2013-11-13T10:25:32-06:00 2013-06-30 930418710 DELAP LLP 5885 MEADOWS ROAD NO 200 LAKE OSWEGO OR 97035 990 2012-07-01 930621534 DOVELEWIS EMERGENCY ANIMAL HOSPITAL DOVE 5032287281 1945 NW PETTYGROVE PORTLAND OR 97209 RON MORGAN 5032287281 2013-11-08 1 ALLEN H HARPER P00217332 5036974118 2012 2016-02-24 21:20:13Z RON MORGAN 1945 NW PETTYGROVE PORTLAND OR 97209 9585456 0 X HTTP://WWW.DOVELEWIS.ORG X 1973 OR FOUNDED IN 1973, DOVELEWIS EMERGENCY ANIMAL HOSPITAL IS THE ONLY 24-HOUR, NON-PROFIT MEDICAL SERVICE ORGANIZATION IN THE PACIFIC NORTHWEST DEDICATED TO SUPPORTING AND ENHANCING THE ROLE ANIMALS PLAY IN OUR LIVES. DOVELEWIS IS ONE OF THE MOST UNIQUE ANIMAL MEDICAL ORGANIZATIONS IN THE UNITED STATES, PROVIDING ADVANCED EMERGENCY AND CRITICAL CARE SERVICES, AS WELL AS SEVERAL DONOR-SUPPORTED COMMUNITY PROGRAMS. DOVELEWIS TREATS APPROXIMATELY 12,500 PATIENTS EACH YEAR. THE COMMUNITY PROGRAMS REACH THOUSANDS OF PEOPLE AND ANIMALS THROUGHOUT THE PORTLAND METROPOLITAN AREA. 13 11 144 220 -2959 -2959 1293780 2068110 6579815 7045582 19497 220 193598 212666 8086690 9326578 0 0 0 0 5661715 5858700 0 0 455330 2674137 2762027 8335852 8620727 -249162 705851 7619378 8383128 4050058 4107957 3569320 4275171 X DOVELEWIS EMERGENCY ANIMAL HOSPITAL, IN ASSOCIATION WITH THE REGIONAL VETERINARY COMMUNITY, PROVIDES 24-HOUR EMERGENCY, CRITICAL CARE, EDUCATION AND COMMUNITY OUTREACH. OUR HIGHLY-SKILLED PROFESSIONALS ARE DEDICATED TO IMPROVING THE CONDITION OF ANIMALS NEEDING EMERGENCY AND CRITICAL CARE, STRENGTHENING THE TIES WITH, AND EXTENDING THE REACH OF, THE VETERINARY COMMUNITY, AND PROMOTING THE WELL-BEING OF ANIMALS AND THE HUMAN-ANIMAL BOND THROUGHOUT THE COMMUNITY AT LARGE. 0 0 6861838 6842619 PROGRAM ACCOMPLISHMENT - CLINIC DOVELEWIS WORKS CLOSELY WITH THE REGIONAL VETERINARY COMMUNITY TO PROVIDE ADVANCED 24-HOUR EMERGENCY AND CRITICAL CARE SERVICES TO ANIMALS IN NEED. DOVELEWIS TREATS APPROXIMATELY 12,500 PATIENTS PER YEAR. DOVELEWIS' STAFF OF 100 EMPLOYEES FEATURES SEVERAL BOARD-CERTIFIED SPECIALISTS, INCLUDING THE MOST BOARD-CERTIFIED CRITICAL CARE SPECIALISTS IN THE STATE. DOVELEWIS ALSO SERVES AS A NATIONALLY-ACCREDITED TEACHING HOSPITAL, OFFERING UNIQUE TRAINING FOR VETERINARIANS AND VETERINARY STUDENTS IN EMERGENCY AND CRITICAL CARE. 455519 77266 PROGRAM ACCOMPLISHMENT - EDUCATION SERVICES DOVELEWIS HAS DEVELOPED AN ONLINE EDUCATION PROGRAM CALLED ON THE FLOOR AT DOVE, DESIGNED TO FURTHER EXPAND DOVELEWIS' TEACHING MISSION AND PROVIDE AFFORDABLE EDUCATIONAL RESOURCES TO VETERINARY COMMUNITIES ALL OVER THE WORLD. ON THE FLOOR AT DOVE IS A SUBSCRIPTION SERVICE THAT INCLUDES VIDEOS ON MEDICAL PROCEDURES, CONTINUING EDUCATION LECTURES, TRAINING PROTOCOLS AND BUSINESS MANAGEMENT DISCUSSIONS. ON THE FLOOR AT DOVE CURRENTLY HAS OVER 100,000 WEBSITE VISITORS AND 6,200 WEBSITE USERS SPANNING MORE THAN 40 DIFFERENT COUNTRIES. IN ADDITION TO THE EXTENSIVE EDUCATIONAL OPPORTUNITIES FOR VETERINARY PROFESSIONALS, THE EDUCATIONAL SERVICES PROGRAM OFFERS MANY LOCAL SEMINARS AND CLASSES FOR PET OWNERS AND VETERINARY PROFESSIONALS. 161248 PROGRAM ACCOMPLISHMENT - STRAY ANIMAL & WILDLIFETHE DOVELEWIS STRAY ANIMAL & WILDLIFE PROGRAM PROVIDES EMERGENCY MEDICAL CARE TO INJURED STRAYS, LOST PETS AND WOUNDED WILD ANIMALS. THESE ANIMALS COME TO DOVELEWIS FROM COUNTY SHELTERS, GOOD SAMARITAN CITIZENS, POLICE OFFICERS AND FIREFIGHTERS. DURING THE LAST YEAR, DOVELEWIS TREATED 758 STRAY DOMESTIC ANIMALS AND 408 WILD ANIMALS, AT A TOTAL COST OF $160,129. DOVELEWIS MAKES EVERY EFFORT TO REUNITE STRAY ANIMALS WITH THEIR OWNERS VIA MICROCHIP SCANNING AND BY OPERATING ONE OF THE MOST COMPREHENSIVE LOST AND FOUND DATABASES IN THE LOCAL AREA. IN THE EVENT THAT AN OWNER CANNOT BE LOCATED, DOVELEWIS WORKS WITH LOCAL COUNTY SHELTERS, AND COMPLIES WITH THEIR PROTOCOLS REGARDING STRAY ANIMALS. DOVELEWIS RECEIVES MINIMAL REIMBURSEMENT FOR EMERGENCY MEDICAL CARE FROM THE SURROUNDING COUNTIES AND ANIMAL CONTROL AGENCIES, AND THEREFORE RELIES ON SUPPORT FROM THE COMMUNITY. 135134 PROGRAM ACCOMPLISHMENT - VELVET FINANCIAL ASSISTANCEOVER 1,200 HOSPITAL CLIENTS RECEIVED FINANCIAL AID THROUGH THE DOVELEWIS VELVET FINANCIAL ASSISTANCE PROGRAM. THIS DONOR-SUPPORTED FUND HELPS QUALIFIED LOW-INCOME CLIENTS PAY FOR ALL OR A PORTION OF THEIR VETERINARY BILLS FOR EMERGENCY OUTPATIENT CARE. THE VELVET FUND ALSO COVERS THE COST OF HUMANE EUTHANASIA FOR CLIENTS WHOSE ANIMALS COME TO US IN GRAVE CONDITION WITH NO CHANCE FOR SURVIVAL. LAST YEAR, THE PROGRAM AWARDED $134,951 IN ASSISTANCE TO CLIENTS IN NEED. 109527 PROGRAM ACCOMPLISHMENT - PET LOSS SUPPORT THE DOVELEWIS PET LOSS SUPPORT PROGRAM IS A FREE SERVICE AVAILABLE TO HELP GRIEVING PEOPLE NAVIGATE THE LOSS OF A BELOVED PET. THE PROGRAM WAS FOUNDED IN 1986 BY ENID TRAISMAN, LICENSED GRIEF COUNSELOR AND MSW. 410 PEOPLE TOOK ADVANTAGE OF THIS UNIQUE, FREE SERVICE LAST YEAR BY ATTENDING ONE OR MORE GROUP SESSIONS. SUPPORT IS ALSO AVAILABLE VIA PHONE AND EMAIL -- 855 TELEPHONE CONVERSATIONS AND HUNDREDS OF EMAIL EXCHANGES TOOK PLACE LAST YEAR WITH GRIEVING PET OWNERS. THE PROGRAM ALSO OFFERS COMMUNITY MEMORIAL ART THERAPY. 264 PEOPLE UTILIZED THIS FREE WORKSHOP LAST YEAR TO CREATE ART WORK IN MEMORY OF THEIR BELOVED PETS. 134025 125697 PROGRAM ACCOMPLISHMENT - BLOOD BANK DOVELEWIS' BLOOD BANK IS ONE OF THE LARGEST COMMUNITY-BASED ANIMAL BLOOD BANKS IN THE NATION. THERE ARE 93 ACTIVE VOLUNTEER CANINE DONORS AND 16 ACTIVE FELINE DONORS IN THE PROGRAM. MANY OF THE FELINE DONORS WERE ORIGINALLY STRAY ANIMALS RESCUED BY DOVELEWIS. DOVELEWIS CONTINUES TO MEET THE DEMAND FOR BLOOD PRODUCTS FOR VETERINARIANS THROUGHOUT THE PORTLAND METROPOLITAN AREA, SUPPLYING 107 UNITS OF BLOOD TO 39 DIFFERENT LOCAL ANIMAL HOSPITALS. IN ADDITION, DOVELEWIS PERFORMED APPROXIMATELY 345 DOG AND CAT BLOOD TRANSFUSIONS DURING THE YEAR. 378686 125697 7857291 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 1 21 0 1 144 1 0 0 0 0 0 1 1 0 0 0 0 1 0 X 13 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X RONA AMADON CFO 9712255922 1945 NW PETTYGROVE PORTLAND OR 97209 ADRIANNE FAIRBANKS 2.00 X X 0 0 0 MICHAEL REMSING 1.50 X X 0 0 0 G MARK NORMAN 1.00 X 0 0 0 LYNETTE XANDERS 1.00 X 0 0 0 ELIZABETH ALTERMATT 1.00 X 0 0 0 STEVE SKINNER 1.00 X 0 0 0 JON PLANT 1.00 X 0 0 0 JULIE PODUCH 1.00 X 0 0 0 KALI WILSON 1.00 X 0 0 0 COURTNEY ANDERS 1.00 X 0 0 0 TIM MUNJAR 1.00 X 0 0 0 ANDREW FRANKLIN 1.00 X 0 0 0 SCOTT BONTEMPO 1.00 X 0 0 0 DAVID SYMES 1.00 X 0 0 0 SCOTT ASPHAUG 1.00 X 0 0 0 RON MORGAN 60.00 X 233442 0 23759 RONA AMADON 50.00 X 100317 0 12187 LEE HEROLD 50.00 X 165201 0 10135 ASHLEY MAGEE 40.00 X 123436 0 19698 MARINA RICHTER 40.00 X 132513 0 6638 LADAN MOHAMMAD-ZADEH 40.00 X 127992 0 9078 HOLLY ALGRIM 40.00 X 123931 0 5045 KATHERINE EARL 40.00 X 106264 0 8403 1113096 0 94943 8 0 1 0 DR ALAN LIPMAN 6750 SE WOODWARD ST PORTLAND OR 97206 RADIOLOGY SERVICES 326662 DR WILLIAM RAUSCH 2631 SE 43RD AVE PORTLAND OR 97206 CARDIOLOGY SERVICES 221053 2 125606 1942504 217016 2068110 VETERINARY SERVICE FEE 541900 6968316 6968316 77266 77266 7045582 220 220 70238 3032 67206 67206 70175 -2969 380379 125606 250169 130210 130210 11717 5677 6040 8885 -2845 ADVERTISING INCOME 541800 2830 2830 VENDING INCOME 900099 890 890 5490 5465 25 9210 9326578 7130107 -2959 131320 511299 470395 10226 30678 4266039 3919610 100963 245466 683474 558782 94355 30337 397888 366154 8844 22890 10110 9872 238 55036 47155 2856 5025 93777 74297 2974 16506 293060 243017 50043 84865 72281 9483 3101 305414 276921 21099 7394 215552 202296 8710 4546 32392 29638 1944 810 MEDICAL EXPENSES 714900 714900 CONTRACTED SERVICES 344090 327012 17078 0 BANK AND LOAN FEES 219699 214093 25 5581 REPAIRS AND MAINTENANCE 125163 118295 5114 1754 267969 212573 24197 31199 8620727 7857291 308106 455330 X 25771 20617 0 5154 1680 1600 1427721 1809432 95773 280900 47380 66528 83446 80375 45965 59497 7938372 2363934 5642607 5574438 96450 87068 178356 423290 7619378 8383128 443836 606370 69516 103302 3536706 3398285 4050058 4107957 X 2676230 2964603 893090 1310568 3569320 4275171 7619378 8383128 705851 0 X 0 1 X 1 0 X 2375507 1793404 1441508 1293780 2068111 8972310 7423424 6663688 6553513 6579815 7120943 34341383 9798931 8457092 7995021 7873595 9189054 43313693 225917 192085 105994 22099 38037 584132 768155 590430 498014 360581 2217180 994072 782515 604008 382680 38037 2801312 40512381 78241 42014 45131 58755 220 224361 78241 42014 45131 58755 220 224361 717 2610 1315 2956 -2959 4639 51540 73612 95984 133781 140498 495415 9929429 8575328 8137451 8069087 9326813 44038108 0.91990 0.91440 0.00510 0.00730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 896982 896982 5472253 968528 4503725 70930 58184 12746 1376646 1218396 158250 121561 118826 2735 5574438 NW TRUST UNEMPLOYMENT FUND 111522 CONTRIBUTIONS RECEIVABLE - L/T PORTION 311768 423290 X 9619511 33635 259298 292933 9326578 0 9326578 8913660 33635 259298 292933 8620727 0 8620727 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: DOVELEWIS HAS BEEN APPROVED AS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND APPLICABLE STATE LAW. DOVELEWIS HAS SOME UNRELATED BUSINESS INCOME. THE TAX RELATED TO THIS INCOME IS INSIGNIFICANT AND IS EXPENSED WHEN PAID. DOVE AMERICAN LLC AND DOVE AMERICAN II LLC ARE LIMITED LIABILITY COMPANIES. ON DECEMBER 29, 2008, DOVELEWIS BECAME THE SOLE MEMBER OF THESE ENTITIES, MAKING THEM DISREGARDED ENTITIES FOR TAX PURPOSES. INCOME TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF INCOME TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH INCOME TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE WOULD BE REFLECTED AS A LIABILITY FOR UNRECOGNIZED INCOME TAX BENEFITS IN THE CONSOLIDATED STATEMENTS OF FINANCIAL POSITION, ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED INCOME TAX BENEFITS WOULD BE CLASSIFIED AS ADDITIONAL INCOME TAXES IN THE CONSOLIDATED STATEMENTS OF ACTIVITIES. THERE WERE NO UNRECOGNIZED INCOME TAX BENEFITS, NOR ANY INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED INCOME TAX BENEFITS, ACCRUED OR EXPENSED AS OF AND FOR THE YEARS ENDED JUNE 30, 2013 AND 2012. THE ORGANIZATION FILES INCOME TAX RETURNS IN THE U.S. FEDERAL AND OREGON JURISDICTIONS. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND OREGON TAX EXAMINATIONS BY TAX AUTHORITIES FOR TAX RETURNS FILED BEFORE THE YEAR ENDED JUNE 30, 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: COSTS RELATED TO UBTI RENTAL ACTIVITY 3,032. SPECIAL EVENTS EXPENSES 250,169. COST OF GOODS SOLD ON PRODUCT SALES 5,677. EXPENSES RELATED TO UBTI ADVERTISING ACTIVITY 420. PART XII, LINE 2D - OTHER ADJUSTMENTS: COSTS RELATED TO UBTI RENTAL ACTIVITY 3,032. SPECIAL EVENTS EXPENSES 250,169. COST OF GOODS SOLD ON PRODUCT SALES 5,677. EXPENSES RELATED TO UBTI ADVERTISING ACTIVITY 420. DOVEADORE 329953 93397 236556 0 64006 5047 51413 5250 36053 RUN 4 LOVE 44089 9799 34290 0 3536 9518 0 0 7635 4 121273 20718 100555 0 12020 17758 7300 950 12519 495315 123914 371401 79562 32323 58713 6200 56207 233005 138396 X X X 0 0 0 1 0 0 0 1 0 RON MORGAN 203442 0 30000 0 0 0 6618 0 17141 0 257201 0 0 0 LEE HEROLD 151501 0 3500 0 10200 0 5090 0 5045 0 175336 0 0 0 PART I, LINE 5 THE CHIEF MEDICAL OFFICER IS PAID A FIXED SALARY, WITH THE OPPORTUNITY TO BE PAID ADDITIONAL FIXED AMOUNTS FOR EXTRA SHIFTS, SPECIAL MEDICAL PROCEDURES, AND SURGERY. THE STAFF SURGEONS ARE PAID A FIXED SALARY PLUS A FIXED DOLLAR AMOUNT PER MINUTE FOR SURGERIES THEY PERFORM. STAFF SURGEONS ALSO HAVE THE OPPORTUNITY TO BE PAID AN ADDITIONAL FIXED AMOUNT FOR SPECIAL MEDICAL PROCEDURES. THE STAFF VETERINARIANS ARE PAID A SALARY PLUS A PERCENTAGE OF REVENUE FOR THE MEDICAL PROCEDURES THEY PERFORM AND SERVICES THEY PROVIDE. PART I, LINE 7 BONUS PAYMENTS FOR THE CHIEF EXECUTIVE OFFICER ARE AWAREDED BY THE DISCRETION OF THE BOARD OF DIRECTORS AND BASED ON A WEIGHTED SCALE MEASURING THE CEO'S AND ORGANIZATION'S ACHIEVEMENT OF THE SUBJECTIVE AND OBJECTIVE GOALS. CONSIDERATION FOR CHANGING PRIORITIES, MARKET CONDITIONS, AND OVERALL LEADERSHIP AND PERFORMANCE ARE CONSIDERED WHEN DETERMINING PERFORMANCE. X 11 9117 SELLING PRICE X 2 100539 HIGH/LOW AVE VALUE X 81 11644 DONOR STATED FMV X PROGRAM ITEMS 13 3827 DONOR STATED FMV X EVENT ITEMS 324 91889 DONOR STATED FMV 0 1 1 THIRD PARTY USE: PART I, LINE 32B: DOVELEWIS OPERATES AN AUTMOBILE DONATION PROGRAM IN CONNECTION WITH ITS CHARITABLE ACTIVITIES. THE ORGANIZATION HAS APPOINTED SPEED'S TOWING AS ITS AGENT FOR THE PURPOSE OF ACCEPTING, TRANSPORTING, PROCESSING, AND SELLING AUTOMOBILES DONATED BY THE GENERAL PUBLIC TO DOVELEWIS. SPEED'S TOWING IS AN AUTOMOBILE DEALER, REGISTERED TO SELL AUTOMOBILES IN THE STATE OF OREGON. FORM 990, PART VI, SECTION A, LINE 2 OTHER BOARD MEMBERS WHO OWN VETERINARY CLINICS USE DIGNIFIED PET SERVICES (OWNED BY MICHAEL REMSING, BOARD MEMBER) FOR CREMATION SERVICES. FORM 990, PART VI, SECTION A, LINE 6 DOVELEWIS EMERGENCY ANIMAL HOSPITAL HAS ONE CLASS OF VOTING STOCK. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE PORTLAND VETERINARY MEDICAL ASSOCIATION (PVMA) ARE THE MEMBERS OF DOVELEWIS AND HAVE THE RIGHT TO VOTE IN NEW BOARD MEMBERS. THEY EACH HAVE ONE EQUAL VOTE. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF DOVELEWIS APPROVE CHANGES TO THE BYLAWS. THEY EACH HAVE ONE VOTING RIGHT. FORM 990, PART VI, SECTION B, LINE 11 THE CEO, CFO AND FINANCE COMMITTEE CAREFULLY REVIEW THE FORM 990 BEFORE IT IS FILED. FORM 990 IS ALSO PRESENTED TO THE FULL BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. ONCE PER YEAR DOVELEWIS REQUIRES EACH OF THEM TO SUBMIT IN WRITING A DESCRIPTION OF ANY AND ALL CONFLICTS. EACH EXISTING CONFLICT IS REVIEWED ON A CASE-BY-CASE BASIS BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO IS ON A CONTRACT ESTABLISHED BY THE BOARD OF DIRECTORS. INDUSTRY DATA WAS USED TO DETERMINE COMPENSATION. THE EXECUTIVE COMMITTEE DRAFTED THE CONTRACT AND SENT IT TO THE FULL BOARD FOR APPROVAL. OTHER OFFICERS AND KEY EMPLOYEES ARE NOT ON CONTRACT. INDUSTRY DATA WAS USED TO DETERMINE INITIAL COMPENSATION, WHICH IS REVIEWED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND POLICIES ARE FOR INTERNAL USE ONLY. FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. DOVE AMERICAN LLC 1945 NW PETTYGROVE PORTLAND OR 97209 203796494 OWNS THE BUILDING AND LAND DOVELEWIS EMERGENCY ANIMAL HOSPITAL OPERATES OR 5397715 DOVELEWIS EMERGENCY ANIMAL HOSPITAL DOVE AMERICAN II LLC 1945 NW PETTYGROVE PORTLAND OR 97209 204677491 OWNS LAND DOVELEWIS EMERGENCY ANIMAL HOSPITAL HOLDS FOR INVESTMENT OR 0 DOVELEWIS EMERGENCY ANIMAL HOSPITAL