40th Anniversary Celebration Agrace celebrated its 40th anniversary of being founded by a group of volunteers who believed in the mission of quality, compassionate end-of-life care. An event to celebrate this milestone was held in August with more than 100 staff, donors, volunteers and community members in attendance.

Non-Medical Service Helps Seniors “Age at Home” In September, Agrace began offering a new non-medical home care service to help people that are struggling to remain safe and independent at home as they grow older. Age at Home by Agrace offers a menu of services designed to help Dane County seniors remain living in their own homes as they age: personal care, housekeeping, meal preparation, laundry, medication reminders, errands, transportation and much more. With specialty services, such as overnight and live-in care, clients can personalize support to their needs. Proceeds from this private-pay service are reinvested into programs and services that support Agrace’s nonprofit mission.

Volunteer Program Focuses on Supporting Veteran PatientsWhen a hospice patient is also a veteran, their military service can affect their end-of-life goals. In order to best serve our veteran patients, Agrace developed a detailed, new volunteer training process for Vet-to-Vet visits and are seeking new volunteers with military service.

Agrace’s Vet-to-Vet visits support veteran patients by giving them time with a volunteer who can relate to their service and is a willing listener. These visits often build trust and give veterans more personalized care.

Agrace Receives Award for Diversity in the WorkplaceAgrace received the 2018 YWCA Rock County Dorothy Height Award for Diversity in the Workplace. The honor reflects our broad commitment to diversity and inclusion, including innovative interpreter services, Advancing Inclusion and Equity Committee, and recruitment and retention practices.

Residential Hospice Care Becomes Available in JanesvilleOnce dedicated to short-term, acute care, the Agrace Center for Hospice & Palliative Care in Janesville began offering a new option: residential hospice care. Rather than moving to our Residence in Madison, local patients can now stay closer to home, in a large, private suite where hospice caregivers are nearby around the clock.

2018 ANNUAL REPORT

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Agrace Annual Report 2016

Agrace Annual Report

2018

FOUNDATION

RETURNING THE FAVORHow the Agrace Foundation Helps the Community

Grief services, including support groups for adults and children that are open to the public

Respite care, so our patients’ caregivers can take a few days’ break

Volunteer training for the specialized roles they perform for Agrace

The Wish Program, which funds and coordinates end-of-life wishes for patients and families

The Hospice and Palliative Medicine Fellowship, which offers rotations to physicians-in-training

When patients who need Agrace’s palliative care or hospice services are not covered by Medicare, Medicaid or insurance and cannot otherwise afford their care, the Agrace Foundation is here to help. Thanks to community donations to the Foundation’s Care for All program, Agrace can offer free or discounted care to patients who demonstrate financial need throughout our entire service area, including Dane, Sauk and Rock counties in Wisconsin as well as counties in northern Illinois. Because of this program, we’ve never turned away a patient for inability to pay. Those who donate to the Agrace Foundation don’t expect to get anything in return—and yet there is a return on their investment. In 2018, Agrace provided a community benefit of $3.9 million through support of vital Agrace services and programs like these:

■ 38% Care for All Campaign $ 1,413,847■ 21% Memorials 808,175 ■ 13% Thrift Stores 475,397 ■ 11% Bequests/Planned Giving 816,767■ 8% General and Direct Mail Donations 697,098 (Including individuals, foundations, businesses, etc.) ■ 6% Fundraising Events 276,570 ■ 3% United Way 108,855

TOTAL $ 3,761,332

2018 Donations

CARE FOR ALL ENDOWMENT CAMPAIGNDonors who made gifts of $10,000 or more in 2018ANONYMOUSLinn Roth and Jean MartinelliJoseph and Jamie SteuerMarvin L. ConneyNick and Judy TopitzesFirst Business Trust Johnson BankLou and Sandi BernhardtEpicJames and Sharon Ihrig

In Memory of Marjorie LongDavid and Theresa Beck-EngelJeanice FoxBlackhawk Community Credit UnionPeter J. BentleyBill and Diane KennedyJane and Mick GilbertsonJohn Wiley and Georgia Blanchfield Lucy Wall and Steve MillerDavid and Kris Lenz

William and Joyce AlbrightKaren and Craig ChristiansonNeumy Benefit Inc.The Suby GroupTodd and Shari NelsonBerbeeWalsh FoundationKevin and Sheila ConroyJudith D. MartinezJade and Gary Gussel

Agrace Annual Report 2016

Agrace Annual Report

2018

AGRACE LEADERSHIPAgrace Executive Leadership Team Lynne Sexten, FACHEPresident and CEO

Pamela Edwards Chief Clinical Officer

Julia Houck Chief Administrative Officer

Jennifer Maurer Chief Financial Officer

Dr. MJ Shah Vice President of Medical Services & Medical Director

Brian Tennant Chief Information Officer

Marcia Whittington Chief Development Officer

Agrace Medical Services Team Dr. MJ ShahVice President of Medical Services & Medical Director

Dr. Eric MartyDirector of Palliative Care

Dr. Tony BrausHospice/Palliative Physician

Dr. Bernard MickeHospice/Palliative Physician

Dr. Wendy MolaskaHospice/Palliative Physician

Dr. Patricia NeumanHospice/Palliative Physician

Dr. Kenneth RobbinsHospice/Palliative Physician

Dr. Holly SchaeferHospice/Palliative Physician

Dr. Ethan SilvermanHospice/Palliative Physician

Dr. Geoffrey SmithHospice/Palliative Physician & Medical Director Designee

Dr. Karuna SpiegelmanHospice/Palliative Physician

Dr. David WattsHospice/Palliative Physician

Dr. KJ WilliamsHospice/Palliative Physician

Dr. Loyd WollstadtHospice/Palliative Physician

Agrace Board of Directors*

Michael Fitzpatrick, Chair Partner, Baker Tilly Virchow Krause, LLP

Dr. Ann Sheehy, Vice Chair Clinical Associate Professor Division Head, Hospital Medicine, UW Department of Medicine

Chris Queram, Secretary President & CEO, Wisconsin Collaborative for Healthcare Quality

Ken Thompson, Treasurer President & CEO, Capitol Bank

Dr. Lou Bernhardt Clinical Professor of Surgery, UW School of Medicine and Public Health

Dr. Toby Campbell Chief of Palliative Care, UW Health

Steve DiTullio Attorney, DeWitt Ross & Stevens S.C.

Brian Happ President & CEO, ERDMAN

Dr. Jonathan Jaffery Sr. VP and Chief Population Health Officer, UW Health / President, UW Health ACO

Erik Johnson CEO & Chairman, Hy Cite Corporation

David Kruger Chairman & Owner, Fiore Companies

Everett Mitchell Dane County Judge / Sr. Pastor, Christ the Solid Rock Baptist Church

Dr. Pamela Wetzel Chief Medical Officer, UnityPoint Health – Meriter

Jane Wiedenbeck Owner, Wieenbeck, Inc.

Foundation Board of Directors*

Steve DiTullio, Chair Attorney, DeWitt Ross & Stevens S.C.

Patrick Ryan, Vice Chair President/CFO, Ryan Brothers Ambulance

G. Linn Roth, Secretary Former CEO & Owner, Locus Inc.

William Albright, Treasurer Chairman & Former President, First Community Bank, Milton

Dave Beck-Engel President, Findorff

Gerald “Jay” Everard Senior Vice President, Wealth Management Advisor, US Bank

Gary Gussel President, Travel Mart, Inc.

William Kennedy President, Rock Road Companies, Inc.

Carol Koby Executive Producer/Host All About Living and Living Minutes, Mid-West Family Broadcasting

Willie Larkin Owner, MindOverMatter Presentation, Inc.

Pete Lundberg Owner, Janus Galleries

Judith MartinezDirector, Financial Advisor, The Burish Group of UBS

Terry MurawskiPresident, Murawski & Associates, LLC

Bill Schendt Retired Vice Chairman, Blain’s Farm & Fleet

Missy Tracy Municipal Relations Coordinator, Ho-Chunk Gaming Madison

Mike Yaktus Managing Partner, LMB, LLC

*As of 12/31/2018

Agrace Annual Report 2016

Agrace Annual Report

2018

Balance Sheet as of December 31, 2018 Assets Cash and investments $ 47,938,574 Patient accounts receivable (net) 9,832,175 Pledges and bequests receivable (net) 2,309,643 Property, equipment and artwork (net) 27,180,432 Other assets 1,327,243 Total Assets $ 88,588,067 Liabilities and Net Assets Accounts payable and accrued expenses $ 7,710,534 Long-term debt (including current portion) 221,789 Other liabilities 212,133

Total Liabilities 8,144,456 Total Net Assets 80,443,661 Total Liabilities and Net Asset $ 88,588,067

Revenue and Expenses Revenue Patient service revenue (net) $ 63,182,885 In-kind contributions & resale of donated merchandise 1,939,482 Other revenue 1,667,341

Total Revenue $ 66,789,708 Expenses Salaries and benefits $ 44,025,620 Patient-related expenses 12,682,368 Other operating expenses 8,061,843

Total Expenses 64,769,831

Operating Income $ 2,019,877 Other Income (Expense) Contributions $ 3,253,367 Special events (net) 164,124 Fundraising expense (1,182,162)Investment income (2,380,949) Other (1,003,169) Net Income (Change in Net Assets) $ 871,088

Agrace HospiceCare Inc. and Affiliates

■ Medicare, 77.7%■ Commercial Insurance & Self-pay, 9.2% ■ Community Support, 7.9%■ Investment & other income, 3.5%■ Medicaid, 1.5%■ United Way, 0.1%

■ Clinical patient care, 74%■ General & administrative, 18%■ Grief, volunteer services & community education, 6%■ Fundraising, 2%

2018 FINANCIALS

Revenue Composition

2018

Expensesby Program

2018

Agrace Annual Report 2016

Agrace Annual Report

2018

Our Grief & Bereavement Clients• In 2018, Agrace provided grief services to 2,367

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.

• In 2017, Agrace opened the Agrace Grief Support Center in Fitchburg, Wis., to host grief support groups and one-on-one support. During 2018, grief support services were provided to more than 500 people at the Center.

• Agrace’s grief support groups are open to everyone in the community who has experienced the death of a loved one, even if the person who died did not receive hospice care.

Age at Home Senior Care:In September 2018, Age at Home by Agrace was created, offering senior care services throughout Dane county. This service is private-pay, with all proceeds reinvested in Agrace’s nonprofit mission. In 2018, Age at Home caregivers served 107 clients and provided more than 4,000 hours of in-home care.

Grief Support GroupsAgrace’s grief support groups are open to everyone in the community who has experienced the death of a loved one, even if the person has no prior experience with Agrace services. VolunteersIn 2018, 922 specially trained volunteers provided 83,000 hours of service to Agrace in a variety of roles, including direct service to patients and families in their homes, and in the Agrace inpatient units. Volunteers also supported agency efforts by volunteering in many capacities including in our offices, kitchen, gardens, at our special events, community presentations, the Agrace thrift stores and the Agrace Grief Support Center.

EducationIn 2018, more than 150 students from the areas of nursing, social work, child life, clinical counseling, pharmacy and medical school, as well as residents and fellows, participated in clinical rotations at Agrace. Since the Agrace Rotation Program began in 1995, approximately 2,300 students, interns, residents, fellows and working health care professionals from the University of Wisconsin, Blackhawk Technical College, Edgewood College, Madison College, Herzing College, Aurora University and other institutions have completed an educational experience at Agrace. Agrace receives no reimbursement for these rotations, exception for a stipend from the UW School of Pharmacy. Agrace receives no reimbursement for these rotations with the exception of an annual stipend from the UW–Madison School of Pharmacy.

■ Cancer 33% ■ Alzheimer’s disease/dementia 22% ■ Heart Disease 21% ■ Life-limiting illnesses, including Parkinson’s, stroke, ALS and AIDS 11% ■ Lung disease 10%■ Kidney disease 3%

Patient Diagnoses

2018

SERVICES AT A GLANCE