2018-06-28T11:00:08-05:00 2017-12-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2017-01-01 391319537 Agrace HospiceCare Inc AGRA 6082764660 5395 E Cheryl Parkway Fitchburg WI 53711 Lynne Sexten President/CEO 2018-06-28 true Nicole Bencik P00756195 3128997000 2017 2022-09-23 18:48:47Z Lynne Sexten 5395 E Cheryl Parkway Fitchburg WI 53711 63623409 false X www.agrace.org X 1978 WI Our mission, "Partnering with patients and families to improve quality of life throughout serious illness," lives in the comprehensive, compassionate care we provide to patients (continued on Schedule O) 15 14 788 923 0 0 2112147 2012195 53870336 59255105 13317 65883 1651223 1700398 57647023 63033581 5335094 4000000 0 39157304 41952649 0 848672 17293218 19145711 61785616 65098360 -4138593 -2064779 77971055 86599090 5648478 7026566 72322577 79572524 X AGRACE HOSPICECARE'S MISSION IS PARTNERING WITH PATIENTS AND FAMILIES TO IMPROVE QUALITY OF LIFE THROUGHOUT SERIOUS ILLNESS. AGRACE HOSPICECARE'S VISION IS TO LEAD THE EVOLUTION OF HOSPICE AND PALLIATIVE CARE THROUGH INNOVATION, EDUCATION AND ACCESS-ONE PATIENT, ONE FAMILY, ONE COMMUNITY AT A TIME. (CONTINUED IN SCHEDULE O) false false 46890031 58663162 CLINICAL PATIENT CARE - AGRACE HOSPICECARE OFFERS THE MOST COMPREHENSIVE END-OF-LIFE CARE AVAILABLE. PATIENTS AND FAMILIES SERVED BY AGRACE HOSPICECARE ARE PROVIDED THE EXPERT HELP OF A COMPASSIONATE TEAM OF END-OF-LIFE PROFESSIONALS INCLUDING: NURSES, CERTIFIED NURSING ASSISTANTS, SOCIAL WORKERS, SPIRITUAL & GRIEF COUNSELORS, VOLUNTEERS, PHYSICIANS AND PHARMACISTS. THE HOSPICE CARE TEAM ASSESSES THE UNIQUE NEEDS OF EACH PATIENT AND FAMILY. WORKING TOGETHER, AGRACE HOSPICECARE STAFF, TRAINED VOLUNTEERS, AND THE PATIENT'S PHYSICIAN DELIVER COMPREHENSIVE CARE FOCUSED ON HELPING THE PATIENT AND THEIR FAMILY LIVE LIFE TO THE FULLEST. IN 2017, THE ORGANIZATION PROVIDED APPROXIMATELY $3,915,000 OF COMMUNITY BENEFIT. 4000000 4000000 AGRACE HOSPICECARE PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE ORGANIZATION'S CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH PATIENTS ARE IDENTIFIED BASED ON FINANCIAL INFORMATION OBTAINED FROM THE PATIENT AT THE TIME THEY ENROLL IN THE PROGRAM OR SUBSEQUENT CHANGES TO THEIR FINANCIAL CIRCUMSTANCES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. IN 2017, AGRACE HOSPICECARE GRANTED $2,000,000 TO AGRACE FOUNDATION TOWARDS THE $15 MILLION ENDOWMENT CAMPAIGN THAT WAS STARTED TO PROVIDE ONGOING FINANCIAL SUPPORT TOWARDS THAT MISSION. IN 2017, AGRACE HOSPICECARE TRANSFERRED FUNDS TOTALING $2,000,000 TO THE RISK RESERVE ACCOUNT HELD BY AGRACE HOSPICECARE FOUNDATION. 1615710 591943 AGRACE HOSPICECARE'S OTHER PROGRAMS INCLUDE THE VOLUNTEER SERVICES PROGRAM, THE FOOD SERVICE PROGRAM AND GRANTS TO SUPPORT RELATED ORGANIZATIONS. IN 2017, 923 SPECIALLY TRAINED VOLUNTEERS PROVIDED 37,785 HOURS OF SERVICE. BECAUSE OF THIS SUPPORT, AGRACE HOSPICECARE IS ABLE TO DEFER SOME STAFFING COSTS AND CONTINUE TO PROVIDE COMPASSIONATE, EXPERT CARE TO PATIENTS AND FAMILIES. SOME OF THE VOLUNTEER POSITIONS INCLUDE IN-HOME AND RESIDENTIAL PATIENT AND FAMILY VOLUNTEER; GRIEF SERVICES, ADMINISTRATIVE OFFICE WORK, FLOWER ROOM AND KITCHEN VOLUNTEER; VIGIL PROGRAM; AND AGRACE HOSPICECARE CAMPUS GREETER. FOOD SERVICE: AGRACE HOSPICECARE EMPLOYS TALENTED CHEFS TO PROVIDE OUR PATIENTS AND FAMILIES COMFORTING MEALS COOKED WITH LOCALLY GROWN, OFTEN ORGANIC FRESH PRODUCE, MEATS AND HERBS. STAFF DIETICIANS WORK WITH THE KITCHEN STAFF TO PREPARE MEALS THAT PROVIDE SUSTENANCE AND COMFORT TO PATIENTS. SOMETIMES A PATIENT WILL NOT BE ABLE TO DIGEST SOLID FOODS, BUT SMALL MEALS CAN BE PREPARED FOR THEM TO ENJOY THE COMFORTS OF THE SMELLS THAT MEALS PROVIDE. IN ADDITION TO PATIENT AND FAMILY MEALS, AGRACE HOSPICECARE FOOD SERVICES MAKES FRESH BAKED GOODS, COFFEE AND TEA AVAILABLE FOR PURCHASE BY STAFF, VOLUNTEERS, GUESTS, EDUCATIONAL EVENT ATTENDEES AND GRIEF SUPPORT GROUPS. 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. 1138560 3219 COMMUNITY EDUCATION - AS THE COMMUNITY'S HOSPICE, AGRACE HOSPICECARE IS DEDICATED TO INCREASING AWARENESS AND UNDERSTANDING OF MATTERS RELATED TO DEATH, DYING, CARE GIVING, GRIEF AND LOSS. WITH OUR GUIDANCE, OUR NEIGHBORS ARE BETTER PREPARED TO MAKE DECISIONS ABOUT THE CARE THEY OR THEIR LOVED ONES RECEIVE. IN 2017, MORE THAN 100 NURSING AND MEDICAL STUDENTS, RESIDENTS AND FELLOWS, PHARMACY STUDENTS AND STUDENTS FROM OTHER HEALTH CARE PROFESSIONS PARTICIPATED IN ROTATIONS AT AGRACE. SINCE THE INITIATION OF THE AGRACE ROTATION PROGRAM IN 1995, APPROXIMATELY 2,145 STUDENTS, INTERNS, RESIDENTS, FELLOWS AND WORKING HEALTH CARE PROFESSIONALS FROM INSTITUTIONS OF HIGHER LEARNING HAVE COMPLETED AN EDUCATIONAL EXPERIENCE AT AGRACE. AGRACE RECEIVES NO REIMBURSEMENT FOR THESE ROTATIONS WITH THE EXCEPTION OF AN ANNUAL STIPEND FROM THE UW-MADISON SCHOOL OF PHARMACY. 1018673 39465 SPIRITUAL & GRIEF SERVICES - AGRACE HOSPICECARE'S SPIRITUAL & GRIEF COUNSELING PROGRAM PROVIDES SERVICES TO PATIENTS, FAMILY MEMBERS AND COMMUNITY MEMBERS. IN 2017, AGRACE HOSPICECARE PROVIDED GRIEF SERVICES TO 3,037 INDIVIDUALS - BOTH CHILDREN AND ADULTS. IN AUGUST 2017, AGRACE OPENED THE NEW, FREESTANDING AGRACE GRIEF SUPPORT CENTER IN FITCHBURG, WI TO HOST GRIEF SUPPORT GROUPS AND ONE-ON-ONE SUPPORT. IN ADDITION TO INDIVIDUAL COUNSELING, AGRACE HOSPICECARE PROVIDES GRIEF SERVICES THROUGH GRIEF SUPPORT GROUPS, HOLIDAY REMEMBRANCE PROGRAMS, AND THE COMMUNITY TRAUMATIC DEATH RESPONSE TEAM. THESE PROGRAMS ARE OFFERED FOR A NOMINAL FEE, AND GRIEF SUPPORT GROUPS ARE OPEN TO ANYONE IN THE COMMUNITY EXPERIENCING GRIEF DUE TO A DEATH, NOT JUST TO PATIENTS AND FAMILIES SERVED BY AGRACE HOSPICECARE. BUTTERFLY AND BRICK MEMORIALS ARE AVAILABLE FOR INDIVIDUALS TO MEMORIALIZE OR HONOR THE LIFE OF A LOVED ONE. ALTHOUGH PROVIDING GRIEF SUPPORT IS REQUIRED BY STATE AND FEDERAL REGULATIONS, GRIEF SUPPORT SERVICES ARE NOT COVERED BY INSURANCE, MEDICARE OR MEDICAID REIMBURSEMENT. AGRACE PROVIDES THESE SERVICES BECAUSE THE ORGANIZATION BELIEVES THEY ARE CRITICAL TO HELPING FAMILIES RETURN TO FUNCTIONAL LIVING AFTER THEIR LOSS. 2157233 42684 54662974 true true false true false false false true false true true false false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true 116 0 true 788 true false false false false false false true false false false X 15 14 true false false false false false false true true false false true true true true true true true true false IL WI X Jennifer Maurer 6082764660 5395 EAST CHERYL PARKWAY Fitchburg WI 53711 Michael F Fitzpatrick Chair 1.0 1.0 X X 0 0 0 Ann Sheehy MD Vice Chair 1.0 1.0 X X 0 0 0 Ken Thompson Treasurer 1.0 1.0 X X 0 0 0 Christopher Queram Secretary 1.0 1.0 X X 0 0 0 Lynne Sexten President / CEO 30.0 10.0 X X 469990 0 59100 Julia Arata-Fratta Director - Partial Year 1.0 1.0 X 0 0 0 Lou Bernhardt MD Director 1.0 2.0 X 0 0 0 Dr Toby Campbell Director 1.0 1.0 X 0 0 0 Sharon Chamberlain Director - Partial Year 1.0 1.0 X 0 0 0 David Cullen Director - Partial Year 1.0 1.0 X 0 0 0 Mike Dallman Director - Partial Year 1.0 1.0 X 0 0 0 Gordon Derzon Director - Partial Year 1.0 1.0 X 0 0 0 Steve DiTullio Director 1.0 2.0 X 0 0 0 Brian Happ Director 1.0 1.0 X 0 0 0 Jonathan Jaffrey MD Director 1.0 1.0 X 0 0 0 Erik Johnson Director 1.0 1.0 X 0 0 0 David Kruger Director 1.0 1.0 X 0 0 0 Everett Mitchell Director 1.0 1.0 X 0 0 0 Dr Pamela Wetzel Director 1.0 1.0 X 0 0 0 Jane Wiedenbeck Director 1.0 1.0 X 0 0 0 Julia Houck Chief Administrative Officer 35.0 5.0 X 261322 0 39573 Jennifer Maurer Chief Financial Officer 30.0 10.0 X 259618 0 24805 Pamela Edwards Chief Clinical Officer 40.0 0.0 X 233740 0 26823 Brian Tennant Chief Information Officer 40.0 0.0 X 208341 0 36361 Marcia Whittington Chief Development Officer 5.0 35.0 X 0 178752 23218 Jane Quinn Chief Compliance Officer 40.0 0.0 X 152028 0 14742 Traci Raether Director of Clinical Operations, Homecare 40.0 0.0 X 165281 0 32207 Dr Kathy Williams Hospice Physician 40.0 0.0 X 160189 0 16508 Dr Mindy Shah Hospice Physician 40.0 0.0 X 195407 0 8669 Dr Dena Green Sr. Medical Director 40.0 0.0 X 124791 0 16652 2230707 178752 298658 22 false true false UW HOSPITAL & CLINICS 600 HIGHLAND AVE MADISON WI 53792 THERAPIES & IMAGING SERVICES 1136192 RYAN BROTHERS 922 S PARK ST MADISON WI 53715 AMBULANCE SERVICE 230130 UW MEDICAL FOUNDATION 600 HIGHLAND AVE MADISON WI 53792 PHYSICIAN SERVICES 175931 CHARTWELL MIDWEST-WISCONSIN PO BOX 78804 MILWAUKEE WI 53278 INFUSION THERAPIES 150217 ST MARY'S HOSPITAL 700 S PARK ST MADISON WI 53715 THERAPIES & LAB SERVICES 138169 7 131788 1862062 18345 3464 2012195 Net patient service revenue 623990 58663162 58663162 Food service 623990 591943 591943 0 0 0 0 59255105 26000 26000 0 0 629712 589828 39884 0 39883 39883 Contracted services to affiliates 900099 1657714 1657714 Other revenue 900099 42684 42684 0 0 0 0 1700398 63033581 59297789 0 1723597 4000000 4000000 1813203 369091 1250582 193530 32582816 27132620 4918391 531805 1007511 838983 152084 16444 4111770 3423985 620674 67111 2437349 2029648 367919 39782 84763 7631 77132 44604 44604 211134 38509 172625 0 564433 26487 537946 428032 302213 125819 909080 732296 176784 1995883 1607754 388129 225487 195535 29952 234525 188918 45607 256181 206363 49818 Room and board expense 3244097 3244097 Medical supplies and equipment 3124216 3124216 Medications and infusion therapies 2688980 2688980 Patient related costs 2860711 2860711 2273585 1644937 628648 0 65098360 54662974 9586714 848672 5151409 5318925 337000 375850 0 0 9090795 8259630 0 0 40185 44894 849242 940765 836699 748094 88605 88605 259943 414707 0 0 62153876 71155714 77971055 86599090 5105683 6223625 245670 323875 297125 479066 5648478 7026566 X 65816611 71382361 4247256 5086157 2258710 3104006 72322577 79572524 77971055 86599090 X -2064779 -948 231474 9084200 X false true X true false X 2790755 1459110 1638800 2112147 2012195 10013007 48247764 46685751 49702915 53870336 59255105 257761871 0 0 0 51038519 48144861 51341715 55982483 61267300 267774878 592940 1286116 1517005 1948805 1862062 7206928 0 0 0 0 0 0 592940 1286116 1517005 1948805 1862062 7206928 260567950 7298 49289 84266 20140 26000 186993 0 7298 49289 84266 20140 26000 186993 0 1266340 1433085 1624797 1651223 1700398 7675843 52312157 49627235 53050778 57653846 62993698 275637714 0.9453 0.9480 0.0007 0.0006 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - CONTRACTED SERVICES, COLUMN A - 1222308.0, COLUMN B - 1427508.0, COLUMN C - 1592062.0, COLUMN D - 1616680.0, COLUMN E - 1657714.0, COLUMN F - 7516272.0; DESCRIPTION - OTHER REVENUE, COLUMN A - 44032.0, COLUMN B - 5577.0, COLUMN C - 32735.0, COLUMN D - 34543.0, COLUMN E - 42684.0, COLUMN F - 159571.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 959 959 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Per IRS definitions, 3.83% of NHPCO provider dues are classified as expenses used for lobbying purposes. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Per IRS definitions, 3.83% of NHPCO provider dues are classified as expenses used for lobbying purposes. 0 88605 X Provide welcoming environment false 4451911 3854409 8306320 2867352 1584559 4451911 182766 2684586 2867352 126600 56166 182766 84453 42147 0 0 0 0 126600 0.6263 0.3737 0.0 false true true 1200 1200 0 538333 538333 0 297166 208561 88605 88605 Interest in net assets of affiliates 70655401 Due from affiliates 491652 Cash surrender value of life insurance 3461 Grave-sites 5200 71155714 Due to affiliates 479066 479066 X Schedule D, Part III, Line 4 Collections of art - description of collections THE ORGANIZATION'S COLLECTIONS CONSIST PRIMARILY OF WORKS OF ART THAT ARE ON DISPLAY IN PUBLIC SPACES AS WELL AS PATIENT ROOMS AT THE FACILITIES OWNED BY Agrace HOSPICECARE HOLDINGS AND OPERATED BY Agrace HOSPICECARE, INC. THESE WORKS OF ART ARE USED TO PROVIDE A WELCOMING, THERAPEUTIC, HOME LIKE ENVIRONMENT TO Agrace HOSPICECARE, INC. PATIENTS AND FAMILIES IN FURTHERANCE OF THE ORGANIZATION'S MISSION OF ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE. THE ARTWORK REPRESENTS EACH OF THE MANY CULTURES OF THE PEOPLE LIVING IN SOUTH CENTRAL WISCONSIN. THE FAMILIARITY OF THE PIECES HELPS PATIENTS AND THEIR FAMILIES FEEL MORE COMFORTABLE IN OUR HEALTHCARE FACILITY. Schedule D, Part V, Line 4 Intended uses of endowment funds Agrace Hospicecare Foundation, a related tax-exempt entity, holds endowments for the purpose of providing support to Agrace HospiceCare, Inc. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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 percent likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Due to its tax-exempt status, the Organization is not subject to U.S. federal income tax or state income tax. The Organization's Form 990 has 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, 2017 or 2016. true Agrace HospiceCare Foundation Inc 5395 E Cheryl Pkwy Fitchburg WI 53711 300001703 501(c)(3) 4000000 0 N/A N/A $2,000,000 - Intended for Agrace HospiceCare Foundation, Inc.'s Care for All Endowment Campaign, a fundraising effort to establish an endowment where the earnings will cover the cost of charity care services provided by Agrace HospiceCare Inc. to the community. $2,000,000 - Intercompany cash transfer from Agrace HospiceCare Inc. to Agrace HospiceCare Foundation, Inc.'s risk reserve investment account. 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. This grant consists of $2 million to Agrace Foundation to support our Care for All Endowment and $2 million to increase our Risk Reserve account. Agrace HospiceCare Inc. receives regular reports on the Endowment activities and the investment earnings on both the Endowment and the Risk Reserve. Agrace Inc. directly benefits from the earnings of the Endowment to cover charity care and the Risk Reserve is used as a contingency fund for Agrace Inc. X X X X false true false false false true false false false Lynne Sexten President / CEO 321370 0 129720 0 18900 0 37800 0 21300 0 529090 0 0 0 Julia Houck Chief Administrative Officer 206241 0 47861 0 7220 0 13736 0 25837 0 300895 0 0 0 Jennifer Maurer Chief Financial Officer 199019 0 45729 0 14870 0 13542 0 11263 0 284423 0 0 0 Pamela Edwards Chief Clinical Officer 194018 0 30503 0 9219 0 9995 0 16828 0 260563 0 0 0 Brian Tennant Chief Information Officer 166623 0 36336 0 5382 0 11624 0 24737 0 244702 0 0 0 Marcia Whittington Chief Development Officer 0 164211 0 13753 0 788 0 8440 0 14778 0 201970 0 0 Jane Quinn Chief Compliance Officer 142845 0 7257 0 1926 0 6167 0 8575 0 166770 0 0 0 Traci Raether Director of Clinical Operations, Homecare 155479 0 8379 0 1423 0 6902 0 25305 0 197488 0 0 0 Dr Kathy Williams Hospice Physician 159427 0 0 0 762 0 6537 0 9971 0 176697 0 0 0 Dr Mindy Shah Hospice Physician 195004 0 0 0 403 0 7800 0 869 0 204076 0 0 0 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 2017. A contribution in the amount of $27,000 was made to the plan during 2017. Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization A management bonus plan is determined in part by two factors: company operating margin performance and individual employee performance. Form 990, Part I, Line 1 BRIEF MISSION AND FAMILIES FACED WITH LIFE-LIMITING ILLNESS, HELPING THEM TO LIVE AS FULLY AS THEY CAN. SIGNIFICANT MISSION-RELATED ACTIVITY TOOK PLACE IN 2017: PEDIATRIC PROGRAM: As the number of children receiving hospice rises, more Agrace nurses are pursing advanced training in pediatric palliative and hospice care. Agrace also began efforts to partner more closely with the American Family Children's Hospital (AFCH)'s Pediatric Palliative Care team. The Agrace/AFCH partnership has helped our young patents' many caregivers communicate better with one another-and coordinate care more effectively EXPANDING MISSION AND VISION: IN 2017, Agrace continued to expand our reach into underserved areas by serving patients in several counties in northern Illinois. There is opportunity for greater hospice utilization in northern Illinois, and our beautiful, homelike Janesville inpatient unit is only a 40-minute drive from Rockford, which has no similar facility. EXPANDING GRIEF SUPPORT: For 40 years, Agrace has brought compassionate care to people facing life-limiting illnesses. We care for their families, too. We understand how loss affects life. And we believe everyone deserves to have support after a death so they can find hope and healing. That's why in 2017, Agrace opened a free-standing Grief Support Center at 2906 Marketplace Drive in Fitchburg. Anyone is welcome to come to the Agrace Grief Support Center for guidance and support after loss. We serve both adults and children, so many of our spaces are designed to help kids feel comfortable. BEST PLACE TO WORK: Agrace was named a Best Place to Work by Madison Magazine for a second year in a row. Form 990, Part III, Line 1 ORGANIZATION'S MISSION AGRACE HOSPICECARE PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE ORGANIZATION'S CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH PATIENTS ARE IDENTIFIED BASED ON FINANCIAL INFORMATION OBTAINED FROM THE PATIENT AT THE TIME THEY ENROLL IN THE PROGRAM OR SUBSEQUENT CHANGES TO THEIR FINANCIAL CIRCUMSTANCES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. AGRACE HOSPICECARE'S MISSION, "PARTNERING WITH PATIENTS AND FAMILIES TO IMPROVE QUALITY OF LIFE THROUGHOUT SERIOUS ILLNESS," IS FULFILLED BY THE COMPREHENSIVE, COMPASSIONATE CARE WE PROVIDE TO PATIENTS AND FAMILIES FACED WITH LIFE-LIMITING ILLNESS, HELPING THEM TO LIVE AS FULLY AS THEY CAN UNTIL THE END OF LIFE. IN 2017, THE ORGANIZATION PROVIDED CHARITY CARE OF APPROXIMATELY $568,809. MOST PATIENTS AND FAMILIES WANT TO RECEIVE CARE AT HOME. MORE THAN 90 PERCENT OF AGRACE HOSPICECARE SERVICES ARE DELIVERED IN PATIENTS' HOMES OR IN HOMELIKE SETTINGS SUCH AS COMMUNITY-BASED RESIDENTIAL FACILITIES, ASSISTED LIVING FACILITIES AND NURSING HOMES. AGRACE HOSPICECARE ALSO MAKES HOSPICE SERVICES AVAILABLE TO PATIENTS IN HOSPITAL SETTINGS. AGRACE HOSPICECARE PROVIDES ALL LEVELS OF CARE TO OUR PATIENTS AND MAINTAINS TWO INPATIENT UNITS FOR ACUTE AND RESPITE CARE IN ADDITION TO HAVING A RESIDENCE ON THE AGRACE MADISON CAMPUS. Form 990, Part III, Line 4d Description of other program services (Expenses $ 1,138,560 including grants of $)(Revenue $ 3,219) COMMUNITY EDUCATION - AS THE COMMUNITY'S HOSPICE, AGRACE HOSPICECARE IS DEDICATED TO INCREASING AWARENESS AND UNDERSTANDING OF MATTERS RELATED TO DEATH, DYING, CARE GIVING, GRIEF AND LOSS. WITH OUR GUIDANCE, OUR NEIGHBORS ARE BETTER PREPARED TO MAKE DECISIONS ABOUT THE CARE THEY OR THEIR LOVED ONES RECEIVE. IN 2017, MORE THAN 100 NURSING AND MEDICAL STUDENTS, RESIDENTS AND FELLOWS, PHARMACY STUDENTS AND STUDENTS FROM OTHER HEALTH CARE PROFESSIONS PARTICIPATED IN ROTATIONS AT AGRACE. SINCE THE INITIATION OF THE AGRACE ROTATION PROGRAM IN 1995, APPROXIMATELY 2,145 STUDENTS, INTERNS, RESIDENTS, FELLOWS AND WORKING HEALTH CARE PROFESSIONALS FROM INSTITUTIONS OF HIGHER LEARNING HAVE COMPLETED AN EDUCATIONAL EXPERIENCE AT AGRACE. AGRACE RECEIVES NO REIMBURSEMENT FOR THESE ROTATIONS WITH THE EXCEPTION OF AN ANNUAL STIPEND FROM THE UW-MADISON SCHOOL OF PHARMACY. Form 990, Part III, Line 4d Description of other program services (Expenses $ 1,018,673 including grants of $)(Revenue $ 39,465) SPIRITUAL & GRIEF SERVICES - AGRACE HOSPICECARE'S SPIRITUAL & GRIEF COUNSELING PROGRAM PROVIDES SERVICES TO PATIENTS, FAMILY MEMBERS AND COMMUNITY MEMBERS. IN 2017, AGRACE HOSPICECARE PROVIDED GRIEF SERVICES TO 3,037 INDIVIDUALS - BOTH CHILDREN AND ADULTS. IN AUGUST 2017, AGRACE OPENED THE NEW, FREESTANDING AGRACE GRIEF SUPPORT CENTER IN FITCHBURG, WI TO HOST GRIEF SUPPORT GROUPS AND ONE-ON-ONE SUPPORT. IN ADDITION TO INDIVIDUAL COUNSELING, AGRACE HOSPICECARE PROVIDES GRIEF SERVICES THROUGH GRIEF SUPPORT GROUPS, HOLIDAY REMEMBRANCE PROGRAMS, AND THE COMMUNITY TRAUMATIC DEATH RESPONSE TEAM. THESE PROGRAMS ARE OFFERED FOR A NOMINAL FEE, AND GRIEF SUPPORT GROUPS ARE OPEN TO ANYONE IN THE COMMUNITY EXPERIENCING GRIEF DUE TO A DEATH, NOT JUST TO PATIENTS AND FAMILIES SERVED BY AGRACE HOSPICECARE. BUTTERFLY AND BRICK MEMORIALS ARE AVAILABLE FOR INDIVIDUALS TO MEMORIALIZE OR HONOR THE LIFE OF A LOVED ONE. ALTHOUGH PROVIDING GRIEF SUPPORT IS REQUIRED BY STATE AND FEDERAL REGULATIONS, GRIEF SUPPORT SERVICES ARE NOT COVERED BY INSURANCE, MEDICARE OR MEDICAID REIMBURSEMENT. AGRACE PROVIDES THESE SERVICES BECAUSE THE ORGANIZATION BELIEVES THEY ARE CRITICAL TO HELPING FAMILIES RETURN TO FUNCTIONAL LIVING AFTER THEIR LOSS. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Ken Thompson and Erik Johnson - Business relationship 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. The Controller prepared a detailed summary of the Form 990 that was presented to the board of directors by 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 Standards 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. The results of that determination is reviewed with the CFO and CEO. Form 990, Part VI, Line 15a Process to establish compensation of 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, along with pertinent 990 compensation reporting by similar sized non-profit hospices. 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 LAST UNDERTAKEN FEBRUARY 2017. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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 WAS LAST UNDERTAKEN FEBRUARY 2017. Form 990, Part VI, Line 19 Required documents available to the public Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. 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 CHANGE IN INTEREST IN NET ASSETS OF AFFILIATES - 9084200; AGRACE PALLIATIVE CARE LLC 5395 E CHERYL PKWY Fitchburg WI 53711 383896153 PALLIATIVE CARE SERVICES WI 604543 826 AGRACE HOSPICECARE INC AGRACE HOSPICECARE FOUNDATION INC 5395 E CHERYL PKWY Fitchburg WI 53711 300001703 FUNDRAISING WI 501(c)(3) Type I AHCI true AGRACE HOSPICECARE HOLDINGS INC 5395 E CHERYL PKWY Fitchburg WI 53711 300001715 PROPERTY HOLDING WI 501(c)(3) Type I AHCI true false true true true true false false false false false true true false true true true true false false Agrace HospiceCare Foundation B 2000000 Board approved designation Agrace HospiceCare Foundation B 2000000 Per cash management policy Agrace HospiceCare Foundation C 1837867 Reimbursement for actual expenditures Agrace HospiceCare Foundation D 458025 Per Intercompany Agreement Agrace HospiceCare Holdings E 200633 Per Intercompany Agreement Agrace HospiceCare Holdings K 2380412 Per Intercompany Agreement Agrace HospiceCare Holdings O 172525 Estimate of time and actual salary Agrace HospiceCare Foundation O 1485189 Wages of employees dedicated to Foundation