2013-08-07T09:19:00-05:00 2012-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2012-01-01 391171298 HORIZON HOME CARE & HOSPICE INC HORI 4143658300 8949 N DEERBROOK TRAIL BROWN DEER WI 53223 MARY T HAYNOR 4143658300 2013-07-31 1 JAY ADKISSON CPA P01360892 4144319300 2013-07-31 2012 2016-02-24 21:20:13Z MARY T HAYNOR 8949 N DEERBROOK TRAIL BROWN DEER WI 53223 30848440 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 8 697 313 0 0 80699 1125171 27978988 29615609 1574 1534 287897 39276 28349158 30781590 0 0 0 0 21308543 22592331 0 0 6607 8459966 5579971 29768509 28172302 -1419351 2609288 7280757 10815665 3160055 4085675 4120702 6729990 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 17507541 29615609 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. 17507541 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 25 0 1 697 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 8949 N DEERBROOK TRAIL BROWN DEER WI 53223 JEFF VAN DE KREEKE 2.00 X X 0 0 0 THERESA LUX 2.00 X X 0 0 0 CATHY BUCK 2.00 X 0 0 0 GERRI STAFFILENO 2.00 X 0 0 0 DIANE EHN 2.00 X 0 0 0 CONNIE BRADLEY 2.00 X 0 0 0 DAVID MANNES 2.00 X 0 0 0 ALLAN SPOONER 2.00 X 0 0 0 MARY HAYNOR 45.00 X 197679 0 18287 COLEEN SCHMIDT 45.00 X 112426 0 22827 VICKI MEYER 45.00 X 75593 0 4663 LINDA FELIX 45.00 X 119679 0 22066 DENISE SCHERER 45.00 X 144854 0 14424 JAY KUDRONOWICZ 45.00 X 108987 0 1798 759218 0 84065 5 0 1 0 HOME CARE MEDICAL INC DRAWER 828 MILWAUKEE WI 53278 MEDICAL SERVICES 1217737 DAVIANS 16300 W SILVER SPRING DRIVE MENOMONEE FALLS WI 53051 FOOD SERVICES 136537 INDEPENDENCE MEDICAL PO BOX 635864 CINCINNATI OH 45263 MEDICAL SERVICES 125814 3 55538 171576 898057 8000 1125171 MEDICAID/MEDICARE 623000 19166680 19166680 PRIVATE INSURANCE 623000 5611652 5611652 PRIVATE PAY 623000 2770262 2770262 COUNTY 623000 1878026 1878026 MISCELLANEOUS 623000 188989 188989 29615609 1534 1534 104026 171576 65800 38226 38226 2100 1050 1050 1050 30781590 29615609 0 40810 431475 431475 18282492 12457443 5825049 292476 239052 53424 2209669 1041838 1167831 1376219 893940 482279 24485 24485 9750 9750 502208 332159 170049 366055 366055 995843 1957 987279 6607 808438 808438 731495 688711 42784 25373 25373 396226 396226 131986 131986 MEDICAL EXPENSES 1685362 1685362 HOSPITAL AND NURSING EX 139178 139178 OTHER EXPENSE 62262 62262 EMPLOYEE WELLNESS 31907 31907 -330597 27901 -358498 28172302 17507541 10658154 6607 1681067 4221822 185442 0 0 898057 3876659 4331017 406137 361627 7629308 6874227 1002072 755081 129380 163180 0 84881 7280757 10815665 2823082 3855608 308528 221076 11026 0 17419 8991 3160055 4085675 X 4120702 5831933 0 898057 4120702 6729990 7280757 10815665 2609288 0 X 0 1 X 1 0 X 256936 111605 317401 80699 1125171 1891812 22355254 24290230 24980920 27978988 29615609 129221001 22612190 24401835 25298321 28059687 30740780 131112813 0 0 0 131112813 23892 10044 2978 1574 1534 40022 23892 10044 2978 1574 1534 40022 35583 51612 49893 231146 368234 22671665 24463491 25351192 28292407 30742314 131521069 0.99690 0.99660 0.00030 0.00080 X SCHEDULE 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6917647 6389230 528417 711661 484997 226664 755081 PAYABLE TO RELATED PARTIES 8991 8991 X 30860720 12280 66850 79130 30781590 0 30781590 28251432 12280 66850 79130 28172302 0 28172302 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. MATTERS OF THE HEART GALA 76253 5010 71243 4089 24374 7172 131 LIFE LIGHTS 19280 1595 17685 1838 2132 4029 1188 95533 6605 88928 5927 26506 11201 1319 44953 43975 X X X 0 1 0 0 0 1 0 0 0 MARY HAYNOR 185006 0 12673 0 0 0 3018 0 15269 0 215966 0 0 0 DENISE SCHERER 144854 0 0 0 0 0 0 0 14424 0 159278 0 0 0 PART I, LINE 4B MARY HAYNOR, CEO IS A PARTICIPANT IN A SECTION 457 DEFERRED COMPENSATION PLAN. NO PAYMENTS WERE RECEIVED DURING 2012. 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.