DOERNBECHER CHILDREN'S HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- DOERNBECHER CHILDREN'S HOSPITAL (EIN 93-0579589)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-08
- IRS object ID
- 201501289349301520
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-08T14:01:02-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1918 Eighth Avenue Suite 2900 | AddressLine1 |
| City | Seattle | City |
| State | WA | State |
| ZIP Code | 98101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930579589 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOERNBECHER CHILDREN'S HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARY TURINA VICE-PRESIDENT | InCareOfNm |
| Business Name Control | DOER | BusinessNameControlTxt |
| Phone | 5032281730 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1121 SW SALMON STREET 100 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | PORTLAND | City |
| State | OR | State |
| ZIP Code | 972052021 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY TURINA | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 5032281730 | PhoneNum |
| Signature | 2015-05-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUE ROBISON | PreparerPersonNm |
| PTIN | P00560072 | PTIN |
| Phone | 5032281730 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARY TURINA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1121 SW SALMON STREET 100 | AddressLine1 |
| City | PORTLAND | City |
| State | OR | State |
| ZIP Code | 972052021 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $43,666,462 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DOERNBECHERFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1924 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | DOERNBECHER CHILDREN'S HOSPITAL FOUNDATION IS A NONPROFIT ORGANIZATION EST. 1924 THAT EXISTS TO SECURE PRIVATE PHILANTHROPIC SUPPORT FOR DOERNBECHER CHILDREN'S HOSPITAL | ActivityOrMissionDesc |
| Voting Members Governing Body | 28 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 26 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 350 | TotalVolunteersCnt |
| Total Gross UBI | $14,711 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$53,861 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,174,469 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,713,906 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $103,575 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $293,307 | CYProgramServiceRevenueAmt |
| PY Investment Income | $829,280 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,146,097 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$126,306 | PYOtherRevenueAmt |
| CY Other Revenue | -$165,669 | CYOtherRevenueAmt |
| PY Total Revenue | $15,981,018 | PYTotalRevenueAmt |
| CY Total Revenue | $18,987,641 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $10,976,444 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $12,653,097 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,715,741 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,247,704 | PYOtherExpensesAmt |
| CY Other Expenses | $2,858,931 | CYOtherExpensesAmt |
| PY Total Expenses | $14,224,148 | PYTotalExpensesAmt |
| CY Total Expenses | $15,512,028 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,756,870 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,475,613 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $52,861,970 | TotalAssetsBOYAmt |
| Total Assets EOY | $59,835,120 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,205,901 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,217,527 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $48,656,069 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $54,617,593 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | DOERNBECHER CHILDREN'S HOSPITAL FOUNDATION IS A NONPROFIT ORGANIZATION ESTABLISHED IN 1924 THAT EXISTS TO SECURE PRIVATE PHILANTHROPIC SUPPORT FOR DOERNBECHER CHILDREN'S HOSPITAL. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $12,709,339 | ExpenseAmt |
| Grant | $12,653,097 | GrantAmt |
| Revenue | $293,307 | RevenueAmt |
| Desc | CONTRIBUTIONS, GRANTS, TRANSFERS TO DOERNBECHER CHILDREN'S HOSPITAL MAKE POSSIBLE COMPREHENSIVE AND INNOVATIVE HEALTHCARE, EDUCATION AND RESEARCH FOR THE CHILDREN OF OUR REGION. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
| Total Program Service Expenses | $12,709,339 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | Yes (true) | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 44 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | UK | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 28 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 26 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY TURINA VICE-PRESIDENT | PersonNm |
| Phone | 5035520718 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1121 SW SALMON STREET SUITE 100 | AddressLine1 |
| City | PORTLAND | City |
| State | OR | State |
| ZIP Code | 97205 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| NATHAN M AYOTTE | ||||||||
| VICE PRESIDENT FINANCE | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NATHAN J BAILEY | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JEFF M BOURLAG | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RONALD G BRAKE | ||||||||
| IMMEDIATE PAST PRESIDENT | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KEVIN M DIRECTOR | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL F DOHERTY | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| CAROL K EHLEN | ||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ALLYN C FORD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| SIOUXSIE JENNETT | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KELLY J JOHNSON | ||||||||
| PRESIDENT | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRUCE E KERR | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MITCHELL W MACK | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| CATHRINE L MCCOY | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ROGER W MILLS | ||||||||
| EXECUTIVE VICE PRESIDENT | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HENRY S NICHOLSON MD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $416,987 | $4,672 | ||
| ANDREW J OVER | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH E ROBERTSON MD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $1,347,958 | $135,553 | ||
| BRYAN L TIMM | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| SOHRAB S VOSSOUGHI | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| J C WESSEL | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD L WRIGHT | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MARGARET F BISHOP | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK C CLARK | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| NICHOLAS R EHLEN | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ERIC MARVIN | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ERIC R MEIER | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DOUG PIPER | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KELLY L SCHRADER | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MARY TURINA | ||||||||
| VICE PRESIDENT | 0.0 | 40.0 | Yes (X) | $0 | $170,989 | $42,980 | ||
| JIM ERVIN | ||||||||
| EXECUTIVE DIRECTOR | 0.0 | 40.0 | Yes (X) | $0 | $0 | $0 | ||
| LORI MUELLER | ||||||||
| VICE PRESIDENT | 0.0 | 40.0 | $0 | $203,660 | $43,640 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,139,594 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $226,845 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $70,084 | FederatedCampaignsAmt |
| Fundraising | $2,473,780 | FundraisingAmt |
| Related Organizations | $126,395 | RelatedOrganizationsAmt |
| All Other Contributions | $15,043,647 | AllOtherContributionsAmt |
| Noncash Contributions | $288,907 | NoncashContributionsAmt |
| Total Contributions | $17,713,906 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| OUTREACH ACTIVITIES | 900099 | $290,172 | $290,172 | $0 | $0 |
| PUBLIC EDUCATION | 900099 | $3,135 | $3,135 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $293,307 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $352,207 | TotalRevenueColumnAmt |
| Exclusion | $352,207 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,782,858 | SecuritiesAmt |
| Other | $7,316,141 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,221,354 | SecuritiesAmt |
| Other | $7,083,755 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $561,504 | SecuritiesAmt |
| Other | $232,386 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $793,890 | TotalRevenueColumnAmt |
| Exclusion | $793,890 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $193,332 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $2,473,780 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $373,712 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$180,380 | TotalRevenueColumnAmt |
| Exclusion | -$180,380 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOLIDAY CARD SALES | Desc |
| Business | 453220 | BusinessCd |
| Total Revenue Column | $14,711 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $14,711 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,711 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,987,641 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $293,307 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $14,711 | UnrelatedBusinessRevenueAmt |
| Exclusion | $965,717 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,653,097 | TotalAmt |
| Program Services | $12,653,097 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,335 | TotalAmt |
| Program Services | $100 | ProgramServicesAmt |
| Management And General | $1,207 | ManagementAndGeneralAmt |
| Fundraising | $3,028 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,800 | TotalAmt |
| Program Services | $1,301 | ProgramServicesAmt |
| Management And General | $15,819 | ManagementAndGeneralAmt |
| Fundraising | $39,680 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,040 | TotalAmt |
| Program Services | $1,306 | ProgramServicesAmt |
| Management And General | $15,886 | ManagementAndGeneralAmt |
| Fundraising | $39,848 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,139 | TotalAmt |
| Program Services | $3,003 | ProgramServicesAmt |
| Management And General | $36,522 | ManagementAndGeneralAmt |
| Fundraising | $91,614 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,491 | TotalAmt |
| Program Services | $103 | ProgramServicesAmt |
| Management And General | $1,251 | ManagementAndGeneralAmt |
| Fundraising | $3,137 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,437 | TotalAmt |
| Program Services | $1,636 | ProgramServicesAmt |
| Management And General | $19,895 | ManagementAndGeneralAmt |
| Fundraising | $49,906 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,452 | TotalAmt |
| Program Services | $354 | ProgramServicesAmt |
| Management And General | $4,303 | ManagementAndGeneralAmt |
| Fundraising | $10,795 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,212 | TotalAmt |
| Program Services | $73 | ProgramServicesAmt |
| Management And General | $895 | ManagementAndGeneralAmt |
| Fundraising | $2,244 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,497 | TotalAmt |
| Management And General | $4,497 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,903 | TotalAmt |
| Program Services | $502 | ProgramServicesAmt |
| Management And General | $6,100 | ManagementAndGeneralAmt |
| Fundraising | $15,301 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CONTRACTED STAFF | $760,107 | $17,406 | $211,690 | $531,011 |
| DONOR CULTIVATION | $162,603 | $3,724 | $45,285 | $113,594 |
| MANAGEMENT & ADMIN FEE | $971,438 | $22,246 | $270,545 | $678,647 |
| MEMBERSHIP FEES | $161,541 | $3,699 | $44,989 | $112,853 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $432,936 | TotalAmt |
| Program Services | $789 | ProgramServicesAmt |
| Management And General | $408,064 | ManagementAndGeneralAmt |
| Fundraising | $24,083 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,512,028 | TotalAmt |
| Program Services | $12,709,339 | ProgramServicesAmt |
| Management And General | $1,086,948 | ManagementAndGeneralAmt |
| Fundraising | $1,715,741 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,101 | BOYAmt |
| EOY | $485,582 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,359 | BOYAmt |
| EOY | $2,426,161 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,389,442 | BOYAmt |
| EOY | $1,329,261 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $844,014 | BOYAmt |
| EOY | $860,106 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,092 | BOYAmt |
| EOY | $163,927 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,592 | BOYAmt |
| EOY | $67,808 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $31,249 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $27,865 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,902 | BOYAmt |
| EOY | $3,384 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,254,177 | BOYAmt |
| EOY | $38,558,347 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,784,907 | BOYAmt |
| EOY | $15,934,623 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,384 | BOYAmt |
| EOY | $5,921 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,861,970 | BOYAmt |
| EOY | $59,835,120 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,948 | BOYAmt |
| EOY | $77,263 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,139,953 | BOYAmt |
| EOY | $5,140,264 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,205,901 | BOYAmt |
| EOY | $5,217,527 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,156,142 | BOYAmt |
| EOY | $39,606,915 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,902 | BOYAmt |
| EOY | $3,384 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,492,025 | BOYAmt |
| EOY | $15,007,294 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,656,069 | BOYAmt |
| EOY | $54,617,593 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,861,970 | BOYAmt |
| EOY | $59,835,120 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,475,613 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,828,799 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | -$441,517 | InvestmentExpenseAmt |
| Other Changes In Net Assets | $98,629 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| College Organization | Yes (X) | CollegeOrganizationInd |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,799,044 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,737,614 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,640,829 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,174,469 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,713,906 | CurrentTaxYearAmt |
| Total | $66,065,862 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,799,044 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,737,614 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,640,829 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,174,469 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,713,906 | CurrentTaxYearAmt |
| Total | $66,065,862 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $8,454,192 | SubstantialContributorsTotAmt |
| Public Support Total170 | $57,611,670 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $341,832 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $450,513 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $510,491 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $272,691 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $352,207 | CurrentTaxYearAmt |
| Total | $1,927,734 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $161,927 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $144,758 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $262,816 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $137,524 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $193,332 | CurrentTaxYearAmt |
| Total | $900,357 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $68,893,953 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $492,926 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.83624 | PublicSupportCY170Pct |
| Public Support PY170 | 0.89160 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Donor Advised Funds Held | 1 | DonorAdvisedFundsHeldCnt |
| Donor Advised Funds Contri | $1,937 | DonorAdvisedFundsContriAmt |
| Donor Advised Funds Vl EOY | $143,748 | DonorAdvisedFundsVlEOYAmt |
| Disclosed Org Leg Ctrl | Yes (true) | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | Yes (true) | DisclosedForCharitablePrpsInd |
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,618,285 | BeginningYearBalanceAmt |
| Contributions | $4,169,703 | ContributionsAmt |
| Investment Earnings Or Losses | $3,467,095 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $10,723 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,108,630 | OtherExpendituresAmt |
| Administrative Expenses | $420,366 | AdministrativeExpensesAmt |
| End Year Balance | $29,715,364 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,072,371 | BeginningYearBalanceAmt |
| Contributions | $844,825 | ContributionsAmt |
| Investment Earnings Or Losses | $1,941,385 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $10,110 | GrantsOrScholarshipsAmt |
| Other Expenditures | $976,215 | OtherExpendituresAmt |
| Administrative Expenses | $253,971 | AdministrativeExpensesAmt |
| End Year Balance | $23,618,285 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,126,772 | BeginningYearBalanceAmt |
| Contributions | $1,606,964 | ContributionsAmt |
| Investment Earnings Or Losses | -$440,654 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $9,273 | GrantsOrScholarshipsAmt |
| Other Expenditures | $881,909 | OtherExpendituresAmt |
| Administrative Expenses | $329,528 | AdministrativeExpensesAmt |
| End Year Balance | $22,072,372 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,101,403 | BeginningYearBalanceAmt |
| Contributions | $562,118 | ContributionsAmt |
| Investment Earnings Or Losses | $3,694,025 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $9,453 | GrantsOrScholarshipsAmt |
| Other Expenditures | $894,483 | OtherExpendituresAmt |
| Administrative Expenses | $326,838 | AdministrativeExpensesAmt |
| End Year Balance | $22,126,772 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,804,093 | BeginningYearBalanceAmt |
| Contributions | $2,627,373 | ContributionsAmt |
| Investment Earnings Or Losses | $1,769,021 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $10,128 | GrantsOrScholarshipsAmt |
| Other Expenditures | $884,440 | OtherExpendituresAmt |
| Administrative Expenses | $204,516 | AdministrativeExpensesAmt |
| End Year Balance | $19,101,403 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.38880 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.60050 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.01070 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,249 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,865 | DepreciationAmt |
| Book Value | $3,384 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,384 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INVESTMENTS | Desc |
| Book Value | $15,934,623 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $15,934,623 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO OHSU | $2,713,551 |
| DUE TO OTHER INSTITUTIONS | $173,696 |
| LIABILITY FOR LIFE INCOME AGREEMENT | $2,253,017 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,140,264 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $21,448,801 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,828,799 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $98,629 | OtherRevenueAmt |
| Revenue Not Reported | $2,927,428 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,521,373 | RevenueSubtotalAmt |
| Other Revenues Not Included | $466,268 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $466,268 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,987,641 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,487,277 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $15,487,277 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | -$441,517 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $466,268 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $24,751 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $15,512,028 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4 | AN ENDOWED FUND MAY SUPPORT A SPECIFIC DEPARTMENT, PROGRAM, PEOPLE OR PURPOSES SUCH AS A FACULTY PROFESSORSHIP OR CHAIR, SCHOLARSHIP OR FELLOWSHIP, RESEARCH ACTIVITY, VISITING LECTURER OR PATIENT CARE. |
| SCHEDULE D, PART XI, LINE 2D | CHANGE IN VALUE OF LIFE INCOME AGREEMENTS..........$98,629 |
| SCHEDULE D, PART XI, LINE 4B | RECLASS SPECIAL EVENT EXPENSE....... (373,712) RECLASS INVESTMENT EXPENSE.......... 441,517 RECLASS OTHER NONOPERATING REVENUE.. 398,463 --------- TOTAL REVENUE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTS........ 466,268 |
| SCHEDULE D, PART XII, LINE 4B | RECLASS SPECIAL EVENT EXPENSE....... (373,712) RECLASS INVESTMENT FEES............. 441,517 RECLASS OTHER NONOPERATING REVENUE.. 398,463 --------- TOTAL REVENUE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTS........ 466,268 |
Schedule G IRS990ScheduleG
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NONE | PersonNm |
| Fundraiser Control Of Funds | false | FundraiserControlOfFundsInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | NIKE FREESTYLE | NameOfEvent1Amt |
| Gross Receipts Event1 | $1,932,383 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $1,879,891 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $52,492 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $230,830 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | HEART OF DCH | NameOfEvent2Amt |
| Gross Receipts Event2 | $635,543 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $494,703 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $140,840 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $122,628 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $99,186 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $99,186 | CharitableContriOtherEventsAmt |
| Oth Direct Expnss Other Events | $20,254 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $2,667,112 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $2,473,780 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $193,332 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $373,712 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $373,712 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$180,380 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| OREGON HEALTH AND SCIENCE UNIVERSITY | ||||||||||
| 3181 SAM JACKSON PARK RD | PORTLAND | OR | 97239 | 931176109 | OHSU | $1,865,392 | $3,500 | FMV | VARIOUS | RESEARCH |
| OREGON HEALTH AND SCIENCE UNIVERSITY | ||||||||||
| 3181 SAM JACKSON PARK RD | PORTLAND | OR | 97239 | 931176109 | OHSU | $395,430 | N/A | N/A | ACADEMIC SUPPORT | |
| OREGON HEALTH AND SCIENCE UNIVERSITY | ||||||||||
| 3181 SAM JACKSON PARK RD | PORTLAND | OR | 97239 | 931176109 | OHSU | $2,602,542 | N/A | N/A | CAPITAL PROJECTS | |
| OREGON HEALTH AND SCIENCE UNIVERSITY | ||||||||||
| 3181 SAM JACKSON PARK RD | PORTLAND | OR | 97239 | 931176109 | OHSU | $6,826,226 | $98,268 | FMV | VARIOUS | CLINICAL SUPPORT |
| OREGON HEALTH AND SCIENCE UNIVERSITY | ||||||||||
| 3181 SAM JACKSON PARK RD | PORTLAND | OR | 97239 | 931176109 | OHSU | $847,763 | N/A | N/A | INSTRUCTION | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2 - GRANTMAKER'S DESCRIPTION OF HOW GRANTS ARE USED | FormAndLineReferenceDesc |
| Explanation | TRANSFERS ARE MADE TO OREGON HEALTH & SCIENCE UNIVERSITY FOR THE BENEFIT OF DOERNBECHER CHILDREN'S HOSPITAL (DCH) AND THE DEPARTMENT OF PEDIATRICS BASED UPON DCH PROVIDING AUTHORIZED DOCUMENTATION OF SATISFACTION OF DONORS' INTENT. AUTHORIZATION IS CONTROLLED AND LIMITED TO SELECT INDIVIDUALS WITH THE KNOWLEDGE AND RESPONSIBILITY OF ENSURING THE TRANSFERS ARE MADE IN ACCORDANCE WITH DONOR INTENT. DOCUMENTATION CAN INCLUDE PROVIDING LABOR, EQUIPMENT AND CONSTRUCTION REPORTS PRODUCED THAT SUBSTANTIATE SALARY EXPENSES, EQUIPMENT PURCHASES AND CONSTRUCTION COSTS INCURRED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HENRY S NICHOLSON MD | ||||||||||||||
| DIRECTOR | $0 | $396,950 | $0 | $20,000 | $0 | $37 | $0 | $4,080 | $0 | $592 | $0 | $421,659 | $0 | $0 |
| JOSEPH E ROBERTSON MD | ||||||||||||||
| DIRECTOR | $0 | $1,329,213 | $0 | $18,644 | $0 | $101 | $0 | $135,149 | $0 | $404 | $0 | $1,483,511 | $0 | $0 |
| LORI MUELLER | ||||||||||||||
| VICE PRESIDENT | $0 | $202,782 | $0 | $0 | $0 | $878 | $0 | $25,009 | $0 | $18,631 | $0 | $247,300 | $0 | $0 |
| MARY TURINA | ||||||||||||||
| VICE PRESIDENT | $0 | $166,205 | $0 | $0 | $0 | $4,784 | $0 | $20,784 | $0 | $22,196 | $0 | $213,969 | $0 | $0 |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp |
Books And Publications BooksAndPublicationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $100 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenuesTxt |
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $88,446 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 14 | ContributionCnt |
| Noncash Contributions Rpt F990 | $80,996 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | AVERAGE MARKET | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 13 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,681 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $4,384 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | AUCTION ITEMS | Desc |
| Contribution | 280 | ContributionCnt |
| Noncash Contributions Rpt F990 | $112,300 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (true) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 32B | THE ORGANIZATION PARTNERS WITH VOLUNTEERS OF AMERICA FOR THE COLLECTION AND SALE OF GIFTS OF AUTOMOBILES. THE ORGANIZATION ALSO ENGAGES THE SERVICES OF REAL ESTATE AGENTS WHEN SELLING GIFTS OF REAL PROPERTY. THE ORGANIZATION USES STOCK BROKERS TO PROCESS AND SELL SECURITIES. THE SERVICES OF MARKETING FIRMS IN THE SOLICITATION OF PLANNED GIFTS IS ALSO USED. |
| SCHEDULE M, PART I, COLUMN (B) | THE FOUNDATION IS REPORTING A COMBINATION OF METHODS - THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PROGRAM SERVICES | FORM 990, PART III, LINE 4A Doernbecher Children's Hospital Foundation is a 501(c)(3) organization that exists to solicit private philanthropic support for Doernbecher Children's Hospital and to invest and manage gifts to honor donors' wishes. Each year the commitment and generosity of thousands of donors - individuals, companies, foundations and organizations - help provide innovative health care, educate tomorrow's pediatric experts, and support pioneering research to benefit children in Oregon, southwest Washington and beyond. Among other accomplishments during the 2013-2014 fiscal year, the Doernbecher Foundation: 1) Ensured the best care in pediatric neurosurgery with an estate gift of more than $4 million from Mario Campagna, M.D. '51 and Edie Campagna, who established multiple endowed funds benefiting pediatric neurological surgery at OHSU. 2) Raised over $1 million from Doernbecher Freestyle, a partnership with Oregon-based Nike, Inc. Celebrating its tenth year, this innovative program gives select Doernbecher patients the opportunity to design unique athletic shoes. This year's shoes were marketed nationally, with proceeds, including funds raised during an annual unveiling/auction event, benefiting pediatric cancer programs at Doernbecher. 3) Raised more than $600,000 at the 15th Annual Heart of Doernbecher Auction to support the Doernbecher Neonatal Care Center. 4) Received almost $500,000 from credit unions in Oregon and Southwest Washington to support the Doernbecher Neonatal Care Center. 5) As a result of this and other generous gifts, the foundation was able to transfer more than $12 million to Doernbecher - to help support clinical operations, capital projects (including $2.6 million for the purchase and installation of inter-operative MRI equipment), research, instruction, academic support and public service. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, LINE 11B The VP - Chief Financial Strategist and the Controller review the final Form 990, which is prepared by an outside accounting firm from work papers prepared by foundation staff. The form 990 is then provided to the foundation finance and audit committee. The finance and audit committee reviews and approves the draft form. The form 990 is provided to the entire Board of Directors. The VP - Chief Financial Strategist reviews and signs the return before it is filed. To protect the privacy of our donors, Schedule B is redacted from the draft 990 that was reviewed by the finance and audit committee and provided to the Board of Directors. |
| EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS | FORM 990, PART VI, LINE 12C AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND STATEMENT TO SIGN ARE PROVIDED TO EACH COVERED PERSON TO DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. COVERED PERSONS INCLUDE ANY CURRENT AND FORMER OFFICER, DIRECTOR, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, HIGHEST COMPENSATED EMPLOYEES, OR KEY EMPLOYEE, ANY OF WHOM HELD THE NAMED POSITION WITHIN FIVE YEARS FROM DATE THE POSITION TERMINATED. EACH RESPONDENT IS ASKED TO SIGN A DISCLOSURE STATEMENT WHICH AFFIRMS THAT THEY HAVE RECEIVED A COPY OF THE POLICY, HAVE READ AND UNDERSTAND THE POLICY, HAVE AGREED TO COMPLY WITH THE POLICY, AND HAVE RESPONDED TO THE QUESTIONNAIRE TO THE BEST OF THEIR ABILITY. THE COMPLETED QUESTIONNAIRE WILL BE PROVIDED TO THE EXECUTIVE COMMITTEE PRIOR TO JUNE 30 OF EACH YEAR. AFTER REVIEWING THE DISCLOSURE STATEMENTS AS WELL AS ANY OTHER POTENTIAL OR REAL CONFLICTS OF INTEREST THAT ARE IDENTIFIED, THE EXECUTIVE COMMITTEE SHALL NOTIFY THE OHSU FOUNDATION VICE PRESIDENT-CHIEF FINANCIAL STRATEGIST OF ANY POSITIVE RESPONSES TO ANY QUESTIONS ON THE DISCLOSURE STATEMENT; AND WILL FOLLOW UP WITH RESPECT TO ANY OTHER DISCLOSURES THAT INDICATE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. THIS MAY INCLUDE, BUT NOT LIMITED TO, ASKING THE PERSON NOT TO PARTICIPATE IN RELATED DECISIONS OR RECOMMENDING APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION TO THE FOUNDATION EXECUTIVE DIRECTOR AND/OR THE PRESIDENT OF THE BOARD OF DIRECTORS FOR THE DOERNBECHER FOUNDATION. AS POTENTIAL CONFLICTS OF INTEREST ARE IDENTIFIED THROUGHOUT THE COURSE OF A YEAR, EACH RESPONDENT HAS AN OBLIGATION TO ADVISE THE EXECUTIVE COMMITTEE IN WRITING OF THE EXISTENCE OF ANY SUCH REAL OR POTENTIAL CONFLICT OF INTEREST. A RESPONDENT MAY MAKE A PRESENTATION AT THE EXECUTIVE COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT CREATES THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST. THE EXECUTIVE COMMITTEE SHALL DETERMINE TO ITS SATISFACTION WHETHER THE FOUNDATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE EXECUTIVE COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED COMMITTEE MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE FOUNDATION'S BEST INTEREST AND WHETHER THE TRANSACTION IS FAIR TO THE FOUNDATION, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. THE EXECUTIVE COMMITTEE WILL INFORM THE RESPONDENT, IN WRITING, OF ITS DECISION. IF THE EXECUTIVE COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A RESPONDENT HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL INFORM THE RESPONDENT OF THE BASIS FOR SUCH BELIEF AND AFFORD THE RESPONDENT AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE RESPONDENT AND MAKING FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE EXECUTIVE COMMITTEE DETERMINES THAT THE RESPONDENT HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL RECOMMEND APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION TO THE FOUNDATION EXECUTIVE DIRECTOR AND/OR THE PRESIDENT OF THE BOARD OF DIRECTORS FOR THE DOERNBECHER FOUNDATION. |
| PROCESS FOR DETERMINING COMPENSATION | FORM 990, PART VI, LINES 15A & 15B OREGON HEALTH & SCIENCE UNIVERSITY FOUNDATION (OHSUF) AND DOERNBECHER CHILDREN'S HOSPITAL FOUNDATION (DCHF) HAVE A SHARED SERVICES AGREEMENT WHEREBY OHSUF PROVIDES DCHF WITH MANAGEMENT, STAFFING, FACILITIES AND OTHER SERVICES. THE FOLLOWING IS THE PROCESS THAT DCHF FOLLOWS TO DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR: 1. REVIEW AND APPROVAL BY A GOVERNING BODY - THE EXECUTIVE COMMITTEE, WHOSE MEMBERS ARE TO INCLUDE BUT NOT BE LIMITED TO THE BOARD CHAIR, IMMEDIATE PAST CHAIR, AND FINANCE CHAIR, REVIEWS THE DOCUMENTATION FOR APPROVAL PRIOR TO THE PRESENTATION OF THE BUDGET AT THE JUNE BOARD MEETING. 2. USE OF DATA AS TO COMPARABLE COMPENSATION - FOR THE EXECUTIVE DIRECTOR POSITION, COMPARABILITY DATA IS GATHERED FROM ANY OF THE FOLLOWING SOURCES: INDUSTRY SURVEYS, DOCUMENTED COMPENSATION OF PERSONS HOLDING SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS, EXPERT COMPENSATION STUDIES, OR OTHER COMPARABLE DATA. FOR EACH TIME THERE IS A MATERIAL CHANGE TO THE SALARY RANGE OR COMPENSATION PACKAGE, NEW DATA IS GATHERED AND NEW DOCUMENTATION IS CREATED. 3. CONTEMPORANEOUS DOCUMENTATION REGARDING DECISIONS - ALL DOCUMENTATION ON FINAL DECISIONS MADE BY THE EXECUTIVE COMMITTEE IS KEPT ON RECORD IN OHSUF'S HUMAN RESOURCES DEPARTMENT. 4. THE EXECUTIVE DIRECTOR'S SALARY WAS REVIEWED IN MARCH 2014. PROCESS OF DETERMINING COMPENSATION FOR OHSUF EMPLOYEES: A COMPENSATION COMMITTEE IS COMPOSED OF REPRESENTATIVES OF OHSU FOUNDATION BOARD OF TRUSTEES WITH MEMBERS TO INCLUDE BUT NOT LIMITED TO THE BOARD CHAIR, IMMEDIATE PAST CHAIR, AND FINANCE CHAIR. THE COMPENSATION COMMITTEE REVIEWS THE DOCUMENTATION FOR APPROVAL PRIOR TO THE PRESENTATION OF THE BUDGET AT THE JUNE BOARD MEETING. FOR EACH POSITION SUBJECT TO REVIEW, COMPARABILITY DATA IS GATHERED FROM ANY OF THE FOLLOWING SOURCES: INDUSTRY SURVEYS, DOCUMENTED COMPENSATION OF PERSONS HOLDING SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS, EXPERT COMPENSATION STUDIES, OR OTHER COMPARABLE DATA. FOR EACH TIME THERE IS A MATERIAL CHANGE TO THE SALARY RANGE OR COMPENSATION PACKAGE OF THE AFFECTED POSITION AND/OR PERSON IN THAT POSITION, NEW DATA IS GATHERED AND NEW DOCUMENTATION IS CREATED. ANNUAL COST-OF-LIVING INCREASES, BASED ON GOVERNMENT COST-OF-LIVING FIGURES, WOULD NOT NECESSITATE NEW DOCUMENTATION. ALL DOCUMENTATION ON FINAL DECISIONS INCLUDING DELIBERATIONS MADE BY THE BY THE COMPENSATION COMMITTEE IS KEPT ON RECORD IN THE OHSU FOUNDATION HUMAN RESOURCE DEPARTMENT. THIS PROCESS WAS LAST UNDERTAKEN FOR THE INTERIM PRESIDENT IN APRIL 2013. |
| OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE | FORM 990, PART VI, LINE 19 WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTIONS, LIMITED INFORMATION ON THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS IS AVAILABLE AT THE ORGANIZATION'S WEBSITE. THIS INFORMATION IS NOT READILY AVAILABLE FOR THE GENERAL PUBLIC AND REQUESTS FOR THIS INFORMATION ARE ASSESSED ON A CASE BY CASE BASIS BY THE RELEVANT FOUNDATION EMPLOYEE BEFORE DISCLOSURE. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 9 CHANGE IN VALUE OF LIFE INCOME AGREEMENTS $98,629 --------- TOTAL $98,629 |
| BUSINESS OR FAMILY RELATIONSHIPS | FORM 990, PART VI, LINE 2 CAROL EHLEN HAS A FAMILY RELATIONSHIP WITH NICHOLAS EHLEN. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Exempt Code SectionExemptCodeSectionTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| OREGON HEALTH AND SCIENCE UNIVERSITY | ||||||||||
| 3181 SW SAM JACKSON PARK ROAD | PORTLAND | OR | 97239 | 931176109 | HOSP & UNIV | OR | N/A | NA | false | |
| DOERNBECHER CHILDREN'S HOSPITAL GROUP | ||||||||||
| 1121 SW SALMON STREET 100 | PORTLAND | OR | 97205 | 931329815 | FUNDRAISING | OR | 7 | DCHF | Yes (true) | 501(C)(3) |
| OREGON HEALTH & SCIENCE UNIVERSITY FDN | ||||||||||
| 1121 SW SALMON STREET 100 | PORTLAND | OR | 97205 | 237083114 | FUNDRAISING | OR | 5 | NA | false | 501(C)(3) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARITABLE REMAINDER TRUST (8) | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | CRT | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OHSUF | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | TRUST | EntityTypeTxt |
| Share Of EOY Assets | $1,278,382 | ShareOfEOYAssetsAmt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| OREGON HEALTH AND SCIENCE UNIVERSITY | ||
| B | $12,653,097 | CASH PAID |
| DOERNBECHER CHILDREN'S HOSPITAL GROUP | ||
| C | $126,395 | CASH PAID |
Comments