CARE PARTNERS: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CARE PARTNERS (EIN 93-0836166)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201143189349304394
- Schema version
- 2010v3.4
- 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 | 2011-11-14T15:36:13-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | 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 | 2010-01-01 | 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 | CHRISTINE LARCH | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 5036489565 | Phone |
| Date Signed | 2011-10-28 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMIE L ZOLEZZI | Name |
| Phone | 5036480521 | Phone |
| Date Prepared | 2011-11-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CHRISTINE LARCH | 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 | 5325268 | 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 | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 63 | TotalNbrEmployees |
| Total Nbr Volunteers | 40 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 43667 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 136530 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3419759 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3812521 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -215355 | InvestmentIncomePriorYear |
| Investment Income Current Year | 51551 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -6640 | OtherRevenuePriorYear |
| Other Revenue Current Year | -7014 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3241431 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3993588 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 567393 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1381281 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2520271 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2502431 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 953977 | OtherExpensePriorYear |
| Other Expenses Current Year | 1010288 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4041641 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4894000 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -800210 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -900412 | RevenuesLessExpensesCY |
| Total Assets BOY | 2780575 | TotalAssetsBOY |
| Total Assets EOY | 1956050 | TotalAssetsEOY |
| Total Liabilities BOY | 190826 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 211867 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2589749 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1744183 | 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 | 3054658 | Expense |
| Grants | 1071842 | Grants |
| Revenue | 3232637 | Revenue |
| Description | HOSPICE: PROVIDE MEDICAL, PSYCHOLOGICAL, AND SPIRITUAL SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES AT THE PATIENT'S HOME. IN 2010, APPROXIMATELY 418 PATIENTS AND THEIR FAMILIES WERE SERVED. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 309439 | Expense |
| Grants | 309439 | Grants |
| Revenue | 497915 | Revenue |
| Description | TRANSITIONS: SERVICES FOR INDIVIDUALS WITH A LIFE LIMITING DISEASE WHO DO NOT QUALIFY FOR OTHER HEALTHCARE BENEFITS. IN 2010, APPROXIMATELY 105 PATIENTS AND THEIR FAMILIES WERE SERVED. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 21585 | Expense |
| Revenue | 34694 | 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 | 29458 | Expense |
| Revenue | 47275 | 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 | 29458 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 47275 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 3415140 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | 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 | true | 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 | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | 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 | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 10 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 63 | 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 | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| 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 | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | 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 | false | 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 (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| RON POWNE | ||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| KAY KIRKBRIDE | ||||||
| VICE PRESIDE | 1.00 | X | X | 0 | 0 | 0 |
| MICHAEL MCCALL | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| JOHN RISTOW | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| TRACY VILLARREAL | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JEFF HOYT | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| RICK ROBY | ||||||
| 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 | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CHRISTINE LARCH | ||||||
| EXEC. DIREC. | 40.00 | X | 111612 | 0 | 13059 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 111612 | TotalReportableCompFromOrg |
| Total Other Compensation | 13059 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Fundraising Events | 14044 | FundraisingEvents |
| All Other Contributions | 122486 | AllOtherContributions |
| Total Contributions | 136530 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INSURANCE | Description |
| Total Revenue Column | 3812521 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3812521 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3812521 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28083 | TotalRevenueColumn |
| Exclusion | $28,083 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1348134 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1324666 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 23468 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23468 | TotalRevenueColumn |
| Related Or Exempt Function Income | 23468 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 14044 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 7014 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -7014 | TotalRevenueColumn |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3993588 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3835989 | RelatedOrExemptFunctionIncome |
| Exclusion | $28,083 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1045000 | Total |
| Program Services | 1045000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 336281 | Total |
| Program Services | 336281 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124671 | Total |
| Management And General | 124671 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1996637 | Total |
| Program Services | 1241531 | ProgramServices |
| Management And General | 755106 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33387 | Total |
| Program Services | 16731 | ProgramServices |
| Management And General | 16656 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 182271 | Total |
| Program Services | 126880 | ProgramServices |
| Management And General | 55391 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165465 | Total |
| Program Services | 98639 | ProgramServices |
| Management And General | 66826 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8312 | Total |
| Management And General | 8312 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19005 | Total |
| Management And General | 19005 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11326 | Total |
| Program Services | 1051 | ProgramServices |
| Management And General | 10275 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36911 | Total |
| Management And General | 36911 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114342 | Total |
| Program Services | 7295 | ProgramServices |
| Management And General | 107047 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168124 | Total |
| Management And General | 168124 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54715 | Total |
| Program Services | 46298 | ProgramServices |
| Management And General | 8417 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88 | Total |
| Program Services | 29 | ProgramServices |
| Management And General | 59 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33941 | Total |
| Management And General | 33941 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15036 | Total |
| Management And General | 15036 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DRUGS AND BIOLOGICALS | 230381 | 230381 | |
| DURABLE MEDICAL EQUIPMENT | 156005 | 156005 | |
| CONTRACT LABOR | 51222 | 51222 | |
| TELEPHONE | 35642 | 12733 | 22909 |
| INPATIENT CARE | 29643 | 29643 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45595 | Total |
| Program Services | 15421 | ProgramServices |
| Management And General | 30174 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4894000 | Total |
| Program Services | 3415140 | ProgramServices |
| Management And General | 1478860 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 975638 | BOY |
| EOY | 295532 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 653294 | BOY |
| EOY | 505160 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 242042 | BOY |
| EOY | 524032 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2300 | BOY |
| EOY | 87604 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 13400 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27348 | BOY |
| EOY | 39119 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 222059 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 136015 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111573 | BOY |
| EOY | 86044 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 768001 | BOY |
| EOY | 405159 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 379 | BOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2780575 | BOY |
| EOY | 1956050 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66762 | BOY |
| EOY | 75746 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124064 | BOY |
| EOY | 136121 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 190826 | BOY |
| EOY | 211867 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2589749 | BOY |
| EOY | 1744183 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2589749 | BOY |
| EOY | 1744183 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2780575 | BOY |
| EOY | 1956050 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -900412 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 54846 | 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 B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
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 | 222059 | OtherCostOrOtherBasis |
| Depreciation | 136015 | Depreciation |
| Book Value | 86044 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 86044 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ACCRUED SALARIES AND BENEFITS | Description |
| Amount | $136,121 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 136121 | TotalOfAmounts |
| Total Revenue | 3993588 | TotalRevenue |
| Total Expenses | 4894000 | TotalExpenses |
| Excess Or Deficit For Year | -900412 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 54846 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 54846 | TotalAdjustments |
| Excess Or Deficit Per FS | -845566 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4058248 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 54846 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 2800 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 7014 | OtherRevenues |
| Revenue Not Rptd F990 | 64660 | RevenueNotRptdF990 |
| Revenue Subtotal | 3993588 | RevenueSubtotal |
| Total Revenue Per Form990 | 3993588 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4903814 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 2800 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 7014 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 9814 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4894000 | ExpensesSubtotal |
| Total Expenses Per Form990 | 4894000 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGES - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 8 | LIGHT UP A LIFE - DIRECT EXPENSES 7,014 LIGHT UP A LIFE - DIRECT EXPENSES -7,014 |
| REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 2D | LIGHT UP A LIFE - DIRECT EXPENSES 7,014 |
| EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 2D | LIGHT UP A LIFE - DIRECT EXPENSES 7,014 |
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 | 1045000 | AmountOfCashGrant |
| Purpose Of Grant | FOUNDATION SUPPORT | PurposeOfGrant |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| CHARITY CARE - HOSPICE | 6 | 26842 |
| CHARITY CARE - TRANSITION | 6 | 309439 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ERIN EVERS | |||
| BOARD MEMBER | 3312 | LEGAL FEES | false |
| RON POWNE | |||
| BOARD MEMBER | 4945 | ASSET MGMT FEES | false |
| RICK ROBY | |||
| BOARD MEMBER | 798584 | BANK DEPOSITS | 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 ACHIEVEMENTS 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 ORGANIZATION'S CEO WILL REVIEW FORM 990 BEFORE IT IS SIGNED AND FILED. A COPY OF THE RETURN WILL BE PROVIDED TO BOARD MEMBERS FOR REVIEW. |
| 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 | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| WASHINGTON COUNTY HOSPICE FDTN | |
| B | 1045000 |
| WASHINGTON COUNTY HOSPICE FDTN | |
| P | 15696 |
| WASHINGTON COUNTY HOSPICE FDTN | |
| D | 87604 |