2017-08-11T12:00:10-05:00 2015-12-31 930570615 BOLDT CARLISLE SMITH 1255 LEE ST SE SUITE 210 SALEM OR 97302 990 2015-01-01 930836166 CARE PARTNERS CARE 5032141126 1600 NW COMPTON DRIVE NO 210 HILLSBORO OR 97006 JOHN RISTOW TREASURER 5032141126 2017-08-03 1 BRAD BINGENHEIMER P00357744 5035857751 X 2015 2021-01-29 14:40:06Z X JOHN RISTOW 1600 NW COMPTON DRIVE NO 210 HILLSBORO OR 97006 6139490 0 X HOSPICEWC.ORG X 1982 OR TO PROVIDE MEDICAL, PSYCHOLOGICAL AND SPIRITUAL SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 12 11 73 54 0 0 67221 81276 4480550 5020172 -4415 -32441 12139 4196 4555495 5073203 0 0 0 0 0 3632365 0 0 29613 0 2085647 0 5718012 4555495 -644809 2566374 1983955 497987 560377 2068387 1423578 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 4520433 4630602 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. 458186 390699 PALLIATIVE: SERVICES FOR INDIVIDUALS WITH A LIFE-LIMITING DISEASE WHO DO NOT QUALIFY FOR OTHER HEALTHCARE BENEFITS. IN 2016, 49 PATIENTS WERE SERVED. 4978619 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 37 0 1 73 1 0 0 0 0 0 0 0 0 X 12 11 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 OR X THE ORGANIZATION 5036489565 1600 NW COMPTON DR STE 210 HILLSBORO OR 97006 KATHY BARCLAY PRESIDENT 1.00 X X 0 0 0 KATHLEEN LEATHAM VICE-PRESIDENT 1.00 X X 0 0 0 JOHN RISTOW TREASURER 1.00 X X 0 0 0 SANDY MADSEN SECRETARY 1.00 X X 0 0 0 THERESA DECKER BOARD MEMBER 1.00 X 0 0 0 ERIN EVERS BOARD MEMBER 1.00 X 0 0 0 SHEILA GRIFFIE BOARD MEMBER 1.00 X 0 0 0 JEFF HOYT BOARD MEMBER 1.00 X 0 0 0 KAY KIRKBRIDE IMMEDIATE PAST PRESIDENT 1.00 X 0 0 0 KARA MACK BOARD MEMBER 1.00 X 0 0 0 TRAVIS MACK BOARD MEMBER 1.00 X 0 0 0 LIZ FISCHER BOARD MEMBER 1.00 X 0 0 0 ANDREW KYLER CEO 40.00 X 131404 0 6184 131404 0 6184 1 0 0 0 0 81276 81276 HOSPICE AND PALLIATIVE CARE 621610 5020172 5020172 5020172 -29374 -29374 1063220 1066287 -3067 -3067 -3067 MISCELLANEOUS INCOME 621610 4196 4196 4196 5073203 5021301 0 -29374 131404 109039 21304 1061 3105238 2576724 503439 25075 395723 335646 57100 2977 24177 24177 140268 123395 16873 86882 69506 17376 134695 128808 5387 500 2497 2247 250 36543 29234 7309 34757 27806 6951 DRUGS AND BIOLOGICALS 448213 448213 BAD DEBTS 426289 426108 181 EQUIPMENT 200261 200261 CONTRACT SERVICES 180525 152532 27993 370540 324923 45617 5718012 4978619 709780 29613 432738 506020 303160 638118 519103 670697 74378 31051 207267 156799 1144714 50468 92281 87601 2566374 1983955 387987 345377 110000 0 0 215000 497987 560377 X 2065712 1417399 2675 6179 2068387 1423578 2566374 1983955 -644809 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 207267 156799 50468 50468 LINE OF CREDIT 215000 215000 5073203 0 5073203 0 5073203 5718012 0 5718012 0 5718012 KATHY BRADLEY CHILD OF BOARD MEMBER 49336 WAGES 0 FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11 THE PERSON SIGNING THE RETURN 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. AMENDED RETURN DURING THE PERFORMANCE OF AUDIT PROCEDURES, ADDITIONAL ACCOUNTS RECEIVABLE WRITE-OFFS WERE NOTED. THE AMENDED RETURN REFLECTS THESE CHANGES WHICH RESULTED IN THE DECREASE OF NET ACCOUNTS ACCOUNTS RECEIVABLE AND A CORRESPONDING INCREASE OF BAD DEBT EXPENSE IN THE AMOUNT OF $5,274.