2025-11-06T14:09:05-06:00 2024-12-31 135565207 KPMG LLP 1300 SW 5TH AVENUE SUITE 3800 PORTLAND OR 97201 990 2024-01-01 821663503 HOUSECALL PROVIDERS PC HOUS 5034164100 315 SW 5TH AVE PORTLAND OR 97204 TERESA KENNEDY LEARN TREASURER 5034161415 2025-11-06 1 0 JAMES R LANCASTER P00742579 5032216500 2025-11-06 2024 2025-03-06 01:10:19Z TERESA KENNEDY LEARN 315 SW 5TH AVE PORTLAND OR 97204 11810975 0 X WWW.HOUSECALLPROVIDERS.ORG X 2017 OR IMPROVING LIVES BY BRINGING HEALTH CARE HOME 10 10 0 16 0 0 0 0 9591336 11807764 0 3211 0 0 9591336 11810975 0 0 0 0 10764158 13003454 0 0 69400 821303 1032049 11585461 14035503 -1994125 -2224528 3919671 4687651 2294805 3287313 1624866 1400338 X SEE SCHEDULE O 0 0 11945735 11807764 HOME HEALTH CARE SERVICES - SEE SCHEDULE O 11945735 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X TERESA KENNEDY LEARN TREASURER 5034161415 315 SW 5TH AVENUE PORTLAND OR 97204 WOODRUFF J ENGLISH II BOARD OF DIRECTOR 0.20 0.20 X 0 0 0 TAEKYUNG HAN BOARD OF DIRECTOR 0.20 5.05 X 0 0 0 JOE HARDMAN BOARD OF DIRECTOR 0.20 0.20 X 0 0 0 ANDREW MENDENHALL BOARD OF DIRECTOR 0.20 0.20 X 0 0 0 KATIE DRAGO BOARD CHAIR 0.20 0.20 X X 0 0 0 MEGAN JENSEN BOARD OF DIRECTOR 0.20 0.20 X 0 0 0 LORI DOLO-SCOTT BOARD OF DIRECTOR 0.20 0.20 X 0 0 0 SUSAN HEARN BOARD OF DIRECTOR 0.20 0.20 X 0 0 0 MICHELLE RASMUSSEN BOARD OF DIRECTOR 0.20 0.20 X 0 0 0 AMIT R SHAH BOARD VICE-CHAIR / PRESIDENT 2.00 38.00 X X 0 633184 63954 TERESA K LEARN TREASURER 0.20 39.80 X 0 439961 53621 JUDY M HA SECRETARY 0.20 39.80 X 0 142082 17439 REBECCA RAMSAY VP, CHIEF ADMIN OFFICER 24.00 16.00 X 0 353711 76760 PAMELA R MINER SR MEDICAL DIRECTOR - CLINICAL 29.20 10.80 X 0 393257 83485 GRAIG E TANNER MEDICAL DIRECTOR HOSPICE 40.00 0.00 X 0 287598 47657 JEAN-CLAUDE KG PROVOST MEDICAL DIRECTOR - PRIMARY CARE 40.00 0.00 X 0 247682 37717 PAGE G JOSSI PHYSICIAN - PRIMARY CARE 40.00 0.00 X 0 191891 45569 BARBARA SUTTON NURSE PRACTITIONER - PRIMARY CARE 40.00 0.00 X 0 172772 30657 0 2862138 456859 0 0 1 0 0 PATIENT REVENUE 621620 10974968 10974968 MANAGEMENT FEES 541611 832761 832761 35 35 11807764 3211 3211 11810975 11807764 0 3211 10150771 8957548 1139004 54219 728479 641061 80133 7285 1309541 1157146 148836 3559 814663 715357 94969 4337 249845 2031 247814 13411 13411 15059 15059 67322 63007 4315 259584 35749 223835 100281 93854 6427 95570 95570 40051 40051 626 626 61624 61624 DUES & SUBSCRIPTIONS 51562 51562 OTHER EXPENSES 47792 47792 PATIENT RELATED EXPENSE 29322 29322 14035503 11945735 2020368 69400 2976118 4077720 137551 63977 26527 10498 779475 535456 3919671 4687651 9843 8644 88834 90673 2196128 3187996 2294805 3287313 X 1624866 1400338 1624866 1400338 3919671 4687651 X -2224528 2000000 X 0 1 X 1 0 X 201526 311159 512685 5375936 6035098 7180030 8857684 10978214 38426962 688600 589838 663825 733652 832761 3508676 6064536 6826462 8155014 9591336 11810975 42448323 0 0 0 42448323 6064536 6826462 8155014 9591336 11810975 42448323 1.00000 1.00000 0.00000 X 0 INTERCOMPANY RECEIVABLES 535456 535456 INTERCOMPANY LIABILITIES 3187996 3187996 X PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS RECOGNIZED CAREOREGON AND ITS SUBSIDIARIES AS EXEMPT FROM FEDERAL INCOME TAXES UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS 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. X 1 1 0 0 0 0 0 0 0 0 0 AMIT R SHAH BOARD VICE-CHAIR / PRESIDENT 0 546184 0 78385 0 8615 0 30600 0 33354 0 697138 0 0 TERESA K LEARN TREASURER 0 384827 0 53573 0 1561 0 30215 0 23406 0 493582 0 0 PAMELA R MINER SR MEDICAL DIRECTOR - CLINICAL 0 350819 0 41738 0 700 0 30600 0 52885 0 476742 0 0 REBECCA RAMSAY VP, CHIEF ADMIN OFFICER 0 310880 0 39579 0 3252 0 29004 0 47756 0 430471 0 0 GRAIG E TANNER MEDICAL DIRECTOR HOSPICE 0 277044 0 10554 0 0 0 23518 0 24139 0 335255 0 0 JEAN-CLAUDE KG PROVOST MEDICAL DIRECTOR - PRIMARY CARE 0 226416 0 19786 0 1480 0 22129 0 15588 0 285399 0 0 PAGE G JOSSI PHYSICIAN - PRIMARY CARE 0 183370 0 8335 0 186 0 17425 0 28144 0 237460 0 0 BARBARA SUTTON NURSE PRACTITIONER - PRIMARY CARE 0 165466 0 7306 0 0 0 15336 0 15321 0 203429 0 0 JUDY M HA SECRETARY 0 135639 0 5243 0 1200 0 12681 0 4758 0 159521 0 0 PART I, LINE 1A HOUSECALL PROVIDERS REIMBURSED LIFESTYLE SPENDING AND WELLNESS SPENDING FOR AMIT SHAH, TERESA LEARN, PAMELA MINER, REBECCA RAMSAY, JEAN-CLAUDE PROVOST, PAGE JOSSI IN THE AMOUNT OF $805, $1200, $700, $2300, $1479.90, $186 RESPECTIVELY. THIS REIMBURSEMENT WAS INCLUDED AS TAXABLE COMPENSATION TO THESE PARTIES. PART III LINE 1, ORGANIZATION'S MISSION HOUSECALL PROVIDERS'S MISSION IS TO IMPROVE LIVES BY BRINGING HEALTH CARE HOME. WE ARE DEDICATED TO SUSTAINABLY TRANSFORM HOME-BASED MEDICINE SO ALL HOMEBOUND ADULTS AND THOSE LIVING WITH SERIOUS ILLNESS HAVE ACCESS TO THE CARE THAT IMPROVES THEIR QUALITY OF LIFE. WE PROVIDE QUALITY HOME-CENTERED MEDICAL CARE, INTEGRATING PRIMARY, PALLIATIVE AND HOSPICE SERVICES FOR HOMEBOUND PATIENTS OF OUR COMMUNITY. WE OFFER COMPASSIONATE PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT THROUGH LIFE'S JOURNEY. WE EMBRACE THE DIVERSITY OF OUR PATIENTS, EMPLOYEES AND THOSE WHO CARE FOR THEM. THROUGH AWARENESS AND ADVOCACY, WE ARE WORKING TO CREATE HEALTH EQUITY BY RECOGNIZING AND REDUCING BARRIERS THAT AFFECT NON-DOMINANT GROUPS WITHIN HOUSECALL PROVIDERS AND OUT COMMUNITY AT LARGE. CAREOREGON (THE PARENT) IS A MEDICAID MANAGED HEALTHCARE PLAN THAT PROVIDES HEALTHCARE SERVICES TO MEMBERS WHO ARE ENROLLED IN THE OREGON HEALTH PLAN, WHICH IS ADMINISTERED BY THE OREGON HEALTH AUTHORITY (OHA) OF THE STATE OF OREGON'S DEPARTMENT OF HUMAN SERVICES. THE PARENT IS A STATE OF OREGON CHARITABLE NONPROFIT PUBLIC BENEFIT CORPORATION ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES, INCLUDING, FOR SUCH PURPOSES, MAKING DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. THE PARENT'S VISION IS HEALTHY COMMUNITIES FOR ALL INDIVIDUALS REGARDLESS OF INCOME OR SOCIAL CIRCUMSTANCES. CAREOREGON'S MISSION IS TO INSPIRE AND PARTNER TO CREATE QUALITY AND EQUITY IN INDIVIDUAL AND COMMUNITY HEALTH. CAREOREGON PROVIDES MANAGED CARE SERVICES TO APPROXIMATELY 550,000 OREGON HEALTH PLAN (MEDICAID) MEMBERS. HOUSECALL PROVIDERS MAINTAINS A MANAGEMENT AGREEMENT WITH THE PARENT. UNDER THE TERMS OF THIS MANAGEMENT AGREEMENT, WE UTILIZE THE PARENT'S PERSONNEL, OFFICE SPACE, EQUIPMENT, COMPUTER SYSTEMS, SOFTWARE, AND OPERATING METHODOLOGIES TO MANAGE OUR BUSINESS. PART III, LINE 4A SINCE 1995, HOUSECALL PROVIDERS HAVE BEEN THE SOLUTION FOR COMMUNITY MEMBERS WHOSE MEDICAL NEEDS COULD NOT BE MET IN A TRADITIONAL CLINICAL SETTING. THESE CHRONICALLY ILL PEOPLE, MANY OF WHOM ARE HOMEBOUND, ARE OFTEN FORCED TO RELY ON EMERGENCY ROOM VISITS AND HOSPITALIZATIONS TO MANAGE THEIR MULTIPLE CHRONIC ILLNESSES. THESE TRIPS TAKE THEIR TOLL ON AN ALREADY OVER-BURDENED BODY AND ARE INCREDIBLY COSTLY TO OUR HEALTH CARE SYSTEM. THE PRIMARY CARE TEAM INCLUDES NURSES, SOCIAL WORKERS, OUTREACH SPECIALISTS, A CHAPLAIN, AND A PHARMACIST WHO ALL HAVE THE FLEXIBILITY TO MAKE HOME, CLINIC AND HOSPITAL VISITS. THE ADVANCED ILLNESS CARE TEAM WORKS CLOSELY WITH PROVIDERS AND HEALTH CARE TEAMS TO FOCUS ON THE PATIENT'S GOALS OF CARE, SYMPTOM MANAGEMENT AND CARE COORDINATION. HOUSECALL PROVIDERS' PRIMARY CARE MEDICAL DIRECTOR, JEAN-CLAUDE PROVOST, WAS HONORED WITH THE 2024 HOUSE CALL CLINICIAN OF THE YEAR AWARD BY THE AMERICAN ACADEMY OF HOME CARE MEDICINE (AAHCM). THE AWARD RECOGNIZES TWO DECADES OF HIS DEDICATION TO HOME-BASED CARE, LEADERSHIP IN PRACTICE INNOVATION, AND COMMITMENT TO IMPROVING OUTCOMES FOR HOMEBOUND PATIENTS ACROSS OREGON. FORM 990, PART VI, SECTION A, LINE 6 HOUSECALL PROVIDERS, PC IS 51% OWNED BY AMIT SHAH, MD AND 49% OWNED BY CAREOREGON. FORM 990, PART VI, SECTION B, LINE 11B HOUSECALL PROVIDERS, PC'S FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM, UTILIZING DATA PROVIDED BY THE CAREOREGON FINANCE DEPARTMENT. THE DRAFT UNDERGOES MULTIPLE REVIEW PROCESS BEFORE IT IS REVIEWED BY THE BOARD TREASURER OF HOUSECALL PROVIDERS, PC (WHO IS ALSO THE CFO OF CAREOREGON) AND THE BOARD OF DIRECTORS BEFORE IT IS FILED. EACH REVIEWER IS GIVEN SUFFICIENT TIME TO EXAMINE AND PROVIDE FEEDBACK. FINAL APPROVAL IS OBTAINED PRIOR TO ELECTRONICALLY SUBMITTED TO THE IRS BY THE EXTERNAL ACCOUNTING FIRM. FORM 990, PART VI, SECTION B, LINE 12C FOR FINANCIAL REPORTING AND ACCOUNTING PRACTICES, THE FINANCIAL STATEMENTS OF HOUSECALL PROVIDERS, PC ARE CONSOLIDATED INTO THE FINANCIAL STATEMENTS OF CAREOREGON. HOUSECALL PROVIDERS, PC IS GOVERNED BY THE POLICIES OF CAREOREGON AS APPLICABLE INCLUDING THE CONFLICT-OF-INTEREST POLICY OF CAREOREGON, WHICH IS APPLICABLE TO ALL OF CAREOREGON'S SUBSIDIARIES WHICH HAVE NOT ADOPTED A SEPARATE CONFLICT OF INTEREST POLICY. THIS CONFLICT-OF-INTEREST POLICY 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 HOUSECALL PROVIDERS, PC, COLLECTIVELY DEFINED AS "COVERED PERSONS". THE CONFLICT-OF-INTEREST POLICY IS REVIEWED AND APPROVED ANNUALLY BY THE CAREOREGON 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 BOARD OF DIRECTORS REVIEWS THE RESPONSES TO THE ANNUAL QUESTIONNAIRE FOR HOUSECALL PROVIDERS, PC COVERED PERSONS AND MAKES RESOLUTIONS OR ACTIONS REQUIRED TO MITIGATE ANY CONFLICT OF INTEREST. FOR 2024, THERE WERE NO CONFLICTS OF INTEREST REQUIRING RESOLUTIONS OR ACTIONS. 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 DISCLOSURE AND AFTER A 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 A 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 TRANSACTION OR ARRANGEMENT. 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 HOUSECALL PROVIDERS, PC'S AND CAREOREGON'S BEST INTERESTS, FOR HOUSECALL PROVIDERS, PC'S AND CAREOREGON'S OWN BENEFIT, WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO HOUSECALL PROVIDERS, PC AND 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 EXECUTIVE & COMPENSATION COMMITTEE OF THE PARENT, CONSISTING OF A MAJORITY OF INDEPENDENT BOARD MEMBERS, REVIEWS MARKET DATA, EVALUATES CAREOREGON 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 15, 2024 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 18 THE TAX RETURN INFORMATION IS AVAILABLE UPON REQUEST. 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, HOUSECALL PROVIDERS, PC WILL CONSIDER ALL REQUESTS FOR THESE DOCUMENTS ON A CASE-BY-CASE BASIS. FORM 990, PART XI, LINE 9: TRANSFER FROM CAREOREGON, INC. 2,000,000. CAREOREGON INC 315 SW 5TH AVE PORTLAND OR 97204 930933975 MEDICAID OR 501(C)(3) LINE 10 0 HEALTH PLAN OF CAREOREGON INC 315 SW 5TH AVE PORTLAND OR 97204 463264330 MEDICARE HEALTH PLAN OR 501(C)(3) LINE 10 CAREOREGON INC 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 1