2012-10-31T11:34:26-05:00 2011-12-31 PricewaterhouseCoopers LLP 800 Market Street St Louis MO 63101 990 2011-01-01 930438772 OREGON DENTAL SERVICE % DAVID EVANS OREG 5032286554 601 SW SECOND AVENUE PORTLAND OR 972043154 David Evans 5052286554 2012-10-30 true 3142068500 2011 2016-02-24 21:20:13Z 350978800 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 326858703 337143317 847859 615853 5375761 5330382 333082323 343089552 265039 185058 295109706 306531496 40227476 40109547 0 0 0 -12385681 -14128250 323216540 332697851 9865783 10391701 143216216 146205516 47796941 40894540 95419275 105310976 PROVISION OF DENTAL SERVICES TO THE GENERAL PUBLIC TO ASSIST IN ENCOURAGING PREVENTION, EDUCATION, AND GENERAL DENTAL HEALTH false false 306716554 185058 336174968 PROVISION OF DENTAL SERVICES TO THE GENERAL PUBLIC TO ASSIST IN ENCOURAGING PREVENTION, EDUCATION, AND GENERAL DENTAL HEALTH. 943903 968349 PROVISION OF EDUCATION TO THE DENTAL COMMUNITY 307660457 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 19171 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 Tracy Andrus 1.0 X 31500 Wayne Barichello 1.0 X 31000 Michael Biermann 1.0 X 13000 20000 George Darke 1.0 X 34800 Robert G Gootee 50.0 X X 1081482 1061653 David Howerton 1.0 X 35000 Mark Jensen 1.0 X 30800 4000 Mike McKeel 1.0 X 33000 George Passadore 1.0 X 36300 John Stevason 1.0 X 32000 Jon Carnahan 1.0 X 31000 CJ McLeod 1.0 X 19000 13000 Jill Eberwein 1.0 X 16000 JAY LAMB 1.0 X 1000 50000 PATRICK NEARING 1.0 X 34800 Thomas J Bikales 50.0 X 174778 25673 William Ten Pas 50.0 X 474249 534814 David Evans 50.0 X 236250 32210 Susan Hansen 50.0 X 194797 19411 Tracie Murphy 50.0 X 286731 145014 Robin Richardson 50.0 X 287148 144730 William Johnson 50.0 X 319964 17285 Kraig Anderson 50.0 X 208277 25581 James Foley 50.0 X 258614 25083 WILLIAM HOCKETT 50.0 X 202730 11880 ROBERT MILLS 50.0 X 211035 CHANDRA WAHRGREN 50.0 X 210730 23299 344400 4146785 2188433 0 false true false The Trizetto Group Inc COMPUTER MAINTENANCE 2810359 Sirius Computer Solutions Inc COMPUTER MAINTENANCE 2125014 IBM CORPORATOIN COMPUTER MAINTENANCE 2564848 SHAKTI SOLUTIONS OFFSHORE/IT SUPPORT 1313651 Solberg-Adams LLC Telecom Consulting 790117 35 0 DENTAL SERVICES 524114 336174968 336174968 EDUCATION TO THE DENTAL COMMUNITY 611710 968349 968349 337143317 629946 629946 0 0 0 553752 553752 553752 553752 7796714 78441 7842942 46306 -46228 32135 -14093 -14093 0 0 0 UNREALIZED GAIN/(LOSS) 523000 -29303 -29303 MISC INCOME 900099 43160 43160 INVESTMENT IN SUBSIDIARY 900003 4762773 4762773 4776630 343089552 341919947 1169605 185058 185058 0 0 306531496 306531496 344400 0 344400 0 33395259 586492 32808767 1364180 1364180 2257168 2257168 2748540 2748540 0 102545 102545 712992 712992 0 0 0 0 861980 861980 8336933 46235 8290698 2474684 2474684 0 5152868 266880 4885988 512876 512876 0 0 0 0 4502969 13239 4489730 485077 485077 EXPENSE ALLOCATION -42563857 -42563857 COMMISSIONS AND BROKER FEES 2160516 2160516 CONSULTING 1083327 1083327 INVESTMENT EXPENSE 49154 49154 1999686 31057 1968629 332697851 307660457 25037394 0 648616 -7605147 0 0 0 0 12866817 11557545 0 0 0 0 0 0 0 0 1894593 2097730 51692229 31545768 21569238 20146461 20929551 31095076 85118886 88731185 0 0 0 0 188515 182666 143216216 146205516 18120897 14942933 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29676044 25951607 47796941 40894540 X 30000 30000 20747852 20247852 74641423 85033124 95419275 105310976 143216216 146205516 X 10391701 -500000 X false true true X false 612191 612191 6350866 1045247 5305619 4653841 2495791 2158050 34523345 23206619 11316726 5551986 4798111 753875 20146461 HEALTH SERVICE GROUP 78656719 C INVESTMENTS MARKET VALUE 177136 F DEFERRED COMP. INVESTMENT 9897330 F 88731185 0 ADVANCE DEPOSITS 2876493 ESTIMATED POLICY CLAIMS 126850 PROVISION FOR REFUNDABLE REV 7316874 DEFERRED COMP RESERVE 9897330 CAPITAL LEASE OBLIGATIONS 2519440 UNEARNED PREMIUMS 37511 CONTINGENCY RESERVE 640109 IBNR 2537000 25951607 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, 2011, 2010 OR 2009. true DENTAL FOUNDATION of OREGON PO Box 2448 WILSONVILLE OR 97070 930818476 501(c)(3) 10000 CHARITY OHSU FOUNDATION 1121 SE SALMON ST Suite 100 PORTLAND OR 97205 237083114 501(c)(3) 100000 School of Dentistry Capital Campaign - New building fund Washington Oral Health 126 NW Canal ST Seattle WA 98107 911869855 501(c)(3) 10000 Charity Oregon Food Bank PO Box 55370 Portland OR 97209 930785786 501(c)(3) 10000 Providing Food to those in Need 4 0 X X X X X false true X X X X X false true false false false false false false false Kraig Anderson 169777 30000 8500 25251 330 233858 Thomas J Bikales 145499 20000 9279 25198 475 200451 Robert G Gootee 704523 367200 9759 1057608 4045 2143135 Susan Hansen 163446 25000 6351 18171 1240 214208 Tracie Murphy 208029 75000 3702 143554 1460 431745 Robin Richardson 207583 75000 4565 143580 1150 431878 William Ten Pas 349488 120000 4761 528554 6260 1009063 David Evans 181853 50000 4397 26685 5525 268460 James Foley 218291 30000 10323 20518 4565 283697 William Johnson 264776 50000 5188 17285 0 337249 WILLIAM HOCKETT 134930 7500 60300 11880 214610 60300 ROBERT MILLS 211035 211035 CHANDRA WAHRGREN 155330 50000 5400 23024 275 234029 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. 0 JAY C LAMB DIRECTOR 532314 DENTAL SERVICE PROVIDER false MICHAEL BIERMANN DIRECTOR 220312 DENTAL SERVICE PROVIDER false DAVID HOWERTON DIRECTOR 1799010 DENTAL SERVICE PROVIDER false MICHAEL MCKEEL DIRECTOR 178902 DENTAL SERVICE PROVIDER false PAT NEARING DIRECTOR 375505 DENTAL SERVICE PROVIDER false MARK JENSEN DIRECTOR 114691 DENTAL SERVICE PROVIDER false WAYNE BARICHELLO DIRECTOR 165467 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. Part XI, Line 5 Reconciliation of Net Assets $500,000 of the organization's Subordinated Contingency Reserve, which was a component of Retained Earnings, was reclassed to a current liability account. The reclassification was approved by the Oregon Department of Consumer and Business Services. DENTAL FOUNDATION OF OREGON 8699 SW SUN PLACE WILSONVILLE OR 97070 930818476 ORAL HEALTH OR 501(C)(3) 11A NA false OREGON DENTAL ASSOCIATION PO BOX 3710 WILSONVILLE OR 97070 930243383 DENTAL PROFES OR 501(c)(6) N/A NA false Health Services Group Inc 601 SW Second Avenue Portland OR 972043156 931083363 Holding Compa OR NA C 1967209 119241686 1.00000 ODS Health Plan Inc 601 SW Second Avenue Portland OR 97204 930989307 Insurance OR HSG Inc C 8077365 257662531 1.00000 Dentists Benefits Insurance Company 601 SW Second Avenue Portland OR 97204 930890424 Insurance OR ODS Health Plan C 401821 16783863 1.00000 Benefithelp Solutions Inc 601 SW Second Avenue Portland OR 97204 931135521 Admin. Servic OR ODS Health Plan C -185280 4629891 1.00000 ODS Community Health Inc 601 SW Second Avenue Portland OR 97204 450528457 Medicaid Ins OR ODS Health Plan C 380708 10634031 1.00000 Dentists Benefit Corporation 601 SW Second Avenue Portland OR 97204 930787508 Market Liab. OR HSG Inc C -25215 1312304 1.00000 Dentists Management Corporation 601 SW Second Avenue Portland OR 97204 930792340 Dev & Mkt Mgm OR HSG Inc C -92123 1465644 1.00000 ODS Plaza Inc 601 SW Second Avenue Portland OR 97204 830453200 R. Estate Hol OR ODS HEALTH PLAN C -50491 7423326 1.00000 Northwest Dentists Insurance Company 601 SW Second Avenue Portland OR 97204 911444206 Markets Liab. OR HSG Inc C 760680 18171230 0.75000 Dental Commerce Corporation 601 SW Second Avenue Portland OR 97204 352410053 Consumer Lending OR HSG INC C -16981 317466 1.00000 false true false false false false false false false false false false true true false true false false DENTAL FOUNDATION OF OREGON B 170562 CASH GRANT DENTAL FOUNDATION OF OREGON N 70000 ESTIMATED COST HEALTH SERVICES GROUP M 8590339 CLIENT RECORDS HEALTH SERVICES GROUP N 27738438 CLIENT RECORDS HEALTH SERVICES GROUP P 6235080 CLIENT RECORDS