EXECUTIVE DIRECTOR

2011-05-16T09:23:16-05:00 2010-12-31 ANDERSON GROUP CPAS LLC 2165 NW PROFESSIONAL DRIVE SUITE 10 CORVALLIS OR 97330 990 2010-01-01 930742686 BENTON HOSPICE SERVICE INC BENT 5417579616 2350 NW PROFESSIONAL DRIVE CORVALLIS OR 973303881 MICKY SHIELDS EXECUTIVE DIRECTOR 5417579616 2011-05-16 1 JANET K MAGEDANZ CPA 5417572070 X 2010 2016-02-24 21:20:13Z MICKY SHIELDS 2350 NW PROFESSIONAL DRIVE CORVALLIS OR 97330 4961538 0 X WWW.BENTONHOSPICE.ORG X 1979 OR SUPPORT FOR THE TERMINALLY ILL 20 20 58 101 0 0 261976 394872 2880247 2749854 -176678 45514 2150 11314 2967695 3201554 0 0 0 0 2196298 2337431 0 0 16080 1088463 900269 3284761 3237700 -317066 -36146 4472780 4778758 157063 186047 4315717 4592711 SUPPORT FOR THE TERMINALLY ILL. 0 0 2238048 2753121 BENTON HOSPICE SERVICE, INC. PROVIDES COMPREHENSIVE CARE TO PEOPLE NEARING THE END OF LIFE. SERVICES ARE DESIGNED TO PROVIDE COMPASSIONATE HEALTHCARE IN THE PATIENT'S RESIDENCE AND TO SUPPORT THE PATIENT'S FAMILY. DURING 2010 329 PATIENTS WERE SERVED. 2238048 1 1 0 0 0 0 0 0 0 1 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 0 0 1 36 0 58 1 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X MICKY SHIELDS 5417579616 2350 NW PROFESSIONAL DRIVE CORVALLIS OR 97330 JOHN BACON MSW BOARD MEMBER 1.00 X 0 0 0 COURTNEY CAMPBELL PHD BOARD MEMBER 1.00 X 0 0 0 SHEILA GOODWIN SECRETARY 2.00 X X 0 0 0 GARY DELANDER PHD BOARD MEMBER 1.00 X 0 0 0 CYREL GABLE MSW BOARD MEMBER 1.00 X 0 0 0 PAM HEDIGER JD BOARD MEMBER 1.00 X 0 0 0 JEANNE SMITH JD CHAIRMAN 2.00 X X 0 0 0 LUCY NOONE EXECUTIVE DIRECTOR 40.00 X X X 107583 0 18641 MAXINE ECKES BOARD MEMBER 1.00 X 0 0 0 KAREN GRIFFIS FNP BOARD MEMBER 1.00 X 0 0 0 SCOTT MEEKER CPA TREASURER 1.00 X X 0 0 0 LIA MCCABE BOARD MEMBER 1.00 X 0 0 0 BOYD LYON BOARD MEMBER 1.00 X 0 0 0 GABRIELE FORD RN BOARD MEMBER 1.00 X 0 0 0 STEPHEN SHIELDS BOARD MEMBER 1.00 X 0 0 0 JASON PHILLIPS MD BOARD MEMBER 1.00 X 0 0 0 KAY SCHAFFER PHD VICE CHAIR 2.00 X X 0 0 0 BRUCE THOMPSON MD BOARD MEMBER 1.00 X 0 0 0 SIMON JUSTICE BOARD MEMBER 1.00 X 0 0 0 DEB ROSE BOARD MEMBER 1.00 X 0 0 0 TAMINA TORAY BOARD MEMBER 1.00 X 0 0 0 107583 0 18641 1 0 0 0 0 394872 6196 394872 HEALTH CARE 624100 2749854 2749854 2749854 108245 108245 1693785 1756516 -62731 -62731 -62731 11515 3468 8047 8047 MISCELLANEOUS REVENUE 624100 3267 3267 3267 3201554 2753121 0 53561 126224 123699 2525 1777480 1281206 488939 7335 104920 64791 39925 204 181372 111507 69549 316 147435 103551 43154 730 6806 6806 32261 32261 53518 38636 14882 16446 11492 4954 55269 25947 29322 22613 22613 18059 18059 58002 57062 940 14220 14220 48772 28474 20298 13103 13103 PHARMACEUTICALS 186087 186087 EQUIPMENT RENTAL 109554 109554 THERAPY SERVICES 74742 74742 MEDICAL SUPPLIES 72380 72380 OUTPATIENT SERVICES 12875 12875 105562 71236 34310 16 3237700 2238048 983572 16080 198103 170680 26587 4188 252710 291479 989160 331247 698329 657913 2893925 3304860 369562 296304 33564 53334 4472780 4778758 151063 183699 6000 2348 157063 186047 X 4315717 4590236 2475 4315717 4592711 4472780 4778758 X -36146 313140 X 1 0 0 X 0 X 314535 272740 201614 261951 394872 1445712 3049608 3127152 3121109 2880747 2749854 14928470 1310 1310 3365453 3399892 3322723 3142698 3144726 16375492 325 1168 1259 2929 4008 9689 119943 32000 17825 88137 102894 360799 120268 33168 19084 91066 106902 370488 16005004 82798 100496 113361 90555 108245 495455 82798 100496 113361 90555 108245 495455 3448251 3500388 3436084 3233253 3252971 16870947 0.94870 0.95400 0.02940 0.02770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 242043 242043 462386 105872 356514 198461 143819 54642 86270 81556 4714 657913 CERTIFICATES OF DEPOSIT 161792 F MONEY MARKET ACCOUNTS 134512 F 296304 COPIER LEASE PAYABLE 2348 2348 FORM 990, PART VI, SECTION B, LINE 11 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 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 C, LINE 18 AVAILABLE UPON REQUEST FROM THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FROM THE ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 313,060. PRIOR PERIOD ADJUSTMENTS: 80.