HORIZON HOME CARE & HOSPICE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HORIZON HOME CARE & HOSPICE INC (EIN 39-1171298)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-07
IRS object ID
201342199349300524
Schema version
2012v2.1
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)
Timestamp2013-08-07T09:19:00-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110000 INNOVATION DRIVE SUITE 250AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code532264837ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391171298EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HORIZON HOME CARE & HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHORINameControl
Phone4143658300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18949 N DEERBROOK TRAILAddressLine1
CityBROWN DEERCity
StateWIState
ZIP Code53223ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARY T HAYNORName
TitlePRESIDENT & CEOTitle
Phone4143658300Phone
Date Signed2013-07-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAY ADKISSON CPAName
PTINP01360892PTIN
Phone4144319300Phone
Date Prepared2013-07-31DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY T HAYNORNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18949 N DEERBROOK TRAILAddressLine1
CityBROWN DEERCity
StateWIState
ZIP Code53223ZIPCode
FieldValueIRS element (for citing)
Gross Receipts30848440GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HORIZONHCH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionHORIZON 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees697TotalNbrEmployees
Total Nbr Volunteers313TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year80699ContributionsGrantsPriorYear
Contributions Grants Current Year1125171ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27978988ProgramServiceRevenuePriorYear
Program Service Revenue CY29615609ProgramServiceRevenueCY
Investment Income Prior Year1574InvestmentIncomePriorYear
Investment Income Current Year1534InvestmentIncomeCurrentYear
Other Revenue Prior Year287897OtherRevenuePriorYear
Other Revenue Current Year39276OtherRevenueCurrentYear
Total Revenue Prior Year28349158TotalRevenuePriorYear
Total Revenue Current Year30781590TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21308543SalariesEtcPriorYear
Salaries Etc Current Year22592331SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year6607TotalFundrsngExpCurrentYear
Other Expense Prior Year8459966OtherExpensePriorYear
Other Expenses Current Year5579971OtherExpensesCurrentYear
Total Expenses Prior Year29768509TotalExpensesPriorYear
Total Expenses Current Year28172302TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1419351RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2609288RevenuesLessExpensesCY
Total Assets BOY7280757TotalAssetsBOY
Total Assets EOY10815665TotalAssetsEOY
Total Liabilities BOY3160055TotalLiabilitiesBOY
Total Liabilities EOY4085675TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4120702NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6729990NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHORIZON 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 RESIDENCEMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense17507541Expense
Revenue29615609Revenue
DescriptionINTERMITTENT NURSING, HOME HEALTH AIDE, AND THERAPY SERVICES, HOSPICE SERVICES, ADULT AND PEDIATRIC PRIVATE DUTY AND HIGH-TECH PRIVATE DUTY SERVICES, AND COMMUNITY SERVICE PROGRAMS.Description
Total Program Service Expense17507541TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees697NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1VICKI MEYERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4143658300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18949 N DEERBROOK TRAILAddressLine1
CityBROWN DEERCity
StateWIState
ZIP Code53223ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JEFF VAN DE KREEKE
TREASURER2.00XX000
THERESA LUX
SECRETARY2.00XX000
CATHY BUCK
DIRECTOR2.00X000
GERRI STAFFILENO
DIRECTOR2.00X000
DIANE EHN
DIRECTOR2.00X000
CONNIE BRADLEY
DIRECTOR2.00X000
DAVID MANNES
DIRECTOR2.00X000
ALLAN SPOONER
DIRECTOR2.00X000
MARY HAYNOR
PRESIDENT/CEO45.00X197679018287
COLEEN SCHMIDT
VICE PRESIDENT & COO45.00X112426022827
VICKI MEYER
VICE PRESIDENT & CFO45.00X7559304663
LINDA FELIX
RN CASE MANAGER45.00119679022066X
DENISE SCHERER
RN CASE MANAGER45.00144854014424X
JAY KUDRONOWICZ
PHYSICAL THERAPIST45.0010898701798X
FieldValueIRS element (for citing)
Total Reportable Comp From Org759218TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation84065TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HOME CARE MEDICAL INC
DRAWER 828MILWAUKEEWI53278MEDICAL SERVICES1217737
DAVIANS
16300 W SILVER SPRING DRIVEMENOMONEE FALLSWI53051FOOD SERVICES136537
INDEPENDENCE MEDICAL
PO BOX 635864CINCINNATIOH45263MEDICAL SERVICES125814
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Federated Campaigns55538FederatedCampaigns
Fundraising Events171576FundraisingEvents
All Other Contributions898057AllOtherContributions
Noncash Contributions8000NoncashContributions
Total Contributions1125171TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID/MEDICARE6230001916668019166680
PRIVATE INSURANCE62300056116525611652
PRIVATE PAY62300027702622770262
COUNTY62300018780261878026
MISCELLANEOUS623000188989188989
FieldValueIRS element (for citing)
Total Program Service Revenue29615609TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1534TotalRevenueColumn
Exclusion$1,534ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events104026GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events171576CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses65800FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column38226TotalRevenueColumn
Exclusion$38,226ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming2100GrossIncomeGaming
Gaming Direct Expenses1050GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column1050TotalRevenueColumn
Exclusion$1,050ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column30781590TotalRevenueColumn
Related Or Exempt Function Income29615609RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$40,810ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total431475Total
Management And General431475ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18282492Total
Program Services12457443ProgramServices
Management And General5825049ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total292476Total
Program Services239052ProgramServices
Management And General53424ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2209669Total
Program Services1041838ProgramServices
Management And General1167831ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1376219Total
Program Services893940ProgramServices
Management And General482279ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24485Total
Management And General24485ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9750Total
Management And General9750ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total502208Total
Program Services332159ProgramServices
Management And General170049ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total366055Total
Management And General366055ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total995843Total
Program Services1957ProgramServices
Management And General987279ManagementAndGeneral
Fundraising6607Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total808438Total
Management And General808438ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total731495Total
Program Services688711ProgramServices
Management And General42784ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25373Total
Management And General25373ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total396226Total
Management And General396226ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total131986Total
Management And General131986ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL EXPENSES16853621685362
HOSPITAL AND NURSING EX139178139178
OTHER EXPENSE6226262262
EMPLOYEE WELLNESS3190731907

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-330597Total
Program Services27901ProgramServices
Management And General-358498ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28172302Total
Program Services17507541ProgramServices
Management And General10658154ManagementAndGeneral
Fundraising6607Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1681067BOY
EOY4221822EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY185442BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY898057EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3876659BOY
EOY4331017EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY406137BOY
EOY361627EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7629308LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6874227LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1002072BOY
EOY755081EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY129380BOY
EOY163180EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY84881EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7280757BOY
EOY10815665EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2823082BOY
EOY3855608EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY308528BOY
EOY221076EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY11026BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17419BOY
EOY8991EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3160055BOY
EOY4085675EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4120702BOY
EOY5831933EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY898057EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4120702BOY
EOY6729990EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7280757BOY
EOY10815665EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2609288ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years256936CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years111605CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years317401CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80699CurrentTaxYearMinus1Year
Current Tax Year1125171CurrentTaxYear
Total1891812Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22355254CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24290230CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24980920CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27978988CurrentTaxYearMinus1Year
Current Tax Year29615609CurrentTaxYear
Total129221001Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22612190CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24401835CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25298321CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28059687CurrentTaxYearMinus1Year
Current Tax Year30740780CurrentTaxYear
Total131112813Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509131112813PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23892CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10044CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2978CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1574CurrentTaxYearMinus1Year
Current Tax Year1534CurrentTaxYear
Total40022Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23892CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10044CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2978CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1574CurrentTaxYearMinus1Year
Current Tax Year1534CurrentTaxYear
Total40022Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35583CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years51612CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years49893CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year231146CurrentTaxYearMinus1Year
Total368234Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22671665CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24463491CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25351192CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28292407CurrentTaxYearMinus1Year
Current Tax Year30742314CurrentTaxYear
Total131521069Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99690PublicSupportPercentage509
Prior Year Support Percentage0.99660PriorYearSupportPercentage
Investment Income Percentage0.00030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00080PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: THE ORGANIZATION HAS CHANGED THE SELECTED REASON FOR PUBLIC CHARITY STATUS IN PART I TO COINCIDE WITH THE IRS DETERMINATION LETTER.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6917647OtherCostOrOtherBasis
Depreciation6389230Depreciation
Book Value528417BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis711661OtherCostOrOtherBasis
Depreciation484997Depreciation
Book Value226664BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings755081TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPAYABLE TO RELATED PARTIESDescription
Amount$8,991Amount
FieldValueIRS element (for citing)
Total Of Amounts8991TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt30860720TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities12280DonatedSrvcAndUseOfFacilities
Other Revenues66850OtherRevenues
Revenue Not Rptd F99079130RevenueNotRptdF990
Revenue Subtotal30781590RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99030781590TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt28251432TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities12280DonatedServicesUseOfFacilities
Other Expenses Included66850OtherExpensesIncluded
Expenses Not Rptd F99079130ExpensesNotRptdF990
Expenses Subtotal28172302ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028172302TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, HORIZON DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. HORIZON RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2012 AND 2011. FEDERAL TAX RETURNS FOR TAX YEARS 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 66,850.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 66,850.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MATTERS OF THE HEART GALANameOfEvent1
Gross Receipts Event176253GrossReceiptsEvent1
Charitable Contributions Event15010CharitableContributionsEvent1
Gross Revenue Event171243GrossRevenueEvent1
Rent Facility Costs Event14089RentFacilityCostsEvent1
Food And Beverage Event124374FoodAndBeverageEvent1
Entertainment Event17172EntertainmentEvent1
Other Direct Expenses Event1131OtherDirectExpensesEvent1
Name Of Event2LIFE LIGHTSNameOfEvent2
Gross Receipts Event219280GrossReceiptsEvent2
Charitable Contributions Event21595CharitableContributionsEvent2
Gross Revenue Event217685GrossRevenueEvent2
Rent Facility Costs Event21838RentFacilityCostsEvent2
Food And Beverage Event22132FoodAndBeverageEvent2
Entertainment Event24029EntertainmentEvent2
Other Direct Expenses Event21188OtherDirectExpensesEvent2
Gross Receipts Total95533GrossReceiptsTotal
Charitable Contributions Total6605CharitableContributionsTotal
Gross Revenue Total Events88928GrossRevenueTotalEvents
Rent Facility Costs Total Events5927RentFacilityCostsTotalEvents
Food And Beverage Total Events26506FoodAndBeverageTotalEvents
Entertainment Total Events11201EntertainmentTotalEvents
Other Direct Expenses Total Events1319OtherDirectExpensesTotalEvents
Direct Expense Summary Events44953DirectExpenseSummaryEvents
Net Income Summary43975NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARY HAYNOR
PRESIDENT/CEO18500601267300030180152690215966000
DENISE SCHERER
RN CASE MANAGER1448540000000144240159278000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4BMARY HAYNOR, CEO IS A PARTICIPANT IN A SECTION 457 DEFERRED COMPENSATION PLAN. NO PAYMENTS WERE RECEIVED DURING 2012.
PART I, LINE 6THE 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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6THE 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 7AEACH MEMBER SHALL HAVE THE POWER TO APPOINT FOUR DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BMEMBERS ANNUALLY APPROVE ANY MATCH OR DISCRETIONARY CONTRIBUTIONS FOR THE 403(B) PLAN.
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE REVIEWS THE 990 TAX RETURN.
FORM 990, PART VI, SECTION B, LINE 12CEACH 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 15PRESIDENT/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 19HORIZON HOME CARE & HOSPICE DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OR INTEREST POLICY AVAILABLE TO THE PUBLIC.

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