2024-04-22T17:03:23-05:00 2023-06-30 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1400 PORTLAND OR 97205 990 2022-07-01 931329158 MOSAIC COMMUNITY HEALTH MOSA 5413833005 600 SW COLUMBIA STREET STE 6210 BEND OR 97702 TODD RILEY TREASURER 5413833005 2024-04-22 1 TODD RILEY 999009999 1 WENDY CAMPOS P00448102 5032421447 2024-04-22 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z MEGAN HAASE 600 SW COLUMBIA STREET STE 6210 BEND OR 97702 68949825 0 X HTTPS://WWW.MOSAICMEDICAL.ORG X 2002 OR TO PROVIDE TRUSTED QUALITY CARE, WITH COMPASSION AND SUPPORT FOR ALL. 10 10 471 24 0 0 18264897 8549489 41828512 47060194 -145370 103163 269937 166693 60217976 55879539 0 0 0 0 33495291 37648365 0 0 260288 11075135 12832116 44570426 50480481 15647550 5399058 54225596 58652411 8830651 7785937 45394945 50866474 TO PROVIDE TRUSTED QUALITY CARE, WITH COMPASSION AND SUPPORT FOR ALL. 0 0 39961490 47060194 MOSAIC COMMUNITY HEALTH CONDUCTED OVER 232,529 MEDICAL, BEHAVIORAL, DENTAL, PHARMACY, AND NUTRITION VISITS FOR 26,011 INDIVIDUALS ACROSS 16 CLINIC SITES LAST FISCAL YEAR. 39961490 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 57 0 1 471 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X X STEVE STRANG 5413833005 600 SW COLUMBIA STREET STE 6210 BEND OR 97702 ROD RAY CHAIR 1.00 X X 0 0 0 NATALIE STEVENS VICE CHAIR 1.00 X X 0 0 0 TODD RILEY TREASURER 1.00 X X 0 0 0 CHANDRA ATWOOD SECRETARY 1.00 X X 0 0 0 MIGUEL HERRADA VICE CHAIR (THRU 11/22) 1.00 X X 0 0 0 JOHN MCLAUGHLIN DIRECTOR 1.00 X 0 0 0 JEFF BAKER DIRECTOR 1.00 X 0 0 0 JIM GEMELAS DIRECTOR 1.00 X 0 0 0 NADINE SPARAGO DIRECTOR 1.00 X 0 0 0 MISTILYN GEBOW DIRECTOR 1.00 X 0 0 0 MOISES HERNANDEZ DIRECTOR 1.00 X 0 0 0 MEGAN HAASE CEO 40.00 X 295550 0 20107 STEVE STRANG CFO 40.00 X 189643 0 25159 JESSICA LEBLANC CHO 40.00 X 262808 0 22754 CARLA STEVENS COO 40.00 X 195912 0 9160 JEFF BULKLEY PHYSICIAN 40.00 X 213975 0 26144 JOSHUA REIHER PHYSICIAN 40.00 X 211581 0 26094 SARAH MORRISON PHYSICIAN 40.00 X 207843 0 17610 BRENNA LEWIS PHYSICIAN 40.00 X 207152 0 24309 JASMINE LOW PHYSICIAN 40.00 X 206072 0 25794 1990536 0 197131 80 0 1 0 TEKSYSTEMS 7437 RACE ROAD HANOVER MD 21076 IT SUPPORT STAFFING 429338 1 7031309 1518180 803494 8549489 NET PATIENT SERVICE RE 621500 34585896 34585896 PHARMACY AND 340B PROG 621500 6459986 6459986 MEDICAL INCENTIVE REVE 621500 5365076 5365076 SERVICE CONTRACT REVEN 621500 649236 649236 47060194 98373 98373 102310 0 102310 102310 102310 13075076 13070286 4790 4790 4790 MISCELLANEOUS INCOME 621500 64383 64383 64383 55879539 47060194 0 269856 1047261 851904 190388 4969 29041040 23623700 5279546 137794 1126381 933925 187368 5088 4135229 3428677 687874 18678 2298454 1888755 398767 10932 136211 136211 44790 44790 10941 10941 1739593 1255389 459176 25028 418957 234037 146712 38208 2725849 1185854 1534763 5232 2040245 1566301 473944 258619 182606 71481 4532 289620 225026 60343 4251 69931 69931 1593522 1361637 231885 116653 73006 43647 SUPPLIES, MEDS, AND VAC 2546744 2533037 12966 741 SMALL EQUIPMENT 384804 349542 35242 20 WELLNESS 175363 131394 43729 240 MISCELLANEOUS 163397 130340 28482 4575 116877 6360 110517 50480481 39961490 10258703 260288 -144349 6462913 9331138 16035076 4774935 799722 5859202 6023045 395777 588074 548094 722595 29614567 8358600 21257043 21255967 9503997 4501392 2699759 2263627 54225596 58652411 4760081 5746772 4070570 2039165 8830651 7785937 X 44605191 50167921 789754 698553 45394945 50866474 54225596 58652411 5399058 72471 0 X 0 1 X 1 1 1 X 5589041 6436450 7876861 18264897 8549489 46716738 5589041 6436450 7876861 18264897 8549489 46716738 46716738 208244 201598 403278 -42567 200683 971236 82262 50735 141962 167134 64383 506476 48194450 189347227 0.96930 0.96730 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 82,262. 2019 AMOUNT: $ 50,735. 2020 AMOUNT: $ 141,962. 2021 AMOUNT: $ 167,134. 2022 AMOUNT: $ 64,383. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 575000 575000 19453944 1734779 17719165 1526393 1214283 312110 8059230 5409538 2649692 21255967 LEASE LIABILITIES - FACILITIES 2039165 2039165 X 56293066 72471 351997 424468 55868598 10941 10941 55879539 50821536 351996 351996 50469540 10941 10941 50480481 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). NO PROVISION FOR INCOME TAXES IS MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS, AS MANAGEMENT BELIEVES THE ORGANIZATION HAS NO ACTIVITIES SUBJECT TO UNRELATED BUSINESS INCOME TAX. THE ORGANIZATION FILES INCOME TAX RETURNS IN THE UNITED STATES FEDERAL JURISDICTION, AS WELL AS THE STATE OF OREGON JURISDICTION. IN THE EVENT PENALTIES AND INTEREST ARE ASSESSED BY INCOME TAXING AUTHORITIES, IT IS THE ORGANIZATION'S POLICY TO INCLUDE THESE IN OPERATING EXPENSES. NO PENALTIES OR INTEREST WERE ASSESSED FOR THE YEAR ENDED JUNE 30, 2023. X X 0 0 0 0 0 0 0 0 0 MEGAN HAASE CEO 295550 0 0 0 0 0 10851 0 9256 0 315657 0 0 0 JESSICA LEBLANC CHO 262808 0 0 0 0 0 9984 0 12770 0 285562 0 0 0 JEFF BULKLEY PHYSICIAN 213975 0 0 0 0 0 8909 0 17235 0 240119 0 0 0 JOSHUA REIHER PHYSICIAN 211581 0 0 0 0 0 8859 0 17235 0 237675 0 0 0 JASMINE LOW PHYSICIAN 206072 0 0 0 0 0 8559 0 17235 0 231866 0 0 0 BRENNA LEWIS PHYSICIAN 207152 0 0 0 0 0 7267 0 17042 0 231461 0 0 0 SARAH MORRISON PHYSICIAN 207843 0 0 0 0 0 8354 0 9256 0 225453 0 0 0 STEVE STRANG CFO 189643 0 0 0 0 0 7934 0 17225 0 214802 0 0 0 CARLA STEVENS COO 195912 0 0 0 0 0 7916 0 1244 0 205072 0 0 0 PART I, LINE 3 ORGANIZATION SALARY SURVERYS ARE COMPLETED ON AN ANNUAL BASIS. THE BOARD REVIEWS THE CEO SALARY SURVEY AND APPROVES THE COMPENSATION. ADDITIONALLY, AN ANNUAL REVIEW OF THE CEO IS COMPLETED BY THE BOARD EACH YEAR. X 31948 803494 COST 0 0 0 0 PART I, COLUMN (B): NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE 990 WILL BE SUBMITTED TO THE BOARD FINANCE COMMITTEE, WHO WILL REVIEW AND RECOMMEND APPROVING IT AT THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C BOARD POLICY DICTATES THAT TRANSACTIONS INVOLVING BOARD MEMBERS WITH CONFLICTS OF INTEREST ARE TO BE FULLY DISCLOSED AND SUBJECT TO BOARD APPROVAL. CONFLICTS OF INTEREST INQUIRIES ARE MADE AT EMPLOYEE ORIENTATION AND REGULARLY EACH YEAR. BOTH MANAGEMENT AND EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS. EMPLOYEE SUBMISSIONS ARE REVIEWED BY HR. NECESSARY CONFLICTS ARE SUBMITTED TO THE EXECUTIVE LEADERSHIP TEAM FOR REVIEW, WHO WILL BRING IT TO THE BOARD OF DIRECTORS ON A NEEDED BASIS. FORM 990, PART VI, SECTION B, LINE 15 CHIEF EXECUTIVE OFFICER COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. AT MOSAIC THE HIRING MANGAGER WORKS WITH HR TO SELECT AN APPROPRIATE SALARY WITHIN THE APPROVED SALARY RANGE, BASED ON MARKET STUDIES, THAT MATCHES THE CANDIDATE'S EXPERIENCE AND EDUCATION. THIS PROCESS WAS LAST CONDUCTED SEPTEMBER 2022. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.