2017-05-12T17:16:00-05:00 2016-12-31 931303841 SPECTRUM CPA GROUP LLP 2358 NW KINGS BLVD PO BOX 905 CORVALLIS OR 97339 990 2016-01-01 930742686 BENTON HOSPICE SERVICE BENT 5417579616 2350 NW PROFESSIONAL DR CORVALLIS OR 97330 KELLY BEARD EXECUTIVE OFFICER 5417579619 2017-05-12 1 LM SHELLY SOREM P00274078 5417524556 2017-05-12 107.1.92.25 2017-05-12 17:15:58 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BB3EE1CF651753751032AC19F4CA04A927A26795 2016 2021-01-29 14:40:06Z KELLY BEARD 2350 NW PROFESSIONAL DR CORVALLIS OR 97330 5928174 0 X WWW.BENTONHOSPICE.ORG X 1979 OR SUPPORT FOR THE TERMINALLY ILL 15 15 64 131 0 0 562170 343443 3343699 4706969 150427 181669 4565 5562 4060861 5237643 0 0 0 0 2764097 3403700 0 0 72673 1130892 1413565 3894989 4817265 165872 420378 4921901 5496912 277093 293811 4644808 5203101 SUPPORT FOR THE TERMINALLY ILL 0 0 3730437 4712531 BENTON HOSPICE SERVICE PROVIDES COMPREHENSIVE CARE TO PEOPLE NEARING THE END OF LIFE. HOSPICE SERVICE INCLUDES COMPASSIONATE HEALTHCARE IN THE PATIENT'S RESIDENCE AND PALLIATIVE CARE AS WELL AS SUPPORT FOR THE PATIENT'S FAMILY. 86155 TRANSITIONS IS A PROGRAM FOR INDIVIDUALS WHO ARE NOT UNDER HOSPICE CARE BUT ARE DEALING WITH A LIFE-LIMITING ILLNESS. WE OFFER ASSISTANCE WITH COMPANIONSHIP, COMPASSION, AND CONNECTION TO COMMUNITY RESOURCES FOR INDIVIDUALS AND THEIR LOVED ONES. THIS IS A NON-MEDICAL PROGRAM, PROVIDED FREE OF CHARGE, AND IS FUNDED TOTALLY FROM DONATIONS. 3816592 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 0 0 0 0 0 0 1 33 0 1 64 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 OR X KELLY BEARD 5417579616 2350 NW PROFESSIONAL DRIVE CORVALLIS OR 97330 MARILYN BRASIER PAST CHAIR 2.00 X X 0 0 0 COSIMO STORNIOLO CHAIR 10.00 X X 0 0 0 ILENE KLEINSORGE TREASURER 2.00 X X 0 0 0 ROBERTO LINARES BOARD MEMBER 1.00 X 0 0 0 JOAN HAYES SECRETARY 4.00 X X 0 0 0 DAVID GRUBE BOARD MEMBER 4.00 X 0 0 0 HEATHER BRUST BOARD MEMBER 2.00 X 0 0 0 AUDREY KLEIN-LEACH BOARD MEMBER 2.00 X 0 0 0 JILL MCALLISTER BOARD MEMBER 2.00 X 0 0 0 KATHLEEN PETRUCELA BOARD MEMBER 2.00 X 0 0 0 KAY SCHAFFER BOARD MEMBER 2.00 X 0 0 0 KEVIN HARVEY BOARD MEMBER 2.00 X 0 0 0 SETH BERNSTEIN BOARD MEMBER 2.00 X 0 0 0 TAMINA TORAY BOARD MEMBER 2.00 X 0 0 0 ANISSA ARTHENAYAKE BOARD MEMBER 2.00 X 0 0 0 KELLY BEARD EXECUTIVE DIRECTOR 40.00 X 118241 0 0 MAUREEN SCHWALLIE CLINICAL MANAGER 40.00 X 101748 0 0 219989 0 0 2 0 0 0 0 343443 2110 343443 HEALTH CARE 624100 4706969 4706969 0 4706969 115403 115403 756797 690531 66266 66266 66266 MISC. INCOME 624100 5562 5562 0 5562 5237643 4712531 0 181669 118241 112329 5912 2677162 2212011 430188 34963 117499 92977 22807 1715 264249 208331 52014 3904 226549 174486 48844 3219 164848 145768 19080 94464 13 84651 9800 143594 76440 63349 3805 47749 45253 2496 22977 5319 17560 98 114498 109267 5183 48 23026 12061 10965 53972 45353 8193 426 14226 14226 PHARMACEUTICALS 280746 280746 EQUIPMENT RENTAL 183579 180253 3326 MEDICAL SUPPLIES 118030 118030 RESPITE AND OUTPATIENT 57172 57172 94684 38886 47015 8783 4817265 3816592 928000 72673 20215 9600 480923 573718 385523 505470 4114 1136115 537939 594080 598176 3397403 3755174 43757 50660 4921901 5496912 277093 293811 277093 293811 X 4634808 5197959 10000 5142 4644808 5203101 4921901 5496912 X 420378 137913 2 X 1 X 0 1 0 X 224773 347947 246424 562170 343443 1724757 3104151 3353628 3841013 3348264 4706969 18354025 16373 16373 3328924 3717948 4087437 3910434 5050412 20095155 2009 4725 2747 10677 9973 30131 90056 351339 441395 2009 4725 2747 100733 361312 471526 19623629 131671 101233 99941 95717 115403 543965 131671 101233 99941 95717 115403 543965 3460595 3819181 4187378 4006151 5165815 20639120 0.95080 0.02640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 242043 242043 462386 177009 285377 431686 360930 70756 598176 X PART X, LINE 2: INCOME TAXES THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT HAS NO SIGNIFICANT UNRELATED BUSINESS INCOME SUBJECT TO TAXATION. CONSEQUENTLY, THERE IS NO PROVISION FOR INCOME TAXES. THE ORGANIZATION RECOGNIZES A LIABILITY FOR UNRECOGNIZED TAX BENEFITS WHEN FACTS AND CIRCUMSTANCES INDICATE THAT AN UNCERTAIN TAX POSITION IS MORE LIKELY THAN NOT TO BE OVERTURNED BY A TAXING AUTHORITY UPON EXAMINATION. THE ORGANIZATION RECOGNIZES ACCRUED INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS, IF ANY, AS PART OF THE INCOME TAX PROVISION. THERE WERE NO UNRECOGNIZED INCOME TAX BENEFITS, NOR ANY INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS, ACCRUED OR EXPENSED AS OF AND FOR THE YEAR ENDED DECEMBER 31, 2016. THE ORGANIZATION FILES INCOME TAX RETURNS IN U.S. FEDERAL AND STATE OF OREGON JURISDICTIONS. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2013. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE CHAIR OF THE FINANCE COMMITTEE OF THE BOARD PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND THE EXECUTIVE DIRECTOR ARE REQUIRED TO ANNUALLY DISCLOSE IN A SIGNED DOCUMENT A CONFLICT OF INTEREST STATEMENT. POTENTIAL CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE CHAIR WHO IN TURN INFORMS THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION LOOKS AT SALARY DATA FROM MULTIPLE THIRD PARTY SALARY SURVEYS THAT PROVIDES THE BEST MATCH FOR THE TYPE OF ROLE THE EXECUTIVE DIRECTOR FILLS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FROM THE ORGANIZATION FORM 990, PART XI, LINE 9: ROUNDING 2.