OREGONS HEALTH CO OP: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
OREGONS HEALTH CO OP (EIN 45-3321455)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-10
IRS object ID
201613159349304371
Schema version
2015v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-10T17:21:59-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Moss Adams LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1805 SW Broadway Ste 1200AddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97205ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453321455EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Oregon's Health CO-OPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOREGBusinessNameControlTxt
Phone6126299079PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 NW Second Avenue No 600AddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97209ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJan MoenckPersonNm
Person TitleSPECIAL DEPUTY RECEIVERPersonTitleTxt
Phone6126299079PhoneNum
Signature2016-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWendy CamposPreparerPersonNm
PTINP00448102PTIN
Phone5032421447PhoneNum
Preparation2016-11-08PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAN MOENCKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line120 Batterson Park Rd 300AddressLine1Txt
CityFarmingtonCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06032ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$64,391,623GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.OHCOOP.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionOREGON'S HEALTH CO-OP IS A NONPROFIT PUBLIC BENEFIT CORPORATION OPERATING EXCLUSIVELY AS A CONSUMER OPERATED AND ORIENTED HEALTH PLAN AS DEFINED UNDER SECTION 1322 OF THE AFFORDABLE CARE ACT. THE CORPORATION OFFERS HEALTH CARE INSURANCE AND SERVICES TO INDIVIDUALS AND BUSINESSES ON AND OFF THE OREGON HEALTH INSURANCE EXCHANGE. THE ORGANIZATION CEASED CONDUCTING OPERATIONS AS A HEALTH INSURANCE CARRIER AS OF JULY 31, 2016. EFFECTIVE JULY 11, 2016, OREGON'S HEALTH CO-OP WENT INTO STATE RECEIVERSHIP AND ALL POLICIES WERE TERMINATED AS OF JULY 31, 2016. WIND-DOWN OF THE OPERATIONS IS FORTHCOMING.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee49TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,280,560PYProgramServiceRevenueAmt
CY Program Service Revenue$53,751,482CYProgramServiceRevenueAmt
PY Investment Income$211,541PYInvestmentIncomeAmt
CY Investment Income$283,327CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,492,101PYTotalRevenueAmt
CY Total Revenue$54,034,809CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,995,874PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,589,402CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,277,501PYOtherExpensesAmt
CY Other Expenses$68,882,488CYOtherExpensesAmt
PY Total Expenses$11,273,375PYTotalExpensesAmt
CY Total Expenses$72,471,890CYTotalExpensesAmt
PY Revenues Less Expenses-$6,781,274PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$18,437,081CYRevenuesLessExpensesAmt
Total Assets BOY$18,683,322TotalAssetsBOYAmt
Total Assets EOY$45,615,668TotalAssetsEOYAmt
Total Liabilities BOY$36,397,391TotalLiabilitiesBOYAmt
Total Liabilities EOY$81,768,357TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$17,714,069NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$36,152,689NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOREGON'S HEALTH CO-OP IS A NONPROFIT PUBLIC BENEFIT CORPORATION OPERATING EXCLUSIVELY AS A CONSUMER OPERATED AND ORIENTED HEALTH PLAN AS DEFINED UNDER SECTION 1322 OF THE AFFORDABLE CARE ACT. THE CORPORATION OFFERS HEALTH CARE INSURANCE AND SERVICES TO INDIVIDUALS AND BUSINESSES ON AND OFF THE OREGON HEALTH INSURANCE EXCHANGE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescOregon's Health Co-Op, a nonprofit commercial health insurance issuer, established to operate as a consumer operated and oriented plan as defined by the Affordable Care Act (ACA), sells health insurance coverage to individuals, small groups and large groups. During 2014, the Company operated on the State run Marketplace under the ACA, Cover Oregon. The Company provides coverage in all counties of the state and offers health insurance plans for individuals and small groups within the Marketplace and for individuals, small groups and large groups outside the Marketplace. In 2015, a bill was passed to dissolve Cover Oregon and transfer responsibilities for the Oregon exchange to the state Department of Consumer and Business Services, which utilizes the federally run Marketplace. (continued on Schedule O)The Company utilizes the Federal Marketplace for the 2015 plan year. The CO-OP program was established by the ACA to foster the creation of new consumer-governed, private, nonprofit health insurance issuers. Oregon's Health CO-OP's health coverage offered to members is innovative and progressive, and it serves its members by creating better health, improving member experience and reducing overall costs.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1961IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee49EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Licensed More Than One State0LicensedMoreThanOneStateInd
State Required Reserves$2,500,000StateRequiredReservesAmt
Reserves Maintained$21,297,042ReservesMaintainedAmt
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJAN MOENCKPersonNm
Phone6126299079PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 NW Second Ave 600AddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97209ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Ira Zarov
Chair5.00Yes (X)Yes (X)$0$0$0
DEBORAH TOMPKINS
Prior Chair5.00Yes (X)Yes (X)$0$0$0
Susan King
Secretary3.00Yes (X)Yes (X)$0$0$0
Henry Chip Lazenby
Director3.00Yes (X)$0$0$0
Erik Isaacman
Director3.00Yes (X)$0$0$0
Hilary Bradbury
Director3.00Yes (X)$0$0$0
Andrew Kyler
Prior Director3.00Yes (X)$0$0$0
Elle Abbott
Director3.00Yes (X)$0$0$0
Keri Abbott
Director3.00Yes (X)$0$0$0
Christine Ford
Director3.00Yes (X)$0$0$0
Tom Gifford
Director3.00Yes (X)$0$0$0
Debra McCurry
Director3.00Yes (X)$0$0$0
Asawari Mokashi
Director3.00Yes (X)$0$0$0
Thomas Gragnola
Prior Director3.00Yes (X)$0$0$0
Bjorn Borstelmann
Prior director3.00Yes (X)$0$0$0
Phil Jackson
President & CEO40.00Yes (X)$147,553$0$4,698
DR RALPH PROWS
Prior PRESIDENT & CEO40.00Yes (X)$203,649$0$45,534
Peggy Worley
CFO40.00Yes (X)$128,832$0$29,043
Peggy Grunden
Prior TREASURER & CFO40.00Yes (X)$220,794$0$48,694
William Donahue
Prior Director of Provider Services40.00$137,471$0$16,673Yes (X)
Colleen Nelson
Chief Compliance Officer40.00$163,069$0$18,684Yes (X)
Robert Sumner
Director of Sales40.00$179,817$0$14,833Yes (X)
Jeff Markle
Director of Member Experience40.00$165,062$0$32,962Yes (X)
Lila Kemnitz
Sales Manager40.00$104,799$0$13,362Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,451,046TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$224,483TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Valence Health
540 W Madison stChicagoIL60661Third-Party Administrative Services$3,402,042
Online Insight
375 Northridge Rd Suite 270AtlantaGA30350payment portal & processing$486,193
Valley Insurance Professionals
5022 Commercial St SESalemOR97306Commissions - Insurance Broker$402,495
The Atum Group LLC
PO Box 15176PortlandOR97293Project manager & Business Analysis$356,629
HealthPlanOne
35 Nutmeg Drive Ste 220TrumbullCT06484Member Acquistion Services$352,053
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
Descpremium revenueDesc
Business524114BusinessCd
Total Revenue Column$53,751,482TotalRevenueColumnAmt
Related Or Exempt Func Income$53,751,482RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$53,751,482TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$279,512TotalRevenueColumnAmt
Exclusion$279,512ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,360,629SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,356,814SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,815SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,815TotalRevenueColumnAmt
Exclusion$3,815ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,034,809TotalRevenueColumnAmt
Related Or Exempt Func Income$53,751,482RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$283,327ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$828,796TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,283,772TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$30,267TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$241,980TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$204,587TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,197,517TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$100,456TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$43,500TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,710,873TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$852,886TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,515,004TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$187,416TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$85,024TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$54,021TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$70,253TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$64,220TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$97,733TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmt
medical claims paid$56,157,585
Change in reserves$2,746,000

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$72,471,890TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,597,962BOYAmt
EOY$5,097,103EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,922BOYAmt
EOY$38,811EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$242,185BOYAmt
EOY$465,694EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$267,690LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$127,659LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$154,829BOYAmt
EOY$140,031EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,699,831BOYAmt
EOY$26,211,797EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,965,593BOYAmt
EOY$13,662,232EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,683,322BOYAmt
EOY$45,615,668EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,059,942BOYAmt
EOY$1,497,004EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$29,679,400BOYAmt
EOY$58,856,900EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,658,049BOYAmt
EOY$21,414,453EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,397,391BOYAmt
EOY$81,768,357EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY-$17,714,069BOYAmt
EOY-$36,152,689EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$17,714,069BOYAmt
EOY-$36,152,689EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,683,322BOYAmt
EOY$45,615,668EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$18,437,081ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$1,539PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$267,690OtherCostOrOtherBasisAmt
Depreciation$127,659DepreciationAmt
Book Value$140,031BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$140,031TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
Accrued Investment income$143,912
Amounts receivable related to uninsured plans$665,294
Premiums Receivable$1,334,963
Reinsurance Receivable$6,821,957
HEALTHCARE AND OTHER AMOUNTS RECEIVABLE$256,352
Other non-invested assets$4,319,004
Other assets$120,750
FieldValueIRS element (for citing)
Total Book Value Other Assets$13,662,232TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Aggregate Health policy reserves$5,113,000
Premiums receIved in advance$2,427,040
Healthcare Payables$12,964,100
Ceded Reinsurance Premiums Payable$572,416
other liabilities$337,897
FieldValueIRS element (for citing)
Total Liability$21,414,453TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$54,034,809TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$54,034,809RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$54,034,809TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$72,471,890TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$72,471,890ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$72,471,890TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationTHE COMPANY IS TAX EXEMPT PURSUANT TO THE UNITED STATES INTERNAL REVENUE CODE (IRC) SECTION 501(C)(29), THOUGH IT WOULD BE SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE (UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE IRC). The Company had no unrelated income during the year ended December 31, 2015 and 2014.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Phil Jackson
President & CEO$137,033$0$0$0$10,520$0$2,915$0$1,783$0$152,251$0$0$0
DR RALPH PROWS
Prior PRESIDENT & CEO$158,598$0$45,000$0$51$0$39,000$0$6,534$0$249,183$0$0$0
Peggy Worley
CFO$128,219$0$0$0$613$0$13,735$0$15,308$0$157,875$0$0$0
Peggy Grunden
Prior TREASURER & CFO$205,510$0$14,667$0$617$0$42,000$0$6,694$0$269,488$0$0$0
William Donahue
Prior Director of Provider Services$137,417$0$0$0$54$0$12,120$0$4,554$0$154,145$0$0$0
Colleen Nelson
Chief Compliance Officer$162,511$0$0$0$558$0$3,376$0$15,308$0$181,753$0$0$0
Robert Sumner
Director of Sales$174,939$0$4,250$0$628$0$3,602$0$11,231$0$194,650$0$0$0
Jeff Markle
Director of Member Experience$164,500$0$0$0$562$0$22,048$0$10,913$0$198,023$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 4aFormAndLineReferenceDesc
ExplanationPeggy Grunden, Prior Treasurer & CFO - $93,285 William Donahue, Prior Director of Provider Services - $12,308ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 13aOR
Form 990, Part VI, Section A, line 6oregon's health co-op has one class of members. Each individual over the age of 18 years who is covered under a health insurance policy issued by the corporation is qualified to be a member of the corporation. Since no policies have been issued, the bylaws name the Formational Board as interim qualified members.
Form 990, Part VI, Section A, line 7aThe Formational Board can elect additional Formational Board members. Members will elect an Operational Board. There are limitations on voting rights of members in the bylaws. No member shall have the right to be entitled to vote: a) on a sale, lease, exchange, or other disposition of assets; b) on a merger; c) on dissolution or reorganization; or d) on amendments to the corporation's Articles of Incorporation or Bylaws.
Form 990, Part VI, Section B, line 11Oregon's health Co-Op's CFO and Receiver review the final Form 990 prior to filing.
Form 990, Part VI, Section B, line 12cThe Conflict of Interest policy of Oregon's Health Co-op is distributed annually and applies to the following covered persons: Any Director, CEO, CMO, CFO, Controller, Other Key Employee or any other individual in a position to exercise significant influence over a decision having economic implications for Oregon's Health Co-op. The Conflict of Interest policy is reviewed and discussed at an annual Board meeting and each person signs an agreement to follow the policy. Oregon's Health Co-op annually circulates questionnaires to covered persons to determine independence and discover family and business relationships, and the Chairperson of the Board of Directors diligently reviews these forms and compiles and maintains a list of potentially conflicted entities and individuals. The Chairperson of the Board continually monitors proposed or ongoing transactions against this list as a means of identifying and screening for possible conflicts. The Chairperson of the Board deals with potential or actual conflicts, before, during and/or after the transaction has occurred, depending on the circumstances of the conflict. All signed Conflict of Interest policies and Questionnaires are retained at Oregon's Health Co-op's office. In the event of a potential conflict of interest, a covered person must disclose the existence of his or her financial interest and must be given the opportunity to disclose all material facts to the Board of Directors, members of committees with board delegated powers, and to executive officers who are considering the proposed transaction or arrangement. Following the disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she leaves the meeting while the Board or Committee independently discusses and votes on the matter before it. In the event that a conflict of interest is identified, the Chairperson of the Board or Committee shall appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the Board or Committee will determine whether Oregon's Health Co-op can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable, the Board or Committee will determine by majority vote of the disinterested Directors or Committee members whether the transaction or arrangement is in Oregon's Health Co-op's best interest. Persons with a conflict are prohibited from participating in the governing body's deliberations and decisions about the transaction.
Form 990, Part VI, Section B, line 15aTHE ANNUAL COMPENSATION FOR Oregon's Health Co-op's CEO WAS DETERMINED BASED ON A MARKET STUDY OF COMPARABLE DATA AND APPROVED AND DOCUMENTED BY THE INDEPENDENT BOARD OF DIRECTORS.
Form 990, Part VI, Section C, line 19While no requirement to make its governance documents, conflict of interest policy and financial statements available to the public exists, Oregon's Health Co-op will consider all requests for these documents on a case by case basis.

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