GREATER OREGON BEHAVIORAL HEALTH INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- GREATER OREGON BEHAVIORAL HEALTH INC (EIN 93-1144014)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-17
- IRS object ID
- 201522299349304217
- Schema version
- 2013v4.0
- 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 | 2015-08-17T16:13:44-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JONES & ROTH PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SW COLUMBIA SUITE 201 | AddressLine1 |
| City | BEND | City |
| State | OR | State |
| ZIP Code | 97702 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931144014 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREATER OREGON BEHAVIORAL HEALTH I | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GREA | BusinessNameControlTxt |
| Phone | 5412982101 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 EAST SECOND ST | AddressLine1 |
| City | THE DALLES | City |
| State | OR | State |
| ZIP Code | 97058 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN CAMPBELL | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5412982101 | PhoneNum |
| Signature | 2015-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN G NEWTON | PreparerPersonNm |
| PTIN | P01330154 | PTIN |
| Phone | 5416872320 | PhoneNum |
| Preparation | 2015-08-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KEVIN CAMPBELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 EAST SECOND ST | AddressLine1 |
| City | THE DALLES | City |
| State | OR | State |
| ZIP Code | 97058 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $48,959,791 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.GOBHI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | MENTAL HEALTH ADMINISTRATIVE SERVICES FOR OREGON HEALTH PLAN MEMBERS IN SIXTEEN OREGON COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 46 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $159,019 | PYContributionsGrantsAmt |
| CY Contributions Grants | $811,048 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,152,317 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $48,049,576 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,505 | PYInvestmentIncomeAmt |
| CY Investment Income | $43,668 | CYInvestmentIncomeAmt |
| PY Other Revenue | $253,805 | PYOtherRevenueAmt |
| CY Other Revenue | $55,499 | CYOtherRevenueAmt |
| PY Total Revenue | $32,567,646 | PYTotalRevenueAmt |
| CY Total Revenue | $48,959,791 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $29,374,538 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $39,090,083 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,734,305 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,304,701 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,326,471 | PYOtherExpensesAmt |
| CY Other Expenses | $1,467,010 | CYOtherExpensesAmt |
| PY Total Expenses | $33,435,314 | PYTotalExpensesAmt |
| CY Total Expenses | $43,861,794 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$867,668 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,097,997 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,524,415 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,822,207 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,084,205 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,284,000 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,440,210 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,538,207 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MENTAL HEALTH ADMINISTRATIVE SERVICES FOR OREGON HEALTH PLAN MEMBERS IN SIXTEEN OREGON COUNTIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $42,438,187 | ExpenseAmt |
| Revenue | $46,636,807 | RevenueAmt |
| Desc | THE ORGANIZATION HAS AT-RISK MANAGE CARE CONTRACTS TO PROVIDE BEHAVIORAL HEALTHCARE SERVICES TO THE MEDICAID ELIGIBLE POPULATION OF SIXTEEN COUNTIES IN RURAL OREGON. | Desc |
| Total Program Service Expenses | $42,438,187 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 46 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TONJA HODGKINSON | BusinessNameLine1 |
| Business Name Line2 | GREATER OREGON BEHAVIORAL HEALTH | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5412982101 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 EAST SECOND STREET | AddressLine1 |
| City | THE DALLES | City |
| State | OR | State |
| ZIP Code | 97058 | ZIPCode |
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 |
|---|---|---|---|---|---|---|---|
| DWIGHT DILL | |||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROLAND MIGCHIELSEN | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRIS SIEGNER | |||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JANET HOLLAND | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA SEATTER | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANK HANNA-WILLIAMS | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KIMBERLY LINDSAY | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHARI SELANDER | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVE MANESIS | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JUDY CORDENIZ | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN KLIEWER | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| EARL FISHER | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVE MCCLURE | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVE MASON | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SALLY HANNU | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SUMUER WATKINS | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BENJAMIN PAZ | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE MURDOCK | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRIS COOLEY | |||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN CAMPBELL | |||||||
| CEO | 40.00 | Yes (X) | $229,793 | $0 | $23,034 | ||
| H HERSCHEL JR | |||||||
| CORP. INTEGR | 40.00 | $147,551 | $0 | $8,049 | Yes (X) | ||
| P MCGINNIS | |||||||
| CCO INTEGRAT | 40.00 | $141,274 | $0 | $7,323 | Yes (X) | ||
| T JACOBSON | |||||||
| DIR. OF OPER | 40.00 | $139,602 | $0 | $8,910 | Yes (X) | ||
| L COLMAN MD | |||||||
| CHIEF MED. O | $122,072 | $0 | $7,857 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $780,292 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $55,173 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $811,048 | GovernmentGrantsAmt |
| Total Contributions | $811,048 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| MENTAL HEALTH SERVICES | $45,581,308 | $45,581,308 |
| INCOME FROM EOCCO INVESTMENT | $2,468,268 | $2,468,268 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $48,049,576 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,668 | TotalRevenueColumnAmt |
| Exclusion | $43,668 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Total Revenue Column | $55,499 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $55,499 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $55,499 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,959,791 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $48,105,075 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $43,668 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,090,083 | TotalAmt |
| Program Services | $39,090,083 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,882 | TotalAmt |
| Management And General | $251,882 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,247,477 | TotalAmt |
| Program Services | $1,633,466 | ProgramServicesAmt |
| Management And General | $614,011 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,142 | TotalAmt |
| Program Services | $78,598 | ProgramServicesAmt |
| Management And General | $29,544 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $484,994 | TotalAmt |
| Program Services | $352,494 | ProgramServicesAmt |
| Management And General | $132,500 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,206 | TotalAmt |
| Program Services | $154,231 | ProgramServicesAmt |
| Management And General | $57,975 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,869 | TotalAmt |
| Program Services | $23,162 | ProgramServicesAmt |
| Management And General | $8,707 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,400 | TotalAmt |
| Program Services | $230,686 | ProgramServicesAmt |
| Management And General | $86,714 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,709 | TotalAmt |
| Program Services | $25,227 | ProgramServicesAmt |
| Management And General | $9,482 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,344 | TotalAmt |
| Program Services | $19,147 | ProgramServicesAmt |
| Management And General | $7,197 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,543 | TotalAmt |
| Program Services | $177,007 | ProgramServicesAmt |
| Management And General | $66,536 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,699 | TotalAmt |
| Program Services | $184,699 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,461 | TotalAmt |
| Management And General | $57,461 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,487 | TotalAmt |
| Program Services | $70,127 | ProgramServicesAmt |
| Management And General | $26,360 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| COMMUNICATIONS | $141,565 | $102,889 | $38,676 |
| DUES AND SUBSCRIPTIONS | $111,339 | $80,921 | $30,418 |
| COMMITTEE COSTS | $64,361 | $64,361 | |
| PROVIDER RELATIONS | $61,000 | $61,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,233 | TotalAmt |
| Program Services | $90,089 | ProgramServicesAmt |
| Management And General | $6,144 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,861,794 | TotalAmt |
| Program Services | $42,438,187 | ProgramServicesAmt |
| Management And General | $1,423,607 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $414,619 | BOYAmt |
| EOY | $467,903 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,729 | BOYAmt |
| EOY | $5,736,215 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,433 | BOYAmt |
| EOY | $304,174 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $744,611 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,041 | BOYAmt |
| EOY | $664,896 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,991,183 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $271,466 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,281,004 | BOYAmt |
| EOY | $1,719,717 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,724,042 | BOYAmt |
| EOY | $4,192,310 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $429,936 | BOYAmt |
| EOY | $236,992 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,524,415 | BOYAmt |
| EOY | $13,822,207 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,549,033 | BOYAmt |
| EOY | $3,498,467 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $557,543 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $535,172 | BOYAmt |
| EOY | $1,227,990 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,084,205 | BOYAmt |
| EOY | $5,284,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,440,210 | BOYAmt |
| EOY | $8,538,207 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,440,210 | BOYAmt |
| EOY | $8,538,207 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,524,415 | BOYAmt |
| EOY | $13,822,207 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,097,997 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $203,101 | OtherCostOrOtherBasisAmt |
| Book Value | $203,101 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $598,915 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,106 | DepreciationAmt |
| Book Value | $534,809 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $493,242 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,791 | DepreciationAmt |
| Book Value | $429,451 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $695,925 | OtherCostOrOtherBasisAmt |
| Depreciation | $143,569 | DepreciationAmt |
| Book Value | $552,356 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,719,717 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN EOCCO | Desc |
| Book Value | $4,192,310 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $4,192,310 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| MEMBER BENEFITS, INPATIENT RISK POOL | $1,009,511 |
| PAYROLL RELATED LIABILITIES | $218,479 |
| PROVIDER TAX PAYABLE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,227,990 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $48,959,791 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $48,959,791 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $48,959,791 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $43,861,794 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $43,861,794 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $43,861,794 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|
| KEVIN CAMPBELL | |||||
| CEO | $229,793 | $14,728 | $8,306 | $252,827 | |
| H HERSCHEL JR | |||||
| CORP. INTEGRITY OFF. | $127,551 | $9,216 | $155,600 | $20,000 | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS FOR HEALTH OR SOCIAL DUES OR INITIATION FEES FOR ALL EMPLOYEES. THE ORGANIZATION ALSO PROVIDES GROSS-UP PAYMENTS ON DIABILITY FOR ALL EMPLOYEES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES THE FORM 990 RETURN. THE FORM 990 RETURN IS MADE AVAILABLE TO THE GOVERNING BOARD WHEN REQUESTED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE POTENTIAL FOR CONFLICTS OF INTEREST AT BOTH THE BOARD AND STAFF LEVEL IS ONE OF THE COMPLIANCE RISK AREAS MONITORED BY THE CORPORATE INTEGRITY OFFICER WHO ATTENDS BOARD AND EXECUTIVE COMMITTEE MEETINGS AND STAFF MEETINGS. CONFLICT OF INTEREST QUESTIONNAIRES ARE COMPLETED AND SIGNED BY ALL BOARD MEMBERS AS WELL AS KEY STAFF MEMBERS WHO HAVE THE AUTHORITY TO MAKE COMMITMENTS ON BEHALF OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE CEO HAS A 360 POINT REVIEW PROCESS FACILITATED BY THE EXECUTIVE COMMITTEE. EXECUTIVE COMMITTEE DETEREMINES THE PARTICIPATNS IN THE COMPENSATION COMMITTEE. A COMPENSATION STUDY IS PRESENTED TO THEM, IT IS REVIEWED AND COMPENSATION COMMITTEE APPROVES THE COMPENSATION PACKAGE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST AT THE ORGANIZATIONS ADMINISTRATIVE OFFICES. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EOCCO | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 SW SECOND AVE 24TH FLOOR | AddressLine1 |
| City | PORTLAND | City |
| State | OR | State |
| ZIP Code | 97204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800835179 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $2,468,268 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $13,075,043 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.29000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| EASTERN OREGON COORDINATED CARE ORG | ||
| S | $696,909 | LOAN PAYMENTS RECEIVED |
| EASTERN OREGON COORDINATED CARE ORG | ||
| S | $16,767,548 | CAPITATION PASS THROUGH |
| EASTERN OREGON COORDINATED CARE ORG | ||
| R | $597,590 | CAPITATION BENEFITS PAID |