FARIBAULT AREA HOSPICE FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
FARIBAULT AREA HOSPICE FOUNDATION (EIN 47-1693199)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-13
IRS object ID
201933179349304448
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-13T14:22:07-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1801 NICOLLET MALL WEST TOWER STEAddressLine1Txt
Address Line21100AddressLine2Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554022526ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN471693199EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FARIBAULT AREA HOSPICE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFARIBusinessNameControlTxt
Phone5073324731PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 STATE AVENUEAddressLine1Txt
CityFARIBAULTCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55021ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEN BETSINGERPersonNm
Person TitleCHAIRPersonTitleTxt
Phone5073324731PhoneNum
Signature2019-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKACIE MCEWENPreparerPersonNm
PTINP01599614PTIN
Phone6123324300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.98.98.3IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-11IPDt
IP Tm13:57:13IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdB56786F7D21A8F39D00ED83C272556B8DDCB8C36AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEN BETSINGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 STATE AVENUEAddressLine1Txt
CityFARIBAULTCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55021ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$27,120GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressFARIBAULTAREAHOSPICEFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE QUALITY OF LIFE FOR PATIENTS AND THEIR LOVED ONES IN THE DISTRICT ONE HOSPITAL AREA.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$22,042PYContributionsGrantsAmt
CY Contributions Grants$25,212CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$717PYInvestmentIncomeAmt
CY Investment Income$1,908CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$22,759PYTotalRevenueAmt
CY Total Revenue$27,120CYTotalRevenueAmt
PY Grants And Similar Paid$102,122PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$197,998CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,563PYOtherExpensesAmt
CY Other Expenses$7,526CYOtherExpensesAmt
PY Total Expenses$105,685PYTotalExpensesAmt
CY Total Expenses$205,524CYTotalExpensesAmt
PY Revenues Less Expenses-$82,926PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$178,404CYRevenuesLessExpensesAmt
Total Assets BOY$1,245,780TotalAssetsBOYAmt
Total Assets EOY$1,067,376TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,245,780NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,067,376NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFARIBAULT AREA HOSPICE FOUNDATION IS ORGANIZED AND OPERATED IN ACCORDANCE WITH IRC 501(C)(3) TO RAISE FUNDS FROM THE PUBLIC THAT ARE USED TO ENHANCE THE SCOPE AND QUALITY AND OTHERWISE SUPPORT THE MISSION OF FARIBAULT AREA HOSPICE, WHICH IS TO IMPROVE THE QUALITY OF LIFE THROUGH COMFORT, CARE, SUPPORT AND COMPASSION FOR PATIENS AND THEIR LOVED ONES IN THE DISTRICT ONE HOSPTAIL SERVICE AREA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$164,300ExpenseAmt
Grant$159,124GrantAmt
Revenue$0RevenueAmt
DescTHE FOUNDATION PROVIDES SUPPORT FOR INDIVIDUAL HOSPICE PATIENTS AND THEIR LOVED ONES TO IMPROVE THE QUALITY OF LIFE THROUGH COMFORT CARE, SUPPORT AND COMPASSION. THE FOUNDATION PROVIDED FINANCIAL ASSISTANCE TO HOSPICE PATIENTS AND THEIR FAMILIES TO ASSIST WITH EXPENSES, SUCH AS PAYMENT OF UTILITY BILLS, GIFT CARDS FOR GROCERIES AND OTHER HOUSEHOLD EXPENSES, ETC.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$38,874ExpenseAmt
Grant$38,874GrantAmt
Revenue$0RevenueAmt
DescTHE FOUNDATION ALSO MAKES DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS PUBLIC CHARITIES TO SUPPORT THE EXEMPT PURPOSE OF PROVIDING FINANCIAL SUPPORT FOR ENHANCING THE SCOPE AND QUALITY AND OTHERWISE SUPPORTING THE MISSION OF THE FARIBAULT AREA HOSPICE FOUNDATION, WHICH IS TO IMPROVE THE QUALITY OF LIFE THROUGH COMFORT CARE, SUPPORT AND COMPASSION FOR PATIENTS AND THEIR LOVED ONES IN THE DISTRICT ONE HOSPICE SERVICE AREA.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$203,174TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICK MILLER DISTRICT ONE HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5073324731PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 STATE AVENUEAddressLine1Txt
CityFARIBAULTCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55021ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RICK MILLER
CHIEF EXECUTIVE DIRECTOR1.00Yes (X)Yes (X)$0$0$0
KEN BETSINGER
CHAIR0.60Yes (X)Yes (X)$0$0$0
PATTY VOEGELE
VICE CHAIR0.60Yes (X)Yes (X)$0$0$0
GARY VOEGELE
TREASURER0.60Yes (X)Yes (X)$0$0$0
KEN KANGAS
DIRECTOR0.60Yes (X)$0$0$0
KRIS DREVLOW
DIRECTOR0.60Yes (X)$0$0$0
AUDREY TEBO
DIRECTOR0.60Yes (X)$0$0$0
NORMA SHULTZ
DIRECTOR0.60Yes (X)$0$0$0
CALISTA VOS
DIRECTOR0.60Yes (X)$0$0$0
SARAH EDWARDS
DIRECTOR0.60Yes (X)$0$0$0
CRAIG BRIEMHORST
DIRECTOR0.60Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$25,212AllOtherContributionsAmt
Total Contributions$25,212TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,908TotalRevenueColumnAmt
Exclusion$1,908ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,120TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,908ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$38,874TotalAmt
Program Services$38,874ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$159,124TotalAmt
Program Services$159,124ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,575TotalAmt
Management And General$1,575ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,084TotalAmt
Program Services$1,084ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,083TotalAmt
Program Services$1,083ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$750TotalAmt
Management And General$750ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OTHER BUSINESS EXPENSE$3,009$3,009
TAXES & LICENSES$25$25

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$205,524TotalAmt
Program Services$203,174ProgramServicesAmt
Management And General$2,350ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,245,780BOYAmt
EOY$327,093EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$740,283EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,245,780BOYAmt
EOY$1,067,376EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,245,780BOYAmt
EOY$1,067,376EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,245,780BOYAmt
EOY$1,067,376EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,245,780BOYAmt
EOY$1,067,376EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$178,404ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$36,047CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,966CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,042CurrentTaxYearMinus1YearAmt
Current Tax Year$25,212CurrentTaxYearAmt
Total$108,267TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$36,047CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,966CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,042CurrentTaxYearMinus1YearAmt
Current Tax Year$25,212CurrentTaxYearAmt
Total$108,267TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$7,799SubstantialContributorsTotAmt
Public Support Total170$100,468PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$718CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$717CurrentTaxYearMinus1YearAmt
Current Tax Year$1,908CurrentTaxYearAmt
Total$4,060TotalAmt
FieldValueIRS element (for citing)
Total Support$112,327TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS:FormAndLineReferenceDesc
ExplanationDESCRIPTION: AMOUNT: 0. DESCRIPTION: AMOUNT: 0.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ALLINA HEALTH SYSTEM OWATANA HOSPITAL FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 43AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55440ZIPCd
FieldValueIRS element (for citing)
Recipient EIN363261413RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$38,334CashGrantAmt
Purpose Of GrantOWATONNA HOPSITAL FOUNDATION - PROGRAM SUPPORT FOR HONORING CHOICES MINNESOTA OF FARIBAULT - OWATONNA - PROVIDING ADVANCED CARE DIRECTIVES, INCLUDING A CONVERSATION ABOUT HOSPICE CARE & SERVICES.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeHOSPICE SUPPORTGrantTypeTxt
Recipient62RecipientCnt
Cash Grant$159,124CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationFARIBAULT AREA HOSPICE FOUNDATION PROVIDES SUPPORT FOR INDIVIDUAL HOSPICE PATIENTS AND THIER LOVED ONES. FINANCIAL ASSISTANCE IS PROVIDED TO HOSPICE PATIENTS TO ASSIST WITH EXPENSES (HOSPICE SUPPORT, THERAPY, TRANSPORTATION, ETC.) PAYMENTS ARE MADE DIRECTLY TO THE SERVICE PROVIDER AND NOT THE INDIVIDUAL PATIENT. INDIVIDUALS IN NEED OF ASSISTANCE MUST SUBMIT THE COMPLETED APPLICATION; WHICH IS THEN REVIEWED AND APPROVED OR DENIED BY A COMMITTEE, BASED UPON THE REQUESTS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6TOTAL NUMBER OF VOLUNTEERS: NUMEROUS VOLUNTEERS ENGAGED AS MEMBERS OF THE BOARD OF DIRECTORS. IN ADDITION, THERE ARE A NUMBER OF VOLUNTEERS THAT ORGANIZE AND STAFF AN ANNUAL FUNDRAISER (LIGHT OF LIFE), A HOLIDAY TREE LIGHTING THAT OCCURS EACH DECEMBER.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED BY RICK MILLER OF DISTRICT ONE HOSPITAL ON BEHALF OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST ACKNOWLEDGEMENT/QUESTIONNAIRE ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15OFFICERS AND DIRECTORS OF THE FOUNDATION DO NOT RECEIVE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).

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