2019-10-18T09:51:13-07:00 2018-12-31 990 2018-01-01 450349152 HOSPICE OF THE RED RIVER VALLEY HOSP 7013561500 1701 38th St S Suite 101 Fargo ND 581034499 Steve Slabik Director of Finance 7013561500 2019-10-18 64.21.235.186 2018 2019-02-21 02:37:17Z Theresa Capron 1701 38th St S Suite101 Fargo ND 58103 35525512 0 X www.hrrv.org X 1978 ND To provide hospice and palliative care to individuals at the end of their life through medically directed and team-coordinated services to terminally ill patients and their families. 10 10 269 647 0 0 1240263 1069751 21599980 24419102 629708 1183757 167133 169106 23637084 26841716 0 0 0 0 12520185 13633612 0 0 392341 10947677 12249538 23467862 25883150 169222 958566 15868582 15485222 2929073 3100873 12939509 12384349 X The purpose of the organization, as stated in its by-laws, is to provide the following:A quality end-of-life experience for the individual that is dying, a quality end-of-life experience for the individual's love ones and a higher quality of life for the community as community members know they have a place to go where they will find needed support for their own end-of-life experience or the end-of-life experience of a loved one. The organization's mission statement is "The mission of Hospice of the Red River Valley is to provide comfort at the end of life's journey." Further, the organization's vision statement is "We believe every terminally ill individual deserves access to high quality, affordable, end of life care. Our services will enrich the lives of those we serve, and support the patients' loved ones. Because of highly skilled staff and a reputation for excellence, Hospice of the Red River Valley will be recognized as the area's leading expert in end-of-life care and education 1 0 20095545 0 24323802 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 throughout a 29-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 2018, Hospice of the Red River Valley served 1,790 patients from offices in Fargo, Grand Forks, Lisbon, Mayville and Valley City, North Dakota and Detroit Lakes and Thief River Falls, Minnesota. 278785 0 50771 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 2018, Red River Palliative Care served 199 patients. 30564 0 33364 Primary Care: Red River Valley Primarye Care is a program of Hospice of the Red River Valley. This service is 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 2018, Red River Palliative Care served 128 patients. 393959 0 8528 Bereavement & community support: the death of a loved one is one of the most stressful life events a person can experience, whether the death is expected or not. Hospice of the Red River Valley is committed to providing a robust bereavement program - not only to family members of the individuals we care for, but also for community members. Hospice of the Red River Valley's bereavement services are offered free of charge to anyone who has lost a loved one through death, whether they had hospice services or not. In 2018, Hospice of the Red River Valley's bereavement program served 1,779 new clients, facilitated 118 group sessions with 752 individuals attending, mailed out in excess of 8,522 bereavement support mailings, provided in-school grief support and presentations to more than 481 students and 20 faculty. 3173 0 2637 Community Education and outreach: In 2018, we reached more than 5,300 individuals through presentations to churches, service clubs, fraternal organizations and community and health care organizations. More than 250 educational events were offered. Advance Care Planning: as a part of our commitment to community education, Hospice of the Red River Valley also provides specific training for healthcare professionals to prepare them to train their staff for having discussions with their patients regarding advance care planning and advance care directives. In 2018, Hospice of the Red River Valley trained 14 people to become advanced care planning facilitators with First Steps and Last Steps. In addition to this education with health care professionals, Hospice of the Red River Valley conducted several community education sessions throughout our region, educating the community on the importance of having discussions regarding advance care planning and to take action in completing their health care directives. Our organization also chairs a community engagement collaborative including the health care systems and community health partners in taking a shared community approach in advance care planning. 397132 0 11165 20802026 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 22 0 1 269 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 MN X Steve Slabik 7013561500 1701 38th St S Suite 101 Fargo ND 581034499 Rebecca Nichol President, HRRV Board 2 0 X X 0 0 0 Stephen Astrup Vice President - HRRV Board 2 0 X X 0 0 0 John Stumpf Secretary/Treasurer, HRRV Board 2 0 X X 0 0 0 Jon Benson Past President - HRRV Board 2 0 X X 0 0 0 Ruth Hanson HRRV Board Member 2 0 X 0 0 0 Todd Fisher HRRV Board Member 2 0 X 0 0 0 Tim Haugen HRRV Board Member 2 0 X 0 0 0 Paulette Korsmo-Frith HRRV Board Member 2 0 X 0 0 0 Laurie Natwick HRRV Board Member 2 0 X 0 0 0 Gwen Halaas HRRV Board Member (through July, 2018) 2 0 X 0 0 0 Roberta Young HRRV Board Member 2 0 X 0 0 0 Doug Griffin HRRV Board Member (through September, 2018) 2 0 X 0 0 0 Jackie Buboltz HRRV Board Member (through September, 2018) 2 0 X 0 0 0 Bruce Davidson HRRV Board Member (through April, 2018) 2 0 X 0 0 0 Kiersten Cooley HRRV Board Member (through September, 2018) 2 0 X 0 0 0 Theresa Capron Executive Director, HRRV 40 0 X 191984 0 18940 Steve Slabik Director of Finance, HRRV 40 0 X 132924 0 16360 Tricia Langlois Chief Medical Officer, HRRV 40 0 X 334020 0 13627 Tracie Mallberg Sylvester Medical Director, HRRV 40 0 X 217857 0 1969 Jim Sterling Chief, Human Resources & Compliance, HRRV 40 0 X 122137 0 823 Becky Pfau Director of Clinical Operations 40 0 X 113071 0 20817 Brenda Iverson Director of Community Relations 40 0 X 100150 0 6031 1212143 0 78567 7 0 1 0 Delta Care Rx 264 Smith Twp State Rd Suite 2 Burgettstown PA 15021 PBM - processed claims for medication 669225 Sanford HealthCare Accessories PO Box 9679 Fargo ND 581069679 Durable Medical equipment for patients 499848 High Point Networks 728 East Beaton Dr Suite 200 West Fargo ND 58078 Technical computer support & equipment 115265 4 31130 0 0 0 0 1038621 13953 1069751 Net Patient Service Revenue 621610 24407937 24407937 0 0 Public Grief Support and Other Community Education 624100 11165 11165 0 0 0 0 0 0 24419102 408811 0 0 408811 0 0 0 0 0 0 0 0 64584 0 55711 0 8873 0 8873 0 0 8873 9069537 8250 8291044 11797 778493 -3547 774946 0 0 774946 0 485477 325244 160233 0 0 160233 0 26841716 24419102 0 1352863 0 0 0 0 0 0 0 0 360208 0 360208 0 0 0 0 0 10700965 8425822 1992215 282928 252191 192106 53634 6451 1517451 1155915 322722 38814 802797 611529 170734 20534 0 0 0 0 16289 0 16289 0 73492 0 73492 0 0 0 0 0 0 0 0 0 126030 37565 88465 0 81563 1629 69425 10509 414997 188508 204511 21978 423005 0 423005 0 0 0 0 0 330477 0 330477 0 611028 545909 62977 2142 0 0 0 0 63261 22683 34651 5927 212 0 212 0 0 0 0 0 293751 42152 251599 0 87259 0 87259 0 Contracted Services 8534849 8519346 15503 0 Medical Supplies 953466 953466 0 0 Bad Debt 102210 102210 0 0 Dues, Licenses & Subscriptions 137649 3186 131405 3058 25883150 20802026 4688783 392341 612 612 717954 619656 0 0 2345684 2786167 0 0 0 0 0 0 52577 31147 212885 107865 6470058 3362501 3256507 3107557 8695396 8373052 586967 459166 0 0 0 0 0 0 15868582 15485222 1699948 2055241 0 0 0 0 1182632 1034009 0 0 0 0 46493 11623 0 0 0 0 2929073 3100873 X 10269900 10060981 863726 383383 1805883 1939985 12939509 12384349 15868582 15485222 X 958566 -1513738 0 0 0 12 X 0 1 X 0 0 X 1285470 1123191 1458393 1240263 1069751 6177068 0 0 0 0 0 0 0 0 0 0 0 0 1285470 1123191 1458393 1240263 1069751 6177068 4987 6172081 403394 377108 312818 477834 473395 2044549 0 0 0 0 0 0 367050 432384 459419 460825 485477 2205155 10426772 113552007 0.59195 0.61609 X Schedule A, Part II, Line 10 Income shown here is primarily net income from Heirlooms Thrift & Gift, the thrift and gift store operated by Hospice of the Red River Valley 4287019 346916 -205673 0 146527 0 4281735 3533206 428323 497386 0 171896 0 4287019 3136771 282378 200896 0 86839 0 3533206 3038323 326993 -90006 0 138539 0 3136771 2722918 309551 133146 0 127292 0 3038323 0.483 0.432 0.085 0 0 0 820000 820000 0 2684522 995078 1689444 0 147422 145755 1667 0 2704269 2185333 518936 0 113845 36335 77510 3107557 0 0 X 26942736 0 0 0 380955 380955 26561781 0 279935 279935 26841716 26264093 0 0 0 380955 380955 25883138 0 12 12 25883150 Schedule D, 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. Schedule D, Part X, Line 2 Hospice is organized as a North Dakota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). Hospice is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, Hospice is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. Hospice has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. 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 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. Schedule D, Part XI, Line 2d Cost of Goods Sold from Part VIII line 10b - $325,244 Expenses related to real estate rental - $55,711 TOTAL - $380,955 Schedule D, Part XI, Line 4b Restricted Donations from donors - $135,519 Release of Restricted Assets - ($253,297) Investment Income on restricted net assets - $397,713 TOTAL - $279,935 Schedule D, Part XII, Line 2d Cost of Goods Sold from Part VIII line 10b - $325,244 Expenses related to real estate rental - $55,711 Total - $380,955 Schedule D, Part XII, Line 4b Rounding - $12 X X 0 0 0 0 0 0 0 0 0 Tricia Langlois Chief Medical Officer, HRRV 334020 0 0 0 0 0 10800 0 2827 0 347647 0 347647 0 Theresa Capron Executive Director, HRRV 191984 0 0 0 0 0 7728 0 11212 0 210924 0 210924 0 Tracie Mallberg Sylvester Medical Director, HRRV 217857 0 0 0 0 0 0 0 1969 0 219826 0 219826 0 Schedule J, Part I, Line 3 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 2017). The following resources are used when conducting the survey: ND and MN Job Service, Becker Hospital Review, Multi-View (a national hospice financial 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 recommendations from the director and 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. A Cass County North Dakota 456002205 2015-11-09 1600000 Hospice of the Red River Valley Project-Mortgage Revenue Refunding Bonds (to refund 7/64/2007 issue) 0 0 0 A 545454 0 1600000 0 0 0 0 0 0 1600000 0 0 2015 1 0 1 1 A 0 0 0 0 0 0 0 0 1 0.0584 1 0 A 0 0 0 0 0 0 0 0 0 A 0 Form 990, Part III, Line 2 In 2018, Hospice of the Red River Valley initiated a home based primary care program. Form 990, Part VI, Section A, Line 8b There are no committees that act on behalf of the board of directors; all business of the board is conducted and approved by the full board of directors. Form 990, Part VI, Section B, Line 11b The organization contracted with an external advisor to review and provide recommended changes to the tax return prepared by the organization. Those comments as well as a full copy of the entire return was provided to all board members prior to the return being filed. 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 15 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 2017). The following resources are used when conducting the survey: ND and MN Job Service, Becker Hospital Review, Multi-View (a national hospice financial 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 recommendations 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 statements available to the public. Form 990, Part XI, Line 9 Rounding - $12