HOSPICE OF THE RED RIVER VALLEY: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF THE RED RIVER VALLEY (EIN 45-0349152)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-10
- IRS object ID
- 202113149349300626
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-10T07:12:08-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450349152 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hospice of the Red River Valley | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 7013561500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 38th ST S No 101 | AddressLine1Txt |
| City | Fargo | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 581034499 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Theresa Stahl | PersonNm |
| Person Title | Director of Finance | PersonTitleTxt |
| Phone | 7013561500 | PhoneNum |
| Signature | 2021-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Theresa | PersonFirstNm |
| Person Last | Stahl | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2021-11-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Theresa Stahl | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 38th ST S No 101 | AddressLine1Txt |
| City | Fargo | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 581034499 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,568,159 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.hrrv.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | To provice hospice & palliative care to terminally ill individuals at the end of their life | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 304 | TotalEmployeeCnt |
| Total Volunteers | 695 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,691,655 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,414,509 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $28,404,477 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $30,868,254 | CYProgramServiceRevenueAmt |
| PY Investment Income | $347,718 | PYInvestmentIncomeAmt |
| CY Investment Income | $481,064 | CYInvestmentIncomeAmt |
| PY Other Revenue | $148,729 | PYOtherRevenueAmt |
| CY Other Revenue | $85,234 | CYOtherRevenueAmt |
| PY Total Revenue | $32,592,579 | PYTotalRevenueAmt |
| CY Total Revenue | $33,849,061 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,261,712 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,427,422 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $242,736 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $90,750 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $556,320 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,431,401 | PYOtherExpensesAmt |
| CY Other Expenses | $14,653,846 | CYOtherExpensesAmt |
| PY Total Expenses | $28,935,849 | PYTotalExpensesAmt |
| CY Total Expenses | $30,172,018 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,656,730 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,677,043 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,814,532 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,216,020 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,350,390 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,969,865 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,464,142 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,246,155 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Hospice of the Red River Valley is to provide comfort and care through life's journey. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $23,368,224 | ExpenseAmt |
| Revenue | $30,824,149 | RevenueAmt |
| Desc | Hospice Care: Medically directed and team-coordinated services to terminally ill patients and their families. Patients and families receive care according to plans personalized to each patient and family's needs, wishes and abilities, enlisting all the skills of the hospice team. The care and services are provided to people in a more than 40 county service area in the greater Red River Valley area of the North Dakota/Minnesota border and is provided without regard for the patient or family's ability to pay. In 2020, Hospice of the Red River Valley served 2,229 patients from offices in Fargo, Grand Forks, Lisbon, Valley City, and Bismarck, North Dakota and Detroit Lakes and Thief River Falls, Minnesota. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $86,693 | ExpenseAmt |
| Revenue | $4,020 | RevenueAmt |
| Desc | Palliative Care: Red River Valley Palliative Care is a program of Hospice of the Red River Valley. This community service is specialized medical care for people living with a chronic disease. It provides relief from the symptoms and stress of a chronic disease-whatever the diagnosis-in your place of residence. Individuals do not need to be homebound to receive care. Palliative care does not replace treatment of an illness; the goal is to ease and prevent suffering and improve quality of life for both patient and family members. Along with symptom management, palliative care can facilitate discussions with patients and families concerning prognosis and goal planning. Palliative care may occur while you receive treatments for your illness. In 2020, Red River Valley Palliative Care served an average census of 84 patients. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $47,486 | ExpenseAmt |
| Revenue | $40,085 | RevenueAmt |
| Desc | Primary Care: Red River Valley Primary Care is a program of Hospice of the Red River Valley. This service offers preventive and specialty care in the comfort of a patient's home for people who have difficulty leaving their homes for clinic appointments. In 2020, Red River Primary Care served an average census of 236 patients. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $23,502,403 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 304 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Theresa Stahl | PersonNm |
| Phone | 7013561507 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 38th ST S Suite 101 | AddressLine1Txt |
| City | Fargo | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 581034499 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Alan Palmer | ||||||||
| Board Member (Apr-Dec) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Bill Hejl | ||||||||
| Secretary/Treasurer | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Erik Barner | ||||||||
| Vice President | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| John Stumpf | ||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Jon Benson | ||||||||
| President | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Laurie Natwick | ||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Mike Lillestol | ||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Nate Vollmuth | ||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul Diederich | ||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Rebecca Nichol | ||||||||
| Past President | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Todd Fisher | ||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Tom Eide | ||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Steve Slabik | ||||||||
| Director of Finance (Jan-May) | 40.00 | 0.00 | $87,056 | $0 | $6,533 | Yes (X) | ||
| Theresa Capron | ||||||||
| Executive Director | 36.00 | 4.00 | $214,113 | $0 | $16,939 | Yes (X) | ||
| Theresa Stahl | ||||||||
| Director of Finance (May-Dec) | 38.00 | 2.00 | $76,274 | $0 | $15,985 | Yes (X) | ||
| Becky Pfau | ||||||||
| Directer of Clinical Operations | 40.00 | 0.00 | $122,666 | $0 | $14,111 | Yes (X) | ||
| Beverly Swenson Gibson | ||||||||
| Nurse Practitioner | 40.00 | 0.00 | $127,315 | $0 | $17,084 | Yes (X) | ||
| Jennifer Johnson | ||||||||
| Nurse Practitioner | 40.00 | 0.00 | $129,327 | $0 | $8,363 | Yes (X) | ||
| Margaret Sterling | ||||||||
| Director of Quality & Education | 40.00 | 0.00 | $116,902 | $0 | $9,425 | Yes (X) | ||
| Tracie Mallber Sylvester | ||||||||
| Medical Director | 28.00 | 12.00 | $260,330 | $0 | $23,977 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,133,983 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $112,417 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Delta Care Rx | |||||
| 264 Smith Twp State Rd Suite 2 | Burgettstown | PA | 15021 | PBM-Processed Claims for medications | $1,116,615 |
| Sanford HealthCare Accessories | |||||
| PO Box 9679 | Fargo | ND | 58106 | Durable Medical equipment for patients | $684,636 |
| High Point Networks | |||||
| 728 East Beaton Dr Suite 200 | West Fargo | ND | 58078 | IT Technical Support Services | $235,571 |
| Flint Group | |||||
| 101 10th Street North | Fargo | ND | 58102 | Advertising & Marketing Consulting Servi | $208,523 |
| Multi-View | |||||
| 1611 Asheville Hwy | Henderson | NC | 28791 | Hospice Best Practices Consulting Servic | $156,972 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $15,207 | FederatedCampaignsAmt |
| Government Grants | $191,442 | GovernmentGrantsAmt |
| All Other Contributions | $2,207,860 | AllOtherContributionsAmt |
| Noncash Contributions | $72,097 | NoncashContributionsAmt |
| Total Contributions | $2,414,509 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service Revenue | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $30,860,855 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,860,855 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,399 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,399 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $30,868,254 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $275,936 | TotalRevenueColumnAmt |
| Exclusion | $275,936 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $53,932 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $59,429 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$5,497 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,497 | TotalRevenueColumnAmt |
| Exclusion | -$5,497 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $524,763 | SecuritiesAmt |
| Other | $3,167 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $247,392 | SecuritiesAmt |
| Other | $75,410 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $277,371 | SecuritiesAmt |
| Other | -$72,243 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $205,128 | TotalRevenueColumnAmt |
| Exclusion | $205,128 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $427,598 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $336,867 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,731 | TotalRevenueColumnAmt |
| Exclusion | $90,731 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,849,061 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,868,254 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $566,298 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,930 | TotalAmt |
| Management And General | $421,930 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,099,910 | TotalAmt |
| Program Services | $8,930,127 | ProgramServicesAmt |
| Management And General | $2,837,019 | ManagementAndGeneralAmt |
| Fundraising | $332,764 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,981 | TotalAmt |
| Program Services | $201,554 | ProgramServicesAmt |
| Management And General | $60,024 | ManagementAndGeneralAmt |
| Fundraising | $7,403 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,820,886 | TotalAmt |
| Program Services | $1,354,271 | ProgramServicesAmt |
| Management And General | $416,871 | ManagementAndGeneralAmt |
| Fundraising | $49,744 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $815,715 | TotalAmt |
| Program Services | $586,211 | ProgramServicesAmt |
| Management And General | $207,972 | ManagementAndGeneralAmt |
| Fundraising | $21,532 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,621 | TotalAmt |
| Management And General | $27,621 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,423 | TotalAmt |
| Management And General | $36,423 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,810 | TotalAmt |
| Management And General | $1,810 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,750 | TotalAmt |
| Fundraising | $90,750 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,584,514 | TotalAmt |
| Program Services | $9,319,621 | ProgramServicesAmt |
| Management And General | $253,754 | ManagementAndGeneralAmt |
| Fundraising | $11,139 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,207 | TotalAmt |
| Management And General | $226,409 | ManagementAndGeneralAmt |
| Fundraising | $26,798 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,576 | TotalAmt |
| Program Services | $171,722 | ProgramServicesAmt |
| Management And General | $302,594 | ManagementAndGeneralAmt |
| Fundraising | $4,260 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,353 | TotalAmt |
| Program Services | $149,030 | ProgramServicesAmt |
| Management And General | $226,567 | ManagementAndGeneralAmt |
| Fundraising | $6,756 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,051 | TotalAmt |
| Management And General | $326,051 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $703,613 | TotalAmt |
| Program Services | $617,345 | ProgramServicesAmt |
| Management And General | $85,336 | ManagementAndGeneralAmt |
| Fundraising | $932 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,508 | TotalAmt |
| Program Services | $2,812 | ProgramServicesAmt |
| Management And General | $37,095 | ManagementAndGeneralAmt |
| Fundraising | $601 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,071 | TotalAmt |
| Management And General | $45,071 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,710 | TotalAmt |
| Program Services | $35,759 | ProgramServicesAmt |
| Management And General | $264,951 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,421 | TotalAmt |
| Management And General | $124,421 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $2,123,727 | $2,123,727 | ||
| Dues, Licenses & Supbsc | $203,152 | $3,004 | $196,557 | $3,591 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,089 | TotalAmt |
| Program Services | $7,220 | ProgramServicesAmt |
| Management And General | $14,819 | ManagementAndGeneralAmt |
| Fundraising | $50 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,172,018 | TotalAmt |
| Program Services | $23,502,403 | ProgramServicesAmt |
| Management And General | $6,113,295 | ManagementAndGeneralAmt |
| Fundraising | $556,320 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $612 | BOYAmt |
| EOY | $1,212 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,084,317 | BOYAmt |
| EOY | $7,183,286 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,514,900 | BOYAmt |
| EOY | $1,244,959 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,937,324 | BOYAmt |
| EOY | $4,377,233 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,372 | BOYAmt |
| EOY | $69,826 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,107 | BOYAmt |
| EOY | $135,701 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,980,882 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,671,167 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,415,317 | BOYAmt |
| EOY | $5,309,715 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,138,907 | BOYAmt |
| EOY | $10,543,478 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,000 | BOYAmt |
| EOY | $38,773 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,676 | BOYAmt |
| EOY | $311,837 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,814,532 | BOYAmt |
| EOY | $29,216,020 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,469,349 | BOYAmt |
| EOY | $2,609,444 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $989,048 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $881,041 | BOYAmt |
| EOY | $723,673 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,647,700 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,350,390 | BOYAmt |
| EOY | $6,969,865 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,637,507 | BOYAmt |
| EOY | $14,521,942 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,826,635 | BOYAmt |
| EOY | $7,724,213 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,464,142 | BOYAmt |
| EOY | $22,246,155 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,814,532 | BOYAmt |
| EOY | $29,216,020 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,677,043 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,089,790 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $15,180 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,458,393 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,240,263 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,069,751 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,691,655 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,414,509 | CurrentTaxYearAmt |
| Total | $9,874,571 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,458,393 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,240,263 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,069,751 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,691,655 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,414,509 | CurrentTaxYearAmt |
| Total | $9,874,571 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,606,322 | SubstantialContributorsTotAmt |
| Public Support Total170 | $8,268,249 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $312,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $477,834 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $473,395 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $444,928 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $329,868 | CurrentTaxYearAmt |
| Total | $2,038,843 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $88,760 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $163,050 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $160,233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $145,187 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $121,312 | CurrentTaxYearAmt |
| Total | $678,542 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $12,591,956 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $126,485,189 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.65660 | PublicSupportCY170Pct |
| Public Support PY170 | 0.59610 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,810 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,810 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Line 1i is the lobbying portion of the organizations NHPCO and NPHI association dues. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,175,734 | BeginningYearBalanceAmt |
| Contributions | $151,342 | ContributionsAmt |
| Investment Earnings Or Losses | $782,853 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $182,795 | OtherExpendituresAmt |
| End Year Balance | $5,927,134 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,281,735 | BeginningYearBalanceAmt |
| Contributions | $166,304 | ContributionsAmt |
| Investment Earnings Or Losses | $875,431 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $147,736 | OtherExpendituresAmt |
| End Year Balance | $5,175,734 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,287,019 | BeginningYearBalanceAmt |
| Contributions | $346,916 | ContributionsAmt |
| Investment Earnings Or Losses | -$205,673 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $146,527 | OtherExpendituresAmt |
| End Year Balance | $4,281,735 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,533,206 | BeginningYearBalanceAmt |
| Contributions | $428,323 | ContributionsAmt |
| Investment Earnings Or Losses | $497,386 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $171,896 | OtherExpendituresAmt |
| End Year Balance | $4,287,019 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,038,323 | BeginningYearBalanceAmt |
| Contributions | $282,378 | ContributionsAmt |
| Investment Earnings Or Losses | $200,896 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $138,539 | OtherExpendituresAmt |
| End Year Balance | $3,533,206 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.39500 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.35000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.25500 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,024,000 | OtherCostOrOtherBasisAmt |
| Book Value | $3,024,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,699,797 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,161,933 | DepreciationAmt |
| Book Value | $1,537,864 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $176,277 | OtherCostOrOtherBasisAmt |
| Depreciation | $146,973 | DepreciationAmt |
| Book Value | $29,304 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,685,001 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,304,129 | DepreciationAmt |
| Book Value | $380,872 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $395,807 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,132 | DepreciationAmt |
| Book Value | $337,675 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,309,715 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $35,350,327 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,089,790 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $15,180 | OtherRevenueAmt |
| Revenue Not Reported | $1,104,970 | RevenueNotReportedAmt |
| Revenue Subtotal | $34,245,357 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$396,296 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$396,296 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $33,849,061 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $30,568,314 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $396,296 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $396,296 | ExpensesNotReportedAmt |
| Expenses Subtotal | $30,172,018 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $30,172,018 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The stated purpose of the organization's endowment fund is to fulfill the board of director's policies ensuring the organization's stability through preservation of its assets and to allow for satisfactory total return on all funds. |
| Part X, Line 2: | Hospice believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. Hospice would recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 2d - Other Adjustments: | Change in Value of Chart Trust 15,180. |
| Part XI, Line 4b - Other Adjustments: | Rental Expenses Included in Expenses in Audit -59,429. COGS Expenses Included in Expenses in Audit -336,867. |
| Part XII, Line 2d - Other Adjustments: | COGS Expenses Included in Revenue in Form 990 336,867. Rental Expenses Included in Revenue in Form 990 59,429. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Convergent Nonprofit Solutions LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 520 Sheritan Way | AddressLine1Txt |
| City | Smyma | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30082 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | Conducted a Capital Campaign for an Inpatient Hospice Unit | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $95,141 | GrossReceiptsAmt |
| Retained By Contractor | $90,750 | RetainedByContractorAmt |
| Net To Organization | $4,391 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $95,141 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $90,750 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $4,391 | TotalNetToOrganizationAmt |
| Licensed States | MN | LicensedStatesCd |
| Licensed States | ND | LicensedStatesCd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule G, Part I, line 2b(v): | In addition to the amounts reported in Schedule G, Part I, line 2b(v), per the agreement the organization also paid the professional fundraiser an additional $11,189 in campaign expenses, such as printing, office expenses and out of pocket travel expenses. |
| Schedule G, Part I, line 2b(vi): | The funds retained by the organization are minimal for 2020 due to the majority of the campaign activity was recorded in 2019 Form 990 Schedule G. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tracie Mallber Sylvester | ||||||||||||||
| Medical Director | $260,330 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $27,184 | $0 | $287,514 | $0 | $0 | $0 |
| Theresa Capron | ||||||||||||||
| Executive Director | $214,113 | $0 | $0 | $0 | $0 | $0 | $8,576 | $0 | $11,421 | $0 | $234,110 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cass County North Dakota | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 456002205 | BondIssuerEIN |
| CUSIP | 000000000 | CUSIPNum |
| Bond Issued | 2015-11-09 | BondIssuedDt |
| Issue Price | $1,600,000 | IssuePriceAmt |
| Purpose | Mortgage Revenue Refunding Bond for 2007 Issue | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $876,327 | RetiredAmt |
| Total Proceeds | $1,600,000 | TotalProceedsAmt |
| Other Spent Proceeds | $1,600,000 | OtherSpentProceedsAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | Yes (1) | ChangeInUseBondFinancedPropInd |
| Change In Use Bond Financed Prop | 0.05840 | ChangeInUseBondFinancedPropPct |
| Remedial Action Taken | Yes (1) | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $72,097 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Column (b): | FormAndLineReferenceDesc |
| Explanation | The number in column b represents the number of donors. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | Primary and Palliative Care ceased in May with the start-up of Red River Valley Health Care, P.C., a related entity. |
| Form 990, Part VI, Section A, line 1 | The Executive Committee can act on behalf of the governing board in between board meetings. They can make any decision, with the exception of amending the governing documents. The Executive Committee consists of the President, Vice President, Secretary/Treasurer and Past President. |
| Form 990, Part VI, Section B, line 11b | The Form 990 will be provided to the board members for their review and approval prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | All board members sign a conflict of interest policy on an annual basis. The corporate compliance officer investigates if any conflicts are disclosed. In addition, at the beginning of each board meeting, members are required to disclose if they have a conflict of interest regarding any agenda items. Depending on the conflict, the board member with the conflict may be excused from the discussion and is always excused from any vote. |
| Form 990, Part VI, Section B, line 15a | A full review of salaries is conducted annually and compared to wage and salary survey data (salary surveys are done annually; last done in December of 2020). The following resources are used when conducting the survey: ND and MN Job Service, Multi-View (a national hospice financial and consulting company), Guide Star Nonprofit Compensation Report, FMHRA (Fargo-Moorhead Human Resources Association) salary and compensation report, MN Hospice Pay Scale Evaluation, HCS - Hospital and Healthcare Compensation Service and Payscale. Based on the above and recommendation from the manager of human resources and budgetary constraints, the executive director approves the salaries of all staff except her own. The board of directors used the same information as the executive director in setting the salary for that position. |
| Form 990, Part VI, Section C, line 19 | The organization does not make its governing documents, conflict of interest policy and financial statement available to the public. |
| Form 990, Part IX, line 11g | Contracted Services: Program service expenses 9,293,200. Management and general expenses 101,528. Fundraising expenses 0. Total expenses 9,394,728. Consulting Services: Program service expenses 26,421. Management and general expenses 152,226. Fundraising expenses 11,139. Total expenses 189,786. |
| Form 990, Part XI, line 9: | Change in Value of Charitable Trust 15,180. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Red River Valley Health Care PC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 38th St South | AddressLine1Txt |
| City | Fargo | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 833810274 | EIN |
| Primary Activities | Hospice & Palliative Care | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hospice of the Red River Valley | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Red River Valley Health Care PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $616,949 | InvolvedAmt |
| Method Of Amount Determination | Accrual | MethodOfAmountDeterminationTxt |
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