HOSPICE ALLIANCE FOUNDATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE ALLIANCE FOUNDATION INC (EIN 39-1822945)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-15
- IRS object ID
- 201332279349300898
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-15T16:20:59-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREA & ORENDORFF LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6300 76TH ST STE 200 | AddressLine1 |
| City | KENOSHA | City |
| State | WI | State |
| ZIP Code | 531424018 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391822945 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE ALLIANCE FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 2626524400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10220 PRAIRIE RIDGE BLVD | AddressLine1 |
| City | PLEASANT PRAIRIE | City |
| State | WI | State |
| ZIP Code | 53158 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS TENUTA | Name |
| Title | PRESIDENT | Title |
| Phone | 2626524400 | Phone |
| Date Signed | 2013-08-08 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALLISON WRIGHT | Name |
| Phone | 2626577716 | Phone |
| Date Prepared | 2013-08-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS TENUTA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10220 PRAIRIE RIDGE BLVD | AddressLine1 |
| City | PLEASANT PRAIRIE | City |
| State | WI | State |
| ZIP Code | 53158 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2606033 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HOSPICEALLIANCE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | HOSPICE 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 829105 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2255974 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 77242 | InvestmentIncomePriorYear |
| Investment Income Current Year | 69872 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -48218 | OtherRevenuePriorYear |
| Other Revenue Current Year | 113343 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 858129 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2439189 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4038 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 42400 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 251634 | OtherExpensePriorYear |
| Other Expenses Current Year | 128939 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 255672 | TotalExpensesPriorYear |
| Total Expenses Current Year | 171339 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 602457 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2267850 | RevenuesLessExpensesCY |
| Total Assets BOY | 10039011 | TotalAssetsBOY |
| Total Assets EOY | 12188611 | TotalAssetsEOY |
| Total Liabilities BOY | 788146 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 669896 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9250865 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11518715 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HOSPICE 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 171339 | Expense |
| Grants | 42400 | Grants |
| Description | ALL 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. | Description |
| Total Program Service Expense | 171339 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LAWRENCE HAAS | NamePerson |
| Telephone Number | 2626524400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10220 PRAIRIE RIDGE BLVD | AddressLine1 |
| City | PLEASANT PRAIRIE | City |
| State | WI | State |
| ZIP Code | 53158 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| ROBERT SCHNEIDER | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MICHAEL MULLANE MD | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DENNIS MATTIOLI | ||||||
| SEC/TREAS | 1.00 | X | 0 | 0 | 0 | X |
| MARY KARNES | ||||||
| VICE PRESIDE | 1.00 | X | 0 | 0 | 0 | X |
| SANDRA RIESE RN | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| THOMAS TENUTA | ||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | X |
| DAVID BERMAN | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| LEN IAQUINTA | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DANIEL HEYDEN | ||||||
| ASST SEC/TRE | 1.00 | X | 0 | 0 | 0 | X |
| GENE OLSON | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Related Organizations | 2000000 | RelatedOrganizations |
| Government Grants | 226488 | GovernmentGrants |
| All Other Contributions | 29486 | AllOtherContributions |
| Total Contributions | 2255974 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 69872 | TotalRevenueColumn |
| Exclusion | $69,872 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 99996 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 166844 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -66848 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -66848 | TotalRevenueColumn |
| Exclusion | -$66,848 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| UNREALIZED GAIN ON INVEST | 123790 | $123,790 | |
| REALIZED GAIN ON INVEST | 39961 | $39,961 | |
| GENERAL FUNDRAISING | 14390 | 14390 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2050 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2050 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 180191 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2439189 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16440 | RelatedOrExemptFunctionIncome |
| Exclusion | $166,775 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42400 | Total |
| Program Services | 42400 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96086 | Total |
| Program Services | 96086 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 392 | Total |
| Program Services | 392 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15342 | Total |
| Program Services | 15342 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3771 | Total |
| Program Services | 3771 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| BANK SERVICE CHARGES | 6903 | 6903 |
| OUTSIDE SERVICES | 5871 | 5871 |
| LICENSES & PERMITS | 574 | 574 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171339 | Total |
| Program Services | 171339 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1992724 | BOY |
| EOY | 678214 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2534869 | BOY |
| EOY | 3606207 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6836 | BOY |
| EOY | 5399 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 814 | BOY |
| EOY | 763 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4773763 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 798545 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4042198 | BOY |
| EOY | 3975218 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1461570 | BOY |
| EOY | 3922810 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10039011 | BOY |
| EOY | 12188611 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112501 | BOY |
| EOY | 7251 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 675645 | BOY |
| EOY | 662645 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 788146 | BOY |
| EOY | 669896 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9097492 | BOY |
| EOY | 11399447 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153373 | BOY |
| EOY | 119268 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9250865 | BOY |
| EOY | 11518715 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10039011 | BOY |
| EOY | 12188611 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2267850 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | false | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Written IRS Determination | X | WrittenIRSDetermination |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE ALLIANCE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391403883 | EIN |
| Type Of Organization | 9 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $42,400 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 42400 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 554016 | OtherCostOrOtherBasis |
| Book Value | 554016 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4082802 | OtherCostOrOtherBasis |
| Depreciation | 728879 | Depreciation |
| Book Value | 3353923 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29618 | OtherCostOrOtherBasis |
| Depreciation | 6781 | Depreciation |
| Book Value | 22837 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 107327 | OtherCostOrOtherBasis |
| Depreciation | 62885 | Depreciation |
| Book Value | 44442 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3975218 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 2439189 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 2439189 | RevenueSubtotal |
| Total Revenue Per Form990 | 2439189 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 171339 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 171339 | ExpensesSubtotal |
| Total Expenses Per Form990 | 171339 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LIABILITY UNDER FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PAGE 3, PART X | ReturnReference |
| Explanation | THE 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 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 EXAMINATIONS FOR THE YEARS 2009-2011. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE ALLIANCE INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10220 PRAIRIE RIDGE BLVD | AddressLine1 |
| City | PLEASANT PRAIRIE | City |
| State | WI | State |
| ZIP Code | 53158 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 391403883 | EINOfRecipient |
| IRC Section | 501 | IRCSection |
| Amount Of Cash Grant | 42400 | AmountOfCashGrant |
| Purpose Of Grant | SPONSORSHIP, GARDEN | PurposeOfGrant |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|
| THOMAS TENUTA | ||
| PRESIDENT | INVESTMENT FEES | false |
| ROBERT SCHNEIDER | ||
| MEMBER | KCF INVESTMENT | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE L PART V | ReturnReference |
| Explanation | THOMAS TENUTA IS AN EMPLOYEE OF RW BAIRD HOSPICE ALLIANCE FOUNDATION HAS INVESTMENTS THROUGH BAIRD WITH FEES BASED ON A PERCENT OF INVESTMENT ROBERT SCHNEIDER IS THE EXEC DIRECTOR OF KENOSHA COMMUNITY FOUNDATION WHERE HOSPICE FOUNDATION HAS MONEY HELD FOR CHARITABLE GIFT ANNUITIES | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | HOSPICE 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. |
| EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS | FORM 990, PAGE 1, PART I, LINE 6 | THERE ARE NO VOLUNTEERS FOR FOUNDATION, BUT VOLUNTEERS ARE PART OF HOSPICE ALLIANCE, INC. (OPERATIONS). |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE 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. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | PRIOR TO ELECTION, POTENTIAL BOARD MEMBERS MUST DOCUMENT ANY CONFLICTS OF INTEREST. BOARD MEMBERS MUST REAFFIRM ANNUALLY. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION WILL FURNISH AUDITED FINANCIAL STATEMENTS UPON REQUEST. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | CONTRACTED SERVICES 44,160 0 0 CONTRACTED OFFICE EXPENSE 7,938 0 0 CONTRACTED SERVICE-DEVELOP 20,141 0 0 0 0 0 BRICK MEMORIAL SUPPLIES 838 0 0 0 0 0 GENERAL FUNDRAISING GEN FUNDRAISING EXPENSE 23,009 0 0 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE ALLIANCE INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10220 PRAIRIE RIDGE BLVD | AddressLine1 |
| City | PLEASANT PRAIRIE | City |
| State | WI | State |
| ZIP Code | 53158 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391403883 | EIN |
| Primary Activities | HOSPICE | PrimaryActivities |
| Legal Domicile State | WI | LegalDomicileState |
| Exempt Code Section | 501C3 | ExemptCodeSection |
| Public Charity Status | 9 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HOSPICE ALLIANCE INC | ||
| C | 2000000 | BOD VOTED |
| HOSPICE ALLIANCE INC | ||
| J | 99996 | RENTAL CONTRACT |