HOSPICE FOUNDATION OF JEFFERSON COUNTY INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HOSPICE FOUNDATION OF JEFFERSON COUNTY INC (EIN 16-1541636)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-06-22
IRS object ID
201501739349300305
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-06-22T09:01:08-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1115 SOLAR STREETAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code13204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161541636EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE FOUNDATION OF JEFFERSON COUNTY INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone3157887323PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 WASHINGTON STREETAddressLine1
CityWATERTOWNCity
StateNYState
ZIP Code13601ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDIANA WOODHOUSEPersonNm
Person TitleCEOPersonTitleTxt
Phone3157887323PhoneNum
Signature2015-06-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBETTINA LIPPHARDTPreparerPersonNm
PTINP00956232PTIN
Phone3152147575PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDIANA WOODHOUSEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 WASHINGTON STREETAddressLine1
CityWATERTOWNCity
StateNYState
ZIP Code13601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$3,524,830GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JEFFHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO ENSURE THE HOSPICE SERVICES REMAIN STRONG AND FISCALLY VIABLE TO SERVE AS AN INTEGRAL COMPONENT OF OUR COMMUNITY'S HEALTHCARE DELIVERY SYSTEM.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers49TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,226,214PYContributionsGrantsAmt
CY Contributions Grants$728,023CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$310,433PYInvestmentIncomeAmt
CY Investment Income$262,756CYInvestmentIncomeAmt
PY Other Revenue$42,017PYOtherRevenueAmt
CY Other Revenue$15,906CYOtherRevenueAmt
PY Total Revenue$1,578,664PYTotalRevenueAmt
CY Total Revenue$1,006,685CYTotalRevenueAmt
PY Grants And Similar Paid$150,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$487,169CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$67,072PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$205,530CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$56,240CYTotalFundraisingExpenseAmt
PY Other Expenses$347,142PYOtherExpensesAmt
CY Other Expenses$409,805CYOtherExpensesAmt
PY Total Expenses$564,214PYTotalExpensesAmt
CY Total Expenses$1,102,504CYTotalExpensesAmt
PY Revenues Less Expenses$1,014,450PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$95,819CYRevenuesLessExpensesAmt
Total Assets BOY$7,978,778TotalAssetsBOYAmt
Total Assets EOY$8,004,870TotalAssetsEOYAmt
Total Liabilities BOY$7,217TotalLiabilitiesBOYAmt
Total Liabilities EOY$66,405TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,971,561NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,938,465NetAssetsOrFundBalancesEOYAmt
MissionTO ENSURE THAT HOSPICE SERVICES REMAIN STRONG AND FISCALLY VIABLE TO SERVE AS AN INTEGRAL COMPONENT OF OUR COMMUNITY'S HEALTHCARE DELIVERY SYSTEM.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$487,169ExpenseAmt
Grant$487,169GrantAmt
DescFINANCIAL SUPPORT HOSPICE OF JEFFERSON COUNTY, INC. IN ITS OPERATIONS TO PROVIDE MEDICAL CARE AND TREATMENT TO THE TERMINALLY ILL.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$36,250ExpenseAmt
DescSOLICITING, RECEIVING, AND ACKNOWLEDGING ALL FORMS OF CHARITABLE GIFTS FROM INDIVIDUALS, ORGANIZATIONS AND FOUNDATIONS VIA FUNDRAISING EVENTS AND MAIL SOLICITATIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$523,419TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JORDAN JONESBusinessNameLine1
FieldValueIRS element (for citing)
Phone3157887323PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 WASHINGTON STREETAddressLine1
CityWATERTOWNCity
StateNYState
ZIP Code13601ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
BARBARA MADDOCKS
BOARD MEMBER1.00Yes (X)$0$0$0
DR JAN TURCOTTE
BOARD MEMBER1.00Yes (X)$0$0$0
JEFF COLE
BOARD MEMBER1.00Yes (X)$0$0$0
TOBY SCHILLING
HOSPICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
STEVE HAYES
BOARD MEMBER1.00Yes (X)$0$0$0
TODD DEMAR
BOARD MEMBER1.00Yes (X)$0$0$0
TREVOR GARLOCK
BOARD MEMBER1.00Yes (X)$0$0$0
LORI GERVERA
BOARD MEMBER1.00Yes (X)$0$0$0
CAROLYN OSBORNE
BOARD MEMBER1.00Yes (X)$0$0$0
JULIA STORMS
BOARD MEMBER1.00Yes (X)$0$0$0
JILL WILEY
BOARD MEMBER1.00Yes (X)$0$0$0
ERIC DELAGARZA
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
JOANNE LAVARNWAY
SECRETARY1.00Yes (X)$0$0$0Yes (X)
HOLLY BUSH
TREASURER1.00Yes (X)$0$0$0Yes (X)
AMY DEMAR
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
DIANA WOODHOUSE
CHIEF EXECUTIVE OFFICER20.00$0$108,717$0Yes (X)20.00
SUSAN WARNERTHRU 714
FINANCE DIRECTOR30.00$0$80,916$0Yes (X)10.00
JORDAN JONES
FINANCE DIRECTOR30.00$0$0$0Yes (X)10.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$189,633TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$728,023AllOtherContributionsAmt
Total Contributions$728,023TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,008TotalRevenueColumnAmt
Exclusion$61,008ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,691,121SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,489,373SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$201,748SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$201,748TotalRevenueColumnAmt
Exclusion$201,748ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$44,358FundraisingGrossIncomeAmt
Fundraising Direct Expenses$28,772FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,586TotalRevenueColumnAmt
Exclusion$15,586ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$320TotalRevenueColumnAmt
Exclusion$320ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$320OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,006,685TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$278,662ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$487,169TotalAmt
Program Services$487,169ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$117,999TotalAmt
Management And General$117,999ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$87,531TotalAmt
Management And General$87,531ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,166TotalAmt
Management And General$2,166ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,549TotalAmt
Management And General$7,549ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$31,056TotalAmt
Management And General$31,056ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,341TotalAmt
Management And General$3,341ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$16,524TotalAmt
Management And General$16,524ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$23,617TotalAmt
Management And General$23,617ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$27,733TotalAmt
Management And General$27,733ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$474TotalAmt
Management And General$474ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,991TotalAmt
Management And General$2,991ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$194,508TotalAmt
Management And General$194,508ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,946TotalAmt
Management And General$5,946ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FUNDRAISING$56,240$56,240
BAD DEBTS$36,250$36,250
MISCELLANEOUS$1,410$1,410

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,102,504TotalAmt
Program Services$523,419ProgramServicesAmt
Management And General$522,845ManagementAndGeneralAmt
Fundraising$56,240FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$422,111BOYAmt
EOY$399,355EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$151,896BOYAmt
EOY$39,646EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,500BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$292BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,468,850LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$491,755LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,164,617BOYAmt
EOY$3,977,095EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,162,160BOYAmt
EOY$2,500,307EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$57,202BOYAmt
EOY$1,088,467EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,978,778BOYAmt
EOY$8,004,870EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,217BOYAmt
EOY$66,405EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,217BOYAmt
EOY$66,405EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,846,894BOYAmt
EOY$7,820,784EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$124,667BOYAmt
EOY$117,681EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,971,561BOYAmt
EOY$7,938,465EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,978,778BOYAmt
EOY$8,004,870EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$95,819ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$62,723NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$523,007CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,547,555CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$498,485CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,226,214CurrentTaxYearMinus1YearAmt
Current Tax Year$728,023CurrentTaxYearAmt
Total$6,523,284TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$523,007CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,547,555CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$498,485CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,226,214CurrentTaxYearMinus1YearAmt
Current Tax Year$728,023CurrentTaxYearAmt
Total$6,523,284TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$6,523,284PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$68,552CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$62,464CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,875CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,665CurrentTaxYearMinus1YearAmt
Current Tax Year$61,008CurrentTaxYearAmt
Total$267,564TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$592CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$150CurrentTaxYearMinus1YearAmt
Current Tax Year$320CurrentTaxYearAmt
Total$1,662TotalAmt
FieldValueIRS element (for citing)
Total Support$6,792,510TotalSupportAmt
Public Support CY1700.96040PublicSupportCY170Pct
Public Support PY1700.95760PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,500OtherCostOrOtherBasisAmt
Book Value$39,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,256,710OtherCostOrOtherBasisAmt
Depreciation$425,596DepreciationAmt
Book Value$3,831,114BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$172,640OtherCostOrOtherBasisAmt
Depreciation$66,159DepreciationAmt
Book Value$106,481BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,977,095TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN THE COMMUNITY FOUNDATIONDesc
Book Value$1,088,467BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$1,088,467TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,098,180TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$62,723NetUnrealizedGainsInvstAmt
Other Revenue$28,772OtherRevenueAmt
Revenue Not Reported$91,495RevenueNotReportedAmt
Revenue Subtotal$1,006,685RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,006,685TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,131,276TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$28,772OtherExpensesIncludedAmt
Expenses Not Reported$28,772ExpensesNotReportedAmt
Expenses Subtotal$1,102,504ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,102,504TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). THE ORGANIZATION ALSO HAS BEEN CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS AN ENTITY THAT ARE NOT PRIVATE FOUNDATIONS UNDER SECTION 509(A) OF THE CODE. FOR TAX-EXEMPT ENTITIES, THEIR TAX-EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD POTENTIALLY OCCUR TO JEOPARDIZE THEIR TAX-EXEMPT STATUS. AS OF SEPTEMBER 30, 2014, THE ORGANIZATION DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION FILES AN INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND NEW YORK STATE. THE ORGANIZATIONS ARE GENERALLY NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE 28,772.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS 28,772.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1REGATTANameOfEvent1Amt
Gross Receipts Event1$19,006GrossReceiptsEvent1Amt
Gross Revenue Event1$19,006GrossRevenueEvent1Amt
Non Cash Prizes Event1$148NonCashPrizesEvent1Amt
Food And Beverage Event1$190FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$2,001OtherDirectExpensesEvent1Amt
Name Of Event2CONCERTNameOfEvent2Amt
Gross Receipts Event2$14,439GrossReceiptsEvent2Amt
Gross Revenue Event2$14,439GrossRevenueEvent2Amt
Food And Beverage Event2$5,095FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$14,586OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$10,913GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$10,913GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$1,394NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$3,844RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$1,480FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$35OthDirectExpnssOtherEventsAmt
Gross Receipts Total$44,358GrossReceiptsTotalAmt
Gross Revenue Total Events$44,358GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,542NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$3,844RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$6,765FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$16,622OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$28,773DirectExpenseSummaryEventsAmt
Net Income Summary$15,585NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF JEFFERSON COUNTY INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11398 GOTHAM STREETAddressLine1
CityWATERTOWNCity
StateNYState
ZIP Code13601ZIPCode
FieldValueIRS element (for citing)
Recipient EIN161266041RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$487,169CashGrantAmt
Purpose Of GrantFINANCIAL SUPPORT HOSPICE OF JEFFERSON COUNTY, INC. IN ITS OPERATIONS TO PROVIDE MEDICAL CARE AND TREATMENT TO THE TERMINALLY ILL.PurposeOfGrantTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2VICE PRESIDENT AMY DEMAR AND BOARD MEMBER TODD DEMAR ARE RELATED. AMY IS TODD'S SISTER-IN-LAW.
FORM 990, PART VI, SECTION A, LINE 7ASOLE CORPORATE MEMBER, HOSPICE OF JEFFERSON COUNTY, INC. ELECTS BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BJEFFERSON 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 11THE 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 12CCONFLICT 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 15THE 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 19A 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 2CTHE BOARD OF DIRECTORS SELECTS AND MEETS WITH THE INDEPENDENT AUDITORS TO DISCUSS THE RESULTS OF THE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF JEFFERSON COUNTYBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 WASHINGTON STREETAddressLine1
CityWATERTOWNCity
StateNYState
ZIP Code13601ZIPCode
FieldValueIRS element (for citing)
EIN161266041EIN
Primary ActivitiesHOSPICE CAREPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status9PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF JEFFERSON COUNTY INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HOSPICE OF JEFFERSON COUNTY INC
O$205,530COST INCURRED
HOSPICE OF JEFFERSON COUNTY INC
B$487,169COST INCURRED

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