AGRACE HOSPICECARE INCORPORATED: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
AGRACE HOSPICECARE INCORPORATED (EIN 39-1319537)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-06-26
IRS object ID
201441779349300204
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-06-26T08:24:56-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391319537EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AGRACE HOSPICECARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlAGRABusinessNameControlTxt
Phone6082764660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E Cheryl ParkwayAddressLine1
CityMadisonCity
StateWIState
ZIP Code53711ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLYNNE MYERSPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Signature2014-06-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicole BencikPreparerPersonNm
PTINP00756195PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

FieldValueIRS element (for citing)
Business Name Line1LYNNE MYERSBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E Cheryl ParkwayAddressLine1
CityMadisonCity
StateWIState
ZIP Code53711ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$52,357,141GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AGRACE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionOUR MISSION, "PARTNERING WITH PATIENTS AND FAMILIES TO IMPROVE QUALITY OF LIFE THROUGHOUT SERIOUS ILLNESS," LIVES IN THE COMPREHENSIVE, COMPASSIONATE CARE WE PROVIDE TO PATIENTS AND (CONTINUED ON SCHEDULE O)ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee686TotalEmployeeCnt
Total Volunteers1238TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$938,597PYContributionsGrantsAmt
CY Contributions Grants$2,790,755CYContributionsGrantsAmt
PY Program Service Revenue$45,440,910PYProgramServiceRevenueAmt
CY Program Service Revenue$48,247,764CYProgramServiceRevenueAmt
PY Investment Income$2,126PYInvestmentIncomeAmt
CY Investment Income$8,669CYInvestmentIncomeAmt
PY Other Revenue$1,535,037PYOtherRevenueAmt
CY Other Revenue$1,266,340CYOtherRevenueAmt
PY Total Revenue$47,916,670PYTotalRevenueAmt
CY Total Revenue$52,313,528CYTotalRevenueAmt
PY Grants And Similar Paid$29,703PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,037,286CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$31,610,942PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$32,208,142CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$558,902CYTotalFundraisingExpenseAmt
PY Other Expenses$14,241,677PYOtherExpensesAmt
CY Other Expenses$14,933,275CYOtherExpensesAmt
PY Total Expenses$45,882,322PYTotalExpensesAmt
CY Total Expenses$49,178,703CYTotalExpensesAmt
PY Revenues Less Expenses$2,034,348PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,134,825CYRevenuesLessExpensesAmt
Total Assets BOY$14,701,028TotalAssetsBOYAmt
Total Assets EOY$68,715,265TotalAssetsEOYAmt
Total Liabilities BOY$4,425,955TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,355,385TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,275,073NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$62,359,880NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAGRACE HOSPICECARE'S MISSION IS PARTNERING WITH PATIENTS AND FAMILIES TO IMPROVE QUALITY OF LIFE THROUGHOUT SERIOUS ILLNESS. AGRACE HOSPICECARE'S VISION IS TO LEAD THE EVOLUTION OF HOSPICE AND PALLIATIVE CARE THROUGH INNOVATION, EDUCATION AND ACCESS-ONE PATIENT, ONE FAMILY, ONE COMMUNITY AT A TIME. (CONTINUED IN SCHEDULE O)MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$35,442,784ExpenseAmt
Revenue$47,620,732RevenueAmt
DescCLINICAL PATIENT CARE - AGRACE HOSPICECARE OFFERS THE MOST COMPREHENSIVE END-OF-LIFE CARE AVAILABLE. PATIENTS AND FAMILIES SERVED BY AGRACE HOSPICECARE ARE PROVIDED THE EXPERT HELP OF A COMPASSIONATE TEAM OF END-OF-LIFE PROFESSIONALS INCLUDING: NURSES, CERTIFIED NURSING ASSISTANTS, SOCIAL WORKERS, 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 2013, THE ORGANIZATION PROVIDED APPROXIMATELY $2,590,000 OF COMMUNITY BENEFIT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,471,730ExpenseAmt
Revenue$627,032RevenueAmt
DescAGRACE HOSPICECARE'S OTHER PROGRAMS INCLUDE THE VOLUNTEER SERVICES PROGRAM, THE FOOD SERVICE PROGRAM AND GRANTS TO SUPPORT RELATED ORGANIZATIONS. IN 2013, 830 VOLUNTEERS PROVIDED 71,165 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$676,864ExpenseAmt
DescGRIEF 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 2013, AGRACE PROVIDED GRIEF SERVICES TO APPROXIMATELY 8,936 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.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$810,602ExpenseAmt
Revenue$44,032RevenueAmt
DescCOMMUNITY EDUCATION AND OUTREACH - 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 2013, NEARLY 17,800 COMMUNITY MEMBERS WERE EDUCATED ABOUT AGRACE THROUGH MORE THAN 790 COMMUNITY PROGRAMS. AGRACE HOSPICECARE CONDUCTS EDUCATIONAL PRESENTATIONS, SEMINARS, CONFERENCES, AND INSERVICE PROGRAMS FOR COMMUNITY GROUPS AND HEALTHCARE PROFESSIONALS. IN 2013, 163 NURSING STUDENTS, MEDICAL STUDENTS, RESIDENTS AND FELLOWS PARTICIPATED IN ROTATIONS AT AGRACE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$810,602TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$44,032TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$38,401,980TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document62IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee686EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jennifer MaurerBusinessNameLine1
FieldValueIRS element (for citing)
Phone6082764660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 EAST CHERYL PARKWAYAddressLine1
CityMADISONCity
StateWIState
ZIP Code53711ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRIAN HAPP
VICE CHAIR1.001.00Yes (X)Yes (X)$0$0$0
DAVID CULLEN
CHAIR1.001.00Yes (X)Yes (X)$0$0$0
JOAN BURKE
CHAIR THRU APRIL 20131.001.00Yes (X)Yes (X)$0$0$0
JOHN BUTLER
TREASURER - PART YEAR1.001.00Yes (X)Yes (X)$0$0$0
LYNNE MYERS
PRESIDENT/CEO30.0010.00Yes (X)Yes (X)$299,732$0$28,859
MICHAEL FITZPATRICK
SECRETARY/TREASURER1.001.00Yes (X)Yes (X)$0$0$0
SHARON CHAMBERLAIN
SECRETARY THRU APRIL 20131.001.00Yes (X)Yes (X)$0$0$0
ANN SHEEHY
DIRECTOR1.001.00Yes (X)$0$0$0
CHRISTOPHER QUERAM
DIRECTOR1.001.00Yes (X)$0$0$0
DAVID KRUGER
DIRECTOR1.001.00Yes (X)$0$0$0
GORDON DERZON
DIRECTOR1.002.00Yes (X)$0$0$0
JEFF GROSSMAN
DIRECTOR1.001.00Yes (X)$0$0$0
JIM BAKKE
DIRECTOR - PART YEAR1.001.00Yes (X)$0$0$0
KEN THOMPSON
DIRECTOR1.002.00Yes (X)$0$0$0
LAURA DOUGLASS
DIRECTOR1.001.00Yes (X)$0$0$0
MARION WOZNIAK
DIRECTOR1.001.00Yes (X)$0$0$0
MARK WINTER
DIRECTOR - PART YEAR1.001.00Yes (X)$0$0$0
SUSAN SPRINGMAN
DIRECTOR - PART YEAR1.001.00Yes (X)$0$0$0
JOYCE ZEASMAN
ASSISTANT TREASURER/VP FINANCE - PART YEAR30.0010.00Yes (X)$173,800$0$18,674
JULIA HOUCK
ASSISTANT SECRETARY/CAO30.0010.00Yes (X)$220,722$0$34,753
BRUCE AGNEBERG
CMO - PART YEAR40.000.00$243,241$0$24,962Yes (X)
JULIE SLATTERY
VP CLINICAL SERVICES - PART YEAR40.000.00$175,300$0$20,096Yes (X)
BRIAN TENNANT
CIO40.000.00$141,193$0$19,509Yes (X)
DENA GREEN
HOSPICE PHYSICIAN40.000.00$201,172$0$30,800Yes (X)
DENISE GLOEDE
VP ACCESS40.000.00$139,386$0$9,921Yes (X)
KATHY WILLIAMS
HOSPICE PHYSICIAN40.000.00$197,135$0$16,206Yes (X)
KIM KINSLEY
HOSPICE PHYSICIAN40.000.00$163,342$0$7,021Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,955,023TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$210,801TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
UNIVERSITY OF WI HOSPITALCLINIC
DRAWER 853MILWAUKEEWI532780853THERAPIES & IMAGING SVCS$1,045,341
RYAN BROTHERS
922 SOUTH PARK STMADISONWI53715AMBULANCE SERVICE$228,707
SUNCOAST SOLUTIONS
19337 US HWY 19CLEARWATERFL33764EHR SOFTWARE PROVIDER$184,437
ST MARY'S HOSPITAL
700 S PARK STMADISONWI53714LAB SERVICES$162,798
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Federated Campaigns$188,734FederatedCampaignsAmt
Related Organizations$592,940RelatedOrganizationsAmt
All Other Contributions$2,009,081AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$2,790,755TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE623990$47,620,732$47,620,732
FOOD SERVICE623990$627,032$627,032
$0
$0
$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$48,247,764TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,298TotalRevenueColumnAmt
Exclusion$7,298ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$44,984SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$43,613SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,371SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,371TotalRevenueColumnAmt
Exclusion$1,371ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACTED SERVICES TO AFFILIATES900099$1,222,308$1,222,308
OTHER REVENUE900099$44,032$44,032
$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,266,340OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,313,528TotalRevenueColumnAmt
Related Or Exempt Func Income$48,291,796RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,230,977ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,000,000TotalAmt
Program Services$2,000,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$37,286TotalAmt
Program Services$37,286ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,240,139TotalAmt
Program Services$55,209ProgramServicesAmt
Management And General$1,184,930ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,892,971TotalAmt
Program Services$19,027,221ProgramServicesAmt
Management And General$5,416,489ManagementAndGeneralAmt
Fundraising$449,261FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$699,920TotalAmt
Program Services$534,992ProgramServicesAmt
Management And General$152,296ManagementAndGeneralAmt
Fundraising$12,632FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,449,520TotalAmt
Program Services$2,636,679ProgramServicesAmt
Management And General$750,585ManagementAndGeneralAmt
Fundraising$62,256FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,925,592TotalAmt
Program Services$1,471,847ProgramServicesAmt
Management And General$418,992ManagementAndGeneralAmt
Fundraising$34,753FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$118,054TotalAmt
Program Services$3,732ProgramServicesAmt
Management And General$114,322ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$104,257TotalAmt
Management And General$104,257ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,806TotalAmt
Management And General$1,806ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$225,998TotalAmt
Program Services$62,484ProgramServicesAmt
Management And General$163,514ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$588,650TotalAmt
Program Services$17,830ProgramServicesAmt
Management And General$570,820ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$380,362TotalAmt
Program Services$228,480ProgramServicesAmt
Management And General$151,882ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$539,405TotalAmt
Program Services$410,095ProgramServicesAmt
Management And General$129,310ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,527,162TotalAmt
Program Services$1,157,226ProgramServicesAmt
Management And General$369,936ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$150,114TotalAmt
Program Services$123,082ProgramServicesAmt
Management And General$27,032ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$209,131TotalAmt
Program Services$158,475ProgramServicesAmt
Management And General$50,656ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,667TotalAmt
Program Services$1,263ProgramServicesAmt
Management And General$404ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$209,099TotalAmt
Program Services$158,447ProgramServicesAmt
Management And General$50,652ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
ROOM AND BOARD EXPENSE$2,504,923$2,504,923
MEDICAL SUPPLIES AND EQUIPMENT$2,271,292$2,271,292
MEDICATIONS AND INFUSION THERAPIES$2,196,905$2,196,905
PATIENT RELATED COSTS$2,025,566$2,025,566

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,878,884TotalAmt
Program Services$1,318,946ProgramServicesAmt
Management And General$559,938ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$49,178,703TotalAmt
Program Services$38,401,980ProgramServicesAmt
Management And General$10,217,821ManagementAndGeneralAmt
Fundraising$558,902FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,944,090BOYAmt
EOY$6,251,217EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$276,200BOYAmt
EOY$4,296,000EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$1,305,677EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,282,528BOYAmt
EOY$5,176,881EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$56,304BOYAmt
EOY$51,652EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$349,753BOYAmt
EOY$801,975EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,186,872LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,095,686LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$92,853BOYAmt
EOY$91,186EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,012BOYAmt
EOY$51,098EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,692,288BOYAmt
EOY$50,689,579EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,701,028BOYAmt
EOY$68,715,265EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,247,461BOYAmt
EOY$4,460,450EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$52,984BOYAmt
EOY$78,716EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$125,510BOYAmt
EOY$1,816,219EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,425,955BOYAmt
EOY$6,355,385EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,631,563BOYAmt
EOY$57,125,142EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,643,510BOYAmt
EOY$5,108,138EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$126,600EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,275,073BOYAmt
EOY$62,359,880EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,701,028BOYAmt
EOY$68,715,265EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,134,825ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$128NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$212,059DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets$48,737,795OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,266,679CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$633,803CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,088,330CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$938,597CurrentTaxYearMinus1YearAmt
Current Tax Year$2,790,755CurrentTaxYearAmt
Total$6,718,164TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$42,539,018CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,311,566CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$45,132,046CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45,440,910CurrentTaxYearMinus1YearAmt
Current Tax Year$48,247,764CurrentTaxYearAmt
Total$226,671,304TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,375CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,282CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,312CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,261CurrentTaxYearMinus1YearAmt
Total$144,230TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$43,847,072CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,983,651CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,256,688CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,407,768CurrentTaxYearMinus1YearAmt
Current Tax Year$51,038,519CurrentTaxYearAmt
Total$233,533,698TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$233,533,698PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,720CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,256CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,607CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,126CurrentTaxYearMinus1YearAmt
Current Tax Year$7,298CurrentTaxYearAmt
Total$26,007TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,720CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,256CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,607CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,126CurrentTaxYearMinus1YearAmt
Current Tax Year$7,298CurrentTaxYearAmt
Total$26,007TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,380,507CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,417,624CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,419,226CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,528,098CurrentTaxYearMinus1YearAmt
Current Tax Year$1,266,340CurrentTaxYearAmt
Total$7,011,795TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,236,299CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$47,406,531CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$47,678,521CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$47,937,992CurrentTaxYearMinus1YearAmt
Current Tax Year$52,312,157CurrentTaxYearAmt
Total$240,571,500TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97070PublicSupportCY509Pct
Public Support PY5090.96910PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12, Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - CONTRACTED SERVICES, COLUMN A - 1323000, COLUMN B - 1377800, COLUMN C - 1392400, COLUMN D - 1468968, COLUMN E - 1222308, COLUMN F - 6784476; DESCRIPTION - OTHER REVENUE, COLUMN A - 57507, COLUMN B - 39824, COLUMN C - 26826, COLUMN D - 59130, COLUMN E - 44032, COLUMN F - 227319;ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$4,320DirectContactLegislatorsAmt
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$953RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$2,244OtherActivitiesAmt
Total Lobbying Expenditures$7,517TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1iFormAndLineReferenceDesc
ExplanationMEMBERSHIP DUES PAID TO NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION ARE ALLOCATED PARTIALLY TO LOBBYING EXPENSES. IN ADDITION, STAFF PARTICIPATED IN ABOUT 23 HOURS OF DIRECT LEGISLATIVE ADVOCACY WITH STATE AND/OR FEDERAL LEGISLATORS AND/OR STAFFS. STAFF ATTENDED A 2 DAY CONFERENCE FOR AN ORGANIZATION WHOSE MISSION INCLUDES ADVOCACY FOR HOSPICE AND PALLIATIVE CARE. STAFF SERVES ON BOARD OF THIS HOSPICE AND PALLIATIVE CARE ADVOCACY GROUP. OTHER STAFF SERVE ON A PUBLIC POLICY COMMITTEE OF THE HOSPICE AND PALLIATIVE CARE NATIONAL ORGANIZATION.ExplanationTxt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

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

Collection Used Other Purposes CollectionUsedOtherPurposesGrp

FieldValueIRS element (for citing)
Collection Used Other PurposesYes (X)CollectionUsedOtherPurposesInd
Other PurposesPROVIDE WELCOMING ENVIRONMENTOtherPurposesDesc
FieldValueIRS element (for citing)
Solicited Assets SalefalseSolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$84,453BeginningYearBalanceAmt
Contributions$42,147ContributionsAmt
End Year Balance$126,600EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$62,026BeginningYearBalanceAmt
Contributions$22,427ContributionsAmt
End Year Balance$84,453EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$549,776BeginningYearBalanceAmt
Other Expenditures$487,750OtherExpendituresAmt
End Year Balance$62,026EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$472,208BeginningYearBalanceAmt
Contributions$14,510ContributionsAmt
Investment Earnings Or Losses$66,356InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$3,298OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$549,776EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$460,319BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$11,889InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$472,208EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,345OtherCostOrOtherBasisAmt
Depreciation$3,053DepreciationAmt
Book Value$292BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$882,538OtherCostOrOtherBasisAmt
Depreciation$880,249DepreciationAmt
Book Value$2,289BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$300,989OtherCostOrOtherBasisAmt
Depreciation$212,384DepreciationAmt
Book Value$88,605BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$91,186TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
NET INTEREST IN AFFILIATES$50,297,089
DUE FROM AFFILIATE$364,369
CASH SURRENDER VALUE OF LIFE INSURANCE$22,921
OTHER ASSETS$5,200
FieldValueIRS element (for citing)
Total Book Value Other Assets$50,689,579TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATE$1,703,746
SECURITY DEPOSITS$96,000
MERU AGENCY FUNDS$16,473
FieldValueIRS element (for citing)
Total Liability$1,816,219TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part III, Line 4, Collections of art - description of collectionsTHE ORGANIZATION'S COLLECTIONS CONSIST PRIMARILY OF WORKS OF ART THAT ARE ON DISPLAY IN PUBLIC SPACES AS WELL AS PATIENT ROOMS AT THE FACILITIES OWNED BY AGRACE HOSPICECARE HOLDINGS AND OPERATED BY AGRACE HOSPICECARE, INC. THESE WORKS OF ART ARE USED TO PROVIDE A WELCOMING, THERAPEUTIC, HOME LIKE ENVIRONMENT TO AGRACE HOSPICECARE, INC. PATIENTS AND FAMILIES IN FURTHERANCE OF THE ORGANIZATION'S MISSION OF ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE. THE ARTWORK REPRESENTS EACH OF THE MANY CULTURES OF THE PEOPLE LIVING IN SOUTH CENTRAL WISCONSIN. THE FAMILIARITY OF THE PIECES HELPS PATIENTS AND THEIR FAMILIES FEEL MORE COMFORTABLE IN OUR HEALTHCARE FACILITY.
Schedule D, Part V, Line 4, Intended uses of endowment fundsAGRACE HOSPICECARE FOUNDATION, A RELATED TAX-EXEMPT ENTITY, HOLDS ENDOWMENTS FOR THE PURPOSE OF PROVIDING SUPPORT TO AGRACE HOSPICECARE, INC.
Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnoteTHE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. ADDITIONALLY, THE ORGANIZATION HAS BEEN DETERMINED NOT TO BE A PRIVATE FOUNDATION UNDER SECTION 509(A) OF THE INTERNAL REVENUE CODE. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50 PERCENT LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF WISCONSIN FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2013 OR 2012.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionSUB-SAHARAN AFRICARegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedGRANTMAKINGTypeOfActivitiesConductedTxt
Specific Services ProvidedN/ASpecificServicesProvidedTxt
Region Total Expenditures$37,286RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Total Spent$37,286TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionSUB-SAHARAN AFRICARegionTxt
Purpose Of GrantSUPPORT EXPENSESPurposeOfGrantTxt
Cash Grant$37,286CashGrantAmt
Manner Of Cash DisbursementWIRE TRANSFERMannerOfCashDisbursementTxt
Non Cash Assistance$0NonCashAssistanceAmt
Description Of Non Cash AsstN/ADescriptionOfNonCashAsstTxt
Valuation Method UsedN/AValuationMethodUsedDesc
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule F, Part I, Line 2, Procedures for monitoring use of grant fundsAGRACE 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 VICE PRESIDENT OF FINANCE/CFO. A CONTRACT IS UPDATED ANNUALLY AND SPECIFIES THE USE OF THE GRANT FUNDS.
Schedule F, Part II, Line 1, Method used to account for grants on org's financial statementsSUB-SAHARAN AFRICA: ACCRUAL
Schedule F, Part II, Line 1, Method used to account for grants on org's financial statementsSUB-SAHARAN AFRICA: ACCRUAL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1AGRACE HOSPICECARE FOUNDATION INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E CHERYL PKWYAddressLine1
CityMADISONCity
StateWIState
ZIP Code53711ZIPCode
FieldValueIRS element (for citing)
Recipient EIN300001703RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$2,000,000CashGrantAmt
Purpose Of GrantJANESVILLE BUILDING PROJECTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2, Procedures for monitoring use of grant fundsFormAndLineReferenceDesc
ExplanationTHIS GRANT IS INTENDED FOR CONSTRUCTION OF THE JANESVILLE INPATIENT UNIT. AGRACE HOSPICECARE, INC. RECEIVES REGULAR REPORTS ON THE CONSTRUCTION OF THE BUILDING WHICH IS SCHEDULED FOR COMPLETION JULY 1, 2014.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRUCE AGNEBERG
CMO - PART YEAR$210,730$0$26,720$0$5,791$0$9,659$0$15,303$0$268,203$0$0$0
JULIA HOUCK
ASSISTANT SECRETARY/CAO$167,448$0$49,829$0$3,445$0$10,602$0$24,150$0$255,475$0$0$0
LYNNE MYERS
PRESIDENT/CEO$250,766$0$30,625$0$18,341$0$27,000$0$1,859$0$328,591$0$0$0
JULIE SLATTERY
VP CLINICAL SERVICES - PART YEAR$143,681$0$28,705$0$2,914$0$0$0$20,096$0$195,396$0$0$0
BRIAN TENNANT
CIO$133,844$0$5,000$0$2,349$0$1,500$0$18,009$0$160,702$0$0$0
JOYCE ZEASMAN
ASSISTANT TREASURER/VP FINANCE - PART YEAR$141,216$0$23,926$0$8,658$0$0$0$18,674$0$192,474$0$0$0
DENA GREEN
HOSPICE PHYSICIAN$200,070$0$450$0$652$0$8,259$0$22,541$0$231,972$0$0$0
KIM KINSLEY
HOSPICE PHYSICIAN$141,992$0$450$0$20,900$0$0$0$7,021$0$170,363$0$0$0
KATHY WILLIAMS
HOSPICE PHYSICIAN$196,106$0$405$0$624$0$7,937$0$8,269$0$213,341$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4a, Severance or change-of-control paymentSEVERANCE PAYMENTS MADE DURING 2013 WERE: $33,612 FOR JULIE SLATTERY.
Schedule J, Part I, Line 4b, Supplemental nonqualified retirement planLYNNE MYERS PARTICIPATED IN A 457(F) PLAN. NO DISTRIBUTIONS WERE MADE FROM THE PLAN DURING 2013.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1, MISSIONFAMILIES FACED WITH LIFE-LIMITING ILLNESS, HELPING THEM TO LIVE AS FULLY AS THEY CAN. IN 2013 THE ORGANIZATION PROVIDED CHARITY CARE OF APPROXIMATELY $214,108. SEVERAL SIGNIFICANT MISSION-RELATED ACTIVITIES TOOK PLACE IN 2013: AGRACE'S NEW PALLIATIVE CARE CONSULTATION SERVICE WAS LAUNCHED TO PROVIDE SPECIALIZED, IN-HOME ASSESSMENTS FOR PEOPLE STRUGGLING WITH CHRONIC OR SERIOUS ILLNESSES. AN AGRACE PALLIATIVE CARE CLINICIAN VISITS PATIENTS TO EXPLORE WAYS TO MAKE THEM MORE COMFORTABLE AND REDUCE THEIR STRESS. EXPANDED SERVICE AREA: AGRACE BRANCHED OUT INTO IOWA, SAUK, COLUMBIA AND DODGE COUNTIES, WHERE HOSPICE UTILIZATION IS LOWER THAN IN DANE COUNTY. 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 IS BUILDING 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 WILL ALSO PROVIDE SHORT-TERM, ACUTE INPATIENT HOSPICE CARE. CONSTRUCTION OF THE 21,000-SQUARE-FOOT, 12-BED INPATIENT FACILITY BEGAN IN SEPTEMBER 2013; COMPLETION IS SLATED FOR JULY 2014. THE AGRACE EDUCATIONAL INSTITUTE WAS ESTABLISHED TO DEVELOP AND DELIVER EDUCATIONAL OPPORTUNITIES SUCH AS LIVE FORUMS, WEBINARS, DIAGNOSIS-SPECIFIC EDUCATION, CONSULTING, CLINICAL COMPETENCIES, PARTNER OUTREACH EDUCATION AND TOPICAL PAPERS AND "HOW TO" MATERIALS TO ALL OF AGRACE'S STAKEHOLDER AUDIENCES. THE EDUCATIONAL INSTITUTE ALSO COORDINATES ACADEMIC SHADOWING AND ROTATIONS AND AN ENDOWMENT TO SUPPORT THE HOSPICE AND PALLIATIVE FELLOWSHIP IN WHICH WE PARTICIPATE WITH THE UNIVERSITY OF WISCONSIN AND VA HOSPITALS.
FORM 990, PART III, LINE 1, ORGANIZATION'S MISSIONAGRACE HOSPICECARE PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE ORGANIZATION'S CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH PATIENTS ARE IDENTIFIED BASED ON FINANCIAL INFORMATION OBTAINED FROM THE PATIENT AT THE TIME THEY ENROLL IN THE PROGRAM OR SUBSEQUENT CHANGES TO THEIR FINANCIAL CIRCUMSTANCES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. AGRACE HOSPICECARE'S MISSION, "PARTNERING WITH PATIENTS AND FAMILIES TO IMPROVE QUALITY OF LIFE THROUGHOUT SERIOUS ILLNESS," IS FULFILLED BY THE COMPREHENSIVE, COMPASSIONATE CARE WE PROVIDE TO PATIENTS AND FAMILIES FACED WITH LIFE-LIMITING ILLNESS, HELPING THEM TO LIVE AS FULLY AS THEY CAN UNTIL THE END OF LIFE. IN 2013, THE ORGANIZATION PROVIDED CHARITY CARE OF APPROXIMATELY $214,108. 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.
Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committeeTHE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, EXCEPT THE POWER TO: (A) ELECT OFFICERS OF THE CORPORATION; OR (B) FILL VACANCIES IN THE BOARD OF DIRECTORS OR IN THE EXECUTIVE COMMITTEE; OR (C) AMEND OR REPEAL ANY PROVISION OF THESE BY-LAWS, OR (D) ADOPT PROGRAMS WHICH WOULD INVOLVE CONTINUING ACTIVITY OR SUPPORT BY THE CORPORATION FOR MORE THAN ONE (1) FISCAL YEAR. THE EXECUTIVE COMMITTEE SHALL BE RESPONSIBLE FOR THE ANNUAL EVALUATIONS OF THE PRESIDENT. IN NO EVENT SHALL THE EXECUTIVE COMMITTEE BE AUTHORIZED TO DISSOLVE THE CORPORATION. NO PERSON WHO IS NOT A MEMBER OF THE BOARD OF DIRECTORS MAY SERVE ON THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, LINE 1B, NON-INDEPENDENT MEMBERSLYNNE 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 CURRENTLY BUILDING THE JANESVILLE FACILITY.
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing bodyTHE CONTROLLER AND CFO PERFORMED A DETAILED REVIEW OF FORM 990 AND THE RELATED SCHEDULES PRIOR TO FILING THE RETURN. THIS INCLUDED VERIFICATION OF ALL AMOUNTS FOR ACCURACY AND COMPLETENESS. THE FORM AND SCHEDULES WERE ALSO REVIEWED FOR CONTENT, PRESENTATION AND REASONABLENESS. THE ENTIRE FORM 990 IS MADE AVAILABLE TO THE ENTIRE EXECUTIVE LEADERSHIP TEAM AND AN ENTITY SPECIFIC HIGHLIGHTS SUMMARY IS PROVIDED. THE ENTIRE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING AND IS ACCOMPANIED BY A 990 HIGHLIGHT SUMMARY. THE AUDIT COMMITTEE REVIEWED THE FORM 990 AND RELATED SCHEDULES FOR REASONABLENESS. 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 policyDIRECTORS, 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, Sec B, Line 15a, Process to establish compensation of top management officialEACH YEAR THE ORGANIZATION GATHERS MARKET DATA FOR DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THIS INCLUDES BENCHMARKS OF NATIONAL, REGIONAL, AND LOCAL COMPENSATION THAT ARE PROVIDED FROM INDEPENDENT COMPENSATION SURVEYS. 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 2013 AND WAS LAST UNDERTAKEN IN FEBRUARY 2014.
Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employeesEACH 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 2013 AND WAS LAST UNDERTAKEN IN FEBRUARY 2014.
Form 990, Part VI, Sec C, Line 19, Required documents available to the publicFINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS MAY BE MADE AVAILABLE TO THE PUBLIC UPON RECEIPT OF A WRITTEN REQUEST.
Form 990 , Part XI, Line 9, Other changes in net assets or fund balancesCHANGE IN INTEREST IN NET ASSETS OF AFFILIATE - 4873949; TRANSFER IN INTEREST IN NET ASSETS OF AFFILIATES - 43863846;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
AGRACE HOSPICECARE THRIFT STORE LLC
5395 E CHERYL PARKWAYMADISONWI53711300001703THRIFT STOREWI$889,625$117,760AGRACE HOSPICECARE FOUNDATION
AGRACE PALLIATIVE CARE LLC
5395 E CHERYL PARKWAYMADISONWI53711383896153PALLIATIVE CARE SERVICESWI$184,000$131,000AGRACE HOSPICECARE INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
AGRACE HOSPICECARE FOUNDATION INC
5395 E CHERYL PARKWAYMADISONWI53711300001703FUNDRAISINGWI501(C)(3)11 - Type IAHCIYes (true)
AGRACE HOSPICECARE HOLDINGS INC
5395 E CHERYL PARKWAYMADISONWI53711300001715PROPERTY HOLDINGWI501(C)(3)11 - Type IAHCIYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
AGRACE HOSPICECARE FOUNDATION INC
C$592,940REIMBURSEMENT OF ACTUAL EXPENDITURES
AGRACE HOSPICECARE FOUNDATION INC
O$1,116,343WAGES OF EMPLOYEES DEDICATED TO FOUNDATION
AGRACE HOSPICECARE HOLDINGS INC
O$105,965ESTIMATE OF TIME AND ACTUAL SALARY
AGRACE HOSPICECARE HOLDINGS INC
K$1,670,188PER INTER-COMPANY AGREEMENT
AGRACE HOSPICECARE FOUNDATION INC
B$2,000,000ACTUAL AMOUNT OF GRANT RECEIVED
AGRACE HOSPICECARE FOUNDATION INC
S$27,326,694PER PRIOR YEAR AUDITED ENDING NET ASSETS OF AFFILIATE
AGRACE HOSPICECARE HOLDINGS INC
S$16,537,152PER PRIOR YEAR AUDITED ENDING NET ASSETS OF AFFILIATE
AGRACE HOSPICECARE FOUNDATION INC
D$1,703,746PER INTER-COMPANY AGREEMENT
AGRACE HOSPICECARE FOUNDATION INC
E$326,815PER INTER-COMPANY AGREEMENT

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 1S, TRANSFERSFormAndLineReferenceDesc
ExplanationTHE TRANSFER REPRESENTS A CONSOLIDATING ACCOUNTING ADJUSTMENT OF THE INTERESTS IN THE NET ASSETS OF AFFILIATE FROM AGRACE HOLDINGS AND AGRACE FOUNDATION. FROM A CONSOLIDATED PERSPECTIVE, THERE IS NO CHANGE IN FINANCIAL REPORTING.ExplanationTxt

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