CARE PARTNERS: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CARE PARTNERS (EIN 93-0836166)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201233209349309648
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T15:17:09-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JONES & ROTH PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5635 NE ELAM YOUNG PKWY STE 100 | AddressLine1 |
| City | HILLSBORO | City |
| State | OR | State |
| ZIP Code | 971246488 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930836166 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE AND PALLIATIVE CARE OF | BusinessNameLine1 |
| Business Name Line2 | WASHINGTON COUNTY | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 5036489565 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 SE OAK ST STE 202 | AddressLine1 |
| City | HILLSBORO | City |
| State | OR | State |
| ZIP Code | 97123 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ERIN EVERS | Name |
| Title | TREASURER | Title |
| Phone | 5036489565 | Phone |
| Date Signed | 2012-11-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMIE L ZOLEZZI | Name |
| Phone | 5036480521 | Phone |
| Date Prepared | 2012-11-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ERIN EVERS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 SE OAK ST STE 202 | AddressLine1 |
| City | HILLSBORO | City |
| State | OR | State |
| ZIP Code | 97123 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4110152 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HOSPICEWC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | OR | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE MEDICAL, PSYCHOLOGICAL, AND SPIRITUAL SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 62 | TotalNbrEmployees |
| Total Nbr Volunteers | 42 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 136530 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 40030 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3812521 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4054714 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 51551 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6023 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -7014 | OtherRevenuePriorYear |
| Other Revenue Current Year | 9385 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3993588 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4110152 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1381281 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1169529 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2502431 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2790698 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 212993 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1010288 | OtherExpensePriorYear |
| Other Expenses Current Year | 1003200 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4894000 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4963427 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -900412 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -853275 | RevenuesLessExpensesCY |
| Total Assets BOY | 1956050 | TotalAssetsBOY |
| Total Assets EOY | 1110127 | TotalAssetsEOY |
| Total Liabilities BOY | 211867 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 204970 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1744183 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 905157 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE MEDICAL, PSYCHOLOGICAL, AND SPIRITUAL SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 3275351 | Expense |
| Grants | 579078 | Grants |
| Revenue | 3224714 | Revenue |
| Description | HOSPICE: PROVIDE MEDICAL, PSYCHOLOGICAL, AND SPIRITUAL SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES AT THE PATIENT'S HOME. IN 2011, APPROXIMATELY 402 PATIENTS AND THEIR FAMILIES WERE SERVED. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 590451 | Expense |
| Grants | 590451 | Grants |
| Revenue | 691329 | Revenue |
| Description | TRANSITIONS: SERVICES FOR INDIVIDUALS WITH A LIFE LIMITING DISEASE WHO DO NOT QUALIFY FOR OTHER HEALTHCARE BENEFITS. IN 2011, APPROXIMATELY 48 PATIENTS AND THEIR FAMILIES WERE SERVED. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 50222 | Expense |
| Revenue | 58793 | Revenue |
| Description | INPATIENT: PROVIDE MEDICAL, PSYCHOLOGICAL, AND SPIRITUAL SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN AN INPATIENT FACILITY OPERATED BY A THIRD PARTY. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 68120 | Expense |
| Revenue | 79878 | Revenue |
| Description | BEREAVEMENT 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 68120 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 79878 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 3984144 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 62 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE AND PALLIATIVE CARE OF | BusinessNameLine1 |
| Business Name Line2 | WASHINGTON COUNTY | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5036489565 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 SE OAK STREET | AddressLine1 |
| Address Line2 | SUITE 202 | AddressLine2 |
| City | HILLSBORO | City |
| State | OR | State |
| ZIP Code | 97123 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| THERESA DECKER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KAY KIRKBRIDE | ||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | X |
| MICHAEL MCCALL | ||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X |
| JOHN RISTOW | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| TRACY VILLARREAL | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SANDY MADSEN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DEBORAH MCKAY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| TERRY GARDNER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KATHLEEN LEATHAM | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ERIN EVERS | ||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X |
| JOHN SPRINGER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CHRISTINE LARCH | ||||||
| EXECUTIVE DI | 40.00 | 117692 | 0 | 9505 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 117692 | TotalReportableCompFromOrg |
| Total Other Compensation | 9505 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| All Other Contributions | 40030 | AllOtherContributions |
| Total Contributions | 40030 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INSURANCE | Description |
| Total Revenue Column | 4054714 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4054714 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4054714 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6023 | TotalRevenueColumn |
| Exclusion | $6,023 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISC INCOME | Description |
| Total Revenue Column | 9385 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9385 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 9385 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4110152 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4064099 | RelatedOrExemptFunctionIncome |
| Exclusion | $6,023 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 521832 | Total |
| Program Services | 521832 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 647697 | Total |
| Program Services | 647697 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127197 | Total |
| Management And General | 127197 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2170275 | Total |
| Program Services | 1644011 | ProgramServices |
| Management And General | 354955 | ManagementAndGeneral |
| Fundraising | 171309 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35942 | Total |
| Program Services | 27447 | ProgramServices |
| Management And General | 5398 | ManagementAndGeneral |
| Fundraising | 3097 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227859 | Total |
| Program Services | 172675 | ProgramServices |
| Management And General | 46665 | ManagementAndGeneral |
| Fundraising | 8519 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 229425 | Total |
| Program Services | 160760 | ProgramServices |
| Management And General | 52507 | ManagementAndGeneral |
| Fundraising | 16158 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 729 | Total |
| Management And General | 632 | ManagementAndGeneral |
| Fundraising | 97 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9584 | Total |
| Management And General | 8315 | ManagementAndGeneral |
| Fundraising | 1269 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21776 | Total |
| Program Services | 20160 | ProgramServices |
| Management And General | 1577 | ManagementAndGeneral |
| Fundraising | 39 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12113 | Total |
| Program Services | 6869 | ProgramServices |
| Management And General | 4549 | ManagementAndGeneral |
| Fundraising | 695 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100815 | Total |
| Program Services | 68196 | ProgramServices |
| Management And General | 28299 | ManagementAndGeneral |
| Fundraising | 4320 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155517 | Total |
| Program Services | 65404 | ProgramServices |
| Management And General | 90067 | ManagementAndGeneral |
| Fundraising | 46 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58849 | Total |
| Program Services | 43708 | ProgramServices |
| Management And General | 11232 | ManagementAndGeneral |
| Fundraising | 3909 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33969 | Total |
| Program Services | 18989 | ProgramServices |
| Management And General | 12996 | ManagementAndGeneral |
| Fundraising | 1984 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15552 | Total |
| Program Services | 8751 | ProgramServices |
| Management And General | 5900 | ManagementAndGeneral |
| Fundraising | 901 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| DRUGS AND BIOLOGICALS | 235740 | 235740 |
| DURABLE MEDICAL EQUIPMENT | 164549 | 164549 |
| CONTRACT LABOR | 56117 | 56117 |
| INPATIENT CARE | 49907 | 49907 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87983 | Total |
| Program Services | 71332 | ProgramServices |
| Management And General | 16001 | ManagementAndGeneral |
| Fundraising | 650 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4963427 | Total |
| Program Services | 3984144 | ProgramServices |
| Management And General | 766290 | ManagementAndGeneral |
| Fundraising | 212993 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 295532 | BOY |
| EOY | 116703 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 505160 | BOY |
| EOY | 357097 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 524032 | BOY |
| EOY | 405762 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87604 | BOY |
| EOY | 22776 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13400 | BOY |
| EOY | 12892 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39119 | BOY |
| EOY | 66321 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 297498 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 174422 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86044 | BOY |
| EOY | 123076 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 405159 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 5500 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1956050 | BOY |
| EOY | 1110127 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75746 | BOY |
| EOY | 43785 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 136121 | BOY |
| EOY | 161185 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 211867 | BOY |
| EOY | 204970 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1744183 | BOY |
| EOY | 905157 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1744183 | BOY |
| EOY | 905157 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1956050 | BOY |
| EOY | 1110127 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -853275 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 14249 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 297498 | OtherCostOrOtherBasis |
| Depreciation | 174422 | Depreciation |
| Book Value | 123076 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 123076 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ACCRUED SALARIES AND BENEFITS | Description |
| Amount | $161,185 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 161185 | TotalOfAmounts |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON COUNTY HOSPICE FDTN | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 990 SE OAK ST STE 202 | AddressLine1 |
| City | HILLSBORO | City |
| State | OR | State |
| ZIP Code | 971234287 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 943197744 | EINOfRecipient |
| IRC Section | 3 | IRCSection |
| Amount Of Cash Grant | 521832 | AmountOfCashGrant |
| Purpose Of Grant | FOUNDATION SUPPORT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|
| CHARITY CARE - HOSPICE | 6 | 57246 | FMV | WRITE OFF SERVI |
| CHARITY CARE - TRANSITION | 48 | 590451 | BOOK | PROGRAM EXPENSE |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| RICK ROBY | |||
| BOARD MEMBER | 323200 | BANK DEPOSITS | false |
| KATHY BRADLEY | |||
| CHILD OF PRES. | 51459 | WAGES | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS | FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS PROVIDE LIGHT HOUSEWORK, VERY BASIC CARE NEEDS, VISITATION AND READING ALOUD. |
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | BEREAVEMENT 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. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | 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. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, 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. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, 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. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON COUNTY HOSPICE FDTN | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 SE OAK ST STE 202 | AddressLine1 |
| City | HILLSBORO | City |
| State | OR | State |
| ZIP Code | 971234287 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943197744 | EIN |
| Primary Activities | FOUNDATION | PrimaryActivities |
| Legal Domicile State | OR | LegalDomicileState |
| Exempt Code Section | 3 | ExemptCodeSection |
| Public Charity Status | 11C | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| WASHINGTON COUNTY HOSPICE FDTN | |
| B | 521832 |
| WASHINGTON COUNTY HOSPICE FDTN | |
| P | 31128 |
| WASHINGTON COUNTY HOSPICE FDTN | |
| D | 22776 |
| WASHINGTON COUNTY HOSPICE FDTN | |
| R | 25936 |