2019-08-19T10:30:10-05:00 2018-12-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2018-01-01 300001703 Agrace HospiceCare Foundation Inc AGRA 6082764660 5395 E Cheryl Parkway Fitchburg WI 53711 Lynne Sexten President/CEO 2019-08-19 true Nicole Bencik P00756195 3128997000 2018 2019-02-21 02:37:17Z Lynne Sexten 5395 E Cheryl Parkway Fitchburg WI 53711 51231407 false X www.agrace.org X 2001 WI THE 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) 18 17 21 332 0 0 8698812 8168224 0 2360054 3912009 1378933 1457939 12437799 13538172 1972805 2556199 0 1485189 1622859 0 1119664 744415 858597 4202409 5037655 8235390 8500517 40658949 43391744 519707 904146 40139242 42487598 The 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) false false 1555725 1555725 OTHER PROGRAM SERVICES: THE 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 25 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 HIS/HER LIFE, SOMETHING HE/SHE CANNOT AFFORD OR SIMPLY A FINAL DESIRE. AGRACE HAS GRANTED MORE THAN 120 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 OF LIFE GOALS. EXAMPLES INCLUDE BUYING A BURIAL DRESS OR PROVIDING A BIRTHDAY CAKE. 770474 770474 CARE 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. 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. IN 2015 A CAMPAIGN BEGAN TO RAISE FUNDS FOR A CARE FOR ALL ENDOWMENT. THE PURPOSE OF THE ENDOWMENT CAMPAIGN IS TO DEVELOP A SUSTAINABLE FUNDING SOURCE FOR THE CARE FOR ALL PROGRAM LONG INTO THE FUTURE. AS THE NEED GROWS, AGRACE WANTS TO MAKE SURE THERE ARE FUNDS SET ASIDE TO BE ABLE TO SERVE ANYONE IN THE COMMUNITY WHO NEEDS SUPPORT. FUNDS ARE ALSO 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. 230000 230000 COMMUNITY 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 THE NEW GRIEF SUPPORT CENTER THAT HAS ALLOWED US TO EXPAND OUR PROGRAM AND SERVE MANY MORE PEOPLE. 2556199 true true false false false false false false true false false false false true true false true false false false false false false true true false true false true false false false false false false false false true false false false true true false false false true X 13 1 true 21 true false false false false false true true true false false false false false X 18 17 false false false false true true false true false false false true true true true true true false false false IL WI X Jennifer Maurer 6082764660 5395 E CHERYL PARKWAY Fitchburg WI 53711 Steve DiTullio Chair 1.0 2.0 X X 0 0 0 Patrick T Ryan Vice Chair 1.0 1.0 X X 0 0 0 Bill Albright Treasurer 1.0 1.0 X X 0 0 0 Linn Roth Secretary 1.0 1.0 X X 0 0 0 Lynne Sexten President / CEO 5.0 35.0 X X 0 445727 57170 Dave Beck-Engel Director 1.0 1.0 X 0 0 0 Karen Christianson Director - Partial Year 1.0 1.0 X 0 0 0 Jay Everard Director 1.0 1.0 X 0 0 0 Gary Gussel Director 1.0 1.0 X 0 0 0 William Kennedy Director 1.0 1.0 X 0 0 0 Carol Koby Director 1.0 1.0 X 0 0 0 Dr Willie Larkin Director 1.0 1.0 X 0 0 0 Peter Lundberg Director 1.0 1.0 X 0 0 0 Judith Martinez Director 1.0 1.0 X 0 0 0 Terry Murawski Director 1.0 1.0 X 0 0 0 Bill Schendt Director 1.0 1.0 X 0 0 0 Juanita Tracy Director 1.0 1.0 X 0 0 0 Mike Yaktus Director 1.0 1.0 X 0 0 0 Lou Bernhardt MD Director - Partial Year 1.0 1.0 X 0 0 0 Kathy Cullen Director - Partial Year 1.0 1.0 X 0 0 0 Linda Krohn Director - Partial Year 1.0 1.0 X 0 0 0 Michael Smith Director - Partial Year 1.0 1.0 X 0 0 0 Craig Christianson Director - Partial year 1.0 1.0 X 0 0 0 Jennifer Maurer Chief Financial Officer 5.0 35.0 X 0 266422 23156 Marcia Whittington Chief Development Officer 35.0 5.0 X 191001 0 24156 191001 712149 104482 1 false true false Agrace HospiceCare Inc 5395 E Cheryl Pkwy Fitchburg WI 53711 Administrative services 363660 1 376581 4573778 3217865 1794139 8168224 0 0 0 0 0 1480642 1480642 0 0 39856563 37425196 2431367 0 2431367 2431367 98246 376581 240669 -142423 -142423 77714 27370 50344 50344 1550018 1550018 1550018 0 0 0 0 0 13538172 0 0 5369948 2556199 2556199 215158 90658 124500 1136327 478797 657530 30813 12983 17830 150189 63283 86906 90372 38079 52293 29488 29488 182883 182883 0 0 0 0 19626 19626 101432 46267 55165 413118 413118 29497 29497 17257 6236 11021 Donation development 65296 65296 0 0 0 0 5037655 2556199 1361792 1119664 1131311 1023529 2384115 2309643 0 0 93654 61180 0 0 0 35573369 38443341 0 0 1476500 1554051 40658949 43391744 43987 94820 15120 25210 0 460600 784116 519707 904146 X 31971189 34649749 5064047 3364995 3104006 4472854 40139242 42487598 40658949 43391744 X 8500517 -6004663 -147498 X false true X true false X X X 1 AGRACE HOSPICECARE INC 391319537 9 true 2264907 0 1 2264907 0 true false false false false false false false false false false false false false false true false 9187092 5868849 -580031 14475910 4741006 3854408 591678 9187092 2869969 1584559 286478 4741006 187685 2684586 -1396 906 2869969 132279 56166 1136 1896 187685 0.6702 0.309 0.0208 false false Due to affiliates 784116 784116 X Schedule D, Part V, Line 4 Intended uses of endowment funds The 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) footnote The 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, 2018 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 21, 2018 or 2017. Butterfly Gala 153027 85600 67427 3134 29256 17730 40725 Golf Open 78408 73600 4808 0 6756 0 14467 6 243392 217381 26011 14568 12553 1000 100480 474827 376581 98246 17702 48565 18730 155672 240669 -142423 77714 26946 424 true 0.85 77714 26946 424 WI true false false false 0.0 1.0 Jillian Hayward 5395 E Cheryl Pkwy Fitchburg WI 53711 false FINANCE DEPARTMENT EMPLOYEES 0 ACCOUNTING AND RECORDKEEPING X false 0 Schedule G, Part II FUNDRAISING EVENTS THE FOUNDATION'S FUNDRAISING EVENT TOTAL IS $284,502 WHICH AGREES WITH AUDITED INFORMATION AND IS THE SUM OF FORM 990, PART VIII, LINES 1C, 8C, AND 9C. Schedule G, Part II, Line 11 FUNDRAISING EVENTS THE FOUNDATION'S FUNDRAISING EVENT TOTAL ON LINE 11, COLUMN (D) EXCLUDES $376,581 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 $388,259. true Agrace Hospicecare Inc 5395 E Cheryl Pkwy Fitchburg WI 53711 391319537 501(c)(3) 2264907 To provide financial support to Agrace Hospicecare, Inc. Agrace Hospicecare Holdings Inc 5395 E Cheryl Pkwy Fitchburg WI 53711 391319537 501(c)(3) 291292 To provide capital contribution towards Agrace Hospicecare, Inc. project. 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. All 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. false true false false false false true false false Lynne Sexten President / CEO 0 332506 0 87341 0 25880 0 38000 0 19170 0 502897 0 0 Jennifer Maurer Chief Financial Officer 0 209139 0 40953 0 16330 0 13711 0 9445 0 289578 0 0 Marcia Whittington Chief Development Officer 176267 0 13919 0 815 0 8822 0 15334 0 215157 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The 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 2018. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Lynne Sexten (Myers) participated in a 457(f) plan. No distributions were made from the plan during 2018. A contribution in the amount of $27,000 was made to the plan during 2018. Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization The cash bonus under the Plan is determined in part by two factors: company operating margin performance and individual employee performance. X 1550018 Market value X 13 178384 Market value X Misc. Auction and Raffle Items 140 65737 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Clothing and household goods - Agrace HospiceCare Foundation Inc. is reporting the number of contributions received in 2018. 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 2018. Other - Misc. Auction and Raffle Items Agrace HospiceCare Foundation Inc. is reporting the number of contributions received in 2018. 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. AGRACE PEDIATRIC HOSPICE PROGRAM: IN COLLABORATION WITH THE AMERICAN FAMILY CHILDREN'S HOSPITAL, AGRACE SEEKS TO DEVELOP AN EXPERTISE IN THE DELIVERY OF PEDIATRIC HOSPICE AND PALLIATIVE CARE. AS SUCH, OVER THE COURSE OF THE NEXT SEVERAL YEARS, OUR GOAL IS TO PROVIDE SPECIALTY TRAINING FOR AGRACE RNs THAT INCLUDES BOTH CERTIFICATION PROGRAMS AND JOB SHADOWING AT THE AMERICAN FAMILY CHILDREN'S HOSPITAL. 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: OVER THE LAST YEAR, AGRACE HAS DEVELOPED A PLAN TO CREATE A FREE-STANDING AGRACE GRIEF SUPPORT CENTER. OVER THE LAST YEAR, AGRACE HAS DEVELOPED A PLAN TO CREATE A FREE-STANDING 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. THE DEVELOPMENT OF THE AGRACE GRIEF SUPPORT CENTER WILL TRANSFORM HOW OUR COMMUNITY GRIEVES DEATH. THE CENTER OPENED IN AUGUST OF 2017. 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 MISSION AGRACE HOSPICECARE FOUNDATION IS OPERATED EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF AGRACE HOSPICECARE, INC., A RELATED 501(C)(3) ORGANIZATION CARING FOR APPROXIMATELY 800 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 AND NORTHERN ILLINOIS, 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-2 THE 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 OFFICIAL THE 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 IS DONE ANNUALLY IN FEBRUARY. Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMP OF OTHER OFFICERS AND KEY EMPLOYEES THE 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. EACH 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 ANNUALLY IN FEBRUARY. Form 990, Part VI, Line 6 Classes of members or stockholders Agrace 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 body Pursuant 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 body The 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 body The 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 policy Directors, 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 public These 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 balances Uncollectible Pledges - -62498; Change in Value of Annuity Agreements - -85000; AGRACE HOSPICECARE THRIFT STORE LLC 5395 ECHERYL PKWY Fitchburg WI 53711 300001703 THRIFT STORE WI 1550018 0 NA AGRACE HOSPICECARE INC 5395 E CHERYL PKWY Fitchburg WI 53711 391319537 HEALTHCARE WI 501(c)(3) 10 NA false AGRACE HOSPICECARE HOLDINGS INC 5395 E CHERYL PKWY Fitchburg WI 53711 300001715 PROPERTY HOLDING WI 501(c)(3) Type I AHCI false CHARITABLE REMAINDER ANNUITY TRUST (1) 5395 E Cheryl Pkwy Fitchburg WI 53711 DISTRIBUTION OF CHARITABLE TRUST ASSETS TO BENEFICIARIES WI NA Trust false true true false true false false false false false false true true true true true true false false