2013-06-26T16:00:17-05:00 2012-12-31 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2012-01-01 300001715 AGRACE HOSPICECARE HOLDINGS INC AGRA 6082764660 5395 East Cheryl Parkway Madison WI 53711 LYNNE MYERS 2013-06-20 true Kristin Ficker P01254056 3128997000 2012 2016-03-07 17:11:31Z LYNNE MYERS 5395 East Cheryl Parkway Madison WI 53711 1913053 false X WWW.AGRACE.ORG X 2001 WI AGRACE HOSPICECARE HOLDINGS, INC.'S (HOLDINGS) MISSION IS "ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE." HOLDINGS IS OPERATED EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF AGRACE HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION. 5 5 0 5 0 0 182303 73446 1826400 1824636 -2470 -22340 0 0 2006233 1875742 0 0 0 0 0 0 0 0 0 1778711 1732684 1778711 1732684 227522 143058 42117025 44199757 1123124 335911 40993901 43863846 X HOLDINGS' MISSION IS "ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE." HOLDINGS IS OPERATED EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF AGRACE HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION. (CONTINUED IN SCHEDULE O) false false 1288779 1824636 PROVISION OF CAPITAL ASSETS: AGRACE HOLDINGS SUPPORTS AGRACE HOSPICECARE, INC. BY PROVIDING THE STRATEGIC AND OPERATIONAL CAPITAL ASSETS NECESSARY FOR AGRACE HOSPICECARE, INC. TO BEST SERVE PATIENTS AND THEIR FAMILIES NOW AND INTO THE FUTURE. THE LARGEST CAPITAL ASSETS OF AGRACE HOLDINGS ARE THE BUILDINGS. THE ELLEN & PETER JOHNSON HOSPICECARE RESIDENCE AND THE DON & MARILYN ANDERSON HOSPICECARE CENTER WERE GENEROUS GIFTS FUNDED ENTIRELY BY THE COMMUNITY. AGRACE HOLDINGS HAS A RESPONSIBILITY TO KEEP THESE BUILDINGS IN THEIR ORIGINAL STATE FOR THE USE OF PATIENTS AND FAMILIES IN PERPETUITY. MAJOR CAPITAL PROJECTS IN 2012 INCLUDED COMPUTER EQUIPMENT AND BUILDING IMPROVEMENTS RELATED TO IMPROVING SAFETY, REDUCING RISK AND AIDING IN RECOVERY OF CRITICAL SYSTEMS. ADDITIONAL BUILDING EXPENDITURES FOR THE CONSTRUCTION OF THE NEW ROCK COUNTY BUILDING WERE ALSO MADE. 1288779 true true false false false false true false true true false false true true true false true false false false false false false false false false false false true false false false false false false false false true true false false false true false false false false true 6 0 true 0 false false false false false false false false false false false X 5 5 false false true false true true false true true false false true true true true true true false false false WI X Joyce Zeasman 6082764660 5935 EAST CHERYL PARKWAY MADISON WI 53711 X DAVID KRUGER 1.00 1.00 X X 0 0 0 DON ANDERSON 1.00 X X 0 0 0 MARGARET BOTHAM 1.00 X X 0 0 0 SUSAN SPRINGMAN 1.00 X X 0 0 0 MARK WINTER 1.00 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 5.00 43.00 X 0 175007 27085 SUSAN PHILLIPS 5.00 35.00 X 0 482432 5727 0 1172098 96105 0 true true false 0 10000 63446 63446 73446 RENTAL INCOME FROM AGRACE HOSPICECARE, INC. 900002 1824636 1824636 0 0 0 0 0 0 0 0 1824636 4005 4005 0 0 0 0 0 10966 37311 0 -26345 -26345 -26345 0 0 0 0 0 0 0 0 0 0 0 1875742 1824636 0 -22340 0 0 0 0 0 0 0 0 0 0 0 0 2750 2750 0 0 0 171216 0 171216 0 0 5806 5806 0 0 0 0 0 112 112 12942 9963 2979 0 1539034 1278816 260218 0 CONSULTING 770 770 DUES, FEES, LICENSES 54 54 0 0 0 0 1732684 1288779 443905 0 0 4064689 4115473 709572 714083 0 0 646 139 33280530 10916239 23124548 22364291 0 0 0 0 14217570 17005771 42117025 44199757 54270 177354 0 1068854 158557 1123124 335911 X 39533536 41060427 1398339 2718966 62026 84453 40993901 43863846 42117025 44199757 X 143058 2726887 X false true true false X X X false false false AGRACE HOSPICECARE INC 391319537 9 true true true 0 1 0 SUPPORT TO RELATED TAX-EXEMPT ORGANIZATION, SCHEDULE A, PART I, LINE 11, HOLDINGS PROVIDES THE USE OF THEIR FACILITIES AND FIXED ASSETS TO AGRACE HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION, TO SUPPORT ITS MISSION OF ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE., RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 61769 466301 X X PROVIDE WELCOMING ENVIRONMENT false 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 true true 1761214 1761214 24383434 5876514 18506920 0 5472663 3875612 1597051 1663219 1164113 499106 22364291 NET INTEREST IN AFFILIATES 16537153 DUE FROM AFFILIATE 2317 ARTWORK 466301 17005771 0 CAPITAL LEASES 153192 DUE TO AFFILIATE 5365 158557 X true true false false false false false 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 MARCIA M WHITTINGTON 0 151353 0 23182 0 472 0 7152 0 19933 0 202092 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 AGRACE HOSPICECARE, INC, THE ORGANIZATION'S PARENT ORGANIZATION, ESTABLISHES COMPENSATION. 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 63 61769 SELLING COST X GRILL 1 1677 SELLING COST 0 false true true Explanations of reporting method for number of contributions Schedule M, Part I ART - WORKS OF ART: AGRACE HOSPICECARE HOLDINGS, INC. IS REPORTING THE NUMBER OF ITEMS (ARTWORK) RECEIVED IN 2012. OTHER: SINGLE ITEM DONATED. Third parties used to solicit, process, or sell noncash contributions Schedule M, Part I, Line 32b AGRACE HOSPICECARE FOUNDATION, INC., A RELATED TAX-EXEMPT ORGANIZATION, SOLICITS AND PROCESSES VARIOUS NONCASH DONATIONS ON THE ORGANIZATION'S BEHALF. Number of contributions or items contributed. Schedule M, part I, column (b), Line 1 AGRACE HOSPICECARE HOLDINGS, INC. IS REPORTING THE NUMBER OF ITEMS (ARTWORK) RECEIVED IN 2012. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=GRILL SINGLE ITEM DONATED. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 IN CARRYING OUT ITS MISSION, AGRACE HOLDINGS INVESTS IN, RECEIVES, HOLDS, USES AND DISPOSES OF ALL PROPERTY, REAL OR PERSONAL, AS MAY BE NECESSARY OR DESIRABLE TO SUPPORT THE OPERATIONS OF AGRACE HOSPICECARE, INC. AND, BECAUSE THE BUILDINGS WERE FUNDED ENTIRELY BY GIFTS FROM THE COMMUNITY, AGRACE HOLDINGS HAS A RESPONSIBILITY TO KEEP THEM IN THEIR ORIGINAL STATE FOR THE USE OF PATIENTS AND FAMILIES IN PERPETUITY. Significant changes to organizational documents Form 990, Part VI, Section A, Line 4 THE BYLWAS WERE AMENDED SUCH THAT THE BOARD OF DIRECTORS OF THE SOLE MEMBER SHALL BE BOARD OF DIRECTORS OF CORPORATION. THE BYLAWS WERE AMENDED SUCH THAT OFFICERS APPOINTED TO THE AGRACE HOSPICECARE, INC. BOARD WILL AUTOMATICALLY BE OFFICERS OF AGRACE HOSPICECARE HOLDINGS, INC. 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 HOLDINGS AND HAS THE AUTHORITY TO APPOINT, REMOVE, AND REPLACE ANY DIRECTOR ON AGRACE HOLDINGS BOARD. AGRACE HOSPICECARE, INC. ALSO HAS THE SOLE AUTHORITY TO AMEND THE HOLDINGS' BYLAWS AND ARTICLES OF INCORPORATION. AGRACE HOSPICECARE, INC. HAS NO OTHER RESPONSIBILITIES OR VOTING RIGHTS WITH RESPECT TO THE OPERATIONS OF AGRACE HOLDINGS. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a SEE RESPONSE TO FORM 990, PART VI, SECTION A, 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. AN INTERESTED PERSON WITH A CONFLICT WILL EXCUSE HIM/HERSELF FROM ANY DISCUSSION, VOTE OR SIMILAR ACTION AS IT RELATES TO THE CONFLICT DISCLOSED. 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 GOVERNANCE 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 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 UNRESTRICTED NET ASSETS OF AFFLIATE - 1382502; CHANGE IN TEMP RESTRICTED NET ASSETS OF AFFILIATE - 1321957; CHANGE IN PERM RESTRICTED NET ASSETS OF AFFILIATE - 22428; AGRACE HOSPICECARE INC 5395 E CHERYL PARKWAY MADISON WI 53711 HEALTHCARE WI 501(C)(3) 9 NA false AGRACE HOSPICECARE FOUNDATION INC 5395 E CHERYL PARKWAY MADISON WI 53711 FUNDRAISING WI 501(C)(3) 11 - Type I AHCI false false false false false false false false false true false false true true true true true false false