2025-06-23T18:59:09-05:00 2024-12-31 930623286 ALDRICH CPAS AND ADVISORS LLP 1903 WRIGHT PLACE 180 CARLSBAD CA 92008 990 2024-01-01 930738493 WILLAMETTE VITAL HEALTH WILL 5035883600 1015 3RD ST NW SALEM OR 97304 IRIA NISHIMURA CHIEF EXECUTIVE OFFICER 5035883600 2025-06-23 1 1 DEBRA D SMITH CPA P00646873 7604318440 2025-06-23 2024 2025-03-06 01:10:19Z WILLAMETTE VALLEY HOSPICE INC IRIA NISHIMURA 1015 3RD ST NW SALEM OR 97304 16412005 0 X HTTPS://WWW.WVH.ORG X 1978 OR COMPREHENSIVE HOSPICE CARE SERVICES AND SUPPORTIVE CARE FOR THOSE WITH CHRONIC CONDITIONS. 14 14 156 74 0 0 625629 415171 12835445 13428303 189334 422549 2147 17932 13652555 14283955 0 0 0 0 11159934 11809691 0 0 445839 4041544 4391771 15201478 16201462 -1548923 -1917507 14016304 11225942 2421640 1309236 11594664 9916706 X WE PROVIDE COMPREHENSIVE HOSPICE CARE SERVICES, SUPPORTIVE CARE FOR PAIN & SYMPTOM MANAGEMENT FOR THOSE WITH SERIOUS ILLNESS, AND GRIEF SUPPORT. THROUGH OUR MISSION, WILLAMETTE VITAL HEALTH SUPPORTS ADULTS AND CHILDREN LIVING WITH A SERIOUS OR LIFE-LIMITING ILLNESS THROUGHOUT MARION AND POLK COUNTIES AND BEYOND. 0 0 11263883 12631367 WILLAMETTE VITAL HEALTH (WVH) PROVIDES COMPASSIONATE HOSPICE CARE TO TERMINALLY ILL PATIENTS AND THEIR CAREGIVERS. SERVICES INCLUDE IN-HOME NURSING VISITS, PAIN AND SYMPTOM MANAGEMENT, PERSONAL CARE ASSISTANCE, SOCIAL SERVICE ASSISTANCE, RESPITE, SPIRITUAL COUNSELING, MASSAGE, MUSIC AND PET THERAPY, AND BEREAVEMENTS SUPPORT FOR CAREGIVERS AND THE COMMUNITY. WVH RECEIVES FUNDING FROM MEDICARE AND OTHER INSURANCE PLANS. HOWEVER, THIS DOES NOT COVER VOLUNTEER SERVICES, BEREAVEMENT SERVICES, AND ADDITIONAL THERAPIES SUCH AS MUSIC AND MASSAGE. SERVICES ARE ALSO PROVIDED REGARDLESS OF A PATIENT'S ABILITY TO PAY. WVH PROVIDES A UNIQUE SERVICE AS IT IS THE ONLY FREE-STANDING NONPROFIT HOSPICE CARE ORGANIZATION WITHIN A 35-MILE RADIUS OF SALEM. WVH WORKS AS A PARTNER WITH OTHER HEALTHCARE COMMUNITIES, RESIDENTIAL CARE FACILITIES, ADULT FOSTER HOMES, AND ASSISTED LIVING CENTERS, PROVIDING SUPPORT AND EDUCATION ABOUT END OF LIFE CARE.DURING 2024, WVH PROVIDED COMPREHENSIVE HOSPICE CARE TO 857 TERMINALLY ILL PATIENTS AND THEIR FAMILIES, INCLUDING NURSING CARE AND MEDICAL AND PSYCHOSOCIAL ASSISTANCE. 3,979 VOLUNTEER HOURS WERE UTILIZED IN PERFORMING THE SERVICES OF THE ORGANIZATION. WVH PROVIDED ADULT FOSTER CARE TO 32 HOSPICE PATIENTS WHO COULD NO LONGER RESIDE IN THEIR OWN HOME. WVH PROVIDED PALLIATIVE CARE TO 87 PATIENTS AND FAMILIES. WVH PROVIDED 94 INSTANCES OF INDIVIDUAL AND FAMILY COUNSELING, SERVED 89 INDIVIDUALS IN BEREAVEMENT GROUPS, AND HOSTED 2 COMMUNITY BEREAVEMENT EVENTS. 825983 796936 WILLAMETTE VITAL HEALTH OFFERS ADULT FOSTER CARE FOR THOSE UNABLE TO CARE FOR THEMSELVES AND FOR WHOM CARE AT HOME IS NOT A REALISTIC OR SAFE OPTION. THE EDWARD F. TOKARSKI HOME FOR OUR HOSPICE PATIENTS WHO NEED A PLACE TO CALL HOME IN THEIR FINAL MONTHS OF LIFE. INDIVIDUALIZED CARE IS PROVIDED FOR UP TO 5 RESIDENTS WHO ARE ALSO ENROLLED AS PATIENTS OF WILLAMETTE VITAL HEALTH. ELIGIBILITY DEPENDS UPON SPECIFIC CARE NEEDS AND SPACE AVAILABILITY. 12089866 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 37 0 156 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X ILONA BELL 5035883600 1015 3RD STREET NW SALEM OR 97304 MICHAEL CHERRY SECRETARY 1.00 X X 0 0 0 BETTY O'BRIEN TREASURER 1.00 X X 0 0 0 ANDREW BONE PRESIDENT 1.00 X X 0 0 0 JOHN MOODY VICE PRESIDENT 1.00 X X 0 0 0 CHAD CAMPBELL DIRECTOR 1.00 X 0 0 0 MIRIAM SCHARER DIRECTOR 1.00 X 0 0 0 CAMILLE MERCIER DIRECTOR 1.00 X 0 0 0 WAYNE KINKADE DIRECTOR 1.00 X 0 0 0 NAOMI HORMANN DIRECTOR 1.00 X 0 0 0 VICKI HOLLAND DIRECTOR 1.00 X 0 0 0 SCOTT HADDEN DIRECTOR 1.00 X 0 0 0 DEBBIE BACA-DIETZ DIRECTOR 1.00 X 0 0 0 CAROLYN VAN OTTEN DIRECTOR 1.00 X 0 0 0 IRIA NISHIMURA CHIEF EXECUTIVE OFFICER 40.00 X 221328 0 40603 CHERYL MACDONALD MEDICAL DIRECTOR 40.00 X 332736 0 21101 BARB FARMER ADMISSIONS MANAGER 40.00 X 110746 0 21980 JENNIFER MCKENZIE NURSE 40.00 X 168066 0 18865 NANCY BOUTIN SUPPORTIVE CARE PHYSICIAN 40.00 X 218225 0 26988 1051101 0 129537 5 0 1 0 0 415171 16791 415171 PATIENT SERVICES 621610 12631367 12631367 FOSTER HOME 621610 796936 796936 13428303 208716 208716 2341883 2128050 213833 213833 213833 OTHER INCOME 900099 17932 17932 17932 14283955 13428303 0 440481 615767 353837 261930 9034162 7209279 1449607 375276 268767 247281 21486 1159392 875145 274944 9303 731603 603955 127648 76066 76066 59715 59715 35295 35295 993652 378805 590555 24292 67521 67215 306 89217 20379 57512 11326 25858 3799 18119 3940 906 906 131890 17809 114081 88310 88310 DIRECT PATIENT COSTS 2030897 2022632 42 8223 NONPATIENT RELATED COST 287599 59892 220224 7483 MILEAGE REIMBURSEMENTS 269635 266019 3524 92 RECRUITMENT 106916 2584 104332 0 128294 28450 94246 5598 16201462 12089866 3665757 445839 2899627 698462 498988 291606 0 50000 2660077 2259878 192205 153016 5299673 3078844 2323705 2220829 5387487 5494983 53765 57168 450 0 14016304 11225942 1172688 1309236 1248952 0 2421640 1309236 X 11095676 9497846 498988 418860 11594664 9916706 14016304 11225942 -1917507 239549 0 X 0 1 X 1 0 X 610463 2058457 2326063 625629 415171 6035783 16157495 13548004 14650905 12835445 13428303 70620152 16767958 15606461 16976968 13461074 13843474 76655935 7885 7720 8356 23961 0 7885 7720 8356 23961 76631974 59692 78817 62922 213378 208716 623525 59692 78817 62922 213378 208716 623525 7280 2147 17932 27359 16827650 15685278 17047170 13676599 14070122 77306819 0.99130 0.99310 0.00810 0.00640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1439705 421038 10470 1850273 1265656 182598 8549 1439705 1480441 -206537 8248 1265656 1292797 196332 8688 1480441 1081200 218906 7309 1292797 1.00000 1 0 611726 611726 3631088 2050918 1580170 851744 848461 3283 205115 179465 25650 2220829 X 14470512 239549 239549 14230963 35295 17697 52992 14283955 16148470 0 16148470 35295 17697 52992 16201462 PART V, LINE 4: BOARD-DESIGNATED ENDOWMENTS PROVIDE FOR UNFUNDED HOSPICE CARE FOR THE COMMUNITY AND PROVIDE FOR UNCOMPENSATED CARE. PART X, LINE 2: THE HOSPICE IS TAX EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION. THE INTERNAL REVENUE SERVICE DOES NOT CLASSIFY THE HOSPICE AS A PRIVATE FOUNDATION. MANAGEMENT HAS EVALUATED TAX POSITIONS TAKEN AND HAS DETERMINED THAT ANY UNCERTAINTY IN THOSE POSITIONS WOULD NOT HAVE A MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: GIFTS IN KIND DONATIONS 16,791. INTEREST EXPENSE NETTED WITH REVENUE 906. PART XII, LINE 4B - OTHER ADJUSTMENTS: GIFTS IN KIND DONATIONS 16,791. INTEREST EXPENSE NETTED WITH REVENUE 906. X X X X X X 0 0 0 0 0 0 0 0 0 CHERYL MACDONALD MEDICAL DIRECTOR 332736 0 0 0 0 0 13322 0 7779 0 353837 0 0 0 IRIA NISHIMURA CHIEF EXECUTIVE OFFICER 221328 0 0 0 0 0 26988 0 13615 0 261931 0 0 0 NANCY BOUTIN SUPPORTIVE CARE PHYSICIAN 218225 0 0 0 0 0 26988 0 0 0 245213 0 0 0 JENNIFER MCKENZIE NURSE 168066 0 0 0 0 0 13615 0 5250 0 186931 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE POWER OF THE BOARD TO AUTHORIZE EXPENDITURES AND AMENDMENTS TO BUDGETS, SET POLICIES, AND AUTHORIZE PROGRAMS OR ACTIVITIES. THE EXECUTIVE COMMITTEE MAKES REASONABLE EFFORTS TO COMMUNICATE WITH THE FULL BOARD IN ADVANCE REGARDING THE ISSUES AND DECISIONS THAT WILL BE CONSIDERED OR VOTED ON AT EXECUTIVE COMMITTEE MEETINGS. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR FINANCIAL OVERSIGHT OF THE ORGANIZATION'S INCOME AND EXPENSES. THE COMMITTEE IS RESPONSIBLE FOR OVERSEEING THE ORGANIZATION'S FINANCIAL TRANSACTIONS AND THE IMPLEMENTATION OF THE ORGANIZATION'S FINANCIAL POLICIES. THE COMMITTEE REVIEWS ON A MONTHLY BASIS, OR OVERSEE A MONTHLY REVIEW OF, THE ORGANIZATION'S EXPENDITURES, FINANCIAL TRANSACTIONS, BANK STATEMENTS, RETURNED CHECKS, AND CREDIT CARD STATEMENTS. THE COMMITTEE ALSO MAKES THE NECESSARY ARRANGEMENTS FOR AND OVERSEES THE ORGANIZATION'S ANNUAL AUDIT OR ANNUAL FINANCIAL REVIEW. FORM 990, PART VI, SECTION A, LINE 3 THE BOARD OF DIRECTORS DURING MONTHS IN WHICH THE BOARD WAS NOT SCHEDULED TO MEET, DELEGATED DUTIES TO AN EXECUTIVE COMMITTEE MADE UP OF THE OFFICERS SERVING ON THE BOARD AND OTHER BOARD MEMBERS AS APPROVED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE FINANCE MANAGER, THE EXECUTIVE DIRECTOR AND THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS AND EMPLOYEES. ALL BOARD MEMBERS, VOLUNTEERS AND STAFF SIGN A CONFLICT OF INTEREST STATEMENT UPON JOINING THE ORGANIZATION. BOARD MEMBERS AND EXECUTIVE STAFF ANNUALLY PROVIDE WRITTEN DISCLOSURE OF ALL PROFESSIONAL AND PERSONAL RELATIONSHIPS OR INTERESTS, DIRECT OR INDIRECT, THAT MIGHT PRESENT A CONFLICT OF INTEREST. IF A MATTER ARISES IN WHICH A BOARD MEMBER HAS AN ACTUAL OR POTENTIAL CONFLICT, THAT CONFLICT IS IMMEDIATELY DISCLOSED TO THE BOARD. IF THE MATTER INVOLVES A VOTE, THE CONFLICTED INDIVIDUAL ABSTAINS FROM VOTING. IF A MATTER ARISES IN WHICH A VOLUNTEER OR EMPLOYEE HAS AN ACTUAL OR POTENTIAL CONFLICT, THE CONFLICT IS IMMEDIATELY DISCLOSED TO THE EXECUTIVE DIRECTOR WHO INVESTIGATES IT. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND IS SUMMARIZED IN AN EMPLOYMENT CONTRACT. ALL OTHER EMPLOYEES' COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR. COMPARABLE COMPENSATION WAS DETERMINED BY USING MARKET RESEARCH WITH ASSISTANCE FROM A COMPENSATION CONSULTING FIRM. MARKET SURVEYS ARE DONE ON ALL EMPLOYEES EACH YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.