2011-11-14T11:16:28-06:00 2010-12-31 PricewaterhouseCoopers LLP 800 Market Street St Louis MO 63101 990 2010-01-01 930438772 OREGON DENTAL SERVICE OREG 5032286554 601 SW SECOND AVENUE PORTLAND OR 972043154 DAVE EVANS 5032286554 2011-11-10 true 3142068500 2010 2016-03-07 17:11:31Z 351721404 false X N/A X 1961 OR PROVISION OF DENTAL SERVICES TO THE GENERAL PUBLIC TO ASSIST IN ENCOURAGING PREVENTION, EDUCATION, AND GENERAL DENTAL HEALTH 15 6 0 0 0 0 0 0 319814382 326858703 -2070540 847859 -1374059 5375761 316369783 333082323 119922 265039 296446881 295109706 39013967 40227476 0 0 0 -11477735 -12385681 324103035 323216540 -7733252 9865783 131270327 143216216 45716835 47796941 85553492 95419275 PROVISION OF DENTAL SERVICES TO THE GENERAL PUBLIC TO ASSIST IN ENCOURAGING PREVENTION, EDUCATION, AND GENERAL DENTAL HEALTH false false 295374744 265039 325877742 PROVISION OF DENTAL SERVICES TO THE GENERAL PUBLIC TO ASSIST IN ENCOURAGING PREVENTION, EDUCATION, AND GENERAL DENTAL HEALTH. 1322316 980961 PROVISION OF EDUCATION TO THE DENTAL COMMUNITY 296697060 false false false false false false false false false true true false false true true false true false false false false false false false false false true false true false false false false false true false false false false false false false true true true false true 18022 0 true 0 false true EI false false false false false false false false X 15 6 false true false false false true true true true false false false true true true true true true true false OR X DAVID EVANS 5032286554 601 SW SECOND AVENUE PORTLAND OR 97204 Karen Anderegg 1.0 X 23000 Tracy Andrus 1.0 X 30000 Wayne Barichello 1.0 X 30300 Michael Biermann 1.0 X 31000 George Darke 1.0 X 32300 Robert G Gootee 50.0 X X 978073 788579 David Howerton 1.0 X 33000 Mark Jensen 1.0 X 31300 Jay Lamb 1.0 X 34500 Mike McKeel 1.0 X 29000 Marta Monetti 1.0 X 30000 Pat Nearing 1.0 X 29000 George Passadore 1.0 X 33300 John Stevason 1.0 X 30500 Jon Carnahan 1.0 X 28000 Thomas J Bikales 50.0 X 141093 9287 William Ten Pas 50.0 X 452622 385898 David Evans 50.0 X 179935 20557 Susan Hansen 50.0 X 196728 15878 Tracie Murphy 50.0 X 232816 27964 Robin Richardson 50.0 X 225317 27807 Steven Wynne 50.0 X 287992 0 CJ McLeod 50.0 X 612920 201827 Kraig Anderson 50.0 X 198157 23706 James Foley 50.0 X 247863 24530 William Johnson 50.0 X 258829 20606 Christopher Verbiest 50.0 X 178185 23010 Mary Lou True 50.0 X 166371 22232 Jonathan L Jurevic X 252251 50000 425200 4609152 1641881 0 true true false Morrison Street CF LLC Rent 4981700 Shakti Solutions Offshore/IT Support 1867928 IBM Corporation - BE8 Hardware 1743241 The Trizetto Group Inc COMPUTER MAINTENANCE 1732520 Sirius Computer Solutions Inc COMPUTER MAINTENANCE 1481903 41 0 DENTAL SERVICES 524114 325877742 325877742 EDUCATION TO THE DENTAL COMMUNITY 611710 980961 980961 326858703 708771 708771 0 0 0 553752 553752 553752 553752 18763670 14500 18593086 45995 170584 -31495 139088 139088 0 0 0 UNREALIZED GAIN/(LOSS) 523000 536980 536980 MISC INCOME 900099 29090 29090 INVESTMENT IN SUBSIDIARY 900003 4255939 4255939 4822009 333082323 331680712 1401611 265039 265039 0 0 295109706 295109706 425200 425200 0 31785202 880804 30904398 1751038 1751038 3768465 3768465 2497571 2497571 0 321641 321641 636501 636501 0 0 0 0 759495 759495 8088344 52191 8036153 2535940 2535940 0 5095655 266880 4828775 436511 436511 0 0 0 0 4647794 85526 4562268 299415 299415 EXPENSE ALLOCATION -39752303 -39752303 COMMISSIONS AND BROKER FEES 2177316 2177316 CONSULTING 583346 583346 INVESTMENT EXPENSE 52793 52793 BOARDS & ASSOCIATIONS 322458 322458 1409413 36914 1372499 323216540 296697060 26519480 0 -10422950 648616 12954689 12866817 1573563 1894593 49836979 28267741 15018069 21569238 23278306 20929551 80267376 85118886 8601274 188515 131270327 143216216 14165053 18120897 31551782 29676044 45716835 47796941 X 30000 30000 20747852 20747852 64775640 74641423 85553492 95419275 131270327 143216216 9865783 X false true true X false 612191 612191 6350866 886475 5464391 4672485 2280770 2391715 32260369 19947395 12312974 5941068 5153101 787967 21569238 HEALTH SERVICE GROUP 73893946 C INVESTMENTS MARKET VALUE 206439 F DEFERRED COMP. INVESTMENT 11018501 F 85118886 0 ADVANCE DEPOSITS 2719622 ESTIMATED POLICY CLAIMS 130950 PROVISION FOR REFUNDABLE REV 9383485 DEFERRED COMP RESERVE 11018501 CAPITAL LEASE OBLIGATIONS 3511034 UNEARNED PREMIUMS 36741 CONTINGENCY RESERVE 256711 IBNR 2619000 29676044 LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740) SCHEDULE D, PART X, LINE 2 THE COMPANY ADOPTED THE FASB'S GUIDANCE ON ACCOUNTING FOR UNCERTAINTIES IN INCOME TAX ON JANUARY 1, 2009. AS THE COMPANY DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AT THAT DATE FOR TAX POSITIONS TAKEN IN 2009 AND PRIOR YEARS, NO CUMULATIVE EFFECT ADJUSTMENT WAS RECORDED. THE COMPANY DOES NOT HAVE ANY UNRECOGNIZED INCOME TAX BENEFITS AS OF DECEMBER 31, 2010 OR 2009. true DENTAL FOUNDATION of OREGON PO Box 2448 WILISONVILLE OR 97070 930818476 501(c)(3) 72717 CHARITY OHSU FOUNDATION 1121 SE SALMON ST Suite 100 PORTLAND OR 97205 237083114 501(c)(3) 100500 School of Dentistry Capital Campaign - New building fund PORTLAND STATE UNIVERSITY 2125 SW FOURTH AVE PORTLAND OR 97201 930619733 501(c)(3) 7500 Bldg Renovation The Oregon Community 1221 SW Yamhill 100 Portland OR 97205 237315673 501(c)(3) 50000 Charity Washington Oral Health 126 NW Canal ST Seattle WA 98107 911869855 501(c)(3) 10000 Charity X X X X X false true X X X X X false true false false false false false false false Kraig Anderson 148318 40000 9839 23376 330 221863 Thomas J Bikales 126093 15000 0 8812 475 150380 Robert G Gootee 607550 360000 10523 784534 4045 1766652 Susan Hansen 155222 30000 11506 14638 1240 212606 Jonathan L Jurevic 79233 147500 25518 50000 0 302251 Tracie Murphy 183455 45000 4361 26504 1460 260780 Robin Richardson 184053 35000 6264 26657 1150 253124 William Ten Pas 298799 147500 6323 379638 6260 838520 David Evans 137526 35000 7409 20032 525 200492 James Foley 206599 35000 6264 19965 4565 272393 William Johnson 212565 40000 6264 20606 0 279435 Steven Wynne 262143 20000 5849 0 0 287992 Christopher Verbiest 133152 35000 10033 22205 805 201195 Mary Lou True 129286 30000 7085 21782 450 188603 CJ McLeod 152768 147500 312652 201827 814747 1369812 Part I, Line 1a With respect to the items checked in Question 1a, the organization does not have a written policy regarding reimbursement/payment. Expenses for first-class air and companion travel are incurred from time to time when there is a legitimate business need. Such analysis is made on a case by case basis based on the facts and circumstances in question. It is not, for example, a policy of the organization to purchase first-class air tickets. On occasion, however, scheduling constraints or ticket availability may mean that it is in the best interest of the organization to incur the additional expense. Companion travel for the Board and officers is occasionally reimbursed in connection with leadership retreats at which companions participate in educational and other company-related events. The organization's general policies relating to prior approval of expenses and/or checks and balances as to who can approve such exceptional expenses insure that decisions to take on such expenses are made in a fiscally responsible manner. Tax gross up payments are approved by the CEO or, in the case of benefit to senior management, by the Board. Limited reimbursement for club dues is available as an employee benefit based on an individual's level in the organization. JAY C LAMB DIRECTOR 465855 DENTAL SERVICE PROVIDER false MICHAEL BIERMANN DIRECTOR 207804 DENTAL SERVICE PROVIDER false DAVID HOWERTON DIRECTOR 1498522 DENTAL SERVICE PROVIDER false MICHAEL MCKEEL DIRECTOR 199719 DENTAL SERVICE PROVIDER false PAT NEARING DIRECTOR 381761 DENTAL SERVICE PROVIDER false MARK JENSEN DIRECTOR 122524 DENTAL SERVICE PROVIDER false WAYNE BARICHELLO DIRECTOR 327034 DENTAL SERVICE PROVIDER false Part VI, Section B, Question 12c The organization's Corporate Compliance Committee is responsible for monitoring potential issues under and enforcing the provisions of the organization's Conflict of Interest Policy. The Corporate Compliance Committee is composed of high level individuals from a variety of departments (including, among others, Legal, Compliance, Human Resources, Privacy/Security and Accounting). The Committee operates under the authority of the Policy Committee of the organization's Board of Directors. The Committee monitors activities under the Conflict of Interest Policy via (i) annual disclosure statements from the Board and management and other self-reporting, (ii) investigations of issues that are brought to the attention of members of the Corporate Compliance Committee in accordance with the Organization's Code of Conduct and Employee Handbook and (iii) submissions of employees sent through the organization's confidential whistleblower reporting mechanism. When the Committee learns of the possibility of such conflicts of interest, the information is brought to the attention of (disinterested) members of senior management and/or members of the Board of Directors. The Committee then works with these individuals to make a determination, in accordance with the principles and procedures set forth in the Conflict of Interest Policy, as to whether a conflict exists and, if so, to decide what steps, including disciplinary action, should be taken. In addition, on an annual basis, and more frequently when circumstances arise, the organization's counsel, on behalf of the Committee, reports to the Policy Committee of the Board of Directors on activities of the Corporate Compliance Committee, including any actions or issues under the Conflict of Interest Policy. Counsel also conducts regular training sessions for the Board of Directors on the Conflict of Interest Policy and works directly with the officers of the corporation as they complete their annual disclosure statements. Part VI, Section B, Question 15 In accordance with the Bylaws of the organization, compensation of the CEO is determined by the Board of Directors and compensation of the organization's officers (as well as its key employees and other highest compensated employees who are officers of an affiliate of the organization) is determined by the CEO under guidelines specified by the Compensation and Governance Committee of the Board of Directors and subject to approval by the Board of Directors. The Compensation and Governance Committee of the Board of Directors, per its charter and the authority delegated to it by the full Board, meets on an annual basis to discuss CEO and officer compensation. The CEO, who is a member of the Committee, recuses himself from all discussions and decisions relating to CEO compensation. Periodically, the Chairman of the Committee and the Chairman of the Board, who is a member of the Committee, work with a third party benefits consultant selected by the Committee to produce a compensation study that provides comparability data from the organization's peer group with respect to CEO and officer compensation. The study is provided to Committee members in advance of its meeting and it serves as a basis for the Committee's determination of CEO compensation and its review and approval of officer compensation. Minutes of the Committee meeting substantiating all deliberations and determinations are maintained. These minutes, together with any other information reported by Committee members, are then presented to the full Board for discussion and approval. Such actions of the full Board are recorded in the minutes of its meeting. Compensation for other key employees and highest compensated employees of the organization who are not officers of the organization or an affiliate is determined by the organization's Human Resources Department and is subject to review and approval by the CEO. Such pay levels are based on independent, third party compensation studies showing pay scales for corporations that are comparable in size and scope to the organization and reflect the employee's skills, experience, tenure and responsibilities with the organization. Part VI, Section C, Question 19 The organization's governing documents, Conflict of Interest Policy and financial statements are not made available to the public. Part VI, Section A, Question 11 A copy of the Form 990 was provided to the Compensation and Governance Committee of the Board of Directors which, per its charter and the authority delegated to it by the full Board, is responsible for all corporate governance issues and for reviewing and approving CEO and officer compensation. The entire Form 990 was made available to the Committee for review. Officers of the organization identified for the Committee critical areas and highlighted significant issues for review and discussion. The Committee Chair led the discussion and allowed Committee members full scope to comment on and question any and all disclosure contained in the Form 990. Minutes of the Committee meeting substantiating all deliberations and determinations were maintained. These minutes, together with any other information reported by Committee members, were then presented to the full Board for discussion and approval and the Form 990 was made available upon request to all Board members for further review. Actions of the full Board are recorded in the minutes of its meeting. DENTAL FOUNDATION OF OREGON 8699 SW SUN PLACE WILSONVILLE OR 97070 930818476 ORAL HEALTH OR 501(C)(3) 11A NA OREGON DENTAL ASSOCIATION PO BOX 3710 WILSONVILLE OR 97070 930243383 DENTAL PROFES OR 501(c)(6) N/A NA Health Services Group Inc 601 SW Second Avenue Portland OR 972043156 931083363 Holding Company OR NA C 3693224 113807435 1.00000 ODS Health Plan Inc 601 SW Second Avenue Portland OR 97204 930989307 Insurance OR HSG Inc C 4207188 244136745 1.00000 Dentists Benefits Insurance Company 601 SW Second Avenue Portland OR 97204 930890424 Insurance OR ODS Health Plan C 46956 16508589 1.00000 Benefithelp Solutions Inc 601 SW Second Avenue Portland OR 97204 931135521 Admin. Services OR ODS Health Plan C -225433 5552570 1.00000 ODS Community Health Inc 601 SW Second Avenue Portland OR 97204 450528457 Medicaid Ins OR ODS Health Plan C 13822 8337633 1.00000 Dentists Benefit Corporation 601 SW Second Avenue Portland OR 97204 930787508 Market Liab. Ins. OR HSG Inc C -34627 1396038 1.00000 Dentists Management Corporation 601 SW Second Avenue Portland OR 97204 930792340 Dev & Mkt Mgmt Sy OR HSG Inc C -133056 1126763 1.00000 ODS Plaza Inc 601 SW Second Avenue Portland OR 97204 830453200 R. Estate Hold Co OR ODS HEALTH PLAN C -61770 7609216 1.00000 Northwest Dentists Insurance Company 601 SW Second Avenue Portland OR 97204 911444206 Markets Liab. Ins OR HSG Inc C -562652 16969895 0.75000 false true false false false false false false false false false false true true false true false false DENTAL FOUNDATION OF OREGON B 72717 DENTAL FOUNDATION OF OREGON N 73500 HEALTH SERVICES GROUP M 8338289 HEALTH SERVICES GROUP N 26321739 HEALTH SERVICES GROUP P 5092275