2018-11-15T18:37:20-06:00 2017-12-31 930570615 BOLDT CARLISLE SMITH 1255 LEE ST SE SUITE 210 SALEM OR 97302 990 2017-01-01 930836166 CARE PARTNERS CARE 5032141126 1600 NW COMPTON DRIVE SUITE 210 HILLSBORO OR 97006 JEANA ANDERSON CONTROLLER 5032141126 2018-11-15 1 BRAD BINGENHEIMER P00357744 5035857751 64.88.174.3 2018-11-15 13:00:15 PS P 7395C6335F572E372D95017FE2F9FD0455A41394 0688BA272C7A66E93D5F365CEF19E50843086CA5 2017 2019-02-21 02:37:17Z JEANA ANDERSON 1600 NW COMPTON DRIVE SUITE 210 HILLSBORO OR 97006 4651648 0 X CAREPARTNERSOR.ORG X 1982 OR TO PROVIDE MEDICAL, PSYCHOLOGICAL AND SPIRITUAL SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 9 9 63 39 0 0 47313 44967 4990172 4530656 54905 57505 21598 15174 5113988 4648302 0 0 0 0 3505070 3384095 0 0 127877 1647629 1420407 5152699 4804502 -38711 -156200 1860312 1743766 475445 515098 1384867 1228668 TO PROVIDE COMPASSIONATE PALLIATIVE, END-OF-LIFE CARE WITH FOCUS AND DISTINCTION TO SUPPORT THE QUALITY OF LIFE OF PATIENTS, FAMILIES AND THE COMMUNITY WE SERVE. 0 0 3706849 4156411 HOSPICE: TO PROVIDE MEDICAL, PSYCHOLOGICAL, AND SPIRITUAL SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES AT THE PATIENT'S HOME. IN 2016, 449 PATIENTS WERE SERVED. 223857 374198 PALLIATIVE: SERVICES FOR INDIVIDUALS WITH A LIFE-LIMITING DISEASE WHO DO NOT QUALIFY FOR OTHER HEALTHCARE BENEFITS. IN 2016, 49 PATIENTS WERE SERVED. 5457 5457 3930706 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 63 1 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 OR X CARE PARTNERS 5036489565 1600 NW COMPTON DR STE 210 HILLSBORO OR 97006 KATHY BARCLAY TREASURER 0.75 X X 0 0 0 TOM FARICY PRESIDENT 0.50 X X 0 0 0 CHRIS HUDSON SECRETARY 0.50 X X 0 0 0 ASHER CALDWELL BOARD MEMBER 0.50 X 0 0 0 ROBIN DONOVAN BOARD MEMBER 0.50 X 0 0 0 LIZ FISCHER BOARD MEMBER 0.50 X 0 0 0 BERT HOFFBECK BOARD MEMBER 0.50 X 0 0 0 JEFF HOYT BOARD MEMBER 0.50 X 0 0 0 ANITA JACKSON BOARD MEMBER 0.50 X 0 0 0 KATHLEEN LEATHAM BOARD MEMBER 0.50 X 0 0 0 RANAE RATKOVEC BOARD MEMBER 0.50 X 0 0 0 ZACH ZIMMERMAN BOARD MEMBER 0.50 X 0 0 0 ANDREW KYLER CEO 40.00 X 131231 0 0 LINDA TSCHIDA REGISTERED NURSE 40.00 X 100332 0 0 231563 0 0 2 0 0 0 0 44967 44967 HOSPICE AND PALLIATIVE 621610 4530656 4530656 4530656 57505 57505 13063 3346 9717 9717 MISCELLANEOUS INCOME 621610 5457 5457 5457 4648302 4593618 0 9717 3010475 2321985 579687 108803 373620 288174 71943 13503 20694 20694 125233 107578 16420 1235 124759 99807 24952 99106 94172 1723 3211 7332 7332 12487 12487 53228 48030 5198 DRUGS AND BIOLOGICALS 365203 365203 CONTRACT SERVICES 202523 202523 EQUIPMENT 165059 165059 TELEPHONE 79509 55975 23431 103 165274 141687 22565 1022 4804502 3930706 745919 127877 371895 413137 823462 629152 600112 646993 32330 33084 208642 187242 32513 21400 1860312 1743766 342627 331342 12500 8438 120318 175318 475445 515098 X 1384867 1226568 2100 1384867 1228668 1860312 1743766 -156200 0 X 1 X 0 0 0 X 208642 187242 21400 21400 LINE OF CREDIT 175318 175318 CARE TO DANCE 13063 13063 3346 13063 13063 3346 3346 9717 KATHY BRADLEY CHILD OF BOARD MEMBER 50571 WAGES 0 FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B SIGNER WILL REVIEW FORM 990 BEFORE IT IS SIGNED AND FILED. A COPY OF THE RETURN WILL ALSO BE PROVIDED TO THE FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL STATEMENTS ARE SIGNED AND KEPT ON FILE. EACH YEAR, A STAFF MEMBER REVIEWS THESE STATEMENTS AND MAKES SURE THAT THEY ARE UP TO DATE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS PERFORMS AN ANNUAL PERFORMANCE REVIEW OF THE CEO. AS PART OF THIS REVIEW, COMPENSATION IS EVALUATED. A COMPARABILITY STUDY WITH OTHER LOCAL HOSPICES IS USED TO DETERMINE REASONABLE COMPENSATION FOR THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.