HOSPICE ALLIANCE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HOSPICE ALLIANCE INC (EIN 39-1403883)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-08-29
IRS object ID
201842419349300519
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-29T10:27:59-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391648207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDREA & ORENDORFF LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16300 76TH ST STE 200AddressLine1Txt
CityKENOSHACityNm
State AbbreviationWIStateAbbreviationCd
ZIP531424018ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391403883EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE ALLIANCE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone2626524400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110220 PRAIRIE RIDGE BLVDAddressLine1Txt
CityPLEASANT PRAIRIECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53158ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMYLES MULLIKINPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2626524482PhoneNum
Signature2018-07-23SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMIKE HEDDENPreparerPersonNm
PTINP00744376PTIN
Phone2626577716PhoneNum
Preparation2018-08-24PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMYLES MULLIKINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110220 PRAIRIE RIDGE BLVDAddressLine1Txt
CityPLEASANT PRAIRIECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53158ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,234,908GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOSPICEALLIANCE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionHOSPICE ALLIANCE IS A NON-PROFIT ORGANIZATION DEDICATED TO CARING FOR THE TERMINALLY ILL AND EMPOWERING THOSE WHO SUPPORT THEM. WE STRIVE TO PROVIDE COMFORT IN ORDER TO ENHANCE THE QUALITY OF LIFE EACH DAY.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee143TotalEmployeeCnt
Total Volunteers160TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$238,997PYContributionsGrantsAmt
CY Contributions Grants$246,392CYContributionsGrantsAmt
PY Program Service Revenue$7,131,010PYProgramServiceRevenueAmt
CY Program Service Revenue$7,922,116CYProgramServiceRevenueAmt
PY Investment Income$1,943PYInvestmentIncomeAmt
CY Investment Income$1,854CYInvestmentIncomeAmt
PY Other Revenue$111,198PYOtherRevenueAmt
CY Other Revenue$64,546CYOtherRevenueAmt
PY Total Revenue$7,483,148PYTotalRevenueAmt
CY Total Revenue$8,234,908CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,385,729PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,429,058CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,112,345PYOtherExpensesAmt
CY Other Expenses$2,178,080CYOtherExpensesAmt
PY Total Expenses$7,498,074PYTotalExpensesAmt
CY Total Expenses$7,607,138CYTotalExpensesAmt
PY Revenues Less Expenses-$14,926PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$627,770CYRevenuesLessExpensesAmt
Total Assets BOY$1,966,763TotalAssetsBOYAmt
Total Assets EOY$2,601,892TotalAssetsEOYAmt
Total Liabilities BOY$482,757TotalLiabilitiesBOYAmt
Total Liabilities EOY$490,116TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,484,006NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,111,776NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHOSPICE ALLIANCE HAS SERVED OVER 8,000 TERMINALLY ILL PATIENTS AND THEIR FAMILIES SINCE 1981; SERVICING KENOSHA, EASTERN WALWORTH, AND RACINE COUNTIES. HOSPICE ALLIANCE REMAINS COMMITTED TO CARING FOR THE TERMINALLY ILL AND EMPOWERING THOSE WHO SUPPORT THEM. INCORPORATED IN 1981 IN KENOSHA, WISCONSIN, HOSPICE ALLIANCE, INC. WAS ESTABLISHED BY A GROUP OF COMMUNITY CITIZENS THAT WERE CONCERNED WITH THE LACK OF END OF LIFE CARE AVAILBLE TO TERMINALLY ILL PERSONS AND THEIR FAMILIES. THESE COMMUNITY CITIZENS BELIEVED THAT IF TERMINALLY ILL PEOPLE WERE GIVEN A CHOICE AS TO WHERE THEY WOULD LIKE TO BE, IT WOULD BE IN THEIR HOME SURROUNDED BY THE PEOPLE AND THINGS THEY LOVE. HOSPICE ALLIANCE, INC. LIVES THIS MISSION DAILY THROUGH COMMITMENT, COMPASSION, AND CHOICES. HOSPICE ALLIANCE, INC. PROVIDES CARE IN THE FOLLOWING SETTINGS: 1. IN THE PATIENT'S HOME, SURROUNDED BY THE PEOPLE AND THINGS THEY LOVE. THIS CHOICE ALLOWS FAMILY AND FRIENDS TO SUPPORT THEIR LOVED ONE IN COMFORT AND PRIVACY. 2. INMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,561,412ExpenseAmt
Revenue$7,922,116RevenueAmt
DescHOSPICE ALLIANCE PROVIDED 63,666 DAYS OF SERVICE WHICH INCLUDES 2,204 DAYS OF RESIDENTIAL HOSPICE CARE IN OUR HOSPICE HOUSE IN 2017.Desc
Total Program Service Expenses$5,561,412TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document31IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee143EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAARON BLACKMOR CPAPersonNm
Phone8282331180PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11611 ASHEVILLE HIGHWAYAddressLine1Txt
CityHENDERSONVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28791ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROSANNA BARBIERI-MOLINARO
MEMBER1.00Yes (X)$0$0$0
COLIN CARTER
SECRETARY/TR1.00Yes (X)$0$0$0Yes (X)
CHUCK DUFORD
PAST PRESIDE1.00Yes (X)$0$0$0
DAVID KNIGHT MD
MEMBER1.00Yes (X)$0$0$0
JOSHUA BLOOM MD
MEDICAL DIR1.00Yes (X)$21,900$0$0
SHERYL MUELLER
MEMBER1.00Yes (X)$0$0$0
MYLES MULLIKIN
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
NANCY PIASECKI
MEMBER1.00Yes (X)$0$0$0
JOHN PLOUS
MEMBER1.00Yes (X)$0$0$0
RACHAEL PROKO-VIOLA
MEMBER1.00Yes (X)$0$0$0
SANDRA RIESE
MEMBER1.00Yes (X)$0$0$0
JOYCE RINEHART
MEMBER1.00Yes (X)$0$0$0
MARY ANN CARDINALI RN
MEMBER1.00Yes (X)$0$0$0
THOMAS TENUTA
MEMBER1.00Yes (X)$0$0$0
PAMELA THOMEY
MEMBER1.00Yes (X)$0$0$0
ABDUL DURRANI
MEDICAL DOCT40.00$102,859$0$0Yes (X)
RITA HAGEN RN MSN
EXEC DIRECTR40.00$126,001$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$250,760TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$246,392AllOtherContributionsAmt
Noncash Contributions$188,997NoncashContributionsAmt
Total Contributions$246,392TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE$7,352,076$7,352,076
HOSPICE HOUSE REVENUE$570,040$570,040
FieldValueIRS element (for citing)
Total Program Service Revenue$7,922,116TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,854TotalRevenueColumnAmt
Related Or Exempt Func Income$1,854RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ADMINISTRATION FEES-FDN$52,098$52,098
OTHER REVENUE$12,448$12,448
FieldValueIRS element (for citing)
Other Revenue Total$64,546OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,234,908TotalRevenueColumnAmt
Related Or Exempt Func Income$7,988,516RelatedOrExemptFuncIncomeAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,467,681TotalAmt
Program Services$3,266,692ProgramServicesAmt
Management And General$1,200,989ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$636,483TotalAmt
Program Services$453,393ProgramServicesAmt
Management And General$183,090ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$324,894TotalAmt
Program Services$233,560ProgramServicesAmt
Management And General$91,334ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,036TotalAmt
Program Services$3,620ProgramServicesAmt
Management And General$1,416ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,564TotalAmt
Program Services$11,189ProgramServicesAmt
Management And General$4,375ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$69,291TotalAmt
Program Services$66,647ProgramServicesAmt
Management And General$2,644ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$96,261TotalAmt
Management And General$96,261ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$155,921TotalAmt
Program Services$117,343ProgramServicesAmt
Management And General$38,578ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$125,830TotalAmt
Program Services$89,585ProgramServicesAmt
Management And General$36,245ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$398,931TotalAmt
Program Services$199,403ProgramServicesAmt
Management And General$199,528ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$145,705TotalAmt
Program Services$136,993ProgramServicesAmt
Management And General$8,712ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$66,619TotalAmt
Management And General$66,619ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$50,327TotalAmt
Program Services$36,179ProgramServicesAmt
Management And General$14,148ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PATIENT MEDICAL EXPENSES$766,324$766,324
MEDICAL SUPPLIES$88,421$88,421
EDUCATION$67,475$32,053$35,422
COPIER$39,716$28,551$11,165

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$86,659TotalAmt
Program Services$31,459ProgramServicesAmt
Management And General$55,200ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,607,138TotalAmt
Program Services$5,561,412ProgramServicesAmt
Management And General$2,045,726ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$938,397BOYAmt
EOY$1,705,109EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$78,651BOYAmt
EOY$79,440EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$769,813BOYAmt
EOY$626,737EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,060BOYAmt
EOY$10,311EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$75,795BOYAmt
EOY$68,207EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,132,898LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,073,334LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$93,047BOYAmt
EOY$59,564EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$52,524EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,966,763BOYAmt
EOY$2,601,892EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$154,478BOYAmt
EOY$147,474EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$328,279BOYAmt
EOY$342,642EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$482,757BOYAmt
EOY$490,116EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,484,006BOYAmt
EOY$2,111,776EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,484,006BOYAmt
EOY$2,111,776EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,966,763BOYAmt
EOY$2,601,892EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$627,770ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$253,246CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$346,681CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$308,602CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$238,997CurrentTaxYearMinus1YearAmt
Current Tax Year$246,392CurrentTaxYearAmt
Total$1,393,918TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,812,709CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,902,706CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,206,229CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,244,151CurrentTaxYearMinus1YearAmt
Current Tax Year$7,988,516CurrentTaxYearAmt
Total$43,154,311TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,065,955CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,249,387CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,514,831CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,483,148CurrentTaxYearMinus1YearAmt
Current Tax Year$8,234,908CurrentTaxYearAmt
Total$44,548,229TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$44,548,229PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,065,955CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,249,387CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,514,831CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,483,148CurrentTaxYearMinus1YearAmt
Current Tax Year$8,234,908CurrentTaxYearAmt
Total$44,548,229TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$307OtherActivitiesAmt
Total Lobbying Expenditures$307TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE C, PART I-A, LINE 1HOSPICE ALLIANCE, INC. IS NOT DIRECTLY INVOLVED WITH ANY LOBBYING OR POLITICAL CAMPAIGN ACTIVITES. THE ORGANIZATION PAYS ANNUAL DUES TO PROFESSIONAL ASSOCIATIONS THAT USE A PORTION OF THOSE MEMBERSHIP DUES FOR LOBBYING ACTIVITES.
SCHEDULE C, PART II-B, LINE 1THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO) IS AN ORGANIZATION THAT LEADS AND MOBILIZES SOCIAL CHANGE FOR IMPROVED CARE AT THE END OF LIFE. HOSPICE ALLIANCE, INC. IS A MEMBER OF THE NHPCO. NHPCO SAYS THAT 5.44% OF DUES ARE FOR LOBBYING PURPOSES, WHICH EQUATES TO 307 FOR THE YEAR. THE STATE ORGANIZATION, CALLED HOPE, DOES NOT USE MEMBERSHIP DUES FOR LOBBYING PURPOSES. THE NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE (NAHC)IS A PROFESSIONAL ASSOCIATION REPRESENTING THE INTERESTS OF AMERICANS WHO NEED HOME HEALTH CARE AND THE CAREGIVERS THAT PROVIDE THEM WITH IN-HOME HEALTH AND SUPPORTIVE SERVICES. NAHC SAYS THAT NONE OF HOSPICE ALLIANCE'S MEMBERSHIP DUES ARE FOR LOBBYING PURPOSES.

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,132,898OtherCostOrOtherBasisAmt
Depreciation$1,073,334DepreciationAmt
Book Value$59,564BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$59,564TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED VACATION$228,728
ACCRUED PAYROLL$113,914
FieldValueIRS element (for citing)
Total Liability$342,642TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$8,234,908TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$8,234,908RevenueSubtotalAmt
Total Revenue Per Form990$8,234,908TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,607,138TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$7,607,138ExpensesSubtotalAmt
Total Expenses Per Form990$7,607,138TotalExpensesPerForm990Amt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJOSHUA BLOOM MDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionMED DIRECTORRelationshipDescriptionTxt
Transaction$29,100TransactionAmt
TransactionPAID MEDICAL DIRECTOTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationDR. JOSHUA BLOOM WAS PAID 29,100. HE IS ON THE BOARD.ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescIN-KIND RENTDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$188,997NoncashContributionsRptF990Amt
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONHOSPICE ALLIANCE HAS SERVED OVER 8,000 TERMINALLY ILL PATIENTS AND THEIR FAMILIES SINCE 1981; SERVICING KENOSHA, EASTERN WALWORTH, AND RACINE COUNTIES. HOSPICE ALLIANCE REMAINS COMMITTED TO CARING FOR THE TERMINALLY ILL AND EMPOWERING THOSE WHO SUPPORT THEM. INCORPORATED IN 1981 IN KENOSHA, WISCONSIN, HOSPICE ALLIANCE, INC. WAS ESTABLISHED BY A GROUP OF COMMUNITY CITIZENS THAT WERE CONCERNED WITH THE LACK OF END OF LIFE CARE AVAILBLE TO TERMINALLY ILL PERSONS AND THEIR FAMILIES. THESE COMMUNITY CITIZENS BELIEVED THAT IF TERMINALLY ILL PEOPLE WERE GIVEN A CHOICE AS TO WHERE THEY WOULD LIKE TO BE, IT WOULD BE IN THEIR HOME SURROUNDED BY THE PEOPLE AND THINGS THEY LOVE. HOSPICE ALLIANCE, INC. LIVES THIS MISSION DAILY THROUGH COMMITMENT, COMPASSION, AND CHOICES. HOSPICE ALLIANCE, INC. PROVIDES CARE IN THE FOLLOWING SETTINGS: 1. IN THE PATIENT'S HOME, SURROUNDED BY THE PEOPLE AND THINGS THEY LOVE. THIS CHOICE ALLOWS FAMILY AND FRIENDS TO SUPPORT THEIR LOVED ONE IN COMFORT AND PRIVACY. 2. IN LONG TERM CARE AND ASSISTED LIVING FACTILITES, SUCH AS NURSING HOMES, SENIOR APARTMENTS AND GROUP HOMES. HOSPICE ALLIANCE PROFESSIONALS COMPLEMENT THE CARE ALREADY PROVIDED BY STAFF IN THESE SETTINGS. 3. THE HOSPICE ALLIANCE HOSPICE HOUSE OFFERS AN OPTION FOR THOSE WHO, FOR WHATEVER REASON, CANNOT REMAIN IN THEIR OWN HOME. THE HOUSE OPERATES AT A SIGNIFICANT LOSS DUE TO HOSPICE'S MISSION. 4. PRE-HOSPICE PALLIATIVE CARE MAY BE THE CHOICE FOR SOMEONE WHO IS NOT READY FOR THE HOSPICE PROGRAM. 5. BEREAVEMENT SERVICES AND GRIEF SUPPORT GROUPS ARE AVAILABLE WHEN THE TIME IS APPROPRIATE.
FORM 990, PAGE 1, PART I, LINE 6HOSPICE ALLIANCE VOLUNTEERS ARE A VITAL PART OF THE HOSPICE TEAM. WHILE ENHANCING THE LIVES OF PATIENTS AND THEIR FAMILIES, VOLUNTEERS GAIN SATISFACTION AND ENRICHMENT IN THEIR OWN LIVES. THERE ARE MANY WAYS VOLUNTEERS HELP, INCLUDING: COMPANIONSHIP, RESPITE CARE, RUNNING ERRANDS, NURSING HOME VISITS, MAILINGS, OFFICE HELP, COMPUTER WORK, EXPOS AND HEALTH FAIRS, FUNDRAISING, GARDENING, PREPARING MEALS AND BAKING. ALL VOLUNTEERS TAKE PART IN AN EIGHT SESSION TRAINING CLASS WHICH COVERS AN INTRODUCTION TO HOSPICE SERVICES, COMMUNICATION, DISEASE PROCESS, AND THE ROLE OF HOSPICE ALLIANCE TEAM MEMBERS. IN 2017, VOLUNTEERS COMMITTED 3,763 HOURS OF THEIR TIME.
FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 WAS REVIEWED IN DETAIL BY THE FINANCE DIRECTOR AND BY THE ORGANIZATION'S FINANCE COMMITTEE AND THEN APPROVED BY THE FINANCE COMMITTEE. ALL FINANCIAL INFORMATION IN THIS RETURN IS BASED OFF OF THE AUDITED FINANCIAL STATEMENTS.
FORM 990, PAGE 6, PART VI, LINE 12CFULL DISCLOSURE, BY NOTICE IN WRITING, SHALL BE MADE BY THE INTERESTED PARTIES TO THE FULL BOARD OF DIRECTORS IN ALL CONFLICTS OF INTEREST. THIS IS DONE ON AN ANNUAL BASIS WITH BOARD MEMBERS, STAFF, AND VOLUNTEERS. IF THERE IS A POTENTIAL CONFLICT OF INTEREST, THE POLICY STATES PROCEDURES ON HOW TO HANDLE DIFFERENT SITUATIONS.
FORM 990, PAGE 6, PART VI, LINE 15ATHE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE BOARD. ALL OTHER STAFF SALARIES ARE DETERMINED USING THE NATIONAL ASSOCIATION FOR HOMECARE AND HOSPICE'S HOSPICE SALARY & BENEFIT REPORT AS WELL AS STATE AND NATIONAL GOVERNMENT WAGE DATA.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION WILL FURNISH AUDITED FINANCIAL STATEMENTS UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE ALLIANCE FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110220 PRAIRIE RIDGE BLVDAddressLine1Txt
CityPLEASANT PRAIRIECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53158ZIPCd
FieldValueIRS element (for citing)
EIN391822945EIN
Primary ActivitiesFUNDRAISERPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity Status12APublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HOSPICE ALLIANCE FDN INC
C$188,997IN-KIND CONTRIB OF RENT
HOSPICE ALLIANCE FDN INC
K$99,996COST OF ANNUAL RENT
HOSPICE ALLIANCE FDN INC
M$52,098COST OF SERVICES

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