2016-05-31T13:02:05-05:00 2015-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2015-01-01 391171298 HORIZON HOME CARE & HOSPICE INC HORI 4143658300 11400 W LAKE PARK DRIVE MILWAUKEE WI 53224 MARY T HAYNOR PRESIDENT & CEO 4143658300 2016-05-23 1 PAUL DALY CPA P00277674 4144319300 2016-05-23 2015 2016-09-27 15:27:22Z MARY T HAYNOR 11400 W LAKE PARK DRIVE MILWAUKEE WI 53224 35915702 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. 8 8 753 302 0 0 72925 122453 33867029 35637164 7337 1065 89554 91799 34036845 35852481 0 0 0 0 26482491 26485466 0 0 0 6796533 7676702 33279024 34162168 757821 1690313 13397917 14559588 4383735 3855093 9014182 10704495 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, HOSPICE RESIDENCE 0 0 22710274 0 35637164 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. 22710274 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 0 0 0 0 0 0 0 0 0 1 57 0 1 753 1 0 0 0 0 0 1 1 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X VICKI MEYER 4143658300 11400 W LAKE PARK DRIVE MILWAUKEE WI 53224 CATHY BUCK CHAIRPERSON 2.00 X 0 0 0 ALLAN SPOONER THROUGH 83115 VICE CHAIR 2.00 X 0 0 0 JEFFREY VAN DE KREEKE TREASURER 2.00 X 0 0 0 TERESA LUX SECRETARY 2.00 X 0 0 0 CLARISSA AZCUETA-COX DIRECTOR 2.00 X 0 0 0 DIANE EHN 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 2.00 X 0 0 0 MARY HAYNOR PRESIDENT/CEO; BOD ASST SE 40.00 X 268875 0 23587 VICKI MEYER VICE PRESIDENT & CFO 40.00 X 148167 0 11937 COLEEN SCHMIDT VP DIRECTOR-CLINICAL SERVI 40.00 X 157287 0 27276 SUSAN KULINSKI VICE PRESIDENT OF HR 40.00 X 139716 0 26347 JEAN JAEKELS DIRECTOR OF MARKETING & SA 40.00 X 115975 0 3488 LINDA FELIX RN CASE MANAGER 40.00 X 156594 0 24009 DENISE SCHERER RN CASE MANAGER 40.00 X 149383 0 15120 JAY KUDRONOWICZ PHYSICAL THERAPIST 40.00 X 137813 0 3527 LISA BEDER CLINICAL MANAGER 40.00 X 123903 0 26141 REBECCA ONDRACEK HIGHEST COMPENSATED EMPLOY 40.00 X 108498 0 2079 SUZETTE SMITH HIGHEST COMPENSATED EMPLOY 40.00 X 106215 0 18731 1612426 0 182242 14 0 1 0 D&S FOOD SERVICES INC (DBA DAVIANS) N56 W16300 SILVER SPRING DR MENOMONEE FALLS WI 53051 FOOD SERVICE 125861 1 107364 15089 122453 MEDICAID/MEDICARE 623000 23407194 23407194 PRIVATE INSURANCE 623000 7973628 7973628 PRIVATE PAY 623000 2390031 2390031 COUNTY 623000 1830716 1830716 MISCELLANEOUS 623000 35595 35595 35637164 1065 1065 155020 107364 63221 91799 91799 35852481 35637164 0 92864 830020 830020 20950278 15721417 5228861 307161 223902 83259 2839639 1435447 1404192 1558368 1152834 405534 20025 20025 38450 38450 25412 25412 255963 255963 1190694 153457 1037237 957399 957399 734337 681319 53018 25105 25105 647 647 329814 329814 177360 177360 MEDICAL EXPENSES 1981137 1981137 HOSPITAL AND NURSING EX 463089 463089 BAD DEBT EXPENSES 249661 249661 EMPLOYEE WELLNESS 149372 149372 1078237 897672 180565 34162168 22710274 11451894 0 3354508 7942070 384911 200000 7247917 3952881 301296 583279 3789425 2213288 1837044 1576137 272241 305221 13397917 14559588 3574771 2846823 691561 723756 117403 284514 4383735 3855093 X 8629271 10504495 384911 200000 9014182 10704495 13397917 14559588 1690313 0 X 0 1 X 1 0 X 80699 1125171 157911 72925 122453 1559159 27978988 29615609 32912489 33867029 35637164 160011279 28059687 30740780 33070400 33939954 35759617 161570438 0 0 0 161570438 1574 1534 995 6684 1065 11852 1574 1534 995 6684 1065 11852 231146 231146 28292407 30742314 33071395 33946638 35760682 161813436 0.99850 0.99810 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 137807 26763 111044 1966017 1429761 536256 1685601 756764 928837 1576137 PAYABLE TO RELATED PARTIES 248184 OLIGATIONS UNDER CAPITAL LEASE 36330 284514 35949195 33493 63221 96714 35852481 0 35852481 34258882 33493 63221 96714 34162168 0 34162168 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 63,221. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 63,221. MATTERS OF THE HEART GALA 114540 4350 110190 7500 25326 11412 ROCK THE PARK 16230 400 15830 300 106 2300 2751 130770 4750 126020 7800 25432 2300 14163 49695 76325 X X X 0 1 0 0 0 1 0 0 0 MARY HAYNOR PRESIDENT/CEO; BOD ASST SE 252506 0 15544 0 825 0 6000 0 17587 0 292462 0 0 0 VICKI MEYER VICE PRESIDENT & CFO 139871 0 8175 0 121 0 3326 0 8611 0 160104 0 0 0 COLEEN SCHMIDT VP DIRECTOR-CLINICAL SERVI 150947 0 6128 0 212 0 3606 0 23670 0 184563 0 0 0 SUSAN KULINSKI VICE PRESIDENT OF HR 128794 0 10710 0 212 0 2781 0 23566 0 166063 0 0 0 LINDA FELIX RN CASE MANAGER 154376 0 2185 0 33 0 4265 0 19744 0 180603 0 0 0 DENISE SCHERER RN CASE MANAGER 147182 0 2194 0 7 0 1437 0 13683 0 164503 0 0 0 LISA BEDER CLINICAL MANAGER 122196 0 1346 0 361 0 2689 0 23452 0 150044 0 0 0 PART I, LINE 4B CEO MARY HAYNOR - CONTRIBUTION TO 457(B) PLAN $17,999; CFO VICKI MEYER - CONTRIBUTION TO 457(B) PLAN $18,000 PART I, LINE 6 THE PRESIDENT/CEO, THE CFO, AND THE COO PARTICIPATE IN AN INCENTIVE PROGRAM THAT USES AGENCY NET INCOME AS ONE COMPONENT OF THE TOTAL INCENTIVE COMPENSATION PAID/ACCRUED. 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 & COMMUNITY 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 11 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.