2024-08-13T10:34:37-05:00 2023-09-30 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2022-10-01 161266041 HOSPICE OF JEFFERSON COUNTY INC HOSP 3157887323 1398 GOTHAM ST WATERTOWN NY 13601 ANNA PATTERSON CHIEF EXECUTIVE OFFICER 3157887323 2024-08-12 1 1 TYLER SASS P01829225 3154227109 2024-08-09 2022 2024-08-08 14:25:15Z ANNA PATTERSON 1398 GOTHAM ST WATERTOWN NY 13601 3560115 0 X WWW.JEFFHOSPICE.ORG X 1986 NY TO PROVIDE EXPERT, COMPASSIONATE, COMPREHENSIVE CARE AND SERVICES TO INDIVIDUALS AND THEIR LOVED ONES EXPERIENCING LIFE-LIMITING ILLNESS AND LOSS. 17 17 82 17 0 0 320000 627464 2579498 2930149 0 0 180 2502 2899678 3560115 0 0 0 0 2382255 2590179 0 0 0 707024 801693 3089279 3391872 -189601 168243 8493726 8690467 195641 261650 8298085 8428817 IT IS OUR MISSION TO PROVIDE EXPERT, COMPASSIONATE, COMPREHENSIVE CARE AND SERVICES TO INDIVIDUALS AND THEIR LOVED ONES EXPERIENCING LIFE-LIMITING ILLNESS AND LOSS. 0 0 2812553 2932651 PROVIDED HOSPICE CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A HOME SETTING (10,559 PATIENT DAYS) AND IN A HOSPICE RESIDENCE (2,495 PATIENT DAYS). PROIVDED PALLIATIVE CARE, MEDICAL CARE FOR PEOPLE LIVING WITH A SERIOUS ILLNESS, TO THOSE IN THE COMMUNITY. PALLIATIVE CARE IS FOCUSED ON PROVIDING RELIEF FROM THE SYMPTOMS AND STRESS OF THE ILLNESS TO IMPROVE QUALITY OF LIFE FOR BOTH THE PATIENT AND THE FAMILY. 2812553 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 82 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ELIZABETH BUSH 3157887323 1398 GOTHAM ST WATERTOWN NY 13601 MAUREEN CEAN PRESIDENT 1.00 X X 0 0 0 JULIE SOULE VICE PRESIDENT 1.00 X X 0 0 0 ELIZABETH BUSH TREASURER 1.00 X X 0 0 0 JAMES STILLERMAN SECRETARY 1.00 X X 0 0 0 JOHN DEANS BOARD MEMBER 1.00 X 0 0 0 WENDY HINMAN BOARD MEMBER 1.00 X 0 0 0 LISA MCCARTY BOARD MEMBER 1.00 X 0 0 0 JAMES MONTGOMERY BOARD MEMBER 1.00 X 0 0 0 BARBARA MORROW BOARD MEMBER 1.00 X 0 0 0 LINDA O'CONNOR BOARD MEMBER 1.00 X 0 0 0 SIDNEY POND III BOARD MEMBER 1.00 X 0 0 0 KATE SKIPTON BOARD MEMBER 1.00 X 0 0 0 PETER WALTON BOARD MEMBER 1.00 X 0 0 0 JEFFERY WOOD BOARD MEMBER 1.00 X 0 0 0 SARAH BALDWIN BOARD MEMBER 1.00 X 0 0 0 JACK RUSH MD BOARD MEMBER 1.00 X 0 0 0 JUDITH SHEAN BOARD MEMBER 1.00 X 0 0 0 DIANA WOODHOUSE CHIEF EXECUTIVE OFFICER 20.00 20.00 X 120908 0 13300 DAVID SANFORD DIRECTOR OF FINANCE 30.00 10.00 X 53407 0 0 ANNE PATTERSON CHIEF EXECUTIVE OFFICER 20.00 20.00 X 0 0 0 MICHELE RICTER DIRECTOR OF FINANCE 30.00 10.00 X 5536 0 0 179851 0 13300 1 0 0 0 0 627464 627464 NET PATIENT SERVICE 624100 2930149 2930149 2930149 MISC REVENUE 900099 2502 2502 2502 3560115 2932651 0 0 209797 6112 203685 1944554 1840133 104421 37846 37846 172273 148060 24213 225709 193986 31723 4675 4675 26838 26838 28329 28329 80293 48739 31554 37059 37059 44616 44616 2218 2218 1942 1942 38803 28326 10477 DRUGS & DURABLE MEDICAL 216682 216682 BAD DEBT 192640 192640 OTHER 114102 27084 87018 EQUIPMENT REPAIR AND MA 13496 13496 3391872 2812553 579319 0 1600 138943 177 339576 418016 19371 3687 323307 322294 2955 1013 8130047 8128808 8493726 8690467 195641 211129 50521 195641 261650 X 8053009 8274470 245076 154347 8298085 8428817 8493726 8690467 X 168243 -37511 X X 0 1 X 1 0 X 200000 130020 510000 320000 627464 1787484 2464259 2297372 2625978 2579498 2930149 12897256 2664259 2427392 3135978 2899498 3557613 14684740 0 0 0 14684740 78 16 7 101 78 16 7 101 17967 4870 44716 180 2502 70235 2682304 2432278 3180701 2899678 3560115 14755076 0.99520 0.98940 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 158428 7500 17697 6580 177045 188449 -30021 158428 158327 30122 188449 153216 5111 158327 142946 3500 6770 153216 0.51670 0.28241 0.20089 0 1 1 323307 322294 1013 1013 INTEREST IN NET ASSETS OF HOSPICE FOUNDATION OF JEFFERSON COUNTY, INC. 8074134 DUE FROM AFFILIATE 54674 8128808 3522604 -37511 -37511 3560115 0 3560115 3391872 0 3391872 0 3391872 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF HOSPICE FOUNDATION -37,511. FORM 990, PART VI, SECTION A, LINE 2 HOSPICE BOARD MEMBERS MAY UNKNOWINGLY PROVIDE SERVICES TO THOSE WHO HAVE RELATIONSHIPS TO HOSPICE THROUGH THEIR NORMAL COURSE OF BUSINESS OR MAY PROVIDE HEALTHCARE SERVICES OR SERVE AS A BOARD MEMBER FOR ANOTHER HEALTHCARE PROVIDER IN THE GEOGRAPHIC AREA. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDES DRAFT COPIES OF THE IRS FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO COMPLETION AND FILING WITH THE IRS 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 CONFLICT. THE BOARD MEMBER WILL ALSO EXCLUDE THEMSELVES FROM THE VOTE AND REFRAIN FROM PERSUADING OTHERS ON ANY MATTER THAT MAY BE A CONFLICT. 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 AGENCY'S 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 XI, LINE 9: CHANGE IN INTEREST IN W/ DONOR RESTRICTED NET ASSETS OF HOSPICE FDN -90,729. CHANGE IN INTEREST IN W/O DONOR RESTRICTED NET ASSETS OF HOSPICE FDN 53,218. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. HOSPICE FOUNDATION OF JEFFERSON COUNTY INC 1398 GOTHAM ST WATERTOWN NY 13601 161541636 FUNDRAISING NY 501 (C) 3 LINE 7 N/A 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 HOSPICE FOUNDATION OF JEFFERSON COUNTY INC O 188320 COSTS INCURRDED HOSPICE FOUNDATION OF JEFFERSON COUNTY INC C 627464 CASH RECEIVED