Civic Intelligence

Ah Hospice Foundation Inc

990 • Fiscal year 2015 • EIN 45-1348449

Jan 01, 2015 to Dec 31, 2015 • Filed on Apr 26, 2016

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

77th percentile

0.10x

Higher debt load relative to assets than 77% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Liabilities / Revenue

80th percentile

0.08x

Higher debt load relative to revenue than 80% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

73rd percentile

17%

Higher net margin than 73% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

97th percentile

$77,811

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 29.2% of source-year revenue.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

57th percentile

6.0%

Faster asset growth than 57% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

54th percentile

3.8%

Faster revenue growth than 54% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Assets

Up

$203,011

Up $11,432 (+6.0%) from 2014

Net Assets

Up

$181,726

Up $44,358 (+32%) from 2014

Liabilities

Down

$21,285

Down $32,926 (-61%) from 2014

Revenue

Up

$266,316

Up $9,691 (+3.8%) from 2014

Expenses

Up

$221,958

Up $17,179 (+8.4%) from 2014

Net Income

Down

$44,358

Down $7,488 (-14%) from 2014

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

2015

Assets$203,011
Liabilities$21,285
Net Assets$181,726

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

2015

Revenue$266,316
Expenses$221,958
Net Income$44,358
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Apr 26, 2016
Return Version
2015v2.1
Gross Receipts
$266,967
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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$189,763$202,571▲ $12,808
Prepaid Expenses and Deferred Charges$1,816$440▼ $1,376
Total Assets$191,579$203,011▲ $11,432
Liabilities
Accounts Payable and Accrued Expenses$54,211$21,285▼ $32,926
Total Liabilities$54,211$21,285▼ $32,926
Net Assets / Fund Balance
Unrestricted Net Assets$137,368$181,726▲ $44,358
Total Net Assets Fund Balance$137,368$181,726▲ $44,358
Total Liabilities and Net Assets / Fund Balance$191,579$203,011▲ $11,432
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Paula RopelewskiSecretary/executive DirectorFT$70,340$7,471$77,811

Board Members and Trustees

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

Revenue Composition

Contributions and Grants
$266,967
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$-651
All Other Contributions
$265,832
Change in Net Assets
$44,358
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$81,379
Other Expenses$73,751
Grants and Similar Amounts Paid$66,828
Total Fundraising Expense$4,069
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$24,619$42,204$3,517$70,340
Grants to Domestic Individuals$61,083--$61,083
Other Expenses$23,254--$23,254
Fees for Services Management-$18,438-$18,438
Office Expenses$8,264$2,891-$11,155
Fees for Services Legal-$9,157-$9,157
Grants to Domestic Orgs$5,745--$5,745
Payroll Taxes$1,983$3,399$283$5,665
Other Employee Benefits$1,881$3,224$269$5,374
Conferences and Meetings$3,458$1,482-$4,940
Fees for Services Other$3,669$173-$3,842
Advertising$1,842$790-$2,632
Travel$233$100-$333
Total Functional Expenses$136,031$81,858$4,069$221,958
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Sun Health FoundationSuncity, AZ501(c)(3)To Assist Sunhealth Foundation Achive Their Goals$5,745
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$651
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
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 distinterested 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
Don Borchet
Title
Treasurer
Phone
9044936756
Signed
2016-04-26
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Don Borchet
Formed
2011
Legal Domicile
Tn
Voting Board Members
5
Independent Board Members
4
Employees
1
Volunteers
6

Preparer

Firm
Dixon Hughes Goodman Llp
Address
500 RIDGEFIELD COURT, ASHEVILLE, NC 28806
Preparer
Amy Bibby
Phone
8282542254
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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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IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt1DISTRIBUTION OF BEREAVEMENT AND COUNSELING MATERIALS
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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION'S BOARD OF DIRECTORS WILL MAKE INQUIRIES AS TO THE USE OF THE DISTRIBUTED FUNDS. IN THE EVENT THAT FUNDS WERE NOT UTILIZED FOR THE INTENDED PURPOSES, THE RECIPIENT ORGANIZATION WILL NOT BE ELIGIBLE FOR FUTURE DISTRIBUTIONS.
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IRS990/ScheduleORequiredInd01
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 DISTINTERESTED 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
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0AZ
IRS990/StatesWhereCopyOfReturnIsFldCd1OK
IRS990/StatesWhereCopyOfReturnIsFldCd2NJ
IRS990/StatesWhereCopyOfReturnIsFldCd3VA
IRS990/StatesWhereCopyOfReturnIsFldCd4GA
IRS990/StatesWhereCopyOfReturnIsFldCd5TX
IRS990/StatesWhereCopyOfReturnIsFldCd6FL
IRS990/StatesWhereCopyOfReturnIsFldCd7TN
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0191579
IRS990/TotalAssetsEOYAmt0203011
IRS990/TotalAssetsGrp/BOYAmt0191579
IRS990/TotalAssetsGrp/EOYAmt0203011
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0266967
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt04069
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt081858
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0136031
IRS990/TotalFunctionalExpensesGrp/TotalAmt0221958
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt054211
IRS990/TotalLiabilitiesEOYAmt021285
IRS990/TotalLiabilitiesGrp/BOYAmt054211
IRS990/TotalLiabilitiesGrp/EOYAmt021285
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0137368
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0181726
IRS990/TotalOtherCompensationAmt07471
IRS990/TotalProgramServiceExpensesAmt0136031
IRS990/TotalReportableCompFromOrgAmt070340
IRS990/TotalRevenueGrp/ExclusionAmt0-651
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0266316
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt06
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0191579
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0203011
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt0100
IRS990/TravelGrp/ProgramServicesAmt0233
IRS990/TravelGrp/TotalAmt0333
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0137368
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0181726
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt050 NORTH LAURA STREET
IRS990/USAddress/CityNm0JACKSONVILLE
IRS990/USAddress/StateAbbreviationCd0FL
IRS990/USAddress/ZIPCd032202
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0WWW.AHHOSPICEFOUNDATION.ORG
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02016-09-27 15:27:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DON BORCHET
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum09044936756
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-04-26
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/ReturnTs02016-04-29T09:04:17-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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