2021-10-22T08:19:01-05:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 10401 W INNOVATION DR STE 300 WAUWATOSA WI 53226 990 2020-01-01 391171298 HORIZON HOME CARE & HOSPICE INC HORI 4143658300 11400 W LAKE PARK DRIVE MILWAUKEE WI 53224 MARY T HAYNOR PRESIDENT & CEO 4143658300 2021-10-20 1 MARY HAYNOR 999009999 DANIEL L BURZYNSKI P01447096 4144761880 2021-10-20 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z MARY T HAYNOR 11400 W LAKE PARK DRIVE MILWAUKEE WI 53224 49980741 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 8 693 130 0 0 299807 1323652 46864682 48044232 383876 333531 104143 -87664 47652508 49613751 18750 2500 0 0 35413530 36229725 0 0 119914 10086611 10414958 45518891 46647183 2133617 2966568 27005336 33008542 5975746 8064635 21029590 24943907 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 0 38476655 2500 48044232 INTERMITTENT NURSING, HOME HEALTH AIDE, THERAPY SERVICES, HOSPICE SERVICES, ADULT AND PEDIATRIC PRIVATE DUTY, HIGH-TECH PRIVATE DUTY SERVICES, AND COMMUNITY SERVICE PROGRAM. IN 2020 HOME HEALTH COMPLETED 150,396 PATIENT VISITS, PRIVATE DUTY PROVIDED 106,288 HOURS, AND HOSPICE HAD AN AVERAGE DAILY CENSUS OF 298.3 PATIENTS. 38476655 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 0 0 0 0 1 40 0 693 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 X 9 8 1 0 1 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 MARY HAYNOR PRESIDENT & CEO 45.00 X X 314380 0 27087 COLEEN SCHMIDT VP & COO 45.00 X 191790 0 25152 VICKI MEYER VP & CFO 45.00 X 187565 0 15227 LINDA FELIX RN CASE MANAGER 40.00 X 178317 0 22351 SUSAN KULINSKI VP OF HR 45.00 X 143863 0 18023 JAY KUDRONOWICZ PHYSICAL THERAPIST 40.00 X 148385 0 6144 LEE ANN SCHINKE RN CASE MANAGER 40.00 X 131807 0 13015 JEAN JAEKELS DIRECTOR OF BUSINESS DEVELOPMENT 40.00 X 128372 0 6371 DIANE EHN CHAIR 2.00 X X 0 0 0 DAVID MANNES VICE CHAIR 2.00 X X 0 0 0 JEFFREY VAN DE KREEKE TREASURER 2.00 X X 0 0 0 TERESA LUX SECRETARY 2.00 X X 0 0 0 RICHELLE WEBB DIXON DIRECTOR 2.00 X 0 0 0 SHARON STREFF DIRECTOR 2.00 X 0 0 0 SHARON BAUGHMAN DIRECTOR 2.00 X 0 0 0 DR RICHARD SHIMP DIRECTOR 2.00 X 0 0 0 1424479 0 133370 9 0 1 0 NETSMART TECHNOLOGIES PO BOX 823519 PHILADELPHIA PA 19182 EMR HOSTING & SUPPORT 430961 FROEDTERT MEMORIAL LUTHERAN HOSPITAL 9200 W WISCONSIN AVE MILWAUKEE WI 53226 MEDICAL DIRECTOR FEE 145744 ADP LLC PO BOX 842875 BOSTON MA 02284 PAYROLL PROCESSING & SUPPORT 125004 ADZ ETC INC N88 W16749 MAIN ST SUITE 3 MENOMONEE FALLS WI 53051 ADVERTISING 123142 4 276151 1024973 22528 136775 1323652 MEDICAID/MEDICARE REVENUE 623000 32927132 32927132 PRIVATE INSURANCE REVENUE 623000 10290101 10290101 PRIVATE PAY REVENUE 623000 2673797 2673797 COUNTY REVENUE 623000 2097044 2097044 56158 56158 48044232 333531 333531 150000 150000 0 128646 276151 216870 -88224 -88224 680 120 560 560 49613751 48044232 0 245867 2500 2500 944288 944288 28436314 25613177 2709119 114018 948628 848757 99871 3677563 2805656 871907 2222932 1861194 357908 3830 6631 6631 46700 46700 20000 20000 511403 507942 3461 389688 389688 654010 261934 391260 816 750667 1080 749587 1465727 876505 589222 813785 767811 44724 1250 94541 94541 443804 150220 293584 186550 186550 MEDICAL SUPPLY COSTS 2392999 2333472 59527 HOSPITAL AND NURSING HO 1930659 1930659 PROVISION FOR BAD DEBT 506390 506390 EMPLOYEE WELLNESS 180897 180897 20507 9358 11149 46647183 38476655 8050614 119914 7035738 7567623 6176872 5955493 335709 278693 4350998 3097553 1595332 1253445 10737143 16423684 553992 850001 570550 679603 27005336 33008542 5074388 6323902 785145 901358 955588 5975746 8064635 X 21029590 24932701 11206 21029590 24943907 27005336 33008542 2966568 947749 0 X 0 1 X 1 0 X 173115 208245 438650 299807 1323652 2443469 37902859 42750011 45720786 46864682 48044232 221282570 145043 140187 108370 177532 129326 700458 38221017 43098443 46267806 47342021 49497210 224426497 3298 3298 0 3298 3298 224423199 1275 20479 182302 380542 333531 918129 1275 20479 182302 380542 333531 918129 38222292 43118922 46450108 47722563 49830741 225344626 0.99590 0.99720 0.00410 0.00280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2177935 1632982 544953 2173063 1464571 708492 1253445 DEFERRED RENT 279485 DEFERRED COMPENSATION 676103 955588 50758490 947749 216990 1164739 49593751 20000 20000 49613751 46844173 216990 216990 46627183 20000 20000 46647183 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING & GAMING EXPENSES 216,990. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING & GAMING EXPENSES 216,990. ANNUAL GALA 205861 60601 145260 32347 14500 8553 205861 60601 145260 32347 14500 8553 55400 89860 X X X X 0 0 0 1 0 0 0 0 0 MARY HAYNOR PRESIDENT & CEO 290875 0 20557 0 2948 0 13300 0 13787 0 341467 0 0 0 COLEEN SCHMIDT VP & COO 179061 0 9095 0 3634 0 9512 0 15640 0 216942 0 0 0 VICKI MEYER VP & CFO 179971 0 5540 0 2054 0 7323 0 7904 0 202792 0 0 0 LINDA FELIX RN CASE MANAGER 166587 0 2985 0 8745 0 9159 0 13192 0 200668 0 0 0 SUSAN KULINSKI VP OF HR 136255 0 6650 0 958 0 6483 0 11540 0 161886 0 0 0 JAY KUDRONOWICZ PHYSICAL THERAPIST 128406 0 8487 0 11492 0 5837 0 307 0 154529 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 5380 DONOR REPORTED VALUE X 1800 DONOR REPORTED VALUE X 520 2600 DONOR REPORTED VALUE X PERSONAL PROTECTIVE EQUIPMENT 10813 74801 DONOR REPORTED VALUE X AUCTION ITEMS 323 41455 DONOR REPORTED VALUE X FLOWERS FOR HOSPICE 16 6809 DONOR REPORTED VALUE X SINK FOR HOSPICE 1 3930 DONOR REPORTED VALUE 0 1 0 PART I, COLUMN (B): THE ORGANIZATION TRACKS AND REPORTS THE ACTUAL NUMBER OF CONTRIBUTIONS RECEIVED. 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 4 ADDED AUTHORIZATION OF ANOTHER PERSON TO ACT AS A PROXY. UPDATED QUORUM TO INCLUDE 1 REPRESENTATIVE OF EACH MEMBER. IF QUORUM IS PRESENT THEN THE UNANIMOUS VOTE SHALL BE THE ACTION OF THE MEMBERS. ADDED PARAGRAPH REGARDING DEADLOCK DISPUTE RESOLUTION. 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.