2014-06-25T12:00:04-05:00 2013-12-31 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2013-01-01 300001703 AGRACE HOSPICECARE FOUNDATION INC AGRA 6082764660 5395 E Cheryl Parkway Madison WI 53711 LYNNE MYERS PRESIDENT/CEO 2014-06-19 true Nicole Bencik P00756195 3128997000 2013 2015-11-30 17:44:51Z LYNNE MYERS 5395 E Cheryl Parkway Madison WI 53711 20602070 false X WWW.AGRACE.ORG X 2001 WI THE AGRACE HOSPICECARE FOUNDATION, INC.'S MISSION IS TO DEVELOP, STEWARD AND DISTRIBUTE CHARITABLE GIFTS FROM THE COMMUNITY TO IMPROVE QUALITY OF LIFE FOR PATIENTS AND FAMILIES (CONTINUED ON SCHEDULE O) 14 12 15 241 0 0 4344233 4363059 0 0 791260 2199475 781679 853685 5917172 7416219 543738 2622723 0 0 1298070 1116483 0 0 685815 414331 406870 2256139 4146076 3661033 3270143 45574022 21503532 150883 424581 45423139 21078951 X THE AGRACE HOSPICECARE FOUNDATION, INC.'S MISSION IS TO DEVELOP, STEWARD AND DISTRIBUTE CHARITABLE GIFTS FROM THE COMMUNITY TO IMPROVE QUALITY OF LIFE FOR PATIENTS AND FAMILIES THROUGHOUT SERIOUS ILLNESS. WE WORK TO ENSURE THAT EVERY INDIVIDUAL AND FAMILY RECEIVES THE BEST POSSIBLE CARE AND SUPPORT AVAILABLE, REGARDLESS OF ABILITY TO PAY. false false 2029783 2029783 JANESVILLE INPATIENT FACILITY: THE MISSION OF AGRACE'S "SHARING THE JOURNEY, BUILDING THE MEMORY" CAPITAL CAMPAIGN IS TO BUILD A FACILITY THAT WILL ACCOMMODATE ALL OF AGRACE'S EXISTING SERVICES AND ADD A NEW CAPABILITY- PROVIDING SHORT-TERM, ACUTE MEDICAL CARE FOR OUR HOSPICE PATIENTS. AGRACE IS ADDRESSING THIS NEED BY BUILDING A 12-BED FREE-STANDING INPATIENT HOSPICE FACILITY AND SERVICE CENTER IN JANESVILLE, FROM WHICH WE WILL SERVE RESIDENTS OF ROCK COUNTY AND THE SURROUNDING REGION. THE FACILITY IS SCHEDULED TO OPEN JULY 2014 AND WILL BE COMPLETELY FUNDED BY COMMUNITY SUPPORT. 278832 278832 OTHER PROGRAM SERVICES: THE FOUNDATION PROVIDES GRANTS TO AGRACE HOSPICECARE, INC. TO SUPPORT OTHER PROGRAM SERVICES, INCLUDING: RESPITE CARE PROVIDING END-OF-LIFE CARE FOR A FAMILY MEMBER OR FRIEND CAN LEAVE CAREGIVERS FATIGUED AND STRESSED. TO GIVE THEM A BREAK OF UP TO FIVE DAYS, AGRACE OFFERS RESPITE CARE FOR HOSPICE PATIENTS. COMMUNITY GIFTS SUPPLEMENT INSURANCE REIMBURSEMENTS, WHICH COVER LESS THAN 25 PERCENT OF THE TOTAL COST OF RESPITE CARE. WISH PROGRAM THE WISH PROGRAM HELPS OUR HOSPICE PATIENTS ACHIEVE THEIR END-OF-LIFE GOALS. A WISH CAN BE SOMETHING A PATIENT COULD NOT ATTAIN DURING HIS/HER LIFE, SOMETHING HE/SHE CANNOT AFFORD OR SIMPLY A FINAL DESIRE. AGRACE HAS GRANTED MORE THAN 50 PATIENT WISHES SINCE 2010. CLINICAL EDUCATION & TRAINING IT TAKES A SPECIAL COMMITMENT TO WORK WITH PATIENTS WHO ARE SERIOUSLY ILL OR DYING. COMMUNITY DONATIONS ALLOW AGRACE TO FUND STAFF EDUCATIONAL OPPORTUNITIES AND PROFESSIONAL DEVELOPMENT PROGRAMS, WHICH INCREASE STAFF COMPETENCE AND RETENTION. VOLUNTEER TRAINING & APPRECIATION AGRACE'S 1,000+ VOLUNTEERS SERVE IN A VARIETY OF ROLES, INCLUDING DIRECT SERVICE TO PATIENTS AND FAMILIES. COMMUNITY SUPPORT FUNDS THE COMPREHENSIVE TRAINING NEEDED TO PREPARE VOLUNTEERS FOR THEIR ROLES AND ALSO FUNDS THE RECOGNITION PROGRAMS THAT SUSTAIN THEIR COMMITMENT TO SERVE. IN A TYPICAL YEAR, MORE THAN 70,000 HOURS ARE VOLUNTEERED, SAVING OVER $1.5 MILLION DOLLARS. PALLIATIVE MEDICINE FELLOWSHIP AGRACE IS COMMITTED TO DEVELOPING TOP-NOTCH PALLIATIVE CARE PROVIDERS IN OUR COMMUNITY. COMMUNITY GIFTS SUPPORT THE HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP, A PARTNERSHIP WITH THE UW AND VETERANS HOSPITALS; THIS PROGRAM OFFERS PALLIATIVE-CARE ROTATIONS AND CONTINUING EDUCATION OPPORTUNITIES FOR PHYSICIANS IN TRAINING. PATIENT ASSISTANCE FUND GRANTS USED TO ASSIST PATIENTS AND FAMILIES BY IMPROVING QUALITY OF LIFE AND FULFILLING END OF LIFE GOALS. EXAMPLES INCLUDE BUYING A BURIAL DRESS OR PROVIDING A BIRTHDAY CAKE. 214108 214108 CARE FOR ALL (CHARITY CARE) -- EACH YEAR, DOZENS OF OUR NEIGHBORS WHO CANNOT AFFORD HOSPICE OR PALLIATIVE CARE SERVICES RECEIVE THEM AT NO COST THROUGH AGRACE'S "CARE FOR ALL" PROGRAM. THOSE WE SERVE INCLUDE SOME OF OUR MOST VULNERABLE COMMUNITY MEMBERS-CHILDREN AND YOUNG ADULTS WITH NO INSURANCE, SENIORS WITHOUT CAREGIVERS, INDIVIDUALS LACKING SAFE HOUSING, AND THOSE WITH SPECIAL NEEDS. 100000 100000 COMMUNITY GRIEF SERVICES: EVERY YEAR, MORE THAN 8,000 PEOPLE, INCLUDING 300 CHILDREN, GET SUPPORT FROM AGRACE'S GRIEF SERVICES TO HELP THEM COPE WITH THE DEATH OF A LOVED ONE. ALTHOUGH GRIEF SUPPORT IS REQUIRED BY STATE AND FEDERAL REGULATIONS, IT IS NOT COVERED BY MEDICARE, MEDICAID OR PRIVATE INSURANCE. COMMUNITY DONATIONS ENABLE US TO OFFER SPECIALIZED GRIEF SUPPORT THAT IS OPEN TO EVERYONE, FREE OF CHARGE. 100000 100000 2622723 true true false false false false false false true true false false true true true false true false false false false false false true true false true false true false false false false false false false false true false false false true true false false false false true X 11 1 true 15 true false false false false false true true false false false false false X 14 12 false false false false true true false true true false false true true true true true true false false false WI X Jennifer Maurer 6082764660 5395 E CHERYL PARKWAY MADISON WI 53711 KEN THOMPSON CHAIR 1.00 2.00 X X 0 0 0 LOU BERNHARDT VICE CHAIR 1.00 0.00 X X 0 0 0 LYNNE MYERS PRESIDENT/CEO 5.00 35.00 X X 0 299732 28859 MICHAEL SMITH TREASURER 1.00 0.00 X X 0 0 0 STEVE DITULLIO SECRETARY 1.00 0.00 X X 0 0 0 GORDON DERZON DIRECTOR 1.00 2.00 X 0 0 0 HUGH BOYSEN DIRECTOR 1.00 0.00 X 0 0 0 JACK BOLZ DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 JIM CRIPE DIRECTOR 1.00 0.00 X 0 0 0 KATHY CULLEN DIRECTOR 1.00 0.00 X 0 0 0 LINDA KROHN DIRECTOR 1.00 0.00 X 0 0 0 LOTTIE FRANK DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 PATRICK RYAN DIRECTOR 1.00 0.00 X 0 0 0 PETER LUNDBERG DIRECTOR 1.00 0.00 X 0 0 0 RALPH CAGLE DIRECTOR 1.00 0.00 X 0 0 0 RICK LANGER DIRECTOR 1.00 0.00 X 0 0 0 SUSAN RICHARDSON DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 TOM BOLGER DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 TOM RAGATZ DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 DAVID KOEHLER VP FOUNDATION 40.00 0.00 X 59381 0 2617 JOYCE ZEASMAN ASSISTANT SECRETARY/VP FINANCE - PART YEAR 5.00 35.00 X 0 173800 18674 JULIA HOUCK ASSISTANT SECRETARY/CAO 5.00 35.00 X 0 220722 34753 MARCIA WHITTINGTON VP FOUNDATION & HOLDINGS - PART YEAR 30.00 5.00 X 37443 0 1578 96824 694254 86481 0 false true false 0 266308 2000000 2096751 1274533 4363059 0 0 0 0 0 0 0 0 0 0 498920 498920 0 0 0 0 0 14773625 13073070 1700555 0 1700555 1700555 32875 266308 91026 -58151 -58151 43565 21755 21810 21810 889625 889625 889625 OTHER REVENUE 900099 401 401 0 0 0 0 0 0 401 7416219 0 0 3053160 2622723 2622723 0 0 0 101020 48265 52755 0 804655 384443 420212 24288 11604 12684 119701 57190 62511 66819 31924 34895 0 6430 6430 7908 7908 0 0 46385 46385 0 0 0 0 12085 12085 66673 6654 60019 3633 3633 0 213458 213458 12388 12388 0 4713 2088 2625 0 0 703 703 0 BANK AND CREDIT CARD FEES 19590 16712 2878 DONATION DEVELOPMENT 12763 12763 141 0 141 0 4146076 2622723 837538 685815 0 2716755 913141 15533 1993165 1659288 0 0 0 0 46956 32916 14700 6326 9077 8374 13305470 17034907 0 0 0 0 27487066 1854906 45574022 21503532 37372 33396 16915 28362 0 0 96596 362823 150883 424581 X 41060427 15904800 4278259 5047551 84453 126600 45423139 21078951 45574022 21503532 X 3270143 -328451 -27285880 X false true X true false X X X false false false AGRACE HOSPICECARE INC 391319537 9 true 592940 1 592940 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 84453 42147 126600 62026 22427 84453 549776 487750 62026 472208 14510 66356 0 3298 0 549776 460319 0 11889 0 0 0 472208 1.00000 false false 0 14700 6326 8374 0 0 0 8374 DUE FROM AFFILIATES 1703746 BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATIONS 151160 1854906 0 DUE TO AFFILIATES 362823 362823 X Schedule D, Part V, Line 4, Intended uses of endowment funds THE PURPOSE OF THE ENDOWMENT FUNDS ARE TO PROVIDE SUPPORT, AS NEEDED, TO AGRACE HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION. 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, 2013 OR 2012. GOLF 97370 91200 6170 6181 10195 GALA 110165 92675 17490 13702 2500 8031 6 91648 82433 9215 1750 48667 299183 266308 32875 0 0 1750 19883 2500 66893 91026 -58151 43565 19385 2370 true 0.85 43565 0 19385 0 2370 21755 21810 WI true false false false 1 DEBBIE BRADLEY AGRACE HOSPICECARE INC 5395 E CHERYL PARKWAY MADISON WI 53711 false FINANCE DEPARTMENT EMPLOYEES 0 ACCOUNTING AND RECORDKEEPING X false SCHEDULE G, PART II, FUNDRAISING EVENTS THE FOUNDATION'S FUNDRAISING EVENT TOTAL IS $229,967 WHICH AGREES WITH AUDITED INFORMATION AND IS THE SUM OF FORM 990, PART VIII, LINES 1C, 8C AND 9C. SCHEDULE G, PART II, LINE 11, FUNDRAISING EVENTS THE FOUNDATION'S FUNDRAISING EVENT TOTAL ON LINE 11, COLUMN (D) EXCLUDES $266,308 OF CHARITABLE CONTRIBUTIONS WHICH IS REPORTED ON LINE 2, COLUMN (D). FUNDRAISING EVENT TOTAL INCOME, INCLUDING THIS CHARITABLE CONTRIBUTION AMOUNT PRODUCES A POSITIVE NET INCOME OF $208,157. true AGRACE HOSPICECARE INC 5395 E CHERYL PKWY MADISON WI 53711 391319537 501(C)(3) 592940 N/A N/A TO PROVIDE FINANCIAL SUPPORT TO AGRACE HOSPICECARE, INC. AGRACE HOSPICECARE HOLDINGS INC 5395 E CHERYL PKWY MADISON WI 53711 300001715 501(C)(3) 2029783 N/A N/A TO PROVIDE CAPITAL CONTRIBUTION TOWARDS AGRACE HOSPICECARE HOLDINGS, INC.'S CONSTRUCTION PROJECT. 2 0 Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds ALL GRANT PROPOSALS ARE PRESENTED TO THE BOARD OF DIRECTORS AND THE BOARD OF DIRECTORS APPROVES ALL GRANT AWARDS. AGRACE HOSPICECARE FOUNDATION INC. IS OPERATED FOR THE EXCLUSIVE BENEFIT AND SUPPORT OF AGRACE HOSPICECARE INC. AND AGRACE HOSPICECARE HOLDINGS INC. Schedule I, Part II, Column H, Purpose of grant or assistance AGRACE HOSPICECARE HOLDINGS, INC., 30-0001715:TO PROVIDE CAPITAL CONTRIBUTION TOWARDS AGRACE HOSPICECARE HOLDINGS, INC.'S CONSTRUCTION PROJECT.; false true false false false false false false false JULIA HOUCK ASSISTANT SECRETARY/CAO 0 167448 0 49829 0 3445 0 10602 0 24150 0 255475 0 0 LYNNE MYERS PRESIDENT/CEO 0 250766 0 30625 0 18341 0 27000 0 1859 0 328591 0 0 JOYCE ZEASMAN ASSISTANT SECRETARY/VP FINANCE - PART YEAR 0 141216 0 23926 0 8658 0 0 0 18674 0 192474 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 COMPENSATION OF THE EXECUTIVE LEADERSHIP TEAM. THIS DATA 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 THE MARKET DATA 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 OF THE BOARD APPROVES THE PAY STRUCTURE FOR THE CHIEF EXECUTIVE OFFICER FOR THE YEAR AND CONTEMPORANEOUSLY DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS WAS COMPLETED IN JANUARY 2013, AND LAST UNDERTAKEN IN FEBRUARY 2014. Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan LYNNE MYERS PARTICIPATED IN A 457(F) DEFERRED COMPENSATION PLAN UNDER AGRACE HOSPICECARE, INC., A RELATED ORGANIZATION. NO DISTRIBUTIONS WERE MADE FROM THE PLAN DURING 2013. X 889625 MARKET VALUE X 15 379708 MARKET VALUE X SPECIAL EVENT RELATED ITEMS 10 5200 MARKET VALUE 0 false true false Schedule M, Part I, Explanations of reporting method for number of contributions CLOTHING AND HOUSEHOLD GOODS: AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2013. THIS AMOUNT REPRESENTS A VERY HIGH NUMBER OF RELATIVELY LOW-VALUE THRIFT STORE ITEMS. SECURITIES - PUBLICLY TRADED: AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2013. OTHER: AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2013. Schedule M, part I, column (b), Line 5, Number of contributions or items contributed. AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2013. THIS AMOUNT REPRESENTS A VERY HIGH NUMBER OF RELATIVELY LOW-VALUE THRIFT STORE ITEMS. Schedule M, part I, column (b), Line 9, Number of contributions or items contributed. AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2013. Schedule M, part I, column (b), Line other, Number of contributions or items contributed. OTHER=SPECIAL EVENT RELATED ITEMS : AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2013. FORM 990, PART I, LINE 8, CONTRIBUTIONS THE CONSOLIDATED AGRACE ENTITIES' CONTRIBUTIONS FOR 2013 ARE $5,379,679 WHICH DOESN'T INCLUDE 212,059 OF DONATED IN-KIND SERVICES. THE $4,363,059 OF CONTRIBUTIONS REPORTED ON LINE 8 OF PAGE OF THIS FORM 990 DOES NOT INCLUDED DONATED MERCHANDISE SALES PROCEEDS OF $889,625 WHICH IS INCLUDED ON LINE 10. THE BALANCE OF THE $162,887 OF CONSOLIDATED CONTRIBUTIONS RELATES TO DONATIONS MADE DIRECTLY TO ONE OF THE OTHER AGRACE AFFILIATES: AGRACE HOSPICECARE, INC. AND AGRACE HOSPICECARE HOLDINGS. FORM 990, PART I, LINE 1, MISSION (CONTINUED) THROUGHOUT SERIOUS ILLNESS. PRIORITY PROGRAMS INCLUDE FUNDING FOR: HOSPICE AND PALLIATIVE CARE SERVICES FOR ANYONE IN NEED; GRIEF SERVICES FOR COMMUNITY MEMBERS; RESPITE FOR CARE PROVIDERS; HOSPICE WISH PROGRAM; VOLUNTEER TRAINING; HOSPICE AND PALLIATIVE CARE TRAINING AND EDUCATION; AND A HOST OF OTHER PROGRAMS THAT SUPPORT INDIVIDUALS AND FAMILIES IMPACTED BY END OF LIFE. ALL FUNDS RAISED SUPPORT AGRACE HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION, TO ENSURE THAT EVERY INDIVIDUAL AND FAMILY RECEIVES THE BEST POSSIBLE CARE AND SUPPORT, REGARDLESS OF ABILITY TO PAY. PRIORITY ACTIVITIES FOR THE AGRACE FOUNDATION INCLUDE: CARE FOR ALL, A FUND TO PROVIDE HOSPICE AND PALLIATIVE CARE SERVICES AND ROOM AND BOARD FOR SOME OF OUR MOST VULNERABLE NEIGHBORS - CHILDREN AND YOUNG ADULTS WITH INADEQUATE OR NO INSURANCE, SENIORS WITHOUT CAREGIVERS, INDIVIDUALS WITHOUT SAFE HOUSING, AND PEOPLE WITH SPECIAL NEEDS. THROUGH GIFTS FROM THE COMMUNITY, WE'VE NEVER TURNED AWAY A HOSPICE PATIENT WHO COULDN'T AFFORD CARE. THE AGRACE FOUNDATION ALSO HELPS THOUSANDS OF PEOPLE RECEIVE GRIEF SUPPORT AND COUNSELING WHEN EXPERIENCING LOSS, FUNDS RESPITE FOR INDIVIDUALS CARING FOR LOVED ONES, GRANTS SPECIAL WISHES TO PATIENTS AND FAMILIES AT END-OF-LIFE, TRAINS VOLUNTEERS, AND INVESTS IN EDUCATION AND OTHER PROGRAMS TO ADVANCE HOSPICE AND PALLIATIVE CARE AND SUPPORT PATIENTS AND FAMILIES IN OUR COMMUNITY. THE FOUNDATION RECEIVED A $2 MILLION ANONYMOUS LEAD GIFT THAT ALLOWED FOR THE GROUNDBREAKING OF THE NEW AGRACE CENTER FOR HOSPICE & PALLIATIVE CARE IN JANESVILLE. THE FACILITY WILL ENABLE AGRACE TO EXPAND THE HOSPICE AND PALLIATIVE CARE SERVICES AGRACE PROVIDES IN AND AROUND ROCK COUNTY. THE FINANCIAL GOAL FOR THE "SHARING THE JOURNEY, BUILDING THE MEMORY" ROCK COUNTY CAPITAL CAMPAIGN IS $6.5 MILLION. AT THE CONCLUSION OF 2013, NEARLY $4.3 MILLION HAD BEEN RECEIVED THROUGH GIFTS AND PLEDGES. FORM 990, PART III, LINE 1, MISSION AGRACE HOSPICECARE FOUNDATION IS OPERATED EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF AGRACE HOSPICECARE, INC., A RELATED 501(C)(3) ORGANIZATION CARING FOR MORE THAN 600 PATIENTS PER DAY. THE AGRACE HOSPICECARE FOUNDATION IS SUPPORTED BY A COMMUNITY OF DONORS WHO SHARE THE VISION OF ACCESS TO A QUALITY END-OF-LIFE JOURNEY FOR EVERYONE. THE FOUNDATION'S SUPPORT HAS HELPED AGRACE HOSPICECARE BUILD INPATIENT AND RESIDENTIAL FACILITIES, ENHANCE THE BREADTH AND QUALITY OF ITS SERVICES, AND EXPAND ITS REACH TO THOSE WHO NEED AGRACE HOSPICECARE SERVICES THROUGHOUT SOUTH CENTRAL WISCONSIN, REGARDLESS OF ABILITY TO PAY. IN ADDITION TO THE GRANT SUPPORT THAT THE FOUNDATION PROVIDES TO AGRACE HOSPICECARE, INC. AND AGRACE HOSPICECARE HOLDINGS, INC., THE FOUNDATION HAS HELPED BUILD AND MAINTAIN AN EIGHT-MONTH OPERATING RESERVE TO ENSURE THAT AGRACE HOSPICECARE, INC. HAS THE ABILITY TO SERVE PATIENTS AND FAMILIES IF FACED WITH FINANCIAL CHALLENGES. FORM 990, PART V, LINE 1A, FORMS W-2 THE NUMBER OF FORMS W-2 REPORTED BY THE ORGANIZATION WERE SUBMITTED UNDER THE FEIN OF AGRACE HOSPICECARE, INC. WHO SERVES AS A PAYROLL AGENT FOR THE ORGANIZATION. FORM 990, PART VI, LINE 1B, NON-INDEPENDENT MEMBERS LYNNE MYERS AND KATHY CULLEN ARE THE NON-INDEPENDENT BOARD MEMBERS. MS. MYERS IS NOT INDEPENDENT BY VIRTUE OF HER EMPLOYMENT. MS. CULLEN IS A MORE THAN 35% OWNER, BY ATTRIBUTION, OF THE CONSTRUCTION COMPANY CURRENTLY BUILDING THE JANESVILLE FACILITY. THE FOUNDATION IS FUNDING THE JANESVILLE FACILITY. Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders AGRACE HOSPICECARE, INC. A RELATED 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF AGRACE HOSPICECARE FOUNDATION, INC. AND HAS THE AUTHORITY TO APPOINT, REMOVE, AND REPLACE ANY DIRECTOR ON FOUNDATION BOARD. AGRACE HOSPICECARE, INC. ALSO HAS THE SOLE AUTHORITY TO AMEND THE AGRACE HOSPICECARE FOUNDATION BYLAWS AND ARTICLES OF INCORPORATION. AGRACE HOSPICECARE, INC. HAS NO OTHER RESPONSIBILITIES OR VOTING RIGHTS WITH RESPECT TO THE OPERATIONS OF AGRACE HOSPICECARE FOUNDATION. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body PLEASE SEE NARRATIVE FOR PART VI, LINE 6 Form 990, Part VI, Sec B, 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 CROWE HORWATH. Form 990, Part VI, Sec B, 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 USED TO ESTABLISH COMPENSATION FOR 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 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. 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. IN FEBRUARY OF EACH YEAR, THE CHIEF ADMINISTRATIVE OFFICER PRESENTS THE MARKET DATA 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 OF THE BOARD APPROVES THE PAY STRUCTURE FOR THE CHIEF EXECUTIVE OFFICER FOR THE YEAR AND CONTEMPORANEOUSLY DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS WAS LAST UNDERTAKEN IN FEBRUARY 2014. FORM 990, PART VI, LINE 15B, PROCESS TO ESTABLISH COMPENSATION OF OFFICERS 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 THE ORGANIZATION'S OTHER OFFICERS. 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. IN FEBRUARY OF EACH YEAR, THE CHIEF ADMINISTRATIVE OFFICER PRESENTS THE MARKET DATA 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 OF THE BOARD APPROVES THE PAY STRUCTURE FOR THE CHIEF EXECUTIVE OFFICER FOR THE YEAR AND CONTEMPORANEOUSLY DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS WAS COMPLETED IN FEBRUARY 2013 AND LAST UNDERTAKEN IN FEBRUARY 2014. Form 990, Part VI, Sec C, 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, TRANSFER OF NET ASSETS OF AFFILATE THE TRANSFER REPRESENTS A CONSOLIDATING ACCOUNTING ADJUSTMENT OF THE INTERESTS IN THE NET ASSETS OF AFFILIATE FROM AGRACE FOUNDATION TO AGRACE HOSPICECARE, INC. FROM A CONSOLIDATED PERSPECTIVE, THERE IS NO CHANGE IN FINANCIAL REPORTING. Form 990 , Part XI, Line 9, Other changes in net assets or fund balances TRANSFER OF INTEREST IN NET ASSETS OF AFFILIATES - -27326694; CHANGE IN VALUE OF ANNUITY - 81000; UNCOLLECTIBLE PLEDGES - -40186; Schedule M, part I, column (b), Line 9, Number of contributions or items contributed. AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2013. Schedule M, part I, column (b), Line other, Number of contributions or items contributed. OTHER=SPECIAL EVENT RELATED ITEMS : AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2013. AGRACE HOSPICECARE THRIFT STORE LLC 5395 E CHERYL PARKWAY MADISON WI 53711 300001703 THRIFT STORE WI 889625 117760 NA AGRACE HOSPICECARE INC 5395 E CHERYL PARKWAY MADISON WI 53711 391319537 HEALTHCARE WI 501(C)(3) 9 NA false AGRACE HOSPICECARE HOLDINGS INC 5395 E CHERYL PARKWAY MADISON WI 53711 300001715 PROPERTY HOLDING WI 501(C)(3) 11 - Type I AHCI false false true true false false false false false false false true true true true true true true true false