Civic Intelligence

Beloit Regional Hospice Inc

EIN 39-1420944 • 501(c)3 • Beloit, WI

View Organization Page

Profile

Medical care and support to help make each moment of remaining life as full and comfortable as possible.

655 Third Street Suite 200Beloit, WI 53511

www.beloitregionalhospice.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2015

Liabilities / Revenue

19th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2015

Net Margin

25th percentile

-7.4%

Higher net margin than 25% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

19th percentile

-13%

Faster revenue growth than 19% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $2,742,398 (-100%) from 2014

Liabilities

Down

$0

Down $304,362 (-100%) from 2014

Net Assets

Down

$0

Down $2,438,036 (-100%) from 2014

Operations
Liabilities / Revenue19th percentileNet Margin25th percentile

Revenue

Down

$3,745,110

Down $571,644 (-13%) from 2014

Expenses

Up

$4,023,811

Up $73,508 (+1.9%) from 2014

Net Income

Down

-$278,701

Down $645,152 (-176%) from 2014

Trend Graphs

Balance Sheet Trend

Asset Growth2nd percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0M$2.0M$1.0M$0Assets 2011: $1,932,036Liabilities 2011: $205,862Net Assets 2011: $1,726,1742011Assets 2012: $2,150,577Liabilities 2012: $247,827Net Assets 2012: $1,902,7502012Assets 2013: $2,316,456Liabilities 2013: $261,299Net Assets 2013: $2,055,1572013Assets 2014: $2,742,398Liabilities 2014: $304,362Net Assets 2014: $2,438,0362014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0
Open 2015 Filing

Operations Trend

Revenue Growth19th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2011: $4,311,104Expenses 2011: $4,166,149Net Income 2011: $144,9552011Revenue 2012: $4,417,229Expenses 2012: $4,290,002Net Income 2012: $127,2272012Revenue 2013: $3,981,949Expenses 2013: $3,923,593Net Income 2013: $58,3562013Revenue 2014: $4,316,754Expenses 2014: $3,950,303Net Income 2014: $366,4512014Revenue 2015: $3,745,110Expenses 2015: $4,023,811Net Income 2015: -$278,7012015

Highlighted filing

2015

Revenue$3,745,110
Expenses$4,023,811
Net Income-$278,701
Open 2015 Filing

Filings

Most recent year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$3,745,110
Expenses
$4,023,811
Net income
-$278,701
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2015Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$3.75$4.02$0.28
2014Detailed filing. Detailed filing data is available for this year.$2.74$0.30$2.44$4.32$3.95$0.37
2013Summary only. Only limited summary data is available for this year.$2.32$0.26$2.06$3.98$3.92$0.06
2012Summary only. Only limited summary data is available for this year.$2.15$0.25$1.90$4.42$4.29$0.13
2011Summary only. Only limited summary data is available for this year.$1.93$0.21$1.73$4.31$4.17$0.14
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Aug 3, 2016
Return Version
2015v2.1
Gross Receipts
$3,924,604
Mission and Program Overview

Mission

Medical care and support to help make each moment of remaining life as full and comfortable as possible.

Medical Care and Support

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,516,201$0▼ $1,516,201
Cash and Non-Interest-Bearing Accounts$616,900$0▼ $616,900
Accounts Receivable$358,107$0▼ $358,107
Land, Buildings, and Equipment, Net$152,282$0▼ $152,282
Prepaid Expenses and Deferred Charges$85,450$0▼ $85,450
Investments Other Securities$13,458$0▼ $13,458
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Program Related-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$2,742,398$0▼ $2,742,398
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$239,843--
Mortgage Notes Payable Secured by Investment Property$64,519--
Total Liabilities$304,362$0▼ $304,362
Net Assets / Fund Balance
Unrestricted Net Assets$2,438,036$0▼ $2,438,036
Total Net Assets Fund Balance$2,438,036$0▼ $2,438,036
Total Liabilities and Net Assets / Fund Balance$2,742,398$0▼ $2,742,398

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$1,435,357$165,137▼ $13,428$10,660$1,576,406
2014$1,081,553$305,000▲ $53,661$4,857$1,435,357
2013$952,185$2,246▲ $135,768$8,646$1,081,553
2012$864,901$23,545▲ $72,113$8,374$952,185
2011$878,415-▼ $6,335$7,179$864,901
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
Elizabeth QuinnFiscal DirectorPT$66,923$24,018$90,941
natasha WebergexECUTIVE DIRECTORFT$80,119$4,961$85,080

Board Members and Trustees

NameTitle
Bill SullivanPast President/Interim Executive Director
REv Gene Van GalderPresident
Doris MulderVice President
Cecil YoungbloodDIREctor
DR Vasil NikaDIrector
Derek HahnDIrector
Dr Larry O'JedaDirector
Dr Peter MahlerDIrector
Dr Shawn AntleDIrector
Dr Sushrut PatelDirector
Lanny SchimmelDIREctor
Stephen NeasDirector
Vickie HansonDIREctor
Keli FreedlundSecretary
Vijay CHAHARTreASURER
Revenue and Support

Revenue Composition

Contributions and Grants
$168,899
Program Service Revenue
$3,472,526
Investment Income
$35,957
Other Revenue
$67,728
All Other Contributions
$95,412
Change in Net Assets
$-278,701

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,734,450
Revenue Not Reported on Financial Statements
$10,660
Revenue Not Reported on Form 990
$-41,219
Total Revenue per Audited Statements
$3,693,231
Total Revenue per Form 990
$3,745,110
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,554,757
Other Expenses$1,469,054
Total Fundraising Expense$236,470
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,506,422$437,991$142,949$2,087,362
Other Employee Benefits$151,382$158,802$10,169$320,353
All Other Expenses$142,598$35,482$13,102$191,182
Current Officers, Directors, Trustees, and Key Employees$147,042--$147,042
Occupancy$109,980$33,441-$143,421
Other Expenses$165,173$116,251-$116,251
Office Expenses$67,655$22,227$14,913$104,795
Travel$78,267$6,236$4,995$89,498
Fees for Services Other$60,645--$60,645
Advertising$8,359-$50,342$58,701
Depreciation Depletion$39,891--$39,891
Insurance$18,066$7,742-$25,808
Fees for Service Investment Mgmnt Fees-$10,660-$10,660
Total Functional Expenses$2,958,509$828,832$236,470$4,023,811

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$4,023,811
Total Expenses per Audited Statements$4,019,814
Expenses per Audited Statements$4,013,151
Expenses Not Reported on Financial Statements$10,660
Expenses Not Reported on Form 990$6,663
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$74,196
Fundraising Direct Expenses$6,663
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Auction and Social$66,137$16,150-$16,150
Total Events$66,137$16,150$6,663$9,487
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11

“The finance committee reviews the form 990 prior to filing and a copy is provided to the board before being filed.”

Form 990, Part VI, Section C, line 19

“upon request.”

Filing and Contact Details

Filer

Filer Name
Beloit Regional Hospice Inc
EIN
39-1420944
Phone
6083637421
Address
655 Third Street Suite 200, Beloit, WI 53511

Signing Officer

Name
Vijay Chahar
Title
Treasurer
Phone
6083637421
Signed
2016-08-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Rev Gene Van Galder
Formed
1982
Legal Domicile
Wi
Voting Board Members
15
Independent Board Members
15
Employees
69
Volunteers
153

Preparer

Firm
Baker Tilly Virchow Krause LLP
Address
500 Midland Court, Janesville, WI 53546
Preparer
Troy Marine CPA
Phone
6087525835
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

“Transfer pursuant to merger with Beloit Health System -2,111,453.”

Form 990, Part XII, Line 2C

“Finance comittee oversees audit and selection of auditor.”

Financial Statement Notes

Part V, Line 4:

“The Board of Directors has segregated bequests and large donations as a reserve to help with future operations as deemed necessary by the Board. No donor restrictions: Board has designated as investment reserve.”

Part XI, Line 2D - Other Adjustments:

“Net Fundraising 6,663.”

Part XII, Line 2D - Other Adjustments:

“Net Fundraising 6,663.”

Raw XML AppendixShowing 400 of 611 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0History and Accomplishments Beloit Regional Hospice is an independent hospice organization serving terminally ill patients and their families in a five-county area of the Wisconsin-Illinois stateline. Hospice provides an end-of-life option that supports dying patients and their families with comfort, compassion, and dignity at the end of life. Current Program and ActivitiesBeloit Regional Hospice focuses on providing comfort and dignity to its patients by offering them independence and control during this poignant phase of life's journey. Any person, whose illness has advanced to the point of him/her no longer seeking life-extending care but rather comfort and quality of life, is eligible for services offered by Beloit Regional Hospice, regardless of ability to pay. Patients include people of all ages and a variety of illnesses. Approximately 40% of those who receive care have a cancer diagnosis. Others may include end stage diseases such as heart, lung, Huntington's, and Alzheimer's & other forms of dementia. Emphasis is placed on the alleviation of pain and other symptoms that include the physical, social, and spiritual needs of the dying person as well as the emotional and spiritual needs of family members and caregivers. Hospice care involves a team-oriented approach that includes physicians, nurses, home health aides, social workers, clergy, and volunteers who work together, alongside the patient and their family, to plan and coordinate care. Beloit Regional Hospice offers bereavement services at no charge to family members and the community at large offering a variety of grief support groups for children, teens, and adults.
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IRS990/Form990PartVIISectionAGrp/PersonNm12Stephen Neas
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IRS990/Form990PartVIISectionAGrp/PersonNm14Vijay CHAHAR
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Past President/Interim Executive Director
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIREctor
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIrector
IRS990/Form990PartVIISectionAGrp/TitleTxt3VICE PRESIDENT
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IRS990/Form990PartVIISectionAGrp/TitleTxt5DIrector
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIrector
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
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IRS990/Form990PartVIISectionAGrp/TitleTxt9Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIREctor
IRS990/Form990PartVIISectionAGrp/TitleTxt11President
IRS990/Form990PartVIISectionAGrp/TitleTxt12Director
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIREctor
IRS990/Form990PartVIISectionAGrp/TitleTxt14TreASURER
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IRS990/MissionDesc0Medical care and support to help make each moment of remaining life as full and comfortable as possible.
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IRS990/PrincipalOfficerNm0Rev Gene Van Galder
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IRS990/ProgSrvcAccomActy2Grp/Desc0Transitions ProgramThe Transitions Program is a volunteer-driven program focused on supporting individuals who face a life-limiting illness. Services include emotional and spiritual support, education, practical assistance, and timely coordinated referral to a network of community resources and services. The program is designed to help clients and their families cope with the day to day struggles and to find the information they need.No program costs are passed on to the client. Community support through grants, foundation gifts, and individual contributions provide necessary funding.Services are intended to support individuals who have a life expectancy of two years or less. These individuals may still be seeking curative treatment. Transitions does not provide nursing services, medical equipment and supplies, or medications. The program works with clients to enhance their support system and helps them adjust to living with their illness. Volunteers however support clients and their families based on each family's own unique needs. Some of the possibilities are: Offering companionship, providing transportation to medical appointments, preparing meals, light housekeeping, and running errands.Transitions serves residents in Rock, Green, and Walworth counties in Wisconsin and Winnebago and Boone counties in Illinois.
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