Hospice Patient Census Grows to 700Across southern Wisconsin, people who are struggling with serious and life-limiting illnesses continue to ask for Agrace. In 2015, our average daily census of hospice patients reached 700 for the first time—and remains near that mark as of mid-2016. On any given day, about 700 patients are enrolled for hospice care with Agrace in 10 counties—each one on a unique end-of-life journey.

Sauk County Engagement Committee In 2015, our hospice patient census continued to grow faster than expected in Sauk County. We have cared for hundreds of Sauk County hospice patients and their families, and created several local jobs on our Baraboo-based care team. In 2015, we formed a core group of Sauk County residents who helped us connect with area health care and long-term providers, businesses, faith communities and other service organizations.

Extending Mission and VisionOver the years, we’ve seen something special happen each time Agrace expands our service area. Folks in nearby communities hear about our compassionate, quality care and they begin to ask for Agrace themselves.

That’s why we set forth plans in 2015 to begin serving patients in Richland Center and eastern Richland County (including Lone Rock, Cazenovia and Ithaca). Not only were people in Richland Center asking for Agrace, but we could see from Medicare data that less than half as many people in Richland County use hospice as in Dane County.

Launch of Care for ALLOur mission, “partnering with patients and families to improve quality of life throughout serious illness,” lives in our comprehensive, compassionate care.

In 2015, Agrace provided charity care totaling approximately $419,619. Over the past several years, requests for “Care for All“ assistance have steadily climbed. Realizing that we needed a more predictable, sustainable source of funding for this program, Agrace began a Care for All endowment campaign in 2015. Our goal is to raise $15 million over five years. The funds raised will be invested to generate annual income that will be used each year to provide care for those who qualify financially for this aid.

2015Annual Report

Returning the Favor How the Agrace Foundation Helps the CommunityWhen 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. 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 2015, Agrace provided a community benefit of $3.5 million through support of vital Agrace services and programs like these:

Grief services, including free 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

2015 Donations■ 37% Care for All Campaign $ 1,286,843■ 18% Memorial 644,401■ 13% General and Direct Mail Donations 461,549 (Including individuals, foundations, businesses, etc.)

■ 10% Bequests/Planned Giving 337,798■ 7% Fundraising Events 260,878 ■ 7% Rock County Capital Campaign 245,222 ■ 5% Thrift Stores 163,013 ■ 3% United Way 120,657

100% TOTAL $ 3,520,361

Agrace Annual Report 2015

Endowment Campaign

David and Mary Anderson Family Foundation

Caritas Foundation

C.L.M. Park Foundation

Marvin and Mildred Conney

Doug Dittmann

Allen and LaVonne Dorr

The Evjue Foundation

J.H. Findorff & Son

First Business Trust & Investments

The Flad Family

Johnson Bank

Robert L. Johnson

Jay and Janet Loewi

Madison Gas & Electric

Princeton Club

Tom and Karen Ragatz

Bing and DeeDee Rikkers

G. Linn Roth and Jean Martinelli

Jack and Sarah Salzwedel

Jay and Katie Sekelsky

Lynne Sexten

Michael and Rita Smith

Tim and Lori Stadelman

Jeffrey Tews and Susan Rather

UW Hospital & Clinics Department of Surgery

Mike and Susan Van Sicklen

Michael and Tracy Yaktus

Donors who made gifts of $10,000 or more in 2015

Agrace Annual Report 2015

Agrace Annual Report 2015

Agrace Executive Leadership Team Lynne Sexten, FACHEPresident and CEO

Pamela Edwards Chief Clinical Officer

Dr. Dena Green Sr. Medical Director

Julia Houck Chief Administrative Officer

Jennifer Maurer Chief Financial Officer

Brian Tennant Chief Information Officer

Marcia Whittington Chief Development Officer

Agrace Medical Services TeamDr. Dena Green Senior Medical Director

Dr. Bryan Atkinson Hospice/Palliative Physician

Dr. Karen BergerHospice/Palliative Physician

Dr. Tony BrausHospice/Palliative Physician

Dr. Winny HungHospice/Palliative Physician

Dr. Bernard MickeHospice/Palliative Physician

Dr. MJ ShahHospice/Palliative Physician

Dr. KJ Williams

Dr. Bill RockMedical Director, Emeritus

Agrace Board of Directors*Michael Fitzpatrick, ChairPartner, Baker Tilly Virchow Krause, LLP

Chris Queram, TreasurerPresident & CEO,Wisconsin Collaborative for Healthcare Quality

Dr. Ann Sheehy, SecretaryClinical Associate Professor Division Head, Hospital Medicine, UW Department of Medicine

David Cullen, Past ChairPresident, JP Cullen & Sons, Inc.

Julia Arata-FrattaSupervisor, Wegner CPAs

Dr. Lou BernhardtClinical Professor of Surgery, UW Schoolof Medicine and Public Health

Dr. Toby CampbellChief of Palliative Care, UW Health

Sharon ChamberlainBusiness & Executive Coach, ActionCOACH

Mike DallmanSVP Regional Affairs and President,University Health Care, Inc.

Gordon DerzonFormer President & CEO, UW Hospital & Clinics

Brian HappPresident & CEO, ERDMAN

Erik JohnsonCEO & Chairman, Hy Cite Corporation

David KrugerChairman & Owner, Fiore Companies

Everett MitchellDirector, Community Relations, Office ofUniversity Relations, UW-Madison /Sr. Pastor, Christ the Solid Rock Baptist Church

Ken ThompsonPresident & CEO, Capitol Bank

Dr. Pamela WetzelAssistant VP, Medical Affairs, UnityPointHealth — Meriter

Foundation Board of Directors*Dr. Lou Bernhardt, ChairClinical Professor of Surgery, UW Schoolof Medicine and Public Health

Steve DiTullio, Vice ChairAttorney, DeWitt Ross & Stevens S.C.

G. Linn Roth, TreasurerFormer CEO & Owner, Locus Incorporated

Patrick Ryan, SecretaryPresident/CFO, Ryan Brothers Ambulance

William AlbrightChairman & Former President, FirstCommunity Bank, Milton

Kathy CullenCommunity Leader

Gerald “Jay” EverardSenior Vice President, Wealth ManagementAdvisor, US Bank

William KennedyPresident, Rock Road Companies, Inc.

Carol KobyExecutive Producer/Host All About Livingand Living Minutes,Mid-West FamilyBroadcasting

Linda KrohnCommunity Leader

Rick LangerAttorney, Michael Best & Friedrich LLP

Pete LundbergOwner, Janus Galleries

Michael SmithSr. VP, Johnson Bank

Missy TracyMunicipal RelationsCoordinator, Ho-Chunk Gaming Madison

Mike YaktusManaging Partner, LMB, LLC

*As of 6/30/2016

Balance Sheet as of December 31, 2015

Assets Cash and investments) $ 36,896,842 Patient accounts receivable (net) 6,277,010 Pledges and bequests receivable (net) 1,889,051 Property, equipment and artwork (net) 29,061,495 Other assets 1,387,062 Total Assets $ 75,511,460 Liabilities and Net Assets Accounts payable and accrued expenses $ 5,791,932 Long-term debt (including current portion) 165,825 Other liabilities 163,947

Total Liabilities 6,121,704 Total Net Assets 69,389,756 Total Liabilities and Net Asset $ 75,511,460

Revenue and Expenses

Revenue Patient service revenue (net) $ 49,095,336 “In-kind contributions & resale of donated merchandise” 1,487,461 Other revenue 2,119,008

Total Revenue 52,701,805 Expenses Salaries and benefits 31,570,870 Patient-related expenses 7,295,533 Other operating expenses 11,732,608

Total Expenses 50,599,011

Operating Income 2,102,794 Other Income (Expense) Contributions 3,157,250 Special events (net) 155,215 Fundraising expense (924,248)Investment income (321,071)Other (1,519,776) Net Income (Change in Net Assets) $ 2,650,164

Agrace Annual Report 2015

Agrace HospiceCare Inc. and Affiliates

2015 Revenue Composition ■ Medicare, 75.3%

■ Commercial Insurance and Self-pay, 9.2%

■ Community Support, 8.6%

■ Investment and other income, 4.9%

■ Medicaid, 1.8%

■ United Way, 0.3%

2015 Expenses by Program ■ Clinical patient care, 70%

■ General and administrative, 21%

■ Grief, volunteer services and community education, 7%

■ Fundraising, 2%

Palliative CareAgrace Palliative Care made approximately 500 Palliative Care Consultation visits in 2015 to help people who are struggling with serious illnesses get better relief from their symptoms, medication side effects and stress.

Grief ServicesIn 2015, Agrace provided grief services to more than 15,000 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.

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 2015, 889 specially trained volunteers provided 76,932 hours of service to Agrace in a variety of roles, including direct service to patients and their families in their homes, and in the Agrace inpatient units in Madison and Janesville. Volunteers also supported agency efforts by volunteering in many capacities including in our offices, kitchen and gardens and at our special events, community presentations and Agrace thrift stores.

EducationIn 2015, 148 nursing students, medical students, residents and fellows, and 10 students from other health care professions participated in rotations at Agrace. Since the initiation of the Agrace Rotation Program in 1995, approximately 2,031 students, interns, residents, fellows and working health care professionals from the University of Wisconsin–Madison, Blackhawk Technical College, Edgewood College, Madison College, Herzing College, Alverno College, Benedictine University, Simmons College and other institutions of higher learning have completed an educational experience at Agrace. Agrace receives no reimbursement for these rotations with the exception of an annual stipend from the UW–Madison School of Pharmacy.

2015 Patient Diagnoses

■ Cancer 31%

■ Heart disease 26%

■ Life-limiting illnesses, including Parkinson’s, stroke, ALS and AIDS 13%

■ Alzheimer’s disease/dementia 19%

■ Lung disease 9%

■ Kidney disease 2%

Agrace Annual Report 2015