Civic Intelligence

Advanced Home Care Inc.

990 • Fiscal year 2018 • EIN 56-1844651

Oct 01, 2017 to Sep 30, 2018 • Filed on Mar 14, 2019

PO Box 18049Greensboro, NC 27419-8049

(336) 294-8822

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

44th percentile

0.25x

Higher debt load relative to assets than 44% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Liabilities / Revenue

33rd percentile

0.27x

Higher debt load relative to revenue than 33% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Net Margin

57th percentile

6.2%

Higher net margin than 57% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Top Officer Pay

67th percentile

$683,517

Higher top officer pay than 67% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Asset Growth

64th percentile

5.8%

Faster asset growth than 64% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Revenue Growth

26th percentile

-1.0%

Faster revenue growth than 26% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Assets

Up

$141,338,142

Up $7,712,149 (+5.8%) from 2017

Net Assets

Up

$105,329,900

Up $6,970,950 (+7.1%) from 2017

Liabilities

Up

$36,008,242

Up $741,199 (+2.1%) from 2017

Revenue

Down

$133,599,755

Down $1,362,562 (-1.0%) from 2017

Expenses

Down

$125,372,160

Down $4,192,282 (-3.2%) from 2017

Net Income

Up

$8,227,595

Up $2,829,720 (+52%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0Assets 2010: $94,020,453Liabilities 2010: $20,079,446Net Assets 2010: $73,941,0072010Assets 2011: $91,883,735Liabilities 2011: $20,599,512Net Assets 2011: $71,284,2232011Assets 2014: $115,197,903Liabilities 2014: $37,020,512Net Assets 2014: $78,177,3912014Assets 2016: $131,701,526Liabilities 2016: $35,028,893Net Assets 2016: $96,672,6332016Assets 2017: $133,625,993Liabilities 2017: $35,267,043Net Assets 2017: $98,358,9502017Assets 2018: $141,338,142Liabilities 2018: $36,008,242Net Assets 2018: $105,329,9002018Assets 2019: $141,334,825Liabilities 2019: $32,520,394Net Assets 2019: $108,814,4312019Assets 2020: $54,318,875Liabilities 2020: $34,218,319Net Assets 2020: $20,100,5562020Assets 2022: $35,606,965Liabilities 2022: $17,087,414Net Assets 2022: $18,519,5512022Assets 2024: $33,914,075Liabilities 2024: $0Net Assets 2024: $33,914,0752024

Highlighted filing

2018

Assets$141,338,142
Liabilities$36,008,242
Net Assets$105,329,900

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $102,262,8002010Expenses 2011: $106,260,0542011Revenue 2014: $125,023,217Expenses 2014: $116,542,428Net Income 2014: $8,480,7892014Revenue 2016: $133,874,385Expenses 2016: $129,383,410Net Income 2016: $4,490,9752016Revenue 2017: $134,962,317Expenses 2017: $129,564,442Net Income 2017: $5,397,8752017Revenue 2018: $133,599,755Expenses 2018: $125,372,160Net Income 2018: $8,227,5952018Revenue 2019: $137,235,868Expenses 2019: $129,922,533Net Income 2019: $7,313,3352019Revenue 2020: $110,590,000Expenses 2020: $64,769,454Net Income 2020: $45,820,5462020Revenue 2022: $1,250,119Expenses 2022: $1,496,262Net Income 2022: -$246,1432022Revenue 2024: $7,155,513Expenses 2024: $724,459Net Income 2024: $6,431,0542024

Highlighted filing

2018

Revenue$133,599,755
Expenses$125,372,160
Net Income$8,227,595
Jump To
Filing Snapshot
Filing Period
Oct 1, 2017 to Sep 30, 2018
Signed
Mar 14, 2019
Return Version
2017v2.3
Gross Receipts
$177,450,302
Mission and Program Overview

Mission

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.

Home health care services to the community

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets$39,179,065$39,297,958▲ $118,893
Cash and Non-Interest-Bearing Accounts$26,684,272$35,891,931▲ $9,207,659
Land, Buildings, and Equipment, Net$34,896,329$33,182,474▼ $1,713,855
Accounts Receivable$19,756,133$19,997,468▲ $241,335
Inventories for Sale or Use$5,275,978$5,861,557▲ $585,579
Investments in Publicly Traded Securities$5,366,898$5,363,573▼ $3,325
Prepaid Expenses and Deferred Charges$1,647,650$1,377,324▼ $270,326
Investments Other Securities$36,000$36,000→ $0
Total Assets$133,625,993$141,338,142▲ $7,712,149
Other Assets Total$783,668$329,857▼ $453,811
Liabilities
Accounts Payable and Accrued Expenses$13,390,129$16,075,071▲ $2,684,942
Other Liabilities$9,477,689$9,088,916▼ $388,773
Mortgage Notes Payable Secured by Investment Property$6,439,124$5,922,554▼ $516,570
Deferred Revenue$5,960,101$4,921,701▼ $1,038,400
Total Liabilities$35,267,043$36,008,242▲ $741,199
Net Assets / Fund Balance
Unrestricted Net Assets$98,358,950$105,329,900▲ $6,970,950
Total Net Assets Fund Balance$98,358,950$105,329,900▲ $6,970,950
Total Liabilities and Net Assets / Fund Balance$133,625,993$141,338,142▲ $7,712,149

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$17,485,445$30,545,646$48,031,091
Equipment$2,024,037$29,128,312$31,152,349
Buildings$10,746,552$2,548,152$13,294,704
Leasehold Improvements$1,060,440$7,142,498$8,202,938
Land$1,866,000-$1,866,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
James HoganCFO/treasurerFT$218,941$464,576$683,517
Joel MillsCEO/presidentFT$407,858$239,568$647,426
Maria ThurlowChief Cultural OfficerFT$203,528$180,374$383,902
Joseph KressChief Information OfficerFT$218,005$81,304$299,309
Ralph McbrideVice President of SupportFT$198,016$86,938$284,954
Janice WilhelmVice President Specialty CFT$174,470$77,182$251,652
Devin GriffithVP Regional DevelopmentFT$176,176$51,825$228,001
Tina GodfreyVP Hme and Rt ServicesFT$139,381$66,395$205,776
Thomas RhonePharmacy ManagerFT$157,602$41,575$199,177
Matt FrohnaSenior Director Spr RegionFT$143,208$30,557$173,765
Christina DunnVP, Finance and Revenue CycleFT$139,214$29,555$168,769
William GrobenPharmacy ManagerFT$148,366$15,679$164,045
Dr James OsborneMedical Director/nv Board-$9,800-$9,800

Highest Paid Contractors

ContractorServicesLocationCompensation
Cornerstone Therapy ServicesContract Home Health ServicesPO BOX 489, Pennington Gap, VA 24277$1,475,106
Lasership INCCourier ServicesPO BOX1335, Charlotte, NC 28201$1,331,354
Ppm FulfillmentShipping Contractor4344 N 62ND STREET, Lincoln, NE 68507$578,709
Supplemental Health CareContract Home Health ServicesPO BOX 677896, Dallas, TX 75267$473,717
Rtg MedicalContract Home Health Services1005 E 23RD STREET SUITE 200, Fremont, NE 68025$387,525
Revenue and Support

Revenue Composition

Contributions and Grants
$112,890
Program Service Revenue
$70,514,995
Investment Income
$227,597
Other Revenue
$62,744,273
All Other Contributions
$6,852
Change in Net Assets
$8,227,595

Audited Revenue Reconciliation

Revenue per Audited Statements
$133,599,755
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$224,861
Total Revenue per Audited Statements
$133,824,616
Total Revenue per Form 990
$133,599,755
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$102,343,750
Other Expenses$22,931,910
Grants and Similar Amounts Paid$96,500
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$73,958,590$9,695,816-$83,654,406
Other Employee Benefits$8,877,321$1,729,402-$10,606,723
Payroll Taxes$5,061,087$728,741-$5,789,828
Depreciation Depletion$3,416,869$1,487,203-$4,904,072
Occupancy$3,863,834$231,640-$4,095,474
Information Technology$1,863,313$4,073-$1,867,386
Pension Plan Contributions$1,440,175$226,043-$1,666,218
Fees for Services Other$287,468$1,303,294-$1,590,762
Current Officers, Directors, Trustees, and Key Employees-$626,575-$626,575
All Other Expenses$242,429$174,468-$416,897
Insurance-$414,879-$414,879
Office Expenses$196,816$111,476-$308,292
Fees for Services Legal-$282,630-$282,630
Conferences and Meetings$43,974$196,918-$240,892
Interest-$232,062-$232,062
Travel$160,730$29,024-$189,754
Grants to Domestic Orgs$96,500--$96,500
Fees for Services Accounting-$84,461-$84,461
Other Expenses$53,061$13,694-$66,755
Total Functional Expenses$107,501,458$17,870,702$0$125,372,160

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$125,372,160
Total Expenses per Audited Statements$125,372,160
Total Expenses per Form 990$125,372,160
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
NISWONGER CHILDREN'S HOSPITAL CO BALLAD HEALTHJohnson City, TN501(2)(3)General Support$35,500
United Way of Northern Shenandoah ValleyWinchester, VA501(2)(3)General Support$35,500
Wellstar Community Hospice Co Wellstar Health SystemMarietta, GA501(2)(3)General Support$25,500
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$13,207
Fundraising Gross Income$13,207
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Charity Golf Tournament$119,245$13,177-$13,177
Total Events$119,245$13,177$13,207$-30
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation$5,098,158
Other Current$3,315,670
Excess Loss in Investees$675,088
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Advanced Home Care Inc
EIN
56-1844651
Phone
3362948822
Address
PO BOX 18049, GREENSBORO, NC 27419-8049

Signing Officer

Name
James Hogan
Title
CFO/treasurer
Phone
3362948822
Signed
2019-03-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Joel Mills
Formed
1993
Legal Domicile
Nc
Voting Board Members
22
Independent Board Members
22
Employees
2,065
Volunteers
25

Preparer

Firm
Cliftonlarsonallen Llp
Address
227 WEST TRADE STREET SUITE 800, CHARLOTTE, NC 28202
Preparer
John Norman
Phone
7049985200
Supplemental Narrative

Additional Explanations

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.

Financial Statement Notes

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.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0ADVANCED 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
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IRS990/Form990PartVIISectionAGrp/TitleTxt25CHIEF CULTURAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt26VICE PRESIDENT OF SUPPORT
IRS990/Form990PartVIISectionAGrp/TitleTxt27VP REGIONAL DEVELOPMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt28CHIEF INFORMATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt29PHARMACY MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt30SENIOR DIRECTOR SPR REGION
IRS990/Form990PartVIISectionAGrp/TitleTxt31VP HME AND RT SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt32PHARMACY MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt33VP, FINANCE AND REVENUE CYCLE
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