2019-03-14T15:44:17-05:00 2018-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2017-10-01 561844651 ADVANCED HOME CARE INC ADVA 3362948822 PO BOX 18049 GREENSBORO NC 274198049 JAMES HOGAN CFO/TREASURER 3362948822 2019-03-14 1 JOHN NORMAN P01506766 7049985200 2019-03-12 67.137.57.251 2019-03-14 09:48:21 ED P 85B9997AADF14A140E17A393DEEE4F99E0CB7F93 13239EC41019BF828364F62312B59C2EE4B1EDC0 2017 2019-02-21 02:37:17Z JOEL MILLS PO BOX 18049 GREENSBORO NC 274198049 177450302 0 X ADVHOMECARE.ORG/ X 1993 NC HOME HEALTH CARE SERVICES TO THE COMMUNITY 22 22 2065 25 1879812 -501152 126046 112890 72990904 70514995 93548 227597 62040261 62744273 135250759 133599755 109923 96500 0 0 105701332 102343750 0 0 0 23753187 22931910 129564442 125372160 5686317 8227595 133625993 141338142 35267043 36008242 98358950 105329900 X ADVANCE HOME CARE EXISTS TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF PATIENTS BY PROVIDING COMPASSIONATE, HIGH-QUALITY, HOME HEALTH CARE WITH DEDICATED, CARING, AND HIGHLY SKILLED STAFF. 0 0 61052295 96500 67046512 ADVANCED HOME CARE PROVIDED 475,000 VISITS TO PATIENTS IN THEIR HOMES CONSISTING OF SKILLED NURSING, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, MEDICAL SOCIAL WORK, AND HOME HEALTH AIDES. THESE VISITS TOOK PLACE IN 15 HOME HEALTH BRANCHES LOCATED IN 5 STATES (NC, SC, VA, GA, AND TN).UNCOMPENSATED CARE:TOTAL CHARITY CARE: $ 3,177,721BAD DEBTS TIMES COST/CHARGE RATIO $ 3,078,598NON-REIMBURSED COST OF TREATING MEDICARE AND MEDICAID PATIENTS $ 3,711,470NON-REIMBURSED COST OF TREATING MANAGED CARE PATIENTS $ 12,504,920CASH DONATIONS $ 12,100SUBSIDIZED COMMUNITY SERVICES $ 208,058EMPLOYEE DONATIONS TO COMMUNITY ORGANIZATIONS THROUGH COMPANY SPONSORED EVENTS $ 71,366TOTAL COMMUNITY BENEFIT $ 22,764,233 36897617 48315380 ADVANCED HOME CARE PROVIDED HOME MEDICAL EQUIPMENT SERVICES TO 119,000 PATIENTS IN THE FORM OF 756,000 DELIVERIES AND VISITS. THESE VISITS AND DELIVERIES WERE IN THE SERVICE LINES OF DURABLE MEDICAL EQUIPMENT, PEDIATRICS, INCONTINENCE, RESPIRATORY THERAPY, SLEEP/PAP, CUSTOM REHAB, SPECIALTY WOUND CARE, TRACH, VENT, AND ENTERAL. THE PATIENTS WERE LOCATED IN 6 STATES (NC, VA, TN, SC, GA, AND WV). 9551546 15925117 ADVANCED HOME CARE PROVIDED HOME INFUSION MEDICATIONS TO 7,000 PATIENTS. THESE MEDICATIONS INLCUDED TPN, ANTI-INFECTIVES, PAIN MANAGEMENT, CHEMOTHERAPY, AND STEROID/HYDRATION. THE PATIENTS WERE SERVED IN FIVE STATES (NC, VA, TN, SC, AND GA) 107501458 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 35 0 2065 1 1 1 0 0 0 0 1 1 0 0 0 0 X 22 22 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JAMES HOGAN 3368788824 4001 PIEDMONT PARKWAY HIGH POINT NC 27265 X DR JAMES OSBORNE MEDICAL DIRECTOR/NV BOARD 1.00 X 9800 0 0 GREGG DIXON MEMBER 1.00 X 0 0 0 WILL BRYANT MEMBER 1.00 X 0 0 0 TRACY BUCHANAN MEMBER 1.00 X 0 0 0 CHRIS RUCKER MEMBER 1.00 X 0 0 0 BRIAN DUNN MEMBER 1.00 X 0 0 0 ELBERT MCQUEEN MEMBER 1.00 X 0 0 0 DR TODD DAVIS MEMBER 1.00 X 0 0 0 PAM BOOTHE-WILSON MEMBER 1.00 X 0 0 0 DR ROBERT BARNABEI MEMBER 1.00 X 0 0 0 DR BRUCE SWORDS MEMBER 1.00 X 0 0 0 CATHLEEN ADAMS MEMBER 1.00 X 0 0 0 MATT SMITH MEMBER 1.00 X 0 0 0 SUE SCIABBARRASI MEMBER 1.00 X 0 0 0 RUTH ZZRY MEMBER 1.00 X 0 0 0 JOANN SMITH MEMBER 1.00 X 0 0 0 CARLA DALLMAN MEMBER 1.00 X 0 0 0 DR DAN DRAKE MEMBER 1.00 X 0 0 0 DR CHIRAGE PATEL MEMBER 1.00 X 0 0 0 RENEE MERRITT MEMBER 1.00 X 0 0 0 JOEL MILLS CEO/PRESIDENT 45.00 X 522858 0 124568 JAMES HOGAN CFO/TREASURER 45.00 X 630361 0 53156 ANDY BARROW SECRETARY 1.00 X 0 0 0 GEOFF GARDNER BOARD CHAIR 1.00 X 0 0 0 JANICE WILHELM VICE PRESIDENT SPECIALTY C 45.00 X 214172 0 37480 MARIA THURLOW CHIEF CULTURAL OFFICER 45.00 X 328387 0 55515 RALPH MCBRIDE VICE PRESIDENT OF SUPPORT 45.00 X 246165 0 38789 DEVIN GRIFFITH VP REGIONAL DEVELOPMENT 45.00 X 215425 0 12576 JOSEPH KRESS CHIEF INFORMATION OFFICER 45.00 X 271175 0 28134 THOMAS RHONE PHARMACY MANAGER 45.00 X 169108 0 30069 MATT FROHNA SENIOR DIRECTOR SPR REGION 45.00 X 155697 0 18068 TINA GODFREY VP HME AND RT SERVICES 45.00 X 165991 0 39785 WILLIAM GROBEN PHARMACY MANAGER 45.00 X 151262 0 12783 CHRISTINA DUNN VP, FINANCE AND REVENUE CYCLE 45.00 X 161480 0 7289 3241881 0 458212 12 0 1 0 CORNERSTONE THERAPY SERVICES PO BOX 489 PENNINGTON GAP VA 24277 CONTRACT HOME HEALTH SERVICES 1475106 LASERSHIP INC PO BOX1335 CHARLOTTE NC 28201 COURIER SERVICES 1331354 PPM FULFILLMENT 4344 N 62ND STREET LINCOLN NE 68507 SHIPPING CONTRACTOR 578709 SUPPLEMENTAL HEALTH CARE PO BOX 677896 DALLAS TX 75267 CONTRACT HOME HEALTH SERVICES 473717 RTG MEDICAL 1005 E 23RD STREET SUITE 200 FREMONT NE 68025 CONTRACT HOME HEALTH SERVICES 387525 11 106038 6852 112890 NET PATIENT SERVICES 621610 70300142 70300142 214853 214853 70514995 227597 227597 13207 106038 13207 0 106581613 43837340 62744273 60864461 1879812 133599755 131379456 1879812 227597 96500 96500 626575 626575 83654406 73958590 9695816 1666218 1440175 226043 10606723 8877321 1729402 5789828 5061087 728741 282630 282630 84461 84461 1590762 287468 1303294 308292 196816 111476 1867386 1863313 4073 4095474 3863834 231640 189754 160730 29024 240892 43974 196918 232062 232062 4904072 3416869 1487203 414879 414879 SELLING & DISTRIBUTION 7768940 7552043 216897 CELL PHONES AND COMMUNI 378013 378013 ORGANIZATIONAL FEES 90641 9235 81406 STAFF APPRECIATION 66755 53061 13694 416897 242429 174468 125372160 107501458 17870702 0 26684272 35891931 19756133 19997468 5275978 5861557 1647650 1377324 102547082 69364608 34896329 33182474 5366898 5363573 36000 36000 39179065 39297958 783668 329857 133625993 141338142 13390129 16075071 5960101 4921701 6439124 5922554 9477689 9088916 35267043 36008242 X 98358950 105329900 98358950 105329900 133625993 141338142 X 8227595 -1256645 X X 0 1 X 1 0 X 108218 97184 108514 126046 126097 566059 165674352 176534487 172729639 176519159 177004161 868461798 7661 5898 12115 12917 13207 51798 165790231 176637569 172850268 176658122 177143465 869079655 0 0 0 869079655 9911 227597 237508 9911 227597 237508 300595 318033 272398 374813 1265839 166090826 176955602 173122666 177042846 177371062 870583002 0.99830 0.00030 X 1866000 1866000 13294704 2548152 10746552 8202938 7142498 1060440 31152349 29128312 2024037 48031091 30545646 17485445 33182474 OTHER CURRENT 3315670 DEFERRED COMPENSATION 5098158 EXCESS LOSS IN INVESTEES 675088 9088916 X 133824616 224861 224861 133599755 0 133599755 125372160 0 125372160 0 125372160 PART X, LINE 2: THE COMPANY IS A TAX-EXEMPT ORGANIZATION AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE COMPANY'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE COMPANY IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME, EXCISE, OR OTHER TAXES. THE COMPANY FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NO CERTAIN TO BE REALIZED. THIS STANDARD HAD NO IMPACT ON THE COMPANY'S FINANCIAL STATEMENTS FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: PACE INVESTMENT 224,861. CHARITY GOLF TOURNAMENT 119245 106068 13177 6739 6039 429 119245 106068 13177 6739 6039 429 13207 -30 1 UNITED WAY OF NORTHERN SHENANDOAH VALLEY 329 NCAMERON ST STE 201 WINCHESTER VA 22601 540525106 501(2)(3) 35500 GENERAL SUPPORT WELLSTAR COMMUNITY HOSPICE CO WELLSTAR HEALTH SYSTEM 805 SANDY PLAINS RD MARIETTA GA 30066 581649541 501(2)(3) 25500 GENERAL SUPPORT NISWONGER CHILDREN'S HOSPITAL CO BALLAD HEALTH 303 MED TECH PKWY STE 300 JOHNSON CITY TN 37604 611771290 501(2)(3) 35500 GENERAL SUPPORT 3 X 1 0 X X X X 0 1 0 1 0 1 0 0 0 JOEL MILLS CEO/PRESIDENT 407858 0 99966 0 15034 0 115346 0 9222 0 647426 0 0 0 JAMES HOGAN CFO/TREASURER 218941 0 39054 0 372366 0 46894 0 6262 0 683517 0 0 0 JANICE WILHELM VICE PRESIDENT SPECIALTY C 174470 0 31121 0 8581 0 30735 0 6745 0 251652 0 0 0 MARIA THURLOW CHIEF CULTURAL OFFICER 203528 0 36299 0 88560 0 50269 0 5246 0 383902 0 0 0 RALPH MCBRIDE VICE PRESIDENT OF SUPPORT 198016 0 35317 0 12832 0 34829 0 3960 0 284954 0 0 0 DEVIN GRIFFITH VP REGIONAL DEVELOPMENT 176176 0 31423 0 7826 0 9043 0 3533 0 228001 0 0 0 JOSEPH KRESS CHIEF INFORMATION OFFICER 218005 0 29163 0 24007 0 24000 0 4134 0 299309 0 0 0 THOMAS RHONE PHARMACY MANAGER 157602 0 9421 0 2085 0 20918 0 9151 0 199177 0 0 0 MATT FROHNA SENIOR DIRECTOR SPR REGION 143208 0 12451 0 38 0 15098 0 2970 0 173765 0 0 0 TINA GODFREY VP HME AND RT SERVICES 139381 0 24862 0 1748 0 28686 0 11099 0 205776 0 0 0 WILLIAM GROBEN PHARMACY MANAGER 148366 0 0 0 2896 0 0 0 12783 0 164045 0 0 0 CHRISTINA DUNN VP, FINANCE AND REVENUE CYCLE 139214 0 18621 0 3645 0 6211 0 1078 0 168769 0 0 0 PART I, LINE 1A HEALTH CLUB DUES CAN BE PAID BY THE ORGANIZATION FOR OFFICERS OF THE ORGANIZATION. THESE AMOUNTS ARE TREATED AS ADDITIONAL TAXABLE INCOME. PART I, LINE 4B 457(F) - EFFECTIVE OCTOBER 1, 2003, THE COMPANY ESTABLISHED A 457(F) RETIREMENT PLAN FOR KEY EMPLOYEES. THE COMPANY CONTRIBUTED ONE MONTH OF PAY FOR EVERY YEAR OF SERVICE, UP TO A MAXIMUM OF TWELVE MONTHS FOR EACH QUALIFIED EMPLOYEE. THE AMOUNT IS CARRIED AT FAIR MARKET VALUE AS INVESTMENTS AND IS INCLUDED IN THE DEFERRED COMPENSATION PAYABLE ON THE BALANCE SHEET AND TOTALS APPROXIMATELY $2,900,000 AND $2,800,000 AT SEPTEMBER 20, 2017 AND 2016, RESPECTIVELY. 457(F) DETAILS BY EMPLOYE: JOEL MILLS 104,862 JIM HOGAN 22,465 RALPH MCBRIDE 10,672 MARIA THURLOW 26,565 KRISTEN YNTEMA 6,965 JANICE WILHELM 15,909 TINA GODFREY 4,593 PART I, LINE 5 BONUSES ARE PARTIALLY BASED ON MEETING BUDGETED REVENUE GOALS AND BUDGETED OPERATING MARGIN GOALS. PART I, LINE 6 BONUSES ARE PARTIALLY BASED ON MEETING BUDGETED REVENUE GOALS AND BUDGETED OPERATING MARGIN GOALS. FORM 990, PART VI, SECTION A, LINE 6 THE COMPANY CURRENTLY HAS 12 MEMBERS INCLUDING CONE HEALTH, HIGH POINT REGIONAL HEALTH SERVICES, INC., NOVANT HEALTH, INC., MISSION HOSPITALS, INC., VIDANT HEALTH, CAREPARTNERS HEALTH SERVICES, CAROMONT HEALTH SERVICES, INC., WELLMONT HEALTH SYSTEM, UNC ROCKINGHAM HEALTH CARE, INC., WELLSTAR HEALTH SYSTEM, INC., NAVICENT HEALTH, AND VALLEY HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A ONE DIRECTOR SHALL BE AN EMPLOYEE OF ADVANCED HOME CARE, INC. THE REMAINING DIRECTORS SHALL BE VOTING DIRECTORS AND SHALL BE APPOINTED BY THE MEMBERS SUCH THAT EACH MEMBER SHALL APPOINT TWO VOTING DIRECTORS. AN APPOINTED DIRECTOR MAY BE REMOVED FROM OFFICE AT ANY TIME WITH OR WITHOUT CAUSE BY THE MEMBER THAT APPOINTED THAT DIRECTOR TO OFFICE. IF A DIRECTOR IS REMOVED, A NEW DIRECTOR MAY BE APPOINTED BY THE APPROPRIATE MEMBER TO FILL THE VACANCY AT THE SAME TIME AS THE REMOVAL. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO THE APPROVAL OF THE MEMBER BODY. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH INFORMATION PROVIDED BY MANAGEMENT FOLLOWING MANAGEMENT REVIEW, THE RETURN WAS SUBMITTED TO ALL BOARD MEMBERS FOR REVIEW AND WAS DISCUSSED AS AN AGENDA ITEM AT A BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C AS PART OF ITS ANNUAL REVIEW AND CONFIRMATION PROCESS, ADVANCED HOME CARE REQUIRES ANY EMPLOYEE HOLDING POSITION AT THE DIRECTOR LEVEL OR ABOVE (INCLUDING OFFICERS AND BOARD MEMBERS) TO SIGN AN ANNUAL STATEMENT CONFIRMING HIS OR HER KNOWLEDGE AND UNDERSTANDING OF, AND COMPLIANCE WITH, ITS CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION COMMITTEE IS COMPRISED OF THREE BOARD MEMBERS THAT REPRESENT THE LARGEST OWNERSHIP OF ADVANCED HOME CARE. THE COMMITTEE IS RESPONSIBLE FOR REVIEWING AND APPROVING THE COMPENSATION PROGRAM FOR ALL SENIOR MANAGERS. THE COMMITTEE USES AN OUTSIDE CONSULTING SERVICE, FINDLEY DAVIES, TO PROVIDE SURVEY DATA TO DETERMINE APPROPRIATE PAY RANGES. THE PROCESS IS COMPLETED EVERY TWO YEARS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES FORM 990 AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS REQUIRED TO BE OPEN TO THE PUBLIC ARE AVAILABLE UPON REQUEST. FORM 990, PART VII THE COMPANY, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN COLUMN F, PART VII, AND IS NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. FORM 990, PART XI, LINE 9: DISTRIBUTIONS -1,481,506. PACE INVESTMENTS 224,861. FORM 990, PART XII, LINE 2C THE COMPANY HAS A COMMITTEE THAT REVIEWS THE SELECTION OF THE INDEPENDENT AUDITOR. THERE HAVE BEEN NO CHANGES IN THE SELECTION PROCESS SINCE THE PRIOR YEAR.