MOSAIC COMMUNITY HEALTH: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MOSAIC COMMUNITY HEALTH (EIN 93-1329158)
- Tax period
- 2013-06-01 to 2014-05-31
- Filed
- 2015-02-25
- IRS object ID
- 201530569349300303
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-02-25T07:11:14-08:00 | ReturnTs |
| Tax Period End | 2014-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kuenzi & Company LLC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 Hawthorne Avenue SE Suite 110 | AddressLine1 |
| City | Salem | City |
| State | OR | State |
| ZIP Code | 97301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931329158 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSAIC MEDICAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOSA | BusinessNameControlTxt |
| Phone | 5414470707 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 NW BEAVER ST STE 101 | AddressLine1 |
| City | PRINEVILLE | City |
| State | OR | State |
| ZIP Code | 97754 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT COOPER | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2015-02-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ADEN L KUENZI | PreparerPersonNm |
| PTIN | P00443475 | PTIN |
| Phone | 5033997306 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MEGAN HAASE | PrincipalOfficerNm |
| Gross Receipts | $18,280,935 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MOSAICMEDICAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | Mosaic Medical is a community health center system with clinics throughout Central Oregon. We proudly serve individuals and families regardless of income or insurance. Our comprehensive services keep Central Oregonians at work, in school, and out of the emergency room. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 237 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,018,315 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,121,809 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,966,046 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,158,728 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,126 | PYInvestmentIncomeAmt |
| CY Investment Income | $232 | CYInvestmentIncomeAmt |
| PY Other Revenue | $100,432 | PYOtherRevenueAmt |
| CY Other Revenue | $166 | CYOtherRevenueAmt |
| PY Total Revenue | $13,085,919 | PYTotalRevenueAmt |
| CY Total Revenue | $18,280,935 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,135,435 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,010,072 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,777,796 | PYOtherExpensesAmt |
| CY Other Expenses | $4,781,160 | CYOtherExpensesAmt |
| PY Total Expenses | $11,913,231 | PYTotalExpensesAmt |
| CY Total Expenses | $17,791,232 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,172,688 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $489,703 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,187,214 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,774,912 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,073,742 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,392,182 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,113,472 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,382,730 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF MOSAIC MEDICAL IS TO IMPROVE THE HEALTH AND WELL BEING OF THE INDIVIDUALS, FAMILIES, AND COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $6,469,596 | ExpenseAmt |
| Revenue | $7,456,612 | RevenueAmt |
| Desc | THE BEND CLINIC PROVIDED 35,848 PRIMARY CARE VISITS IN FISCAL 2013-2014, AS WELL AS THOUSANDS OF ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE AND CASE MANAGEMENT SERVICES. IN FISCAL 2013-2014, BEND CLINIC MAINTAINED THE STATE'S HIGHEST DESIGNATION FOR PATIENT-CENTERED PRIMARY CARE HOMES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,150,419 | ExpenseAmt |
| Revenue | $2,751,056 | RevenueAmt |
| Desc | THE PRINEVILLE CLINIC, THE FIRST CLINIC OPENED BY MOSAIC, PROVIDED 12,743 PRIMARY CARE VISITS TO ITS COMMUNITY IN FISCAL 2013-2014, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, HOSPITAL CALL SERVICES AND CASE MANAGEMENT SERVICES. IN FISCAL 2013-2014, PRINEVILLE CLINIC MAINTAINED THE STATE'S HIGHEST DESIGNATION FOR PATIENT-CENTERED PRIMARY CARE HOMES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,128,668 | ExpenseAmt |
| Revenue | $2,618,095 | RevenueAmt |
| Desc | THE MADRAS CLINIC PROVIDED 10,924 VISITS IN FISCAL 2013-2014, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, HOSPITAL OB AND CALL SERVICES AND CASE MANAGEMENT SERVICES. IN FISCAL 2013-2014, THE MADRAS CLINIC MAINTAINED THE STATE'S HIGHEST DESIGNATION FOR PATIENT-CENTERED PRIMARY CARE HOMES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $3,724,806 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $4,821,961 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $14,473,489 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 237 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MEGAN HAASE CEO | PersonNm |
| Phone | 5414470707 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 NW BEAVER ST STE 101 | AddressLine1 |
| City | PRINEVILLE | City |
| State | OR | State |
| ZIP Code | 97754 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JANA GIARDINI | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| AMY MIX | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| John Mapes | ||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LISA SEVERA | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT COOPER | ||||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOYCE TUCKER | ||||||||
| Secretary | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Julieta Favela | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Scott Johnson | ||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MIKE TEMPLETON | ||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BILL WINNENBERG | ||||||||
| BOARD CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Megan Haase | ||||||||
| CEO | 40.00 | 0.00 | $175,759 | $0 | $8,851 | Yes (X) | ||
| SAM CRANE | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $198,541 | $0 | $5,242 | Yes (X) | ||
| KRISTI NIX | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $171,797 | $0 | $17,500 | Yes (X) | ||
| MARY ROGERS | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $167,103 | $0 | $0 | Yes (X) | ||
| DARIN VAUGHAN | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $166,902 | $0 | $4,308 | Yes (X) | ||
| MARTIN SMART | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $160,756 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,040,858 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $35,901 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ochin | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 SW Washington St STE 1200 | AddressLine1 |
| City | Portland | City |
| State | OR | State |
| ZIP Code | 97205 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | EMR Services | ServicesDesc |
| Compensation | $415,596 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,039,455 | GovernmentGrantsAmt |
| All Other Contributions | $1,082,354 | AllOtherContributionsAmt |
| Noncash Contributions | $279 | NoncashContributionsAmt |
| Total Contributions | $4,121,809 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Fees & Contracts Gov Agencies | 624100 | $11,692,031 | $11,692,031 |
| GOV'T AGENCY LEASES | 621300 | $98,867 | $98,867 |
| HEALTH SERVICE FEES | 621400 | $1,640,420 | $1,640,420 |
| PHARMACY | 621400 | $701,310 | $701,310 |
| SCHOOL BASED HEALTH CENTE | 621400 | $26,100 | $26,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,158,728 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $232 | TotalRevenueColumnAmt |
| Exclusion | $232 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC INCOME | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $166 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $166 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $166 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,280,935 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,158,894 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $232 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,956 | TotalAmt |
| Program Services | $173,765 | ProgramServicesAmt |
| Management And General | $46,191 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,442,286 | TotalAmt |
| Program Services | $8,249,406 | ProgramServicesAmt |
| Management And General | $2,192,880 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,338,756 | TotalAmt |
| Program Services | $933,747 | ProgramServicesAmt |
| Management And General | $405,009 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,009,074 | TotalAmt |
| Program Services | $857,713 | ProgramServicesAmt |
| Management And General | $151,361 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,952 | TotalAmt |
| Management And General | $49,952 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,465 | TotalAmt |
| Management And General | $41,465 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,672 | TotalAmt |
| Program Services | $33,473 | ProgramServicesAmt |
| Management And General | $6,199 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,252 | TotalAmt |
| Program Services | $947 | ProgramServicesAmt |
| Management And General | $52,305 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $328,455 | TotalAmt |
| Program Services | $305,463 | ProgramServicesAmt |
| Management And General | $22,992 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $868,487 | TotalAmt |
| Program Services | $761,091 | ProgramServicesAmt |
| Management And General | $107,396 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,785 | TotalAmt |
| Program Services | $47,828 | ProgramServicesAmt |
| Management And General | $11,957 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,897 | TotalAmt |
| Program Services | $111,828 | ProgramServicesAmt |
| Management And General | $27,069 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,080 | TotalAmt |
| Management And General | $89,080 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,111 | TotalAmt |
| Program Services | $452,869 | ProgramServicesAmt |
| Management And General | $9,242 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,245 | TotalAmt |
| Program Services | $33,693 | ProgramServicesAmt |
| Management And General | $9,552 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $790,230 | $783,021 | $7,209 |
| BAD DEBTS | $718,713 | $718,713 | |
| CONTRACTUAL SERVICES | $367,791 | $362,950 | $4,841 |
| REPAIRS & MAINTENANCE | $310,105 | $282,007 | $28,098 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $419,920 | TotalAmt |
| Program Services | $364,975 | ProgramServicesAmt |
| Management And General | $54,945 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,791,232 | TotalAmt |
| Program Services | $14,473,489 | ProgramServicesAmt |
| Management And General | $3,317,743 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,169 | BOYAmt |
| EOY | $4,919 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,870,380 | BOYAmt |
| EOY | $4,215,748 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $779,555 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,237,481 | BOYAmt |
| EOY | $2,235,630 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,344 | BOYAmt |
| EOY | $114,683 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,819 | BOYAmt |
| EOY | $150,740 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,331,995 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,255,429 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,573,766 | BOYAmt |
| EOY | $4,076,566 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,255 | BOYAmt |
| EOY | $197,071 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,187,214 | BOYAmt |
| EOY | $11,774,912 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,042,463 | BOYAmt |
| EOY | $1,383,567 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,031,279 | BOYAmt |
| EOY | $2,008,615 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,073,742 | BOYAmt |
| EOY | $3,392,182 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,113,472 | BOYAmt |
| EOY | $7,590,912 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $791,818 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,113,472 | BOYAmt |
| EOY | $8,382,730 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,187,214 | BOYAmt |
| EOY | $11,774,912 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $489,703 | ReconcilationRevenueExpnssAmt |
| Donated Services And Use Fclts | $779,555 | DonatedServicesAndUseFcltsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,592,482 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,706,571 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,758,945 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,018,315 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,121,809 | CurrentTaxYearAmt |
| Total | $15,198,122 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,592,482 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,706,571 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,758,945 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,018,315 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,121,809 | CurrentTaxYearAmt |
| Total | $15,198,122 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $15,198,122 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $203 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,505 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,902 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,126 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $232 | CurrentTaxYearAmt |
| Total | $6,968 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,720 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $113,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $152,101 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $100,432 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $166 | CurrentTaxYearAmt |
| Total | $445,919 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $15,651,009 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $43,000,047 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97110 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96590 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $575,000 | OtherCostOrOtherBasisAmt |
| Book Value | $575,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,579,590 | OtherCostOrOtherBasisAmt |
| Depreciation | $377,918 | DepreciationAmt |
| Book Value | $2,201,672 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $643,924 | OtherCostOrOtherBasisAmt |
| Depreciation | $210,835 | DepreciationAmt |
| Book Value | $433,089 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,086,256 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,212,244 | DepreciationAmt |
| Book Value | $874,012 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $447,225 | OtherCostOrOtherBasisAmt |
| Depreciation | $454,432 | DepreciationAmt |
| Book Value | -$7,207 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,076,566 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $19,265,961 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $985,026 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $985,026 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,280,935 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $18,280,935 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,996,703 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $205,471 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $205,471 | ExpensesNotReportedAmt |
| Expenses Subtotal | $17,791,232 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $17,791,232 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X : FIN48 Footnote | FormAndLineReferenceDesc |
| Explanation | The Organization is exempt from taxation under Section 501(c)(3) of the Internal Revenue Code 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 the Organization has no activities subject to unrelated business income tax.The Organization files income tax returns in the U.S. federal jurisdiction as well as the state of Oregon jurisdiction. Generally, income tax filings are subject to federal and state examination for three years after they are filed. Tax returns filed for periods ended May 31, 2010 and prior are considered closed. In the event penalties and interest are assessed by income taxing authorities, it is the Organizations policy to include these in operating expenses. No penalties and interest were assessed for the years ended May 31, 2014 and 2013. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| DARIN VAUGHAN | |||
| PHYSICIAN | $166,902 | $4,308 | $171,210 |
| KRISTI NIX | |||
| PHYSICIAN | $171,797 | $17,500 | $189,297 |
| MARTIN SMART | |||
| PHYSICIAN | $160,756 | $160,756 | |
| MARY ROGERS | |||
| PHYSICIAN | $167,103 | $167,103 | |
| Megan Haase | |||
| CEO | $175,759 | $8,851 | $184,610 |
| SAM CRANE | |||
| PHYSICIAN | $198,541 | $5,242 | $203,783 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | FormAndLineReferenceDesc |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To Services | Mosaic Medical joined the State of Oregon's three year Alternative Payment Method (APM) pilot program. This program's focus is to align payment with value and is based on quality of patient-centered care. Payments are received on a monthly basis based on the size and composition of our patient population. |
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: MOSAIC MEDICAL PROVIDED THE BALANCE OF OUR PRIMARY CARE VISITS THROUGH OUR TWO SCHOOL-BASED HEALTH CENTERS, AND OUR MOBILE MEDICAL VAN WHICH BRINGS PRIMARY CARE TO HOMELESS PATIENTS. To provide this service Mosaic Medical receives donated use of facilities with an estimated fair value of $42,000 for the fiscal year ended May 31, 2014. OTHER PROGRAM SERVICES 5: OUR COMPLEX CARE CENTER OPENED THIS FISCAL YEAR AND PROVIDED 5,719 VISITS IN FISCAL 2013-2014, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, HOSPITAL OB AND CALL SERVICES AND CASE MANAGEMENT SERVICES. Mosaic Medical received a promise to give discounted use of facilities with an estimated fair market value of $943,029 to be utilized over five years. The balance of the promise to give is $779,555 as of May 31, 2014. OTHER PROGRAM SERVICES 6: THE REDMOND CLINIC PROVIDED 6,413 VISITS IN FISCAL 2013-2014, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, HOSPITAL OB AND CALL SERVICES AND CASE MANAGEMENT SERVICES. |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | 0NE BOARD MEMBER IS EMPLOYED AT AN ORGANIZATION AT WHICH ANOTHER BOARD MEMBER SERVES AS AN OFFICER. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | Finance committee review and then presented in finance report to the board. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | 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. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | CHIEF EXECUTIVE OFFICER (CEO)COMPENSATION IS APPROVED BY THE BOARD. THE CEO APPROVES SALARY AND PAY RATES FOR EMPLOYEES AND PROVIDERS. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | THE CEO APPROVES SALARY AND PAY RATES. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | UPON REQUEST |