2020-03-09T22:59:28-05:00 2019-06-30 860133881 HENRY & HORNE LLP 2055 E WARNER ROAD SUITE 101 TEMPE AZ 85284 990 2018-07-01 464337829 HOME ASSIST HEALTH INC HOME 6027957620 3737 N 7TH ST NO 203 PHOENIX AZ 85014 SARA WILSON PRESIDENT/ CEO 6027957620 2020-03-02 1 COLETTE KAMPS CPA P00367616 4808394900 2020-02-27 72.44.192.92 2020-03-02 17:47:48 MS P 09839D337CB108244CDCC177B7C401FDEA82FE31 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2018 2020-09-23 17:36:50Z SARA WILSON 3737 N 7TH ST NO 203 PHOENIX AZ 85014 10737860 0 X HTTPS://HOMEASSISTHEALTH.ORG/ X 2013 AZ PROVIDING NON-SKILLED PERSONAL CARE SERVICES TO MEDICALLY UNDERSERVED PERSONS WHO RESIDE PRIMARILY IN MARICOPA COUNTY BUT ALSO OTHER STATE OF ARIZONA RESIDENTS. THE ORGANIZATION ALSO PROVIDES TRAINING TO THE PUBLIC. 6 5 791 0 0 0 0 250000 11228986 10470636 0 16849 1672 375 11230658 10737860 0 0 0 0 10117307 9297948 0 0 0 804054 953903 10921361 10251851 309297 486009 3443717 2810968 2736231 1757203 707486 1053765 PROVIDING NON-SKILLED PERSONAL CARE SERVICES TO MEDICALLY UNDERSERVED PERSONS WHO RESIDE PRIMARILY IN MARICOPA COUNTY BUT ALSO OTHER STATES OF ARIZONA RESIDENTS. THE ORGANIZATION ALSO PROVIDES TRAINING TO THE PUBLIC. 0 0 8685373 10471011 NON-SKILLED PERSONAL CARE SERVICES TO MEDICALLY UNDERSERVED PERSONS WHO RESIDE PRIMARILY IN MARICOPA COUNTY BUT ALSO OTHER STATES OF ARIZONA RESIDENTS. 8685373 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 4 0 791 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X SARA WILSON 6027957180 3737 N 7TH STREET SUITE 203 PHOENIX AZ 85015 BARBARA HARDING DIRECTOR 0.50 X 0 0 0 MICHAEL ZENOBI DIRECTOR 0.50 X 0 0 0 MARTIN DEMOS SECRETARY 0.50 X X 0 0 0 RICHARD MUTARELLI TREASURER 0.50 X X 0 0 0 SHERRY STOTLER PRESIDENT 0.50 X X 0 0 0 SARA N WILSON DIRECTOR/ CEO 40.00 X X 170198 0 240 170198 0 240 1 0 1 0 0 250000 250000 250000 HOME HEALTHCARE SERVICES 621610 10470636 10470636 10470636 16849 16849 OTHER INCOME 621610 375 375 375 10737860 10471011 0 16849 175034 175034 8252013 7457227 794786 137424 70293 67131 733477 654225 79252 513 513 9183 9183 52185 52185 28455 5210 23245 30390 18474 11916 48061 22348 25713 243410 113174 130236 39920 31176 8744 59989 59989 40840 18991 21849 188409 139291 49118 BANK AND CARD FEES 741 344 397 ELECTRONIC MEDICAL RECO 47023 47023 PAYROLL PROCESSING FEES 46420 21585 24835 EQUIPMENT LEASE 43322 20145 23177 75042 65867 9175 10251851 8685373 1566478 0 2033515 1713579 1058146 887182 3371 60992 97620 247897 153796 129831 94101 157862 18486 3443717 2810968 736231 706301 1000000 2000000 50902 2736231 1757203 X 707486 803765 250000 707486 1053765 3443717 2810968 X 486009 -139730 0 X X 0 1 X 1 0 X 250000 250000 10658420 10425271 10624570 11228986 10470636 53407883 10658420 10425271 10624570 11228986 10720636 53657883 0 0 0 53657883 16849 16849 16849 16849 375 375 10658420 10425271 10624570 11228986 10737860 53675107 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 33762 18244 15518 214135 135552 78583 94101 OTHER LIABILITIES 1758 DEFERRED RENT 49144 50902 X 10737860 0 10737860 0 10737860 10251851 0 10251851 0 10251851 PART X, LINE 2: THE ORGANIZATION FOLLOWS ACCOUNTING STANDARD FOR UNCERTAINTY IN INCOME TAXES, WHICH REQUIRE THAT TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE LIKELY-THAN-NOT THAT THE POSITIONS WILL NOT BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. AS OF JUNE 30, 2019, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X X 0 0 0 0 0 0 0 0 0 SARA N WILSON DIRECTOR/ CEO 139170 0 31028 0 0 0 0 0 240 0 170438 0 0 0 X LOAN FORGIVENESS 1 250000 LOAN BALANCE 0 0 0 PART I, COLUMN (B): PART I, COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 2 EXCEPT FOR THE CEO, ALL OF THE DIRECTORS OF THE ORGANIZATION WORK FOR MARICOPA INTEGRATED HEALTH SYSTEM, THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER WHICH IS MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT D/B/A MARICOPA INTEGRATED HEALTH SYSTEM, A POLITICAL SUBDIVISION OF THE STATE OF ARIZONA. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT DBA MARICOPA INTEGRATED HEALTH SYSTEM APPROVES THE ELECTION AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS CANNOT BE TAKEN BY THE ORGANIZATION WITHOUT THE APPROVAL OF THE SOLE MEMBER OF THE ORGANIZATION: (1) ELECTION AND REMOVAL OF DIRECTORS (2) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE ORGANIZATION (3) AMENDEMENT OF THE BYLAWS OF THE ORGANIZATION, AND (4) MERGER, CONSOLIDATION OR DISSOLUTION OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING FOR THEIR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A FORMAL CONFLICT OF INTEREST POLICY THAT ALL EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO READ AND SIGN ANNUALLY. EACH DIRECTOR, OFFICER, KEY EMPLOYEE, AND MEMBER OF A COMMITTEE OF THE BOARD IS REQUIRED TO ANNUALLY SIGN THE ORGANIZATION'S CONFLICT OF INTEREST ACKNOWLEDGEMENT STATEMENT, DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION COMPARES ITS WAGES TO THE WAGES OF OTHER CHARITABLE ORGANIZATIONS, OF ENTITIES IN THE MEDICAL INDUSTRY, AND OF MARICOPA COUNTY TO ENSURE WAGES ARE AT MARKET RATES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. FORM 990, PART XI, LINE 8 THE JUNE 30, 2018 FINANCIAL STATEMENTS WERE RESTATED FOR START-UP EXPENSES THAT HAD BEEN CAPITALIZED AND SHOULD HAVE BEEN EXPENSED.