Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
NORTHWEST HEALTH FOUNDATION
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
221 NW SECOND AVENUE NO 300
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PORTLAND, OR97209
D Employer identification number

91-1854545
E Telephone number

G Gross receipts $ 11,989,597
F Name and address of principal officer:
NICOLE MAHER
221 NW SECOND AVENUE NO 300
PORTLAND,OR97209
I
Tax-exempt status: ( 4 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.NWHF.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1997
M State of legal domicile: OR
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO ADVANCE AND SUPPORT THE HEALTH OF THE PEOPLE OF OREGON AND SOUTHWEST WASHINGTON.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 13
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 16
6 Total number of volunteers (estimate if necessary) ............. 6 14
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 68,295
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 41,994
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 30,000 0
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,242,579 3,445,143
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 62,635 46,950
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 2,335,214 3,492,093
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,713,916 1,258,881
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 755,076 607,510
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 652,029 722,626
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,121,021 2,589,017
19 Revenue less expenses. Subtract line 18 from line 12....... -785,807 903,076
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 50,520,709 51,708,043
21 Total liabilities (Part X, line 26)............. 3,912,229 1,912,197
22 Net assets or fund balances. Subtract line 21 from line 20..... 46,608,480 49,795,846
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: NORTHWEST HEALTH FOUNDATION SEEKS TO ADVANCE, SUPPORT, AND PROMOTE HEALTH IN OREGON AND SOUTHWEST WASHINGTON. BY PROVIDING GRANTS TO INITIATIVES, FORMING PARTNERSHIPS WITH HEALTH AND COMMUNITY LEADERS, AND ADVOCATING FOR POLICY CHANGE, WE ARE FURTHERING OUR VISION OF GIVING EVERY PERSON THE OPPORTUNITY TO LEAD A HEALTHY LIFE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 439,518 including grants of $ 309,431 ) (Revenue $   )
NORTHWEST HEALTH FOUNDATION (NWHF) CONTINUED ITS INVESTMENTS TO ENSURE THAT EVERYONE LIVING IN OREGON HAS ACCESS TO AFFORDABLE, HIGH-QUALITY HEALTH CARE. THIS INCLUDED GENERAL SUPPORT OF DIVERSE HEALTH CARE REFORM ADVOCATES AND COORDINATED LEARNING OPPORTUNITIES TO ADVANCE HEALTH EQUITY, AFFECT REFORM AT THE CLINICAL LEVEL THROUGH EMERGING DELIVERY MODELS AND SUPPORT OREGON'S REGIONAL HEALTH CARE TRANSFORMATION.
4b (Code:   ) (Expenses $ 143,381 including grants of $ 100,250 ) (Revenue $   )
NORTHWEST HEALTH FOUNDATION (NWHF) SUPPORTS COMMUNITY-DRIVEN EVENTS THROUGHOUT OREGON AND SOUTHWEST WASHINGTON THAT REFLECT NWHF'S PRIORITIES OF POSITIVE HEALTH OUTCOMES IN EARLY LIFE, STRENGTHENED FAMILIES AND HEALTHY COMMUNITIES.
4c (Code:   ) (Expenses $ 809,294 including grants of $ 498,420 ) (Revenue $   )
NORTHWEST HEALTH FOUNDATION INVESTED IN AN EVIDENCE- AND POPULATION-BASED COMMUNITY WATER FLUORIDATION INITIATIVE TO IMPROVE ORAL HEALTH ACROSS THE LIFESPAN. NWHF SUPPORTED THE FIELD ACTIVITIES OF A BALLOT MEASURE CAMPAIGN LED BY A MULTI-SECTORAL COALITION OF COMMUNITY AND HEALTH LEADERS AND STRENGTHENED THE CAPACTIY OF ORGANIZATIONS LED BY PEOPLE OF COLOR AND LOW-INCOME COMMUNITIES WITHIN A COORDINATED INFRASTRUCTURE FOR CIVIC ENGAGEMENT.
(Code:   ) (Expenses $ 502,414 including grants of $ 350,780 ) (Revenue $   )
NORTHWEST HEALTH FOUNDATION INVESTS IN TIME-SENSITIVE OPPORTUNITIES RELATED TO ITS MISSION AND EQUITY PRIORITIES THROUGH LIMITED RESPONSIVE GRANT MAKING. IN 2013, NWHF INVESTED IN EFFORTS THAT PROVIDE CONTINUITY FOR COMMUNITIES AFFECTED BY HEALTH CARE TRANSFORMATION AND STRENGHTENED THOSE COMMUNITIES' CAPACITY TO CONTRIBUTE TO THESE SYSTEMS CHANGE EFFORTS.
4d Other program services (Describe in Schedule O.)
(Expenses $ 502,414 including grants of $ 350,780 ) (Revenue $   )
4e Total program service expensesMediumBullet1,894,607
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A........................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
27
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
16
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ , UK
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
OR
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletJASON HILTON221 NW SECOND AVENUE SUITE 300PORTLANDOR97209 (503) 220-1945
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) TINA CASTANARES MD........................................................................
CHAIR
 3.80
.......................1.30 		X   X       13,400 6,600 0
(2) REV WJ KNUTSON........................................................................
VICE CHAIR
 2.30
........................80 		X   X       5,117 2,084 0
(3) CARL TALTON........................................................................
SECRETARY
 1.50
........................30 		X   X       4,034 2,642 0
(4) BECKY GRAHAM CPA........................................................................
TREASURER
 3.80
.......................1.30 		X   X       6,040 3,035 0
(5) DARLEEN ORTEGA JD........................................................................
DIRECTOR
 1.50
........................50 		X           3,950 2,726 0
(6) MARK HASS........................................................................
DIRECTOR
 .80
........................30 		X           1,984 1,091 0
(7) ALISSA KENY-GUYER........................................................................
DIRECTOR
 .80
........................30 		X           1,508 743 0
(8) JIM MEYER........................................................................
DIRECTOR
 .80
........................30 		X           3,628 2,672 0
(9) HELENA HUANG........................................................................
DIRECTOR
 .80
........................30 		X           2,936 1,339 0
(10) LEDA GARSIDE........................................................................
DIRECTOR
 .80
........................30 		X           2,681 2,044 0
(11) ROBERT LAW........................................................................
DIRECTOR
 .80
........................30 		X           2,235 990 0
(12) VANETTA ABDELLATIF........................................................................
DIRECTOR
 .80
........................30 		X           2,546 1,730 0
(13) PHILLIP WU........................................................................
DIRECTOR
 .80
........................50 		X           4,667 1,408 0
(14) DONALDA DODSON........................................................................
DIRECTOR
 .80
........................80 		X           2,295 855 0
(15) NICHOLE MAHER........................................................................
PRESIDENT
 18.00
.......................22.00 		    X       84,280 103,008 21,113
(16) M DAVID HOOFF........................................................................
VICE PRESIDENT, FINANCE
 18.00
.......................22.00 		    X       70,975 86,747 20,999
(17) SUK RHEE........................................................................
VICE PRESIDENT
 18.50
.......................21.50 		    X       57,293 66,584 19,823
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 269,569 286,298 61,935
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet  
Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet  
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 245,902   68,295 177,607
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 652,771  
b Less: rental expenses 606,732  
c Rental income or (loss) 46,039  
d Net rental income or (loss).......MediumBullet 46,039     46,039
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 11,090,013  
b Less: cost or other basis and sales expenses 7,890,509 263
c Gain or (loss) 3,199,504 -263
d Net gain or (loss)..........MediumBullet 3,199,241     3,199,241
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a DEFERRED COMP CONTRACT 900099 911     911
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 911
12 Total revenue. See Instructions......MediumBullet 3,492,093 0 68,295 3,423,798
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 1,258,881 1,258,881
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 297,687 100,216 197,471  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 226,091 174,652 51,439  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 22,892 15,835 7,057  
9 Other employee benefits ....... 23,809 16,603 7,206  
10 Payroll taxes ........... 37,031 22,592 14,439  
11 Fees for services (non-employees):        
a Management ...... 115,044   115,044  
b Legal ......... 258   258  
c Accounting ........... 32,430 5,212 27,218  
d Lobbying ........... 50,400 50,400    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 113,368   113,368  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 5,000 5,000    
12 Advertising and promotion .... 345   345  
13 Office expenses ....... 14,451 5,373 9,078  
14 Information technology ...... 23,598 18,831 4,767  
15 Royalties ..        
16 Occupancy ........... 85,713 56,895 28,818  
17 Travel ............ 32,555 21,851 10,704  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 24,503 7,254 17,249  
20 Interest ........... 38,402   38,402  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 21,585 13,987 7,598  
23 Insurance .............. 9,923 1,422 8,501  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PROGRAM CONSULTING FEES 103,343 103,343    
b STATE AND LOCAL TAXES 27,514   27,514  
c MEMBERSHIP DUES 16,881 14,119 2,762  
d SUBSCRIPTIONS AND BOOKS 1,483 750 733  
e All other expenses 5,830 1,391 4,439  
25 Total functional expenses. Add lines 1 through 24e 2,589,017 1,894,607 694,410 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 150 1 150
2 Savings and temporary cash investments ......... 1,633,361 2 2,116,207
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net .............   4  
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 15,793 9 14,303
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 5,682,413
b Less: accumulated depreciation ..... 10b 496,890 5,362,367 10c 5,185,523
11 Investments—publicly traded securities .......... 19,937,936 11 18,311,138
12 Investments—other securities. See Part IV, line 11 ..... 22,319,038 12 22,654,699
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 1,252,064 15 3,426,023
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 50,520,709 16 51,708,043
Liabilities 17 Accounts payable and accrued expenses ......... 214,199 17 197,497
18 Grants payable ................. 698,030 18 214,700
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 3,000,000 25 1,500,000
26 Total liabilities. Add lines 17 through 25......... 3,912,229 26 1,912,197
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 46,608,480 27 49,795,846
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 46,608,480 33 49,795,846
34 Total liabilities and net assets/fund balances ........ 50,520,709 34 51,708,043
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
3,492,093
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,589,017
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
903,076
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
46,608,480
5
Net unrealized gains (losses) on investments ...............
5
2,284,290
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
49,795,846
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
NORTHWEST HEALTH FOUNDATION
 
Employer identification number

91-1854545
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 957,000   957,000
b Buildings ................ 2,907,060     2,907,060
c Leasehold improvements ............ 1,230,475     1,230,475
d Equipment ................ 21,751 548,369 496,890 73,230
e Other ................. 17,758     17,758
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 5,185,523
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) LIMITED PARTNERSHIPS 		22,654,699 F








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 22,654,699
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM NORTHWEST HEALTH FOUNDATION FUND II 3,305,887
(2) OTHER ASSETS 115,870
(3) DUE FROM PHILANTHROPY CENTER LLC 4,266






Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 3,426,023
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
LINE OF CREDIT 1,500,000








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,500,000
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
NORTHWEST HEALTH FOUNDATION
 
Employer identification number
91-1854545
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) HEALTHY KIDS HEALTHY PORTLAND
2419 NE SANDY BOULEVARD
PORTLAND,OR97232 		46-1743058 501(C)(4) 254,920       SUPPORT PORTLAND COMMUNITY WATER FLUORIDATION MEASURE.
(2) UPSTREAM PUBLIC HEALTH
240 N BROADWAY SUITE 215
PORTLAND,OR97227 		42-1579435 501(C)(3) 100,000       EDUCATE PORTLAND RESIDENTS ON ORAL HEALTH CRISIS AND SAFE, EFFECTIVE SOLUTIONS FOR POOR ORAL HEALTH AMONG CHILDREN AND FAMILIES
(3) OREGON HEALTH AUTHORITY TRANSFORMATION CENTER
421 SW OAK STREET SUITE 775
PORTLAND,OR97204 		GOVERNMENT 75,630       SUPPORT DEVELOPMENT OF COMMUNITY ADVISORY COUNCIL LEADERSHIP DEVELOPMENT PROGRAM AND PARTICIPATION AT COORDINATE CARE ORGANIZATION SUMMIT
(4) MULTNOMAH COUNTY HEALTH DEPARTMENT COMMUNITY CAPACITATION CENTER
10317 E BURNSIDE ST
PORTLAND,OR97216 		93-6002309 GOVERNMENT 50,000       DEVELOP A PERFORMANCE-BASED CORE COMPETENCY ASSESSMENT METHODOLOGY AND SYSTEM FOR COMMUNITY HEALTH WORKERS.
(5) COALITION OF COMMUNITIES OF COLOR (FISCAL SPON NAYA)
C/O NAYA FAMILY CENTER
PORTLAND,OR97218 		93-1141536 501(C)(3) 45,000       INTEGRATE HEALTH EQUITY AND COMMUNITY VOICES IN KEY COORDINATE CARE ORGANIZATION ACTIVITIES INCLUDING HEALTH IMPROVEMENT PLANS AND COMMUNITY ADVISORY COMMITTEE PARTICIPATION
(6) NATIVE AMERICAN YOUTH AND FAMILY CENTER (NAYA)
5135 NE COLUMBIA BOULEVARD
PORTLAND,OR97218 		93-1141536 501(C)(3) 35,000       GENERAL SUPPORT FOR PROGRAMS AND PARTICIPATION IN REGIONAL CONVERSATIONS ABOUT DISABILITY.
(7) URBAN LEAGUE OF PORTLAND
10 N RUSSELL STREET
PORTLAND,OR97227 		93-0395590 501(C)(3) 35,000       STRENGTHEN CAPACITY FOR CIVIC ENGAGEMENT ON ORAL HEALTH SOLUTIONS. EVENT SPONSORSHIP OF ANNUAL GALA.
(8) IMMIGRANT AND REFUGEE COMMUNITY ORGANIZATION (IRCO)
10301 NE GLISAN STREET
PORTLAND,OR97220 		93-0806295 501(C)(3) 31,000       GENERAL SUPPORT FOR PROGRAMS AND PARTICIPATION IN REGIONAL CONVERSATIONS ABOUT DISABILITY.
(9) CENTER FOR INTERCULTURAL ORGANIZING (CIO)
700 N KILLINGSWORTH STREET
PORTLAND,OR97217 		74-3098100 501(C)(3) 30,500       SUPPORT ORGANIZING EFFORTS IN WASHINGTON COUNTY.
(10) ASIAN PACIFIC AMERICAN NETWORK OF OREGON (APANO)
LEFTBANK BUILDING
PORTLAND,OR97227 		80-0252850 501(C)(3) 30,000       STRENGTHEN CAPACITY FOR CIVIC ENGAGEMENT ON ORAL HEALTH SOLUTIONS.
(11) LATINO NETWORK
240 N BROADWAY SUITE 214
PORTLAND,OR97227 		73-1675402 501(C)(3) 23,000       STRENGTHEN CAPACITY FOR CIVIC ENGAGEMENT ON ORAL HEALTH SOLUTIONS. EVENT SPONSORSHIP OF ANNUAL GALA.
(12) NAMI-OREGON
4701 SE 24TH ST SUITE E
PORTLAND,OR97202 		93-0875209 501(C)(3) 20,000       GENERAL SUPPORT FOR PROGRAMS AND PARTICIPATION IN REGIONAL CONVERSATIONS ABOUT DISABILITY
(13) UMPQUA VALLEY DISABILITIES NETWORK
736 SE JACKSON ST
ROSEBURG,OR97470 		93-1098184 501(C)(3) 13,000       GENERAL SUPPORT FOR PROGRAMS AND PARTICIPATION IN REGIONAL CONVERSATIONS ABOUT DISABILITY
(14) CAUSA OREGON
700 MARION STREET NE
SALEM,OR97301 		61-1590160 501(C)(3) 12,500       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS. SPONSORSHIP OF IMMIGRANT ACTION DAY.
(15) COALITION OF COMMUNITY HEALTH CLINICS
619 SW 11TH AVENUE SUITE 106
PORTLAND,OR97205 		91-1829239 501(C)(3) 12,500       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS. SPONSORSHIP OF HEALTH CARE TRANSFORMATION EVENT.
(16) OREGON PUBLIC HEALTH ASSOCIATION
818 SW 3RD AVENUE
PORTLAND,OR97204 		93-6097025 501(C)(3) 12,500       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS. SPONSORSHIP OF ANNUAL CONFERENCE.
(17) SPECT-ACTORS COLLECTIVE
620 NW 8TH STREET
GRESHAM,OR97030 		46-3367187 501(C)(3) 12,500       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS. SPONSORSHIP OF STATE OF EQUITY EVENTS.
(18) OREGON SCHOOL-BASED HEALTH ALLIANCE
310 SW 4TH AVENUE SUITE 905
PORTLAND,OR97204 		36-4588657 501(C)(3) 11,500       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS. SPONSORSHIP OF ANNUAL CONFERENCE.
(19) WE CAN DO BETTER
PO BOX 13314
PORTLAND,OR972130314 		27-2132905 501(C)(3) 11,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS. SPONSORSHIP OF ANNUAL CONFERENCE.
(20) OPAL ENVIRONMENTAL JUSTICE OREGON
2407 SE 49TH AVENUE
PORTLAND,OR97206 		20-2782595 501(C)(3) 10,500       GENERAL SUPPORT FOR PROGRAMS AND PARTICIPATION IN REGIONAL CONVERSATIONS ABOUT DISABILITY. SPONSORSHIP OF ORGANIZER IN TRAINING BENEFIT.
(21) AMERICAN ACADEMY OF FAMILY PHYSICIANS - OREGON CHAPTER
1717 NE 42ND AVENUE SUITE 2103
PORTLAND,OR97213 		93-0423900 501(C)(6) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(22) AMERICAN HEART ASSOCIATION
OREGON SW WASHINGTON DIVISION
PORTLAND,OR97239 		13-5613797 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(23) ASSOCIATION OF OREGON COMMUNITY MENTAL HEALTH PROGRAMS
1201 COURT STREET NE
SALEM,OR97301 		93-0582360 501(C)(6) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(24) AUTISM EMPOWERMENT
PO BOX 871676
VANCOUVER,WA98687 		45-2455219 501(C)(3) 10,000       GENERAL SUPPORT FOR PROGRAMS AND PARTICIPATION IN REGIONAL CONVERSATIONS ABOUT DISABILITY
(25) CENTRAL CITY CONCERN
232 NW SIXTH AVENUE
PORTLAND,OR97209 		93-0728816 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(26) CHILDREN FIRST FOR OREGON
PO BOX 14914
PORTLAND,OR97293 		94-3168157 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(27) COMMITTEE FOR SAFE AND SUCCESSFUL CHILDREN
1316 SW 2ND AVE
PORTLAND,OR97201 		20-4703129 501(C)(4) 10,000       SUPPORT CAMPAIGN FOR FIVE-YEAR RENEWAL OF PORTLAND CHILDREN'S LEVY.
(28) COOS COUNTY PUBLIC HEALTH
1975 MCPHERSON SUITE 1
NORTH BEND,OR97459 		93-6002289 GOVERNMENT 10,000       SUPPORT IMPLEMENTATION OF A COMMUNITY HEALTH PLAN.
(29) DAVID'S HARP
11261 NE KNOTT STREET
PORTLAND,OR97220 		93-0771871 501(C)(3) 10,000       GENERAL SUPPORT FOR PROGRAMS AND PARTICIPATION IN REGIONAL CONVERSATIONS ABOUT DISABILITY
(30) DISABILITY ART AND CULTURE PROJECT
259 SE 162ND AVENUE
PORTLAND,OR97233 		93-1312097 501(C)(3) 10,000       GENERAL SUPPORT FOR PROGRAMS AND PARTICIPATION IN REGIONAL CONVERSATIONS ABOUT DISABILITY
(31) FOREST GROVE SCHOOL DISTRICT
1728 MAIN STREET
FOREST GROVE,OR97116 		93-0566292 EDUCATION 10,000       SUPPORT PROGRAMS FOR PREGNANT TEENS AT FOREST GROVE HIGH SCHOOL TO PREVENT ADVERSE CHILDHOOD EVENTS
(32) HEALTH CARE FOR ALL - OREGON
619 SW 11TH 121
PORTLAND,OR97205 		93-1314273 501(C)(4) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(33) HUMAN SERVICES COALITION OF OREGON
PO BOX 3094
WILSONVILLE,OR97070 		94-3136481 501(C)(4) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(34) LOWER COLUMBIA HISPANIC COUNCIL
PO BOX 1029
ASTORIA,OR97103 		20-3189709 501(C)(3) 10,000       GENERAL OPERATING SUPPORT.
(35) MAIN STREET ALLIANCE OF OREGON (FISCAL SPON ALLIANCE FOR A JUST SOCIETY)
126 NE ALBERTA ST SUITE 202
PORTLAND,OR97211 		91-1635554 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(36) MASLOW PROJECT
500 MONROE STREET
MEDFORD,OR97501 		27-0734969 501(C)(3) 10,000       SUPPORT NONTRADITIONAL CRISIS INTERVENTION MENTAL HEALTH PROGRAM SERVING HOMELESS CHILDREN AND TEENS.
(37) NORTHEAST OREGON NETWORK
1802 4TH STREET SUITE A
LA GRANDE,OR97850 		37-1582139 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(38) OREGON ACTION
126 NE ALBERTA STREET SUITE 202
PORTLAND,OR97211 		93-1231908 501(C)(4) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(39) OREGON CENTER FOR PUBLIC POLICY
204 N FIRST SUITE C
SILVERTON,OR97381 		93-1186075 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(40) OREGON COALITION OF LOCAL HEALTH OFFICIALS
1201 COURT ST NE SUITE 300
SALEM,OR97301 		93-0926682 501(C)(6) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(41) OREGON DEVELOPMENTAL DISABILITIES COALITION
540 24TH PL NE
SALEM,OR97301 		20-1276810 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(42) OREGON FOUNDATION FOR REPRODUCTIVE HEALTH
PO BOX 40472
PORTLAND,OR97240 		93-0803636 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(43) OREGON LATINO HEALTH COALITION
240 N BROADWAY SUITE 112
PORTLAND,OR97227 		26-1530127 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(44) OREGON PRIMARY CARE ASSOCIATION
310 SW 4TH AVENUE SUITE 200
PORTLAND,OR97204 		93-0877986 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(45) OREGON RURAL HEALTH ASSOCIATION
11918 SE DIVISION STREET
PORTLAND,OR97266 		93-1142493 501(C)(6) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(46) OREGON STATE PUBLIC INTEREST RESEARCH GROUP (OSPIRG)
1536 SE 11TH AVE SUITE A
PORTLAND,OR97214 		93-0855897 501(C)(4) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(47) PORTLAND YOUTH AND ELDERS COUNCIL (FISCAL SPON NAYA)
5135 NE COLUMBIA BOULEVARD
PORTLAND,OR97218 		93-1141536 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(48) SISTERS OF THE ROAD
133 NW SIXTH AVENUE
PORTLAND,OR97209 		93-0748169 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(49) THE NEXT DOOR INC
PO BOX 661
HOOD RIVER,OR97031 		93-0600421 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(50) TOBACCO-FREE COALITION OF OREGON
P O BOX 11231
PORTLAND,OR97211 		35-2231450 501(C)(3) 10,000       GENERAL SUPPORT FOR HEALTH REFORM ADVOCACY EFFORTS.
(51) PLAYWORKS
1125 SE MADISON STREET SUITE 210
PORTLAND,OR97214 		94-3251867 501(C)(3) 7,500       SPONSOR KEEP PORTLAND PLAYFUL FUNDRAISER.
(52) OREGON PUBLIC HEALTH INSTITUTE
310 SW 4TH AVE SUITE 900
PORTLAND,OR97204 		93-1259522 501(C)(3) 7,000       GENERAL SUPPORT FOR CEO TRANSITION. SPONSOR ANNUAL EVENT.
(53) OREGON VOICE
310 SW 4TH AVE SUITE 1125
PORTLAND,OR972042356 		20-1115618 501(C)(3) 6,500       BUILD CAPACITY TO PARTNER WITH COMMUNITIES OF COLOR. PROVIDE 501C3 CIVIC ENGAGEMENT TRAINING FOR ORAL HEALTH.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
53
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: MOST GRANTS ARE PAID IN INSTALLMENTS REQUIRING PROGRESS REPORTS BEFORE EACH SUBSEQUENT PAYMENT IS MADE. ALL GRANTS REQUIRE A FINAL REPORT UPON COMPLETION OF THE GRANT AND SITE VISITS ARE CONDUCTED AS CONSIDERED NECESSARY.
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
NORTHWEST HEALTH FOUNDATION
 
Employer identification number

91-1854545
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)NICHOLE MAHERPRESIDENT (i)
(ii)		 84,280
103,008 		0
0 		0
0 		6,134
7,497 		3,367
4,115 		93,781
114,620 		0
0
(2)M DAVID HOOFFVICE PRESIDENT, FINANCE (i)
(ii)		 70,975
86,747 		0
0 		0
0 		7,054
8,622 		2,395
2,928 		80,424
98,297 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINES 4A-B SUK RHEE PARTICIPATED IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN. NO PAYMENTS WERE MADE DIRECTLY TO HER DURING THE YEAR. SHE BECAME FULLY VESTED ON JANUARY 31ST, 2014 AND HER BALANCE WAS PAID OUT. JUDITH WOODRUFF, CHRIS DEMARS, ALEJANDRO QUERAL AND CHRIS KABEL ALL RECEIVED SEVERANCE PAYMENTS.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
NORTHWEST HEALTH FOUNDATION
 
Employer identification number

91-1854545
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) PORTLAND FAMILY OF FUNDS BOARD MEMBER CARL TALTON IS EXECUTIVE CHAIR OF FAMILY OF FUNDS 150,000 NORTHWEST HEALTH FOUNDATION MADE AN INVESTMENT THAT WAS MANAGED BY PORTLAND FAMILY OF FUNDS.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
NORTHWEST HEALTH FOUNDATION
 
Employer identification number

91-1854545
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CHAIR, VICE-CHAIR, SECRETARY, TREASURER AND 3-4 OTHER DIRECTORS APPOINTED BY THE CHAIR. IT HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD ON TIME-SENSITIVE ISSUES BETWEEN BOARD MEETINGS AND REPORT TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11 THE PRESIDENT AND VICE PRESIDENT OF FINANCE WILL REVIEW BEFORE FILING. A COPY IS PROVIDED TO ALL BOARD MEMBERS AFTER FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD AND STAFF ARE INCLUDED UNDER THE POLICY. AN ANNUAL SIGNED STATEMENT OF CONFIDENTIALITY AND CONFLICT OF INTERESTS, LISTING ANY POTENTIAL CONFLICTS OF INTEREST IS REQUIRED. ANY CONFLICTS THAT ARISE DURING THE YEAR ARE IDENTIFIED AND THE INDIVIDUAL INVOLVED RECUSES THEMSELVES FROM ANY APPLICABLE DECISION MAKING.
FORM 990, PART VI, SECTION B, LINE 15 BOARD APPROVES AN AGGREGATE PERCENTAGE INCREASE FOR THE ORGANIZATION AND THE PRESIDENT MAKES INDIVIDUAL COMPENSATION DECISIONS.
FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS FOR THE LAST THREE YEARS ARE AVAILABLE ON OUR WEBSITE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
NORTHWEST HEALTH FOUNDATION
 
Employer identification number

91-1854545
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) PHILANTHROPHY CENTER LLC
221 NW SECOND AVE 300
PORTLAND,OR97209
26-1778747 		REAL ESTATE HOLDING COMPANY OR 46,039 5,272,533 N/A










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) NORTHWEST HEALTH FOUNDATION FUND II

221 NW SECOND AVE SUITE 300

PORTLAND,OR97209
93-1293344 		TO BUILD CAPACITY AND FORM STRATEGIC PARTNERSHIPS TO PROMOTE HEALTH. OR 501(C)(3) LINE 7 N/A
 
No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


Software ID:  
Software Version: