Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CAREOREGON INC
Employer identification number
93-0933975
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
0
0
50,000
362,543
1,526,389
1,938,932
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
384,692,255
464,742,418
568,153,396
584,644,518
558,281,700
2,560,514,287
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
384,692,255
464,742,418
568,203,396
585,007,061
559,808,089
2,562,453,219
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
2,562,453,219
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
384,692,255
464,742,418
568,203,396
585,007,061
559,808,089
2,562,453,219
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
4,104,341
3,681,803
4,069,125
4,221,135
4,037,837
20,114,241
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
4,104,341
3,681,803
4,069,125
4,221,135
4,037,837
20,114,241
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
9,153
8,676
5,740
0
23,569
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
0
13
Total support. (Add lines 9, 10c, 11, and 12.)..
388,805,749
468,432,897
572,278,261
589,228,196
563,845,926
2,582,591,029
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
99.220 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
99.130 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0.779 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.870 %
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CAREOREGON INC
Employer identification number
93-0933975
Return Reference
Explanation
SUPPLEMENTAL INFORMATION TO 2013 FORM 990 FOR CAREOREGON, INC.
PART I, LINE 1 TAX-EXEMPT PURPOSE AND MISSION OF CAREOREGON CAREOREGON IS A NON-PROFIT HEALTH SERVICES ORGANIZATION PROVIDING HEALTH PLAN SERVICES, EDUCATION AND COMMUNITY BUILDING SUPPORT TO PARTNER HEALTH PLANS AND THEIR MEMBERS. WE ARE COMMITTED TO CULTIVATING INDIVIDUAL WELL-BEING AND COMMUNITY HEALTH REGARDLESS OF INCOME OR SOCIAL CIRCUMSTANCES, WITH A FOCUS NOT JUST ON HEALTH CARE, BUT ON TOTAL HEALTH THROUGH SHARED LEARNING AND INNOVATION. TEAMING WITH HEALTH PLAN MEMBERS, THEIR FAMILIES AND COMMUNITIES, CAREOREGON HELPS INDIVIDUALS LIVE BETTER LIVES, PREVENT ILLNESSES AND RESPOND QUICKLY AND EFFECTIVELY TO HEALTH ISSUES. 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, MEDICARE OR BOTH. WE SUPPORT AND ACTIVELY WORK WITH PROVIDERS AND MEDICAID COORDINATED CARE ORGANIZATIONS TO IMPLEMENT QUALITY IMPROVEMENT EFFORTS AND PRIMARY CARE REDESIGN. WE CONTRACT WITH PUBLIC AND PRIVATE PROVIDERS AND WORK WITH THE LEGISLATURE AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE THE HEALTH OF OREGONIANS. PART I, LINE 8-22 SUMMARY - REVENUE AND EXPENSES CAREOREGON EXPERIENCED AN APPROXIMATE $25 MILLION DECREASE IN TOTAL REVENUE AND AN APPROXIMATE $28 MILLION DECREASE IN EXPENSES IN 2013 COMPARED TO 2012. THE DECREASE IN REVENUE WAS PRIMARILY DUE TO A $30 MILLION DECREASE IN PREMIUM REVENUE AS 14,000 OF CAREOREGON'S MEMBERS IN THE YAMHILL COUNTY WERE TRANSFERRED TO A NEW INDEPENDENT COORIDNATED CARE ORGANIZATION (CCO) IN NOVEMBER 2012. THE DECREASE IN EXPENSES WAS MAINLY RELATED TO A DECREASE IN CHARTIABLE CONTRIBUTIONS IN 2013 COMPARED TO 2012 WHEN CAREOREGON CONTRIBUTED ABOUT $22 MILLION TO ASSIST THE START-UP OF FIVE CCOS. THE LOSS OF OUR YAMHILL MEMBERS ALSO RESULTED IN A DECREASE IN MEDICAL CLAIM EXPENSES. PART III, LINE 2 NEW PROGRAM SERVICES IN 2013, CAREOREGON CONTINUED TO SUPPORT THREE SUBSIDIARY CCOS AND TWO OTHER INDEPENDENT CCOS. WE ALSO TOOK ON THE ADMINISTRATION OF MENTAL HEALTH BENEFITS, WHICH PROVIDES MENTAL HEALTH SERVICES FOR 5,300 MEMBERS THROUGHOUT OREGON. IN MARCH 2013, CAREOREGON FORMED LHW, LLC, A SOLELY OWNED SUDSIDARY, WHICH PURCHASED CERTAIN ASSETS OF LEAN LEGACY, LLC FOR $2 MILLION. LHW, LLC, OPERATING AS LEAN HEALTHCARE WEST, OFFERS TRAINING IN LEAN BUSINESS PRACTICES TO THE HEATLH CARE INDUSTRY, SUPPORTING THE MISSION WORK OF CAREOREGON TO BRING BEST PRACTICES IN BUSINESS TO HEALTHCARE SETTINGS. IN ADDITION, TO FULFILL CAREOREGON'S MISSION OF CULTIVATING INDIVIDUAL WELL-BEING AND COMMUNITY HEALTH THROUGH SHARED LEARNING AND INNOVATION, CAREOREGON FORMED VARIOUS PILOT PROJECTS DURING 2013. THREE MAJOR PILOT PROJECTS ARE FOOD RX, GIVE2GET, AND M.E.D.S. (MY EASY DRUG SYSTEM): 1) UNDER THE FOOD RX PROGRAM, CAREOREGON PARTNERS WITH CLINICS AND LOCAL FOOD PURVEYORS TO PROVIDE UNDERSERVED OREGONIANS WITH ACCESS TO FRESH HEALTHY FOOD. THE GOAL OF THE PROGRAM IS TO ACHIEVE LONG-TERM BEHAVIOR CHANGE BY PROVIDING SHORT-TERM ACCESS TO HEALTHY FOOD, EDUCATION AND WELLNESS CLASSES, AND ACCESS TO OTHER SOCIAL RESOURCES; 2)GIVE2GET IS A PEER-TO-PEER NETWORKING PROGRAM THAT SEEKS TO IMPROVE MEMBER HEALTH BY SOLVING THE PROBLEM OF SOCIAL ISOLATION. MEMBERS ARE CONNECTED TO MEMBERS TO PROVIDE SERVICES TO EACH OTHER. IT GIVES HELP WHILE BUILDING A LARGER SENSE OF COMMUNITY; 3) M.E.D.S. IS A PROGRAM THAT HELPS MEMBERS UNDERSTAND THEIR MEDICATIONS, SO THEY CAN ORGANIZE AND TAKE THE MEDICATIONS CORRECTLY AT HOME. IT FACILITATES MEMBERS' CONVERSATIONS WITH DOCTORS AND PHARMACISTS ABOUT UNMET MEDICATION NEEDS. PART III, LINE 3 SIGNIFICANT CHANGES IN MARCH 2013, CAREOREGON FORMED LHW, LLC, A SOLELY OWNED SUDSIDARY, WHICH OFFERS NEW PROGRAM SERVICES IN LEAN BUSINESS PRACTICES TO THE HEATLH CARE INDUSTRY, SUPPORTING THE MISSION WORK OF CAREOREGON TO BRING BEST PRACTICES IN BUSINESS TO HEALTHCARE SETTINGS. PART III, LINE 4 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS A. OHP PROGRAM THROUGH THE CCOS, CAREOREGON PROVIDES HEALTH CARE SERVICES TO ITS MEMBERS BY CONTRACTING WITH NETWORKS OF COMMUNITY AND PRIVATE MEDICAL PROVIDERS THROUGHOUT THE STATE OF OREGON. THESE SERVICES RESULT IN BETTER ACCESS TO QUALITY HEALTH CARE, LOWER COSTS AND IMPROVED CARE FOR OUR MEMBERS AND FOR THE COMMUNITIES WE SERVE. B. MEDICARE PLAN ON BEHALF OF HEALTH PLAN OF CAREOREGON, A C-CORPORATION RELATED TO CAREOREGON, CAREOREGON ADMINISTERS CAREOREGON ADVANTAGE PLUS HMO-POS SNP (HEALTH MAINTENANCE ORGANIZATION-POINT OF SERVICE MEDICARE SPECIAL NEEDS PLAN). HMO-POS SNP PROVIDES CONTINUITY OF COVERAGE FOR MEMBERS WHO ARE DUALLY ELIGIBLE FOR MEDICARE AND MEDICAID. THE CONTINUITY BENEFITS BOTH PATIENTS AND PROVIDERS BY ENSURING A COORDINATED AND CONVENIENT MEANS OF RECEIVING AND DELIVERING QUALITY CARE. WE ALSO ADMINISTER CAREOREGON ADVANTAGE STAR HMO-POS, A LOW COST MEDICARE ADVANTAGE PLAN. THE EXPENSES INCURRED BY HEALTH PLAN OF CAREOREGON TO OPERATE THE PLAN TOTAL $114,566,187 WITH RELATED REVENUES OF $115,517,107. C. CHARITABLE CONTRIBUTIONS WITH CAREOREGON'S CONTINUOUS GOAL OF INVESTING IN THE COMMUNITY, WE CONTRIBUTED APPROXIMATELY $5.3 MILLION IN 2013 TO OTHER CHARTIABLE ORGANIZATIONS THAT STRIVE TO IMPROVE HEATLH CARE IN OREGON. INCLUDED IN THE $5.3 MILLION CONTRIBUTION WAS AN APPROXIMATE CONTRIBUTION OF $4.2 MILLION TO AN INDEPENDENT 501(C)(3) ORGANIZATION, NEIGHBORHOOD HEALTH CENTER (NHC). NHC RUNS FQHC CLINICS AND DENTAL SERVICES TO INCREASE COMMUNITY ACCESS TO COMPREHENSIVE AND PREVENTIVE HEALTH CARE SERVICES AND TO IMPROVE HEALTH CARE STATUS OF VULNERABLE AND UNDERSERVED POPULATIONS. D. OTHER PROGRAM SERVICES THE CCOS WE SUPPORT PROVIDE ACCESS FOR APPROXIMATELY 160,000 LOW-INCOME OREGONIANS. OUR WORK INVOLVES COORDINATING QUALITY HEALTH CARE FOR MEMBERS AND CONTRACTING WITH PUBLIC AND PRIVATE PROVIDERS TO PROVIDE HEALTH CARE SERVICES. WE PROVIDE CUSTOMER SERVICE FUNCTIONS FOR THESE CCOS, ASSIST WITH HEALTH IMPROVEMENT PLANS FOR THE VARIOUS COMMUNITIES AND PROVIDE TECHNICAL SUPPORT FOR INFORMATION SERVICES, COMMUNICATIONS, PROCESS IMPROVEMENT AND OTHER FUNCTIONS. THESE SERVICES RESULT IN BETTER ACCESS TO QUALITY HEALTH CARE, LOWER COSTS AND IMPROVED CARE FOR OUR MEMBERS AND FOR THE COMMUNITIES WE SERVE. IN 2013 WE CONTINUED TO PROVIDE COMMUNITY OUTREACH, SUPPORT AND CARE COORDINATION SERVICES TO HIGH-RISK MEMBERS IN MULTNOMAH, WASHINGTON AND CLACKAMAS COUNTIES UNDER A CENTER FOR MEDICARE AND MEDICAID INNOVATIONS (CMMI) GRANT. THE CMMI GRANT IS A THREE-YEAR AWARD AIMED AT DEVELOPING NEW INTEGRATED MODELS OF CARE TO IMPROVE HEALTH OUTCOMES AND REDUCE COSTS FOR THE ADULT MEDICAID POPULATION. APPROXIMATELY 75 FTE (FULL-TIME EQUIVALENT), MOST OF WHOM ARE NON-TRADITIONAL HEALTH CARE PROFESSIONALS, HAVE BEEN DEPLOYED TO SERVE THIS POPULATION IN OUR COMMUNITY. ADDITIONALLY, THESE NEW CARE MODELS HAVE MADE A SIGNIFICANT DIFFERENCE IN THE LIVES OF OVER 4,700 INDIVIDUALS. WE ENCOURAGE CLINICS TO PROVIDE THE BEST PRIMARY CARE POSSIBLE THROUGH OUR VARIOUS IMPROVEMENT AND INCENTIVE-PAYMENT PROGRAMS TO BUILD SYSTEMS AND PROCESSES FOR 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, AND COORDINATED CARE. OUR MODEL IS ONE OF LEARNING FOR THE MEMBER; ACTING FOR THE POPULATION. WE PARTICIPATE ACTIVELY IN THE INSTITUTE OF HEALTHCARE IMPROVEMENT'S "TRIPLE AIM," A NATIONAL PROGRAM THAT LOOKS AT MAXIMIZING RESULTS IN THREE AREAS INCLUDING OUTCOME EXCELLENCE, PATIENT SATISFACTION AND COST EFFECTIVENESS. WE CONTINUED TO WORK WITH CLINICS TO IMPROVE THEIR PATIENT-CENTERED MEDICAL HOMES. IN 2013, APPROXIMATELY 76 PERCENT OF OUR MEMBERS BENEFITTED FROM THIS ENHANCED CARE. BASED ON THAT EXPERIENCE, CAREOREGON EXPANDED THE COLLABORATIVE TO A NEW GROUP OF CLINICS (PATIENT AND POPULATION CENTERED PRIMARY CARE) IN MORE RURAL SETTINGS, TO HELP THEM TRANSFORM THEIR PROCESSES, DATA SYSTEMS, AND WORKFORCE TO IMPROVE PATIENT EXPERIENCE AND OUTCOMES. CAREOREGON IS THE NORTH AMERICAN PROVIDER OF NATIONAL HEALTH SERVICE PROGRAMS, SUCH AS RELEASING TIME TO CARE (RT2C). THE PROGRAMS ENGAGE HOSPITALS IN IMPROVEMENT PROCESSES ONE UNIT AT A TIME AND LED BY THE NURSING STAFF. IT USES LEAN TECHNIQUES TO HELP NURSES: ELIMINATE INTERRUPTIONS, ELIMINATE WASTE IN PROCESSES AND BETTER ORGANIZE THEIR ENVIRONMENT. THIS TIME IS THEN REFOCUSED ON PATIENT-CENTERED ACTIVITIES IN ORDER FOR NURSES TO DELIVER BETTER, SAFER AND MORE RELIABLE CARE LEADING TO AN IMPROVED CARE EXPERIENCE. THE RT2C PROGRAM IS NOW INFLUENCING PROCESS IMPROVEMENT THROUGHOUT THE HOSPITALS INVOLVED. CAREOREGON IS ALSO USING THE SAME LEAN TECHNIQUES TO OFFER A SIMILAR PROGRAM CALLED, THE PRODUCTIVE OPERATING THEATRE PROGRAM (TPOT). TPOT USES THE SAME LEAN TECHNIQUES AND THE INITIAL EFFO
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.