Civic Intelligence

Beloit Regional Hospice Inc

990 • Fiscal year 2014 • EIN 39-1420944

Jan 01, 2014 to Dec 31, 2014 • Filed on Sep 29, 2015

655 Third Street Suite 200Beloit, WI 53511

(608) 363-7421

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

50th percentile

0.11x

Higher debt load relative to assets than 50% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Liabilities / Revenue

41st percentile

0.07x

Higher debt load relative to revenue than 41% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Net Margin

65th percentile

8.5%

Higher net margin than 65% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

34th percentile

$0

Higher top officer pay than 34% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Asset Growth

81st percentile

18%

Faster asset growth than 81% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

61st percentile

8.4%

Faster revenue growth than 61% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Assets

Up

$2,742,398

Up $425,942 (+18%) from 2013

Net Assets

Up

$2,438,036

Up $382,879 (+19%) from 2013

Liabilities

Up

$304,362

Up $43,063 (+16%) from 2013

Revenue

Up

$4,316,754

Up $334,805 (+8.4%) from 2013

Expenses

Up

$3,950,303

Up $26,710 (+0.7%) from 2013

Net Income

Up

$366,451

Up $308,095 (+528%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2014

Assets$2,742,398
Liabilities$304,362
Net Assets$2,438,036

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2014

Revenue$4,316,754
Expenses$3,950,303
Net Income$366,451
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Sep 29, 2015
Return Version
2014v5.0
Gross Receipts
$4,711,559
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$1,093,030$1,516,201▲ $423,171
Cash and Non-Interest-Bearing Accounts$618,260$616,900▼ $1,360
Accounts Receivable$384,930$358,107▼ $26,823
Land, Buildings, and Equipment, Net$96,608$152,282▲ $55,674
Prepaid Expenses and Deferred Charges$43,492$85,450▲ $41,958
Investments Other Securities$80,136$13,458▼ $66,678
Total Assets$2,316,456$2,742,398▲ $425,942
Liabilities
Accounts Payable and Accrued Expenses$261,299$239,843▼ $21,456
Mortgage Notes Payable Secured by Investment Property-$64,519-
Total Liabilities$261,299$304,362▲ $43,063
Net Assets / Fund Balance
Unrestricted Net Assets$2,055,157$2,438,036▲ $382,879
Total Net Assets Fund Balance$2,055,157$2,438,036▲ $382,879
Total Liabilities and Net Assets / Fund Balance$2,316,456$2,742,398▲ $425,942

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$136,691$454,364$591,055
Leasehold Improvements$15,591$4,228$19,819

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
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
2010$803,672-▲ $81,689$6,946$878,415
Compensation and Service Providers

Board Members and Trustees

NameTitle
Bill SullivanPast President
Rev Gene Van GalderPresident
Doris MulderVice President
Bonnie WetterDirector
Cecil YoungbloodDirector
DR LARRY O'JEDADirector
Dr Sushrut PatelDirector
Keli FreedlundDirector
Lanny SchimmelDirector
Lynn HoltDirector
Stephen NeasDirector
Vickie HansonDirector
Vijay ChaharDirector
Bill LockSecretary
Daniel SchooffTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$318,949
Program Service Revenue
$3,958,838
Investment Income
$29,937
Other Revenue
$9,030
All Other Contributions
$259,376
Change in Net Assets
$366,451

Audited Revenue Reconciliation

Revenue per Audited Statements
$4,316,754
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$27,361
Total Revenue per Audited Statements
$4,344,115
Total Revenue per Form 990
$4,316,754
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,552,420
Other Expenses$1,397,883
Total Fundraising Expense$196,731
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,733,169$414,385$127,009$2,274,563
Other Employee Benefits$155,916$111,480$10,461$277,857
All Other Expenses$216,982$32,075$13,353$262,410
Occupancy$100,489$28,943-$129,432
Office Expenses$67,395$17,625$13,225$98,245
Travel$86,039$6,538$2,238$94,815
Other Expenses$153,935$86,758-$86,758
Depreciation Depletion$37,646--$37,646
Advertising$2,326-$30,445$32,771
Insurance$13,228$5,669-$18,897
Total Functional Expenses$3,050,099$703,473$196,731$3,950,303

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$3,961,236
Expenses per Audited Statements$3,950,303
Total Expenses per Form 990$3,950,303
Expenses Not Reported on Form 990$10,933
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$19,963
Fundraising Direct Expenses$10,933
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Auction and Social$79,536$19,963$2,911$17,052
Total Events$79,536$19,963$10,933$9,030
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
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
2015-09-29
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
75
Volunteers
103

Preparer

Firm
Baker Tilly Virchow Krause Llp
Address
500 MIDLAND COURT PO BOX 8130, JANESVILLE, WI 53547-8130
Preparer
David C Drake CPA
Phone
6087525835
Supplemental Narrative

Additional Explanations

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 10,933.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

NET FUNDRAISING 10,933.

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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. THIS MEANINGFUL SERVICE HAS BEEN PROVIDED FOR OVER 7,764 PATIENTS AND THEIR FAMILIES SINCE 1982. 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/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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