FURP.ORG / PUBLIC DATA EXPLORER

CARE PARTNERS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CARE PARTNERS (EIN 93-0836166)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201313189349308751
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T17:42:59-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JONES & ROTH PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15635 NE ELAM YOUNG PKWY STE 100AddressLine1
CityHILLSBOROCity
StateORState
ZIP Code971246488ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930836166EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE AND PALLIATIVE CARE OFBusinessNameLine1
Business Name Line2WASHINGTON COUNTYBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone5036489565Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 SE OAK ST STE 202AddressLine1
CityHILLSBOROCity
StateORState
ZIP Code97123ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameERIN EVERSName
TitleTREASURERTitle
Phone5036489565Phone
Date Signed2013-11-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMIE L ZOLEZZIName
Phone5036480521Phone
Date Prepared2013-11-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonERIN EVERSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1900 SE OAK ST STE 202AddressLine1
CityHILLSBOROCity
StateORState
ZIP Code97123ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6187669GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICEWC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MEDICAL, PSYCHOLOGICAL, AND SPIRITUAL SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees65TotalNbrEmployees
Total Nbr Volunteers62TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year40030ContributionsGrantsPriorYear
Contributions Grants Current Year2191024ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4054714ProgramServiceRevenuePriorYear
Program Service Revenue CY3979171ProgramServiceRevenueCY
Investment Income Prior Year6023InvestmentIncomePriorYear
Investment Income Current Year7544InvestmentIncomeCurrentYear
Other Revenue Prior Year9385OtherRevenuePriorYear
Other Revenue Current Year9930OtherRevenueCurrentYear
Total Revenue Prior Year4110152TotalRevenuePriorYear
Total Revenue Current Year6187669TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2790698SalariesEtcPriorYear
Salaries Etc Current Year2987310SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year458481TotalFundrsngExpCurrentYear
Other Expense Prior Year2172729OtherExpensePriorYear
Other Expenses Current Year1264504OtherExpensesCurrentYear
Total Expenses Prior Year4963427TotalExpensesPriorYear
Total Expenses Current Year4251814TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-853275RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1935855RevenuesLessExpensesCY
Total Assets BOY1110127TotalAssetsBOY
Total Assets EOY3076281TotalAssetsEOY
Total Liabilities BOY204970TotalLiabilitiesBOY
Total Liabilities EOY217081TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY905157NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2859200NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MEDICAL, PSYCHOLOGICAL, AND SPIRITUAL SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3070746Expense
Revenue3449543Revenue
DescriptionHOSPICE: PROVIDE MEDICAL, PSYCHOLOGICAL, AND SPIRITUAL SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES AT THE PATIENT'S HOME. IN 2012, APPROXIMATELY 423 PATIENTS AND THEIR FAMILIES WERE SERVED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense453694Expense
Revenue512915Revenue
DescriptionPALLIATIVE: SERVICES FOR INDIVIDUALS WITH A LIFE LIMITING DISEASE WHO DO NOT QUALIFY FOR OTHER HEALTHCARE BENEFITS. IN 2012, APPROXIMATELY 66 PATIENTS AND THEIR FAMILIES WERE SERVED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense14576Expense
Revenue16713Revenue
DescriptionBEREAVEMENT OUTREACH: PROVIDE COMPREHENSIVE COUNSELING AND GRIEF SUPPORT TO FAMILY MEMBERS, FRIENDS, AND LOVED ONES, AND PROVIDING THEM THE SUPPORT NEEDED TO ADJUST AND RESUME THEIR LIVES AFTER THE LOSS OF A LOVED ONE.Description
FieldValueIRS element (for citing)
Total Program Service Expense3539016TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees65NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HOSPICE AND PALLIATIVE CARE OFBusinessNameLine1
Business Name Line2WASHINGTON COUNTYBusinessNameLine2
FieldValueIRS element (for citing)
Telephone Number5036489565TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1900 SE OAK STREETAddressLine1
Address Line2SUITE 202AddressLine2
CityHILLSBOROCity
StateORState
ZIP Code97123ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
THERESA DECKER
BOARD MEMBER1.00X000
KAY KIRKBRIDE
PRESIDENT1.00X000X
MICHAEL MCCALL
SECRETARY1.00X000X
KATHY BARCLAY
BOARD MEMBER1.00X000
TRACY VILLARREAL
VICE PRESIDE1.00X000X
ANNETTE CAMPISTA
BOARD MEMBER1.00X000
CATHERINE CROOKER
BOARD MEMBER1.00X000
TERRY GARDNER
BOARD MEMBER1.00X000
LISA DUNCAN
BOARD MEMBER1.00X000
ERIN EVERS
TREASURER1.00X000X
CHRISTINE LARCH
EXECUTIVE DI40.008462101083X
ANDREW KYLER
CEO40.00453080697X
BERT HOFFBECK
CONTROLLER40.00243080185X
FieldValueIRS element (for citing)
Total Reportable Comp From Org154237TotalReportableCompFromOrg
Total Other Compensation1965TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Related Organizations2053365RelatedOrganizations
All Other Contributions137659AllOtherContributions
Noncash Contributions1600418NoncashContributions
Total Contributions2191024TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionINSURANCEDescription
Total Revenue Column3979171TotalRevenueColumn
Related Or Exempt Function Income3979171RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3979171TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7544TotalRevenueColumn
Exclusion$7,544ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC INCOMEDescription
Total Revenue Column9930TotalRevenueColumn
Related Or Exempt Function Income9930RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue9930TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6187669TotalRevenueColumn
Related Or Exempt Function Income3989101RelatedOrExemptFunctionIncome
Exclusion$7,544ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total156202Total
Program Services118714ProgramServices
Management And General37488ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2272599Total
Program Services1917331ProgramServices
Management And General83634ManagementAndGeneral
Fundraising271634Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total49717Total
Program Services43446ProgramServices
Management And General2030ManagementAndGeneral
Fundraising4241Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total286177Total
Program Services241250ProgramServices
Management And General7030ManagementAndGeneral
Fundraising37897Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total222615Total
Program Services191371ProgramServices
Management And General12767ManagementAndGeneral
Fundraising18477Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2857Total
Program Services809ProgramServices
Management And General1437ManagementAndGeneral
Fundraising611Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22857Total
Program Services15608ProgramServices
Management And General5241ManagementAndGeneral
Fundraising2008Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total129952Total
Program Services80013ProgramServices
Management And General24437ManagementAndGeneral
Fundraising25502Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total15510Total
Program Services6310ProgramServices
Management And General1409ManagementAndGeneral
Fundraising7791Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total101746Total
Program Services77598ProgramServices
Management And General11699ManagementAndGeneral
Fundraising12449Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total174987Total
Program Services128243ProgramServices
Management And General31098ManagementAndGeneral
Fundraising15646Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total99554Total
Program Services74159ProgramServices
Management And General17701ManagementAndGeneral
Fundraising7694Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total38690Total
Program Services28482ProgramServices
Management And General6821ManagementAndGeneral
Fundraising3387Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total15483Total
Program Services10750ProgramServices
Management And General3376ManagementAndGeneral
Fundraising1357Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraising
DRUGS AND BIOLOGICALS251404251404
DURABLE MEDICAL EQUIPMENT186495186495
CONTRACT LABOR8361883618
FUNDRAISING EVENT EXPENSE4739647396

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total93955Total
Program Services83415ProgramServices
Management And General8149ManagementAndGeneral
Fundraising2391Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4251814Total
Program Services3539016ProgramServices
Management And General254317ManagementAndGeneral
Fundraising458481Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY116703BOY
EOY228225EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY357097BOY
EOY253543EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY405762BOY
EOY633422EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY22776BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY12892BOY
EOY11560EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY66321BOY
EOY32732EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1898246LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec213112LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY123076BOY
EOY1685134EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY231665EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5500BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1110127BOY
EOY3076281EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY204970BOY
EOY217081EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY204970BOY
EOY217081EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY905157BOY
EOY2859200EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY905157BOY
EOY2859200EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1110127BOY
EOY3076281EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1935855ReconcilationRevenueExpenses
Reconciliation Unrealized Invest18188ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1252500OtherCostOrOtherBasis
Book Value1252500BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis97500OtherCostOrOtherBasis
Book Value97500BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis297827OtherCostOrOtherBasis
Depreciation213112Depreciation
Book Value84715BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis250419OtherCostOrOtherBasis
Book Value250419BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1685134TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt6208873TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments18188NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities3016DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99021204RevenueNotRptdF990
Revenue Subtotal6187669RevenueSubtotal
Total Revenue Per Form9906187669TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4254830TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities3016DonatedServicesUseOfFacilities
Expenses Not Rptd F9903016ExpensesNotRptdF990
Expenses Subtotal4251814ExpensesSubtotal
Total Expenses Per Form9904251814TotalExpensesPerForm990

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonKATHY BRADLEYNamePerson
FieldValueIRS element (for citing)
RelationshipCHILD OF PRES.Relationship
Amount Of Transaction52886AmountOfTransaction
Description Of TransactionWAGESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901600418NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITSFORM 990, PAGE 1, PART I, LINE 6VOLUNTEERS PROVIDE COMPANIONSHIP TO PATIENTS IN HOME AND IN THE FACILITIES. THEY READ TO PATIENTS, HELP WITH SORTING PAPERS, PHOTOS, AND LETTER WRITING. ALSO PROVIDE HAND HOLDING/TOUCH FOR THOSE PATIENTS WHO ARE NOT ABLE TO COMMUNICATE AND AT THE END STAGES OF LIFE. VOLUNTEERS PROVIDE LIGHT HOUSEWORK, TRANSPORTATION AND SUPPORT TO FAMILIES. SOME HELP PREPARE COMFORT CARE BOOKLETS, BEREAVEMENT BOOKLETS AND OTHER BASIC NEEDS OF THE ORGANIZATION. THERE IS ALSO A PET THERAPY VOLUNTEER WHO PROVIDES VISITS TO PATIENTS IN HOMES OR FACILITIES.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 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.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CANNUAL STATEMENTS ARE SIGNED AND KEPT ON FILE. EACH YEAR A STAFF MEMBER REVIEWS THESE STATEMENTS AND MAKES SURE THAT THEY ARE UP TO DATE.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE 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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION WILL MAKE IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON COUNTY HOSPICE FDTNBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1900 SE OAK ST STE 202AddressLine1
CityHILLSBOROCity
StateORState
ZIP Code971234287ZIPCode
FieldValueIRS element (for citing)
EIN943197744EIN
Primary ActivitiesFOUNDATIONPrimaryActivities
Legal Domicile StateORLegalDomicileState
Exempt Code Section3ExemptCodeSection
Public Charity Status11CPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
WASHINGTON COUNTY HOSPICE FDTN
Q1538FMV
WASHINGTON COUNTY HOSPICE FDTN
S1600419BOOK VALUE
WASHINGTON COUNTY HOSPICE FDTN
S452946FMV