2020-11-12T13:05:12-06:00 2019-12-31 KPMG LLP 1918 Eighth Avenue Suite 2900 Seattle WA 98101 990 2019-01-01 821663503 HOUSECALL PROVIDERS PC % TERESA KENNEDY LEARN CFO HOUS 5034164100 315 SW 5TH AVE PORTLAND OR 97204 TERESA KENNEDY LEARN CFO 5034161415 2020-11-09 true LISA M MEYER P01490170 2069134000 2020-11-05 199.207.253.96 91023620203175000002 2020-11-12 P 86A74EBFCEE27F7BE023DD8CF584AFFD35DA074E 8787AE8C47AC7A18E705C35B66CD2F80E664658A 2019 2021-01-29 14:40:06Z TERESA K LEARN 315 SW 5TH AVE PORTLAND OR 97204 6006442 false X WWW.HOUSECALLPROVIDERS.ORG X 2017 OR Housecall Providers, PC is a home based primary care service providing medical care integrating & coordinating primary & palliative services for homebound members. 5 0 0 30 0 0 0 0 5209008 6006442 125 0 0 0 5209133 6006442 0 0 0 0 7824945 8061475 0 0 0 939717 896046 8764662 8957521 -3555529 -2951079 2416567 3338936 3099106 1472554 -682539 1866382 X SEE SCHEDULE O false false 7412112 6006442 PATIENT REVENUE - SEE SCHEDULE O 7412112 true false false false false false false false false false false false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 3 0 true 0 false false false false false false false false false false false false X 5 0 false false false false true false false true true false false true true true true true true true true false OR X TERESA KENNEDY LEARN CFO 5034161415 315 SW 5TH AVENUE PORTLAND OR 97204 AMIT R SHAH BOARD VICE CHAIRMAN/CMO 2.32 37.68 X X 0 413470 23692 TERESA K LEARN BOARD OF DIRECTOR/CFO 0.56 39.44 X X 0 317446 34404 WILLIAM J KENNEDY BOARD OF DIRECTOR/SR MED DIR 14.0 26.0 X X 0 300061 47313 PAMELA MINER MEDICAL DIRECTOR 40.0 0.0 X X 0 272459 47294 REBECCA RAMSAY ADMINISTRATIVE OFFICER/VP 18.0 22.0 X X 0 255983 49660 ERIN FAIR TAYLOR SECRETARY 0.2 39.8 X 0 272611 30174 JEAN-CLAUDE KG PROVOST ASSOCIATE MEDICAL DIRECTOR 40.0 0.0 X 0 177873 24628 MOLLY W ANDERSON PHYSICIAN 40.0 0.0 X 0 150600 12978 MARIA B BUCIO NURSE PRACTITIONER 40.0 0.0 X 0 135864 22412 CATHIE L GURGEL NURSE PRACTITIONER 40.0 0.0 X 0 133448 23292 BARBARA SUTTON PHYSICIAN 40.0 0.0 X 0 133813 15646 0 2563628 331493 0 false true false 0 0 Patient Revenue 621610 5353598 5353598 Other healthcare services 621610 424328 424328 ALL OTHER PROGRAM SERVICE REVENUE 900099 228516 228516 6006442 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6006442 6006442 0 0 0 0 579315 495117 84198 0 5811796 5193331 618465 430893 386934 43959 823239 742749 80490 416232 364819 51413 180514 2496 178018 29580 29580 0 0 0 169 169 76899 32956 43943 4416 77 4339 41032 13633 27399 154488 605 153883 0 113409 992 112417 79686 75764 3922 0 20695 17936 2759 45774 45774 0 12575 12575 39538 39538 DUES AND SUBSCRIPTIONS 52541 42351 10190 ALL OTHER EXPENSES 44730 42352 2378 8957521 7412112 1545409 0 0 0 198040 2593224 0 0 1556620 179063 0 0 0 0 0 0 0 0 9361 9361 0 0 0 0 0 0 0 0 0 0 652546 557288 2416567 3338936 37567 10631 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3061539 1461923 3099106 1472554 X -682539 1866382 0 0 -682539 1866382 2416567 3338936 X -2951079 5500000 X false true X true false X 0 0 1149778 0 0 1149778 1734870 4865952 5353598 11954420 343056 652844 995900 0 0 0 0 2884648 5209008 6006442 14100098 0 0 0 14100098 0 0 0 0 0 0 0 2884648 5209008 6006442 14100098 X 0.00000 INTERCOMPANY REVEIVABLES 557288 557288 0 INTERCOMPANY LIABILITIES 1461923 1461923 X Part X, Line 2 THE ORGANIZATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN INTEREST EXPENSE AND OTHER ADMINISTRATIVE EXPENSES, RESPECTIVELY. X true true false true false false false false false false false AMIT R SHAH BOARD VICE CHAIRMAN/CMO 0 345327 0 66943 0 1200 0 19500 0 4192 0 437162 0 0 TERESA K LEARN BOARD OF DIRECTOR/CFO 0 264980 0 52466 0 0 0 18987 0 15417 0 351850 0 0 WILLIAM J KENNEDY BOARD OF DIRECTOR/SR MED DIR 0 276259 0 23627 0 175 0 18169 0 29144 0 347374 0 0 PAMELA MINER MEDICAL DIRECTOR 0 251065 0 21394 0 0 0 19122 0 28172 0 319753 0 0 REBECCA RAMSAY ADMINISTRATIVE OFFICER/VP 0 226742 0 29225 0 16 0 18009 0 31651 0 305643 0 0 ERIN FAIR TAYLOR SECRETARY 0 226496 0 45315 0 800 0 18710 0 11464 0 302785 0 0 JEAN-CLAUDE KG PROVOST ASSOCIATE MEDICAL DIRECTOR 0 168486 0 9121 0 266 0 12401 0 12227 0 202501 0 0 MOLLY W ANDERSON PHYSICIAN 0 142069 0 6564 0 1967 0 10641 0 2337 0 163578 0 0 MARIA B BUCIO NURSE PRACTITIONER 0 130126 0 5466 0 272 0 9433 0 12979 0 158276 0 0 CATHIE L GURGEL NURSE PRACTITIONER 0 128342 0 5106 0 0 0 9227 0 14065 0 156740 0 0 Part I, Line 1a Housecall Providers, PC reimbursed health club dues for William Kennedy, Medical Director; Jean-Claude Provost, Assoc Medical Director and Mario B.Bucio, Nurse Practitioner , $175, $266 and $272 respectively. These reimbursements were included as taxable compensation to the individuals. Part I, Line 4B WILLIAM KENEDY PARTICIPATES IN A 457B PLAN PART III, LINE 1 ORGANIZATION'S MISSION ---------------------- HOUSECALL PROVIDERS IS DEDICATED TO PROVIDING QUALITY HOME-CENTERED MEDICAL CARE, INTEGRATING PRIMARY, PALLIATIVE AND HOSPICE SERVICES FOR HOMEBOUND MEMBERS OF OUR COMMUNITY. WE OFFER COMPASSIONATE PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT THROUGH LIFE'S JOURNEY. PART III, LINE 4A STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS -------------------------------------------- SINCE 1995, HOUSECALL PROVIDERS, PC HAS BEEN THE SOLUTION FOR OVER 8,000 COMMUNITY MEMBERS WHOSE MEDICAL NEEDS COULD NOT BE MET IN A TRADITIONAL CLINICAL SETTING. THESE CHRONICALLY ILL PEOPLE, MANY OF WHOM ARE HOMEBOUND, ARE OFTEN FORCED TO RELY ON EMERGENCY ROOM VISITS AND HOSPITALIZATIONS TO MANAGE THEIR MULTIPLE CHRONIC ILLNESSES. THESE TRIPS TAKE THEIR TOLL ON AN ALREADY OVER-BURDENED BODY AND ARE INCREDIBLEY COSTLY TO OUR HEALTH CARE SYSTEM. HOUSECALL PROVIDERS, PC HAS BEEN A TRUSTED SOURCE FOR DELIVERING HOME-BASED PRIMARY CARE THROUGHOUT THE PORTLAND METRO AREA. SINCE OUR MODEST BEGINNINGS, WE HAVE GROWN TO SERVE MORE THAN 2,000 PATIENTS AND FAMILIES A YEAR AND EXPANDED OUR SERVICES TO INCLUDE TRANSITION AND PALLIATIVE CARE SERVICES. BY TRAINING OUR DOCTORS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS TO IMPLEMENT TEAM-BASED, PROACTIVE PRIMARY MEDICAL CARE WHERE OUR PATIENTS LIVE, WE HELP PREVENT THOSE EXPENSIVE TRIPS TO THE HOSPITAL AND UNNECESSARY SKILLED NURSING FACILITY STAYS. NOT ONLY DOES THIS SET A NEW STANDARD FOR THE QUALITY OF CARE PATIENTS CAN EXPECT AT HOME, IT IMPROVES PATIENT HEALTH OUTCOMES AND LOWERS HEALTH CARE COSTS. THROUGH OUR SIX-YEAR INVOLVEMENT IN THE MEDICARE DEMONSTRATION PROJECT, INDEPENDENCE AT HOME, HOUSECALL PROVIDERS, PC ALONG WITH 14 OTHER PROGRAM SITES ACROSS THE U.S., IS HELPING TO PROVE TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES ("CMS") THAT VALUE-BASED REIMBURSEMENT, NOT FEE-FOR-SERVICE, IS THE APPROPRIATE PAYMENT MODEL TO PROVIDE HOME-BASED MEDICAL CARE FOR THE VULNERABLE POPULATION WE SERVE. WHEN HOUSECALL PROVIDERS, PC JOINED THE CAREOREGON FAMILY IN MAY OF 2017, WE WELCOMED THE ADVANCED ILLNESS CARE TEAM INTO OUR CONTINUUM OF HOME-BASED MEDICAL CARE. UNIFYING THESE SERVICES HAS MADE CARE TRANSITIONS SMOOTHER, CUT DOWN ON PATIENT WAIT TIMES AND MADE COMMUNICATION MORE EFFICIENT. THE TEAM INCLUDES NURSES, SOCIAL WORKERS, OUTREACH SPECIALISTS, A CHAPLAIN, AND A PHARMACIST WHO ALL HAVE THE FLEXIBILITY TO MAKE HOME, CLINIC AND HOSPITAL VISITS. THE ADVANCED ILLNESS CARE TEAM WORKS CLOSELY WITH PROVIDERS AND HEALTH CARE TEAMS TO FOCUS ON THE PATIENT'S GOALS OF CARE, SYMPTOM MANAGEMENT AND CARE COORDINATION. HOUSECALL PROVIDERS, PC EMPLOYEES ALSO PROVIDE HEALTHCARE SUPPORT TO OTHER CAREOREGON ENTITIES. PART VI, LINE 6 ORGANIZATION MEMBERS OR STOCKHOLDERS ------------------------------------ HOUSECALL PROVIDERS, PC IS 51% OWNED BY AMIT SHAH, MD AND 49% OWNED BY CAREOREGON. PART VI, LINE 11B FORM 990 TO GOVERNING BODY -------------------------- HOUSECALL PROVIDERS, PC'S FORM 990 GOES THROUGH MULTIPLE LAYERS OF REVIEWS BEFORE IT IS REVIEWED BY THE BOARD TREASURER OF HOUSECALL PROVIDERS, PC (WHO IS ALSO THE CFO OF CAREOREGON) AND THE BOARD OF DIRECTORS. ALL REVIEWERS ARE GIVEN TIME TO RESPOND WITH ANY REVISIONS. AFTER INCORPORATION OF ALL REVISIONS, THE FORM 990 IS REDISTRIBUTED TO THE REVIEWERS FOR FINAL REVIEW PRIOR TO FILING. PART VI, LINE 12C EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS ------------------------------------------------------ FOR FINANCIAL REPORTING AND ACCOUNTING PRACTICES, THE FINANCIAL STATEMENTS OF HOUSECALL PROVIDERS, PC ARE CONSOLIDATED INTO THE CONSOLIDATED FINANCIAL STATEMENTS OF CAREOREGON. AS SUCH, HOUSECALL PROVIDERS, PC IS GOVERNED BY THE POLICIES OF CAREOREGON AS APPLICABLE INCLUDING THE CONFLICT OF INTEREST POLICY OF CAREOREGON, WHICH IS APPLICABLE TO ALL OF CAREOREGON'S SUBSIDIARIES WHICH HAVE NOT ADOPTED A SEPARATE CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY 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 HOUSECALL PROVIDERS, PC, COLLECTIVELY DEFINED AS "COVERED PERSONS". THE CONFLICT OF INTEREST POLICY IS REVIEWED AND APPROVED ANNUALLY BY THE CAREOREGON 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 BOARD OF DIRECTORS REVIEWS THE RESPONSES TO THE ANNUAL QUESTIONNAIRE FOR HOUSECALL PROVIDERS, PC COVERED PERSONS AND MAKES RESOLUTIONS OR ACTIONS REQUIRED TO MITIGATE ANY CONFLICT OF INTEREST. FOR 2019, THERE WERE NO CONFLICTS OF INTEREST REQUIRING RESOLUTIONS OR ACTIONS. 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 DISCLOSURE AND AFTER A 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 A 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 TRANSACTION OR ARRANGEMENT. 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 HOUSECALL PROVIDERS, PC'S AND CAREOREGON'S BEST INTERESTS, FOR HOUSECALL PROVIDERS, PC'S AND CAREOREGON'S OWN BENEFIT, WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO HOUSECALL PROVIDERS, PC AND 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. PART VI, LINE 15A AND 15B COMPENSATION REVIEW & APPROVAL PROCESS - CEO & TOP MANAGEMENT ------------------------------------------------------------- MARKET DATA ON THE TOTAL COMPENSATION PACKAGE FOR EXECUTIVE POSITIONS (CEO, COO, CFO, CLO AND CMO), 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 13, 2020 FOR THE CEO, AND THE CEO'S RECOMMENDATIONS FOR OTHER OFFICERS. THERE IS CONTEMPORANEOUS DOCUMENTATION OF THIS PROCESS AND THE RESULTS. PART VI, LINE 18 AND LINE 19 PUBLIC INSPECTION ----------------- 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, HOUSECALL PROVIDERS, PC WILL CONSIDER ALL REQUESTS FOR THESE DOCUMENTS ON A CASE-BY-CASE BASIS. PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES -------------------------------------------- EQUITY TRANSFER FROM CAREOREGON $ 5,500,000 ------------------ TOTAL PART XI, LINE 9 $ 5,500,000 CAREOREGON INC 315 SW 5TH AVENUE PORTLAND OR 97204 930933975 MEDICAID OR 501(C)(3) 10 NA false HEALTH PLAN OF CAREOREGON INC 315 SW 5TH AVENUE PORTLAND OR 97204 463264330 MEDICARE OR 501(C)(3) 10 CAREOREGON false false false false false false false false false false false false true true true true true false false true