DOERNBECHER CHILDREN'S HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DOERNBECHER CHILDREN'S HOSPITAL (EIN 93-0579589)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-04-19
IRS object ID
201241109349300614
Schema version
2010v3.7
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)
Timestamp2012-04-19T15:28:39-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Line1801 Second Avenue Suite 900AddressLine1
CitySeattleCity
StateWAState
ZIP Code98104ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930579589EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DOERNBECHER CHILDREN'S HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
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 K TURINAName
TitleEXECUTIVE DIRECTORTitle
Date Signed2012-04-03DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameROBISON SueName
Phone2069134000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSUSAN NICOLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11121 SW SALMON STREET 100AddressLine1
CityPORTLANDCity
StateORState
ZIP Code972052021ZIPCode
FieldValueIRS element (for citing)
Gross Receipts35031303GrossReceipts
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 Body29NbrVotingMembersGoverningBody
Nbr Independent Voting Members27NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers350TotalNbrVolunteers
Total Gross UBI49089TotalGrossUBI
Net Unrelated Business Txbl Income-58811NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9799044ContributionsGrantsPriorYear
Contributions Grants Current Year13737614ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8594ProgramServiceRevenuePriorYear
Program Service Revenue CY16053ProgramServiceRevenueCY
Investment Income Prior Year416619InvestmentIncomePriorYear
Investment Income Current Year1440094InvestmentIncomeCurrentYear
Other Revenue Prior Year59569OtherRevenuePriorYear
Other Revenue Current Year38310OtherRevenueCurrentYear
Total Revenue Prior Year10283826TotalRevenuePriorYear
Total Revenue Current Year15232071TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11267716GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6618624GrantsAndSimilarAmntsCY
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 Year1955265TotalFundrsngExpCurrentYear
Other Expense Prior Year2649803OtherExpensePriorYear
Other Expenses Current Year2681848OtherExpensesCurrentYear
Total Expenses Prior Year13917519TotalExpensesPriorYear
Total Expenses Current Year9300472TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3633693RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5931599RevenuesLessExpensesCY
Total Assets BOY42920320TotalAssetsBOY
Total Assets EOY48770282TotalAssetsEOY
Total Liabilities BOY5463687TotalLiabilitiesBOY
Total Liabilities EOY2941315TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37456633NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY45828967NetAssetsOrFundBalancesEOY
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
Expense6622651Expense
Grants6618624Grants
Revenue16053Revenue
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 Expense6622651TotalProgramServiceExpense
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 StmtfalseConsolidatedAuditFinancialStmt
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 ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109636NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
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 Members29NbrVotingGoverningBodyMembers
Number Independent Voting Members27NumberIndependentVotingMembers
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 (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
NATHAN M AYOTTE
DIRECTOR1.0X000
RONALD G BRAKE
PRESIDENT10.0X000X
DIRK T DAVIS
VP FINANCE1.0X000X
MICHAEL F DOHERTY
DIRECTOR1.0X000
CAROL K EHLEN
SECRETARY1.0X000X
ALLYN C FORD
DIRECTOR1.0X000
TERRY J GROVER
DIRECTOR1.0X000
EDWARD J HEPP JR
DIRECTOR1.0X000
LINDA RAE HICKEY
DIRECTOR1.0X000
ELIZABETH K JOHNSON
DIRECTOR1.0X000
KELLY J JOHNSON
EXECUTIVE VICE PRESIDENT1.0X000X
SEAN T KEYS
DIRECTOR1.0X000
MITCHELL W MACK
DIRECTOR1.0X000
LINDA B MALETIS
DIRECTOR1.0X000
CATHRINE L MCCOY
DIRECTOR1.0X000
XANDRA T MCKEOWN
DIRECTOR1.0X000
ROGER W MILLS
DIRECTOR1.0X000
HENRY S NICHOLSON MD
DIRECTOR1.0X036589040597
ARTHUR K OLMSTED
DIRECTOR1.0X000
SHIRLEY N PAP
DIRECTOR1.0X000
GERALD E RESER
DIRECTOR1.0X000
JOSEPH E ROBERTSON MD
DIRECTOR1.0X0101717774529
PATRICIA E SMITH
DIRECTOR1.0X000
TODD R STUCKY
DIRECTOR1.0X000
KARL S TJERANDSEN
DIRECTOR1.0X000
SOHRAB S VOSSOUGHI
DIRECTOR1.0X000
DEBORAH J WILSON
DIRECTOR1.0X000
RICHARD L WRIGHT
DIRECTOR1.0X000
CANDACE D YOUNG
DIRECTOR1.0X000
LORI MUELLER
VICE PRESIDENT FINANCE40.0162237040602X
SUSAN NICOL
EXECUTIVE DIRECTOR40.0178016038061X
FieldValueIRS element (for citing)
Total Reportable Comp From Org340253TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1383067TotalReportableCompFrmRltdOrgs
Total Other Compensation193789TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns40967FederatedCampaigns
Fundraising Events1652132FundraisingEvents
All Other Contributions12044515AllOtherContributions
Noncash Contributions294822NoncashContributions
Total Contributions13737614TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OUTREACH ACTIVITIES90009971597159
PUBLIC EDUCATION90009988948894
FieldValueIRS element (for citing)
Total Program Service Revenue16053TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column450513TotalRevenueColumn
Exclusion$450,513ExclusionAmount

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)
Securities14646331Securities
Other5956089Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13953331Securities
Other5659508Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities693000Securities
Other296581Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column989581TotalRevenueColumn
Exclusion$989,581ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events144758GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1652132CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses186393FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-41635TotalRevenueColumn
Exclusion-$41,635ExclusionAmount

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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
HOLIDAY CARD SALES4532204908949089
MISCELLANEOUS SALES90009930856$30,856
FieldValueIRS element (for citing)
Total Other Revenue79945TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15232071TotalRevenueColumn
Related Or Exempt Function Income16053RelatedOrExemptFunctionIncome
Unrelated Business Revenue49089UnrelatedBusinessRevenue
Exclusion$1,429,315ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6618624Total
Program Services6618624ProgramServices

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
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

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)
Total3648Total
Program Services36ProgramServices
Management And General3612ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total92853Total
Program Services929ProgramServices
Management And General91924ManagementAndGeneral

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)
Total167474Total
Program Services245ProgramServices
Management And General24218ManagementAndGeneral
Fundraising143011Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total6363Total
Program Services20ProgramServices
Management And General1951ManagementAndGeneral
Fundraising4392Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total45838Total
Program Services210ProgramServices
Management And General20750ManagementAndGeneral
Fundraising24878Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total12Total
Fundraising12Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total75631Total
Program Services27ProgramServices
Management And General2718ManagementAndGeneral
Fundraising72886Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total19125Total
Program Services63ProgramServices
Management And General6240ManagementAndGeneral
Fundraising12822Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3423Total
Program Services19ProgramServices
Management And General1839ManagementAndGeneral
Fundraising1565Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4661Total
Program Services47ProgramServices
Management And General4614ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total20986Total
Program Services204ProgramServices
Management And General20157ManagementAndGeneral
Fundraising625Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MANAGEMENT & ADMIN FEE44673370769972376054
CONTRACTED STAFF103605550750225985323
PRINTING AND PUBLICATIONS15176811010869140789
MEMBERSHIP FEES134662201999132643
SPONSORED EVENTS40872073639427513709

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total63896Total
Program Services147ProgramServices
Management And General17193ManagementAndGeneral
Fundraising46556Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9300472Total
Program Services6622651ProgramServices
Management And General722556ManagementAndGeneral
Fundraising1955265Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY602270BOY
EOY280094EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1535165BOY
EOY1700599EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY639445BOY
EOY1995215EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY458938BOY
EOY684616EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY177199EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY2500EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45859LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec28920LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13093BOY
EOY16939EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY28835290BOY
EOY32033271EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY10816744BOY
EOY11849198EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY19375BOY
EOY30651EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42920320BOY
EOY48770282EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY880347BOY
EOY491245EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4583340BOY
EOY2450070EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5463687BOY
EOY2941315EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY24328236BOY
EOY31840392EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY13093BOY
EOY16939EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY13115304BOY
EOY13971636EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37456633BOY
EOY45828967EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42920320BOY
EOY48770282EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5931599ReconcilationRevenueExpenses
Reconcilation Other Changes2440735ReconcilationOtherChanges
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)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17580941CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13543219CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11075231CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9799074CurrentTaxYearMinus1Year
Current Tax Year13737614CurrentTaxYear
Total65736079Total

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 Years17580941CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13543219CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11075231CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9799074CurrentTaxYearMinus1Year
Current Tax Year13737614CurrentTaxYear
Total65736079Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total7414775AmountsSubstContributorsTotal
Public Support Total17058321304PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years334250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years410252CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years172588CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year341832CurrentTaxYearMinus1Year
Current Tax Year450513CurrentTaxYear
Total1709435Total

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)
Total0Total
FieldValueIRS element (for citing)
Total Support67445514TotalSupport
Gross Receipts From Admissions Etc95998GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.86472PublicSupportPertcentage170
Public Support Pertcent Prior Year0.85900PublicSupportPertcentPriorYear
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 Contributions8961DonorAdvisedContributions
Grants Paid From Donor Funds1500GrantsPaidFromDonorFunds
Aggregate DAF Value125652AggregateDAFValue
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 Balance19101403BeginningOfYearBalance
Contributions562118Contributions
Investment Earnings Or Losses3694025InvestmentEarningsOrLosses
Grants Or Scholarships9453GrantsOrScholarships
Other Expenditures894483OtherExpenditures
Administrative Expenses326838AdministrativeExpenses
End Of Year Balance22126772EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Balance0.26320BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.72290PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.01390TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
EquipmentEquipment

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis45859OtherCostOrOtherBasis
Depreciation28920Depreciation
Book Value16939BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings16939TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER INVESTMENTSDescription
Book Value11849198BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities11849198TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO OHSU$480,796
DUE TO OTHER INSTITUTIONS$137,984
LIABILITY FOR LIFE INCOME AGREEMENTS$1,831,290
FieldValueIRS element (for citing)
Total Of Amounts2450070TotalOfAmounts
Total Revenue15232071TotalRevenue
Total Expenses9300472TotalExpenses
Excess Or Deficit For Year5931599ExcessOrDeficitForYear
Net Unrealized GL On Investments2617833NetUnrealizedGLOnInvestments
Investment Expenses-347624InvestmentExpenses
Other$170,526OtherAmount
Total Adjustments2440735TotalAdjustments
Excess Or Deficit Per FS8372334ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17535137TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2617833NetUnrealizedGainsInvestments
Other Revenues170526OtherRevenues
Revenue Not Rptd F9902788359RevenueNotRptdF990
Revenue Subtotal14746778RevenueSubtotal
Other Revenues Not Included485293OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt485293RevenueNotRptdOnFinStmt
Total Revenue Per Form99015232071TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9162803TotExpensesEtcAuditedFinclStmt
Other Expenses Included347624OtherExpensesIncluded
Expenses Not Rptd F990347624ExpensesNotRptdF990
Expenses Subtotal8815179ExpensesSubtotal
Other Expenses Not Included485293OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt485293ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909300472TotalExpensesPerForm990

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..........$170,526
OTHER REVENUE INCLUDED IN F/S BUT NOT INCLUDED ON FORM 990SCHEDULE D, PART XII, LINE 2DCHANGE IN VALUE OF LIFE INCOME AGREEMENTS..........$170,526
REVENUE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTSSCHEDULE D, PART XII, LINE 4BRECLASS SPECIAL EVENT EXPENSE....... (186,393) RECLASS INVESTMENT EXPENSE.......... 350,260 RECLASS OTHER NONOPERATING REVENUE.. 321,426 --------- TOTAL REVENUE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTS........ 485,293
EXPENSE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTSSCHEDULE D, PART XIII, LINE 4BRECLASS SPECIAL EVENT EXPENSE....... (186,393) RECLASS INVESTMENT EXPENSE.......... 350,260 RECLASS OTHER NONOPERATING REVENUE.. 321,426 --------- TOTAL REVENUE INCLUDED ON FORM 990 BUT NOT FINANCIAL STATEMENTS........ 485,293

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
Net To Organization0NetToOrganization
FieldValueIRS element (for citing)
Total Net To Organization0TotalNetToOrganization

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Heart AuctionNameOfEvent1
Gross Receipts Event1751170GrossReceiptsEvent1
Charitable Contributions Event1647858CharitableContributionsEvent1
Gross Revenue Event1103312GrossRevenueEvent1
Other Direct Expenses Event1109129OtherDirectExpensesEvent1
Name Of Event2Nike AuctionNameOfEvent2
Gross Receipts Event2736272GrossReceiptsEvent2
Charitable Contributions Event2705436CharitableContributionsEvent2
Gross Revenue Event230836GrossRevenueEvent2
Other Direct Expenses Event260294OtherDirectExpensesEvent2
Total Number Of Other Events7TotalNumberOfOtherEvents
Gross Receipts Other Events309448GrossReceiptsOtherEvents
Charitable Contrib Other Events298838CharitableContribOtherEvents
Gross Revenue Other Events10610GrossRevenueOtherEvents
Other Direct Expenses Other Events16970OtherDirectExpensesOtherEvents
Gross Receipts Total1796890GrossReceiptsTotal
Charitable Contributions Total1652132CharitableContributionsTotal
Gross Revenue Total Events144758GrossRevenueTotalEvents
Other Direct Expenses Total Events186393OtherDirectExpensesTotalEvents
Direct Expense Summary Events186393DirectExpenseSummaryEvents
Net Income Summary-41635NetIncomeSummary

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 RDPORTLANDOR97239931176109OHSU18138540N/AN/ARESEARCH
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RDPORTLANDOR97239931176109OHSU2175130N/AN/AACADEMIC SUPPORT
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RDPORTLANDOR97239931176109OHSU1356920N/AN/ACAPITAL PROJECTS
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RDPORTLANDOR97239931176109OHSU358162436072FMVVARIOUSCLINICAL SUPPORT
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PARK RDPORTLANDOR97239931176109OHSU82091212957FMVVARIOUSINSTRUCTION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (9 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 2 - GRANTMAKER'S DESCRIPTION OF HOW GRANTS ARE USEDTRANSFERS 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.
FieldValueIRS element (for citing)
Form990 Schedule I Part IVForm990ScheduleIPartIV
Form990 Schedule I Part IVForm990ScheduleIPartIV
Form990 Schedule I Part IVForm990ScheduleIPartIV
Form990 Schedule I Part IVForm990ScheduleIPartIV
Form990 Schedule I Part IVForm990ScheduleIPartIV
Form990 Schedule I Part IVForm990ScheduleIPartIV
Form990 Schedule I Part IVForm990ScheduleIPartIV
Form990 Schedule I Part IVForm990ScheduleIPartIV

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)

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
0365890000003920001397040648700
JOSEPH E ROBERTSON MD
0925517076660015000073255012740109170600
LORI MUELLER
16223700000200480205540202839000
SUSAN NICOL
17477100032450211600169010216077000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCOMPENSATION FROM UNRELATED ORGANIZATIONSIdentifier
ExplanationLORI 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 2011. 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. THE PRESIDENT AND SENIOR VICE-PRESIDENT SALARY WAS REVIEWED IN FEBRUARY 2011. THE COMPARABLE COMPENSATION REPORT WAS PRESENTED TO THE COMPENSATION COMMITTEE DURING THE CURRENT FISCAL YEAR. 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 PRESIDENT AND SENIOR VICE-PRESIDENT IN FEBRUARY 2011.Explanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9904900NoncashContribsRptdF990
Method Of Determining RevenuesAPPRAISALMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990860NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99034447NoncashContribsRptdF990
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 F990245794NoncashContribsRptdF990
Method Of Determining RevenuesAVG MKTMethodOfDeterminingRevenues
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 Contributions6NumberOfContributions
Noncash Contribs Rptd F9901692NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F990800NoncashContribsRptdF990
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 ITEMS275375FMV - SALES PRICE
XTELETHON ITEMS1954COMPARABLE SALES
FieldValueIRS element (for citing)
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 (37 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 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 2010-2011 FISCAL YEAR, THE DOERNBECHER FOUNDATION: ADDRESSED THE GROWING INCIDENCE OF PEDIATRIC DIABETES IN OREGON AND SOUTHWEST WASHINGTON BY ESTABLISHING AN ENDOWED PROFESSORSHIP FOR THE MEDICAL DIRECTOR OF THE PEDIATRIC DIABETES PROGRAM AT THE HAROLD SCHNITZER DIABETES HEALTH CENTER. ENABLED BY AN ANONYMOUS $1 MILLION GIFT, THE VIVIAN NYE ENDOWED PROFESSORSHIP WILL MAKE IT POSSIBLE TO EXPAND THE PEDIATRICS PROGRAM AND RECRUIT A LEADER FOR CHILD AND ADOLESCENT CARE AT THE SCHNITZER CENTER, THE ONLY FACILITY WEST OF THE ROCKY MOUNTAINS THAT CARES FOR BOTH PEDIATRIC AND ADULT PATIENTS WITHIN THE SAME CLINICAL ENTERPRISE. RAISED $700,870 IN THE 2010-11 FISCAL PERIOD FROM DOERNBECHER FREESTYLE, A PARTNERSHIP WITH OREGON-BASED NIKE, INC. ENTERING ITS EIGHTH 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. RECEIVED MORE THAN $463,000 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 19TH 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. RAISED MORE THAN $720,000 AT THE 13TH ANNUAL HEART OF DOERNBECHER AUCTION TO SUPPORT DOERNBECHER'S EPILEPSY MONITORING UNIT. RECEIVED $857,147 FROM CREDIT UNIONS IN OREGON AND SOUTHWEST WASHINGTON TO SUPPORT A PROFESSORSHIP IN PEDIATRIC RESEARCH. RECEIVED NEARLY $3.2 MILLION IN BEQUEST GIFTS FACILITATED BY THE DEPARTMENT OF GIFT PLANNING AND SUPPORTING A VARIETY OF PROGRAMS. THESE INCLUDE $1.2 MILLION FROM THE IRENE & WILLARD OLDS TRUST ESTATE IN SUPPORT OF THE AREA OF GREATEST NEED AT DOERNBECHER; $215,421 FROM THE PAULINE A. MANDEL ESTATE TO SUPPORT THE PEDIATRIC EMERGENCY DEPARTMENT PROGRAM; $176,707 FROM THE ELSBETH JEWOREK ESTATE FOR THE UNDERFUNDED MEDICAL CARE NEEDS FUND; AND $162,288 FROM THE DONOVAN A. CROXTON TRUST ESTATE IN SUPPORT OF THE PEDIATRICS PRECLINICAL TESTING INITIATIVE. THE FOUNDATION ALSO RECEIVED $218,583 IN OTHER PLANNED GIFTS INCLUDING THREE CHARITABLE GIFT ANNUITIES TOTALING $174,000 FROM LOUIS AND ODA BUSH, ONE GIFT ANNUITY FOR $20,000 FROM DONALD J. MATSON AND ANOTHER FOR $24,583 FROM NAN SHAFFNER.
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 EXISTENT 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 2011. 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. THE PRESIDENT AND SENIOR VICE-PRESIDENT SALARY WAS REVIEWED IN FEBRUARY 2011. THE COMPARABLE COMPENSATION REPORT WAS PRESENTED TO THE COMPENSATION COMMITTEE DURING THE CURRENT FISCAL YEAR. 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 PRESIDENT AND SENIOR VICE-PRESIDENT IN FEBRUARY 2011.
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................... 2,617,833 CHANGE IN VALUE OF LIFE INCOME AGREEMENT............. 170,526 INVESTMENT FEES...................................... (347,624) ----------- OTHER CHANGES IN NET ASSETS OR FUND BALANCES......... 2,440,735
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NATHAN M. AYOTTE TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RONALD G. BRAKE TITLE:PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DIRK T. DAVIS TITLE:VP FINANCE 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:SECRETARY 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:EDWARD J. HEPP, JR. 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:ELIZABETH K. JOHNSON TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KELLY J. JOHNSON TITLE:EXECUTIVE VICE PRESIDENT 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:XANDRA T. MCKEOWN TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROGER W. MILLS TITLE:DIRECTOR 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:ARTHUR K. OLMSTED 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:KARL S. TJERANDSEN 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:DEBORAH J. WILSON TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD L. WRIGHT TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CANDACE D. YOUNG TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LORI MUELLER TITLE:VICE PRESIDENT FINANCE 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 StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Exempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatus
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SW SAM JACKSON PARK ROADPORTLANDOR97239931176109HOSP & UNIVORNA
DOERNBECHER CHILDREN'S HOSPITAL GROUP
1121 SW SALMON STREET 100PORTLANDOR97205931329815FUNDRAISINGORNA501(C)(3)7

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
THOMAS G KAY UNITRUST
1121 SW SALMON STREET SUITE 100PORTLANDOR97205020793904CH. REMAIN. TRUSTOROHSUFT01758371.00000
DC & SJ MCLAUGHLIN CH REMAINDER TRUST
1121 SW SALMON STREET SUITE 100PORTLANDOR97205936340346CH. REMAIN. TRUSTOROHSUFT0317900.60000
CLYDE W MUNSON CRAT FBO DCHF
1121 SW SALMON STREET SUITE 100PORTLANDOR97205776263903CH. REMAIN. TRUSTOROHSUFT01851071.00000
ELDA M MUNSON CRAT FBO DCHF
1121 SW SALMON STREET SUITE 100PORTLANDOR97205300416089CH. REMAIN. TRUSTOROHSUFT01908771.00000
FRED AND LORRAINE RIESE UNITRUST
1121 SW SALMON STREET SUITE 100PORTLANDOR97205936332212CH. REMAIN. TRUSTOROHSUFT01192681.00000
THE RUPP CHARITABLE REMAINDER UNITRUST
1121 SW SALMON STREET SUITE 100PORTLANDOR97205936295682CH. REMAIN. TRUSTOROHSUFT01652111.00000
DON AND KARLENE THORKILDSEN UNITRUST
1121 SW SALMON STREET SUITE 100PORTLANDOR97205931211172CH. REMAIN. TRUSTOROHSUFT02648991.00000
MARVIN AND IRENE THORNTON UNITRUST
1121 SW SALMON STREET SUITE 100PORTLANDOR97205931314420CH. REMAIN. TRUSTOROHSUFT0764591.00000
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 InvolvedAmountInvolved
OREGON HEALTH AND SCIENCE UNIVERSITY
B6618624
DOERNBECHER CHILDREN'S HOSPITAL GROUP
C279025

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