2012-11-06T11:23:27-06:00 2011-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2011-01-01 391171298 HORIZON HOME CARE & HOSPICE INC HORI 4143658300 8949 N DEERBROOK TRAIL BROWN DEER WI 53223 MARY T HAYNOR 4143658300 2012-11-06 1 JAY ADKISSON CPA P01360892 4144319300 2012-10-30 2011 2016-02-24 21:20:13Z MARY T HAYNOR 8949 N DEERBROOK TRAIL BROWN DEER WI 53223 28410283 0 X WWW.HORIZONHCH.ORG X 1990 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. 9 8 678 199 713 0 317401 80699 24980920 27978988 2978 1574 111313 287897 25412612 28349158 0 0 0 0 20197221 21308543 0 0 6669 6140501 8459966 26337722 29768509 -925110 -1419351 8227730 7280757 2687677 3160055 5540053 4120702 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 22205733 28210134 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. 22205733 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 0 1 57 0 1 678 1 0 0 0 0 0 1 1 0 0 0 0 X 9 8 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X VICKI MEYER 4143658300 8949 N DEERBROOK TRAIL BROWN DEER WI 53223 MARY HAYNOR 45.00 X X 188510 0 16856 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 CHRIS MEYER 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 DEBORAH FRIBERG 2.00 X 0 0 0 COLEEN SCHMIDT 45.00 X 107940 0 15330 LINDA FELIX 45.00 X 142972 0 14891 DENISE SCHERER 45.00 X 139729 0 8187 579151 0 55264 4 0 1 0 0 150 62034 18515 21800 80699 MEDICAID/MEDICARE 623000 18632399 18632399 PRIVATE INSURANCE 623000 5294466 5294466 PRIVATE PAY 623000 2153942 2153942 COUNTY 623000 1898181 1898181 27978988 1574 1574 115663 62034 60925 54738 54738 1500 200 1300 1300 713 0 713 713 MISCELLANEOUS 900099 231146 231146 231146 28349158 28210134 713 57612 579150 579150 16823623 12420568 4403055 84007 62021 21986 2515664 1857268 658396 1306099 964269 341830 28626 21134 7492 92385 68206 24179 9718 7175 2543 253454 187120 66334 1013293 743172 263452 6669 845372 624122 221250 673728 497401 176327 12266 9056 3210 415243 306566 108677 168132 124129 44003 BAD DEBT EXPENSE 2256114 1665647 590467 MEDICAL EXPENSES 1916794 1916794 PURCHASED SERVICES 411435 411435 HOSPITAL AND NURSING EX 210779 210779 152627 108871 43756 29768509 22205733 7556107 6669 363987 1681067 619252 185442 5342884 3876659 398041 406137 7480073 6478001 1380584 1002072 122982 129380 8227730 7280757 2272628 2463441 345114 308528 69935 11026 0 377060 2687677 3160055 X 5540053 4120702 5540053 4120702 8227730 7280757 -1419351 0 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6849752 6153134 696618 630321 324867 305454 1002072 PAYABLE TO RELATED PARTIES 377060 377060 28349158 29768509 -1419351 -1419351 28424843 14560 61125 75685 28349158 0 28349158 29844194 14560 61125 75685 29768509 0 29768509 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 2011 AND 2010. FEDERAL TAX RETURNS FOR TAX YEARS 2008 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 61,125. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 61,125. MATTERS OF THE HEART GALA 91266 62034 29232 200 470 21788 4600 12158 LIFE LIGHTS 16498 16498 1818 3195 3042 6450 107764 62034 45730 200 2288 24983 7642 18608 53721 -7991 X X X X 0 0 0 0 0 1 0 0 0 MARY HAYNOR 180618 0 7892 0 0 0 2888 0 13968 0 205366 0 0 0 LINDA FELIX 142772 0 200 0 0 0 2231 0 12660 0 157863 0 0 0 PART I, LINE 6 BONUS STRUCTURE OF KEY EMPLOYEES CONTINGENT UPON MEETING BUDGETED NET INCOME FORM 990, PART VI, SECTION A, LINE 4 THE ARTICLES OF INCORPORATION WERE AMENDED IN NOVEMBER 2011 TO CHANGE THE REGISTERED AGENT FROM LAURA KRAUSE TO MARY HAYNOR. 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.