2023-08-15T21:00:44+00:00 2022-12-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2022-01-01 300001715 Agrace HospiceCare Holdings Inc AGRA 6082764660 5395 East Cheryl Parkway Fitchburg WI 53711 Lynne Sexten President/CEO 2023-08-15 true Lynne Sexten 999009999 Mallory Fairless P01321579 3128997000 2022 2023-04-26 12:10:37Z Lynne Sexten 5395 East Cheryl Parkway Fitchburg WI 53711 4155698 false X www.agrace.org X 2001 WI Agrace HospiceCare Holdings, Inc.'s (Holdings) mission is "Providing personalized care and support, where and when you need it, for life's changing health needs." Holdings is operated exclusively for the SUPPORT AND BENEFIT OF AGRACE HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION. 12 11 0 13 0 0 0 2600 2719122 2778464 -1773 -43100 0 0 2717349 2737964 1000000 1000000 0 0 0 0 0 2714254 2707599 3714254 3707599 -996905 -969635 26931988 26123509 448875 610031 26483113 25513478 Holdings' mission is "Providing personalized care and support, where and when you need it, for life's changing health needs." Holdings is operated exclusively for the support and benefit of Agrace HospiceCare, a related tax-exempt organization. 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. false false 2845577 1000000 2778464 PROVISION OF CAPITAL ASSETS: AGRACE HOLDINGS SUPPORTS AGRACE HOSPICECARE BY PROVIDING THE STRATEGIC AND OPERATIONAL CAPITAL ASSETS NECESSARY FOR AGRACE 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, THE DON & MARILYN ANDERSON HOSPICECARE CENTER, AND AGRACE CENTER FOR HOSPICE & PALLIATIVE CARE JANESVILLE CAMPUS 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 2022 INCLUDED COMPUTER EQUIPMENT, AND BUILDING IMPROVEMENTS RELATED TO IMPROVING SAFETY, IMPROVING QUALITY OF CARE, REDUCING RISK AND AIDING IN RECOVERY OF CRITICAL SYSTEMS. IN 2022, AGRACE HOSPICECARE HOLDINGS, INC. TRANSFERRED FUNDS TOTALING $1,000,000 TO THE RISK RESERVE ACCOUNT HELD BY AGRACE HOSPICECARE FOUNDATION, INC. 2845577 true false false false false false true false false true false false false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true X 7 0 true 0 false false false false false false false false false false false false X 12 11 true false false false true true false true true false false true true true true true true false false false WI X Jennifer Maurer 6082764660 5395 East Cheryl Parkway Fitchburg WI 53711 Christopher Queram Chair 1.0 1.0 X X 0 0 0 Jane Wiedenbeck Treasurer 1.0 1.0 X X 0 0 0 Jonathan Jaffery MD Vice Chair 1.0 1.0 X X 0 0 0 Ken Thompson Secretary 1.0 1.0 X X 0 0 0 Lynne Sexten President / CEO 5.0 35.0 X X 0 679654 59298 Amie Goldman Director - Until 8/2022 1.0 1.0 X 0 84711 0 Dr Pamela Wetzel Director 1.0 1.0 X 0 0 0 Fredric Ransom Director 1.0 1.0 X 0 0 0 Kelly Ritchie Director 1.0 1.0 X 0 0 0 Lou Bernhardt MD Director 1.0 2.0 X 0 0 0 Matthew Richards Director 1.0 1.0 X 0 0 0 Steve Bobeck Director - Until 10/2022 1.0 1.0 X 0 0 0 Steve DiTullio Director 1.0 1.0 X 0 0 0 Tim Size Director 1.0 1.0 X 0 0 0 Jennifer Maurer Chief Financial Officer 5.0 35.0 X 0 324367 26396 Julia Houck VP, Human Resources - Until 06/2022 5.0 35.0 X 0 180429 21452 0 1269161 107146 0 false true false Creative Business Interiors Inc 201 Moravian Valley Rd Ste D Waunakee WI 53597 Office remodel and furniture 390586 AGRACE HOSPICECARE INC 5395 E CHERYL PKWY FITCHBURG WI 53711 ADMINISTRATIVE SERVICES 195146 2 2600 2600 2600 Rental income from Agrace HospiceCare, Inc 900002 2778464 2778464 0 0 0 0 2778464 857 857 0 0 1373777 1417734 0 -43957 -43957 -43957 0 0 0 0 0 2737964 2778464 0 -43100 1000000 1000000 24272 24272 189725 0 189725 0 23478 17352 6126 2460243 1818344 641899 Durable medical equipment maintenance & repairs 9881 9881 0 0 0 0 3707599 2845577 862022 0 1259929 1413411 0 0 0 0 0 0 11386 15013 48835888 24975735 24950210 23860153 0 0 710463 834932 26931988 26123509 203935 363881 0 0 244940 246150 448875 610031 X 26483113 25513478 26483113 25513478 26931988 26123509 -969635 0 0 0 0 0 X false true X true false X X 1 AGRACE HOSPICECARE INC 391319537 9 true 1000000 0 1 1000000 0 true false false false false false false false false false false false false false false true false Schedule A, Part I, Line 11 SUPPORT TO RELATED TAX-EXEMPT ORGANIZATION 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. 2600 635332 X X Provide a welcoming environment false 1775145 1775145 32825695 14898276 17927419 1329368 690436 638932 10168705 7474180 2694525 2736975 1912843 824132 23860153 Capital Leases Due to affiliates Finance Leases 208741 Due to affiliates 37409 246150 X Schedule D, Part III, Line 4 Collections of art - description of collections The organization's collections consist primarily of works of art that are on display in public spaces as well as patient rooms at the facilities owned by Agrace HospiceCare Holdings and operated by Agrace HospiceCare, Inc. These works of art are used to provide a welcoming, therapeutic, home-like environment to Agrace HospiceCare patients and families in furtherance of the organization's mission of partnering with patients and families to improve quality of life throughout serious illness. 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 health care facilities. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The organization is included in the consolidated audited financial statements of Agrace HospiceCare, Inc., a related organization. Agrace HospiceCare Inc.'s Fin 48 (ASC740) Footnote for the year ended December 31, 2022 reads as follows: The Organization is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. Additionally, the Organization has been determined not to be a private foundation under Section 509(a) of the Internal Revenue Code. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not: that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination, For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Organization's Forms 990 have 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, 2022 or 2021. true Agrace Hospicecare Foundation Inc 5395 E Cheryl Pkwy Fitchburg WI 53711 300001703 501(c)(3) 1000000 Intended for Agrace Hospicecare Foundation, Inc.'s risk reserve account to be used as a contingency for future operations. 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. This grant is intended for Agrace HospiceCare Foundation, Inc. to increase the Risk Reserve account. Agrace HospiceCare Inc. receives regular reports on the Risk Reserve activities and the investment earnings on the Risk Reserve. Agrace Inc. directly benefits from the earnings of the Risk Reserve and is used as a contingency fund for Agrace Inc. false true false false false false false false false Lynne Sexten President / CEO 0 423650 0 234124 0 21880 0 39200 0 20098 0 738952 0 0 Julia Houck VP, Human Resources - Until 06/2022 0 105225 0 70151 0 5053 0 7299 0 14154 0 201881 0 0 Jennifer Maurer Chief Financial Officer 0 262054 0 60984 0 1328 0 15200 0 11196 0 350763 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE ORGANIZATION RELIED ON AGRACE HOSPICECARE, A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS OTHER OFFICERS AND KEY EMPLOYEES. BELOW IS THE PROCESS USED BY AGRACE HOSPICECARE FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. EACH YEAR THE ORGANIZATION GATHERS MARKET DATA FOR DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THIS INCLUDES BENCHMARKS OF NATIONAL, REGIONAL, AND LOCAL COMPENSATION THAT ARE PROVIDED FROM INDEPENDENT COMPENSATION SURVEYS. THE VP, HUMAN RESOURCES 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 OCCURS ANNUALLY IN FEBRUARY. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Lynne Sexten participated in a 457(f) plan. No distributions were made from the plan during 2022. A contribution in the amount of $27,000 was made to the plan during 2022. Form 990, Part V, Line 2a REPORTING OF EMPLOYEES COMPENSATION THE ORGANIZATION SHARES EMPLOYEES WITH AGRACE HOSPICECARE, INC. (AHI), A RELATED TAX-EXEMPT ORGANIZATION. NONE OF THE EMPLOYEES SPEND THE MAJORITY OF THEIR TIME WORKING FOR THE ORGANIZATION; THEREFORE, NO EMPLOYEES ARE REPORTED ON FORM 990, PART V, LINE 2A. THE ORGANIZATION DOES REIMBURSE AHI FOR THE TIME THE SHARED EMPLOYEES SPEND WORKING AT THE ORGANIZATION. THIS COMPENSATION EXPENSE IS REPORTED ON FORM 990, PART IX, LINE 11G. Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE ORGANIZATION RELIED ON AGRACE HOSPICECARE, A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS OTHER OFFICERS AND KEY EMPLOYEES. BELOW IS THE PROCESS USED BY AGRACE HOSPICECARE FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. EACH YEAR THE ORGANIZATION GATHERS MARKET DATA FOR DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THIS INCLUDES BENCHMARKS OF NATIONAL, REGIONAL, AND LOCAL COMPENSATION THAT ARE PROVIDED FROM INDEPENDENT COMPENSATION SURVEYS. THE VP, HUMAN RESOURCES 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 OCCURS ANNUALLY IN FEBRUARY. Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMP OF OTHER OFFICERS AND KEY EMPLOYEES THE ORGANIZATION RELIED ON AGRACE HOSPICECARE, A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS OTHER OFFICERS. BELOW IS THE PROCESS USED BY AGRACE HOSPICECARE FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS. Every other 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 VP, 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 compensation package for the executive leadership team and documents their approval in writing. This process occurs biennially in February. Form 990, Part VI, Line 1a Delegate broad authority to a committee The Executive Committee is composed of 5 members of the board. The committee has the authority to review and establish the CEO contract, executive level compensation and supplemental retirement plans, assess board and officer composition, recruitment and performance, and update board policies and procedures. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Frederic Ransom & Jonathan Jaffrey - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders 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. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Pursuant to the bylaws of the organization, Agrace HospiceCare, Incorporated, the sole member of the organization, has the authority to, at any time, appoint and re-appoint Directors of the Corporation, fill vacancies on the board of directors, and remove any director of the corporation, with or without cause. Form 990, Part VI, Line 11b Review of form 990 by governing body The Controller and CFO performed a detailed review of Form 990 and the related schedules prior to filing the return. This included verification of all amounts for accuracy and completeness. The form and schedules were also reviewed for content, presentation and reasonableness. The entire Form 990 is made available to the entire executive leadership team and an entity specific highlights summary is provided. The entire Form 990 is provided to the entire Board of Directors prior to filing and is accompanied by a 990 highlight summary. The audit committee reviewed the Form 990 and related schedules for reasonableness. Form 990, Part VI, Line 12c Conflict of interest policy Directors, officers, community committee members, 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 Manager. The Controller and Governance Manager determine whether a potential conflict exists based on the completed questionnaires submitted by each interested person. The result of that determination is reviewed with the CFO and CEO and approved by the Agrace Board. Form 990, Part VI, Line 19 Required documents available to the public These documents may be made available to the public upon receipt of a written request. AGRACE HOSPICECARE INC 5395 E CHERYL PARKWAY Fitchburg WI 53711 391319537 HEALTHCARE WI 501(c)(3) 10 NA false AGRACE HOSPICECARE FOUNDATION INC 5395 E CHERYL PARKWAY Fitchburg WI 53711 300001703 FUNDRAISING WI 501(c)(3) Type I AHCI false false true false true false false false false false true false false true true true true true false false