2024-01-17T10:23:08-06:00 2023-06-30 411399624 ELLINGSON & ELLINGSON LTD 5101 VERNON AVE S SUITE 501 EDINA MN 55436 990 2022-07-01 411791216 N C LITTLE MEMORIAL HOSPICE INC NCLI 9529289394 7019 LYNMAR LANE EDINA MN 55435 ROBERT SOLHEIM EXECUTIVE DIRECTOR 9529289394 2024-01-14 1 ROBERT SOLHEIM 999009999 0 JANE E EHRESMANN P00632775 9529290315 2024-01-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROBERT SOLHEIM 7019 LYNMAR LANE EDINA MN 55435 2825691 0 X WWW.LITTLEHOSPICE.ORG X 1993 MN HOSPICE CARE FOR TERMINALLY ILL PATIENTS IN A HOME-LIKE SETTING 11 9 57 80 0 0 1155579 1214972 1305390 1480320 145071 125536 1825 453 2607865 2821281 0 0 0 0 1741037 1940207 0 0 55656 421435 449189 2162472 2389396 445393 431885 4347750 4921495 140758 119739 4206992 4801756 TO PROVIDE EXCEPTIONAL CARE AND SUPPORT TO PATIENTS AND THEIR FAMILIES, SO THEY MAY EXPERIENCE THE HIGHEST QUALITY OF LIFE POSSIBLE. OUR LOVING SPECIALIZED CARE PROVIDES COMFORT AND DIGNITY AT A TIME WHEN IT IS NEEDED MOST. 0 0 2076815 1481592 N.C. LITTLE IS AN EIGHT BED RESIDENTIAL HOSPICE PROVIDING COMPREHENSIVE, MEDICALLY DIRECTED CARE FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A HOME-LIKE SETTING. 2076815 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 57 1 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 1 0 MN X ROBERT SOLHEIM 9529289394 7019 LYNMAR LANE EDINA MN EDINA MN 55435 ROBERT SOLHEIM CO-EXECUTIVE DIRECTOR 40.00 X X 177638 0 18257 DR JOHN MANION BOARD MEMBER 0.50 X 0 0 0 MR JAMES CRIST BOARD MEMBER 0.50 X 0 0 0 MR GEORGE SELTZ BOARD MEMBER 0.50 X 0 0 0 MR STEPHEN J REMPE BOARD MEMBER 0.50 X 0 0 0 MR MICHAEL TENNEY TREASURER 0.50 X 0 0 0 DR ROBERT B TEMPLETON BOARD MEMBER 0.50 X 0 0 0 DR SANDY M SCHLEY BOARD MEMBER 0.50 X 0 0 0 MS SUSAN PIHL-NIEDERMAN BOARD MEMBER 0.50 X 0 0 0 REV RICH PHENOW CO-EXECUTIVE DIRECTOR 40.00 X X 155325 0 10325 JOELLE SYVERSON BOARD MEMBER 0.50 X 0 0 0 332963 0 28582 2 0 1 0 0 1214972 1214972 HOSPICE SERVICE 623990 1480320 1480320 1480320 124403 124403 2043 3500 2182 2228 -139 1272 1133 1272 -139 OTHER INCOME 623990 453 453 453 2821281 1481592 0 124717 X 334233 217251 94473 22509 1366312 1265571 87280 13461 111986 89245 18695 4046 127676 111865 13265 2546 10163 10163 23436 14676 7793 967 52931 52931 47021 46791 188 42 TELEPHONE & UTILITIES 48406 41145 7261 FOOD COSTS 47430 47430 MAINTENANCE & REPAIRS 29625 29625 DRUGS AND MEDICAL SUPPL 27721 27721 162456 122401 27970 12085 2389396 2076815 256925 55656 773360 342758 1834242 2595029 38950 8424 1484242 856350 599194 627892 1084833 1313070 17171 34322 4347750 4921495 9741 17881 60000 18850 71017 83008 140758 119739 X 4206992 4801756 4206992 4801756 4347750 4921495 431885 162879 0 X 0 1 X 1 0 X 798222 1000315 1055507 1155578 1214972 5224594 1278050 1049800 964800 1305390 1480320 6078360 2076272 2050115 2020307 2460968 2695292 11302954 0 0 0 11302954 33676 40374 82714 146896 125989 429649 33676 40374 82714 146896 125989 429649 2109948 2090489 2103021 2607864 2821281 11732603 0.96340 0.97020 0.03660 0.02980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 94250 94250 300000 204171 95829 570670 392239 178431 338342 211676 126666 180980 48264 132716 627892 RBC INVESTMENT PORTFOLIO 1313070 F 1313070 ACCRUED SALARIES, PAYROLL TAXES AND COMPENSATED ABSENCES 83008 83008 X 3033644 162879 49484 212363 2821281 0 2821281 2438880 49484 49484 2389396 0 2389396 PART X, LINE 2: N.C. LITTLE MEMORIAL HOSPICE, INC.'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE STATUTE OF LIMITATIONS REMAINS OPEN FOR FISCAL YEARS 2019 THROUGH 2022. N.C. LITTLE MEMORIAL HOSPICE, INC. BELIEVES ITS TAX ESTIMATES ARE APPROPRIATE BASED ON CURRENT FACTS AND CIRCUMSTANCES. X 0 0 0 0 0 0 0 0 0 ROBERT SOLHEIM CO-EXECUTIVE DIRECTOR 175000 0 2638 0 0 0 5270 0 12987 0 195895 0 0 0 REV RICH PHENOW CO-EXECUTIVE DIRECTOR 155000 0 325 0 0 0 4668 0 5657 0 165650 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY EXECUTIVE DIRECTOR AND TREASURER PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15 ANNUAL COMPENSATION FOR DIRECTOR AND OTHER KEY EMPLOYEES IS REVIEWED AND APPROVED BY BOARD OF DIRECTORS FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATION MAKES GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC ROBERT SOLHEIM - 7019 LYMAR LANE, EDINA, MN 55435. FORM 990, PART IX, LINE 24E CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 5,578. MANAGEMENT AND GENERAL EXPENSES 21,850. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,428. HOSPICE CARE & COMFORT: PROGRAM SERVICE EXPENSES 22,437. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,437. BANK & CREDIT CARD FEES: PROGRAM SERVICE EXPENSES 19,379. MANAGEMENT AND GENERAL EXPENSES 1,464. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,843. HOUSEHOLD SUPPLIES: PROGRAM SERVICE EXPENSES 16,743. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,743. STAFF RELATED EXPENSES: PROGRAM SERVICE EXPENSES 12,120. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,120. SPECIAL EVENTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 12,085. TOTAL EXPENSES 12,085. COMMUNITY SUPPORT: PROGRAM SERVICE EXPENSES 10,343. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,343. DUES, SUBSCRIPTIONS & LICENSE: PROGRAM SERVICE EXPENSES 8,156. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,156. MEMORIAL PROGRAM: PROGRAM SERVICE EXPENSES 7,046. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,046. STAFF TRAINING AND DEVELOPMENT: PROGRAM SERVICE EXPENSES 6,953. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,953. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 5,830. MANAGEMENT AND GENERAL EXPENSES 648. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,478. PRINTING AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 4,559. MANAGEMENT AND GENERAL EXPENSES 1,590. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,149. POSTAGE & DELIVERY: PROGRAM SERVICE EXPENSES 806. MANAGEMENT AND GENERAL EXPENSES 2,418. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,224. VOLUNTEER EXPENSES: PROGRAM SERVICE EXPENSES 2,451. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,451.