2013-06-26T16:00:05-05:00 2012-12-31 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2012-01-01 300001703 AGRACE HOSPICECARE FOUNDATION INC AGRA 6082764660 5395 E Cheryl Parkway Madison WI 53711 LYNNE MYERS 2013-06-20 true Kristin Ficker P01254056 3128997000 2012 2016-02-25 16:41:14Z LYNNE MYERS 5395 E Cheryl Parkway Madison WI 53711 9335491 false X WWW.AGRACE.ORG X 2001 WI OUR MISSION, "ENHANCING QUALITY OF LIFE AT THE END OF LIFE," LIVES IN THE CARE PROVIDED TO PATIENTS AND FAMILIES FACING LIFE-LIMITING ILLNESS. (CONTINUED IN SCHEDULE O) 15 15 15 233 0 0 2671638 4344233 0 0 663478 791260 689712 781679 4024828 5917172 717491 543738 0 0 1269985 1298070 0 0 819175 532920 414331 2520396 2256139 1504432 3661033 41234696 45574022 177680 150883 41057016 45423139 X AGRACE HOSPICECARE FOUNDATION, INC.'S MISSION IS "ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE" BY PROVIDING FINANCIAL SUPPORT FOR THE CARE PROVIDED TO PATIENTS AND FAMILIES FACING LIFE-LIMITING ILLNESS. (CONTINUED IN SCHEDULE O) false false 244804 244804 CHARITY CARE - THE FOUNDATION PROVIDES GRANTS TO AGRACE HOSPICECARE, INC. TO COVER THE COST OF HOSPICE CARE FOR INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED TO THE EXTENT THAT THEY DO NOT HAVE THE ABILITY TO PAY FOR HOSPICE CARE PRIVATELY. 235021 235021 OTHER PROGRAM SERVICES: THE FOUNDATION PROVIDES GRANTS TO AGRACE HOSPICECARE, INC. TO SUPPORT OTHER PROGRAM SERVICES, INCLUDING: 1) 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. 2) PALLIATIVE CARE FELLOWSHIP - GRANTS FOR THE COLLABORATIVE PALLIATIVE CARE FELLOWSHIP PROGRAM, WITH THE GOAL OF TRAINING THE NEXT GENERATION OF PALLIATIVE CARE PHYSICIANS. 3) STAFF LEARNING, SUPPORT AND APPRECIATION - GRANTS TO FUND CONTINUING EDUCATION, STAFF APPRECIATION AND ACADEMIC ROTATIONS. 4) GARDEN AND GROUNDS - GRANTS TO SUPPORT THE ONGOING MANAGEMENT OF THE AGRACE HOSPICECARE GARDENS AND GROUNDS, WHICH PROVIDE A PEACEFUL, SOOTHING SETTING FOR PATIENTS AND FAMILIES. 5) RESPITE CARE: THE FOUNDATION PROVIDES GRANTS TO AGRACE HOSPICECARE, INC. TO SUPPORT THE COSTS OF INPATIENT RESPITE CARE. RESPITE CARE PROVIDES A MUCH NEEDED BREAK FOR CAREGIVERS AND HELPS TO PREVENT CAREGIVER BREAKDOWN. 63913 63913 COMMUNITY GRIEF SERVICES: THE FOUNDATION PROVIDES GRANTS TO AGRACE HOSPICECARE, INC. TO SUPPORT THE COSTS OF COMMUNITY BEREAVEMENT SUPPORT GROUPS AND COUNSELING SERVICES OFFERED BY AGRACE HOSPICECARE, INC. TO ANYONE IN THE COMMUNITY FREE OF CHARGE. 543738 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 23 4 true 15 true false false false false false true true false false false false false X 15 15 false false false false true true false true true false false true true true true true true false true false WI X Joyce Zeasman 6082764660 5395 EAST CHERYL PARKWAY MADISON WI 53711 X JAMES CRIPE 1.00 X X 0 0 0 KEN THOMPSON 1.00 X X 0 0 0 MICHAEL SMITH 1.00 X X 0 0 0 STEVE DITULLIO 1.00 X X 0 0 0 GORDON DERZON 1.00 1.00 X 0 0 0 JACK BOLZ 1.00 X 0 0 0 KATHY CULLEN 1.00 X 0 0 0 LOTTIE FRANK 1.00 X 0 0 0 LOU BERNHARDT 1.00 X 0 0 0 PETER LUNDBERG 1.00 X 0 0 0 RALPH CAGLE 1.00 X 0 0 0 RICK LANGER 1.00 X 0 0 0 SUSAN RICHARDSON 1.00 X 0 0 0 TOM BOLGER 1.00 X 0 0 0 TOM RAGATZ 1.00 X 0 0 0 VIRGINIA WYSS 1.00 X 0 0 0 JOYCE ZEASMAN 5.00 35.00 X 0 168794 28829 JULIA HOUCK 5.00 35.00 X 0 209183 29808 LYNNE MYERS 5.00 35.00 X 0 136682 4656 MARCIA M WHITTINGTON 35.00 13.00 X 70003 105004 27085 SUSAN PHILLIPS 5.00 35.00 X 0 482432 5727 70003 1102095 96105 0 true true false 0 12468 349616 3982149 931987 4344233 0 0 0 0 0 0 0 0 0 0 519616 519616 0 0 0 0 0 3437144 3165500 271644 0 271644 271644 58016 349616 141515 -83499 -83499 158401 111304 47097 47097 817053 817053 817053 OTHER REVENUE 900099 1028 1028 0 0 0 0 0 0 1028 5917172 0 0 1572939 543738 543738 0 0 0 0 88045 88045 893520 475409 418111 36307 18935 17372 192838 100571 92267 87360 45561 41799 2275 2275 0 2750 2750 0 0 38553 38553 0 0 0 0 14226 14226 66411 17701 48710 573 573 0 177227 177227 0 0 16725 6236 10489 0 3534 3534 703 703 0 UNCOLLECTIBLE PLEDGES 35849 35849 BANK AND CREDIT CARD FEES 20251 3198 17053 DUES, FEES, LICENSES 6711 6711 DONATION DEVELOPMENT 28543 28543 0 0 0 0 2256139 543738 893226 819175 0 868516 2716755 3503 15533 1238512 1993165 0 0 0 0 49012 46956 14700 5623 9780 9077 10762515 13305470 0 0 0 0 28302858 27487066 41234696 45574022 39061 37372 29243 16915 0 109376 96596 177680 150883 X 39533536 41060427 1461454 4278259 62026 84453 41057016 45423139 41234696 45574022 X 3661033 502029 0 203061 X false true true false X X X false false false AGRACE HOSPICECARE INC 391319537 9 true true true 534109 1 534109 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 62026 22427 84453 549776 487750 62026 472208 14510 66356 0 3298 0 549776 460319 0 11889 0 0 0 472208 0.00000 1.00000 0.00000 false false 0 14700 5623 9077 0 0 0 9077 DUE FROM AFFILIATES 26663 BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATIONS 133709 INTEREST IN NET ASSETS OF AFFILIATE 27326694 27487066 0 DUE TO AFFILIATES 96596 96596 X PHIL HELMUTH EVENT 77451 48400 29051 0 0 1500 19609 5000 30342 GALA 113390 100450 12940 0 0 0 13644 2650 8348 6 216791 200766 16025 0 0 1750 5567 0 53105 407632 349616 58016 0 0 3250 38820 7650 91795 141515 -83499 158401 8500 76653 34651 true 0.85 158401 8500 76653 0 34651 119804 38597 WI true false false false 0 1 DEBBIE BRADLEY AGRACE HOSPICECARE INC 5395 E CHERYL PARKWAY MADISON WI 53711 false FINANCE DEPARTMENT EMPLOYEES 0 ACCOUNTING AND RECORDKEEPING FUNDRAISING EVENTS SCHEDULE G, PART II THE FOUNDATION'S FUNDRAISING EVENT TOTAL IS $313,213 WHICH AGREES WITH AUDITED INFORMATION AND IS THE SUM OF LINES 1C, 8C AND 9C. FUNDRAISING EVENTS SCHEDULE G, PART II, LINE 11 THE FOUNDATION'S FUNDRAISING EVENT TOTAL ON LINE 11, COLUMN (D) EXCLUDES $349,616 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 $266,117. true AGRACE HOSPICECARE INC 5395 E CHERYL PKWY MADISON WI 53711 391319537 501(C)(3) 543738 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) 1677 FMV GRILL DONATION GENERAL SUPPORT 2 0 true true false false false false false false false MARCIA M WHITTINGTON 60541 90812 9273 13909 189 283 2861 4291 7973 11960 80837 121255 0 0 SUSAN PHILLIPS 0 10793 0 0 0 471639 0 0 0 5727 0 488159 0 18169 JULIA HOUCK 0 173923 0 34440 0 820 0 8314 0 21494 0 238991 0 0 JOYCE ZEASMAN 0 145598 0 22500 0 696 0 6942 0 21887 0 197623 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 THE ORGANIZATION RELIED ON AGRACE HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION TO DETERMINE THE COMPENSATION OF ITS OFFICERS AND KEY EMPLOYEES. BELOW IS THE PROCESS USED BY AGRACE HOSPICECARE, INC. FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS AND KEY 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 CONSULTANTS. EXECUTIVE LEADERSHIP PAY IS ADJUSTED BASED ON: 1) YEARS OF EXPERIENCE; 2) MARKET DATA FOR THE POSITION, AND; 3) PERFORMANCE. THE VICE PRESIDENT OF HUMAN RESOURCES PRESENTS THE MARKET DATA INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD. BASED ON THIS INFORMATION, THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES THE PAY STRUCTURE FOR THE EXECUTIVE LEADERSHIP TEAM AND ALL OTHER EMPLOYEES AND DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS WAS LAST UNDERTAKEN IN JANUARY 2013. Severance or change-of-control payment Schedule J, Part I, Line 4a SEVERANCE PAYMENTS MADE DURING 2012 WERE: SUSAN PHILLIPS $455,392. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b LYNNE MYERS PARTICIPATED IN A 457(F) DEFERRED COMPENSATION PLAN UNDER AGRACE HOSPICECARE, INC., A RELATED ORGANIZATION. X 817053 MARKET VALUE X 10 65896 MARKET VALUE X SPECIAL EVENT RELATED ITEMS AS GIVEAWAY PRIZES 20 49038 MARKET VALUE 0 false true false Explanations of reporting method for number of contributions Schedule M, Part I OTHER: AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2012. SECURITIES - PUBLICLY TRADED: AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2012. CLOTHING AND HOUSEHOLD GOODS: AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2012. THIS AMOUNT REPRESENTS A VERY HIGH NUMBER OF RELATIVELY LOW-VALUE THRIFT STORE ITEMS. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=SPECIAL EVENT RELATED ITEMS AS GIVEAWAY PRIZES AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2012. Number of contributions or items contributed. Schedule M, part I, column (b), Line 9 AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2012. Number of contributions or items contributed. Schedule M, part I, column (b), Line 5 AGRACE HOSPICECARE FOUNDATION, INC. IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN 2012. THIS AMOUNT REPRESENTS A VERY HIGH NUMBER OF RELATIVELY LOW-VALUE THRIFT STORE ITEMS. BRIEF MISSION (CONTINUED) FORM 990, PART I, LINE 1 ALTHOUGH THE COST OF BASIC HOSPICE SERVICES IS COVERED BY MEDICARE, MEDICAID AND MOST COMMERCIAL INSURERS, A NUMBER OF ESSENTIAL AGRACE PROGRAMS ARE UNDER-FUNDED OR NOT FUNDED AT ALL BY THESE SOURCES. FUNDS RAISED ARE USED TO SUPPORT CARE PROVIDED BY AGRACE HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION. CONTRIBUTIONS FORM 990, PART I, LINE 8 THE CONSOLIDATED AGRACE ENTITIES' CONTRIBUTIONS FOR 2012 ARE $5,402,092 WHICH DOESN'T INCLUDE 203,000 OF DONATED IN-KIND SERVICES. THE $4,344,233 OF CONTRIBUTIONS REPORTED ON LINE 8 OF PAGE OF THIS FORM 990 DOES NOT INCLUDED DONATED MERCHANDISE SALES PROCEEDS OF $817,053 WHICH IS INCLUDED ON LINE 10. THE BALANCE OF THE $241,000 OF CONSOLIDATED CONTRIBUTIONS RELATES TO DONATIONS MADE DIRECTLY TO ONE OF THE OTHER AGRACE AFFILIATES: AGRACE HOSPICECARE, INC. AND AGRACE HOSPICECARE HOLDINGS. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 AGRACE HOSPICECARE FOUNDATION IS OPERATED EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF AGRACE HOSPICECARE, INC., WHICH IS A RELATED 501(C)(3) ORGANIZATION THAT PROVIDES CARE AND SUPPORT TO PATIENTS AND FAMILIES FACING LIFE-LIMITING ILLNESS. 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 ENHANCE THE QUALITY OF ITS SERVICE AND EXPAND ITS REACH TO THOSE WHO NEED AGRACE HOSPICECARE SERVICES THROUGHOUT SOUTH CENTRAL WISCONSIN. IN ADDITION TO THE GRANT SUPPORT THAT THE FOUNDATION PROVIDES TO AGRACE HOSPICECARE, INC. AND AGRACE HOSPICECARE HOLDINGS, INC., THE FOUNDATION HAS BEEN WORKING TO BUILD A SIX MONTH OPERATING RESERVE FUND TO HELP AGRACE HOSPICECARE, INC. WEATHER FINANCIAL CHALLENGES. FORMS W-2 FORM 990, PART V, LINE 1A 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. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 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. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a PLEASE SEE NARRATIVE FOR PART VI, LINE 6 Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE CONTROLLER AND VP OF FINANCE 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. Conflict of interest policy Form 990, Part VI, Section B, Line 12c 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. IF A CONFLICT OF INTEREST IS DISCOVERED THAT WAS NOT DISCLOSED BY THE INTERESTED PERSON, THE ISSUE WOULD BE DIRECTED TO THE EXECUTIVE COMMITTEE FOR RESOLUTION. THE EXECUTIVE COMMITTEE IS CHARGED WITH REGULAR REVIEW OF THE INTERESTED PERSONS PRACTICES AND QUESTIONNAIRES REGARDING CONFLICTS OF INTEREST AND SUGGESTS IMPROVEMENTS AS NEEDED. 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. PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL FORM 990, PART VI, LINE 15A THE ORGANIZATION RELIED ON AGRACE HOSPICECARE, A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS CEO. BELOW IS THE PROCESS USED BY AGRACE HOSPICECARE FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. EACH YEAR THE ORGANIZATION GATHERS MARKET DATA FOR DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THIS INCLUDES BENCHMARKS OF NATIONAL, REGIONAL, AND LOCAL COMPENSATION THAT ARE PROVIDED FROM INDEPENDENT COMPENSATION SURVEYS. IN FEBRUARY OF EACH YEAR, THE VICE PRESIDENT OF WORKFORCE DEVELOPMENT PRESENTS THIS INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD, ALONG WITH A 990 ANALYSIS OF COMPENSATION REPORTING BY SIMILAR SIZED NON-PROFIT HOSPICES. BASED ON THIS INFORMATION, THE EXECUTIVE COMMITTEE SETS AND APPROVES THE PAY FOR THE CHIEF EXECUTIVE OFFICER FOR THE YEAR AND CONTEMPORANEOUSLY DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS WAS UNDERTAKEN IN FEBRUARY 2013. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b 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 OTHER OFFICERS AND KEY 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) MARKET DATA FOR THE POSITION; 3) PERFORMANCE; AND 4) MARKET DATA FOR THE 65TH PERCENTILE OF TOTAL COMPENSATION FOR THE POSITION. THE VICE PRESIDENT OF WORKFORCE DEVELOPMENT PRESENTS THE MARKET DATA INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD. BASED ON THIS INFORMATION, THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES THE PAY STRUCTURE FOR THE EXECUTIVE LEADERSHIP TEAM AND ALL OTHER EMPLOYEES AND DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS WAS LAST UNDERTAKEN IN FEBRUARY 2013. PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES FORM 990, PART VI, LINE 15B 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 OTHER OFFICERS AND KEY 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) MARKET DATA FOR THE POSITION; 3) PERFORMANCE; AND 4) MARKET DATA FOR THE 65TH PERCENTILE OF TOTAL COMPENSATION FOR THE POSITION. THE VICE PRESIDENT OF WORKFORCE DEVELOPMENT PRESENTS THE MARKET DATA INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD. BASED ON THIS INFORMATION, THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES THE PAY STRUCTURE FOR THE EXECUTIVE LEADERSHIP TEAM AND ALL OTHER EMPLOYEES AND DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS WAS LAST UNDERTAKEN IN FEBRUARY 2013. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 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. AVERAGE HOURS PER WEEK FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) ALL AGRACE EMPLOYEES REPORTED ON THIS 990 WORK ON AVERAGE A MINIMUM OF 40 HOURS PER WEEK, BUT IN MOST CASES MORE THAN 40 HOURS PER WEEK. Other changes in net assets or fund balances Form 990 , Part XI, Line 9 CHANGE IN NET ASSETS OF AFFLIATE - 143061; CHANGE IN VALUE OF ANNUITY - 60000; AGRACE HOSPICECARE THRIFT STORE LLC 5395 E CHERYL PARKWAY MADISON WI 53711 300001703 THRIFT STORE WI 816054 416878 NA AGRACE HOSPICECARE INC 5395 E CHERYL PARKWAY MADISON WI 53711 HEALTHCARE WI 501(C)(3) N/A NA false AGRACE HOSPICECARE HOLDINGS INC 5395 E CHERYL PARKWAY MADISON WI 53711 PROPERTY HOLDING WI 501(C)(3) Type I AHCI false false true false false false false false false false true true true true true true true false false