Civic Intelligence

Hospice Foundation for Jefferson Healthcare

990 • Fiscal year 2017 • EIN 27-1304912

Jan 01, 2017 to Dec 31, 2017 • Filed on Oct 25, 2018

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.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Liabilities / Revenue

26th percentile

0.00x

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

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Net Margin

4th percentile

-63%

Higher net margin than 4% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

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.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Asset Growth

48th percentile

2.5%

Faster asset growth than 48% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Revenue Growth

72nd percentile

21%

Faster revenue growth than 72% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets26th percentile

Assets

Up

$516,905

Up $12,660 (+2.5%) from 2016

Net Assets

Up

$516,905

Up $12,660 (+2.5%) from 2016

Liabilities

Flat

$0

Flat from 2016

Revenue And Expenses
Liabilities / Revenue26th percentileNet Margin4th percentile

Revenue

Up

$56,343

Up $9,842 (+21%) from 2016

Expenses

Down

$92,004

Down $1,606 (-1.7%) from 2016

Net Income

Up

-$35,661

Up $11,448 (+24%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth48th 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

2017

Assets$516,905
Liabilities$0
Net Assets$516,905
Open 2017 Filing

Operations Trend

Revenue Growth72nd 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

2017

Revenue$56,343
Expenses$92,004
Net Income-$35,661
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Oct 25, 2018
Return Version
2017v2.2
Gross Receipts
$63,413
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$478,245$497,512▲ $19,267
Cash and Non-Interest-Bearing Accounts$26,000$19,393▼ $6,607
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$504,245$516,905▲ $12,660
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$504,245$516,905▲ $12,660
Total Net Assets Fund Balance$504,245$516,905▲ $12,660
Total Liabilities and Net Assets / Fund Balance$504,245$516,905▲ $12,660
Compensation and Service Providers
Top Officer Pay49th percentile

Board Members and Trustees

NameTitle
Tom DukePresident
Anna Du PenDirector
Barbara BerthiaumeDirector
David HarrahDirector
Deborah KaldahlDirector
Dora RobinsonDirector
Judy MckayDirector
Laura BellDirector
Lisa HoltDirector
Mary Ann SewardDirector
Rod HansonDirector
Sally Lynum-leeDirector
Sandy BoughnerDirector
Shirley WilliamsDirector
Bill BeezleyTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$41,972
Program Service Revenue
$0
Investment Income
$10,957
Other Revenue
$3,414
All Other Contributions
$27,147
Change in Net Assets
$-35,661
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$81,930
Other Expenses$10,074
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$81,930--$81,930
Fees for Services Accounting-$2,230-$2,230
Insurance-$808-$808
Other Expenses-$380-$380
Fees for Services Other-$250-$250
All Other Expenses-$135-$135
Office Expenses-$38-$38
Total Functional Expenses$81,930$10,074$0$92,004
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Hospice of Jefferson HlthcarePort Townsend, WA-Reimburse for Expenses$81,930
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$10,484
Fundraising Direct Expenses$7,070
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Fundraising Event/breakfast$20,800$5,975$6,349$-374
Total Events$20,800$5,975$6,349$-374
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
2018-10-25
Discuss with paid preparer
Yes

Organization Details

Formed
2009
Voting Board Members
15
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/MissionDesc0THE 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.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0504245
IRS990/NetAssetsOrFundBalancesEOYAmt0516905
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt00
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt03414
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt048321
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/TotalAmt00
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt038
IRS990/OfficeExpensesGrp/TotalAmt038
IRS990/OfficerMailingAddressInd0false
IRS990/OnBehalfOfIssuerInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OrgFiledInLieuOfForm1041Ind0false
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherExpensesGrp/Desc0COMPUTER EXPENSES
IRS990/OtherExpensesGrp/Desc1Printing and Publications
IRS990/OtherExpensesGrp/Desc2Postage and Shipping
IRS990/OtherExpensesGrp/Desc3CREDIT CARD/BANK FEES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt03805
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt11909
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt2519
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt3380
IRS990/OtherExpensesGrp/TotalAmt03805
IRS990/OtherExpensesGrp/TotalAmt11909
IRS990/OtherExpensesGrp/TotalAmt2519
IRS990/OtherExpensesGrp/TotalAmt3380
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/PYContributionsGrantsAmt056579
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt067559
IRS990/PYInvestmentIncomeAmt01407
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt026051
IRS990/PYOtherRevenueAmt0-11485
IRS990/PYRevenuesLessExpensesAmt0-47109
IRS990/PYTotalExpensesAmt093610
IRS990/PYTotalRevenueAmt046501
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-35661
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0478245
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0497512
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/CharitableContributionsTotAmt014825
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt014825
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt06349
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0FUNDRAISING EVENT/BREAKFAST
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt020800
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt020800
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt05975
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt05975
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-374
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt06349
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt06349
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990ScheduleI/GrantRecordsMaintainedInd0false
IRS990ScheduleI/RecipientTable/CashGrantAmt081930
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

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$516,905
Liabilities
$0
Net assets
$516,905
Revenue
$56,343
Expenses
$92,004
Net income
-$35,661
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
2017Detailed filing. Detailed filing data is available for this year.$5.17$0.00$5.17$0.56$0.92$0.36
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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