HOSPICE OF THE RED RIVER VALLEY: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF THE RED RIVER VALLEY (EIN 45-0349152)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-09-21
IRS object ID
201102649349300415
Schema version
2010v3.4
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)
Timestamp2011-09-21T16:14:30-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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 Signed2011-09-21DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts22460711GrossReceipts
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 Employees248TotalNbrEmployees
Total Nbr Volunteers402TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1088653ContributionsGrantsPriorYear
Contributions Grants Current Year1072026ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18566134ProgramServiceRevenuePriorYear
Program Service Revenue CY20360325ProgramServiceRevenueCY
Investment Income Prior Year51116InvestmentIncomePriorYear
Investment Income Current Year215718InvestmentIncomeCurrentYear
Other Revenue Prior Year91397OtherRevenuePriorYear
Other Revenue Current Year92547OtherRevenueCurrentYear
Total Revenue Prior Year19797300TotalRevenuePriorYear
Total Revenue Current Year21740616TotalRevenueCurrentYear
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 Year9697690SalariesEtcPriorYear
Salaries Etc Current Year9552105SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year483073TotalFundrsngExpCurrentYear
Other Expense Prior Year9713074OtherExpensePriorYear
Other Expenses Current Year10575506OtherExpensesCurrentYear
Total Expenses Prior Year19410764TotalExpensesPriorYear
Total Expenses Current Year20127611TotalExpensesCurrentYear
Revenues Less Expenses Prior Year386536RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1613005RevenuesLessExpensesCY
Total Assets BOY10353801TotalAssetsBOY
Total Assets EOY12270647TotalAssetsEOY
Total Liabilities BOY3955297TotalLiabilitiesBOY
Total Liabilities EOY4102743TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6398504NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8167904NetAssetsOrFundBalancesEOY
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
Expense15996988Expense
Revenue20349814Revenue
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 abilities, 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 2010, Hospice of the Red River Valley served 1,462 patients from offices located in Fargo, Grand Forks, Lisbon, Mayville and Valley City, North Dakota and Crookston, Detroit Lakes and Thief River Falls, Minnesota.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense131722Expense
Revenue10511Revenue
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 Expense16128710TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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 With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees248NumberOfEmployees
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 Filed1Form8899Filed
Form1098 C Filed1Form1098CFiled
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 Policy0WhistleblowerPolicy
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 (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Kathy Hanish
Past President, HRRV Board - term expired 3/102XX000
Russ Tweiten
HRRV Board Member2X000
James Ferragut
Secretary/Treasurer, HRRV Board2XX000
James Jensen
HRRV Board Member2X000
Bruce Pitts
HRRV Board Member - resigned 4/102X000
Tim Richard
President, HRRV Board2XX000
Jerry Schutz
Vice President, HRRV Board2XX000
Dave Selland
HRRV Board Member2X000
Jenny Amon
HRRV Board Member2X000
David Hanekom
HRRV Board Member - resigned 11/102X000
Wade Stubson
HRRV Board Member2X000
Peter Jacobson
HRRV Board Member2X000
Julie Barner
Secretary/Treasurer, HRRV Board - term expired 3/102XX000
Jane Kelly
HRRV Board Member2X000
Clayton Jensen
HRRV Board Member - term expired 3/102X000
Nancy Korth
Vice President, HRRV Board - resigned 2/102XX000
Susan J Fuglie
Executive Director40X114388012585
Steve Slabik
Director of Finance40X95329011903
John Thomas
Medical Director40217040015752X
FieldValueIRS element (for citing)
Total Reportable Comp From Org426757TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation40240TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
Sanford Hospital
801 North BroadwayFargoND58102Medical & Hospitalization397166
Suncoast Solutions
19337 US Highway 19 nClearwaterFL33764Software support and maintenance293346Suite 450
Nurse Communication after Hours
PO Box 54246IrvineCA92619On-call Nursing Services103488
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Federated Campaigns138900FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions933126AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions1072026TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Net Patient Service Revenue62161020349814203498140$0
Public Grief Support62410010511105110$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 Revenue20360325TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column173706TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$173,706ExclusionAmount

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)
Real63290Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real55883Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real7407Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column7407TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,407ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities461499Securities
Other50250Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities456168Securities
Other13569Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5331Securities
Other36681Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column42012TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$42,012ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events279615GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses194475FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column85140TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$85,140ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21740616TotalRevenueColumn
Related Or Exempt Function Income20360325RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$308,265ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total426757Total
Program Services217040ProgramServices
Management And General209717ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7198797Total
Program Services5218512ProgramServices
Management And General1690641ManagementAndGeneral
Fundraising289644Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total198852Total
Program Services141742ProgramServices
Management And General49554ManagementAndGeneral
Fundraising7556Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1079159Total
Program Services769225ProgramServices
Management And General268926ManagementAndGeneral
Fundraising41008Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total648540Total
Program Services462279ProgramServices
Management And General161616ManagementAndGeneral
Fundraising24645Fundraising

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)
Total24162Total
Program Services0ProgramServices
Management And General24162ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29355Total
Program Services0ProgramServices
Management And General29355ManagementAndGeneral
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)
Total134836Total
Program Services120240ProgramServices
Management And General9875ManagementAndGeneral
Fundraising4721Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total78591Total
Program Services0ProgramServices
Management And General52129ManagementAndGeneral
Fundraising26462Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total451989Total
Program Services121670ProgramServices
Management And General275873ManagementAndGeneral
Fundraising54446Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total162645Total
Program Services0ProgramServices
Management And General162645ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

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

Occupancy Occupancy

FieldValueIRS element (for citing)
Total402442Total
Program Services0ProgramServices
Management And General402442ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total617193Total
Program Services510315ProgramServices
Management And General88198ManagementAndGeneral
Fundraising18680Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total36734Total
Program Services13777ProgramServices
Management And General9615ManagementAndGeneral
Fundraising13342Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total18Total
Program Services0ProgramServices
Management And General18ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

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

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total338711Total
Program Services338711ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total50390Total
Program Services0ProgramServices
Management And General50390ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Bad Debt429864298600
Contracted Services7385753738575300
Dues, licenses & subscriptions32095925293241846
Medical Supplies78478778478700
Miscellaneous28197481348723

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20127611Total
Program Services16128710ProgramServices
Management And General3515828ManagementAndGeneral
Fundraising483073Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY760BOY
EOY760EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1346604BOY
EOY1650552EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY40000BOY
EOY20000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2057232BOY
EOY2011345EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY61102BOY
EOY61793EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY109119BOY
EOY160482EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6298796LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2566543LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3605702BOY
EOY3732253EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2456981BOY
EOY3965403EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY200000BOY
EOY200000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY476301BOY
EOY468059EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10353801BOY
EOY12270647EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1480297BOY
EOY1717743EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2475000BOY
EOY2385000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3955297BOY
EOY4102743EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5142693BOY
EOY6948931EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY116872BOY
EOY77674EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1138939BOY
EOY1141299EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6398504BOY
EOY8167904EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10353801BOY
EOY12270647EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1613005ReconcilationRevenueExpenses
Reconcilation Other Changes156395ReconcilationOtherChanges
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 Years1257139CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1030615CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1485436CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1090353CurrentTaxYearMinus1Year
Current Tax Year1072026CurrentTaxYear
Total5935569Total

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 Years1257139CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1030615CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1485436CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1090353CurrentTaxYearMinus1Year
Current Tax Year1072026CurrentTaxYear
Total5935569Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total537227AmountsSubstContributorsTotal
Public Support Total1705398342PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years142575CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years177994CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years103649CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62711CurrentTaxYearMinus1Year
Current Tax Year181113CurrentTaxYear
Total668042Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years268781CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years270155CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years273154CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79577CurrentTaxYearMinus1Year
Current Tax Year85140CurrentTaxYear
Total976807Total
FieldValueIRS element (for citing)
Total Support7580418TotalSupport
Public Support Pertcentage1700.71214PublicSupportPertcentage170
Public Support Pertcent Prior Year0.73240PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationFundraising activities, primarily Heirlooms Resale store, net of expenses.GeneralExplanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Balance0.3398BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.6194PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.0408TermEndowmentEOYBalance
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 Basis2090195OtherCostOrOtherBasis
Depreciation391921Depreciation
Book Value1698274BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis141505OtherCostOrOtherBasis
Depreciation139067Depreciation
Book Value2438BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3162514OtherCostOrOtherBasis
Depreciation2032504Depreciation
Book Value1130010BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis34582OtherCostOrOtherBasis
Depreciation3051Depreciation
Book Value31531BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3732253TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue21740616TotalRevenue
Total Expenses20127611TotalExpenses
Excess Or Deficit For Year1613005ExcessOrDeficitForYear
Net Unrealized GL On Investments156390NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$36,843OtherAmount
Total Adjustments193233TotalAdjustments
Excess Or Deficit Per FS1806238ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21849021TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues250358OtherRevenues
Revenue Not Rptd F990250358RevenueNotRptdF990
Revenue Subtotal21598663RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included141953OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt141953RevenueNotRptdOnFinStmt
Total Revenue Per Form99021740616TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20377973TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included250362OtherExpensesIncluded
Expenses Not Rptd F990250362ExpensesNotRptdF990
Expenses Subtotal20127611ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020127611TotalExpensesPerForm990

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 funds is to fulfill the board of directors' ENDs policies ensuring the organization's financial stability through preservation and protection of its assets, and to allow for satisfactory total return on all funds.
SchD_P10_S00_L02Schedule D, Part X, Line 2Hospice is organized as 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 undergoes an annual analysis of its various tax positions, assessing the likelihood of these positions being upheld upon examination with relevant tax authorities, as defined by the accounting principles generally accepted in the United States of America. Hospice believes that it is compliant with all IRS tax regulations and as of December 31, 2010 has not recorded a tax liability for a tax uncertainty. Hospice will recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax if incurred. Hospice is no longer subject to federal and state tax examinations by tax authorities for years before 2007.
SchD_P11_S00_L08Schedule D, Part XI, Line 8Permanently Restricted Donations - (2,360) Temporarily Restricted Donations - (183,300) Release of Restricted Assets - 264,510 Realized gains on investments - (42,012) Rounding - 5 TOTAL - $36,843
SchD_P12_S00_L02dSchedule D, Part XII, Line 2dFundraising Expenses included on Schedule G, Part II (netted against fundraising income) - 194,475 Expenses related to real estate rental - 55,883 TOTAL - $250,358
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bPermanently Restricted Donations - 2,360 Temporarily Restricted Donations - 183,300 Release of Restricted Assets - (264,510) Contributions released for Long-lived assets - 178,800 Realized gains on investments - 42,012 Rounding (9) TOTAL - $141,953
SchD_P13_S00_L02dSchedule D, Part XIII, Line 2dFundraising Expenses - 194,475 Expenses related to real estate rental - 55,883 Rounding - 4 TOTAL - $250,362

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Heirlooms Resale StoreNameOfEvent1
Gross Receipts Event1279070GrossReceiptsEvent1
Charitable Contributions Event10CharitableContributionsEvent1
Gross Revenue Event1279070GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event178581RentFacilityCostsEvent1
Food And Beverage Event10FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event1115894OtherDirectExpensesEvent1
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Gross Receipts Total279070GrossReceiptsTotal
Charitable Contributions Total0CharitableContributionsTotal
Gross Revenue Total Events279070GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events78581RentFacilityCostsTotalEvents
Food And Beverage Total Events0FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events115894OtherDirectExpensesTotalEvents
Direct Expense Summary Events194475DirectExpenseSummaryEvents
Net Income Summary84595NetIncomeSummary

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 PersonJohn ThomasNamePerson
Base Compensation Filing Org217040BaseCompensationFilingOrg
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 Org15752NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org232792TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

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
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
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 of or 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_L11aForm 990, Part VI, Section B, Line 11aThe 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 the summer and fall of 2010). The following resources are used when conducting the survey: local health care agencies, ND and MN Job Service, Fargo-Moorhead Human Resouce Association, MN healthcare, Multi-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 director approves the salaries of all staff except her own. The board of directors uses the same information as the executive director is 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 - 156,390 Rounding - 5 TOTAL - $156,395

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