2025-04-22T14:56:36-05:00 2024-06-30 135565207 KPMG LLP 1300 SW 5TH AVENUE SUITE 3800 PORTLAND OR 97201 990 2023-07-01 814624043 OREGON RURAL HEALTH INITIATIVE OREG 5032281730 2020 SW 4TH AVENUE SUITE 900 PORTLAND OR 97201 TARA SIMS CFO 5032281730 2025-04-22 1 0 DAVID M HIGHFILL P01517891 5032216500 2025-04-21 2023 2025-03-06 01:10:19Z TARA SIMS 2020 SW 4TH AVENUE SUITE 900 PORTLAND OR 97201 350 0 X N/A X 2016 OR TO SUPPORT OR BENEFIT THE OHSU FOUNDATION, OHSU, AND SKY LAKES MEDICAL CENTER, INC. 5 3 0 0 0 0 7250 350 0 0 0 0 0 0 7250 350 0 0 0 0 0 0 0 0 0 3554 3554 3554 3554 3696 -3204 7018881 7019251 7000303 7003507 18578 15744 TO SUPPORT OR BENEFIT THE OHSU FOUNDATION, OHSU, AND SKY LAKES MEDICAL CENTER, INC. IN FURTHERANCE, TO SUPPORT THE CONSTRUCTION OF A NEW HEALTH CARE BUILDING ON THE CAMPUS OF SKY LAKES MEDICAL CENTER AND ADVANCE THE OHSU CAMPUS FOR RURAL HEALTH. 0 0 N/A 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 OR X TARA SIMS CFO - VP FINANCE & ADMIN 5032281730 2020 SW 4TH AVENUE SUITE 900 PORTLAND OR 97201 PAUL STEWART VICE PRESIDENT 1.00 40.00 X X 0 0 0 DANNY O JACOBS PRESIDENT 1.00 40.00 X X 0 1511958 0 JILL EILAND SECRETARY 1.00 40.00 X X 0 555228 66106 RODERICK C WENDT TREASURER 1.00 1.00 X X 0 0 0 JOHN BELL DIRECTOR 1.00 1.00 X 0 0 0 0 2067186 66106 0 0 1 0 0 350 350 350 0 0 0 3554 3554 3554 0 3554 0 7018881 7019251 7018881 7019251 7000000 7000000 303 3507 7000303 7003507 X 18578 15744 18578 15744 7018881 7019251 X -3204 370 X 0 1 X 1 0 X X 3 OREGON HEALTH & SCIENCE UNIVERSITY FOUNDATION 237083114 5 1 0 0 OREGON HEALTH & SCIENCE UNIVERSITY 931176109 6 1 0 0 SKY LAKES MEDICAL CENTER 930508781 3 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 DUE TO OHSUF 3507 3507 0 0 0 0 0 0 0 0 0 DANNY O JACOBS PRESIDENT 0 1467162 0 0 0 44796 0 0 0 0 0 1511958 0 0 JILL EILAND SECRETARY 0 520821 0 0 0 34407 0 63126 0 2980 0 621334 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE CHIEF FINANCIAL OFFICER OF OHSU FOUNDATION REVIEWS THE DRAFT FORM 990, WHICH IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM FROM WORKPAPERS PREPARED BY OHSU FOUNDATION STAFF. THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF OREGON RURAL HEALTH INITIATIVE. THE CHIEF FINANCIAL OFFICER OF OHSU FOUNDATION REVIEWS AND SIGNS THE RETURN BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICTS AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND STATEMENT ARE PROVIDED TO EACH COVERED PERSON TO DISCLOSE ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. COVERED PERSONS INCLUDE ANY CURRENT AND FORMER OFFICER, TRUSTEE OR DIRECTOR. EACH RESPONDENT IS ASKED TO SIGN A DISCLOSURE STATEMENT WHICH AFFIRMS THAT THEY RECEIVED A COPY OF THE POLICY, HAVE READ AND UNDERSTOOD THE POLICY, HAVE AGREED TO COMPLY WITH THE POLICY, AND HAVE RESPONDED TO THE QUESTIONNAIRE TO THE BEST OF THEIR ABILITY. THE CHIEF FINANCIAL OFFICER OF OHSU FOUNDATION REVIEWS THE DISCLOSURE STATEMENTS AND ANY OTHER POTENTIAL OR ACTUAL CONFLICTS OF INTEREST THAT ARE IDENTIFIED AND FOLLOWS UP WITH RESPECT TO THEM AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, REQUESTS FOR THIS INFORMATION ARE ASSESSED ON A CASE BY CASE BASIS BY THE RELEVANT FOUNDATION EMPLOYEE BEFORE DISCLOSURE. FORM 990, PART XI, LINE 9: REDUCTION IN PLEDGES RECEIVABLE 370. FORM 990, PART XII, LINE 2C OREGON RURAL HEALTH INITIATIVE IS OPERATED, SUPERVISED, AND CONTROLLED BY OR IN CONNECTION WITH OHSU FOUNDATION, A 501(C)(3) ORGANIZATION, WITHIN THE MEANING OF IRC SECTION 509(A)(3)(B). FINANCIAL STATEMENTS FOR OREGON RURAL HEALTH INITIATIVE ARE AUDITED BY OHSU FOUNDATION'S INDEPENDENT AUDITORS ON A CONSOLIDATED BASIS. THE OHSU FOUNDATION FINANCE AND AUDIT COMMITTEE ASSUMES THE RESPONSIBILITY OF OVERSIGHT OF THE AUDIT OF ORHI'S FINANCIAL STATEMENTS. OREGON HEALTH & SCIENCE UNIVERSITY 3181 SW SAM JACKSON PARK RD PORTLAND OR 97239 931176109 HOSPITAL/UNIV OR N/A 0 OREGON HEALTH & SCIENCE UNIVERSITY FOUNDATION 2020 SW 4TH AVENUE SUITE 900 PORTLAND OR 97201 237083114 FUNDRAISING OR 501(C)(3) LINE 5 N/A 0 SKY LAKES MEDICAL CENTER 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 930508781 HOSPITAL OR 501(C)(3) LINE 3 N/A 0 SKY LAKES FOUNDATION 2865 DAGGETT AVENUE KLAMATH FALLS OR 97601 930946020 FUNDRAISING & STEWARDSHIP - SUPPORT MC OR 501(C)(3) LINE 12A, I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0