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Nonprofiteer
← INTERCOMMUNITY HEALTH NETWORK

Form 990 for tax year 2022

Filed by INTERCOMMUNITY HEALTH NETWORK.

Totals

Total revenue
$511,690,571
Total expenses
$492,989,320
Contributions and grants received
$430,715
Grants paid
$380,520
Program service revenue
$509,864,472
Investment income
$1,395,384
Other revenue
$0
Total assets, end of year
$162,480,849
Total liabilities, end of year
$67,166,106
Net assets or fund balances, end of year
$95,314,743
Program services expenses (Part IX)
$478,654,572
Management and general expenses
$14,334,748
Fundraising expenses
$0
Program service expenses (Part III)
$478,654,572

Program services were 97.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $430,715

  • 2a · Program service revenue: OREGON HEALTH PLAN

    total $509,171,465 · related or exempt $509,171,465

  • 2b · Program service revenue: PHARMACY REBATES

    total $693,007 · related or exempt $693,007

  • 3 · Investment income

    total $1,356,263 · excluded $1,356,263

  • 7a · Gross sales of assets other than inventory

    securities $24,117,969

  • 7b · Less cost or other basis and sales expenses

    securities $24,078,848

  • 7c · Gain or loss

    securities $39,121

  • 7d · Net gain or loss

    total $39,121 · excluded $39,121

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $380,520 · program services $380,520

  • 7 · Other salaries and wages

    total $13,680,480 · program services $11,230,365 · management and general $2,450,115

  • 8 · Pension plan contributions

    total $692,965 · program services $568,858 · management and general $124,107

  • 9 · Other employee benefits

    total $3,078,478 · program services $2,527,136 · management and general $551,342

  • 10 · Payroll taxes

    total $983,961 · program services $807,738 · management and general $176,223

  • 11b · Fees: legal

    total $4,107 · management and general $4,107

  • 11c · Fees: accounting

    total $195,826 · management and general $195,826

  • 11f · Fees: investment management

    total $31,981 · management and general $31,981

  • 11g · Fees: other

    total $5,494,246 · program services $5,494,246

  • 12 · Advertising and promotion

    total $45,048 · program services $45,048

  • 13 · Office expenses

    total $2,052,831 · program services $1,685,178 · management and general $367,653

  • 16 · Occupancy

    total $688,576 · program services $565,255 · management and general $123,321

  • 17 · Travel

    total $51,521 · program services $51,521

  • 19 · Conferences, conventions and meetings

    total $40,259 · program services $40,259

  • 22 · Depreciation, depletion and amortization

    total $37,757 · program services $30,995 · management and general $6,762

  • 23 · Insurance

    total $161,145 · program services $161,145

  • 24a · Other expenses: CLAIMS EXPENSE

    total $432,970,526 · program services $432,970,526

  • 24b · Other expenses: PURCHASED SERVICES

    total $20,575,773 · program services $10,272,462 · management and general $10,303,311

  • 24c · Other expenses: PREMIUM TAXES

    total $11,779,010 · program services $11,779,010

  • 24d · Other expenses: DUES & LICENSES

    total $44,310 · program services $44,310

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $62,224,807 · end of year $70,120,891

  • 4 · Accounts receivable

    beginning of year $2,558,502 · end of year $2,283,599

  • 7 · Other notes and loans receivable

    beginning of year $207,620

  • 10a · Land, buildings and equipment: cost or other basis

    $835,917

  • 10b · Land, buildings and equipment: accumulated depreciation

    $831,840

  • 10c · Land, buildings and equipment, net

    beginning of year $41,835 · end of year $4,077

  • 11 · Investments: publicly traded securities

    beginning of year $60,337,212 · end of year $69,362,665

  • 13 · Investments: program-related

    beginning of year $14,704,834 · end of year $18,313,978

  • 15 · Other assets

    beginning of year $1,341,907 · end of year $2,395,639

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,674,530 · end of year $3,777,262

  • 19 · Deferred revenue

    beginning of year $2,090,269 · end of year $3,977,360

  • 25 · Other liabilities

    beginning of year $50,887,274 · end of year $59,411,484

  • 27 · Net assets without donor restrictions

    beginning of year $80,764,644 · end of year $95,314,743

Mission and programs · 2022

Mission

TO PROVIDE MANAGEMENT OF INTEGRATED HEALTH CARE SERVICES. INTERCOMMUNITY HEALTH PLANS (IHP), DOING BUSINESS AS INTERCOMMUNITY HEALTH NETWORK-COORDINATED CARE ORGANIZATION, IS THE ONLY COORDINATED CARE ORGANIZATION IN LINN, BENTON, (CONTINUED ON SCHEDULE O)(CONTINUED FROM PART III LINE 1) AND LINCOLN COUNTIES THAT ADMINISTERS THE OREGON HEALTH PLAN, WHICH PROVIDES ACCESS TO HEALTH INSURANCE FOR MEDICAID-ELIGIBLE LOW-INCOME RESIDENTS.IHP PROVIDES MANAGEMENT OF HIGH QUALITY INTEGRATED HEALTH CARE SERVICES IN AN EFFICIENT, YET COMPASSIONATE MANNER AS A MEMBER-FOCUSED, PROVIDER SPONSORED ORGANIZATION WITH AN EMPHASIS ON SOCIAL AND FINANCIAL RESPONSIBILITY. IHP WORKS WITH PUBLIC AND PRIVATE HEALTH CARE INTERESTS IN THE COMMUNITY TO COORDINATE A HEALTH CARE DELIVERY SYSTEM THAT EFFECTIVELY MEETS THE NEEDS OF THE INDIVIDUAL MEMBERS AND THE COMMUNITY AS A WHOLE.

Activities or mission (Part I)

TO PROVIDE MANAGEMENT OF INTEGRATED HEALTH CARE SERVICES.

  • TO PROVIDE MEDICAL COVERAGE TO OREGON HEALTH PLAN MEMBERS AS A PROJECT UNDER THE MEDICAID PROGRAM SERVING APPROXIMATELY 80,788 ENROLLEES WITH FULLY CAPITATED HEALTHCARE USING A COMMUNITY-BASED MODEL. IN COOPERATION WITH THE STATE OF OREGON, HEALTH SERVICES INCLUDING MEDICAL, PRESCRIPTION MEDICATIONS AND DURABLE MEDICAL EQUIPMENT ARE PROVIDED TO QUALIFIED MEMBERS.

    Expenses $478,274,052 · Revenue $509,864,472

  • GRANTS MADE BY INTERCOMMUNITY HEALTH NETWORK TO VARIOUS ENTITIES FOR MENTAL HEALTH PROMOTION AND PREVENTATIVE CARE. SEE PART IX, LINE 1 AND SCHEDULE I FOR MORE DETAILS.

    Expenses $380,520 · Grants $380,520

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Douglas Boysen

    BOARD CHAIR / CEO SHS

    Total calculated
    $1,577,367
    From this org
    $0
    From related orgs
    $1,512,954
    Other
    $64,413
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,045,442 related
    Bonus
    $0 + $380,053 related
    Other
    $0 + $87,459 related
    Deferred
    $0 + $24,620 related
    Nontaxable benefits
    $0 + $39,793 related
    Filer's total
    $0 + $1,577,367 related

  • Lara Gamelin MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Claire Hall

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Bruce Madsen MD

    BOARD MEMBER

    Total calculated
    $10,576
    From this org
    $0
    From related orgs
    $10,576
    Other
    $0
    Hours/week
    1

  • Dick Knowles

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Courtney Miller DMD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Xanthippe Augerot

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Tyra Jannson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Lisa Pierson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Karun Virtue

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Roger Nyquist

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Kristy Jessop MD

    BOARD MEMBER / SR. MEDICAL DIRECTOR

    Total calculated
    $432,872
    From this org
    $0
    From related orgs
    $383,797
    Other
    $49,075
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $340,433 related
    Bonus
    $0 + $29,458 related
    Other
    $0 + $13,906 related
    Deferred
    $0 + $24,620 related
    Nontaxable benefits
    $0 + $24,455 related
    Filer's total
    $0 + $432,872 related

  • Daniel Smith

    SVP / CFO

    Total calculated
    $701,981
    From this org
    $0
    From related orgs
    $638,044
    Other
    $63,937
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $492,567 related
    Bonus
    $0 + $104,160 related
    Other
    $0 + $41,317 related
    Deferred
    $0 + $24,620 related
    Nontaxable benefits
    $0 + $39,317 related
    Filer's total
    $0 + $701,981 related

  • Bruce Butler

    CEO

    Total calculated
    $563,004
    From this org
    $0
    From related orgs
    $519,665
    Other
    $43,339
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $425,887 related
    Bonus
    $0 + $81,400 related
    Other
    $0 + $12,378 related
    Deferred
    $0 + $24,620 related
    Nontaxable benefits
    $0 + $18,719 related
    Filer's total
    $0 + $563,004 related

  • Gabriel Parra

    VP CHIEF STRATEGY OFFICER

    Total calculated
    $263,809
    From this org
    $0
    From related orgs
    $227,140
    Other
    $36,669
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $207,903 related
    Bonus
    $0 + $18,178 related
    Other
    $0 + $1,059 related
    Deferred
    $0 + $17,375 related
    Nontaxable benefits
    $0 + $19,294 related
    Filer's total
    $0 + $263,809 related

  • Annette Fowler

    VP COO HEALTH PLAN OPERATIONS

    Total calculated
    $303,001
    From this org
    $0
    From related orgs
    $279,152
    Other
    $23,849
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $262,212 related
    Bonus
    $0 + $14,800 related
    Other
    $0 + $2,140 related
    Deferred
    $0 + $9,388 related
    Nontaxable benefits
    $0 + $14,461 related
    Filer's total
    $0 + $303,001 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE CHIEF EXECUTIVE OFFICER IS EMPLOYED AND PAID BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION CONDUCTS A COMPENSATION ANALYSIS EACH YEAR TO COMPARE COMPENSATION OF ALL PAID POSITIONS TO MARKET SURVEYS OF COMPENSATION FOR SIMILAR POSITIONS IN OTHER ORGANIZATIONS. PERIODICALLY, THE RELATED ORGANIZATION WILL ALSO USE WRITTEN EMPLOYMENT CONTRACTS, FORM 990 OF OTHER ORGANIZATIONS, AND INDEPENDENT COMPENSATION CONSULTANTS TO DETERMINE THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER.
PART I, LINE 4B
A RELATED ORGANIZATION MAINTAINS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. HOWEVER, NO PERSONS LISTED IN PART VII OF FORM 990 ACCRUED DEFERRED COMPENSATION BENEFITS OR RECEIVED ANY PAYMENTS FROM THESE PLANS DURING THE FILING YEAR.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

  • UNITED WAY OF LINN BENTON & LINCOLN COUNTIES

    $200,000

    SUPPORT FOR YOUTH AND FAMILIES WHO HAVE COMPLEX & SIGNIFICANT BEHAVIORAL & MENTAL HEALTH NEEDS.

  • LINN COUNTY DEPARTMENT OF HEALTH

    $68,986

    MENTAL HEALTH PROMOTION & PREVENTATIVE CARE

  • LINCOLN COUNTY HEALTH & HUMAN SERVICES

    $55,767

    MENTAL HEALTH PROMOTION & PREVENTATIVE CARE

  • BENTON COUNTY HEALTH DEPARTMENT

    $55,767

    MENTAL HEALTH PROMOTION & PREVENTATIVE CARE

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • SAMARITAN ENDOSCOPY CENTER LLC

    MEDICAL SERVICES · OR

  • CORVALLIS MEDICAL BUILDINGS LLC

    REAL ESTATE RENTAL · OR

  • EAST LINN MRI LLC

    IMAGING · OR

  • HULL IMAGING LLC

    IMAGING · OR

  • CORVALLIS MRI LLC

    IMAGING · OR

  • MID-VALLEY MEDICAL PROPERTIES ASSOC LLC

    REAL ESTATE RENTAL · OR

  • MID-VALLEY MEDICAL BUILDINGS LLC

    REAL ESTATE RENTAL · OR · general or managing partner

  • NORTHWEST MEDICAL ISOTOPES LLC

    RESEARCH · OR

  • CASCADE VIEW MEDICAL OFFICE BUILDING LLC

    REAL ESTATE RENTAL · OR

  • BSM SURGERY CENTER LLC

    MEDICAL SERVICES · OR

  • AIKENS DIALYSIS LLC

    MEDICAL SERVICES · WA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • SAMARITAN HEALTH PLANS INC

    C · HEALTH INSURANCE CARRIER FOR THE COMMUNITY · OR

  • BOULDER FALLS PROPERTIES LLC

    C · EVENT CENTER & HOSPITALITY SVCS · OR

Provenance

Return type
form_990
Tax year
2022
Filed
2 November 2023
IRS schema version
2022v5.0
Source object
202313149349304186

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