GREATER OREGON BEHAVIORAL HEALTH INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: GREATER OREGON BEHAVIORAL HEALTH INC (EIN 93-1144014)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-12
IRS object ID: 201302249349302775
Schema version: 2011v1.5
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
Form 990
Schedule B
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-12T18:25:30-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JONES & ROTH PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	931144014	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GREATER OREGON BEHAVIORAL HEALTH I	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	GREA	NameControl
Phone	5412982101	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	KEVIN CAMPBELL	Name
Title	CEO	Title
Phone	5412982101	Phone
Date Signed	2013-08-05	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BRIAN G NEWTON	Name
Phone	5413823590	Phone
Date Prepared	2013-08-08	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KEVIN CAMPBELL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	31147506	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.GOBHI.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1994	YearFormation
State Legal Domicile	OR	StateLegalDomicile
Activity Or Mission Description	MENTAL HEALTH ADMINISTRATIVE SERVICES FOR OREGON HEALTH PLAN MEMBERS IN SIXTEEN OREGON COUNTIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	20	NbrIndependentVotingMembers
Total Nbr Employees	30	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	212025	ContributionsGrantsPriorYear
Contributions Grants Current Year	430470	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	29790186	ProgramServiceRevenuePriorYear
Program Service Revenue CY	30629551	ProgramServiceRevenueCY
Investment Income Prior Year	10794	InvestmentIncomePriorYear
Investment Income Current Year	8619	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1149	OtherRevenuePriorYear
Other Revenue Current Year	78866	OtherRevenueCurrentYear
Total Revenue Prior Year	30014154	TotalRevenuePriorYear
Total Revenue Current Year	31147506	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1514972	SalariesEtcPriorYear
Salaries Etc Current Year	2161543	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	24681513	OtherExpensePriorYear
Other Expenses Current Year	29312341	OtherExpensesCurrentYear
Total Expenses Prior Year	26196485	TotalExpensesPriorYear
Total Expenses Current Year	31473884	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	3817669	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-326378	RevenuesLessExpensesCY
Total Assets BOY	7797526	TotalAssetsBOY
Total Assets EOY	5529831	TotalAssetsEOY
Total Liabilities BOY	2575306	TotalLiabilitiesBOY
Total Liabilities EOY	1221953	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	5222220	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4307878	NetAssetsOrFundBalancesEOY
Mission Description	MENTAL HEALTH ADMINISTRATIVE SERVICES FOR OREGON HEALTH PLAN MEMBERS IN SIXTEEN OREGON COUNTIES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	27920339	Expense
Revenue	30708417	Revenue
Description	THE ORGANIZATION HAS AT-RISK MANAGE CARE CONTRACTS TO PROVIDE BEHAVIORAL HEALTHCARE SERVICES TO THE MEDICAID ELIGIBLE POPULATION OF SIXTEEN COUNTIES IN RURAL OREGON.	Description
Total Program Service Expense	27920339	TotalProgramServiceExpense
Described In501 C3	false	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	85	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	30	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	20	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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)
Telephone Number	5412982101	TelephoneNumber

Address US AddressUS

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 Form990PartVIISectionA (21 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
DWIGHT DILL
CHAIR	2.00	X	X	0	0	0
NANCY WINTERS
MEMBER	2.00	X		0	0	0
ROLAND MIGCHIELSEN
MEMBER	2.00	X		0	0	0
CHRIS SIEGNER
MEMBER	2.00	X		0	0	0
JACK BREAZEAL
MEMBER	2.00	X		0	0	0
JANET HOLLAND
MEMBER	2.00	X		0	0	0
BARBARA SEATTER
MEMBER	2.00	X		0	0	0
FRANK HANNA-WILLIAMS
MEMBER	2.00	X		0	0	0
KIMBERLY LINDSAY
MEMBER	2.00	X		0	0	0
SHARI SELANDER
MEMBER	2.00	X		0	0	0
JANET HAMADA
MEMBER	2.00	X		0	0	0
JUDY CORDENIZ
MEMBER	2.00	X		0	0	0
STEPHEN KLIEWER
MEMBER	2.00	X		0	0	0
EARL FISHER
MEMBER	2.00	X		0	0	0
MARK WEBB
MEMBER	2.00	X		0	0	0
STEVE MCCLURE
MEMBER	2.00	X		0	0	0
CAROLE INNES
MEMBERS	2.00	X		0	0	0
KERRY HAWLEY
MEMBER	2.00	X		0	0	0
NORMA WAHL
MEMBER	2.00	X		0	0	0
SALLY HANNU
MEMBER	2.00	X		0	0	0
KEVIN CAMPBELL
CEO	40.00		X	142627	0	18555

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	142627	TotalReportableCompFromOrg
Total Other Compensation	18555	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HM TIMMONS
1110 MANZANITA ST NE	KEIZER	OR	97303	CONSULTING	147450
SCHWABE WILLIAMSON & WYATT
1211 SW 5TH AVE	PORTLAND	OR	97204	LEGAL	119296

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Government Grants	430470	GovernmentGrants
Total Contributions	430470	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	MENTAL HEALTH SERVICES	Description
Total Revenue Column	30629551	TotalRevenueColumn
Related Or Exempt Function Income	30629551	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	30629551	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	8619	TotalRevenueColumn
Exclusion	$8,619	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER REVENUE	Description
Total Revenue Column	78866	TotalRevenueColumn
Related Or Exempt Function Income	78866	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	78866	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	31147506	TotalRevenueColumn
Related Or Exempt Function Income	30708417	RelatedOrExemptFunctionIncome
Exclusion	$8,619	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	208265	Total
Management And General	208265	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1453880	Total
Management And General	1453880	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	69736	Total
Management And General	69736	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	290653	Total
Management And General	290653	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	139009	Total
Management And General	139009	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	12500	Total
Management And General	12500	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	918015	Total
Management And General	918015	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	70161	Total
Management And General	70161	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	227875	Total
Program Services	205489	ProgramServices
Management And General	22386	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	177082	Total
Management And General	177082	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	176004	Total
Program Services	176004	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	52528	Total
Management And General	52528	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	67950	Total
Management And General	67950	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
MENTAL HEALTH CAPITATION	19879625	19879625
INTENSIVE COMMUNITY-BASED	2828481	2828481
INPATIENT RISK POOL	2275586	2275586
ADULT MENTAL HEALTH	963792	963792

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1662742	Total
Program Services	1591362	ProgramServices
Management And General	71380	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	31473884	Total
Program Services	27920339	ProgramServices
Management And General	3553545	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5574014	BOY
EOY	441157	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	500000	BOY
EOY	345350	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	347481	BOY
EOY	919883	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	58175	BOY
EOY	19616	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1460831	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	157006	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1317856	BOY
EOY	1303825	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	2500000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	7797526	BOY
EOY	5529831	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1738750	BOY
EOY	985535	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	836556	BOY
EOY	236418	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2575306	BOY
EOY	1221953	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5222220	BOY
EOY	4307878	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5222220	BOY
EOY	4307878	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7797526	BOY
EOY	5529831	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-326378	ReconcilationRevenueExpenses
Reconcilation Other Changes	-587964	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	203101	OtherCostOrOtherBasis
Book Value	203101	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	598915	OtherCostOrOtherBasis
Depreciation	38119	Depreciation
Book Value	560796	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	493242	OtherCostOrOtherBasis
Depreciation	30535	Depreciation
Book Value	462707	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	165573	OtherCostOrOtherBasis
Depreciation	88352	Depreciation
Book Value	77221	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1303825	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	INVESTMENT IN EOCCO	Description
Book Value	2500000	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	2500000	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
MEMBER BENEFITS, INPATIENT RISK POOL	$96,750
PAYROLL RELATED LIABILITIES	$82,792
PROVIDER TAX PAYABLE	$56,876

Field	Value	IRS element (for citing)
Total Of Amounts	236418	TotalOfAmounts
Total Revenue	31147506	TotalRevenue
Total Expenses	31473884	TotalExpenses
Excess Or Deficit For Year	-326378	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-326378	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	31147506	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	31147506	RevenueSubtotal
Total Revenue Per Form990	31147506	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	31473884	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	31473884	ExpensesSubtotal
Total Expenses Per Form990	31473884	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	false	SubstantiationRequired
Compensation Survey	X	CompensationSurvey
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Field	Value	IRS element (for citing)
Name Person	KEVIN CAMPBELL	NamePerson
Base Compensation Filing Org	142627	BaseCompensationFilingOrg
Deferred Comp Filing Org	18555	DeferredCompFilingOrg
Total Compensation Filing Org	161182	TotalCompensationFilingOrg

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	FRINGE OR EXPENSE EXPLANATION	Identifier
Return Reference	SCHEDULE J, PAGE 1, PART I, LINE 1A	ReturnReference
Explanation	THE ORGANIZATION PAYS FOR HEALTH OR SOCIAL DUES OR INITITION FEES FOR ALL EMPLOYEES.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	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.
ENFORCEMENT OF CONFLICTS POLICY	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.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE CEO HAS A 360 POINT REVIEW INCLUDING EMPLOYEES AND THE BOARD OF DIRECTORS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	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.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	DURING THE YEAR ENDED 9/30/12 IT WAS DISCOVERED UNRESTRICTED NET ASSETS WERE OVERSTATED AT 9/30/11 DUE TO UNDERSTATING CLAIMS PAYABLE AND INPATIENT RISK POOL LIABILITY. THIS CAUSED A PRIOR PERIOD ADJUSTMENT IN THE CURRENT YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	EOCCO	BusinessNameLine1

Address US AddressUS

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	HEALTH CAR	PrimaryActivities
Legal Domicile State	OR	LegalDomicileState
Exempt Code Section	501(C)	ExemptCodeSection
Public Charity Status	6	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	EASTERN OREGON CORRDINATED CARE ORG	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	B	TransactionType
Amount Involved	2500000	AmountInvolved
Method Of Amt Determination	FMV	MethodOfAmtDetermination