2021-08-13T09:03:06-05:00 2020-09-30 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2019-10-01 161541636 HOSPICE FOUNDATION OF JEFFERSON COUNTY INC HOSP 3157887323 1398 GOTHAM ST WATERTOWN NY 13601 DIANA WOODHOUSE CEO 3157887323 2021-08-11 1 BETTINA LIPPHARDT P00956232 3154227109 2019 2022-09-23 18:48:47Z DIANA WOODHOUSE 1398 GOTHAM ST WATERTOWN NY 13601 580232 0 X WWW.JEFFHOSPICE.ORG X 1993 NY TO ENSURE THE HOSPICE SERVICES REMAIN STRONG AND FISCALLY VIABLE TO SERVE AS AN INTEGRAL COMPONENT OF OUR COMMUNITY'S HEALTHCARE DELIVERY SYSTEM. 13 13 0 43 0 0 889191 338010 0 0 127541 160509 13582 12557 1030314 511076 200000 130020 0 0 136895 142018 0 0 172430 356748 410888 693643 682926 336671 -171850 8327340 8255978 25904 143382 8301436 8112596 TO ENSURE THAT HOSPICE SERVICES REMAIN STRONG AND FISCALLY VIABLE TO SERVE AS AN INTEGRAL COMPONENT OF OUR COMMUNITY'S HEALTHCARE DELIVERY SYSTEM. 0 0 357103 130020 SOLICITING, RECEIVING, AND ACKNOWLEDGING ALL FORMS OF CHARITABLE GIFTS FROM INDIVIDUALS, ORGANIZATIONS AND FOUNDATIONS VIA FUNDRAISING EVENTS AND MAIL SOLICITATIONS. 357103 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X DAVID SANFORD 3157887323 1398 GOTHAM STREET WATERTOWN NY 13601 DR JAN TURCOTTE PRESIDENT 1.00 X X 0 0 0 REV DONALD ROBINSON VICE PRESIDENT 1.00 X X 0 0 0 STEPHEN SWAIN TREASURER 1.00 X X 0 0 0 CAROLYN OSBORNE SECRETARY 1.00 X X 0 0 0 JEFF COLE BOARD MEMBER 1.00 X 0 0 0 HOLLY BUSH BOARD MEMBER 1.00 X 0 0 0 BRIAN ASHLEY BOARD MEMBER 1.00 X 0 0 0 CHRISTINA STONE BOARD MEMBER 1.00 X 0 0 0 BRYAN MEHAFFY BOARD MEMBER 1.00 X 0 0 0 DAVID KELLOG BOARD MEMBER 1.00 X 0 0 0 EMILY SPRAGUE BOARD MEMBER 1.00 X 0 0 0 ERIC DELAGARZA BOARD MEMBER 1.00 X 0 0 0 DIANA WOODHOUSE CHIEF EXECUTIVE OFFICER 20.00 20.00 X 0 117636 11432 JORDAN JONES 2019 DIRECTOR OF FINANCE 10.00 30.00 X 0 33190 0 FRANCES SOURWINE DIRECTOR OF FINANCE (2019-2020) 10.00 30.00 X 0 14249 5941 0 165075 17373 0 0 0 0 0 6032 331978 338010 89333 89333 122149 50973 71176 71176 71176 30740 6032 18183 12557 12557 511076 0 0 173066 130020 130020 131927 131927 10091 10091 8024 8024 28772 28772 108143 108143 4985 4985 26814 26814 177522 118940 58582 13432 13432 FUNDRAISING 30412 30412 PUBLIC RELATIONS 8823 8823 OTHER 3466 3466 DUES AND LICENSES 495 495 682926 357103 153393 172430 344021 524545 294809 190309 4534373 1643596 3062909 2890777 3130908 3130451 1494693 1519896 8327340 8255978 25904 143382 25904 143382 X 7542299 7268897 759137 843699 8301436 8112596 8327340 8255978 -171850 -31990 15000 0 X 0 1 X 1 0 X 301159 276945 445309 889191 353010 2265614 301159 276945 445309 889191 353010 2265614 2265614 84678 83551 90690 97488 89333 445740 2711354 0.83560 0.88560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 153216 5111 158327 142946 3500 6770 153216 130150 3500 9296 142946 115851 1750 12549 130150 94360 11500 9991 115851 0.51120 0.31580 0.17300 1 0 39500 39500 4276682 1454695 2821987 204977 188901 16076 13214 13214 2890777 INVESTMENT IN THE COMMUNITY FOUNDATION 1519896 F 1519896 483497 -31990 15000 18183 1193 482304 28772 28772 511076 672337 18183 18183 654154 28772 28772 682926 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 18,183. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS 18,183. GOLF TOURNAMENT 6497 6497 4313 BALL 19884 19884 9777 3878 2 10391 6032 4359 215 36772 6032 30740 9777 8406 18183 12557 0 HOSPICE OF JEFFERSON COUNTY INC 1398 GOTHAM STREET WATERTOWN NY 13601 161266041 501(C)(3) 130020 COST FINANCIAL SUPPORT TO HOSPICE OF JEFFERSON COUNTY, INC. IN ITS FORM 990, PART VI, SECTION A, LINE 7A SOLE CORPORATE MEMBER, HOSPICE OF JEFFERSON COUNTY, INC. ELECTS BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B JEFFERSON COUNTY HOSPICE HAS THE EXCLUSIVE POWER AND AUTHORITY TO AMEND, REPEAL, OR ADOPT BY-LAWS OF THE FOUNDATION. IN ADDITION THE JEFFERSON COUNTY HOSPICE HAS ALL RIGHTS AND POWERS RELATED TO ELECTION OF FOUNDATION DIRECTORS, AMENDING THE CERTIFICATE OF INCORPORATION OF THE FOUNDATION, APPROVE ANY MERGER OR CONSOLIDATION OF THE FOUNDATION, APPROVE THE DISSOLUTION OF THE FOUNDATION, AND APPROVE THE SALE OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE FOUNDATION PROVIDES DRAFT COPIES OF THE IRS FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO COMPLETION AND FILING WITH THE INTERNAL REVENUE SERVICE AT THEIR REGULARLY SCHEDULED MEETINGS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE COMPLETED ANNUALLY. THE EXECUTIVE DIRECTOR AND BOARD PRESIDENT REVIEW AND FOLLOW UP ON DISCLOSURES OF CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE EXECUTIVE DIRECTOR. ALL OTHER EMPLOYEES ARE EVALUATED ANNUALLY BY MANAGEMENT. AN ANNUAL SURVEY OF LOCAL HEALTHCARE AGENCIES AND CENTRAL NEW YORK HOSPICES IS PERFORMED FOR PAY SCALES AT ALL STAFFING LEVELS. FORM 990, PART VI, SECTION C, LINE 19 A HIGH LEVEL FINANCIAL PICTURE IS PROVIDED IN THE ANNUAL REPORT, WHICH IS AVAILABLE TO THE PUBLIC. OTHER FINANCIAL DATA AND POLICY INFORMATION IS AVAILABLE UPON REQUEST AND ON A NEED TO KNOW BASIS. HOSPICE OF JEFFERSON COUNTY 1398 GOTHAM ST WATERTOWN NY 13601 161266041 HOSPICE CARE NY 501(C)(3) LINE 11 HOSPICE OF JEFFERSON COUNTY INC 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 HOSPICE OF JEFFERSON COUNTY INC O 127132 COST INCURRED HOSPICE OF JEFFERSON COUNTY INC B 130020 CASH RECEIVED