Civic Intelligence

Hospice Foundation for Jefferson Healthcare

990 • Fiscal year 2016 • EIN 27-1304912

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 15, 2017

Organization ProfileHOSPICEFOUNDATIONJHC.ORG
2500 Sims Way Suite 300Port Townsend, WA 98368

(360) 385-0610

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

26th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Liabilities / Revenue

26th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

3rd percentile

-101%

Higher net margin than 3% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

49th percentile

$0

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

18th percentile

-8.8%

Faster asset growth than 18% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Revenue Growth

2nd percentile

-78%

Faster revenue growth than 2% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets26th percentile

Assets

Down

$504,245

Down $48,705 (-8.8%) from 2015

Net Assets

Down

$504,245

Down $48,705 (-8.8%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue And Expenses
Liabilities / Revenue26th percentileNet Margin3rd percentile

Revenue

Down

$46,501

Down $161,192 (-78%) from 2015

Expenses

Up

$93,610

Up $36,554 (+64%) from 2015

Net Income

Down

-$47,109

Down $197,746 (-131%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth18th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0M$500K$0Assets 2015: $552,950Liabilities 2015: $0Net Assets 2015: $552,9502015Assets 2016: $504,245Liabilities 2016: $0Net Assets 2016: $504,2452016Assets 2017: $516,905Liabilities 2017: $0Net Assets 2017: $516,9052017Assets 2018: $456,360Net Assets 2018: $456,3602018Assets 2019: $497,058Net Assets 2019: $497,0582019Assets 2020: $534,282Liabilities 2020: $0Net Assets 2020: $534,2822020Assets 2021: $695,578Liabilities 2021: $0Net Assets 2021: $695,5782021Assets 2022: $818,478Liabilities 2022: $0Net Assets 2022: $818,4782022Assets 2024: $941,634Liabilities 2024: $0Net Assets 2024: $941,6342024

Highlighted filing

2016

Assets$504,245
Liabilities$0
Net Assets$504,245
Open 2016 Filing

Operations Trend

Revenue Growth2nd percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300K$200K$100K$0-$100KRevenue 2015: $207,693Expenses 2015: $57,056Net Income 2015: $150,6372015Revenue 2016: $46,501Expenses 2016: $93,610Net Income 2016: -$47,1092016Revenue 2017: $56,343Expenses 2017: $92,004Net Income 2017: -$35,6612017Revenue 2018: $45,356Expenses 2018: $86,646Net Income 2018: -$41,2902018Revenue 2019: $56,059Expenses 2019: $78,026Net Income 2019: -$21,9672019Revenue 2020: $51,477Expenses 2020: $59,681Net Income 2020: -$8,2042020Revenue 2021: $148,428Expenses 2021: $40,052Net Income 2021: $108,3762021Revenue 2022: $291,994Expenses 2022: $74,652Net Income 2022: $217,3422022Revenue 2024: $58,909Expenses 2024: $51,459Net Income 2024: $7,4502024

Highlighted filing

2016

Revenue$46,501
Expenses$93,610
Net Income-$47,109
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 15, 2017
Return Version
2016v3.0
Gross Receipts
$58,131
Mission and Program Overview

Mission

The mission of hospice foundation for jefferson healthcare is to educate our community on the unique value of hospice care and to raise funds and friends for end-of-life care not covered by medicare or private insurance.

Raise funds for hospice care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$517,295$478,245▼ $39,050
Cash and Non-Interest-Bearing Accounts$35,655$26,000▼ $9,655
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$552,950$504,245▼ $48,705
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$552,950$504,245▼ $48,705
Total Net Assets Fund Balance$552,950$504,245▼ $48,705
Total Liabilities and Net Assets / Fund Balance$552,950$504,245▼ $48,705
Compensation and Service Providers
Top Officer Pay49th percentile

Board Members and Trustees

NameTitle
Tom DukePresident
Anna Du PenDirector
Barbara BerthiaumeDirector
Bob CarterDirector
Cindy ThayerDirector
David HarrahDirector
Deborah KaldahlDirector
Karen RobisonDirector
Kris LawsonDirector
Lisa HoltDirector
Mary Ann SewardDirector
Sally Lynum-leeDirector
Shirley WilliamsDirector
Bill BeezleyTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$56,579
Program Service Revenue
$0
Investment Income
$1,407
Other Revenue
$-11,485
All Other Contributions
$26,129
Change in Net Assets
$-47,109
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$67,559
Other Expenses$26,051
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$67,559--$67,559
Fees for Services Other-$20,875-$20,875
Fees for Services Legal-$780-$780
Fees for Services Accounting-$710-$710
Insurance-$677-$677
Other Expenses-$440-$440
All Other Expenses-$379-$379
Office Expenses-$154-$154
Total Functional Expenses$67,559$26,051$0$93,610
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Hospice of Jefferson HlthcarePort Townsend, WA-Reimburse for Expenses$67,559
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$11,630
Fundraising Gross Income$145
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Fundraising Event/breakfast$18,151-$3,830-
Golf Tournament$12,299-$7,800-
Total Events$30,450-$11,630$-11,630
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B: Form 990 Review Process

“Monthly and year to date financial statements are reviewed at each monthly board meeting. The completed form 990 and attached schedules were reviewed by the board secretary, along with the board treasurer.”

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

“Hospice foundation for jefferson healthcare governing documents (articles of incorporation), irs determination letter, and financial statements are available upon request. In addition, current financial statements are reviewed at each monthly board meeting. Those meetings are open to the public.”

Filing and Contact Details

Filer

Filer Name
Hospice Foundation for
EIN
27-1304912
Phone
3603850610
Address
2500 SIMS WAY SUITE 300, PORT TOWNSEND, WA 98368

Signing Officer

Name
Tom Duke
Title
President
Signed
2017-11-15
Discuss with paid preparer
Yes

Organization Details

Formed
2009
Voting Board Members
14
Independent Board Members
13
Employees
0

Preparer

Firm
Gooding OHara & Mackey PS CPAs
Address
242 Taylor Street, Port Townsend, WA 98368
Preparer
John Mackey
Phone
3603851040
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IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt00
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-11485
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-1596
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/TotalAmt00
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0154
IRS990/OfficeExpensesGrp/TotalAmt0154
IRS990/OfficerMailingAddressInd0false
IRS990/OnBehalfOfIssuerInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OrgFiledInLieuOfForm1041Ind0false
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherExpensesGrp/Desc0Printing and Publications
IRS990/OtherExpensesGrp/Desc1Postage and Shipping
IRS990/OtherExpensesGrp/Desc2CREDIT CARD/BANK FEES
IRS990/OtherExpensesGrp/Desc3REGISTRATION FEE
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0958
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1546
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt2532
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt3440
IRS990/OtherExpensesGrp/TotalAmt0958
IRS990/OtherExpensesGrp/TotalAmt1546
IRS990/OtherExpensesGrp/TotalAmt2532
IRS990/OtherExpensesGrp/TotalAmt3440
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/TotalAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0197597
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt050026
IRS990/PYInvestmentIncomeAmt09420
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt07030
IRS990/PYOtherRevenueAmt0676
IRS990/PYRevenuesLessExpensesAmt0150637
IRS990/PYTotalExpensesAmt057056
IRS990/PYTotalRevenueAmt0207693
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-47109
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0517295
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0478245
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0true
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd0false
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE ANCILLARY DIRECTOR OF JEFFERSON HEALTHCARE, WHO IS ALSO THE EXECUTIVE DIRECTOR OF JEFFERSON HEALTHCARE HOME HEALTH AND HOSPICE, IS A BOARD MEMBER. THIS PERSON, ALONG WITH THE HOSPICE PROGRAM MANAGER (WHO IS AN EX-OFFICIO BOARD MEMBER), DETERMINE WHAT HOSPICE EXPENSES, NOT COVERED BY MEDICARE, MEDICAID, OR PRIVATE INSURANCE, NEED TO BE REIMBURSED OR FUNDED BY THE HOSPICE FOUNDATION FOR JEFFERSON HEALTHCARE.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Part IV, Section B, Line 1: Explanation Of How Supported Orgs. Managed Actvities
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0910928081
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd0false
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0HOSPICE OF JEFFERSON HEALTHCARE
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleG/AgrmtProfFundraisingActyInd0false
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt030450
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt018151
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt012299
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt011630
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0FUNDRAISING EVENT/BREAKFAST
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0GOLF TOURNAMENT
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt018151
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt012299
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt030450
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-11630
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt011630
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt03830
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt07800
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990ScheduleI/GrantRecordsMaintainedInd0false
IRS990ScheduleI/RecipientTable/CashGrantAmt067559
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0REIMBURSE FOR EXPENSES
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0HOSPICE OF JEFFERSON HLTHCARE
IRS990ScheduleI/RecipientTable/RecipientEIN0910928081
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0834 SHERIDAN ST
IRS990ScheduleI/RecipientTable/USAddress/CityNm0PORT TOWNSEND
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd098368
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0MONTHLY AND YEAR TO DATE FINANCIAL STATEMENTS ARE REVIEWED AT EACH MONTHLY BOARD MEETING. THE COMPLETED FORM 990 AND ATTACHED SCHEDULES WERE REVIEWED BY THE BOARD SECRETARY, ALONG WITH THE BOARD TREASURER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1HOSPICE FOUNDATION FOR JEFFERSON HEALTHCARE GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION), IRS DETERMINATION LETTER, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. IN ADDITION, CURRENT FINANCIAL STATEMENTS ARE REVIEWED AT EACH MONTHLY BOARD MEETING. THOSE MEETINGS ARE OPEN TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 11b: Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$504,245
Liabilities
$0
Net assets
$504,245
Revenue
$46,501
Expenses
$93,610
Net income
-$47,109
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.42$0.00$9.42$0.59$0.51$0.07
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.18$0.00$8.18$2.92$0.75$2.17
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.96$0.00$6.96$1.48$0.40$1.08
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.34$0.00$5.34$0.51$0.60$0.08
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.97$4.97$0.56$0.78$0.22
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.56$4.56$0.45$0.87$0.41
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.17$0.00$5.17$0.56$0.92$0.36
2016Detailed filing. Detailed filing data is available for this year.$5.04$0.00$5.04$0.47$0.94$0.47
2015Detailed filing. Detailed filing data is available for this year.$5.53$0.00$5.53$2.08$0.57$1.51