Civic Intelligence

Hospice Foundation for Jefferson Healthcare

990 • Fiscal year 2020 • EIN 27-1304912

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 15, 2021

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

27th percentile

0.00x

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

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Liabilities / Revenue

27th percentile

0.00x

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

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Net Margin

19th percentile

-16%

Higher net margin than 19% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Top Officer Pay

51st percentile

$0

Higher top officer pay than 51% of similar nonprofits.

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

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Asset Growth

52nd percentile

7.5%

Faster asset growth than 52% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2019 to 2020

Revenue Growth

40th percentile

-8.2%

Faster revenue growth than 40% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2019 to 2020

Assets

Up

$534,282

Up $37,224 (+7.5%) from 2019

Net Assets

Up

$534,282

Up $37,224 (+7.5%) from 2019

Liabilities

$0

No earlier filing loaded for comparison.

Revenue

Down

$51,477

Down $4,582 (-8.2%) from 2019

Expenses

Down

$59,681

Down $18,345 (-24%) from 2019

Net Income

Up

-$8,204

Up $13,763 (+63%) from 2019

Historical Trend

Balance Sheet Trend

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

2020

Assets$534,282
Liabilities$0
Net Assets$534,282

Operations Trend

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

2020

Revenue$51,477
Expenses$59,681
Net Income-$8,204
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 15, 2021
Return Version
2020v4.0
Gross Receipts
$51,477
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$471,305$521,836▲ $50,531
Cash and Non-Interest-Bearing Accounts$25,445$11,332▼ $14,113
Prepaid Expenses and Deferred Charges$308$1,114▲ $806
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-
Total Assets$497,058$534,282▲ $37,224
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$497,058$534,282▲ $37,224
Total Net Assets Fund Balance$497,058$534,282▲ $37,224
Total Liabilities and Net Assets / Fund Balance$497,058$534,282▲ $37,224
Compensation and Service Providers

Board Members and Trustees

NameTitle
Derrell TidwellPresident
Rod HansonPresident
Deborah KaldahlDirector
Dora RobinsonDirector
Marv VoseDirector
Mary Ann SewardDirector
Nancy BraddockDirector
Rick SmithDirector
Shirley WilliamsDirector
Tammy TarsaDirector
Tom DukeDirector
Jessie DoverSecretary
Alan StevensTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$21,765
Program Service Revenue
$0
Investment Income
$9,871
Other Revenue
$19,841
All Other Contributions
$21,765
Change in Net Assets
$-8,204
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$47,192
Other Expenses$12,489
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$47,192--$47,192
Other Expenses$1,715--$1,715
Fees for Services Accounting$1,675--$1,675
Insurance$649--$649
All Other Expenses$420--$420
Advertising$180--$180
Total Functional Expenses$59,681$0$0$59,681
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Hospice of Jefferson HlthcarePort Townsend, WA--$47,192
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$19,841
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Fundraising Event/breakfast$19,841$19,841-$19,841
Total Events$19,841$19,841-$19,841
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
Backup withholding compliance
No
Business relationship with 35% controlled entity
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
Derrell Tidwell
Title
Director
Signed
2021-11-15
Discuss with paid preparer
Yes

Organization Details

Formed
2009
Voting Board Members
13
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/OtherExpensesGrp/ProgramServicesAmt31715
IRS990/OtherExpensesGrp/TotalAmt03600
IRS990/OtherExpensesGrp/TotalAmt12268
IRS990/OtherExpensesGrp/TotalAmt21982
IRS990/OtherExpensesGrp/TotalAmt31715
IRS990/OtherRevenueTotalAmt00
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IRS990/PayrollTaxesGrp/TotalAmt00
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IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
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IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0308
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt01114
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IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-8204
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0471305
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0521836
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd0false
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IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0true
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IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
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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/Event1Nm0FUNDRAISING EVENT/BREAKFAST
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt019841
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt019841
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt019841
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt019841
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt019841
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990ScheduleI/GrantRecordsMaintainedInd0false
IRS990ScheduleI/RecipientTable/CashGrantAmt047192
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0HOSPICE OF JEFFERSON HLTHCARE
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt02500 W SIMS WAY
IRS990ScheduleI/RecipientTable/USAddress/CityNm0PORT TOWNSEND
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd098368
IRS990ScheduleI/Total501c3OrgCnt00
IRS990ScheduleI/TotalOtherOrgCnt01
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
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IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0497058
IRS990/TotalAssetsEOYAmt0534282
IRS990/TotalAssetsGrp/BOYAmt0497058
IRS990/TotalAssetsGrp/EOYAmt0534282
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt021765
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt059681
IRS990/TotalFunctionalExpensesGrp/TotalAmt059681
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0497058
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0534282
IRS990/TotalProgramServiceExpensesAmt059681
IRS990/TotalProgramServiceRevenueAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt09871
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt051477
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0497058
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0534282
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
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IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02500 SIMS WAY SUITE 300
IRS990/USAddress/CityNm0PORT TOWNSEND
IRS990/USAddress/StateAbbreviationCd0WA
IRS990/USAddress/ZIPCd098368
IRS990/VotingMembersGoverningBodyCnt013
IRS990/VotingMembersIndependentCnt013

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