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OREGON DENTAL SERVICE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
OREGON DENTAL SERVICE (EIN 93-0438772)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201533209349310293
Schema version
2014v5.0
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)
Return2015-11-16T14:36:53-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Market StreetAddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930438772EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OREGON DENTAL SERVICEBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DAVID EVANSInCareOfNm
Business Name ControlOREGBusinessNameControlTxt
Phone5032286554PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 SW SECOND AVENUEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP972043154ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid EvansPersonNm
Person TitleSenior VP & CFOPersonTitleTxt
Phone5032286554PhoneNum
Signature2015-11-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY J KOHLERPreparerPersonNm
PTINP00627766PTIN
Phone3142068500PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID EVANSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 SW SECOND AVENUEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97204ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$458,190,262GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1961FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionPROVISION OF DENTAL SERVICES TO THE GENERAL PUBLIC TO ASSIST IN ENCOURAGING PREVENTION, EDUCATION, AND GENERAL DENTAL HEALTHActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$335,717,374PYProgramServiceRevenueAmt
CY Program Service Revenue$391,414,163CYProgramServiceRevenueAmt
PY Investment Income$660,504PYInvestmentIncomeAmt
CY Investment Income$639,625CYInvestmentIncomeAmt
PY Other Revenue$3,104,199PYOtherRevenueAmt
CY Other Revenue$57,382,746CYOtherRevenueAmt
PY Total Revenue$339,482,077PYTotalRevenueAmt
CY Total Revenue$449,436,534CYTotalRevenueAmt
PY Grants And Similar Paid$357,741PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$318,185CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$302,329,255PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$354,863,276CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$51,318,400PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$55,270,461CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses-$21,777,528PYOtherExpensesAmt
CY Other Expenses$40,697,821CYOtherExpensesAmt
PY Total Expenses$332,227,868PYTotalExpensesAmt
CY Total Expenses$451,149,743CYTotalExpensesAmt
PY Revenues Less Expenses$7,254,209PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,713,209CYRevenuesLessExpensesAmt
Total Assets BOY$166,511,219TotalAssetsBOYAmt
Total Assets EOY$170,163,036TotalAssetsEOYAmt
Total Liabilities BOY$40,583,624TotalLiabilitiesBOYAmt
Total Liabilities EOY$45,705,477TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$125,927,595NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$124,457,559NetAssetsOrFundBalancesEOYAmt
MissionPROVISION OF DENTAL SERVICES TO THE GENERAL PUBLIC TO ASSIST IN ENCOURAGING PREVENTION, EDUCATION, AND GENERAL DENTAL HEALTHMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$355,181,461ExpenseAmt
Grant$318,185GrantAmt
Revenue$391,531,555RevenueAmt
DescPROVISION OF DENTAL SERVICES TO THE GENERAL PUBLIC TO ASSIST IN ENCOURAGING PREVENTION, EDUCATION, AND GENERAL DENTAL HEALTH.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,038,351ExpenseAmt
Revenue$882,608RevenueAmt
DescPROVISION OF EDUCATION TO THE DENTAL COMMUNITYDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$356,219,812TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document23283IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryEIForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID EVANSPersonNm
Phone5032286554PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 SW SECOND AVENUEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97204ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
George Darke
Director1.00.0Yes (X)$37,800$0$0
Robert G Gootee
CEO10.040.0Yes (X)$0$2,341,649$700,317Yes (X)
David Howerton
Director1.00.0Yes (X)$55,000$0$0
Mark Jensen
Director1.00.0Yes (X)$37,000$0$0
George Passadore
Director1.00.0Yes (X)$38,300$0$0
Jill Eberwein
Director1.00.0Yes (X)$35,000$0$0
Molly Bordonaro
Director1.00.0Yes (X)$34,500$0$0
Thomas J Bikales
Secretary12.537.5$0$241,098$59,058Yes (X)
William Ten Pas
PRESIDENT32.517.5$0$964,852$328,838Yes (X)
David Evans
TREASURER5.544.5$0$507,991$246,880Yes (X)
Kraig Anderson
Sr Vice President10.040.0$0$446,314$241,280Yes (X)
Susan Hansen
Vice President17.033.0$0$296,040$28,762Yes (X)
Tracie Murphy
SR Vice President15.035.0$0$507,777$246,842Yes (X)
Robin Richardson
SR Vice President2.547.5$0$504,935$246,412Yes (X)
William Johnson
SR Vice President0.050.0$0$629,171$272,771Yes (X)
Steven Wynne
Executive Vice President12.537.5$0$1,179,248$328,314Yes (X)
Jay Lamb
Senior Vice President12.537.5$0$467,696$226,146Yes (X)
James Foley
Vice President2.048.0$0$343,021$66,482Yes (X)
CHANDRA WAHRGREN
VICE PRESIDENT0.050.0$0$300,863$52,230Yes (X)
Scott Loftin
Vice President20.030.0$0$289,348$52,426Yes (X)
Teri Barichello
Vice President25.025.0$0$309,684$55,330Yes (X)
Robert Mills
Director0.050.0$0$256,144$12,805Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$237,600TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,585,831TotReportableCompRltdOrgAmt
Total Other Compensation$3,164,893TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SHAKTI SOLUTIONS
3160 Bee Caves Road 300BAUSTINTX78746OFFSHORE/IT SUPPORT$1,735,256
Vanderhouwen Associates Inc
6342 SW Macadam AvePORTLANDOR97239Tech Staff Placement$673,695
Benefitfocuscom Inc
100 Benefitfocus WayCHARLESTONSC29492Benefits Admin$694,442
Deloitte Touche LLP
111 SW 5th Ave Suite 3900PORTLANDOR97204Accounting$988,031
CLARITY SOFTWARE SOLUTIONS INC
92 Wall St Ste 1MADISONCT06443Software Solutions$921,727
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DENTAL SERVICES524114$390,531,555$390,531,555
EDUCATION TO THE DENTAL COMMUNITY611710$882,608$882,608
FieldValueIRS element (for citing)
Total Program Service Revenue$391,414,163TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$581,982TotalRevenueColumnAmt
Exclusion$581,982ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$553,752RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$553,752RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$553,752TotalRevenueColumnAmt
Exclusion$553,752ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,737,003SecuritiesAmt
Other$74,368OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,704,354SecuritiesAmt
Other$49,374OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$32,649SecuritiesAmt
Other$24,994OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,643TotalRevenueColumnAmt
Exclusion$57,643ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MISC INCOME900099$2,542$2,542
INVESTMENT IN SUBSIDIARY900003-$4,911,879-$4,911,879
EXPENSE REIMBURSEMENT$61,738,331$61,738,331
FieldValueIRS element (for citing)
Other Revenue Total$56,828,994OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$449,436,534TotalRevenueColumnAmt
Related Or Exempt Func Income$453,155,036RelatedOrExemptFuncIncomeAmt
Exclusion-$3,718,502ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$318,185TotalAmt
Program Services$318,185ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$354,863,276TotalAmt
Program Services$354,863,276ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$237,600TotalAmt
Management And General$237,600ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$48,033,306TotalAmt
Program Services$693,660ProgramServicesAmt
Management And General$47,339,646ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,968,491TotalAmt
Management And General$1,968,491ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,440,993TotalAmt
Management And General$1,440,993ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,590,071TotalAmt
Management And General$3,590,071ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,076TotalAmt
Management And General$33,076ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,012,050TotalAmt
Management And General$1,012,050ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$51,866TotalAmt
Management And General$51,866ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,124,574TotalAmt
Management And General$2,124,574ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,903,937TotalAmt
Management And General$1,903,937ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,146,333TotalAmt
Program Services$39,393ProgramServicesAmt
Management And General$12,106,940ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,078,723TotalAmt
Management And General$4,078,723ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,621,057TotalAmt
Program Services$266,880ProgramServicesAmt
Management And General$5,354,177ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$774,732TotalAmt
Management And General$774,732ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,337,655TotalAmt
Program Services$836ProgramServicesAmt
Management And General$6,336,819ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$638,230TotalAmt
Management And General$638,230ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
C0MMISSIONS AND BROKER FEES$2,660,659$2,660,659
BOARDS & ASSOCIATIONS$353,929$353,929
CLEANING EXP$108,075$108,075
FURNITURE & FIXTURES$143,214$143,214

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,709,711TotalAmt
Program Services$37,582ProgramServicesAmt
Management And General$2,672,129ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$451,149,743TotalAmt
Program Services$356,219,812ProgramServicesAmt
Management And General$94,929,931ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,393,924BOYAmt
EOY$18,137,891EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,613,536BOYAmt
EOY$9,470,238EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,910,353BOYAmt
EOY$3,305,821EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$66,618,900LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$44,258,542LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,567,623BOYAmt
EOY$22,360,358EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$22,757,849BOYAmt
EOY$23,274,580EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$99,135,772BOYAmt
EOY$93,327,103EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$132,162BOYAmt
EOY$287,045EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$166,511,219BOYAmt
EOY$170,163,036EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,178,883BOYAmt
EOY$22,849,866EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,404,741BOYAmt
EOY$22,855,611EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,583,624BOYAmt
EOY$45,705,477EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$30,000BOYAmt
EOY$30,000EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$20,247,852BOYAmt
EOY$20,247,852EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$105,649,743BOYAmt
EOY$104,179,707EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$125,927,595BOYAmt
EOY$124,457,559EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$166,511,219BOYAmt
EOY$170,163,036EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,713,209ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$243,173NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$612,191OtherCostOrOtherBasisAmt
Book Value$612,191BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,350,866OtherCostOrOtherBasisAmt
Depreciation$1,521,562DepreciationAmt
Book Value$4,829,304BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,495,869OtherCostOrOtherBasisAmt
Depreciation$3,362,498DepreciationAmt
Book Value$2,133,371BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,801,500OtherCostOrOtherBasisAmt
Depreciation$33,935,549DepreciationAmt
Book Value$11,865,951BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,358,474OtherCostOrOtherBasisAmt
Depreciation$5,438,933DepreciationAmt
Book Value$2,919,541BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$22,360,358TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
MODA, INC.$84,533,295C
INVESTMENTS MARKET VALUE-$16,205F
DEFERRED COMP. INVESTMENT$8,553,624F
INVESTMENTS MONEY MARKET$256,389F
FieldValueIRS element (for citing)
Total Book Value Securities$93,327,103TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
ADVANCE DEPOSITS$4,508,240
ESTIMATED POLICY CLAIMS$125,450
PROVISION FOR REFUNDABLE REV$3,880,952
DEFERRED COMP RESERVE$8,388,768
CAPITAL LEASE OBLIGATIONS$3,214,064
UNEARNED PREMIUMS$0
CONTINGENCY RESERVE$229,137
IBNR$2,509,000
FieldValueIRS element (for citing)
Total Liability$22,855,611TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Supplemental Information DetailSupplementalInformationDetail
Supplemental Information DetailSupplementalInformationDetail
Supplemental Information DetailSupplementalInformationDetail

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2The Company did not have any unrecognized income tax benefits as of December 31, 2014 or 2013.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
OHSU FOUNDATION
1121 SE SALMON STSuite 100PORTLANDOR97205237083114501(c)(3)$250,000School of Dentistry Capital Campaign - New building fund
Washington Oral Health
126 NW Canal STSeattleWA98107911869855501(c)(3)$10,000Charity
Oregon Dental Association
PO Box 3710WilsonvilleOR97070930243383501(c)(3)$7,500Charity
Inland NW Community Foundation
618 W Riverside Ave 302SpokaneWA99201910941053501(c)(3)$7,500Charity
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Ln 2FormAndLineReferenceDesc
ExplanationPrior to granting funds the company scrutinizes the charitable organizations that it donates to and ensures they are credible organizations with well-established reputations for utilizing the funds that are donated.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kraig Anderson
Sr Vice President$0$268,030$0$169,678$0$8,606$0$239,710$0$1,570$0$687,594$0$0
Thomas J Bikales
Secretary$0$159,856$0$72,019$0$9,223$0$58,583$0$475$0$300,156$0$0
Robert G Gootee
CEO$0$1,298,855$0$1,020,453$0$22,341$0$696,272$0$4,045$0$3,041,966$0$425,000
Susan Hansen
Vice President$0$185,570$0$102,125$0$8,345$0$27,522$0$1,240$0$324,802$0$0
Tracie Murphy
SR Vice President$0$288,381$0$212,389$0$7,007$0$245,382$0$1,460$0$754,619$0$0
Robin Richardson
SR Vice President$0$287,571$0$212,389$0$4,975$0$245,262$0$1,150$0$751,347$0$0
William Ten Pas
PRESIDENT$0$623,178$0$332,651$0$9,023$0$322,578$0$6,260$0$1,293,690$0$205,000
David Evans
TREASURER$0$286,793$0$212,389$0$8,809$0$245,440$0$1,440$0$754,871$0$0
James Foley
Vice President$0$247,513$0$83,613$0$11,895$0$61,917$0$4,565$0$409,503$0$0
William Johnson
SR Vice President$0$358,367$0$268,611$0$2,193$0$269,041$0$3,730$0$901,942$0$0
CHANDRA WAHRGREN
VICE PRESIDENT$0$198,370$0$93,401$0$9,092$0$51,955$0$275$0$353,093$0$0
Steven Wynne
Executive Vice President$0$947,914$0$230,000$0$1,334$0$315,154$0$13,160$0$1,507,562$0$480,596
Scott Loftin
Vice President$0$192,923$0$88,295$0$8,130$0$51,891$0$535$0$341,774$0$0
Jay Lamb
Senior Vice President$0$307,151$0$150,000$0$10,545$0$222,906$0$3,240$0$693,842$0$0
Jonathan Nicholas
Vice President$0$172,320$0$63,083$0$8,324$0$55,482$0$4,821$0$304,030$0$0
Teri Barichello
Vice President$0$219,443$0$83,507$0$6,734$0$55,330$0$0$0$365,014$0$0
Robert Mills
Director$0$243,394$0$12,500$0$250$0$12,805$0$0$0$268,949$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aWith respect to the items checked in Question 1a, the organization does not have a written policy regarding reimbursement/payment. Expenses for first-class air 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.
Part 1, Line 1bTravel benefits are not treated as taxable compensation.
Part 1, Line 4bSupplemental Executive Retirement Account Program: The Company's Supplemental Executive Retirement Account Program covers certain key employees and consists of two nonqualified defined contribution retirement plans in which eligibility is based on years of service as an executive level employee. Both plans are designed to be paid at or after retirement or other qualifying separation from service (e.g., death or disability). Deferred Compensation Plans: The Company offers a nonqualified Deferred Compensation Plan to certain employees and to members of the Board of Directors of the company. The Employee Plan includes a Supplemental Benefit Schedule that provides for a company match, up to specified limits based on the level/rank of the employee, on amount of salary deferred by participants. Matched amounts are paid out along with each individual's salary deferrals based on elections made under the Plan. Defined Contribution Supplemental Executive Incentive Plan: The Company's Defined Contribution Supplemental Executive Incentive Plan covers its Chief Executive Officer and consists of a nonqualified defined contribution retirement plan in which vesting is based on the employment of the participant in the capacity as Chief Executive Officer on pre-defined calendar dates as well as certain other contingencies. The Plan is designed to be paid at or after retirement or other qualifying separation from service (e.g., death or disability). No payments were made during 2014.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DAVID HOWERTON
DIRECTOR$1,707,545DENTAL SERVICE PROVIDERfalse
MARK JENSEN
DIRECTOR$131,710DENTAL SERVICE PROVIDERfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION B, QUESTION 12CThe 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 15In 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 19The organization's governing documents, Conflict of Interest Policy and financial statements are not made available to the public.
PART VI, SECTION A, QUESTION 11A 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.
PART VI, SECTION A, QUESTION 3The organization delegated control over management duties customarily performed by or under the direct supervision of officers, directors, or trustees, or key employees to Moda, Inc. [fka Health Services Group, Inc.]. Moda, Inc. provides certain administrative services including accounting, data processing, facilities, purchasing, legal and senior executive management.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
OREGON DENTAL ASSOCIATION
PO BOX 3710WILSONVILLEOR97070930243383DENTAL PROFESOR501(c)(6)N/ANAfalse
DENTAL FOUNDATION OF OREGON
8699 SW SUN PLACEWILSONVILLEOR97070930818476ORAL HEALTHOR501(C)(3)11ANAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Payless Drug Pharmacy Group LLC
601 SW Second AvenuePortlandOR97204463324446Pharm. Drug SORPayLess Drug StExcluded$406,513$34,537,572falseYes (true)0.70000
360 Bond LLC
601 SW SECOND AVENUE SUITE 2400PORTLANDOR97204260233981REAL ESTATE MORODS BEND PROPExcluded-$43,009$20,748,458falseYes (true)0.80000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Moda Inc fka HSG Inc
601 SW Second AvenuePortlandOR972043156931083363Holding CompaORNAC$6,582,500$166,644,3261.00000Yes (true)
MODA HEALTH PLAN INC
601 SW Second AvenuePortlandOR97204930989307InsuranceORModa IncC$13,927,256$361,543,9151.00000Yes (true)
Dentists Benefits Insurance Company
601 SW Second AvenuePortlandOR97204930890424InsuranceORMODA HealthC$127,530$18,573,4941.00000Yes (true)
Benefithelp Solutions Inc
601 SW Second AvenuePortlandOR97204931135521Admin. ServicORMODA HealthC$177,617$5,012,4601.00000Yes (true)
ODS Community Health Inc
601 SW Second AvenuePortlandOR97204450528457Medicaid InsORMODA HealthC$7,584,939$14,830,1101.00000Yes (true)
Dentists Benefit Corporation
601 SW Second AvenuePortlandOR97204930787508Market Liab.ORModa IncC-$818,445$2,233,3811.00000Yes (true)
Dentists Management Corporation
601 SW Second AvenuePortlandOR97204930792340Dev & Mkt MgmORModa IncC-$183,349$1,669,4391.00000Yes (true)
ODS Plaza Inc
601 SW Second AvenuePortlandOR97204830453200R. Estate HolORMODA HealthC-$197,228$6,568,3241.00000Yes (true)
Northwest Dentists Insurance Company
601 SW Second AvenuePortlandOR97204911444206Markets Liab.ORModa IncC$1,049,336$16,593,6130.75000Yes (true)
Dental Commerce Corporation
601 SW Second AvenuePortlandOR97204352410053Consumer LendORModa IncC$93,848$5,453,2051.00000Yes (true)
Payless Drug Stores Inc
16100 SW 72NDTigardOR97224931278451Pharma. DrugORModa IncC$387,753$23,153,1661.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MODA INC fka Health Services Group Inc
M$15,928,111COST
MODA INC fka Health Services Group Inc
N$37,210,189COST
MODA INC fka Health Services Group Inc
P$9,668,799COST