MEDIC ALERT
TRANSMITTER MEDTRONIC 9431 EA 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
DME LIFT, PT CHAINS INVACARE 9071 EA $26.40 5 $132.00 K 8
------------------------------------------------------------------------------------------------------------------------------------
DME TOTAL $36,103.91
------------------------------------------------------------------------------------------------------------------------------------
76
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
77
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN
CATEGORY DESCRIPTION SIZE MANUF REORDER # OR MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PRONEB NEBULIZER PARI 3010101 EA $55.00 2 $110.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PULMOAIDE NEB DEVILBISS 5610D EA $64.00 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP MINIMIST NEBULIZER XXXX XXXX EA $45.32 1 $45.32 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PASSPORT NEB INVACARE IRC1190 EA $47.00 1 $47.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE
STAT INVACARE IRC1135 EA $176.95 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE
STAT E&J H-95 EA OBSOLETE 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE
PORT DEVILBISS 7304D EA $202.00 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP REVITALIZER DEVILBISS 7352D EA OBSOLETE 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP XXXXXXXX III RESMED SUL III EA $285.00 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP AEROMAX NEBULIZER M.I.A 3002 EA $56.00 1 $56.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP APNEA MONITOR AEQUITRON 9200 EA $682.75 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENT PLV100 LIFECARE PLV100 EA $54.60 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PRESSURE THERAPY
UNIT PURITAN BENNET AP5 EA 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESOR 50PSI XXXX XXXX EA $360.50 1 $360.50 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP NEBULIZER,
ULTRASONIC M.I.A EA OBSOLETE 3 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PASSPORT NEB INVACARE IRC1190 EA $47.00 1 $47.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE
STAT INVACARE IRC1135 EA $176.95 2 $353.90 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PULMOAIDE NEB DEVILBISS 5610D EA $65.00 2 $130.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE
PORT DEVILBISS 7304D EA $202.00 1 $202.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP 50 PSI COMPRESSOR XXXX XXXX BA400A EA $360.50 1 $360.50 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP 50 PSI COMPRESSOR ALLIED PCS414 EA $349.00 0 $0.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP 50 PSI COMPRESSOR M.I.A EA $300.00 0 $0.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
78
RESP
EQUIP APNEA MONITOR AEQUITRON 9550 EA $1,995.00 2 $3,990.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PRONEB NEBULIZER PARI 370101 EA $55.00 1 $55.00 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP OXIMETER, PULSE NELLCOR N180 EA $1,595.00 1 $1,595.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP OXIMETER, PULSE NELLCOR N200 EA $1,895.00 1 $1,895.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP BIPAP ST RESPIRONICS EA $3,086.00 1 $3,086.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP RESMED EA $475.00 2 $950.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VPAP RESMED EA $1,425.00 1 $1,425.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENT PLV100 LIFECARE PLV100 EA $6,499.00 1 $6,499.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP NEBULIZER,
MINI MIST XXXX XXXX EA $45.32 2 $90.64 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID PORTABLE SMALL CRYO EA $272.00 3 $816.00 M U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID PORTABLE MEDIUM CRYO EA $272.00 2 $544.00 M
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID PORTABLE LARGE CRYO EA $272.00 2 $544.00 M
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
79
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN
CATEGORY DESCRIPTION SIZE MANUF REORDER # OR MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQ TANK 50LB P/B EA $1,250.00 0 $0.00 M
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK 70LBS P/B EA $500.00 2 $1,000.00 M U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK 100LB P/B EA $500.00 0 $0.00 M U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP FLIMM FIGHTER GEN.PHYSIOTHER VS EA $490.00 0 $0.00 M
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM AIRSEP EA $895.00 9 $8,055.00 M/N 8/9 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM AIRSEP EA $895.00 11 $9,845.00 M/N 8/9
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM INVACARE IRC501 EA $849.00 0 $0.00 M/N 8/9 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE INVACARE IRC1135 EA $176.95 15 $2,654.25 N 5 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE ORTABL DEVILBISS 7304A EA $202.00 3 $606.00 N 5 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR, 50PSI XXXX XXXXXX-FIELD XX0000000 EA $360.50 4 $1,442.00 N 6 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR 50 PSI ALLIED PCS-4 EA $349.00 1 $349.00 N 6 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR
NEBULIZER P/XXXX XXXXXXXXX 5610D EA $65.00 7 $455.00 N 8 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR
NEBULIZER ASSPOR INVACARE IRC1190 EA $47.00 1 $47.00 N 8
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR
NEBULIZER EROMA MEDICAL IND 3002 EA $49.00 4 $196.00 N 8 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR
NEBULIZER PORTAB DURANEB PARI DURA2000 EA $295.00 3 $885.00 N 8
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR
NEBULIZER PORTAB DURANEB PARI DURA1000 EA $175.00 5 $875.00 N 8
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR
NEBULIZER PORTAB U/SONIC OMRON NEU-03 EA $165.00 6 $990.00 N 8
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR
NEBULIZER PRO NEB PARI 370101 EA $55.00 13 $715.00 N 8 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP MAXI VENT XXXXXXXX XX EA $1,500.00 0 $0.00 R/WH
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENT 2800 PURITAN BENNET 2800 EA $1,500.00 0 $0.00 R/WH
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR DEVO DEVILBISS DEVOPVO2 EA $350.00 0 $0.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR INVACARE MOBILAIRE EA $350.00 1 $350.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
80
RESP
EQUIP LIQUID PORTABLE CRYO EA $272.00 7 $1,904.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID PORTABLE PENOX EA $272.00 4 $1,088.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID PORTABLE P/B EA $200.00 2 $400.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID PORTABLE OBILAIR INVACARE EA $700.00 3 $2,100.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK LARGE CRYO EA $455.00 0 $0.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK P/B COMPANION EA $455.00 0 $0.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK SMALL CRYO EA $455.00 7 $3,185.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK SMALL PENOX EA $455.00 6 $2,730.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK 40LTR INVACARE MOBILAIRE EA $700.00 0 $0.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
81
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN
CATEGORY DESCRIPTION SIZE MANUF REORDER # OR MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CHARGER, VENT M.K. BATTERY EA $85.50 0 $0.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR AIRSEP EA $895.00 0 $0.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR DEVILBISS DEVOMC29 EA $350.00 2 $700.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR DEVILBISS DEVO 4490 EA $855.00 2 $1,710.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR HEALTHDYNE 5000 EA $350.00 2 $700.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR MOUNTAIN MED SUMMIT EA $965.00 3 $2,895.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR MOUNTAIN MED ASPEN EA $350.00 6 $2,100.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR FREEDOM ROMAN LABS 12510 EA $700.00 1 $700.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR LIFECARE PLV100 EA 0 $0.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK LARGE PENOX EA $272.00 1 $272.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP APNEA MONITOR AQUETRON 9550 EA $1,050.00 3 $3,150.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP APNEA MONITOR AEQUITRON 9500 EA $570.00 4 $2,280.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP APNEA MONITOR AEQUITRON 9200 EA $682.75 0 $0.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP BIPAP S RESPIRONICS 332019 EA $1,437.00 2 $2,874.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP BIPAP ST RESPIRONICS 332203 EA $2,996.00 0 $0.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CASCADE HEATER XXXXXX PAYKEL HC100 EA $185.00 2 $370.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP, REMSTAR RESPIRONICS EA $515.00 2 $1,030.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP, XXXXXXXX V RESCARE 143007 EA $637.50 5 $3,187.50 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP, XXXXXXXX 111 RESCARE EA $285.00 2 $570.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP HEATER XXX XXXXXX PAYKEL MR-410 EA $361.00 1 $361.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP HEATER JAR XXXXXX PAYKEL MR-480 EA $588.09 4 $2,352.36 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP HUMIDIFIER BEAR MEDICAL EA 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP HUMIDIFIER XXXXXX PAYKEL MR-310 EA 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP HUMIDIFIER XXXXXX PAYKEL MR-310 EA 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
82
EQUIP OXIMETER, PULSE OHMEDA 3760 EA $736.25 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP OXIMETER, PULSE NELCOR N180 EA $1,595.00 1 $1,595.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP OXIMETER, PULSE NELCOR N200 EA $1,895.00 6 $11,370.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PLV100 LIFECARE PLV100 EA $6,499.00 3 $19,497.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PULSE-AIR EA 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PULSE-AIR EA 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP ULTRASONIC
NEBULIZER MICROSTAT EA $178.00 0 $0.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
83
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN
CATEGORY DESCRIPTION SIZE MANUF REORDER # OR MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR P/B 2801 EA $5,395.00 2 $10,790.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR BEAR BEAR 33 EA $1,500.00 1 $1,500.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR XXXXXXXX MAXI VENT EA $1,500.00 3 $4,500.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR P/B 2800 EA $1,500.00 2 $3,000.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR AQUETRON LP10 EA $5,200.00 2 $10,400.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP V-PAP RESCARE 15003 EA $1,295.00 6 $7,770.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP APNEA MONITOR HEALTHDYNE 970S EA $1,895.00 1 $1,895.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP RESPIRONICS 532034D EA $649.00 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP GASTROINTESTINAL
UNIT GOMCO 270 EA $366.20 1 $366.20 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP IPPB UNIT PURITAN XXXXXXX AP5 EA 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR AIRSEP EA $895.00 2 $1,790.00 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID STATIONARY
UNIT INVACARE EA $700.00 1 $700.00 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR PARI 3010101 EA $55.00 1 $55.00 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR INVACARE IRC1190 EA $47.00 1 $47.00 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE
STAT INVACARE IRC1135 EA $176.95 1 $176.95 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PORTABLE TANK D MADA EA $58.25 0 $0.00 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PORTABLE TANK E MADA EA $63.75 5 $318.75 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PORTABLE TANK M6 MADA EA $42.50 1 $42.50 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE
PORT XXXXXXXXX XX $202.00 1 $202.00 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR 50 PSI XXXX XXXX EA $360.00 1 $360.00 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK
PORTABLE PENOX EA $272.00 21 $5,712.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK LARGE CRYO EA $272.00 2 $544.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK SMALL CRYO EA $272.00 8 $2,176.00 U
84
RESP
EQUIP LIQUID TANK SMALL PENOX EA $455.00 6 $2,730.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK 40 INVACARE MLB40 EA $1,325.00 1 $1,325.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM DEVILBISS MC44-90 EA $855.00 1 $855.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM M.M.E. DEVO44 EA $855.00 1 $855.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM M.M.E. PVO2 EA $780.00 1 $780.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 2LPM M.M.E. ASPEN EA $780.00 4 $3,120.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM SAGE EA $855.00 1 $855.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM XXXX XXXX 5000 EA $855.00 1 $855.00 U
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
85
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM PURITAN BENNET 590 EA $855.00 1 $855.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP ARIA RESPIRONICS 4469-95-3 EA $649.00 2 $1,298.00
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP REVITALIZER DEVILBISS 7352 EA $460.00 1 $460.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP IPV PERCUSSIONAIR F00012 EA $395.00 5 $1,975.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP OXIMETER, PULSE NOVAMETRIC 515A EA $2,495.00 1 $2,495.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP APNEA MONITOR EDENTECH 2000 EA $1,026.00 2 $2,052.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP NEBULIZER,
ULTRASONIC MEDISONIC 3612/60 EA $150.00 2 $300.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR PLV102 LIFECARE PLV102 EA $8,294.00 2 $16,588.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP INFANT 2-FRAME INFANT BIOSYSTEMS 2100 EA 1 $0.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP CONVERTER RESMED CVR-2 EA $120.00 5 $600.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP AIRWAY PRESSURE
MONITOR RESPIRONICS 302220 EA $203.75 1 $203.75 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP TANK, OXYGEN E MADA 1602 EA $58.05 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP OXILITE BAG M6 XXXX OOOP100 EA $34.00 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP REGULATOR, H 1/16 MADA 1333-1 EA $55.00 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PEAK FLOW METER INVACARE IRCPF16 EA $144.00 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP TANK, OXYGEN M6 MADA 1202 EA $42.50 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR
NEBULIZER PORTAB P/XXXX XXXXXXXXX 6610D EA $177.00 2 $354.00
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR NEB
ACCES KIT P/XXXX XXXXXXXXX 6710D-606 EA $125.00 2 $250.00
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE SHUCO 5711-130 EA $205.50 3 $616.50 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE
PORTABLE M.I.A. 605 EA $202.00 2 $404.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR
NEBULIZER MINIMIST XXXXXX FIELD EA $47.00 0 $0.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR
NEBULIZER ORTABL DEVILBISS 6610D EA $275.00 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
86
RESP EQU TOTAL $212,958.62
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
87
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HUMIDIFIER, COOL MEDISOURCE 84062 EA $18.90 6 $113.40 A 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP VAPORIZER, WARM MEDISOURCE 84050 EA $9.90 2 $19.80 A 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP ADAPTOR,
TRACH SWIVEL 6.0 CONCRD/PORTX 525351 BX/50 $121.50 1 $121.50 B 1
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBE,
FLEXE.ENGSTRM XXXXXXX 150 BX/50 $120.00 $0.00 B 1
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PEAK FLOW METER MADA 710 EA $13.00 7 $91.00 B 1
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH 4DIC XXXXXX 4DIC BX/10 $36.00 6 $216.00 B 2
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH 6DIC XXXXXX 6DIC BX/10 $36.00 6 $216.00 B 2
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH 8DIC XXXXXX 8DIC BX/10 $36.00 11 $396.00 B 2
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH 10DIC XXXXXX 10DIC BX/10 $36.00 6 $216.00 B 2
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH 6.0 DIC CONCRD/PORTX 506070 BX/10 $23.55 14 $329.70 B 2
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH 7.0 DIC CONCRD/PORTX 506080 BX/10 $23.55 4 $94.20 B 2
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH 8.0 CONCRD/PORTX 503080 BX/10 $33.09 4 $132.36 B 2
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH 8.0 DIC CONCRD/PORTX 506090 BX/10 $23.55 2 $47.10 B 2
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BIB, TRACH .25X6.25" SUB OSTOMY BIBS EA $4.95 0 $0.00 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HOLDER, TRACH TUBE XXXX 240 BX/10 $20.00 4 $80.00 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TAPE, TWILL /2"X72Y SUB/OSTOMY TAPE EA $7.88 3 $23.64 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 5SCT XXXXXX 5SCT EA $30.50 1 $30.50 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 6SCT XXXXXX 6SCT EA $30.50 0 $0.00 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 7SCT XXXXXX 7SCT EA $30.50 4 $122.00 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TIES XX XXXXX 8197L BX $8.39 11 $92.29 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TIES MED XXXXX 8197M BX $8.39 2 $16.78 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TIES XX XXXXX 8197S BX $8.39 2 $16.78 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE XXXXXX 6DCFS BX $38.00 1 $38.00 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE XXXXXX 10LGT BX $50.50 1 $50.50 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE XXXXXX 6DCFN BX $40.00 2 $80.00 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE XXXXXX 4DCFN BX $40.00 3 $120.00 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE XXXXXX MRPT BX $100.00 0 $0.00 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE XXXXXX M6CFS BX $100.00 1 $100.00 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE XXXXXX M6SCT EA $100.00 0 $0.00 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE XXXXXX-FIELD 00-0000-0 EA $32.00 0 $0.00 B 6
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 4CFN XXXXXX 4CFN EA $40.50 2 $81.00 B 7
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
88
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE# R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 6CFN XXXXXX 6CFN EA $40.50 2 $ 81.00 B 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 8CFN XXXXXX 8CFN EA $40.50 3 $121.50 B 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 10CFN XXXXXX 10CFN EA $40.50 9 $364.50 B 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 4CFS XXXXXX 4CFS EA $40.00 4 $160.00 B 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 6CFS XXXXXX 6CFS EA $40.00 6 $240.00 B 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 8CFS XXXXXX 8CFS EA $40.00 3 $120.00 B 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 10CFS XXXXXX 10CFS EA $40.00 6 $240.00 B 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 4FEN XXXXXX 4FEN EA $59.00 4 $236.00 B 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 6FEN XXXXXX 6FEN EA $59.00 3 $177.00 B 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 8FEN XXXXXX 8FEN EA $59.00 6 $354.00 B 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 10FEN XXXXXX 10FEN EA $59.00 9 $531.00 B 7
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 4DCT XXXXXX 4DCT EA $42.25 3 $126.75 B 8
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 6DCT XXXXXX 6DCT EA $42.25 2 $ 84.50 B 8
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 8DCT XXXXXX 8DCT EA $42.25 3 $126.75 B 8
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 10DCT XXXXXX 10DCT EA $42.25 4 $169.00 B 8
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 4DFEN XXXXXX 4DFEN EA $44.25 3 $132.75 B 8
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 6DFEN XXXXXX 6DFEN EA $44.25 4 $177.00 B 8
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 8DFEN XXXXXX 8DFEN EA $44.25 0 $ 0.00 B 8
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 10DFEN XXXXXX 10DFEN EA $44.25 1 $ 44.25 B 8
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 7.0 CONCRD/PORTX 503070 BX $33.09 7 $231.63 B 8
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 4.5 CONCRD/PORTX 559045 EA $25.68 0 $ 0.00 B 9
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 6.0 CONCRD/PORTX 530060 EA $27.71 0 $ 0.00 B 9
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 7.0 CONCRD/PORTX 502070 EA $25.68 1 $ 25.68 B 9
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 7.0 CONCRD/PORTX 530070 EA $27.70 0 $ 0.00 B 9
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 7.0 CONCRD/PORTX 55007O EA $23.35 0 $ 0.00 B 9
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 9.0 CONCRD/PORTX 513090 EACH $36.24 4 $144.96 B 9
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 8.0 CONCRD/PORTX 508080 BX $38.77 0 $ 0.00 B 9
-----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 5.0 CONCRD/PORTX 559050 BX $25.68 0 $ 0.00 B 9
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 4.0 CONCRD/PORTX 559040 BX $25.68 0 $ 0.00 B 9
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 5.0 CONCRD/PORTX 555050 BX $25.68 0 $ 0.00 B 9
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 5.5 CONCRD/PORTX 555055 BX $25.68 0 $ 0.00 B 9
----------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
89
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE# R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 7.0 CONCRD/PORTX 518070 BX $41.91 0 $ 0.00 B 9
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 00NT XXXXXX 00NT EA $32.95 7 $230.65 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 0NT XXXXXX ONT EA $32.95 8 $263.60 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 1NT XXXXXX 1NT EA $32.95 2 $ 65.90 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 00PT XXXXXX 00PT EA $32.95 11 $362.45 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 0PT XXXXXX 0PT EA $32.95 6 $197.70 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 1PT XXXXXX 1PT EA $32.95 7 $230.65 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 2PT XXXXXX 2PT EA $32.95 4 $131.80 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 3PT XXXXXX 3PT EA $32.95 6 $197.70 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 4PT XXXXXX 4PT EA $32.95 4 $131.80 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 4LPC XXXXXX 4LPC EA $56.00 2 $112.00 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 6LPC XXXXXX 6LPC EA $56.00 4 $224.00 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 8LPC XXXXXX 8LPC EA $56.00 3 $168.00 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 10LPC XXXXXX 10LPC EA $56.00 3 $168.00 B 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH CONCRD/PORTX 503060 BX/10 $33.09 3 $ 99.27 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE CONCRD/PORTX 506060 BX $23.55 3 $ 70.65 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE M2PT XXXXXX M2PT EA $100.00 2 $200.00 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE M6CFN XXXXXX M6CFN EA $120.00 2 $240.00 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH TUBE 5.0PED XXXXXX 5.0PED EA $32.95 4 $131.80 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP THERMOVENT "T" CONCRD/PORTX 570016 BX $124.13 3 $372.39 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP THERMOVENT 600 CONCRD/PORTX 580011 BX $124.13 1 $124.13 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PEEP VALVE PURITAN BEN 008001 BX $39.17 11 $430.87 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP DISPOSABLE
INNER CANNULA 7.0 CONCRD/PORTX 503070 BX $33.09 0 $ 0.00 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP DISPOSABLE
INNER CANNULA 9.0 CONCRD/PORTX 513090 BX $36.24 0 $ 0.00 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP THERMOVENT O2 CONCRD/PORTX 590010 BX $71.35 1 $ 71.35 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TAPE HY 1/2" SUB-OSTOMY 105B EA $1.90 9 $ 17.10 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TAPE HY 2" SUB-OSTOMY 120B EA $6.10 4 $ 24.40 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TAPE TWILL 1/4" SUB-OSTOMY TAPE EA $ 4.96 7 $ 34.72 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER,
INTERMITTENT 14FR MENTOR 414 BX $17.94 18 $322.92 B
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SUCTION CATH
KIT 8F XXXXXXX 36626 CS $35.00 1 $ 35.00 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SUCTION CATH
KIT 12F XXXXXXX 37224 CS $25.75 1 $ 25.75 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SUCTION CATH
KIT 10F XXXXXXX 37024 CS $25.75 1 $ 25.75 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SUCTION CATH
KIT 14F XXXXXXX 37424 CS $25.75 1 $ 25.75 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL MASK RESPIRONICS 302188 EA $38.60 1 $ 38.60 CLST
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
90
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE# R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CHIN STRAP RESPIRONICS 302175 EA $14.20 0 $ 0.00 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL MASK RESPIRONICS 302183 EA $38.60 1 $ 38.60 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL MASK RESPIRONICS 302218 EA $38.60 0 $ 0.00 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BIPAP TUBING 6' RESPIRONICS 301016 EA $28.90 1 $ 28.90 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR XXXX
CIRCUIT M.I.A M2041 EA $36.00 0 $ 0.00 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL SHELL PURITAN BENNET 231700 EA $12.35 1 $ 12.35 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL PILLOWS PURITAN BENNET 616323 EA $17.45 2 $ 34.90 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL PILLOWS PURITAN BENNET 616324 EA $17.45 2 $ 34.90 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SOFT CAP RESPIRONICS 302215 EA $23.65 1 $ 23.65 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PROBE NELLCOR N25 EA $19.50 1 $ 19.50 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PROBE NELLCOR D20 EA $15.00 1 $ 15.00 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PROBE NELLCOR D25 EA $15.00 1 $ 15.00 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PROBE NELLCOR I20 EA $19.50 1 $ 19.50 CLST
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER,
SUCTION 18 FR SUPERIOR 31800 CS/50 $15.00 27 $405.00 D 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER,
SUCTION 12 FR SUPERIOR 31200 CS/50 $15.00 13 $195.00 D 10
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER,
SUCTION KIT 16 FR SUPERIOR 37524 CS/50 $25.75 8 $206.00 D 11
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER,
SUCTION 10 FR SUPERIOR 31000 CS/50 $15.00 6 $ 90.00 D 11
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER,
SUCTION KIT 12 FR SUPERIOR 37224 CS/50 $25.75 4 $103.00 D 12
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER,
SUCTION 14 FR SUPERIOR 31400 CS/50 $15.00 25 $375.00 D 13
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER,
SUCTION 08 FR SUPERIOR 30888 CS/50 $16.00 12 $192.00 D 13
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER
RED RUBBER BARD 9410 CS $79.00 8 $632.00 D 15
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER,
SUCTION KIT 14 FR SUPERIOR 37424 CS/50 $25.75 18 $463.50 D 16
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER,
SUCTION KIT 10 FR SUPERIOR 37024 CS/50 $25.75 8 $206.00 D 16
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER,
SUCTION KIT 18 FR SUPERIOR 37724 CS/50 $25.75 21 $540.75 D 17
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER,
SUCTION KIT 08 FR SUPERIOR 36826 CS/50 $35.00 5 $175.00 D 17
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER,
SUCTION 16 FR SUPERIOR 31600 CS/50 $15.00 10 $150.00 D 18
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER
RED RUBBER ROBNEL 492041 CS $46.20 1 $ 46.20 D 20
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER
RED RUBBER ROBNEL 492033 CS $46.20 4 $184.80 D 21
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER
XXXXXXXX XXXXXXX 40525 CS $41.00 2 $ 82.00 D 21
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETER
YANKAUER
FINE ROBNEL 504001 CS $74.50 1 $ 74.50 D 21
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH CARE
XXX XXXXXX 3T4691 CS/20 $23.32 27 $629.64 D 24
------------------------------------------------------------------------------------------------------------------------------------
91
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
92
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE# R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACH CARE
XXX XXXXXX 4681A CS/20 $33.69 1 $ 33.69 D 24
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP 42400 BX 5 $ 0.00 D
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER,
SUCTION KIT MEDLINE DYND40902 CS $23.84 4 $ 95.36 D
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER,
SUCTION KIT 10FR P.M.P. 158010 CS $35.00 2 $ 70.00 D
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER,
SUCTION 8FR P.M.P. 153008 CS $15.00 12 $180.00 D
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER,
SUCTION KIT MEDLINE 40258 CS $39.18 5 $195.90 D
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER,
SUCTION KIT MEDLINE 40958 CS $37.31 12 $447.72 D
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER,
SUCTION 10FR P.M.P. 153010 CS $15.00 8 $120.00 D
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER,
SUCTION 14FR P.M.P. 153014 CS $15.00 4 $ 60.00 D
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER
SUCT "N"
SLEEVE MEDLINE DYND40702 CS $42.54 17 $723.18 D
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CATHETHER
SUCT XXX XXXXXXX 36626 CS $35.00 10 $350.00 D
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SODIUM
CHLORIDE NIT DOS LIFECARE 5251B CS/10BX $77.00 3 $231.00 E 13
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SODIUM
CHLORIDE 250ML XXXXXX 2F7122 CS/24 $25.43 5 $127.15 I 1
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SODIUM
CHLORIDE 500ML XXXXXX 2F7123 CS/18 $17.16 8 $137.28 I 1
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CANNULA,
FLARED TIP XXXXXX 001310 CS/50 $20.17 5 $100.85 K 1
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING,
OXYGEN 21' XXXXXX 2021 CS/20 $24.25 3 $ 72.75 K 1
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING,
OXYGEN 07' XXXXXX 2002 CS/50 $11.90 3 $ 35.70 K 1
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING,
OXYGEN 35' XXXXXX 2035 CS/20 $33.40 2 $ 66.80 K 1
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING,
OXYGEN 50' XXXXXX 2050 CS/20 $48.40 10 $484.00 K 1
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING,
SUCTION SUPERIOR 42400 CS/50 $30.85 2 $ 61.70 K 2
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CANNULA,
NASAL ADULT XXXXXX 1600 CS/50 $19.75 5 $ 98.75 K 3
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CANNULA,
NASAL EO-XXXX XXXXXX 1611 CS/50 $ 79.50 2 $159.00 K 3
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CANNULA,
LOW FLOW ADULT XXXXXX 1616 CS/50 $ 19.75 2 $ 39.50 K 3
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CANNULA,
NASAL INFANT XXXXXX 1601 CS/50 $ 79.50 3 $238.50 K 3
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CANNULA,
NASAL EDIATRI XXXXXX 1602 CS/50 $ 19.75 2 $ 39.50 K 3
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL
CANNULA XXXXXX 001312 CS $ 20.43 2 $ 40.86 K 3
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING,
CORRUGATED 6'-72" XXXXXX 001420 CS/50 $ 31.12 2 $ 62.24 K 5
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING,
CORRUGATED 6" XXXXXX 001427 CS/100 $ 7.45 0 $ 0.00 K 5
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING,
CORRUGATED 6" IPPB XXXXXX 001426 CS/100 $ 7.35 0 $ 0.00 K 5
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING,
CORRUGATED XXXXXX 001404 CS/1 $ 9.04 0 $ 0.00 K 5
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING,
CORRUGATED XXX XXXXXX 001400 CS/50 $ 35.56 4 $142.24 K 5
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK,
REBREATHING EDIATRI XXXXXX 1127 CS/50 $ 79.50 3 $238.50 K 6
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
93
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE# R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK,
SIMPLE
OXYGEN ADULT XXXXXX 8005 CS/50 $ 29.50 2 $ 59.00 K 6
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK,
REBREATHING ADULT XXXXXX 8125 CS/50 $ 36.50 3 $109.50 K 6
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, NON
RE-BREATHING ADULT XXXXXX 8135 CS/50 $ 42.00 2 $ 84.00 K 6
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, VENTI ADULT XXXXXX 8150 CS/50 $ 70.00 2 $140.00 K 6
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP FACE TENTS ADULT XXXXXX 1110 CS/50 $ 43.10 3 $129.30 K 6
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK,
OXYGEN EDIATRI XXXXXX 1122 CS/50 $ 38.00 1 $ 38.00 K 6
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, TRACH EDIATRI XXXXXX 001226 CS/50 $ 53.45 3 $160.35 K 6
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK CONCEN
MED PED XXXXXX 001123 CS $ 29.55 1 $ 29.55 K 6
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP CIRCUIT VENT XXXXXXX 6200 CS $ 37.74 5 $188.70 K 9
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP CIRCUIT VENT XXXXXX 4360503 CS $290.02 0 $ 0.00 K 9
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP CIRCUT, VENT XXXXXX 001797 CS/10 $ 34.45 5 $172.25 K 9
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP CIRCUT, VENT XXXXXX 001795 CS/10 $ 34.98 6 $209.88 K 9
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP CIRCUT, VENT PED XXXXXX 4801701 CS/20 $252.60 1 $252.60 K 9
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING, IPPB XXXXXX 001608 CS/50 $ 94.75 2 $189.50 K 9
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP CIRCUT, VENT MA1 PROF. MEDICAL 5044 CS/10 $ 50.50 0 $ 0.00 K 9
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK,
AEROSAL EDIATRI XXXXXX 1120 CS/50 $ 26.25 8 $210.00 K 10
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP CIRCUIT VENT B&F MEDICAL 64690 CS $ 44.52 1 $ 44.52 K 10
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP CIRCUT, VENT B&F MEDICAL 64698 CS/15 $ 34.65 2 $ 69.30 K 10
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP CIRCUT, VENT B&F MEDICAL 64693 CS/15 $33.00 5 $165.00 K 10
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP CIRCUT, VENT B&F MEDICAL 64691 CS/15 $33.00 3 $99.00 K 10
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, TRACH ADULT XXXXXX 1075 CS/50 $68.50 3 $205.50 K 11
--------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, TRACH EDIATRI XXXXXX 1076 CS/50 $85.00 5 $425.00 K 11
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, TRACH ADULT XXXXXX 001225 CS/50 $51.84 2 $103.68 K 11
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, AEROSAL PED XXXXXX 001206 CS/50 $24.80 1 $24.80 K 11
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, AEROSAL ADULT XXXXXX 8100 CS/50 $19.25 1 $19.25 K 11
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP AEROSOL MASK ADULT PARI 14F20PVC50 CS $34.50 2 $69.00 K 11
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP AEROSOL MASK EDIATRI PARI 14F15PVC50 CS $34.50 5 $172.50 K 11
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, OXYGEN ADULT XXXXXX 001240 CS/50 $85.96 0 $0.00 K 11
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP NEBULIZER JAR XXXXXX 002002 CS/24 $37.45 4 $149.80 K 13
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP SPIROMETER,
INCENTIVE XXXXXX 001900 CS/20 $52.77 1 $52.77 K 13
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP HUMIDIFIER
BUBBLE JAR XXXXXX 7100 CS/50 $57.00 2 $114.00 K 13
---------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
94
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE# R MIN MAX
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP NEBULIZER KIT XXXXXX 8900 CS/50 $42.65 2 $85.30 K 13
------------------------------------------------------------------------------------------------------------------------------
RESP SUP NEBULIZER KIT XXXXXX 8911 CS/50 $41.10 1 $41.10 K 13
------------------------------------------------------------------------------------------------------------------------------
RESP SUP HUMIDIFIER
HTD ADPTR XXXXXX 002001 CS $38.17 $0.00 K 13
------------------------------------------------------------------------------------------------------------------------------
RESP SUP NEB KITS XXXXXX 002031 CS $48.34 $0.00 K 13
------------------------------------------------------------------------------------------------------------------------------
RESP SUP NEBULIZER JARS 500ML XXXXXX 1770 CS/50 137 3 $411.00 K 13
------------------------------------------------------------------------------------------------------------------------------
RESP SUP ADAPTOR, OMNIFLEX XXXXXX 3222 CS/50 $49.40 4 $197.60 K 14
------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER, THERAPY XXXXXX 001851 CS/50 $68.60 2 $137.20 K 14
------------------------------------------------------------------------------------------------------------------------------
RESP SUP MULTI ADAPTER 15MM XXXXXX 1422 CS/50 24 2 $48.00 K 14
------------------------------------------------------------------------------------------------------------------------------
RESP SUP ADAPTOR, XXX XXXXXX 002060 CS/30 $62.75 2 $125.50 K 14
------------------------------------------------------------------------------------------------------------------------------
RESP SUP THERMOMETER XXXXXX 001951 CS/50 $63.60 3 $190.80 K 14
------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRAP, WATER 22MM XXXXXX 001860 CS/50 $85.50 3 $256.50 K 14
------------------------------------------------------------------------------------------------------------------------------
RESP SUP METERED DOSE
INHALER 22MM XXXXXX 002062 CS/30 $58.13 3 $174.39 K 14
------------------------------------------------------------------------------------------------------------------------------
RESP SUP ADAPTER
ENTRAINMENT 22MM XXXXXXX 5141 CS $19.00 0 $0.00 K 14
------------------------------------------------------------------------------------------------------------------------------
RESP SUP RESUSCITATOR,
MANUAL ADULT XXXXX XXXXX 7650 CS/10 $198.50 0 $0.00 K 15
------------------------------------------------------------------------------------------------------------------------------
RESP SUP RESUSCITATOR,
MANUAL EDIATRI XXXXX XXXXX 7330 CS/10 $227.50 10 $2,275.00 K 15
------------------------------------------------------------------------------------------------------------------------------
RESP SUP RESUSCITATOR,
MANUAL EDIATRI XXXXX XXXXX 7300 CS/10 $206.30 0 $0.00 K 15
------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING, VENT 60" XXXXX XXXXX 5042 CS/40 $96.60 0 $0.00 K 15
------------------------------------------------------------------------------------------------------------------------------
RESP SUP CIRCUT, BREATHING ADULT XXXXX XXXXX 5035 CS/20 $87.00 0 $0.00 K 15
------------------------------------------------------------------------------------------------------------------------------
RESP SUP RESUSCITATOR,
MANUAL INFANT XXXXX XXXXX 7420 CS/10 $198.50 9 $1,786.50 K 15
------------------------------------------------------------------------------------------------------------------------------
RESP SUP CART, E TANK XXXXXXXXXX 705000 EA $18.95 26 $492.70 M U
------------------------------------------------------------------------------------------------------------------------------
RESP SUP LIQUID CART N. M. E. 1004 EA $18.95 0 $0.00 M
------------------------------------------------------------------------------------------------------------------------------
RESP SUP LIQUID STAND INVACARE MLA150 EA $46.80 2 $93.60 M
------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP RESPIRONICS 367500 EA $390.60 0 $0.00 M U
------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP RESPIRONICS 362505 EA 0 $0.00 M UI
-------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP SYSTEM 4 XXXXXX 1688 EA $241.50 0 $0.00 M U
-------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP SYSTEM 0 XXXXXX 1683 EA $241.50 0 $0.00 M
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP SYSTEM 2 XXXXXX 1686 EA $241.50 0 $0.00 M
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP SYSTEM RESCARE APD-2 EA $291.00 0 $0.00 M U
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP SYSTEM DEVILBISS 7315-5 EA 0 $0.00 M U
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP ADAPTOR,
SWIVEL CPAP P/B 616329 EA $5.95 3 $17.85 PYXIS
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP BELT, APNEA AEQUITRON 8220 EA $5.50 1 $5.50 PYXIS
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP CHIN STRAP RESPIRONICS 302175 EA $13.50 10 $135.00 PYXIS
---------------------------------------------------------------------------------------------------------------------------------
RESP SUP COMFORT FLAPS RESPIRONICS 302250 EA $9.30 3 $27.90 PYXIS
-------------------------------------------------------------------------------------------------------------------------------
95
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
96
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ELECTRODES, APNEA AEQUITRON 8250 PR $5.50 5 $ 27.50 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER RESPIRONICS 302064 PK $22.50 4 $ 90.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP LINE ASSEMBLY
PRESSURE 312112 EA 10 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER, CPAP RESPIRONICS 362522 PK/6 $14.50 16 $232.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR XXXX MEDICAL INDUST. 2082 EA $36.00 5 $180.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK M/S RESPIRONICS 302186 EA $38.60 6 $231.60 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK PETITE RESPIRONICS 302219 EA $38.60 14 $540.40 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK SULLIVA RESCARE 16007 EA $20.00 7 $140.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK SMALL RESPIRONICS 302187 EA $38.60 6 $231.60 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK LRG/NRW RESPIRONICS 302218 EA $38.60 9 $347.40 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK ED/WIDE RESPIRONICS 302183 EA $38.60 4 $154.40 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK LARGE RESPIRONICS 302188 EA $38.60 6 $231.60 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK MED/SM RESPIRONICS 302180 EA $38.60 11 $424.60 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK KIT CHILD 16008 EA $21.00 7 $147.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL PILLOWS SMALL P/B 616323 PR $15.50 13 $201.50 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL PILLOWS MEDIUM P/B 616324 PR $15.50 8 $124.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL PILLOWS LARGE P/B 616325 PR $15.50 4 $ 62.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PORT CAP RESPIRONICS 152033 EA $3.30 6 $ 19.80 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PROBES EUSABL NELCOR OXI-P1 EA $2.50 3 $ 7.50 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PROBES INFANT NELCOR I20 EA $19.50 43 $838.50 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PROBES ADULT NELCOR D-25L EA $19.50 17 $331.50 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PROBES ADULT NELCOR D25 EA $15.00 29 $435.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PROBES ADULT NELCOR R-15 EA $19.50 0 $ 0.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PROBES EONATA NELCOR N25 EA $19.50 24 $468.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PROBES EDIATRI NELCOR D20 EA $15.00 16 $240.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SOFTCAP LARGE RESPIRONICS 302215 EA $22.50 10 $225.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SOFTCAP MEDIUM RESPIRONICS 302142 EA $22.50 21 $472.50 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP STRAPS, HEADGEAR MEDICAL IND. M2040 EA $15.00 2 $ 30.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING RESPIRONICS 312151 $11.25 26 $292.50 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING, FLEX 10" P/B T10614 EA $11.25 0 $ 0.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VALVE, PEEP P/B 008001 BX/6 $39.17 0 $ 0.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VALVE,
SPEAKING 15MM XXXXXX XXXX 005 EA $42.50 6 $255.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VALVE,
SPEAKING 22MM XXXXXX XXXX 007 EA $42.50 6 $255.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP WHISPER SWIVELS RESPIRONICS 332113 EA $19.95 8 $159.60 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
97
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP COMFORT FLAPS RESPIRONICS 302248 EA $ 8.15 7 $ 57.05 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP COMFORT FLAPS RESPIRONICS 302249 EA $ 8.15 7 $ 57.05 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP EXTENTION CABLE NELCOR EC8 EA $ 40.00 3 $ 120.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRANSDUCER NELCOR DS100-A EA $150.00 0 $ 0.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP COMFORT FLAPS RESPIRONICS 302245 EA $ 8.15 9 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP COMFORT FLAPS RESPIRONICS 302247 EA $ 8.15 6 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PATIENT CABLE NELCOR M-200-13 EA $250.00 2 $ 500.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ELECTRODES, APNEA VERMED A10001-SG EA $ 10.44 119 $1,242.36 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ORAL AIRWAY ADAPT DUROMED 5242 EA $ 0.67 12 $ 8.04 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ORAL AIRWAY ADAPT DUROMED 5241 EA $ 0.67 12 $ 8.04 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL SWIVEL PURITAN BENNET 231700-00 EA $ 12.35 1 $ 12.35 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP WHISPER CAP RESPIRONICS 332389 EA $ 21.00 2 $ 42.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HUMIDIFIER
ADAPT KITS RESMED 18909 EA $ 15.00 2 $ 30.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING LG BORE RESPIRONICS 301016 EA $ 28.90 18 $ 520.20 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP EXTENTION PORT RESPIRONICS 312149 EA $ 13.40 20 $ 268.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP IMV SYSTEM XXXXXX 1652 EA $ 6.66 9 $ 59.94 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP LEAD WIRES, APNEA HEALTHDYNE 9520-1 EA $ 8.00 20 $ 160.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP LEAD WIRES, APNEA AEQUITRON 8248 EA $ 7.70 2 $ 15.40 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ELECTRODES, APNEA ALTERNATIVE AEP4004 EA $ 8.70 4 $ 34.80 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP LEAD WIRES, APNEA ALTERNATIVE ALW240 EA $ 2.13 4 $ 8.52 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEAT MOISTURE
EXCHANGER 353U5413 EA $ 2.75 2 $ 5.50 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEAT MOISTURE
EXCHANGER 353U5908 EA $ 2.75 2 $ 5.50 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP LEAD WIRES, APNEA 8245 EA $ 7.45 11 $ 81.95 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, FULL FACE 452032 EA $ 21.25 15 $ 318.75 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BELT, APNEA AMB1 EA $ 3.95 5 $ 19.75 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PEAK FLOW METER M8754 EA 4 $ 0.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VELCRO BELT HEALTHDYNE 16530-3 EA $ 4.00 2 $ 8.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CHEST SHELL PURITAN XXXXXX XX 0 $ 0.00 R/WH
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ASSEMBLY, FAN COWL DEVILBISS 5610D 611 EA $ 5.00 3 $ 15.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ASSEMBLY,
INLINE FILTER INVACARE 2000818 EA $ 21.75 8 $ 174.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ASSEMBLY,
PULMOAIDE COVER DEVILBISS 5610D604 EA $ 10.50 0 $ 0.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ASSEMBLY, VACU
AIDE COVER DEVILBISS 7304D 606 EA $ 12.50 4 $ 50.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BATTERY, VACU-XXXX XXXXXXXXX 7304D 618 EA $ 63.00 5 $ 315.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BOTTLES, ASPIRATOR DEVILBISS 7304D603 EA $ 12.67 4 $ 50.68 RP
------------------------------------------------------------------------------------------------------------------------------------
98
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
99
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BOTTLES, ASPIRATOR INVACARE IRC1140 EA $10.85 40 $434.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BOTTLES, ASPIRATOR SCHUCO EA $4.95 0 $0.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CHARGER, AC/DC
ADPT. DEVILBISS 7304D 613 EA $46.00 3 $138.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP COMPRESSOR OUTLET
HOSE INVACARE 20001378 EA $15.00 5 $75.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP COVER, LIQUID BASE P/B 775102 EA $15.00 1 $15.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CUPS & LIDS
DISPOSABLE 100HD 648 CS/48 $40.50 1 $40.50 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER, BACH INVACARE 2000893 EA $17.65 0 $0.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER, FOAM ASPEN 407110801 EA $2.75 2 $5.50 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER,
HEPA INTAKE D019 EA $24.80 0 $0.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER, INLET INVACARE 2000806 EA $7.60 44 $334.40 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER, PALL XXXXXX MEDICAL BB50T EA $4.39 23 $100.97 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER, RECTANGLE DEVILBISS 444-503 CS/6 $2.50 22 $55.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER, ROUND DEVILBISS MC44D-722 CS/6 $3.50 6 $21.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP GAUGE XXXXXX-FIELD JB9103-003 EA $48.50 2 $97.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP GAUGE, LIQUID P/B 775846 EA $48.50 0 $0.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEAD/ROD ASSEMBLY DEVILBISS 7304D 601 EA $15.00 6 $90.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP REGULATOR,
PRESSURE -46 DEVILBISS 444 585 EA $35.00 3 $105.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SEIVE BED ASPEN AS555 601 SET $70.00 0 $0.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SEIVE BED DEVILBISS DEVO 44 SET $114.00 0 $0.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SIEVE BED XXXXXXX 408-010801 SET $135.00 0 $0.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VALVE, 22PSI
RELIEF PENOX BZ3017AA EA $21.35 4 $85.40 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VALVE, 30PSI
RELIEF PENOX AZ3021AA EA $23.30 10 $233.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VALVE, 4 WAY
OXYCON OXYCON EA $64.48 0 $0.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VALVE, CHECK DEVILBISS 444-552 EA $6.50 6 $39.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VALVE, SOLENOID OXYCON EA $24.00 2 $48.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP REGULATOR MADA RENTAL EA $9.50 14 $133.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VENT EXTERNAL
BATTERY CBL AEQUITRON CG111 EA $79.00 2 $158.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VENT EXTERNAL
BATTERY CBL LIFECARE 07-270 EA $44.20 3 $132.60 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SIEVE BED AIRSEP SB-ME-035 EA $60.00 0 $0.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VENT BRACKET LP10 AEQUITRON 6320 EA $59.00 10 $590.00 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VENT BRACKET
PLV100 LIFECARE 22-902 EA $59.80 2 $119.60 RP
------------------------------------------------------------------------------------------------------------------------------------
100
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP VENT BRACKET 2801 EA $74.99 3 RP
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP V PAP CARRYING
CASE RESCARE EA $20.00 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP LP10 EXTERNAL
BATTERY CABLE AEQUITRON CG1111 EA $79.00 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
101
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BEAR EXTERNAL
BATTERY CABLE BEAR MEDICAL 5100-08127 EA $75.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP ADAPTOR, 22MM PROF. MEDICAL 5141 CS/50 $19.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP ADAPTOR, SWIVEL CNCD/PORTEX 525301 CS $27.30 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP ALARM, LOW
PRESSURE VENTRONICS EA $468.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP ASSEMBLY,
PRESSURE LINE RESPIRONICS 312112 $11.25 4 $45.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP BRACKET AEQUITRON 6320 EA $15.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP BUBBLE LARGE 16214 EA $40.00 12 $480.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP BUBBLE CUSHION MEDIUM 16201 EA $40.00 10 $400.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP BUBBLE MASK
XXXXXXX XXXXXXXX 16215 EA $40.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP CABLE, PT APNEA AEQUITRON 8237 EA $33.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP CHARGER, BATTERY APNEA AEQUITRON 9271 EA $24.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER RESPIRONICS 312121 PK $11.25 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER RESPIRONICS 362121 PK $13.25 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER, CPAP SULLIV A RESCARE 14907 PK/50 $45.00 1 $45.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR SULLIV A RESCARE 16105 PK/2 $15.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR SULLIV A RESCARE 16104 EA $15.00 13 $195.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR SULLIV A RESCARE 161021 EA $15.00 10 $150.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP LEAD WIRES, APNEA AEQUITRON 8246 PR $7.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP LIP SEAL PURITAN BENNET T30106 BX/ $28.50 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK SULLIV A RESCARE 16210 EA $35.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK SULLIV A RESCARE 16215 EA $45.00 9 $405.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, BUBBLE SULLIV A RESCARE 16010 EA $90.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP OXISENSOR II NELCOR ASP-3 EA $50.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP PLUG, PORT ACESS SULLIV A RESCARE 16901 PK/10 $3.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING, BUBBLE 100' B&F MEDICAL 64203 $5.70 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP SYSTEM XXXXX X XXXXXX 1688 EA $24.52 3 $73.56 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP SYSTEM XXXXXX 1693 EA $12.82 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP SYSTEM XXXXXX 1687 EA $24.52 3 $73.56 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP SYSTEM XXXXXX 1686 EA $24.52 3 $73.56 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP SYSTEM XXXXXX 1683 EA $24.52 3 $73.56 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP ULTRASONIC
NEBULIZER OMRON NEU03 EA $265.00 5 $1,325.00 RS U
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP OXYGEN ANALYZER XXXXXX 6477 EA $193.00 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP HUMIDIFIER
CONDENSER RESMED 18002 EA $3.75 0 $0.00 RS
----------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
102
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HUMIDIFIER
CONDENSER RESMED 18001 EA $3.75 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SENSOR INF/PED NELCOR ADH-P/I EA $1.00 3 $3.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PORT OXIMETER NELCOR N10 EA $1,200.00 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CPAP PROGRAMER RESMED EPU2 EA $85.00 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CHAMBER, HMD RESMED HC300 EA $62.00 3 $186.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CHAMBER, HMD XXXXXX MR350 EA $10.07 1 $10.07 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CHAMBER, HMD XXXXXX MR370 EA $151.05 1 $151.05 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ADAPTER
ENTRAINMENT XXXXXX 1422 EA $25.00 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL SWIVEL PURITAN BENNET 616329 EA $6.25 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FOREHEAD PADS RESMED M02B940 EA $0.60 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PLASTIS SPLIT
WASHER RESPIRONICS 300031 EA $0.51 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FUSES RESPIRONICS EA $3.60 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING 6' RESPIRONICS 312151 EA $4.05 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ELECTRODES, APNEA HEALTHDYNE 16510-1 EA $5.50 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP LEAD WIRES, APNEA HEALTHDYNE 9185-1 EA $7.20 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ELECTRODES, APNEA AEQUITRON 8250 EA $7.15 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP RESPIRGARD 11 NEB
SYSTEM MARQUEST 124030 EA $7.79 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING HMD 18" RESPIRONICS 442007 EA $8.50 22 $187.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BREATHING FILTERS BARRIERBAC 350U5879 EA $1.45 3 $4.35 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BREATHING FILTERS HEPA 351U5410 EA $5.35 4 $21.40 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP EXHALATION
MANIFOLDS AEQUITRON 6350 EA $49.50 4 $198.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP AIRWAY CONNECTOR MALLINCKRODT 610U5257 EA $2.50 8 $20.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP AEROCHAMBER MONAGHAN M95905 EA $10.00 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TRACHEAL SUCT XXXX XXXXXXX 22113 PK $13.50 23 $310.50 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SCOOP CATHETHER TRANSTRACHEAL C-11-LF PK $79.75 1 $79.75 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ASSEMBLY, PRESSURE
LINE RESPIRONICS 302204 EA $1.90 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FACE PLATE LIFECARE 35934 EA $47.13 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP LATEX TUBING MEDISOURCE 52116 EA $27.10 1 $27.10 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CPAP CANNULA INFANT XXXXXX 1692 EA $12.55 10 $125.50 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TEST LUNG PURITAN BENNET 0162 EA $20.90 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK LIFECARE 6960 EA $572.60 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
103
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MONITOR/SIMULATOR HEALTHDYNE 5000 EA $927.00 1 $927.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ELECTRODES, APNEA MEDITRACE E022 EA $32.35 41 $1,326.35 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ELECTRODES, APNEA 3M 2255 BX $30.80 18 $554.40 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP REGULATOR LIFECARE 27-043 EA 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP ALARM, PRESSURE LIFECARE 23001 EA $476.08 0 $0.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CHEST SHELL EA $200.00 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER AEQUITRON 6106 EA $9.00 6 $54.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HUMIDIFIER TRAY RESCARE 18901 EA $15.00 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HUMIDIFIER TRAY RESPIRONICS 442004 EA $11.50 6 $69.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HUMIDIFIER TRAY XXXXXXX PAYKEL 900HC007 EA $20.00 3 $60.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HUMIDIFIER,
XXXXXX/XXXX RESPIRONICS 442001 EA $81.65 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HUMIDIFIER,
XXXXXX/XXXX HEATER RESCARE 428 EA $177.00 1 $177.00 RS
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP NASAL CANNULA XXXXXX XX $19.75 1 $19.75 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING 21' XXXXXX XX $24.25 1 $24.25 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SENSOR 211-3 EA 7 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SENSOR 211-2 EA 9 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR RESMED 16107 EA $20.00 9 $180.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR, T BAR LARGE RESMED 16109 EA $20.00 19 $380.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR, T BAR MEDIUM RESMED 16108 EA $20.00 3 $60.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR RESPIRONICS 302044 EA $3.94 6 $23.64
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BUBBLE MASK
CUSHION MD/LG RESMED 16212 EA $36.00 3 $108.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, FULL FACE LARGE RESPIRONICS 452038 EA $21.25 10 $212.50
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BUBBLE MASK
CUSHION LARGE RESMED 16211 EA $36.00 5 $180.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP BUBBLE MASK
CUSHION MD/SH RESMED 16223 EA $36.00 22 $792.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR, TRIANGLE SMALL RESMED 16103 EA $18.00 12 $216.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, FRAME KIT
MODULAR RESMED 16089 EA $21.00 27 $567.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, FRAME KIT
MODULAR RESMED 16008 EA $21.00 13 $273.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SPACERS, ASSORTED RESPIRONICS 302141 EA $6.40 1 $6.40
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP WASHER, PLSTIC
SPLIT RESPIRONICS 300031 EA $0.51 6 $3.06
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP PADS, FOREHEAD M02B940 EA $2.55 21 $53.55
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR,
CONVERTABLE 452027 EA $22.50 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
104
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER, ASSEMBLY RESMED 14909 EA $6.00 2 $12.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, CHILD SMALL RESPIRONICS 302279 EA $42.80 10 $428.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP SEAL, MONARCH
COMFORT RESPIRONICS 572015 EA $47.00 11 $517.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR, MONARCH RESPIRONICS 572011 EA $23.65 4 $94.60
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP CASCADE BUBBLE KIT ADULT PURITAN BENNET 0-000000-00 EA 29 $0.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP FLUTTER EDENTECH 00000-000-00 EA $109.00 8 $872.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP CANNULA, NASAL XXXXXX LABS 1650 EA 0 $0.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP HUMIDIFIER,
HYDROSCOPIC COND RESMED 18002 EA 3 $0.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP RESPIRONICS 572004 EA $49.75 4 $199.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER, OMRON
NENULIZER OMRON U03-4 EA $265.00 7 $1,855.00 U
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP DURA-Y TRANSDUCER D-YS EA $275.00 1 $275.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR RESMED 16114 EA $24.00 6 $144.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP FACE PLATE 35-934 EA 3 $0.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP PROBES, COMFORT NIS EA 34 $0.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING, AIRWAY 8721 EA 2 $0.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP ELECTRODES, APNEA HEALTHDYNE 16510-1 EA $5.50 5 $27.50
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP AEROCHAMBER MONAGHAN 8550 EA $9.00 15 $135.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP DPAP SLEEPNET 73001 EA ,050.00 2 $2,100.00 U
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, FULL FACE RESPIRONICS 452034 EA $21.25 14 $297.50
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP PORT, VENT PURITAN BENNET M-25B EA 1 $0.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP CHAMBER, HMD XXXXXX PAYKEL MR325 EA $10.07 5 $50.35 U
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP TUBING, FLEX 2446 EA $11.05 9 $99.45
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP CLIP, HEADGEAR
SOFTCAP 302321 EA $22.50 5 $112.50
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP CLIP, HEADGEAR
SOFTCAP 452029 EA $22.50 3 $67.50
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP CLIP, HEADGEAR
SOFTCAP 452027 EA $22.50 6 $135.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP CLIP, HEADGEAR
SOFTCAP 452023 EA $22.50 6 $135.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEADGEAR 16115 EA $24.00 6 $144.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP SPACER, ACE 11-1010 EA 24 $ 0.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP HEAT MOISTURE
EXCHANGER 575010 EA $3.84 25 $ 96.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP MASK, FULL FACE 452036 EA $21.25 4 $ 85.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP MOUTHPIECE 06-565 EA $1.95 2 $ 3.90
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP AEROCHAMBER 15MM 82510 EA $9.00 10 $ 90.00
----------------------------------------------------------------------------------------------------------------------------------
RESP SUP AIRWAY CONNECTOR 152301 EA $11.00 26 $286.00
105
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP AIRWAY ADAPTER 8665 EA $3.35 12 $40.20
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP AEROVENT,
COLLAPSABLE 8550 EA $9.00 10 $90.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FILTER, REUSABLE 362521 EA $13.25 4 $53.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP MOUTHPIECE 06-566 EA $1.95 2 $3.90
------------------------------------------------------------------------------------------------------------------------------------
106
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP OXICLIP P EA $11.00 21 $231.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP SENSOR 211-1 EA 10 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP STAND, H TANK B&F MEDICAL 65060 EA $16.45 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TANK, OXYGEN D MADA 1502 EA $51.50 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP REGULATOR, E 1/16 MADA 1335-1 EA $62.00 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TANK, OXYGEN M9 ALLIED 3110-2002 EA $45.43 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP REGULATOR, H 0-8 LPM MADA 1333 EA $43.65 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP REGULATOR, E 0-8 LPM MADA 1335 EA $49.90 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP REGULATOR, E 1/40 LPM ALLIED 13209 EA $190.45 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP OXILITE BAG M9 XXXX XXXX000 EA $34.00 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP OXILITE TUBING XXXX CL056A EA $7.50 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP FLOWMETER, LIQUID PENOX AA22005AA EA $43.99 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP OXILITE CONSERVER XXXX OM201A EA $469.00 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP REGULATOR, H 1/40 LPM ALLIED 13185 EA $171.60 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP OXILITE REGULATOR XXXX FR870 EA $65.00 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP CARRY PUUCH D XXXX OP200 EA $39.00 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
RESP SUP TOTAL $65,583.18
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
107
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
XXX XXXXXXXXX XXXXXX XX XXXX 410 EA $10.40 4 $41.60 A 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ADL ABDOMINAL BINDER MED XXXX 411 EA $12.00 4 $48.00 A 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
XXX XXXXXXXXX XXXXXX XX XXXX 418 EA $15.90 3 $47.70 A 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ADL PILL DISPENSER XXXXXXX 3458-02 EA $11.25 2 $22.50 A 10
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB BLOOD PRESSURE KIT ADULT XXXXXX-FIELD 03-180 EA $16.95 2 $33.90 A 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB STETHOSCOPE PED XXXXXX-FIELD 04-507 EA $5.90 2 $11.80 A 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB SPHYGMOMANOMETER XXXXXX FIELD 03-202 EA $20.75 6 $124.50 A 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB BLOOD PRESSURE
MON.(DIGT) XXXXXX FIELD 02-857 EA $49.95 2 $99.90 A 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB LANCETS OWENMUMFORD AT455 BX/200 $4.60 0 $0.00 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB ONE TOUCH BASIC LIFESCAN 10315 EA $40.00 0 $0.00 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB TESTSTRIPS,
ACCUCHEK III BOERINGER 000502 BX/50 $36.00 4 $144.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB TESTSTRIP,
GLUCOMETER III XXXX 2371 BX/50 $35.47 3 $106.41 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB TESTSTRIP,
ONE TOUCH LIFESCAN 10198 BX/50 $28.00 1 $28.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB TESTSTRIPS ELITE 3918 BX $34.79 3 $104.37 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB TESTSTRIPS
ADVANTAGR 553 BX $33.52 4 $134.08 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB PENLET LIFESCAN 10356 EA $16.99 0 $0.00 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB LANCETS 585 BX $9.10 1 $9.10 PYXIS
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
DIAB GLUCOMETER BASIC LIFESCAN EA $40.00 1 $40.00 TK(J.V) RT
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE,
XXXXX 12FR XXXXXX K9 CS/50 $23.25 3 $69.75 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE,
XXXXX 14FR XXXXXX K12 CS/50 $23.70 1 $23.70 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE 24F 10" BARD 000259 EA $7.00 8 $56.00 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE 24F 24" BARD 000258 EA $7.00 14 $98.00 C 1
------------------------------------------------------------------------------------------------------------------------------------
108
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE 18F 24" BARD 000256 EA $7.00 7 $49.00 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE 18F 10" BARD 000257 EA $7.00 15 $105.00 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE 5F 36" PMP 155723 BX $34.00 9 $306.00 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE 8F 42" SHERWOOD 260406 BX $57.50 4 $230.00 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE 8F 36" CORPAK 209368 BX $23.00 3 $69.00 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE 8F 16" SHERWOOD 260604 BX $52.50 2 $105.00 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE 5F 75CM VYGON VG31105 BX $42.00 2 $84.00 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE 6F 36" CORPAK 209366 BX $23.00 1 $23.00 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING TUBE 5F 36" PMP 155721 BX $34.00 2 $68.00 C 1
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTOR TAKEN 03/31/97 5/14/97
109
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT DECOMPRESSION TUBE 8F 1.7C BARD 000350 BX $8.75 13 $113.75 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT DECOMPRESSION TUBE 4F 1.7C BARD 000353 BX $8.75 9 $78.75 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT SUCTION CATH
W/MUCUS TRP 8F SHERWOOD 257535 BX $83.00 5 $415.00 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT DECOMPRESSION TUBE 8F 2.4C BARD 000351 EA $8.75 6 $52.50 C 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FOOD PUMP COMPAT SANDOZ 199235 EA LEASE 1 $0.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FOOD PUMP COMPAT SANDOZ 199205 EA LEASE 1 $0.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FOOD PUMP XXXXXXXX XXXXXXXX 324 EA $350.00 1 $350.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING BAGS
KANGAROO SHERWOOD 773600 CS $72.00 1 $72.00 CLST
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING BAGS
COMPAT SANDOZ 199247 CS $69.16 1 $69.16 CLST
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING BAG XXXX 50230 CS/30 $71.48 3 $214.44 D 22
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING BAG COMPAT SANDOZ 199247 CS/30 $69.16 4 $276.64 D 22
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FEEDING BAG SHERWOOD 773600 CS/30 $72.00 11 $792.00 D 23
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT COMPLEAT REGULAR 8 OZ SANDOZ 150100 CS/24 $49.97 6 $299.82 FR 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT NEPRO 8 OZ. XXXX 50632 CS/24 $63.44 12 $761.28 FR 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ADVERA CHOCOLATE 8 OZ. XXXX 51800 CS/24 $39.50 2 $79.00 FR 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ISOCAL 8 OZ. XXXXX-XXXX 35511 CS/12 $12.88 15 $193.20 FR 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ISOCAL HN 8 OZ. XXXXX-XXXX 46602 CS/12 $13.98 16 $223.68 FR 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT DELIVER 8 XX XXXXX-XXXX 46202 CS/12 $14.50 36 $522.00 FR 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT SUSTICAL PUDDING
VANILLA 5 XX XXXXX-XXXX 40901 CS/48 $48.47 1 $48.47 FR 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT SUSTICAL VANILLA 8 XX XXXXX-XXXX 35103 CS/24 $12.50 2 $25.00 FR 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT TRAUMACAL 8 OZ. XXXXX-XXXX 46402 CS/24 $23.00 42 $966.00 FR 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ULTRACAL 8 OZ XXXX 435901 CS/24 $15.50 31 $480.50 FR 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PEDIASURE
CHOCOLATE 8 OZ XXXX 51882 CS/24 $27.49 5 $137.45 FR 3
------------------------------------------------------------------------------------------------------------------------------------
110
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PEDIASURE BANANA 8 OZ XXXX 51884 CS/24 $27.49 0 $0.00 FR 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PEDIASURE
STRAWBERRY 8 OZ XXXX 51880 CS/24 $27.49 1 $27.49 FR 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PEDIASURE VANILLA 8 XX XXXX 51804 CS/24 $27.49 3 $82.47 FR 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PEDIASURE W/FIBER
VANILLA 8 OZ XXXX 51806 CS/24 $28.92 0 $0.00 FR 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ENSURE CHOCOLATE 8 OZ. XXXX 50462 CS/24 $21.73 8 $173.84 FR 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ENSURE STRAWBERRY 8 OZ. XXXX 50648 CS/24 $21.73 5 $108.65 FR 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ENSURE VANILLA 8 OZ. XXXX 50460 CS/24 $21.73 25 $543.25 FR 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ENSURE PLUS
STRAWBERRY 8 OZ. XXXX 50646 CS/24 $24.34 4 $97.36 FR 4
------------------------------------------------------------------------------------------------------------------------------------
111
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ENSURE PLUS
VANILLA 8 OZ. XXXX 50464 CS/24 $24.34 4 $97.36 FR 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ENSURE PUDDING
VANILLA 5 OZ XXXX 00792 CS/48 $34.36 0 $0.00 FR 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ENSURE W/FIBER 8 OZ XXXX 50650 CS/24 $21.73 5 $108.65 FR 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ENSURE PLUS
CHOCOLATE 8 OZ. XXXX 50466 CS/24 $24.34 8 $194.72 FR 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ENSURE W/FIBER
CHOCOLATE 8 OZ XXXX 00756 CS/24 $21.73 4 $86.92 FR 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PERATIVE 8 XX XXXX 50628 CS/24 $54.04 6 $324.24 FR 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PULMOCARE 8 OZ. XXXX 00699 CS/24 $31.51 4 $126.04 FR 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT SUPLENA 8 OZ XXXX 50164 CS/24 $46.38 0 $0.00 FR 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT JEVITY 8 OZ. XXXX 00143 CS/24 $25.75 11 $283.25 FR 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT OSMOLITE 8 OZ. XXXX 00709 CS/24 $22.20 28 $621.60 FR 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT TWOCAL HN 8 OZ XXXX 00729 CS/24 $34.17 8 $273.36 FR 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ISOCAL 32 XX XXXXX-XXXX 35504 CS/6 $21.56 9 $194.04 FR 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT JEVITY 32 OZ. XXXX 50330 CS/6 $24.51 13 $318.63 FR 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT OSMOLITE 32 OZ. XXXX 00738 CS/6 $21.19 6 $127.14 FR 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT OSMOLITE HN 32 OZ. XXXX 00739 CS/6 $23.80 5 $119.00 FR 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ALIMENTUM 32 OZ XXXX 237 CS/6 $38.35 0 $0.00 FR 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT NUTRIEN 1.0
W/FIBER 8 OZ CLINITEC 2L6056 CS/24 $27.75 23 $638.25 FR 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT NUTRIEN 1.5 8 OZ CLINTEC 2L6220A CS/24 $22.05 4 $88.20 FR 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PEPTAMEN 8 OZ. CLINTEC 2L6260 CS/24 $158.10 14 $2,213.40 FR 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ULTRACAL 32 OZ XXXX 435902 CS/6 $30.34 9 $273.06 FR 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ENSURE CHOCOLATE 32 OZ. XXXX 799 CS/6 $18.65 7 $130.55 FR 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ENSURE PLUS
VANILLA 32 OZ XXXX 688 CS/24 $22.36 8 $178.88 FR 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
112
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
ENT ENSURE VANILLA 32 OZ. XXXX 00733 CS/6 $18.65 0 $0.00 FR 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT GLUCERNA 8 OZ XXXX 50240 CS/24 $46.38 21 $973.98 FR 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT XXXXXXXX XX 8OZ CLINTEC 2L6252 CS/25 $155.00 0 $0.00 FR
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT CRUCIAL 8OZ CLINTEC 2L6280 CS/26 $204.00 7 $1,428.00 FR
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT RCF LIQUID SOY
W/IRON 8OZ XXXX 00108 CS/12 $45.60 8 $364.80 FR
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT MAGNACAL 8OZ XXXXX-XXXX 00401 $37.44 5 $187.20 FR
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT SUSTACAL
STRAWBERRY 8OZ XXXXX-XXXX 46502 CS/24 $12.50 1 $12.50 FR
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT SUSTACAL PLUS
VANILLA 8OZ XXXXX-XXXX 46002 CS/24 $14.85 12 $178.20 FR
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT SIMILAC NEOCARE 14OZ XXXX 51850 CS/6 $10.45 6 $62.70 FR
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
113
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
NIT/ U BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # BIN R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT ADVERA VANILLA 8OZ XXXXX-XXXX 52450 CS/12 $39.60 4 $158.40 FR
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PREGESTEMIL POWDER 454GM XXXXX-XXXX 36721 CS/6 $120.03 2 $240.06 FR
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT NITROLAN 8OZ ELAN HN4300 CS/27 $33.64 7 $235.48 FR
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT POLYCOSE POWDER 12.3OZ XXXX 00746 CS/6 $27.86 5 $139.30 FR
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PUMP, FEEDING SHERWOOD 324 EA $350.00 5 $1,750.00 N 4 U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PUMP, FEEDING COMPAT SANDOZ 199205 EA LEASE 4 $0.00 N 4 U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PUMP CASE PET SHERWOOD 350409 EA $200.00 1 $200.00 N 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PUMP, FEEDING PET SHERWOOD 350003 EA $462.00 1 $462.00 N 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FOOD PUMP SHERWOOD 324 EA $350.00 1 $350.00 TK(J.V) RT U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PUMP, FEEDING SHERWOOD 224 EA $300.00 0 $0.00 U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PUMP, FEEDING SHERWOOD 350391 EA $162.50 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PUMP, FEEDING SHERWOOD 350490 EA $35.20 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
INTERMITTENT 08FR-10" MENTOR 360 CS/50 $29.84 3 $89.52 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
INTERMITTENT 10FR-10" MENTOR 520 CS/50 $29.84 3 $89.52 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
INTERMITTENT 12FR MENTOR 451 CS/50 $29.84 0 $0.00 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
INTERMITTENT 12FR MENTOR 412 CS/50 $17.94 6 $107.64 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
INTERMITTENT 12FR-16" MENTOR 460 CS/50 $29.84 7 $208.88 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
INTERMITTENT 14FR-16" MENTOR 450 CS/50 $29.84 9 $268.56 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
INTERMITTENT 14FR-6" MENTOR 240 CS/50 $22.05 4 $88.20 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
INTERMITTENT 16FR MENTOR 416 CS/50 $17.94 4 $71.76 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER,
INTERMITTENT 14FR MENTOR 245 CS/50 $25.33 4 $101.32 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
114
XXXX XXXXXXXXX,
INTERMITTENT MENTOR 410 BX $17.94 2 $35.88 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO RUBBER PANTS XX XXXXXX-FIELD 5001PS EA $4.54 25 $113.50 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO RUBBER PANTS XX XXXXXX-FIELD 5001PL EA $4.54 10 $45.40 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO RUBBER PANTS XLG XXXXXX-FIELD 5001PXL EA $4.54 20 $90.80 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO RUBBER PANTS MED XXXXXX-FIELD 5001PM EA $4.54 19 $86.26 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
RED RUBBER 10FR XXXXXX RU110 CS/50 $16.96 34 $576.64 D 14
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
RED RUBBER 12FR XXXXXX RU112 CS/50 $16.96 10 $169.60 D 19
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
RED RUBBER 14FR XXXXXX RU114 CS/50 $16.96 15 $254.40 D 19
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
RED RUBBER 16FR XXXXXX RU116 CS/50 $16.96 4 $67.84 D 19
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
RED RUBBER 18FR XXXXXX RU118 CS/50 $25.68 9 $231.12 D 19
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
115
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
CATEGORY DESCRIPTION SIZE MANUF REORDER # NIT/MEA COST QTY EXT $ AISLE BIN # U OR R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
RED RUBBER 08FR XXXXXX RU108 CS/50 $25.68 4 $102.72 D 19
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
RED RUBBER 12FR DAVOL 9412 CS/100 $79.00 2 $158.00 D 20
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
RED RUBBER 16FR DAVOL 9416 CS/100 $79.00 4 $316.00 D 20
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER,
RED RUBBER 14FR DAVOL 9414 CS/100 $79.00 5 $395.00 D 20
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO TUBING, LEG BAG
EXTENSION 8" XXXXXX K58 CS/50 $49.59 0 $0.00 E 14
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO DRAINAGE BAG,
XXXXXXX XXXXXX 3T5903 CS/20 $29.68 9 $267.12 E 14
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO LEG BAG LARGE XXXXXX 4017L CS/40 $53.52 2 $107.04 E 14
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO LEG BAG LARGE INTERMED 6031 CS/48 $43.75 9 $393.75 E 14
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO LEG BAG MEDIUM XXXXXX 4015M CS/40 $52.98 4 $211.92 E 14
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO LEG BAG MEDIUM INTERMED 6021 CS/48 $42.75 5 $213.75 E 14
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 6FRX30C XXXXXX E616 CS/12 $11.61 13 $150.93 E 15
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 8FRX30C XXXXXX E618 CS/12 $11.61 0 $0.00 E 15
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 8FRX5C XXXXXX E518 CS/12 $11.61 11 $127.71 E 15
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 0FRX30C XXXXXX E620 CS/12 $11.61 1 $11.61 E 15
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 0FRX5C XXXXXX E520 CS/12 $11.61 0 $0.00 E 15
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 2FRX30C XXXXXX E622 CS/12 $11.61 4 $46.44 E 15
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 2FRX5C XXXXXX E522 CS/12 $11.61 1 $11.61 E 15
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 4FRX30C XXXXXX E624 CS/12 $13.49 3 $40.47 E 15
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 4FRX5C XXXXXX E524 CS/12 $12.94 4 $51.76 E 15
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 6FRX30C XXXXXX E626 CS/12 $13.49 9 $121.41 E 15
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER,XXXXX 8FRX30C XXXXXX E628 CS/12 $13.49 3 $40.47 E 15
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER,XXXXX 2FRX30C XXXXXX E612 CS/12 $13.49 4 $53.96 E 16
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
116
INCO CATHETER, XXXXX 2FRx5C XXXXXX E512 CS/12 $11.61 4 $46.44 E 16
-----------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 4FRX30C XXXXXX E614 CS/12 $13.49 16 $215.84 E 16
-----------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 4FRX5C XXXXXX E514 CS/12 $11.61 5 $58.05 E 16
-----------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, XXXXX 6FRX5C XXXXXX E516 CS/12 $11.61 8 $92.88 E 16
-----------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, FREEDOM LARGE MENTOR 8400 BX/100 $101.00 0 $0.00 E 17
-----------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, FREEDOM MEDIUM MENTOR 8200 BX/100 $101.00 3 $303.00 E 17
-----------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, FREEDOM SMALL MENTOR 8000 BX/100 $101.00 1 $101.00 E 17
-----------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, UROSAN SMALL MENTOR 7875 BX/100 $64.60 4 $258.40 E 17
-----------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, UROSAN LARGE MENTOR 7800 BX/100 $64.60 0 $0.00 E 17
-----------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
117
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, UROSAN MEDIUM MENTOR 7850 BX/100 $64.60 1 $64.60 E 17
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, EXTERNAL ED/LARG ROCHESTER 3-3103 CS/100 $66.00 3 $198.00 E 18
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, EXTERNAL MEDIUM ROCHESTER 3-3102 CS/100 $66.00 5 $330.00 E 18
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, EXTERNAL LARGE ROCHESTER 3-3104 CS/100 $66.00 3 $198.00 E 18
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, EXTERNAL MEDIUM XXXXXX K96 CS/100 $40.10 3 $120.30 E 19
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETER, EXTERNAL LARGE XXXXXX K97A CS/100 $47.69 2 $95.38 E 19
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX 28F5CC XXXXXX E528 CS $12.94 8 $103.52 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO DRAINAGE BAG,
BEDSIDE BARD 600909 CS $120.00 2 $240.00 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO LEG BAG MEDI 00-000-00 CS $172.56 0 $0.00 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX 26F5CC XXXXXX E526 CS $12.94 9 $116.46 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO UNDERPAD 24 X 36 XXXXXX-FIELD D6530 CS/150 $19.50 37 $721.50 J 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO ELASTIC-46-58" LARGE XXXXXX-FIELD BK02L CS/60 $28.00 30 $840.00 J 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO ELASTIC MEDIUM XXXXXX-FIELD BK02M CS/96 $28.00 31 $868.00 J 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO DRY PROVIDE MEDIUM INVACARE I61122 CS/96 $43.00 4 $172.00 J 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO ELASTIC SMALL XXXXXX-FIELD D7050BK CS/96 $32.00 6 $192.00 J 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO DRY PROVIDE LARGE INVACARE I61123 CS/64 $40.00 2 $80.00 J 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO LINERS, PANTY XXXXXX-FIELD D0700 CS/200 $21.50 14 $301.00 J 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO TODDLER LARGE XXXXXX-FIELD 009317 CS/120 $27.97 5 $139.85 J 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO XXXXX BABY SMALL XXXXXX-FIELD 009112 CS/240 $32.00 4 $128.00 J 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO YOUTH XXXX XXXXXX-FIELD 43090 CS/96 $32.00 8 $256.00 J 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO XXXXX BABY MEDIUM XXXXXX-FIELD 009212 CS/176 $32.00 1 $32.00 J 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO NON-ELASTIC MEDIUM XXXXXX-FIELD D0041 CS/100 $28.50 12 $342.00 J 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO NON-ELASTIC LARGE XXXXXX-FIELD 50067 CS/60 $29.00 0 $0.00 J 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO LINERS, PANTY POISE SUB/OSTOMY 19581 PK/22 $5.24 7 $36.68 J
------------------------------------------------------------------------------------------------------------------------------------
118
SUPPLIES
INCO NON-ELASTIC SMALL XXXXXX-FIELD 50043 CS/100 $28.52 0 $0.00 J
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO PRETTY BABY LG CS $42.00 5 $210.00 J
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO DIAPER ELASTIC XLG CS $42.00 3 $126.00 J
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO IRRIGATION TRAY 50CC SUPERIOR 67000 CS/20 $21.50 46 $989.00 K 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO IRRIGATION TRAY
W/BULB 50CC SUPERIOR 67800 CS/20 $17.50 3 $52.50 K 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO INSERTION TRAY XXXXX 76010 CS/20 $30.50 10 $305.00 K 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO INSERTION TRAY 30CC SUPERIOR 76000 CS/20 $29.00 14 $406.00 K 1
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
119
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX
SILASTIC 22F30CC BARD 33622 CS $77.00 4 $308.00
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX
SILASTIC 24F30CC BARD 33624 CS $77.00 1 $77.00
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX
SILASTIC 24F5CC BARD 33424 CS $87.00 2 $174.00
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX XXXX 165822 CS $94.01 1 $94.01
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX MEDLINE DYND11505 CS $55.97 1 $55.97
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX MEDLINE DYND11536 CS $55.97 1 $55.97
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX
SILASTIC 20F5CC BARD 33420 CS $87.00 4 $348.00
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX
SILASTIC 22F5CC BARD 33422 CS $87.00 3 $261.00
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX
SILASTIC 16F30CC BARD 33616 CS $77.00 2 $154.00
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX XXXX 086012 CS 1 $0.00
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX XXXX 0165PL10 CS $122.74 1 $122.74
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX XXXX 165820 CS $94.01 1 $94.01
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX XXXX 0165L18 CS $91.25 2 $182.50
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX
SILASTIC 18F5CC BARD 33418 CS $87.00 3 $261.00
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO CATHETHER, XXXXX
SILASTIC 20F30CC BARD 33620 CS $77.00 6 $462.00
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
INCO IRRIGATION TRAY
W/PISTON 60CC SUPERIOR 68800 CS/20 $17.50 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, STOMA 4X4 CONVATEC 21712 BX/5 $11.57 9 $104.13 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, SURFIT
4X4 TAN 1 1/2" CONVATEC 22521 BX/5 $14.36 8 $114.88 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, SURFIT
4X4 TAN 1 3/4" CONVATEC 22522 BX/5 $14.36 3 $43.08 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, SURFIT
4X4 WHITE 1 1/4" CONVATEC 22525 BX/5 $14.35 3 $43.05 D 1
------------------------------------------------------------------------------------------------------------------------------------
120
SUPPLIES
OST WAFER, SURFIT
4X4 WHITE 1 1/2" CONVATEC 22526 BX/5 $14.36 8 $114.88 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, SURFIT
4X4 WHITE 1 3/4" CONVATEC 22527 BX/5 $14.36 7 $100.52 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, SURFIT
5X5 TAN 2 1/4" CONVATEC 22523 BX/5 $14.63 20 $292.60 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, SURFIT
5X5 TAN 2 3/4" CONVATEC 22524 BX/5 $14.63 3 $43.89 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, SURFIT
5X5 WHITE 2 1/4" CONVATEC 22528 BX/5 $14.63 4 $58.52 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, SURFIT
5X5 WHITE 2 3/4" CONVATEC 22529 BX/5 $14.63 6 $87.78 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINABLE 2 1/4" CONVATEC 21928 BX/10 $24.00 2 $48.00 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, UROSTOMY 1 1/2" CONVATEC 21926 BX/10 $23.43 4 $93.72 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH URO SURFIT 1 3/4" CONVATEC 219-37 BX $24.13 1 $24.13 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER STOMAHESIVE 4" CONVATEC 223-41 BX $21.66 4 $86.64 D 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN SURFIT 4" CONVATEC 223-53 BX $19.13 4 $76.52 D 1
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 3/31/97 5/14/97
121
INVENTORY COUNT SHEET
-----------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER 1 3/4" CONVATEC 22567 BX/5 $22.24 3 $66.72 D 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" OPAQUE 1" CONVATEC 22758 BX/10 $22.65 0 $0.00 D 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" OPAQUE 1 3/4" CONVATEC 22761 BX/10 $22.65 5 $113.25 D 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" OPAQUE 1 1/2" CONVATEC 22768 BX/10 $22.65 5 $113.25 D 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" TRNSP 1 1/4" CONVATEC 22766 BX/10 $22.65 6 $135.90 D 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" TRNSP CUSTOM CONVATEC 22771 BX/10 $23.78 4 $95.12 D 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, UROSTOMY
TRNSP 1 1/2" CONVATEC 24231 BX/10 $21.75 2 $43.50 D 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, UROSTOMY
TRNSP 1 3/4" CONVATEC 24232 BX/10 $21.75 2 $43.50 D 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, STOMA 4X4 1 1/2" CONVATEC 25610 BX/5 $14.29 10 $142.90 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, STOMA 4X4 1 1/4" CONVATEC 25605 BX/5 $14.29 8 $114.32 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, STOMA 4X4 1 3/4" CONVATEC 25611 BX/5 $13.64 6 $81.84 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, STOMA 4X4 2 1/4" CONVATEC 25612 BX/5 $13.64 4 $54.56 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, STOMA 4X4 2 3/4" CONVATEC 25613 BX/5 $13.64 4 $54.56 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, CLOSED
OPAQUE 2 1/4" CONVATEC 25622 BX/30 $25.95 5 $129.75 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE 1 1/4" CONVATEC 25621 BX/30 $25.95 14 $363.30 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" TRNSP 1 1/2" CONVATEC 25630 BX/10 $15.20 9 $136.80 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" OPAQUE 1 3/4" CONVATEC 25641 BX/10 $15.20 13 $197.60 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" OPAQUE 2 1/4" CONVATEC 25642 BX/10 $15.20 4 $60.80 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" TRNSP 1 3/4" CONVATEC 25631 BX/10 $15.20 12 $182.40 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" TRNSP 2 1/4" CONVATEC 25632 BX/10 $15.20 12 $182.40 D 3
------------------------------------------------------------------------------------------------------------------------------------
122
SUPPLIES
OST POUCH, DRAINAGE
12" TRNSP 2 3/4" CONVATEC 25633 BX//10 $15.20 0 $0.00 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE 2 3/4" CONVATEC 25643 BX/10 $15.20 7 $106.40 D 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, MINI 2 1/4" CONVATEC 25778 BX/20 $16.43 3 $49.29 D 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
10" OPAQUE 1 1/2" CONVATEC 25690 BX/10 $15.20 13 $197.60 D 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
10" OPAQUE 1 3/4" CONVATEC 25691 BX/10 $15.20 3 $45.60 D 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
10" OPAQUE 2 1/4" CONVATEC 25692 BX/10 $15.20 9 $136.80 D 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
10" OPAQUE 2 3/4" CONVATEC 25693 BX/10 $15.20 10 $152.00 D 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, CLOSED
OPAQUE 2" CONVATEC 175773 BX/15 $29.30 8 $234.40 D 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 1 3/4" CONVATEC 178459 BX/15 $14.84 1 $14.84 D 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" TRNSP 1 1/4" CONVATEC 175783 BX/5 $35.12 4 $140.48 D 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, CLOSED 1 1/2" HOLLISTER 2173 BX/30 $32.68 2 $65.36 D 5
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
123
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" TRNSP 2" HOLLISTER 3224 BX/30 $56.02 4 $224.08 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
12" TRNSP 3" HOLLISTER 3226 BX/30 $56.02 4 $224.08 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
16" TRNSP 1" HOLLISTER 3273 BX/30 $56.04 3 $168.12 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE 2" HOLLISTER 3274 BX/30 $56.04 2 $112.08 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
16" TRNSP 2" HOLLISTER 3275 BX/30 $56.04 2 $112.08 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 1 3/4" HOLLISTER 3559 BX/15 $27.30 0 $0.00 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 2 1/2" HOLLISTER 1460 BX/10 $46.06 2 $92.12 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 1 3/4" HOLLISTER 3329 BX/30 $46.42 0 $0.00 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 3" HOLISTER 3275 BX/30 $54.39 0 $0.00 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, DURAHESIVE 1 3/4" CONVATEC 178475 BX/5 $29.85 0 $0.00 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, DURAHESIVE
4X4 1 1/8" CONVATEC 178470 BX/5 $29.30 0 $0.00 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER,DURAHESIVE 13/4" CONVATEC 178471 BX/5 $15.36 0 $0.00 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, CLOSED END 2 3/4" CONVATEC 178461 BX/15 $15.36 0 $0.00 D 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
TRNSP 3/4" HOLLISTER 3610 BX/5 $22.44 5 $112.20 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
TRNSP 7/8" HOLLISTER 3611 BX/5 $22.44 6 $134.64 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
TRNSP 1" HOLLISTER 3612 BX/5 $22.44 6 $134.64 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
TRNSP 1 1/8" HOLLISTER 3613 BX/5 $22.44 9 $201.96 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
TRNSP 1 1/4" HOLLISTER 3614 BX/5 $22.44 5 $112.20 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
TRNSP 1 3/8" HOLLISTER 3615 BX/5 $22.44 5 $112.20 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
TRNSP 2-" HOLLISTER 3605 BX/10 $23.56 2 $47.12 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
124
OST POUCH, DRAINAGE
TRNSP 1 1/2" HOLLISTER 3603 BX/10 $23.56 6 $141.36 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, TRNSP 1 1/4" HOLLISTER 3608 BX/10 $26.78 4 $107.12 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE 2" HOLLISTER 3619 BX/5 $22.44 8 $179.52 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
TRNSP 1" HOLLISTER 3622 BX/5 $22.44 4 $89.76 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
TRNSP 1 3/4" HOLLISTER 3618 BX/5 $22.44 6 $134.64 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 3" HOLLISTER 3606 BX/10 23.43 3 $70.29 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 2" HOLLISTER 3604 BX/10 23.45 5 $117.25 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST SKIN BARRIER 1 1/4" HOLLISTER 3748 BX/5 16.63 2 $33.26 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 2" HOLLISTER 3619 BX/5 22.37 0 $0.00 D 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER 1 1/2" HOLLISTER 3703 BX/5 $16.35 4 $65.40 D 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, SKIN
BARRIER 4" HOLLISTER 3706 BX/5 $22.96 9 $206.64 D 7
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
125
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, TWO PIECE 2 3/4" HOLLISTER 3704 BX/5 $23.31 2 $46.62 D 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER. SKIN
BARRIER 1 3/4" HOLLISTER 3702 BX/5 $16.28 6 $97.68 D 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRAINABLE " CUSTO HOLLISTER 3630 BX/10 $22.44 5 $112.20 D 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINABLE 1 3/4" HOLLISTER 3639 BX/10 $25.83 5 $129.15 D 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE 1 1/2" HOLLISTER 3633 BX/10 $26.48 3 $79.44 D 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
TRNSP 3/4" HOLLISTER 3637 BX/10 $26.48 6 $158.88 D 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 1" HOLLISTER 3734 BX/5 23.73 3 $71.19 D 7
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER 2 1/4" HOLLISTER 3735 BX/5 $17.66 4 $70.64 D 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, SKIN
BARRIER 1 1/4" HOLLISTER 3736 BX/5 $24.04 4 $96.16 D 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, SKIN
BARRIER 4" HOLLISTER 3806 BX/10 $20.58 9 $185.22 D 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, TWO PIECE 2 1/4" HOLLISTER 3803 BX/10 $17.00 2 $34.00 D 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, TWO PIECE 2 3/4" HOLLISTER 3804 BX/10 $17.00 3 $51.00 D 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE 2 1/4" HOLLISTER 3813 BX/10 $21.18 3 $63.54 D 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
MINI OPAQUE 2 1/4" HOLLISTER 3843 BX/10 $31.56 8 $252.48 D 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 1 1/4" HOLLISTER 3802 BX/10 16.73 8 $133.84 D 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 1 3/4" HOLLISTER 3812 BX/10 16.73 2 $33.46 D 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 1 1/2" HOLLISTER 3817 BX/10 16.73 8 $133.84 D 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 1 1/2" HOLLISTER 3738 BX/5 23.73 3 $71.19 D 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, TWO PIECE 1" HOLLISTER 4412 BX/5 $16.35 2 $32.70 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, SKIN
BARRIER 1 1/2" HOLLISTER 4438 BX/5 $24.04 2 $48.08 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER, TWO PIECE 1" HOLLISTER 4434 BSX/5 $24.04 2 $48.08 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
MINI 2 1/2" HOLLISTER 4643 BX/10 $17.53 2 $35.06 D 9
------------------------------------------------------------------------------------------------------------------------------------
126
SUPPLIES
OST ADHESIVE, MEDICAL HOLLISTER 7730 EA $16.21 0 $0.00 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST LOOP GASKET
ASSEMBLY 3 1/2" HOLLISTER 7344 BX/10 $56.28 1 $56.28 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINABLE 3 1/2" HOLLISTER 7346 BX/20 $46.06 3 $138.18 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE 1" HOLLISTER 8612 BX/5 $31.56 5 $157.80 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE 3" HOLLISTER 7276 BX/30 $63.80 2 $127.60 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
KARAYA 1 1/2" HOLLISTER 7223 BX/30 $58.95 2 $117.90 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
KARAYA 2" HOLLISTER 7284 BX/30 $51.80 2 $103.60 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAINAGE
KARAYA W/ADH 2" HOLLISTER 7274 BX/30 $60.37 6 $362.22 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, TRNSP 1 1/8" HOLLISTER 8613 BX/5 $23.56 5 $117.80 D 9
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
127
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, UROSTOMY
TRNSP 2" HOLLISTER 7484 BX/20 $63.81 2 $127.62 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 2 2/4" HOLLISTER 3903 BX/10 26.04 2 $52.08 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUAH, DRAIN 1 1/2" HOLLISTER 4413 BX/5 16.28 3 $48.84 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH, DRAIN 1 1/2" HOLLISTER 4613 BX/10 16.73 4 $66.92 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST STRIPS,
STOMAHESIVE CONVATEC 25542 BX/15 $12.83 4 $51.32 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST BELT, APPLIANCE
ADJ CONVATEC 175507 EA $4.81 8 $38.48 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST CEMENT, SKIN BOND S&N 4000 EA $5.05 4 $20.20 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST CLAMP, POUCH CONVATEC 175635 BX/10 $12.50 5 $62.50 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST LIQUID DEODORANT BANISH S&N 412000 EA $5.65 5 $28.25 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST PASTE, STOMA 2 OZ CONVATEC 183910 EA $7.27 0 $0.00 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POWDER, STOMA CONVATEC 25510 EA $4.94 6 $29.64 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST SKIN PREP S&N 4202 CS/12 $7.00 0 $0.00 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST CLAMP, POUCH HOLLISTER 7765 BX/20 $31.96 2 $63.92 D 11
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST CLAMP, POUCH
OPAQUE HOLLISTER 7770 BX/20 $31.96 2 $63.92 D 11
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH URO 1ST
CHOICE 2 1/2" HOLLISTER 1460 BX $46.06 0 $0.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH URO 1ST
CHOICE 1 3/8" HOLLISTER 1487 BX $27.37 2 $54.74 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH CLOSED
KARAYA 2" HOLLISTER 3324 BX $46.62 2 $93.24 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN 1ST
CHOICE 1 1/4" HOLLISTER 3638 BX $25.83 1 $25.83 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN 1ST
CHOICE 1 1/4" HOLLISTER 3624 BX $22.37 0 $0.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST SKIN BARRIER
CTRPTLCK 1 1/2" HOLLISTER 3727 BX $16.28 8 $130.24 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST SKIN BARRIER
CTRPTLCK 3/4" HOLLISTER 3732 BX $22.73 4 $90.92 D
------------------------------------------------------------------------------------------------------------------------------------
128
SUPPLIES
OST SKIN BARRIER
CTRPTLCK 1 3/4" HOLLISTER 3749 BX $16.63 1 $16.63 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN CTRPTLCK 1 3/4" HOLLISTER 3842 BX $16.73 3 $50.19 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN CTRPTLCK 2 3/4" HOLLISTER 3814 BX $16.73 6 $100.38 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH URO CTRPTLCK 1 3/4" HOLLISTER 3902 BX $26.04 4 $104.16 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH URO CTRPTLCK 1 1/2" HOLLISTER 3907 BX $26.04 2 $52.08 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST SKIN BARRIER
GUARDIAN HOLLISTER 4417 BX $22.96 0 $0.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST SKIN BARRIER
GUARDIAN 2" HOLLISTER 4414 BX $16.28 3 $48.84 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST OSTOMY SYSTEM
CTRPTLCK 2 3/4" HOLLISTER 3716 BX $35.53 1 $35.53 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH CLOSED 3" HOLLISTER 7166 BX $41.37 2 $82.74 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST SKIN BARRIER
PREMIER 1 1/2" HOLLISTER 8748 BX $19.57 4 $78.28 D
------------------------------------------------------------------------------------------------------------------------------------
129
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN KARAYA 3" HOLLISTER 7286 BX $52.92 2 $105.84 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH URO PREMIER 1" HOLLISTER 8474 BX $30.56 3 $91.68 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN PREMIER 1 1/2" HOLLISTER 8633 BX $31.36 3 $94.08 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN PREMIER 1 3/4" HOLLISTER 8812 BX $19.32 7 $135.24 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN PREMIER 4" HOLLISTER 8816 BX $23.80 3 $71.40 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN PREMIER 2 1/2" HOLLISTER 8813 BX $19.32 5 $96.60 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN PREMIER 1 1/2" HOLLISTER 8817 BX $19.32 3 $57.96 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST SKIN BARRIER
PREMIER 4" HOLLISTER 8726 BX $27.06 0 $0.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST SKIN BARRIER
PREMIER 2 3/4" HOLLISTER 8724 BX $18.97 2 $37.94 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST IRRIGATION SET 3" HOLLISTER 7722 BX $40.80 1 $40.80 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST OSTOMY SYSTEM PED 2" HOLLISTER 9766 BX $35.78 1 $35.78 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST LEG BAG EXT TUBING HOLLISTER 9803 BX $23.73 2 $47.46 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST UNISOLVE WIPES HOLLISTER 4023 BX $7.70 10 $77.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST SKIN BARRIER
OINTMENT 25OZ HOLLISTER 7230 EA $3.96 1 $3.96 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST UNISOLVE SPRAY 6OZ HOLLISTER 7755 EA $6.80 1 $6.80 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 3325 BX $47.60 4 $190.40 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 3634 BX $25.80 3 $77.40 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 3816 BX $20.67 6 $124.02 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 3329 BX $47.60 2 $95.20 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 3636 BX $23.17 1 $23.17 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 3272 BX $55.40 4 $221.60 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 3617 BX $23.03 1 $23.03 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 9767 BX $43.40 1 $43.40 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
130
OST 9821 BX $54.36 1 $54.36 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 9822 BX $54.36 1 $54.36 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 3737 BX $24.43 1 $24.43 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 4603 BX $17.07 1 $17.07 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 4604 BX $17.07 2 $34.14 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 3733 BX $24.43 5 $122.15 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 3732 BX $24.43 1 $24.43 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 8631 BX $31.67 1 $31.67 D
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
131
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 8624 BX $31.29 1 $31.29 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 8460 BX $53.27 2 $106.54 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 8723 BX $19.13 4 $76.52 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 8756 BX $36.26 6 $217.56 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 8778 BX $28.93 5 $144.65 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER DURAHESIVE 1 1/2" CONVATEC 225-66 BX $21.23 0 $0.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN ACTLFE 2" CONVATEC 227-69 BX $23.49 4 $93.96 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN ACTLFE 1 1/2" CONVATEC 227-67 BX $23.49 4 $93.96 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN ACTLFE 1" CONVATEC 227-65 BX $23.49 6 $140.94 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN ACTLFE 3/4" CONVATEC 227-64 BX $23.49 6 $140.94 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN ACTLFE 2 1/2" CONVATEC 227-63 BX $23.49 3 $70.47 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN ACTLFE 2" CONVATEC 227-62 BX $23.49 0 $0.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN ACTLFE 1" CONVATEC 227-51 BX $23.49 2 $46.98 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER DURAHESIVE 2 3/4" CONVATEC 225-69 BX $27.88 0 $0.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN SURFIT
12"OPQ 1 1/2" CONVATEC 256-40 BX $15.66 10 $156.60 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN SURFIT
12"TRNSP 1 3/4" CONVATEC 256-31 BX $15.66 0 $0.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH URO ACTLFE 1 1/8" CONVATEC 1757-95 BX $30.63 4 $122.52 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH URO ACTLFE 1" CONVATEC 1757-94 BX $30.63 2 $61.26 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN ACTLFE 1" CONVATEC 1757-79 BX $35.12 4 $140.48 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN ACTLFE 3/4" CONVATEC 1757-77 BX $35.12 3 $105.36 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH CLSE END
ACTLFE 1 1/2" CONVATEC 1757-71 BX $25.35 2 $50.70 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH CLSE END
ACTLFE 3/4" CONVATEC 1757-61 BX $25.35 2 $50.70 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH CLSE END
ACTLFE 1 1/4" CONVATEC 1757-70 BX $25.35 4 $101.40 D
------------------------------------------------------------------------------------------------------------------------------------
132
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER SURFIT 1 1/8" CONVATEC 1685-61 BX $15.21 6 $91.26 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN SURFIT 1 1/4" CONVATEC 256-99 BX $15.66 10 $156.60 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH CLSE END
SURFIT 2 1/4" CONVATEC 1784-60 BX $15.36 4 $61.44 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH CLSE END
SURFIT 2 3/4" CONVATEC 1784-61 BX $15.36 4 $61.44 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER DURAHESIVE 7/8" CONVATEC 1784-68 BX $29.30 8 $234.40 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER DURAHESIVE 1 1/8" CONVATEC 1784-70 BX $293.30 7 $2,053.10 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER DURAHESIVE 1 1/4" CONVATEC 1784-71 BX $29.30 2 $58.60 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER DURAHESIVE 1 5/8" CONVATEC 1784-74 BX $29.85 2 $59.70 D
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
133
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST WAFER DURAHESIVE 1 3/4" CONVATEC 1784-75 BX $29.85 3 $89.55 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN SURFIT 1 3/4" CONVATEC 254-77 BX $15.66 1 $15.66 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST POUCH DRN SURFIT 2 3/4" CONVATEC 254-79 BX $15.66 1 $15.66 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST TAIL CLOSURES CONVATEC 1756-50 BX $14.57 2 $29.14 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 22566 BX 5 $0.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 22569 BX 5 $0.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 650408 BX 4 $0.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST 650422 BX 1 $0.00 D
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
OST CATHETER, EXTERNAL MEDIUM HOLLISTER 9827 BX/100 $136.10 2 $272.20 E 17
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, IODOFORM 1X5" J&J 8757 EA $5.90 35 $206.50 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, IODOFORM 1/4X5 J&J 8755 EA $4.80 13 $62.40 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG NUGUAZE, PLAIN 1/4X5YD SUB/OSTOMY 8750 EA $4.40 30 $132.00 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING,
CLEARSITE 8X8 SUB/OSTOMY 40-9288 BX/8 $27.94 9 $251.46 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, NUBREDE 4X4 SUB/OSTOMY 2350 BX/25 $17.50 2 $35.00 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, TEGADERM 2X2 SUB/OSTOMY 1624 BX/100 $41.00 3 $123.00 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, TEGADERM 4X4 3/4 SUB/OSTOMY 1626W BX/50 $63.00 2 $126.00 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG TEGASORB W/BORDER 10X12 3M 90003 BX $23.00 2 $46.00 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG TEGADERM 4X4 3M 1626W BX $63.00 0 $0.00 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG TEGADERM 2X2 3M 1624W BX $45.99 3 $137.97 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG TEGADERM 6X8 3M 1628 BX $29.00 0 $0.00 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG CLEARSITE 4X4 NDM 409240 BX $38.99 4 $155.96 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG NU GEL 6X8 J&J 2498 EA $38.47 2 $76.94 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG NU GEL 4X4 J&J 2497 EA $18.99 2 $37.98 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG NU GAUZE 1" J&J 8752 EA $4.99 14 $69.86 A 3
------------------------------------------------------------------------------------------------------------------------------------
134
SUPPLIES
SURG NU GAUZE 2" J&J 8753 EA $6.55 13 $85.15 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG NU GAUZE 1/4" J&J 8750 EA $4.40 0 $0.00 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG NU GAUZE 1/2" J&J 8751 EA $4.29 10 $42.90 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG NU GAUZE 1/2" J&J 8756 EA $4.99 0 $0.00 A 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG STRIPS, STERI 1/2X4" SUB/OSTOMY R1547 BX/50 $66.00 1 $66.00 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, COMFEEL 4X4 SUB/OSTOMY 3213 BX/5 $18.95 6 $113.70 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG XXXXXXXXXX STRAPS SUB/OSTOMY 5129 BX/24 $37.50 2 $75.00 A 4
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
135
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, DUODERM 4X4 LIFECARE 187611 BX/20 $76.73 6 $460.38 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, OPSITE 10X5 1/2 SUB/OSTOMY 4967 BX/20 $55.00 4 $220.00 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, OPSITE 4X11 SUB/OSTOMY 4542 BX/10 $28.75 0 $0.00 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, OPSITE 5 1/2X4 SUB/OSTOMY 4975 BX/50 $57.00 2 $114.00 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, XEROFORM 5X9 SUB/OSTOMY 433606 BX/50 $60.00 1 $60.00 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DUODERM 8X8 CONVATEC 187620 BX $39.19 3 $117.57 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG COMBIDERM ACD 5X5 CONVATEC 187725 BX $51.98 5 $259.90 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DUODERM GEL 30GM CONVATEC 187987 EA $4.43 3 $13.29 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DUODERM PASTE 30GM CONVATEC 187930 EA $8.69 3 $26.07 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DUODERM X/THIN CGF 4X4 CONVATEC 187955 BX $32.56 1 $32.56 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG COMFEEL PASTE 2OZ COLOPLAST 4701 EA $11.99 1 $11.99 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG COMFEEL DRESSING 6X6 COLOPLAST 3218 BX $40.98 0 $0.00 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG CURASOL DERSSING 4X4 HEALTHPOINT 0060-44 BX $29.90 36 $1,076.40 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG CURASOL GEL 3oz TUBE HEALTHPOINT 0050-03 EA $4.99 0 $0.00 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG CURASOL SPRAY 12OZ HEALTHPOINT 0100-12 EA $7.84 0 $0.00 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG ALLDRESS 4X4 XXXXX 65324 BX $21.00 6 $126.00 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG XEROFORM 2X2 SHERWOOD 433400 BX $20.75 3 $62.25 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG XEROFORM 4X4 SHERWOOD 433500 BX $29.50 2 $59.00 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG XEROFORM 5X9 SHERWOOD 433605 BX $60.00 0 $0.00 A 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DERMAGRAM OINTMENT 4 OZ EAST COAST M5000 EA $14.50 5 $72.50 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG CARRASYN SPRAY 8OZ SUB/OSTOMY 101080 EA $32.95 0 $0.00 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
XXXX XXXXXXXXXX
MOISTURE BARRIER 3.5 OZ SUB/OSTOMY 104040 EA $29.95 0 $0.00 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG XXXXXXXXXX GEL 3.5 OZ SUB/OSTOMY 101030 EA $14.55 6 $87.30 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING,
BIOCLUSIVE 4X10 J&J 2467 BX/20 $58.00 2 $116.00 A 5
------------------------------------------------------------------------------------------------------------------------------------
136
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING,
BIOCLUSIVE 4X5 J&J 2463 BX/50 $59.00 2 $118.00 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, VASELINE
GAUZE 3X9 SUB/OSTOMY 413605 BX/50 $44.67 1 $44.67 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING,
BIOCLUSIVE 2X3 J&J 2461 BX/50 $35.95 0 $0.00 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, ADAPTIC 3X3 J&J 2012 BX/50 $23.99 2 $47.98 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, ADAPTIC 3X8 J&J 2013 BX/36 $62.95 2 $125.90 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, ADAPTIC 3X8 J&J 2015 BX/20 $27.40 1 $27.40 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING, HYPERGEL 5 GRAM SUB/OSTOMY 65420 BX/10 $59.00 4 $236.00 A 5
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
137
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG BIOCLUSIVE
DRESSING 2X3 J&J 2461 BX $35.95 2 $71.90 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG FIBERACOL DRESSING J&J 2494 BX $95.99 7 $671.93 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG INTRASITE GEL 15GM 7311 BX $61.00 13 $793.00 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG INTRASITE GEL 25GM 7313 BX $73.50 4 $294.00 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG INTRASITE GEL 7308 BX $44.25 2 $88.50 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DERMAGRAM SPRAY 4OZ M7000 EA $6.75 0 $0.00 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DERMAGRAM DRESSING 4X4 SPD21 EA $62.54 5 $312.70 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG TIELLE DRESSING 4X4 2440 BX $62.73 14 $878.22 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG XXXXXXXXXX
DRESSING 101015 BX $71.93 0 $0.00 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG XXXXXXXXXX SPRAY 16OZ 102160 EA $12.25 0 $0.00 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG LYOFOAM 4X4 ACME 64655 BX $91.00 5 $455.00 A 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG STOCKINETTE 4" XXXXXX-FIELD 62-1984 4 BX $16.75 3 $50.25 A 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG PAD, TELFA 3X4 LIFECARE AWA34A BX $8.50 13 $110.50 A 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG BARRIER, STERILE
FIELD 16X29 LIFECARE JJ0905 BX/35 $18.99 0 $0.00 A 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG XXXXXXXXXX DIA-B
GEL 3oz TUBE EA $12.74 10 $127.40 A
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG UNNA BOOT 4" SUB-OSTOMY 4001 EACH $4.55 6 $27.30 B 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG TAPE, PAPER 3" XXXXXX-FIELD J6113 BX $5.70 36 $205.20 B 11
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG TAPE, PAPER 1' LIFECARE J6111 BX $5.70 80 $456.00 B 11
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG TAPE, PAPER 2" LIFECARE J6112 BX $5.70 40 $228.00 B 11
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG TAPE, TRNSP 1" 3M 15271 CS/10 $115.00 2 $230.00 B 11
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG TAPE, TRNSP 2" 3M 15272 CS/10 $115.00 2 $230.00 B 11
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG TAPE, TRNSP 3" 3M 15273 CS/10 $115.00 2 $230.00 B 11
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SYRINGE, CATH TIP 2 OZ LIFECARE 302750 CS $19.75 4 $79.00 B 12
------------------------------------------------------------------------------------------------------------------------------------
138
SUPPLIES
SURG SYRINGE, SLIT TIP 60CC SHERWOOD 560224 BX/20 $21.10 2 $42.20 B 12
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SYRINGE, SLIT TIP 30CC B-D 301626 BX/30 $18.08 3 $54.24 B 12
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SYRINGE, SLIT TIP 20CC B-D 301625 BX/100 2 $0.00 B 12
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SYRINGE, SLIT TIP 10CC B-D 301604 BX/100 $18.42 5 $92.10 B 12
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SYRINGE, SLIT TIP 5CC B-D 301603 BX/100 $17.03 3 $51.09 B 12
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG PERI BOTTLES SUB/OSTOMY 156105 EA $0.99 0 $0.00 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG ACE BANDAGE 6" XXXXXX-FIELD J983 BX $11.00 4 $44.00 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG ACE BANDAGE 4" XXXXXX-FIELD J982 BX $6.95 1 $6.95 B
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
139
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG ACE BANDAGE 3" XXXXXX-FIELD J981 BX $5.75 4 $23.00 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG ACE BANDAGE 2" XXXXXX-FIELD J980 BX $4.65 2 $9.30 B
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG BENZOIN, TINTURE 4.75OZ S&N 407000 EA $13.75 0 $0.00 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRESSING,
SOFT&GUARD 4X4 S&N 4600-00 BX/5 $13.17 5 $65.85 D 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GLOVES, STERILE LARGE XXXXXX FIELD 2D7030 CS/4 $44.00 6 $264.00 E 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GLOVES, NON
STERILE MEDIUM XXXXXX 8857 CS/10 $93.45 1 $93.45 E 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GLOVES, NON
STERILE LARGE XXXXXX 8858 CS/10 $93.45 1 $93.45 E 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GLOVES, NON
STERILE MEDIUM XXXXXX FIELD G1000-M CS/10 $35.00 8 $280.00 E 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GLOVES, NON
STERILE LARGE JOFRA G1000-L CS/10 $35.00 7 $245.00 E 3
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE, 12PLY 4X4 XXXXXXX 3033 CS/24 $72.50 1 $72.50 E 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SPONGE, TOPPER 4X4 LIFECARE JJ2436 CS/24TR $96.30 2 $192.60 E 4
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SPONGE, DRAINAGE 4X4 XXXXXXX 7086 CS/12TR $93.00 2 $186.00 E 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SPONGE, SOFWICK 2X2 LIFECARE JJ2392 CS/12TRAY $172.50 1 $172.50 E 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG TRACH DRESSING 4X4 HERMITAGE 9490 CS $55.25 3 $165.75 E 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SPONGE, TRACH 4X4 HERMITAGE 3422 CS $52.54 4 $210.16 E 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SPONGE, SORBIT 2X2 LIFECARE 6241 CS $98.00 1 $98.00 E 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SPONGE, SORBIT 4X4 LIFECARE 6242B CS $77.00 2 $154.00 E 5
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE, STERILE 4X4 HERMITAGE 5189 CS $38.91 0 $0.00 E 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE SPONGE 8X4 HERMITAGE 517 CS/1000 $86.11 0 $0.00 E 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE 8X4 XXXXXXX 2259 CS/20TR $170.00 2 $340.00 E 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE, 8PLY 2X2 XXXXXXX 1806 CS/30 $91.00 4 $364.00 E 6
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE, N/S 4X4 HERMITAGE 84088 CS $45.03 3 $135.09 E 8
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE, N/S 2X2 HERMITAGE 82082 CS/25TR $25.00 6 $150.00 E 8
------------------------------------------------------------------------------------------------------------------------------------
140
SUPPLIES
SURG PAD, ABDOMONAL 7.5X8 XXXXXXX 9192 CS $47.00 1 $47.00 E 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG COMBINE 5X9 XXXXXXX 9190 CS/16 $56.00 2 $112.00 E 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG KERLIX 4.5X4.1 XXXXXXX 6716 CS/100 $116.00 1 $116.00 E 9
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG COMBINE, STERILE 5X9 HERMITAGE 2002 CS/400 $52.00 6 $312.00 E 10
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG COMBINE, STERILE 5X9 HERMITAGE 2007 CS/25 $74.21 2 $148.42 E 10
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG CONFORM, STERILE 2" HERMITAGE 1626 CS/96 $32.07 2 $64.14 E 11
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG KERLIX BULKEE HERMITAGE 2115 CS/100 $54.00 5 $270.00 E 11
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG CONFORM, STERILE 6X5 XXXXXXX 2238 CS/4DZ $55.50 4 $222.00 E 12
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
141
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG CONFORM, STERILE 4X5 XXXXXXX 2236 CS/8DZ $55.50 2 $111.00 E 12
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE, STRETCH 3" XXXXXXX 2232 CS $66.93 2 $133.86 E 12
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE, STRETCH N/S 2" XXXXXXX 2242 CS/96 $28.33 2 $56.66 E 12
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE, STRETCH 1" XXXXXXX 2230 CS $50.00 1 $50.00 E 12
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE, STRETCH 3" XXXXXXX 2244 CS/96 $33.97 4 $135.88 E 12
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG PREPS, ALCOHOL LIFECARE 1505D CS/20BX $31.00 1 $31.00 E 13
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG COTTON TIP
APPLICATOR 6" LIFECARE 3160B CS/10BX $29.00 3 $87.00 E 13
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG LUBE JELLY 4.2OZ 242B BX/12 $11.30 7 $79.10 E 13
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG POVIDINE IODINE
SWAB POV500 CS/10 $56.00 2 $112.00 E 13
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG LEMON GLYCERINE
SWAB 7714 CS/10 $26.00 3 $78.00 E 13
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GLOVES, STERILE MEDIUM XXXXXX FIELD 2D7029 CS/4 $44.00 4 $176.00 E 21
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG KLIIN STERILE 2" XXXXXXX 2231 CS $37.68 3 $113.04 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG KLIIN STERILE 4" HERMITAGE 1628 CS $48.96 3 $146.88 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG KLIIN STERILE 3" HERMITAGE 1627 CS $41.16 4 $164.64 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SUTURE REMOVAL XXX XXXXXXX 0718 CS $29.50 2 $59.00 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE SPONGE 2X2 HERMITAGE 5119 CS $40.58 1 $40.58 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GAUZE SPONGE 3X3 ACCO CS 2 $0.00 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG DRAIN SPONGE 4X4 J&J 2391 CS $121.00 3 $363.00 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GLOVES VNYL XXXX XXXXXX 2D-7023 CS $73.04 3 $219.12 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GLOVES VNYL
NON/STER LARGE LICA 3093 CS $42.00 2 $84.00 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GLOVES PWD/FREE
NON/STER XX XXXXXX FIELD CS $60.00 0 $0.00 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG GLOVES PWD/FREE
NON/STER MED XXXXXX FIELD CS $60.00 0 $0.00 E
------------------------------------------------------------------------------------------------------------------------------------
142
SUPPLIES
SURG GAUZE SPONGE 3X3 HERMITAGE 9412 CS 4 $0.00 E
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG PEROXIDE 16 OZ. LIFECARE 386B CS/12 $4.15 8 $33.20 I 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG ALCOHOL 16 OZ. LIFECARE 303B CS/12 $5.10 12 $61.20 I 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG PROVIDINE IODINE 16OZ XXXXXXX PROVO CS/12 $19.25 8 $154.00 I 1
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG STERILE WATER 1000 XX XXXXXX 2F7114 CS/12 $12.39 24 $297.36 I 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SODIUM CHLORIDE 1000 XX XXXXXX 2F7124 CS/12 $12.80 27 $345.60 I 2
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
SURG SYRINGE 60CC SUPERIOR 68000 CS/50 $21.50 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
SURG SUP BLOOD PRESSURE
CUFF XXXXXX-FIELD 03-2335 EA $4.97 2 $9.94 A 2
------------------------------------------------------------------------------------------------------------------------------------
DISP SUP TOTAL $78,189.37
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
143
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STD ADULT
W/ELR INVACARE EA $177.48 1 $177.48 TK(J.V) LT
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION, EGGCRATE 16X18X3 XXXXX 6027 EA $2.50 0 $0.00 H
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 22X16X2 HERMELL EA $4.98 0 $0.00 WA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 18X16X2 HERMELL EA $4.44 0 $0.00 WA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 16X16X2 HERMELL EA $4.17 0 $0.00 WA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 18X17X2 HERMELL EA 0 $0.00 WA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 12X16X2 HERMELL EA 0 $0.00 WA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 24X18X2 HERMELL EA 0 $0.00 WA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 20X18X2 HERMELL EA $4.98 0 $0.00 WA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 18X16X2 HERMELL EA $4.44 0 $0.00 WA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 20X16X2 HERMELL EA $4.69 0 $0.00 WA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 22X18X2 HERMELL EA $4.94 0 $0.00 WA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 18X18X2 HERMELL EA $4.69 0 $0.00 WA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C FOOT PLATES 2" INVACARE EA 0 $0.00 WA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C FULL ARMS REMOV. INVACARE EA 0 $0.00 WA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER XXX EA 0 $0.00 WA 3
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXXXX COVER XXX EA 0 $0.00 WA 3
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXXXX COVER XXX EA 0 $0.00 WA 3
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER XXX EA 0 $0.00 WA 3
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXXXX COVER XXX XX 0 $0.00 WA 3
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER XXX EA 0 $0.00 WA 3
------------------------------------------------------------------------------------------------------------------------------------
W/C HIP GUIDE XXX EA 0 $0.00 WA 3
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 20X18 XXX EA 0 $0.00 WA 3
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 11X16X2 HERMELL EA 0 $0.00 WA 4
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 14X16X2 HERMELL EA $3.93 0 $0.00 WA 4
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 12X16X2 HERMELL EA 0 $0.00 WA 4
------------------------------------------------------------------------------------------------------------------------------------
W/C INSERT TIRE
(SOLID) X1.5X2. PRC EA 0 $0.00 WA 4
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEELS & CASTERS 20/6 PKG INVACARE EA 0 $0.00 WA 4
------------------------------------------------------------------------------------------------------------------------------------
W/C PADDED ARMPADS
(DESK) INVACARE EA 0 $0.00 WA 5
------------------------------------------------------------------------------------------------------------------------------------
W/C PADDED ARMPADS
(FULL) INVACARE EA 0 $0.00 WA 5
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT BELT 48" PRC EA 0 $0.00 WA 6
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
144
INVENTORY COUNT SHEET
-----------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C AMPUTEE ATTACHMENT INVACARE EA 0 $0.00 WA 6
------------------------------------------------------------------------------------------------------------------------------------
W/C CASTERS 8" PRC EA 0 $0.00 WA 6
------------------------------------------------------------------------------------------------------------------------------------
W/C FULL ARMS ADJ. INVACARE EA $76.35 0 $0.00 WA 6
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY
(TR) 18X16 INVACARE 1040965 EA $16.32 0 $0.00 WA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C BACK UPHOLSTERY
(TR) 18" INVACARE 1040963 EA $16.32 0 $0.00 WA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY
(TR) 16X16 INVACARE 1040961 EA $16.32 0 $0.00 WA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C BACK UPHOLSTERY
(TR) 16" INVACARE 1040959 EA $16.32 0 $0.00 WA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT 9000 20X16 INVACARE 1052125 EA $30.60 0 $0.00 WA 8
------------------------------------------------------------------------------------------------------------------------------------
W/C FLAT FREE 20" PRC EA 0 $0.00 WA 8
------------------------------------------------------------------------------------------------------------------------------------
W/C TIRE LOW PROFILE 9XT/24" INVACARE 1039304 EA $12.06 0 $0.00 WA 8
------------------------------------------------------------------------------------------------------------------------------------
W/C MAG HAND RIMS 24" E&J EA 0 $0.00 WA 8
------------------------------------------------------------------------------------------------------------------------------------
W/C FLAT FREE FULL
PROFILE 24" INVACARE EA 0 $0.00 WA 8
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY
(TR) 20X18 INVACARE 1052133 EA $30.60 0 $0.00 WA 9
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY
(T4) 22X18 INVACARE 105469/485 EA $27.80 0 $0.00 WA 9
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY
(9XT) 22X16 INVACARE 1057205 EA $30.09 0 $0.00 WA 9
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEEL ASSEMBLY (R)
9XT 24" INVACARE 1044183 EA $28.05 0 $0.00 WA 9
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY
(9000) 18X20 INVACARE 1057400 EA $30.09 0 $0.00 WA 10
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT 9000 18X17 INVACARE 1031756 EA $30.09 0 $0.00 WA 10
------------------------------------------------------------------------------------------------------------------------------------
W/C AMPUTEE ATTACHMENT
9000 9XT-SS INVACARE 1064054 EA $48.45 0 $0.00 WA 11
------------------------------------------------------------------------------------------------------------------------------------
W/C CRUTCH/CANE HOLDER 9XT INVACARE 1034204 EA $23.46 0 $0.00 WA 11
------------------------------------------------------------------------------------------------------------------------------------
W/C PRESSURE TUBE 24" PRC EA 0 $0.00 WA 11
------------------------------------------------------------------------------------------------------------------------------------
W/C OBLIQUE PLASTIC
COATED 24" PRC EA 0 $0.00 WA 11
------------------------------------------------------------------------------------------------------------------------------------
W/C ARM TROUGH XXXXXXX XX 0 $0.00 WA 12
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY
9000 16X16 INVACARE 1057241 EA $30.09 0 $0.00 WA 13
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY
9000 16X18 INVACARE 1057215 EA $30.09 0 $0.00 WA 13
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY
9000 18X18 INVACARE 1057217 EA $30.09 0 $0.00 WA 13
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY
9000 18X16 INVACARE 08014X001 EA $30.45 0 $0.00 WA 14
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEEL ASSEMBLY 20" INVACARE EA $74.46 0 $0.00 WA 15
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEEL ASSEMBLY 20" QUICKIE EA 0 $0.00 WA 15
------------------------------------------------------------------------------------------------------------------------------------
145
W/C WHEEL ASSEMBLY 24" INVACARE EA $57.32 0 $0.00 WA 16
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEEL ASSEMBLY 20" INVACARE EA $140.25 0 $0.00 WA 16
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
146
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEEL ASSEMBLY (R) 24" INVACARE EA $57.32 0 $0.00 WA 17
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEEL ASSEMBLY (R) 20" ACTIVAID EA 0 $0.00 WA 17
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEEL ASSEBBLY 24" INVACARE 1025122 EA $26.72 0 $0.00 WA 18
------------------------------------------------------------------------------------------------------------------------------------
W/C ARM DRIVE 24" INVACARE 1052815 EA $313.65 0 $0.00 WA 19
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEEL ASSEMBLY 24" INVACARE 1025122 EA $26.72 0 $0.00 WA 19
------------------------------------------------------------------------------------------------------------------------------------
W/C PNEUMATIC TIRES 24" INVACARE 00000X000 EA $15.30 0 $0.00 WA 19
------------------------------------------------------------------------------------------------------------------------------------
W/C HAND RIMS PLASTIC
COATED 24" INVACARE 1015784 EA $30.60 0 $0.00 WA 19
------------------------------------------------------------------------------------------------------------------------------------
W/C HAND RIMS ALUMINUM 24" INVACARE 1015406 EA $25.56 0 $0.00 WA 19
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEEL ASSEMBLY 24" INVACARE 1025122 EA $26.72 0 $0.00 WA 20
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS
REMOVABLE E&J EA . 0 $0.00 WA 21
------------------------------------------------------------------------------------------------------------------------------------
W/C ARM ASSEMBLY INVACARE 1038461 EA $14.64 0 $0.00 WA 22
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS
REMOVABLE CANADIAN EA 0 $0.00 WA 22
------------------------------------------------------------------------------------------------------------------------------------
W/C FULL ARMS
REMOVABLE PRC EA 0 $0.00 WA 22
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS
REMOVABLE PRC EA OBSOLETE 0 $0.00 WA 23
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEEL ASSEMBLY 24" PRC EA OBSOLETE 0 $0.00 WA 23
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEEL ASSEMBLY 24" PRC EA 0 $0.00 WA 24
------------------------------------------------------------------------------------------------------------------------------------
W/C CALF PADS HOYA EA 0 $0.00 WA
------------------------------------------------------------------------------------------------------------------------------------
W/C ELEVATING LEG REST INVACARE TR-14 EA $50.76 0 $0.00 WA
------------------------------------------------------------------------------------------------------------------------------------
W/C ELEVATING LEG REST INVACARE TR-14 EA $50.76 0 $0.00 WA
------------------------------------------------------------------------------------------------------------------------------------
W/C ELEVATING LEG REST INVACARE TR-14 EA $50.76 0 $0.00 WA
------------------------------------------------------------------------------------------------------------------------------------
W/C FOOTREST INVACARE TR-13 EA $25.56 0 $0.00 WA
------------------------------------------------------------------------------------------------------------------------------------
W/C PNEUMATIC TIRES 24" INVACARE 1025123 EA $41.82 9 $376.38 WB 1
------------------------------------------------------------------------------------------------------------------------------------
W/C POLY URETH TIRES 24" INVACARE 1032117 EA $30.86 2 $61.72 WB 1
------------------------------------------------------------------------------------------------------------------------------------
W/C RUBBER TIRES FLAT
FREE 24" PRC 173160 EA $14.00 0 $0.00 WB 1
------------------------------------------------------------------------------------------------------------------------------------
W/C DTM SOLID RUBBER
TIRES 24" PRC 121130 EA $11.25 15 $168.75 WB 1
------------------------------------------------------------------------------------------------------------------------------------
W/C THREDDED TIRES 20" INVACARE 1030407 EA $102.00 5 $510.00 WB 1
------------------------------------------------------------------------------------------------------------------------------------
W/C OXYGEN I.V POLE INVACARE 1484 EA $75.84 1 $75.84 WB 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER 18X20 CANADIAN EA 0 $0.00 WB 2 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE II 16X17 QUICKIE Q2 EA $1,110.00 0 $0.00 WB 2 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 20X16 INVACARE 9XTWD0688 EA $365.21 0 $0.00 WB 2 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C TALL RIDE LITE
9000 16X16 INVACARE 0XXXX0000 EA $477.13 0 $0.00 WB 2 OB
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
147
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 16X16 INVACARE TR16SA280 EA $151.92 0 $0.00 WB 2 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 16X16 INVACARE 0XXXX0000 EA $316.01 0 $0.00 WB 2 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C DROP SEAT 18X18 INTERSIA EA $76.50 0 $0.00 WB 2
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WB 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WB 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PREMIER 18X16 E&J EA 0 $0.00 WB 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 16X16 INVACARE TR16SA280 EA $130.68 0 $0.00 WB 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C EASY LITE 18X16 E&J EA 0 $0.00 WB 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C LAP XXXX XXXXXXX XX 0 $0.00 WB 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C POWER W/C 18X19 QUICKIE P190 EA $3,117.00 0 $0.00 WB 4
------------------------------------------------------------------------------------------------------------------------------------
W/C POWER W/C 18X16 INVACARE R11 EA 0 $0.00 WB 4
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 16X16 INVACARE EA $316.01 0 $0.00 WB 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 18X16 CANADIAN EA 0 $0.00 WB 4
------------------------------------------------------------------------------------------------------------------------------------
W/C E1000 W/C 18X16 INVACARE TR18SA280 EA $130.68 0 $0.00 WB 4 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 16X16 GUARDIAN EA 0 $0.00 WB 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 16X16 CANADIAN EA 0 $0.00 WB 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WB 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C HEAVY DUTY 20X16 LUMEX EA 0 $0.00 WB 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C HEAVY DUTY 22X16 LUMEX EA 0 $0.00 WB 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C DTM SOLID RUBBER
TIRES 24" PRC 121160 EA $11.25 0 $0.00 WB 5
------------------------------------------------------------------------------------------------------------------------------------
W/C INNER TUBES 24" PRC 161000 EA $3.00 0 $0.00 WB 5
------------------------------------------------------------------------------------------------------------------------------------
W/C ZERO PRESSOUCES 24" PRC 173160 EA $14.00 0 $0.00 WB 5
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 0 $0.00 WB 6 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 16X16 INVACARE 0XXXX0000 EA $316.01 0 $0.00 WB 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA280 EA $151.92 0 $0.00 WB 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C STANDARD W/C 18X16 LUMEX EA 0 $0.00 WB 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRAVELER 18XS16 E&J EA 0 $0.00 WB 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WB 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C SUNMATE SOFT DYNAMIC EA $82.50 0 $0.00 WC 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C SUNMATE REGULAR DYNAMIC EA $82.50 0 $0.00 WC 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C ONE ARM DRIVE 16X16 INVACARE 1065602 EA $313.73 0 $0.00 WC 1 U
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
148
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA280 EA $151.92 0 $0.00 WC 2
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 16X16 QUICKIE BREEZY2 EA $409.50 0 $0.00 WC 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 0 $0.00 WC 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA280 EA $151.92 0 $0.00 WC 3
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 16X16 INVACARE TR18SA280 EA $151.92 0 $0.00 WC 3
------------------------------------------------------------------------------------------------------------------------------------
W/C GEL FOAM CUSHION 18X16 XXXXX 8045 EA 0 $0.00 WC 4
------------------------------------------------------------------------------------------------------------------------------------
W/C GEL FOAM CUSHION 16X16 XXXXX 8045 EA 0 $0.00 WC 4
------------------------------------------------------------------------------------------------------------------------------------
W/C TEE FOAM CUSHION 16X16X2 XXXXX XX 0 $0.00 WC 4
------------------------------------------------------------------------------------------------------------------------------------
W/C TEE FOAM CUSHION 16X16X1 XXXXX XX 0 $0.00 WC 4
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA280 EA $151.92 0 $0.00 WC 5
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 20X16 INVACARE 9XTWD0688 EA $365.21 0 $0.00 WC 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE RX 18X16 QUICKIE RX EA $799.20 0 $0.00 WC 5 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 18X16 CANADIAN EA 0 $0.00 WC 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 18X18 INVACARE 9XTWD8888 EA $356.90 0 $0.00 WC 6 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 16X16 INVACARE TR18SA280 EA $151.92 0 $0.00 WC 6
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA280 EA $151.92 0 $0.00 WC 6
------------------------------------------------------------------------------------------------------------------------------------
W/C FOAM CUSHION 18X18X3 XXXXX 8017 EA $5.90 0 $0.00 WC 7
------------------------------------------------------------------------------------------------------------------------------------
W/C FOAM CUSHION 18X18X4 XXXXX 8018 EA $6.90 0 $0.00 WC 7
------------------------------------------------------------------------------------------------------------------------------------
W/C TEE FOAM CUSHION 18X16X2 XXXXX XX 0 $0.00 WC 7
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 16X16 INVACARE TR16SA280 EA $151.92 0 $0.00 WC 8
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 16X16 INVACARE TR16SA280 EA $151.92 0 $0.00 WC 9
------------------------------------------------------------------------------------------------------------------------------------
W/C PERSONAL SEAT 18X16 INVACARE PS41816 EA $172.69 0 $0.00 WC 10
------------------------------------------------------------------------------------------------------------------------------------
W/C TALL XXX MEDICAL
BACK 16" XXX 506l EA $354.00 0 $0.00 WC 10
------------------------------------------------------------------------------------------------------------------------------------
W/C MEDICAL CUSHION 16X20 XXX 107.1 EA $267.00 0 $0.00 WC 10
------------------------------------------------------------------------------------------------------------------------------------
W/C MEDICAL CUSHION 21X17 XXX M2104 EA $357.00 0 $0.00 WC 10
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX 2 TALL BACK 18" XXX 2518 EA $271.00 0 $0.00 WC 10
------------------------------------------------------------------------------------------------------------------------------------
W/C MEDICAL CUSHION 20X18 XXX M102.1 EA $300.00 0 $0.00 WC 10
------------------------------------------------------------------------------------------------------------------------------------
W/C MEDICAL CUSHION 24X18 XXX M2104 EA $330.00 0 $0.00 WC 10
------------------------------------------------------------------------------------------------------------------------------------
W/C COMBI CUSHION 16X19 XXX EA 0 $0.00 WC 10
------------------------------------------------------------------------------------------------------------------------------------
W/C HEAVY DUTY 24X18 INVACARE T424HD280 EA $347.07 1 $347.07 WC 11
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 18X16 INVACARE 9XTWD8688 EA $316.01 2 $632.02 WC 11
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
149
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
/C HEAVY DUTY 20X18 INVACARE T420HD280 EA $347.07 4 $1,388.28 WC 12
------------------------------------------------------------------------------------------------------------------------------------
W/C HEAVY DUTY 22X18 INVACARE X000XX000 EA $347.07 1 $347.07 WC 12
------------------------------------------------------------------------------------------------------------------------------------
W/C HEAVY DUTY 20X16 INVACARE T420HD280 EA $347.07 1 $347.07 WC 12
------------------------------------------------------------------------------------------------------------------------------------
W/C 1260 ALIMED 16X18 ALIMED EA 0 $0.00 WC 13
------------------------------------------------------------------------------------------------------------------------------------
W/C 1261 ALIMED 16X16 ALIMED EA 5 $0.00 WC 13
------------------------------------------------------------------------------------------------------------------------------------
W/C 1251 ALIMED 16X16 ALIMED EA 0 $0.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C 260 ALIMED 18X16 ALIMED EA 1 $0.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX SOLID SEAT R 18X16 XXXXXXX XX 0 $0.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX SOLID SEAT L 18X16 XXXXXXX XX 0 $0.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX 2 CUSHION 16X16 XXX 2105 EA $237.00 1 $237.00 WC 13
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX 2 BACK 18" XXX 2518 EA $255.00 0 $0.00 WC 13
------------------------------------------------------------------------------------------------------------------------------------
W/C ROHO CUSHION 12X12 CROWN EA 1 $0.00 WC 13 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C ROHO CUSHION 16X16 CROWN EA $230.00 1 $230.00 WC 13
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX MEDICAL
CUSHION 16X18 XXX 106 EA $237.00 0 $0.00 WC 13
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX MEDICAL
CUSHION 12X11 XXX 115 EA $237.00 1 $237.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C ROHO CUSHION 12X12 CROWN EA 0 $0.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C STIMULITE CUSHION 16X16 SUPERCOR EA 1 $0.00 WC 13 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C 270 ATJ SEAT 18" XXX 270 EA $114.00 1 $114.00 WC 13
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX MED GEL PAD XXX C100N EA $162.00 0 $0.00 WC 13
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX XXXX XXXXXXX 18X20 XXX 201EG EA $201.00 1 $201.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX X.X. DEMO 14X17 XXX 0000X EA $246.00 1 $246.00 WC 13 OB
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX X.X. BACK DEMO 14" XXX 1510 EA $357.00 1 $357.00 WC 13 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C LAP TRAY XXXXXXX XX 0 $0.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C DROP BASE 18X16 INVACARE DB8601A EA $83.30 0 $0.00 WC 13 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C SOLID SEAT INVACARE 1022569 EA $58.65 0 $0.00 WC 13 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C HI ST LTWT W/C 9XT 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WC 14
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX XXXXX 18X16 XXX 200 EA $81.00 0 $0.00 WC 15
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX XXXXX 18X16 XXX 205 EA $81.00 0 $0.00 WC 15
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX XXXXX 18X18 XXX 201 EA $81.00 0 $0.00 WC 15
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX COMBI 16X18 XXX 206 EA $81.00 0 $0.00 WC 15
------------------------------------------------------------------------------------------------------------------------------------
W/C FOAM CUSHION 20X16X2 XXXXX 8016 EA $4.90 0 $0.00 WC 16
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
150
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN or
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C FOAM CUSHION 20X18X2 XXXXX 8016 EA $4.90 0 $0.00 WC 16
------------------------------------------------------------------------------------------------------------------------------------
W/C FOAM CUSHION 18X18X2 XXXXX 8016 EA $4.90 4 $19.60 WC 16
------------------------------------------------------------------------------------------------------------------------------------
W/C FOAM CUSHION 18X16X2 XXXXX 8016 EA $4.90 4 $19.60 WC 16
------------------------------------------------------------------------------------------------------------------------------------
W/C FOAM CUSHION 22X18X2 XXXXX 8016 EA $4.90 3 $14.70 WC 16
------------------------------------------------------------------------------------------------------------------------------------
W/C FOAM CUSHION 22X16X2 XXXXX 8016 EA $4.90 6 $29.40 WC 16
------------------------------------------------------------------------------------------------------------------------------------
W/C FOAM CUSHION 16X16X2 XXXXX 8016 EA $4.90 20 $98.00 WC 16
------------------------------------------------------------------------------------------------------------------------------------
W/C STANDARD W/C 18X16 E&J EA 0 $0.00 WC 17 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C BASIC CUSHION 16X18 XXX 306 EA $27.50 3 $82.50 WC 18
------------------------------------------------------------------------------------------------------------------------------------
W/C BASIC CUSHION 18X16 XXX 300 EA $27.50 5 $137.50 WC 18
------------------------------------------------------------------------------------------------------------------------------------
W/C BASIC CUSHION 18X18 XXX 301 EA $27.50 0 $0.00 WC 18
------------------------------------------------------------------------------------------------------------------------------------
W/C BASIC CUSHION 16X16 XXX 305 EA $27.50 0 $0.00 WC 18
------------------------------------------------------------------------------------------------------------------------------------
W/C PS04A CUSHION 18X18 INVACARE PS41818 EA $172.69 1 $172.69 WC 18
------------------------------------------------------------------------------------------------------------------------------------
W/C FCC CUSHION 18X16 INVACARE EA $172.69 0 $0.00 WC 18
------------------------------------------------------------------------------------------------------------------------------------
W/C DUO CUSHION 16X18 XXX 706 EA 1 $0.00 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PERSONAL SEAT 16X18 INVACARE PS41618 EA $172.69 0 $0.00 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PRESSURE RELIEF
CUSHION 16X18 INVACARE EA $172.69 0 $0.00 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C ROHO CUSHION 19X17 CROWN EA 1 $0.00 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PRESSURE RELIEF
CUSHION 16X18 INVACARE EA $172.69 0 $0.00 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PRESSURE RELIEF
CUSHION 18X16 INVACARE EA $172.69 1 $172.69 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C FLUID CUSHION 18X16 INVACARE F2 EA $172.69 1 $172.69 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PERSONAL CUSHION 16X18 INVACARE PS41618 EA $172.69 0 $0.00 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PERSONAL CUSHION 18X20 INVACARE S04AW18AD2 EA $226.51 0 $0.00 WC 18 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C CROSS BRACE 18X16 INVACARE 1016251 PR $41.46 3 $124.38 WCE U
------------------------------------------------------------------------------------------------------------------------------------
W/C HAND RIMS OBLIQUE 24" PRC EA 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C HAND RIMS VERTICAL 24" PRC EA 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C HAND RIMS SPOKE 24" QUICKIE EA 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C HAND RIMS ALUMINUM 20" INVACARE 1020017 EA $25.50 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS
REMOVABLE S/S INVACARE 88 PR $38.25 3 $114.75 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS
REMOVABLE CONV. INVACARE PR $38.25 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C FULL ARMS REMOV.
S/S INVACARE 78 PR $38.25 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C 4000 HT ADJ DESK INVACARE PR $43.35 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
151
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 HT ADJ DESK
POWER INVACARE PR $40.50 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 HT ADJ DESK
S/S INVACARE PR $38.25 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C OXYGEN HOLDER STD INVACARE 1488 PR $72.48 6 $434.88 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C OXYGEN HOLDER HEMI INVACARE 1494 PR $72.48 4 $289.92 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C CROSS BRACE 18X16 INVACARE 1035642/43 PR $27.29 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C TIPPERS FRONT INVACARE 1042412 PR $45.39 1 $45.39 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C AMPUTEE ATTACHMENT
XXXXX PRC 621100 PR $52.00 1 $52.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C CANE HOLDER
TRI-ROLLS SCOOTER PR 1 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C SUPPORT ARM 9000 INVACARE PR $38.25 1 $38.25 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY COVER INVACARE PR 1 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C STRAP KIT OTTOBOCK PR 1 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C FULL ARMS REMOV.
TRACER INVACARE 180 PR $32.13 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS REMOV,
TRACER INVACARE 280 PR $32.13 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS REMOV,
VISTA E&J 280 PR 1 $0.00 WCE U
------------------------------------------------------------------------------------------------------------------------------------
W/C SWINGAWAY ASSEMBLY QUICKIE PR 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C UPPER ASSEMBLY INVACARE 89 PR $14.64 4 $58.56 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARM REMOV E&J PR 0 $0.00 WCE U
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARM REMOV
MAGIC CANADIAN PR 0 $0.00 WCE U
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARM REMOV INVACARE 280 PR $32.13 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARM REMOV ADJ QUICKIE 900650 PR $129.60 0 $0.00 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C FULL ARMS REMOV INVACARE 78 PR $58.25 3 $174.75 WCE
------------------------------------------------------------------------------------------------------------------------------------
W/C SPRINT POWER 16X16 E&J EA 1 $0.00 WD 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEELED COMMODE 18X16 ACTIVAID EA 1 $0.00 WD 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C LASER POWER 18X16 E&J EA 1 $0.00 WD 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 2000 16X16 INVACARE 2066A781 EA $250.00 1 $250.00 WD 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEELED COMMODE 18X16 LUMEX EA 1 $0.00 WD 2 U
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEELED COMMODE 18X16 INVACARE 6695 EA $469.81 1 $469.81 WD 2 U
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEELED COMMODE 18X16 ACTIVAID EA 1 $0.00 WD 2 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 18X20 CANADIAN EA 1 $0.00 WD 2 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TAD POLE TUMBLE FORM 4772T EA 1 $0.00 WD 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C STROLLER #1 CUSTOM KID KART EA 1 $0.00 WD 3 U
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97
152
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C STROLLER #2 CUSTOM KID KART EA 1 $0.00 WD 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C STROLLER #3 CUSTOM KID KART EA 1 $0.00 WD 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 0 $0.00 WD 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD 18X16 INVACARE TR18SA280 EA $130.28 0 $0.00 WD 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD 18X16 E&J EA 7 $0.00 WD 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD 16X16 E&J EA 1 $0.00 WD 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 16X16 CANADIAN EA 0 $0.00 WD 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 18X16 CANADIAN EA 4 $0.00 WD 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 16X16 CANADIAN EA 2 $0.00 WD 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 18X16 CANADIAN EA 2 $0.00 WD 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C EAZY LITE 18X16 E&J EA 0 $0.00 WD 5 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 6 $0.00 WD 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 16X16 INVACARE EA 1 $0.00 WD 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 20X16 CANADIAN EA 0 $0.00 WD 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C STANDARD W/C 18X16 E&J EA 0 $0.00 WD 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSTOM BLUE 18X16 FORTRESS EA 1 $0.00 WD 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRAVELER 18X16 E&J EA 2 $0.00 WD 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 5000 16X18 INVACARE 5068A781 EA $350.00 1 $350.00 WD 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C STROLLER #4 CUSTOM KID KART EA 1 $0.00 WD 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 1 $0.00 WD 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD 18X16 INVACARE TR18SA080 EA $130.68 0 $0.00 WD 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA080 EA $130.68 0 $0.00 WD 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 1 $0.00 WD 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA080 EA $130.68 0 $0.00 WD 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD 16X16 INVACARE TR16SA280 EA $151.92 5 $759.60 WD 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 16X16 CANADIAN EA 0 $0.00 WD 8 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C PREMIER 2 16X16 E&J EA 1 $0.00 WD 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 18X16 QUICKIE BREEZY2 EA $409.50 4 $1,638.00 WD 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 18X16 QUICKIE BREEZY2 EA $409.50 3 $1,228.50 WD 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD 16X16 INVACARE TR18SA280 EA $130.68 0 $0.00 WD 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C COMMODER POWER 14X16 FORTRESS EA 1 $0.00 WD 9 U
------------------------------------------------------------------------------------------------------------------------------------
153
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 0 $0.00 WD 9 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 18X16 QUICKIE BTREEZY2 EA $409.50 0 $0.00 WD 9 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 0 $0.00 WD 9 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C ONE ARM DRIVE 18X16 MEYRA EA 1 $0.00 WD 9 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER 9000 15X18 INVACARE 9058R182 EA $472.63 0 $0.00 WD 10 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER 9000 14X18 INVACARE 9048R182 EA $472.63 0 $0.00 WD 10 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER TRAVELER 18X17 E&J EA 0 $0.00 WD 10 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA080 EA $130.68 1 $130.68 WD 10 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER 2000 18X17 INVACARE 2087R182 EA $431.74 0 $0.00 WD 11 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER 4000 16X17 INVACARE 9067R282 EA $431.74 3 $1,295.22 WD 11 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER TRAVELER 16X17 E&J EA 2 $0.00 WD 11 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER 2000 18X17 INVACARE 2087R282 EA $431.74 3 $1,295.22 WD 11 U
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE TS CUSTOM QUICKIE TS EA $1,620.00 1 $1,620.00 WE 1
------------------------------------------------------------------------------------------------------------------------------------
W/C ACTION AT CUSTOM INVACARE EA 0 $0.00 WE 1
------------------------------------------------------------------------------------------------------------------------------------
W/C CHAMPION 2000 18X16 KUSCHALL EA 1 $0.00 WE 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C ADVANTAGE FA 18X16 E&J EA 1 $0.00 WE 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE RX 18X16 QUICKIE RX EA $799.20 1 $799.20 WE 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C LTWT W/C 2000 16X16 INVACARE 2066A781 EA $250.00 0 $0.00 WE 2 U
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEELED COMMODE 18X16 ACTIVAID SG605 EA 0 $0.00 WE 3
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 16X16 INVACARE 0XXXX0000 EA $316.01 0 $0.00 WE 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C EASY LITE 18X16 E&J EA 5 $0.00 WE 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WE 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PATRIOT 18X16 INVACARE PAWD86 EA $417.50 0 $0.00 WE 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 17X16 QUICKIE BREEZY2 EA $409.50 0 $0.00 WE 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C WORLD CHAIR 18X16 INVACARE EA $130.68 1 $130.68 WE 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 18X16 QUICKIE BREEZY2 EA $409.50 2 $819.00 WE 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 0 $0.00 WE 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C LTWT W/C 2000 18X16 INVACARE 2086A781 EA $250.00 0 $0.00 WE 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA080 EA $130.68 0 $0.00 WE 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WE 5 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X18 INVACARE 9XTWD8888 EA $356.90 1 $356.90 WE 5 U
------------------------------------------------------------------------------------------------------------------------------------
154
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 16X16 INVACARE 0XXXX0000 EA $316.01 0 $0.00 WE 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 16X16 QUICKIE BREEZY2 EA $409.50 0 $0.00 WE 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 16X16 INVACARE 0XXXX0000 EA $316.01 0 $0.00 WE 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 16X16 CANADIAN EA 1 $0.00 WE 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 1 $0.00 WE 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C LTWT W/C 2000 16X16 INVACARE 2066A781 EA $250.00 0 $0.00 WE 6 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C HEAVY DUTY 20X16 LUMEX EA 0 $0.00 WE 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WE 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 16X16 GUARDIAN EA 0 $0.00 WE 7 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD E1000 16X16 INVACARE EA $130.68 0 $0.00 WE 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 21X15 CANADIAN EA 0 $0.00 WE 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY LEAD ACID 24V MK BATTERY 24V WET EA $55.10 4 $220.40 WE 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY GEL SEAL 24V MK BATTERY 24V SLD G EA $99.75 2 $199.50 WE 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY LEAD ACID MK BATTERY 22NF WET EA $40.85 6 $245.10 WE 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY GEL SEAL MK BATTERY 22NF SLD G EA $80.75 2 $161.50 WE 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY GEL SEAL MK BATTERY U1 WET EA $38.00 6 $228.00 WE 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY LEAD ACID MK BATTERY U1 SLD G EA $55.10 4 $220.40 WE 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C INVACARE TR13 EA $25.56 37 $945.72 WF 1
------------------------------------------------------------------------------------------------------------------------------------
W/C INVACARE TLX3A EA $37.08 0 $0.00 WF 1
------------------------------------------------------------------------------------------------------------------------------------
W/C INVACARE TLX4A EA $70.56 1 $70.56 WF 1
------------------------------------------------------------------------------------------------------------------------------------
W/C INVACARE H904C EA $101.18 5 $505.90 WF 1
------------------------------------------------------------------------------------------------------------------------------------
W/C INVACARE H903 EA $48.51 20 $970.20 WF 1
------------------------------------------------------------------------------------------------------------------------------------
W/C INVACARE TR14 EA $50.76 0 $0.00 WF 1
------------------------------------------------------------------------------------------------------------------------------------
W/C INVACARE AHL4A EA $153.60 2 $307.20 WF 1
------------------------------------------------------------------------------------------------------------------------------------
W/C INVACARE AL4A EA $153.60 2 $307.20 WF 1
------------------------------------------------------------------------------------------------------------------------------------
W/C LEGREST MAGIC CANADIAN EA 1 $0.00 WF 1
------------------------------------------------------------------------------------------------------------------------------------
W/C FOOTREST MAGIC CANADIAN EA 1 $0.00 WF 1
------------------------------------------------------------------------------------------------------------------------------------
W/C LEGREST QUICKIE QUICKIE 923066 EA $100.44 1 $100.44 WF 1
------------------------------------------------------------------------------------------------------------------------------------
W/C RIGIDIZER 16X16 INVACARE CR1616 EA $14.04 0 $0.00 WF 1
------------------------------------------------------------------------------------------------------------------------------------
W/C AVANTI BACK 16" INVACARE PBM16R EA $210.60 1 $210.60 WF 2
------------------------------------------------------------------------------------------------------------------------------------
W/C AVANTI BACK 18" INVACARE PBM18R EA $210.60 0 $0.00 WF 2
------------------------------------------------------------------------------------------------------------------------------------
155
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C AVANTI BACK 13" INVACARE PBF18R EA $257.40 1 $257.40 WF 2
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX 2 BACK 18" XXX 2518K EA $255.00 1 $255.00 WF 2
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX 2 BACK 16" XXX 2516K EA $255.00 1 $255.00 WF 2
------------------------------------------------------------------------------------------------------------------------------------
W/C INSERT ALIMED 1261 EA 0 $0.00 WF 2
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX 2 INSERT 20X20 XXX S2102 EA $36.00 4 $144.00 WF 2
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX 2 INSERT 18X15 XXX MS2100 EA $30.00 1 $30.00 WF 2
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX 2 INSERT 16X20 XXX S2102 EA $36.00 1 $36.00 WF 2
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX 2 INSERT 18X18 XXX S2101 EA $30.00 0 $0.00 WF 2
------------------------------------------------------------------------------------------------------------------------------------
W/C COMBI XXX XXXXXXX 16X16 XXX M205NB EA $69.00 0 $0.00 WF 4
------------------------------------------------------------------------------------------------------------------------------------
W/C MEDICAL CUSHION 17X20 XXX M103.1 EA $267.00 1 $267.00 WF 4
------------------------------------------------------------------------------------------------------------------------------------
W/C ROHO CUSHION 16X15 CROWN EA 1 $0.00 WF 4
------------------------------------------------------------------------------------------------------------------------------------
W/C AVANTI PERSONAL
SEAT 18X16 INVACARE PS41816 EA $172.69 1 $172.69 WF 4
------------------------------------------------------------------------------------------------------------------------------------
W/C COMBI SOFT CUSHION 18X16 XXX B2200 EA $69.00 2 $138.00 WF 4
------------------------------------------------------------------------------------------------------------------------------------
W/C MED BACK 16" XXX 505L EA $294.00 1 $294.00 WF 4
------------------------------------------------------------------------------------------------------------------------------------
W/C COMBI SOFT CUSHION 18X18 XXX B2201 EA $69.00 1 $69.00 WF 4
------------------------------------------------------------------------------------------------------------------------------------
W/C COMBI REG CUSHION 16X16 XXX B205NB EA $69.00 0 $0.00 WF 5
------------------------------------------------------------------------------------------------------------------------------------
W/C COMFORMATE CUSHION 17X17 INVACARE CM1717 EA $46.33 1 $46.33 WF 5
------------------------------------------------------------------------------------------------------------------------------------
W/C COMBI SOFT CUSHION 16X16 XXX B2205 EA $69.00 2 $138.00 WF 5
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX CARE 16X16 XXX EA 1 $0.00 WF 5
------------------------------------------------------------------------------------------------------------------------------------
W/C COMBI REG CUSHION 18X16 XXX B200NB EA $69.00 1 $69.00 WF 5
------------------------------------------------------------------------------------------------------------------------------------
W/C COMBI SOFT CUSHION 18X16 XXX B2200 EA $69.00 1 $69.00 WF 5
------------------------------------------------------------------------------------------------------------------------------------
W/C FOAM CUSHION 18X16 INVACARE EC1818 EA $26.58 0 $0.00 WF 6
------------------------------------------------------------------------------------------------------------------------------------
W/C FOAM CUSHION 18X16 INVACARE EC1816 EA $26.58 0 $0.00 WF 6
------------------------------------------------------------------------------------------------------------------------------------
W/C MEDICAL CUSHION 16X18 XXX 106 EA $237.00 0 $0.00 WF 6
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX 2 CUSHION 16X16 XXX 2105 EA $237.00 0 $0.00 WF 6
------------------------------------------------------------------------------------------------------------------------------------
W/C ACTIVE CUSHION 20X18 XXX 122 EA $270.00 1 $270.00 WF 6
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX 2 CUSHION 18X20 XXX 2103 EA $270.00 1 $270.00 WF 7
------------------------------------------------------------------------------------------------------------------------------------
W/C ULTIMATE 16X20 INVACARE UM1620 EA $188.33 1 $188.33 WF 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SOLID SEAT W/HOOKS 16X18 INTARSIA EA 1 $0.00 WF 7
------------------------------------------------------------------------------------------------------------------------------------
W/C DROP SEAT 18X16 XXX 270 EA 1 $0.00 WF 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SOLID BACK 18" INTARSIA EA 1 $0.00 WF 7
------------------------------------------------------------------------------------------------------------------------------------
156
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX 2 CUSHION 18X16 XXX EA 1 $0.00 WF 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SOLID BACK 16X17 INTARSIA EA 1 $0.00 WF 7
------------------------------------------------------------------------------------------------------------------------------------
W/C DROP SEAT 20X16 XXX 273 EA $135.00 1 $135.00 WF 7
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX MED BACK 20" XXX XX 1 $0.00 WF 8
------------------------------------------------------------------------------------------------------------------------------------
W/C BACK INSERT 18" INTARSIA EA 1 $0.00 WF 8
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX CARE BACK 16" XXX 3505B EA $213.00 1 $213.00 WF 8
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX 2 BACK 16" XXX EA 0 $0.00 WF 8
------------------------------------------------------------------------------------------------------------------------------------
W/C AVANTI BACK 16" INVACARE PBM16R EA $210.60 0 $0.00 WF 8
------------------------------------------------------------------------------------------------------------------------------------
W/C COMBI CUSHION 18X18 XXX EA $69.00 1 $69.00 WF 9
------------------------------------------------------------------------------------------------------------------------------------
W/C ROHO CUSHION 18X18 CROWN EA $230.00 1 $230.00 WF 9
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX 2 CUSHION 18X16 XXX EA 0 $0.00 WF 9
------------------------------------------------------------------------------------------------------------------------------------
W/C COMBI SOFT CUSHION 16X16 XXX XX 0 $0.00 WF 10
------------------------------------------------------------------------------------------------------------------------------------
W/C ROHO CUSHION 18X16 CROWN EA $230.00 1 $230.00 WF 10
------------------------------------------------------------------------------------------------------------------------------------
W/C COMBI XXX XXXXXXX 18X16 XXX 2205 EA 1 $0.00 WF 10
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX ACTIVE CUSHION 18X18 XXX EA 0 $0.00 WF 10
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX BASIC CUSHION 18X16 XXX EA 2 $0.00 WF 10
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX BASIC CUSHION 18X18 XXX EA 2 $0.00 WF 10
------------------------------------------------------------------------------------------------------------------------------------
W/C COMFORMATE CUSHION 16X16 INVACARE CM1616 EA $46.33 1 $46.33 WF 11
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX BASIC CUSHION 16X16 XXX EA 0 $0.00 WF 11
------------------------------------------------------------------------------------------------------------------------------------
W/C AVANTI CUSHION 16X16 INVACARE EC1616 EA $26.68 1 $26.68 WF 11
------------------------------------------------------------------------------------------------------------------------------------
W/C FOAM CUSHION 18X17 QUICKIE EA $49.33 1 $49.33 WF 11
------------------------------------------------------------------------------------------------------------------------------------
W/C BACK INSERT 20X16 INTARSIA EA 1 $0.00 WF 11
------------------------------------------------------------------------------------------------------------------------------------
W/C COMBI REG CUSHION 20X16 XXX M202NB EA $81.00 0 $0.00 WF 11
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX BASIC CUSHION 20X18 XXX 309 EA $27.50 1 $27.50 WF 11
------------------------------------------------------------------------------------------------------------------------------------
W/C AVANTI CUSHION 20X18 INVACARE EC2018 EA $26.68 1 $26.68 WF 11
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA280 EA $151.92 1 $151.92 WFN W
------------------------------------------------------------------------------------------------------------------------------------
W/C LTWT W/C 9XT 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WFN W
------------------------------------------------------------------------------------------------------------------------------------
W/C LTWT W/C 9XT 16X16 INVACARE 9WTWD6688 EA $316.01 0 $0.00 WFN W
------------------------------------------------------------------------------------------------------------------------------------
W/C ELEVATING LEG REST INVACARE H904 EA $101.18 0 $0.00 WFN W
------------------------------------------------------------------------------------------------------------------------------------
W/C FOOTREST INVACARE TR13 EA $25.56 0 $0.00 WFN W
------------------------------------------------------------------------------------------------------------------------------------
W/C FOOTREST INVACARE H903C EA $48.51 0 $0.00 WFN W
------------------------------------------------------------------------------------------------------------------------------------
157
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C GERBER XXXXX
SUPPORT LT HEMI GERBERMATE GCM-604 EA $165.00 0 $0.00 WGA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C GERBER XXXXX
SUPPORT RT HEMI GERBERMATE GCM-603 EA $165.00 1 $165.00 WGA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C OXYGEN HOLDER GERBERMATE 1494 EA $75.84 0 $0.00 WGA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C GERBER XXXXX
SUPPORT LT STD GERBERMATE GCM-601 EA $165.00 0 $0.00 WGA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS REMV,
LT BU STD 18X16 E&J EA 0 $0.00 WGA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS REMV,
BLACK LTWT 18X16 INVACARE 9XTWD8688 EA $316.01 5 $1,580.05 WGA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C FULL ARMS REMV,
BLACK LTWT 16X16 INVACARE 9XTWD8688 EA $316.01 6 $1,896.06 WGA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS REMV,
BLACK LTWT 18X18 INVACARE 9XTWD8888 EA $356.90 4 $1,427.60 WGA 1
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT EXTENTION 2" 18" INVACARE 1035971 EA $14.03 1 $14.03 WGA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT EXTENTION 2" 22" INVACARE 1019027 EA $14.03 2 $28.06 WGA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT EXTENTION 1" 18" INVACARE 1035970 EA $14.03 8 $112.24 WGA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C PUSH TO LOCK BRKE INVACARE 1015468 EA $19.23 2 $38.46 WGA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C PULL TO LOCK BRKE INVACARE 1016271 EA $19.23 10 $192.30 WGA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C PULL TO LOCK BRKE INVACARE 1016270 EA $19.23 7 $134.61 WGA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS REMV, GN
STD 18X16 GUARDIAN EA 0 $0.00 WGA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS REMV,
BLACK LTWT 16X16 INVACARE 0XXXX0000 EA $316.01 0 $0.00 WGA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C FULL ARMS REMV,
BU STD 18X16 INVACARE TR18SA180 EA $151.92 8 $1,215.36 WGA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS REMV,
BU STD 20X18 GUARDIAN EA 0 $0.00 WGA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS REMV,
RED STD 18X16 INVACARE TR18SA280 EA $151.92 0 $0.00 WGA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS REMV,
BN STD 18X16 E&J EA 0 $0.00 WGA 2
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 18X18X1 HERMELL EA 4 $0.00 WGA 3
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 18X18X4 HERMELL EA $4.94 5 $24.70 WGA 3
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 16X17X2 HERMELL EA 6 $0.00 WGA 3
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION COVER 20X16X2 HERMELL EA $4.98 9 $44.82 WGA 3
------------------------------------------------------------------------------------------------------------------------------------
W/C AMPUTEE ATTACHMENT
9XT INVACARE 1058670 EA $48.45 6 $290.70 WGA 4
------------------------------------------------------------------------------------------------------------------------------------
W/C HEEL LOOPS PRC 511110 EA $5.25 39 $204.75 WGA 4
------------------------------------------------------------------------------------------------------------------------------------
W/C PUSH TO LOCK BRKE INVACARE EA $19.23 0 $0.00 WGA 4
------------------------------------------------------------------------------------------------------------------------------------
W/C ANTI TIPPERS,
TRACER INVACARE 1036900 EA $19.23 11 $211.53 WGA 5
------------------------------------------------------------------------------------------------------------------------------------
W/C ANTI TIPPERS,
9000/2000 RCLN INVACARE 1021767 EA $42.84 9 $385.56 WGA 5
------------------------------------------------------------------------------------------------------------------------------------
158
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C ANTI TIPPERS, 9XT INVACARE 1058836 EA $43.35 15 $650.25 WGA 5
------------------------------------------------------------------------------------------------------------------------------------
W/C BRAKE EXTENTION 6" INVACARE 1058193 EA $19.89 74 $1,471.86 WGA 5
------------------------------------------------------------------------------------------------------------------------------------
159
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT BELT, 60" PRC 511150 EA $13.40 2 $26.80 WGA 6
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT BELT 48" PRC 511210 EA $15.75 7 $110.25 WGA 6
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT BELT, VELCRO 48" PRC 511310 EA $8.95 5 $44.75 WGA 6
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT BELT, VELCRO 60" PRC 511350 EA $8.95 3 $26.85 WGA 6
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY LT
BU 18X17.5 E&J EA 1 $0.00 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY DK
BU 20X18 INVACARE 105469 EA $27.85 5 $139.25 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY DK
BU 18X18 GUARDIAN EA 0 $0.00 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY BU 16X16 PRC 524208 EA $16.95 2 $33.90 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY BU 16X17.5 INVACARE 1024134 EA $30.45 1 $30.45 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY BU 7.5X21. INVACARE 1054979 EA $27.80 1 $27.80 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY DK
BU 18X18 GUARDIAN EA 2 $0.00 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY DK
BU 24X17 INVACARE 1054690 EA $27.80 1 $27.80 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY BU 18X17 INVACARE 1024136 EA $30.45 2 $60.90 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY
BLACK 17X18 GUARDIAN EA 0 $0.00 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY BU 7.5X16. INVACARE 1024137 EA $30.45 4 $121.80 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY BU 22X18 INVACARE 1054979 EA $27.80 3 $83.40 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY BN 18X16 GUARDIAN EA 3 $0.00 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY BU 16X16 INVACARE 1040961 EA $16.32 0 $0.00 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY BU 16X18 GUARDIAN EA 0 $0.00 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY
BLACK 18X16 GUARDIAN EA 0 $0.00 WGA 7
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXXXXX XXXXXXXX INVACARE R8487 EA $257.40 1 $257.40 WM/F 1
------------------------------------------------------------------------------------------------------------------------------------
W/C CROSS BRACE 17X18 QUICKIE EA $87.23 1 $87.23 WM/F 1
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXX XXXXXX ALIMED R7280 EA $70.60 1 $70.60 WM/F 1
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXX XXXXXXXX XXXX R8462 EA $230.00 1 $230.00 WM/F 1
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXX XXXXXXXX INVACARE R8480 EA $14.04 1 $14.04 WM/F 1
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXXXX XXXXXXXX ROHO R8256 EA $270.00 $0.00 WM/F 1
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXXXXX XXXXXXX XXX R0278 EA $210.00 1 $210.00 WM/F 1
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXX XXXXXXXX INTARSIA R8464 EA $208.26 1 $208.26 WM/F 2
------------------------------------------------------------------------------------------------------------------------------------
W/C MC.XXXXXX X. INVACARE R2116 EA 1 $0.00 WM/F 2
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXX XXXXXX 20X18 XXX R-XXXXXX EA $270.00 1 $270.00 WM/F 3
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXXX XXXXXX SUNMATE EA $70.00 1 $70.00 WM/F 3
------------------------------------------------------------------------------------------------------------------------------------
160
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXX XXXXXX INVACARE R8083 EA $218.00 1 $218.00 WM/F 3
------------------------------------------------------------------------------------------------------------------------------------
W/C XXX XXXXXXXXX XXX R0263 EA $69.50 1 $69.50 WM/F 3
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXXX XXXX INVACARE R2120 EA 1 $0.00 WM/F 4
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXX XXXX INVACARE R8030 EA $270.00 1 $270.00 WM/F 4
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXX XXXXX SHS R7229 EA $36.10 1 $36.10 WM/F 4
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXX XXXXXXXX LA BAC R0292 EA $267.00 1 $267.00 WM/F 5
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXX XXXXX INVACARE R0258 EA $285.81 1 $285.81 WM/F 5
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX PARADES XXXXX & NEPHEW R2206 EA $77.61 1 $77.61 WM/F 6
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 16X17 QUICKIE Q2 EA $1,110.00 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 18X18 QUICKIE Q2 EA $1,088.80 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA280 EA $151.92 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C GPV 16X18 QUICKIE GPV EA $1,295.40 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 16X16 INVACARE 9XTWD66/88 EA $316.01 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE LX 20X18 QUICKIE LX EA $849.00 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 16X16 INVACARE 9XTWD66/88 EA $316.01 1 $316.01 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 16X18 INVACARE 9XTWD68/88 EA $356.90 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 18X18 INVACARE 9XTWD68/88 EA $365.90 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 20X18 INVACARE 9XTWD68/88 EA $404.02 1 $404.02 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C GP 19X17 QUICKIE GP EA $1,222.80 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER 9000 18X17 INVACARE 908TR282 EA $431.74 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 18X16 INVACARE 9XTWD86/88 EA $316.01 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C ZHP 18X16 QUICKIE ZHP EA $1,251.00 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 18X16 INVACARE 9XTWD86/88 EA $316.01 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C REVOLUTION 18X16 QUICKIE REV EA $1,248.00 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C ARROW 22X16 INVACARE 4MX918 EA $4,750.21 0 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C ADJ SEAT 15-18" XXX EA $157.00 1 $157.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION CLOUD 18X16 XXXX XXXX EA $310.00 1 $310.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION ULTIMATE 16X16 SHS EA $163.33 1 $163.33 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C LAP BOARD 1/2" EA $210.00 1 $210.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C R-3950 EA $287.10 1 $287.10 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C FLOOR SITTER LG TUMBLE FORM EA $202.86 1 $202.86 WM/F
------------------------------------------------------------------------------------------------------------------------------------
161
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C BACK 19" XXX XX $267.00 1 $267.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C COMMODE SEAT ACTIVE AID EA $120.67 1 $120.67 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEELS 24" INVACARE EA $34.75 1 $34.75 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C PERSONAL SEAT 20" INVACARE EA $176.00 1 $176.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION ULTIMATE 19X18 SHS EA $163.33 1 $163.33 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHIOM
COMFORTMATE 20X18 INVACARE EA $116.00 1 $116.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXXX, XXX BASIC 16X18 XXX XX $45.50 1 $45.50 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXXXX, XXX 2 18X18 XXX EA $246.00 1 $246.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C BACK, XXX 2 18" XXX XX $255.00 2 $510.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C R-8492 XXXX XXXX EA $123.00 1 $123.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY 18X16 INVACARE EA $34.00 1 $34.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXXX XXXX XXXX XXXX R8492 EA $123.00 1 $123.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX XXXXXX INVACARE R8465 EA $170.10 1 $170.10 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXXX XXXXXXXX R7260 EA $250.92 1 $250.92 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX XXXXXXX E&J R9326 EA $503.40 1 $503.40 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXX XXXXX INTARSIA R9340 EA $90.00 1 $90.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXX XXXXXXX INVACARE R8472 EA $257.40 1 $257.40 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXX XXXXXXX INTARSIA R8286 EA $80.00 1 $80.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXX XXXXX QUICKIE R2218 EA 1 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXXXXX XXXXXXX INVACARE R8485 EA $270.97 1 $270.97 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXXX XXXXXXX INTARSIA EA $175.97 1 $175.97 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX XXX XXXXXXX R0269 EA $39.06 1 $39.06 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXXXXX XXXXXXXX INVACARE R-STOCK $217.13 1 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXXXXX XXX XXX R0278 EA $354.00 1 $354.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXXXXXX XXXXXXXX INVACARE R8484 $300.00 1 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C FLOOSER 18X18 XXX R-XXXXXX EA $246.00 1 $246.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXXXXX XXXX XXXXXXX R0268 EA $1,174.20 1 $1,174.20 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX XXXXXXXX XXXX XXXX R8467 EA $210.00 1 $210.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C PARADES XXXXX XXX R8468 EA $237.00 1 $237.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C BACK, XXX 2 17' XXX XX $255.00 1 $255.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C BACK, XXX 2 16' XXX EA $255.00 1 $255.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
162
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C R2121 EA 1 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C R2124 EA 1 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY INVACARE EA $48.04 1 $48.04 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C BACK MOUNTING XXX R8290 EA $34.00 1 $34.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C INSERT, SOLID 18X16 XXX R8253 EA $36.00 1 $36.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION, COMBI 15.5X16" XXX R6370 EA $81.00 1 $81.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXXXX, XXX 2 16X16 XXX X0000 EA $270.00 1 $270.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION, COMBI 15.5X16" XXX R8288 EA $81.00 1 $81.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXXXX, XXX 2
W/BACK 18" XX XXX EA $299.00 1 $299.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C HARNESS INTARSIA R4788 EA $52.25 1 $52.25 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C EA $204.34 1 $204.34 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C PARTS EA 1 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C MOUNTING HARDWARE R4766 EA $54.00 1 $54.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C MOUNTING HARDWARE R8483 EA $54.00 1 $54.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C CONTOUR CORICULAR
STRAP XXXXXXX R2207 EA $12.71 1 $12.71 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C R7287 EA $146.92 1 $146.92 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C INVACARE R4792 EA $138.57 1 $138.57 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C HANDRIMS INVACARE R9332 EA $51.00 1 $51.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C SEAT UPHOLSTERY 20" INVACARE EA $34.00 1 $34.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSHION, BASIC 18X16 XXX EA $27.50 1 $27.50 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C BACK UPHOLSTERY INVACARE EA $34.00 1 $34.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C INVACARE R8472 EA $257.40 1 $257.40 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXXXX, XXX 2
W/ACCESS 18X18 XXX XX $270.00 1 $270.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE 2 17X16 QUICKIE R3913 $1,372.20 1 $1,372.20 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE GPV 18X16 QUICKIE R8294 $1,462.20 1 $1,462.20 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE GPV 16X18 QUICKIE R8194 $1,462.20 1 $1,462.20 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 18X16 INVACARE R8270 $316.01 1 $316.01 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 18X16 INVACARE R6255 $316.01 1 $316.01 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 18X16 INVACARE R0259 $378.03 1 $378.03 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 18X16 INVACARE R2211 $665.98 1 $665.98 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 16X18 INVACARE $378.03 1 $378.03 WM/F
------------------------------------------------------------------------------------------------------------------------------------
163
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE 2 18X16 QUICKIE $1,381.20 1 $1,381.20 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 20X18 INVACARE R2213 $869.74 1 $869.74 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 16X18 INVACARE R2204 $494.81 1 $494.81 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 18X16 INVACARE R8465 $658.70 1 $658.70 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 20X18 INVACARE R0267 $485.53 1 $485.53 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 18X16 INVACARE R8043 $409.03 1 $409.03 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C 9000 20X16 INVACARE $458.23 1 $458.23 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE 2 20X16 QUICKIE R0260 $1,399.10 1 $1,399.10 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 2 16X16 QUICKIE R8466 $900.00 1 $900.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE RESOLUTION 16X16 QUICKIE R8452 $1,399.80 1 $1,399.80 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C MARK 4 1 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C ACTION STORM 18X16 INVACARE R8482 $3,409.91 1 $3,409.91 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C ACTION STORM 18X18 INVACARE $3,409.91 1 $3,409.91 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C ARROW STORM 18X16 INVACARE R0291 1 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C P9 STORM 16X16 INVACARE $2,014.47 1 $2,014.47 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C SCOOTER 18" INVACARE 1 $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C RANGER 18X16 INVACARE $3,480.94 1 $3,480.94 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C $0.00 WM/F
------------------------------------------------------------------------------------------------------------------------------------
W/C PITA BACK CUSTOM EA $105.09 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
W/C BACK UPHOLSTERY
(9000) 18X16 INVACARE 1008399 EA $30.09 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
W/C BACK UPHOLSTERY,
CUSTOM QUICKIE 685848 EA $45.60 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
W/C CALF PADS INVACARE 7500003 EA $12.34 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
W/C ELEVATING LEG REST INVACARE TR-14 EA $50.76 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
W/C ELEVATING LEG REST BREEZY 923809 EA $160.80 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
W/C ELEVATING LEG REST HOYA EA 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
W/C ELEVATING LEG REST HOYA EA 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
W/C ELEVATING LEG REST HOYA EA 0 $0.00
------------------------------------------------------------------------------------------------------------------------------------
W/C TOTAL $79,665.44
------------------------------------------------------------------------------------------------------------------------------------
GRAND TOT $472,500.52
------------------------------------------------------------------------------------------------------------------------------------
164
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID PORTABLE LARGE CRYO EA $ 272.00 2 $544.00 M
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQ TANK 50LB P/B EA $1,250.00 0 $0.00 M
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP FLIMM FIGHTER GEN.PHYSIOTHER VS EA $490.00 0 $0.00 M
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP V PAP CARRYING
CASE RESCARE EA $20.00 0 $0.00 RS
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER 18X20 CANADIAN EA 0 $0.00 WB 2 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE II 16X17 QUICKIE Q2 EA $1,110.00 0 $0.00 WB 2 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 20X16 INVACARE 9XTWD0688 EA $365.21 0 $0.00 WB 2 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C TALL RIDE
LITE 9000 16X16 INVACARE 0XXXX0000 EA $477.13 0 $0.00 WB 2 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 16X16 INVACARE TR16SA280 EA $151.92 0 $0.00 WB 2 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE
LITE 9000 16X16 INVACARE 0XXXX0000 EA $316.01 0 $0.00 WB 2 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C E 1000 W/C 18X16 INVACARE TR 18SA280 EA $ 130.68 0 $0.00 WB 4 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 0 $0.00 WB 6 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE RX 18X16 QUICKIE RX EA $799.20 0 $0.00 WC 5 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 18X18 INVACARE 9XTWD8888 EA $356.90 0 $0.00 WC 6 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C ROHO CUSHION 12X12 CROWN EA 1 $0.00 WC 13 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C STIMULITE
CUSHION 16X16 SUPERCOR EA 1 $0.00 WC 13 OB
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX X.X. DEMO 14X17 XXX 111 ON EA $246.00 1 $246.00 WC 13 OB
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX X.X.
BACK DEMO 14" XXX 1510 EA $357.00 1 $357.00 WC 13 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C DROP BASE 18X16 INVACARE DB8601 A EA $83.30 0 $0.00 WC 13 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C SOLID SEAT INVACARE 1022569 EA $58.65 0 $0.00 WC 13 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C STANDARD W/C 18X16 E&J EA 0 $0.00 WC 17 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C PERSONAL
CUSHION 18X20 INVACARE S04AW18AD2 EA $226.51 0 $0.00 WC 18 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C EAZY LITE 18X16 E&J EA 0 $0.00 WD 5 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER
MAGIC 16X16 CANADIAN EA 0 $0.00 WD 8 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 0 $0.00 WD 9 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 18X16 QUICKIE BTREEZY2 EA $409.50 0 $0.00 WD OB
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 0 $0.00 WD OB
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE
LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WE 5 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C LTWT
W/C 2000 16X16 INVACARE 2066A781 EA $250.00 0 $0.00 WE 6 OB
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 16X16 GUARDIAN EA 0 $0.00 WE 7 OB
------------------------------------------------------------------------------------------------------------------------------------
165
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
DME TRAPEZE INVACARE 7750 EA $76.40 5 $382.00 K 7 OBSO
--------------------------------------------------------------------------------------------------------------------------------
DME TENS UNIT XXXXXX FIELD GF-3 EA OBSOLETE 22 $0.00 C/RM U
--------------------------------------------------------------------------------------------------------------------------------
DME ORTHODERM
BED SYST BIOCLINIC EA $1,895.00 0 $0.00 C/RM U
--------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97 1 of 9
166
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
XXX XXXXXX, NON FOLDING ADULT GUARDIAN 7720 EA $42.07 2 $84.14 G 4 U
------------------------------------------------------------------------------------------------------------------------------------
DME RAILS, HOSPITAL BED XXXXXX-FIELD GF 6570 1 PR $41.00 7 $287.00 J U
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX FLD EA 0 $0.00 J U
------------------------------------------------------------------------------------------------------------------------------------
DME XXXXXX NON/FLD EA 0 $0.00 J U
------------------------------------------------------------------------------------------------------------------------------------
DME I.V. XXXX XXXXXX-FIELD 7012 EA $16.95 8 $135.60 K 4 U
------------------------------------------------------------------------------------------------------------------------------------
DME OVER BED TABLE XXXXXX-FIELD GF8900-1 EA $53.10 3 $ 159.30 K 4 U
------------------------------------------------------------------------------------------------------------------------------------
DME HIP CHAIR JOFRA 4401-1 EA $187.95 0 $0.00 K 4 U
------------------------------------------------------------------------------------------------------------------------------------
DME LIFT, ADJ. BASE INVACARE 9884 EA $321.60 2 $643.20 K 8 U
------------------------------------------------------------------------------------------------------------------------------------
DME CHAIR, XXXX INVACARE 6907 EA $328.00 $2,952.00 K 16 U
------------------------------------------------------------------------------------------------------------------------------------
DME APP PUMP XXXXX 2000 EA $55.00 19 $1,045.00 M 4 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PRONEB NEBULIZER PARI 3010101 EA $55.00 2 $ 110.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PULMOAIDE NEB DEVILBISS 5610D EA $64.00 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP MINIMIST NEBULIZER XXXX XXXX EA $45.32 1 $45.32 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PASSPORT NEB INVACARE IRC1190 EA $47.00 1 $47.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE STAT INVACARE IRC1135 EA $176.95 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE STAT E&J H-95 EA OBSOLETE 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE PORT DEVILBISS 7304D EA $202.00 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP REVITALIZER DEVILBISS 7352D EA OBSOLETE 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP XXXXXXXX lil RESMED SUL lll EA $285.00 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP AEROMAX NEBULIZER M. I.A 3002 EA $56.00 1 $ 56.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP APNEA MONITOR AEQUITRON 9200 EA $682.75 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENT PLV100 LIFECARE PLV100 EA $54.60 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PRESSURE THERAPY UNIT PURITAN BENNET AP5 EA 0 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESOR 50PSI XXXX XXXX EA $360.50 1 $360.50 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP NEBULIZER, ULTRASONIC M.l.A EA OBSOLETE 3 $0.00 C/RM U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PASSPORT NEB INVACARE IRC1190 EA $47.00 1 $47.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE STAT INVACARE IRC1135 EA $176.95 2 $353.90 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PULMOAIDE NEB DEVILBISS 561 OD EA $65.00 2 $130.00 CLST U
167
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE PORT DEVILBISS 7304D EA $202.00 1 $202.00 CLST U
----------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP 50 PSI COMPRESSOR XXXX XXXX BA400A EA $360.50 1 $360.50 CLST U
----------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP 50 PSI COMPRESSOR ALLIED PCS414 EA $349.00 0 $0.00 CLST U
----------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP 50 PSI COMPRESSOR M.l.A EA $300.00 0 $0.00 CLST U
----------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP APNEA MONITOR AEQUITRON 9550 EA $1,995.00 2 $3,990.00 CLST U
----------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP OXIMETER, PULSE NELLCOR N180 EA $1,595.00 1 $1,595.00 CLST U
----------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97 2 of 9
168
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP OXIMETER, PULSE NELLCOR N200 EA $ 1,895.00 1 $1,895.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP BIPAP ST RESPIRONICS EA $3,086.00 1 $3,086.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP RESMED EA $475.00 2 $950.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VPAP RESMED EA $ 1,425.00 1 $1,425.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENT PLV100 LIFECARE PLV100 EA $6,499.00 1 $6,499.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP NEBULIZER, XXXX XXXX EA $45.32 2 $90.64 CLST U
------------------------------------------------------------------------------------------------------------------------------------
RESP MINI MIST
EQUIP LIQUID PORTABLE SMALL CRYO EA $ 272.00 3 $816.00 M U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK 70LBS P/B EA $500.00 2 $1,000.00 M U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK 100LB P/B EA $500.00 0 $0.00 M U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM AIRSEP EA $895.00 $8,055.00 M/N 8/9 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM INVACARE IRC501 EA $849.00 0 $0.00 M/N 8/9 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE INVACARE IRC1135 EA $ 176.95 15 $2,654.25 N 5 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE ORTABL DEVILBISS 7304A EA $202.00 3 $606.00 N 5 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR, 50PSI XXXX XXXXXX-FIELD XX0000000 EA $360.50 4 $1,442.00 N 6 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR 50 PSI ALLIED PCS-4 EA $349.00 1 $349.00 N 6 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR P/XXXX XXXXXXXXX 5610D EA $65.00 7 $455.00 N 8 U
------------------------------------------------------------------------------------------------------------------------------------
RESP NEBULIZER
EQUIP COMPRESSOR EROMA MEDICAL IND 3002 EA $49.00 4 $196.00 N 8 U
------------------------------------------------------------------------------------------------------------------------------------
RESP NEBULIZER
EQUIP COMPRESSOR PRO NEB PARI 370101 EA $55.00 13 $715.00 N 8 U
------------------------------------------------------------------------------------------------------------------------------------
RESP NEBULIZER
EQUIP CONCENTRATOR INVACARE MOBILAIRE EA $350.00 1 $350.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID PORTABLE CRYO EA $272.00 7 $1,904.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID PORTABLE PENOX EA $272.00 4 $1,088.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID PORTABLE P/B EA $200.00 2 $400.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID PORTABLE OBILAIR INVACARE EA $700.00 3 $2,100.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK LARGE CRYO EA $455.00 0 $0.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
169
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
EQUIP LIQUID TANK P/B COMPANION EA $455.00 0 $0.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK SMALL CRYO EA $455.00 7 $3,185.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK SMALL PENOX EA $455.00 6 $2,730.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK 40LTR INVACARE MOBILAIRE EA $700.00 0 $0.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR AIRSEP EA $895.00 0 $0.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR DEVILBISS DEVOMC29 EA $350.00 2 $700.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR DEVILBISS DEVO 4490 EA $855.00 2 $1,710.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97 3 of 9
170
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR HEALTHDYNE 5000 EA $350.00 2 $700.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR MOUNTAIN MED SUMMIT EA $965.00 3 $2,895.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR MOUNTAIN MED ASPEN EA $350.00 6 $2,100.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR FREEDOM ROMAN LABS 12510 EA $700.00 1 $700.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR LIFECARE PLV100 EA 0 $0.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK LARGE PENOX EA $272.00 1 $272.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP APNEA MONITOR AQUETRON 9550 EA $1,050.00 3 $3,150.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP APNEA MONITOR AEQUITRON 9500 EA $570.00 4 $2,280.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP APNEA MONITOR AEQUITRON 9200 EA $682.75 0 $0.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP BIPAP S RESPIRONICS 332019 EA $1,437.00 2 $2,874.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP BIPAP ST RESPIRONICS 332203 EA $2,996.00 0 $0.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP, XXXXXXXX V RESCARE 143007 EA $637.50 5 $3,187.50 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP, XXXXXXXX 111 RESCARE EA $285.00 2 $570.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP OXIMETER, PULSE NELCOR N180 EA $1,595.00 1 $1,595.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP OXIMETER, PULSE NELCOR N200 EA $1,895.00 6 $11,370.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP PLV100 LIFECARE PLV100 EA $6,499.00 3 $19,497.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP ULTRASONIC NEBULIZER MICROSTAT EA $178.00 0 $0.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR P/B 2801 EA $5,395.00 2 $10,790.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR BEAR BEAR 33 EA $1,500.00 1 $1,500.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR XXXXXXXX MAXI VENT EA $1,500.00 3 $4,500.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR P/B 2800 EA $1,500.00 2 $3,000.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR AQUETRON LP10 EA $5,200.00 2 $10,400.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP V-PAP RESCARE 15003 EA $1,295.00 6 $7,770.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK PENOX EA $272.00 21 $5,712.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
171
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
EQUIP LIQUID TANK LARGE CRYO EA $272.00 2 $544.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP PORTABLE
EQUIP LIQUID TANK SMALL CRYO EA $272.00 8 $2,176.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK SMALL PENOX EA $455.00 6 $2,730.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP LIQUID TANK 40 INVACARE MLB40 EA $1,325.00 1 $1,325.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM DEVILBISS MC44-90 EA $855.00 1 $855.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM M.M.E. DEVO44 EA $855.00 1 $855.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM M.M.E. PVO2 EA $780.00 1 $780.00 U
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 4 OF 9
172
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE BIN # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 2LPM M.M.E. ASPEN EA $780.00 4 $3,120.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM SAGE EA $855.00 1 $855.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM XXXX XXXX 5000 EA $855.00 1 $855.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CONCENTRATOR 5LPM PURITAN BENNET 590 EA $855.00 1 $855.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP REVITALIZER DEVILBISS 7352 EA $460.00 1 $460.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP IPV PERCUSSIONAIR F00012 EA $395.00 5 $1,975.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP OXIMETER, PULSE NOVAMETRIC 515A EA $2,495.00 1 $2,495.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP APNEA MONITOR EDENTECH 2000 EA $1,026.00 2 $2,052.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP NEBULIZER,ULTRASONIC MEDISONIC 3612/60 EA $150.00 2 $300.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP VENTILATOR PLV102 LIFECARE PLV102 EA $8,294.00 2 $16,588.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP INFANT 2-FRAME INFANT BIOSYSTEMS 2100 EA 1 $0.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP CPAP CONVERTER RESMED CVR-2 EA $120.00 5 $600.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP AIRWAY PRESSURE MON RESPIRONICS 302220 EA $203.75 1 $203.75 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE SHUCO 5711-130 EA $205.50 3 $616.50 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP SUCTION MACHINE
PORTABLE M.I.A. 605 EA $202.00 2 $404.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
EQUIP COMPRESSOR
NEBULIZER MINIMIST XXXXXX FIELD EA $47.00 0 $0.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP CART, E TANK XXXXXXXXXX 705000 EA $18.95 26 $492.70 M U
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP NASAL CPAP RESPIRONICS 367500 EA $390.60 0 $0.00 M U
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP NASAL CPAP SYSTEM 4 XXXXXX 1688 EA $241.50 0 $0.00 M U
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP NASAL CPAP SYSTEM RESCARE APD-2 EA $291.00 0 $0.00 M U
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP NASAL CPAP SYSTEM DEVILBISS 7315-5 EA 0 $0.00 M U
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP REGULATOR, PRESSURE -46 DEVILBISS 444 585 EA $35.00 3 $105.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP REGULATOR MADA RENTAL EA $9.50 14 $133.00 RP U
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP ULTRASONIC NEBULIZER OMRON NEU03 EA $265.00 5 $1,325.00 RS U
173
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP ALARM, PRESSURE LIFECARE 23001 EA $476.08 0 $0.00 RS U
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP FILTER,OMRON NENULIZER OMRON U03-4 EA $265.00 7 $1,855.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP DPAP SLEEPNET 73001 EA $1,050.00 2 $2,100.00 U
------------------------------------------------------------------------------------------------------------------------------------
RESP
SUP CHAMBER, HMD XXXXXX PAYKEL MR325 EA $10.07 5 $50.35 U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FOOD PUMP COM XXX XXXXXX 199235 EA LEASE 1 $0.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FOOD PUMP COM XXX XXXXXX 199205 EA LEASE 1 $0.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FOOD PUMP XXXXXXXX XXXXXXXX 324 EA $350.00 1 $350.00 CLST U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PUMP,FEEDING SHERWOOD 324 EA $350.00 5 $1,750.00 N 4 U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PUMP, FEEDING COMPAT SANDOZ 199205 EA LEASE 4 $0.00 N 4 U
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT FOOD PUMP SHERWOOD 324 EA $350.00 1 $350.00 TK(J.V) RT U
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97 5 OF 9
174
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
SUPPLIES
ENT PUMP, FEEDING SHERWOOD 224 EA $300.00 0 $0.00 U
------------------------------------------------------------------------------------------------------------------------------------
W/C OXYGEN l.V POLE INVACARE 1484 EA $75.84 1 $75.84 WB 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WB 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WB 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PREMIER 18X16 E&J EA 0 $0.00 WB 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 16X16 INVACARE TR16SA280 EA $130.68 0 $0.00 WB 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C EASY LITE 18X16 E&J EA 0 $0.00 WB 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C LAP TRAY XXXXXXX XX 0 $0.00 WB 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 16X16 INVACARE EA $316.01 0 $0.00 WB 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 16X16 GUARDIAN EA 0 $0.00 WB 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 16X16 CANADIAN EA 0 $0.00 WB 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WB 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C HEAVY DUTY 20X16 LUMEX EA 0 $0.00 WB 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C HEAVY DUTY 22X16 LUMEX EA 0 $0.00 WB 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 16X16 INVACARE 0XXXX0000 EA $316.01 0 $0.00 WB 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA280 EA $151.92 0 $0.00 WB 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C STANDARD W/C 18X16 LUMEX EA 0 $0.00 WB 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRAVELER 18X16 E&J EA 0 $0.00 WB 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WB 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C SUNMATE SOFT DYNAMIC EA $82.50 0 $0.00 WC 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C SUNMATE REGULAR DYNAMIC EA $82.50 0 $0.00 WC 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C ONE ARM DRIVE 16X16 INVACARE 1065602 EA $313.73 0 $0.00 WC 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 16X16 QUICKIE BREEZY2 EA $409.50 0 $0.00 WC 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 0 $0.00 WC 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RI DE LITE 9000 20X16 INVACARE 9XTWD0688 EA $365.21 0 $0.00 WC 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 18X16 CANADIAN EA 0 $0.00 WC 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C 1251 ALIMED 16X16 ALIMED EA 0 $0.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C 260 ALIMED 18X16 ALIMED EA 1 $0.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX SOLID SEAT R 18X16 XXXXXXX XX 0 $0.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX SOLID SEAT L 18X16 XXXXXXX XX 0 $0.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX MEDICAL CUSHION 12X11 XXX 115 EA $237.00 1 $237.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C ROHO CUSHION 12X12 CROWN EA 0 $0.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/X XXX XXXX XXXXXXX 18X20 XXX 201 EG EA $201.00 1 $201.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C LAP TRAY XXXXXXX XX 0 $0.00 WC 13 U
------------------------------------------------------------------------------------------------------------------------------------
W/C DUO CUSHION 16X18 XXX 706 EA 1 $0.00 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97 6 OF 9
175
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C PERSONAL SEAT 16X18 INVACARE PS41618 EA $172.69 0 $0.00 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PRESSURE RELIEF
CUSHION 16X18 INVACARE EA $172.69 0 $0.00 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C ROHO CUSHION 19X17 CROWN EA 1 $0.00 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PRESSURE RELIEF
CUSHION 16X18 INVACARE EA $172.69 0 $0.00 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PRESSURE RELIEF
CUSHION 18X16 INVACARE EA $172.69 1 $172.69 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C FLUID CUSHION 18X16 INVACARE F2 EA $172.69 1 $172.69 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PERSONAL CUSHION 16X18 INVACARE PS41618 EA $172.69 0 $0.00 WC 18 U
------------------------------------------------------------------------------------------------------------------------------------
W/C CROSS BRACE 18X16 INVACARE 1016251 PR $41.46 3 $124.38 WCE U
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARMS REMOV,
VISTA E&J 280 PR 1 $0.00 WCE U
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARM REMOV E&J PR 0 $0.00 WCE U
------------------------------------------------------------------------------------------------------------------------------------
W/C DESK ARM REMOV
MAGIC CANADIAN PR 0 $0.00 WCE U
------------------------------------------------------------------------------------------------------------------------------------
W/C SPRINT POWER 16X16 E&J EA 1 $0.00 WD 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEELED COMMODE 18X16 ACTIVAID EA 1 $0.00 WD 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C LASER POWER 18X16 E&J EA 1 $0.00 WD 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 2000 16X16 INVACARE 2066A781 EA $250.00 1 $250.00 WD 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEELED COMMODE 18X16 LUMEX EA 1 $0.00 WD 2 U
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEELED COMMODE 18X16 INVACARE 6695 EA $469.81 1 $469.81 WD 2 U
------------------------------------------------------------------------------------------------------------------------------------
W/C WHEELED COMMODE 18X16 ACTIVAID EA 1 $0.00 WD 2 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 18X20 CANADIAN EA 1 $0.00 WD 2 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TAD POLE TUMBLE FORM 4772T EA 1 $0.00 WD 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C STROLLER #1 CUSTOM KID KART EA 1 $0.00 WD 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C STROLLER #2 CUSTOM KID KART EA 1 $0.00 WD 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C STROLLER #3 CUSTOM KID KART EA 1 $0.00 WD 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXX 18X16 GUARDIAN EA 0 $0.00 WD 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD 18X16 INVACARE TR18SA280 EA $130.28 0 $0.00 WD 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD 18X16 E&J EA 7 $0.00 WD 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD 16X16 E&J EA 1 $0.00 WD 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 16X16 CANADIAN EA 0 $0.00 WD 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 18X16 CANADIAN EA 4 $0.00 WD 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 16X16 CANADIAN EA 2 $0.00 WD 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 18X16 CANADIAN EA 2 $0.00 WD 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 6 $0.00 WD 5 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 16X 16 INVACARE EA 1 $0.00 WD 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C VOYAG E R MAG IC 20X 16 CANAD IAN EA 0 $0.00 WD 6 U
------------------------------------------------------------------------------------------------------------------------------------
176
W/C STANDARD W/C 18X16 E&J EA 0 $0.00 WD 6 U
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97 7 OF 9
177
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C CUSTOM BLUE 18X16 FORTRESS EA 1 $0.00 WD 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRAVELER 18X16 E&J EA 2 $0.00 WD 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 5000 16X18 INVACARE 5068A781 EA $350.00 1 $350.00 WD 6 U
------------------------------------------------------------------------------------------------------------------------------------
W/C STROLLER #4 CUSTOM KID KART EA 1 $0.00 WD 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/X XXXXX 18X16 GUARDIAN EA 1 $0.00 WD 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD 18X16 INVACARE TR18SA080 EA $130.68 0 $0.00 WD 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA080 EA $130.68 0 $0.00 WD 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 1 $0.00 WD 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA080 EA $130.68 0 $0.00 WD 7 U
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD 16X16 INVACARE TR16SA280 EA $151.92 5 $759.60 WD 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PREMIER 2 16X16 E&J EA 1 $0.00 WD 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 18X16 QUICKIE BREEZY2 EA $409.50 4 $1,638.00 WD 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 18X16 QUICKIE BREEZY2 EA $409.50 3 $1,228.50 WD 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD 16X16 INVACARE TR18SA280 EA $130.68 0 $0.00 WD 8 U
------------------------------------------------------------------------------------------------------------------------------------
W/C COMMODER POWER 14X16 FORTRESS EA 1 $0.00 WD U
------------------------------------------------------------------------------------------------------------------------------------
W/C ONE ARM DRIVE 18X16 MEYRA EA 1 $0.00 WD U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER 9000 15X18 INVACARE 9058R182 EA $472.63 0 $0.00 WD 10 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER 9000 14X18 INVACARE 9048R182 EA $472.63 0 $0.00 WD 10 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER TRAVELER 18X17 E&J EA 0 $0.00 WD 10 U
------------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X16 INVACARE TR18SA080 EA $130.68 1 $130.68 WD 10 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER 2000 18X17 INVACARE 2087R182 EA $431.74 0 $0.00 WD 11 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER 4000 16X17 INVACARE 9067R282 EA $431.74 3 $1,295.22 WD 11 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER TRAVELER 16X17 E&J EA 2 $0.00 WD 11 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RECLINER 2000 18X17 INVACARE 2087R282 EA $431.74 3 $1,295.22 WD 11 U
------------------------------------------------------------------------------------------------------------------------------------
W/C CHAMPION 2000 18X16 KUSCHALL EA 1 $0.00 WE 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C ADVANTAGE FA 18X16 E&J EA 1 $0.00 WE 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C QUICKIE RX 18X16 QUICKIE RX EA $799.20 1 $799.20 WE 1 U
------------------------------------------------------------------------------------------------------------------------------------
W/C LTWT W/C 2000 16X16 INVACARE 2066A781 EA $250.00 0 $0.00 WE 2 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 16X16 INVACARE 0XXXX0000 EA $316.01 0 $0.00 WE 3 U
------------------------------------------------------------------------------------------------------------------------------------
W/C EASY LITE 18X16 E&J EA 5 $0.00 WE 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WE 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C PATRIOT 18X16 INVACARE PAWD86 EA $417.50 0 $0.00 WE 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 17X16 QUICKIE BREEZY2 EA $409.50 0 $0.00 WE 4 U
------------------------------------------------------------------------------------------------------------------------------------
W/C WORLD CHAIR 18X16 INVACARE EA $130.68 1 $130.68 WE 4 U
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97 8 OF 9
178
INVENTORY COUNT SHEET
------------------------------------------------------------------------------------------------------------------------------------
U
NIT/ BIN OR
CATEGORY DESCRIPTION SIZE MANUF REORDER # MEA COST QTY EXT $ AISLE # R MIN MAX
------------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 18X16 QUICKIE BREEZY2 EA $409.50 2 $819.00 WE 5 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 0 $0.00 WE 5 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C LTWT W/C 2000 18X16 INVACARE 2086A781 EA $250.00 0 $0.00 WE 5 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C TRACER 18X 16 INVACARE TR18SA080 EA $130.68 0 $0.00 WE 5 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X18 INVACARE 9XTWD8888 EA $356.90 1 $356.90 WE 5 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 16X16 INVACARE 0XXXX0000 EA $316.01 0 $0.00 WE 5 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C BREEZY 16X16 QUICKIE BREEZY2 EA $409.50 0 $0.00 WE 6 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9XT 16X16 INVACARE 0XXXX0000 EA $316.01 0 $0.00 WE 6 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 16X16 CANADIAN EA 1 $0.00 WE 6 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C XXXXX 18X16 GUARDIAN EA 1 $0.00 WE 6 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C HEAVY DUTY 20X16 LUMEX EA 0 $0.00 WE 7 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C RIDE LITE 9000 18X16 INVACARE 9XTWD8688 EA $316.01 0 $0.00 WE 7 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C W/C STANDARD E 1000 16X 16 INVACARE EA $130.68 0 $0.00 WE 7 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C VOYAGER MAGIC 21 X 15 CANADIAN EA 0 $0.00 WE 7 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY LEAD ACID 24V MK BATTERY 24V WET EA $55.10 4 $220.40 WE 8 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY GEL SEAL 24V MK BATTERY 24V SLD G EA $99.75 2 $199.50 WE 8 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY LEAD ACID MK BATTERY 22NF WET EA $40.85 6 $245.10 WE 8 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY GEL SEAL MK BATTERY 22NF SLD G EA $80.75 2 $161.50 WE 8 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY GEL SEAL MK BATTERY U1 WET EA $38.00 6 $228.00 WE 8 U
-----------------------------------------------------------------------------------------------------------------------------------
W/C BATTERY LEAD ACID MK BATTERY U1 SLD G EA $55.10 4 $220.40 WE 8 U
-----------------------------------------------------------------------------------------------------------------------------------
RESP
SUP NASAL CPAP RESPIRONICS 362505 EA 0 $0.00 M Ul
-----------------------------------------------------------------------------------------------------------------------------------
USED TOTAL = $214,332.46
------------------------------------------------------------------------------------------------------------------------------------
PHYSICAL INVENTORY TAKEN 03/31/97 5/14/97 9 of 9
179
SCHEDULE 4.4(I)
ACCOUNTS RECEIVABLE
SEE COMPUTER RUNS DETAILING PAYEE AND DOLLAR AMOUNTS
180
SCHEDULE 4.4(j)
SEE COMPUTER TAPE DELIVERED
TO BUYER AND
SCHEDULE 4.20 AND
CORPORATE RECORDS MAINTAINED
AT CORPORATE OFFICES
181
SCHEDULE 4.5
CONTRACTS
General Description: Contracts with referral sources from New York City area.
Maintained by: Xxxx Xxxxxx
182
SCHEDULE 4.5
CONTRACTS
BLUE CROSS/BLUE SHIELD OF CONNECTICUT
XXXX XXXXXXX HOSPITAL HHA
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER HHA
CABRINI MEDICAL CENTER LTHHC PROGRAM
HHH HOMECARE, INC. LHCSA
XXXXXXXX GERIATRIC CENTER
LENOX HILL HOSPITAL HHA
L.I. VETERANS HOME
METROPOLITAN HOSPITAL CENTER CHHA
NEW YORK CITY HEALTH & HOSPITAL CORP (6 HOSPITALS)
METROPLUS
MOUNT SINAI HOSPITAL HHA
NORTH SHORE UNIVERSITY HOSPITAL CHHA
OXFORD HEALTH PLANS
XXXX COMMUNITY HEALTH NETWORK
CENTERCARE
COMMUNITY CHOICE HEALTH PLAN OF WESTCHESTER
SOUTHSIDE HOSPITAL HHA & LTHHC PROGRAM
ST. XXXXXXX HOSPITAL & REHABILITATION CENTER LTHHC PROGRAM
ST. LUKES / ROOSEVELT HOSPITAL CENTER HHA
ST. MARY'S HOSPITAL FOR CHILDREN
VISITING NURSE SERVICE OF NY CHHA
BROOKLYN HOSPITAL CHHA
ST. VINCENTS CHHA
183
STOCK PURCHASE AGREEMENT AMONG COMMUNITY CARE SERVICES, INC., AS BUYER, AND
XXXXXX XXXXXXXX, XXXXX XXXXX AND XXXXXXX X. XXXXX, AS XXXXXXX DATED MAY 10, 1997
SCHEDULE 4.7
1. B&H Opti-Comp Pharmacy, Inc., et al. vs. Metropolitan Respirator Service,
Inc., et al. (A third party claim arising out of the litigation Presto
Sales and Service, Inc. vs. B&H Opti-Comp Pharmacy, Inc., et al., pending
in the Supreme Court of The State of New York, County of Nassau.)
2. Claims asserted in writing by Xxxx Xxxxxx or his representatives against
the Company and Sellers.
3. Claims defended by insurance carriers which do not have a material adverse
impact on the Business.
184
SCHEDULE 4.8
CUSTOMERS
SEE ATTACHED SCHEDULE
185
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
SCHEDULE 4.8
METROPOLITAN HOME CARE
Top 10 Referral Sources
April 1996 through April 1997
No. Referral Source Sales Amount
--- --------------- ------------
1 Mount Sinai Home Care ***
2 Mount Sinai Rehab ***
3 Mount Sinai Social Work ***
4 Long Island Jewish ***
5 St. Lukes Home Care ***
6 Southside Home Care ***
7 CPMC ***
8 Lenox Hill Hospital ***
9 Cabrini Hospital ***
10 Mount Sinai Out Patient ***
186
SCHEDULE 4.9
SUPPLIERS
SEE ATTACHED SCHEDULE
187
SCHEDULE 4.9
METROPOLITAN HOME CARE
Top 10 Vendors
April 1996 through March 1997
No. Vendors Amount
--- ------- ------
1 Xxxxxx (All Division) $101,102.94
2 Xxxxxx Field Express $467,820.49
3 Lica Medical $99,755.66
4 Xxxxx Medical $42,829.89
5 Respironics $92,296.69
6 Sunmed $185,475.21
7 Quickie Designs $84,656.58
8 Invacare (open acct) $119,862.70
(leases) $468,987.87
9 Suburban Ostomy $53,269.94
10 Aequitron Medical $126,666.02
Total $1,842,733.99
188
SCHEDULE 4.11(g)
COMPENSATION AND BENEFITS
SEE ATTACHED SCHEDULE
189
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN HOME CARE
PAYROLL BUDGET
UPDATED AS OF JANUARY 17, 1997
EMPLOYEE NAME DEPT DAILY HOURLY PER PAYROLL ANNUAL BIWKLY HRS JOB DESCRIPTION
-----------------------------------------------------------------------------------------------------------------------------
XXXXXXXX, D Officer *** *** ***
PRINCE, J Officer *** *** ***
XXXXX, L Officer *** *** ***
TOTAL: (3) 2,307.69 23,076.93 600,000.00
EMPLOYEE NAME DEPT DAILY HOURLY PER PAYROLL ANNUAL BIWKLY HRS JOB DESCRIPTION
-----------------------------------------------------------------------------------------------------------------------------
XXXXXX, X Xxxxx *** *** *** Purchasing Agent
XXXXXX, W Admin *** *** *** General Manager
XXXXXX, W Admin *** *** *** Staff Accountant
XXXXXXXX, K Admin *** *** *** Acct's assistant
TOTAL: (4) 890.05 9,606.55 249,770.30
EMPLOYEE NAME DEPT DAILY HOURLY PER PAYROLL ANNUAL BIWKLY HRS JOB DESCRIPTION
-----------------------------------------------------------------------------------------------------------------------------
XXXXXXX, A Billing *** *** *** 40 Filer P/T
XXXXXXXXX, T Billing *** *** *** 00 Xxx Xxxx
XXXXX, R Billing *** *** *** 80 Prior Approval
XXXXXXXX, M Billing *** *** *** 80 Insurance
XXXXXXXX, A Billing *** *** *** 80 Rx's
XXXXXX, J Billing *** *** *** 80 Old Caid
XXXXXX, B Billing *** *** *** 80 Xxxx
XXXX, J Billing *** *** *** 80 Poster
XXXX, R Billing *** *** *** 40 Filer P/T
XXXXXXXX, P Billing *** *** *** Rx's
FLOWERS, T Billing *** *** *** 40 Filer
IBANEZ, L Billing *** *** *** Mgmt Trainee
KERRUTT, B Billing *** *** *** 75 Care
KING, O Billing *** *** *** 80 Rx's
XXXXXXXX, C Billing *** *** *** 80 Insurance
XXXXXXXXX, C Billing *** *** *** 80 Supervisor-Billing
XXXXXX, M Billing *** *** *** 40 Rx's
MILANO, A Billing *** *** *** 80 Care
XXXXXX, T Billing *** *** *** 00 Xxxx
XXXXXX, X Billing *** *** *** 80 System Admin.
RICCI,S Billing *** *** *** 80 Supervisor-Xxxxxxx
XXXXXXXXX, E Billing *** *** *** 80 Admin Support
XXXXXXXXX, M Billing *** *** *** 48 Care
ROMAN, M Billing *** *** *** 80 Rx's
XXXXX, E Billing *** *** *** 80 Xxxx
XXXXX, M Billing *** *** *** 75 Private
XXXXXX, R Billing *** *** *** 80 Rx's
XXXXXXX, V Billing *** *** *** 80 Purchasing Agent
TOTAL: (30) 259.62 310.21 25,360.27 659,360.67 1878
EMPLOYEE NAME DEPT DAILY HOURLY PER PAYROLL ANNUAL BIWKLY HRS JOB DESCRIPTION
-----------------------------------------------------------------------------------------------------------------------------
XXXXXXX, X X.X. *** *** *** 80
BELLANTESE, L C.S. *** *** ***
XXXXXX, E C.S. *** *** *** 80
XXXXXXX, R C.S. *** *** *** 80
XXXXXXXXX, M C.S. *** *** *** 80
190
AS OF 3/31/97 ACCRUED VACATION
====================================================================================================================================
LAST NAME FIRST NAME DATE VACATION VACATION VACATION EST. VAC.
HIRED EARNED TAKEN REMAINING AMOUNT
====================================================================================================================================
XXXXXX XXXXXX 93/12/28 33 10 23 $2,668.00
XXXXXXX XXXXX 91/11/25 53 44 9 $972.00
XXXXXXX XXXXXXXX 94/06/01 PART TIME
XXXXXXXXXX XXXX 87/11/24 104 99 5 $660.00
XXXXXXXXX XXXX 96/07/08 UNDER 1 YEAR
XXXXX XXXXX 95/09/18 14 20 0
XXXXXXXX XXXXXXXX 96/07/29 UNDER 1 YEAR 4 0
XXXXXXXX XXXXX 96/08/19 UNDER 1 YEAR 5 0
XXXXXX XXXX 95/08/07 17 13 4 $256.00
XXXXX XXXXXXX 92/04/01 50 28 22 $2,961.42
XXXXXX XXXXXXX 96/05/20 UNDER 1 YEAR 1
XXXXXX XXXXX 95/02/06 21 9 12 $1,248.00
DE LA XXXX XXXXXX 95/05/08 18 5 13 $1,380.60
XXXXXX XXXX 95/11/06 20 10 10 $3,538.46
XXXX XXXXXXXXXX 96/01/11 12.5 6 6.5 $364.00
XXXX XXXXXXXX 94/06/27 PART TIME
XXXXXXXX XXXXX 96/03/12 10 2 8 $1,076.88
XXXXXXXX XXXXX'S 95/10/23 15 10 5 $673.05
XXXXXXX XXXXXX 96/04/26 PART TIME
XXXXXXXXX XXXXXX 89/09/11 91 91 0
XXXXXXXXX XXXXXXXX 96/07/31 UNDER 1 YEAR
XXXXXXX XXXXXX 95/07/17 17 16 1 $164.00
XXXXXXX XXXXXX 94/04/22 30 7 23 $1,702.00
XXXXXXX RAKEEMIA 95/03/20 20 11 9 $648.00
XXXXX XXXXXXXXX 96/10/07 PART TIME
XXXXXXXXXX XXXXX 96/09/30 UNDER 1 YEAR
XXXX XXXX 92/11/96 44 41 3 $406.00
XXXXX XXXXXX 91/05/06 58 34 24 $3,692.16
XXXXXXX XXX 93/04/14 PART TIME
XXXXXXX XXXXXXX 94/03/28 30 10 20 $4,230.80
XXXXXX XXXXXX 93/04/12 40 19 21 $1,428.00
IBANZE XXXX 96/08/12 UNDER 1 YEAR
XXXXXXX XXXXXXXXX 96/07/08 UNDER 1 YEAR
XXXX XXXXXX 96/05/20 UNDER 1 YEAR
XXXXX XXXXXXXXX 87/09/01 110 86 24 $4,615.44
XXXXXX XXXXXXXXXXX 96/11/18 UNDER 1 YEAR
XXXXXXXX XXXXXX 93/04/19 40 24 16 $1,536.00
XXXXX XXXXXXXX 96/11/05 UNDER 1 YEAR
XXXXX XXXXXXX 94/08/08 27 8 19 $1,368.00
XXXXX XXXXX 96/11/04 UNDER 1 YEAR
XXXXXX XXXXX 93/10/18 34 28 6 $540.00
XXXXXXXX XXXXXXX 95/01/03 PART TIME
XXXXXXXX XXXXX 96/04/15 UNDER 1 YEAR
XXXXXXXXX XXXXXXX 94/06/27 28 31
XxXXXX XXXXX 92/10/06 44 28 16 $1,856.00
Page 1
191
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN HOME CARE
PAYROLL BUDGET
UPDATED AS OF JANUARY 17, 1997
XXXXXXXX, X X.X. *** *** *** 80
XXXXXX, X X.X. *** *** ***
ROGERS, T C.S. *** *** *** 80
SANFANANDRE, C C.S. *** *** *** 80
TOTAL: (11) 293.85 94.75 283,998.42 273,479.96 560
EMPLOYEE NAME DEPT DAILY HOURLY PER PAYROLL ANNUAL BIWKLY HRS JOB DESCRIPTION
-----------------------------------------------------------------------------------------------------------------------------
GREEN, L Driver *** *** *** 48 Part-time
XXXXXXX, L Driver *** *** *** 80
XXXXXX, W Driver *** *** *** 40 Part-time
XXXX, L Driver *** *** *** 80
XXXXXXX, R Driver *** *** *** 80
VERNILLO, J Driver *** *** *** 80
TOTAL: (6) 63.50 4,572.00 118,872.00 408
EMPLOYEE NAME DEPT DAILY HOURLY PER PAYROLL ANNUAL BIWKLY HRS JOB DESCRIPTION
-----------------------------------------------------------------------------------------------------------------------------
XXXXX, X X/H *** *** *** 80 Repair/Technician
XXXXXXXXX, X X/H *** *** *** 80 Dispatch
XXXXXXX, X X/H *** *** *** 80 Equipment Cleaning
XXXXXXXX, X X/H *** *** *** 80 Xxxxxx
XXXXX, X X/H *** *** *** Asst. Manager
XXXXXXXX, X X/H *** *** *** Manager
HAZELL, T W/H *** *** *** 80 Repairs/Technician
XXXXX, X X/H *** *** *** 80 Repairs/Technician
XXXXXXXX, X X/H *** *** *** 80 Packer
XXXXXXXX, X X/H *** *** *** 80 Packer
XXXXXXX, X X/H *** *** *** 80 Packer
XXXXXXXX, X X/H *** *** *** 80 Packer
TOTAL: (9) 365.39 88.33 10,600.24 275,600.00 780
EMPLOYEE NAME DEPT DAILY HOURLY PER PAYROLL ANNUAL BIWKLY HRS JOB DESCRIPTION
-----------------------------------------------------------------------------------------------------------------------------
XXXXXX, A Resp *** *** *** Director
FORRESTER, S Resp *** *** *** Resp X.X.
XXXXXXX, T Resp *** *** *** 80 Therapist
XXXXX, B Resp *** *** *** Therapist
XXXXX, J Resp *** *** *** 80 Resp X.X.
XXXXXXXX, D Resp *** *** *** Therapist
ROGERS, B Resp *** *** *** XXXXX
XXXXXX, R Resp *** *** *** Therapist
XXXXXXXX, S Resp *** *** *** 80 Clerk
TOTAL: (9) 1,170.34 47.01 15,464.04 402,064.80 240
EMPLOYEE NAME DEPT DAILY HOURLY PER PAYROLL ANNUAL BIWKLY HRS JOB DESCRIPTION
-----------------------------------------------------------------------------------------------------------------------------
XX XX XXXX, D Rehab *** *** *** Rehab Tech
HALL, A Rehab *** *** *** CSR Supervisor
XXXXX, E Rehab *** *** *** CSR Supervisor
XXXXXXX, E Rehab *** *** *** 80 Technician
XXXXX, X Xxxxx *** *** *** 60 Technician
TOTAL: (5) 362.25 26.25 5,422.50 140,985.00 140
192
AS OF 3/31/97 ACCRUED VACATION
XxXXXXX XXXXXXX 92/06/01 48 40 8 $800.00
XXXXXX XXXXXX 93/06/28 38 30 8 $816.00
XXXXXXXX XXX 96/04/01 10 0 10 $1,442.30
XXXXXX XXXXXX 96/09/16 UNDER 1 YEAR
XXXXX XXXXXX 95/08/07 17 4 13 $1,560.00
XXXXXX XXXXXX 96/04/02 UNDER 1 YEAR
XXXXXX XXXXXX 96/12/30 UNDER 1 YEAR
XXXXXXXX XXXXX 94/02/23 30 19 11 $704.00
XXXXXXX XXXXX 96/09/16 UNDER 1 YEAR
XXXXXX XXXXX 93/08/30 37 16 21 $2,184.00
XXXX XXXXX 95/4/10 20 12 8 $895.00
XXXXX-XXXXXX XXXXXXX 92/05/01 48 40 6 $1,024.00
XXXX XXXXX 92/05/20 48 33 15 $1,200.00
XXXXX XXXXXX 93/04/19 40 15 25 $3,461.50
XXXXXXXX XXXXXXX 97/01/27 UNDER 1 YEAR
XXXXXXXXX XXXXXX 93/04/19 40 30 10 $820.00
XXXXXXXXX XXXXXXX 96/10/14 UNDER 1 YEAR
XXXXXX XXXXXXX 96/10/28 UNDER 1 YEAR
XXXXXX XXXXXXX 96/11/04 UNDER 1 YEAR
XXXXX XXXXX 93/10/18 34 24 10 $800.00
XXXXXXX XXXXXXX 93/01/14 42 31 11 $1,100.00
XXXXXXX XXXXXXXXXXX 96/05/14 UNDER 1 YEAR
SANFANDRE XXXXXX 96/10/28 UNDER 1 YEAR
XXXXX XXXX 95/07/03 17 10 7 $728.00
XXXXX XXXXX 94/12/05 23 16 7 $476.00
XXXXXXXXXXX XXXXXX 96/02/19 11 1 10 $1,280.00
XXXXXXXX XXXX 90/08/13 66 65 1 $120.00
XXXXXXX XXXXXXXX 95/05/18 18 9 9 $684.00
XXXXXXXX XXXXXXXXX 95/05/22 18 2 16 $1,184.00
XXXXXXX XXXXXXXXX 97/01/15 UNDER 1 YEAR
XXXXXX XXXXXXX 92/07/13 47 28 19 $3,642.87
TOTAL
Page 2
193
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN HOME CARE
PAYROLL BUDGET
UPDATED AS OF JANUARY 17, 1997
EMPLOYEE NAME DEPT DAILY HOURLY PER PAYROLL ANNUAL BIWKLY HRS JOB DESCRIPTION
-----------------------------------------------------------------------------------------------------------------------------
XXXXX, S Sales *** *** *** Manager
XXXXXXXX, A Sales *** *** *** Tech. Supervisor
XXXXX, X Xxxxx *** *** *** Xxxxxxxx Supervisor
XXXXXX, X Xxxxx *** *** *** Salesman
TOTAL: (5) 663.47 6,634.61 172,500.00
EMPLOYEE NAME DEPT DAILY HOURLY PER PAYROLL ANNUAL BIWKLY HRS JOB DESCRIPTION
-----------------------------------------------------------------------------------------------------------------------------
MALOOF, C Xxxx Co *** *** ***
TOTAL: (1) *** *** ***
EMPLOYEE NAME DEPT DAILY HOURLY PER PAYROLL ANNUAL BIWKLY HRS JOB DESCRIPTION
-----------------------------------------------------------------------------------------------------------------------------
XXXXXXXX, X Xxxxxxxx *** Resp. Therapist
BERLIN, X Xxxxxxxx *** Resp. Therapist
COQ, X Xxxxxxxx *** Resp. Therapist
XXXXXX, P Xxxxxxxx *** Resp. Therapist
MERCY, X Xxxxxxxx *** Resp. Therapist
XXXXXXXXXX, T Xxxxxxxx *** Resp. Therapist
XXXXX, N Xxxxxxxx *** Resp. Therapist
XXXXXXXXXXX, I Xxxxxxxx *** Resp. Therapist
XXXXXX, R Xxxxxxxx *** Resp. Therapist
TOTAL: (6) 1,975.00
GRND TOTAL: 89 385,635.56 2,916,032.73
===========================
TOTAL: (1) *** *** ***
EMPLOYEE NAME DEPT DAILY HOURLY PER PAYROLL ANNUAL BIWKLY HRS JOB DESCRIPTION
-----------------------------------------------------------------------------------------------------------------------------
XXXXXXXX, X Xxxxxxxx *** Resp. Therapist
BERLIN, X Xxxxxxxx *** Resp. Therapist
COQ, X Xxxxxxxx *** Resp. Therapist
XXXXXX, P Xxxxxxxx *** Resp. Therapist
MERCY, X Xxxxxxxx *** Resp. Therapist
XXXXXXXXXX, T Xxxxxxxx *** Resp. Therapist
XXXXX, N Xxxxxxxx *** Resp. Therapist
XXXXXXXXXXX, I Xxxxxxxx *** Resp. Therapist
XXXXXX, R Xxxxxxxx *** Resp. Therapist
TOTAL: (6) 1,975.00
GRND TOTAL: 89 385,635.56 2,916,032.73
===========================
194
SCHEDULE 4.11(I)
CHANGE IN ACCOUNTING PROCEDURES
NONE
195
SHEET 1
BANK ACCOUNT ACCT # PURPOSE BALANCE AS OF
XXXXXXX XXXXX 841-07701 OPERATING/LINE $861,714.00 1/31/96
841-07F60 PAYROLL $ 19,459.00 1/31/97
841-07F61 SAVINGS $ 10,686.00 1/31/97
841-05F15 PENSION $807,620.00 1/31/97
841-05F16 PROFIT SHARING $ 84,563.00 1/31/97
FLEET 0521009142 CHECKING RETAIL $ 4,373.00 12/31/97
196
AUTHORIZED SIGNATURE
XXXXXX XXXXXXXX
XXXX XXXXXX
XXXXX XXXXX
197
SCHEDULE 4.17(a)
LICENSES AND PERMITS
MEDICARE PROVIDER NUMBER
MEDICAID PROVIDER NUMBER
198
SCHEDULE 4.19(b)
LIABILITIES
Liabilities arising under the Leases for past
escalations, not exceeding $30,000.
199
SCHEDULE 4.20
EMPLOYEE BENEFIT PLANS
SEE ATTACHED CURRENT STATUS PREPARED BY APS PENSION &
FINANCIAL SERVICES, INC.
200
APS PENSION & FINANCIAL SERVICES INC.
000 Xxxxx Xxxxxxxx Xxxx. * Uniondale, NY 11553
(000) 000-0000 * FAX (000) 000-0000
================================================================================
PRINCIPALS
Xxxxxxx Xxxxxxxx, Certified Pension Consultant
X. Xxxxxx Xxxxxxx, Master of Science in Financial Services
Xxxxx Xxxxx, XXX, MAAA, Enrolled Actuary
December 18, 1996
Xxxx Xxxxxx
Metropolitan Home Care
0000 Xxxxxx Xxxx
Xxxxx, XX 00000
Re: Metropolitan Respiratory Services, Inc. Profit Sharing Plan
The enclosed data, Xx. Xxxxxx . . .
outlines the current status of the Metropolitan Respiratory Services, Inc.
Profit Sharing Plan. Copies of the participants' statements and Summary Annual
Report should be distributed and the originals retained for your files.
As indicated on the terminated employee page of the valuation, certain
participants were eligible for payouts. Please have them read the enclosed
forms, sign where applicable, and return the signed copies to APS Pension
Services Inc.
The trustees are responsible for the issuance of Form 1099-R to each terminated
participant for the year in which the distribution was made. The trustees are
responsible for the furnishing of any applicable withholding tax to the IRS with
the appropriate forms.
If you should need any additional cards, or have any questions, please call.
Best regards,
APS PENSION & FINANCIAL SERVICES INC.
/s/ Xxxxxxx Xxxxxxxx
----------------------------------------
Xxxxxxx Xxxxxxxx
Pension Consultant
SG:lm
Enc.
================================================================================
Retirement Plan Consultants * Estate Tax Consulting * Insurance Planning *
Marital Evaluations * Employee Benefit Advisors * Investment Strategies *
Asset Protection
201
Summary Annual Report for Metropolitan Respiratory Services, Inc. Profit Sharing
Plan
This is a summary of the annual report for Metropolitan Respiratory Services,
Inc. Profit Sharing Plan, 00-0000000 for January 1, 1995 to December 31, 1995.
The annual report has been filed with the Internal Revenue Service, as required
under the Employee Retirement Income Security Act of 1974 (ERISA).
BASIC FINANCIAL STATEMENT
Benefits under the plan are provided by a trust and insurance. Plan expenses
were $30,511. These expenses include $433 in administrative expenses and $27,660
in benefits paid to participants and beneficiaries, and $2,418 in other
expenses. A total of 55 persons were participants in or beneficiaries of the
plan at the end of the plan year, although not all of these persons had yet
earned the right to receive benefits.
The value of the plan assets, after subtracting liabilities of the plan, was
$322,364 as of December 31, 1995 compared to $230,233 as of January 1, 1995.
During the plan year the plan experienced an increase in its net assets of
$92,130. This increase includes unrealized appreciation or depreciation in the
value of plan assets; that is, the difference between the value of the plan's
assets at the end of the year and the value of the assets at the beginning of
the year or the cost of assets acquired during the year. The plan had total
income of $122,641 including employer contributions of $23,697, employee
contributions of $60,031 and earnings from investments of $38,896.
The plan has contracts with Mutual of New York which allocates funds toward
individual contracts. The total premiums paid for the plan year ending December
31, 1995 were $2,418.
202
YOUR RIGHTS TO ADDITIONAL INFORMATION
You have the right to receive a copy of the full annual report or any part
thereof, on request. The items listed below are included in that report:
-assets held for investment;
-transactions in excess of 3 percent of plan assets;
-insurance information including sales commission.
To obtain a copy of the full annual report, or any part thereof, write or call
the office of Metropolitan Respiratory Services, Inc., who is the plan
administrator, 0000 Xxxxxx Xxxx Xxxxx, XX 00000, (000) 000-0000. The charge to
cover copying costs will be $5.00 for the full annual report, or $1.00 per page
for any part thereof.
You also have the right to receive from the plan administrator, on request and
at no charge, a statement of the assets and liabilities of the plan and
accompanying notes, or a statement of income and expenses of the plan and
accompanying notes or both. If you request a full annual report from the plan
administrator, these two statements and accompanying notes will be included as
part of that report. The charge to cover copying cost given above does not
included a charge for the copying of these portions of the report because these
portions are furnished without charge.
You also have the legally protected right to examine the annual report at the
main office of the plan, 0000 Xxxxxx Xxxx Xxxxx, XX 00000, (at any other
location where the report is available for examination), and at the U.S.
Department of Labor in Washington, D.C., or to obtain a copy from the U.S.
Department of Labor upon payment of copying costs. Requests to the Department
should be addressed to: Public Disclosure Room, N4677, Pension and Welfare
Benefit Programs, Department of Labor, 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington,
D.C. 20216.
203
Metropolitan Respiratory Services
Profit Sharing Plan
401(k) Provision
Plan Valuation as of December 31, 1995
204
To the Trustee of
Metropolitan Respiratory Services
Profit Sharing Plan
401(k) Provision
Based on the information provided, we are pleased to present our evaluation of
your 401(k) portion of your Profit Sharing Plan as of 12/31/95. Our calculation
of the contribution for the preceding year amounts to:
The number of active Plan Participation is fifty-seven.
Employee Deferrals $52,855.98
Employer Matching Contribution $23,697.10
----------
Total Contribution $76,553.08
All calculations were performed with accepted actuarial practices based upon the
participant and salary information and financial data which have been supplied
by you.
205
METROPOLITAN RESPIRATORY SERVICES
PROFIT SHARING PLAN 401(K) PROVISION
FOR THE PLAN YEAR ENDING DECEMBER 31, 1995
PLAN SPECIFICATIONS
1. EFFECTIVE DATE January 1, 1992
2. PLAN ELIGIBILITY All non-union employees who
have attained age 21 and
completed one year of
service.
3. PLAN ENTRY DATE January 1, or July 1
following the date
eligibility requirements
are met.
4. CONTRIBUTIONS:
a. Employee Deferrals An eligible employee may
elect to defer up to 20%
(less the matching employer
contribution described
below) of compensation on a
before-tax basis, but no
more than $9,240 for
calendar year 1995.
b. Employee Contributions An eligible employee may
elect to defer up to 20% of
compensation on an after-
tax basis; but the sum of
the employee deferral,
contribution and employee
match may not exceed 25% of
taxable compensation.
c. Company Non-Matching Contributions At the discretion of the
company's board of
directors regardless of
profits.
d. Company Matching Contributions The company will match 50%
of the employee deferrals
up to four (4%) of
compensation.
5. NORMAL RETIREMENT AGE The later of age 60 and
five years of plan
participation.
6. NORMAL RETIREMENT DATE The plan anniversary
nearest the normal
retirement age.
206
7. VESTING
a. Accounts which are always 100% vested Employee Deferrals
Company matching of
Employee Deferrals
b. Vesting of Company Non-Matching Contributions Years of Percent
Service Vested
------- ------
Less than 2 0%
2 20%
3 40%
4 60%
5 80%
6 100%
8. 401(k) NON DISCRIMINATION TESTING
The Actual Deferral Percentage test compares the percentage of
compensation deferred by the Highly Compensated Employees ("HCE") to
the percentage of compensation deferred by the Non-Highly Compensated
Employees ("NHCE"). HCE's generally are those that are 5% or more
owners, receive compensation in excess of $75,000 as indexed
($100,000 for 1995), receive compensation in excess of $50,000 as
indexed ($66,000 for 1995) and was in the top-paid group (the 20%
with the highest compensation), or was an officer receiving
compensation in excess of $45,000 as indexed (60,000 for 1995).
The Actual Deferral Percentage ("ADP") for a group of employees is
the average of each employee's elective contributions divided by the
employee's compensation. The ADP for the HCE's may not exceed the ADP
of the NHCE's multiplied by 1.25, or, if greater, two percent more
than the ADP of the NHCE's. However, if the ADP of the NHCE's is less
than 2%, the ADP for the HCE's may not exceed 200% of the ADP of the
NHCE's.
The Actual Deferral Percentage test for this year is:
a. Non Highly Compensated Employees average ADP 3.09%
b. Multiplied by 1.25% 3.86%
c. Lesser of (a) + 2% or 2 x (a) 5.09%
d. Maximum average ADP for Highly Compensated 5.09%
(greater of "b" and "c")
e. Actual average ADP for Highly Compensated 5.03%
207
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES
401 (k) PROFIT SHARING PLAN
FOR THE PLAN YEAR ENDING 12/31/95
DATE OF DATE OF DATE OF NET
NAME BIRTH HIRE ENTRY SALARY
---- ----- ---- ----- ------
FARGNOLI, D 01/20/46 01/O1/80 06/01/87 ***
BURDI, S 01/18/58 06/12/89 06/01/90 ***
PRINCE, J 05/29/48 02/O1/86 06/01/87 ***
ROCCO, L 12/31/50 04/01/75 06/01/87 ***
SIMONDS, W 04/03/55 11/05/90 01/01/92 ***
SOMMER, S 04/19/46 01/09/90 06/01/91 ***
SUB TOTAL 948,142
ALEXIS,H 05/02/72 12/28/93 01/01/95 ***
ASHFORD, T 11/14/62 11/25/91 01/01/93 ***
AUTOLINO, N 03/15/61 07/09/90 01/01/92 ***
BARBOSA, M 09/18/59 06/15/93 07/01/94 ***
BELLANTESE, L 01/20/68 11/24/87 06/01/89 ***
BUKANT, D 01/21/57 04/01/91 07/01/92 ***
BULLINER,O 04/10/73 12/10/90 07/01/94 ***
CHUNG, D 04/26/55 04/01/92 07/01/93 ***
COLLINS, D 11/27/61 00/00/00 01/01/95 ***
DUNN,S 06/03/62 02/15/93 07/01/94 ***
FORRESTER, S 07/06/53 09/11/89 12/O1/90 ***
GENTILE,L 06/02/51 06/20/94 07/01/95 ***
GOLDING,G 06/11/42 04/22/94 07/01/95 ***
GREEN,L 10/02/63 07/26/93 01/01/95 ***
HALL,A 05/02/41 11/16/92 01/01/94 ***
HARRY,H 05/06/59 05/06/91 07/O1/92 ***
HARTNETT,A 04/21/53 04/14/93 07/01/94 ***
HARTNETT,W 09/05/56 03/28/94 07/01/95 ***
HAZELL,T 06/30/67 04/12/93 07/01/94 ***
JUNIOUS,P 08/05/58 01/31/94 07/01/95 ***
LENTZ, G 03/O1/50 09/01/87 12/O1/88 ***
LOCKHART,C 05/02/69 04/19/93 07/01/94 ***
MALOOF,C 10/23/48 10/18/93 01/01/95 ***
MCDERMOTT,C 08/08/68 06/27/94 07/01/95 ***
McIVER, M 09/01/46 10/06/92 01/01/94 ***
MCLARTY, L 04/03/53 06/01/92 07/01/93 ***
MILANO, ANN 01/27/57 06/28/93 07/01/94 ***
MOLINA, P 07/30/68 12/12/93 01/01/95 ***
MORET, N 04/23/59 05/24/93 07/01/94 ***
MOUZOB, J 03/07/48 05/01/91 07/01/92 ***
O'CONNER, C 02/01/62 03/25/86 06/01/87 ***
OGUST, M 03/05/65 01/26/94 07/01/95 ***
PADILLA, L 03/21/61 11/17/92 01/01/94 ***
PANTON, D 12/17/45 10/01/93 01/01/95 ***
PEISCHEL, F 01/14/62 02/23/94 07/01/95 ***
PIMENTEL, V 08/03/52 10/02/93 01/01/95 ***
POLUHA, S 08/25/66 08/30/93 01/01/95 ***
RAMKISSOON, S 02/23/56 07/06/92 01/01/94 ***
RAMKISSOON, S 02/23/56 07/01/92 01/01/94 ***
RAPPA-TORRES, R 03/28/65 05/01/92 07/01/93 ***
REID, L 09/10/70 05/20/92 07/01/93 ***
ROCCO, J 12/03/56 04/01/89 07/01/90 ***
ROCCO, J 12/03/56 04/01/89 06/01/90 ***
RODRIGUEZ, E 05/04/46 04/19/93 07/01/94 ***
ROGERS, T 08/19/65 04/04/94 07/01/95 ***
ROMAN, M 10/24/70 10/18/93 01/01/95 ***
RUIZ, K 06/19/62 03/07/94 07/01/95 ***
STEWART, S 05/16/62 11/08/93 01/01/95 ***
VERNILLO, J 04/16/65 08/13/90 01/01/92 ***
WRIGHT, W 10/23/33 07/13/92 01/01/94 ***
ZECCOLA, T 09/10/69 02/28/94 07/01/95 ***
SUBTOTAL 1,140,848
TOTAL 2,088,990
208
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES
401(k) PROFIT SHARING PLAN
FOR THE PLAN YEAR ENDING 12/31/95
NET EMPLOYEE
NAME SALARY SALARY DEPOSIT* MATCH %
---- ------ ------ -------- ----- ---
FARGNOLI, D *** *** 4923.60 2461.80 4.92
BURDI, S *** *** 4692.07 3000.00 5.13
PRINCE, J *** *** 4923.60 2461.80 4.92
ROCCO, L *** *** 4923.60 2461.80 4.92
SIMONDS, W *** *** 1262.00 806.95 5.13
SOMMER, S *** *** 2286.33 1461.48 5.13
SUBTOTAL 948,142 925,131 23011.20 12653.83 5.03
ALEXIS,H *** *** 0.00 0.00 0.00
ASHFORD, T *** *** 0.00 0.00 0.00
AUTOLINO, N *** *** 0.00 0.00 0.00
BARBOSA, M *** *** 0.00 0.00 0.00
BELLANTESE, L *** *** 0.00 0.00 0.00
BUKANT, D *** *** 875.17 315.07 7.56
COX,0(Bulliner) *** *** 0.00 0.00 0.00
CHUNG, D *** *** 0.00 0.00 0.00
COLLINS, D *** *** 0.00 0.00 0.00
DUNN,S *** *** 60.00 30.00 4.80
FORRESTER, SA *** *** 1263.96 631.98 4.58
GENTILE,L *** *** 131.91 65.96 0.84
GOLDING,G *** *** 0.00 0.00 0.00
GREEN,L *** *** 0.00 0.00 0.00
HALL,A *** *** 1224.00 569.84 6.30
HARRY,H *** *** 0.00 0.00 0.00
HARTNETT,A *** *** 0.00 0.00 0.00
HARTNETT,W *** *** 890.69 445.35 3.16
HAZELL,T *** *** 0.00 0.00 0.00
JUNIOUS,P *** *** 130.00 65.00 1.35
LENTZ, C *** *** 4008.28 849.10 11.44
LOCKHART,C *** *** 364.00 182.00 2.51
MALOOF,C *** *** 0.00 0.00 0.00
McDERMOTT,C *** *** 558.22 279.11 2.62
McIVER, M *** *** 908.50 430.01 6.23
209
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
NET EMPLOYEE
NAME SALARY SALARY DEPOSIT* MATCH %
---- ------ ------ -------- ----- ---
MCLARTY L *** *** 2561.37 452.79 13.31
MILANO,ANN *** *** 788.00 370.47 6.25
MOLINA,P *** *** 709.21 354.61 4.34
MORET,N *** *** 0.00 0.00 0.00
MOUZOB, J *** *** 1117.32 431.13 7.18
O'CONNER,C *** *** 0.00 0.00 0.00
OGUST,M *** *** 0.00 0.00 0.00
PADILLA,L *** *** 1198.80 461.48 7.20
PANTON,D *** *** 0.00 0.00 0.00
PEISCHEL,F *** *** 0.00 0.00 0.00
PIMENTEL,V *** *** 0.00 0.00 0.00
POLUHA,S *** *** 2626.34 450.16 13.67
RAMKISSOON,S *** *** 0.00 0.00 0.00
RAPPA-TORRES, *** *** 1143.96 559.50 6.09
REID, L *** *** 1010.71 484.10 6.18
RICCI,S *** *** 1587.59 571.52 7.56
ROCCO,J *** *** 0.00 0.00 0.00
RODRIGUEZ,E *** *** 725.00 362.50 5.26
ROGERS,T *** *** 293.30 146.65 1.51
ROMAN,M *** *** 115.62 57.81 1.27
RUIZ,K *** *** 0.00 0.00 0.00
SALDANA,R *** *** 1220.00 496.73 6.91
STEWART, S *** *** 260.00 130.00 3.34
VERNILLO, J *** *** 1544.87 654.74 6.72
ZECCOLA,T *** *** 341.44 170.72 3.20
WRIGHT,W *** *** 2186.52 1024.94 6.27
SUBTOTAL 1,140,848 1,111,003 29844.78 11043.26 3.09
TOTAL 2,088,990 2,036,134 52855.98 23697.10
*REFUNDS TO PASS ADP
S. Burdi $2,175
W. Simonds $688
S. Sommer $1,680
N. Rodia $2,632 (Refund not eligible)
210
METROPOLITAN RESPIRATORY SERVICES
PLAN VALUATION AS OF DECEMBER 31, 1995
ASSET RECONCILIATION
401 (k) Accounts
Balance as of 01/01/95* $151,414
--------
Receipts:
Employee 401 (k) Deferrals 60,031
Employer Matching Contribution 23,697
Gains, Interest, Dividends 34,587
Rollover 2,621
Total Receipts $120,936
--------
Subtotal $272,350
--------
Disbursements:
Premium Payments 2,418
Payouts to Terminated Participants 27,660
Loans to Participants 6,000
Administrative Fees 433
Total Disbursements $ 36,511
--------
Balance as of 12/31/95* $235,839
--------
*Does not include cash value of life insurance policies or outstanding loans.
211
Metropolitan Respiratory Services
Profit Sharing Plan
Plan valuation as of December 31, 1995
212
To the Trustees of
Metropolitan Respiratory Services
Profit Sharing Plan
Based on the information provided, we are pleased to present our evaluation of
your Profit sharing Plan as of 12/31/95. Our calculation of the contribution for
the preceding year amounts to:
Auxiliary Fund Contribution $0
The number of Active Plan Participants is forty-four.
213
Metropolitan Respiratory Services
Profit Sharing Plan
Terminated Employee(s) with Break in Service during the Plan year from January,
1995 to December 31, 1995
MERRILL
LYNCH
DATE OF ACCT BAL VESTED AMOUNT AMOUNT
NAME TERM @12/31/95 % FORF. DUE
---- ------- --------- ------ ------ ------
D. Fitzgerald 04/30/92 939.42 40 563.52 375.90
D. Kent 07/14/92 429.31 60 171.72 257.59
C. Moore 05/23/93 485.34 60 194.14 291.20
214
METROPOLITAN RESPIRATORY INC. PROFIT SHARING PLAN
PROFIT SHARING PLAN SPECIFICATIONS
EFFECTIVE DATE JUNE 1, 1987
VALUATION DATE DECEMBER 31, 1995
ELIGIBILITY REQUIREMENTS (A) MINIMUM MONTHS OF SERVICE: 12
(B) MINIMUM AGE: 21
(C) MAXIMUM AGE: NONE
(D) PARTICIPANT ENTERS PLAN ON ELIGIBILITY
DATE FOLLOWING COMPLETION OF
ELIGIBILITY REQUIREMENTS
(E) ENTRY DATE : JANUARY 1
ENTRY DATE 2: JULY 1
NORMAL RETIREMENT AGE (A) PLAN ANNIVERSARY NEAREST AGE 60 OR
5 YEARS OF PARTICIPATION, IF LATER
EMPLOYER CONTRIBUTION $0.00
ALLOCATION FORMULA ALLOCATED PROPORTIONATELY TO
ANNUAL COMPENSATION
INVESTMENT OPTIONS MER LYNCH - CASH INVESTMENT
GAIN / LOSS ALLOCATION GAINS ALLOCATED ON PRIOR ACCOUNT BALANCE
FORFEITURE ALLOCATION ALLOCATED PROPORTIONATELY TO SALARY
EMPLOYER ACCOUNT
215
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
PROFIT SHARING PLAN SPECIFICATIONS
EMPLOYER VESTING SCHEDULE YR. % YR. % YR. %
--- --- --- --- --- ---
1 0 3 40 5 80
2 20 4 60 6 100
VESTING BASED UPON TOTAL SERVICE
216
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION DATE 12/31/95
EMPLOYEE STATUS REPORT
SOCIAL NORMAL
SECURITY RETIREMENT ENTRY PERIOD TERMINATION
NAME NUMBER S AA RA BORN EMPLOYED DATE DATE SALARY STATUS DATE
TANYA ASHFORD F 33 60 11/14/62 11/25/91 06/01/22 01/01 93 *** ACTIVE
LENA BELLANTESE F 28 60 01/20/68 11/24/87 06/01/28 06/01/89 *** ACTIVE
SAVERIO BURDI+ M 38 60 01/18/58 06/12/89 06/01/18 12/01/90 *** ACTIVE
DONAHUE CHUNG M 41 60 04/26/55 04/01/92 06/01/15 07/01/93 *** ACTIVE
OSHUN COX BULLIN F 23 60 04/10/73 12/10/90 06/01/33 07/01/94 *** ACTIVE
DONALD FARGNOLI+ M 50 60 01/20/46 01/01/80 06/01/06 06/01/87 *** ACTIVE
SANDRA FORRESTER F 42 60 07/06/53 09/11/89 06/01/13 12/01/90 *** ACTIVE
ANNA HALL F 55 60 02/05/41 11/16/92 06/01/01 01/01/94 *** ACTIVE
ANNETTE HANDLER F 33 60 11/26/62 10/02/89 06/01/22 12/01/90 *** ACTIVE
HAROLD HARRY M 37 60 05/06/59 05/06/91 06/01/19 07/01/92 *** ACTIVE
TYRONE HAZELL M 29 60 06/30/67 04/12/93 06/01/27 07/01/94 *** ACTIVE
CELESTINE LENTZ F 46 60 03/01/50 09/01/87 06/01/10 12/01/88 *** ACTIVE
CHERYL LOCKHART F 27 60 05/02/69 04/19/93 06/01/29 07/01/94 *** ACTIVE
MARIA MCIVER F 50 60 01/09/46 10/06/92 06/01/06 01/01/94 *** ACTIVE
LINFORD MCLARTY M 43 60 04/03/53 06/01/92 06/01/13 07/01/93 *** ACTIVE
ANNETTE MILANO F 39 60 01/27/57 06/28/93 06/01/17 07/01/94 *** ACTIVE
JACK PRINCE+ M 48 60 05/29/48 02/01/86 06/01/08 06/01/87 *** ACTIVE
ROSEANN RAPPA-TORRE F 31 60 03/28/65 05/01/92 06/01/25 07/01/93 *** ACTIVE
LLOYD REID M 25 60 09/10/70 05/20/92 06/01/30 07/01/93 *** ACTIVE
12-18-1996
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*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION DATE 12/31/95
EMPLOYEE STATUS REPORT
SOCIAL NORMAL
SECURITY RETIREMENT ENTRY PERIOD TERMINATION
NAME NUMBER S AA RA BORN EMPLOYED DATE DATE SALARY STATUS DATE
SYLVIA RICCI F 31 60 01/07/65 04/19/93 06/01/25 07/01/94 *** ACTIVE
JOHN ROCCO M 39 60 12/03/56 01/01/87 06/01/17 06/01/90 *** ACTIVE
LOUIS ROCCO+ M 45 60 12/31/50 04/01/74 06/01/11 06/01/87 *** ACTIVE
ELVIRA RODRIGUEZ F 50 60 05/04/46 04/19/93 06/01/06 07/01/94 *** ACTIVE
RAYMOND SALDANA M 32 60 07/14/63 01/04/93 06/01/23 07/01/94 *** ACTIVE
SCOTT SOMMER M 50 60 04/19/46 01/09/90 06/01/06 06/01/91 *** ACTIVE
JOHN VERNILLO M 31 60 04/16/65 08/13/90 06/01/25 01/01/92 *** ACTIVE
WILLIAM WRIGHT M 62 66 10/23/33 07/13/92 06/01/99 01/01/94 *** ACTIVE
HAYDEN ALEXIS M 24 60 05/02/72 12/28/93 06/01/32 01/01/95 *** NEW ENTR.
LOUISE GENTILE F 45 60 06/02/51 06/20/94 06/01/11 07/01/95 *** NEW ENTR.
GERALD GOLDING M 54 60 06/11/42 04/22/94 06/01/02 07/01/95 *** NEW ENTR.
WILLIAM HARGNETT M 39 60 09/05/56 03/28/94 06/01/16 07/01/95 *** NEW ENTR.
ANN HARTNETT F 43 60 04/21/53 04/14/93 06/01/13 07/01/94 *** NEW ENTR.
PAMELA JUNIOUS F 37 60 08/05/58 01/31/94 06/01/18 07/01/95 *** NEW ENTR.
CHRIS MALOOF M 47 60 10/23/48 10/18/93 06/01/08 01/01/95 *** NEW ENTR.
CAMILLE MCDERMOTT F 27 60 08/08/68 06/27/94 06/01/28 07/01/95 *** NEW ENTR.
FRANK PEISCHEL M 34 60 01/14/62 02/23/94 06/01/22 07/01/95 *** NEW ENTR.
VICTOR PIMENTAL M 43 60 08/03/52 10/02/93 06/01/12 01/01/95 *** NEW ENTR.
SUSAN POLUHA F 29 60 08/25/66 08/30/93 06/01/26 01/01/95 *** NEW ENTR.
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*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION DATE 12/31/95
EMPLOYEE STATUS REPORT
SOCIAL NORMAL
SECURITY RETIREMENT ENTRY PERIOD TERMINATION
NAME NUMBER S AA RA BORN EMPLOYED DATE DATE SALARY STATUS DATE
TOMACINA ROGERS F 30 60 08/19/65 04/04/94 06/01/25 07/01/95 *** NEW ENTR.
MILCA ROMAN F 25 60 10/24/70 10/18/93 06/01/30 01/01/95 *** NEW ENTR.
TRACY ZECCOLA F 30 60 09/22/65 03/16/94 06/01/25 07/01/95 *** NEW ENTR.
DEBORAH BUKANT F 39 60 01/21/57 04/01/91 06/01/17 07/01/92 0 TERMINEE 06/14/95
LENSWORTH GREEN M 32 60 10/02/63 07/26/93 06/01/23 01/01/95 0 TERMINEE 11/15/95
PRIAMO MOLINA F 27 60 07/30/68 12/12/93 06/01/28 01/01/95 0 TERMINEE 11/15/95
NILDA MORET F 37 60 04/23/59 05/24/93 06/01/19 07/01/94 0 TERMINEE 01/15/96
JIM MOUZOB M 48 60 03/07/48 05/01/91 06/01/08 07/01/92 0 TERMINEE 11/15/95
CATHERINE O'CONNOR H 34 60 02/01/62 03/25/86 06/01/22 06/01/87 0 TERMINEE 11/15/95
LUIS PADILLA H 35 60 03/21/61 11/17/92 06/01/21 01/01/94 0 TERMINEE 11/15/95
DELROY PANTON M 50 60 12/17/45 10/01/93 06/01/06 01/01/95 0 TERMINEE 11/15/95
STEPHEN RAMKISSOON M 40 60 02/23/56 07/15/92 06/01/16 01/01/94 0 TERMINEE 04/14/95
KATHRYN RUIZ F 34 60 06/19/62 03/07/94 06/01/22 07/01/95 0 TERMINEE 07/25/95
WILLIAM SIMONDS M 41 60 04/03/55 11/05/90 06/01/15 01/01/92 0 TERMINEE 06/24/95
SANDRA STEWART F 34 60 O5/16/62 11/08/93 06/01/22 01/01/95 O TERMINEE 07/07/95
STEVEN SWITZER M 35 60 11/28/60 04/08/94 06/01/20 07/01/95 0 TERMINEE 11/15/95
ANTHONY URRUTIC H 31 60 07/20/64 02/14/94 06/01/24 07/01/95 0 TERMINEE* 04/21/95
BEATRICE WILKES F 55 60 06/14/41 O5/26/94 06/01/01 07/01/95 0 TERMINEE* 06/15/95
CORDALIA WILLIAMS F 37 60 03/15/59 04/11/94 06/01/19 07/01/95 0 TERMINEE* 04/28/95
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219
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION DATE 12/31/95
EMPLOYEE STATUS REPORT
SOCIAL NORMAL
SECURITY RETIREMENT ENTRY PERIOD TERMINATION
NAME NUMBER S AA RA BORN EMPLOYED DATE DATE SALARY STATUS DATE
DENNIS FITZGERALD M 40 60 01/10/56 01/16/89 06/01/16 06/01/90 0 SUSPENSE 04/03/92
DONALD KENT M 37 60 02/03/59 02/20/89 06/01/19 06/01/90 0 SUSPENSE 07/14/92
CATHARYNE MOORE F 36 60 08/26/59 06/10/89 06/01/19 12/01/90 0 SUSPENSE 05/23/93
ANGELICA BELAVEL F 16 60 03/14/80 06/14/94 06/01/40 07/01/01 *** MIN. AGE
RANDY BROWN M 32 60 11/12/63 09/18/95 06/01/23 01/01/97 *** MIN. SVC.
JEFFREY BRYAN M 28 60 12/19/67 07/25/94 06/01/28 01/01/96 *** MIN. SVC.
JOSE CASTRO M 27 60 08/03/68 08/07/95 06/01/28 01/01/97 *** MIN. SVC.
VALENTIN CHERY M 41 60 02/14/55 07/05/95 06/01/15 01/01/97 *** MIN. SVC.
ELLEN CORBIN F 27 60 08/05/68 02/O6/95 06/01/28 07/01/96 *** MIN. SVC.
JACKIE DAVIS F 20 60 11/03/75 07/02/95 06/01/35 01/01/97 *** MIN. AGE
D DELAROSA M 20 60 07/28/75 5/08/95 06/01/35 01/01/97 *** MIN. AGE
ANDREW DEVLIN M 38 60 12/19/57 11/06/95 06/01/18 01/01/97 *** MIN. SVC.
REBECCA DIAZ F 16 60 01/15/80 06/27/94 06/01/40 07/01/01 *** MIN. AGE
ANDRE FERREIRA M 33 60 08/18/62 10/23/95 06/01/22 01/01/97 *** MIN. SVC.
SHENEITA FORRESTER F 20 60 06/24/76 04/07/93 06/01/36 07/01/97 *** MIN. AGE
TERINA FULMORE F 30 60 10/12/65 07/17/95 06/01/25 01/01/97 *** MIN. SVC.
MELANIE GENTILE F 23 60 03/06/73 03/02/95 06/01/33 07/01/96 *** MIN. SVC.
RAKEEMIA GOODLEY F 22 60 09/26/73 03/20/95 06/01/33 07/01/96 *** MIN. SVC.
SHEVRON LEWIS F 19 60 08/29/76 06/29/95 06/01/36 01/01/98 *** MIN. AGE
12-18-1996
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Services, Inc.
220
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION DATE 12/31/95
EMPLOYEE STATUS REPORT
SOCIAL NORMAL
SECURITY RETIREMENT ENTRY PERIOD TERMINATION
NAME NUMBER S AA RA BORN EMPLOYED DATE DATE SALARY STATUS DATE
PATRICK LYONS H 30 60 06/17/66 08/08/94 06/01/26 01/01/96 *** MIN. SVC.
A MATTHEWS M 17 60 06/19/79 01/03/95 06/01/39 07/01/00 *** MIN. AGE
EVELYN ORTIZ F 38 60 07/18/57 08/07/95 06/01/17 01/01/97 *** MIN. SVC.
M PUIG F 30 60 08/18/65 04/10/95 06/01/25 07/01/96 *** MIN. SVC.
JENNIFER ROBERSON F 32 60 10/14/63 09/11/95 06/01/23 01/01/97 *** MIN. SVC.
NEIL RODIA M 38 60 04/02/58 07/11/94 06/01/18 01/01/96 *** MIN. SVC.
JOYCE SANTIAGO F 32 60 04/23/64 06/05/95 06/01/24 07/01/96 *** MIN. SVC.
ALEXANDER SCHESTOPALO M 29 60 08/23/66 09/06/94 06/01/26 01/01/96 *** MIN. SVC.
EULA SMITH F 39 60 05/18/57 07/03/95 06/01/17 01/01/97 *** MIN. SVC.
MARIA SMITH F 33 60 10/30/62 12/05/94 06/01/22 01/01/96 *** MIN. SVC.
MARK SPENCE M 27 60 08/02/68 09/05/95 06/01/28 01/01/97 *** MIN. SVC.
JOHN STEWART M 30 60 07/24/65 09/18/95 06/01/25 01/01/97 *** MIN. SVC.
KENNETH WEISS M 38 60 06/23/58 04/26/93 06/01/18 07/01/94 *** MIN. HRS.
V WHATLEY F 21 60 07/18/74 05/18/95 06/01/34 07/01/96 *** MIN. SYC.
M WILLIAMS M 29 60 10/06/66 01/09/95 06/01/26 07/01/96 *** MIN. SVC.
S WILLIAMS F 26 60 11/04/69 05/22/95 06/01/29 07/01/96 *** MIN. SVC.
TOTAL EMPLOYEES= 92 TOTAL INELIGIBLES= 35 TOTAL SALARIES= 1847979
12-18-1996
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221
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION DATE 12/31/95
EMPLOYEE STATUS REPORT
SOCIAL NORMAL
SECURITY RETIREMENT ENTRY PERIOD TERMINATION
NAME NUMBER S AA RA BORN EMPLOYED DATE DATE SALARY STATUS DATE
- TERMINATED BEFORE BECOMING ELIGIBLE TO PARTICIPATE IN THE PLAN.
- KEYPERSON
12-18-1996
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METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION DATE 12/31/95
EMPLOYEE STATUS REPORT
PARTICIPANT COUNT FOR FORM 5500:
(a) ACTIVES
(i) FULLY VESTED 9
(ii) PARTIALLY VESTED 0
(iii) NONVESTED 32
(iv) TOTAL 41
(c) ENTITLED TO FUTURE BENEFITS 3
(f) TOTAL 44
(g) PARTICIPANTS WITH ACCT. BALANCES 12
(h) TERMINEES NOT FULLY VESTED 0
12-18-1996
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223
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION PERIOD FROM 01/01/95 TO 12/31/95
ACCOUNT ACTIVITY
GAIN
PRIOR OR ------VESTED-----
BALANCE LOSS CONTRIB. END. BAL. % INTEREST
------- ---- -------- --------- -----------------
TANYA ASHFORD
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
LENA BELLANTESE
EMPLOYER MER LYNCH *** *** *** *** *** ***
SAVERIO BURDI
EMPLOYER MER LYNCH *** *** *** *** *** ***
DONAHUE CHUNG
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
OSHUN COX (BULLINER)
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
DONALD FARGNOLI
EMPLOYER MER LYNCH *** *** *** *** *** ***
SANDRA FORRESTER
EMPLOYER MER LYNCH *** *** *** *** *** ***
ANNA HALL
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
ANNETTE HANDLER
EMPLOYER MER LYNCH *** *** *** *** *** ***
ER SUSPENSE MER LYNCH *** *** *** *** *** ***
***SUB TOTAL *** *** *** *** ***
HAROLD HARRY
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
TYRONE HAZELL
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
CELESTINE LENTZ
EMPLOYER MER LYNCH *** *** *** *** *** ***
CHERYL LOCKHART
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
MARIA MCIVER
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
12-18-1996
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Services, Inc.
224
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION PERIOD FROM 01/01/95 TO 12/31/95
ACCOUNT ACTIVITY
GAIN
PRIOR OR ------VESTED-----
BALANCE LOSS CONTRIB. END. BAL. % INTEREST
------- ---- -------- --------- -----------------
LINFORD MCLARTY
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
ANNETTE MILANO
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
JACK PRINCE
EMPLOYER MER LYNCH *** *** *** *** *** ***
ROSEANN RAPPA-TORRES
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
LLOYD REID
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
SYLVIA RICCI
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
JOHM ROCCO
EMPLOYER MER LYNCH *** *** *** *** *** ***
LOUIS ROCCO
EMPLOYER MER LYNCH *** *** *** *** *** ***
ELVIRA RODRIGUEZ
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
RAYMOND SALDANA
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
SCOTT SOMMER
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
JOHN VERNILLO
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
WILLIAM WRIGHT
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
HAYDEN ALEXIS
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
LOUISE GENTILE
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
GERALD GOLDING
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
12-18-1996
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Services, Inc.
225
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION PERIOD FROM 01/01/95 TO 12/31/95
ACCOUNT ACTIVITY
GAIN
PRIOR OR ------VESTED-----
BALANCE LOSS CONTRIB. END. BAL. % INTEREST
------- ---- -------- --------- -----------------
WILLIAM HARGNETT
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
ANN HARTNETT
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
PAMELA JUNIOUS
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
CHRIS MALOOF
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
CAMILLE MCDERMOTT
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
FRANK PEISCHEL
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
VICTOR PIMENTAL
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
SUSAN POLUHA
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
TOMACINA ROGERS
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
MILCA ROMAN
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
TRACY ZECCOLA
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
DEBORAH BUKANT
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
LENSWORTH GREEN
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
PRIAMO MOLINA
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
NILDA MORET
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
JIM MOUZOB
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
12-18-1996
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Services, Inc.
226
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION PERIOD FROM 01/01/95 TO 12/31/95
ACCOUNT ACTIVITY
GAIN
PRIOR OR ------VESTED-----
BALANCE LOSS CONTRIB. END. BAL. % INTEREST
------- ---- -------- --------- -----------------
CATHERINE O'CONNOR
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
LUIS PADILLA
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
DELROY PANTON
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
STEPHEN RAMKISSOON
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
KATHRYN RUIZ
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
WILLIAM SIMONDS
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
SANDRA STEWART
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
STEVEN SWITZER
NO PRIOR BALANCE OR ACCOUNT ACTIVITY
DENNIS FITZGERALD
EMPLOYER MER LYNCH *** *** *** *** *** ***
ER SUSPENSE MER LYNCH *** *** *** *** *** ***
***SUB TOTAL *** *** *** *** ***
DONALD KENT
EMPLOYER MER LYNCH *** *** *** *** *** ***
ER SUSPENSE MER LYNCH *** *** *** *** *** ***
***SUB TOTAL *** *** *** *** ***
CATHARYNE MOORE
EMPLOYER MER LYNCH *** *** *** *** *** ***
ER SUSPENSE MER LYNCH *** *** *** *** *** ***
***SUB TOTAL *** *** *** *** ***
*** TOTAL 76,307.58 4,015.43 0.00 80,323.01 79,305.09
12-18-1996
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227
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION PERIOD FROM 01/01/95 TO 12/31/95
ACCOUNT ACTIVITY
GAIN
PRIOR OR ------VESTED------
BALANCE LOSS CONTRIB. END. BAL. % INTEREST
------- ---- -------- --------- ------------------
ACCOUNT BALANCES * FOR THE TOP HEAVY TEST FOR NEXT PLAN YEAR
FOR ALL PARTICIPANTS = $80323.01
FOR KEY EMPLOYEES = $69473.08
% TO KEY-EMPLOYEES = 86.49
* MAY INCLUDE PRIOR DISTRIBUTIONS
12-18-1996
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Services, Inc.
228
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION PERIOD FROM 01/01/95 TO 12/31/95
ACCOUNT ACTIVITY TOTALS
GAIN
TOTAL PRIOR OR
ACCOUNT/FUND BALANCE LOSS CONTRIB END. BAL.
------------ ------- ---- ------- ---------
EMPLOYER MER LYNCH 75341.31 3964.58 0.00 79305.89
ER SUSPENSE MER LYNCH 966.27 50.85 0.00 1017.12
**TOTAL** 76307.58 4015.43 0.00 80323.01
12-18-1996
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Services, Inc.
229
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
VALUATION PERIOD FROM 01/01/95 TO 12/31/95
ACCOUNT RECONCILIATION
EMPLOYER ER SUSP. TOTAL
BEGINNING BAL. 75341.31 966.27 76307.58
GAIN / LOSS 3964.58 50.85 4015.43
CONTRIBUTION 0.00 0.00 0.00
ENDING BALANCE 79305.89 1017.12 80323.01
VESTED INTEREST 79305.89 0.00 79305.89
FUND RECONCILIATION
MER LYNCH
BEGINNING BAL. 76307.58
GAIN / LOSS 4015.43
CONTRIBUTION 0.00
ENDING BALANCE 80323.01
VESTED INTEREST 79305.89
12-18-1996
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Services, Inc.
230
Summary Annual Report for Metropolitan Respiratory Services, Inc. Profit Sharing
Plan
This is a summary of the annual report for Metropolitan Respiratory Services,
Inc. Profit Sharing Plan, 11-2326059 for January 1, 1995 to December 31, 1995.
The annual report has been filed with the Internal revenue service, as required
under the Employee Retirement Income Security Act 0f 1974 (ERISA).
BASIC FINANCIAL STATEMENT
Benefits under the plan are provided by a trust and insurance. Plan expenses
were $30,511. These expenses include $433 in administrative expenses and $27,660
in benefits paid to participants and beneficiaries, and $2,418 in other
expenses. A total of 55 persons were participants in or beneficiaries of the
plan at the end of the plan year, although not all of these persons had yet
earned the right to receive benefits.
The value of the plan assets, after subtracting liabilities of the plan, was
$322,364 as of December 31, 1995 compared to $230,233 as of January 1, 1995.
During the plan year the plan experienced an increase in its net assets of
$92,130. This increase includes unrealized appreciation or depreciation in the
value of plan assets; that is, the difference between the value of the plan's
assets at the end of the year and the value of its assets at the beginning of
the year or the cost of assets acquired during the year. The plan had total
income of $122,641 including employer contributions of $23,697, employee
contributions of $60,031 and earnings from investments of $38,896.
The plan has contracts with Mutual of New York which allocates funds toward
individual contracts. The total premiums paid for the plan year ending December
31, 1995 were $2,418.
[LOGO] APS Pension & Financial
Services, Inc.
231
YOUR RIGHTS TO ADDITIONAL INFORMATION
You have the right to receive a copy of the full annual report or any part
thereof, on request. The items listed below are included in that report:
--assets held for investment;
--transactions in excess of 3 percent of plan assets;
--insurance information including sales commission.
To obtain a copy of the full annual report, or any part thereof, write or call
the office of Metropolitan Respiratory Services, Inc., who is the plan
administrator, 3849 Boston Road Bronx, NY 10466, (212) 904-0770. The charge to
cover copying costs will be $5.00 for the full annual report, or $1.00 per page
for any part thereof.
You also have the right to receive from the plan administrator, on request and
at no charge, a statement of the assets and liabilities of the plan and
accompanying notes, or a statement of income and expenses of the plan and
accompanying notes or both. If you request a full annual report from the plan
administrator, these two statements and accompanying notes will be included as
part of that report. The charge to cover copying cost given above does not
included a charge for the copying of these portions of the report because these
portions are furnished without charge.
You also have the legally protected right to examine the annual report at the
main office of the plan, 3849 Boston Road Bronx, NY 10466, (at any other
location where the report is available for examination), and at the U.S.
Department of Labor in Washington, D.C., or to obtain a copy from the U.S.
Department of Labor upon payment of copying costs. Requests to the Department
should be addressed to: Public Disclosure Room, N4677, Pension and Welfare
Benefit Programs, Department of Labor, 200 Constitution Avenue, N.W. Washington,
D.C. 20216.
[LOGO] APS Pension & Financial
Services, Inc.
232
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
EMPLOYEE BENEFIT STATEMENT FROM 1/1/95 TO 12/31/95
LENA BELLANTESE
BIRTHDATE: 1/20/68 EMPLOYMENT DATE: 11/24/87
RETIREMENT DATE: 6/1/28 PARTICIPATION DATE: 6/1/89
EMPLOYER
BEGINNING BAL ***
GAIN / LOSS ***
CONTRIBUTION ***
ENDING BALANCE ***
VESTED PERCENT ***
VESTED INTEREST ***
MER LYNCH
BEG. BAL. ***
G / L ***
CONTRIB. ***
END. BAL. ***
12-18-1996
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Services, Inc.
233
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
EMPLOYEE BENEFIT STATEMENT FROM 1/1/95 TO 12/31/95
SAVERIO BURDI
BIRTHDATE: 1/18/58 EMPLOYMENT DATE: 6/12/89
RETIREMENT DATE: 6/1/18 PARTICIPATION DATE: 12/1/90
EMPLOYER
BEGINNING BAL ***
GAIN / LOSS ***
CONTRIBUTION ***
ENDING BALANCE ***
VESTED PERCENT ***
VESTED INTEREST ***
MER LYNCH
BEG. BAL. ***
G / L ***
CONTRIB. ***
END. BAL. ***
12-18-1996
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Services, Inc.
234
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
EMPLOYEE BENEFIT STATEMENT FROM 1/1/95 TO 12/31/95
DONALD FARGNOLI
BIRTHDATE: 1/20/46 EMPLOYMENT DATE: 1/1/80
RETIREMENT DATE: 6/1/06 PARTICIPATION DATE: 6/1/87
EMPLOYER
BEGINNING BAL ***
GAIN / LOSS ***
CONTRIBUTION ***
ENDING BALANCE ***
VESTED PERCENT ***
VESTED INTEREST ***
MER LYNCH
BEG. BAL. ***
G / L ***
CONTRIB. ***
END. BAL. ***
12-18-1996
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Services, Inc.
235
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
EMPLOYEE BENEFIT STATEMENT FROM 1/1/95 TO 12/31/95
SANDRA FORRESTER
BIRTHDATE: 7/6/53 EMPLOYMENT DATE: 9/11/89
RETIREMENT DATE: 6/1/13 PARTICIPATION DATE: 12/ 1 /90
EMPLOYER
BEGINNING BAL ***
GAIN / LOSS ***
CONTRIBUTION ***
ENDING BALANCE ***
VESTED PERCENT ***
VESTED INTEREST ***
MER LYNCH
BEG. BAL. ***
G / L ***
CONTRIB. ***
END. BAL. ***
12-18-1996
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Services, Inc.
236
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
EMPLOYEE BENEFIT STATEMENT FROM 1/1/95 TO 12/31/95
ANNETTE HANDLER
BIRTHDATE: 11/26/62 EMPLOYMENT DATE: 10/2/87
RETIREMENT DATE: 6/1/22 PARTICIPATION DATE: 12/1/90
EMPLOYER ER SUSP. TOTAL
BEGINNING BAL *** *** ***
GAIN / LOSS *** *** ***
CONTRIBUTION *** *** ***
ENDING BALANCE *** *** ***
VESTED PERCENT *** ***
VESTED INTEREST *** *** ***
MER LYNCH
BEG. BAL. ***
G / L ***
CONTRIB. ***
END. BAL. ***
12-18-1996
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Services, Inc.
237
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
EMPLOYEE BENEFIT STATEMENT FROM 1/1/95 TO 12/31/95
CELESTINE LENTZ
BIRTHDATE: 3/1/50 EMPLOYMENT DATE: 9/1/87
RETIREMENT DATE: 6/1/10 PARTICIPATION DATE: 12/1/89
EMPLOYER
BEGINNING BAL ***
GAIN / LOSS ***
CONTRIBUTION ***
ENDING BALANCE ***
VESTED PERCENT ***
VESTED INTEREST ***
MER LYNCH
BEG. BAL. ***
G / L ***
CONTRIB. ***
END. BAL. ***
12-18-1996
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Services, Inc.
238
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
EMPLOYEE BENEFIT STATEMENT FROM 1/1/95 TO 12/31/95
JACK PRINCE
BIRTHDATE: 5/29/48 EMPLOYMENT DATE: 2/1/86
RETIREMENT DATE: 6/1/08 PARTICIPATION DATE: 6/1/87
EMPLOYER
BEGINNING BAL ***
GAIN / LOSS ***
CONTRIBUTION ***
ENDING BALANCE ***
VESTED PERCENT ***
VESTED INTEREST ***
MER LYNCH
BEG. BAL. ***
G / L ***
CONTRIB. ***
END. BAL. ***
12-18-1996
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Services, Inc.
239
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
EMPLOYEE BENEFIT STATEMENT FROM 1/1/95 TO 12/31/95
JOHN ROCCO
BIRTHDATE: 12/3/56 EMPLOYMENT DATE: 1/ 1 /87
RETIREMENT DATE: 6/1/17 PARTICIPATION DATE: 6/1/90
EMPLOYER
BEGINNING BAL ***
GAIN / LOSS ***
CONTRIBUTION ***
ENDING BALANCE ***
VESTED PERCENT ***
VESTED INTEREST ***
MER LYNCH
BEG. BAL. ***
G / L ***
CONTRIB. ***
END. BAL. ***
12-18-1996
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Services, Inc.
240
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
EMPLOYEE BENEFIT STATEMENT FROM 1/1/95 TO 12/31/95
LOUIS ROCCO
BIRTHDATE: 12/31/50 EMPLOYMENT DATE: 4/1/74
RETIREMENT DATE: 6/ 1 /11 PARTICIPATION DATE: 6/1/87
EMPLOYER
BEGINNING BAL ***
GAIN / LOSS ***
CONTRIBUTION ***
ENDING BALANCE ***
VESTED PERCENT ***
VESTED INTEREST ***
MER LYNCH
BEG. BAL. ***
G / L ***
CONTRIB. ***
END. BAL. ***
12-18-1996
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Services, Inc.
241
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
EMPLOYEE BENEFIT STATEMENT FROM 1/1/95 TO 12/31/95
DENNIS FITZGERALD
BIRTHDATE: 1/10/56 EMPLOYMENT DATE: 1/16/89
RETIREMENT DATE: 6/ 1 /16 PARTICIPATION DATE: 6/ 1 /90
EMPLOYER ER SUSP. TOTAL
BEGINNING BAL *** *** ***
GAIN / LOSS *** *** ***
CONTRIBUTION *** *** ***
ENDING BALANCE *** *** ***
VESTED PERCENT *** ***
VESTED INTEREST *** *** ***
MER LYNCH
BEG. BAL. ***
G / L ***
CONTRIB. ***
END. BAL. ***
12-18-1996
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Services, Inc.
242
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
EMPLOYEE BENEFIT STATEMENT FROM 1/1/95 TO 12/31/95
DONALD KENT
BIRTHDATE: 2/3/59 EMPLOYMENT DATE: 2/20/89
RETIREMENT DATE: 6/1/19 PARTICIPATION DATE: 6/ 1 /90
EMPLOYER ER SUSP. TOTAL
BEGINNING BAL *** *** ***
GAIN / LOSS *** *** ***
CONTRIBUTION *** *** ***
ENDING BALANCE *** *** ***
VESTED PERCENT *** ***
VESTED INTEREST *** *** ***
MER LYNCH
BEG. BAL. ***
G / L ***
CONTRIB. ***
END. BAL. ***
12-18-1996
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Services, Inc.
243
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICES INC. PROFIT SHARING PLAN
EMPLOYEE BENEFIT STATEMENT FROM 1/1/95 TO 12/31/95
CATHARYNE MOORE
BIRTHDATE: 8/26/59 EMPLOYMENT DATE: 6/10/89
RETIREMENT DATE: 6/ 1 /22 PARTICIPATION DATE: 12/1/90
EMPLOYER ER SUSP. TOTAL
BEGINNING BAL *** *** ***
GAIN / LOSS *** *** ***
CONTRIBUTION *** *** ***
ENDING BALANCE *** *** ***
VESTED PERCENT *** ***
VESTED INTEREST *** *** ***
MER LYNCH
BEG. BAL. ***
G / L ***
CONTRIB. ***
END. BAL. ***
12-18-1996
[LOGO] APS Pension & Financial
Services, Inc.
244
APS[logo] PENSION & FINANCIAL SERVICES INC.
333 Earle Ovington Blvd. * Uniondale, NY 11553
(516) 228-8444 * FAX (516) 228-8457
================================================================================
PRINCIPALS
Stephen Abramson, Certified Pension Consultant
S.George Mattera, Master of Science in Financial Services
David Pavel, ASA, MAAA, Enrolled Actuary
June 27, 1996
Mr.Jack Prince
Metropolitan Respiratory Service, Inc.
3849 Boston Road
Bronx, NY 10466
Re: Metropolitan Respiratory Service Pension Plan
The enclosed data, Mr. Prince . . .
outlines the current status of the Metropolitan Respiratory Services, Inc.
Pension Plan. Copies of the participants' statements and Summary Annual Report
should be distributed and the originals retained for your files.
As indicated on the terminated employee page of the valuation, certain
participants were eligible for payouts. Please have them read the enclosed
forms, sign where applicable, and return the signed copies to APS Pension
Services Inc.
The trustees are responsible for the issuance of Form 1O99-R to each terminated
participant for the year in which the distribution was made.
As a result of D. Panton, J. Mozoub, S. Stewart, L. Green, L. Padilla, P.
Molina, N. Moret, & S. Wallace termination, according to the plan document they
are not entitled to receive their retirement benefit until the coming plan year.
We will notify you of the amount and when they are entitled to receive this
benefit.
================================================================================
Retirement Plan Consultants * Estate Tax Consulting * Insurance Planning *
Marital Evaluations * Employee Benefit Advisors * Investment Strategies * Asset
Protection
245
- 2 -
Enclosed is a master form "Notice of Pre-Retirement Survivor Annuity' to be
completed by each married participant. The top page must be signed and dated by
the participant and plan sponsor in the lower right hand corner. The first,
second, and third pages should be filled out by the participant only if they
want to waive the Pre-Retirement Survivor Annuity and/or elect a new
beneficiary.
All single participants should complete one of the enclosed designation of
beneficiary cards. The original should be returned to us for our records.
If you should need have any questions, please call.
Best regards,
APS PENSION & FINANCIAL SERVICES INC.
/s/ Suzanne Gounaris
-------------------------------------
Suzanne Gounaris
Pension Consultant
SG:vr
Enc.
Nick Magone
246
Metropolitan-Respiratory Service
Pension Plan
NOTICE OF PRE-RETIREMENT IT SURVIVOR ANNUITY
As a Participant in the above mentioned plan, the law requires that you be
informed as to the disposition of your death benefit upon your death before
retirement.
In case of your death before retirement, the Plan will use the value of
your death benefit to purchase a survivor annuity for your spouse. This annuity
form of payment will provide your spouse with a series of monthly payments over
his or her life, and will contain other appropriate annuity options.
However, beginning with the first day of the Plan Year in which you attain
age 35 (or upon your termination if you are under age 35), you may elect to
waive the requirement that your death benefits be paid to your spouse in the
form of an annuity.
However, your spouse must consent in writing before a Plan representative
or notary public to any waiver that you elect. Your spouse's consent must
acknowledge the specific form of benefit or the specific nonspouse beneficiary.
You may revoke the waiver any time before your death, and, if you desire,
make a new election, provided your spouse consents to the election.
If you decide to waive the requirement that your death benefits. be paid to
your spouse in the form of an annuity (and your spouse has consented), then you
may designate a beneficiary of your choosing. If you are not married at the time
of your death, the death benefit will be paid to your designated beneficiary.
It is important that you and your spouse understand your rights and
obligations concerning your death benefit. You should direct any questions to
the Administrator. Also, because a spouse has certain rights to the death
benefit, you should immediately inform the Administrator of any change in your
marital status.
------------------- ----------------------------------
Date Administrator
------------------- ----------------------------------
Date Received Participant
247
Metropolitan Respiratory
Pension Plan
ELECTION TO WAIVE PRE-RETIREMENT SURVIVOR ANNUITY
As a Participant in the above mentioned plan, I hereby acknowledge that I
have been informed by the Administrator that if I should die prior to may
retirement, the death benefit under the Plan will be paid to my spouse in the
form of an annuity over the life of my spouse; that I have the right to waive
the designation of my spouse as the sole direct beneficiary of my death benefit
payable in the form of an annuity only if my spouse consents in writing to such
waiver; and that I have the right to revoke such waiver which may be made by me
at any time without my spouse's consent.
( ) I hereby elect not to have my death benefit under the Plan paid in the
form of an annuity. However, my spouse shall remain as my beneficiary. My
death benefit will be distributed in the following manner:
( ) single lump sum
( ) installments to be paid:
( ) monthly
( ) quarterly
( ) semi-annually over years _________ (may not exceed life expectancy)
( ) I hereby waive the right to have my spouse be the sole direct beneficiary of
my pre-retirement death benefit. I designate the following form of payment and
beneficiary in lieu of my spouse (revoking any prior designation or contingent
designation made by me):
Page 1 of 3
248
( ) Form of Payment
( ) single lump sum
( ) installments to be paid:
( ) monthly
( ) quarterly
( ) semi-annually over __________ years (may not exceed life expectancy)
( ) Designated Beneficiary:_________________________
______________________________________, whose address is
______________________________________.
if living at the time of my death, or, if not living, then
___________________________________________________________
EXECUTED this __________ day of __________, 19____.
_____________________ __________________
Witness Participant
Page 2 of 3
249
SPOUSE'S CONSENT TO WAIVER
( ) I hereby consent to the foregoing election by my spouse, to waive the
annuity form of death benefit that is payable under Metropolitan Respiratory
Service, Inc., and receive the benefit in the form elected. I understand I will
remain the beneficiary of death benefits provided under the Plan.
( ) I hereby consent to the designation made by my spouse in the foregoing
election to have the pre-retirement death benefit paid in the form specified to
the beneficiary designated in such election. The Pre-Retirement Survivor Annuity
death benefit has been explained to me, and I hereby acknowledge that I
understand (1) that the effect of such designation is to cause my spouse's death
benefit to be paid to a beneficiary other than me in the form specified therein;
(2) that each beneficiary designation is not valid unless I consent to it; and
(3) that my consent is irrevocable unless my spouse revokes the beneficiary
designation.
EXECUTED this __________ day of __________ , 19____.
Witnessed by: _____________________________
Participant's Spouse
______________________________
Plan Representative
OR
______________________________
Notary Public
Page 3 of 3
250
Summary Annual Report for Metropolitan Respiratory Services Pension Plan
This is a summary of the annual report for Metropolitan Respiratory Services
Pension Plan, 11-2326059 for April 1, 1995 to March 31, 1996. The annual report
has been filed with the Internal Revenue Service, as required under the Employee
Retirement Income Security Act of 1974 (ERISA).
BASIC FINANCIAL STATEMENT
Benefits under the plan are provided by a trust. Plan expenses were $150. These
expenses include $150 in administrative expenses and $0 in benefits paid to
participants and beneficiaries, and $0 in other expenses. A total of 73 persons
were participants in or beneficiaries of the plan at the end of the plan year,
although not all of these persons had yet earned the right to receive benefits.
The value of the plan assets, after subtracting liabilities of the plan, was
$841,913 as of March 31, 1996 compared to $650,124 as of April 1, 1995. During
the plan year the plan experienced an increase in its net assets of $191,789.
This increase includes unrealized appreciation or depreciation in the value of
plan assets; that is, the difference between the value of the plan's assets at
the end of the year and the value of the assets at the beginning of the year or
the cost of assets acquired during the year. The plan had total income of
$191,939 including employer contributions of $162,299, employee contributions of
$0 and earnings from investments of $29,640.
Enough money was contributed to the plan to keep it funded in accordance with
the minimum funding standards of ERISA.
[LOGO] APS Pension & Financial
Services, Inc.
251
YOUR RIGHTS TO ADDITIONAL INFORMATION
You have the right to receive a copy of the full annual report or any part
thereof, on request. The items listed below are included in that report:
-assets held for investment;
-transactions in excess of 3 percent of plan assets;
-actuarial information regarding the funding of the plan.
To obtain a copy of the full annual report, or any part thereof, write or call
the office of Metropolitan Respiratory Service, Inc., who is the plan
administrator, 3849 Boston Road, Bronx, NY 10466, (212) 904-0770. The charge to
cover copying costs will be $5.00 for the full annual report, or $1.00 per page
for any part thereof.
You also have the right to receive from the plan administrator, on request and
at no charge, a statement of the assets and liabilities of the plan and
accompanying notes, or a statement of income and expenses of the plan and
accompanying notes or both. If you request a copy of the full annual report from
the plan administrator, these two statements and accompanying notes will be
included as part of that report. The charge to cover copying costs given above
does not include a charge for the copying of these portions of the report
because these portions are furnished without charge.
You also have the legally protected right to examine the annual report at the
main office of the plan, 3849 Boston Road Bronx, NY 10466, (at any other
location where the report is available for examination), and at the U.S.
Department of Labor in Washington, D.C., or to obtain a copy from the U.S.
Department of Labor upon payment of copying costs. Requests to the Department
should be addressed to: Public Disclosure Room, N4677, Pension and Welfare
Benefit Programs, Department of Labor, 200 Constitution Avenue, N.W. Washington,
D.C. 20216.
[LOGO] APS Pension & Financial
Services, Inc.
252
Metropolitan Respiratory Service
Pension Plan
Actuarial Valuation as of April 1,1995
[LOGO] APS Pension & Financial
Services, Inc.
253
To the Trustees of
Metropolitan Respiratory Service
Pension Plan
Based on the information provided, we are pleased to present our evaluation of
your Pension Plan as of April 1, 1995. Our calculation of the contribution for
the preceding year amounts to:
Auxiliary Fund Contribution $162,299
The number of active Plan Participants is 63.
All calculations were performed with accepted actuarial practices based upon the
participant and salary information and financial data which have been supplied
by you.
[LOGO] APS Pension & Financial
Services, Inc.
254
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
Metropolitan Respiratory Service
Pension Plan
Terminated Employee(s) with Break in Service during the plan year beginning
April 1, 1995.
DATE OF VESTED AMOUNT
NAME TERM % DUE
N. Autolino 09/95 60 ***
D. Bukant 06/14/95 60 ***
D. Collins 03/24/95 20 ***
S. Dunn 02/13/95 20 ***
S. Ramkissoon 04/14/95 40 ***
W. Simonds 06/24/95 60 ***
L. Olds 08/06/94 0 ***
V. Rodriguez 12/28/92 20 ***
D. Fitzgerald 04/03/92 40 ***
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255
Metropolitan Respiratory Service
Pension Plan
Terminated Employee(s) with over 1000 hours of Service during the plan year
April 1, 1995
NAME DATE OF TERMINATION
---- -------------------
D. Panton 11/95
J. Mozoub 11/95
S. Stewart 07/07/95
L. Green 11/95
L. Padilla 11/95
P. Molina 11/95
N. Moret 01/96
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Services, Inc.
256
Metropolitan Respiratory Services
Pension Plan
Terminated Employee(s) with more than 500 hours of Service but less than 1000
hours of Service during the plan year April 1, 1995.
NAME DATE OF TERMINATION
---- -------------------
S. Wallace 7//95
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257
METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
DEFINED BENEFIT PENSION PLAN SPECIFICATIONS
AND ACTUARIAL ASSUMPTIONS
EFFECTIVE DATE APRIL 1, 1987
VALUATION DATE APRIL l, 1995
MONTHLY PENSION .8% OF MONTHLY COMPENSATION
AND .4% OF THE EXCESS FROM TAB.II*
MULTIPLIED BY YEARS OF BENEFIT SERVICE
FROM THE DATE OF HIRE TO THE
NORMAL RETIREMENT DATE
- TOTAL BENEFIT SERVICE NOT TO
EXCEED 26 YEAR(S).
ELIGIBILITY REQUIREMENTS (A) MINIMUM MONTHS OF SERVICE: 12
(B) MINIMUM AGE: 21
(C) MAXIMUM AGE: NONE
(D) PARTICIPANT ENTERS PLAN ON
ELIGIBILITY DATE FOLLOWING
COMPLETION OF ELIGIBILITY
REQUIREMENTS
(E) ENTRY DATE : APRIL 1
ENTRY DATE 2: OCTOBER 1
NORMAL RETIREMENT AGE (A) PLAN ANNIVERSARY
NEAREST AGE 60 OR 10 YEARS OF
PARTICIPATION, IF LATER.
(B) MAXIMUM RETIREMENT AGE: 65
OR 5 YEARS OF PARTICIPATION,
IF LATER.
FUNDING PROVISIONS (A) INDIVIDUAL SPREAD GAIN
(B) AUXILIARY FUND DEPOSITS
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METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
DEFINED BENEFIT PENSION PLAN SPECIFICATIONS
AND ACTUARIAL ASSUMPTIONS
SALARY AVERAGING AVERAGE HIGH 3 CONSECUTIVE SALARIES
NUMBER OF YEARS TO EXCLUDE: 1
USE HISTORICAL SALARIES FOR ACCRUAL
EXCLUDE SALARIES PRIOR TO END
OF HISTORY
MAXIMUM SALARY MAXIMUM CURRENT SALARY: $ 150000
MAXIMUM PROJECTED SALARY: $ 150000
TYPE OF ANNUITY LIFE ANNUITY
ACCRUED BENEFIT ACCRUE AS EARNED
VESTING SCHEDULE YR. % YR. % YR. %
---------------- --- --- --- --- --- ---
1 0 3 40 5 80
2 20 4 60 6 100
VESTING BASED UPON TOTAL SERVICE
TOP HEAVY STATUS THIS PLAN HAS BEEN DETERMINED TO BE
TOP-HEAVY FOR THE CURRENT PLAN YEAR
* AS AMENDED UNDER TAX REFORM ACT OF 1986 AT $61200 LEVEL
06-26-1996
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Services, Inc.
259
METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
DEFINED BENEFIT PENSION PLAN SPECIFICATIONS
AND ACTUARIAL ASSUMPTIONS
ACTUARIAL ASSUMPTIONS PRE-RETIREMENT
(A) INTEREST: 6%
(B) MORTALITY: NONE
POST RETIREMENT
(A) INTEREST: 5%
(B) MORTALITY: IAM83 (MALE)
(C) MALE SETBACK: 3 YEARS
(D) FEMALE SETBACK: 3 YEARS
ACTUARIAL EQUIVALENCE POST RETIREMENT
(A) INTEREST: 5%
(B) MORTALITY: IAM '71
PRESENT VALUE OF PRE-RETIREMENT
ACCRUED BENEFIT (A) INTEREST: 5%
(B) MORTALITY: NONE
POST RETIREMENT
(A) INTEREST: 5%
(B) MORTALITY: IAM '71
CURRENT LIABILITY PRE-RETIREMENT
(A) INTEREST: 6.57%
(B) MORTALITY: NONE
POST RETIREMENT
(A) INTEREST: 6.57%
(B) MORTALITY: IAM83 (MALE)
(C) MALE SETBACK: 3 YEARS
(D) FEMALE SETBACK: 3 YEARS
06-26-1996
[LOGO] Pension & Financial
Services, Inc.
260
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
VALUATION DATE 04/01/95
EMPLOYEE STATUS REPORT
NORMAL
RETIREMENT ENTRY ANNUAL
NAME S AA RA BORN EMPLOYED DATE DATE SALARY STATUS
T ASHFORD F 32 60 11/14/62 11/25/91 04/01/23 04/01/93 *** ACTIVE
N AUTOLINO F 34 60 03/15/61 07/09/90 04/01/21 10/01/91 *** ACTIVE
L BELLANTESE F 27 60 01/20/68 11/24/87 04/01/28 04/01/89 *** ACTIVE
D BUKANT F 38 60 01/21/57 04/01/91 04/01/17 04/01/92 *** ACTIVE
S BURDI M 37 60 01/18/58 06/12/89 04/01/18 10/01/90 *** ACTIVE
D CHUNG M 40 60 04/26/55 04/01/92 04/01/15 04/01/93 *** ACTIVE
D FARGNOLI+ M 49 60 01/20/46 06/01/80 04/01/06 04/01/87 *** ACTIVE
S FORRESTER F 42 60 07/06/53 09/11/89 04/01/13 10/01/90 *** ACTIVE
L GREEN M 31 60 10/02/63 07/26/93 04/01/24 04/01/95 *** ACTIVE
A HALL F 54 63 02/05/41 11/16/92 04/01/04 04/01/94 *** ACTIVE
H HARRY M 36 60 05/06/59 05/06/91 04/01/19 10/01/92 *** ACTIVE
A HARTNETT F 42 60 04/21/53 04/14/93 04/01/13 04/01/95 *** ACTIVE
C LENTZ F 45 60 03/01/50 09/05/89 04/01/10 10/01/90 *** ACTIVE
M MCIVER F 49 60 01/09/46 10/06/92 04/01/06 04/01/94 *** ACTIVE
L MCLARTY M 42 60 04/03/53 06/01/92 04/01/13 10/01/93 *** ACTIVE
J MOUZOB M 47 60 03/07/48 05/01/91 04/01/08 10/01/92 *** ACTIVE
L PADILLA M 34 60 03/21/61 11/17/92 04/01/21 04/01/94 *** ACTIVE
J PRINCE+ M 47 60 05/29/48 02/01/86 04/01/08 04/01/87 *** ACTIVE
S RAMKISSOON M 39 60 02/23/56 07/01/92 04/01/16 10/01/93 *** ACTIVE
06-26-1996
[LOGO] Pension & Financial
Services, Inc.
261
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
VALUATION DATE 04/01/95
EMPLOYEE STATUS REPORT
NORMAL
RETIREMENT ENTRY ANNUAL
NAME S AA RA BORN EMPLOYED DATE DATE SALARY STATUS
R RAPPA-TORRE F 30 60 03/28/65 05/01/92 04/01/25 10/01/93 *** ACTIVE
L REID M 25 60 09/10/70 05/20/92 04/01/30 10/01/93 *** ACTIVE
J ROCCO M 38 60 12/03/56 04/01/89 04/01/17 04/01/90 *** ACTIVE
L ROCCO+ M 44 60 12/31/50 04/01/74 04/01/11 04/01/87 *** ACTIVE
R SALDANA M 32 60 07/14/63 01/04/93 04/01/23 04/01/94 *** ACTIVE
W SIMONDS M 40 60 01/03/55 11/05/90 04/01/15 04/01/92 *** ACTIVE
S SOMMER M 49 60 04/19/46 01/09/90 04/01/06 04/01/91 *** ACTIVE
J STEWART M 30 60 07/24/65 07/15/91 04/01/25 10/01/92 *** ACTIVE
J VERNILLO M 30 60 04/16/65 08/14/90 04/01/25 10/01/91 *** ACTIVE
W WRIGHT M 61 65 10/23/33 07/13/92 04/01/99 10/01/93 *** ACTIVE
H ALEXIS M 23 60 05/02/72 12/28/93 04/01/32 04/01/95 *** NEW ENTR.
O COX M 22 60 04/10/73 12/10/90 04/01/33 10/01/94 *** NEW ENTR.
W HARGNETT M 39 60 09/05/56 03/28/94 04/01/16 04/01/95 *** NEW ENTR.
T HAZELL M 28 60 06/30/67 04/12/93 04/01/27 10/01/94 *** NEW ENTR.
P JUNIOUS F 37 60 08/05/58 01/31/94 04/01/18 04/01/95 *** NEW ENTR.
C LOCKHART F 26 60 05/02/69 04/19/93 04/01/29 10/01/94 *** NEW ENTR.
C MALOOF M 46 60 10/23/48 10/18/93 04/01/09 04/01/95 *** NEW ENTR.
A MILANO F 38 60 01/27/57 06/28/93 04/01/17 10/01/94 *** NEW ENTR.
P MOLINA F 27 60 07/30/68 12/12/93 04/01/28 04/01/95 *** NEW ENTR.
06-26-1996
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Services, Inc.
262
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
VALUATION DATE 04/01/95
EMPLOYEE STATUS REPORT
NORMAL
RETIREMENT ENTRY ANNUAL
NAME S AA RA BORN EMPLOYED DATE DATE SALARY STATUS
N MORET F 36 60 04/23/59 05/24/93 04/01/19 10/01/94 *** NEW ENTR.
D PANTON M 49 60 12/17/45 10/01/93 04/01/06 10/01/94 *** NEW ENTR.
F PEISCHEL M 33 60 01/14/62 02/23/94 04/01/22 04/01/95 *** NEW ENTR.
V PIMENTEL M 43 60 08/03/52 10/02/93 04/01/12 04/01/95 *** NEW ENTR.
S POLUHA F 29 60 08/25/66 08/30/93 04/01/26 10/01/94 *** NEW ENTR.
S RICCI F 30 60 01/07/65 04/19/93 04/01/25 10/01/94 *** NEW ENTR.
E RODRIGUEZ F 49 60 05/04/46 04/19/93 04/01/06 10/01/94 *** NEW ENTR.
M ROMAN F 24 60 10/24/70 10/18/93 04/01/31 04/01/95 *** NEW ENTR.
K RUIZ F 33 60 06/19/62 03/07/94 04/01/22 04/01/95 *** NEW ENTR.
S STEWART F 33 60 05/16/62 11/08/93 04/01/22 04/01/95 *** NEW ENTR.
T ZECCOLA F 26 60 09/10/69 02/28/94 04/01/29 04/01/95 *** NEW ENTR.
E BROWN M 29 60 12/31/65 04/01/91 04/01/26 04/01/92 *** TERMINEE
I CARMOEGA F 36 60 09/24/59 05/21/90 04/01/19 10/01/91 *** TERMINEE
D COLLINS F 33 60 11/27/61 05/24/93 04/01/22 10/01/94 *** TERMINEE
S DUNN F 33 60 06/03/62 02/15/93 04/01/22 04/01/94 *** TERMINEE
D FITZGERALD M 39 60 01/10/56 01/16/89 04/01/16 04/01/90 *** TERMINEE
J FRY M 24 60 08/14/71 06/01/91 04/01/31 10/01/92 *** TERMINEE
J HACKETT M 39 60 01/04/56 09/01/91 04/01/16 10/01/92 *** TERMINEE
F MICCARELLI M 34 60 11/27/60 09/18/91 04/01/21 10/01/92 *** TERMINEE
06-26-1996
[LOGO] Pension & Financial
Services, Inc.
263
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
VALUATION DATE 04/01/95
EMPLOYEE STATUS REPORT
NORMAL
RETIREMENT ENTRY ANNUAL
NAME S AA RA BORN EMPLOYED DATE DATE SALARY STATUS
C O'CONNOR F 33 60 02/01/62 03/25/86 04/01/22 04/01/87 *** TERMINEE
L OLDS F 38 60 09/14/57 02/08/93 04/01/17 04/01/94 *** TERMINEE
V RODRIGUEZ M 31 60 10/28/63 08/19/91 04/01/24 10/01/92 *** TERMINEE
M VODA M 38 60 12/26/56 04/02/90 04/01/17 10/01/91 *** TERMINEE
A HANDLER F 32 60 11/26/62 10/02/89 04/01/23 04/01/91 *** ACTIVE FRO2
J MARTINEZ M 36 60 08/24/59 03/11/87 04/01/19 04/01/88 *** ACTIVE FRO2
A BELAVAL F 15 60 03/14/80 06/15/94 04/01/40 04/01/01 *** MIN. AGE
R BROWN M 31 60 11/12/63 09/18/95 04/01/24 10/01/96 *** MIN. SVC.
J BRYAN M 27 60 12/19/67 07/25/94 04/01/28 10/01/95 *** MIN. SVC.
J CASTRO M 27 60 08/03/68 08/07/95 04/01/28 10/01/96 *** MIN. SVC.
V CHERY M 40 60 02/14/55 07/05/95 04/01/15 10/01/96 *** MIN. SVC.
E CORBIN F 27 60 08/05/68 02/06/95 04/01/28 04/01/96 *** MIN. SVC.
J DAVIS F 19 60 11/03/75 07/02/95 04/01/36 04/01/97 *** MIN. AGE
D DELAROSA M 25 60 07/28/70 05/08/95 04/01/30 10/01/96 *** MIN. SVC.
A DEVLIN M 37 60 12/19/57 11/06/95 04/01/18 04/01/97 *** MIN. SVC.
R DIAZ F 15 60 01/15/80 06/27/94 04/01/40 04/01/01 *** MIN. AGE
A FERREIRA M 33 60 08/18/62 10/23/95 04/01/22 04/01/97 *** MIN. SVC.
S FORRESTER F 19 60 06/24/76 04/07/93 04/01/36 10/01/97 *** MIN. AGE
T FULMORE F 29 60 10/12/65 07/17/95 04/01/26 10/01/96 *** MIN. SVC.
06-26-1996
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Services, Inc.
264
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
VALUATION DATE 04/01/95
EMPLOYEE STATUS REPORT
NORMAL
RETIREMENT ENTRY ANNUAL
NAME S AA RA BORN EMPLOYED DATE DATE SALARY STATUS
L GENTILE F 44 60 06/02/51 06/20/94 04/01/11 10/01/95 *** MIN. SVC.
M GENTILE F 22 60 03/06/73 03/02/95 04/01/33 04/01/96 *** MIN. SVC.
G GOLDING M 53 63 06/11/42 04/22/94 04/01/OS 10/01/95 *** MIN. SVC.
R GOODLEY F 22 60 09/26/73 03/20/95 04/01/33 04/01/96 *** MIN. SVC.
S LEWIS F 19 60 08/29/76 06/27/95 04/01/36 10/01/97 *** MIN. AGE
P LYONS M 29 60 06/17/66 08/08/94 04/01/26 10/01/95 *** MIN. SVC.
A MATTHEWS M 16 60 06/19/79 01/03/95 04/01/39 10/01/00 *** MIN. AGE
C MCDERMOTT F 27 60 08/15/68 06/27/94 04/01/28 10/01/95 *** MIN. SVC.
E ORTIZ F 38 60 07/18/57 08/07/95 04/01/17 10/01/96 *** MIN. SVC.
M PUIG F 30 60 08/18/65 04/10/95 04/01/25 10/01/96 *** MIN. SVC.
J ROBERSON F 31 60 10/14/63 09/11/95 04/01/24 10/01/96 *** MIN. SVC.
N RODIA M 37 60 04/02/58 07/11/94 04/01/18 10/01/95 *** MIN. SVC.
T ROGERS F 30 60 08/19/65 04/04/94 04/01/25 10/01/95 *** MIN. SVC.
J SANTIAGO F 31 60 04/23/64 06/05/95 04/01/24 10/01/96 *** MIN. SVC.
A SCHESTOPALO M 29 60 08/23/66 09/06/94 04/01/26 10/01/95 *** MIN. SVC.
E SMITH F 38 60 05/18/57 07/03/95 04/01/17 10/01/96 *** MIN. SVC.
M SMITH F 32 60 10/30/62 12/05/94 04/01/23 04/01/96 *** MIN. SVC.
M SPENCE M 27 60 08/02/68 09/05/95 04/01/28 10/01/96 *** MIN. SVC.
S WALLACE F 22 60 06/03/73 01/26/94 04/01/33 04/01/95 *** MIN. HRS.
06-26-1996
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Services, Inc.
265
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS
SCHEDULE. THE CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH
THE COMMISSION.
METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
VALUATION DATE 04/01/95
EMPLOYEE STATUS REPORT
NORMAL
RETIREMENT ENTRY ANNUAL
NAME S AA RA BORN EMPLOYED DATE DATE SALARY STATUS
K WEISS M 37 60 06/23/58 04/26/93 04/01/18 10/01/94 *** MIN. HRS.
V WHATLEY F 21 60 07/18/74 05/18/95 04/01/34 10/01/96 *** MIN. SVC.
B WILKES F 54 64 06/14/41 05/26/94 04/01/05 10/01/95 *** MIN. SVC.
M WILLIAMS M 28 60 10/06/66 01/09/95 04/01/27 04/01/96 *** MIN. SVC.
S WILLIAMS F 25 60 11/04/69 05/22/95 04/01/30 10/01/96 *** MIN. SVC.
M OGUST F 30 60 03/05/65 01/26/94 04/01/25 04/01/95 *** INELIGIBLE
J REYNOLDS M 45 60 06/17/50 08/16/94 04/01/10 10/01/95 *** INELIGIBLE
S SWITZER M 34 60 11/28/60 04/08/94 04/01/21 10/01/95 *** INELIGIBLE
TOTAL EMPLOYEES LISTED=103 TOTAL INELIGIBLES=40 TOTAL SALARY=1988304
+ KEYPERSON
06-26-1996
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METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
VALUATION DATE 04/01/95
EMPLOYEE STATUS REPORT
PARTICIPANT COUNT FOR FORM 5500:
(a) ACTIVES (b) RECEIVING BENEFITS 0
(i) FULLY VESTED 9 (c) ENTITLED TO FUTURE BENEFITS 11
(ii) PARTIALLY VESTED 32
(iii) NONVESTED 10 (d) SUBTOTAL [(a)(iv)+(b)+(c)] 62
(iv) TOTAL 51 (e) BENEFICIARIES 0
(f) TOTAL [(d)+(e)] 62
06-26-1996
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EXPLANATION OF COLUMNS
"Additional Benefits" Page -
EA - Entry Age
AA - Attained Age as of date on the top of the page
RA - Retirement Age in the Plan
By Formula - Monthly Retirement Benefit
*Prior - Monthly Retirement Benefit in the prior year
*New - Change of Monthly Retirement Benefit form last year to this
due to salary changes, plan amendments, etc.
Face Amount - Additional insurance due to change in Monthly Retirement
Benefit
If No Insurance
*Prior - N/A
*New - If prior is N/A, this is same as By Formula
"Total Deposits" Page -
Face Amount - Total insurance including any additional insurance
from the "Additional Benefits" page.
Life Premium - Deposit for total insurance per year
Normal Cost - Investment deposit for current year (could be less depending
on funded status of plan). Unfunded
liability - Not applicable - ignore
Total Deposit- Sum of Life Premium and Normal Cost; Annual
contribution if not in full funding.
Total PS58 - Economic value of Death Benefit to be added to taxable
income
"Total Benefits at Retirement" Page -
Cash - Estimated lump sum necessary to pay Monthly Benefit
(below) at retirement age.
Mo. Benefit - Monthly Retirement Benefit at retirement age.
S.S. - Estimated Social Security benefit at retirement age.
Total - Sum of Monthly Benefit and Social Security Benefit
Accrued The portion of the Monthly Benefit earned by the employee as
of the date on the top of the page.
Vesting:
% - Vested Percentage if employee terminates
Benefit - Vested Benefit i.e. Monthly Benefit times vested percentage
P.V. - Approximate lump sum value as of the date on the top of the
page, of the Vested Benefit, usually employees cash
settlement if he terminates employment.
06-26-1996
[APS LOGO] Pension & Financial
Services, Inc.
268
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS
SCHEDULE. THE CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH
THE COMMISSION.
METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
VALUATION DATE 04/01/95
ADDITIONAL BENEFITS
----MONTHLY BENEFITS---- FACE
NAME S EA AA RA SALARY BY FORMULA PRIOR NEW AMOUNT
T ASHFORD F 29 32 60 *** *** 0 *** 0
N AUTOLINO F 30 34 60 *** *** 0 *** 0
L BELLANTESE F 20 27 60 *** *** 0 *** 0
D BUKANT F 34 38 60 *** *** 0 *** 0
S BURDI M 32 37 60 *** *** 0 *** 0
D CHUNG M 37 40 60 *** *** 0 *** 0
D FARGNOLI M 35 49 60 *** *** 0 *** 0
S FORRESTER F 37 42 60 *** *** 0 *** 0
L GREEN M 30 31 60 *** *** 0 *** 0
A HALL F 52 54 63 *** *** 0 *** 0
H HARRY M 33 36 60 *** *** 0 *** 0
A HARTNETT F 41 42 60 *** *** 0 *** 0
C LENTZ F 40 45 60 *** *** 0 *** 0
M MCIVER F 47 49 60 *** *** 0 *** 0
L MCLARTY M 40 42 60 *** *** 0 *** 0
J MOUZOB M 44 47 60 *** *** 0 *** 0
L PADILLA M 32 34 60 *** *** 0 *** 0
J PRINCE M 38 47 60 *** *** 0 *** 0
S RAMKISSOON M 37 39 60 *** *** 0 *** 0
06-26-1996
[APS LOGO] Pension & Financial
Services, Inc.
269
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
VALUATION DATE 04/01/95
ADDITIONAL BENEFITS
----MONTHLY BENEFITS---- FACE
NAME S EA AA RA SALARY BY FORMULA PRIOR NEW AMOUNT
R RAPPA-TORRES F 28 30 60 *** *** 0 *** 0
L REID M 23 25 60 *** *** 0 *** 0
J ROCCO M 32 38 60 *** *** 0 *** 0
L ROCCO M 23 44 60 *** *** 0 *** 0
R SALDANA M 30 32 60 *** *** 0 *** 0
W SIMONDS M 36 40 60 *** *** 0 *** 0
S SOMMER M 44 49 60 *** *** 0 *** 0
J STEWART M 27 30 60 *** *** 0 *** 0
J VERNILLO M 26 30 60 *** *** 0 *** 0
W WRIGHT M 59 61 65 *** *** 0 *** 0
H ALEXIS M 22 23 60 *** *** 0 *** 0
O COX M 18 22 60 *** *** 0 *** 0
W HARGNETT M 38 39 60 *** *** 0 *** 0
T HAZELL M 27 28 60 *** *** 0 *** 0
P JUNIOUS F 36 37 60 *** *** 0 *** 0
C LOCKHART F 25 26 60 *** *** 0 *** 0
C MALOOF M 45 46 60 *** *** 0 *** 0
A MILANO F 37 38 60 *** *** 0 *** 0
P MOLINA F 26 27 60 *** *** 0 *** 0
06-26-1996
[APS LOGO] Pension & Financial
Services, Inc.
270
*** CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR PORTIONS OF THIS SCHEDULE. THE
CONFIDENTIAL PORTIONS HAVE BEEN OMITTED AND FILED SEPARATELY WITH THE
COMMISSION.
METROPOLITAN RESPIRATORY SERVICE PENSION PLAN
VALUATION DATE 04/01/95
ADDITIONAL BENEFITS
----MONTHLY BENEFITS---- FACE
NAME S EA AA RA SALARY BY FORMULA PRIOR NEW AMOUNT
N MORET F 35 36 60 *** *** 0 *** 0
D PANTON M 48 49 60 *** *** 0 *** 0
F PEISCHEL M 32 33 60 *** *** 0 *** 0
V PIMENTEL M 42 43 60 *** *** 0 *** 0
S POLUHA F 28 29 60 *** *** 0 *** 0
S RICCI F 29 30 60 *** *** 0 *** 0
E RODRIGUEZ F 48 49 60 *** *** 0 *** 0
M ROMAN F 23 24 60 *** *** 0 *** 0
K RUIZ F 32 33 60 *** *** 0 *** 0
S STEWART F 32 33 60 *** *** 0 *** 0
T ZECCOLA F 25 26 60 *** *** 0 *** 0
E BROWN M 25 29 60 *** *** *** *** 0
I CARMOEGA F 32 36 60 *** *** *** *** 0
D COLLINS F 32 33 60 *** *** *** *** 0
S DUNN . F 31 33 60 *** *** *** *** 0
D FITZGERALD M 33 39 60 *** *** *** *** 0
J FRY M 21 24 60 *** *** *** *** 0
J HACKETT M 36 39 60 *** *** *** *** 0
F MICCARELLI M 31 34 60 *** *** *** *** 0
06-26-1996
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Services, Inc.
271
--------------------------------------------------------------------------------
SCHEDULE 4.25
EMPLOYEES
SEE ATTCHED SCHEDULE
272
METROPOLITAN HOME CARE--MAY 1997 metropolitan
-------------------------------------------------------------------------------
BILLNG & REIMBURSEMENT OPERATIONS
-------------------------------------------------------------------------------
Supervisor General Manager
McDermott, C Wade Wilson
---------------------------------------
Customer Service Warehouse
---------------------------------------
Billing
Bochenskl, T Old Caid Supervisor Manager
Campbell, M Insurance Juliette Palmer Hartnett, W
Castro, J Old Caid
Coburn, B Caid Customer Service Assistant Manager
Diaz, J Poster Ashord, T Harry, H
Flowers,T Filer Bellantese, L
Kerrutt, B Care Corbin, E Packers
Lockhart, C Insurance Goodley, R Harriage, K
Milano, A Care Gutierrez, M Matthews, A (P/T)
Murray, T Caid Mattison, D Peischel, F
Poluha, S System Admin SanFanandre, C Samuels, C
Rodriguez, E Admin Support -------------------- Williams, M
Rodriguez, M Care STORE Forrester, C Dispatch
Smith, E Caid --------------------
Smlth, M Private Maloof, C Repairs/Techniclans
Chung, D
Supervisor Hazell, T
Ricci, S Lyons, P
Reimbursement Equipment Cleaning Room
Belaval, A Filer (P/T) Golding, G
Brown, R Prior App
Carvajal, A Rx's Drivers
Diaz, R Filer (P/T) Green, L
Fargnoli, P Rx's Mclarty, L
King, O Rx's Parson,W
McIver, M Rx's Reid, L
Roman, M Rx's Saldana, R
Torres, R Rx's Vernillo, J
273
------------------------------------------------------------------------------------
REHABILITATION ADMINISTRATION
------------------------------------------------------------------------------------
Technicians Alexis, H Purchasing Agent
DeLarosa, D Ibanez, L Mgmt Trainee
Pizzaro, E Rogers, B JCAHO
Whatley, W Purchasing Ass't
CSR Supervisors Wright, W Staff Accountant
Hall, A Robinson, K Acct's ass't
Ortiz, E ------------------------------------------
ISABELLA
Sales ------------------------------------------
Burdl, S Manager Supervisor
Ferreira, A Tech Sup'r Lentz, C
Levano, C Salesman
----------------------------------------- Respiratory Therapists
RESPIRATORY Alcinord, R
----------------------------------------- Berlin, B
Director Coq, R
Devlin. A Joseph, P
Mercy, M
Therapists Montgomery T
Fulmore, T Rodia, N
Lopez, B Svidenskaya, I
Mitchell, D Thomas, R
Rogers, R
------------------------------------------
Customer Service OFFICERS
Forrester, S ------------------------------------------
Mayer, J Fargnoli, D
Prince, J
Clerk Rocco, L
Williams, S
Technician
Rocco, J
