AGRACE HOSPICECARE FOUNDATION INCORPORATED: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
AGRACE HOSPICECARE FOUNDATION INCORPORATED (EIN 30-0001703)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-07-16
IRS object ID
202141979349300109
Schema version
2020v4.0
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)
Return2021-07-16T09:01:27-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker Drive Suite 2600AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN300001703EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Agrace HospiceCare Foundation IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAGRABusinessNameControlTxt
Phone6082764660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E Cheryl ParkwayAddressLine1Txt
CityFitchburgCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLynne SextenPersonNm
Person TitlePresident/CEOPersonTitleTxt
Signature2021-07-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLynnePersonFirstNm
Person LastSextenPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMallory FairlessPreparerPersonNm
PTINP01321579PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Lynne SextenBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E Cheryl ParkwayAddressLine1Txt
CityFitchburgCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$54,471,725GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.agrace.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTHE AGRACE HOSPICECARE FOUNDATION, INC.'S MISSION IS TO DEVELOP, STEWARD AND DISTRIBUTE CHARITABLE GIFTS FROM THE COMMUNITY TO IMPROVE QUALITY OF LIFE FOR PATIENTS AND (CONTINUED ON SCHEDULE O)ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee41TotalEmployeeCnt
Total Volunteers323TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,220,528PYContributionsGrantsAmt
CY Contributions Grants$9,313,785CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,877,038PYInvestmentIncomeAmt
CY Investment Income$1,140,399CYInvestmentIncomeAmt
PY Other Revenue$1,577,997PYOtherRevenueAmt
CY Other Revenue$1,158,496CYOtherRevenueAmt
PY Total Revenue$11,675,563PYTotalRevenueAmt
CY Total Revenue$11,612,680CYTotalRevenueAmt
PY Grants And Similar Paid$2,818,052PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,640,177CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,740,283PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,762,598CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,229,303CYTotalFundraisingExpenseAmt
PY Other Expenses$981,006PYOtherExpensesAmt
CY Other Expenses$963,774CYOtherExpensesAmt
PY Total Expenses$5,539,341PYTotalExpensesAmt
CY Total Expenses$4,366,549CYTotalExpensesAmt
PY Revenues Less Expenses$6,136,222PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,246,131CYRevenuesLessExpensesAmt
Total Assets BOY$55,562,966TotalAssetsBOYAmt
Total Assets EOY$67,778,782TotalAssetsEOYAmt
Total Liabilities BOY$646,225TotalLiabilitiesBOYAmt
Total Liabilities EOY$241,391TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$54,916,741NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$67,537,391NetAssetsOrFundBalancesEOYAmt
MissionThe Agrace HospiceCare Foundation, Inc.'s mission is to develop, steward and distribute charitable gifts from the community to improve quality of life for patients and families throughout serious illness. We work to ensure that every individual and family receives the best possible care and support available, regardless of ability to pay. (CONTINUED ON SCHEDULE O)MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,008,341ExpenseAmt
Grant$1,008,341GrantAmt
DescTHE FOUNDATION PROVIDES GRANTS TO AGRACE HOSPICECARE, INC. TO SUPPORT OTHER PROGRAM SERVICES, INCLUDING: RESPITE CARE: PROVIDING END-OF-LIFE CARE FOR A FAMILY MEMBER OR FRIEND CAN LEAVE CAREGIVERS FATIGUED AND STRESSED. TO GIVE THEM A BREAK OF UP TO FIVE DAYS, AGRACE OFFERS RESPITE CARE FOR HOSPICE PATIENTS. COMMUNITY GIFTS SUPPLEMENT INSURANCE REIMBURSEMENTS, WHICH COVER LESS THAN 50 PERCENT OF THE TOTAL COST OF RESPITE CARE. WISH PROGRAM: THE WISH PROGRAM HELPS OUR HOSPICE PATIENTS ACHIEVE THEIR END-OF-LIFE GOALS. A WISH CAN BE SOMETHING A PATIENT COULD NOT ATTAIN DURING Their LIFE, SOMETHING they CANNOT AFFORD OR SIMPLY A FINAL DESIRE. AGRACE HAS GRANTED MORE THAN 185 PATIENT WISHES SINCE 2010. CLINICAL EDUCATION & TRAINING: IT TAKES A SPECIAL COMMITMENT TO WORK WITH PATIENTS WHO ARE SERIOUSLY ILL OR DYING. COMMUNITY DONATIONS ALLOW AGRACE TO FUND STAFF EDUCATIONAL OPPORTUNITIES AND PROFESSIONAL DEVELOPMENT PROGRAMS, WHICH INCREASE STAFF COMPETENCE AND RETENTION. VOLUNTEER TRAINING & APPRECIATION: AGRACE'S VOLUNTEERS SERVE IN A VARIETY OF ROLES, INCLUDING DIRECT SERVICE TO PATIENTS AND FAMILIES. COMMUNITY SUPPORT FUNDS THE COMPREHENSIVE TRAINING NEEDED TO PREPARE VOLUNTEERS FOR THEIR ROLES AND ALSO FUNDS THE RECOGNITION PROGRAMS THAT SUSTAIN THEIR COMMITMENT TO SERVE. IN A TYPICAL YEAR, MORE THAN 80,000 HOURS ARE VOLUNTEERED, SAVING OVER $1.5 MILLION DOLLARS. PALLIATIVE MEDICINE FELLOWSHIP: AGRACE IS COMMITTED TO DEVELOPING TOP-NOTCH PALLIATIVE CARE PROVIDERS IN OUR COMMUNITY. COMMUNITY GIFTS SUPPORT THE HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP, A PARTNERSHIP WITH THE UW AND VETERANS HOSPITALS; THIS PROGRAM OFFERS PALLIATIVE-CARE ROTATIONS AND CONTINUING EDUCATION OPPORTUNITIES FOR PHYSICIANS IN TRAINING. PATIENT ASSISTANCE FUND: GRANTS USED TO ASSIST PATIENTS AND FAMILIES BY IMPROVING QUALITY OF LIFE AND FULFILLING END-OFLIFE GOALS. EXAMPLES INCLUDE BUYING A BURIAL DRESS OR PROVIDING A BIRTHDAY CAKE. DIVERSITY: FUNDS ARE USED TO SUPPORT AGRACE'S DIVERSITY PROGRAM WHICH FOCUSES ON DIVERSITY AND INCLUSION FOR ALL. THE WORK OF THIS PROGRAM HELPS AGRACE TO GROW A MORE DIVERSE PATIENT POPULATION, VOLUNTEER SUPPORT TEAM AND EMPLOYEE BASE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$401,832ExpenseAmt
Grant$401,832GrantAmt
DescCARE FOR ALL (CHARITY CARE): EACH YEAR, DOZENS OF OUR NEIGHBORS WHO CANNOT AFFORD HOSPICE OR PALLIATIVE CARE RECEIVE SERVICES AT NO COST THROUGH AGRACE'S "CARE FOR ALL" PROGRAM, funded by the Care for All endowment. THOSE WE SERVE INCLUDE SOME OF OUR MOST VULNERABLE COMMUNITY MEMBERS-CHILDREN AND YOUNG ADULTS WITH NO INSURANCE, SENIORS WITHOUT CAREGIVERS, INDIVIDUALS LACKING SAFE HOUSING, AND THOSE WITH SPECIAL NEEDS. While Medicare, Medicaid, and private health insurance cover the cost of basic hospice services for most patients, an increasing number of people in southern Wisconsin do not have enough insurance coverage for hospice when they need it. Since 2015, Agrace's Care for All program has funded care for 382 patients,more than 60 of them were served in 2020 alone.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$230,004ExpenseAmt
Grant$230,004GrantAmt
DescCOMMUNITY GRIEF SERVICES: EVERY YEAR, THOUSANDS OF PEOPLE, INCLUDING CHILDREN GET SUPPORT FROM AGRACE'S SPIRITUAL & GRIEF SERVICES TO HELP THEM COPE WITH THE DEATH OF A LOVED ONE. ALTHOUGH GRIEF SUPPORT IS REQUIRED BY STATE AND FEDERAL REGULATIONS, IT IS NOT COVERED BY MEDICARE, MEDICAID, OR PRIVATE INSURANCE. COMMUNITY DONATIONS ENABLE US TO OFFER SPECIALIZED GRIEF SUPPORT THAT IS OPEN TO EVERYONE. THE FOUNDATION ALSO SUPPORTS Agrace's free-standing GRIEF SUPPORT CENTER THAT HAS ALLOWED US TO EXPAND OUR PROGRAM AND SERVE MANY MORE PEOPLE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,640,177TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee41EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
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 PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jennifer MaurerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6082764660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E CHERYL PARKWAYAddressLine1Txt
CityFitchburgCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
Bill Albright
Secretary1.00Yes (X)Yes (X)$0$0$0
Dave Beck-Engel
Treasurer1.00Yes (X)Yes (X)$0$0$0
Linn Roth
Chair1.02.0Yes (X)Yes (X)$0$0$0
Lynne Sexten
President / CEO5.035.0Yes (X)Yes (X)$0$554,977$45,599
Patrick T Ryan
Chair - until 5/20201.01.0Yes (X)Yes (X)$0$0$0
Steve DiTullio
Past Chair - Until 4/20201.02.0Yes (X)Yes (X)$0$0$0
Amy Wimmer
Director - Beginning 4/20201.00Yes (X)$0$0$0
Bill Schendt
Director1.00Yes (X)$0$0$0
Carol Koby
Director1.00Yes (X)$0$0$0
Casey FitzRandolph
Director - Beginning 4/20201.00Yes (X)$0$0$0
Craig Christianson
Director1.00Yes (X)$0$0$0
Derrick Smith
Director1.00Yes (X)$0$0$0
Gary Gussel
Director1.00Yes (X)$0$0$0
Greg Dombrowski
Director1.00Yes (X)$0$0$0
Jay Everard
Director1.00Yes (X)$0$0$0
Judith Martinez
Director1.00Yes (X)$0$0$0
Mary Bonte Spath
Director1.00Yes (X)$0$0$0
Sheila Boothby Stevens
Director1.00Yes (X)$0$0$0
Terry Murawski
Director1.00Yes (X)$0$0$0
Willie Larkin
Director1.00Yes (X)$0$0$0
Jennifer Maurer
Chief Financial Officer5.035.0Yes (X)$0$295,031$24,487
Marcia Whittington
Chief Development Officer35.05.0$255,174$0$15,559Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$255,174TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$850,007TotReportableCompRltdOrgAmt
Total Other Compensation$85,645TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Agrace HospiceCare IncBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E Cheryl PkwyAddressLine1Txt
CityFitchburgCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd
FieldValueIRS element (for citing)
ServicesAdministrative servicesServicesDesc
Compensation$452,736CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$276,202FundraisingAmt
Related Organizations$5,000,000RelatedOrganizationsAmt
Government Grants$745,480GovernmentGrantsAmt
All Other Contributions$3,292,103AllOtherContributionsAmt
Noncash Contributions$1,185,662NoncashContributionsAmt
Total Contributions$9,313,785TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,509,729TotalRevenueColumnAmt
Exclusion$1,509,729ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$42,340,125SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$42,709,455SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$369,330SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$369,330TotalRevenueColumnAmt
Exclusion-$369,330ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$195,016FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$276,202ContriRptFundraisingEventAmt
Fundraising Direct Expenses$141,089FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,927TotalRevenueColumnAmt
Exclusion$53,927ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$2,490GamingGrossIncomeAmt
Gaming Direct Expenses$8,501GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,011TotalRevenueColumnAmt
Exclusion-$6,011ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$1,110,580GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,110,580TotalRevenueColumnAmt
Exclusion$1,110,580ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,612,680TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,298,895ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,640,177TotalAmt
Program Services$1,640,177ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$270,733TotalAmt
Management And General$99,664ManagementAndGeneralAmt
Fundraising$171,069FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,184,700TotalAmt
Management And General$436,118ManagementAndGeneralAmt
Fundraising$748,582FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$34,950TotalAmt
Management And General$12,866ManagementAndGeneralAmt
Fundraising$22,084FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$164,903TotalAmt
Management And General$60,705ManagementAndGeneralAmt
Fundraising$104,198FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$107,312TotalAmt
Management And General$39,504ManagementAndGeneralAmt
Fundraising$67,808FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$48,356TotalAmt
Management And General$48,356ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$208,512TotalAmt
Management And General$208,512ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,906TotalAmt
Fundraising$13,906FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$125,499TotalAmt
Management And General$49,003ManagementAndGeneralAmt
Fundraising$76,496FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,936TotalAmt
Management And General$15,936ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$524,888TotalAmt
Management And General$524,888ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,445TotalAmt
Fundraising$13,445FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,307TotalAmt
Management And General$1,517ManagementAndGeneralAmt
Fundraising$1,790FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescDonation developmentDesc
Total$9,925TotalAmt
Fundraising$9,925FundraisingAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,366,549TotalAmt
Program Services$1,640,177ProgramServicesAmt
Management And General$1,497,069ManagementAndGeneralAmt
Fundraising$1,229,303FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,524,062BOYAmt
EOY$2,480,674EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,230,502BOYAmt
EOY$3,222,796EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$70,370BOYAmt
EOY$74,992EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$50,133,240BOYAmt
EOY$61,352,917EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$604,792BOYAmt
EOY$647,403EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$55,562,966BOYAmt
EOY$67,778,782EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$83,830BOYAmt
EOY$68,861EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$34,917BOYAmt
EOY$14,250EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$527,478BOYAmt
EOY$158,280EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$646,225BOYAmt
EOY$241,391EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$42,718,849BOYAmt
EOY$53,221,785EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,197,892BOYAmt
EOY$14,315,606EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$54,916,741BOYAmt
EOY$67,537,391EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,562,966BOYAmt
EOY$67,778,782EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,246,131ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,238,077NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$32,745DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets$103,697OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AGRACE HOSPICECARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN391319537EIN
Organization Type9OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$1,640,177SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$1,640,177SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,643,674BeginningYearBalanceAmt
Contributions$152,790ContributionsAmt
Investment Earnings Or Losses$385,566InvestmentEarningsOrLossesAmt
Administrative Expenses$3,787AdministrativeExpensesAmt
End Year Balance$16,178,243EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,475,910BeginningYearBalanceAmt
Contributions$1,260,959ContributionsAmt
Investment Earnings Or Losses-$93,195InvestmentEarningsOrLossesAmt
End Year Balance$15,643,674EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,187,092BeginningYearBalanceAmt
Contributions$5,868,849ContributionsAmt
Investment Earnings Or Losses-$580,031InvestmentEarningsOrLossesAmt
End Year Balance$14,475,910EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,741,006BeginningYearBalanceAmt
Contributions$3,854,408ContributionsAmt
Investment Earnings Or Losses$591,678InvestmentEarningsOrLossesAmt
End Year Balance$9,187,092EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,869,969BeginningYearBalanceAmt
Contributions$1,584,559ContributionsAmt
Investment Earnings Or Losses$286,478InvestmentEarningsOrLossesAmt
End Year Balance$4,741,006EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.6315BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.3318PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0367TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to/from affiliates netDesc
Amt$158,280Amt
FieldValueIRS element (for citing)
Total Liability$158,280TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsThe purpose of the Endowment Funds are to provide support, as needed, to Agrace HospiceCare, Inc., a related tax-exempt organization.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe Foundation is included in the consolidated audited financial statements of Agrace HospiceCare, Inc., a related organization. Agrace HospiceCare Inc.'s Fin 48 (ASC740) Footnote for the year ended December 31, 2020 reads as follows: The Organization is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. Additionally, the Organization has been determined not to be a private foundation under Section 509(a) of the Internal Revenue Code. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not: that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination, For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Organization's Forms 990 have not been subject to examination by the Internal Revenue Service or the state of Wisconsin for the last three years. The organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at December 31, 2020 or 2019.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1A ROUND WITH AGRACE (GOLF)Event1Nm
Gross Receipts Event1$201,328GrossReceiptsEvent1Amt
Charitable Contri Event1$64,730CharitableContriEvent1Amt
Gross Revenue Event1$136,598GrossRevenueEvent1Amt
Rent Facility Costs Event1$32,560RentFacilityCostsEvent1Amt
Food And Beverage Event1$12,350FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$6,387OtherDirectExpensesEvent1Amt
Event2BUTTERFLY GALAEvent2Nm
Gross Receipts Event2$86,810GrossReceiptsEvent2Amt
Charitable Contri Event2$62,800CharitableContriEvent2Amt
Gross Revenue Event2$24,010GrossRevenueEvent2Amt
Rent Facility Costs Event2$0RentFacilityCostsEvent2Amt
Food And Beverage Event2$8,429FoodAndBeverageEvent2Amt
Entertainment Event2$0EntertainmentEvent2Amt
Other Direct Expenses Event2$25,133OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$183,078GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$148,672CharitableContriOtherEventsAmt
Gross Revenue Other Events$34,406GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$15,572RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$2,810FoodAndBeverageOtherEventsAmt
Entertainment Other Events$2,000EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$35,846OthDirectExpnssOtherEventsAmt
Gross Receipts Total$471,216GrossReceiptsTotalAmt
Charitable Contributions Tot$276,202CharitableContributionsTotAmt
Gross Revenue Total Events$195,014GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$48,132RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$23,589FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$67,366OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$141,087DirectExpenseSummaryEventsAmt
Net Income Summary$53,927NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$2,490GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming$8,315NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$186OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingYes (true)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming0.85VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$2,490GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming$8,315NonCashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming$186OthDirectExpnssTotalGamingAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedWIStatesWhereGamingConductedCd
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersfalseGamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Own Facility0.0GamingOwnFacilityPct
Gaming Other Facility1.0GamingOtherFacilityPct
Individual With BooksJillian HaywardIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line15395 E CHERYL PKWYAddressLine1Txt
CityFITCHBURGCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd

Gaming Manager Business Name GamingManagerBusinessName

FieldValueIRS element (for citing)
Business Name Line1FINANCE DEPARTMENT EMPLOYEESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Services ProvACCOUNTING AND RECORDKEEPINGGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrfalseCharitableDistributionRqrInd
Distributed$0DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule G, Part II, Line 11 FUNDRAISING EVENTSFormAndLineReferenceDesc
ExplanationTHE FOUNDATION'S FUNDRAISING EVENT TOTAL ON LINE 11, COLUMN (D) EXCLUDES $276,202 OF CHARITABLE CONTRIBUTIONS WHICH IS REPORTED ON LINE 2, COLUMN (D). FUNDRAISING EVENT TOTAL INCOME, INCLUDING THIS CHARITABLE CONTRIBUTION AMOUNT PRODUCES A POSITIVE NET INCOME OF $330,129.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Agrace HospicecareBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E CHERYL PKWYAddressLine1Txt
CityFITCHBURGCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd
FieldValueIRS element (for citing)
Recipient EIN391319537RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$1,640,177CashGrantAmt
Purpose Of GrantTo provide financial support to Agrace Hospicecare, Inc.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationAll grant proposals are presented to the Board of Directors and the Board of Directors approves all grant awards. Agrace HospiceCare Foundation Inc. is operated for the exclusive benefit and support of Agrace HospiceCare Inc. and Agrace HospiceCare Holdings Inc.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Lynne Sexten
President / CEO$0$428,066$0$110,177$0$16,733$0$38,400$0$7,199$0$600,576$0$0
Jennifer Maurer
Chief Financial Officer$0$268,659$0$25,149$0$1,223$0$14,400$0$10,087$0$319,518$0$0
Marcia Whittington
Chief Development Officer$213,124$0$41,909$0$141$0$10,768$0$4,790$0$270,733$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe organization relied on Agrace HospiceCare, Inc. a related tax-exempt organization, to determine the compensation of its top management official. Below is the process used by Agrace HospiceCare, Inc. for determining compensation: Each year the organization gathers market data for determining compensation of the chief executive officer. This includes benchmarks of national, regional, and local compensation that are provided from independent compensation surveys. Each year, the chief administrative officer presents this information to the executive committee of the board, Based on this information, the executive committee sets and approves the compensation package for the chief executive officer for the year and contemporaneously documents their approval in writing. This process was completed in February 2020.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planLynne Sexten (Myers) participated in a 457(f) plan. No distributions were made from the plan during 2020. A contribution in the amount of $27,000 was made to the plan during 2020.
Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organizationThe cash bonus under the Plan is determined in part by two factors: company operating margin performance and individual employee performance.

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$1,110,580NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution12ContributionCnt
Noncash Contributions Rpt F990$41,164NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMisc. Auction and Raffle ItemsDesc
Contribution136ContributionCnt
Noncash Contributions Rpt F990$33,918NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Explanations of reporting method for number of contributionsFormAndLineReferenceDesc
ExplanationClothing and household goods - Agrace HospiceCare Foundation Inc. is reporting the number of contributions received in 2020. This amount represents a very high number of relatively low-value thrift store items. Securities - Publicly traded - Agrace HospiceCare Foundation Inc. is reporting the number of contributions received in 2020. Other - Misc. Auction and Raffle Items Agrace HospiceCare Foundation Inc. is reporting the number of contributions received in 2020.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 1 MISSION (CONTINUED)FAMILIES THROUGHOUT SERIOUS ILLNESS. PRIORITY PROGRAMS INCLUDE FUNDING FOR: HOSPICE AND PALLIATIVE CARE SERVICES FOR ANYONE IN NEED; GRIEF SERVICES FOR COMMUNITY MEMBERS; RESPITE FOR CARE PROVIDERS; HOSPICE WISH PROGRAM; VOLUNTEER TRAINING; HOSPICE AND PALLIATIVE CARE TRAINING AND EDUCATION; AND A HOST OF OTHER PROGRAMS THAT SUPPORT INDIVIDUALS AND FAMILIES IMPACTED BY SERIOUS AND LIFE-LIMITING ILLNESS . ALL FUNDS RAISED SUPPORT AGRACE HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION, TO ENSURE THAT EVERY INDIVIDUAL AND FAMILY RECEIVES THE BEST POSSIBLE CARE AND SUPPORT, REGARDLESS OF ABILITY TO PAY. PRIORITY ACTIVITIES FOR THE AGRACE FOUNDATION INCLUDE: CARE FOR ALL, A FUND TO PROVIDE HOSPICE AND PALLIATIVE CARE SERVICES AND ROOM AND BOARD FOR SOME OF OUR MOST VULNERABLE NEIGHBORS - CHILDREN AND YOUNG ADULTS WITH INADEQUATE OR NO INSURANCE, SENIORS WITHOUT CAREGIVERS, INDIVIDUALS WITHOUT SAFE HOUSING, AND PEOPLE WITH SPECIAL NEEDS. THROUGH GIFTS FROM THE COMMUNITY, WE'VE NEVER TURNED AWAY A HOSPICE PATIENT WHO COULDN'T AFFORD CARE. CLINICAL ADVANCEMENT OPPORTUNITIES: CNA's - OUR CERTIFIED NURSING ASSISTANTS (CNAs) SERVE AN INCREDIBLE ROLE HERE AT AGRACE - ASSISTING PATIENTS WITH THE MOST INTIMATE OF DAILY CARES. THE RELATIONSHIPS OUR CNAs DEVELOP WITH PATIENTS AND THEIR FAMILIES IS ONE OF THE STRONGEST. DESPITE THEIR IMPORTANCE THROUGHOUT THE HEALTHCARE INDUSTRY, CNAs ARE AMONG THE LOWEST PAID EMPLOYEES. AS SUCH, FINANCIAL BARRIERS OFTEN PREVENT THOSE IN CNA ROLES FROM PURSUING OPPORTUNITIES FOR CONTINUED EDUCATION AND TRAINING THAT IS NEEDED FOR CAREER DEVELOPMENT. OUR GOAL IS TO REMOVE THESE FINANCIAL BARRIERS AND PROVIDE ADVANCEMENT OPPORTUNITIES (AND FINANCIAL SCHOLARSHIPS) FOR CNAs ON A LEADERSHIP TRACK SO THEY CAN COMPLETE SPECIALTY TRAINING THAT PROMOTES CAREER ADVANCEMENT AND BEST PRACTICES IN HIGH-QUALITY PATIENT CARE. AGRACE GRIEF SUPPORT CENTER: GRIEVING THE DEATH OF A LOVED ONE CAN BE AN ISOLATING EXPERIENCE. AGRACE SEEKS TO BREAK DOWN THE BARRIERS THAT PREVENT PEOPLE IN OUR COMMUNITY FROM RECEIVING THE SUPPORT THEY NEED TO GRIEVE THE LOSS OF THEIR LOVED ONES AND BECOME HEALTHY SURVIVORS. DIVERSITY SCHOLARSHIP PROGRAM: THROUGH OUR SCHOLARS PROGRAM, AGRACE WORKS TOGETHER WITH MADISON COLLEGE, RYAN BROTHERS AMBULANCE, CATHOLIC CHARITIES, URBAN LEAGUE OF GREATER MADISON AND THE BOYS AND GIRLS CLUB TO PROVIDE SCHOLARSHIPS TO STUDENTS OF COLOR WHO ARE INTERESTED IN BEGINNING CAREERS IN HEALTH CARE AS EITHER CERTIFIED NURSING ASSISTANTS (CNAs) or EMERGENCY MEDICAL TECHNICIANS (EMTs). THROUGH BOTH OUR HIGH SCHOOL AND RETURNING ADULT PROGRAMS, AGRACE PROVIDES POST-GRADUATION EMPLOYMENT, MENTORING SUPPORT AND NETWORKING OPPORTUNITIES FOR MINORITY STUDENTS WHO MAY OTHERWISE STRUGGLE WITH POST-GRADUATION EDUCATION AND EMPLOYMENT. THE AGRACE FOUNDATION ALSO FUNDS RESPITE FOR INDIVIDUALS CARING FOR LOVED ONES, GRANTS SPECIAL WISHES TO PATIENTS AND FAMILIES AT END-OF-LIFE, TRAINS VOLUNTEERS, AND INVESTS IN EDUCATION AND OTHER PROGRAMS TO ADVANCE HOSPICE AND PALLIATIVE CARE AND SUPPORT PATIENTS AND FAMILIES IN OUR COMMUNITY.
Form 990, Part III, Line 1 MISSIONAGRACE HOSPICECARE FOUNDATION IS OPERATED EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF AGRACE HOSPICECARE, INC., A RELATED 501(C)(3) ORGANIZATION CARING FOR APPROXIMATELY 900 PATIENTS PER DAY. THE AGRACE HOSPICECARE FOUNDATION IS SUPPORTED BY A COMMUNITY OF DONORS WHO SHARE THE VISION OF ACCESS TO A QUALITY END-OF-LIFE JOURNEY FOR EVERYONE. THE FOUNDATION'S SUPPORT HAS HELPED AGRACE HOSPICECARE BUILD INPATIENT AND RESIDENTIAL FACILITIES, ENHANCE THE BREADTH AND QUALITY OF ITS SERVICES, AND EXPAND ITS REACH TO THOSE WHO NEED AGRACE SERVICES THROUGHOUT SOUTH CENTRAL WISCONSIN, REGARDLESS OF ABILITY TO PAY. IN ADDITION TO THE GRANT SUPPORT THAT THE FOUNDATION PROVIDES TO AGRACE HOSPICECARE, INC. AND AGRACE HOSPICECARE HOLDINGS, INC., THE FOUNDATION HAS HELPED BUILD AND MAINTAIN AN OPERATING RESERVE TO ENSURE THAT AGRACE HOSPICECARE, INC. HAS THE ABILITY TO SERVE PATIENTS AND FAMILIES IF FACED WITH FINANCIAL OR REIMBURSEMENT CHALLENGES.
Form 990, Part V, Line 1a FORMS W-2THE NUMBER OF FORMS W-2 REPORTED BY THE ORGANIZATION WERE SUBMITTED UNDER THE FEIN OF AGRACE HOSPICECARE, INC. WHO SERVES AS A PAYROLL AGENT FOR THE ORGANIZATION.
Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALTHE ORGANIZATION RELIED ON AGRACE HOSPICECARE, A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS OTHER OFFICERS AND KEY EMPLOYEES. BELOW IS THE PROCESS USED BY AGRACE HOSPICECARE FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. EACH YEAR THE ORGANIZATION GATHERS MARKET DATA FOR DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THIS INCLUDES BENCHMARKS OF NATIONAL, REGIONAL, AND LOCAL COMPENSATION THAT ARE PROVIDED FROM INDEPENDENT COMPENSATION SURVEYS. THE CHIEF ADMINISTRATIVE OFFICER PRESENTS THIS INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD, BASED ON THIS INFORMATION, THE EXECUTIVE COMMITTEE SETS AND APPROVES THE COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER FOR THE YEAR AND CONTEMPORANEOUSLY DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS OCCURS ANNUALLY IN FEBRUARY.
Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMP OF OTHER OFFICERS AND KEY EMPLOYEESTHE ORGANIZATION RELIED ON AGRACE HOSPICECARE, A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS OTHER OFFICERS. BELOW IS THE PROCESS USED BY AGRACE HOSPICECARE FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS. EVERY OTHER YEAR THE ORGANIZATION GATHERS MARKET DATA FOR COMPENSATION OF THE EXECUTIVE LEADERSHIP TEAM. THIS DATA INCLUDES BENCHMARKS OF NATIONAL, REGIONAL, AND LOCAL COMPENSATION THAT ARE PROVIDED FROM INDEPENDENT COMPENSATION SURVEYS. EXECUTIVE LEADERSHIP PAY IS ADJUSTED BASED ON: 1) YEARS OF EXPERIENCE; 2) PERFORMANCE; AND 3) MARKET DATA FOR THE 65TH PERCENTILE OF TOTAL COMPENSATION FOR THE POSITION. THE CHIEF ADMINISTRATIVE OFFICER PRESENTS THE MARKET DATA INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD. BASED ON THIS INFORMATION, THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES THE COMPENSATION PACKAGE FOR THE EXECUTIVE LEADERSHIP TEAM AND DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS OCCURS BIENNIALLY IN FEBRUARY.
Form 990, Part VI, Line 6 Classes of members or stockholdersAgrace HospiceCare, Inc. a related 501(c)(3) organization, is the sole member of Agrace HospiceCare Foundation, Inc. and has the authority to appoint, remove, and replace any director on Foundation Board. Agrace HospiceCare, Inc. also has the sole authority to amend the Agrace HospiceCare Foundation Bylaws and Articles of Incorporation. Agrace HospiceCare, Inc. has no other responsibilities or voting rights with respect to the operations of Agrace HospiceCare Foundation.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyPursuant to the bylaws of the organization, Agrace Hospice Care, Incorporated, the sole member of the organization, has the authority to, at any time, appoint and re-appoint Directors of the Corporation, fill vacancies on the board of directors, and remove any director of the corporation, with or without cause.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing bodyThe committees do not have the authority to act on behalf of the board. Committee meetings are documented contemporaneously.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe Controller and CFO performed a detailed review of Form 990 and the related schedules prior to filing the return. This included verification of all amounts for accuracy and completeness. The form and schedules were also reviewed for content, presentation and reasonableness. The entire Form 990 is made available to the entire executive leadership team and an entity specific highlights summary is provided. The entire Form 990 is provided to the entire Board of Directors prior to filing and is accompanied by a 990 highlight summary. The audit committee reviewed the Form 990 and related schedules for reasonableness. Representatives from the accounting firm of Crowe prepared a detailed summary of the Form 990 that was presented to the board of directors by the Management.
Form 990, Part VI, Line 12c Conflict of interest policyDirectors, officers and key employees (interested persons) are required to annually review the organization's Code of Conduct, including the conflict of interest policy/statement. Interested persons are required to disclose potential or actual conflicts with the organization in writing via the annual questionnaire distributed electronically to each interested person. When a disclosure arises, the person shall promptly make disclosure of the interest to the governing board or committee. After disclosure and discussion the interested person shall leave the governing board or committee meeting while the determination of a conflict of interest is further discussed and voted upon by the remaining disinterested governing board or committee members. Once an actual conflict of interest exists with respect to a particular contract, transaction or arrangement the disinterested members of the board exercise due diligence to determine whether said contract, transaction or arrangement is reasonable. The conflict of interest questionnaires are reviewed by the Controller and governance coordinator. The controller and governance coordinator determine whether a potential conflict exists based on the completed questionnaires submitted by each interested person.
Form 990, Part VI, Line 19 Required documents available to the publicThese documents may be made available to the public upon receipt of a written request.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesChange in Value of Annuity Agreements - 85000; Uncollectible pledges - 18697;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1AGRACE HOSPICECARE THRIFT STORE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 ECHERYL PKWYAddressLine1Txt
CityFitchburgCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd
FieldValueIRS element (for citing)
EIN300001703EIN
Primary ActivitiesTHRIFT STOREPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Total Income$1,110,581TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AHCFBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
AGRACE HOSPICECARE INC
5395 E CHERYL PKWYFitchburgWI53711391319537HEALTHCAREWI501(c)(3)10NAfalse
AGRACE HOSPICECARE HOLDINGS INC
5395 E CHERYL PKWYFitchburgWI53711300001715PROPERTY HOLDINGWI501(c)(3)Type IAHCIfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CHARITABLE REMAINDER ANNUITY TRUST (1)BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E Cheryl PkwyAddressLine1Txt
CityFitchburgCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesDISTRIBUTION OF CHARITABLE TRUST ASSETS TO BENEFICIARIESPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeTrustEntityTypeTxt
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 OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
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 OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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