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GUIDE 2021 SPON YAKIMA VALLEY FARM WORKERS CLINIC PO BOX 190 TOPPENISH WA 98948 911019392 501(C)(3) 13143 0 PROVIDER WELLBEING GRANT 94 16 PART I, LINE 2: GRANTS AND OTHER ASSISTANCE ARE PROVIDED TO ORGANIZATIONS IN OUR SERVICE AREA WHO DEMONSTRATE A FINANCIAL NEED IN REGARD TO IMPROVING THE DELIVERY OF HEALTH SERVICES IN LINE WITH OUR EXEMPT PURPOSE AND MISSION. CAREOREGON CONSIDERS EACH CASE TO VERIFY THAT THE NEED IS DOCUMENTED, LEGITIMATE AND SUBSTANTIAL IN NATURE. FOLLOWING DISBURSEMENT OF FUNDS, FOLLOW-UP CONTACT IS PERFORMED, EITHER VERBALLY OR IN WRITING, TO VERIFY THE APPROPRIATE USE OF THE FUNDS, TO THE EXTENT POSSIBLE. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 ERIC C HUNTER CEO, PRESIDENT & BOARD OF DIRECTOR 525473 0 86346 0 1340 0 24525 0 14780 0 652464 0 0 0 AMIT R SHAH CHIEF MEDICAL OFFICER 379298 0 50792 0 1220 0 24525 0 14398 0 470233 0 0 0 AMY L DOWD CHIEF OPERATIONS OFFICER 303529 0 42168 0 920 0 24525 0 21694 0 392836 0 0 0 DOUGLAS R LUTHER SR. MEDICAL DIRECTOR, OPERATIONS 324833 0 33032 0 1625 0 24432 0 2285 0 386207 0 0 0 JOHN BISCHOF MEDICAL DIRECTOR - BEHAVIORAL HEALTH 291859 0 20487 0 14280 0 24525 0 29273 0 380424 0 0 0 ANDREW D LUTHER MEDICAL DIRECTOR - CLINICAL SERVICES 281670 0 18195 0 1200 0 22962 0 43716 0 367743 0 0 0 TERESA K LEARN CFO, BOARD TREASURER 286943 0 39505 0 920 0 22318 0 18013 0 367699 0 0 0 MARY B ENGRAV MED. DIRECTOR - BENEFIT/UTILIZATION 289230 0 19552 0 1340 0 23850 0 28837 0 362809 0 0 0 ALYSSA FRANZEN MEDICAL DIRECTOR - VP DENTAL 269399 0 26711 0 920 0 23022 0 19859 0 339911 0 0 0 REBECCA RAMSAY VICE PRESIDENT, HOUSECALL PROVIDERS 243143 0 25906 0 1025 0 23855 0 44829 0 338758 0 0 0 NATHAN CORLEY VICE PRESIDENT, INFO SVCS/ANALYTICS 223220 0 23295 0 920 0 21214 0 16923 0 285572 0 0 0 JEREMIAH RIGSBY CHIEF OF STAFF & SECRETARY 193441 0 19463 0 1425 0 17676 0 2123 0 234128 0 0 0 ERIN D FAIR CHIEF STRATEGY OFFICER, BD SEC THRU 123491 0 35628 0 27265 0 18641 0 16070 0 221095 0 0 0 JAMES MASON CHIEF EQUITY, DIVERSITY & INCLUSION 171603 0 50 0 510 0 9515 0 18375 0 200053 0 0 0 PART I, LINE 1A CAREOREGON REIMBURSED HEALTH CLUB DUES FOR ERIC C HUNTER, JEREMIAH RIGSBY, ERIN D FAIR, DOUGLAS R LUTHER, MARY B ENGRAV AND ANDREW D LUTHER, IN THE AMOUNT OF $420, $105, $40, $105, $420 AND $280 RESPECTIVELY. THIS REIMBURSEMENT WAS INCLUDED AS TAXABLE COMPENSATION TO THESE PARTIES. FORM 990, PART III, LINE 1 CAREOREGON, INC. (CAREOREGON) IS A NONPROFIT HEALTH PLAN ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES. CAREOREGON'S MISSION IS TO INSPIRE AND PARTNER TO CREATE QUALITY AND EQUITY IN INDIVIDUAL AND COMMUNITY HEALTH. CAREOREGON CONTRACTS WITH SEVERAL COORDINATED CARE ORGANIZATIONS (CCOS) AND WITH THE OREGON HEALTH AUTHORITY (OHA) TO MANAGE CARE AND PROVIDE HEALTH CARE SERVICES TO MEDICAID ENROLLEES. CAREOREGON PROVIDES MANAGED CARE SERVICES TO APPROXIMATELY 497,000 OREGON HEALTH PLAN (MEDICAID) MEMBERS THROUGH ITS PARTNERSHIPS WITH THREE COORDINATED CARE ORGANIZATIONS, AND TO APPROXIMATELY 14,000 MEDICARE MEMBERS. OUR MEMBERS ARE LOCATED IN THE PORTLAND METROPOLITAN AREA, SOUTHERN OREGON, AND THE NORTHERN OREGON COASTAL COUNTIES. BY LISTENING TO OUR MEMBERS AND EXPLORING INNOVATIVE SOLUTIONS WITH OUR PROVIDERS AND COMMUNITIES, WE HELP OREGONIANS PREVENT ILLNESS AND LIVE BETTER LIVES. EVERY DAY, WE STRENGTHEN OUR COMMUNITIES BY MAKING HEALTH CARE WORK FOR EVERYONE. WE HELP HUNDREDS OF THOUSANDS OF OREGONIANS GET THE CARE THEY DESERVE. WE BELIEVE GOOD HEALTH IS MORE THAN HEALTH CARE. THAT'S WHY WE INVEST IN PROGRAMS THAT HELP PEOPLE GET HOUSING, HEALTHY FOOD, JOB TRAINING AND MORE. OUR MEMBERS' LIVES TOUCH COUNTLESS OTHER LIVES. WHEN THEY ARE STRONGER, WE ARE ALL STRONGER. THAT'S THE CAREOREGON EFFECT. PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENT OREGON HEALTH PLAN (MEDICAID) PROGRAM THROUGH THE CCOS, CAREOREGON PROVIDES HEALTH CARE SERVICES TO NEARLY 500,000 MEDICAID MEMBERS BY CONTRACTING WITH NETWORKS OF COMMUNITY AND PRIVATE MEDICAL PROVIDERS THROUGHOUT THE STATE OF OREGON. THESE SERVICES RESULT IN BETTER ACCESS TO QUALITY HEALTH CARE, LOWER COSTS, AND IMPROVED CARE FOR OUR MEMBERS AND FOR THE COMMUNITIES WE SERVE. WE WORKED STRATEGICALLY WITH OUR BOARD OF DIRECTORS, PROVIDER NETWORK AND COMMUNITY BENEFIT ORGANIZATIONS AND DEMONSTRATED OUR COMMITMENT TO MINIMIZE HEALTH DISPARITIES FOR OUR MEMBERS OF COLOR, THOSE MOST HARMED BY SYSTEMATIC AND STRUCTURAL OPPRESSION IN THE COMMUNITY WE SERVE. OUR COMMITMENT WAS DEMONSTRATED BY US PLAYING A VITAL ROLE IN SOCIAL DETERMINANTS OF HEALTH SPENDING IN OUR OPERATING TERRITORY. WE CONTINUE TO FOCUS ON OUR MEMBERS' ACCESS TO ESSENTIAL SERVICES SUCH AS HOUSING, EDUCATION AND HEALTHY FOOD, AND CARE INTEGRATION BY ENSURING OUR MEMBERS HAVE ACCESS TO CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE THAT IS COORDINATED ACROSS PRIMARY, SPECIALTY, BEHAVIORAL AND ORAL HEALTH. IN ADDITION TO TRADITIONAL HEALTH CARE SPENDING, CAREOREGON AND ITS SUBSIDIARY CCOS INVESTED APPROXIMATELY $7.0 MILLION IN HEALTH-RELATED SERVICES SPENDING FOR THE YEAR ENDED DECEMBER 31, 2021. HEALTH-RELATED SERVICES ARE NON-COVERED SERVICES THAT ARE OFFERED AS A SUPPLEMENT TO COVERED BENEFITS TO IMPROVE CARE DELIVERY AND OVERALL MEMBER AND COMMUNITY HEALTH AND WELL-BEING. EXAMPLES OF HEALTH-RELATED SERVICES INCLUDE BUT NOT LIMITED TO HOUSING IMPROVEMENTS AND SERVICES OR SUPPORTS, HEALTHY FOOD, EDUCATION, EMPLOYMENT AND LEGAL SUPPORT AND TRANSPORTATION. WE PRIORITIZED SUPPORTING OUR PROVIDER NETWORKS' ABILITY TO MAINTAIN THE VITAL SERVICES THEY OFFER OUR MEMBERS IN SEVEN COUNTIES ACROSS THE STATE. ACCESSING MENTAL HEALTH CARE WAS DIFFICULT EVEN BEFORE COVID-19. WE SAW A WORSENING OF CONDITIONS AMONG PEOPLE WITH SUBSTANCE ABUSE AND OTHER MENTAL HEALTH ISSUES. CAREOREGON'S ANSWER WAS UNIQUE AMONG THE STATE'S 16 COORDINATED CARE ORGANIZATIONS: A FIRST-EVER $7.5 MILLION EMERGENCY FUND FOR MENTAL HEALTH CARE PROVIDERS. THIS LIFELINE HELPED KEEP DOORS OPEN IN SEVEN OF OREGON'S MOST POPULOUS COUNTIES. OUR PROVIDER EMERGENCY RELIEF FUND INCLUDED HEALTH CENTERS AT TWO HIGH SCHOOLS IN THE NORTH CLACKAMAS SCHOOL DISTRICT; OUR $250,000 GRANT SUPPORTED STAFFING. AFTER TWO YEARS OF DELAYED HEALTH CARE, CHILDREN'S NEED FOR HEALTH AND WELLNESS CARE IS ESPECIALLY GREAT. THE NEW FACILITIES OPENED IN FALL 2021 TO SERVE STUDENTS K-12. PHYSICAL HEALTH SCREENINGS AND ROUTINE CARE, CLEANINGS BY A DENTAL HYGIENIST, AND MENTAL HEALTH SERVICES ARE OFFERED, REGARDLESS OF INSURANCE OR IMMIGRATION STATUS. CAREOREGON DENTAL INITIATED A PILOT PREVENTIVE TELEDENTISTRY PROGRAM FOR CHILDREN, ENABLING THREE DENTAL PARTNERS CLACKAMAS HEALTH CENTERS, NEIGHBORHOOD HEALTH CENTER AND VIRGINIA GARCIA MEMORIAL HEALTH CENTER TO OFFER VIDEO DENTAL APPOINTMENTS TO MEMBERS IN THE PORTLAND AREA. THE PROGRAM AIMED TO INCREASE MEMBERS' ACCESS TO DENTAL CARE AND INTRODUCE A VIRTUAL OPTION FOR SEEING DENTAL PROVIDERS. CAREOREGON DENTAL PROVIDED DENTAL PARTNERS WITH DENTAL HYGIENE KITS FOR YOUNG PATIENTS AND THEIR PARENTS. DENTAL CLINICS SENT 76 OF THESE PACKAGES TO FAMILIES, PRE-APPOINTMENT, EQUIPPING THEM WITH GUIDANCE FOR VIDEO APPOINTMENTS, TOOTHBRUSHES, TOOTHPASTE, FLOSS AND A FLUORIDE APPLICATION KIT. DURING THE TELEDENTISTRY VISIT, DENTAL STAFF EMPLOYED MOTIVATIONAL INTERVIEWING TO REVIEW NUTRITION AND ORAL HYGIENE INSTRUCTIONS, AND HELP PARENTS APPLY FLUORIDE VARNISH TO THEIR KIDS' TEETH. PART III, LINE 4B PROGRAM SERVICE ACCOMPLISHMENT MEDICARE PLAN ON BEHALF OF HEALTH PLAN OF CAREOREGON, CAREOREGON ADMINISTERS CAREOREGON ADVANTAGE(COA)PLUS, A MEDICARE SPECIAL NEEDS PLAN (SNP). COA PLUS PROVIDES CONTINUITY OF COVERAGE FOR MEMBERS WHO ARE DUALLY ELIGIBLE FOR MEDICARE AND MEDICAID. THE CONTINUITY BENEFITS BOTH PATIENTS AND PROVIDERS BY ENSURING A COORDINATED AND CONVENIENT MEANS OF RECEIVING AND DELIVERING QUALITY CARE. OUR MEDICARE PLANS SERVED APPROXIMATELY 14,000 MEMBERS IN 2021. IN THE SECOND YEAR OF THE PANDEMIC, WE INCREASED CERTAIN BENEFIT OFFERINGS DURING THE YEAR, SUCH AS OUR OVER-THE-COUNTER MEMBER BENEFIT FOR HEALTHY FOOD AND PROVIDED A VALUE-BASED INSURANCE DESIGN (VBID) PROGRAM, WHICH RESULTED IN AN ADDITIONAL $9.3 MILLION OF ADDITIONAL MEDICAL COSTS. WE ALSO DISTRIBUTED INCENTIVE SUPPORT FUNDS OF $2.5 MILLION TO PARTICIPATING PROVIDERS TO IMPROVE PERFORMANCE ON MEDICARE STAR MEASURES. PART III, LINE 4C PROGRAM SERVICE ACCOMPLISHMENT COMMUNITY REINVESTMENT WITH CAREOREGON'S GOAL OF CONTINUOUSLY INVESTING IN THE COMMUNITIES WE SERVE, WE MADE IMPACTFUL COMMUNITY REINVESTMENTS TO OTHER NONPROFIT CHARITABLE ORGANIZATIONS THAT STRIVE TO IMPROVE HEALTH CARE IN OREGON AND TO IMPROVE THE HEALTH CARE STATUS OF VULNERABLE AND UNDERSERVED POPULATIONS. IN 2021, WE AWARDED AN UNPRECEDENTED $11.6 MILLION TO COMMUNITY-BASED ORGANIZATIONS, INCLUDING OUR PROVIDER NETWORKS. CAREOREGON RECOGNIZES THAT A HOST OF FACTORS KNOWN AS SOCIAL DETERMINANTS OF HEALTH AFFECTS WELL-BEING. OUR GRANT-MAKING INCLUDES AN EYE FOR PARTNERSHIPS THAT POSITIVELY IMPACT THESE INFLUENCES. BOYS & GIRLS CLUBS GO ALL OUT TO PUT YOUNG PEOPLE ON THE PATH TO A GREAT FUTURE, WHICH MADE THE PORTLAND METROPOLITAN AREA CLUBS A NATURAL FIT FOR CAREOREGON. WE ANNOUNCED A 10-YEAR, $2 MILLION COLLABORATIVE PARTNERSHIP WITH THEIR ROCKWOOD LOCATION. THE NEWLY RENAMED CAREOREGON BOYS & GIRLS CLUB AT ROCKWOOD IS WHERE A HIGHER PERCENTAGE OF RESIDENTS IN NEARBY ZIP CODES QUALIFY FOR THE OREGON HEALTH PLAN THAN ANYWHERE ELSE IN THE STATE. A $2.5 MILLION INVESTMENT ENABLED PORTLAND FIRE & RESCUE TO LAUNCH COMMUNITY HEALTH ASSESS & TREAT (CHAT) IN THE BUREAU'S NEW COMMUNITY HEALTH DIVISION. THE PILOT PROGRAM, WHICH AIMS TO IMPROVE EQUITY AND ACCESS, ADDRESSES A MAJOR GAP IN COMMUNITY HEALTH. IN OCTOBER, CHAT BEGAN A 12-MONTH TEST OF A NOVEL APPROACH WITH CAREOREGON MEMBERS AND OTHERS WHO CALL 911 FOR LOWER-RISK MEDICAL CONCERNS. THESE 911 CALLS ARE DIRECTED TO THE SPECIALLY TRAINED CHAT MEDICS. THEY ASSESS THE COMMUNITY MEMBERS FACE-TO-FACE, PROVIDE PROMPT CARE AND, IF NEEDED, GUIDE THEM TO OTHER RESOURCES, INCLUDING THE OREGON HEALTH PLAN. THE MEDICS ALSO OFFER A FOLLOW-UP VISIT 24 HOURS LATER, AND EDUCATION ABOUT PREVENTIVE CARE. GOOD HEALTH CARE RELIES ON PATIENTS AND PROVIDERS COMMUNICATING WELL. WITH A $250,000 TWO-YEAR GRANT TO THE OREGON HEALTH CARE INTERPRETERS ASSOCIATION, CAREOREGON IS HELPING BUILD WORKFORCE CAPACITY AND CLEARER COMMUNICATION BETWEEN CARE TEAMS AND ENGLISH-LEARNER MEMBERS. THE GRANT IS ENABLING CURRENT AND PROSPECTIVE INTERPRETERS TO COMPLETE TRAINING COURSES AND UNDERGO STATE CREDENTIALING. PART III, LINE 4D OTHER PROGRAMS THE CCOS WE SUPPORT PROVIDE ACCESS FOR APPROXIMATELY 500,000 LOW-INCOME OREGONIANS. OUR WORK INVOLVES COORDINATING QUALITY HEALTH CARE FOR MEMBERS AND CONTRACTING WITH PUBLIC AND PRIVATE PROVIDERS TO PROVIDE HEALTH CARE SERVICES, INCLUDING PHYSICAL, MENTAL AND ORAL HEALTH. WE PROVIDE CUSTOMER SERVICE FUNCTIONS FOR THESE CCOS, ASSIST WITH HEALTH IMPROVEMENT PLANS FOR THE VARIOUS COMMUNITIES AND PROVIDE TECHNICAL SUPPORT FOR INFORMATION SERVICES, HUMAN RESOURCES, COMMUNICATIONS, PROCESS IMPROVEMENT AND OTHER FUNCTIONS. THESE SERVICES RESULT IN BETTER ACCESS TO QUALITY HEALTH CARE, LOWER COSTS, AND IMPROVED CARE FOR OUR MEMBERS AND FOR THE COMMUNITIES WE SERVE. TO REFLECT OUR CRITICAL ROLE IN THE COMMUNITY, OUR BOARD OF DIRECTORS TOOK A MAJOR STEP BY CREATING A NEW CHIEF EQUITY DIVERSITY & INCLUSION OFFICER (CEDIO) POSITION TO LEAD INTERNAL AND EXTERNAL EFFORTS TO ADDRESS THE ONGOING HEALTH DISPARITIES IN THE COMMUNITIES IT SERVES. THE PANDEMIC CHANGED EVERYTHING ABOUT WORKFORCE ENVIRONMENT AND EXPECTATIONS, INCLUDING AT CAREOREGON. WE ADOPTED LONG-TERM REMOTE WORK AND SCHEDULING FLEXIBILITY FOR ALL APPROPRIATE POSITIONS, ACCOMMODATING THE DESIRE FOR WORK-LIFE BALANCE. TO HELP MEET THOSE NEEDS, THE COMPANY INSTITUTED EMPLOYEE RESOURCE GROUPS (ERGS) AND A SABBATICAL PROGRAM, AND ELEVATED PERSONAL AND PROFESSIONAL DEVELOPMENT INTO A STRATEGIC INITIATIVE. PART IV, LINE 12/12A CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2021, AN AUDIT WAS PERFORMED ON THE CONSOLIDATED ENTITY WHICH INCLUDES CAREOREGON, INC., HEALTH PLAN OF CAREOREGON, INC., CARE ACCESS LLC, COLUMBIA PACIFIC CCO, LLC, JACKSON COUNTY CCO, LLC, HOUSECALL PROVIDERS SERVICES LLC, AND HOUSECALL PROVIDERS, PC. IN ADDITION, STATUTORY AUDITS WERE PERFORMED ON HEALTH PLAN OF CAREOREGON, INC., COLUMBIA PACIFIC CCO, LLC AND JACKSON COUNTY CCO, LLC ON A STANDALONE BASIS FOR THE PURPOSE OF REGULATORY FILING FOR THE YEAR ENDED DECEMBER 31, 2021. FORM 990, PART VI, SECTION A, LINE 2 AMIT SHAH, MD IS A CHIEF MEDICAL OFFICER OF CAREOREGON AND SERVES AS A MEMBER OF BOARD OF DIRECTORS OF HOUSECALL PROVIDERS, PC. SHAH HOLDS 51% OWNERSHIP AND CAREOREGON HOLDS 49% OF HOUSECALL PROVIDERS, PC WHICH IS A FULLY CONSOLIDATED SUBSIDIARY OF CAREOREGON FOR FINANCIAL REPORTING PURPOSES. DOUGLAS LUTHER AND ANDREW LUTHER HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B CAREOREGON'S FORM 990, WHICH IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY MANAGEMENT, GOES THROUGH MULTIPLE LAYERS OF REVIEW BEFORE IT IS REVIEWED BY THE CFO, FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. THE FORM 990 IS REVIEWED AND DISCUSSED AT THE FINANCE COMMITTEE MEETING. ALL REVIEWERS ARE GIVEN TIME TO RESPOND WITH ANY REVISIONS. AFTER INCORPORATION OF ALL REVISIONS, THE FORM 990 IS REDISTRIBUTED TO THE REVIEWERS FOR A FINAL REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY OF CAREOREGON IS DISTRIBUTED TO THE BOARD MEMBERS ANNUALLY. IT APPLIES TO DIRECTORS, OFFICERS AND KEY EMPLOYEES (ON THE BASIS OF TESTS SET FORTH IN IRS FORM 990), AND ANY OTHER INDIVIDUAL IN A POSITION TO EXERCISE SIGNIFICANT INFLUENCE OVER A DECISION HAVING MATERIAL ECONOMIC IMPACT FOR CAREOREGON (COLLECTIVELY COVERED PERSONS). THE CONFLICT-OF-INTEREST POLICY IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD. AN ANNUAL CONFLICT OF INTEREST DECLARATION AND INDEPENDENCE QUESTIONNAIRE IS DISTRIBUTED TO ALL COVERED PERSONS. THROUGH THE DISTRIBUTED DOCUMENT, EACH COVERED PERSON SIGNS AND ACKNOWLEDGES THEIR COMPLIANCE WITH THE CONFLICT-OF-INTEREST POLICY AND REPORTS FAMILY AND BUSINESS RELATIONSHIPS THAT ARE USED TO DETERMINE THE INDEPENDENCE OF A DIRECTOR PURSUANT TO THE DEFINITION AND TESTS SET FORTH IN IRS FORM 990. THE GOVERNANCE COMMITTEE REVIEWS THE RESPONSES TO THE ANNUAL QUESTIONNAIRES AND MAKES RECOMMENDATIONS TO THE FULL BOARD ON ANY RESOLUTIONS OR ACTIONS REQUIRED TO MITIGATE ANY CONFLICTS OF INTEREST. FOR 2021, THERE WERE NO CONFLICTS OF INTEREST REQUIRING RESOLUTION OR ACTIONS. AT THE BEGINNING OF EACH MEETING OF THE BOARD OF DIRECTORS, THE CHAIR ASKS ALL MEMBERS PRESENT TO DECLARE ANY CONFLICTS OF INTEREST SO THE BOARD IS UPDATED ON ANY NEW CONFLICTS THAT MAY HAVE ARISEN SINCE THE LAST ANNUAL QUESTIONNAIRE. ALL SIGNED CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENTS AND INDEPENDENCE QUESTIONNAIRES ARE RETAINED AT CAREOREGON'S OFFICE. IF FOR A SPECIFIC MATTER REQUIRING BOARD ACTION, A CONFLICT OF INTEREST EXISTS, AS DETERMINED BY THE BOARD, AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE MEETING, DISCLOSING THE EXISTENCE OF HIS OR HER INTEREST AND SHALL DISCLOSE ALL MATERIAL FACTS. FOLLOWING THE PERSON'S DISCLOSURES AND AFTER ANY DISCUSSION WITH THE BOARD, THE INDIVIDUAL LEAVES THE MEETING WHILE THE BOARD INDEPENDENTLY DISCUSSES THE MATTER BEFORE IT VOTES ON THE PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST. IF THERE IS REASONABLE QUESTION ABOUT THE APPROPRIATENESS OF THE PROPOSED TRANSACTION OR ARRANGEMENT, THE CHAIR SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTIONS OR ARRANGEMENTS. AFTER EXERCISING DUE DILIGENCE, THE BOARD SHALL EVALUATE THE RESULTING ALTERNATIVES PRESENTED BY THE APPOINTED PERSON OR COMMITTEE. IF AN APPROPRIATE CONFLICT-FREE ALTERNATIVE IS NOT REASONABLY ATTAINABLE, THE BOARD SHALL DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE ORIGINAL TRANSACTION OR ARRANGEMENT IS IN CAREOREGON'S BEST INTEREST, FOR CAREOREGON'S OWN BENEFIT, WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO CAREOREGON, AND WHETHER THE TRANSACTION IS IN COMPLIANCE WITH ALL APPLICABLE LAWS AND REGULATIONS. THE BOARD SHALL THEN VOTE WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH THE EVALUATION OF THE FOREGOING. FORM 990, PART VI, SECTION B, LINE 15 MARKET DATA ON THE TOTAL COMPENSATION PACKAGE FOR EXECUTIVE POSITIONS IS PROVIDED ANNUALLY BY AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT USING COMPARABLE ORGANIZATIONS BY INDUSTRY, PROFIT/NON-PROFIT STATUS AND REVENUE SIZE. THE COMPENSATION COMMITTEE, CONSISTING OF A MAJORITY OF INDEPENDENT BOARD MEMBERS, REVIEWS MARKET DATA, EVALUATES CEO PERFORMANCE AND REVIEWS CEO RECOMMENDATIONS FOR COMPENSATION FOR OTHER EXECUTIVE OFFICERS. THE COMMITTEE PRESENTS ITS RECOMMENDATIONS FOR CEO TO THE BOARD. DECISIONS ARE MADE IN A BOARD MEETING. THE BOARD REVIEWS THE RECOMMENDATION FOR THE COMPENSATION OF ALL OTHER EMPLOYEES AS PART OF THE BUDGET APPROVAL PROCESS. THE PROCESS OF DETERMINING THE COMPENSATION OF TOP MANAGEMENT OFFICIALS AND KEY OFFICERS INCLUDES A REVIEW OF AN INDEPENDENT CONSULTANT'S REPORT OF COMPARABLE SALARIES OF SIMILAR ORGANIZATIONS AND IS GUIDED BY WRITTEN COMPENSATION PRACTICES. WITH THE CEO AND ALL OTHER OFFICERS ABSENT FROM THE MEETINGS, THE BOARD APPROVES THE SALARY OF THE CEO. THIS PROCESS WAS LAST UNDERTAKEN ON MARCH 11, 2022 FOR THE CEO, AND THE CEO'S RECOMMENDATIONS FOR OTHER OFFICERS. THERE IS CONTEMPORANEOUS DOCUMENTATION OF THIS PROCESS AND THE RESULTS. FORM 990, PART VI, SECTION C, LINE 19 THE TAX RETURN INFORMATION IS AVAILABLE UPON REQUEST. WHILE NO REQUIREMENT TO MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXISTS, CAREOREGON WILL CONSIDER ALL REQUESTS FOR THESE DOCUMENTS ON A CASE-BY-CASE BASIS. FORM 990, PART XI, LINE 9: TRANSFER TO HOUSECALL PROVIDERS, PC -2,600,000. COLUMBIA PACIFIC CCO LLC 315 SW FIFTH AVENUE PORTLAND OR 97204 455532847 MEDICAID MANAGED HEALTH CARE PLAN OR 203997798 52112861 CAREOREGON INC JACKSON COUNTY CCO LLC 315 SW FIFTH AVENUE PORTLAND OR 97204 455499608 MEDICAID MANAGED HEALTH CARE PLAN OR 313416805 44496187 CAREOREGON INC HOUSECALL PROVIDERS SERVICES LLC 315 SW FIFTH AVENUE PORTLAND OR 97204 821474020 HOME-BASED CARE AND HOSPICE SERVICES OR 6753809 2647454 CAREOREGON INC CARE ACCESS LLC 315 SW FIFTH AVENUE PORTLAND OR 97204 270630449 MEDICAL BUILDING OR 332395 4354220 CAREOREGON INC HEALTH PLAN OF CAREOREGON INC 315 SW FIFTH AVENUE PORTLAND OR 97204 463264330 MEDICARE HEALTH PLAN OR 501(C)(3) LINE 10 CAREOREGON INC 1 HOUSECALL PROVIDERS PC 315 SW FIFTH AVENUE PORTLAND OR 97204 821663503 MEDICAL CARE, INTEGRATING PRIMARY AND PALLIATIVE SERVICES OR 501(C)(3) LINE 3 CAREOREGON INC 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 HEALTH PLAN OF CAREOREGON O 18080356 ALLOCATION OF EMPLOYEE COSTS HEALTH PLAN OF CAREOREGON N 5548359 ALLOCATION OF OPERATING EXPENSES HEALTH PLAN OF CAREOREGON Q 2580772 SPECIFICALLY IDENTIFIABLE COSTS HOUSECALL PROVIDERS PC O 7895597 ALLOCATION OF EMPLOYEE COSTS HOUSECALL PROVIDERS PC N 198829 ALLOCATION OF OPERATING EXPENSES HOUSECALL PROVIDERS PC M 1329045 SPECIFICALLY IDENTIFIABLE COSTS HOUSECALL PROVIDERS PC Q 895015 SPECIFICALLY IDENTIFIABLE COSTS HOUSECALL PROVIDERS PC R 2600000 EQUITY TRANSFER