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OHA accepted a complete notice on October 18, 2024 and is conducting a 180-day comprehensive review of this transaction. OHA requested more information from the entities on March 21, 2025. The review period is paused until OHA accepts a complete response from the entities with the requested information. There are 120 days left in the review period after OHA accepts a complete response from the entities. This transaction is also subject to CCO Form A review.
OHA is accepting public comments throughout the review period. To submit a public comment, include the word "PacificSource" in your comment and share your comment in one of these ways:
To date, OHA has published the following:
OHA is currently reviewing proposed redactions supplied by the transacting parties to ensure redacted information meets the requirements of ORS 415.501(13). OHA will post exhibits and supplemental filings once it completes its review.
Notice of Material Change (Accepted October 18, 2024)
Notice of Material Change Transaction form
Exhibit 2- Legacy Health Business Entity Organization Chart
Exhibit 3- HCMO-1b: Legacy Health Business Entities
Exhibit 4-Legacy Health Audited Financials Fiscal Year 2019-2023
Exhibit 5- Legacy Health Service Line Description
Exhibit 6- Legacy Health Services
Exhibit 8- HCMO-1c: Facilities and Locations
Exhibit 9- Consolidating Financials-03/31/2024
Exhibit 10- PacificSource Organizational Chart
Exhibit 12- PacificSource MA Service Area
Exhibit 13- PacificSource CCO Map
Exhibit 14- Legacy Health Transactions
Exhibit 15- Post-Closing Organizational Chart
Exhibit 16- Foundation Workgroup
Redaction log
Response to November 18, 2024 Request for Information
FY2021 PacificSource GAAP Financial Statements [Redacted]
FY2022 PacificSource GAAP Financial Statements [Redacted]
FY2023 PacificSource GAAP Financial Statements [Redacted]
2024 and 2025 Medicare Plans by Market and Portfolio
Legacy Health Foundation Restated Articles of Incorporation
Bylaws of Legacy Health Foundation [Redacted] Legacy Health Foundation Board Roster [Redacted]Pacific Health Associates, Legacy Health, and PacificSource Organizational Chart PacificSource Restated Articles of Incorporation Bylaws of PacificSource [Redacted]PacificSource Certificate of Existence PacificSource Pace, LLC Operating Agreement [Redacted] PacificSource Pace, LLC Articles of Organization PacificSource Pace, LLC Certificate of Existence PacificSource Health Plans Restated Articles of Incorporation PacificSource Health Plans Bylaws [Redacted] PacificSource Health Plans Certificate of Existence PacificSource Properties, LLC Operating Agreement [Redacted] PacificSource Properties, LLC Articles of Organization PacificSource Properties, LLC Certificate of Existence PacificSource Administrators, Inc. Bylaws [Redacted] PacificSource Administrators, Inc. Certificate of Existence PacificSource Administrators, Inc. Articles of Incorporation PacificSource Administrators, Inc. and PacificSource Self-Insurance Administrators, Inc. Merger PacificSource Assurance, Inc. Certificate of Existence Primary Health, Inc. Bylaws [Redacted] Primary Health, Inc. and PacificSource Assurance, Inc. Articles of Conversion PacificSource PCHP Articles of Incorporation PacificSource PCHP and Springfield Health Plans, Inc. Articles of Merger PacificSource Community Health Plans Bylaws [Redacted] PacificSource Community Health Plans Certificate of Existence Conners Group Articles of Incorporation Conners Group Bylaws [Redacted] Conners Group and PacificSource Community Solutions, Inc. Articles of Merger PacificSource Community Solutions Certificate of Existence FY2021 PacificSource GAAP Financial Statements [Redacted] FY2022 PacificSource GAAP Financial Statements [Redacted] FY22 Legacy Health Foundation Form 990 FY23 Legacy Health Foundation Form 990 Legacy Health Mission and Vision PacificSource Administrators, Inc. Registered TPA License (Idaho) PacificSource Community Health Plans Certificate of Authority (Montana) PacificSource Administrators, Inc. Insurance License (Oregon) PacificSource Administrators, Inc. Insurance License (Washington) PacificSource Community Health Plans Certificate of Authority (Idaho) PacificSource Community Health Plans Certificate of Authority (Montana) PacificSource Community Health Plans Certificate of Authority (Oregon) PacificSource Community Health Plans Certificate of Registration (Washington) PacificSource Community Solutions Insurance License (Oregon) PacificSource Health Plans Certificate of Authority (Idaho) PacificSource Health Plans Certificate of Authority (Montana) PacificSource Health Plans Insurance License (Oregon) PacificSource Health Plans Certificate of Authority (Oregon) PacificSource Health Plans Certificate of Registration (Washington)
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