2015-11-13T15:43:05-06:00 2014-12-31 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1200 PORTLAND OR 97205 990 2014-01-01 364742731 YAMHILL COMMUNITY CARE ORGANIZATION INC YAMH 5033767420 807 NE THIRD STREET MCMINNVILLE OR 97128 JIM CARLOUGH PRESIDENT/CEO 5034347523 2015-11-04 1 WENDY CAMPOS P00448102 5032421447 2014 2016-03-07 17:11:31Z JIM CARLOUGH 807 NE THIRD STREET MCMINNVILLE OR 97128 96165461 0 X WWW.YAMHILLCCO.ORG X 2012 OR WORKING TOGETHER TO IMPROVE THE QUALITY OF LIFE AND HEALTH OF YAMHILL COUNTY CARE ORGANIZATION MEMBERS BY COORDINATING EFFECTIVE CARE. 13 13 0 55 0 0 117775 0 54712181 96134424 12948 31037 0 0 54842904 96165461 0 0 0 0 0 0 0 0 0 46586704 90497765 46586704 90497765 8256200 5667696 12911363 25906822 5426739 12754502 7484624 13152320 X WORKING TOGETHER TO IMPROVE THE QUALITY OF LIFE AND HEALTH OF YAMHILL COUNTY CARE ORGANIZATION MEMBERS BY COORDINATING EFFECTIVE CARE. 0 0 89913888 96134424 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. 89913888 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 558 0 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X CAREOREGON INC 5034164100 315 SW 5TH AVENUE SUITE 900 PORTLAND OR 97204 X SILAS HALLORAN-STEINER CHAIR 4.00 X X 0 0 0 GIL MUNOZ SECRETARY/TREASURER 4.00 X X 0 0 0 LORI VAN ZANTEN DIRECTOR 4.00 X 0 0 0 MATTHEW BLIVEN MD BOARD PHYSICIAN LEADER 4.00 X 0 0 0 PATRICK CURRAN DIRECTOR 4.00 X 0 0 0 DAN DALE MD DIRECTOR 4.00 X 0 0 0 REBECCA EICHHORN DIRECTOR 4.00 X 0 0 0 KATHY GEORGE DIRECTOR 4.00 X 0 0 0 DENNIS GRAY DIRECTOR 4.00 X 0 0 0 PETER HOFSTETTER DIRECTOR 4.00 X 0 0 0 SUEY LINZMEIER DIRECTOR 4.00 X 0 0 0 JORDAN ROBINSON DIRECTOR 4.00 X 0 0 0 SCOTT TIFFANY DIRECTOR 4.00 X 0 0 0 JIM CARLOUGH PRESIDENT/CEO 40.00 X 0 0 0 0 0 0 0 0 0 0 CAREOREGON INC 315 SW FIFTH AVE STE 900 PORTLAND OR 97204 HEALTH PLAN AND CCO ADMINISTRATION 894384 VIRGINIA GARCIA MEMORIAL HEALTH CENTER PO BOX 568 CORNELIUS OR 97113 HEALTH CARE TRANSFORMATION 352059 YAMHILL COUNTY HEALTH AND HUMAN SERVICES 627 NE EVANS MCMINNVILLE OR 97128 HEALTH CARE TRANSFORMATION 327438 NORTHWEST SENIOR & DISABILITY SERVICES 300 SW HILL RD MCMINNVILLE OR 97128 HEALTH CARE TRANSFORMATION 150000 PHYSICIANS MEDICAL CENTER 2435 NE CUMULUS AVE STE A MCMINNVILLE OR 97128 HEALTH CARE TRANSFORMATION 108626 6 PREMIUMS 900099 92842013 92842013 PAY FOR PERFORMANCE INCENTIVES 900099 2076179 2076179 STATE CONTRACTS 900099 1083877 1083877 OTHER 900009 132355 132355 96134424 31037 31037 96165461 96134424 0 31037 5348924 5233095 115829 82272 82272 26946 26946 42842 42842 98884 98884 155923 14924 140999 23843 1694 22149 3093 3093 7421 3441 3980 21987 21987 24896 24896 PURCHASED HEALTHCARE 70237159 70237159 HOSPITAL REIMBURSEMENT 10840486 10840486 PERFORMANCE INCENTIVES 2062421 2062421 HEALTH TRANSFORMATION 1520668 1520668 90497765 89913888 583877 0 6677039 16566824 2400001 2900000 3757399 5916974 76924 187027 357984 21987 0 335997 12911363 25906822 5426739 12284106 0 470396 5426739 12754502 X 4780293 10752320 304331 0 2400000 2400000 7484624 13152320 12911363 25906822 5667696 0 X 0 1 X 1 0 X 3500000 117775 3617775 7709546 54712181 96134424 158556151 11209546 54829956 96134424 162173926 3500000 117775 3617775 122222 122222 3500000 117775 122222 3739997 158433929 508 12948 31037 44493 508 12948 31037 44493 11210054 54842904 96165461 162218419 X SCHEDULE A, PART III, LINE 14: 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. 180063 13087 166976 55495 5516 49979 122426 3384 119042 335997 X 85324975 -10840486 -10840486 96165461 0 96165461 79657279 0 79657279 10840486 10840486 90497765 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. 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.