AGRACE HOSPICECARE INCORPORATED: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
AGRACE HOSPICECARE INCORPORATED (EIN 39-1319537)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-07-06
IRS object ID
201631889349300908
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-07-06T12:12:43-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker DriveAddressLine1Txt
Address Line2Suite 2600AddressLine2Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391319537EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLynne MyersPersonNm
Person TitlePresident/CEOPersonTitleTxt
Signature2016-06-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicole BencikPreparerPersonNm
PTINP00756195PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Lynne MyersBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E Cheryl ParkwayAddressLine1Txt
CityMadisonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$57,245,384GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.agrace.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionOur 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)ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee725TotalEmployeeCnt
Total Volunteers952TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,459,110PYContributionsGrantsAmt
CY Contributions Grants$1,638,800CYContributionsGrantsAmt
PY Program Service Revenue$46,685,751PYProgramServiceRevenueAmt
CY Program Service Revenue$49,702,915CYProgramServiceRevenueAmt
PY Investment Income$53,676PYInvestmentIncomeAmt
CY Investment Income$92,380CYInvestmentIncomeAmt
PY Other Revenue$1,433,085PYOtherRevenueAmt
CY Other Revenue$1,624,797CYOtherRevenueAmt
PY Total Revenue$49,631,622PYTotalRevenueAmt
CY Total Revenue$53,058,892CYTotalRevenueAmt
PY Grants And Similar Paid$44,501PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,415,200CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$32,254,862PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$34,845,286CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$724,073CYTotalFundraisingExpenseAmt
PY Other Expenses$15,851,078PYOtherExpensesAmt
CY Other Expenses$16,148,312CYOtherExpensesAmt
PY Total Expenses$48,150,441PYTotalExpensesAmt
CY Total Expenses$52,408,798CYTotalExpensesAmt
PY Revenues Less Expenses$1,481,181PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$650,094CYRevenuesLessExpensesAmt
Total Assets BOY$71,535,672TotalAssetsBOYAmt
Total Assets EOY$74,276,870TotalAssetsEOYAmt
Total Liabilities BOY$4,796,080TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,887,114TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$66,739,592NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$69,389,756NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAGRACE 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)MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$36,894,095ExpenseAmt
Revenue$49,095,336RevenueAmt
DescCLINICAL 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 2015, THE ORGANIZATION PROVIDED APPROXIMATELY $3,210,000 OF COMMUNITY BENEFIT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,544,372ExpenseAmt
Revenue$607,579RevenueAmt
DescAGRACE HOSPICECARE'S OTHER PROGRAMS INCLUDE THE VOLUNTEER SERVICES PROGRAM, THE FOOD SERVICE PROGRAM AND GRANTS TO SUPPORT RELATED ORGANIZATIONS. IN 2015, 889 SPECIALLY TRAINED VOLUNTEERS PROVIDED 76,932 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$975,254ExpenseAmt
Revenue$0RevenueAmt
DescSPIRITUAL & GRIEF SERVICES - AGRACE HOSPICECARE'S SPIRITUAL & GRIEF COUNSELING PROGRAM PROVIDES SERVICES TO PATIENTS, FAMILY MEMBERS AND COMMUNITY MEMBERS. IN 2015, AGRACE HOSPICECARE PROVIDED GRIEF SERVICES TO MORE THAN 15,000 INDIVIDUALS, BOTH CHILDREN AND ADULTS. 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 AT NO CHARGE, 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.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$1,400,000$1,400,000$0AGRACE 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 2015, AGRACE HOSPICECARE GRANTED $1,400,000 TO AGRACE FOUNDATION TOWARDS THE $15 MILLION ENDOWMENT CAMPAIGN THAT WAS STARTED TO PROVIDE ONGOING FINANCIAL SUPPORT TOWARDS THAT MISSION.
$876,297$32,735COMMUNITY EDUCATION - AS THE COMMUNITY'S HOSPICE, AGRACE HOSPICECARE IS DEDICATED TO INCREASING AWARENESS AND UNDERSTANDING OF MATTERS RELATED TO DEATH, DYING, CAREGIVING, GRIEF AND LOSS. WITH OUR GUIDANCE, OUR NEIGHBORS ARE BETTER PREPARED TO MAKE DECISIONS ABOUT THE CARE THEY OR THEIR LOVED ONES RECEIVE. IN 2015, 148 NURSING STUDENTS, MEDICAL STUDENTS, RESIDENTS AND FELLOWS, AND 10 STUDENTS FROM OTHER HEALTH CARE PROFESSIONS PARTICIPATES IN ROTATIONS AT AGRACE. SINCE THE INITIATION OF THE AGRACE ROTATION PROGRAM IN 1995, APPROXIMATELY 2,031 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.
$15,000$15,000$0NEW MINORITY CERTIFIED NURSING ASSISTANT (CNA) SCHOLARSHIP - THE MINORITY CNA SCHOLARSHIP PROGRAM IS FOR HIGH SCHOOL SENIORS OF COLOR WHO WANT TO PURSUE A NURSING ASSISTANT CERTIFICATION AT MADISON COLLEGE. THE SCHOLARSHIP FUNDS CNA EDUCATION, TRAINING AND CERTIFICATION, AND PROVIDES THE OPPORTUNITY FOR A CNA JOB WITH AGRACE ONCE THE SCHOLAR'S CERTIFICATION IS COMPLETE.
$200$200$0DONATIONS FROM AGRACE IN RECOGNITION OF BOARD MEMBERS
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$2,291,497TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,415,200TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$32,735TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$41,705,218TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
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 ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document74IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee725EmployeeCnt
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 ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
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 EAST CHERYL PARKWAYAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID CULLEN
CHAIR1.01.0Yes (X)Yes (X)$0$0$0
MICHAEL FITZPATRICK
Vice Chair1.01.0Yes (X)Yes (X)$0$0$0
CHRISTOPHER QUERAM
Treasurer1.01.0Yes (X)Yes (X)$0$0$0
ANN SHEEHY
Secretary1.01.0Yes (X)Yes (X)$0$0$0
LYNNE MYERS
PRESIDENT/CEO30.010.0Yes (X)Yes (X)$355,607$0$39,809
Julia Arata-Fratta
DIRECTOR1.01.0Yes (X)$0$0$0
Lou Bernhardt MD
DIRECTOR1.02.0Yes (X)$0$0$0
SHARON CHAMBERLAIN
DIRECTOR1.01.0Yes (X)$0$0$0
GORDON DERZON
DIRECTOR1.01.0Yes (X)$0$0$0
LAURA DOUGLASS
DIRECTOR1.01.0Yes (X)$0$0$0
JEFF GROSSMAN
DIRECTOR, Part-Year1.01.0Yes (X)$0$0$0
BRIAN HAPP
DIRECTOR1.01.0Yes (X)$0$0$0
MICHAEL JOHNSON
DIRECTOR, Part-Year1.01.0Yes (X)$0$0$0
DAVID KRUGER
DIRECTOR1.01.0Yes (X)$0$0$0
EVERETT MITCHELL
DIRECTOR1.01.0Yes (X)$0$0$0
KEN THOMPSON
DIRECTOR1.02.0Yes (X)$0$0$0
MARION WOZNIAK
DIRECTOR1.01.0Yes (X)$0$0$0
JULIA HOUCK
CAO35.05.0Yes (X)$195,233$0$36,593
JENNIFER MAURER
CFO30.010.0Yes (X)$200,450$0$19,547
DENISE GLOEDE
VP of Business Development40.00.0$163,736$0$12,278Yes (X)
DENA GREEN
CMO40.00.0$234,765$0$33,727Yes (X)
Brian Tennant
CIO40.00.0$176,493$0$34,265Yes (X)
Marcia Whittington
CDO5.035.0$0$157,420$31,315Yes (X)
KIM KINSLEY
HOSPICE PHYSICIAN40.00.0$179,300$0$7,017Yes (X)
Winny Hung
HOSPICE PHYSICIAN40.00.0$134,074$0$1,140Yes (X)
Karen Berger
HOSPICE PHYSICIAN40.00.0$200,708$0$20,819Yes (X)
Jane Quinn
CCO40.00.0$132,694$0$16,685Yes (X)
Traci Raether
Director of Clinical Operations, Homecare40.00.0$127,119$0$28,054Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,100,179TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$157,420TotReportableCompRltdOrgAmt
Total Other Compensation$281,249TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
UW HOSPITAL & CLINICS
DRAWER 853MILWAUKEEWI53278THERAPIES & IMAGING SERVICES$941,024
RYAN BROTHERS
922 S PARK STMADISONWI53715AMBULANCE SERVICE$292,821
CHARTWELL MIDWEST-WISCONSIN
PO BOX 78804MILWAUKEEWI53278INFUSION THERAPIES$190,362
KURT SALMON US INC
1355 PEACHTREE ST NEATLANTAWI30309CONSULTING SERVICE$164,388SUITE 900
ST MARY'S HOSPITAL
7350 SOLUTION CENTERCHICAGOIL60677THERAPIES & IMAGING SERVICES$142,302
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Federated Campaigns$117,567FederatedCampaignsAmt
Related Organizations$1,517,005RelatedOrganizationsAmt
All Other Contributions$4,228AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$1,638,800TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient service revenue623990$49,095,336$49,095,336
Food service623990$607,579$607,579

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$49,702,915TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,266TotalRevenueColumnAmt
Exclusion$84,266ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,194,606SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,186,492SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$8,114SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,114TotalRevenueColumnAmt
Exclusion$8,114ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Contracted services to affiliates900099$1,592,062$1,592,062
Other revenue900099$32,735$32,735

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$1,624,797OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,058,892TotalRevenueColumnAmt
Related Or Exempt Func Income$49,735,650RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,684,442ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,400,200TotalAmt
Program Services$1,400,200ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$15,000TotalAmt
Program Services$15,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,502,501TotalAmt
Program Services$141,410ProgramServicesAmt
Management And General$1,361,091ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,036,969TotalAmt
Program Services$21,606,320ProgramServicesAmt
Management And General$4,843,513ManagementAndGeneralAmt
Fundraising$587,136FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$746,606TotalAmt
Program Services$596,643ProgramServicesAmt
Management And General$133,750ManagementAndGeneralAmt
Fundraising$16,213FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,519,412TotalAmt
Program Services$2,812,502ProgramServicesAmt
Management And General$630,482ManagementAndGeneralAmt
Fundraising$76,428FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,039,798TotalAmt
Program Services$1,630,084ProgramServicesAmt
Management And General$365,418ManagementAndGeneralAmt
Fundraising$44,296FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$63,731TotalAmt
Management And General$63,731ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$56,657TotalAmt
Management And General$56,657ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$12,307TotalAmt
Management And General$12,307ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$301,470TotalAmt
Program Services$8,692ProgramServicesAmt
Management And General$292,778ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$625,627TotalAmt
Program Services$5,787ProgramServicesAmt
Management And General$619,840ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$372,984TotalAmt
Program Services$141,436ProgramServicesAmt
Management And General$231,548ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$604,976TotalAmt
Program Services$462,614ProgramServicesAmt
Management And General$142,362ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,833,217TotalAmt
Program Services$1,401,827ProgramServicesAmt
Management And General$431,390ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$198,043TotalAmt
Program Services$157,645ProgramServicesAmt
Management And General$40,398ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$185,984TotalAmt
Program Services$138,689ProgramServicesAmt
Management And General$47,295ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$260,233TotalAmt
Program Services$198,995ProgramServicesAmt
Management And General$61,238ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Room and board expense$2,363,828$2,363,828
Medical supplies and equipment$2,780,554$2,780,554
Medications and infusion therapies$2,167,733$2,167,733
Patient related costs$2,408,795$2,408,795

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,912,173TotalAmt
Program Services$1,266,464ProgramServicesAmt
Management And General$645,709ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$52,408,798TotalAmt
Program Services$41,705,218ProgramServicesAmt
Management And General$9,979,507ManagementAndGeneralAmt
Fundraising$724,073FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,636,441BOYAmt
EOY$6,262,956EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,296,432BOYAmt
EOY$1,628,412EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$677,500BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,474,040BOYAmt
EOY$6,277,010EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$60,080BOYAmt
EOY$61,049EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$851,663BOYAmt
EOY$645,586EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,079,403LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$990,798LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$88,605BOYAmt
EOY$88,605EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,109,090BOYAmt
EOY$4,217,203EOYAmt

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$53,341,821BOYAmt
EOY$55,096,049EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$71,535,672BOYAmt
EOY$74,276,870EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,784,336BOYAmt
EOY$4,536,677EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$71,138BOYAmt
EOY$133,947EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$940,606BOYAmt
EOY$216,490EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,796,080BOYAmt
EOY$4,887,114EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$61,453,458BOYAmt
EOY$63,930,556EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,103,368BOYAmt
EOY$4,194,162EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$182,766BOYAmt
EOY$1,265,038EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$66,739,592BOYAmt
EOY$69,389,756EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$71,535,672BOYAmt
EOY$74,276,870EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$650,094ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$47,161NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$252,011DonatedServicesAndUseFcltsAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$1,795,220OtherChangesInNetAssetsAmt
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 RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,088,330CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$938,597CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,790,755CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,459,110CurrentTaxYearMinus1YearAmt
Current Tax Year$1,638,800CurrentTaxYearAmt
Total$7,915,592TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,132,046CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,440,910CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,247,764CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,685,751CurrentTaxYearMinus1YearAmt
Current Tax Year$49,702,915CurrentTaxYearAmt
Total$235,209,386TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,312CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,261CurrentTaxYearMinus3YearsAmt
Total$64,573TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$46,256,688CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,407,768CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$51,038,519CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,144,861CurrentTaxYearMinus1YearAmt
Current Tax Year$51,341,715CurrentTaxYearAmt
Total$243,189,551TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$243,189,551PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,607CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,126CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,298CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,289CurrentTaxYearMinus1YearAmt
Current Tax Year$84,266CurrentTaxYearAmt
Total$145,586TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,607CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,126CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,298CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,289CurrentTaxYearMinus1YearAmt
Current Tax Year$84,266CurrentTaxYearAmt
Total$145,586TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,419,226CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,528,098CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,266,340CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,433,085CurrentTaxYearMinus1YearAmt
Current Tax Year$1,624,797CurrentTaxYearAmt
Total$7,271,546TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$47,678,521CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$47,937,992CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,312,157CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,627,235CurrentTaxYearMinus1YearAmt
Current Tax Year$53,050,778CurrentTaxYearAmt
Total$250,606,683TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9704PublicSupportCY509Pct
Public Support PY5090.9709PublicSupportPY509Pct
Investment Income CY0.0006InvestmentIncomeCYPct
Investment Income PY0.0003InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - CONTRACTED SERVICES, COLUMN A - 1392400.0, COLUMN B - 1468968.0, COLUMN C - 1222308.0, COLUMN D - 1427508.0, COLUMN E - 1592062.0, COLUMN F - 7103246.0; DESCRIPTION - OTHER REVENUE, COLUMN A - 26826.0, COLUMN B - 59130.0, COLUMN C - 44032.0, COLUMN D - 5577.0, COLUMN E - 32735.0, COLUMN F - 168300.0;ExplanationTxt

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,293OtherActivitiesAmt
Total Lobbying Expenditures$1,293TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYPer IRS definitions, 5.44% of NHPCO provider dues are classified as expenses used for lobbying purposes.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYPer IRS definitions, 5.44% of NHPCO provider dues are classified as expenses used for lobbying purposes.

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Revenues Included$0RevenuesIncludedAmt
Assets Included$88,605AssetsIncludedAmt
FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd

Collection Used Other Purposes CollectionUsedOtherPurposesGrp

FieldValueIRS element (for citing)
Collection Used Other PurposesYes (X)CollectionUsedOtherPurposesInd
Other PurposesProvide welcoming environmentOtherPurposesDesc
FieldValueIRS element (for citing)
Solicited Assets SalefalseSolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$182,766BeginningYearBalanceAmt
Contributions$2,684,586ContributionsAmt
End Year Balance$2,867,352EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$126,600BeginningYearBalanceAmt
Contributions$56,166ContributionsAmt
End Year Balance$182,766EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$84,453BeginningYearBalanceAmt
Contributions$42,147ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$126,600EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$62,026BeginningYearBalanceAmt
Contributions$22,427ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$84,453EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$549,776BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$487,750OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$62,026EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.5588BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.4412PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,200OtherCostOrOtherBasisAmt
Depreciation$1,200DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$777,214OtherCostOrOtherBasisAmt
Depreciation$777,214DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$300,989OtherCostOrOtherBasisAmt
Depreciation$212,384DepreciationAmt
Book Value$88,605BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$88,605TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Net interest in affliliates$54,820,308
Due from affiliates$255,459
Cash surrender value of life insurance$15,082
Gravesites$5,200
FieldValueIRS element (for citing)
Total Book Value Other Assets$55,096,049TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to affiliates$205,490
Security deposits$11,000
FieldValueIRS element (for citing)
Total Liability$216,490TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part III, Line 4 Collections of art - description of collectionsTHE 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 fundsAgrace 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) footnoteThe 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, 2015 or 2014.

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 HospiceCare Foundation IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E Cheryl PkwyAddressLine1Txt
CityMadisonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd
FieldValueIRS element (for citing)
Recipient EIN300001703RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$1,400,200CashGrantAmt
Purpose Of GrantIntended 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.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeNEW MINORITY CNA SCHOLARSHIP PROGRAMGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$15,000CashGrantAmt

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
ExplanationThis grant is intended for Agrace HospiceCare Foundation, Inc.'s Care for All Campaign Endowment Funds. Agrace HospiceCare, Inc. receives regular reports on the endowment activities and directly benefits from the earnings of the endowment to cover charity care costs.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 MYERS
PRESIDENT/CEO$309,288$0$27,419$0$18,900$0$37,600$0$2,209$0$395,416$0$0$0
JULIA HOUCK
CAO$180,662$0$7,693$0$6,878$0$11,057$0$25,536$0$231,826$0$0$0
JENNIFER MAURER
CFO$190,332$0$6,253$0$3,865$0$10,514$0$9,033$0$219,997$0$0$0
DENISE GLOEDE
VP of Business Development$146,013$0$5,752$0$11,971$0$9,571$0$2,707$0$176,014$0$0$0
DENA GREEN
CMO$230,475$0$3,120$0$1,170$0$9,594$0$24,133$0$268,492$0$0$0
Brian Tennant
CIO$162,105$0$9,325$0$5,063$0$10,294$0$23,971$0$210,758$0$0$0
Marcia Whittington
CDO$0$154,966$0$1,966$0$488$0$9,478$0$21,837$0$188,735$0$0
KIM KINSLEY
HOSPICE PHYSICIAN$177,633$0$0$0$1,667$0$0$0$7,017$0$186,317$0$0$0
Karen Berger
HOSPICE PHYSICIAN$197,878$0$0$0$2,830$0$2,839$0$17,980$0$221,527$0$0$0
Traci Raether
Director of Clinical Operations, Homecare$124,547$0$1,980$0$592$0$2,284$0$25,770$0$155,173$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planLynne Myers participated in a 457(f) plan. No distributions were made from the plan during 2015.
Schedule J, Part I, Line 6a Compensation contigent on net earnings of the organizationA management bonus plan is determined in part by two factors: company operating margin performance and individual employee performance.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 1 BRIEF MISSIONAND FAMILIES FACED WITH LIFE-LIMITING ILLNESS, HELPING THEM TO LIVE AS FULLY AS THEY CAN. IN 2015 THE ORGANIZATION PROVIDED CHARITY CARE OF APPROXIMATELY $451,751. SIGNIFICANT MISSION-RELATED ACTIVITY TOOK PLACE IN 2015: CARE FOR ALL ENDOWMENT CAMPAIGN BEGINS: OVER THE PAST SEVERAL YEARS, REQUESTS FOR CARE FOR ALL ASSISTANCE HAVE STEADILY CLIMBED. REALIZING THAT WE NEED A MORE PREDICTABLE, SUSTAINABLE SOURCE OF FUNDING FOR THIS PROGRAM, AGRACE FOUNDATION BEGAN A CARE FOR ALL ENDOWMENT CAMPAIGN. OUR GOAL IS TO RAISE $15 MILLION OVER FIVE YEARS. THE FUNDS RAISED WILL BE INVESTED TO GENERATE ANNUAL INCOME THAT WILL BE USED EACH YEAR TO PROVIDE CARE FOR THOSE WHO QUALIFY FOR THIS FINANCIAL SUPPORT. DIVERSITY INITIATIVES: IN 2015 AGRACE ANNOUNCED THE RECIPIENTS OF ITS NEW MINORITY CERTIFIED NURSING ASSISTANT (CNA) SCHOLARSHIP. THE MINORITY CNA SCHOLARSHIP PROGRAM IS FOR HIGH SCHOOL SENIORS OF COLOR WHO WANT TO PURSUE A NURSING ASSISTANT CERTIFICATION AT MADISON COLLEGE. THE SCHOLARSHIP FUNDS CNA EDUCATION, TRAINING AND CERTIFICATION, AND PROVIDES THE OPPORTUNITY FOR A CNA JOB WITH AGRACE ONCE THE SCHOLAR'S CERTIFICATION IS COMPLETE. AGRACE ALSO JOINED WITH PARTNERS RYAN BROTHERS AMBULANCE SERVICE, CATHOLIC CHARITIES AND MADISON COLLEGE TO CREATE SCHOLARSHIP OPPORTUNITIES FOR RETURNING ADULT STUDENTS OF COLOR IN DANE COUNTY. ADULTS 21 YEARS AND OLDER CAN APPLY FOR CERTIFIED NURSING ASSISTANT (CNA) OR EMERGENCY MEDICAL TECHNICIAN (EMT) SCHOLARSHIPS THROUGH THE NEW "COLLABORATION FOR THE CALLING" PROGRAM. SCHOLARSHIPS COVER TUITION, BOOKS, SUPPLIES AND CERTIFICATION. RECIPIENTS WILL ALSO HAVE MENTORS IN THEIR FIELD AND THE OPPORTUNITY TO WORK FOR ONE OF THE THREE SPONSOR ORGANIZATIONS AFTER THEY ARE CERTIFIED. HOSPICE PATIENT CENSUS GROWS TO 700: IN 2015, OUR AVERAGE DAILY CENSUS OF HOSPICE PATIENTS REACHED 700 FOR THE FIRST TIME-AND REMAINS NEAR THAT MARK AS OF Q1 2016. ON ANY GIVEN DAY, ABOUT 700 PATIENTS ARE ENROLLED FOR HOSPICE CARE WITH AGRACE IN 10 COUNTIES-EACH ONE ON A UNIQUE END-OF-LIFE JOURNEY. EXPANDING MISSION AND VISION: IN 2015, OUR HOSPICE PATIENT CENSUS CONTINUED TO GROW FASTER THAN EXPECTED IN SAUK COUNTY. WE HAVE CARED FOR HUNDREDS OF SAUK COUNTY HOSPICE PATIENTS AND THEIR FAMILIES, AND CREATED SEVERAL LOCAL JOBS ON OUR BARABOO-BASED CARE TEAM. IN 2015, WE FORMED A CORE GROUP OF SAUK COUNTY RESIDENTS WHO HELPED US CONNECT WITH AREA HEALTH CARE AND LONG-TERM PROVIDERS, BUSINESSES, FAITH COMMUNITIES AND OTHER SERVICE ORGANIZATIONS.
Form 990, Part III, Line 1 ORGANIZATION'S MISSIONAGRACE 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 2015, THE ORGANIZATION PROVIDED CHARITY CARE OF APPROXIMATELY $451,751. 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 $ 1,544,372 including grants of $)(Revenue $ 607,579) AGRACE HOSPICECARE'S OTHER PROGRAMS INCLUDE THE VOLUNTEER SERVICES PROGRAM, THE FOOD SERVICE PROGRAM AND GRANTS TO SUPPORT RELATED ORGANIZATIONS. IN 2015, 889 SPECIALLY TRAINED VOLUNTEERS PROVIDED 76,932 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.
Form 990, Part III, Line 4d Description of other program services(Expenses $ 1,400,000 including grants of $ 1,400,000)(Revenue $ 0) 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 2015, AGRACE HOSPICECARE GRANTED $1,400,000 TO AGRACE FOUNDATION TOWARDS THE $15 MILLION ENDOWMENT CAMPAIGN THAT WAS STARTED TO PROVIDE ONGOING FINANCIAL SUPPORT TOWARDS THAT MISSION.
Form 990, Part III, Line 4d Description of other program services(Expenses $ 15,000 including grants of $ 15,000)(Revenue $ 0) NEW MINORITY CERTIFIED NURSING ASSISTANT (CNA) SCHOLARSHIP - THE MINORITY CNA SCHOLARSHIP PROGRAM IS FOR HIGH SCHOOL SENIORS OF COLOR WHO WANT TO PURSUE A NURSING ASSISTANT CERTIFICATION AT MADISON COLLEGE. THE SCHOLARSHIP FUNDS CNA EDUCATION, TRAINING AND CERTIFICATION, AND PROVIDES THE OPPORTUNITY FOR A CNA JOB WITH AGRACE ONCE THE SCHOLAR'S CERTIFICATION IS COMPLETE.
Form 990, Part VI, Line 1b NON-INDEPENDENT MEMBERSLYNNE MYERS IS THE ONLY NON-INDEPENDENT BOARD MEMBER. MS. MYERS IS NOT INDEPENDENT BY VIRTUE OF HER EMPLOYMENT.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeThe Executive Committee shall have power to transact all regular business of the Corporation during the interim between meetings of the Board of Directors, except the power to: (a) elect officers of the Corporation; or (b) fill vacancies in the Board of Directors or in the Executive Committee; or (c) amend or repeal any provision of these By-Laws, or (d) adopt programs which would involve continuing activity or support by the Corporation for more than one (1) fiscal year. The Executive Committee shall be responsible for the annual evaluations of the president. In no event shall the Executive Committee be authorized to dissolve the Corporation. No person who is not a member of the board of directors may serve on the Executive Committee.
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. The Controller 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 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 officialEach 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 January 2015.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesEvery other year the organization gathers market data for compensation of the executive leadership team. In off years, the prior year's compensation data is aged according to standard compensation practices by the HR Manager. 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 completed in February 2015.
Form 990, Part VI, Line 19 Required documents available to the publicFinancial 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 balancesCHANGE IN INTEREST IN NET ASSETS OF AFFILIATES - 1795220;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1AGRACE PALLIATIVE CARE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E CHERYL PARKWAYAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53711ZIPCd
FieldValueIRS element (for citing)
EIN383896153EIN
Primary ActivitiesPALLIATIVE CARE SERVICESPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Total Income$256,794TotalIncomeAmt
End Of Year Assets$15,570EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AGRACE HOSPICECARE INCBusinessNameLine1Txt

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 FOUNDATION INC
5395 E CHERYL PARKWAYMADISONWI53711300001703FUNDRAISINGWI501(c)(3Type IAHCIYes (true)
AGRACE HOSPICECARE HOLDINGS INC
5395 E CHERYL PARKWAYMADISONWI53711300001715PROPERTY HOLDINGWI501(c)(3Type IAHCIYes (true)
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 OrgYes (true)LoansOrGuaranteesToOtherOrgInd
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 OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Agrace HospiceCare Foundation Inc
B$1,400,200Board Approved Designation
Agrace HospiceCare Foundation Inc
C$1,517,005Reimbursement for actual expenditures
Agrace HospiceCare Foundation Inc
D$228,432Per Inter-company agreement
Agrace HospiceCare Holdings Inc
E$173,967Per inter-company agreement
Agrace HospiceCare Holdings Inc
K$2,087,604per inter-company agreement
Agrace HospiceCare Holdings Inc
O$132,622Estimate of time and actual salary
Agrace HospiceCare Foundation Inc
O$1,459,440Wages of employees dedicated to Foundation

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