Civic Intelligence

Faribault Area Hospice Foundation

990 • Fiscal year 2018 • EIN 47-1693199

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 11, 2019

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.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Liabilities / Revenue

14th percentile

0.00x

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

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Net Margin

1st percentile

-658%

Higher net margin than 1% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

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.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Asset Growth

9th percentile

-14%

Faster asset growth than 9% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Revenue Growth

74th percentile

19%

Faster revenue growth than 74% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Assets

Down

$1,067,376

Down $178,404 (-14%) from 2017

Net Assets

Down

$1,067,376

Down $178,404 (-14%) from 2017

Liabilities

Flat

$0

Flat from 2017

Revenue

Up

$27,120

Up $4,361 (+19%) from 2017

Expenses

Up

$205,524

Up $99,839 (+94%) from 2017

Net Income

Down

-$178,404

Down $95,478 (-115%) from 2017

Historical Trend

Balance Sheet Trend

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

2018

Assets$1,067,376
Liabilities$0
Net Assets$1,067,376

Operations Trend

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

2018

Revenue$27,120
Expenses$205,524
Net Income-$178,404
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 11, 2019
Return Version
2018v3.1
Gross Receipts
$27,120
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments-$740,283-
Cash and Non-Interest-Bearing Accounts$1,245,780$327,093▼ $918,687
Total Assets$1,245,780$1,067,376▼ $178,404
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$1,245,780$1,067,376▼ $178,404
Total Net Assets Fund Balance$1,245,780$1,067,376▼ $178,404
Total Liabilities and Net Assets / Fund Balance$1,245,780$1,067,376▼ $178,404
Compensation and Service Providers

Board Members and Trustees

NameTitle
Ken BetsingerChair
Patty VoegeleVice Chair
Rick MillerChief Executive Director
Audrey TeboDirector
Calista VosDirector
Craig BriemhorstDirector
Ken KangasDirector
Kris DrevlowDirector
Norma ShultzDirector
Sarah EdwardsDirector
Gary VoegeleTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$25,212
Program Service Revenue
$0
Investment Income
$1,908
Other Revenue
$0
All Other Contributions
$25,212
Change in Net Assets
$-178,404
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$197,998
Other Expenses$7,526
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Individuals$159,124--$159,124
Grants to Domestic Orgs$38,874--$38,874
Fees for Services Legal-$1,575-$1,575
Advertising$1,084--$1,084
Office Expenses$1,083--$1,083
Insurance-$750-$750
Other Expenses$3,009$25-$25
Total Functional Expenses$203,174$2,350$0$205,524
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Allina Health System Owatana Hospital FoundationMinneapolis, MN501(c)(3)Owatonna Hopsital Foundation - Program Support for Honoring Choices Minnesota of Faribault - Owatonna - Providing Advanced Care Directives, Including a Conversation About Hospice Care & Services.$38,334
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
2019-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ken Betsinger
Formed
2014
Legal Domicile
Mn
Voting Board Members
11
Independent Board Members
11
Employees
0
Volunteers
30

Preparer

Firm
Rsm US Llp
Address
801 NICOLLET MALL WEST TOWER STE, 1100, MINNEAPOLIS, MN 55402-2526
Preparer
Kacie Mcewen
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 life), a holiday tree lighting that occurs each december.

Raw XML Appendix382 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
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IRS990ScheduleI/RecipientTable/CashGrantAmt038334
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0OWATONNA HOPSITAL FOUNDATION - PROGRAM SUPPORT FOR HONORING CHOICES MINNESOTA OF FARIBAULT - OWATONNA - PROVIDING ADVANCED CARE DIRECTIVES, INCLUDING A CONVERSATION ABOUT HOSPICE CARE & SERVICES.
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0ALLINA HEALTH SYSTEM OWATANA HOSPITAL FOUNDATION
IRS990ScheduleI/RecipientTable/RecipientEIN0363261413
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0PO BOX 43
IRS990ScheduleI/RecipientTable/USAddress/CityNm0MINNEAPOLIS
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0MN
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd055440
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:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0TOTAL 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 LIFE), A HOLIDAY TREE LIGHTING THAT OCCURS EACH DECEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 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/ExplanationTxt2BOARD MEMBERS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST ACKNOWLEDGEMENT/QUESTIONNAIRE ANNUALLY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3OFFICERS AND DIRECTORS OF THE FOUNDATION DO NOT RECEIVE COMPENSATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4FINANCIAL 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/FormAndLineReferenceDesc0FORM 990, PART I, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0MN
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt01245780
IRS990/TotalAssetsEOYAmt01067376
IRS990/TotalAssetsGrp/BOYAmt01245780
IRS990/TotalAssetsGrp/EOYAmt01067376
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt025212
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt02350
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0203174
IRS990/TotalFunctionalExpensesGrp/TotalAmt0205524
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01245780
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01067376
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0203174
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt01908
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt027120
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt030
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01245780
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01067376
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt01245780
IRS990/UnrestrictedNetAssetsGrp/EOYAmt01067376
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0200 STATE AVENUE
IRS990/USAddress/CityNm0FARIBAULT
IRS990/USAddress/StateAbbreviationCd0MN
IRS990/USAddress/ZIPCd055021
IRS990/VotingMembersGoverningBodyCnt011
IRS990/VotingMembersIndependentCnt011
IRS990/WebsiteAddressTxt0FARIBAULTAREAHOSPICEFOUNDATION.ORG
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02020-03-31 21:24:44Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0KEN BETSINGER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIR
ReturnHeader/BusinessOfficerGrp/PhoneNum05073324731
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-11-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FARIBAULT AREA HOSPICE FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0FARI
ReturnHeader/Filer/EIN0471693199
ReturnHeader/Filer/PhoneNum05073324731
ReturnHeader/Filer/USAddress/AddressLine1Txt0200 STATE AVENUE
ReturnHeader/Filer/USAddress/CityNm0FARIBAULT
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MN
ReturnHeader/Filer/USAddress/ZIPCd055021
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0DA39A3EE5E6B4B0D3255BFEF95601890AFD80709
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0B56786F7D21A8F39D00ED83C272556B8DDCB8C36
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt066.98.98.3
ReturnHeader/FilingSecurityInformation/IPDt02019-11-11
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm013:57:13
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0420714325
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0RSM US LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0801 NICOLLET MALL WEST TOWER STE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine2Txt01100
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0MINNEAPOLIS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0554022526
ReturnHeader/PreparerPersonGrp/PhoneNum06123324300
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KACIE MCEWEN
ReturnHeader/ReturnTs02019-11-13T14:22:07-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02018-01-01
ReturnHeader/TaxPeriodEndDt02018-12-31
ReturnHeader/TaxYr02018

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