2011-11-15T18:32:06-06:00 2010-12-31 KPMG LLP 801 Second Avenue Suite 900 Seattle WA 98104 990 2010-01-01 930933975 CAREOREGON INC CARE 5034161415 315 SW 5TH AVE 9TH FLOOR PORTLAND OR 97204 Carolyn Rankin 2011-11-10 true 2069134000 2010 2016-02-24 21:20:13Z David E Ford 315 SW 5th Ave 9th Floor Portland OR 97204 540509873 false X WWW.CAREOREGON.ORG X 1994 OR CareOregon is a community benefit organization whose mission is to assure vulnerable populations access to high quality healthcare from a stable network by a well-managed, financially sound organization. 12 9 334 11 8676 6808 0 0 384692255 459742418 -1934971 9603940 274426 -2791 383031710 469343567 458284 667519 0 0 21462407 23465295 0 0 0 373231668 438243280 395152359 462376094 -12120649 6967473 179208446 199949462 64886601 79704827 114321845 120244635 X CAREOREGON IS A COMMUNITY BENEFIT ORGANIZATION WHOSE MISSION IS TO ASSURE VULNERABLE POPULATIONS ACCESS TO HIGH QUALITY HEALTHCARE FROM A STABLE NETWORK BY A WELL-MANAGED (CONTINUED ON SCHEDULE O) true false 440090125 450982546 See Schedule O for description. 7860139 8067704 See Schedule O for description. 2154312 See Schedule O for description. 302352 87686 692168 450406928 true false false true false false false true false true true false true true true false true false false false false false false false false false true false true false false false false false false true true false false false false true true true true false false true 1828 0 true 334 true true true false false false false false false false false false X 12 9 true false false false false false false true true false false true true true true true true true true false OR X CAROLYN J RANKIN 5034163640 315 SW 5TH AVE 9TH FLOOR PORTLAND OR 97204 X Colleen A Cain 4.0 X 0 0 0 Susan M Clack MD 4.0 X 0 0 0 Christopher J Krenk 4.0 X X 0 0 0 Lynnwood R Lundquist 4.0 X 0 0 0 J Bart McMullan Jr MD 4.0 X 0 0 0 Gilles M Munoz 4.0 X X 0 0 0 Vickie S Gates 4.0 X 0 0 0 David E Ford 40.0 X X 403669 0 43008 Beth deHamel 4.0 X 0 0 0 Nathalie Johnson 4.0 X 0 0 0 Mylia Christensen 4.0 X 0 0 0 Robert Stewart 4.0 X 0 0 0 Carolyn J Rankin 40.0 X 316682 0 29696 Margaret S Rowland MD 40.0 X 281161 0 34199 David Labby MD 40.0 X 234870 0 30991 Pamela A Mariea-Nason 40.0 X 137766 0 29890 Patrick J Curran 40.0 X 133418 0 21682 James Schroeder 40.0 X 138848 0 36565 Jameson W Keller 40.0 X 140237 0 34778 1786651 0 260809 61 false true false LEGACY HEALTH SYSTEM PO Box 4037 PORTLAND OR 97208 Medical Services 73213805 OREGON HEALTH SCIENCES UNIVERSITY PO Box 3595 PORTLAND OR 97208 Medical Services 65971115 Providence Health System PO Box 3395 PORTLAND OR 97208 Medical Services 65135355 Portland Adventist Medical Center 10123 SE Market St PORTLAND OR 97216 Medical Services 14055537 Asante Health System 100 E Main St Ste C MEDFORD OR 97501 Medical Services 11343684 230 0 PREMIUM REVENUE 524114 450982546 450982546 CLINIC SERVICES REVENUE 524114 368372 368372 OTHER REVENUE 524114 88709 88709 MANAGEMENT FEES 900099 8302791 8302791 459742418 3478645 3478645 0 0 279173 280287 -1114 -1114 8676 -9790 77011314 70886019 6125295 6125295 6125295 0 0 0 LOSS ON DISPOSAL OF ASSETS 900099 -1677 -1677 -1677 469343567 459742418 8676 9592473 667519 667519 0 0 0 0 0 0 1108416 751621 356795 0 0 0 17094597 11670613 5423984 1502287 1030999 471288 2318541 1729860 588681 1441454 1032635 408819 508104 508104 210738 210738 106395 106395 223836 133571 90265 0 330567 330567 2149716 1809806 339910 0 822681 498215 324466 3069087 1703999 1365088 0 799892 484703 315189 297533 116065 181468 0 376548 125152 251396 0 0 2683568 2458958 224610 126932 126932 INPATIENT/OUTPATIENT EXPENSE 202268219 202268219 PROFESSIONAL MEDICAL EXPENSE 99481706 99481706 PHARMACY EXPENSE 43553627 43553627 HRA AND GME EXPENSE 42303465 42303465 OTHER NET MEDICAL EXPENSES 36894208 36894208 2036458 1691987 344471 462376094 450406928 11969166 0 14853766 15620519 9019182 10520595 15910 1283953 2034410 35233704 12242102 22234259 22991602 91058242 104087861 28118280 32220072 12640764 12458493 179208446 199949462 2982976 2737921 16933 2944182 61903625 74005791 64886601 79704827 X 114321845 120244635 114321845 120244635 179208446 199949462 X 6967473 -1044683 X false true true X false X 55099 21765 8591 85455 259575343 262645564 339310712 384692255 464742418 1710966292 259630442 262667329 339319303 384692255 464742418 1711051747 1711051747 4531097 4640589 4545589 4104341 3681803 21503419 4531097 4640589 4545589 4104341 3681803 21503419 8327 9153 8676 26156 264161539 267307918 343873219 388805749 468432897 1732581322 0.98757 0.98661 0.01241 0.01338 X 28751 195085 223836 462152258 462376094 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 143767 133816 336159 223836 837578 250000 250000 250000 250000 1000000 1500000 3809 28751 32560 Lobbying Activities Part II-A, Line 1 CareOregon participates in lobbying activities that include testifying at public policy hearings, meeting with legislators to discuss Oregon Health Plan related issues, hosting educational sessions and supporting or opposing ballot measures that impact Oregon Health Plan members. CareOregon does not participate or contribute to political candidate campaigns or political parties. false true 2704520 2704520 17832370 3133761 14698609 11328 1061 10267 7219666 3578749 3640917 7465820 5528531 1937289 22991602 POOLED FUNDS 32220072 F 32220072 INVESTMENT IN SUBSIDIARY 11400000 457(B) PLAN ASSETS 7480 INTERCOMPANY RECEIVABLE 1041126 DEPOSIT RECEIVABLE 9887 12458493 0 CLAIMS PAYABLE 55085826 DMAP RECOUPMENT PAYABLE 1182343 MANAGED CARE TAXES PAYABLE 1148334 457(B) PLAN LIABILITIES 7480 HOSPITAL REIMBURSEMENT PAYABLE 378323 PREMIUM DEFICIENCY RESERVE 16000000 INTERCOMPANY LIABILITY 203485 74005791 ASC 740 Footnote Part X, Line 2 The Organization, of which CareOregon, Inc. is a part of, adopted the provisions of ASC 740, Income Taxes, relating to accounting for uncertain tax positions on January 1, 2009, which had no financial statement impact to the Organization. The Organization recognizes the tax benefit from uncertain tax position only if it is more likely than not that the tax positions will be sustained on examination by the tax authorities based on the technical merits of the position. The tax benefit is measured based on the benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The Organization recognizes interest and penalties related to income tax matters in interest expense and other administrative expenses, respectively. Management regularly assesses the likelihood that deferred tax assets will be recovered from future taxable income, and records a valuation allowance, if necessary, to reduce deferred tax assets to the amounts believed to be realizable. Escrow Account Liability Part IV, Line 2 The Company held amounts in an escrow account to demonstrate a good faith effort to eventually pay amounts owed while resolving a difference of opinion in regards to other amounts due to a healthcare provider. true Albertina Kerr Centers 424 NE 22nd Avenue Portland OR 97232 930386780 501(c)(3) 25020 service for disabled children Central City Concern 232 NW Sixth Ave Portland OR 97209 930728816 501(c)(3) 10000 Support homeless and indigent programs Oregon Health Care Quality Corp 619 SW 11th Ave Portland OR 97205 931293103 501(c)(3) 47626 Quality measures for Oregon clinics Oregon Pediatric Society PO Box 2802 Lake Oswego OR 97035 930672605 501(c)(3) 75000 Support children's Community Action Organization 1001 SW Baseline Hillsboro OR 97123 930554941 501(c)(3) 15000 support low income NW Health Foundation 221 NW 2nd Ave 300 Portland OR 97209 911854545 501(c)(4) 325000 collaborative OR Business Association 6975 SW Sandburg St Suite 250 Tigard OR 97223 931280673 501(c)(6) 7500 Operational and Event Support Virginia Garcia Memorial Foundation PO Box 568 Cornelius OR 97113 930717997 501(c)(3) 10040 Support healthcare Children First for Oregon PO Box 14914 Portland OR 972930914 943168157 501(c)(3) 10000 Healthcare for Coalition of Community Health Clinics 619 SW 11th Ave 225 Portland OR 97205 911829239 501(c)(3) 20000 Clinic development OCHIN Inc 707 SW Washington St 1200 Portland OR 97205 200195556 501(c)(3) 10000 Sponsor learning Oregon Center of Nursing 5000 N Willamette Blvd Portland OR 972035798 743052430 501(c)(3) 7500 Support nurses in OR School-Based Health Care Network PO Box 12191 Portland OR 97212 364588657 501(c)(3) 10000 School based St Charles Health System 2500 NE Neff Rd Bend OR 97701 930602940 501(c)(3) 15000 Training support 12 2 Grant Monitoring Part I, Line 2 Assistance is provided to organizations in our service area who demonstrate a financial need in regard to improving the delivery of health services in line with our exempt purpose and mission. CareOregon considers each case to verify that the need is documented, legitimate and substantial in nature. Following disbursement of funds, follow-up contact is performed, either verbally or in writing, to verify the appropriate use of the funds, to the fullest extent possible. X X X X false false false false false false false false false David E Ford 301133 0 80536 0 22000 0 22050 0 20958 0 446677 0 0 0 Carolyn J Rankin 248639 0 51188 0 16855 0 19571 0 10125 0 346378 0 0 0 Margaret S Rowland MD 234328 0 24833 0 22000 0 22050 0 12149 0 315360 0 0 0 David Labby MD 212870 0 0 0 22000 0 20645 0 10346 0 265861 0 0 0 Pamela A Mariea-Nason 115766 0 0 0 22000 0 11441 0 18449 0 167656 0 0 0 Patrick J Curran 116918 0 0 0 16500 0 11461 0 10221 0 155100 0 0 0 James Schroeder 124641 0 0 0 14207 0 14007 0 22558 0 175413 0 0 0 Jameson W Keller 132897 0 0 0 7340 0 13211 0 21567 0 175015 0 0 0 Severance Agreements Schedule J, Part I, Line 4a Both David Ford, CEO and Carolyn Rankin, CFO/COO have severance agreements in their employment contract with CareOregon. Mr. Ford's severance agreement states that his severance shall be an amount equal to ten months of base salary payable in CareOregon's sole discretion in either a lump sum or as salary continuation on a monthly basis following Mr. Ford's termination date. Ms. Rankin's severance agreement states that her severance is an amount equal to six months' base salary. Neither Mr. Ford nor Ms. Rankin received any payments pursuant to their severance agreements during 2010. Susan Clack MD BOARD DIRECTOR 291115 Refer to Part V false Philip Miller MD Spouse of Board Director 60167 Refer to Part V false Business Transactions Involving Interested Persons Part IV DR. SUSAN CLACK, A CAREOREGON BOARD MEMBER, IS A BOARD MEMBER, CEO AND PROVIDER AT PACIFIC MEDICAL GROUP, WHICH RECEIVED PAYMENTS OF $291,115 FOR HEALTH CARE SERVICES AND QUALITY IMPROVEMENTS. CAREOREGON CONSIDERED ALTERNATIVES TO THIS TRANSACTION AND DR. SUSAN CLACK REFRAINED FROM VOTING THE APPROVAL OF THIS TRANSACTION. THE TRANSACTION AMOUNTS PAID WERE NEGOTIATED AT ARMS LENGTH. DR. PHILIP MILLER, HUSBAND OF CAREOREGON BOARD MEMBER COLLEEN CAIN, OPERATES A PEDIATRIC CLINIC. THE PEDIATRIC CLINIC RECEIVED PAYMENTS FROM CAREOREGON TOTALING $23,049 FOR HEALTH CARE SERVICES RENDERED. DR. MILLER WAS ALSO EMPLOYED AS A PROVIDER IN ONE OF OUR CLINICS DURING 2010. HE RECEIVED $37,118 IN COMPENSATION AND BENEFITS AS AN EMPLOYEE. CAREOREGON CONSIDERED ALTERNATIVES TO THESE TRANSACTIONS AND COLLEEN CAIN DID NOT VOTE ON THE APPROVAL OF THESE TRANSACTIONS. THE TRANSACTION AMOUNTS PAID WERE NEGOTIATED AT ARMS LENGTH. Supplemental Information to 2010 Form 990 for CareOregon CAREOREGON, INC. EIN# 93-0933975 PART I, LINE 1; PART III, LINE 1 TAX-EXEMPT PURPOSE AND MISSION OF CAREOREGON: CAREOREGON IS A COMMUNITY BENEFIT ORGANIZATION WHOSE MISSION IS TO ASSURE OREGON'S VULNERABLE POPULATIONS RECEIVE ACCESS TO HIGH-QUALITY HEALTH CARE FROM A STABLE NETWORK BY A WELL-MANAGED, FINANCIALLY SOUND ORGANIZATION. CAREOREGON PROVIDES CARE SUPPORT AND DISEASE MANAGEMENT SERVICES TO HIGH RISK MEMBERS, COORDINATES CARE AND PROVIDES UTILIZATION MANAGEMENT SERVICES, OFFERS CONTINUITY OF COVERAGE FOR THOSE ELIGIBLE FOR MEDICAID AND MEDICARE, SUPPORTS AND ACTIVELY WORKS WITH PROVIDERS TO IMPLEMENT QUALITY IMPROVEMENT EFFORTS AND PRIMARY CARE REDESIGN, CONTRACTS WITH PUBLIC AND PRIVATE PROVIDERS AND WORKS WITH THE LEGISLATURE AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE THE HEALTH OF LOW-INCOME OREGONIANS. PART I, LINE 8-22 CAREOREGON EXPERIENCED A SIGNIFICANT INCREASE IN TOTAL REVENUES AND EXPENSES IN 2010 COMPARED TO 2009, PRIMARILY DUE TO INCREASED MEMBERSHIP, BUT MEDICAL COSTS ALSO INCREASED. INPATIENT FACILITY SERVICES WERE THE MOST SIGNIFICANT AREA OF INCREASING MEDICAL COSTS. IN ADDITION, THE COMPANY RECORDED A PREMIUM DEFICIENCY RESERVE OF $16 MILLION AT DECEMBER 31, 2010 TO RECOGNIZE ANTICIPATED LOSSES FOR 2011 ON ITS EXISTING CONTRACT WITH THE STATE. A PREMIUM DEFICIENCY RESERVE IS RECOGNIZED WHEN IT IS PROBABLE THAT EXPECTED FUTURE MEDICAL CLAIMS, ADMINISTRATIVE COSTS AND INVESTMENT INCOME WILL EXCEED FUTURE REVENUE FOR A GIVEN CONTRACT. WITH NO ABILITY TO MANAGE THE RATES, THE MEDICAL BENEFITS OFFERED, OR WHICH MEMBERS ARE ENROLLED, CAREOREGON IS VULNERABLE TO INCURRING LOSSES AND IS EXPECTED TO DO SO IN 2011. THE INCREASING BUDGETARY PRESSURES OF THE STATE BUDGET ONLY CONTRIBUTE TO THE LIKELIHOOD OF INSUFFICIENT RATES IN THE FUTURE. AS A RESULT, THE COMPANY HAS MAINTAINED NET ASSETS SUFFICIENT TO WITHSTAND THESE INCREASED FINANCIAL RISKS. WITH THESE RESERVES, CAREOREGON IS ABLE TO STRATEGICALLY INVEST IN WAYS TO IMPROVE HEALTH OUTCOMES FOR ITS MEMBERS, INCREASE MEMBER AND PROVIDER SATISFACTION AND REDUCE MEDICAL COSTS, ALL OF WHICH ARE NECESSARY IN ORDER TO PURSUE ITS MISSION. PART III, LINE 2 IN 2010, WE OPENED THREE CLINICS IN ALOHA/BEAVERTON, MILWAUKIE, AND GLADSTONE IN ORDER TO INCREASE ACCESS TO COMPREHENSIVE AND PREVENTIVE HEALTH CARE SERVICES AND TO IMPROVE THE HEALTH CARE STATUS OF THE VULNERABLE AND UNDERSERVED POPULATIONS IN THOSE COMMUNITIES. PART III, LINE 4 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS A. WE PROVIDE A MANAGED CARE DELIVERY SYSTEM FOR APPROXIMATELY 140,000 HEALTH PLAN MEMBERS THROUGHOUT THE STATE OF OREGON. AS A MEDICAID MANAGED CARE PLAN, WE PROVIDE ACCESS FOR THE MOST VULNERABLE OF OREGON'S POPULATIONS. OUR WORK INVOLVED CORRDINATING QUALITY HEALTH CARE FOR OUR MEMBERS, CONTRACTING WITH PUBLIC AND PRIVATE PROVIDERS, PROVIDING STABLE FUNDING THAT OUR NETWORKED DOCTORS AND HOSPITALS CAN RELY ON AND CONTROLLING ESCALATING HEALTH CARE COSTS BY PRODIVING CARE COORDINATION AND MEMBER BENEFITS ASSURANCE SERVICES. THESE SERVICES RESULT IN ACCESS TO CARE, LOWER COSTS AND IMPROVED CARE FOR OUR MEMBERS. B. WE ADMINISTER A MEDICARE ADVANTAGE SPECIAL NEEDS PLAN ON BEHALF OF HEALTH PLAN OF CAREOREGON, A RELATED C CORPORATION TO CAREOREGON. HEALTH PLAN OF CAREOREGON PROVIDES CONTINUITY OF COVERAGE FOR CAREOREGON'S MEMBERS WHO ARE DUALLY ELIGIBLE FOR MEDICARE AND MEDICAID. THIS BENEFITS BOTH PATIENTS AND PROVIDERS BY ENSURING A COORDINATED AND CONVENIENT MEANS OF RECEIVING AND DELIVERING QUALITY CARE. THE EXPENSES INCURRED BY HEALTH PLAN OF CAREOREGON TO OPERATE THE PLAN TOTAL $94,199,965 WITH RELATED REVENUES OF $96,021,015. C. WE FUND CARE SUPPORT AND SYSTEM INNOVATION ("CSSI") PROJECTS TO HELP OUR PROVIDERS FOCUS ON IMPROVING DELIVERY SYSTEMS AND QUALITY OF CARE FOR OUR MEMBERS. THIS YEAR THERE WERE 32 PROJECTS. FOLLOWING THE INSTITUTE FOR HEALTH IMPROVEMENT'S(IHI) SIX GUIDELINES FOR IMPROVING HEALTH OUTCOMES, THE PROJECTS UNDERTAKEN BY OUR PROVIDERS TARGET WORKFLOW, EDUCATION, ACCESS AND DELIVERY SYSTEMS, AND PROGRAMS TO REDUCE OPPORTUNITIES FOR MEDICAL ERRORS. REDUCING THE LATTER, DECREASES RISK TO MEMBERS AND COST FOR TAXPAYERS. AT OUR ANNUAL CSSI CONFERENCE, PROVIDERS ARE ENCOURAGED TO SHARE THEIR INNOVATIONS WITH OTHERS IN THE COMMUNITY, FURTHER LEVERAGING IMPROVEMENTS FROM THEIR PROJECTS AND HELPING OTHER HEALTH CARE ORGANIZATIONS TO ADOPT SIMILAR IMPROVEMENTS. D. WE ENCOURAGE CLINICS TO PROVIDE THE BEST PRIMARY CARE POSSIBLE THROUGH OUR PRIMARY CARE RENEWAL ("PCR") INITIATIVE. IN 2010, MORE THAN 60 CLINIC TEAMS PARTICIPATED IN THE PCR EFFORT TO DEVELOP THE MEDICAL HOME MODEL IN THE PRIMARY CARE SETTING. OUR PCR INITIATIVE FOCUSES ON PROACTIVE PANEL MANAGEMENT, TEAM-BASED CARE, NURSE-LED CASE MANAGEMENT, PATIENT EMPOWERMENT FOR SELF-MANAGEMENT, INTEGRATION OF PHYSICAL AND MENTAL HEALTH CARE, IMMUNIZATION AND DISEASE-SPECIFIC PATIENT REGISTRIES, AND SAME-DAY AND EXTENDED-HOUR MEMBER ACCESS TO THE CARE TEAM. ALL OF THESE IMPROVEMENTS ARE DONE WITH THE GOAL OF COST-EFFECTIVE, CONTINUOUS, COORDINATED CARE. OUR MODEL IS ONE OF LEARNING FOR THE MEMBER; ACTING FOR THE POPULATION. WE PARTICIPATE ACTIVELY IN IHI'S TRIPLE AIM, A NATIONAL PROGRAM THAT LOOKS AT MAXIMIZING RESULTS IN THREE AREAS: OUTCOME EXCELLENCE, PATIENT SATISFACTION AND COST EFFECTIVENESS. IN PARTNERSHIP WITH THE OREGON PRIMARY CARE ASSOCIATION, WE COORDINATE OREGON'S NATIONAL MEDICAL HOME INITIATIVE TO EXPAND THIS PROMISING CARE-DELIVERY CONCEPT THROUGHOUT THE STATE. WE PROVIDE TRAINING AND DEVELOPMENT SUPPORT FOR OUR CSSI AND PCR TEAMS BY EDUCATING THEM IN ACCELERATED PROCESS IMPROVEMENT AND LEAN METHODOLOGIES. THIS HELPS CREATE EFFICIENCIES IN THE DELIVERY SYSTEM AND PROVIDES SOME RELIEF FOR THE ONGOING CHALLENGES FACED BY THESE UNDERSERVED POPULATIONS. THE TRAINING TAKES PLACE IN OUR DEDICATED LEARNING SPACE, REFERRED TO AS THE LEARNING COMMONS, ENABLING AN ON-GOING FOCUS ON LEARNING AND IMPROVING THE QUALITY OF HEALTH CARE IN THE COMMUNITY. IN 2010, CAREOREGON SPONSORED THE DEVELOPMENT OF A HOSPITAL COLLABORATIVE CALLED RELEASING TIME TO CARE. IT INVOLVES TRAINING AND COLLABORATION BETWEEN NURSING TEAMS FROM FOUR OREGON HOSPITAL, AND MORE ARE PLANNING ON JOINING IN 2011. THE COLLABORATIVE FOCUSES ON HELPING NURSES INCREASE DIRECT PATIENT CARE BY 20% AND IMPROVING HEALTH OUTCOMES, BY DECREASING INTERRUPTIONS, WASTE AND AVOIDABLE NEGATIVE OUTCOMES. IMPROVEMENTS HAVE ALREADY BEEN SEEN IN PATIENT AND STAFF SATISFACTION, AS WELL AS REDUCTIONS IN FALLS. IN AREAS WHERE HEALTH CARE ACCESS FOR OUR MEMBERS IS INADEQUATE, WE WORK WITH COMMUNITY LEADERS TO EXPAND ACCESS. FOR EXAMPLE, IN THE EAST MULTNOMAH COUNTY COMMUNITY OF ROCKWOOD, WE PURCHASED AND RENOVATED A CLINIC BUILDING SO THAT THE MULTNOMAH COUNTY HEALTH DEPARTMENT COULD PROVIDE MUCH NEEDED PRIMARY CARE TO THIS UNDERSERVED AREA. OVER 2010-2011, WE FORMED THREE ADDITIONAL CLINICS AND A MOBILE DENTAL VAN; BY THE END OF 2011, THESE WILL ALL BE TRANSFERRED TO A NON-PROFIT COMMUNITY ORGANIZATION CALLED NEIGHBORHOOD HEALTH CENTER. WE ALSO INVEST IN THE COMMUNITY BY CONTRIBUTING TO OTHER CHARITABLE ORGANIZATIONS THAT ARE STRIVING TO IMPROVE HEALTH CARE IN OREGON. FOR EXAMPLE, WE HELPED THE OREGON HEALTH CARE QUALITY CORPORATION, A NONPROFIT ORGANIZATION, PLAN, FUND AND DEVELOP A NEW WEB SITE-PARTNERFORQUALITYCARE.ORG-TO ENABLE COMMUNITY MEMBERS TO REVIEW HEALTH OUTCOMES FOR LOCAL CLINICS. WE ALSO PROVIDE COMMUNITY EDUCATION THROUGH SPONSORSHIP OF PUBLIC SERVICE ANNOUNCEMENTS ON TV AND RADIO RELATED TO BETTER NUTRITION AND INCREASED ACTIVITY. WE WORK WITH THE LEGISLATURE AND COMMUNITY-BASED ORGANIZATIONS TO EDUCATE OTHERS ON THE NEEDS OF LOW-INCOME OREGONIANS AND TO MOVE BILLS AND MEASURES FORWARD THAT IMPROVE THE HEALTH OF LOW-INCOME OREGONIANS. PART IV, LINE 12/12A FOR THE YEAR ENDED DECEMBER 31, 2010, AN AUDIT WAS PERFORMED ON THE CONSOLIDATED ENTITY WHICH INCLUDES CAREOREGON AND HEALTH PLAN OF CAREOREGON. PART VI, LINE 2 MARGARET S. ROWLAND, MD, CHIEF MEDICAL OFFICER OF CAREOREGON, INC., SERVES AS A MEMBER OF THE BOARD OF DIRECTORS OF ALBERTINA KERR. CHRIS KRENK, CHIEF EXECUTIVE OFFICER OF ALBERTINA KERR, SERVES ON CAREOREGON'S BOARD OF DIRECTORS. PART VI, LINE 11A CAREOREGON'S FORM 990 IS REVIEWED BY THE CFO, BOARD OF DIRECTORS AND THE AUDIT, FINANCE, AND COMPLIANCE COMMITTEE BEFORE IT IS FILED. THE FORM 990 IS DISCUSSED IN DETAIL AT THE AUDIT, FINANCE, AND COMPLIANCE COMMITTEE MEETING IN SEPTEMBER. ALL REVIEWERS ARE GIVEN TIME TO RESPOND WITH ANY REVISIONS. AFTER INCORPORATION OF ALL REVISIONS THE FORM 990 IS REDISTRIBUTED TO ALL REVIEWERS AND THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY OF CAREOREGON IS DISTRIBUTED ANNUALLY AND APPLIES TO THE FOLLOWING COVERED PERSONS: ANY DIRECTOR, CEO, CMO, CFO, CONTROLLER, OTHER KEY EMPLOYEE OR ANY OTHER INDIVIDUAL IN A POSITION TO EXERCISE SIGNIFICANT INFLUENCE OVER A DECISION HAVING ECONOMIC IMPLICATIONS FOR CAREOREGON. THE CONFLICT OF INTEREST POLICY IS REVIEWED AND DISCUSSED AT AN ANNUAL BOARD MEETING AND EACH PERSON SIGNS AN AGREEMENT TO FOLLOW THE POLICY. CAREOREGON ANNUALLY CIRCULATES QUESTIONNAIRES TO COVERED PERSONS TO DETERMINE INDEPENDENCE AND DISCOVER FAMILY AND BUSINESS RELATIONSHIPS, AND THE CHAIRPERSON OF THE GOVERNANCE COMMITTEE DILIGENTLY REVIEWS THESE FORMS AND COMPILES AND MAINTAINS A LIST OF POTENTIALLY CONFLICTED ENTITIES AND INDIVIDUALS. THE CHAIRPERSON OF THE GOVERNANCE COMMITTEE CONTINUALLY MONITORS PROPOSED OR ONGOING TRANSACTIONS AGAINST THIS LIST AS A MEANS OF IDENTIFYING AND SCREENING FOR POSSIBLE CONFLICTS. THE CHAIRPERSON OF THE GOVERNANCE COMMITTEE DEALS WITH POTENTIAL OR ACTUAL CONFLICTS, BEFORE, DURING AND/OR AFTER THE TRANSACTION HAS OCCURRED, DEPENDING ON THE CIRCUMSTANCES OF THE CONFLICT. ALL SIGNED CONFLICT OF INTEREST POLICIES AND QUESTIONNAIRES ARE RETAINED AT CAREOREGON'S OFFICE. IN THE EVENT OF A POTENTIAL CONFLICT OF INTEREST, A COVERED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OF DIRECTORS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND TO EXECUTIVE OFFICERS WHO ARE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. FOLLOWING THE DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE LEAVES THE MEETING WHILE THE BOARD OR COMMITTEE INDEPENDENTLY DISCUSSES AND VOTES ON THE MATTER BEFORE IT. IN THE EVENT THAT A CONFLICT IS IDENTIFIED, THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER CAREOREGON CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE, THE BOARD OR COMMITTEE SHALL DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED DIRECTORS OR COMMITTEE MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN CAREOREGON'S BEST INTEREST. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS ABOUT THE TRANSACTION. PART VI, LINE 15 COMPENSATION MARKET DATA FOR EXECUTIVE POSITIONS (CEO, COO/CFO, AND CMO) IS PROVIDED ANNUALLY BY AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT USING COMPARABLE ORGANIZATIONS BY INDUSTRY, PROFIT/NON-PROFIT STATUS AND REVENUE SIZE. THE COMPENSATION COMMITTEE, CONSISTING OF A MAJORITY OF INDEPENDENT BOARD MEMBERS, REVIEWS MARKET DATA, EVALUATES CEO PERFORMANCE AND REVIEWS CEO RECOMMENDATIONS FOR COMPENSATION FOR OTHER EXECUTIVE OFFICERS. THE COMMITTEE PRESENTS ITS RECOMMENDATIONS FOR CEO TO THE BOARD. DECISIONS ARE MADE IN A BOARD MEETING AND DOCUMENTED IN THE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN 2010. THE PROCESS OF DETERMINING THE COMPENSATION OF TOP MANAGEMENT OFFICIALS AND KEY OFFICERS INCLUDES A REVIEW OF AN INDEPENDENT CONSULTANT'S REPORT OF COMPARABLE SALARIES OF SIMILAR ORGANIZATIONS AND IS GUIDED BY WRITTEN COMPENSATION PRACTICES. WITH THE CEO AND CFO ABSENT FROM THE MEETINGS, EACH YEAR THE BOARD APPROVES THE SALARY OF THE CEO. THE DECISIONS ARE DOCUMENTED IN THE MINUTES OF THE MEETING. THE BOARD APPROVES THE COMPENSATION OF ALL OTHER EMPLOYEES AS PART OF THE BUDGET APPROVAL PROCESS DURING A BOARD MEETING. PART VI, LINE 18 AND 19 THE TAX RETURN INFORMATION IS AVAILABLE UPON REQUEST. WHILE NO REQUIREMENT TO MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXISTS, CAREOREGON WILL CONSIDER ALL REQUESTS FOR THESE DOCUMENTS ON A CASE BY CASE BASIS. PART XI, LINE 5 UNREALIZED LOSSES: -1,044,683 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Colleen A Cain TITLE:Board Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Susan M Clack MD TITLE:Board Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Christopher J Krenk TITLE:Chairman HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Lynnwood R Lundquist TITLE:Board Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:J Bart McMullan Jr MD TITLE:Board Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gilles M Munoz TITLE:Vice Chairman HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Vickie S Gates TITLE:Board Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David E Ford TITLE:CEO President & Board Director HOURS:7 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Beth deHamel TITLE:Board Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Nathalie Johnson TITLE:Board Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mylia Christensen TITLE:Board Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robert Stewart TITLE:Board Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Carolyn J Rankin TITLE:CFO, COO, Board Sec. & Treas. HOURS:7 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Margaret S Rowland MD TITLE:Chief Medical Officer HOURS:7 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David Labby MD TITLE:Direc. of Clin. Learn. & Supp. HOURS:7 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Pamela A Mariea-Nason TITLE:Public Policy Director HOURS:9 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Patrick J Curran TITLE:Medicare Program Director HOURS:17 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:James Schroeder TITLE:Healthcare Systems Director HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Jameson W Keller TITLE:Senior Sales Manager HOURS:37 CARE ACCESS LLC 315 SW FIFTH AVE SUITE 900 PORTLAND OR 97204 270630449 Medical Bldg OR -529 3209544 NA CareOregon Community Health LLC 315 SW Fifth Ave Suite 900 Portland OR 97204 272429270 Med Clinic OR 368780 782074 NA HEALTH PLAN OF CAREOREGON INC 315 SW FIFTH AVENUE SUITE 900 PORTLAND OR 97204 202161234 Medicare OR NA C CORP 1955790 41700441 1.00000 false false false false false false false false false false true false true false false true false false HEALTH PLAN OF CAREOREGON INC k 5890814 Health plan of CareOregon Inc m 2176891 Health plan of CareOregon Inc p 165193