2012-11-14T16:28:35-06:00 2012-06-30 930418710 DELAP LLP 5885 MEADOWS ROAD NO 200 LAKE OSWEGO OR 97035 990 2011-07-01 930621534 DOVELEWIS EMERGENCY ANIMAL HOSPITAL DOVE 5032287281 1945 NW PETTYGROVE PORTLAND OR 97209 RON MORGAN 5032287281 2012-11-14 1 KRISTEN GRAU P01218331 5036974118 2011 2016-02-24 21:20:13Z RON MORGAN 1945 NW PETTYGROVE PORTLAND OR 97209 8266417 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. DOVELEWIS' MISSION, IN ASSOCIATION WITH THE REGIONAL VETERINARY COMMUNITY, IS TO PROVIDE 24-HOUR EMERGENCY AND CRITICAL CARE, ALONG WITH EDUCATION AND COMMUNITY OUTREACH. HIGHLY-SKILLED PROFESSIONALS ARE DEDICATED TO IMPROVING THE CONDITION OF ANIMALS NEEDING MEDICAL TREATMENT, STRENGTHENING THE TIES WITH AND EXTENDING THE REACH OF THE VETERINARY COMMUNITY, AND PROMOTING THE WELL-BEING OF ANIMALS AND THE HUMAN-ANIMAL BOND. 12 10 101 462 3457 2457 1441508 1293780 6553513 6579815 237068 19497 142387 193598 8374476 8086690 0 0 0 0 5568921 5661715 0 0 446991 3197928 2674137 8766849 8335852 -392373 -249162 8289914 7619378 4471432 4050058 3818482 3569320 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 6845871 0 6551006 PROGRAM ACCOMPLISHMENT - EMERGENCY ANIMAL HOSPITALDOVELEWIS 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. 203757 0 28809 PROGRAM ACCOMPLISHMENT - EDUCATION SERVICESIN 2011, DOVELEWIS DEVELOPED AN ONLINE EDUCATION PROGRAM CALLED ON THE FLOOR AT DOVE, DESIGNED TO FURTHER 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 3,000 ACTIVE MEMBERS SPANNING SEVEN DIFFERENT COUNTRIES. BY THE END OF 2013, DOVELEWIS EXPECTS TO HAVE OVER 8,000 ONLINE MEMBERS. IN ADDITION TO THE EXTENSIVE EDUCATIONAL OPPORTUNITIES FOR VETERINARY PROFESSIONALS, THE EDUCATIONAL SERVICES PROGRAM OFFERS MANY LOCAL SEMINARS AND CLASSES FOR PET OWNERS. 161571 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 714 STRAY DOMESTIC ANIMALS AND 405 WILD ANIMALS, AT A TOTAL COST OF $159,000. 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. 148110 PROGRAM ACCOMPLISHMENT - BLOOD BANK DOVELEWIS' BLOOD BANK IS ONE OF THE LARGEST COMMUNITY-BASED ANIMAL BLOOD BANKS IN THE NATION. THERE ARE 101 ACTIVE VOLUNTEER CANINE DONORS AND 22 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 OVER 100 UNITS OF BLOOD TO 30 DIFFERENT LOCAL ANIMAL HOSPITALS. DOVELEWIS PERFORMED APPROXIMATELY 300 DOG AND CAT BLOOD TRANSFUSIONS LAST YEAR. 129653 PROGRAM ACCOMPLISHMENT - ASSISTANCE ALMOST ONE THOUSAND 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 $129,000 IN ASSISTANCE TO CLIENTS IN NEED. 90693 PROGRAM ACCOMPLISHMENT - PET LOSSTHE 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. 340 PEOPLE TOOK ADVANTAGE OF THIS UNIQUE, FREE SERVICE LAST YEAR BY ATTENDING ONE OR MORE GROUP SESSIONS. SUPPORT IS ALSO AVAILABLE VIA PHONE -- 1,302 TELEPHONE CONVERSATIONS TOOK PLACE LAST YEAR WITH GRIEVING PET OWNERS. THE PROGRAM ALSO OFFERS COMMUNITY MEMORIAL ART THERAPY. 180 PEOPLE UTILIZED THIS FREE WORKSHOP LAST YEAR TO CREATE ART WORK IN MEMORY OF THEIR BELOVED PETS. 39436 PROGRAM ACCOMPLISHMENT - ANIMAL ASSISTED THERAPY AND EDUCATION PROGRAM. 407892 7619091 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 21 0 1 101 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 12 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X RONA AMADON CFO 9712255922 1945 NW PETTYGROVE PORTLAND OR 97209 G MARK NORMAN 2.00 X 0 0 0 ADRIANNE FAIRBANKS 1.50 X 0 0 0 SCOTT ASPHAUG 1.00 X 0 0 0 MICHAEL REMSING 1.50 X 0 0 0 DAVID SYMES 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 LYNETTE XANDERS 1.00 X 0 0 0 RON MORGAN 60.00 X 220602 0 13667 RONA AMADON 45.00 X 106884 0 0 LEE HEROLD 50.00 X 169672 0 11657 ASHLEY MAGEE 40.00 X 135248 0 0 MARINA RICHTER 40.00 X 137392 0 0 LADAN MOHAMMAD-ZADEH 40.00 X 134433 0 0 KATHERINE EARL 40.00 X 111918 0 0 1016149 0 25324 8 0 1 0 DR ALAN LIPMAN 6750 SE WOODWARD ST PORTLAND OR 97206 RADIOLOGY SERVICES 271458 DR WILLIAM RAUSCH 2631 SE 43RD AVE PORTLAND OR 97206 CARDIOLOGY SERVICES 198855 2 123479 1170301 20027 1293780 VETERINARY SERVICE FEE 541900 6551006 6551006 28809 28809 6579815 1893 1893 56861 2197 54664 54664 56360 -1696 19064 1460 17604 17604 17604 285425 123479 164724 120701 120701 16305 9258 7047 7047 5556 2088 3468 3468 ADVERTISING INCOME 541800 1685 1685 VENDING INCOME 900099 782 782 5251 5251 7718 8086690 6666077 3457 123376 497157 441485 36023 19649 4093138 3780481 60604 252053 656174 546275 84136 25763 415246 381798 8256 25192 6314 6314 46248 46248 71437 51176 8336 11925 241934 178997 62937 97973 83058 9506 5409 11788 11762 19 7 204557 187260 12225 5072 264683 244298 13759 6626 24799 22691 1488 620 MEDICAL EXPENSES 731236 731236 CONTRACTED SERVICES 307035 307035 BANK FEES 155244 148866 6378 UTILITIES 138803 124222 11392 3189 372086 325889 24026 22171 8335852 7619091 269770 446991 1491375 1420631 2750 8770 95773 42862 47380 306399 0 111967 83446 88485 45965 7888761 2246154 5897810 5642607 10000 96450 338266 178356 8289914 7619378 498485 443836 49504 69516 3667099 3536706 256344 0 4471432 4050058 X 2790294 2676230 1028188 893090 3818482 3569320 8289914 7619378 -249162 0 X 0 1 1 X 0 X 1912437 2375507 1793404 1441508 1293780 8816636 7726738 7423424 6663688 6553513 6579815 34947178 9639175 9798931 8457092 7995021 7873595 43763814 75000 225917 192085 105994 22099 621095 319226 768155 590430 498014 360581 2536406 394226 994072 782515 604008 382680 3157501 40606313 100422 78241 42014 45131 58755 324563 100422 78241 42014 45131 58755 324563 3222 717 2610 1315 2956 10820 -47996 51540 73612 95984 133781 306921 9694823 9929429 8575328 8137451 8069087 44406118 0.91440 0.91190 0.00730 0.00900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 896982 896982 5477784 827845 4649939 65399 55438 9961 1327035 1251771 75264 121561 111100 10461 5642607 8086690 8335852 -249162 -249162 8277995 191305 191305 8086690 0 8086690 8527157 191305 191305 8335852 0 8335852 PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD ON PRODUCT SALES 2,088. SPECIAL EVENTS EXPENSE 164,725. COSTS RELATED TO UBTI RENTAL ACTIVITY 2,195. EXPENSE RELATED TO UBTI ADVERTISING ACTIVITY 315. EXPENSE RELATED TO INKIND CONTRIBUTIONS 12,724. RAFFLE EVENTS EXPENSE 9,258. PART XIII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD ON PRODUCT SALES 2,088. SPECIAL EVENTS EXPENSE 164,725. COSTS RELATED TO UBTI RENTAL ACTIVITY 2,195. EXPENSE RELATED TO UBTI ADVERTISING ACTIVITY 315. EXPENSE RELATED TO INKIND CONTRIBUTIONS 12,724. FAFFLE EVENTS EXPENSE 9,258. SOIREE 290813 120472 170341 53713 24877 32867 RUN 4 LOVE 41057 1430 39627 3482 2364 11184 11 77034 1577 75457 6551 17152 12534 408904 123479 285425 63746 44393 56585 164724 120701 16305 853 8155 250 1 16305 853 8155 250 9258 7047 OR 1 0 1 0 1.00000 RONA AMADON 1945 NW PETTYGROVE PORTLAND OR 97209 0 0 X X 0 0 0 0 0 0 0 0 0 RON MORGAN 205602 0 15000 0 0 0 6185 0 7482 0 234269 0 0 0 LEE HEROLD 162372 0 2500 0 4800 0 4726 0 6931 0 181329 0 0 0 STEVE SKINNER BOARD MEMBER AND OUTSIDE SPECIALIST (NEUROLOGIST) 30835 NEUROLOGY SERVICES 0 MICHAEL REMSING BOARD MEMBER AND MORE THAN 50% OWNER OF ENTITY 84952 CREMATION AND DEATH SERVICES FOR DOVELEWIS CLIENTS 0 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 AND CFO REVIEW THE 990 BEFORE IT IS FILED. THE FORM 990 IS PRESENTED TO THE BAORD MEMBERS PRIOR TO FILING FOR REVIEW. NO CHANGES HAVE BEEN MADE TO THIS POLICY. 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 DOCUMENTS ARE ONLY AVAILABLE FOR INTERNAL USE. DOVE AMERICAN LLC 1945 NW PETTYGROVE PORTLAND OR 97209 203796494 OWNS THE BUILDING AND LAND DOVELEWIS EMERGENCY ANIMAL HOSPITAL OPERATES OR 6361235 DOVELEWIS EMERGENCY ANIMAL HOSPITAL DOVE AMERICAN II LLC 1945 NW PETTYGROVE PORTLAND OR 97209 204677491 OWNS LAND DOVELEWIS EMERGENCY ANIMAL HOSPITAL HOLDS FOR INVESTMENT PURPOSES OR 0 DOVELEWIS EMERGENCY ANIMAL HOSPITAL