HOSPICE OF THE RED RIVER VALLEY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF THE RED RIVER VALLEY (EIN 45-0349152)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-28
IRS object ID
201202419349300215
Schema version
2011v1.2
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)
Timestamp2012-08-28T11:44:45-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN450349152EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF THE RED RIVER VALLEYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone7013561500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 38th St SAddressLine1
Address Line2Suite 101AddressLine2
CityFargoCity
StateNDState
ZIP Code581034499ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSteve SlabikName
TitleDirector of FinanceTitle
Phone7013561500Phone
Date Signed2012-08-28DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSusan J FuglieNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11701 38th St SAddressLine1
Address Line2Suite 101AddressLine2
CityFargoCity
StateNDState
ZIP Code581034499ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20550656GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.hrrv.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileNDStateLegalDomicile
Activity Or Mission DescriptionTo provide hospice care to individuals at the end of their life through medically directed and team-coordinated services to terminally ill patients and their families.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees234TotalNbrEmployees
Total Nbr Volunteers392TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1072026ContributionsGrantsPriorYear
Contributions Grants Current Year1085175ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20360325ProgramServiceRevenuePriorYear
Program Service Revenue CY18298323ProgramServiceRevenueCY
Investment Income Prior Year215718InvestmentIncomePriorYear
Investment Income Current Year237016InvestmentIncomeCurrentYear
Other Revenue Prior Year92547OtherRevenuePriorYear
Other Revenue Current Year102207OtherRevenueCurrentYear
Total Revenue Prior Year21740616TotalRevenuePriorYear
Total Revenue Current Year19722721TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9552105SalariesEtcPriorYear
Salaries Etc Current Year9239298SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year488207TotalFundrsngExpCurrentYear
Other Expense Prior Year10575506OtherExpensePriorYear
Other Expenses Current Year9673664OtherExpensesCurrentYear
Total Expenses Prior Year20127611TotalExpensesPriorYear
Total Expenses Current Year18912962TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1613005RevenuesLessExpensesPriorYear
Revenues Less Expenses CY809759RevenuesLessExpensesCY
Total Assets BOY12270647TotalAssetsBOY
Total Assets EOY12600628TotalAssetsEOY
Total Liabilities BOY4102743TotalLiabilitiesBOY
Total Liabilities EOY3724034TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8167904NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8876594NetAssetsOrFundBalancesEOY
Mission DescriptionThe organization's mission, as stated in its by-laws, is: The purpose of the Corporation shall be charitable and educational. The mission/purpose of the Corporation is: A good dying and death experience is a basic human desire, a common life experience and a quality of life issue. Hospice of the Red River Valley has an obligation to those we serve to provide the following: 1) a quality end-of-life experience for the individual that is dying; 2) a quality end-of-life experience for the individual's loved ones; 3) a quality workplace environment for the staff and volunteers of Hospice of the Red River Valley; 4) 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 of a loved one.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15019246Expense
Grants0Grants
Revenue18291437Revenue
DescriptionHospice 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 family's needs, wishes and abiliities, enlisting all the skills of the hospice team. This 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 2011, Hospice of the Red River Valley served 1,323 patients from offices in Fargo, Grand Forks, Lisbon, Mayville and Valley City, North Dakota and Detroit Lakes and Thief River Falls, Minnesota.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense113652Expense
Grants0Grants
Revenue6888Revenue
DescriptionPublic education on dying, death, grief and loss, plus public support through support groups and classes.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense15132898TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109653NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees234NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSteve Slabik Director of FinanceNamePerson
Telephone Number7013561500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11701 38th St SAddressLine1
Address Line2Suite 101AddressLine2
CityFargoCity
StateNDState
ZIP Code581034499ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Dan Thorson
President, HRRV Board2XX000
Tim Richard
Past President, HRRV Board2XX000
Roberta Young
Vice President - HRV Board2XX000
Jerry Schutz
Vice President, HRRV Board - resigned 10/27/112X000
James Ferragut
Secretary/Treasurer, HRRV Board2XX000
Jenny Amon
HRRV Board Member2X000
Wade Stubson
HRRV Board Member - resigned 9/15/112X000
Peter Jacobson
HRRV Board Member - resigned 9/19/112X000
Jane Kelly
HRRV Board Member2X000
Paulette Korsmo Frith
HRRV Board Member2X000
Russ Tweiten
HRRV Board Member - resigned 10/27/112X000
Dave Selland
HRRV Board Member2X000
James Jensen
HRRV Board Member - resigned 4/17/112X000
Jon Benson
HRRV Board Member2X000
Ruth Hanson
HRRV Board Member2X000
Tim Haugen
HRRV Board Member2X000
Mary Wichmann
HRRV Board Member2X000
Susan J Fuglie
Executive Director40X122185013003
Steve Slabik
Director of Finance40X98177012123
Tricia Langlois
Medical Director401761470877X
FieldValueIRS element (for citing)
Total Reportable Comp From Org396509TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation26003TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
Sanford Hospital
801 North BroadwayFargoND58102Medical & Hospitalization341204
Suncoast Solutions
19337 US Highway 19 nClearwaterFL33764Software support and maintenance146754Suite 450
Verizon Wireless
PO Box 25505Lehigh ValleyPA18002Cell phone and data plan services139894
Nurse Communication after Hours
PO Box 54246IrvineCA92619On-call Nursing Services108606
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Federated Campaigns157333FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions927842AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions1085175TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Net Patient Service Revenue62161018291435182914350$0
Public Grief Support624100688868880$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue18298323TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column173166TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$173,166ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real58171Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real54662Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3509Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3509TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,509ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities554658Securities
Other53037Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities529438Securities
Other14407Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities25220Securities
Other38630Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column63850TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$63,850ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events328126GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses229428FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column98698TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$98,698ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19722721TotalRevenueColumn
Related Or Exempt Function Income18298323RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$339,223ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total396509Total
Program Services176147ProgramServices
Management And General220362ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7140184Total
Program Services5284421ProgramServices
Management And General1552401ManagementAndGeneral
Fundraising303362Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total215705Total
Program Services156285ProgramServices
Management And General50738ManagementAndGeneral
Fundraising8682Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total900574Total
Program Services652494ProgramServices
Management And General211831ManagementAndGeneral
Fundraising36249Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total586326Total
Program Services424812ProgramServices
Management And General137914ManagementAndGeneral
Fundraising23600Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total25821Total
Program Services0ProgramServices
Management And General25821ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30985Total
Program Services0ProgramServices
Management And General30985ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total183328Total
Program Services159215ProgramServices
Management And General19416ManagementAndGeneral
Fundraising4697Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total80573Total
Program Services350ProgramServices
Management And General55614ManagementAndGeneral
Fundraising24609Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total506536Total
Program Services182620ProgramServices
Management And General274982ManagementAndGeneral
Fundraising48934Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total127135Total
Program Services0ProgramServices
Management And General127135ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total398844Total
Program Services0ProgramServices
Management And General398844ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total636216Total
Program Services560542ProgramServices
Management And General53787ManagementAndGeneral
Fundraising21887Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total39355Total
Program Services5306ProgramServices
Management And General21215ManagementAndGeneral
Fundraising12834Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total5Total
Program Services0ProgramServices
Management And General5ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total379729Total
Program Services379729ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total72261Total
Program Services0ProgramServices
Management And General72261ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Contracted Services6399699639969900
Medical Supplies70428170428100
Dues, licenses & subscriptions461396205373332601
Bad Debt364013640100

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6356Total
Program Services4391ProgramServices
Management And General1213ManagementAndGeneral
Fundraising752Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18912962Total
Program Services15132898ProgramServices
Management And General3291857ManagementAndGeneral
Fundraising488207Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY760BOY
EOY612EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1650552BOY
EOY1227696EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY20000BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2011345BOY
EOY2951214EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY61793BOY
EOY57395EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY160482BOY
EOY138630EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6512265LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2757196LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3732253BOY
EOY3755069EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3965403BOY
EOY3805219EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY200000BOY
EOY200000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY468059BOY
EOY464793EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12270647BOY
EOY12600628EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1717743BOY
EOY1429034EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2385000BOY
EOY2295000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4102743BOY
EOY3724034EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6948931BOY
EOY7588472EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY77674BOY
EOY42185EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1141299BOY
EOY1245937EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8167904BOY
EOY8876594EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12270647BOY
EOY12600628EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses809759ReconcilationRevenueExpenses
Reconcilation Other Changes-101069ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1030615CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1485436CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1090353CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1072026CurrentTaxYearMinus1Year
Current Tax Year1085175CurrentTaxYear
Total5763605Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1030615CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1485436CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1090353CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1072026CurrentTaxYearMinus1Year
Current Tax Year1085175CurrentTaxYear
Total5763605Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total344396AmountsSubstContributorsTotal
Public Support Total1705419209PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years177994CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years103649CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years62711CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year181113CurrentTaxYearMinus1Year
Current Tax Year176675CurrentTaxYear
Total702142Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years270155CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years273154CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79577CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year85140CurrentTaxYearMinus1Year
Current Tax Year98698CurrentTaxYear
Total806724Total
FieldValueIRS element (for citing)
Total Support7272471TotalSupport
Public Support Pertcentage1700.74517PublicSupportPertcentage170
Public Support Pertcent Prior Year0.71214PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationFundraising activities, primarily Heirlooms resale store, net of expensesGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1966170BeginningOfYearBalance
Contributions67965Contributions
Investment Earnings Or Losses22023InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures98309OtherExpenditures
Administrative Expenses12388AdministrativeExpenses
End Of Year Balance1945461EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1840233BeginningOfYearBalance
Contributions10746Contributions
Investment Earnings Or Losses211970InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures83210OtherExpenditures
Administrative Expenses13569AdministrativeExpenses
End Of Year Balance1966170EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1502327BeginningOfYearBalance
Contributions84034Contributions
Investment Earnings Or Losses266716InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses12844AdministrativeExpenses
End Of Year Balance1840233EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1715895BeginningOfYearBalance
Contributions275967Contributions
Investment Earnings Or Losses-391141InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures85297OtherExpenditures
Administrative Expenses13097AdministrativeExpenses
End Of Year Balance1502327EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.3291BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.6492PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.0217TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis870000OtherCostOrOtherBasis
Book Value870000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2314201OtherCostOrOtherBasis
Depreciation461880Depreciation
Book Value1852321BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis113675OtherCostOrOtherBasis
Depreciation10749Depreciation
Book Value102926BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3175303OtherCostOrOtherBasis
Depreciation2278647Depreciation
Book Value896656BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis39086OtherCostOrOtherBasis
Depreciation5920Depreciation
Book Value33166BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3755069TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue19722721TotalRevenue
Total Expenses18912962TotalExpenses
Excess Or Deficit For Year809759ExcessOrDeficitForYear
Net Unrealized GL On Investments-101072NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other-$69,150OtherAmount
Total Adjustments-170222TotalAdjustments
Excess Or Deficit Per FS639537ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19861685TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues285110OtherRevenues
Revenue Not Rptd F990285110RevenueNotRptdF990
Revenue Subtotal19576575RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included146146OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt146146RevenueNotRptdOnFinStmt
Total Revenue Per Form99019722721TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19198072TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included285110OtherExpensesIncluded
Expenses Not Rptd F990285110ExpensesNotRptdF990
Expenses Subtotal18912962ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018912962TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4The stated purpose of the organization's endowment fund is to fulfill the board of director's ENDS polilcies ensuring the organization's finanicial stability through preservation and protection of it assets, and to allow for satisfactory total return on all funds.
SchD_P10_S00_L02Schedule D, Part X, Line 2Hospice is a North Dakota nonprofit corporation and has been recognized by the Internal Revenue Service as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3).Hospice is required to file an annual 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 requirments, 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.
SchD_P11_S00_L08Schedule D, Part XI, Line 8Permanently Restricted Donations - (104,638) Temporarily Restricted Donations - (78,500) Release of Restriced Assets - 178,808 Realized Gains on investments - (64,820) TOTAL - (69,150)
SchD_P12_S00_L02dSchedule D, Part XII, Line 2dFundraising Expenses included on Schedule G, Part II (netted against fundraising income) - 229,428 Expenses related to real estate rental - 54,663 Other revenue offset against expenses - 1,019 TOTAL - 285,110
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bPermanently Restricted Donations - 104,638 Temporarily Restricted Donations - 78,500 Release of Restricted Assets -(178,808) Contributions released for long-lived assets - 77,000 Realized Gains on Investments - 64,820 Rounding - (4) TOTAL - 146,146
SchD_P13_S00_L02dSchedule D, Part XIII, Line 2dFundraising Expenses - 229,428 Expenses related to real estate rental - 54,663 Other revenue offset against expenses - 1,019 TOTAL - 285,110

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Heirlooms Resale StoreNameOfEvent1
Gross Receipts Event1327652GrossReceiptsEvent1
Charitable Contributions Event10CharitableContributionsEvent1
Gross Revenue Event1327652GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event179974RentFacilityCostsEvent1
Food And Beverage Event10FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event1132769OtherDirectExpensesEvent1
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Gross Receipts Total327652GrossReceiptsTotal
Charitable Contributions Total0CharitableContributionsTotal
Gross Revenue Total Events327652GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events79974RentFacilityCostsTotalEvents
Food And Beverage Total Events0FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events132769OtherDirectExpensesTotalEvents
Direct Expense Summary Events212743DirectExpenseSummaryEvents
Net Income Summary114909NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonTricia LangloisNamePerson
Base Compensation Filing Org176147BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org877NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org177024TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Cass County North DakotaBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN456002205IssuerEIN
CUSIP Number14805RAL2CUSIPNumber
Date Issued2007-07-31DateIssued
Issue Price2600000IssuePrice
Description Of PurposeHospice of the Red River Valley ProjectDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds2600000TotalProceeds
Amount In Reserve Fund217487AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds52000IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures2330513CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0PercentageOfPrvtBusinessReUBI
Total Private Business Use0TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L08bForm 990, Part VI, Section A, Line 8bThere 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
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe 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.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cAll board members sign a conflict of interest policy on an annual basis. In addition, at the beginning of each board meeting members are required to disclose if they have a conflict regarding any agenda items.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15A full review of all salaries is conducted annually and compared to wage and salary survey data (salary surveys are done annually; last done in December, 2011). The following resources are used when conducting the survey: local health care agencies, ND and MN Job Service, Fargo-Moorhead Human Resource Association, MN healthcare, Mulit-View (a national hospice financial consulting company) and National Association of Home Care & Hospice. An additional survey is also conducted (the most recent was in 2010) for executive (director) positions. Based on the above and recommendations from the director of human resources and budgetary constraints, the executive drector 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.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19The organization does not make its governing documents, conflict of interest policy and financial statements available to the public.
F990_P11_S00_L05Form 990, Part XI, Line 5Change in unrealized gains and losses on investments - (101,072) Rounding - 3 TOTAL (101,069)

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