2016-09-15T10:19:50-05:00 2015-12-31 391648207 ANDREA & ORENDORFF LLP 6300 76TH ST STE 200 KENOSHA WI 531424018 990 2015-01-01 391403883 HOSPICE ALLIANCE INC HOSP 2626524400 10220 PRAIRIE RIDGE BLVD PLEASANT PRAIRIE WI 53158 CHUCK DUFORD PRESIDENT 2626524482 2016-09-09 true TERRI A SCHMIDT P00037140 2626577716 2016-09-14 2015 2017-02-10 21:41:12Z CHUCK DUFORD 10220 PRAIRIE RIDGE BLVD PLEASANT PRAIRIE WI 53158 8514831 false X WWW.HOSPICEALLIANCE.ORG X 1981 WI HOSPICE 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. 15 15 161 6453 0 346681 308602 9826297 8130365 1320 827 75089 75037 10249387 8514831 46 0 0 6581732 6108047 0 0 3769807 3690118 10351585 9798165 -102198 -1283334 3510633 1959787 728367 460855 2782266 1498932 X HOSPICE 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 false false 7890911 HOSPICE ALLIANCE PROVIDED 57,729 DAYS OF SERVICE WHICH INCLUDES, 2,457 DAYS OF RESIDENTIAL HOSPICE CARE IN OUR HOSPICE HOUSE IN 2015 67610 BEREAVEMENT 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. 7958521 true false false true false false false false false false true false false false true false true false false false false false false false false false false false false false false false false false false true false true true false false false false true false false false true 35 0 161 true false false false false false false X 15 15 false false false false false false false true true false false true true true true true true true false false WI X X MARILYN MASI 2626524482 10220 PRAIRIE RIDGE BLVD PLEASANT PRAIRIE WI 53158 JOSHUA BLOOM MD MEDICAL DIR 2.00 X 30375 0 0 DAVID KNIGHT MD MEMBER 0.50 X 0 0 0 ROBERT BICHLER MEMBER 0.50 X 0 0 0 MICHAEL LANGENDORF PAST PRESIDE 0.50 X 0 0 0 RICHARD REGNER MEMBER 0.50 X 0 0 0 MARY ANN CARDINALI RN MEMBER 0.50 X 0 0 0 RACHAEL PROKO-VIOLA MEMBER 0.50 X 0 0 0 GENE OLSON MEMBER 0.50 X 0 0 0 JOHN PLOUS MEMBER 0.50 X 0 0 0 NANCY PIASECKI MEMBER 0.50 X 0 0 0 PAMELA THOMEY MEMBER 0.50 X 0 0 0 THOMAS TENUTA MEMBER 0.50 X 0 0 0 MYLES MULLIKIN VICE PRESIDE 1.00 X 0 0 0 CHUCK DUFORD PRESIDENT 1.00 X 0 0 0 DANIEL HEYDEN CPA SEC / TREAS 1.00 X 0 0 0 RITA HAGEN RN MSN EXEC DIRECTR 45.00 X 127975 0 0 ABDUL DURRANI MEDICAL DOCT 12.00 X 119880 0 0 278230 2 false false false 308602 188997 308602 NET PATIENT SERVICE REVENUE 7490356 7490356 HOSPICE HOUSE REVENUE 640009 640009 8130365 827 827 ADMINISTRATION FEES-FDN 44160 44160 SUPPORT & SUPPLIES-FDN 27733 27733 OTHER REVENUE 3144 3144 75037 8514831 8206229 30375 30375 4954485 4057228 897257 762904 627299 135605 360283 295036 65247 7429 7429 12830 12830 45889 43557 2332 66627 1294 65333 127865 111520 16345 107900 107900 432525 153687 278838 183875 168264 15611 144970 38753 106217 45303 45303 PATIENT MEDICAL EXPENSES 1938713 1938713 LOSS ON DISPOSAL OF RACIN 388794 388794 MEDICAL SUPPLIES 76745 76745 REPAIRS/MAINTENANCE 70677 70677 39976 27256 12720 9798165 7958521 1839644 0 902424 868796 60827 77772 1784536 697680 21609 17469 51643 126560 1107672 936162 689594 171510 3510633 1959787 170245 169077 558122 291778 728367 460855 X 2782266 1498932 2782266 1498932 3510633 1959787 -1283334 X false true X true false X 316895 257093 253246 346681 308602 1482517 9522630 10901807 9812709 9902706 8206229 48346081 9839525 11158900 10065955 10249387 8514831 49828598 49828598 9839525 11158900 10065955 10249387 8514831 49828598 1.00000 0.99990 0.00000 0.00000 X false false false false false false false false true 300 300 false SCHEDULE C, PART I-A, LINE 1 HOSPICE 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 1 THE 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. 1107672 936162 171510 171510 ACCRUED VACATION 206402 ACCRUED PAYROLL 85376 DEFERRED REVENUE 291778 8514831 8514831 8514831 9798165 9798165 9798165 JOSHUA BLOOM MD MED DIRECTOR PAID MEDICAL DIRECTO false SCHEDULE L, PART V DR. JOSHUA BLOOM WAS PAID 30,375. HE IS ON THE BOARD. X IN-KIND RENT 1 188997 MARKET VALUE false true false FORM 990 - ORGANIZATION'S MISSION HOSPICE 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 6 HOSPICE 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 11B THE 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 12C FULL 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 15A THE 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 19 THE ORGANIZATION WILL FURNISH AUDITED FINANCIAL STATEMENTS UPON REQUEST. HOSPICE ALLIANCE FOUNDATION INC 10220 PRAIRIE RIDGE BLVD PLEASANT PRAIRIE WI 53158 391822945 FUNDRAISER WI 501C3 11A NA false false false false false false false false false false false true true true true false true true false true HOSPICE ALLIANCE FDN INC C IN-KIND CONTRIB OF RENT HOSPICE ALLIANCE FDN INC K COST OF ANNUAL RENT HOSPICE ALLIANCE FDN INC M COST OF SERVICES