Hospice of the Rapidan Inc

Nonprofit profile at a glance

EIN
541251152
IRS 990 coverage
2014–2014
Forms available
Form 990 2014
Location
Culpeper, VA, USA
Phone
5408254840
Rating
79
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospices

Official website

Reported finances

Revenue
$917,153
Expenses
$2,621,496
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2014. Amounts in USD.

Leadership & pay

11 people listed

Executive titles in this filing

  • JANE SMITH (PRESIDENT)
  • TIFFANY UNG HAWKINS (VICE PRESIDENT)
  • MELISSA MILLS (EXECUTIVE DIRECTOR)

Highest reported compensation

  • MELISSA MILLS (EXECUTIVE DIRECTOR): $102,449 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2014. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Hospice of the rapidan provides high quality, compassionate end-of-life medical care for people with terminal illnesses in the counties of culpeper, fauquier, madison, orange and rappahannock, Virginia. Hospice care focuses on caring, not curing. The premise of hospice is that each of us is entitled to die pain free and with dignity, surrounded by family and loved ones with the support of caring people who understand the process of dying peacefully.

What it reported doing in 2014

In the fiscal year of 2014-2015 hospice of the rapidan cared for 140 patients providing 4,606 total days of caring.hospice of the rapidan is a centrally administered program of coordinated home care and inpatient services primarily for terminally ill patients in the last several months of life. Primary emphasis is placed on keeping the end stage patient comfortable at his or her place of residence. Hospice services are provided in a manner consistent with acceptable standards of practice and in compliance with federal, state and private insurer's standards.the patient, the primary caregiver and the patient's family are considered a unit of care. The patient and the family are actively encouraged to make decisions about hospice care.a designated interdisciplinary group supervises the patient's care and functions primarily to maximize the patient's comfort by symptom management according to a plan of care established by the attending physician or physician designee and the medical director.services are available 24 hours, 7 days a week.inpatient care is provided in an atmosphere as home like as practical.bereavement follow up is provided. Individual and group support is extended to families in grief in the first 12 months following the patient's death.the non-salaried employees (volunteers) are trained to do specific job functions within the hospice service delivery system.services are based on the patient's needs. Hospice services are available to all eligible patients without regard to the ability to pay for such services.the following is a list of services available to hospice of the rapidan patients as needed and appropriate based on the plan of care developed by the interdisciplinary team including the attending physician. -nursing services -medical/social work -volunteer services -physical, occupational, speech therapy, dietary services -home health aide -short term inpatient services -pharmaceutical services -medical appliances and supplies, including drugs and biological relevant to the patient's terminal illness -respite services -physician services -spiritual support and counseling services -bereavement and counseling support

Operating model

Revenue model
Earned-program. 90% of the money available for current operations came from fees and other program revenue.
Distribution model
Grant intermediary. The nonprofit sent 66% of its reported program spending out as grants.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 84
  • Transparency & Controls: 93
  • Accountability: 84
  • Sustainability: 7
  • Growth: NotEnoughData

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 84.8%; rating input score 85
  • Fundraising efficiency: $1.17 raised per $1 spent on fundraising; rating input score 4; 4th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 73rd percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
  • Governance controls: 5 of 8 controls in place; rating input score 62
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -185.8%; rating input score 0; 0th percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 3.9%; rating input score 61; 61st percentile among comparable filings

Growth

  • Program expense growth: Limited
  • Revenue growth: Limited
  • Asset growth: Limited

Details

  • Where the money goes: 100% of revenue deployed · 84.8% of spending went to programs
  • Governance: 10 of 10 board members independent · 5 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $2.2M in reported program spending
  • Leadership: top reported pay $102K · 11 people listed
  • Consistency: 30 of 30 current checks pass
  • Schedules: 6 filed schedules · includes grants
  • Contacts: How to reach this organization
  • Money network: 3 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Financial Efficiency: Fundraising efficiency scored 4/100.
  • High — Sustainability: Operating margin scored 0/100.
  • Review — Accountability: Governance controls: 2 of 7 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • High — Grant Readiness: Automatic revocation: this organization had its federal tax-exempt status automatically revoked.