FAMILYCARE INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- FAMILYCARE INC (EIN 93-0878074)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-06
- IRS object ID
- 201803109349301425
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-06T11:42:06-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 930928924 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PERKINS & COMPANY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1211 SW FIFTH AVE SUITE 1000 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 972043710 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930878074 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILYCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAMI | BusinessNameControlTxt |
| Phone | 5032223205 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 NE MULTNOMAH SUITE 1400 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97232 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY HEATHERINGTON | PersonNm |
| Person Title | PRESIDENT, CEO | PersonTitleTxt |
| Phone | 5032223205 | PhoneNum |
| Signature | 2018-10-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CYNTHIA P BARTHOLOMEW | PreparerPersonNm |
| PTIN | P01313965 | PTIN |
| Phone | 5032210336 | PhoneNum |
| Preparation | 2018-10-29 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 70.102.39.100 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-10-29 | IPDt |
| IP Tm | 14:52:03 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B01359FE453E4800DAEA04FA9F75AD3820A6EE36 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 8C1C78DD8FC880D0435241EC6ED772A926349A0D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEFFREY HEATHERINGTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 NE MULTNOMAH SUITE 1400 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97232 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $660,143,772 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.FAMILYCAREINC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE COMMUNITY HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 411 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $23,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $60,928 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $495,159,924 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $512,666,738 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,421,455 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,360,380 | CYInvestmentIncomeAmt |
| PY Other Revenue | $26,891 | PYOtherRevenueAmt |
| CY Other Revenue | $34,902 | CYOtherRevenueAmt |
| PY Total Revenue | $497,631,270 | PYTotalRevenueAmt |
| CY Total Revenue | $521,122,948 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $978,110 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,114,640 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,991,240 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,111,102 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $494,567,816 | PYOtherExpensesAmt |
| CY Other Expenses | $523,149,001 | CYOtherExpensesAmt |
| PY Total Expenses | $518,537,166 | PYTotalExpensesAmt |
| CY Total Expenses | $559,374,743 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$20,905,896 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$38,251,795 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $272,139,883 | TotalAssetsBOYAmt |
| Total Assets EOY | $176,652,870 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $136,098,585 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $88,546,638 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $136,041,298 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $88,106,232 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE PROGRAMS OF COOPERATIVE AND COMPREHENSIVE HEALTHCARE TO THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $512,051,494 | ExpenseAmt |
| Grant | $1,114,640 | GrantAmt |
| Revenue | $512,701,640 | RevenueAmt |
| Desc | DURING 2017, FAMILYCARE, INC. CONTINUED TO PROVIDE COMPREHENSIVE AND COOPERATIVE HEALTH CARE TO MEMBERS ACCORDING TO THE TERMS OF A CONTRACT WITH THE OREGON HEALTH PLAN/MEDICAID. APPROXIMATELY 119,184 SERVED MONTHLY. | Desc |
| Total Program Service Expenses | $512,051,494 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | Yes (1) | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1483 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 411 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | Yes (1) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (1) | NondeductibleContriDisclInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANTHONY JACKSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5032223205 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 NE MULTNOMAH SUITE 1400 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97232 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ROBIN RICHARDSON DO | |||||||||
| CHAIR & DIRECTOR | 1.00 | 1.00 | Yes (X) | Yes (X) | $11,250 | $0 | $0 | ||
| JANET TESCH | |||||||||
| VICE CHAIR (PART YEAR) & BOARD MEMBER | 1.00 | Yes (X) | Yes (X) | $1,000 | $0 | $0 | |||
| MATT DASKALOS | |||||||||
| VICE CHAIR (PART YEAR) & BOARD MEMBER | 1.00 | Yes (X) | Yes (X) | $2,500 | $0 | $0 | |||
| PATRICIA PARKER | |||||||||
| SECRETARY & BOARD MEMBER | 1.00 | Yes (X) | Yes (X) | $3,750 | $0 | $0 | |||
| JEFFREY PAWLOWSKI | |||||||||
| TREASURER & BOARD MEMBER | 1.00 | 1.00 | Yes (X) | Yes (X) | $9,390 | $0 | $0 | ||
| KAREN CARNAHAN | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $1,000 | $0 | $0 | ||||
| RICHARD BARSOTTI | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $4,250 | $0 | $0 | ||||
| ROBERT CARUS | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $6,000 | $0 | $0 | ||||
| JOE HROMCO | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $5,250 | $0 | $0 | ||||
| MICHAEL RILEY | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $4,762 | $0 | $0 | |||
| CARL ERICKSON | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $4,250 | $0 | $0 | ||||
| ROYAL E HARRIS | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $5,500 | $0 | $0 | ||||
| JEFFREY HEATHERINGTON | |||||||||
| PRESIDENT, CEO | 39.00 | 1.00 | Yes (X) | $504,000 | $0 | $16,821 | |||
| PAIGE JACKSON | |||||||||
| VP | 30.00 | 10.00 | Yes (X) | $206,183 | $0 | $14,658 | |||
| WILLIAM MURRAY | |||||||||
| COO | 30.00 | 10.00 | $378,798 | $0 | $25,919 | Yes (X) | |||
| KEVIN CLANCY | |||||||||
| VP FINANCE | 30.00 | 10.00 | $277,428 | $0 | $30,487 | Yes (X) | |||
| OSCAR CLARK | |||||||||
| VP COMMUNITY & HEALTH SERV | 30.00 | 10.00 | $227,640 | $0 | $15,586 | Yes (X) | |||
| CHRISTOPHER DIAZ | |||||||||
| VP INFORMATION TECHNOLOGY | 30.00 | 10.00 | $195,752 | $0 | $5,188 | Yes (X) | |||
| CHERI PFANNES | |||||||||
| VP CORPORATE COMPLIANCE | 30.00 | 10.00 | $179,613 | $0 | $7,214 | Yes (X) | |||
| BENNETT GARNER | |||||||||
| DIRECTOR | 30.00 | 10.00 | $305,278 | $0 | $26,010 | Yes (X) | |||
| ANNA JIMENEZ | |||||||||
| DIRECTOR | 30.00 | 10.00 | $267,342 | $0 | $25,817 | Yes (X) | |||
| ALEXANDER BULOCHNIK | |||||||||
| MANAGER | 30.00 | 10.00 | $195,140 | $0 | $20,280 | Yes (X) | |||
| WILLIAM GUEST III | |||||||||
| VP PROVIDER NETWORK | 30.00 | 10.00 | $219,321 | $0 | $25,027 | Yes (X) | |||
| RONALD LANGERGREN | |||||||||
| DIRECTOR | 30.00 | 10.00 | $181,904 | $0 | $4,740 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,197,301 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $217,747 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 51 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TRIZETTO CORPORATION | |||||
| 9655 MAROON CIR | ENGLEWOOD | CO | 80112 | CLAIMS PROCESSING | $5,417,803 |
| PERFORMANCE HEALTH TECHNOLOGY LTD | |||||
| 3993 FAIRVIEW INDUSTRIAL DR SE | SALEM | OR | 97302 | CLAIMS PROCESSING | $4,668,289 |
| PERKINS COIE | |||||
| 1201 THIRD AVE STE 4900 | SEATTLE | WA | 98101 | LEGAL SERVICES | $1,622,890 |
| LINGUAVA INTERPRETERS | |||||
| 12106 NE MARX ST | PORTLAND | OR | 97220 | LANGUAGE SUPPORT | $1,204,766 |
| TECH HEADS INC | |||||
| 7060 SE BEVELAND | PORTLAND | OR | 97223 | CONSULTING | $992,671 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 32 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $60,928 | GovernmentGrantsAmt |
| Total Contributions | $60,928 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID PREMIUMS | 624100 | $465,108,918 | $465,108,918 |
| BAD DEBT RECOVERY | 424000 | $47,557,820 | $47,557,820 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $512,666,738 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,799,870 | TotalRevenueColumnAmt |
| Exclusion | $4,799,870 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $142,581,334 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $139,020,824 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,560,510 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,560,510 | TotalRevenueColumnAmt |
| Exclusion | $3,560,510 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SETTLEMENT CREDIT | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $34,902 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,902 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $34,902 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $521,122,948 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $512,701,640 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,360,380 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,114,640 | TotalAmt |
| Program Services | $1,114,640 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,144,190 | TotalAmt |
| Program Services | $579,309 | ProgramServicesAmt |
| Management And General | $1,564,881 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,563,610 | TotalAmt |
| Program Services | $13,484,179 | ProgramServicesAmt |
| Management And General | $13,079,431 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $556,997 | TotalAmt |
| Program Services | $442,805 | ProgramServicesAmt |
| Management And General | $114,192 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,580,965 | TotalAmt |
| Program Services | $2,846,816 | ProgramServicesAmt |
| Management And General | $734,149 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,265,340 | TotalAmt |
| Program Services | $1,691,241 | ProgramServicesAmt |
| Management And General | $574,099 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,626,211 | TotalAmt |
| Management And General | $2,626,211 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,274 | TotalAmt |
| Management And General | $200,274 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,960 | TotalAmt |
| Management And General | $5,960 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,381,835 | TotalAmt |
| Program Services | $225,878,246 | ProgramServicesAmt |
| Management And General | $12,503,589 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,011 | TotalAmt |
| Management And General | $252,011 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $942,194 | TotalAmt |
| Management And General | $942,194 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,721,651 | TotalAmt |
| Management And General | $3,721,651 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,273 | TotalAmt |
| Management And General | $267,273 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,984 | TotalAmt |
| Management And General | $24,984 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $994,776 | TotalAmt |
| Management And General | $994,776 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,133 | TotalAmt |
| Management And General | $259,133 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| OTHER MEDICAL AND HOSPI | $96,381,175 | $96,381,175 |
| INPATIENT HOSPITAL | $89,770,820 | $89,770,820 |
| MEDICAL AND HOSPITAL EX | $52,588,125 | $52,588,125 |
| EMERGENCY ROOM AND OUT- | $27,256,388 | $27,256,388 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,476,191 | TotalAmt |
| Program Services | $17,750 | ProgramServicesAmt |
| Management And General | $9,458,441 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $559,374,743 | TotalAmt |
| Program Services | $512,051,494 | ProgramServicesAmt |
| Management And General | $47,323,249 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,751,728 | BOYAmt |
| EOY | $18,526,539 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,644,788 | BOYAmt |
| EOY | $26,949,145 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,225,384 | BOYAmt |
| EOY | $3,581,591 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,180,877 | BOYAmt |
| EOY | $1,558,279 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,133,670 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,970,271 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,908,471 | BOYAmt |
| EOY | $2,163,399 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,162,090 | BOYAmt |
| EOY | $104,667,100 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,266,545 | BOYAmt |
| EOY | $19,206,817 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $272,139,883 | BOYAmt |
| EOY | $176,652,870 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,611,400 | BOYAmt |
| EOY | $88,215,573 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $487,185 | BOYAmt |
| EOY | $331,065 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,098,585 | BOYAmt |
| EOY | $88,546,638 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,033,298 | BOYAmt |
| EOY | $88,106,232 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,041,298 | BOYAmt |
| EOY | $88,106,232 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $272,139,883 | BOYAmt |
| EOY | $176,652,870 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$38,251,795 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $442,291 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$10,125,562 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Political Expenditures | $17,750 | PoliticalExpendituresAmt |
| Volunteer Hours | 0 | VolunteerHoursCnt |
| Expended527 Activities | $0 | Expended527ActivitiesAmt |
| Internal Funds Contributed | $0 | InternalFundsContributedAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I-A, LINE 1: | FormAndLineReferenceDesc |
| Explanation | MONETARY DONATIONS TO SUPPORT CANDIDATES FOR ELECTIVE PUBLIC OFFICE | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $183,358 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,760 | DepreciationAmt |
| Book Value | $142,598 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,043,409 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,723,425 | DepreciationAmt |
| Book Value | $1,319,984 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $906,903 | OtherCostOrOtherBasisAmt |
| Depreciation | $206,086 | DepreciationAmt |
| Book Value | $700,817 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,163,399 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| PRESCRIPTION REBATES RECEIVABLE | $572,783 |
| INVESTMENT IN FAMILYCARE HEALTH PLANS | $16,909,230 |
| DUE FROM AFFILIATES | $166,568 |
| OTHER ASSETS, NET | $444,497 |
| ACCRUED INTEREST AND DIVIDENDS | $1,113,739 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $19,206,817 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE OBLIGATION | Desc |
| Amt | $331,065 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $331,065 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ASIAN HEALTH & SERVICE CENTER | |||||||
| 3430 SE POWELL BLVD | PORTLAND | OR | 97202 | 931192100 | 501(C)(3) | $90,101 | SPONSORSHIP |
| CASCADE AIDS PROJECT | |||||||
| 208 SW 5TH AVE SUITE 800 | PORTLAND | OR | 97204 | 930903383 | 501(C)(3) | $80,000 | SPONSORSHIP |
| GLADSTONE SCHOOL DISTRICT #115 | |||||||
| 17789 WEBSTER RD | GLADSTONE | OR | 97027 | 936000287 | STATE OF ORE/GLAD SD | $215,000 | GENERAL OPERATING SUPPORT |
| NORTHWEST FAMILY SERVICES | |||||||
| 6200 SE KING RD | PORTLAND | OR | 97222 | 930841022 | 501(C)(3) | $115,025 | GENERAL OPERATING SUPPORT |
| PROJECT ACCESS NOW | |||||||
| PO BOX 10953 | PORTLAND | OR | 97296 | 208928388 | 501(C)(3) | $80,000 | GENERAL OPERATING SUPPORT |
| YAKIMA VALLEY FARM WORKERS CLINIC | |||||||
| PO BOX 190 | TOPPENISH | WA | 98948 | 911019392 | 501(C)(3) | $67,303 | GENERAL OPERATING SUPPORT |
| MULTNOMAH COUNTY OREGON | |||||||
| 501 SE HAWTHORNE BLVD | PORTLAND | OR | 97214 | 936002309 | MULTNOMAH COUNTY | $58,649 | GENERAL OPERATING SUPPORT |
| LIFEWORKS NORTHWEST | |||||||
| 14600 NW CORNELL RD | PORTLAND | OR | 97229 | 930502822 | 501(C)(3) | $53,500 | GENERAL OPERATING SUPPORT |
| RANDALL CHILDREN'S HOSPITAL FOUNDATION | |||||||
| PO BOX 4484 | PORTLAND | OR | 97208 | 931314469 | 501(C)(3) | $50,000 | GENERAL OPERATING SUPPORT |
| PHAME ACADEMY | |||||||
| 1631 NE BROADWAY 134 | PORTLAND | OR | 97232 | 930991167 | 501(C)(3) | $50,000 | GENERAL OPERATING SUPPORT |
| SCHOOL DISTRICT 1J MULTNOMAH COUNTY | |||||||
| 501 N DIXON ST | PORTLAND | OR | 97227 | 936000830 | MULTNOMAH COUNTY | $48,222 | GENERAL OPERATING SUPPORT |
| LATINO NETWORK | |||||||
| 410 NE 18TH AVE | PORTLAND | OR | 97232 | 731675402 | 501(C)(3) | $45,830 | GENERAL OPERATING SUPPORT |
| CENTRAL CITY CONCERN | |||||||
| 232 NW SIXTH AVE | PORTLAND | OR | 97209 | 930728816 | 501(C)(3) | $34,210 | GENERAL OPERATING SUPPORT |
| THE INTERTWINE ALLIANCE FOUNDATION | |||||||
| 2100 SW RIVERPARKWAY STE 450 | PORTLAND | OR | 97201 | 452629474 | 501(C)(3) | $20,000 | GENERAL OPERATING SUPPORT |
| HELPING MEN HEAL LLC | |||||||
| 16703 SE MCGILLIVRAY BLVD STE 185 | VANCOUVER | WA | 98683 | 460808649 | 501(C)(3) | $15,000 | GENERAL OPERATING SUPPORT |
| NORTH BY NORTHEAST COMMUNITY CENTER | |||||||
| 714 NE ALBERTA STREET | PORTLAND | OR | 97211 | 721618287 | 501(C)(3) | $15,000 | GENERAL OPERATING SUPPORT |
| ADELANTE MUJERES | |||||||
| 2036 MAIN STREET STE A | FOREST GROVE | OR | 97116 | 304731810 | 501(C)(3) | $12,137 | GENERAL OPERATING SUPPORT |
| OREGON FOOD BANK | |||||||
| 7900 NE 33RD DR | PORTLAND | OR | 97211 | 930785786 | 501(C)(3) | $7,000 | GENERAL OPERATING SUPPORT |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANT RECIPIENTS SUBMIT PERIODIC REPORTS AS DEFINED BY THEIR AGREEMENTS. REPORTS INCLUDE INVOICES CONTAINING SERVICES RENDERED AND PERIOD COVERED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY HEATHERINGTON | ||||||||||||||
| PRESIDENT, CEO | $504,000 | $0 | $0 | $0 | $0 | $0 | $8,100 | $0 | $8,721 | $0 | $520,821 | $0 | $0 | $0 |
| PAIGE JACKSON | ||||||||||||||
| VP | $195,024 | $0 | $5,664 | $0 | $5,495 | $0 | $6,186 | $0 | $8,472 | $0 | $220,841 | $0 | $0 | $0 |
| WILLIAM MURRAY | ||||||||||||||
| COO | $361,051 | $0 | $11,250 | $0 | $6,497 | $0 | $8,100 | $0 | $17,819 | $0 | $404,717 | $0 | $0 | $0 |
| KEVIN CLANCY | ||||||||||||||
| VP FINANCE | $269,441 | $0 | $7,987 | $0 | $0 | $0 | $8,323 | $0 | $22,164 | $0 | $307,915 | $0 | $0 | $0 |
| OSCAR CLARK | ||||||||||||||
| VP COMMUNITY & HEALTH SERV | $220,836 | $0 | $6,804 | $0 | $0 | $0 | $6,829 | $0 | $8,757 | $0 | $243,226 | $0 | $0 | $0 |
| CHRISTOPHER DIAZ | ||||||||||||||
| VP INFORMATION TECHNOLOGY | $163,995 | $0 | $6,661 | $0 | $25,096 | $0 | $5,188 | $0 | $0 | $0 | $200,940 | $0 | $0 | $0 |
| CHERI PFANNES | ||||||||||||||
| VP CORPORATE COMPLIANCE | $173,600 | $0 | $5,055 | $0 | $958 | $0 | $5,388 | $0 | $1,826 | $0 | $186,827 | $0 | $0 | $0 |
| BENNETT GARNER | ||||||||||||||
| DIRECTOR | $292,151 | $0 | $8,999 | $0 | $4,128 | $0 | $8,100 | $0 | $17,910 | $0 | $331,288 | $0 | $0 | $0 |
| ANNA JIMENEZ | ||||||||||||||
| DIRECTOR | $255,102 | $0 | $8,566 | $0 | $3,674 | $0 | $8,020 | $0 | $17,797 | $0 | $293,159 | $0 | $0 | $0 |
| ALEXANDER BULOCHNIK | ||||||||||||||
| MANAGER | $170,810 | $0 | $4,991 | $0 | $19,339 | $0 | $5,854 | $0 | $14,426 | $0 | $215,420 | $0 | $0 | $0 |
| WILLIAM GUEST III | ||||||||||||||
| VP PROVIDER NETWORK | $203,907 | $0 | $10,000 | $0 | $5,414 | $0 | $2,921 | $0 | $22,106 | $0 | $244,348 | $0 | $0 | $0 |
| RONALD LANGERGREN | ||||||||||||||
| DIRECTOR | $153,758 | $0 | $4,245 | $0 | $23,901 | $0 | $4,740 | $0 | $0 | $0 | $186,644 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CARNAHAN SMITH AND GUNTER | |||
| ENTITY MORE THAN 35% OWNED BY KAREN CARNAHAN, BOARD MEMBER | $217,755 | EXPENSES PAID TO PROFESSIONAL SERVICES FIRM FOR LEADERSHIP TRAINING. | 0 |
| RILEY RESEARCH ASSOCIATES | |||
| ENTITY MORE THAN 35% OWNED BY MICHAEL RILEY, BOARD MEMBER | $10,190 | EXPENSES PAID TO PROFESSIONAL SERVICES FIRM. | 0 |
| WESTERN PSYCHOLOGICAL & COUNSELING SERVICES INC | |||
| BOARD MEMBER JOSEPH HROMCO IS THE VICE PRESIDENT OF OPERATIONS | $3,479,188 | EXPENSES PAID TO A PROVIDER CLINIC FOR HEALTHCARE-RELATED SERVICES. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | JEFFREY PAWLOWSKI, BOARD MEMBER, AND MICHAEL RILEY, BOARD MEMBER, HAVE A BUSINESS RELATIONSHIP. ROBERT CARUS, BOARD MEMBER, AND KAREN CARNAHAN, BOARD MEMBER, ALSO HAVE A BUSINESS RELATIONSHIP. BOARD MEMBERS MICHAEL RILEY, JOE HROMCO, AND KAREN CARNAHAN OWN OR CONTROL ENTITIES THAT DO BUSINESS WITH FAMILYCARE, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF FORM 990 IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING THE OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION METHODOLOGY: CEO: THE LEVEL AND ADEQUACY OF THE CEO TOTAL COMPENSATION IS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS. THE CEO PERFORMS UNDER AN EXECUTIVE EMPLOYMENT CONTRACT WHICH IS NEGOTIATED AND UPDATED BY THE BOARD. ONLY INDEPENDENT MEMBERS OF THE BOARD CONDUCT THE REVIEW AND MAKE DECISIONS REGARDING THE CEO'S SALARY. THE BOARD USES COMPARABILITY DATA IN DETERMINING THE SALARY, AND ALL DELIBERATIONS AND DECISIONS ARE DOCUMENTED. COO: THE LEVEL AND ADEQUACY OF THE COO TOTAL COMPENSATION IS DETERMINED BY THE CEO, WITH INPUT AND ANALYSIS SUPPLIED BY THE VICE PRESIDENT OF HUMAN RESOURCES. HIGHLY COMPENSATED EXECUTIVES SUCH AS VICE PRESIDENT OF FINANCE, VICE PRESIDENT COMMUNITY AND BUSINESS DEVELOPMENT, DIRECTOR OF GOVERNMENT PROGRAMS, VICE PRESIDENT OF INTEGRATED SERVICES, DIRECTOR OF INFORMATION SERVICES, AND OTHER EXECUTIVES ALL HAVE COMPENSATION DETERMINED AS DESCRIBED BELOW. GENERAL APPROACH TO COMPENSATION DETERMINATIONS: IN THE FIRST QUARTER OF 2013, ALL COMPENSATION RANGES EXCLUDING THE CEO WERE REVIEWED AND TESTED BY AN EXTERNAL COMPENSATION PROFESSIONAL. HE EXAMINED CURRENT SALARIES, COMPARABILITY, EXEMPTION STATUS, RANGES, AND EQUITY IN ALL JOBS IN FAMILYCARE. HIS FINDINGS WERE POSITIVE, WITH ONLY RECOMMENDATIONS TO CORRECT THE NON-EXEMPT STATUS OF SEVERAL EMPLOYEES. IN DETERMINING WAGE PLACEMENT OR SALARY, THE VICE PRESIDENT OF HUMAN RESOURCES IS ACCOUNTABLE TO USE PUBLISHED, REPUTABLE DATA FOR COMPARISONS OF JOB ACCOUNTABILITIES AND COMPENSATION RANGES. FAMILYCARE ENGAGED AN ORGANIZATION IN THE FIRST QUARTER OF 2013; THIS ORGANIZATION HAS A PUBLISHED INVENTORY OF DETAILED INFORMATION ABOUT NATIONAL JOBS THAT INCLUDE JOB CONTENT, ACCOUNTABILITIES, USUAL REQUIREMENTS, NATIONAL, REGIONAL AND SPECIFIC PORTLAND AREA RANGES. THE VICE PRESIDENT OF HR SETS ALL SALARIES AND RESPONDS TO ANY INQUIRIES RELATED TO FAIRNESS, EQUITY, AND PROCESS. |
| FORM 990, PART VI, SECTION C, LINE 19 | FAMILYCARE, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT THIS TIME. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 120,642,627. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,642,627. PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,480,185. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,480,185. MEDICAL PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 47,262,986. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,262,986. CONSULTING & CLAIMS PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,023,404. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,023,404. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 57,972,633. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,972,633. |
| FORM 990, PART XI, LINE 9: | LOSS FROM SUBSIDIARY -10,125,562. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|
| FAMILYCARE HEALTH PLANS INC | |||||||||
| 825 NE MULTNOMAH SUITE 1400 | PORTLAND | OR | 97232 | 911829317 | TO PROVIDE COMMUNITY HEALTH CARE | OR | 501(C)(4) | Yes (1) | |
| HEATHERINGTON FOUNDATION FOR INNOVATION & EDUCATION IN HEALTHCARE FKA FCMC | |||||||||
| 825 NE MULTNOMAH SUITE 1400 | PORTLAND | OR | 97232 | 930988354 | TO SUPPORT INNOVATION AND FUND HEALTHCARE EDUCATION | OR | 501(C)(3) | Yes (1) | PF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FAMILYCARE HEALTH PLANS INC | ||
| B | $15,000,000 | CASH - U.S. CURRENCY |
| FAMILYCARE HEALTH PLANS INC | ||
| N | $209,952 | CASH - U.S. CURRENCY |
| FAMILYCARE HEALTH PLANS INC | ||
| O | $664,147 | CASH - U.S. CURRENCY |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II | FormAndLineReferenceDesc |
| Explanation | FAMILYCARE, INC. IS RELATED TO FAMILYCARE HEALTH PLANS, INC. AND TO HEATHERINGTON FOUNDATION FOR INNOVATION AND EDUCATION IN HEALTH CARE, BOTH TAX-EXEMPT ORGANIZATIONS, BY VIRTUE HAVING BOARD MEMBERS IN COMMON. MORE THAN 50% OF MEMBERS OF THE RELATED ORGANIZATIONS' BOARDS ALSO SERVE ON FAMILYCARE, INC.'S BOARD OF DIRECTORS. | ExplanationTxt |
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