2011-06-27T14:00:27-05:00 2010-12-31 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2010-01-01 300001715 HOSPICECARE HOLDINGS INC HOSP 6082764660 5395 EAST CHERYL PARKWAY MADISON WI 53711 SUSAN PHILLIPS 2011-06-24 true 3128997000 2010 2016-02-24 21:20:13Z SUSAN PHILLIPS 5395 EAST CHERYL PARKWAY MADISON WI 53711 2205516 false X WWW.HOSPICECAREINC.COM X 2001 WI HOSPICECARE HOLDINGS, INC.'S (HOLDINGS) MISSION IS "ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE." HOLDINGS IS OPERATED EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION. 5 5 0 5 0 0 4928606 353167 1852800 1814400 37880 -265 0 0 6819286 2167302 766800 0 0 0 0 97200 0 0 32253 1950948 1704358 2717748 1801558 4101538 365744 37220755 40161296 142898 149521 37077857 40011775 X HOLDINGS' MISSION IS "ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE." HOLDINGS IS OPERATED EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION. (CONTINUED IN SCHEDULE O) false 1424877 0 1814400 PROVISION OF CAPITAL ASSETS: HOLDINGS SUPPORTS HOSPICECARE, INC. BY PROVIDING THE STRATEGIC AND OPERATIONAL CAPITAL ASSETS NECESSARY FOR HOSPICECARE, INC. TO BEST SERVE PATIENTS AND THEIR FAMILIES NOW AND INTO THE FUTURE. THE LARGEST CAPITAL ASSETS OF HOLDINGS ARE THE BUILDINGS. THE ELLEN & PETER JOHNSON HOSPICECARE RESIDENCE AND THE DON & MARILYN ANDERSON HOSPICECARE CENTER WERE GENEROUS GIFTS FUNDED ENTIRELY BY THE COMMUNITY. HOLDINGS HAS A RESPONSIBILITY TO KEEP THESE BUILDINGS IN THEIR ORIGINAL STATE FOR THE USE OF PATIENTS AND FAMILIES IN PERPETUITY. MAJOR CAPITAL PROJECTS IN 2010 INCLUDED COMPUTER EQUIPMENT AND BUILDING IMPROVEMENTS RELATED TO IMPROVING SAFETY, REDUCING RISK AND AIDING IN RECOVERY OF CRITICAL SYSTEMS. COMPUTER AND SOFTWARE PURCHASES WERE MADE TO SUPPORT THE GROWTH IN PATIENT CENSUS AND TO REPLACE EQUIPMENT NEEDED TO PROVIDE CAREGIVERS RESOURCES TO ASSIST IN MANAGING PATIENT CARE AND COMFORT. A LEARNING DATABASE TOOL WAS PURCHASED IN ORDER TO ASSIST IN PROVIDING AND TRACKING OF STAFF TRAINING. 1424877 true true false false false false true false true true false false true true true false true false false false false false false false false false false false true false false false false false false false false false true false false false true false false false false true X 3 0 true 0 false false false false false false false false false false X 5 5 false false true false true true false true true false false true true true true true true true true false WI X SUSAN PHILLIPS 6082764660 5935 EAST CHERYL PARKWAY MADISON WI 53711 X DON ANDERSON 1 X X 0 0 0 SUSAN SPRINGMAN 1 X X 0 0 0 MARGARET BOTHAM 1 X X 0 0 0 DAVID KRUGER 1 X X 0 0 0 MARK WINTER 1 X 0 0 0 SUSAN PHILLIPS 5 X 0 340928 71079 SARAH BEALLES 5 X 0 229321 8341 0 570249 79420 0 false true false 0 344872 8295 8295 353167 RENTAL INCOME FROM HOSPICECARE INC. 1814400 1814400 0 0 0 0 0 0 1814400 22564 0 0 22564 0 0 0 0 0 15385 38214 0 -22829 -22829 0 0 -22829 0 0 0 0 0 0 0 0 2167302 1814400 0 -265 0 0 0 0 0 0 97200 97200 0 0 0 0 1764 1764 4888 4888 0 0 0 12812 12812 0 524 524 0 0 0 0 0 907 907 31070 26982 3609 479 0 1651951 1397895 222282 31774 0 DUES, FEES, LICENSES 442 442 0 0 0 0 1801558 1424877 344428 32253 0 153311 1839122 1451313 804004 29083 1770 31781309 7941079 24663911 23840230 0 0 0 0 10923137 13676170 37220755 40161296 23512 21937 119386 127584 142898 149521 X 36431193 39172354 600738 778985 45926 60436 37077857 40011775 37220755 40161296 X 365744 2568174 X false true true X false X X X false false false HOSPICECARE INC 391319537 9 true true true 0 1 0 SUPPORT TO RELATED TAX-EXEMPT ORGANIZATION, SCHEDULE A, PART I, LINE 11, HOLDINGS PROVIDES THE USE OF THEIR FACILITIES AND FIXED ASSETS TO HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION, TO SUPPORT ITS MISSION OF ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE. , RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1625 402486 X X PROVIDE WELCOMING ENVIRONMENT false 472208 14510 66356 0 3298 0 549776 460319 0 11889 0 0 0 472208 415642 90070 -11128 0 34265 0 460319 0.890 0.110 0.000 false true true 0 1472630 1472630 0 24284950 4416106 19868844 0 0 0 0 0 4877422 2644316 2233106 0 1146307 880657 265650 23840230 INTEREST IN NET ASSETS OF AFFILIATE 13055663 DUE FROM AFFILIATE 218021 ARTWORK 402486 13676170 INTEREST RATE SWAP 0 CAPITAL LEASE OBLIGATION 117505 DUE TO AFFILIATES 10079 127584 2167302 1801557 365745 27066 27066 392811 2194368 27066 27066 2167302 0 0 2167302 1801557 0 0 1801557 0 0 1801557 Collections of art - description of collections Schedule D, Part III, Line 4 THE ORGANIZATION'S COLLECTIONS CONSIST PRIMARILY OF WORKS OF ART THAT ARE ON DISPLAY IN PUBLIC SPACES AS WELL AS PATIENT ROOMS AT THE FACILITIES OWNED BY HOSPICECARE HOLDINGS AND OPERATED BY HOSPICECARE INC. THESE WORKS OF ART ARE USED TO PROVIDE A WELCOMING, THERAPEUTIC, HOME LIKE ENVIRONMENT TO HOSPICECARE INC. PATIENTS AND FAMILIES IN FUTHERANCE OF THE ORGANIZATION'S MISSION OF ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE. THE ARTWORK REPRESENTS EACH OF THE MANY CULTURES OF THE PEOPLE LIVING IN SOUTH CENTRAL WISCONSIN. THE FAMILIARITY OF THE PIECES HELPS PATIENTS AND THEIR FAMILIES FEEL MORE COMFORTABLE IN OUR HEALTHCARE FACILITY. Intended uses of endowment funds Schedule D, Part V, Line 4 HOSPICECARE FOUNDATION, INC., A RELATED TAX-EXEMPT ENTITY HOLDS ENDOWEMENTS FOR THE PURPOSES OF PROVIDING SUPPORT TO THE ORGANIZATION. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF WISCONSIN FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2010 OR 2009. X X X X X X true true false false false false false SUSAN PHILLIPS 0 240677 0 59150 0 41101 0 49617 0 21462 0 412007 0 15537 SARAH BEALLES 0 127444 0 36000 0 65877 0 0 0 8341 0 237662 0 0 Severance or change-of-control payment Schedule J, Part I, Line 4a SARAH BEALLES, EXECUTIVE VP AND CFO, RECEIVED A SEVERANCE IN THE AMOUNT OF $79,200. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b HOSPICECARE, INC. HAS A 457(F) DEFERRED COMPENSATION AGREEMENT WITH CEO, SUSAN PHILLLIPS. INCLUDED IN PART II, COLUMN (C) OF SCHEDULE J IS $34,917 OF COMPENSATION REPORTED FOR PARTICIPATION IN THIS PLAN. THERE IS AN ADDITIONAL $10,000 ANNUITY PAYMENT THAT SHE IS TO RECEIVE OVER 10 YEARS THAT IS NOT INCLUDED IN THE ABOVE AMOUNT. X 1 1625 MARKET VALUE X 1470 MARKET VALUE X TV AND STAND 1 1000 MARKET VALUE X STORE SIGNAGE 1 4200 SELLING COST 0 false true true Third parties used to solicit, process, or sell noncash contributions Schedule M, Part I, Line 32a HOSPICECARE FOUNDATION, INC., A RELATED TAX-EXEMPT ORGANIZATION, SOLICITS AND PROCESSES VARIOUS NONCASH DONATIONS ON THE ORGANIZATION'S BEHALF. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 (CONTINUED FROM FORM 990, PART III, LINE 1) IN CARRYING OUT ITS MISSION, HOLDINGS INVESTS IN, RECEIVES, HOLDS, USES AND DISPOSES OF ALL PROPERTY, REAL OR PERSONAL, AS MAY BE NECESSARY OR DESIRABLE TO SUPPORT THE OPERATIONS OF HOSPICECARE, INC, BECAUSE THE BUILDINGS WERE FUNDED ENTIRELY BY GIFTS FROM THE COMMUNITY, HOLDINGS HAS A RESPONSIBILITY TO KEEP THEM IN THEIR ORIGINAL STATE FOR THE USE OF PATIENTS AND FAMILIES IN PERPETUITY. REPORTING OF EMPLOYEES COMPENSATION FORM 990, PART V, LINE 2A AND FORM 990, PART IX, LINE 7 THE ORGANIZATION SHARES EMPLOYEES WITH HOSPICECARE, INC. (HCI), A RELATED TAX-EXEMPT ORGANIZATION. NONE OF THE EMPLOYEES SPEND THE MAJORITY OF THEIR TIME WORKING FOR THE ORGANIZATION; THEREFORE, NO EMPLOYEES ARE REPORTED ON FORM 990, PART V, LINE 2A. THE ORGANIZATION DOES REIMBURSE HCI FOR THE TIME THE SHARED EMPLOYEES SPEND WORKING AT THE ORGANIZATION. THIS COMPENSATION EXPENSE IS REPORTED ON FORM 990, PART IX, LINE 7. Significant changes to organizational documents Form 990, Part VI, Section A, Line 4 THE BYLAWS WERE AMENDED ON DECEMBER 16, 2010 BY THE SOLE MEMBER (HOSPICECARE, INC.). KEY CHANGES TO THE BYLAWS INCLUDE: · ESTABLISHING TERM LIMITS FOR BOARD MEMBERS. · ALLOWING THE BOARD TO ACT WITHOUT A MEETING IF AT LEAST TWO-THIRDS OF THE DIRECTORS APPROVE THE ACTION TO BE TAKEN (PREVIOUSLY ALL DIRECTORS HAD TO APPROVE THE ACTION). · CLARIFYING THAT AN ORGANIZATION THAT IS NOT TAX-EXEMPT CANNOT BE A MEMBER OF HOLDINGS. · CLARIFYING THAT THE SOLE MEMBER WILL SOLICIT AND GIVE DUE CONSIDERATION TO DIRECTOR NOMINATIONS BY THE HOLDINGS BOARD. · PROHIBITING THE HOLDINGS BOARD FROM HAVING A MAJORITY OF DIRECTORS WHO ARE ALSO DIRECTORS OF HOSPICECARE, INC. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 HOSPICECARE, INC., A RELATED 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF HOLDINGS AND HAS THE AUTHORITY TO APPOINT, REMOVE, AND REPLACE ANY DIRECTOR ON HOLDINGS BOARD. HOSPICECARE, INC. ALSO HAS THE SOLE AUTHORITY TO AMEND THE HOLDINGS' BYLAWS AND ARTICLES OF INCORPORATION. HOSPICECARE, INC. HAS NO OTHER RESPONSIBILITIES OR VOTING RIGHTS WITH RESPECT TO THE OPERATIONS OF HOLDINGS. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a SEE RESPONSE TO FORM 990, PART VI, SECTION A, LINE 6. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE VP OF FINANCE AND THE CONTROLLER PERFORMED A DETAILED REVIEW OF FORM 990 AND THE RELATED SCHEDULES PRIOR TO FILING THE RETURN. THIS INCLUDED VERIFICATION OF ALL AMOUNTS FOR ACCURACY AND COMPLETENESS. THE FORM AND SCHEDULES WERE ALSO REVIEWED FOR CONTENT, PRESENTATION AND REASONABLENESS. THE EXECUTIVE LEADERSHIP TEAM ALSO REVIEWED THE FORM AND SCHEDULES FOR CONTENT, PRESENTATION AND REASONABLENESS. THE AUDIT COMMITTEE REVIEWED THE FORM 990 AND RELATED SCHEDULES FOR REASONABLENESS. REPRESENTATIVES FROM THE ACCOUNTING FIRM OF CROWE HORWATH WERE PRESENT AND ASSISTED THE CEO/PRESIDENT, VP OF FINANCE AND CONTROLLER IN LEADING THE REVIEW. Conflict of interest policy Form 990, Part VI, Section B, Line 12c DIRECTORS, OFFICERS AND KEY EMPLOYEES (INTERESTED PERSONS) ARE REQUIRED TO ANNUALLY REVIEW THE ORGANIZATION'S CODE OF CONDUCT, INCLUDING THE CONFLICT OF INTEREST POLICY/STATEMENT. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE POTENTIAL OR ACTUAL CONFLICTS WITH THE ORGANIZATION IN WRITING VIA THE ANNUAL QUESTIONNAIRE DISTRIBUTED ELECTRONICALLY TO EACH INTERESTED PERSON. AN INTERESTED PERSON WITH A CONFLICT WILL EXCUSE HIM/HERSELF FROM ANY DISCUSSION, VOTE OR SIMILAR ACTION AS IT RELATES TO THE CONFLICT DISCLOSED. IF A CONFLICT OF INTEREST IS DISCOVERED THAT WAS NOT DISCLOSED BY THE INTERESTED PERSON, THE ISSUE WOULD BE DIRECTED TO THE EXECUTIVE COMMITTEE FOR RESOLUTION. THE GOVERNANCE COMMITTEE IS CHARGED WITH REGULAR REVIEW OF THE INTERESTED PERSONS PRACTICES AND QUESTIONNAIRES REGARDING CONFLICTS OF INTEREST AND SUGGESTS IMPROVEMENTS AS NEEDED. THE CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE CONTROLLER AND DIRECTOR OF GOVERNANCE. THE CONTROLLER AND DIRECTOR OF GOVERNANCE DETERMINE WHETHER A POTENTIAL CONFLICT EXISTS BASED ON THE COMPLETED QUESTIONNAIRES SUBMITTED BY EACH INTERESTED PERSON. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE ORGANIZATION RELIED ON HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS CEO. BELOW IS THE PROCESS USED BY HOSPICECARE, INC. FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. EACH YEAR THE ORGANIZATION GATHERS MARKET DATA FOR DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THIS INCLUDES BENCHMARKS OF NATIONAL, REGIONAL, AND LOCAL COMPENSATION THAT ARE PROVIDED FROM INDEPENDENT COMPENSATION CONSULTANTS. IN JANUARY OF EACH YEAR, THE VICE PRESIDENT OF HUMAN RESOURCES PRESENTS THIS INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD, ALONG WITH A 990 ANALYSIS OF COMPENSATION REPORTING BY SIMILAR SIZED NON-PROFIT HOSPICES. BASED ON THIS INFORMATION, THE EXECUTIVE COMMITTEE SETS AND APPROVES THE PAY FOR THE CHIEF EXECUTIVE OFFICER FOR THE YEAR AND CONTEMPORANEOUSLY DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS WAS LAST UNDERTAKEN IN JANUARY 2010. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE ORGANIZATION RELIED ON HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS OTHER OFFICERS AND KEY EMPLOYEES. BELOW IS THE PROCESS USED BY HOSPICECARE, INC. FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES. EACH YEAR THE ORGANIZATION GATHERS MARKET DATA FOR COMPENSATION OF THE EXECUTIVE LEADERSHIP TEAM. THIS DATA INCLUDES BENCHMARKS OF NATIONAL, REGIONAL, AND LOCAL COMPENSATION THAT ARE PROVIDED FROM INDEPENDENT COMPENSATION CONSULTANTS. EXECUTIVE LEADERSHIP PAY IS ADJUSTED BASED ON: 1) YEARS OF EXPERIENCE; 2) MARKET DATA FOR THE POSITION, AND; 3) PERFORMANCE. THE VICE PRESIDENT OF HUMAN RESOURCES PRESENTS THE MARKET DATA INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD. BASED ON THIS INFORMATION, THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES THE PAY STRUCTURE FOR THE EXECUTIVE LEADERSHIP TEAM AND ALL OTHER EMPLOYEES AND DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS WAS LAST UNDERTAKEN IN JANUARY 2010. Public Disclosure Form 990, Part VI, Section C, Line 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON RECEIPT OF A WRITTEN REQUEST. Average hours worked per week for related organization Form 990, Part VII, Section A, Column B SUSAN PHILLIPS - CEO, DEVOTES APPROXIMATELY 35 HOURS A WEEK TO HOSPICECARE, INC. AND 5 HOURS TO HOSPICECARE FOUNDATION, INC., BOTH OF WHICH ARE RELATED TAX-EXEMPT ORGANIZATIONS. SARAH BEALLES - EXECUTIVE VICE PRESIDENT/CFO, DEVOTES APPROXIMATELY 35 HOURS A WEEK TO HOSPICECARE, INC. AND 5 HOURS A WEEK TO HOSPICECARE FOUNDATION, INC., BOTH OF WHICH ARE RELATED TAX-EXEMPT ORGANIZATIONS. Other changes in net assets or fund balances Form 990, Part XI, Line 5 CHANGE IN INTEREST IN NET ASSETS OF AFFILIATE - 2541108; UNREALIZED GAIN ON INTEREST RATE SWAP - 27066; HOSPICECARE INC 5395 E CHERYL PARKWAY MADISON WI 53711 391319537 HEALTHCARE WI 501(C)(3) 9 NA HOSPICECARE FOUNDATION INC 5395 E CHERYL PARKWAY MADISON WI 53711 300001703 FUNDRAISING WI 501(C)(3) 11 - Type I HCI false false true true true false false false true false false true true true true true false false