2022-05-10T18:10:38-07:00 2021-12-31 990 2021-01-01 463799343 MID ROGUE IMAGING CENTER MIDR 5414725154 1619 NW Hawthorne Avenue Suite 102 Grants Pass OR 97526 Hollie Shults Executive Director 5414725152 2022-05-10 1 11 1 AAL2 2021 2022-09-23 18:48:47Z Hollie Shults 1619 NW Hawthore Suite 102 Grants Pass OR 97526 6347181 0 X www.midrogueimaging.com X 2013 OR Provide cost-effective, quality imaging services to the residents of greater Josephine County and surrounding areas. 5 5 21 0 0 0 326772 642170 5015815 5704993 257 18 0 0 5342844 6347181 0 0 0 0 752734 827021 1188 0 0 4455208 5147041 5209130 5974062 133714 373119 2871463 2861477 1392586 1009481 1478877 1851996 Provide cost-effective, quality imaging services to the residents of greater Josephine County and surrounding areas. 0 0 5819930 0 6347181 Provide cost-effective, quality imaging services to the residents of greater Josephine County and the surrounding areas. 0 0 0 5819930 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 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 0 0 0 0 1 0 0 1 21 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OR X Hollie Shults 5414725154 1619 NW Hawthorne Avenue Suite 102 Grants Pass OR 97526 X Thomas Jones Technical Director 45 0 X 108304 0 0 Benjamin Smith Executive Director 45 0 X X 81444 0 0 Hollie Shults Executive Director 45 0 X 26884 0 0 Melissa Greive DO Board President 5.00 0 X X 0 0 0 Brian Mateja DO Board Secretary/Treasurer 5.00 0 X X 0 0 0 Andrew Pitzak DO Board Director 1 0 X 0 0 0 Max Whittington Board Director 1 0 X 0 0 0 Twila Farris Board Director 5.00 0 X 0 0 0 216632 0 0 1 1 0 0 0 0 0 0 0 123700 518470 0 642170 Diagnostic Imaging Services 621512 5704993 5704993 0 0 0 0 0 0 5704993 18 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6347181 5705011 0 0 0 0 0 0 0 0 0 0 112701 84526 28175 0 0 0 0 0 586858 557515 29343 0 24284 23070 1214 0 44447 42225 2222 0 58731 55794 2937 0 0 0 0 0 6540 6213 327 0 24017 2402 21615 0 0 0 0 0 0 0 0 0 0 0 101032 98147 2885 0 54492 54492 0 0 105156 78867 26289 0 105533 94980 10553 0 0 0 0 0 125661 118216 7445 0 783 587 196 0 0 0 0 0 0 0 0 0 60300 60300 0 0 0 0 0 0 234442 222720 11722 0 37894 35999 1895 0 Medical Supplies 90352 90352 0 0 Repairs & Maintenance 146271 138957 7314 0 Contractual Write-offs 3998341 3998341 0 0 56227 56227 0 0 5974062 5819930 154132 0 429727 137501 185580 100399 0 455547 552289 2055 3160 2700782 632654 1798554 2068128 2871463 2861477 79945 102919 0 0 0 0 0 0 0 0 0 0 1312641 906562 0 0 0 1392586 1009481 X 1478877 1851996 0 0 1478877 1851996 2871463 2861477 373119 0 0 0 0 0 X 0 0 0 X 395100 1239732 1195833 326772 642170 3799607 3654204 3380336 3454722 5015815 5704993 21210070 4049304 4620068 4650555 5342587 6347163 25009677 25009677 6 110 257 18 391 0 6 110 257 18 391 0 0 4049304 4620074 4650665 5342844 6347181 25010068 0.99998 0.99998 0.00002 0.00002 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 759601 0 67287 692314 1930031 0 565367 1364664 11150 0 0 11150 2068128 X X X 1 0 0 0 0 0 0 0 0 Benjamin Smith Executive Director 70451 0 0 0 3000 0 0 0 12429 0 85880 0 0 0 Schedule J, Part I, Line 4 Benjamin Smith, Former Executive Director left employment in July 2021 and received severance in the amount of $3,338.40. Form 990, Part VI, Section B, Line 11b The draft 990 and schedules were provided to the entire Board of Directors for final review and approval prior to submission. All questions were addressed and responded to prior to the completion and submission of the filing. Form 990, Part VI, Section B, Line 12c Annually the Board President reviews the Conflict of Interest Policy along with the Board's fiduciary responsibilities with all the Board of Directors. The Board is routinely reminded to disclose all conflicts of interest immediately. If a conflict arises to the Board, it is reviewed and based upon the policy the Board determines the appropriate action that will be taken. Form 990, Part VI, Section B, Line 15 The Board performs an annual review of the Executive Director and determines the annual salary increases and potential bonus payments. In addition, the Board reviews salary data to determine if the annual salary increases will be approved for all staff. Form 990, Part VI, Section C, Line 19 All governing documents are provided to the public upon request.