Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 287,784 | 254,954 | 340,367 | 706,598 | 2,147,972 | 3,737,675 |
| 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 | 1,106,930,891 | 1,212,569,748 | 1,708,753,304 | 1,882,708,333 | 2,138,045,963 | 8,049,008,239 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 1,107,218,675 | 1,212,824,702 | 1,709,093,671 | 1,883,414,931 | 2,140,193,935 | 8,052,745,914 |
| 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.) | 8,052,745,914 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 1,107,218,675 | 1,212,824,702 | 1,709,093,671 | 1,883,414,931 | 2,140,193,935 | 8,052,745,914 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 7,203,622 | 8,718,426 | 9,496,862 | 13,594,382 | 22,412,544 | 61,425,836 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 7,203,622 | 8,718,426 | 9,496,862 | 13,594,382 | 22,412,544 | 61,425,836 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | 865,461 | 246,730 | -2,281 | -402 | -3,726 | 1,105,782 |
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 1,115,287,758 | 1,221,789,858 | 1,718,588,252 | 1,897,008,911 | 2,162,602,753 | 8,115,277,532 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 1 | CAREOREGON, INC. (CAREOREGON) IS A NONPROFIT HEALTH PLAN ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES. CAREOREGON'S MISSION IS TO INSPIRE AND PARTNER TO CREATE QUALITY AND EQUITY IN INDIVIDUAL AND COMMUNITY HEALTH. OUR VISION IS HEALTHY COMMUNITIES FOR ALL INDIVIDUALS, REGARDLESS OF INCOME OR SOCIAL FACTORS. CAREOREGON CONTRACTS WITH SEVERAL COORDINATED CARE ORGANIZATIONS (CCOS) AND WITH THE OREGON HEALTH AUTHORITY (OHA) TO MANAGE CARE AND PROVIDE HEALTH CARE SERVICES TO MEDICAID ENROLLEES. CAREOREGON PROVIDES MANAGED CARE SERVICES TO APPROXIMATELY 527,000 OREGON HEALTH PLAN (MEDICAID) MEMBERS THROUGH ITS PARTNERSHIPS WITH THREE COORDINATED CARE ORGANIZATIONS, AND TO APPROXIMATELY 16,000 MEDICARE MEMBERS. OUR MEMBERS ARE LOCATED IN THE PORTLAND METROPOLITAN AREA, SOUTHERN OREGON, AND THE NORTHERN OREGON COASTAL COUNTIES. BY LISTENING TO OUR MEMBERS AND EXPLORING INNOVATIVE SOLUTIONS WITH OUR PROVIDERS AND COMMUNITIES, WE HELP OREGONIANS PREVENT ILLNESS AND LIVE BETTER LIVES. EVERY DAY, WE STRENGTHEN OUR COMMUNITIES BY MAKING HEALTH CARE WORK FOR EVERYONE. WE HELP HUNDREDS OF THOUSANDS OF OREGONIANS GET THE CARE THEY DESERVE. WE BELIEVE GOOD HEALTH IS MORE THAN HEALTH CARE. THAT'S WHY WE INVEST IN PROGRAMS THAT HELP PEOPLE GET HOUSING, HEALTHY FOOD, JOB TRAINING AND MORE. OUR MEMBERS' LIVES TOUCH COUNTLESS OTHER LIVES. WHEN THEY ARE STRONGER, WE ARE ALL STRONGER. THAT'S THE CAREOREGON EFFECT. ON DECEMBER 14, 2022, CAREOREGON AND CALIFORNIA-BASED SCAN GROUP ANNOUNCED THAT THEY HAVE ENTERED INTO A DEFINITIVE AGREEMENT TO COMBINE AS A MISSION-DRIVEN NOT-FOR-PROFIT HEALTHCARE ORGANIZATION UNDER THE NAME HEALTHRIGHT GROUP, SUBJECT TO APPROVALS FROM THEIR REGULATORS. HEALTHRIGHT GROUP WILL BRING TOGETHER THE EXPERTISE AND RESOURCES OF TWO ORGANIZATIONS TO IMPROVE ACCESS FOR PEOPLE TRADITIONALLY UNDERSERVED BY THE U.S. HEALTHCARE SYSTEM. |
| FORM 990, PART III, LINE 2 | HEALTHIER OREGON PROGRAM (HOP) IS A PATHWAY TO FULL OREGON HEALTH PLAN (OHP) BENEFITS AND OTHER MEDICAL ASSISTANCE BENEFITS, REGARDLESS OF IMMIGRATION STATUS. EFFECTIVE JULY 1, 2022, IMMIGRATION STATUS NO LONGER DETERMINES IF SOMEONE CAN QUALIFY FOR FULL OHP BENEFITS AND ANYONE MEETING INCOME AND OTHER OHP ELIGIBILITY REQUIREMENTS CAN ENROLL IN HOP. CAREOREGON PROVIDES MANAGED CARE SERVICES TO APPROXIMATELY 6,000 HOP MEMBERS THROUGH ITS PARTNERSHIPS WITH THREE COORDINATED CARE ORGANIZATIONS. IN APRIL 2022, CAREOREGON AND NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INCORPORATED (NARA) ENTERED INTO A CONTRACT WHEREBY CAREOREGON PROVIDES CASE MANAGEMENT AND COORDINATION SERVICES FOR MEMBERS COVERED UNDER NARA'S AGREEMENT WITH OHA. THIS PARTNERSHIP DISTINGUISHES NARA, CAREOREGON AND OREGON TRIBES AS EARLY ADOPTERS OF A NEW NATIONAL MODEL. OREGON BECAME ONE OF THE FIRST TWO STATES TO FORGE AN AGREEMENT BETWEEN A MEDICAID AGENCY AND THE STATE'S TRIBAL ENTITIES TO EVALUATE THE POTENTIAL FOR DEVELOPING THIS NEW MODEL. 900 S HOLLADAY DR, LLC WAS FORMED IN SEPTEMBER 2022 FOR THE PURPOSE OF ACQUIRING A PROPERTY IN SEASIDE, OREGON. THE PROPERTY WILL BE CONVERTED INTO SUPPORTIVE HOUSING FOR THE REGION'S HEALTHCARE WORKFORCE AND OHP MEMBERS WITH BEHAVIORAL HEALTH NEEDS. COLUMBIA PACIFIC WILL OPERATE THE HOUSING WITH ITS LOCAL COMMUNITY BASED PARTNERS. |
| PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENT | OREGON HEALTH PLAN (MEDICAID) PROGRAM THROUGH THE CCOS, CAREOREGON PROVIDES HEALTH CARE SERVICES TO OVER 500,000 MEDICAID 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. WE WORKED STRATEGICALLY WITH OUR BOARD OF DIRECTORS, PROVIDER NETWORK AND COMMUNITY BENEFIT ORGANIZATIONS AND DEMONSTRATED OUR COMMITMENT TO MINIMIZE HEALTH DISPARITIES FOR OUR MEMBERS OF COLOR, THOSE MOST HARMED BY SYSTEMATIC AND STRUCTURAL OPPRESSION IN THE COMMUNITY WE SERVE. OUR COMMITMENT WAS DEMONSTRATED BY US PLAYING A VITAL ROLE IN SOCIAL DETERMINANTS OF HEALTH SPENDING IN OUR OPERATING TERRITORY. WE CONTINUE TO FOCUS ON OUR MEMBERS' ACCESS TO ESSENTIAL SERVICES SUCH AS HOUSING, EDUCATION AND HEALTHY FOOD, AND CARE INTEGRATION BY ENSURING OUR MEMBERS HAVE ACCESS TO CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE THAT IS COORDINATED ACROSS PRIMARY, SPECIALTY, BEHAVIORAL AND ORAL HEALTH. IN ADDITION TO TRADITIONAL HEALTH CARE SPENDING, CAREOREGON AND ITS SUBSIDIARY CCOS INVESTED APPROXIMATELY $28.6 MILLION IN HEALTH-RELATED SERVICES SPENDING FOR THE YEAR ENDED DECEMBER 31, 2022. HEALTH-RELATED SERVICES ARE NON-COVERED SERVICES THAT ARE OFFERED AS A SUPPLEMENT TO COVERED BENEFITS TO IMPROVE CARE DELIVERY AND OVERALL MEMBER AND COMMUNITY HEALTH AND WELL-BEING. EXAMPLES OF HEALTH-RELATED SERVICES INCLUDE BUT NOT LIMITED TO HOUSING IMPROVEMENTS AND SERVICES OR SUPPORTS, HEALTHY FOOD, EDUCATION, EMPLOYMENT AND LEGAL SUPPORT AND TRANSPORTATION. CAREOREGON'S BEHAVIORAL HEALTH TEAM HAS BEEN ENGAGING WITH OREGON'S ALLIANCE FOR CULTURALLY SPECIFIC BEHAVIORAL HEALTH PROVIDERS WITH THE AIM OF DEVELOPING ALTERNATIVE PAYMENT METHODOLOGIES (APM) THAT TRULY REFLECTED THE TIME SPENT WITH MEMBERS TO ADDRESS THEIR WELLBEING. THIS COLLABORATION RESULTED IN EXPANDED PAYMENTS FOR CULTURALLY SPECIFIC PROVIDERS THAT LEVERAGES BOTH TRADITIONAL PAYMENT MODELS BY INCREASING RATES AND HEALTH RELATED SERVICE DOLLARS TO COMPENSATE PROVIDERS FOR TIME INVESTED IN OUTREACH AND ENGAGEMENT ACTIVITIES. THESE CHANGES WILL RESULT IN AN INCREASE OF UP TO 20% IN PAYMENT TO CULTURALLY SPECIFIC PROVIDERS. CAREOREGON, LIFEWORKS NW AND OREGON HEALTH & SCIENCE UNIVERSITY (OHSU) ARE TEAMING UP TO HELP CLOSE THE GAPS IN ACCESS TO PSYCHIATRIC SERVICES AVAILABLE TO YOUTH ON THE OREGON HEALTH PLAN AND TRAIN THE NEXT GENERATION OF PROVIDERS. KNOWN AS THE BRIDGE CLINIC, THIS FACILITY OFFERS BRIEF OUTPATIENT PSYCHIATRIC SERVICES, INCLUDING MEDICATION MANAGEMENT, FOR YOUTH WAITING TO RECEIVE ONGOING OUTPATIENT BEHAVIORAL HEALTH SUPPORT. THE BRIDGE CLINIC IS DESIGNED TO SERVE YOUTH WHO ARE TRANSITIONING OUT OF THE HOSPITAL OR A HIGHER LEVEL OF CARE SETTING, SUCH AS RESIDENTIAL SERVICES, BACK INTO THE COMMUNITY. ON AUGUST 31, 2022, INTERNATIONAL OVERDOSE AWARENESS AND PREVENTION DAY, CAREOREGON ANNOUNCED A NEW PARTNERSHIP WITH MULTNOMAH, WASHINGTON AND CLACKAMAS COUNTIES TO URGENTLY DELIVER THOUSANDS OF DOSES OF THE OVERDOSE REVERSAL DRUG NALOXONE AND OTHER HARM REDUCTION SUPPLIES TO COMMUNITY SETTINGS. WITH A $3 MILLION INVESTMENT FROM CAREOREGON, THE PARTNERS AIM TO DISTRIBUTE 20,000 DOSES OF NASAL NALOXONE AND 20,000 OF HARM REDUCTION KITS. PORTLAND-BASED NON-PROFIT, TRUE COLORS, LAUNCHED THE FIRST LBGTQIA2S+ RECOVERY COMMUNITY ORGANIZATION IN THE STATE OF OREGON. LOCATED IN NORTHEAST PORTLAND, THIS CENTER WILL PROVIDE GENDER-AFFIRMING RECOVERY SUPPORT SERVICES TO LGBTQIA2S+ ADULTS (AGE 18+). FUNDS FOR THE FIRST TWO YEARS OF OPERATIONS WERE PROVIDED BY CAREOREGON. THE GRANT IS HELPING COVER STAFFING, OPERATION, AND FACILITY RELATED COSTS. WITH SUBSTANCE USE DISORDERS ON THE RISE AND DRUG OVERDOSE DEATHS IN OREGON NEARLY DOUBLING IN RECENT YEARS, WE ARE SEEING AN INCREASED NEED IN OVERDOSE TREATMENT AND PREVENTION. CAREOREGON HAS PROVIDED OHSU WITH A $700,000 GRANT TO HIRE A NEW HARM REDUCTION NURSE AS WELL AS FUND HARM REDUCTION SUPPLIES FOR THE NEXT TWO YEARS IN AN EFFORT TO REDUCE THE RISING RATES OF OVERDOSES IN THE REGION. IN PARTNERSHIP WITH MULTNOMAH COUNTY'S HEALTHY BIRTH INITIATIVE, CAREOREGON LAUNCHED A POSTPARTUM MEAL DELIVERY PILOT PROGRAM TO ADDRESS FOOD INSECURITY AND IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES IN BLACK/AFRICAN AMERICAN FAMILIES. THE PROGRAM PROVIDES PREPARED, NUTRITIOUS MEALS TO PREGNANT MEMBERS AND THEIR FAMILIES FOR SIX WEEKS AROUND THE BIRTH OF A CHILD ALLEVIATING A KEY STRESSOR FOR NEW PARENTS. |
| PART III, LINE 4B PROGRAM SERVICE ACCOMPLISHMENT | MEDICARE PLAN ON BEHALF OF HEALTH PLAN OF CAREOREGON, CAREOREGON ADMINISTERS CAREOREGON ADVANTAGE(COA)PLUS, A MEDICARE SPECIAL NEEDS PLAN (SNP). COA PLUS 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. OUR MEDICARE PLANS SERVED APPROXIMATELY 16,000 MEMBERS IN 2022. IN THE THIRD YEAR OF THE PANDEMIC, WE CONTINUED TO IMPROVE OUR MEMBER BENEFIT OFFERINGS. CAREOREGON ADVANTAGE DENTAL FLEX CARD WAS INTRODUCED AS A NEW SUPPLEMENTAL BENEFIT TO OUR MEMBERS. COMPREHENSIVE AND PREVENTIVE DENTAL SERVICES ARE COVERED UP TO THE $1,500 ANNUAL MAXIMUM ALLOWANCE. REWARDS FOR COMPLETING HEALTH ACTIVITIES UP TO $455 PER MEMBER PER YEAR WERE ALSO OFFERED TO ENCOURAGE AND INCENTIVIZE HEALTH HABITS AMONG OUR MEMBERS. |
| PART III, LINE 4C PROGRAM SERVICE ACCOMPLISHMENT | COMMUNITY REINVESTMENT WITH CAREOREGON'S GOAL OF CONTINUOUSLY INVESTING IN THE COMMUNITIES WE SERVE, WE MADE IMPACTFUL COMMUNITY REINVESTMENTS TO OTHER NONPROFIT CHARITABLE ORGANIZATIONS THAT STRIVE TO IMPROVE HEALTH CARE IN OREGON AND TO IMPROVE THE HEALTH CARE STATUS OF VULNERABLE AND UNDERSERVED POPULATIONS. IN 2022, WE AWARDED AN UNPRECEDENTED $14.7 MILLION TO COMMUNITY-BASED ORGANIZATIONS, INCLUDING OUR PROVIDER NETWORKS. CAREOREGON RECOGNIZES THAT A HOST OF FACTORS KNOWN AS SOCIAL DETERMINANTS OF HEALTH AFFECTS WELL-BEING. OUR GRANT-MAKING INCLUDES AN EYE FOR PARTNERSHIPS THAT POSITIVELY IMPACT THESE INFLUENCES. CAREOREGON AWARDED WASHINGTON COUNTY WITH A $5 MILLION CONTRIBUTION TO HELP CLOSE THE GAP IN FUNDING FOR THE COUNTY'S CAPITAL CONSTRUCTION FOR ITS CENTER FOR ADDICTIONS TREATMENT AND TRIAGE (CATT). CATT WILL FILL CRITICAL GAPS IN OUR REGION'S SUBSTANCE USE TREATMENT SERVICES SYSTEM. ONCE BUILT, WE ESTIMATE THAT APPROXIMATELY 70% OF CATT USERS WILL BE CAREOREGON MEMBERS, MEANING THAT WE WILL HAVE A LONG-TERM FUNDING RELATIONSHIP WITH THEIR SELECTED SUBSTANCE USE DISORDER PROVIDER CODA. OVER THE PAST SEVERAL YEARS OUR REGION HAS SEEN A RISE IN NUTRITION-RELATED CHRONIC ILLNESSES LIKE OBESITY, HIGH BLOOD PRESSURE AND DIABETES AMONG LATINX POPULATIONS. WASHINGTON COUNTY CURRENTLY HAS THE LARGEST LATINX POPULATION IN OREGON, MANY OF WHOM LACK ACCESS TO HEALTHY FOODS AND CULTURALLY SPECIFIC SERVICES. IN RESPONSE, ADELANTE MUJERES, IN PARTNERSHIP WITH CAREOREGON AND VIRGINIA GARCIA MEMORIAL HEALTH CENTER, HAVE DEVELOPED A SUCCESSFUL PROGRAM TO HELP MORE LATINX FAMILIES ACCESS FRESH, LOCALLY GROWN PRODUCE AND INCREASE HEALTHY EATING HABITS. FOR THE FIRST TIME IN THREE YEARS, THE COMMUNITY CELEBRATED WITH A SEASON OF ROSE FESTIVAL PARADES. AS THE HEADLINE SPONSOR OF THE CAREOREGON STARLIGHT PARADE, WE SHOWCASED A FLOAT CELEBRATING AND HONORING THE FRONTLINE WORKERS IN OUR COMMUNITY WHO HELPED US NAVIGATE THE PANDEMIC. THE BUILDING WAS LEASED TO MULTNOMAH COUNTY HEALTH DEPARTMENT (MCHD) UNDER A LEASE AGREEMENT THAT EXPIRED ON AUGUST 1, 2022. UPON EXPIRATION OF THE LEASE, WE AGREED TO TRANSFER THE OWNERSHIP OF THE BUILDING TO MCHD IN EXCHANGE FOR A CONSIDERATION OF $1 MILLION. BECAUSE THE CARRYING VALUE OF THE BUILDING WAS IN EXCESS OF THE CONSIDERATION FOR THE BUILDING AND THE TRANSFER WAS MADE WITH A CHARITABLE INTENT, AN IN-KIND CONTRIBUTION WAS RECOGNIZED FOR THE DIFFERENCE. THE SUPPORTING HEALTH FOR ALL THROUGH REINVESTMENT, OR SHARE INITIATIVE, WAS DEVELOPED BY OHA TO IMPLEMENT THE LEGISLATIVE REQUIREMENT FOR CCOS TO REINVEST SOME OF THEIR SURPLUS BACK INTO THEIR COMMUNITIES. AFTER MEETING MINIMUM FINANCIAL STANDARDS, CCOS DESIGNATES AND SPEND A PORTION OF THEIR SURPLUS OR RESERVES ON SERVICES TO ADDRESS HEALTH INEQUITIES AND THE SOCIAL DETERMINANTS OF HEALTH AND EQUITY (SDOH-E). DURING THE YEAR ENDED DECEMBER 31, 2022, CAREOREGON AND ITS WHOLLY OWNED CCOS DESIGNATED $31.1 MILLION TO THE SHARE INITIATIVE. THIS AMOUNT WILL BE SPENT ON QUALIFYING SDOH-E COMMUNITY REINVESTMENTS IN THE NEXT THREE YEARS AFTER THE SHARE SPENDING PLAN IS ACCEPTED BY OHA. |
| PART IV, LINE 12/12A CONSOLIDATED FINANCIAL STATEMENTS | FOR THE YEAR ENDED DECEMBER 31, 2022, AN AUDIT WAS PERFORMED ON THE CONSOLIDATED ENTITY WHICH INCLUDES CAREOREGON, INC., HEALTH PLAN OF CAREOREGON, INC., CARE ACCESS LLC, COLUMBIA PACIFIC CCO, LLC, JACKSON COUNTY CCO, LLC, HOUSECALL PROVIDERS SERVICES LLC, AND HOUSECALL PROVIDERS, PC. IN ADDITION, STATUTORY AUDITS WERE PERFORMED ON HEALTH PLAN OF CAREOREGON, INC., COLUMBIA PACIFIC CCO, LLC AND JACKSON COUNTY CCO, LLC ON A STANDALONE BASIS FOR THE PUROSE OF REGULATORY FILING FOR THE YEAR ENDED DECEMBER 31, 2022. |
| FORM 990, PART VI, SECTION A, LINE 2 | AMIT SHAH, MD IS A CHIEF MEDICAL OFFICER OF CAREOREGON AND SERVES AS A MEMBER OF BOARD OF DIRECTORS OF HOUSECALL PROVIDERS, PC. SHAH HOLDS 51% OWNERSHIP AND CAREOREGON HOLDS 49% OF HOUSECALL PROVIDERS, PC WHICH IS A FULLY CONSOLIDATED SUBSIDIARY OF CAREOREGON FOR FINANCIAL REPORTING PURPOSES. DOUGLAS LUTHER AND ANDREW LUTHER HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11B | CAREOREGON'S FORM 990, WHICH IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY MANAGEMENT, GOES THROUGH MULTIPLE LAYERS OF REVIEW BEFORE IT IS REVIEWED BY THE CFO, FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. THE FORM 990 IS REVIEWED AND DISCUSSED AT THE FINANCE COMMITTEE MEETING. ALL REVIEWERS ARE GIVEN TIME TO RESPOND WITH ANY REVISIONS. AFTER INCORPORATION OF ALL REVISIONS, THE FORM 990 IS REDISTRIBUTED TO THE REVIEWERS FOR A FINAL REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT-OF-INTEREST POLICY OF CAREOREGON IS DISTRIBUTED TO THE BOARD MEMBERS ANNUALLY. IT APPLIES TO DIRECTORS, OFFICERS, AND KEY EMPLOYEES (ON THE BASIS OF TESTS SET FORTH IN IRS FORM 990), AND ANY OTHER INDIVIDUAL IN A POSITION TO EXERCISE SIGNIFICANT INFLUENCE OVER A DECISION HAVING MATERIAL ECONOMIC IMPACT FOR CAREOREGON (COLLECTIVELY COVERED PERSONS). THE CONFLICT-OF-INTEREST POLICY IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD. AN ANNUAL CONFLICT OF INTEREST DECLARATION AND INDEPENDENCE QUESTIONNAIRE IS DISTRIBUTED TO ALL COVERED PERSONS. THROUGH THE DISTRIBUTED DOCUMENT, EACH COVERED PERSON SIGNS AND ACKNOWLEDGES THEIR COMPLIANCE WITH THE CONFLICT-OF-INTEREST POLICY AND REPORTS FAMILY AND BUSINESS RELATIONSHIPS THAT ARE USED TO DETERMINE THE INDEPENDENCE OF A DIRECTOR PURSUANT TO THE DEFINITION AND TESTS SET FORTH IN IRS FORM 990. THE GOVERNANCE COMMITTEE REVIEWS THE RESPONSES TO THE ANNUAL QUESTIONNAIRES AND MAKES RECOMMENDATIONS TO THE FULL BOARD ON ANY RESOLUTIONS OR ACTIONS REQUIRED TO MITIGATE ANY CONFLICTS OF INTEREST. FOR 2022, THERE WERE NO CONFLICTS OF INTEREST REQUIRING RESOLUTION OR ACTIONS. AT THE BEGINNING OF EACH MEETING OF THE BOARD OF DIRECTORS, THE CHAIR ASKS ALL MEMBERS PRESENT TO DECLARE ANY CONFLICTS OF INTEREST SO THE BOARD IS UPDATED ON ANY NEW CONFLICTS THAT MAY HAVE ARISEN SINCE THE LAST ANNUAL QUESTIONNAIRE. ALL SIGNED CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENTS AND INDEPENDENCE QUESTIONNAIRES ARE RETAINED AT CAREOREGON'S OFFICE. IF FOR A SPECIFIC MATTER REQUIRING BOARD ACTION, A CONFLICT OF INTEREST EXISTS, AS DETERMINED BY THE BOARD, AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE MEETING, DISCLOSING THE EXISTENCE OF HIS OR HER INTEREST AND SHALL DISCLOSE ALL MATERIAL FACTS. FOLLOWING THE PERSON'S DISCLOSURES AND AFTER ANY DISCUSSION WITH THE BOARD, THE INDIVIDUAL LEAVES THE MEETING WHILE THE BOARD INDEPENDENTLY DISCUSSES THE MATTER BEFORE IT VOTES ON THE PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST. IF THERE IS REASONABLE QUESTION ABOUT THE APPROPRIATENESS OF THE PROPOSED TRANSACTION OR ARRANGEMENT, THE CHAIR SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTIONS OR ARRANGEMENTS. AFTER EXERCISING DUE DILIGENCE, THE BOARD SHALL EVALUATE THE RESULTING ALTERNATIVES PRESENTED BY THE APPOINTED PERSON OR COMMITTEE. IF AN APPROPRIATE CONFLICT-FREE ALTERNATIVE IS NOT REASONABLY ATTAINABLE, THE BOARD SHALL DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE ORIGINAL TRANSACTION OR ARRANGEMENT IS IN CAREOREGON'S BEST INTEREST, FOR CAREOREGON'S OWN BENEFIT, WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO CAREOREGON, AND WHETHER THE TRANSACTION IS IN COMPLIANCE WITH ALL APPLICABLE LAWS AND REGULATIONS. THE BOARD SHALL THEN VOTE WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH THE EVALUATION OF THE FOREGOING. |
| FORM 990, PART VI, SECTION B, LINE 15 | MARKET DATA ON THE TOTAL COMPENSATION PACKAGE FOR EXECUTIVE POSITIONS 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. THE BOARD REVIEWS THE RECOMMENDATION FOR THE COMPENSATION OF ALL OTHER EMPLOYEES AS PART OF THE BUDGET APPROVAL PROCESS. 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 ALL OTHER OFFICERS ABSENT FROM THE MEETINGS, THE BOARD APPROVES THE SALARY OF THE CEO. THIS PROCESS WAS LAST UNDERTAKEN ON MARCH 10, 2023 FOR THE CEO, AND THE CEO'S RECOMMENDATIONS FOR OTHER OFFICERS. THERE IS CONTEMPORANEOUS DOCUMENTATION OF THIS PROCESS AND THE RESULTS. |
| FORM 990, PART VI, SECTION C, LINE 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. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO HOUSECALL PROVIDERS, PC -1,500,000. |
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