2022-07-26T13:02:35-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 10401 W INNOVATION DR STE 300 WAUWATOSA WI 53226 990 2021-01-01 391171298 HORIZON HOME CARE & HOSPICE INC HORI 4143658300 11400 W LAKE PARK DRIVE MILWAUKEE WI 53224 MARY T HAYNOR PRESIDENT & CEO 4143658300 2022-07-21 1 MARY HAYNOR 999009999 KRISTEN DONLEVY P01670215 4144761880 2022-07-21 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MARY T HAYNOR 11400 W LAKE PARK DRIVE MILWAUKEE WI 53224 50103935 0 X WWW.HORIZONHCH.ORG X 1992 WI HORIZON HOME CARE & HOSPICE, INC. WILL OPTIMIZE HEALTH AND QUALITY OF LIFE FOR PATIENTS AND FAMILIES IN THE HOME AND 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. OUR PHILOSOPHY OF COMPASSION AND RESPONSIVENESS EXTENDS FROM OUR EMPLOYEES, TO OUR HOSPITAL SPONSORS AND PHYSICIANS, AND TO THE PATIENTS AND FAMILIES WE ARE PRIVILEGED TO SERVE. 9 8 658 140 0 0 1323652 1296710 48044232 47849863 333531 829598 -87664 -34047 49613751 49942124 2500 200 0 0 36229725 35412721 0 0 125847 10414958 10662620 46647183 46075541 2966568 3866583 33008542 36563484 8064635 7391726 24943907 29171758 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, AND HOSPICE RESIDENCE. 0 1 37550810 200 47849863 INTERMITTENT NURSING, HOME HEALTH AIDE, THERAPY SERVICES, HOSPICE SERVICES, ADULT AND PEDIATRIC PRIVATE DUTY, HIGH-TECH PRIVATE DUTY SERVICES, AND COMMUNITY SERVICE PROGRAM. IN 2021 HOME HEALTH COMPLETED 132,431 PATIENT VISITS, PRIVATE DUTY PROVIDED 87,545 HOURS, AND HOSPICE HAD AN AVERAGE DAILY CENSUS OF 298.9 PATIENTS. 37550810 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 36 0 1 658 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 8 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X VICKI MEYER 4143658300 11400 W LAKE PARK DRIVE MILWAUKEE WI 53224 DIANE EHN SECRETARY 2.00 X X 0 0 0 DR RICHARD SHIMP DIRECTOR 2.00 X 0 0 0 JEFFREY VAN DE KREEKE TREASURER 2.00 X X 0 0 0 JIM TARASOVITCH VICE CHAIR 2.00 X X 0 0 0 MARY HAYNOR PRESIDENT & CEO 45.00 X X 355024 0 32059 RICHELLE WEBB DIXON DIRECTOR 2.00 X 0 0 0 SHARON BAUGHMAN DIRECTOR 2.00 X 0 0 0 SHARON STREFF DIRECTOR 2.00 X 0 0 0 TERESA LUX CHAIR 2.00 X X 0 0 0 COLEEN SCHMIDT VP & COO 45.00 X 202621 0 30647 VICKI MEYER VP & CFO 45.00 X 202361 0 17496 JAY KUDRONOWICZ PHYSICAL THERAPIST 40.00 X 136804 0 9042 JEAN JAEKELS DIRECTOR OF BUSINESS DEVEL 40.00 X 134619 0 8300 KELLY SAMSTER RN CASE MANAGER 40.00 X 123510 0 22507 LINDA FELIX RN CASE MANAGER 40.00 X 182698 0 22879 SUSAN KULINSKI VP OF HR 45.00 X 145507 0 21287 1483144 0 164217 28 0 1 0 NETSMART TECHNOLOGIES PO BOX 823519 PHILADELPHIA PA 19182 EMR HOSTING & SUPPORT 440859 CIELO INC 200 S EXECUTIVE DR BROOKFIELD WI 53005 RECRUITMENT 282725 FROEDTERT MEMORIAL LUTHERAN HOSPITAL 9200 W WISCONSIN AVE MILWAUKEE WI 53226 MEDICAL DIRECTOR FEE 142129 CELTIC INC 316 N MILWAUKEE ST SUITE 350 MILWAUKEE WI 53202 ADVERTISING 126569 ADP LLC PO BOX 842875 BOSTON MA 02284 PAYROLL PROCESSING 116050 5 217195 1076870 2645 76475 1296710 MEDICAID/MEDICARE 623000 34090701 34090701 PRIVATE INSURANCE 623000 10004816 10004816 PRIVATE PAY 623000 2152538 2152538 COUNTY 623000 1541977 1541977 OTHER 623000 59831 59831 47849863 841545 841545 3995 3995 11947 0 -11947 -11947 -11947 111822 217195 145869 -34047 -34047 49942124 47849863 0 795551 200 200 1032871 1032871 27432510 24596781 2717430 118299 890479 800086 88521 1872 3977131 3051929 921117 4085 2079730 1797536 282194 6554 6554 51317 51317 20000 20000 539330 501913 37417 560980 560980 641540 288144 352284 1112 861770 990 860780 1521673 891045 630628 818537 767400 50658 479 67771 67771 425915 152220 273695 220364 220364 MEDICAL SUPPLY COSTS 2313961 2311101 2860 HOSPITAL & NURSING HOME 2014665 2014665 BAD DEBT 371545 371545 EMPLOYEE WELLNESS 209901 209901 16797 5255 11542 46075541 37550810 8398884 125847 7567623 4852189 5955493 7196811 278693 399997 4454774 3306036 1253445 1148738 16423684 22144387 850001 14848 679603 806514 33008542 36563484 6323902 6313326 785145 68301 955588 1010099 8064635 7391726 X 24932701 29165518 11206 6240 24943907 29171758 33008542 36563484 3866583 361268 0 X 0 1 X 1 0 X 208245 438650 299807 1323652 1296710 3567064 42750011 45720786 46864682 48044232 47849863 231229574 140187 108370 177532 129326 111822 667237 43098443 46267806 47342021 49497210 49258395 235463875 3298 934 4232 0 3298 934 4232 235459643 20479 182302 380542 333531 841545 1758399 20479 182302 380542 333531 841545 1758399 43118922 46450108 47722563 49830741 50099940 237222274 0.99260 0.99590 0.00740 0.00410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2153323 1632717 520606 2261283 1673319 587964 40168 40168 1148738 DEFERRED RENT 207085 DEFERRED COMPENSATION 803014 1010099 50441208 361268 145869 507137 49934071 20000 -11947 8053 49942124 46213357 157816 157816 46055541 20000 20000 46075541 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 145,869. PART XI, LINE 4B - OTHER ADJUSTMENTS: SALE OF ASSET -11,947. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 145,869. SALE OF ASSET 11,947. ANNUAL GALA 97254 15774 81480 6156 2500 4300 GOLF OUTING 56278 10473 45805 22823 153532 26247 127285 28979 2500 4300 35779 91506 X X X X 0 0 0 1 0 0 0 0 0 MARY HAYNOR PRESIDENT & CEO 310691 0 38260 0 6073 0 17100 0 14959 0 387083 0 0 0 COLEEN SCHMIDT VP & COO 189544 0 9225 0 3852 0 12128 0 18519 0 233268 0 0 0 VICKI MEYER VP & CFO 186987 0 15374 0 0 0 8519 0 8977 0 219857 0 0 0 LINDA FELIX RN CASE MANAGER 171587 0 2275 0 8836 0 10196 0 12683 0 205577 0 0 0 SUSAN KULINSKI VP OF HR 135353 0 7412 0 2742 0 7547 0 13740 0 166794 0 0 0 PART I, LINE 3 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. PART I, LINE 5 THE BOARD OF DIRECTORS HAS ESTABLISHED AN INCENTIVE COMPENSATION PLAN FOR THE TOP FOUR EXECTIVES OF HORIZON - THE PRESIDENT/CEO, THE CFO, THE COO, AND THE VICE PRESIDENT OF HUMAN RESOURCES. THE BOARD SETS TARGET GOALS EACH YEAR IN AREAS SUCH AS PROFITABILITY, QUALITY, GROWTH AND TURNOVER. X 1 3700 DONOR REPORTED VALUE X 2773 DONOR REPORTED VALUE X 3 80 DONOR REPORTED VALUE X FLOWERS FOR HOSPICE 12 28810 DONOR REPORTED VALUE X AUCTION ITEMS 202 28093 DONOR REPORTED VALUE X PERSONAL PROTECTIVE EQUIPMENT 1271 13217 DONOR REPORTED VALUE 0 1 0 PART I, COLUMN (B): THE ORGANIZATION TRACKS AND REPORTS THE ACTUAL NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART III, LINE 3 THE FAMILY CARE PROGRAM WAS TERMINATED AT THE END OF SEPTEMBER 2021. FORM 990, PART VI, SECTION A, LINE 2 TERESA LUX, DIANE EHN, JEFF VAN DE KREEKE, AND RICHELLE WEBB DIXON HAVE BUSINESS RELATIONSHIPS 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 HEALTH, INC., A WISCONSIN NONSTOCK CORPORATION FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER SHALL HAVE THE POWER TO APPOINT FOUR (4) DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS ANNUALLY APPROVE THE BUDGET. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS THE 990 TAX RETURN AND A FULL COPY IS PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. 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. THESE POTENTIAL CONFLICTS ARE COMMUNICATED TO THE AGENCY PRESIDENT FOR A FINAL DECISION AND RESULTING CONSEQUENCES. 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 IS SET. IN ADDITION, THE BOARD OF DIRECTORS HAS ESTABLISHED AN INCENTIVE COMPENSATION PLAN FOR THE TOP FOUR EXECUTIVES OF HORIZON: THE PRESIDENT/CEO, THE CFO, THE COO, AND THE VICE PRESIDENT OF HUMAN RESOURCES. THE BOARD SETS TARGET GOALS EACH YEAR IN AREAS SUCH AS PROFITABILITY, GROWTH, CUSTOMER SERVICES, AND TURNOVER. 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 COO'S SALARY IS DETERMINED BY THE PRESIDENT/CEO, BASED ON PERFORMANCE OF ESSENTIAL JOB FUNCTIONS, ALONG WITH A MARKET SURVEY. BOTH THE CFO AND COO 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 OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. COLUMBIA ST MARY'S INC 2320 N LAKE DRIVE MILWAUKEE WI 53211 391494981 COMMUNITY HEALTH SYSTEM WI 501(C)(3) LINE 5 50 MEMBER 0 FROEDTERT HEALTH INC 9200 W WISCONSIN AVE MILWAUKEE WI 53226 392014409 COMMUNITY HEALTH SYSTEM WI 501(C)(3) LINE 5 50 MEMBER 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0