2019-10-04T11:07:18-05:00 2018-12-31 910189318 MOSS ADAMS LLP 10960 WILSHIRE BLVD SUITE 1100 LOS ANGELES CA 90024 990 2018-01-01 382453621 UNITED HOME HEALTH SERVICES INC UNIT 7344584649 6701 HARRISON GARDEN CITY MI 48135 GINA BUTCHER CFO 7344584649 2019-09-19 1 LAUREN A HAVERLOCK P00545829 3104770450 2019-09-19 23.242.64.125 2019-09-19 20:36:06 PD P E99E84FB72D0C5700B098457E985E881114703D2 7D0D6C7A6A5655B0595BBDB8C4257A6B648F0CEB 2018 2020-01-14 16:20:31Z GINA BUTCHER 6701 HARRISON GARDEN CITY MI 48135 1751131 0 X WWW.UHHS.ORG X 1983 MI PROVIDE QUALITY HOME HEALTH SERVICES WHICH ARE COMPREHENSIVE, WELL-COORDINATED AND COST EFFECTIVE THROUGH PATIENT MANAGEMENT, THERAPEUTIC SERVICES AND PERSONAL ASSISTANCE. 4 2 54 0 0 0 20000 0 1946247 1751042 0 89 0 0 1966247 1751131 0 0 362842 0 1423368 1536029 0 0 0 535234 342658 2321444 1878687 -355197 -127556 849456 359324 1332250 969674 -482794 -610350 PROVIDE QUALITY HOME HEALTH SERVICES WHICH ARE COMPREHENSIVE, WELL-COORDINATED AND COST EFFECTIVE THROUGH PATIENT MANAGEMENT, THERAPEUTIC SERVICES AND PERSONAL ASSISTANCE DELIVERED BY A CARING TEAM. 0 0 1377053 1751042 TO PROVIDE NECESSARY SKILLED SERVICES TO HOME BOUND PATIENTS IN THEIR PLACE OF RESIDENCE UNDER THE PLAN OF CARE OF A LICENSED PHYSICIAN IN MICHIGAN. SERVICES INCLUDE SKILLED NURSING, CERTIFIED HOME HEALTH AIDES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, MEDICAL SOCIAL WORK, REGISTERED DIETITIAN/NUTRITIONAL COUNSELING, WOUND AND OSTOMY THERAPY, CAREGIVERS AND COMPANIONS, AND GENERIC CARE MANAGEMENT. 1377053 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 5 0 1 54 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 2 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X DENNIS MCFALL 7344584733 6701 HARRISON GARDEN CITY MI 48135 SAJU GEORGE CEO, PHS - GARDEN CITY 1.00 40.00 X X 0 370006 0 GINA BUTCHER CFO, PHS - GARDEN CITY 1.00 40.00 X X 0 263688 0 DR LISA O'NEIL MEDICAL DIRECTOR 1.00 X 5000 0 0 SAM KENNEDY BOARD MEMBER 1.00 X 0 0 0 5000 633694 0 0 0 1 0 0 PATIENT SERVICE 621610 1751042 1751042 1751042 89 89 1751131 1751042 0 89 5000 5000 1142587 957219 185368 32693 27412 5281 259675 217730 41945 96074 80555 15519 30000 30000 154710 3202 151508 2039 2039 14156 14156 26620 26620 16787 16787 6918 6918 9523 9523 PURCHASED MEDICAL SERVI 56920 56920 MISCELLANEOUS 12757 12757 MEDICAL SUPPLIES 12228 12228 1878687 1377053 501634 0 200 200 326520 139635 502750 204397 2024 57438 44370 19986 13068 849456 359324 119230 125098 1213020 844576 1332250 969674 X -482794 -610350 -482794 -610350 849456 359324 -127556 0 X 0 1 X 0 0 X 820 10000 0 20000 0 30820 3014881 2138962 538211 1966247 1751042 9409343 3015701 2148962 538211 1986247 1751042 9440163 20000 20000 0 20000 20000 9420163 89 89 89 89 393 393 3016094 2148962 538211 1986247 1751131 9440645 0.99780 0.99890 0.00000 0.00110 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2014 AMOUNT: $ 393. 57438 44370 13068 13068 DUE TO RELATED PARTIES 844576 844576 X PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. 0 0 0 0 0 0 0 0 0 SAJU GEORGE CEO, PHS - GARDEN CITY 0 320006 0 50000 0 0 0 0 0 0 0 370006 0 0 GINA BUTCHER CFO, PHS - GARDEN CITY 0 243688 0 20000 0 0 0 0 0 0 0 263688 0 0 PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: INDEPENDENT COMPENSATION CONSULTANT, APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE, AND COMPENSATION SURVEY OR STUDY FORM 990, PART VI, SECTION A, LINE 1 SAJU GEORGE AND GINA BUTCHER ARE DIRECTORS COMPENSATED OVER $10,000 AS PAID EMPLOYEES OF A RELATED ORGANIZATION AND, AS SUCH, ARE CONSIDERED NON-INDEPENDENT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 PRIME HEALTHCARE SERVICES - GARDEN CITY, LLC IS THE SOLE MEMBER OF UNITED HOME HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A SAJU GEORGE MAINTAINS THE RIGHT TO APPOINT AND APPROVE NEW MEMBERS TO THE GOVERNING BOARD. FORM 990, PART VI, SECTION A, LINE 7B GARDEN CITY HOSPITAL, THE SOLE MEMBER OF UNITED HOME HEALTH SERVICES INC, HAS THE AUTHORITY TO APPOINT AND APPROVE NEW MEMBERS FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FINANCE DEPARTMENT ACCUMULATES INFORMATION AND DATA NECESSARY TO COMPLETE THE FEDERAL FORM 990. AUDITED FINANCIAL DATA AND BOARD APPROVED POLICIES AND PROCEDURES ARE USED AS INPUT TO COMPLETE THE FORM. A DRAFT RETURN IS PREPARED AND REVIEWED BY THE ORGANIZATION'S INDEPENDENT OUTSIDE TAX ACCOUNTANTS. AFTER THE REVIEW PROCESS IS COMPLETED BY THE INDEPENDENT OUTSIDE TAX ACCOUNTANTS, THE FINANCE STAFF REVIEWS THE FINAL FORM 990 AND PROVIDES A COPY TO EACH BOARD MEMBER. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD HAS ADOPTED THE CONFLICT OF INTEREST POLICY OF ITS PARENT ENTITY. ALL OFFICERS, DIRECTORS, AND EMPLOYEES ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THIS IS MONITORED BY THE BOARD THROUGH QUARTERLY BOARD MEETING DISCUSSIONS. ALL POTENTIAL CONFLICTS ARE ADDRESSED BY THE BOARD. ANY ISSUES ARE DEALT WITH AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES ENGAGES AN OUTSIDE CONSULTING FIRM TO SURVEY THE MARKET FOR APPROPRIATE PLANS AND LEVELS OF COMPENSATION. APPROPRIATE PLANS AND COMPENSATION ARE THEN NEGOTIATED WITH TOP MANAGEMENT PERSONNEL. ONCE THIS IS DONE, THE COMPENSATION PLAN IS SENT TO THE COMPLIANCE ATTORNEY FOR REVIEW AND THEN TO THE BOARD FOR FINAL APPROVAL. ALL BOARD MEMBERS INVOLVED IN THIS PROCESS ARE INDEPENDENT MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. PULSE EMS LLC 6245 INKSTER ROAD GARDEN CITY MI 48135 300691829 AMBULANCE COMPANY MI N/A N/A 0 0 GCH ASSURANCE COMPANY LTD PO BOX 1159 KY-1102 CJ 980608598 OFFSHORE LIMITED LIABILITY CO. CJ N/A C 0 PRIME HEALTHCARE SERV - GARDEN CITY LLC 6245 INKSTER ROAD GARDEN CITY MI 48135 464719451 HOSPITAL MI N/A C 0 PRIME GARDEN CITY MEDICAL GROUP 6245 INKSTER ROAD GARDEN CITY MI 48135 383162092 PHYSICIAN OFFICES MI N/A C 0 PRIME HEALTHCARE HOLDINGS INC 3300 E GUASTI ROAD SUITE 300 ONTARIO CA 91761 272458309 MEDICAL SERVICES CA N/A S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1