2021-11-10T07:12:08-06:00 2020-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2020-01-01 450349152 Hospice of the Red River Valley HOSP 7013561500 1701 38th ST S No 101 Fargo ND 581034499 Theresa Stahl Director of Finance 7013561500 2021-11-09 1 Theresa Stahl 999009999 Kim Hunwardsen CPA P00484560 6122536500 2021-11-09 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z Theresa Stahl 1701 38th ST S No 101 Fargo ND 581034499 34568159 0 X www.hrrv.org X 1978 ND To provice hospice & palliative care to terminally ill individuals at the end of their life 12 12 304 695 0 0 3691655 2414509 28404477 30868254 347718 481064 148729 85234 32592579 33849061 0 0 0 0 15261712 15427422 242736 90750 556320 13431401 14653846 28935849 30172018 3656730 3677043 20814532 29216020 3350390 6969865 17464142 22246155 X The mission of Hospice of the Red River Valley is to provide comfort and care through life's journey. 0 1 23368224 30824149 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. 86693 4020 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. 47486 40085 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. 23502403 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 19 0 1 304 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X Theresa Stahl 7013561507 1701 38th ST S Suite 101 Fargo ND 581034499 Alan Palmer Board Member (Apr-Dec) 2.00 0.00 X 0 0 0 Bill Hejl Secretary/Treasurer 2.00 0.00 X X 0 0 0 Erik Barner Vice President 2.00 0.00 X X 0 0 0 John Stumpf Board Member 2.00 0.00 X 0 0 0 Jon Benson President 2.00 0.00 X X 0 0 0 Laurie Natwick Board Member 2.00 0.00 X 0 0 0 Mike Lillestol Board Member 2.00 0.00 X 0 0 0 Nate Vollmuth Board Member 2.00 0.00 X 0 0 0 Paul Diederich Board Member 2.00 0.00 X 0 0 0 Rebecca Nichol Past President 2.00 0.00 X X 0 0 0 Todd Fisher Board Member 2.00 0.00 X 0 0 0 Tom Eide Board Member 2.00 0.00 X 0 0 0 Steve Slabik Director of Finance (Jan-May) 40.00 0.00 X 87056 0 6533 Theresa Capron Executive Director 36.00 4.00 X 214113 0 16939 Theresa Stahl Director of Finance (May-Dec) 38.00 2.00 X 76274 0 15985 Becky Pfau Directer of Clinical Operations 40.00 0.00 X 122666 0 14111 Beverly Swenson Gibson Nurse Practitioner 40.00 0.00 X 127315 0 17084 Jennifer Johnson Nurse Practitioner 40.00 0.00 X 129327 0 8363 Margaret Sterling Director of Quality & Education 40.00 0.00 X 116902 0 9425 Tracie Mallber Sylvester Medical Director 28.00 12.00 X 260330 0 23977 1133983 0 112417 9 0 1 0 Delta Care Rx 264 Smith Twp State Rd Suite 2 Burgettstown PA 15021 PBM-Processed Claims for medications 1116615 Sanford HealthCare Accessories PO Box 9679 Fargo ND 58106 Durable Medical equipment for patients 684636 High Point Networks 728 East Beaton Dr Suite 200 West Fargo ND 58078 IT Technical Support Services 235571 Flint Group 101 10th Street North Fargo ND 58102 Advertising & Marketing Consulting Servi 208523 Multi-View 1611 Asheville Hwy Henderson NC 28791 Hospice Best Practices Consulting Servic 156972 6 15207 191442 2207860 72097 2414509 Net Patient Service Revenue 621610 30860855 30860855 7399 7399 30868254 275936 275936 53932 59429 -5497 -5497 -5497 524763 3167 247392 75410 277371 -72243 205128 205128 427598 336867 90731 90731 33849061 30868254 0 566298 X 421930 421930 12099910 8930127 2837019 332764 268981 201554 60024 7403 1820886 1354271 416871 49744 815715 586211 207972 21532 27621 27621 36423 36423 1810 1810 90750 90750 9584514 9319621 253754 11139 253207 226409 26798 478576 171722 302594 4260 382353 149030 226567 6756 326051 326051 703613 617345 85336 932 40508 2812 37095 601 45071 45071 300710 35759 264951 124421 124421 Medical Supplies 2123727 2123727 Dues, Licenses & Supbsc 203152 3004 196557 3591 22089 7220 14819 50 30172018 23502403 6113295 556320 612 1212 2084317 7183286 1514900 1244959 3937324 4377233 25372 69826 127107 135701 8980882 3671167 3415317 5309715 9138907 10543478 250000 38773 320676 311837 20814532 29216020 2469349 2609444 989048 881041 723673 2647700 3350390 6969865 X 11637507 14521942 5826635 7724213 17464142 22246155 20814532 29216020 X 3677043 1089790 15180 X 0 1 X 1 0 X 1458393 1240263 1069751 3691655 2414509 9874571 1458393 1240263 1069751 3691655 2414509 9874571 1606322 8268249 312818 477834 473395 444928 329868 2038843 88760 163050 160233 145187 121312 678542 12591956 126485189 0.65660 0.59610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1810 1810 0 Part II-B, Line 1: Line 1i is the lobbying portion of the organizations NHPCO and NPHI association dues. 5175734 151342 782853 182795 5927134 4281735 166304 875431 147736 5175734 4287019 346916 -205673 146527 4281735 3533206 428323 497386 171896 4287019 3038323 282378 200896 138539 3533206 0.39500 0.35000 0.25500 0 0 3024000 3024000 2699797 1161933 1537864 176277 146973 29304 2685001 2304129 380872 395807 58132 337675 5309715 X 35350327 1089790 15180 1104970 34245357 -396296 -396296 33849061 30568314 396296 396296 30172018 0 30172018 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. X X X X X X 1 Convergent Nonprofit Solutions LLC 520 Sheritan Way Smyma GA 30082 Conducted a Capital Campaign for an Inpatient Hospice Unit 0 95141 90750 4391 95141 90750 4391 MN ND 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. X X 0 0 0 0 0 0 0 0 0 Tracie Mallber Sylvester Medical Director 260330 0 0 0 0 0 0 0 27184 0 287514 0 0 0 Theresa Capron Executive Director 214113 0 0 0 0 0 8576 0 11421 0 234110 0 0 0 A Cass County North Dakota 456002205 000000000 2015-11-09 1600000 Mortgage Revenue Refunding Bond for 2007 Issue 0 0 0 A 876327 1600000 1600000 2015 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 1 0.05840 1 0 A 0 0 1 0 0 0 0 0 0 A 0 X 3 72097 FMV 0 0 0 0 Part I, Column (b): The number in column b represents the number of donors. 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. Red River Valley Health Care PC 1701 38th St South Fargo ND 58103 833810274 Hospice & Palliative Care MN 501(c)(3) Line 7 Hospice of the Red River Valley 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 Red River Valley Health Care PC Q 616949 Accrual