2017-04-18T00:00:00-05:00 2016-09-30 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2015-10-01 161541636 HOSPICE FOUNDATION OF JEFFERSON COUNTY INC HOSP 3157887323 1398 GOTHAM STREET WATERTOWN NY 13601 DIANA WOODHOUSE CEO 3157887323 2017-04-15 1 BETTINA LIPPHARDT P00956232 3154764004 2015 2021-01-29 14:40:06Z DIANA WOODHOUSE 1398 GOTHAM STREET WATERTOWN NY 13601 887661 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. 15 15 0 45 0 0 245692 301159 0 0 89365 212718 25201 16526 360258 530403 253667 124500 0 0 165040 133950 0 0 18447 328746 353662 747453 612112 -387195 -81709 7319912 7467450 20382 51801 7299530 7415649 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 124500 124500 FINANCIAL SUPPORT HOSPICE OF JEFFERSON COUNTY, INC. IN ITS OPERATIONS TO PROVIDE MEDICAL CARE AND TREATMENT TO THE TERMINALLY ILL. 54804 SOLICITING, RECEIVING, AND ACKNOWLEDGING ALL FORMS OF CHARITABLE GIFTS FROM INDIVIDUALS, ORGANIZATIONS AND FOUNDATIONS VIA FUNDRAISING EVENTS AND MAIL SOLICITATIONS. 179304 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 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 0 0 0 0 0 0 0 0 X 15 15 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 425 WASHINGTON STREET WATERTOWN NY 13601 AMY DEMAR PRESIDENT 1.00 X X 0 0 0 CAROLYN OSBORNE VICE PRESIDENT 1.00 X X 0 0 0 DR JAN TURCOTTE SECRETARY/TREASURER 1.00 X X 0 0 0 MICHAEL BUFALINI BOARD MEMBER 1.00 X 0 0 0 HOLLY BUSH BOARD MEMBER 1.00 X 0 0 0 JEFF COLE BOARD MEMBER 1.00 X 0 0 0 ERIC DELAGARZA BOARD MEMBER 1.00 X 0 0 0 TODD DEMAR BOARD MEMBER 1.00 X 0 0 0 LORI GERVERA BOARD MEMBER 1.00 X 0 0 0 AMY GRUNER BOARD MEMBER 1.00 X 0 0 0 THEODORE MISIEWICZ BOARD MEMBER 1.00 X 0 0 0 JAMES PETERS BOARD MEMBER 1.00 X 0 0 0 JULIA STORMS BOARD MEMBER 1.00 X 0 0 0 STEPHEN SWAIN BOARD MEMBER 1.00 X 0 0 0 MERLE TOUSANT PRESIDENT HOSPICE BOARD 1.00 X 0 0 0 DIANA WOODHOUSE CHIEF EXECUTIVE OFFICER 20.00 20.00 X 0 109561 8630 JORDAN JONES FINANCE DIRECTOR 30.00 10.00 X 0 54091 7777 0 163652 16407 0 0 0 0 0 43685 257474 301159 84678 84678 467740 339700 128040 128040 128040 34084 43685 17558 16526 16526 530403 0 0 229244 124500 124500 73674 73674 57980 57980 2296 2296 7284 7284 28685 28685 49575 47658 1917 4951 4951 5060 5060 24914 24914 2157 2157 3987 3987 194278 194278 4842 4842 FUNDRAISING 18447 18447 BAD DEBTS 7146 7146 2336 2336 612112 179304 414361 18447 6354 67849 27146 10000 350 4494021 880540 3789754 3613481 2418552 2574389 1078106 1201381 7319912 7467450 20382 51801 20382 51801 X 7127499 7245417 122031 120232 50000 50000 7299530 7415649 7319912 7467450 -81709 197828 0 X X 0 1 X 1 0 X 498485 1226214 728023 264501 301159 3018382 498485 1226214 728023 264501 301159 3018382 3018382 28875 46665 61008 69885 84678 291111 600 150 320 15 1085 3310578 0.91170 0.95860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 94360 11500 9991 115851 62909 35300 -3849 94360 50000 12909 62909 0.44450 0.43160 0.12390 0 0 39500 39500 4266838 768196 3498642 187683 112344 75339 3613481 INVESTMENT IN THE COMMUNITY FOUNDATION 1201381 F 1201381 745789 197828 17558 215386 530403 0 530403 629670 17558 17558 612112 0 612112 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 17,558. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 17,558. REGATTA 28101 18874 9227 213 2637 1920 BALL 24610 15810 8800 5670 3130 2 25058 9001 16057 3988 77769 43685 34084 213 5670 2637 9038 17558 16526 0 HOSPICE OF JEFFERSON COUNTY INC 1398 GOTHAM STREET WATERTOWN NY 13601 161266041 501(C)(3) 124500 COST FINANCIAL SUPPORT HOSPICE OF JEFFERSON COUNTY, INC. IN ITS OPERATIONS TO PROVIDE MEDICAL CARE AND TREATMENT TO THE TERMINALLY ILL. 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 11 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 BOARD OF DIRECTORS SELECTS AND MEETS WITH THE INDEPENDENT AUDITORS TO DISCUSS THE RESULTS OF THE AUDIT. HOSPICE OF JEFFERSON COUNTY 425 WASHINGTON STREET WATERTOWN NY 13601 161266041 HOSPICE CARE NY 501(C)(3) 9 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 133950 COST INCURRED HOSPICE OF JEFFERSON COUNTY INC B 124500 COST INCURRED