2024-08-13T14:34:48-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2022-10-01 561844651 ADVANCED HOME CARE INC ADVA 2145980484 PO BOX 890492 CHARLOTTE NC 27419 KRIS TRENT CHIEF ADMINISTRATIVE OFFICER 3362948822 2024-08-12 1 0 JOHN NORMAN P01506766 7049985200 2024-08-07 2022 2024-08-08 14:25:15Z KRIS TRENT PO BOX 890492 CHARLOTTE NC 27419 13155821 0 X ADVHOMECARE.ORG/ X 1993 NC HOME HEALTH CARE SERVICES TO THE COMMUNITY 5 5 0 0 0 0 0 0 0 0 1045998 0 204121 13155821 1250119 13155821 0 0 0 0 134523 0 0 0 0 1361739 1327024 1496262 1327024 -246143 11828797 35606965 59581444 17087414 228422 18519551 59353022 ADVANCED HOME CARE CEASED OPERATIONS IN FEBRUARY 2020. FINANCIAL INFORMATION PROVIDED IS WIND DOWN ACTIVITY. 0 0 ADVANCED HOME CARE CEASED OPERATIONS IN FEBRUARY 2020. FINANCIAL INFORMATION PROVIDED IS WIND DOWN ACTIVITY. 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 X 5 5 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X LUCRUM SERVICES ATTN KRIS TRENT 2149067592 3204 OVERLAND DR PLANO TX 75023 X GEOFF GARDNER BOARD CHAIR 1.00 X X 0 0 0 ANDY BARROW MEMBER 1.00 X 0 0 0 NEIL LURIA MEMBER 1.00 X 0 0 0 MARVIN EICHORN MEMBER 1.00 X 0 0 0 PAUL GROSSWALD MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 ESCROW RELEASE AND OTHER 900099 13155821 13155821 13155821 13155821 13155821 0 0 X 139473 139473 5103 5103 673185 673185 312 312 67 67 74857 74857 BAD DEBT EXPENSE 380740 380740 BANK FEES 22146 22146 MISCELLANEOUS 18424 18424 STORAGE FEES 12717 12717 1327024 0 1327024 0 15569789 27448283 986776 1641453 1708 1708 74857 0 2604653 2604653 0 0 36000 0 18937835 30490000 35606965 59581444 299579 228422 16787835 0 17087414 228422 X 18519551 59353022 18519551 59353022 35606965 59581444 X 11828797 29004674 X 0 0 0 X 5108 24835 29943 176767057 77702562 254469619 176772165 77727397 254499562 0 0 0 254499562 672663 358581 183875 1215119 672663 358581 183875 1215119 456352 456352 177444828 78085978 640227 256171033 0.99350 0.99560 0.00470 0.00330 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 456,352. 2604653 2604653 0 0 DUE FROM 30490000 30490000 1 1 0 1 0 0 0 0 0 PART I, LINES 4A-B 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. DURING 2019, JOEL MILLS RECEIVED A PAYOUT OF $1,294,044 FROM HIS 457(F) PLAN. JANICE WILHELM RECEIVED A PAYOUT OF $177,029 UNDER THE PLAN. JAMES HOGAN RECEIVE A PAYOUT OF $83,223. PART I, LINE 5 BONUSES ARE PARTIALLY BASED ON MEETING BUDGETED REVENUE GOALS AND BUDGETED OPERATING MARGIN GOALS. FORM 990, PART VI, SECTION A, LINE 3 HAMMOND HANLON CAMP LLC ("H2C") WAS ENGAGED BY THE EXECUTIVE COMMITTEE TO WIND-DOWN THE OPERATIONS, PROVIDE AND PREPARE ALL FINANCIAL INFORMATION, COMPLETE AND SUBMIT ALL APPLICABLE FILINGS, RESOLVE ANY AND ALL OUTSTANDING MATTERS AS THERE WERE NO LONGER ANY EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 6 ADVANCED HOME CARE CEASED OPERATIONS IN FEBRUARY 2020. THE EXECUTIVE COMMITTEE REMAINING IS COMPRISED OF 5 MEMBERS. THE EXECUTIVE COMMITTEE MAKES ALL OF THE DECISIONS ASSOCIATED WITH THE WINDING DOWN OF THE PRIOR OPERATIONS. 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 IX, LINE 11G MANAGEMENT OF WINDOWN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 508,045. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 508,045. CLAIMS PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 60,648. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,648. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 73,380. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,380. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 31,112. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,112. FORM 990, PART XI, LINE 9: MEMBER DISTRIBUTIONS 28,758,531. PRIOR YEAR NET INCOME BOOKED AFTER YEAR END CLOSE 246,143.