OREGON HEALTH CARE QUALITY CORPORATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- OREGON HEALTH CARE QUALITY CORPORATION (EIN 93-1293103)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-16
- IRS object ID
- 201503209349314815
- Schema version
- 2014v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-16T17:41:23-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 930900579 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCDONALD JACOBS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 520 SW YAMHILL ST STE 500 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931293103 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OREGON HEALTH CARE QUALITY CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OREG | BusinessNameControlTxt |
| Phone | 5032413571 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 520 SW SIXTH AVENUE NO 830 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GRIEG ANDERSON | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 5032413571 | PhoneNum |
| Signature | 2015-08-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SANG AHN | PreparerPersonNm |
| PTIN | P00540880 | PTIN |
| Phone | 5032270581 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MYLIA CHRISTENSEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 520 SW SIXTH AVENUE NO 830 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,413,034 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.Q-CORP.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE QUALITY AND AFFORDABILITY OF HEALTH CARE IN OREGON | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 23 | TotalEmployeeCnt |
| Total Volunteers | 150 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,675,195 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,400,237 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,437 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,124 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,680 | PYOtherRevenueAmt |
| CY Other Revenue | $1,673 | CYOtherRevenueAmt |
| PY Total Revenue | $3,690,312 | PYTotalRevenueAmt |
| CY Total Revenue | $3,413,034 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $187,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $69,950 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,282,224 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,839,161 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $38,610 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,809,952 | PYOtherExpensesAmt |
| CY Other Expenses | $1,654,308 | CYOtherExpensesAmt |
| PY Total Expenses | $3,279,676 | PYTotalExpensesAmt |
| CY Total Expenses | $3,563,419 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $410,636 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$150,385 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,383,944 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,274,020 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $103,843 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $148,717 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,280,101 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,125,303 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OREGON HEALTH CARE QUALITY CORPORATION IS DEDICATED TO IMPROVING THE QUALITY AND AFFORDABILITY OF HEALTH CARE IN OREGON BY LEADING COMMUNITY COLLABORATIONS AND PRODUCING UNBIASED INFORMATION. WE WORK WITH THE MEMBERS OF OUR COMMUNITY - INCLUDING CONSUMERS, PROVIDERS, EMPLOYERS, POLICYMAKERS AND HEALTH INSURERS - TO IMPROVE THE HEALTH OF ALL OREGONIANS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,952,366 | ExpenseAmt |
| Grant | $69,950 | GrantAmt |
| Desc | WHO WE ARE:THE OREGON HEALTH CARE QUALITY CORPORATION IS AN INDEPENDENT, NONPROFIT ORGANIZATION DEDICATED TO IMPROVING THE QUALITY AND AFFORDABILITY OF HEALTH CARE IN OREGON BY LEADING COMMUNITY COLLABORATIONS AND PRODUCING UNBIASED INFORMATION. WE WORK WITH THE MEMBERS OF OUR COMMUNITY - INCLUDING CONSUMERS, PROVIDERS, EMPLOYERS, POLICYMAKERS AND HEALTH INSURERS - TO IMPROVE THE HEALTH OF ALL OREGONIANS.OUR VISION:- Q CORP IS A LEADER OF RESULTS-ORIENTED COLLABORATIVES WHERE OREGON STAKEHOLDERS COME TOGETHER TO IMPROVE THE QUALITY AND REDUCE THE COSTS OF HEALTH CARE IN OUR STATE.- Q CORP COLLABORATES WITH OREGON STAKEHOLDERS TO PRODUCE TRANSPARENT DATA AND ANALYTICS THAT ARE HIGHLY VALUED AND ACTIONABLE TO IMPROVE THE HEALTH OUTCOMES OF OREGONIANS.- Q CORP IS A TRUSTED SOURCE OF INFORMATION THAT IS ROUTINELY USED IN HEALTH CARE PLANNING, PROGRAMMING, DELIVERY, AND EVALUATION.OUR WORK:(1) MEASUREMENT AND REPORTING.AS AN INDEPENDENT NONPROFIT ORGANIZATION, WE BRING STAKEHOLDERS TOGETHER TO PRODUCE RELEVANT AND ACTIONABLE INFORMATION ABOUT THE QUALITY, UTILIZATION, AND COSTS OF HEALTH CARE IN OREGON.(2) COMMUNITY CONVENING.IN OUR UNIQUE ROLE AS AN INDEPENDENT, MULTI-STAKEHOLDER ORGANIZATION, WE COLLABORATE WITH STAKEHOLDERS AND EXPERTS AROUND QUALITY AND COST ISSUES, ALIGNING EFFORTS TO ADDRESS THOSE ISSUES AND CONCEPTUALIZING AND INFORMING PROGRAMS USING UNBIASED DATA AND ANALYTICS.(3) PATIENT CENTERED PRIMARY CARE INSTITUTE.THE PATIENT-CENTERED PRIMARY CARE INSTITUTE BRINGS TOGETHER TECHNICAL EXPERTS, HEALTH CARE PROVIDERS AND STAFF, PATIENT ADVISORS, POLICYMAKERS, ACADEMIC CENTERS AND OTHERS TO GATHER AND SHARE VALUABLE KNOWLEDGE AND RESOURCES TO HELP TRANSFORM PRIMARY CARE.(4) PUBLIC REPORTING: PARTNER FOR QUALITY CARE.OUR PARTNER FOR QUALITY CARE WEBSITE HAS INFORMATION THAT OREGONIANS CAN USE TO HELP THEM GET QUALITY HEALTH CARE, INCLUDING QUALITY SCORES FOR DOCTORS' OFFICES AND HOSPITALS IN OREGON. (5) COMMUNITY BASED INITIATIVES.WE WORK WITH COMMUNITY PARTNERS TO COORDINATE AND SUPPORT ACTIVITIES THAT HAVE THE POTENTIAL TO POSITIVELY IMPACT THE HEALTH OUTCOMES OF OREGONIANS. FOR EXAMPLE, WE ARE WORKING WITH OUR PARTNERS ON PROGRAMS TO IMPROVE MATERNITY CARE IN OREGON.OUR ACCOMPLISHMENTS:(1) BRINGING OREGON STAKEHOLDERS TOGETHER.WE BRING TOGETHER THE OREGON HEALTH CARE COMMUNITY TO IMPROVE THE QUALITY AND AFFORDABILITY OF CARE ACROSS THE STATE. OUR BOARD OF DIRECTORS INCLUDES SENIOR REPRESENTATIVES OF STATE AGENCIES, HEALTH PLANS, HOSPITALS, AND CONSUMER, EMPLOYER AND MEDICAL GROUPS. OUR COMMITTEES ALSO INCLUDE OVER 150 VOLUNTEERS WHO BRING THEIR EXPERTISE AND PERSPECTIVE TO OUR WORK TO IMPROVE HEALTH CARE IN OREGON.(2) COMPREHENSIVE MEASUREMENT AND REPORTING OF PRIMARY CARE QUALITY AND RESOURCE USE.WE'VE DEVELOPED THE MOST COMPREHENSIVE SYSTEM FOR MEASURING AND REPORTING PRIMARY CARE QUALITY IN OUR STATE. OREGON'S LARGEST HEALTH PLANS AND MEDICAID FEE-FOR-SERVICE PARTICIPATE BY PROVIDING DATA TO MEASURE WHETHER OREGONIANS ARE RECEIVING RECOMMENDED HEALTH CARE SERVICES. WE'RE ALSO WORKING TO INCLUDE COST OF CARE INFORMATION, TO SUPPORT EFFORTS TO IMPROVE THE AFFORDABILITY OF HEALTH CARE IN OREGON.(3) ENGAGING CONSUMERS IN HEALTH CARE.OUR PUBLIC REPORTING PROGRAM, PARTNER FOR QUALITY CARE INCLUDES A NATIONALLY RECOGNIZED, USER-FRIENDLY WEBSITE (PARTNERFORQUALITYCARE.ORG) WITH INFORMATION TO HELP OREGONIANS MAKE INFORMED DECISIONS ABOUT THEIR CARE. IN ADDITION TO TIPS FOR MAKING THE MOST OF MEDICAL APPOINTMENTS AND STAYING HEALTHY, THE WEBSITE ALSO CONTAINS "QUALITY SCORES" FOR THE CARE PROVIDED BY OREGON'S CLINICS AND HOSPITALS. NATIONAL RECOGNITION:Q CORP'S WORK IS NATIONALLY RECOGNIZED. IN 2007, Q CORP BECAME ONE OF 16 ORGANIZATIONS NATIONWIDE SELECTED TO PARTICIPATE IN THE ROBERT WOOD JOHNSON FOUNDATION'S ALIGNING FORCES FOR QUALITY INITIATIVE. IN RECOGNITION OF ITS LEADERSHIP TO IMPROVE CARE IN OREGON, IN 2008 Q CORP WAS DESIGNATED A CHARTERED VALUE EXCHANGE BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AGENCY FOR HEALTHCARE RESEARCH AND QUALITY. Q CORP IS ALSO A MEMBER OF THE NETWORK FOR REGIONAL HEALTHCARE IMPROVEMENT AND OFFICIALLY JOINED THE BOARD IN 2009. Q CORP WAS ALSO ONE OF THE FIRST THREE ORGANIZATIONS IN THE U.S. TO GAIN STATUS AS A QUALIFIED ENTITY THROUGH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. THROUGH THESE NATIONAL INITIATIVES, Q CORP IS ABLE TO SHARE IDEAS AND LESSONS LEARNED WITH COMMUNITIES ACROSS THE COUNTRY. | Desc |
| Total Program Service Expenses | $2,952,366 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 23 | 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 | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | Yes (1) | 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 | MYLIA CHRISTENSEN EXECUTIVE DIRECTOR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5032413571 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 520 SW 6TH AVE SUITE 830 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97204 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| STEVEN MARKS MD | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| THOMAS SYLTEBO MD | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL COOPER RN MN | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GRIEG ANDERSON | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JERRY COHEN JD MPA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRIS ELLERTSON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TOM EWING MD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY HELSETH | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PETE JOHNSON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAM MARIEA-NASON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM PIERCE MD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RALPH PROWS MD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL ROHWER MD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AMIT SHAH | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DIVYA SHARMA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEANENE SMITH MD MPH | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN STRAL | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DIANE WALDO MBA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MANNY BERMAN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PATTY BLACK | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MYLIA CHRISTENSEN | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $187,185 | $0 | $17,240 | ||
| JONATHAN PUSKAS | |||||||
| COO | 40.00 | Yes (X) | $180,608 | $0 | $664 | ||
| MIKE BRAGG | |||||||
| SR DIR OF INFORMATICS | 40.00 | $146,184 | $0 | $11,507 | Yes (X) | ||
| CINDI MCELHANEY | |||||||
| SR HEALTH CARE ANALYST | 40.00 | $101,666 | $0 | $8,876 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $615,643 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $38,287 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MILLIMAN INC | |||||
| 1301 FIFTH AVE STE 3800 | SEATTLE | WA | 98101 | DATA AGGREGATION | $342,000 |
| WITTER & ASSOCIATES | |||||
| 4840 SW FAIRHAVEN DR | PORTLAND | OR | 97221 | CONTRACT & LEGAL AGREEMENT CONSULTATION | $117,596 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,215,004 | GovernmentGrantsAmt |
| All Other Contributions | $1,185,233 | AllOtherContributionsAmt |
| Total Contributions | $3,400,237 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,124 | TotalRevenueColumnAmt |
| Exclusion | $11,124 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,673 | TotalRevenueColumnAmt |
| Exclusion | $1,673 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,673 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,413,034 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,797 | 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 | $69,950 | TotalAmt |
| Program Services | $69,950 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $615,643 | TotalAmt |
| Program Services | $443,111 | ProgramServicesAmt |
| Management And General | $160,992 | ManagementAndGeneralAmt |
| Fundraising | $11,540 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $964,181 | TotalAmt |
| Program Services | $693,972 | ProgramServicesAmt |
| Management And General | $252,136 | ManagementAndGeneralAmt |
| Fundraising | $18,073 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,409 | TotalAmt |
| Program Services | $17,569 | ProgramServicesAmt |
| Management And General | $6,383 | ManagementAndGeneralAmt |
| Fundraising | $457 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,649 | TotalAmt |
| Program Services | $80,360 | ProgramServicesAmt |
| Management And General | $29,196 | ManagementAndGeneralAmt |
| Fundraising | $2,093 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,279 | TotalAmt |
| Program Services | $88,730 | ProgramServicesAmt |
| Management And General | $32,238 | ManagementAndGeneralAmt |
| Fundraising | $2,311 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,863 | TotalAmt |
| Program Services | $124,149 | ProgramServicesAmt |
| Management And General | $12,714 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,326 | TotalAmt |
| Program Services | $13,902 | ProgramServicesAmt |
| Management And General | $1,424 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,122,083 | TotalAmt |
| Program Services | $1,110,404 | ProgramServicesAmt |
| Management And General | $11,446 | ManagementAndGeneralAmt |
| Fundraising | $233 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,759 | TotalAmt |
| Program Services | $119,558 | ProgramServicesAmt |
| Management And General | $20,937 | ManagementAndGeneralAmt |
| Fundraising | $1,264 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,012 | TotalAmt |
| Program Services | $69,122 | ProgramServicesAmt |
| Management And General | $20,264 | ManagementAndGeneralAmt |
| Fundraising | $1,626 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,777 | TotalAmt |
| Program Services | $49,296 | ProgramServicesAmt |
| Management And General | $4,478 | ManagementAndGeneralAmt |
| Fundraising | $3 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,554 | TotalAmt |
| Program Services | $37,012 | ProgramServicesAmt |
| Management And General | $7,432 | ManagementAndGeneralAmt |
| Fundraising | $110 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,842 | TotalAmt |
| Program Services | $5,547 | ProgramServicesAmt |
| Management And General | $1,187 | ManagementAndGeneralAmt |
| Fundraising | $108 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,018 | TotalAmt |
| Program Services | $12,165 | ProgramServicesAmt |
| Management And General | $6,551 | ManagementAndGeneralAmt |
| Fundraising | $302 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DUES AND SUBSCRIPTIONS | $12,066 | $9,588 | $2,260 | $218 |
| MISCELLANEOUS | $11,008 | $7,931 | $2,805 | $272 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,563,419 | TotalAmt |
| Program Services | $2,952,366 | ProgramServicesAmt |
| Management And General | $572,443 | ManagementAndGeneralAmt |
| Fundraising | $38,610 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,856 | BOYAmt |
| EOY | $304,325 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $571,877 | BOYAmt |
| EOY | $582,877 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $872,884 | BOYAmt |
| EOY | $184,137 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $594,939 | BOYAmt |
| EOY | $763,268 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,340 | BOYAmt |
| EOY | $146,817 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $62,120 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,256 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,903 | BOYAmt |
| EOY | $42,864 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,145 | BOYAmt |
| EOY | $249,732 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,383,944 | BOYAmt |
| EOY | $2,274,020 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,843 | BOYAmt |
| EOY | $148,717 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,843 | BOYAmt |
| EOY | $148,717 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,214,788 | BOYAmt |
| EOY | $1,644,020 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,313 | BOYAmt |
| EOY | $481,283 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,280,101 | BOYAmt |
| EOY | $2,125,303 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,383,944 | BOYAmt |
| EOY | $2,274,020 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$150,385 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,413 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $863,793 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,404,897 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,589,899 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,675,195 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,400,237 | CurrentTaxYearAmt |
| Total | $11,934,021 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $863,793 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,404,897 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,589,899 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,675,195 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,400,237 | CurrentTaxYearAmt |
| Total | $11,934,021 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $992,039 | SubstantialContributorsTotAmt |
| Public Support Total170 | $10,941,982 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,259 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $643 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,819 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,437 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,124 | CurrentTaxYearAmt |
| Total | $24,282 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $1,740 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,680 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,673 | CurrentTaxYearAmt |
| Total | $10,105 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $11,968,408 | TotalSupportAmt |
| Public Support CY170 | 0.91420 | PublicSupportCY170Pct |
| Public Support PY170 | 0.79350 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,120 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,256 | DepreciationAmt |
| Book Value | $42,864 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $42,864 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,441,329 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $32,708 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $32,708 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,408,621 | RevenueSubtotalAmt |
| Other Revenues Not Included | $4,413 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $4,413 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,413,034 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,596,127 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $32,708 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $32,708 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,563,419 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,563,419 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION FOLLOWS THE PROVISION OF FASB ASC TOPIC OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH PROVISIONS OF THIS TOPIC. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | NET UNREALIZED LOSSES ON INVESTMENTS 4,413. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MEDICAL PRACTICES WERE PROVIDED STIPENDS TO OFFSET THE COST OF PARTICIPATING IN THE PATIENT CENTERED PRIMARY CARE INSTITUTE (PCPCI) OR WILLAMETTE VALLEY COMMUNITY HEALTH (WVCH) LEARNING COLLABORATIVES. STIPENDS OF UP TO $5,000 FOR PCPCI OR $3,000 FOR WVCH WERE MADE IN INSTALLMENTS OF $1,250 OR $1,500 RESPECTIVELY, TO EACH PARTICIPATING PRACTICE. PRACTICES HAD TO MEET CERTAIN REQUIREMENTS IN ORDER TO RECEIVE THE NEXT INSTALLMENT, AND SOME PRACTICES OPTED OUT DURING THE PROCESS AND DID NOT RECEIVE THE MAXIMUM AMOUNT. REQUIREMENTS INCLUDED SIGNING AN AGREEMENT, CONDUCTING A PRACTICE ASSESSMENT, DEVELOPING IMPROVEMENT GOALS, PARTICIPATING IN PRACTICE FACILITATION WITH AN EXTERNAL TECHNICAL ASSISTANCE PROVIDER, ATTENDING LEARNING SESSIONS AND WEBINARS, AND MEASURING IMPROVEMENT SUCCESS. A COMMUNITY OF EXPERTS AND FACILITATORS WERE CLOSELY INVOLVED AND COULD ATTEST TO A CLINIC'S LEVEL OF PARTICIPATION. CLINIC REQUIREMENTS WERE CLOSELY TRACKED BY THE PROGRAM MANAGER WHO WOULD THEN APPROVE ISSUING THE NEXT STIPEND. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MYLIA CHRISTENSEN | ||||||||||||||
| EXECUTIVE DIRECTOR | $181,785 | $0 | $5,400 | $0 | $0 | $0 | $5,623 | $0 | $11,617 | $0 | $204,425 | $0 | $0 | $0 |
| JONATHAN PUSKAS | ||||||||||||||
| COO | $180,608 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $664 | $0 | $181,272 | $0 | $0 | $0 |
| MIKE BRAGG | ||||||||||||||
| SR DIR OF INFORMATICS | $146,184 | $0 | $0 | $0 | $0 | $0 | $4,416 | $0 | $7,091 | $0 | $157,691 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4 | FormAndLineReferenceDesc |
| Explanation | JONATHAN PUSKAS $25,833.34 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NETWORK FOR REGIONAL HEALTH IMPROVEMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | MYLIA CHRISTENSEN, EXECUTIVE DIRECTOR IS NRHI BOARD CHAIR | RelationshipDescriptionTxt |
| Transaction | $140,000 | TransactionAmt |
| Transaction | PROJECT GRANT RECEIVED FROM THE ARNOLD FOUNDATION, THROUGH NRHI | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE TREASURER AND THE FINANCE COMMITTEE CHAIR WILL REVIEW THE RETURN, ALONG WITH THE EXECUTIVE DIRECTOR AND STAFF. THE RETURN WILL BE SIGNED BY THE TREASURER. THE TREASURER WILL THEN PRESENT THE RETURN TO REMAINING BOARD MEMBERS. IN THE EVENT OF BOARD MEMBER CONCERN, THE FINANCE COMMITTEE CHAIR WILL TAKE NECESARY ACTION. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS, EMPLOYEES AND CONTRACTORS ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. SIGNED COPIES ARE KEPT ON FILE. DETERMINATION AS TO WHETHER A CONFLICT EXISTS AND WHAT ACTION SHOULD BE TAKEN IS MANAGED BY ONE LEVEL HIGHER IN THE ORGANIZATION THAN THE INDIVIDUAL INVOLVED; THAT IS, EMPLOYEE ISSUES ARE RESOLVED BY THE EXECUTIVE DIRECTOR (ED), ED ISSUES ARE MANAGED BY THE EXECUTIVE COMMITTEE, DIRECTOR ISSUES ARE RESOLVED BY THE FULL BOARD WITH REVIEW ASSISTANCE FROM THE BOARD'S GOVERNANCE & LEADERSHIP COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE REVIEW PROCESS FOR DETERMINING EXECUTIVE DIRECTOR COMPENSATION IS THE RESPONSIBILITY OF THE BOARD. ON THE BOARD'S BEHALF THE COMPENSATION & BENEFITS COMMITTEE REVIEWS PERFORMANCE RELATIVE TO OBJECTIVES AND USES THE RESOURCES OF MERCER HUMAN RESOURCES FOR ANNUAL BENCHMARKING. THE COMPENSATION & BENEFITS COMMITTEE'S RECOMMENDATIONS ARE MADE TO THE EXECUTIVE COMMITTEE AND TO THE FULL BOARD IN A SESSION WITHOUT PUBLIC OR STAFF ATTENDANCE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | DATA AGGREGATION: PROGRAM SERVICE EXPENSES 338,440. MANAGEMENT AND GENERAL EXPENSES 3,488. FUNDRAISING EXPENSES 71. TOTAL EXPENSES 341,999. OUTSIDE CONSULTING FOR GRANT AND CONTRACT WORK: PROGRAM SERVICE EXPENSES 600,459. MANAGEMENT AND GENERAL EXPENSES 6,189. FUNDRAISING EXPENSES 126. TOTAL EXPENSES 606,774. EMPLOYEE TRAINING: PROGRAM SERVICE EXPENSES 3,683. MANAGEMENT AND GENERAL EXPENSES 38. FUNDRAISING EXPENSES 1. TOTAL EXPENSES 3,722. HONORARIA: PROGRAM SERVICE EXPENSES 396. MANAGEMENT AND GENERAL EXPENSES 4. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 400. CONSULTATION ON DATA AGGREGATION VENDOR RFP: PROGRAM SERVICE EXPENSES 56,531. MANAGEMENT AND GENERAL EXPENSES 583. FUNDRAISING EXPENSES 12. TOTAL EXPENSES 57,126. TECHNICAL SUPPORT & SETUP: PROGRAM SERVICE EXPENSES 31,815. MANAGEMENT AND GENERAL EXPENSES 328. FUNDRAISING EXPENSES 7. TOTAL EXPENSES 32,150. WEBSITE DEVELOPMENT AND SUPPORT: PROGRAM SERVICE EXPENSES 62,551. MANAGEMENT AND GENERAL EXPENSES 645. FUNDRAISING EXPENSES 13. TOTAL EXPENSES 63,209. MISC. NON-PROGRAMMATIC CONSULTATION: PROGRAM SERVICE EXPENSES 8,996. MANAGEMENT AND GENERAL EXPENSES 93. FUNDRAISING EXPENSES 2. TOTAL EXPENSES 9,091. MISC. PROGRAMMATIC CONSULTATION: PROGRAM SERVICE EXPENSES 1,138. MANAGEMENT AND GENERAL EXPENSES 12. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,150. DATA FILES FROM CMS: PROGRAM SERVICE EXPENSES 6,395. MANAGEMENT AND GENERAL EXPENSES 66. FUNDRAISING EXPENSES 1. TOTAL EXPENSES 6,462. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |