2011-10-04T12:03:01-05:00 2010-12-31 ANDREA & ORENDORFF LLP 6300 76TH ST STE 200 KENOSHA WI 531424018 990 2010-01-01 391403883 HOSPICE ALLIANCE INC HOSP 2626524400 10220 PRAIRIE RIDGE BLVD PLEASANT PRAIRIE WI 53158 RICHARD REGNER 2626524400 2011-05-19 true ALLISON WRIGHT 2626577716 2011-08-16 2010 2016-03-07 17:11:31Z RICHARD REGNER 10220 PRAIRIE RIDGE BLVD PLEASANT PRAIRIE WI 53158 9857275 false X WWW.HOSPICEALLIANCE.ORG X 1981 WI HOSPICE ALLIANCE HAS SERVED OVER 5,000 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 20 18 132 165 0 204307 204304 8804959 9593979 6856 4799 53634 54193 9069756 9857275 2000000 800000 0 4203130 4598775 0 0 3778134 3834156 9981264 9232931 -911508 624344 2304863 2997211 644929 712933 1659934 2284278 X HOSPICE ALLIANCE HAS SERVED OVER 5,000 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 7851329 800000 9593979 HOSPICE ALLIANCE PROVIDED 54,658 DAYS OF SERVICE WHICH INCLUDES, 1,113 DAYS OF RESIDENTIAL HOSPICE CARE IN OUR HOSPICE HOUSE AND 1,726 DAYS OF HOME HEALTH CARE IN 2010. 78664 BEREAVEMENT SERVICES - HOSPICE ALLIANCE BEREAVEMENT SERVICES ARE AVAILABLE FOR 13 MONTHS FOLLOWING THE DEATH OF A LOVED ONE. COUNSELORS COMMUNICATE REGUALRY 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. 7929993 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 true false false false false false false false true true true true false false false false true false false false false true 53 0 132 true false false false false false false X 20 18 false false false false false false false true true false false true true true true true true false false false WI X X LAWRENCE HAAS 2626524400 10220 PRAIRIE RIDGE BLVD PLEASANT PRAIRIE WI 53158 JOSHUA BLOOM MD 15.00 X 10775 0 0 ROBERT BICHLER 1.00 X 0 0 0 CHUCK DUFORD 1.00 X 0 0 0 RITA HAGEN 1.00 X 0 0 0 DANIEL HEYDEN 1.00 X 0 0 0 MICHAEL LANGENDORF 1.00 X 0 0 0 SCOTT MCARTHEY 1.00 X 0 0 0 SHERYL MUELLER 1.00 X 0 0 0 KATHLEEN NUZZO 1.00 X 0 0 0 GENE OLSON 1.00 X 0 0 0 TOM O'NEAL 1.00 X 0 0 0 NANCY PIASECKI 1.00 X 0 0 0 JOHN PLOUS 1.00 X 0 0 0 KATHLEEN RUSS RN 1.00 X 0 0 0 PAMELA THOMEY 1.00 X 0 0 0 RICHARD FIEGEL 1.00 X 0 0 0 CONNIE MATTER RN 45.00 X 93910 0 0 RICHARD REGNER 2.00 X 0 0 0 DENNIS MATTIOLI 2.00 X 0 0 0 ESTHER LETVEN 2.00 X 0 0 0 104685 false false false 7275 188997 8032 188997 204304 NET PATIENT SERVICE REVENUE 9287898 9287898 HOSPICE HOUSE REVENUE 280279 280279 ROOM & BOARD SPONSORSHIP 25802 25802 9593979 4799 4799 ADMINISTRATION FEES-FDN 45775 45775 SUPPORT & SUPPLIES-FDN 7938 7938 OTHER REVENUE 480 480 54193 9857275 9652971 800000 800000 104685 10775 93910 3691985 3164986 526999 526210 434076 92134 275895 230646 45249 7672 7672 10500 10500 33205 24190 9015 53096 11474 41622 130377 114586 15791 42666 42666 384070 114678 269392 203350 182353 20997 41793 41793 40625 40625 PATIENT MEDICAL EXPENSES 2739941 2739941 MEDICAL SUPPLIES 76973 76973 REPAIRS/MAINTENANCE 38771 38771 DUES/SUBSCRIPTIONS 19284 19284 BOOKS 3905 2932 973 7928 3099 4829 9232931 7929993 1302938 0 1102624 1822691 43000 43862 953002 914669 16311 19551 45250 61292 725880 590734 144676 135146 2304863 2997211 328482 317463 316447 395470 644929 712933 X 1659934 2284278 1659934 2284278 2304863 2997211 624344 X false true true X false X 6250 10500 199897 204307 204304 625258 7050071 7261551 7782226 8804959 9652971 40551778 7056321 7272051 7982123 9009266 9857275 41177036 41177036 1802 20129 24467 6856 4799 58053 1802 20129 24467 6856 4799 58053 7058123 7292180 8006590 9016122 9862074 41235089 0.99860 0.99020 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true false false false false true 421 false false 421 false false false false false SCHEDULE C, PART II-B, LINE 1I DURING 2010, HOSPICE ALLIANCE, INC. MET BRIEFLY WITH LEGISLATORS TO EDUCATE THEM ON THE IMPACT OF HEALTH CARE AND MEDICARE REFORM ON HOSPICE CARE. false false false false false false false false false false 725880 590734 135146 135146 ACCRUED PAYROLL 173434 ACCRUED VACATION 167632 DEFERRED REVENUE 54404 395470 9857275 9232931 624344 624344 9857275 9857275 9857275 9232931 9232931 9232931 LIABILITY UNDER FIN 48 FOOTNOTE 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. THE CORPORATION 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 2006-2009. true HOSPICE ALLIANCE FOUNDATION 10220 PRAIRIE RIDGE BLVD PLEASANT PRAIRIE WI 53158 391822945 501 800000 FOR OPS FUTURE USE DR JOSHUA BLOOM BOARD MEMBER true JOHN PLOUS BOARD MEMBER false X IN-KIND RENT 1 188997 MARKET VALUE false false false ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION HOSPICE ALLIANCE HAS SERVED OVER 5,000 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 EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS 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 2010, VOLUNTEERS COMMITTED 10,015 HOURS OF THEIR TIME. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE 990 WAS REVIEWED IN DETAIL BY THE COMPTROLLER 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. ENFORCEMENT OF CONFLICTS POLICY 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. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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 501 11A NA false false true true false false false false false false true false true true true true true true true HOSPICE ALLIANCE FDN INC B 800000 GRANT HOSPICE ALLIANCE FDN INC C 188997 INKIND CONTRIB OF RENT HOSPICE ALLIANCE FDN INC J 99996 COST OF RENT HOSPICE ALLIANCE FDN INC M 53713 COST OF SERVICES