Civic Intelligence

Ah Hospice Foundation Inc

990 • Fiscal year 2013 • EIN 45-1348449

Jan 01, 2013 to Dec 31, 2013 • Filed on Jul 16, 2014

50 North Laura Street32202

(904) 493-6756

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$114,291

Flat from 2013

Net Assets

Flat

$87,411

Flat from 2013

Liabilities

Flat

$26,880

Flat from 2013

Revenue And Expenses

Revenue

Flat

$318,103

Flat from 2013

Expenses

Flat

$282,231

Flat from 2013

Net Income

Flat

$35,872

Flat from 2013

Historical Trend

Balance Sheet Trend

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

$300K$200K$100K$0Assets 2011: $154,753Liabilities 2011: $109,542Net Assets 2011: $45,2112011Assets 2012: $252,498Liabilities 2012: $200,959Net Assets 2012: $51,5392012Assets 2013: $114,291Liabilities 2013: $26,880Net Assets 2013: $87,4112013Assets 2013: $114,291Liabilities 2013: $26,880Net Assets 2013: $87,4112013Assets 2014: $191,579Liabilities 2014: $54,211Net Assets 2014: $137,3682014Assets 2015: $203,011Liabilities 2015: $21,285Net Assets 2015: $181,7262015

Highlighted filing

2013

Assets$114,291
Liabilities$26,880
Net Assets$87,411

Operations Trend

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

$400K$300K$200K$100K$0Revenue 2011: $202,449Expenses 2011: $157,238Net Income 2011: $45,2112011Expenses 2012: $374,4022012Revenue 2013: $318,103Expenses 2013: $282,231Net Income 2013: $35,8722013Revenue 2013: $318,103Expenses 2013: $282,231Net Income 2013: $35,8722013Revenue 2014: $256,625Expenses 2014: $204,779Net Income 2014: $51,8462014Revenue 2015: $266,316Expenses 2015: $221,958Net Income 2015: $44,3582015

Highlighted filing

2013

Revenue$318,103
Expenses$282,231
Net Income$35,872
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Jul 16, 2014
Return Version
2013v3.0
Gross Receipts
$318,103
Mission and Program Overview

Mission

To advance hospice care by supporting community education on end of life issues, providing resources for those suffering the loss of a loved one and helping individuals with a terminal illness live their lives to the fullest.

To promote and support quality hospice care through community outreach, consumer education, professional development and special events.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$252,146$113,531▼ $138,615
Prepaid Expenses and Deferred Charges$352$760▲ $408
Total Assets$252,498$114,291▼ $138,207
Liabilities
Accounts Payable and Accrued Expenses$195,324$26,880▼ $168,444
Grants Payable$5,635--
Total Liabilities$200,959$26,880▼ $174,079
Net Assets / Fund Balance
Unrestricted Net Assets$51,539$87,411▲ $35,872
Total Net Assets Fund Balance$51,539$87,411▲ $35,872
Total Liabilities and Net Assets / Fund Balance$252,498$114,291▼ $138,207
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Catherine RadleExecutive DirectorFT$141,750$5,656$147,406

Board Members and Trustees

NameTitle
Jeff PreussPresident
Linda RosengartDirector
Phyllis GrauerDirector
Rich FogleTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$318,103
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$310,103
Change in Net Assets
$35,872
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$190,197
Other Expenses$84,289
Grants and Similar Amounts Paid$7,745
Total Fundraising Expense$7,679
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$49,613$85,050$7,088$141,751
Other Salaries and Wages$35,584--$35,584
Office Expenses$22,647$8,506-$31,153
Fees for Services Management-$30,372-$30,372
Payroll Taxes$3,467$4,748$396$8,611
Grants to Domestic Orgs$7,745--$7,745
Fees for Services Legal-$6,211-$6,211
Conferences and Meetings$3,607$1,546-$5,153
Advertising$3,348$1,435-$4,783
Other Employee Benefits$1,712$2,344$195$4,251
Fees for Services Accounting-$2,700-$2,700
Fees for Services Other$1,491$666-$2,157
Insurance$1,140$488-$1,628
Travel$92$40-$132
Total Functional Expenses$130,446$144,106$7,679$282,231
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
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
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
Yes
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
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

Jeff preuss and rich fogle are owners/officers of american hospice management, llc which provides accounting and financial record keeping for ah hospice foundation inc. Additionally, ah hospice foundation inc promotes hospice services in markets that american hospice management operates hospices.

Form 990, Part VI, Section A, Line 3

American hospice management, llc provides the accounting and financial record keeping for ah hospice foundation inc. The rates charged for these services are based on fair market value.

Form 990, Part VI, Section B, Line 11

The organization's management was responsible for the review and approval of the form 990 prior to its filing. The entire voting board of directors was provided a copy of the 990 for personal review prior to submission.

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

The organization's conflict of interest policy requires officers and directors to disclose potential conflicts as they arise. Any potential conflict that arises must be addressed by a distinterest committee to determine if a conflict exists. The results of the determination and process are recorded in the minutes of the organization.

Form 990, Part VI, Section B, Line 15A

The board of directors determines the compensation based upon market comparables for executive directors in similar hospice industries.

Form 990, Part VI, Section C, Line 18

The organization makes its governing documents available to the public on request. Website, language on donor letters as required by state.

Form 990, Part VI, Section C, Line 19

The organization makes it form 990 available upon request. The form 990 is also available on the website www.guidestar.org

Filing and Contact Details

Filer

EIN
45-1348449
Phone
9044936756

Signing Officer

Name
Paula Ropelewski
Title
Executive Director
Phone
9044936756
Signed
2014-07-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Paula Ropelewski
Formed
2011
Legal Domicile
Tn
Voting Board Members
3
Independent Board Members
3
Employees
3
Volunteers
3

Preparer

Preparer
Amy Bibby
Phone
8282542254
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0JEFF PREUSS AND RICH FOGLE ARE OWNERS/OFFICERS OF AMERICAN HOSPICE MANAGEMENT, LLC WHICH PROVIDES ACCOUNTING AND FINANCIAL RECORD KEEPING FOR AH HOSPICE FOUNDATION INC. ADDITIONALLY, AH HOSPICE FOUNDATION INC PROMOTES HOSPICE SERVICES IN MARKETS THAT AMERICAN HOSPICE MANAGEMENT OPERATES HOSPICES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1AMERICAN HOSPICE MANAGEMENT, LLC PROVIDES THE ACCOUNTING AND FINANCIAL RECORD KEEPING FOR AH HOSPICE FOUNDATION INC. THE RATES CHARGED FOR THESE SERVICES ARE BASED ON FAIR MARKET VALUE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S MANAGEMENT WAS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF THE FORM 990 PRIOR TO ITS FILING. THE ENTIRE VOTING BOARD OF DIRECTORS WAS PROVIDED A COPY OF THE 990 FOR PERSONAL REVIEW PRIOR TO SUBMISSION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES OFFICERS AND DIRECTORS TO DISCLOSE POTENTIAL CONFLICTS AS THEY ARISE. ANY POTENTIAL CONFLICT THAT ARISES MUST BE ADDRESSED BY A DISTINTEREST COMMITTEE TO DETERMINE IF A CONFLICT EXISTS. THE RESULTS OF THE DETERMINATION AND PROCESS ARE RECORDED IN THE MINUTES OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION BASED UPON MARKET COMPARABLES FOR EXECUTIVE DIRECTORS IN SIMILAR HOSPICE INDUSTRIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC ON REQUEST. WEBSITE, LANGUAGE ON DONOR LETTERS AS REQUIRED BY STATE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION MAKES IT FORM 990 AVAILABLE UPON REQUEST. THE FORM 990 IS ALSO AVAILABLE ON THE WEBSITE WWW.GUIDESTAR.ORG
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IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt051539
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt087411
IRS990/TotalOtherCompensationAmt05656
IRS990/TotalProgramServiceExpensesAmt0130446
IRS990/TotalReportableCompFromOrgAmt0141750
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0318103
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt03
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0252498
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0114291
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt040
IRS990/TravelGrp/ProgramServicesAmt092
IRS990/TravelGrp/TotalAmt0132
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt051539
IRS990/UnrestrictedNetAssetsGrp/EOYAmt087411
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1050 NORTH LAURA STREET
IRS990/USAddress/City0JACKSONVILLE
IRS990/USAddress/State0FL
IRS990/USAddress/ZIPCode032202
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0WWW.AHHOSPICEFOUNDATION.ORG
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0PAULA ROPELEWSKI
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum09044936756
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-07-16
ReturnHeader/Filer/BusinessName/BusinessNameLine10AH HOSPICE FOUNDATION INC
ReturnHeader/Filer/BusinessNameControlTxt0AHHO
ReturnHeader/Filer/EIN0451348449
ReturnHeader/Filer/PhoneNum09044936756
ReturnHeader/Filer/USAddress/AddressLine1050 NORTH LAURA STREET
ReturnHeader/Filer/USAddress/City0JACKSONVILLE
ReturnHeader/Filer/USAddress/State0FL
ReturnHeader/Filer/USAddress/ZIPCode032202
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0560747981
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10DIXON HUGHES GOODMAN LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine10500 RIDGEFIELD COURT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0ASHEVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode028806
ReturnHeader/PreparerPersonGrp/PhoneNum08282542254
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0AMY BIBBY
ReturnHeader/ReturnTs02014-07-15T14:03:14-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

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