2014-09-15T15:13:10-05:00 2013-12-31 391648207 ANDREA & ORENDORFF LLP 6300 76TH ST STE 200 KENOSHA WI 531424018 990 2013-01-01 391403883 HOSPICE ALLIANCE INC HOSP 2626524400 10220 PRAIRIE RIDGE BLVD PLEASANT PRAIRIE WI 53158 MICHAEL LANGENDORF PRESIDENT 2626524400 2014-07-08 true ALLISON WRIGHT P00644306 2626577716 2014-07-25 2013 2015-11-30 17:44:51Z MICHAEL LANGENDORF 10220 PRAIRIE RIDGE BLVD PLEASANT PRAIRIE WI 53158 10065955 false X WWW.HOSPICEALLIANCE.ORG X 1981 WI 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 17 16 158 213 0 257093 253246 10818487 9756190 1501 1316 81819 55203 11158900 10065955 2000000 0 0 5384759 6086672 0 0 3892165 3709770 11276924 9796442 -118024 269513 3558732 3742132 943781 857668 2614951 2884464 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 8083713 HOSPICE ALLIANCE PROVIDED 59,577 DAYS OF SERVICE WHICH INCLUDES, 2,008 DAYS OF RESIDENTIAL HOSPICE CARE IN OUR HOSPICE HOUSE AND 1,945 DAYS OF HOME HEALTH CARE IN 2013. 79615 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. 8163328 true true false true false false false false false false true false false false true true 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 0 158 true false false false false false false X 17 16 false false true false false false false true true false false true true true true true true true false false WI X X LAWRENCE HAAS 2626524400 10220 PRAIRIE RIDGE BLVD PLEASANT PRAIRIE WI 53158 RITA HAGEN RN MSN EXEC DIRECTR 45.00 X X 119110 0 0 JOSHUA BLOOM MD MEDICAL DIR 20.00 X 30250 0 0 RICHARD REGNER PAST PRESIDE 0.50 X 0 0 0 ESTHER LETVEN PAST PRESIDE 0.50 X X 0 0 0 ROBERT BICHLER MEMBER 0.50 X 0 0 0 CHUCK DUFORD VICE PRESIDE 1.00 X X 0 0 0 DANIEL HEYDEN CPA SEC / TREAS 1.00 X X 0 0 0 MICHAEL LANGENDORF PRESIDENT 1.00 X X 0 0 0 SCOTT MCARTHEY MEMBER 0.50 X 0 0 0 MARY ANN CARDINALI RN MEMBER 0.50 X 0 0 0 KATHLEEN NUZZO MEMBER 0.50 X 0 0 0 GENE OLSON MEMBER 0.50 X 0 0 0 JERRY BAIN 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 MICHAEL HAUBRICH CFP MEMBER 0.50 X 0 0 0 DAVID KNIGHT MD MEMBER 0.50 X 0 0 0 149360 1 false false false 188997 64249 188997 253246 NET PATIENT SERVICE REVENUE 9281093 9281093 HOSPICE HOUSE REVENUE 475097 475097 9756190 1316 1316 ADMINISTRATION FEES-FDN 44160 44160 SUPPORT & SUPPLIES-FDN 7938 7938 OTHER REVENUE 3105 3105 55203 10065955 9812709 149360 30250 119110 4875616 4169604 706012 703004 609858 93146 358692 299437 59255 10936 10936 8732 8732 37249 36919 330 71817 4898 66919 198811 180912 17899 52850 52850 416373 143954 272419 257229 230219 27010 93167 25836 67331 52739 52739 PATIENT MEDICAL EXPENSES 2309243 2309243 MEDICAL SUPPLIES 91494 91494 REPAIRS/MAINTENANCE 70975 70975 DUES/SUBSCRIPTIONS 20965 20965 17190 9739 7451 9796442 8163328 1633114 0 1965330 1505521 55360 60554 1276683 1434262 21812 18294 82567 48614 1446308 771421 156980 674887 3558732 3742132 526441 386077 417340 471591 943781 857668 X 2614951 2884464 2614951 2884464 3558732 3742132 269513 X false true X true false X 204307 204304 316895 257093 253246 1235845 8804959 9652971 9522630 10901807 9812709 48695076 9009266 9857275 9839525 11158900 10065955 49930921 49930921 6856 4799 11655 6856 4799 11655 9016122 9862074 9839525 11158900 10065955 49942576 0.99980 0.99920 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 194 194 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 3.03% OF DUES ARE FOR LOBBYING PURPOSES, WHICH EQUATES TO 194 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. 516712 25836 490876 929596 745585 184011 674887 ACCRUED PAYROLL 240768 ACCRUED VACATION 187012 DEFERRED REVENUE 43811 471591 X 10065955 10065955 10065955 9796442 9796442 9796442 SCHEDULE D, PAGE 3, PART X HOSPICE QUALIFIES AS A TAX-EXEMPT NON-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATUTES OF WISCONSIN LAW. HOSPICE IS SUBJECT TO FEDERAL INCOME TAX ONLY ON NET UNRELATED BUSINESS INCOME UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOSPICE CURRENTLY HAS NO OBLIGATION FOR UNRELATED BUSINESS INCOME TAX. ACCORDINGLY, NO PROVISIONS FOR FEDERAL OR STATE INCOME TAXES ARE REQUIRED. HOSPICE'S FEDERAL AND STATE TAX RETURNS ARE POTENTIALLY OPEN FOR EXAMINATIONS FOR THE YEARS 2010-2012. JOSHUA BLOOM MD MED DIRECTOR 30250 PAID MEDICAL DIRECTO false ROBERT BICHLER ATTORNEY LEGAL SERVICES false SCHEDULE L, PART V ROBERT BICHLER'S LAW FIRM, HOSTAK, HENZL & BICHLER, WAS NOT USED BY HOSPICE ALLIANCE, INC., BUT THE FIRM WAS USED FOR HOSPICE ALLIANCE FOUNDATION, INC. FOR LEGAL SERVICES REGARDING A LAND PURCHASE. HOSPICE ALLIANCE, INC. DID NOT PAY THE LAW FIRM. HOSPICE ALLIANCE FOUNDATION, INC. PAID THE FIRM 13,533 FOR LEGAL SERVICES REGARDING THE LAND PURCHASE. IN-KIND RENT MARKET VALUE X 1 188997 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 2013, VOLUNTEERS COMMITTED 10,039 HOURS OF THEIR TIME. FORM 990, PAGE 6, PART VI, LINE 4 BYLAWS WERE AMENDED OCTOBER 29, 2013 FORM 990, PAGE 6, PART VI, LINE 11B THE 990 WAS REVIEWED IN DETAIL BY THE FINANCE DIRECTOR AND THEN FURTHER REVIEWED BY THE ORGANIZATION'S FINANCE COMMITTEE AND THEN APPROVED BY THE FULL BOARD OF DIRECTORS. 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 true false false false false false false false true true true true true true true true true HOSPICE ALLIANCE FDN INC C 188997 IN-KIND CONTRIB OF RENT HOSPICE ALLIANCE FDN INC K 99996 COST OF ANNUAL RENT HOSPICE ALLIANCE FDN INC M 52098 COST OF SERVICES