2011-09-21T16:14:30-07:00 2010-12-31 990 2010-01-01 450349152 HOSPICE OF THE RED RIVER VALLEY HOSP 7013561500 1701 38th St S Suite 101 Fargo ND 581034499 Steve Slabik 7013561500 2011-09-21 2010 2016-03-07 17:11:31Z Susan J Fuglie 1701 38th St S Suite 101 Fargo ND 581034499 22460711 0 X www.hrrv.org X 1981 ND To 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. 12 12 248 402 0 0 1088653 1072026 18566134 20360325 51116 215718 91397 92547 19797300 21740616 0 0 0 0 9697690 9552105 0 0 483073 9713074 10575506 19410764 20127611 386536 1613005 10353801 12270647 3955297 4102743 6398504 8167904 The 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. 0 0 15996988 20349814 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 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. 131722 10511 Public education on dying, death, grief and loss, plus public support through support groups and classes. 0 0 0 16128710 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 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 0 1 10 0 1 248 1 0 0 0 0 0 0 0 0 0 1 1 0 X 12 12 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 1 0 MN ND X Steve Slabik Director of Finance 7013561500 1701 38th St S Suite 101 Fargo ND 581034499 Kathy Hanish 2 X X 0 0 0 Russ Tweiten 2 X 0 0 0 James Ferragut 2 X X 0 0 0 James Jensen 2 X 0 0 0 Bruce Pitts 2 X 0 0 0 Tim Richard 2 X X 0 0 0 Jerry Schutz 2 X X 0 0 0 Dave Selland 2 X 0 0 0 Jenny Amon 2 X 0 0 0 David Hanekom 2 X 0 0 0 Wade Stubson 2 X 0 0 0 Peter Jacobson 2 X 0 0 0 Julie Barner 2 X X 0 0 0 Jane Kelly 2 X 0 0 0 Clayton Jensen 2 X 0 0 0 Nancy Korth 2 X X 0 0 0 Susan J Fuglie 40 X 114388 0 12585 Steve Slabik 40 X 95329 0 11903 John Thomas 40 X 217040 0 15752 426757 0 40240 2 0 1 0 Sanford Hospital 801 North Broadway Fargo ND 58102 Medical & Hospitalization 397166 Suncoast Solutions 19337 US Highway 19 n Suite 450 Clearwater FL 33764 Software support and maintenance 293346 Nurse Communication after Hours PO Box 54246 Irvine CA 92619 On-call Nursing Services 103488 3 138900 0 0 0 0 933126 0 1072026 Net Patient Service Revenue 621610 20349814 20349814 0 0 Public Grief Support 624100 10511 10511 0 0 0 0 0 0 20360325 173706 0 0 173706 0 0 0 0 0 0 0 0 63290 0 55883 0 7407 0 7407 0 0 7407 461499 50250 456168 13569 5331 36681 42012 0 0 42012 279615 0 194475 85140 0 85140 0 21740616 20360325 0 308265 426757 217040 209717 0 7198797 5218512 1690641 289644 198852 141742 49554 7556 1079159 769225 268926 41008 648540 462279 161616 24645 0 0 0 0 24162 0 24162 0 29355 0 29355 0 0 0 0 0 0 0 0 0 0 0 134836 120240 9875 4721 78591 0 52129 26462 451989 121670 275873 54446 162645 0 162645 0 0 0 0 0 402442 0 402442 0 617193 510315 88198 18680 36734 13777 9615 13342 18 0 18 0 0 0 0 0 338711 338711 0 0 50390 0 50390 0 Bad Debt 42986 42986 0 0 Contracted Services 7385753 7385753 0 0 Dues, licenses & subscriptions 32095 925 29324 1846 Medical Supplies 784787 784787 0 0 Miscellaneous 2819 748 1348 723 20127611 16128710 3515828 483073 760 760 1346604 1650552 40000 20000 2057232 2011345 61102 61793 109119 160482 6298796 2566543 3605702 3732253 2456981 3965403 200000 200000 476301 468059 10353801 12270647 1480297 1717743 2475000 2385000 0 3955297 4102743 X 5142693 6948931 116872 77674 1138939 1141299 6398504 8167904 10353801 12270647 X 1613005 156395 X 0 1 0 X 0 X 1257139 1030615 1485436 1090353 1072026 5935569 0 0 0 0 0 0 0 0 0 0 0 0 1257139 1030615 1485436 1090353 1072026 5935569 537227 5398342 142575 177994 103649 62711 181113 668042 268781 270155 273154 79577 85140 976807 7580418 0.71214 0.73240 X Fundraising activities, primarily Heirlooms Resale store, net of expenses. 1840233 10746 211970 0 83210 13569 1966170 1502327 84034 266716 0 0 12844 1840233 1715895 275967 -391141 0 85297 13097 1502327 0.3398 0.6194 0.0408 0 0 0 870000 870000 0 2090195 391921 1698274 0 141505 139067 2438 0 3162514 2032504 1130010 0 34582 3051 31531 3732253 0 0 21740616 20127611 1613005 156390 0 0 0 36843 193233 1806238 21849021 0 0 0 250358 250358 21598663 0 141953 141953 21740616 20377973 0 0 0 250362 250362 20127611 0 0 0 20127611 SchD_P05_S00_L04 Schedule D, Part V, Line 4 The 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_L02 Schedule D, Part X, Line 2 Hospice 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_L08 Schedule D, Part XI, Line 8 Permanently 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_L02d Schedule D, Part XII, Line 2d Fundraising 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_L04b Schedule D, Part XII, Line 4b Permanently 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_L02d Schedule D, Part XIII, Line 2d Fundraising Expenses - 194,475 Expenses related to real estate rental - 55,883 Rounding - 4 TOTAL - $250,362 Heirlooms Resale Store 279070 0 279070 0 0 78581 0 0 115894 0 0 279070 0 279070 0 0 78581 0 0 115894 194475 84595 X X 0 0 0 0 0 0 0 0 0 John Thomas 217040 0 0 0 0 0 0 0 15752 0 232792 0 0 0 Cass County North Dakota 456002205 14805RAL2 2007-07-31 2600000 Hospice of the Red River Valley Project 0 0 0 0 0 2600000 217487 0 0 52000 0 0 2330513 0 0 2007 0 0 1 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 F990_P06_S0A_L08b Form 990, Part VI, Section A, Line 8b There 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_L11a Form 990, Part VI, Section B, Line 11a 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. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c All 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_L15 Form 990, Part VI, Section B, Line 15 A 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_L19 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. F990_P11_S00_L05 Form 990, Part XI, Line 5 Change in unrealized gains and losses on investments - 156,390 Rounding - 5 TOTAL - $156,395