Civic Intelligence

Ah Hospice Foundation Inc

990 • Fiscal year 2014 • EIN 45-1348449

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

50 North Laura StreetJacksonville, FL 32202

(904) 493-6756

Siviq Scores

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

Liabilities / Assets

84th percentile

0.28x

Higher debt load relative to assets than 84% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Liabilities / Revenue

87th percentile

0.21x

Higher debt load relative to revenue than 87% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

77th percentile

20%

Higher net margin than 77% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

96th percentile

$66,767

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 26.0% of source-year revenue.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

87th percentile

68%

Faster asset growth than 87% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

23rd percentile

-19%

Faster revenue growth than 23% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Assets

Up

$191,579

Up $77,288 (+68%) from 2013

Net Assets

Up

$137,368

Up $49,957 (+57%) from 2013

Liabilities

Up

$54,211

Up $27,331 (+102%) from 2013

Revenue

Down

$256,625

Down $61,478 (-19%) from 2013

Expenses

Down

$204,779

Down $77,452 (-27%) from 2013

Net Income

Up

$51,846

Up $15,974 (+45%) 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 2014: $191,579Liabilities 2014: $54,211Net Assets 2014: $137,3682014Assets 2015: $203,011Liabilities 2015: $21,285Net Assets 2015: $181,7262015

Highlighted filing

2014

Assets$191,579
Liabilities$54,211
Net Assets$137,368

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 2014: $256,625Expenses 2014: $204,779Net Income 2014: $51,8462014Revenue 2015: $266,316Expenses 2015: $221,958Net Income 2015: $44,3582015

Highlighted filing

2014

Revenue$256,625
Expenses$204,779
Net Income$51,846
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Apr 29, 2015
Return Version
2014v5.0
Gross Receipts
$256,625
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$113,531$189,763▲ $76,232
Prepaid Expenses and Deferred Charges$760$1,816▲ $1,056
Total Assets$114,291$191,579▲ $77,288
Liabilities
Accounts Payable and Accrued Expenses$26,880$54,211▲ $27,331
Total Liabilities$26,880$54,211▲ $27,331
Net Assets / Fund Balance
Unrestricted Net Assets$87,411$137,368▲ $49,957
Total Net Assets Fund Balance$87,411$137,368▲ $49,957
Total Liabilities and Net Assets / Fund Balance$114,291$191,579▲ $77,288
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Paula RopelewskiSecretaryFT$62,570$4,197$66,767
Catherine RadleExecutive DirectorFT$27,502$153$27,655

Board Members and Trustees

NameTitle
Scott MahoskyPresident
Ann HerbekDirector
Nancy RussellDirector
Rachel SchmidtDirector
Don BorchertTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$256,625
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$256,625
Change in Net Assets
$51,846
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$102,954
Other Expenses$101,825
Total Fundraising Expense$9,142
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$28,072$54,123$8,010$90,205
Office Expenses$44,104$5,820-$49,924
Fees for Services Management-$25,663-$25,663
Fees for Services Legal-$16,559-$16,559
Payroll Taxes$3,034$5,849$866$9,749
Advertising$2,931$1,256-$4,187
Other Employee Benefits$934$1,800$266$3,000
Travel$1,785$765-$2,550
Fees for Services Other$1,302$524-$1,826
Conferences and Meetings$781$335-$1,116
Total Functional Expenses$82,943$112,694$9,142$204,779
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
Backup withholding compliance
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 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

Filer Name
Ah Hospice Foundation Inc
EIN
45-1348449
Phone
9044936756
Address
50 NORTH LAURA STREET, JACKSONVILLE, FL 32202

Signing Officer

Name
Paula Ropelewski
Title
Executive Director
Phone
9044936756
Signed
2015-04-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Paula Ropelewski
Formed
2011
Legal Domicile
Tn
Voting Board Members
6
Independent Board Members
6
Employees
2
Volunteers
3

Preparer

Firm
Dixon Hughes Goodman Llp
Address
500 RIDGEFIELD COURT, ASHEVILLE, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Raw XML Appendix348 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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0AMERICAN 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/ExplanationTxt1THE 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/ExplanationTxt2THE 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/ExplanationTxt3THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION BASED UPON MARKET COMPARABLES FOR EXECUTIVE DIRECTORS IN SIMILAR HOSPICE INDUSTRIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC ON REQUEST. WEBSITE, LANGUAGE ON DONOR LETTERS AS REQUIRED BY STATE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION MAKES IT FORM 990 AVAILABLE UPON REQUEST. THE FORM 990 IS ALSO AVAILABLE ON THE WEBSITE WWW.GUIDESTAR.ORG
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt082943
IRS990/TotalFunctionalExpensesGrp/TotalAmt0204779
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt026880
IRS990/TotalLiabilitiesEOYAmt054211
IRS990/TotalLiabilitiesGrp/BOYAmt026880
IRS990/TotalLiabilitiesGrp/EOYAmt054211
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt087411
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0137368
IRS990/TotalOtherCompensationAmt04350
IRS990/TotalProgramServiceExpensesAmt082943
IRS990/TotalReportableCompFromOrgAmt090072
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0256625
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt03
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0114291
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0191579
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt0765
IRS990/TravelGrp/ProgramServicesAmt01785
IRS990/TravelGrp/TotalAmt02550
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt087411
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0137368
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt050 NORTH LAURA STREET
IRS990/USAddress/CityNm0JACKSONVILLE
IRS990/USAddress/StateAbbreviationCd0FL
IRS990/USAddress/ZIPCd032202
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0WWW.AHHOSPICEFOUNDATION.ORG
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02016-03-07 17:11:31Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0PAULA ROPELEWSKI
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum09044936756
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-04-29
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0AH HOSPICE FOUNDATION INC
ReturnHeader/Filer/BusinessNameControlTxt0AHHO
ReturnHeader/Filer/EIN0451348449
ReturnHeader/Filer/PhoneNum09044936756
ReturnHeader/Filer/USAddress/AddressLine1Txt050 NORTH LAURA STREET
ReturnHeader/Filer/USAddress/CityNm0JACKSONVILLE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0FL
ReturnHeader/Filer/USAddress/ZIPCd032202
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0560747981
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DIXON HUGHES GOODMAN LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0500 RIDGEFIELD COURT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ASHEVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd028806
ReturnHeader/PreparerPersonGrp/PhoneNum08282542254
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0AMY BIBBY
ReturnHeader/ReturnTs02015-05-12T12:33:36-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-01-01
ReturnHeader/TaxPeriodEndDt02014-12-31
ReturnHeader/TaxYr02014

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Filings

Peer Organizations

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