2019-03-27T08:57:57-05:00 2018-09-30 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2017-10-01 161541636 HOSPICE FOUNDATION OF JEFFERSON COUNTY INC HOSP 3157887323 1398 GOTHAM ST WATERTOWN NY 13601 DIANA WOODHOUSE CEO 3157887323 2019-03-16 1 BETTINA LIPPHARDT P00956232 3154227109 216.171.181.162 2019-03-16 06:56:03 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 DA1A484D3CC47FF66C0B8D4EBBE168F869E0E8F9 2017 2019-02-21 02:37:17Z DIANA WOODHOUSE 1398 GOTHAM ST WATERTOWN NY 13601 895325 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 45 0 0 276945 445308 0 0 253677 257319 18613 13558 549235 716185 25000 0 0 0 136024 174864 0 0 11198 360603 364735 521627 539599 27608 176586 7621410 7868984 26719 47621 7594691 7821363 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 60203 SOLICITING, RECEIVING, AND ACKNOWLEDGING ALL FORMS OF CHARITABLE GIFTS FROM INDIVIDUALS, ORGANIZATIONS AND FOUNDATIONS VIA FUNDRAISING EVENTS AND MAIL SOLICITATIONS. 60203 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 1 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JORDAN JONES 3157887323 1398 GOTHAM STREET WATERTOWN NY 13601 ERIC DELAGARZA BOARD MEMBER 1.00 X 0 0 0 AMY DEMAR VICE PRESIDENT 1.00 X X 0 0 0 STEPHEN SWAIN TREASURER 1.00 X X 0 0 0 DR JAN TURCOTTE PRESIDENT 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 RAEANN CHATTERTON BOARD MEMBER 1.00 X 0 0 0 LORI GERVERA BOARD MEMBER 1.00 X 0 0 0 BRYAN MEHAFFY BOARD MEMBER 1.00 X 0 0 0 TODD R DEMAR BOARD MEMBER 1.00 X 0 0 0 REV DONALD ROBINSON BOARD MEMBER 1.00 X 0 0 0 EMILY SPRAGUE BOARD MEMBER 1.00 X 0 0 0 DIANA WOODHOUSE CHIEF EXECUTIVE OFFICER 20.00 20.00 X 0 110034 8523 JORDAN JONES DIRECTOR OF FINANCE 30.00 10.00 X 0 54767 6883 0 164801 15406 0 0 0 0 0 49128 396180 445308 90690 90690 314197 147568 166629 166629 166629 45130 49128 31572 13558 13558 716185 0 0 270877 162799 162799 12065 12065 7574 7574 31446 31446 64396 59558 4838 21214 21214 16596 16596 982 982 198651 198651 4842 4842 FUNDRAISING 11198 11198 DUES AND LICENSES 6232 6232 1604 645 959 539599 60203 468198 11198 26172 128761 55000 4528983 1276873 3441587 3252110 2824834 3007584 1328817 1425529 7621410 7868984 26719 47621 26719 47621 X 7427198 7552673 117493 218690 50000 50000 7594691 7821363 7621410 7868984 176586 50086 0 X X 0 1 X 1 0 X 728023 264501 301159 276945 445309 2015937 728023 264501 301159 276945 445309 2015937 2015937 61008 69885 84678 83551 90690 389812 320 15 335 2406084 0.83780 0.88980 X 130150 3500 9296 142946 115851 1750 12549 130150 94360 11500 9991 115851 62909 35300 -3849 94360 50000 12909 62909 0.48700 0.35000 0.16300 1 0 39500 39500 4276682 1111616 3165066 199587 165257 34330 13214 13214 3252110 INVESTMENT IN THE COMMUNITY FOUNDATION 1425529 F 1425529 797843 50086 31572 81658 716185 0 716185 571171 31572 31572 539599 0 539599 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 31,572. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS 31,572. REGATTA 22603 15200 7403 183 300 1938 2915 BALL 27011 8000 19011 2500 3725 3680 3 44644 25928 18716 350 1100 14881 94258 49128 45130 533 3900 5663 21476 31572 13558 FORM 990, PART VI, SECTION A, LINE 2 VICE PRESIDENT AMY DEMAR AND BOARD MEMBER TODD DEMAR ARE RELATED. AMY IS TODD'S SISTER-IN-LAW. 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. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. 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 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 HOSPICE OF JEFFERSON COUNTY INC O 174864 COST INCURRED