2014-03-17T15:54:00-05:00 2013-09-30 161131146 BONADIO & CO LLP 115 SOLAR STREET SYRACUSE NY 13204 990 2012-10-01 161541636 HOSPICE FOUNDATION OF JEFFERSON COUNTY INC HOSP 3157887323 425 WASHINGTON STREET WATERTOWN NY 13601 DIANA WOODHOUSE 3157887323 2014-03-19 1 BETTINA LIPPHARDT P00956232 3152147575 2014-03-19 2012 2015-11-30 17:44:51Z DIANA WOODHOUSE 425 WASHINGTON STREET WATERTOWN NY 13601 2450684 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. 16 16 0 75 0 0 470035 1226214 0 0 61661 310433 75160 42017 606856 1578664 0 150000 0 0 0 67072 0 0 25318 387591 347142 387591 564214 219265 1014450 6789153 7978778 10641 7217 6778512 7971561 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 150000 150000 FINANCIAL SUPPORT HOSPICE OF JEFFERSON COUNTY, INC. IN ITS OPERATIONS TO PROVIDE MEDICAL CARE AND TREATMENT TO THE TERMINALLY ILL. 6165 SOLICITING, RECEIVING, AND ACKNOWLEDGING ALL FORMS OF CHARITABLE GIFTS FROM INDIVIDUALS, ORGANIZATIONS AND FOUNDATIONS VIA FUNDRAISING EVENTS AND MAIL SOLICITATIONS. 156165 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X SUE WARNER 3157887323 425 WASHINGTON STREET WATERTOWN NY 13601 EDWARD LASHOMB 1.00 X X 0 0 0 ERIC DELAGARZA 1.00 X X 0 0 0 JOANNE LAVARNWAY 1.00 X X 0 0 0 MARY ANNE HANLEY 1.00 X X 0 0 0 HOLLY BUSH 1.00 X 0 0 0 JEFF COLE 1.00 X 0 0 0 AMY DEMAR 1.00 X 0 0 0 MAUREEN LUNDY-WAY 1.00 X 0 0 0 BARBARA MADDOCKS 1.00 X 0 0 0 MAUREEN O'DONNELL 1.00 X 0 0 0 KELLY REINHARDT 1.00 X 0 0 0 LEON SCHILLING 1.00 X 0 0 0 DR JAN TURCOTTE 1.00 X 0 0 0 ELIZABETH WELDON 1.00 X 0 0 0 JILL WILEY 1.00 X 0 0 0 DELTRA WILLIS 1.00 X 0 0 0 DIANA WOODHOUSE 40.00 X 0 42576 244 STEPHEN LYMAN 40.00 X 0 36300 0 SUSAN WARNER 40.00 X 0 69070 9737 0 147946 9981 0 0 0 0 0 16000 1210214 998661 1226214 46665 46665 794831 325855 706918 150000 87913 175855 263768 263768 56969 16000 15102 41867 41867 MISCELLANEOUS 900099 150 150 150 1578664 0 0 352450 150000 150000 67072 67072 300 300 6775 6775 24206 24206 19972 19972 17007 17007 27680 6165 21515 26330 26330 62 62 302 302 191277 191277 4199 4199 FUNDRAISING 25318 25318 3714 3714 564214 156165 382731 25318 415787 422111 204937 151896 20500 292 292 4461864 297247 4286406 4164617 1681731 3162160 50000 57202 150000 0 6789153 7978778 10641 7217 10641 7217 X 6591674 7846894 186838 124667 6778512 7971561 6789153 7978778 1014450 178599 0 X X 0 1 X 1 0 X 406893 523007 3547555 498485 1226214 6202154 406893 523007 3547555 498485 1226214 6202154 6202154 65841 68552 62464 28875 46665 272397 606 592 600 150 1948 6476499 0.95760 0.93830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 39500 39500 4249724 254525 3995199 172640 42722 129918 4164617 X 1772365 178599 15102 193701 1578664 0 1578664 579316 15102 15102 564214 0 564214 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2013, 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 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 15,102. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS 15,102. AUCTION 30109 4000 26109 250 1608 REGATTA 24255 12000 12255 939 630 3606 1 18605 18605 1348 2675 4046 72969 16000 56969 2287 2925 630 9260 15102 41867 0 HOSPICE OF JEFFERSON COUNTY INC 1398 GOTHAM STREET WATERTOWN NY 13601 161266041 501(C)(3) 150000 FINANCIAL SUPPORT HOSPICE OF JEFFERSON COUNTY, INC. IN ITS OPERATIONS TO PROVIDE MEDICAL CARE AND TREATMENT TO THE TERMINALLY ILL. 1 X 1 998661 MARKET VALUE 0 1 0 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. SELECTION AND OVERSIGHT OF INDEPENDENT AUDITORS 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 67072 COST INCURRED HOSPICE OF JEFFERSON COUNTY INC B 150000 COST INCURRED