2015-07-27T11:01:01-05:00 2014-12-31 350921680 CROWE HORWATH LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2014-01-01 391319537 Agrace HospiceCare Inc AGRA 6082764660 5395 E Cheryl Parkway Madison WI 53711 Lynne Myers President/CEO 2015-06-01 true Nicole Bencik P00756195 3128997000 2014 2016-02-25 16:41:14Z Lynne Myers 5395 E Cheryl Parkway Madison WI 53711 51514414 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 13 678 936 0 0 2790755 1459110 48247764 46685751 8669 53676 1266340 1433085 52313528 49631622 2037286 44501 0 32208142 32254862 0 0 696229 14933275 15851078 49178703 48150441 3134825 1481181 68715265 71535672 6355385 4796080 62359880 66739592 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 34522240 29101 46074409 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, HOSPICE 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 2014, THE ORGANIZATION PROVIDED APPROXIMATELY $2,980,000 OF COMMUNITY BENEFIT. 1497727 611342 AGRACE HOSPICECARE'S OTHER PROGRAMS INCLUDE THE VOLUNTEER SERVICES PROGRAM, THE FOOD SERVICE PROGRAM AND GRANTS TO SUPPORT RELATED ORGANIZATIONS. IN 2014, 936 VOLUNTEERS PROVIDED 72,943 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, 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. 946516 GRIEF SERVICES - AGRACE HOSPICECARE'S HOSPICE COUNSELING PROGRAM PROVIDES SERVICES TO PATIENTS, FAMILY MEMBERS AND COMMUNITY MEMBERS. IN ADDITION TO INDIVIDUAL COUNSELING, AGRACE HOSPICECARE PROVIDES GRIEF SERVICES THROUGH GRIEF SUPPORT GROUPS, HOLIDAY REMEMBRANCE PROGRAMS, MEMORIAL QUILT DEDICATION CEREMONIES 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. IN 2014, AGRACE PROVIDED GRIEF SERVICES TO APPROXIMATELY 17,345 INDIVIDUALS, BOTH CHILDREN AND ADULTS. 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. 744687 5577 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 2014, 120 NURSING STUDENTS, MEDICAL STUDENTS, RESIDENTS AND FELLOWS PARTICIPATES IN ROTATIONS AT AGRACE. SINCE THE INITIATION OF THE AGRACE ROTATION PROGRAM IN 1995, APPROXIMATELY 1,873 STUDENTS, INTERNS, RESIDENTS, FELLOWS AND WORKING HEALTHCARE PROFESSIONALS FROM INSTITUTIONS OF HIGHER LEARNING HAVE COMPLETED AN EDUCATIONAL EXPERIENCE AT AGRACE. AGRACE RECEIVES NO REIMBURSEMENT FOR THESE ROTATIONS. 744687 5577 37711170 true true false true false false true false true true false false true true true false true false false true true false false false false false true false true false false false false false false false false false false false false true true true true false false true 71 0 true 678 true false false false false false false false false false false X 15 13 true 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 LYNNE MYERS PRESIDENT/CEO 30.00 10.00 X X 375945 0 56661 DAVID CULLEN CHAIR 1.00 1.00 X X 0 0 0 JOAN BURKE CHAIR - PART YEAR 1.00 1.00 X X 0 0 0 BRIAN HAPP VICE CHAIR 1.00 1.00 X X 0 0 0 MICHAEL FITZPATRICK SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 SHARON CHAMBERLAIN DIRECTOR 1.00 1.00 X 0 0 0 GORDON DERZON DIRECTOR 1.00 2.00 X 0 0 0 LAURA DOUGLASS DIRECTOR 1.00 1.00 X 0 0 0 JEFF GROSSMAN DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 DAVID KRUGER DIRECTOR 1.00 1.00 X 0 0 0 EVERETT MITCHELL DIRECTOR 1.00 1.00 X 0 0 0 CHRISTOPHER QUERAM DIRECTOR 1.00 1.00 X 0 0 0 ANN SHEEHY DIRECTOR 1.00 1.00 X 0 0 0 KEN THOMPSON DIRECTOR 1.00 2.00 X 0 0 0 MARION WOZNIAK DIRECTOR 1.00 1.00 X 0 0 0 SUSAN SPRINGMAN DIRECTOR - PART YEAR 1.00 1.00 X 0 0 0 JULIA HOUCK CAO 35.00 5.00 X 208535 0 36181 JENNIFER MAURER CFO 35.00 5.00 X 186501 0 10684 MARCIA WHITTINGTON CDO 5.00 35.00 X 0 56831 8159 DENISE GLOEDE CCO 40.00 0 X 161055 0 10903 DENA GREEN CMO 40.00 0 X 217558 0 34628 MICHAEL OSTROV CMO - PART YEAR 40.00 0 X 224725 0 1040 BRIAN TENNANT CIO 40.00 0 X 178692 0 33059 BRUCE AGNEBERG HOSPICE PHYSICIAN 20.00 0 X 194959 0 17866 KIM KINSLEY HOSPICE PHYSICIAN 40.00 0 X 372197 0 12948 JANE QUINN CCO 40.00 0 X 138792 0 23009 DAVID KOEHLER VP FOUNDATION - PART YEAR 40.00 X 0 115787 518 KATHY WILLIAMS HOSPICE PHYSICIAN - PART YEAR 40.00 0 X 145680 0 12890 2404639 172618 258546 16 false true false UNIVERSITY OF WI HOSPITALCLINIC DRAWER 853 MILWAUKEE WI 532780853 THERAPIES & IMAGING SVCS 1006534 US CELLULAR DEPT 0203 PALATINE IL 600550203 MOBILE PHONE SERVICE 373617 RYAN BROTHERS 922 SOUTH PARK ST MADISON WI 53715 AMBULANCE SERVICE 260042 ST MARY'S HOSPITAL 700 S PARK ST MADISON WI 53714 LAB SERVICES 203229 SUNCOAST SOLUTIONS 19337 US HWY 19 CLEARWATER FL 33764 EHR SOFTWARE PROVIDER 180663 5 154420 1286116 18574 1459110 Net patient service revenue 623990 46074409 46074409 Food service 623990 611342 611342 0 0 0 0 46685751 49289 49289 0 0 1887179 1882792 4387 0 4387 4387 Contracted services to affiliates 900099 1427508 1427508 Other revenue 900099 5577 5577 0 0 0 0 1433085 49631622 46691328 0 1481184 15400 15400 29101 29101 1736168 1736168 24698213 19685822 4448946 563445 617089 491853 111158 14078 3345168 2666281 602573 76314 1858224 1481106 334726 42392 32945 32945 79507 79507 1115 1115 6139 6139 293465 15043 278422 0 591553 17257 574296 333781 176798 156983 627560 473275 154285 1750110 1319849 430261 172189 135886 36303 241067 181801 59266 1330 1003 327 227015 171204 55811 Room and board expense 2313290 2313290 Medical supplies and equipment 2441458 2441458 Medications and infusion therapies 2407253 2407253 Patient related costs 2512192 2512192 1819109 1175298 643811 0 48150441 37711170 9743042 696229 6251217 3636441 4296000 4296432 1305677 677500 5176881 4474040 0 0 51652 60080 801975 851663 1085412 996807 91186 88605 51098 4109090 0 0 50689579 53341821 68715265 71535672 4460450 3784336 78716 71138 0 1816219 940606 6355385 4796080 X 57125142 61453458 5108138 5103368 126600 182766 62359880 66739592 68715265 71535672 X 1481181 -19637 190169 2727999 X false true X true false X 633803 1088330 938597 2790755 1459110 6910595 45311566 45132046 45440910 48247764 46685751 230818037 38282 36312 28261 102855 45983651 46256688 46407768 51038519 48144861 237831487 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 237831487 5256 2607 2126 7298 49289 66576 5256 2607 2126 7298 49289 66576 1417624 1419226 1528098 1266340 1433085 7064373 47406531 47678521 47937992 52312157 49627235 244962436 0.9709 0.9707 0.0003 0.0001 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - CONTRACTED SERVICES, COLUMN A - 1377800.0, COLUMN B - 1392400.0, COLUMN C - 1468968.0, COLUMN D - 1222308.0, COLUMN E - 1427508.0, COLUMN F - 6888984.0; DESCRIPTION - OTHER REVENUE, COLUMN A - 39824.0, COLUMN B - 26826.0, COLUMN C - 59130.0, COLUMN D - 44032.0, COLUMN E - 5577.0, COLUMN F - 175389.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1328 1328 false 0 0 0 0 X X Provide Welcoming Environment false 126600 56166 182766 84453 42147 0 0 0 0 126600 62026 22427 0 0 0 0 84453 549776 0 0 0 487750 0 62026 472208 14510 66356 0 3298 0 549776 1.0 false true true 1200 1200 0 783223 783223 0 300989 212384 88605 88605 Net interest in affiliates 53025088 Due from affiliate 288612 Cash Surrender Value of Life Insurance 22921 Gravesites 5200 53341821 Due to affiliate 896606 Security Deposits 44000 Meru Agency Funds 940606 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, 2014 or 2013. true Sub-Saharan Africa 0 0 Grantmaking N/A 29101 0 0 0 0 0 0 29101 0 29101 Sub-Saharan Africa SUPPORT EXPENSES 29101 WIRE TRANSFER 0 N/A N/A 1 0 false false false false false false Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds Agrace HospiceCare, Inc. and the Meru Hospice in Meru, Kenya, have created a unique and important alliance. By sharing knowledge and resources, the two organizations work together to alleviate suffering of those with aids and other terminal illnesses in Sub-Saharan Africa. Both are dedicated to enhancing their awareness and understanding about caring for dying patients and their families. Agrace Hospicecare Staff, volunteers and community members are committed to raising dollars to help pay for Meru Hospice staff salaries, health insurance and training. Also, money for medical supplies, vehicle expense, office rent, utilities and demonstration kitchen garden. The Meru Hospice in Kenya is the only foreign organization that receives grants from Agrace HospiceCare. All grant proposals are presented to the Board of Directors, and the Board of Directors approves all grant awards. The grants to the Meru Hospice are funded from donations that were given directly to Agrace HospiceCare in specific support of the Meru Hospice Partnership. Agrace Hospicecare has a Meru Partnership Committee that monitors the activity of the Meru Hospice. The Meru Partnership Committee requires the Meru Hospice to submit semi-annual financial statements, annual budgets, annual statistical reports, and an annual narrative of accomplishments. These statements are reviewed by the Meru Partnership Committee and Agrace Hospicecare's CFO. A contract is updated annually and specifies the use of the Grant Funds. Schedule F, Part I, Line 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS Agrace HospiceCare, Inc. and the Meru Hospice in Meru, Kenya, have created a unique and important alliance. By sharing knowledge and resources, the two organizations work together to alleviate suffering of those with aids and other terminal illnesses in Sub-Saharan Africa. Both are dedicated to enhancing their awareness and understanding about caring for dying patients and their families. Agrace Hospicecare Staff, volunteers and community members are committed to raising dollars to help pay for Meru Hospice staff salaries, health insurance and training. Also, money for medical supplies, vehicle expense, office rent, utilities and demonstration kitchen garden. The Meru Hospice in Kenya is the only foreign organization that receives grants from Agrace HospiceCare. All grant proposals are presented to the Board of Directors, and the Board of Directors approves all grant awards. The grants to the Meru Hospice are funded from donations that were given directly to Agrace HospiceCare in specific support of the Meru Hospice Partnership. Agrace Hospicecare has a Meru Partnership Committee that monitors the activity of the Meru Hospice. The Meru Partnership Committee requires the Meru Hospice to submit semi-annual financial statements, annual budgets, annual statistical reports, and an annual narrative of accomplishments. These statements are reviewed by the Meru Partnership Committee and Agrace Hospicecare's CFO. A contract is updated annually and specifies the use of the Grant Funds. true Agrace HospiceCare Foundation Inc 5395 E Cheryl Pkwy Madison WI 53711 300001703 501(C)(3) 15400 0 this grant is intended for Agrace HospiceCare Foundation, Inc.'s Care for All Campaign, which is a fundraising effort to establish an endowment, where the earnings will cover costs of charity care services provided by Agrace HospiceCare, Inc. to the community. 1 0 Schedule I, Part I, Line 2 Description Of Procedure 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. 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 X true true false false false true false false false LYNNE MYERS PRESIDENT/CEO 275657 0 84438 0 15850 0 45160 0 11501 0 432606 0 0 0 JULIA HOUCK CAO 169882 0 31817 0 6836 0 11595 0 24586 0 244716 0 0 0 JENNIFER MAURER CFO 174272 0 10000 0 2229 0 3000 0 7684 0 197185 0 0 0 DENISE GLOEDE CCO 136542 0 17593 0 6920 0 9425 0 1478 0 171958 0 0 0 DENA GREEN CMO 216846 0 0 0 712 0 11912 0 22716 0 252186 0 0 0 MICHAEL OSTROV CMO - PART YEAR 95360 0 10465 0 118900 0 0 0 1040 0 225765 0 0 0 BRIAN TENNANT CIO 150971 0 22672 0 5049 0 8556 0 24503 0 211751 0 0 0 BRUCE AGNEBERG HOSPICE PHYSICIAN 156586 0 35347 0 3026 0 7799 0 10067 0 212825 0 0 0 KIM KINSLEY HOSPICE PHYSICIAN 132533 0 0 0 239664 0 0 0 12948 0 385145 0 0 0 JANE QUINN CCO 128879 0 8819 0 1094 0 5749 0 17260 0 161801 0 0 0 KATHY WILLIAMS HOSPICE PHYSICIAN - PART YEAR 145291 0 0 0 389 0 5923 0 6967 0 158570 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment Severance payments made during 2014 were: $97,308 for Michael Ostrov $28,010 for Julie Slattery 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 2014. Schedule J, Part I, Line 6a Compensation contigent on net earnings of the organization The cash bonus under the 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 2014 THE ORGANIZATION PROVIDED CHARITY CARE OF APPROXIMATELY $419,619. SIGNIFICANT MISSION-RELATED ACTIVITY TOOK PLACE IN 2014: NEW AGRACE CENTER FOR HOSPICE & PALLIATIVE CARE IN JANESVILLE: TO EXPAND THE HOSPICE AND PALLIATIVE CARE SERVICES AGRACE PROVIDES IN AND AROUND ROCK COUNTY, AGRACE BUILT A SPECIALIZED FACILITY IN JANESVILLE WHICH WILL HOUSE STAFF THAT PROVIDE IN-HOME CARE FOR PATIENTS AND FAMILIES, AND INCLUDE SPACE FOR VOLUNTEER TRAINING, GRIEF SUPPORT GROUPS AND EDUCATIONAL EVENTS. MOST IMPORTANTLY, THE NEW BUILDING ALSO PROVIDES SHORT-TERM, ACUTE INPATIENT HOSPICE CARE. CONSTRUCTION OF THE 21,000-SQUARE-FOOT, 12-BED INPATIENT FACILITY WAS COMPLETED AND OPENED TO THE PUBLIC FOR SERVICE ON JULY 1, 2014. 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 2014, THE ORGANIZATION PROVIDED CHARITY CARE OF APPROXIMATELY $419,619. 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 AN INPATIENT UNIT FOR ACUTE AND RESPITE CARE IN ADDITION TO HAVING A RESIDENCE ON THE AGRACE CAMPUS. CoreFormPartIII_PartIIILine4d Description of other program services (Expenses $ 1,497,727 including grants of $)(Revenue $ 611,342) AGRACE HOSPICECARE'S OTHER PROGRAMS INCLUDE THE VOLUNTEER SERVICES PROGRAM, THE FOOD SERVICE PROGRAM AND GRANTS TO SUPPORT RELATED ORGANIZATIONS. IN 2014, 936 VOLUNTEERS PROVIDED 72,943 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, 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 VI, Line 1b NON-INDEPENDENT MEMBERS LYNNE MYERS AND DAVID CULLEN ARE THE NON-INDEPENDENT BOARD MEMBERS. MS. MYERS IS NOT INDEPENDENT BY VIRTUE OF HER EMPLOYMENT AND MR. CULLEN IS A MORE THAN 35% OWNER, BY ATTRIBUTION, OF THE CONSTRUCTION COMPANY THAT COMPLETED THE CONSTRUCTION OF THE NEW JANESVILLE FACILITY IN JULY 2014. 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 2 Family/business relationships amongst interested persons David Cullen and Marion Wozniak - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body The Controller and CFO performed a detailed review of Form 990 and the related schedules prior to filing the return. This included verification of all amounts for accuracy and completeness. The form and schedules were also reviewed for content, presentation and reasonableness. The entire Form 990 is made available to the entire executive leadership team and an entity specific highlights summary is provided. The entire Form 990 is provided to the entire Board of Directors prior to filing and is accompanied by a 990 highlight summary. The audit committee reviewed the Form 990 and related schedules for reasonableness. Representatives from the accounting firm of Crowe Horwath prepared a detailed summary of the Form 990 that was presented to the board of directors by the Management. Form 990, Part VI, Line 12c Conflict of interest policy Directors, officers and key employees (interested persons) are required to annually review the organization's Code of Conduct, including the conflict of interest policy/statement. Interested persons are required to disclose potential or actual conflicts with the organization in writing via the annual questionnaire distributed electronically to each interested person. When a disclosure arises, the person shall promptly make disclosure of the interest to the governing board or committee. After disclosure and discussion the interested person shall leave the governing board or committee meeting while the determination of a conflict of interest is further discussed and voted upon by the remaining disinterested governing board or committee members. Once an actual conflict of interest exists with respect to a particular contract, transaction or arrangement the disinterested members of the board exercise due diligence to determine whether said contract, transaction or arrangement is reasonable. The conflict of interest questionnaires are reviewed by the Controller and governance coordinator. The controller and governance coordinator determine whether a potential conflict exists based on the completed questionnaires submitted by each interested person. Form 990, Part VI, Line 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. In February of each year, the chief administrative officer presents this information to the executive committee of the board, along with pertinent 990 compensation reporting by similar sized non-profit hospices. Based on this information, the executive committee sets and approves the compensation package for the chief executive officer for the year and contemporaneously documents their approval in writing. This process was completed in February 2014 and was last undertaken in February 2015. Form 990, Part VI, Line 15b Process to establish compensation of other employees Each year the organization gathers market data for compensation of the executive leadership team. This data includes benchmarks of national, regional, and local compensation that are provided from independent compensation surveys. Executive leadership pay is adjusted based on: 1) years of experience; 2) performance; and 3) market data for the 65th percentile of total compensation for the position. The chief administrative officer presents the market data information to the executive committee of the board. Based on this information, the executive committee of the board approves the compensation package for the executive leadership team and documents their approval in writing. This process was completed in February 2014 and was last undertaken 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 AFFILIATE - 2727999; AGRACE HOSPICECARE THRIFT STORE LLC 5395 E CHERYL PARKWAY MADISON WI 53711 300001703 THRIFT STORE WI 984284 60084 AGRACE HOSPICECARE FOUNDATION AGRACE PALLIATIVE CARE LLC 5395 E CHERYL PARKWAY MADISON WI 53711 383896153 PALLIATIVE CARE SERVICES WI 241590 19678 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 true false Agrace HospiceCare Foundation Inc C 1286116 Reimbursement of Actual Expenditures Agrace HospiceCare Holdings Inc K 1876356 Per Inter-Company Agreement Agrace HospiceCare Foundation Inc O 1314944 Wages of employees dedicated to Foundation Agrace HospiceCare Holdings Inc O 112564 Estimate of time and actual salary Agrace HospiceCare Foundation Inc D 268546 Per Inter-Company Agreement Agrace HospiceCare Foundation Inc E 735927 Per Inter-Company Agreement Agrace HospiceCare Holdings Inc E 160679 Per Inter-Company Agreement