2025-11-01T11:35:36+00:00 2024-12-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2024-01-01 300001715 Agrace HospiceCare Holdings Inc AGRA 6082764660 5395 East Cheryl Parkway Fitchburg WI 53711 Lynne Sexten President/CEO 2025-11-01 true Mallory Fairless P01321579 3128997000 2025-11-01 2024 2025-03-06 01:10:19Z Lynne Sexten 5395 East Cheryl Parkway Fitchburg WI 53711 3360645 false X www.agrace.org X 2001 WI Agrace HospiceCare Holdings, Inc.'s (Holdings) mission is "Providing personalized care and support, where and when you need it, for life's changing health needs." Holdings is operated exclusively for the SUPPORT AND BENEFIT OF AGRACE HEALTH, INC., and its affliates, RELATED TAX-EXEMPT ORGANIZATIONs. 13 12 0 15 0 925 2400 2816528 2868514 30372 -6659 0 0 2847825 2864255 0 250000 0 0 0 0 0 0 0 2835632 2824733 2835632 3074733 12193 -210478 26097369 26170447 571698 855254 25525671 25315193 Holdings' mission is " Providing personalized care and support, where and when you need it, for life's changing health needs." Holdings is operated exclusively for the support and benefit of Agrace Health, Inc., a related tax-exempt organization. In carrying out its mission, Agrace Holdings invests in, receives, holds, uses and disposes of all property, real or personal, as may be necessary or desirable to support the operations of Agrace Health, Inc. and, because the buildings were funded entirely by gifts from the community, Agrace Holdings has a responsibility to keep them in their original state for the use of patients and families in perpetuity. false false 2296006 250000 2868514 PROVISION OF CAPITAL ASSETS: AGRACE HOLDINGS SUPPORTS AGRACE HEALTH AND ITS AFFILIATES BY PROVIDING THE STRATEGIC AND OPERATIONAL CAPITAL ASSETS NECESSARY FOR AGRACE TO BEST SERVE PATIENTS AND THEIR FAMILIES NOW AND INTO THE FUTURE. THE LARGEST CAPITAL ASSETS OF AGRACE HOLDINGS ARE THE BUILDINGS. THE ELLEN & PETER JOHNSON HOSPICECARE RESIDENCE, THE DON & MARILYN ANDERSON HOSPICECARE CENTER, AND AGRACE CENTER FOR HOSPICE & PALLIATIVE CARE JANESVILLE CAMPUS WERE GENEROUS GIFTS FUNDED ENTIRELY BY THE COMMUNITY. AGRACE HOLDINGS HAS A RESPONSIBILITY TO KEEP THESE BUILDINGS IN THEIR ORIGINAL STATE FOR THE USE OF PATIENTS AND FAMILIES IN PERPETUITY. MAJOR CAPITAL PROJECTS IN 2024 INCLUDED COMPUTER EQUIPMENT, AND BUILDING IMPROVEMENTS RELATED TO IMPROVING SAFETY, IMPROVING QUALITY OF CARE, REDUCING RISK AND AIDING IN RECOVERY OF CRITICAL SYSTEMS. Several holdings activities took place in 2024 related to Agrace's Carbon Neutral initiative. Retrocommissioning activities were completed, more efficient lighting was installed, and the Madison solar installation was completed. 2296006 true false false false false false false true false false true false false false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false false false true false false false false true X 3 0 true 0 false false false false false false false false false false false false X 13 12 false false true false true true false true true false false false true true true true true true false false false false WI X Jennifer Maurer 6082764660 5395 East Cheryl Parkway Fitchburg WI 53711 Christopher Queram Past Chair - Until 4/2024 1.0 1.0 X X 0 0 0 Jane Wiedenbeck Vice Chair 1.0 2.0 X X 0 0 0 Kelly Ritchie Treasurer 1.0 2.0 X X 0 0 0 Ken Thompson Chair 1.0 2.0 X X 0 0 0 Lynne Sexten President / CEO 5.0 35.0 X X 0 866820 57275 Matthew Richards Secretary 1.0 2.0 X X 0 0 0 Carey Gehl Director - Until 11/2024 1.0 1.0 X 0 0 0 Dr Pamela Wetzel Director 1.0 1.0 X 0 0 0 Gabe Doyle Director - Beginning 4/2024 1.0 1.0 X 0 0 0 Jonathan Jaffrey MD Director 1.0 1.0 X 0 0 0 Lisa Olson Director 1.0 1.0 X 0 0 0 Lou Bernhardt MD Director 1.0 1.0 X 0 0 0 Mary Bonte Spath Director 1.0 2.0 X 0 0 0 Steve DiTullio Director 1.0 1.0 X 0 0 0 Susan Collins Director - Until 10/2024 1.0 1.0 X 0 0 0 Tim Size Director 1.0 1.0 X 0 0 0 Jennifer Maurer Executive VP and Chief Financial Officer 5.0 35.0 X 0 433657 29917 0 1300477 87192 0 false true false Next Energy LLC 1240 E Washington Ave Madison WI 53703 Installation of Solar Panels 1236444 Agrace Hospicecare Inc 5395 E Cheryl Pkwy Fitchburg WI 53711 Administrative Services 213865 Creative Business Interiors Inc 201 Moravian Valley Rd Ste A Waunakee WI 53597 Office Remodel 124749 3 2400 2400 2400 RENTAL INCOME FROM AGRACE HOSPICE, INC. 900002 2868514 2868514 0 0 0 0 2868514 28060 28060 0 0 461671 496390 0 -34719 -34719 -34719 0 0 0 0 0 0 2864255 2868514 0 -6659 250000 250000 45728 45728 213865 0 213865 0 37346 29703 7643 2499460 1987969 511491 Durable medical equipment maintenance & repairs 28334 28334 0 0 0 0 3074733 2296006 778727 0 1617286 1130376 0 0 557418 0 0 3810 0 52027764 28540336 23422989 23487428 0 0 1053284 995225 26097369 26170447 120996 303690 0 450702 551564 571698 855254 X 25525671 25315193 25525671 25315193 26097369 26170447 -210478 0 X false true true false X X 2 Agrace Health Inc 993390141 9 true 0 0 Agrace Hospicecare Inc 391319537 9 true 0 0 2 0 0 false false false false true true false false false false false false false false false false false true false Schedule A, Part I, Line 11 SUPPORT TO RELATED TAX-EXEMPT ORGANIZATION HOLDINGS PROVIDES THE USE OF THEIR FACILITIES AND FIXED ASSETS TO AGRACE HEALTH, INC. and its affliates, RELATED TAX-EXEMPT ORGANIZATIONs, TO SUPPORT THE MISSION OF ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE. Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name IN NOVEMBER 2024, AGRACE HEALTH, INC. (EIN 99-3390141) BECAME THE SOLE MEMBER OF AGRACE HOSPICECARE HOLDINGS, INC., SUBSTITUTING AGRACE HOSPICECARE, INC. (EIN 39-1319537) AS THE SUPPORTED ORGANIZATION. DUE TO THIS SUBSTITUTION, AGRACE HOSPICECARE, INC. IS NO LONGER LISTED BY NAME IN THE ORGANIZATION'S GOVERNING DOCUMENTS Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. In 2024, Agrace Health, Inc. (EIN 99-3390141) became the sole member of Agrace HospiceCare Holdings, Inc., substituting Agrace HospiceCare, Inc. (EIN 39-1319537) as the supported organization. This substitution was made pursuant to the amended bylaws of Agrace HospiceCare Holdings, Inc. In 2024, Agrace Health, Inc. was established to isolate non-tax operational liabilities, in furtherance of its charitable mission. Concurrently, Agrace Health, Inc. was named the sole member of Agrace HospiceCare, Inc., replacing the prior membership structure. The bylaws of both Agrace HospiceCare Holdings, Inc. and Agrace HospiceCare, Inc. were amended to reflect these organizational changes, which were implemented in accordance with the organizations' governance procedures. 2400 654395 X X Provide a welcoming environment false 1775145 1775145 33947517 17114591 16832926 1380105 1069535 310570 12862285 8436215 4426070 2062712 1919995 142717 23487428 Federal Income Taxes Finance Leases 363038 Due to affiliates 188526 551564 X 0 0 0 0 0 0 0 0 0 0 0 0 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 Health, Inc. and its affiliates. These works of art are used to provide a welcoming, therapeutic, home-like environment to Agrace patients and families in furtherance of the organization's mission of providing personalized care and support for life's changing health needs. The artwork represents many of the cultures of the people living in south central Wisconsin. The familiarity of the pieces helps patients, and their families feel more comfortable in our health care facilities. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The organization is included in the consolidated audited financial statements of Agrace Health, Inc., a related organization. Agrace Health Inc.'s Fin 48 (ASC740) Footnote for the year ended December 31, 2024 reads as follows: The Organization is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made income taxes. Additionally, the Organization has been determined not to be a private foundation under Section 509(a) of the Internal Revenue Code. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Organization's Forms 990 have not been subject to examination by the Internal Revenue Service or the state of Wisconsin for the last three years. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at December 31, 2024 and 2023. true Agrace Hospicecare Foundation Inc 5395 E Cheryl Pkwy Fitchburg WI 57311 300001703 501(c)(3) 250000 Intended for Agrace Hospicecare Foundation's reserve account to be used as a contigency for future operations. 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. This grant is intended for Agrace Hospicecare Foundation, Inc. to increase the reserve account. Agrace Hospicecare, Inc. and Agrace Health, Inc. receive regular reports on the reserve activities and the investment earnings on the reserve. Agrace Health and its affiliates directly benefit from the earnings of the reserve. The reserve is used as a contigency fund for Agrace Health and its affiliates. false true false false false false false false false Lynne Sexten President / CEO 0 500168 0 277383 0 89269 0 40800 0 16475 0 924095 0 63690 Jennifer Maurer Executive VP and Chief Financial Officer 0 323922 0 105355 0 4380 0 16800 0 13117 0 463574 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE ORGANIZATION RELIED ON AGRACE HOSPICECARE, A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS OTHER OFFICERS AND KEY EMPLOYEES. BELOW IS THE PROCESS USED BY AGRACE HOSPICECARE FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. EACH YEAR THE ORGANIZATION GATHERS MARKET DATA FOR DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THIS INCLUDES BENCHMARKS OF NATIONAL, REGIONAL, AND LOCAL COMPENSATION THAT ARE PROVIDED FROM INDEPENDENT COMPENSATION SURVEYS. THE VP, HUMAN RESOURCES PRESENTS THIS INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD, ALONG WITH PERTINENT 990 COMPENSATION REPORTING BY SIMILAR SIZED NON-PROFIT HOSPICES BASED ON THIS INFORMATION, THE EXECUTIVE COMMITTEE SETS AND APPROVES THE COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER FOR THE YEAR AND CONTEMPORANEOUSLY DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS OCCURS ANNUALLY IN FEBRUARY. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Lynne Sexten participated in a 457(f) plan. A distribution of $63,690 was made from the plan during 2024. A contribution in the amount of $27,000 was made to the plan during 2024. Form 990, Part V, Line 2a REPORTING OF EMPLOYEES COMPENSATION THE ORGANIZATION SHARES EMPLOYEES WITH AGRACE HOSPICECARE, INC. (AHI), A RELATED TAX-EXEMPT ORGANIZATION. NONE OF THE EMPLOYEES SPEND THE MAJORITY OF THEIR TIME WORKING FOR THE ORGANIZATION; THEREFORE, NO EMPLOYEES ARE REPORTED ON FORM 990, PART V, LINE 2A. THE ORGANIZATION DOES REIMBURSE AHI FOR THE TIME THE SHARED EMPLOYEES SPEND WORKING AT THE ORGANIZATION. THIS COMPENSATION EXPENSE IS REPORTED ON FORM 990, PART IX, LINE 11G. Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE ORGANIZATION RELIED ON AGRACE HOSPICECARE, A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS OTHER OFFICERS AND KEY EMPLOYEES. BELOW IS THE PROCESS USED BY AGRACE HOSPICECARE FOR DETERMINING COMPENSATION OF THEGANIZATION'S TOP MANAGEMENT OFFICIAL. EACH YEAR THE ORGANIZATION GATHERS MARKET DATA FOR DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THIS INCLUDES BENCHMARKS OF NATIONAL, REGIONAL, AND LOCAL COMPENSATION THAT ARE PROVIDED FROM INDEPENDENT COMPENSATION SURVEYS. THE VP, HUMAN RESOURCES PRESENTS THIS INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD, ALONG WITH PERTINENT 990 COMPENSATION REPORTING BY SIMILAR SIZED NON-PROFIT HOSPICES BASED ON THIS INFORMATION, THE EXECUTIVE COMMITTEE SETS AND APPROVES THE COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER FOR THE YEAR AND CONTEMPORANEOUSLY DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS OCCURS ANNUALLY IN FEBRUARY. Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMP OF OTHER OFFICERS AND KEY EMPLOYEES THE ORGANIZATION RELIED ON AGRACE HOSPICECARE, A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS OTHER OFFICERS. BELOW IS THE PROCESS USED BY AGRACE HOSPICECARE FOR DETERMINING COMPENSATION OF THEGANIZATION'S OTHER OFFICERS. Every other year the organization gathers market data for compensation of the executive leadership team. This data includes benchmarks of national, regional, and local compensation that are provided from independent compensation surveys. Executive leadership pay is adjusted based on: 1) years of experience; 2) performance; and 3) market data for the 65th percentile of total compensation for the position. The VP, Human Resources presents the market data information to the executive committee of the board. Based on this information, the executive committee of the board approves the compensation package for the executive leadership team and documents their approval in writing. This process occurs biennially in February. Form 990, Part VI, Line 1a Delegate broad authority to a committee The Executive Committee is composed of 5 members of the board. The committee has the authority to review and establish the CEO contract, executive level compensation and supplemental retirement plans, assess board and officer composition, recruitment and performance, and update board policies and procedures. Form 990, Part VI, Line 4 Significant changes to organizational documents Agrace Health, Inc. became the sole member of Agrace Hospicecare Holdings, Inc. effective November 1, 2024. Prior to this, Agrace Hospicecare, Inc. was the sole member. Form 990, Part VI, Line 6 Classes of members or stockholders Agrace Health, Inc., a related 501(c)(3) organization, is the sole member of Agrace Holdings and has the authority to appoint, remove, and replace any director on Agrace Holdings board. Agrace Health, Inc. also has the sole authority to amend the Holdings' bylaws and articles of incorporation. Agrace Health, Inc. has no other responsibilities or voting rights with respect to the operations of Agrace Holdings. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Pursuant to the bylaws of the organization, Agrace Health, Inc., the sole member of the organization, has the authority to, at any time, appoint and re-appoint Directors of the Corporation, fill vacancies on the board of directors, and remove any director of the corporation, with or without cause. Form 990, Part VI, Line 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. Form 990, Part VI, Line 12c Conflict of interest policy Directors, officers, community committee members, and key employees (interested persons) are required to annually review the organization's Code of Conduct, including the conflict-of-interest policy/statement. Interested persons are required to disclose potential or actual conflicts with the organization in writing via the annual questionnaire distributed electronically to each interested person. When a disclosure arises, the person shall promptly make disclosure of the interest to the governing board or committee. After disclosure and discussion, the interested person shall leave the governing board or committee meeting while the determination of a conflict of interest is further discussed and voted upon by the remaining disinterested governing board or committee members. Once an actual conflict of interest exists with respect to a particular contract, transaction, or arrangement the disinterested members of the board exercise due diligence to determine whether said contract, transaction or arrangement is reasonable. The conflict-of-interest questionnaires are reviewed by the Controller and Governance Manager. The Controller and Governance Manager determine whether a potential conflict exists based on the completed questionnaires submitted by each interested person. The result of that determination is reviewed with the CFO and CEO and approved by the Agrace Board. Form 990, Part VI, Line 19 Required documents available to the public These documents may be made available to the public upon receipt of a written request. AGRACE HOSPICECARE INC 5395 E CHERYL PARKWAY Fitchburg WI 53711 391319537 HEALTHCARE WI 501(c)(3) 10 Agrace Health Inc false AGRACE HOSPICECARE FOUNDATION INC 5395 E CHERYL PARKWAY Fitchburg WI 53711 300001703 FUNDRAISING WI 501(c)(3) Type I Agrace Health Inc false AGRACE HEALTH INC 5395 E CHERYL PARKWAY Fitchburg WI 53711 993390141 HEALTHCARE WI 501(c)(3) 10 NA false false true false true false false false false false true false false true true true true true false false