STRATEGY STUDIO / PUBLIC DATA EXPLORER

HOSPICE ALLIANCE FOUNDATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HOSPICE ALLIANCE FOUNDATION INC (EIN 39-1822945)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-09-15
IRS object ID
201442589349301259
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-09-15T15:13:10-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391648207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDREA & ORENDORFF LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16300 76TH ST STE 200AddressLine1
CityKENOSHACity
StateWIState
ZIP Code531424018ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391822945EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE ALLIANCE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone2626524400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110220 PRAIRIE RIDGE BLVDAddressLine1
CityPLEASANT PRAIRIECity
StateWIState
ZIP Code53158ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS TENUTAPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2626524400PhoneNum
Signature2014-07-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonALLISON WRIGHTPreparerPersonNm
PTINP00644306PTIN
Phone2626577716PhoneNum
Preparation2014-07-24PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS TENUTAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110220 PRAIRIE RIDGE BLVDAddressLine1
CityPLEASANT PRAIRIECity
StateWIState
ZIP Code53158ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,578,644GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOSPICEALLIANCE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionHOSPICE ALLIANCE FOUNDATION, INC. WAS ORGANIZED IN SOLE SUPPORT OF HOSPICE ALLIANCE, INC. (A NON-PROFIT ORGANIZATION THAT PROVIDES HOSPICE SERVICES TO THE TERMINALLY ILL AND SUPPORT FOR THEIR FAMILIES). HOSPICE ALLIANCE FOUNDATION IS RESPONSIBLE FOR THE FUNDRAISING ACTIVITIES ON BEHALF OF HOSPICE ALLIANCE, INC.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,255,974PYContributionsGrantsAmt
CY Contributions Grants$280,072CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$69,872PYInvestmentIncomeAmt
CY Investment Income$204,220CYInvestmentIncomeAmt
PY Other Revenue$11,343PYOtherRevenueAmt
CY Other Revenue-$36,835CYOtherRevenueAmt
PY Total Revenue$2,337,189PYTotalRevenueAmt
CY Total Revenue$447,457CYTotalRevenueAmt
PY Grants And Similar Paid$42,400PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,740CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$18,834CYTotalFundraisingExpenseAmt
PY Other Expenses$128,939PYOtherExpensesAmt
CY Other Expenses$122,389CYOtherExpensesAmt
PY Total Expenses$171,339PYTotalExpensesAmt
CY Total Expenses$135,129CYTotalExpensesAmt
PY Revenues Less Expenses$2,165,850PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$312,328CYRevenuesLessExpensesAmt
Total Assets BOY$12,188,611TotalAssetsBOYAmt
Total Assets EOY$12,753,058TotalAssetsEOYAmt
Total Liabilities BOY$669,897TotalLiabilitiesBOYAmt
Total Liabilities EOY$666,110TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,518,714NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,086,948NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHOSPICE ALLIANCE FOUNDATION, INC. WAS ORGANIZED IN SOLE SUPPORT OF HOSPICE ALLIANCE, INC. (A NON-PROFIT ORGANIZATION THAT PROVIDES HOSPICE SERVICES TO THE TERMINALLY ILL AND SUPPORT FOR THEIR FAMILIES). HOSPICE ALLIANCE FOUNDATION IS RESPONSIBLE FOR THE FUNDRAISING ACTIVITIES ON BEHALF OF HOSPICE ALLIANCE, INC.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$88,518ExpenseAmt
Grant$12,740GrantAmt
DescALL REVENUES AND EXPENSES ARE RELATED TO THE PURPOSE OF RAISING MONEY FOR HOSPICE ALLIANCE, INC. THE FOUNDATION WILL BE ABLE TO GRANT MONEY TO HOSPICE ALLIANCE, INC. AS NEEDED DUE TO CHANGES IN ITS BUSINESS ENVIRONMENT.Desc
Total Program Service Expenses$88,518TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLAWRENCE HAASPersonNm
Phone2626524400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110220 PRAIRIE RIDGE BLVDAddressLine1
CityPLEASANT PRAIRIECity
StateWIState
ZIP Code53158ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ROBERT SCHNEIDER
MEMBER1.00Yes (X)$0$0$0
MICHAEL MULLANE MD
MEMBER1.00Yes (X)$0$0$0
DENNIS MATTIOLI
SEC/TREAS1.00Yes (X)$0$0$0Yes (X)
MARY KARNES
VICE PRESIDE1.00Yes (X)$0$0$0Yes (X)
SANDRA RIESE RN
MEMBER1.00Yes (X)$0$0$0
THOMAS TENUTA
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
DAVID BERMAN
MEMBER1.00Yes (X)$0$0$0
LEN IAQUINTA
MEMBER1.00Yes (X)$0$0$0
DANIEL HEYDEN CPA
ASST SEC/TRE1.00Yes (X)$0$0$0Yes (X)
GENE OLSON
MEMBER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$280,072AllOtherContributionsAmt
Total Contributions$280,072TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$149,813TotalRevenueColumnAmt
Exclusion$149,813ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$99,996RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$178,728RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$78,732RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$78,732TotalRevenueColumnAmt
Exclusion-$78,732ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$954,724SecuritiesAmt
Other$34,618OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$934,935SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$19,789SecuritiesAmt
Other$34,618OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,407TotalRevenueColumnAmt
Exclusion$54,407ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$52,607FundraisingGrossIncomeAmt
Fundraising Direct Expenses$17,524FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,083TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BRICK MEMORIAL$5,050$5,050
MISCELLANEOUS$1,764$1,764
FieldValueIRS element (for citing)
Other Revenue Total$6,814OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$447,457TotalRevenueColumnAmt
Related Or Exempt Func Income$6,814RelatedOrExemptFuncIncomeAmt
Exclusion$125,488ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,740TotalAmt
Program Services$12,740ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$53,287TotalAmt
Program Services$53,287ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,524TotalAmt
Program Services$1,524ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,943TotalAmt
Program Services$15,943ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,885TotalAmt
Program Services$4,885ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
INVESTMENT EXPENSES$20,997$20,997
INDIRECT FUNDRAISING$18,834$18,834
OUTSIDE SERVICES$5,871$5,871
BANK SERVICE CHARGES$909$909

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$139TotalAmt
Program Services$139ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$135,129TotalAmt
Program Services$88,518ProgramServicesAmt
Management And General$27,777ManagementAndGeneralAmt
Fundraising$18,834FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$678,214BOYAmt
EOY$586,371EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,606,207BOYAmt
EOY$3,372,645EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,399BOYAmt
EOY$8,186EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$763BOYAmt
EOY$2,342EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,355,497LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$919,082LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,975,218BOYAmt
EOY$4,436,415EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,922,810BOYAmt
EOY$4,347,099EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,188,611BOYAmt
EOY$12,753,058EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,252BOYAmt
EOY$17,623EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$662,645BOYAmt
EOY$648,487EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$669,897BOYAmt
EOY$666,110EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,399,446BOYAmt
EOY$11,930,614EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$119,268BOYAmt
EOY$156,334EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,518,714BOYAmt
EOY$12,086,948EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,188,611BOYAmt
EOY$12,753,058EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$312,328ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$255,906NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
CertificationYes (X)CertificationInd
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE ALLIANCE INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN391403883EIN
Organization Type9OrganizationTypeDesc
Governing Document ListedYes (true)GoverningDocumentListedInd
Supported Org NotifiedYes (true)SupportedOrgNotifiedInd
US OrganizedYes (true)USOrganizedInd
Support$12,740SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$12,740SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,135,751OtherCostOrOtherBasisAmt
Book Value$1,135,751BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,082,801OtherCostOrOtherBasisAmt
Depreciation$833,473DepreciationAmt
Book Value$3,249,328BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,618OtherCostOrOtherBasisAmt
Depreciation$9,743DepreciationAmt
Book Value$19,875BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$107,327OtherCostOrOtherBasisAmt
Depreciation$75,866DepreciationAmt
Book Value$31,461BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,436,415TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$447,457TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$447,457RevenueSubtotalAmt
Total Revenue Per Form990$447,457TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$135,129TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$135,129ExpensesSubtotalAmt
Total Expenses Per Form990$135,129TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE FOUNDATION QUALIFIES AS A TAX-EXEMPT NON-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATUTES OF WISCONSIN LAW. THE FOUNDATION 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 FOUNDATION CURRENTLY HAS NO OBLIGATION FOR UNRELATED BUSINESS INCOME TAX. ACCORDINGLY, NO PROVISIONS FOR FEDERAL OR STATE INCOME TAXES ARE REQUIRED. THE FOUNDATION'S FEDERAL AND STATE TAX RETURNS ARE POTENTIALLY OPEN FOR EXAMINATION FOR THE PAST THREE YEARS.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesWILicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GENERAL FUNDRAINameOfEvent1Amt
Gross Receipts Event1$52,607GrossReceiptsEvent1Amt
Gross Revenue Event1$52,607GrossRevenueEvent1Amt
Other Direct Expenses Event1$17,524OtherDirectExpensesEvent1Amt
Gross Receipts Total$52,607GrossReceiptsTotalAmt
Gross Revenue Total Events$52,607GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$17,524OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$17,524DirectExpenseSummaryEventsAmt
Net Income Summary$35,083NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE ALLIANCE INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line110220 PRAIRIE RIDGE BLVDAddressLine1
CityPLEASANT PRAIRIECity
StateWIState
ZIP Code53158ZIPCode
FieldValueIRS element (for citing)
Recipient EIN391403883RecipientEIN
IRC Section501IRCSectionDesc
Cash Grant$12,740CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Purpose Of GrantSPONSORSHIPPurposeOfGrantTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
THOMAS TENUTA
PRESIDENTINVESTMENT FEESfalse
ROBERT SCHNEIDER
MEMBERKCF INVESTMENTfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationTHOMAS TENUTA IS AN EMPLOYEE OF RW BAIRD; HOSPICE ALLIANCE FOUNDATION, INC. HAS INVESTMENTS THROUGH BAIRD WITH FEES BASED ON A PERCENT OF INVESTMENT. MR. TENUTA DOES IS NOT COMPENSATED BASED OFF OF THE ORGANIZATION'S INVESTMENT FEES. ROBERT SCHNEIDER IS THE EXECUTIVE DIRECTOR OF KENOSHA COMMUNITY FOUNDATION WHERE HOSPICE ALLIANCE FOUNDATION, INC. HAS MONEY HELD FOR CHARITABLE GIFT ANNUITIES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONHOSPICE ALLIANCE FOUNDATION, INC. WAS ORGANIZED IN SOLE SUPPORT OF HOSPICE ALLIANCE, INC. (A NON-PROFIT ORGANIZATION THAT PROVIDES HOSPICE SERVICES TO THE TERMINALLY ILL AND SUPPORT FOR THEIR FAMILIES). HOSPICE ALLIANCE FOUNDATION IS RESPONSIBLE FOR THE FUNDRAISING ACTIVITIES ON BEHALF OF HOSPICE ALLIANCE, INC.
FORM 990, PAGE 1, PART I, LINE 6THERE ARE NO VOLUNTEERS FOR FOUNDATION, BUT VOLUNTEERS ARE PART OF HOSPICE ALLIANCE, INC. (OPERATIONS).
FORM 990, PAGE 6, PART VI, LINE 11BTHE DIRECTOR OF FINANCE REVIEWS THE 990 IN DETAIL AND THEN PRESENTS IT TO THE FINANCE COMMITTEE FOR REVIEW AND SIGNATURE. A COPY OF THE 990 IS DISTRIBUTED TO ALL BOARD MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 12CPRIOR TO ELECTION, POTENTIAL BOARD MEMBERS MUST DOCUMENT ANY CONFLICTS OF INTEREST. BOARD MEMBERS MUST REAFFIRM ANNUALLY.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION WILL FURNISH AUDITED FINANCIAL STATEMENTS UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACTED SERVICES-OPS 44,160 0 0 CONTRACTED OFFICE EXPENSE 7,938 0 0 0 0 0 BRICK MEMORIAL SUPPLIES 1,189 0 0 0 0 0 GENERAL FUNDRAISING GEN FUNDRAISING EXPENSE 17,524 0 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE ALLIANCE INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line110220 PRAIRIE RIDGE BLVDAddressLine1
CityPLEASANT PRAIRIECity
StateWIState
ZIP Code53158ZIPCode
FieldValueIRS element (for citing)
EIN391403883EIN
Primary ActivitiesHOSPICEPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity Status9PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE ALLIANCE INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeJTransactionTypeTxt
Involved$99,996InvolvedAmt
Method Of Amount DeterminationRENTAL CONTRACTMethodOfAmountDeterminationTxt