DOERNBECHER CHILDREN'S HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DOERNBECHER CHILDREN'S HOSPITAL (EIN 93-0579589)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-13
IRS object ID
201321339349301717
Schema version
2011v1.5
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)
Timestamp2013-05-13T10:19:16-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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% LORI MUELLER VP FIN & ADMInCareOfName
Name ControlDOERNameControl
Phone5032281730Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMARY TURINAName
TitleEXECUTIVE DIRECTORTitle
Date Signed2013-05-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBISON SueName
Phone2069134000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts29323201GrossReceipts
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 Body34NbrVotingMembersGoverningBody
Nbr Independent Voting Members32NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers350TotalNbrVolunteers
Total Gross UBI58617TotalGrossUBI
Contributions Grants Prior Year13737614ContributionsGrantsPriorYear
Contributions Grants Current Year9640829ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16053ProgramServiceRevenuePriorYear
Program Service Revenue CY71397ProgramServiceRevenueCY
Investment Income Prior Year1440094InvestmentIncomePriorYear
Investment Income Current Year1064636InvestmentIncomeCurrentYear
Other Revenue Prior Year38310OtherRevenuePriorYear
Other Revenue Current Year171672OtherRevenueCurrentYear
Total Revenue Prior Year15232071TotalRevenuePriorYear
Total Revenue Current Year10948534TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6618624GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6742542GrantsAndSimilarAmntsCY
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 Year2045131TotalFundrsngExpCurrentYear
Other Expense Prior Year2681848OtherExpensePriorYear
Other Expenses Current Year2979665OtherExpensesCurrentYear
Total Expenses Prior Year9300472TotalExpensesPriorYear
Total Expenses Current Year9722207TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5931599RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1226327RevenuesLessExpensesCY
Total Assets BOY48770282TotalAssetsBOY
Total Assets EOY49578599TotalAssetsEOY
Total Liabilities BOY2941315TotalLiabilitiesBOY
Total Liabilities EOY4059587TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY45828967NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY45519012NetAssetsOrFundBalancesEOY
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
Expense6818241Expense
Grants6742542Grants
Revenue130014Revenue
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 Expense6818241TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 With109635NumberFormsTransmittedWith1096
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 Members34NbrVotingGoverningBodyMembers
Number Independent Voting Members32NumberIndependentVotingMembers
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 PersonLORI MUELLER VP FIN ADMNamePerson
Telephone Number5032208313TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11121 SW SALMON STREET SUITE 100AddressLine1
CityPORTLANDCity
StateORState
ZIP Code97205ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
DONALD M ANTONUCCI
DIRECTOR1.0X000
NATHAN M AYOTTE
DIRECTOR1.0X000
NATHAN J BAILEY
DIRECTOR1.0X000
JEFF M BOURLAG
DIRECTOR1.0X000
RONALD G BRAKE
DIRECTOR1.0X000
DIRK T DAVIS
EXECUTIVE VICE PRESIDENT1.0X000X
KEVIN M DIRECTOR
DIRECTOR1.0X000
MICHAEL F DOHERTY
DIRECTOR1.0X000
CAROL K EHLEN
DIRECTOR1.0X000
ALLYN C FORD
DIRECTOR1.0X000
TERRY J GROVER
DIRECTOR1.0X000
LINDA RAE HICKEY
DIRECTOR1.0X000
SIOUXSIE JENNETT
DIRECTOR1.0X000
ELIZABETH K JOHNSON
DIRECTOR1.0X000
KELLY J JOHNSON
PRESIDENT10.0X000X
BRUCE E KERR
DIRECTOR1.0X000
SEAN T KEYS
DIRECTOR1.0X000
MITCHELL W MACK
DIRECTOR1.0X000
LINDA B MALETIS
DIRECTOR1.0X000
CATHRINE L MCCOY
DIRECTOR1.0X000
ROGER W MILLS
VICE PRESIDENT FINANCE1.0X000X
HENRY S NICHOLSON MD
DIRECTOR1.0X038242841751
ANDREW J OVER
DIRECTOR1.0X000
SHIRLEY N PAP
DIRECTOR1.0X000
GERALD E RESER
DIRECTOR1.0X000
JOSEPH E ROBERTSON MD
DIRECTOR1.0X01223542102650
PATRICIA E SMITH
DIRECTOR1.0X000
TODD R STUCKY
DIRECTOR1.0X000
BRYAN L TIMM
DIRECTOR1.0X000
SOHRAB S VOSSOUGHI
DIRECTOR1.0X000
J C WESSEL
DIRECTOR1.0X000
DJ WILSON
SECRETARY1.0X000X
RICHARD L WRIGHT JR
DIRECTOR1.0X000
CANDACE D YOUNG PhD
DIRECTOR1.0X000
LORI MUELLER
VICE PRESIDENT40.0174108043382X
MARY TURINA
EXECUTIVE DIRECTOR40.011292006875X
SUSAN NICOL
EXECUTIVE DIRECTOR40.0206529031955X
FieldValueIRS element (for citing)
Total Reportable Comp From Org493557TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1605970TotalReportableCompFrmRltdOrgs
Total Other Compensation226613TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns65225FederatedCampaigns
Fundraising Events1781206FundraisingEvents
All Other Contributions7794398AllOtherContributions
Noncash Contributions327685NoncashContributions
Total Contributions9640829TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OUTREACH ACTIVITIES9000994999649996
PUBLIC EDUCATION9000992140121401
FieldValueIRS element (for citing)
Total Program Service Revenue71397TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column510491TotalRevenueColumn
Exclusion$510,491ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13735164Securities
Other5043888Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13332583Securities
Other4892323Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities402581Securities
Other151565Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column554145TotalRevenueColumn
Exclusion$554,145ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events262816GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1781206CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses149761FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column113055TotalRevenueColumn
Exclusion$113,055ExclusionAmount

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 Column58617TotalRevenueColumn
Unrelated Business Revenue58617UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue58617TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10948534TotalRevenueColumn
Related Or Exempt Function Income71397RelatedOrExemptFunctionIncome
Unrelated Business Revenue58617UnrelatedBusinessRevenue
Exclusion$1,177,691ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6742542Total
Program Services6742542ProgramServices

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)
Total1040Total
Program Services40ProgramServices
Management And General458ManagementAndGeneral
Fundraising542Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total89000Total
Program Services7209ProgramServices
Management And General81791ManagementAndGeneral

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)
Total158836Total
Program Services259ProgramServices
Management And General2940ManagementAndGeneral
Fundraising155637Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total15934Total
Fundraising15934Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total49665Total
Program Services989ProgramServices
Management And General11222ManagementAndGeneral
Fundraising37454Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1067Total
Fundraising1067Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total69179Total
Fundraising69179Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total26041Total
Program Services123ProgramServices
Management And General1396ManagementAndGeneral
Fundraising24522Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6168Total
Program Services18ProgramServices
Management And General207ManagementAndGeneral
Fundraising5943Fundraising

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)
Total20716Total
Program Services1625ProgramServices
Management And General18431ManagementAndGeneral
Fundraising660Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTRACTED STAFF85058216422186325647835
DONOR CULTIVATION166753166753
MANAGEMENT & ADMIN FEE73339112524142070578797
MEMBERSHIP FEES1437746076887136280

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total643001Total
Program Services35517ProgramServices
Management And General402956ManagementAndGeneral
Fundraising204528Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9722207Total
Program Services6818241ProgramServices
Management And General858835ManagementAndGeneral
Fundraising2045131Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY280094BOY
EOY161140EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1700599BOY
EOY757025EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1995215BOY
EOY1287863EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY684616BOY
EOY740562EOY

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)
BOY177199BOY
EOY122713EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2500BOY
EOY14299EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis43431LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec31010LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16939BOY
EOY12421EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY32033271BOY
EOY34381808EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY11849198BOY
EOY12074671EOY

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)
BOY30651BOY
EOY26097EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY48770282BOY
EOY49578599EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY491245BOY
EOY158480EOY

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)
BOY2450070BOY
EOY3901107EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2941315BOY
EOY4059587EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY31840392BOY
EOY31616004EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY16939BOY
EOY12421EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY13971636BOY
EOY13890587EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY45828967BOY
EOY45519012EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY48770282BOY
EOY49578599EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1226327ReconcilationRevenueExpenses
Reconcilation Other Changes-1536282ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years13543219CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11075231CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9799074CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13737614CurrentTaxYearMinus1Year
Current Tax Year9676162CurrentTaxYear
Total57831300Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13543219CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11075231CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9799074CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13737614CurrentTaxYearMinus1Year
Current Tax Year9676162CurrentTaxYear
Total57831300Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total4518450AmountsSubstContributorsTotal
Public Support Total17053312850PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years410252CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years172588CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years341832CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year450513CurrentTaxYearMinus1Year
Current Tax Year510491CurrentTaxYear
Total1885676Total

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 Years183980CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87077CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year113055CurrentTaxYear
Total384112Total
FieldValueIRS element (for citing)
Total Support60101088TotalSupport
Gross Receipts From Admissions Etc130014GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.88705PublicSupportPertcentage170
Public Support Pertcent Prior Year0.86470PublicSupportPertcentPriorYear
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 Contributions14589DonorAdvisedContributions
Grants Paid From Donor Funds9497GrantsPaidFromDonorFunds
Aggregate DAF Value134694AggregateDAFValue
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 Balance22126772BeginningOfYearBalance
Contributions1606964Contributions
Investment Earnings Or Losses-440654InvestmentEarningsOrLosses
Grants Or Scholarships9273GrantsOrScholarships
Other Expenditures881909OtherExpenditures
Administrative Expenses329528AdministrativeExpenses
End Of Year Balance22072372EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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 Balance0.30730BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.67980PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.01290TermEndowmentEOYBalance
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 Basis43431OtherCostOrOtherBasis
Depreciation31010Depreciation
Book Value12421BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12421TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER INVESTMENTSDescription
Book Value12074671BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities12074671TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO OHSU-PROGRAM SUPPORT$1,873,384
DUE TO OTHER INSTITUTIONS$136,861
LIABILITY FOR LIFE INCOME AGREEMENT$1,890,862
FieldValueIRS element (for citing)
Total Of Amounts3901107TotalOfAmounts
Total Revenue10948534TotalRevenue
Total Expenses9722207TotalExpenses
Excess Or Deficit For Year1226327ExcessOrDeficitForYear
Net Unrealized GL On Investments-1152507NetUnrealizedGLOnInvestments
Investment Expenses-355470InvestmentExpenses
Other-$28,306OtherAmount
Total Adjustments-1536283TotalAdjustments
Excess Or Deficit Per FS-309956ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9206993TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1152507NetUnrealizedGainsInvestments
Other Revenues-28305OtherRevenues
Revenue Not Rptd F990-1180812RevenueNotRptdF990
Revenue Subtotal10387805RevenueSubtotal
Other Revenues Not Included590730OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt590730RevenueNotRptdOnFinStmt
Total Revenue Per Form99010978535TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9516948TotExpensesEtcAuditedFinclStmt
Expenses Subtotal9516948ExpensesSubtotal
Investment Expenses Not Included2-355470InvestmentExpensesNotIncluded2
Other Expenses Not Included560729OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt205259ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909722207TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 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 8CHANGE IN VALUE OF LIFE INCOME AGREEMENTS..........($28,305)
OTHER REVENUE INCLUDED IN F/S BUT NOT INCLUDED ON FORM 990SCHEDULE D, PART XII, LINE 2DCHANGE IN VALUE OF LIFE INCOME AGREEMENTS..........($28,305)
REVENUE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTSSCHEDULE D, PART XII, LINE 4BRECLASS SPECIAL EVENT EXPENSE....... (149,761) RECLASS INVESTMENT EXPENSE.......... 369,901 RECLASS OTHER NONOPERATING REVENUE.. 340,590 --------- TOTAL REVENUE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTS........ 590,730
EXPENSE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTSSCHEDULE D, PART XIII, LINE 4BRECLASS SPECIAL EVENT EXPENSE....... (149,761) RECLASS INVESTMENT FEES............. 355,470 RECLASS OTHER INVESTMENT LOSSES..... 14,431 RECLASS OTHER NONOPERATING REVENUE.. 340,589 --------- TOTAL REVENUE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTS........ 560,729

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 AuctionNameOfEvent1
Gross Receipts Event1956500GrossReceiptsEvent1
Charitable Contributions Event1895979CharitableContributionsEvent1
Gross Revenue Event160521GrossRevenueEvent1
Other Direct Expenses Event188296OtherDirectExpensesEvent1
Name Of Event2Heart AuctionNameOfEvent2
Gross Receipts Event2462784GrossReceiptsEvent2
Charitable Contributions Event2295104CharitableContributionsEvent2
Gross Revenue Event2167680GrossRevenueEvent2
Other Direct Expenses Event251098OtherDirectExpensesEvent2
Total Number Of Other Events7TotalNumberOfOtherEvents
Gross Receipts Other Events614163GrossReceiptsOtherEvents
Charitable Contrib Other Events579548CharitableContribOtherEvents
Gross Revenue Other Events34615GrossRevenueOtherEvents
Other Direct Expenses Other Events10366OtherDirectExpensesOtherEvents
Gross Receipts Total2033447GrossReceiptsTotal
Charitable Contributions Total1770631CharitableContributionsTotal
Gross Revenue Total Events262816GrossRevenueTotalEvents
Other Direct Expenses Total Events149760OtherDirectExpensesTotalEvents
Direct Expense Summary Events149760DirectExpenseSummaryEvents
Net Income Summary113056NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (5 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 RDPORTLANDOR97239931176109OHSU17336390N/AN/ARESEARCH
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RDPORTLANDOR97239931176109OHSU2572800N/AN/AACADEMIC SUPPORT
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RDPORTLANDOR97239931176109OHSU250260N/AN/ACAPITAL PROJECTS
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RDPORTLANDOR97239931176109OHSU395235890461FMVchildren's suppliesCLINICAL SUPPORT
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RDPORTLANDOR97239931176109OHSU608183110928FMVchildren's suppliesINSTRUCTION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

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 PaymenttrueSeverancePayment
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)

Base 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
0369317012770034104009301658042417900
JOSEPH E ROBERTSON MD
0102356601687260312500926230100270132619200
LORI MUELLER
17410800000215280218540217490000
SUSAN NICOL
155597000509320183940135610238484000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SEVERANCE PAYMENTSSCHEDULE J, PART I, LINE 4ASUSAN NICOL, FORMER DCHF EXECUTIVE DIRECTOR, RECEIVED SEVERANCE PAYMENTS TOTALLING $96,913.
COMPENSATION FROM UNRELATED ORGANIZATIONSSCHEDULE J, PART IILORI MUELLER'S BASE COMPENSATION, DEFERRED COMPENSATION AND NONTAXABLE BENEFITS ARE PAID BY AN UNRELATED ORGANIZATION, OREGON HEALTH & SCIENCE UNIVERSITY FOUNDATION (OHSUF). OHSUF AND DOERNBECHER CHILDREN'S HOSPITAL FOUNDATION (DCHF) HAVE A SHARED SERVICES AGREEMENT WHEREBY OHSUF PROVIDES DCHF WITH MANAGEMENT, STAFFING, FACILITIES AND OTHER SERVICES. MS. MUELLER'S BASE COMPENSATION, DEFERRED COMPENSATION AND NONTAXABLE BENEFITS ARE INCLUDED IN THE SHARED SERVICES AGREEMENT FEE THAT DCHF PAYS TO OHSUF. SUSAN NICOL'S BASE COMPENSATION, DEFERRED COMPENSATION AND NONTAXABLE BENEFITS ARE PAID BY AN UNRELATED ORGANIZATION, OREGON HEALTH & SCIENCE UNIVERSITY FOUNDATION (OHSUF). OHSUF AND DOERNBECHER CHILDREN'S HOSPITAL FOUNDATION (DCHF) HAVE A SHARED SERVICES AGREEMENT WHEREBY OHSUF PROVIDES DCHF WITH MANAGEMENT, STAFFING, FACILITIES AND OTHER SERVICES. MS. NICOL'S BASE COMPENSATION, DEFERRED COMPENSATION AND NONTAXABLE BENEFITS ARE INCLUDED IN THE SHARED SERVICES AGREEMENT FEE THAT DCHF PAYS TO OHSUF. OREGON HEALTH & SCIENCE UNIVERSITY FOUNDATION, AN UNRELATED ORGANIZATION, PAID A SOCIAL CLUB FEE FOR ITS EXECUTIVE DIRECTOR. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION. 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 LAST 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. 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 COMPENSATION COMMITTEE IS KEPT ON RECORD IN THE OHSU FOUNDATION HUMAN RESOURCE DEPARTMENT. THIS PROCESS WAS LAST UNDERTAKEN FOR THE INTERIM PRESIDENT IN MAY 2012.

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 F9903531NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99064290NoncashContribsRptdF990
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 Contributions8NumberOfContributions
Noncash Contribs Rptd F990151871NoncashContribsRptdF990
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 Contributions21NumberOfContributions
Noncash Contribs Rptd F99024712NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F9901875NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionAUCTION ITEMSDescription
Number Of Contributions174NumberOfContributions
Noncash Contribs Rptd F99081406NoncashContribsRptdF990
Method Of Determining RevenuesFMV - SALES PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received1NumberOf8283Received
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 PARTIESPART 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 (43 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICESFORM 990, PART III, LINE 4ADoernbecher Children's Hospital Foundation is a 501(c)(3) organization that exists to solicit private philanthropic support for OHSU 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 2011-2012 fiscal year, the Doernbecher Foundation: 1) Supported pediatric congenital heart research at Doernbecher with a $500,000 commitment from the Alyce R. Cheatham Family Fund of the Oregon Community Foundation. The funds will benefit the work of Stephen Langley, M.B.B.S., M.D., an internationally known pediatric heart surgeon at OHSU Doernbecher Children's Hospital. 2) Raised $956,500 in the 2011-12 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. 3) Received $543,460 collectively raised for Doernbecher by children from more than 100 schools across Oregon and southwest Washington through the annual Kids Making Miracles program. Celebrating its 20th year, 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. 4) Generated more than $250,000 in pledges through the annual Doernbecher radiothon on radio station 99.5 FM "The Wolf." 5) Raised $462,784 at the 14th Annual Heart of Doernbecher Auction to support the Doernbecher Neonatal Care Center including $505,410 from credit unions in Oregon and southwest Washington.
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.
FORM 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: 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 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. 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 COMPENSATION COMMITTEE IS KEPT ON RECORD IN THE OHSU FOUNDATION HUMAN RESOURCE DEPARTMENT. THIS PROCESS WAS LAST UNDERTAKEN FOR THE INTERIM PRESIDENT IN MAY 2012.
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. 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 OR FUND BALANCESFORM 990, PART XI, LINE 5NET UNREALIZED GAIN ON INVESTMENTS...................(1,152,507) CHANGE IN VALUE OF LIFE INCOME AGREEMENT............. (28,306) INVESTMENT FEES...................................... (355,470) ----------- OTHER CHANGES IN NET ASSETS OR FUND BALANCES.........(1,536,284)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DONALD M. ANTONUCCI TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NATHAN M. AYOTTE TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NATHAN J. BAILEY TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEFF M. BOURLAG TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RONALD G. BRAKE TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DIRK T. DAVIS TITLE:EXECUTIVE VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KEVIN M. DIRECTOR TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL F. DOHERTY TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CAROL K. EHLEN TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ALLYN C. FORD TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:TERRY J. GROVER TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LINDA RAE HICKEY TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SIOUXSIE JENNETT TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ELIZABETH K. JOHNSON TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KELLY J. JOHNSON TITLE:PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BRUCE E. KERR TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SEAN T. KEYS TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MITCHELL W. MACK TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LINDA B. MALETIS TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CATHRINE L. MCCOY TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROGER W. MILLS TITLE:VICE PRESIDENT FINANCE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HENRY S. NICHOLSON, MD TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANDREW J. OVER TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SHIRLEY N. PAP TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GERALD E. RESER TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH E. ROBERTSON, MD TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PATRICIA E. SMITH TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:TODD R. STUCKY TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BRYAN L. TIMM TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SOHRAB S. VOSSOUGHI TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:J. C. WESSEL TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:D.J. WILSON TITLE:SECRETARY HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD L. WRIGHT, JR. TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CANDACE D. YOUNG, Ph.D TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LORI MUELLER TITLE:VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARY TURINA TITLE:EXECUTIVE DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SUSAN NICOL TITLE:EXECUTIVE DIRECTOR HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 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 100PORTLANDOR97205931329815FUNDRAISINGOR7NAtrue501(c)(3)

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CHARITABLE REMINDER 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 EntityTTypeOfEntity
Share Of EOY Assets1144472ShareOfEOYAssets
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
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 AND SCIENCE UNIVERSITY
B7046673CASH PAID
DOERNBECHER CHILDREN'S HOSP FOUNDATION GROUP
C241283CASH PAID

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