YAMHILL COUNTY CARE ORGANIZATION INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- YAMHILL COUNTY CARE ORGANIZATION INC (EIN 36-4742731)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201523179349308257
- 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 | 2015-11-13T15:43:05-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SW BROADWAY STE 1200 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97205 | 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 | 364742731 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YAMHILL COMMUNITY CARE ORGANIZATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | YAMH | BusinessNameControlTxt |
| Phone | 5033767420 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 807 NE THIRD STREET | AddressLine1Txt |
| City | MCMINNVILLE | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97128 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JIM CARLOUGH | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 5034347523 | PhoneNum |
| Signature | 2015-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY CAMPOS | PreparerPersonNm |
| PTIN | P00448102 | PTIN |
| Phone | 5032421447 | 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 | JIM CARLOUGH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 807 NE THIRD STREET | AddressLine1Txt |
| City | MCMINNVILLE | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97128 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $96,165,461 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.YAMHILLCCO.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | WORKING TOGETHER TO IMPROVE THE QUALITY OF LIFE AND HEALTH OF YAMHILL COUNTY CARE ORGANIZATION MEMBERS BY COORDINATING EFFECTIVE CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 55 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $117,775 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $54,712,181 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $96,134,424 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,948 | PYInvestmentIncomeAmt |
| CY Investment Income | $31,037 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $54,842,904 | PYTotalRevenueAmt |
| CY Total Revenue | $96,165,461 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $46,586,704 | PYOtherExpensesAmt |
| CY Other Expenses | $90,497,765 | CYOtherExpensesAmt |
| PY Total Expenses | $46,586,704 | PYTotalExpensesAmt |
| CY Total Expenses | $90,497,765 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,256,200 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,667,696 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,911,363 | TotalAssetsBOYAmt |
| Total Assets EOY | $25,906,822 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,426,739 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,754,502 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,484,624 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,152,320 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WORKING TOGETHER TO IMPROVE THE QUALITY OF LIFE AND HEALTH OF YAMHILL COUNTY CARE ORGANIZATION MEMBERS BY COORDINATING EFFECTIVE CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $89,913,888 | ExpenseAmt |
| Revenue | $96,134,424 | RevenueAmt |
| Desc | OREGON HEALTH PLAN PROGRAM: THROUGH OUR CONTRACTED RELATIONSHIPS WE PROVIDE ACCESS FOR LOW-INCOME YAMHILL COUNTY, OREGON HEALTH PLAN MEMBERS. OUR WORK INVOLVES COORDINATING QUALITY HEALTHCARE FOR MEMBERS AND CONTRACTING WITH PUBLIC AND PRIVATE PROVIDERS TO PROVIDE HEALTHCARE SERVICES. YAMHILL COMMUNITY CARE ORGANIZATION IS A COMMUNITY ORGANIZATION OPERATED FOR THE BENEFIT OF THE POOR AND VULNERABLE IN YAMHILL COUNTY, OREGON. AS A COMMUNITY ORGANIZATION, WE ARE EMPOWERED BY THE BOARD OF DIRECTORS AND STAKEHOLDER REPRESENTATIVES TO DIRECT REVENUE AND COMMUNITY INVESTMENTS INTO BOLSTERING THE HEALTHCARE DELIVERY SYSTEM AND MAKING THE NECESSARY CHANGES TO MEET BOTH THE LEGISLATION AND COMMUNITY NEED. THE PAST YEAR HAS ALLOWED FOR FURTHER GROWTH AND DEVELOPMENT OF THE CLINICAL ADVISORY PANEL, COMMUNITY ADVISORY COUNCIL, INTEGRATION OF THE EARLY LEARNING HUB, AND INTEGRATION OF DENTAL SERVICES. A SECOND ROUND OF INVESTMENT GRANT AWARDS, CALLED TRANSFORM FORWARD WAS ACHIEVED AND RESULTED IN INNOVATION AND FURTHER INTEGRATION OF SERVICES TO IMPROVE OUR COMMUNITY HEALTH. THE TRANSFORM FORWARD AWARD PROJECTS INCLUDE:PROJECT 1: PROVOKING HOPE: RESPONSIBLE MOMS PROGRAM PROVOKING HOPE IS ADDRESSING THE NEEDS OF AT-RISK EXPECTING MOTHERS BY LOCATING THEM, ENROLLING THEM IN OREGON HEALTH PLAN, ASSISTING THEM IN ENGAGING IN PRIMARY CARE AND CONNECTING THEM TO COMMUNITY SUPPORT PROGRAMS. IN ADDITION, PROVOKING HOPE IS SUPPORTING PRENATAL PROVIDERS IN ENGAGING AND RETAINING MOTHERS WHO HAVE A POSITIVE DRUG SCREEN OR WHO MAY HAVE A FEAR OF THE SYSTEM OR LOSING THEIR CHILDREN. PROJECT 2: WEST VALLEY FIRE DEPARTMENT (WVFD) COMMUNITY BASED EMS MODEL PROGRAM THE COMMUNITY BASED EMERGENCY MEDICAL SERVICE MODEL PROGRAM IS PROVIDING ROUTINE PRIMARY CARE SERVICES OUTSIDE THE CLINIC OR HOSPITAL ENVIRONMENT; ENGAGING MEMBERS WHO HAVE LIMITED ACCESS TO HEALTH SERVICES AT A MEDICAL FACILITY OR HOSPITAL DUE TO TRANSPORTATION ISSUES IN THE RURAL AREAS OF YAMHILL COUNTY. PROJECT 3: STUDENT NUTRITION AND ACTIVITY CLINIC FOR KIDS (SNACK) PROGRAM THE SNACK PROGRAM IS PROVIDING NUTRITION EDUCATION AND PHYSICAL ACTIVITY SERVICES TO THE ADOLESCENTS AND FAMILIES IN ORDER TO IMPROVE OVERALL HEALTH AND WELLNESS OF THOSE SERVED, ESPECIALLY FAMILIES WITH OVERWEIGHT CHILDREN. PROJECT 4: NEWBORN TOOLKIT THE NEWBORN TOOL KIT AIMS TO REDUCE EMERGENCY DEPARTMENT UTILIZATION IN THE FIRST YEAR OF LIFE IN THE NEWBORN POPULATION BORN AT WILLAMETTE VALLEY MEDICAL CENTER. EMPHASIS IS PLACED ON STRENGTHENING THE NEWBORN FAMILY AND PRIMARY CARE PROVIDER RELATIONSHIP. NEWBORN FAMILIES ARE PROVIDED WITH THE TOOLS, RESOURCES AND EDUCATION TO NAVIGATE AND UTILIZE THEIR PRIMARY CARE PROVIDER CLINIC. PROJECT 5: EMERGENCY MEDICAL ASSOCIATES (EMPA): EMERGENCY ROOM OBSERVATION UNIT EMERGENCY DEPARTMENT OBSERVATION UNIT IS PROVIDING ACTIVE MANAGEMENT OF PATIENTS FOLLOWING THEIR INITIAL EMERGENCY DEPARTMENT CARE TO DETERMINE THE NEED FOR INPATIENT ADMISSION AS A MEANS TO DECREASE EMERGENCY DEPARTMENT BOARDING, AMBULANCE DIVERSION AND AVOIDABLE HOSPITALIZATION. PROJECT 6: CHRONIC PAIN PROGRAM & WELLNESS CENTER THE PERSISTENT PAIN AND WELLNESS CENTER IS A RESOURCE FOR PROVIDERS TO REFER THEIR PATIENTS LIVING WITH CHRONIC PAIN. IT INCLUDES AN EDUCATIONAL COMPONENT PLUS MOVEMENT THERAPY. THE PROGRAM DOES NOT PRESCRIBE ANY MEDICATIONS. PROJECT 7: MATERNAL MEDICAL HOME - BEHAVIORAL HEALTH EXPANSION THE BEHAVIORAL HEALTH EXPANSION PROJECT ADDRESSES THE ISSUES OF AT RISK PREGNANT WOMEN WHO ARE AT RISK FOR HYPERTENSION, GESTATIONAL DIABETES, SUBSTANCE USE AND MOOD DISORDERS THAT CAN BE TREATED WITH SHORT-TERM BEHAVIORAL INTERVENTIONS. PROJECT 8: REVIEW AND EVALUATE HIE TOOLS APPROPRIATE FOR LOCAL ENVIRONMENT AND SERVICE EXPANSIONPREMANAGE IS AN INTEROPERABLE SOLUTION THAT WAS DESIGNED TO CONNECT CARE PROVIDERS ACROSS THE ENTIRE CARE SPECTRUM, AS WELL AS TO ENABLE CARE COORDINATION AND MANAGEMENT. | Desc |
| Total Program Service Expenses | $89,913,888 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 | 0 | 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 | 558 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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 | CAREOREGON INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5034164100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 SW 5TH AVENUE SUITE 900 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| SILAS HALLORAN-STEINER | ||||||
| CHAIR | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GIL MUNOZ | ||||||
| SECRETARY/TREASURER | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LORI VAN ZANTEN | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| MATTHEW BLIVEN MD | ||||||
| BOARD PHYSICIAN LEADER | 4.00 | Yes (X) | $0 | $0 | $0 | |
| PATRICK CURRAN | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| DAN DALE MD | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| REBECCA EICHHORN | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| KATHY GEORGE | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| DENNIS GRAY | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| PETER HOFSTETTER | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| SUEY LINZMEIER | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| JORDAN ROBINSON | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT TIFFANY | ||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | |
| JIM CARLOUGH | ||||||
| PRESIDENT/CEO | 40.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CAREOREGON INC | |||||
| 315 SW FIFTH AVE STE 900 | PORTLAND | OR | 97204 | HEALTH PLAN AND CCO ADMINISTRATION | $894,384 |
| VIRGINIA GARCIA MEMORIAL HEALTH CENTER | |||||
| PO BOX 568 | CORNELIUS | OR | 97113 | HEALTH CARE TRANSFORMATION | $352,059 |
| YAMHILL COUNTY HEALTH AND HUMAN SERVICES | |||||
| 627 NE EVANS | MCMINNVILLE | OR | 97128 | HEALTH CARE TRANSFORMATION | $327,438 |
| NORTHWEST SENIOR & DISABILITY SERVICES | |||||
| 300 SW HILL RD | MCMINNVILLE | OR | 97128 | HEALTH CARE TRANSFORMATION | $150,000 |
| PHYSICIANS MEDICAL CENTER | |||||
| 2435 NE CUMULUS AVE STE A | MCMINNVILLE | OR | 97128 | HEALTH CARE TRANSFORMATION | $108,626 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PREMIUMS | 900099 | $92,842,013 | $92,842,013 |
| PAY FOR PERFORMANCE INCENTIVES | 900099 | $2,076,179 | $2,076,179 |
| STATE CONTRACTS | 900099 | $1,083,877 | $1,083,877 |
| OTHER | 900009 | $132,355 | $132,355 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $96,134,424 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,037 | TotalRevenueColumnAmt |
| Exclusion | $31,037 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,165,461 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $96,134,424 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $31,037 | ExclusionAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,348,924 | TotalAmt |
| Program Services | $5,233,095 | ProgramServicesAmt |
| Management And General | $115,829 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,272 | TotalAmt |
| Management And General | $82,272 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,946 | TotalAmt |
| Management And General | $26,946 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,842 | TotalAmt |
| Management And General | $42,842 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,884 | TotalAmt |
| Management And General | $98,884 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,923 | TotalAmt |
| Program Services | $14,924 | ProgramServicesAmt |
| Management And General | $140,999 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,843 | TotalAmt |
| Program Services | $1,694 | ProgramServicesAmt |
| Management And General | $22,149 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,093 | TotalAmt |
| Management And General | $3,093 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,421 | TotalAmt |
| Program Services | $3,441 | ProgramServicesAmt |
| Management And General | $3,980 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,987 | TotalAmt |
| Management And General | $21,987 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,896 | TotalAmt |
| Management And General | $24,896 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PURCHASED HEALTHCARE | $70,237,159 | $70,237,159 |
| HOSPITAL REIMBURSEMENT | $10,840,486 | $10,840,486 |
| PERFORMANCE INCENTIVES | $2,062,421 | $2,062,421 |
| HEALTH TRANSFORMATION | $1,520,668 | $1,520,668 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,497,765 | TotalAmt |
| Program Services | $89,913,888 | ProgramServicesAmt |
| Management And General | $583,877 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,677,039 | BOYAmt |
| EOY | $16,566,824 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,400,001 | BOYAmt |
| EOY | $2,900,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,757,399 | BOYAmt |
| EOY | $5,916,974 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,924 | BOYAmt |
| EOY | $187,027 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $357,984 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,987 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $335,997 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,911,363 | BOYAmt |
| EOY | $25,906,822 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,426,739 | BOYAmt |
| EOY | $12,284,106 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $470,396 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,426,739 | BOYAmt |
| EOY | $12,754,502 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,780,293 | BOYAmt |
| EOY | $10,752,320 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,331 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,400,000 | BOYAmt |
| EOY | $2,400,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,484,624 | BOYAmt |
| EOY | $13,152,320 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,911,363 | BOYAmt |
| EOY | $25,906,822 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,667,696 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $3,500,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $117,775 | CurrentTaxYearMinus1YearAmt |
| Total | $3,617,775 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $7,709,546 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,712,181 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $96,134,424 | CurrentTaxYearAmt |
| Total | $158,556,151 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $11,209,546 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,829,956 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $96,134,424 | CurrentTaxYearAmt |
| Total | $162,173,926 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $3,500,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $117,775 | CurrentTaxYearMinus1YearAmt |
| Total | $3,617,775 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $122,222 | CurrentTaxYearAmt |
| Total | $122,222 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $3,500,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $117,775 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $122,222 | CurrentTaxYearAmt |
| Total | $3,739,997 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $158,433,929 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $508 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,948 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,037 | CurrentTaxYearAmt |
| Total | $44,493 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $508 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,948 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,037 | CurrentTaxYearAmt |
| Total | $44,493 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $11,210,054 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,842,904 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $96,165,461 | CurrentTaxYearAmt |
| Total | $162,218,419 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 14: | FormAndLineReferenceDesc |
| Explanation | EXPLANATION FOR SHORT YEAR INCLUDED IN 5-YEAR PERIOD: THE TAX YEAR ENDED DECEMBER 31, 2012 IS A SHORT YEAR; THE ORGANIZATION WAS FORMED JULY 31, 2012. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $180,063 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,087 | DepreciationAmt |
| Book Value | $166,976 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,495 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,516 | DepreciationAmt |
| Book Value | $49,979 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $122,426 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,384 | DepreciationAmt |
| Book Value | $119,042 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $335,997 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $85,324,975 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$10,840,486 | OtherRevenueAmt |
| Revenue Not Reported | -$10,840,486 | RevenueNotReportedAmt |
| Revenue Subtotal | $96,165,461 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $96,165,461 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $79,657,279 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $79,657,279 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $10,840,486 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $10,840,486 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $90,497,765 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | FIN 48 (ASC 740) FOOTNOTE - THE ORGANIZATION HAD NO UNRECOGNIZED TAX BENEFITS WHICH WOULD REQUIRE AN ADJUSTMENT TO THE BEGINNING BALANCE OF NET ASSETS AND HAD NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2014 OR 2013. THE ORGANIZATION IS SUBJECT TO EXAMINATIONS BY FEDERAL TAXING AUTHORITIES FOR THREE YEARS FROM THE FILING OF A TAX RETURN. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | HOSPITAL REIMBURSEMENT ADJUSTMENT -10,840,486. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | HOSPITAL REIMBURSEMENT ADJUSTMENT 10,840,486. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION HAS A MANAGEMENT SERVICES AGREEMENT WITH CAREOREGON INC, WHICH PROVIDES FOR ALL PHYSICAL HEALTH AND ADMINISTRATIVE FUNCTIONS OF THE ORGANIZATION. THE ORGANIZATION'S EMPLOYEES, INCLUDING THE CEO, ARE CAREOREGON INC EMPLOYEES AND ARE LEASED TO THE ORGANIZATION. THE ORGANIZATION'S PRESIDENT/CEO RECEIVED REPORTABLE COMPENSATION OF $168,713 FROM CAREOREGON INC. |
| FORM 990, PART VI, SECTION B, LINE 11 | CAREOREGON AND MOSS ADAMS, THE ORGANIZATION'S INDEPENDENT ACCOUNTING FIRM, PREPARE FORM 990. THE ORGANIZATION'S DIRECTOR AND FINANCE COMMITTEE REVIEW AND APPROVE THE FORM. IT IS THEN PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | DURING BOARD BUSINESS, WE ROUTINELY REVIEW THE BYLAWS AND CONFLICTS OF INTEREST. ADDITIONALLY, WE REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY AND HAVE EACH DIRECTOR IDENTIFY CONFLICTS AND ATTEST TO THE POLICY AND PROCEDURES FOR MEETINGS. MEMBERS WITH CONFLICTS EXCUSE THEMSELVES FROM VOTING ON THOSE SPECIFIC TOPICS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY AN INDEPENDENT THIRD PARTY. THE EXECUTIVES ARE LEASED FROM ANOTHER COMPANY BUT THEIR COMPENSATION IS DETERMINED BY YAMHILL COMMUNITY CARE ORGANIZATION'S BOARD, WHICH OBTAINS SERVICES FROM THE THIRD PARTY TO OBTAIN, ANALYZE AND VERIFY RELEVANT MARKET DATA. THIS PROCESS IS COMPLETED AT LEAST EVERY OTHER YEAR FOR ALL EXECUTIVE POSITIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S PLACE OF BUSINESS. |
Comments