Civic Intelligence

Housecall Providers PC

990 • Fiscal year 2018 • EIN 82-1663503

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 12, 2019

315 SW 5th AvePortland, OR 97204

(503) 416-4100

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

96th percentile

1.28x

Higher debt load relative to assets than 96% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Liabilities / Revenue

75th percentile

0.59x

Higher debt load relative to revenue than 75% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Net Margin

4th percentile

-68%

Higher net margin than 4% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Top Officer Pay

92nd percentile

$373,798

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 7.2% of source-year revenue.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Asset Growth

30th percentile

-2.7%

Faster asset growth than 30% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2017 to 2018

Revenue Growth

92nd percentile

81%

Faster revenue growth than 92% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2017 to 2018

Assets

Down

$2,416,567

Down $66,643 (-2.7%) from 2017

Net Assets

Down

-$682,539

Down $1,055,529 (-283%) from 2017

Liabilities

Up

$3,099,106

Up $988,886 (+47%) from 2017

Revenue

Up

$5,209,133

Up $2,324,485 (+81%) from 2017

Expenses

Up

$8,764,662

Up $4,252,993 (+94%) from 2017

Net Income

Down

-$3,555,529

Down $1,928,508 (-119%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$6.0M$4.0M$2.0M$0-$2.0MAssets 2017: $2,483,210Liabilities 2017: $2,110,220Net Assets 2017: $372,9902017Assets 2018: $2,416,567Liabilities 2018: $3,099,106Net Assets 2018: -$682,5392018Assets 2019: $3,338,936Liabilities 2019: $1,472,554Net Assets 2019: $1,866,3822019Assets 2020: $3,639,539Liabilities 2020: $1,421,354Net Assets 2020: $2,218,1852020Assets 2021: $5,329,467Liabilities 2021: $3,070,317Net Assets 2021: $2,259,1502021Assets 2022: $2,856,304Liabilities 2022: $1,237,313Net Assets 2022: $1,618,9912022Assets 2023: $3,919,671Liabilities 2023: $2,294,805Net Assets 2023: $1,624,8662023Assets 2024: $4,687,651Liabilities 2024: $3,287,313Net Assets 2024: $1,400,3382024

Highlighted filing

2018

Assets$2,416,567
Liabilities$3,099,106
Net Assets-$682,539

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2017: $2,884,648Expenses 2017: $4,511,669Net Income 2017: -$1,627,0212017Revenue 2018: $5,209,133Expenses 2018: $8,764,662Net Income 2018: -$3,555,5292018Revenue 2019: $6,006,442Expenses 2019: $8,957,521Net Income 2019: -$2,951,0792019Revenue 2020: $6,064,536Expenses 2020: $9,212,733Net Income 2020: -$3,148,1972020Revenue 2021: $6,826,462Expenses 2021: $9,385,497Net Income 2021: -$2,559,0352021Revenue 2022: $8,155,014Expenses 2022: $10,295,173Net Income 2022: -$2,140,1592022Revenue 2023: $9,591,336Expenses 2023: $11,585,461Net Income 2023: -$1,994,1252023Revenue 2024: $11,810,975Expenses 2024: $14,035,503Net Income 2024: -$2,224,5282024

Highlighted filing

2018

Revenue$5,209,133
Expenses$8,764,662
Net Income-$3,555,529
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 12, 2019
Return Version
2018v3.1
Gross Receipts
$5,209,133
Mission and Program Overview

Mission

Housecall Providers, PC is a home based primary care service providing medical care integrating & coordinating primary & palliative services for homebound members.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$1,487,363$1,556,620▲ $69,257
Savings and Temporary Cash Investments$673,494$198,040▼ $475,454
Prepaid Expenses and Deferred Charges$0$9,361▲ $9,361
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$2,483,210$2,416,567▼ $66,643
Other Assets Total$322,353$652,546▲ $330,193
Liabilities
Other Liabilities$2,006,391$3,061,539▲ $1,055,148
Accounts Payable and Accrued Expenses$103,829$37,567▼ $66,262
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$2,110,220$3,099,106▲ $988,886
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$372,990$-682,539▼ $1,055,529
Total Net Assets Fund Balance$372,990$-682,539▼ $1,055,529
Total Liabilities and Net Assets / Fund Balance$2,483,210$2,416,567▼ $66,643

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$652,546--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Amy LongNurse PractitionerFT$145,437$145,437
Robin SheaNurse PractitionerFT$138,322$138,322

Board Members and Trustees

NameTitle
Amit R ShahBoard Vice Chairman/CMO
Jean-claude Kg ProvostAssociate Medical Director
William J KennedyBoard of Director/sr Med Director
Teresa K LearnBoard of Director/treasurer
Pamela MinerMedical Director
Rebecca RamsayAdministrative Officer/VP
Andrew G SperlinPhysician
Molly W AndersonPhysician
Erin Fair TaylorSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$5,209,008
Investment Income
$125
Other Revenue
$0
Change in Net Assets
$-3,555,529
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,824,945
Other Expenses$939,717
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,948,431$662,821-$5,611,252
Other Employee Benefits$759,798$87,294-$847,092
Current Officers, Directors, Trustees, and Key Employees$564,807$23,638-$588,445
Payroll Taxes$342,894$55,744-$398,638
Pension Plan Contributions$337,151$42,367-$379,518
Fees for Services Management$12,983$173,818-$186,801
Fees for Services Other$57,493$94,707-$152,200
Information Technology$6,329$130,303-$136,632
Occupancy$1,668$97,398-$99,066
Travel$67,453$2,655-$70,108
Office Expenses$11,492$50,849-$62,341
Insurance$6,454$53,973-$60,427
Interest-$44,030-$44,030
Conferences and Meetings$18,058$2,396-$20,454
Advertising$478$12,796-$13,274
Depreciation Depletion-$13,266-$13,266
Other Expenses$6,659$5,672-$12,331
Fees for Services Legal-$2,717-$2,717
Fees for Services Accounting-$2,174-$2,174
Fees for Service Investment Mgmnt Fees-$950-$950
Total Functional Expenses$7,197,074$1,567,588$0$8,764,662
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Liabilities$3,061,539
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Part VI, Line 4

Significant changes to governing documents ------------------------------------------ housecall providers, pc is a professional corporation organized on may 25, 2017 with bylaws adopted on may 29, 2017. Amended and restated bylaws were adopted on october 1, 2018. The amended bylaws increased the maximum number of board members from 3 to 5, and added treasurer as an additional officer position.

Part VI, Line 6

Organization members or stockholders ------------------------------------ housecall providers, pc is 51% owned by amit shah, md and 49% owned by careoregon.

Part VI, Line 11B

Form 990 to governing body -------------------------- housecall providers, pc's form 990 goes through multiple layers of reviews 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. All reviewers are given time to respond with any revisions. After incorporation of all revisions, the form 990 is redistributed to the reviewers for final review prior to filing.

Part VI, Line 12C

Explanation of monitoring and enforcement of conflicts ------------------------------------------------------ for financial reporting and accounting practices, the financial statements of housecall providers, pc are consolidated into the consolidated financial statements of careoregon. As such, 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 2018, 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.

Part VI, Line 15A and 15B

Compensation review & approval process - ceo & top management ------------------------------------------------------------- market data on the total compensation package for executive positions (ceo, coo, cfo, clo 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. 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 8, 2019 for the ceo, and the ceo's recommendations for other officers. There is contemporaneous documentation of this process and the results.

Part VI, Line 18 and Line 19

Public inspection ----------------- 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.

Filing and Contact Details

Filer

Filer Name
Housecall Providers PC
EIN
82-1663503
In Care Of
% TERESA KENNEDY LEARN CFO
Phone
5034164100
Address
315 SW 5TH AVE, PORTLAND, OR 97204

Signing Officer

Name
Teresa Kennedy Learn
Title
CFO
Phone
5034161415
Signed
2019-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Teresa K Learn
Formed
2017
Legal Domicile
Or
Voting Board Members
5
Independent Board Members
0
Employees
0
Volunteers
37

Preparer

Firm
Kpmg Llp
Address
1918 Eighth Avenue Suite 2900, Seattle, WA 98101
Preparer
Lisa M Meyer Manager
Phone
2069134000
Supplemental Narrative

Additional Explanations

Part III, Line 1

Organization's mission ---------------------- housecall providers is dedicated to providing quality home-centered medical care, integrating primary, palliative and hospice services for homebound members of our community. We offer compassionate physical, emotional and spiritual support through life's journey.

Part III, Line 4A

Statement of program service accomplishments -------------------------------------------- since 1995, housecall providers, pc has been the solution for over 8,000 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 incredibley costly to our health care system. Housecall providers, pc has been a trusted source for delivering home-based primary care throughout the portland metro area. Since our modest beginnings, we have grown to serve more than 2,000 patients and families a year and expanded our services to include transition and palliative care services. By training our doctors, nurse practitioners, and physician assistants to implement team-based, proactive primary medical care where our patients live, we help prevent those expensive trips to the hospital and unnecessary skilled nursing facility stays. Not only does this set a new standard for the quality of care patients can expect at home, it improves patient health outcomes and lowers health care costs. Through our six-year involvement in the medicare demonstration project, independence at home, housecall providers, pc along with 14 other program sites across the u.s., is helping to prove to the centers for medicare and medicaid services ("cms") that value-based reimbursement, not fee-for-service, is the appropriate payment model to provide home-based medical care for the vulnerable population we serve. When housecall providers, pc joined the careoregon family in may of 2017, we welcomed the advanced illness care team into our continuum of home-based medical care. Unifying these services has made care transitions smoother, cut down on patient wait times and made communication more efficient. The 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, pc employees also provide healthcare support to other careoregon entities.

Part X, Line 33

Total net assets or fund balances -------------------------------------------- in april 2019, careoregon made an additional equity transfer of $3,500,000 to fund operations. This equity transfer eliminated the deficit in net assets.

Part XI, Line 9

Other changes in net assets or fund balances -------------------------------------------- equity transfer from careoregon $ 2,500,000 ------------------ total part xi, line 9 $ 2,500,000

Financial Statement Notes

Part X, Line 2

The organization recognizes the tax benefit from uncertain tax positions only if it is more likely than not that the tax position 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.

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