2011-07-25T16:01:35-05:00 2010-09-30 Bonadio & Co LLP 580 SSalina Street Syracuse NY 13202 990 2009-10-01 161541636 Hospice Foundation of Jefferson County Inc HOSP 3157887323 425 Washington street watertown NY 13601 stephen p lyman 3157887323 2011-07-25 1 Bettina Lipphardt 3154227109 2009 2016-02-24 21:20:13Z STEPHEN P LYMAN 425 Washington street watertown NY 13601 1107030 0 X WWW.JEFFersonHOSPICE.ORG X 1993 NY To ensure Hospice services remain strong and fiscally viable to serve as an integral component of our community's healthcare delivery system. 15 15 0 35 0 0 949251 523007 0 -54260 78762 4663 35821 899654 637590 97330 0 116838 57644 28537 0 67117 170135 234000 315510 388974 584144 248616 2731956 2969960 77136 7371 2654820 2962589 To ensure Hospice services remain strong and fiscally viable to serve as an integral component of our community's healthcare delivery system. 0 0 32524 Soliciting, receiving, and acknowledging all forms of charitable gifts from individuals, organizations and foundations via fundraising events and mail solicitations. 3320 PROVIDEd support for MEDICAL CARE TO PATIENTS IN ORDER TO REDUCE THE EFFECTS OF THE SEVERITY OF SYMPTOMS OF A DISEASE. SUCH CARE IS NOT DEPENDENT ON THE PROGNOSIS OF THE PATIENT. 97330 Financial support for hospice of Jefferson county, inc. and its operations to provide medical care and treatment to the terminally ill. 133174 1 1 0 0 0 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 1 0 0 1 9 0 1 0 0 0 0 0 0 0 0 15 15 1 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 Robert WaRDWELL 1.00 X X 0 0 0 Nickolas Darling 1.00 X X 0 0 0 JeFFREY BARNARD 1.00 X X 0 0 0 Maureen O'DONNELL 1.00 X X 0 0 0 GAIL CHRISTENSEN 1.00 X X 0 0 0 WILLIAM BONISTEEL 1.00 X 0 0 0 TODD CLOPPER 1.00 X 0 0 0 RONDA CLOPPER 1.00 X 0 0 0 ROBERT FREEMAN 1.00 X 0 0 0 STEPHEN JENNINGS 1.00 X 0 0 0 Holly bush 1.00 X 0 0 0 MAUREEN LUNDY-WAY 1.00 X 0 0 0 John Deans 1.00 X 0 0 0 madeline moore 1.00 X 0 0 0 rachel lewis 1.00 X 0 0 0 LINDA SHARLOW 40.00 X 55902 0 7826 stephen lyman 34.00 X 65000 0 405 susan warner 40.00 X 63690 0 7826 184592 0 16057 0 0 0 0 0 138055 384952 134346 523007 46552 46552 22000 22000 22000 22000 459865 427655 32210 32210 32210 55606 138055 41785 13821 13821 637590 32210 0 82373 97330 97330 57644 57644 62360 62360 154 154 5663 5663 12921 12921 51221 5524 45697 19853 19853 9194 9194 1309 1309 1426 1426 12745 12745 2892 2892 BAD DEBT 27000 27000 Fundraising 21420 21420 Palliative Care 3320 3320 2522 2522 388974 133174 188683 67117 97481 476642 414257 280049 3400 5149 1776 3810 3905 660031 160491 360971 499540 1846888 1708048 2731956 2969960 12324 6621 64812 750 77136 7371 X 2002237 2248273 652583 714316 2654820 2962589 2731956 2969960 X 0 1 1 X 0 X 296891 79440 408286 406893 523007 1714517 296891 79440 408286 406893 523007 1714517 1714517 86329 74500 78127 65841 68552 373349 15805 606 16411 2104277 0.81480 0.78810 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 64500 64500 312560 99229 213331 65637 61262 4375 217334 217334 499540 DUE TO HOSPICE OF JEFFERSON COUNTY, INC. 750 750 637590 388974 248616 59153 59153 307769 738528 59153 41785 100938 637590 0 637590 430759 41785 41785 388974 0 388974 Part X: Description of Uncertain Tax Positions Under FIN 48: GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE ENTITIES TO DISCLOSE IN THEIR FINANCIAL STATEMENTS THE NATURE OF ANY UNCERTAINTIES IN THEIR TAX POSITION. 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. THE ORGANIZATION's CURRENT ACCOUNTING POLICY FOR EVALUATING UNCERTAIN TAX POSITIONS IS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AS iT RELATEs TO ACCOUNTING FOR CONTINGENCIES. THE ORGANIZATION HAs NOT RECOGNIZED ANY BENEFITS FROM UNCERTAIN TAX POSITIONS IN 2009 AND BELIEVEs it has NO UNCERTAIN TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY INCREASE OR DECREASE WITHIN 12 MONTHS OF THE BALANCE SHEET DATE. Part XII, Line 2d - Other Adjustments: SPECIAL EVENTS EXPENSE: 41785. Part XIII, Line 2d - Other Adjustments: SPECIAL EVENTS EXPENSE: 41785. Golf Tournament 121203 71530 49673 6166 450 7600 19672 Regatta 23870 17937 5933 6400 3 48588 48588 1497 193661 138055 55606 6166 450 7600 27569 41785 13821 0 Hospice of Jefferson County Inc 425 Washington Street watertown NY 13601 161266041 501(c)(3) 97330 To support the operations of the Hospice of jefferson county, inc. in accordance with the Foundation's mission. 1 X 1 254346 price p/sh at donation 0 1 1 Third Party Use: Part I, Line 32b: A broker was used to see the donated stock. Form 990, Part VI, Section A, line 2 Board members todd clopper and ronda clopper are related. 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 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 0 0 0 0 0 0 1 0 1 0 1 1 1 0 0 0 hospice of jefferson county inc N