MOSAIC COMMUNITY HEALTH: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MOSAIC COMMUNITY HEALTH (EIN 93-1329158)
- Tax period
- 2012-06-01 to 2013-05-31
- Filed
- 2014-04-14
- IRS object ID
- 201411059349300101
- Schema version
- 2012v2.0
- 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) |
|---|---|---|
| Timestamp | 2014-04-14T17:11:01-07:00 | Timestamp |
| Tax Period End Date | 2013-05-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kuenzi & Company LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-06-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931329158 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSAIC MEDICAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOSA | NameControl |
| Phone | 5414470707 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SCOTT COOPER | Name |
| Title | Treasurer | Title |
| Date Signed | 2014-04-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ADEN L KUENZI | Name |
| PTIN | P00443475 | PTIN |
| Phone | 5033997306 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MEGAN HAASE | NameOfPrincipalOfficerPerson |
| Gross Receipts | 13085919 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MOSAICMEDICAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | OR | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF MOSAIC MEDICAL IS TO IMPROVE THE LIVES AND HEALTH OF INDIVIDUALS ANDFAMILIES IN THE COMMUNITIES WE SERVE. MOSAIC MEDICAL IS AN INNOVATIVE SAFETY NET PROVIDER OF MEDICAL AND BEHAVIORAL HEALTH CARE SERVICES FOR CENTRAL OREGON. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 169 | TotalNbrEmployees |
| Total Nbr Volunteers | 30 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 2758945 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3018315 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7492921 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 9966046 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2902 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1126 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 152101 | OtherRevenuePriorYear |
| Other Revenue Current Year | 100432 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10406869 | TotalRevenuePriorYear |
| Total Revenue Current Year | 13085919 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6792869 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9135435 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2416981 | OtherExpensePriorYear |
| Other Expenses Current Year | 2777796 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 9209850 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11913231 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1197019 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1172688 | RevenuesLessExpensesCY |
| Total Assets BOY | 8694609 | TotalAssetsBOY |
| Total Assets EOY | 10187214 | TotalAssetsEOY |
| Total Liabilities BOY | 2753825 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3073742 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5940784 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7113472 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF MOSAIC MEDICAL IS TO IMPROVE THE LIVES AND HEALTH OF INDIVIDUALS ANDFAMILIES IN THE COMMUNITIES WE SERVE. MOSAIC MEDICAL IS AN INNOVATIVE SAFETY NET PROVIDER OF MEDICAL AND BEHAVIORAL HEALTH CARE SERVICES FOR CENTRAL OREGON. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 5370173 | Expense |
| Revenue | 6315724 | Revenue |
| Description | THE BEND CLINIC PROVIDED 38,587 PRIMARY CARE VISITS IN FISCAL 2012-2013, AS WELL AS THOUSANDS OF ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE AND CASE MANAGEMENT SERVICES. IN FISCAL 2012-2013, BEND CLINIC MAINTAINED THE STATE'S HIGHEST DESIGNATION FOR PATIENT-CENTERED PRIMARY CARE HOMES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1996020 | Expense |
| Revenue | 2053607 | Revenue |
| Description | THE PRINEVILLE CLINIC, THE FIRST CLINIC OPENED BY MOSAIC, PROVIDED 15,321 PRIMARY CARE VISITS TO ITS COMMUNITY, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, HOSPITAL CALL SERVICES AND CASE MANAGEMENT SERVICES. IN FISCAL 2012-2013, PRINEVILLE CLINIC MAINTAINED THE STATE'S HIGHEST DESIGNATION FOR PATIENT-CENTERED PRIMARY CARE HOMES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1639832 | Expense |
| Revenue | 1501930 | Revenue |
| Description | THE MADRAS CLINIC PROVIDED 9,318 VISITS IN FISCAL 2012-2013, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, HOSPITAL OB AND CALL SERVICES AND CASE MANAGEMENT SERVICES. IN FISCAL 2012-2013, THE MADRAS CLINIC MAINTAINED THE STATE'S HIGHEST DESIGNATION FOR PATIENT-CENTERED PRIMARY CARE HOMES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 355082 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 94784 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 9361107 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 11 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 169 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DIANE KAYSER | NamePerson |
| Telephone Number | 5414470707 | TelephoneNumber |
Address US AddressUS
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| BILL WINNENBERG | |||||||||
| BOARD CHAIR | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| MIKE TEMPLETON | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Scott Johnson | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| JOYCE TUCKER | |||||||||
| Secretary | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| SCOTT COOPER | |||||||||
| Treasurer | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| JULIETA FAVELA | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| John Mapes | |||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| AMY MIX | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| ALISHA FEHRENBACHER | |||||||||
| VICE CHAIR | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| MEGAN HAASE | |||||||||
| CEO | 40.00 | 0.00 | 161826 | 0 | 8117 | X | |||
| MARTIN SMART | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 151828 | 0 | 7576 | X | |||
| Divya sharma | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 132606 | 0 | 4376 | X | |||
| KRISTI NIX | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 180128 | 0 | 4917 | X | |||
| Laura Gratton | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 138070 | 0 | 4376 | X | |||
| Mary Rogers | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 183129 | 0 | 4376 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 947587 | TotalReportableCompFromOrg |
| Total Other Compensation | 33738 | TotalOtherCompensation |
| Number Individuals GT100 K | 10 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| OCHIN | |||||
| 707 SW WASHINGTON ST STE 1200 | PORTLAND | OR | 97205 | EMR SERVICES | 367510 |
| BEST CARE TREATMENT SERVICES | |||||
| 461 NE GREENWOOD SUITE A | BEND | OR | 97701 | PATIENT SERVICES | 116156 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Government Grants | 2938321 | GovernmentGrants |
| All Other Contributions | 79994 | AllOtherContributions |
| Total Contributions | 3018315 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| SCHOOL BASED HEALTH CENTE | 621400 | 20300 | 20300 |
| HEALTH SERVICE FEES | 621400 | 1178557 | 1178557 |
| GOV'T AGENCY LEASES | 621300 | 89295 | 89295 |
| Fees & Contracts Gov Agencies | 624100 | 8677894 | 8677894 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 9966046 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1126 | TotalRevenueColumn |
| Exclusion | $1,126 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISC INCOME | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 100432 | TotalRevenueColumn |
| Related Or Exempt Function Income | 100432 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 100432 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13085919 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10066478 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,126 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169943 | Total |
| Program Services | 134255 | ProgramServices |
| Management And General | 35688 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7428055 | Total |
| Program Services | 5693575 | ProgramServices |
| Management And General | 1734480 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 809651 | Total |
| Program Services | 692473 | ProgramServices |
| Management And General | 117178 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 727786 | Total |
| Program Services | 615839 | ProgramServices |
| Management And General | 111947 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11547 | Total |
| Management And General | 11547 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26810 | Total |
| Management And General | 26810 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88507 | Total |
| Program Services | 31807 | ProgramServices |
| Management And General | 56700 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66684 | Total |
| Management And General | 66684 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 316157 | Total |
| Program Services | 294372 | ProgramServices |
| Management And General | 21785 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 609299 | Total |
| Program Services | 542277 | ProgramServices |
| Management And General | 67022 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52381 | Total |
| Program Services | 23249 | ProgramServices |
| Management And General | 29132 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89409 | Total |
| Program Services | 56707 | ProgramServices |
| Management And General | 32702 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83506 | Total |
| Management And General | 83506 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 303318 | Total |
| Program Services | 299629 | ProgramServices |
| Management And General | 3689 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40563 | Total |
| Program Services | 25811 | ProgramServices |
| Management And General | 14752 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS & MAINTENANCE | 83069 | 82995 | 74 |
| Dues, Publications, &Postage | 113843 | 61103 | 52740 |
| CONTRACTUAL SERVICES | 334881 | 325415 | 9466 |
| SUPPLIES | 394340 | 386066 | 8274 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163482 | Total |
| Program Services | 95534 | ProgramServices |
| Management And General | 67948 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11913231 | Total |
| Program Services | 9361107 | ProgramServices |
| Management And General | 2552124 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3119 | BOY |
| EOY | 4169 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1705339 | BOY |
| EOY | 2870380 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3447363 | BOY |
| EOY | 3237481 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25000 | BOY |
| EOY | 64344 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93191 | BOY |
| EOY | 108819 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5367083 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1793317 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3394240 | BOY |
| EOY | 3573766 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26357 | BOY |
| EOY | 328255 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8694609 | BOY |
| EOY | 10187214 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 694308 | BOY |
| EOY | 1042463 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2059517 | BOY |
| EOY | 2031279 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2753825 | BOY |
| EOY | 3073742 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5940784 | BOY |
| EOY | 7113472 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5940784 | BOY |
| EOY | 7113472 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8694609 | BOY |
| EOY | 10187214 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1172688 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1970736 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2592482 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2706571 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2758945 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3018315 | CurrentTaxYear |
| Total | 13047049 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1970736 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2592482 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2706571 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2758945 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3018315 | CurrentTaxYear |
| Total | 13047049 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 0 | AmountsSubstContributorsTotal |
| Public Support Total170 | 13047049 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 203 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2505 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2902 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1126 | CurrentTaxYear |
| Total | 6747 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8529 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 79720 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 113500 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 152101 | CurrentTaxYearMinus1Year |
| Current Tax Year | 100432 | CurrentTaxYear |
| Total | 454282 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 13508078 | TotalSupport |
| Gross Receipts From Admissions Etc | 32234309 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.96590 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.97020 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 575000 | OtherCostOrOtherBasis |
| Book Value | 575000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2572542 | OtherCostOrOtherBasis |
| Depreciation | 325998 | Depreciation |
| Book Value | 2246544 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 327085 | OtherCostOrOtherBasis |
| Depreciation | 165223 | Depreciation |
| Book Value | 161862 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1328408 | OtherCostOrOtherBasis |
| Depreciation | 910780 | Depreciation |
| Book Value | 417628 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 564048 | OtherCostOrOtherBasis |
| Depreciation | 391316 | Depreciation |
| Book Value | 172732 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3573766 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 13085919 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 13085919 | RevenueSubtotal |
| Total Revenue Per Form990 | 13085919 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 11913231 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 11913231 | ExpensesSubtotal |
| Total Expenses Per Form990 | 11913231 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X | Identifier |
| Return Reference | Part X : FIN48 Footnote | ReturnReference |
| 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, 2009 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, 2013 and 2012. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|
| MEGAN HAASE | |||
| CEO | 161826 | 8117 | 169943 |
| Mary Rogers | |||
| PHYSICIAN | 183129 | 4376 | 187505 |
| MARTIN SMART | |||
| PHYSICIAN | 151828 | 7576 | 159404 |
| KRISTI NIX | |||
| PHYSICIAN | 180128 | 4917 | 185045 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part I, Line 1a | Identifier |
| Return Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | ReturnReference |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | UPON REQUEST |
| Form 990, Part VI, Line 15b | Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | THE EXECUTIVE DIRECTOR APPROVES SALARY AND PAY RATES. |
| Form 990, Part VI, Line 15a | Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | EXECUTIVE DIRECTOR COMPENSATION IS APPROVED BY THE BOARD. THE EXECUTIVE DIRECTOR APPROVES SALARY AND PAY RATES FOR EMPLOYEES AND PROVIDERS. |
| Form 990, Part VI, Line 12c | 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 11b | 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 2 | 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 III, Line 4d | 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 two school-based health centers, one opened in 2013 in Redmond (MA Lynch Elementary), our newly opened Redmond clinic, and our Mobile Medical Van which brings Primary Care to homeless patients. As new programs, these were supported primarily by grant funding as they ramp up operations. |