DOERNBECHER CHILDREN'S HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DOERNBECHER CHILDREN'S HOSPITAL (EIN 93-0579589)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-04-24
IRS object ID
201431149349300423
Schema version
2012v2.3
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

FieldValueIRS element (for citing)
Timestamp2014-04-24T13:32:21-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11918 Eighth Avenue Suite 2900AddressLine1
CitySeattleCity
StateWAState
ZIP Code98101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930579589EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DOERNBECHER CHILDREN'S HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MARY TURINA VP&CHIEF FIN STInCareOfName
Name ControlDOERNameControl
Phone5032281730Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11121 SW SALMON STREET 100AddressLine1
Address Line2SuiteAddressLine2
CityPORTLANDCity
StateORState
ZIP Code972052021ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARY TURNIAName
TitleVP & CHIEF FIN STRATEGISTTitle
Phone5032281730Phone
Date Signed2014-04-22DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2069134000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY TURINANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11121 SW SALMON STREET 100AddressLine1
CityPORTLANDCity
StateORState
ZIP Code972052021ZIPCode
FieldValueIRS element (for citing)
Gross Receipts41238341GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DOERNBECHERFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1924YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionDOERNBECHER CHILDREN'S HOSPITAL FOUNDATION IS A NONPROFIT ORGANIZATION ESTABLISHED IN 1924 THAT EXISTS TO SECURE PRIVATE PHILANTHROPIC SUPPORT FOR DOERNBECHER CHILDREN'S HOSPITAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body30NbrVotingMembersGoverningBody
Nbr Independent Voting Members28NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers350TotalNbrVolunteers
Total Gross UBI57586TotalGrossUBI
Net Unrelated Business Txbl Income-34092NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9640829ContributionsGrantsPriorYear
Contributions Grants Current Year15174469ContributionsGrantsCurrentYear
Program Service Revenue Prior Year71397ProgramServiceRevenuePriorYear
Program Service Revenue CY103575ProgramServiceRevenueCY
Investment Income Prior Year1064636InvestmentIncomePriorYear
Investment Income Current Year829280InvestmentIncomeCurrentYear
Other Revenue Prior Year171672OtherRevenuePriorYear
Other Revenue Current Year-126306OtherRevenueCurrentYear
Total Revenue Prior Year10948534TotalRevenuePriorYear
Total Revenue Current Year15981018TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6742542GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10976444GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1912989TotalFundrsngExpCurrentYear
Other Expense Prior Year2979665OtherExpensePriorYear
Other Expenses Current Year3247704OtherExpensesCurrentYear
Total Expenses Prior Year9722207TotalExpensesPriorYear
Total Expenses Current Year14224148TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1226327RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1756870RevenuesLessExpensesCY
Total Assets BOY49578599TotalAssetsBOY
Total Assets EOY52861970TotalAssetsEOY
Total Liabilities BOY4059587TotalLiabilitiesBOY
Total Liabilities EOY4205901TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY45519012NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY48656069NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionDOERNBECHER CHILDREN'S HOSPITAL FOUNDATION IS A NONPROFIT ORGANIZATION ESTABLISHED IN 1924 THAT EXISTS TO SECURE PRIVATE PHILANTHROPIC SUPPORT FOR DOERNBECHER CHILDREN'S HOSPITAL.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11055965Expense
Grants10976444Grants
Revenue103575Revenue
DescriptionCONTRIBUTIONS, 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.Description
Total Program Service Expense11055965TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundstrueDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryUKNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members30NbrVotingGoverningBodyMembers
Number Independent Voting Members28NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARY TURINA VPCHIEF FIN STNamePerson
Telephone Number5032281730TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11121 SW SALMON STREET SUITE 100AddressLine1
CityPORTLANDCity
StateORState
ZIP Code97205ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RONALD G BRAKE
IMMEDIATE PAST PRESIDENT1.00.0XX000
DIRK T DAVIS
EXECUTIVE VICE PRESIDENT1.00.0XX000
KELLY J JOHNSON
PRESIDENT1.00.0XX000
ROGER W MILLS
VICE PRESIDENT FINANCE1.00.0XX000
DEBORAH J WILSON
SECRETARY1.00.0XX000
DONALD MANTONUCCI
DIRECTOR1.00.0X000
NATHAN M AYOTTE
DIRECTOR1.00.0X000
NATHAN J BAILEY
DIRECTOR1.00.0X000
MARGARET F BISHOP
DIRECTOR1.00.0X000
JEFF M BORLAUG
DIRECTOR1.00.0X000
PATRICK C CLARK
DIRECTOR1.00.0X000
KEVIN M DIRECTOR
DIRECTOR1.00.0X000
MICHAEL F DOHERTY
DIRECTOR1.00.0X000
CAROL K EHLEN
DIRECTOR1.00.0X000
ALLYN C FORD
DIRECTOR1.00.0X000
TERRY J GROVER
DIRECTOR1.00.0X000
SIOUXSIE C JENNETT
DIRECTOR1.00.0X000
BRUCE E KERR
DIRECTOR1.00.0X000
MITCHELL W MACK
DIRECTOR1.00.0X000
CATHERINE L MCCOY
DIRECTOR1.00.0X000
ERIC R MEIER
DIRECTOR1.00.0X000
HENRY S NICHOLSON MD
DIRECTOR1.040.0X039058541198
ANDREW J OVER
DIRECTOR1.00.0X000
JOSEPH E ROBERTSON MD
DIRECTOR1.040.0X01497317128616
PATRICIA E SMITH
DIRECTOR1.00.0X000
BRYAN L TIMM
DIRECTOR1.00.0X000
SOHRAB S VOSSOUGHI
DIRECTOR1.00.0X000
J C WESSEL
DIRECTOR1.00.0X000
RICHARD L WRIGHT
DIRECTOR1.00.0X000
CANDACE D YOUNG
DIRECTOR1.00.0X000
LORI MUELLER
VICE PRESIDENT40.00.0X018451145425
MARY TURINA
EXECUTIVE DIRECTOR40.00.0X016524222089
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2237655TotalReportableCompFrmRltdOrgs
Total Other Compensation237328TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNONENamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns68979FederatedCampaigns
Fundraising Events1682371FundraisingEvents
Related Organizations158375RelatedOrganizations
All Other Contributions13264744AllOtherContributions
Noncash Contributions769059NoncashContributions
Total Contributions15174469TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OUTREACH ACTIVITIES9000998232082320
PUBLIC EDUCATION9000992125521255
FieldValueIRS element (for citing)
Total Program Service Revenue103575TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column272691TotalRevenueColumn
Exclusion$272,691ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Exclusion$0ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities19929082Securities
Other5563414Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities19480312Securities
Other5455595Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities448770Securities
Other107819Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column556589TotalRevenueColumn
Exclusion$556,589ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events137524GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1682371CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses321416FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-183892TotalRevenueColumn
Exclusion-$183,892ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionHOLIDAY CARD SALESDescription
Business Code453220BusinessCode
Total Revenue Column57586TotalRevenueColumn
Unrelated Business Revenue57586UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue57586TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15981018TotalRevenueColumn
Related Or Exempt Function Income103575RelatedOrExemptFunctionIncome
Unrelated Business Revenue57586UnrelatedBusinessRevenue
Exclusion$645,388ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10976444Total
Program Services10976444ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total11633Total
Program Services56ProgramServices
Management And General638ManagementAndGeneral
Fundraising10939Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total76930Total
Program Services6231ProgramServices
Management And General70699ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total68484Total
Program Services1151ProgramServices
Management And General13056ManagementAndGeneral
Fundraising54277Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total150604Total
Fundraising150604Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total50919Total
Program Services1169ProgramServices
Management And General13258ManagementAndGeneral
Fundraising36492Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total757Total
Program Services10ProgramServices
Management And General116ManagementAndGeneral
Fundraising631Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total72111Total
Fundraising72111Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total24569Total
Program Services345ProgramServices
Management And General3920ManagementAndGeneral
Fundraising20304Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4006Total
Management And General2ManagementAndGeneral
Fundraising4004Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4518Total
Program Services366ProgramServices
Management And General4152ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total21476Total
Program Services1740ProgramServices
Management And General19736ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTRACTED STAFF78315217084193829572239
DONOR CULTIVATION218005218005
MANAGEMENT & ADMIN FEE119135648390549012593954
MEMBERSHIP FEES1246492683043121338

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total444535Total
Program Services2711ProgramServices
Management And General383733ManagementAndGeneral
Fundraising58091Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14224148Total
Program Services11055965ProgramServices
Management And General1255194ManagementAndGeneral
Fundraising1912989Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY161140BOY
EOY159101EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY757025BOY
EOY256359EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1287863BOY
EOY1389442EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY740562BOY
EOY844014EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY122713BOY
EOY110092EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14299BOY
EOY39592EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis32285LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24383LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12421BOY
EOY7902EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY34381808BOY
EOY39254177EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY12074671BOY
EOY10784907EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26097BOY
EOY16384EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY49578599BOY
EOY52861970EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY158480BOY
EOY65948EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3901107BOY
EOY4139953EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4059587BOY
EOY4205901EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY31616004BOY
EOY34156142EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY12421BOY
EOY7902EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY13890587BOY
EOY14492025EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY45519012BOY
EOY48656069EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49578599BOY
EOY52861970EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1756870ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1515970ReconciliationUnrealizedInvest
Reconcilation Invest Expenses-286233ReconcilationInvestExpenses
Reconcilation Other Changes150450ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
College Support Org170b1 AivXCollegeSupportOrg170b1Aiv

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11075231CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9799044CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13737614CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9640829CurrentTaxYearMinus1Year
Current Tax Year15174469CurrentTaxYear
Total59427187Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11075231CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9799044CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13737614CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9640829CurrentTaxYearMinus1Year
Current Tax Year15174469CurrentTaxYear
Total59427187Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total4042944AmountsSubstContributorsTotal
Public Support Total17055384243PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years172588CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years341832CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years450513CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year510491CurrentTaxYearMinus1Year
Current Tax Year272691CurrentTaxYear
Total1748115Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years237652CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years161927CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years144758CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year262816CurrentTaxYearMinus1Year
Current Tax Year137524CurrentTaxYear
Total944677Total
FieldValueIRS element (for citing)
Total Support62119979TotalSupport
Gross Receipts From Admissions Etc199619GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.89157PublicSupportPertcentage170
Public Support Pertcent Prior Year0.88710PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Number DA Fs Held1NumberDAFsHeld
Donor Advised Contributions989DonorAdvisedContributions
Aggregate DAF Value137661AggregateDAFValue
Disclosed Orgs Legal ControltrueDisclosedOrgsLegalControl
Disclosed For Charitable PurposestrueDisclosedForCharitablePurposes
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance22072371BeginningOfYearBalance
Contributions844824Contributions
Investment Earnings Or Losses1941385InvestmentEarningsOrLosses
Grants Or Scholarships10110GrantsOrScholarships
Other Expenditures976215OtherExpenditures
Administrative Expenses253970AdministrativeExpenses
End Of Year Balance23618285EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance22126772BeginningOfYearBalance
Contributions1606964Contributions
Investment Earnings Or Losses-440654InvestmentEarningsOrLosses
Grants Or Scholarships9273GrantsOrScholarships
Other Expenditures881909OtherExpenditures
Administrative Expenses329528AdministrativeExpenses
End Of Year Balance22072372EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance19101403BeginningOfYearBalance
Contributions562118Contributions
Investment Earnings Or Losses3694025InvestmentEarningsOrLosses
Grants Or Scholarships9453GrantsOrScholarships
Other Expenditures894483OtherExpenditures
Administrative Expenses326838AdministrativeExpenses
End Of Year Balance22126772EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15804093BeginningOfYearBalance
Contributions2627373Contributions
Investment Earnings Or Losses1769021InvestmentEarningsOrLosses
Grants Or Scholarships10128GrantsOrScholarships
Other Expenditures884440OtherExpenditures
Administrative Expenses204516AdministrativeExpenses
End Of Year Balance19101403EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20902325BeginningOfYearBalance
Contributions657043Contributions
Investment Earnings Or Losses-4609052InvestmentEarningsOrLosses
Grants Or Scholarships10419GrantsOrScholarships
Other Expenditures899161OtherExpenditures
Administrative Expenses236643AdministrativeExpenses
End Of Year Balance15804093EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.30750BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.68000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.01250TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis32285OtherCostOrOtherBasis
Depreciation24383Depreciation
Book Value7902BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7902TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER INVESTMENTSDescription
Book Value10784907BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities10784907TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO OHSU- PROGRAM SUPPORT$1,823,030
DUE TO OTHER INSTITUTIONS$150,043
LIABILITY FOR LIFE INCOME AGREEMENTS$2,166,880
FieldValueIRS element (for citing)
Total Of Amounts4139953TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt17379648TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1515970NetUnrealizedGainsInvestments
Other Revenues150450OtherRevenues
Revenue Not Rptd F9901666420RevenueNotRptdF990
Revenue Subtotal15713228RevenueSubtotal
Other Revenues Not Included267790OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt267790RevenueNotRptdOnFinStmt
Total Revenue Per Form99015981018TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14242591TotExpensesEtcAuditedFinclStmt
Expenses Subtotal14242591ExpensesSubtotal
Investment Expenses Not Included2-286233InvestmentExpensesNotIncluded2
Other Expenses Not Included267790OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-18443ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014224148TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF ENDOWMENT FUNDPART V, LINE 4AN 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.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESSCHEDULE D, PART XI, LINE 2DCHANGE IN VALUE OF LIFE INCOME AGREEMENTS..........$150,450
REVENUE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTSSCHEDULE D, PART XI, LINE 4BRECLASS SPECIAL EVENT EXPENSE....... ($321,416) RECLASS INVESTMENT EXPENSE.......... $286,233 RECLASS OTHER NONOPERATING REVENUE.. $302,973 --------- TOTAL REVENUE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTS........ $267,790
EXPENSE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTSSCHEDULE D, PART XII, LINE 4BRECLASS SPECIAL EVENT EXPENSE....... ($321,416) RECLASS INVESTMENT FEES............. $286,233 RECLASS OTHER NONOPERATING REVENUE.. $302,973 --------- TOTAL REVENUE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTS........ $267,790

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualNONENameOfIndividual
Fundraiser Control Of FundsfalseFundraiserControlOfFunds

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1NIKE FREESTYLENameOfEvent1
Gross Receipts Event11238342GrossReceiptsEvent1
Charitable Contributions Event11221783CharitableContributionsEvent1
Gross Revenue Event116559GrossRevenueEvent1
Other Direct Expenses Event1150211OtherDirectExpensesEvent1
Name Of Event2HEART OF DCHNameOfEvent2
Gross Receipts Event2507411GrossReceiptsEvent2
Charitable Contributions Event2387312CharitableContributionsEvent2
Gross Revenue Event2120099GrossRevenueEvent2
Other Direct Expenses Event2144114OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events74142GrossReceiptsOtherEvents
Charitable Contrib Other Events73276CharitableContribOtherEvents
Gross Revenue Other Events866GrossRevenueOtherEvents
Other Direct Expenses Other Events27091OtherDirectExpensesOtherEvents
Gross Receipts Total1819895GrossReceiptsTotal
Charitable Contributions Total1682371CharitableContributionsTotal
Gross Revenue Total Events137524GrossRevenueTotalEvents
Other Direct Expenses Total Events321416OtherDirectExpensesTotalEvents
Direct Expense Summary Events321416DirectExpenseSummaryEvents
Net Income Summary-183892NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RD PORTLANDPORTLANDOR97239931176109OHSU23231849295FMVSCHOOL SUPPLIESRESEARCH
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RD PORTLANDPORTLANDOR97239931176109OHSU516728N/AN/AACADEMIC SUPPORT
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RD PORTLANDPORTLANDOR97239931176109OSHU211698N/AN/ACAPITAL PROJECTS AND PLANNING
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RD PORTLANDPORTLANDOR97239931176109OHSU7144967107035FMVSCHOOL SUPPLIESCLINICAL SUPPORT
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RD PORTLANDPORTLANDOR97239931176109OHSU681575N/AN/AINSTRUCTION,SUPPORT,PUBLIC SERVICE
THE CHILDREN'S COURSE
19825 RIVER ROADGLADSONOR97027931212530501(c)(3)9059N/AN/AORGANIZATION SUPPORT
HEARING & SPEECH INSTITUTE INC
1675 SW MARLOW AVENUE 200PORTLANDOR97211930257642501(c)(3)17903N/AN/AORGANIZATION SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPART I, LINE 2 - GRANTMAKER'S DESCRIPTION OF HOW GRANTS ARE USEDIdentifier
ExplanationTRANSFERS 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
HENRY S NICHOLSON MD
DIRECTOR0382028085570004000001198043178300
JOSEPH E ROBERTSON MD
DIRECTOR0126824701822230468470126000026160162593300
LORI MUELLER
VICE PRESIDENT01808360367500022836022589022993600
MARY TURINA
EXECUTIVE DIRECTOR0162396028460000022089018733100

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990505NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990112779NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions16NumberOfContributions
Noncash Contribs Rptd F990482059NoncashContribsRptdF990
Method Of Determining RevenuesAVERAGE MARKETMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions29NumberOfContributions
Noncash Contribs Rptd F99030188NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990764NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XAUCTION ITEMS271133324COMPARABLE SALES
XMEDICAL EQUIPMENT29440COMPARABLE SALES
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
HIRE AND USE OF THIRD PARTIESSCHEDULE M, PART I, LINE 32BTHE 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.
ADDITIONAL INFORMATIONSCHEDULE 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

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICESFORM 990, PART III, LINE 4ADOERNBECHER CHILDREN'S HOSPITAL FOUNDATION IS A 501C(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 - HELPS 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 2012-2013 FISCAL YEAR, THE DOERNBECHER FOUNDATION: 1) RAISED $1,238,342 IN THE 2012-13 FISCAL PERIOD FROM DOERNBECHER FREESTYLE, A PARTNERSHIP WITH OREGON-BASED NIKE, INC. ENTERING ITS NINTH YEAR, THIS INNOVATIVE PROGRAM GIVES SIX DOERNBECHER PATIENTS THE CHANCE TO DESIGN UNIQUE ATHLETIC SHOES. THIS YEAR'S SHOES WERE MARKETED NATIONALLY, WITH PROCEEDS, INCLUDING FUNDS RAISED DURING AN ANNUAL UNVEILING/AUCTION EVENT, BENEFITING DOERNBECHER. 2) RECEIVED MORE THAN $539,000 RAISED BY CHILDREN FROM NEARLY 100 SCHOOLS ACROSS OREGON AND SOUTHWEST WASHINGTON THROUGH THE ANNUAL KIDS MAKING MIRACLES PROGRAM. THE PROGRAM HELPS KIDS HOLD A WIDE RANGE OF FUND-RAISING EVENTS IN THEIR COMMUNITIES, INSTILLING THE VALUES OF PHILANTHROPY WHILE PROVIDING VALUABLE EXPERIENCE IN ORGANIZATION AND LEADERSHIP. 3) RAISED MORE THAN $500,000 AT THE 14TH ANNUAL HEART OF DOERNBECHER AUCTION TO SUPPORT THE DOERNBECHER NEONATAL CARE CENTER. 4) RECEIVED $455,000 FROM CREDIT UNIONS IN OREGON AND SOUTHWEST WASHINGTON TO SUPPORT THE DOERNBECHER NEONATAL CARE CENTER. 5) RECEIVED JUST OVER $2.27 MILLION IN BEQUEST GIFTS SUPPORTING A VARIETY OF PROGRAMS AND MORE THAN $1.075 MILLION IN OTHER PLANNED GIFTS.
FORM 990 REVIEW PROCESSFORM 990, PART VI, LINE 11BAN OUTSIDE ACCOUNTING FIRM PREPARES FORM 990. THE VP OF FINANCE AND THE CONTROLLER OF THE OREGON HEALTH AND SCIENCE UNIVERSITY FOUNDATION THEN REVIEW THE FINAL DRAFT OF THE FORM. THIS DRAFT IS THEN PROVIDED TO THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE AND THEN TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REVIEWS THE FORM AND UPON ITS APPROVAL, THE COMMITTEE RECOMMENDS IT TO THE BOARD FOR ACCEPTANCE AND AUTHORIZATION. THE FINAL COPY OF THE RETURN IS APPROVED BY THE VOTING BOARD. THE EXECUTIVE DIRECTOR OF THE FOUNDATION REVIEWS AND SIGNS THE RETURN BEFORE IT IS FILED. TO PROTECT THE PRIVACY OF OUR DONORS, DONOR ADDRESSES AND NAMES OF ANONYMOUS DONORS (IF ANY) WERE REDACTED FROM THE VERSION OF SCHEDULE B THAT WAS REVIEWED BY THE COMMITTEES AND THE BOARD OF DIRECTORS.
EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTSFORM 990, PART VI, LINE 12CAN 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 OF FINANCE AND ADMINISTRATION 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 COMPENSATIONFORM 990, PART VI, LINES 15A & 15BOREGON 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/VP, PEDIATRIC FUNDRAISING. 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. IF THERE ARE CHANGES TO THE MERIT BUDGET FROM THE PREVIOUS YEAR. 2. USE OF DATA AS TO COMPARABLE COMPENSATION - FOR THE EXECUTIVE DIRECTOR/VP PEDIATRIC FUNDRAISING 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 JUNE 2012. 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. IF THERE ARE CHANGES TO THE MERIT BUDGET FROM THE PREVIOUS YEAR. 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. 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 HIRING OF THE NEW PRESIDENT IN APRIL 2013.
OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLEFORM 990, PART VI, LINE 19WHILE 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 INCLUDING THE AUDITED FINANCIAL STATEMENTS. 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 ASSETSFORM 990, PART XI, LINE 9CHANGE IN VALUE OF LIFE INCOME AGREEMENTS $150,450 ------------ TOTAL $150,450

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStatePublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgExempt Code SectionExemptCodeSection
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SW SAM JACKSON PARK ROADPORTLANDOR97239931176109HOSP & UNIVORN/ANAfalse
DOERNBECHER CHILDREN'S HOSPITAL GROUP
1121 SW SALMON STREET 100PORTLANDOR97205931329815FUNDRAISINGOR7DCHFtrue501(C)(3)
OREGON HEALTH & SCIENCE UNIVERSITY FDN
1121 SW Salmon Street 100PortlandOR97205237083114FUNDRAISINGOR5NAfalse501(C)(3)

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CHARITABLE REMAINDER TRUST (8)BusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivityCRTPrimaryActivity
Legal Domicile StateORLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OHSUFBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityTRUSTTypeOfEntity
Share Of EOY Assets1183473ShareOfEOYAssets
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
OREGON HEALTH & SCIENCE UNIVERSITY
B10976444CASH PAID
DOERNBECHER CHILDREN'S HOSPITAL GROUP
C158375CASH PAID

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