2020-09-28T16:01:23-05:00 2019-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2019-01-01 391171298 HORIZON HOME CARE & HOSPICE INC HORI 4143658300 11400 W LAKE PARK DRIVE MILWAUKEE WI 53224 MARY T HAYNOR PRESIDENT & CEO 4143658300 2020-09-22 1 CHLOE CHIUMINATTO P01924323 4144319300 2020-09-22 184.59.22.73 2020-09-22 11:39:37 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 CC322FB1B7FC8ED290785ACCB7D2994D8745AEAD 2019 2021-01-29 14:40:06Z MARY T HAYNOR 11400 W LAKE PARK DRIVE MILWAUKEE WI 53224 48317991 0 X WWW.HORIZONHCH.ORG X 1992 WI HORIZON HOME CARE & HOSPICE, INC. WILL OPTIMIZE HEALTH AND QUALITY OF LIFE FOR PATIENTS & 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 8 724 185 0 0 438650 299807 45720786 46864682 182674 383876 -23736 104143 46318374 47652508 8615 18750 0 0 33350346 35413530 0 0 233675 9676067 10086611 43035028 45518891 3283346 2133617 24127468 27005336 6009333 5975746 18118135 21029590 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 33020272 18750 46864682 INTERMITTENT NURSING, HOME HEALTH AIDE, THERAPY SERVICES, HOSPICE SERVICES, ADULT AND PEDIATRIC PRIVATE DUTY, HIGH-TECH PRIVATE DUTY SERVICES, AND COMMUNITY SERVICE PROGRAM. IN 2019 HOME HEALTH COMPLETED 156,571 PATIENT VISITS, PRIVATE DUTY PROVIDED 128,224 HOURS, AND HOSPICE HAD AN AVERAGE DAILY CENSUS OF 290.4 PATIENTS. 33020272 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 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 42 0 724 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 SHARON BAUGHMAN DIRECTOR 2.00 X 0 0 0 CATHY BUCK DIRECTOR 2.00 X 0 0 0 DR RICHARD SHIMP DIRECTOR 2.00 X 0 0 0 SHARON STREFF DIRECTOR 2.00 X 0 0 0 DIANE EHN CHAIR 2.00 X X 0 0 0 DAVID MANNES VICE CHAIR 2.00 X X 0 0 0 TERESA LUX SECRETARY 2.00 X X 0 0 0 JEFFREY VAN DE KREEKE TREASURER 2.00 X X 0 0 0 MARY T HAYNOR PRESIDENT & CEO 45.00 X X 328885 0 35805 VICKI MEYER VICE PRESIDENT & CFO 45.00 X 193465 0 17746 COLEEN SCHMIDT VICE PRESIDENT & COO 45.00 X 190188 0 36830 LINDA FELIX RN CASE MANAGER 40.00 X 184831 0 33750 JAY KUDRONOWICZ PHYSICAL THERAPIST 40.00 X 170439 0 5744 SUSAN KULINSKI VICE PRESIDENT OF HUMAN RESOURCES 45.00 X 145496 0 26486 LEE ANN SCHINKE RN CASE MANAGER 40.00 X 129527 0 18045 1342831 0 174406 22 0 1 0 NETSMART TECHNOLOGIES INC PO BOX 823519 PHILADELPHIA PA 19182 EMR HOSTING AND TECHNICAL SUPPORT 413626 ADZ ETC INC N88 W16749 MAIN STREET SUITE 3 MENOMONEE FALLS WI 53051 ADVERTISING 200870 ADP LLC PO BOX 842875 BOSTON MA 02284 PAYROLL PROCESSING 139919 FROEDTERT HEALTH INC 9200 W WISCONSIN AVENUE MILWAUKEE WI 53226 MEDICAL DIRECTOR FEES 139702 4 45931 253876 48566 299807 MEDICAID/MEDICARE REVENUE 623000 31387290 31387290 PRIVATE INSURANCE REVENUE 623000 10247524 10247524 PRIVATE PAY REVENUE 623000 3220172 3220172 COUNTY REVENUE 623000 1936818 1936818 72878 72878 46864682 380542 380542 592021 3407 592094 0 -73 3407 3334 3334 175377 45931 73137 102240 102240 2155 252 1903 1903 47652508 46864682 0 488019 18750 18750 575902 575902 28294772 23029258 5166980 98534 691758 590385 101373 3770142 2509404 1254347 6391 2080956 1678626 402330 15701 15701 39100 39100 20002 20002 484780 334829 149951 336069 336069 648219 160150 487139 930 718967 718967 1442530 1442530 815551 726215 88265 1071 101131 101131 338685 338685 175008 175008 MEDICAL SUPPLY COSTS 2342233 2342233 HOSPITAL & NURSING HOME 1630422 1630422 PROVISION FOR BAD DEBTS 589585 589585 EMPLOYEE WELLNESS 209744 209744 178884 52135 126749 45518891 33020272 12264944 233675 8941574 7035738 6011470 6176872 352378 335709 4249081 2653749 1040525 1595332 6214061 10737143 1078019 553992 489441 570550 24127468 27005336 5141892 5074388 6543 0 860898 901358 6009333 5975746 X 18118135 21029590 18118135 21029590 24127468 27005336 2133617 777838 0 X 0 1 X 1 0 X 122453 173115 208245 438650 299807 1242270 35637164 37902859 42750011 45720786 46864682 208875502 155020 145043 140187 108370 177532 726152 35914637 38221017 43098443 46267806 47342021 210843924 0 0 0 210843924 1065 1275 20479 182302 380542 585663 1065 1275 20479 182302 380542 585663 35915702 38222292 43118922 46450108 47722563 211429587 0.99720 0.99890 0.00280 0.00110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2092811 1412833 679978 2148175 1240916 907259 8095 8095 1595332 DEFERRED RENT 334308 DEFERRED COMPENSATION 567050 901358 48483733 777838 53387 831225 47652508 0 47652508 45572278 0 45572278 20002 -73389 -53387 45518891 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 73,137. GAMING EXPENSES 252. INVESTMENT EXPENSES -20,002. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -73,137. GAMING EXPENSES -252. 2019 GALA 184863 40931 143932 3218 35442 13300 8273 2019 GOLF OUTING 36445 5000 31445 1812 5292 4700 1100 221308 45931 175377 5030 5292 40142 13300 9373 73137 102240 1 COLUMBIA ST MARY'S FOUNDATION INC 2320 N LAKE DRIVE MILWAUKEE WI 53211 391494981 501(C)(3) 5900 CARDIOVASCULAR AND WOMEN AND INFANT SERVICES AMERICAN HEART ASSOCIATION INC 1555 N RIVERCENTER DRIVE MILWAUKEE WI 53212 135613797 501(C)(3) 5000 GO RED FOR WOMEN SPONSORSHIP 2 0 PART I, LINE 2: ALL REQUESTS ARE REVIEWED AND APPROVED BY THE PRESIDENT/CEO. ALL ASSISTANCE RECIPIENTS MUST BE NON-PROFIT ORGANIZATIONS. ASSISTANCE IS GIVEN PRIMARILY TO ORGANIZATIONS WITH A SIMILAR MISSION. X X X X 0 0 0 0 0 0 0 0 0 MARY T HAYNOR PRESIDENT & CEO 283781 0 44091 0 1013 0 17871 0 17934 0 364690 0 0 0 VICKI MEYER VICE PRESIDENT & CFO 175965 0 16865 0 635 0 8127 0 9619 0 211211 0 0 0 COLEEN SCHMIDT VICE PRESIDENT & COO 176699 0 12834 0 655 0 10497 0 26333 0 227018 0 0 0 LINDA FELIX RN CASE MANAGER 181437 0 3394 0 0 0 11146 0 22604 0 218581 0 0 0 JAY KUDRONOWICZ PHYSICAL THERAPIST 141089 0 29350 0 0 0 5598 0 146 0 176183 0 0 0 SUSAN KULINSKI VICE PRESIDENT OF HUMAN RESOURCES 133931 0 11070 0 495 0 7297 0 19189 0 171982 0 0 0 X 2365 DONOR REPORTED VALUE X AUCTION ITEMS 396 46201 DONOR REPORTED VALUE 0 0 0 0 PART I, COLUMN (B): THE CORPORATION TRACKS AND REPORTS THE ACTUAL NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 2 TERESA LUX AND DIANE EHN - BUSINESS RELATIONSHIP 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 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/CEO 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 AREA'S 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 THE 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 MADE AVAILABLE TO THE PUBLIC UPON REQUEST.