2016-07-06T12:12:43-05:00 2015-12-31 350921680 CROWE HORWATH LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2015-01-01 391319537 Agrace HospiceCare Inc AGRA 6082764660 5395 E Cheryl Parkway Madison WI 53711 Lynne Myers President/CEO 2016-06-29 true Nicole Bencik P00756195 3128997000 2015 2016-09-27 15:27:22Z Lynne Myers 5395 E Cheryl Parkway Madison WI 53711 57245384 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 14 725 952 0 0 1459110 1638800 46685751 49702915 53676 92380 1433085 1624797 49631622 53058892 44501 1415200 0 32254862 34845286 0 724073 15851078 16148312 48150441 52408798 1481181 650094 71535672 74276870 4796080 4887114 66739592 69389756 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 36894095 49095336 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 2015, THE ORGANIZATION PROVIDED APPROXIMATELY $3,210,000 OF COMMUNITY BENEFIT. 1544372 607579 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. 975254 0 SPIRITUAL & 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. 1400000 1400000 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. 876297 32735 COMMUNITY 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. 15000 15000 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. 200 200 0 DONATIONS FROM AGRACE IN RECOGNITION OF BOARD MEMBERS 2291497 1415200 32735 41705218 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 true true false false false false false false false false false false false false true true true true false false true 74 0 true 725 true false false false false false false false false false false X 15 14 false false false false false false false true true false false true true true true true true true true false WI X Jennifer Maurer 6082764660 5395 EAST CHERYL PARKWAY MADISON WI 53711 DAVID CULLEN CHAIR 1.0 1.0 X X 0 0 0 MICHAEL FITZPATRICK Vice Chair 1.0 1.0 X X 0 0 0 CHRISTOPHER QUERAM Treasurer 1.0 1.0 X X 0 0 0 ANN SHEEHY Secretary 1.0 1.0 X X 0 0 0 LYNNE MYERS PRESIDENT/CEO 30.0 10.0 X X 355607 0 39809 Julia Arata-Fratta DIRECTOR 1.0 1.0 X 0 0 0 Lou Bernhardt MD DIRECTOR 1.0 2.0 X 0 0 0 SHARON CHAMBERLAIN DIRECTOR 1.0 1.0 X 0 0 0 GORDON DERZON DIRECTOR 1.0 1.0 X 0 0 0 LAURA DOUGLASS DIRECTOR 1.0 1.0 X 0 0 0 JEFF GROSSMAN DIRECTOR, Part-Year 1.0 1.0 X 0 0 0 BRIAN HAPP DIRECTOR 1.0 1.0 X 0 0 0 MICHAEL JOHNSON DIRECTOR, Part-Year 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 KEN THOMPSON DIRECTOR 1.0 2.0 X 0 0 0 MARION WOZNIAK DIRECTOR 1.0 1.0 X 0 0 0 JULIA HOUCK CAO 35.0 5.0 X 195233 0 36593 JENNIFER MAURER CFO 30.0 10.0 X 200450 0 19547 DENISE GLOEDE VP of Business Development 40.0 0.0 X 163736 0 12278 DENA GREEN CMO 40.0 0.0 X 234765 0 33727 Brian Tennant CIO 40.0 0.0 X 176493 0 34265 Marcia Whittington CDO 5.0 35.0 X 0 157420 31315 KIM KINSLEY HOSPICE PHYSICIAN 40.0 0.0 X 179300 0 7017 Winny Hung HOSPICE PHYSICIAN 40.0 0.0 X 134074 0 1140 Karen Berger HOSPICE PHYSICIAN 40.0 0.0 X 200708 0 20819 Jane Quinn CCO 40.0 0.0 X 132694 0 16685 Traci Raether Director of Clinical Operations, Homecare 40.0 0.0 X 127119 0 28054 2100179 157420 281249 12 false true false UW HOSPITAL & CLINICS DRAWER 853 MILWAUKEE WI 53278 THERAPIES & IMAGING SERVICES 941024 RYAN BROTHERS 922 S PARK ST MADISON WI 53715 AMBULANCE SERVICE 292821 CHARTWELL MIDWEST-WISCONSIN PO BOX 78804 MILWAUKEE WI 53278 INFUSION THERAPIES 190362 KURT SALMON US INC 1355 PEACHTREE ST NE SUITE 900 ATLANTA WI 30309 CONSULTING SERVICE 164388 ST MARY'S HOSPITAL 7350 SOLUTION CENTER CHICAGO IL 60677 THERAPIES & IMAGING SERVICES 142302 8 117567 1517005 4228 0 1638800 Net patient service revenue 623990 49095336 49095336 Food service 623990 607579 607579 0 0 0 0 49702915 84266 84266 0 0 4194606 4186492 8114 0 8114 8114 Contracted services to affiliates 900099 1592062 1592062 Other revenue 900099 32735 32735 0 0 0 0 1624797 53058892 49735650 0 1684442 1400200 1400200 15000 15000 1502501 141410 1361091 27036969 21606320 4843513 587136 746606 596643 133750 16213 3519412 2812502 630482 76428 2039798 1630084 365418 44296 63731 63731 56657 56657 12307 12307 301470 8692 292778 0 625627 5787 619840 372984 141436 231548 604976 462614 142362 1833217 1401827 431390 198043 157645 40398 185984 138689 47295 260233 198995 61238 Room and board expense 2363828 2363828 Medical supplies and equipment 2780554 2780554 Medications and infusion therapies 2167733 2167733 Patient related costs 2408795 2408795 1912173 1266464 645709 0 52408798 41705218 9979507 724073 3636441 6262956 4296432 1628412 677500 0 4474040 6277010 0 0 60080 61049 851663 645586 1079403 990798 88605 88605 4109090 4217203 0 0 53341821 55096049 71535672 74276870 3784336 4536677 71138 133947 940606 216490 4796080 4887114 X 61453458 63930556 5103368 4194162 182766 1265038 66739592 69389756 71535672 74276870 X 650094 -47161 252011 0 1795220 X false true X true false X 1088330 938597 2790755 1459110 1638800 7915592 45132046 45440910 48247764 46685751 49702915 235209386 36312 28261 64573 0 0 46256688 46407768 51038519 48144861 51341715 243189551 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 243189551 2607 2126 7298 49289 84266 145586 0 2607 2126 7298 49289 84266 145586 0 1419226 1528098 1266340 1433085 1624797 7271546 47678521 47937992 52312157 49627235 53050778 250606683 0.9704 0.9709 0.0006 0.0003 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - 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; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1293 1293 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Per 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 ACTIVITY Per IRS definitions, 5.44% of NHPCO provider dues are classified as expenses used for lobbying purposes. 0 88605 X X Provide welcoming environment false 182766 2684586 2867352 126600 56166 182766 84453 42147 0 0 0 0 126600 62026 22427 0 0 0 0 84453 549776 0 0 0 487750 0 62026 0.5588 0.4412 0.0 false true true 1200 1200 0 777214 777214 0 300989 212384 88605 88605 Net interest in affliliates 54820308 Due from affiliates 255459 Cash surrender value of life insurance 15082 Gravesites 5200 55096049 Due to affiliates 205490 Security deposits 11000 216490 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, 2015 or 2014. true Agrace HospiceCare Foundation Inc 5395 E Cheryl Pkwy Madison WI 53711 300001703 501(C)(3) 1400200 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. 1 0 NEW MINORITY CNA SCHOLARSHIP PROGRAM 11 15000 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. This 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. X X X X false true false false false true false false false LYNNE MYERS PRESIDENT/CEO 309288 0 27419 0 18900 0 37600 0 2209 0 395416 0 0 0 JULIA HOUCK CAO 180662 0 7693 0 6878 0 11057 0 25536 0 231826 0 0 0 JENNIFER MAURER CFO 190332 0 6253 0 3865 0 10514 0 9033 0 219997 0 0 0 DENISE GLOEDE VP of Business Development 146013 0 5752 0 11971 0 9571 0 2707 0 176014 0 0 0 DENA GREEN CMO 230475 0 3120 0 1170 0 9594 0 24133 0 268492 0 0 0 Brian Tennant CIO 162105 0 9325 0 5063 0 10294 0 23971 0 210758 0 0 0 Marcia Whittington CDO 0 154966 0 1966 0 488 0 9478 0 21837 0 188735 0 0 KIM KINSLEY HOSPICE PHYSICIAN 177633 0 0 0 1667 0 0 0 7017 0 186317 0 0 0 Karen Berger HOSPICE PHYSICIAN 197878 0 0 0 2830 0 2839 0 17980 0 221527 0 0 0 Traci Raether Director of Clinical Operations, Homecare 124547 0 1980 0 592 0 2284 0 25770 0 155173 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Lynne 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 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. 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 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 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 MEMBERS LYNNE 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 committee The 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 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 the Management. Form 990, Part VI, Line 12c Conflict of interest policy Directors, officers and key employees (interested persons) are required to annually review the organization's 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. 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 employees Every 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 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 - 1795220; AGRACE PALLIATIVE CARE LLC 5395 E CHERYL PARKWAY MADISON WI 53711 383896153 PALLIATIVE CARE SERVICES WI 256794 15570 AGRACE HOSPICECARE INC AGRACE HOSPICECARE FOUNDATION INC 5395 E CHERYL PARKWAY MADISON WI 53711 300001703 FUNDRAISING WI 501(c)(3 Type I AHCI true AGRACE HOSPICECARE HOLDINGS INC 5395 E CHERYL PARKWAY MADISON 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 Inc B 1400200 Board Approved Designation Agrace HospiceCare Foundation Inc C 1517005 Reimbursement for actual expenditures Agrace HospiceCare Foundation Inc D 228432 Per Inter-company agreement Agrace HospiceCare Holdings Inc E 173967 Per inter-company agreement Agrace HospiceCare Holdings Inc K 2087604 per inter-company agreement Agrace HospiceCare Holdings Inc O 132622 Estimate of time and actual salary Agrace HospiceCare Foundation Inc O 1459440 Wages of employees dedicated to Foundation