Civic Intelligence

Faribault Area Hospice Foundation

990 • Fiscal year 2016 • EIN 47-1693199

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 08, 2017

Organization ProfileFARIBAULTAREAHOSPICEFOUNDATION.ORG
200 State AvenueFaribault, MN 55021

(507) 332-4731

Siviq Scores

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

Liabilities / Assets

14th percentile

0.00x

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

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

14th percentile

0.00x

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

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

15th percentile

-20%

Higher net margin than 15% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

35th percentile

$0

Higher top officer pay than 35% of similar nonprofits.

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

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

43rd percentile

-0.4%

Faster asset growth than 43% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

1st percentile

-96%

Faster revenue growth than 1% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets14th percentile

Assets

Down

$1,328,706

Down $5,055 (-0.4%) from 2015

Net Assets

Down

$1,328,706

Down $5,055 (-0.4%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue And Expenses
Liabilities / Revenue14th percentileNet Margin15th percentile

Revenue

Down

$25,684

Down $589,190 (-96%) from 2015

Expenses

Up

$30,739

Up $30,655 (+36494%) from 2015

Net Income

Down

-$5,055

Down $619,845 (-101%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth43rd percentile

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

$1.5M$1.0M$500K$0Assets 2014: $718,971Liabilities 2014: $0Net Assets 2014: $718,9712014Assets 2015: $1,333,761Liabilities 2015: $0Net Assets 2015: $1,333,7612015Assets 2016: $1,328,706Liabilities 2016: $0Net Assets 2016: $1,328,7062016Assets 2017: $1,245,780Liabilities 2017: $0Net Assets 2017: $1,245,7802017Assets 2018: $1,067,376Liabilities 2018: $0Net Assets 2018: $1,067,3762018Assets 2019: $969,078Liabilities 2019: $0Net Assets 2019: $969,0782019Assets 2020: $923,061Liabilities 2020: $0Net Assets 2020: $923,0612020Assets 2021: $875,384Liabilities 2021: $0Net Assets 2021: $875,3842021Assets 2022: $833,499Liabilities 2022: $0Net Assets 2022: $833,4992022Assets 2023: $899,218Liabilities 2023: $0Net Assets 2023: $899,2182023Assets 2024: $966,308Liabilities 2024: $0Net Assets 2024: $966,3082024

Highlighted filing

2016

Assets$1,328,706
Liabilities$0
Net Assets$1,328,706
Open 2016 Filing

Operations Trend

Revenue Growth1st percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.0M$500K$0-$500KRevenue 2014: $719,002Expenses 2014: $31Net Income 2014: $718,9712014Revenue 2015: $614,874Expenses 2015: $84Net Income 2015: $614,7902015Revenue 2016: $25,684Expenses 2016: $30,739Net Income 2016: -$5,0552016Revenue 2017: $22,759Expenses 2017: $105,685Net Income 2017: -$82,9262017Revenue 2018: $27,120Expenses 2018: $205,524Net Income 2018: -$178,4042018Revenue 2019: $50,024Expenses 2019: $148,322Net Income 2019: -$98,2982019Revenue 2020: $53,297Expenses 2020: $99,314Net Income 2020: -$46,0172020Revenue 2021: $40,966Expenses 2021: $88,643Net Income 2021: -$47,6772021Revenue 2022: $33,865Expenses 2022: $75,750Net Income 2022: -$41,8852022Revenue 2023: $48,682Expenses 2023: $49,385Net Income 2023: -$7032023Revenue 2024: $48,262Expenses 2024: $31,015Net Income 2024: $17,2472024

Highlighted filing

2016

Revenue$25,684
Expenses$30,739
Net Income-$5,055
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 8, 2017
Return Version
2016v3.0
Gross Receipts
$25,684
Mission and Program Overview

Mission

To improve the quality of life for patients and their loved ones in the district one hospital area.

To improve the quality of life through comfort, care, support and compassion for patients and their loved ones in the district one hospital service area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,333,761$1,328,706▼ $5,055
Total Assets$1,333,761$1,328,706▼ $5,055
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$1,333,761$1,328,706▼ $5,055
Total Net Assets Fund Balance$1,333,761$1,328,706▼ $5,055
Total Liabilities and Net Assets / Fund Balance$1,333,761$1,328,706▼ $5,055
Compensation and Service Providers
Top Officer Pay35th percentile

Board Members and Trustees

NameTitle
Ken BetsingerChair
Patty VoegeleVice Chair
Audrey TeboDirector
Calista VosDirector
Craig BriemhorstDirector
Ken KangasDirector
Kris DrevlowDirector
Norman ShultzDirector
Rick MillerExecutive Director/chief Executive Officer
Gary VoegeleTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$24,966
Program Service Revenue
$0
Investment Income
$718
Other Revenue
$0
All Other Contributions
$24,966
Change in Net Assets
$-5,055
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$20,209
Other Expenses$10,530
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Individuals$20,209--$20,209
Fees for Services Legal-$5,050-$5,050
Advertising$3,136--$3,136
Other Expenses-$900-$900
Insurance-$750-$750
Office Expenses$553--$553
All Other Expenses$114--$114
Fees for Services Other-$27-$27
Total Functional Expenses$24,012$6,727$0$30,739
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
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
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 11B

“Form 990 is reviewed by rick miller of district one hospital on behalf of the board of directors prior to filing with the irs.”

Form 990, Part VI, Section B, Line 12C

“Board members are required to sign the conflict of interest acknowledgement/questionnaire annually.”

Form 990, Part VI, Section B, Line 15

“Officers and directors of the foundation do not receive compensation.”

Form 990, Part VI, Section C, Line 19

“Financial statements, conflict of interest policy and governing documents are available upon request for the same period of disclosure as set forth in section 6104(d).”

Filing and Contact Details

Filer

Filer Name
Faribault Area Hospice Foundation
EIN
47-1693199
Phone
5073324731
Address
200 STATE AVENUE, FARIBAULT, MN 55021

Signing Officer

Name
Ken Betsinger
Title
Chair
Phone
5073324731
Signed
2017-11-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ken Betsinger
Formed
2014
Legal Domicile
Mn
Voting Board Members
10
Independent Board Members
10
Employees
0
Volunteers
25

Preparer

Firm
Rsm US Llp
Address
801 NICOLLET MALL SUITE 1100, MINNEAPOLIS, MN 55402
Preparer
Todd a Jackson
Phone
6123324300
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 6

“Total number of volunteers: numerous volunteers engaged as members of the board of directors. In addition, there are a number of volunteers that organize and staff an annual fundraiser "light of a life", a holiday tree lighting that occurs in december each year.”

Raw XML Appendix358 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/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
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IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0RESIDENTIAL HOSPICE SUPPORT
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0FARIBAULT AREA HOSPICE FOUNDATION PROVIDES SUPPORT FOR INDIVIDUAL HOSPICE PATIENTS AND THIER LOVED ONES. FINANCIAL ASSISTANCE IS PROVIDED TO HOSPICE PATIENTS TO ASSIST WITH EXPENSES (HOSPICE SUPPORT, THERAPY, TRANSPORTATION, ETC.) PAYMENTS ARE MADE DIRECTLY TO THE SERVICE PROVIDER AND NOT THE INDIVIDUAL PATIENT. INDIVIDUALS IN NEED OF ASSISTANCE MUST SUBMIT THE COMPLETED APPLICATION; WHICH IS THEN REVIEWED AND APPROVED OR DENIED BY A COMMITTEE, BASED UPON THE REQUESTS.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORM 990 IS REVIEWED BY RICK MILLER OF DISTRICT ONE HOSPITAL ON BEHALF OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MEMBERS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST ACKNOWLEDGEMENT/QUESTIONNAIRE ANNUALLY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2OFFICERS AND DIRECTORS OF THE FOUNDATION DO NOT RECEIVE COMPENSATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4TOTAL NUMBER OF VOLUNTEERS: NUMEROUS VOLUNTEERS ENGAGED AS MEMBERS OF THE BOARD OF DIRECTORS. IN ADDITION, THERE ARE A NUMBER OF VOLUNTEERS THAT ORGANIZE AND STAFF AN ANNUAL FUNDRAISER "LIGHT OF A LIFE", A HOLIDAY TREE LIGHTING THAT OCCURS IN DECEMBER EACH YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART I, LINE 6
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ReturnHeader/BusinessOfficerGrp/PersonNm0KEN BETSINGER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIR
ReturnHeader/BusinessOfficerGrp/PhoneNum05073324731
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-11-08
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ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TODD A JACKSON
ReturnHeader/ReturnTs02017-11-15T08:47:54-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,328,706
Liabilities
$0
Net assets
$1,328,706
Revenue
$25,684
Expenses
$30,739
Net income
-$5,055
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.97$0.00$0.97$0.05$0.03$0.02
2023Detailed filing. Detailed filing data is available for this year.$0.90$0.00$0.90$0.05$0.05$0.00
2022Detailed filing. Detailed filing data is available for this year.$0.83$0.00$0.83$0.03$0.08$0.04
2021Detailed filing. Detailed filing data is available for this year.$0.88$0.00$0.88$0.04$0.09$0.05
2020Detailed filing. Detailed filing data is available for this year.$0.92$0.00$0.92$0.05$0.10$0.05
2019Detailed filing. Detailed filing data is available for this year.$0.97$0.00$0.97$0.05$0.15$0.10
2018Detailed filing. Detailed filing data is available for this year.$1.07$0.00$1.07$0.03$0.21$0.18
2017Detailed filing. Detailed filing data is available for this year.$1.25$0.00$1.25$0.02$0.11$0.08
2016Detailed filing. Detailed filing data is available for this year.$1.33$0.00$1.33$0.03$0.03$0.01
2015Detailed filing. Detailed filing data is available for this year.$1.33$0.00$1.33$0.61$0.00$0.61
2014Summary only. Only limited summary data is available for this year.$0.72$0.00$0.72$0.72$0.00$0.72