HOSPICE ALLIANCE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HOSPICE ALLIANCE INC (EIN 39-1403883)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-09-15
IRS object ID
201612599349300226
Schema version
2015v2.1
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)
Return2016-09-15T10:19:50-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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)
PersonCHUCK DUFORDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2626524482PhoneNum
Signature2016-09-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRI A SCHMIDTPreparerPersonNm
PTINP00037140PTIN
Phone2626577716PhoneNum
Preparation2016-09-14PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHUCK DUFORDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110220 PRAIRIE RIDGE BLVDAddressLine1Txt
CityPLEASANT PRAIRIECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53158ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,514,831GrossReceiptsAmt
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 Employee161TotalEmployeeCnt
Total Volunteers6453TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$346,681PYContributionsGrantsAmt
CY Contributions Grants$308,602CYContributionsGrantsAmt
PY Program Service Revenue$9,826,297PYProgramServiceRevenueAmt
CY Program Service Revenue$8,130,365CYProgramServiceRevenueAmt
PY Investment Income$1,320PYInvestmentIncomeAmt
CY Investment Income$827CYInvestmentIncomeAmt
PY Other Revenue$75,089PYOtherRevenueAmt
CY Other Revenue$75,037CYOtherRevenueAmt
PY Total Revenue$10,249,387PYTotalRevenueAmt
CY Total Revenue$8,514,831CYTotalRevenueAmt
PY Grants And Similar Paid$46PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,581,732PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,108,047CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,769,807PYOtherExpensesAmt
CY Other Expenses$3,690,118CYOtherExpensesAmt
PY Total Expenses$10,351,585PYTotalExpensesAmt
CY Total Expenses$9,798,165CYTotalExpensesAmt
PY Revenues Less Expenses-$102,198PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,283,334CYRevenuesLessExpensesAmt
Total Assets BOY$3,510,633TotalAssetsBOYAmt
Total Assets EOY$1,959,787TotalAssetsEOYAmt
Total Liabilities BOY$728,367TotalLiabilitiesBOYAmt
Total Liabilities EOY$460,855TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,782,266NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,498,932NetAssetsOrFundBalancesEOYAmt
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$7,890,911ExpenseAmt
DescHOSPICE ALLIANCE PROVIDED 57,729 DAYS OF SERVICE WHICH INCLUDES, 2,457 DAYS OF RESIDENTIAL HOSPICE CARE IN OUR HOSPICE HOUSE IN 2015Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$67,610ExpenseAmt
DescBEREAVEMENT SERVICES - HOSPICE ALLIANCE BEREAVEMENT SERVICES ARE AVAILABLE FOR 13 MONTHS FOLLOWING THE DEATH OF A LOVED ONE. COUNSELORS COMMUNICATE REGULARLY WITH FAMILY MEMBERS, FACILITATE SUPPORT GROUPS AND COORDINATE THE SOCIAL GROUP GATHERINGS. THE BEREAVEMENT DEPARTMENT ALSO HOLDS SEMI-ANNUAL MEMORIAL SERVICES AND PLANS THE ANNUAL GRIEF TELECONFERENCE. MOST IMPORTANTLY, BEREAVEMENT SERVICES ARE AVAILABLE TO ALL IN THE COMMUNITY, NOT JUST THOSE WHO HAVE LOST A LOVED ONE WHILE IN HOSPICE CARE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$7,958,521TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee161EmployeeCnt
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
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARILYN MASIPersonNm
Phone2626524482PhoneNum

US Address USAddress

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

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
JOSHUA BLOOM MD
MEDICAL DIR2.00Yes (X)$30,375$0$0
DAVID KNIGHT MD
MEMBER0.50Yes (X)$0$0$0
ROBERT BICHLER
MEMBER0.50Yes (X)$0$0$0
MICHAEL LANGENDORF
PAST PRESIDE0.50Yes (X)$0$0$0
RICHARD REGNER
MEMBER0.50Yes (X)$0$0$0
MARY ANN CARDINALI RN
MEMBER0.50Yes (X)$0$0$0
RACHAEL PROKO-VIOLA
MEMBER0.50Yes (X)$0$0$0
GENE OLSON
MEMBER0.50Yes (X)$0$0$0
JOHN PLOUS
MEMBER0.50Yes (X)$0$0$0
NANCY PIASECKI
MEMBER0.50Yes (X)$0$0$0
PAMELA THOMEY
MEMBER0.50Yes (X)$0$0$0
THOMAS TENUTA
MEMBER0.50Yes (X)$0$0$0
MYLES MULLIKIN
VICE PRESIDE1.00$0$0$0Yes (X)
CHUCK DUFORD
PRESIDENT1.00$0$0$0Yes (X)
DANIEL HEYDEN CPA
SEC / TREAS1.00$0$0$0Yes (X)
RITA HAGEN RN MSN
EXEC DIRECTR45.00$127,975$0$0Yes (X)
ABDUL DURRANI
MEDICAL DOCT12.00$119,880$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$278,230TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$308,602AllOtherContributionsAmt
Noncash Contributions$188,997NoncashContributionsAmt
Total Contributions$308,602TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE$7,490,356$7,490,356
HOSPICE HOUSE REVENUE$640,009$640,009
FieldValueIRS element (for citing)
Total Program Service Revenue$8,130,365TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$827TotalRevenueColumnAmt
Related Or Exempt Func Income$827RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ADMINISTRATION FEES-FDN$44,160$44,160
SUPPORT & SUPPLIES-FDN$27,733$27,733
OTHER REVENUE$3,144$3,144
FieldValueIRS element (for citing)
Other Revenue Total$75,037OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,514,831TotalRevenueColumnAmt
Related Or Exempt Func Income$8,206,229RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$30,375TotalAmt
Program Services$30,375ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,954,485TotalAmt
Program Services$4,057,228ProgramServicesAmt
Management And General$897,257ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$762,904TotalAmt
Program Services$627,299ProgramServicesAmt
Management And General$135,605ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$360,283TotalAmt
Program Services$295,036ProgramServicesAmt
Management And General$65,247ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,429TotalAmt
Management And General$7,429ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,830TotalAmt
Management And General$12,830ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$45,889TotalAmt
Program Services$43,557ProgramServicesAmt
Management And General$2,332ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$66,627TotalAmt
Program Services$1,294ProgramServicesAmt
Management And General$65,333ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$127,865TotalAmt
Program Services$111,520ProgramServicesAmt
Management And General$16,345ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$107,900TotalAmt
Management And General$107,900ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$432,525TotalAmt
Program Services$153,687ProgramServicesAmt
Management And General$278,838ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$183,875TotalAmt
Program Services$168,264ProgramServicesAmt
Management And General$15,611ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$144,970TotalAmt
Program Services$38,753ProgramServicesAmt
Management And General$106,217ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$45,303TotalAmt
Management And General$45,303ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PATIENT MEDICAL EXPENSES$1,938,713$1,938,713
LOSS ON DISPOSAL OF RACIN$388,794$388,794
MEDICAL SUPPLIES$76,745$76,745
REPAIRS/MAINTENANCE$70,677$70,677

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$39,976TotalAmt
Program Services$27,256ProgramServicesAmt
Management And General$12,720ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,798,165TotalAmt
Program Services$7,958,521ProgramServicesAmt
Management And General$1,839,644ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$902,424BOYAmt
EOY$868,796EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$60,827BOYAmt
EOY$77,772EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,784,536BOYAmt
EOY$697,680EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$21,609BOYAmt
EOY$17,469EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$51,643BOYAmt
EOY$126,560EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,107,672LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$936,162LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$689,594BOYAmt
EOY$171,510EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,510,633BOYAmt
EOY$1,959,787EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$170,245BOYAmt
EOY$169,077EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$558,122BOYAmt
EOY$291,778EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$728,367BOYAmt
EOY$460,855EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,782,266BOYAmt
EOY$1,498,932EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,782,266BOYAmt
EOY$1,498,932EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,510,633BOYAmt
EOY$1,959,787EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,283,334ReconcilationRevenueExpnssAmt
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$316,895CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$257,093CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$253,246CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$346,681CurrentTaxYearMinus1YearAmt
Current Tax Year$308,602CurrentTaxYearAmt
Total$1,482,517TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,522,630CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,901,807CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,812,709CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,902,706CurrentTaxYearMinus1YearAmt
Current Tax Year$8,206,229CurrentTaxYearAmt
Total$48,346,081TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,839,525CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,158,900CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,065,955CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,249,387CurrentTaxYearMinus1YearAmt
Current Tax Year$8,514,831CurrentTaxYearAmt
Total$49,828,598TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$49,828,598PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,839,525CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,158,900CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,065,955CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,249,387CurrentTaxYearMinus1YearAmt
Current Tax Year$8,514,831CurrentTaxYearAmt
Total$49,828,598TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$300OtherActivitiesAmt
Total Lobbying Expenditures$300TotalLobbyingExpendituresAmt
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 POLICITCAL 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 4.82% OF DUES ARE FOR LOBBYING PURPOSES, WHICH EQUATES TO 300 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$1,107,672OtherCostOrOtherBasisAmt
Depreciation$936,162DepreciationAmt
Book Value$171,510BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$171,510TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ACCRUED VACATION$206,402
ACCRUED PAYROLL$85,376
DEFERRED REVENUE
FieldValueIRS element (for citing)
Total Liability$291,778TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$8,514,831TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$8,514,831RevenueSubtotalAmt
Total Revenue Per Form990$8,514,831TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,798,165TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$9,798,165ExpensesSubtotalAmt
Total Expenses Per Form990$9,798,165TotalExpensesPerForm990Amt

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
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 30,375. 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 2015, VOLUNTEERS COMMITTED 6,453 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 Status11APublicCharityStatusTxt

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 OrgfalseGiftGrntCapContriFromOthOrgInd
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 OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HOSPICE ALLIANCE FDN INC
CIN-KIND CONTRIB OF RENT
HOSPICE ALLIANCE FDN INC
KCOST OF ANNUAL RENT
HOSPICE ALLIANCE FDN INC
MCOST OF SERVICES

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