STRATEGY STUDIO / PUBLIC DATA EXPLORER

HOME HEALTH CARE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
HOME HEALTH CARE INC (EIN 84-1387500)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-09-10
IRS object ID
202532539349302073
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-09-10T16:41:56-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12355 E CAMELBACK RD STE 900AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP850169065ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN841387500EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOME HEALTH CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOMEBusinessNameControlTxt
Phone6023851592PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 W DUNLAP AVE STE 250AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85021ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALAN HIEBPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone6023851592PhoneNum
Signature2025-09-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRENDA ANN BLUNT CPAPreparerPersonNm
PTINP00075126PTIN
Phone4803151040PhoneNum
Preparation2025-09-06PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1COVENANT HOME HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerALAN HIEBPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 W DUNLAP AVE STE 250AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85021ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,142,427GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCOVENANTHOMEHEALTHAGENCY.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionPROVIDING HOME HEALTH SERVICES IN ORDER TO PROMOTE HEALTH, WELLNESS, AND INDEPENDENT LIVING TO THE RESIDENTS OF CHRISTIAN CARE CAMPUSES, CHN MEMBER COMMUNITIES, AND PRIVATE RESIDENCES.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
CY Program Service Revenue$1,142,369CYProgramServiceRevenueAmt
CY Investment Income$58CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
CY Total Revenue$1,142,427CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$1,170,735CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
CY Other Expenses$691,992CYOtherExpensesAmt
CY Total Expenses$1,862,727CYTotalExpensesAmt
CY Revenues Less Expenses-$720,300CYRevenuesLessExpensesAmt
Total Assets EOY$191,518TotalAssetsEOYAmt
Total Liabilities EOY$2,189,709TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances EOY-$1,998,191NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHOME HEALTH CARE, INC., DBA COVENANT HOME HEALTH IS GUIDED BY A TRADITION OF PERSONAL, CLINICAL AND TECHNOLOGICAL EXCELLENCE. WE BELIEVE THAT SERVING PATIENTS IN THE COMMUNITY SETTING IS THE MOST IMPORTANT ACTIVITY OF THE ORGANIZATION. WE ARE (CONT'D ON SCH O) DEDICATED TO PROVIDING THE HIGHEST QUALITY OF PATIENT CARE WITH COMPASSION AND RESPECT FOR EACH PERSON.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$996,713ExpenseAmt
Revenue$1,142,369RevenueAmt
DescHOME HEALTH CARE, INC. DBA COVENANT HOME HEALTH PROVIDES HOME HEALTH SERVICES THAT ENABLE HOME-BOUND PATIENTS TO RECEIVE SKILLED MEDICAL CARE WITHIN THE COMFORT AND PRIVACY OF THEIR OWN HOME. FOR ALL OF OUR SERVICES, HOME INCLUDES WHEREVER THEY LIVE WHETHER WITHIN OR OUTSIDE OF A SENIOR LIVING FACILITY. COVENANT HOME HEALTH PROVIDES SERVICE IN FOUR AREAS 1) SKILLED HOME HEALTH 2) SUPPORTIVE SERVICES 3) TRANSITIONAL CARE AND 4) SPECIALIZED RECOVERY CARE. COVENANT HOME HEALTH SUPPORTS THE MISSION OF CHRISTIAN CARE BY PROVIDING HOME HEALTH SERVICES TO THE RESIDENTS OF THE RELATED CHRISTIAN CARE ENTITIES AND CHN MEMBER COMMUNITIES IN ORDER TO PROMOTE RESIDENT HEALTH, WELLNESS, (CONT'D ON SCH O) AND INDEPENDENT LIVING SUCH THAT ALL PATIENTS THRIVE AND LIVE WITH PURPOSE. COVENANT HOME HEALTH PROVIDES SERVICES TO CHRISTIAN CARE AND CHN AFFILITATES' INDEPENDENT LIVING, ASSISTED LIVING, AND MEMORY CARE RESIDENTS. COVENANT HOME HEALTH'S FOCUS IS TO PREVENT HOSPITALIZATION AND REDUCE FALLS.DURING 2024, THE INTERNAL REVENUE SERVICE APPROVED THE CONVERSION OF HOME HEALTH CARE, INC. FROM A GENERAL CORPORATION TO A NONPROFIT CORPORATION UNDER ARIZONA STATE LAW.Desc
Total Program Service Expenses$996,713TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KATHLEEN CONDONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6024435487PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 W DUNLAP AVE STE 250AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85021ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ALAN HIEB
CHAIRMAN2.0038.00Yes (X)Yes (X)$0$537,437$78,149
KATHLEEN CONDON
DIRECTOR2.0048.00Yes (X)$0$220,974$49,844
JON SCOTT WILLIAMS
PRESIDENT1.0039.00Yes (X)Yes (X)$0$142,546$144,396
SCOTT MOTYKA
VICE PRESIDENT0.400.00Yes (X)Yes (X)$0$0$0
JAMI VAN GYSEL
TREASURER1.0039.00Yes (X)Yes (X)$0$212,305$56,929
KRISTIE LARSEN
SECRETARY (THRU 10/24)3.0037.00Yes (X)Yes (X)$0$229,666$25,922
GEORGE ORTEGA
DIRECTOR1.0039.00Yes (X)$0$232,325$39,919
RENA PHILLIPS
DIRECTOR1.0039.00Yes (X)$0$180,648$36,148
MATT LUGER
DIRECTOR0.100.00Yes (X)$0$0$0
EDWARD JOHNSON
CCO1.0049.00Yes (X)$0$249,133$62,277
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,005,034TotReportableCompRltdOrgAmt
Total Other Compensation$493,584TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTIAN CARE MANAGEMENT INCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 W DUNLAP AVE SUITE 250AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85021ZIPCd
FieldValueIRS element (for citing)
ServicesCONTRACT LABORServicesDesc
Compensation$846,713CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHOME HEALTH SERVICESDesc
Business621610BusinessCd
Total Revenue Column$1,142,369TotalRevenueColumnAmt
Related Or Exempt Func Income$1,142,369RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,142,369TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$58TotalRevenueColumnAmt
Exclusion$58ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,142,427TotalRevenueColumnAmt
Related Or Exempt Func Income$1,142,369RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$58ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,170,735TotalAmt
Program Services$795,222ProgramServicesAmt
Management And General$375,513ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$37,823TotalAmt
Management And General$37,823ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,441TotalAmt
Management And General$2,441ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$20,158TotalAmt
Management And General$20,158ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$34,451TotalAmt
Program Services$34,451ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,954TotalAmt
Management And General$20,954ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,839TotalAmt
Management And General$22,839ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$105,024TotalAmt
Management And General$105,024ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,904TotalAmt
Program Services$104ProgramServicesAmt
Management And General$4,800ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$29,888TotalAmt
Program Services$29,888ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$93,865TotalAmt
Program Services$93,865ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$24,577TotalAmt
Program Services$23,348ProgramServicesAmt
Management And General$1,229ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
BAD DEBT EXPENSE$176,633$176,633
ADMINISTRATIVE EXPENSES$97,413$97,413
SUPPLIES$19,517$222$19,295
MISCELLANEOUS$1,226$686$540

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$279TotalAmt
Management And General$279ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,862,727TotalAmt
Program Services$996,713ProgramServicesAmt
Management And General$866,014ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$118EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$188,047EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$225EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,128EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$191,518EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$22,221EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$16,811EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,150,677EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,189,709EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY-$1,998,191EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY-$1,998,191EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$191,518EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$720,300ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,277,891OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year$1,142,369CurrentTaxYearAmt
Total$1,142,369TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year$1,142,369CurrentTaxYearAmt
Total$1,142,369TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$35,909CurrentTaxYearAmt
Total$35,909TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$35,909CurrentTaxYearAmt
Total$35,909TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,106,460PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$58CurrentTaxYearAmt
Total$58TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$58CurrentTaxYearAmt
Total$58TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year$1,142,427CurrentTaxYearAmt
Total$1,142,427TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED ENTITIESDesc
Amt$2,150,677Amt
FieldValueIRS element (for citing)
Total Liability$2,150,677TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMANAGEMENT BELIEVES THAT THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING THEIR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE COMBINED FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALAN HIEB
CHAIRMAN$0$469,719$0$60,518$0$7,200$0$42,400$0$39,054$0$618,891$0$0
EDWARD JOHNSON
CCO$0$225,987$0$23,146$0$0$0$22,348$0$44,097$0$315,578$0$0
JON SCOTT WILLIAMS
PRESIDENT$0$105,667$0$36,879$0$0$0$19,556$0$128,424$0$290,526$0$0
GEORGE ORTEGA
DIRECTOR$0$205,671$0$26,654$0$0$0$19,444$0$23,323$0$275,092$0$0
KATHLEEN CONDON
DIRECTOR$0$195,171$0$25,803$0$0$0$22,247$0$30,213$0$273,434$0$0
JAMI VAN GYSEL
TREASURER$0$187,579$0$24,726$0$0$0$19,871$0$39,633$0$271,809$0$0
KRISTIE LARSEN
SECRETARY (THRU 10/24)$0$192,173$0$37,493$0$0$0$7,491$0$20,327$0$257,484$0$0
RENA PHILLIPS
DIRECTOR$0$173,787$0$6,861$0$0$0$19,255$0$18,898$0$218,801$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, QUESTION 3:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION RELIED ON A RELATED ORGANIZATION, CHRISTIAN CARE MANAGEMENT, INC., THAT USED THE FOLLOWING METHODS DESCRIBED IN QUESTION 3 TO ESTABLISH THE CHAIRMAN'S COMPENSATION FOR HIS DUTIES AS PRESIDENT/CEO OF CHRISTIAN CARE COMPANIES: COMPENSATION COMMITTEE (A.K.A. PERSONNEL COMMITTEE), FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, WRITTEN EMPLOYMENT CONTRACT, AND APPROVAL BY THE INDEPENDENT GOVERNING BOARD.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 2A:NO FEDERAL OR STATE PAYROLL REPORTING IS DONE BY HOME HEALTH CARE, INC DBA COVENANT HOME HEALTH. ALL FEDERAL AND STATE PAYROLL REPORTING IS DONE BY CHRISTIAN CARE MANAGEMENT, INC.
FORM 990, PART VI, SECTION A, LINE 2MATT LUGER AND SCOTT MOTYKA HAVE A FAMILIAL RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 3THE CHAIRMAN, PRESIDENT, CHIEF COMPLIANCE OFFICER, TREASURER AND SECRETARY ARE COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC. FOR PROVIDING OVERSIGHT OF THE DAILY MANAGEMENT OF THE ORGANIZATION. THE CORPORATION AND MANAGEMENT ENTERED INTO A MANAGEMENT AGREEMENT ON A MONTH-TO-MONTH BASIS UNDER WHICH THE CORPORATION IS TO PAY MANAGEMENT FEES IN AN AMOUNT SPECIFIED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERS OF THE ORGANIZATION ARE CHRISTIAN CARE MANAGEMENT, INC AND COVENANT HEALTH NETWORK.
FORM 990, PART VI, SECTION A, LINE 7ACHRISTIAN CARE MANAGEMENT, INC HAS THE ABILITY TO ELECT SEVEN BOARD MEMBERS AND COVENANT HEALTH NETWORK HAS THE ABILITY TO ELECT TWO BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD OF DIRECTORS MAY NOT, OVER THE OBJECTION OF THE MEMBERS AS EXPRESSED IN WRITING AND SIGNED, WHICH OBJECTION MUST BE RECEIVED WITHIN THIRTY (30) DAYS OF THE MAILING OF THE NOTICE OF SUCH SALE OR DISPOSAL, SELL OR OTHERWISE DISPOSE OF THE CORPORATION'S REAL PROPERTY OF A VALUE IN EXCESS OF $200,000 EXCEPT IN THE ORDINARY COURSE OF BUSINESS AND ON SUCH TERMS AND CONDITIONS AS ARE CONSISTENT WITH THE BEST INTERESTS AND PURPOSES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES THAT ARE ABLE TO ACT ON BEHALF OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD CHAIRMAN AND CFO OF CHRISTIAN CARE MANAGEMENT, INC. WILL REVIEW COMPLETED FORM 990 AND PROVIDE A FINAL DRAFT TO THE GOVERNING BOARD ALLOWING FOR A COMMENT PERIOD BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL MEMBERS OF THE BOARD OF DIRECTORS AND ANY OTHER PERSONS WITH SUBSTANTIAL INFLUENCE ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. PART OF THIS STATEMENT REQUIRES THEM TO SIGN AND CONFIRM THAT THEY HAVE READ AND UNDERSTOOD THE COMPANY'S CONFLICT OF INTEREST POLICY. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF A CONFLICT OF INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OF DIRECTORS AND MEMBERS OF COMMITTEES, AS APPLICABLE, CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM THE BOARD OF DIRECTOR'S DISCUSSION OF THE CONFLICT AND DETERMINATION CONCERNING THE TRANSACTION. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THEN A MAJORITY OF THE DISINTERESTED DIRECTORS OR A MAJORITY OF THE DISINTERESTED COMMITTEE MEMBERS, AS APPLICABLE, SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE.
FORM 990, PART VI, SECTION B, LINE 15THE CHAIRMAN OF THE BOARD IS NOT COMPENSATED BY HOME HEALTH CARE, INC.. THE CHAIRMAN OF THE BOARD IS COMPENSATED BY CHRISTIAN CARE MANAGEMENT, INC.(CCMI) FOR THE SERVICES PROVIDED TO ALL CHRISTIAN CARE COMPANIES. THE CHAIRMAN'S COMPENSATION IS DETERMINED BY LOOKING AT COMPARABILITY DATA THROUGH REVIEW OF FORM 990 OF OTHER ORGANIZATIONS AND COMPENSATION SURVEYS AND STUDIES. THE CHAIRMAN'S COMPENSATION IS REVIEWED BY THE CCMI PERSONNEL COMMITTEE AND RATIFIED BY THE INDEPENDENT GOVERNING BOARD OF CCMI. THE CHAIRMAN OF THE BOARD'S COMPENSATION ARRANGEMENT IS DOCUMENTED IN WRITTEN EMPLOYMENT CONTRACTS. THIS DOCUMENTATION IS PREPARED EACH YEAR AT THE REQUEST OF THE CCMI PERSONNEL COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:TRANSFER OF NET ASSETS -1,277,891.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHRISTIAN CARE MANAGEMENT INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021942756711MANAGEMENT SERVICES AND SUPPORT FOR CHRISTIAN CARE COMPANIESAZ501(C)(3)LINE 12B, IIN/A0
CHRISTIAN CARE HOLDING COMPANY INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021860892946ENHANCING LIQUIDITY FOR CHRISTIAN CARE COMPANIESAZ501(C)(3)LINE 12B, IIN/A0
CHRISTIAN CARE ASSISTED LIVING (PHOENIX) INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021860828877MIDDLE MARKET ASSISTED LIVING FOR SENIORSAZ501(C)(3)LINE 10N/A0
CHRISTIAN CARE RETIREMENT APARTMENTS INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021742455683MIDDLE MARKET RESIDENTIAL LIVING FOR SENIORSAZ501(C)(3)LINE 10N/A0
CHRISTIAN CARE MESA INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021860828879MIDDLE MARKET RESIDENTIAL & ASSISTED LIVING FOR SENIORSAZ501(C)(3)LINE 10N/A0
CHRISTIAN CARE NURSING CENTER INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021860318085SKILLED NURSING FACILITYAZ501(C)(3)LINE 10N/A0
CHRISTIAN CARE MESA II INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021900067112MIDDLE MARKET RESIDENTIAL LIVING FOR SENIORSAZ501(C)(3)LINE 10N/A0
CHRISTIAN CARE MANOR II INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021860433280SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)LINE 10N/A0
CHRISTIAN HOUSING MESA INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021953471692SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)LINE 10N/A0
CHRISTIAN CARE MANOR III INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021742437015SUBSIDIZED HOUSING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)LINE 10N/A0
CHRISTIAN HOUSING-COTTONWOOD INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021860775063SUBSIDIZED HOUSING WITH ASSISTED LIVING FOR VERY-LOW INCOME SENIORSAZ501(C)(3)LINE 10N/A0
CHRISTIAN CARE CALIFORNIA
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021330264173AFFORDABLE SENIOR HOUSING AND HEALTHCARECA501(C)(3)PF0CHRISTIAN CARE HOLDING COMPANY INC
CHRISTIAN CARE MANAGEMENT II INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021264242355ASSISTED LIVING SERVICES FOR VERY-LOW TO MIDDLE INCOME SENIORSAZ501(C)(3)LINE 12B, IIN/A0
CHRISTIAN CARE MESA III INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021203253081AFFORDABLE ASSISTED LIVING FOR SENIORSAZ501(C)(3)LINE 12B, IIN/A0
CHRISTIAN CARE SURPRISE INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021270919033MIDDLE MARKET RESIDENTIAL & ASSISTED LIVING FOR SENIORSAZ501(C)(3)LINE 10N/A0
CHRISTIAN CARE TUCSON INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021860962052MIDDLE MARKET RESIDENTIAL AND ASSISTED LIVING FOR SENIORSAZ501(C)(3)LINE 10N/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COVENANT HOME HEALTH LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 W DUNLAP AVE SUITE 250AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85021ZIPCd
FieldValueIRS element (for citing)
EIN834353828EIN
Primary ActivitiesPROVIDING HOME HEALTH SERVICESPrimaryActivitiesTxt
Legal Domicile StateAZLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
CHRISTIAN CARE MANAGEMENT IV INC
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021471154405CHARITABLE HEALTH AND/OR EDUCATIONAL ORGANIZATIONAZN/AC0
CFS PROTECTED CELL OF MEDTRANS
2400 W DUNLAP AVE SUITE 250PHOENIXAZ85021881491766PROVIDING EMPLOYER HEALTH INSURANCE SERVICESNVN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIFormAndLineReferenceDesc
ExplanationCHRISTIAN CARE MANAGEMENT II, INC IS IN ITS 60-MONTH PERIOD TO TERMINATE ITS PRIVATE FOUNDATION STATUS AS IT QUALIFIES AS A PUBLIC CHARITY DESCRIBED IN IRC SECTION 509(A)(3), TYPE II. WHILE CHRISTIAN CARE MANAGEMENT II CONTINUES TO FILE A 990-PF RETURN, AS REQUIRED, IT CONTINUES TO MEET THE REQUIREMENTS AS A TYPE II SUPPORTING ORGANIZATION, SO IT IS REPORTED AS SUCH ON PART II.ExplanationTxt