2017-08-04T12:32:24-05:00 2016-12-31 390758449 Wipfli LLP 10000 Innovation Drive Suite 250 Milwaukee WI 532264837 990 2016-01-01 391171298 Horizon Home Care & Hospice Inc HORI 4143658300 11400 W Lake Park Drive Milwaukee WI 53224 Mary T Haynor President & CEO 4143658300 2017-07-26 1 Paul Daly CPA P00277674 4144319300 2017-07-26 207.250.78.130 2017-07-26 12:44:55 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 936BEBD7CE931C26C27C89919F31AEDAEC58F554 2016 2021-01-29 14:40:06Z Mary T Haynor 11400 W Lake Park Drive Milwaukee WI 53224 38222292 0 X www.horizonhch.org X 1992 WI Horizon Home Care & Hospice, Inc. will optimize health and quality of life for patients & families in the home & other settings. Our clinical experience, relationship centered care, and respect for patient rights set us apart as the region's employer and provider of choice.Our philosophy of compassion and responsiveness extends from our employees, to our hospital sponsors and physicians, and to the patients and families we are privileged to serve. 10 8 754 328 0 0 122453 173116 35637164 37902858 1065 1275 91799 36107 35852481 38113356 0 0 0 0 26485466 28265148 0 0 0 7676702 8298503 34162168 36563651 1690313 1549705 14559588 16876344 3855093 4622063 10704495 12254281 X Horizon Home Care & Hospice, Inc. is a full-service provider offering a wide range of specialty services to meet the needs of patients in southeastern Wisconsin.As an extension of a network of acute-care hospitals and other health care providers, Horizon is able to offer:Wound Specialty Nursing, Diabetic Management, Cardiac Care, Behavioral Health, Pediatric Nursing, Rehabilitation Services, Social Services, Homemakers/Companions, Meals-on-Wheels, Hospice, Palliative Care, Private-Duty Nursing, Home Infusion Therapy, Personal Care Workers, Supportive Home Care, Heart Failure Program, Certified Nursing Assistants, Geriatric Care Management, and Hospice Residence. 0 0 24990948 37902858 Intermittent nursing, home health aide, and therapy services, Hospice services, adult and pediatric private duty and high-tech private duty services, and Community service programs. 24990948 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 65 0 1 754 1 0 0 0 0 0 1 1 0 0 0 0 X 10 8 0 0 0 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 0 WI X Vicki Meyer 4143658300 11400 W Lake Park Drive Milwaukee WI 53224 Clarissa Azcueta-Cox Director through 11/21/16 2.00 X 0 0 0 Diane Ehn Director 2.00 X 0 0 0 William Hart Director 2.00 X 0 0 0 David Mannes Director 2.00 X 0 0 0 Dr Richard Shimp Director 2.00 X 0 0 0 Gerri Staffileno Director through 12/31/16 2.00 X 0 0 0 Sharon Streff Director starting 12/31/16 2.00 X 0 0 0 Cathy Buck Chairperson 2.00 X X 0 0 0 Jeffrey Van De Kreeke Treasurer 2.00 X X 0 0 0 Vicki Meyer Assistant Treasurer & CFO 45.00 X X 169934 0 17198 Teresa Lux Secretary 2.00 X X 0 0 0 Mary Haynor Assistant Secretary, President & CEO 45.00 X X 296392 0 28922 Coleen Schmidt VP Clinical Services & COO 45.00 X 170972 0 33327 Lisa Beder Clinical Team Manager 40.00 X 128231 0 28713 Linda Felix RN Case MAnager 40.00 X 154245 0 28373 Jay Kudronowicz Physical Therapist 40.00 X 136160 0 6188 Susan Kulinski VP Human Resources 40.00 X 136705 0 31567 Denise Scherer RN Case MAnager 40.00 X 139944 0 18866 1332583 0 193154 14 0 1 0 McKesson Technologies PO Box 98347 Chicago IL 60693 Computer Services 331039 Mortenson Safar Kim Inc 117 N Jefferson Street 204 Milwaukee WI 53202 Advertising 121765 D&S Food Services Inc 16300 W Silver Spring Drive Menomonee Falls WI 53051 Food Services 119852 ADZ Etc N88 W16749 Main Street Menomonee Falls WI 53051 Advertising 110553 Digiprint of Wisconsin 5203 N 125th Street Butler WI 53007 Printing and Forms 106954 6 143945 29171 29171 173116 Medicaid/Medicare 623000 25151113 25151113 Private Insurance 623000 8300174 8300174 Private Pay 623000 2503288 2503288 County 623000 1901665 1901665 Miscellaneous 623000 46618 46618 37902858 1275 1275 145043 143945 108936 36107 36107 38113356 37902858 0 37382 716745 716745 22672442 17132988 5539454 88476 88476 3103430 2204120 899310 1684055 1261516 422539 91441 91441 290063 290063 1308386 153327 1155059 1050076 1050076 668099 586731 81368 49756 49756 134 134 335317 335317 173098 173098 Medical Expenses 2140780 2140780 Hospital and Nursing Ex 1108457 1108457 Bad Debt Expenses 305593 305593 Employee Wellness 149295 149295 628008 403029 224979 36563651 24990948 11572703 0 7942070 9038081 200000 0 3952881 5566628 583279 257544 3986538 2332012 1576137 1654526 305221 359565 14559588 16876344 2846823 3532078 723756 775434 284514 314551 3855093 4622063 X 10504495 12254281 200000 0 10704495 12254281 14559588 16876344 1549705 81 0 X 0 1 X 1 0 X 1125171 157911 72925 122453 173115 1651575 29615609 32912489 33867029 35637164 37902859 169935150 30740780 33070400 33939954 35759617 38075974 171586725 0 0 0 171586725 1534 995 6684 1065 1275 11553 1534 995 6684 1065 1275 11553 30742314 33071395 33946638 35760682 38077249 171598278 0.99990 0.99850 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 153092 40665 112427 1869483 1396162 473321 1963963 895185 1068778 1654526 Payable to related parties 314551 314551 38222373 81 108936 109017 38113356 0 38113356 36672587 108936 108936 36563651 0 36563651 Part XI, Line 2d - Other Adjustments: Fundraising Expenses 108,936. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 108,936. Matters of the Heart Gala 142946 3471 139475 9827 30929 100 12544 Tea Party 21510 21510 1137 825 7206 164456 3471 160985 10964 31754 100 19750 62568 98417 X X X X 0 1 0 0 0 1 0 0 0 Vicki Meyer Assistant Treasurer & CFO 152196 0 17199 0 539 0 7604 0 9594 0 187132 0 0 0 Mary Haynor Assistant Secretary, President & CEO 250311 0 45433 0 648 0 11718 0 17204 0 325314 0 0 0 Coleen Schmidt VP Clinical Services & COO 153229 0 17178 0 565 0 7977 0 25350 0 204299 0 0 0 Lisa Beder Clinical Team Manager 123509 0 4722 0 0 0 6062 0 22651 0 156944 0 0 0 Linda Felix RN Case MAnager 150107 0 4138 0 0 0 7159 0 21214 0 182618 0 0 0 Susan Kulinski VP Human Resources 120638 0 15600 0 467 0 6462 0 25105 0 168272 0 0 0 Denise Scherer RN Case MAnager 139944 0 0 0 0 0 4201 0 14665 0 158810 0 0 0 Part I, Line 4b CEO Mary Haynor - contribution to 457(b) plan $18,000; CFO Vicki Meyer - contribution to 457(b) plan $18,000 Part I, Line 6 The annual officer bonus is based on a net income, quality, growth, and turnover of the organization. X 29171 Estimated FMV 0 0 0 Form 990, Part VI, Section A, line 6 The corporation shall have two members. The members of the corporation shall be Columbia St. Mary's, Inc., a Wisconsin nonstock corporation; and Froedtert Health, Inc., a Wisconsin nonstock corporation. Form 990, Part VI, Section A, line 7a Each member shall have the power to appoint four directors. Form 990, Part VI, Section A, line 7b Members annually approve any match or discretionary contributions for the 403(b) Plan. Form 990, Part VI, Section B, line 11b THE FINANCE COMMITTEE REVIEWS THE 990 TAX RETURN. Form 990, Part VI, Section B, line 12c EACH MEMBER OF THE BOARD OF DIRECTORS FILLS OUT AND RETURNS TO HORIZON A STATEMENT DISCLOSING ANY CONFLICT OF INTERESTS. THEY ARE COMPLETED ANNUALLY AND RETAINED BY HORIZON. EVERY EMPLOYEE OF HORIZON, INCLUDING OFFICERS AND KEY EMPLOYEES, ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST STATEMENT UPON HIRE. EACH EMPLOYEE IS REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS IMMEDIATELY TO THEIR MANAGER. Form 990, Part VI, Section B, line 15 President/CEO Compensation Process: THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS DETERMINEs THE COMPENSATION LEVEL OF THE PRESIDENT/CEO ANNUALLY. A MARKET SURVEY IS DONE TO COMPARE SALARY LEVELS FOR THE PRESIDENT/CEO POSITION IN THE HOME CARE INDUSTRY for AGENCIES OF A COMPARABLE SIZE AS HORIZON. THE EXECUTIVE COMMITTEE SENDS OUT A QUESTIONNAIRE TO KEY EMPLOYEES OF HORIZON ASKING THEM TO RATE THE PRESIDENT/CEO'S PERFORMANCE. BASED ON THIS INFORMATION AND THE OVERALL PERFORMANCE OF THE ORGANIZATION, THE ANNUAL SALARY LEVEL FOR THE PRESIDENT/CEO IS SET. IN ADDITION, THE BOARD OF DIRECTORS HAS ESTABLISHED AN INCENTIVE COMPENSATION PLAN FOR THE TOP THREE EXECUTIVES OF HORIZON - THE PRESIDENT/CEO, THE CFO AND THE VICE PRESIDENT OF NURSING. THE BOARD SETS TARGET GOALS EACH YEAR IN AREA'S SUCH AS PROFITABILITY, GROWTH AND CUSTOMER SERVICES. DEPENDING ON THE AGENCY'S PERFORMANCE, AN INCENTIVE BONUS IS PAID OUT IF TARGETS ARE ACHIEVED. EMPLOYEE COMPENSATION PROCESS: THE COMPENSATION FOR THE CHIEF FINANCIAL OFFICER IS DETERMINED IN THE EXACT SAME MANNER AS FOR THE PRESIDENT/CEO- I.E. -A MARKET SURVEY IS DONE, QUESTIONNAIRE IS SENT TO KEY EMPLOYEES AND THE EXECUTIVE COMMITTEE OF THE BOARD USES THIS INFORMATION, ALONG WITH THE PERFORMANCE OF HORIZON TO DETERMINE THE SALARY LEVEL OF THE CFO. THE VICE PRESIDENT OF NURSING'S SALARY IS DETERMINED BY THE PRESIDENT/CEO, BASED ON PERFORMANCE OF ESSENTIAL JOB FUNCTIONS, ALONG WITH A MARKET SURVEY. BOTH THE CFO AND THE VICE PRESIDENT OF NURSING ALSO PARTICIPATE IN THE SAME INCENTIVE COMPENSATION PLAN WITH THE PRESIDENT/CEO. Form 990, Part VI, Section C, line 19 Horizon Home Care & Hospice does not make its governing documents and conflict or interest policy available to the public.