MOSAIC COMMUNITY HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MOSAIC COMMUNITY HEALTH (EIN 93-1329158)
Tax period: 2010-06-01 to 2011-05-31
Filed: 2012-04-03
IRS object ID: 201210949349300826
Schema version: 2010v3.2
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
Form 990
Schedule A
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-04-03T16:51:07-07:00	Timestamp
Tax Period End Date	2011-05-31	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	2010-06-01	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	2012-04-03	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TERRENCE L KUENZI	Name
Phone	5033997306	Phone
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MEGAN HAASE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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)
Gross Receipts	9251165	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 and families in the communities we serve.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	128	TotalNbrEmployees
Total Nbr Volunteers	1	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	2592482	ContributionsGrantsPriorYear
Contributions Grants Current Year	2706571	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4953763	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6428589	ProgramServiceRevenueCY
Investment Income Prior Year	203	InvestmentIncomePriorYear
Investment Income Current Year	2505	InvestmentIncomeCurrentYear
Other Revenue Prior Year	79720	OtherRevenuePriorYear
Other Revenue Current Year	113500	OtherRevenueCurrentYear
Total Revenue Prior Year	7626168	TotalRevenuePriorYear
Total Revenue Current Year	9251165	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4426695	SalariesEtcPriorYear
Salaries Etc Current Year	5330742	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2190874	OtherExpensePriorYear
Other Expenses Current Year	2308927	OtherExpensesCurrentYear
Total Expenses Prior Year	6617569	TotalExpensesPriorYear
Total Expenses Current Year	7639669	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1008599	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1611496	RevenuesLessExpensesCY
Total Assets BOY	5801704	TotalAssetsBOY
Total Assets EOY	7690303	TotalAssetsEOY
Total Liabilities BOY	2669435	TotalLiabilitiesBOY
Total Liabilities EOY	2946538	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3132269	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4743765	NetAssetsOrFundBalancesEOY
Mission Description	The mission of Mosaic Medical is to improve the lives and health of individuals and families in the communities we serve.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	6187349	Expense
Revenue	6428589	Revenue
Description	MEDICAL, DENTAL AND MENTAL HEALTH CARE SERVICES: THE ORGANIZATION PROVIDED 50,326 ENCOUNTERS TO LOW-INCOME, UNINSURED AND UNDER INSURED INDIVIDUALS AND FAMILIES IN THE COUNTIES OF CROOK, DESCHUTES AND JEFFERSON IN CENTRAL OREGON.	Description
Total Program Service Expense	6187349	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	12	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	128	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
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
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
Form720 Filed	false	Form720Filed
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	false	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
Policies Reference Chapters	false	PoliciesReferenceChapters
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
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
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

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	Key EmployeeKeyEmployee
WENDY PERRIN
Vice President	1.00	X	X	0	0	0
STEVE WARNER
PHYSICIAN	40.00			127969	0	4134	X
SCOTT COOPER
Treasurer	1.00	X	X	0	0	0
MIKE TEMPLETON
Board Member	1.00	X		0	0	0
MIKE MCGOWAN
BOARD MEMBER	1.00	X		0	0	0
MEGAN HAASE
CEO	40.00			156583	0	4134		X
MARTIN SMART
PHYSICIAN	40.00			168313	0	4134	X
KRISTI NIX
PHYSICIAN	40.00			161475	0	4134	X
KATE MOORE
Board Member	1.00	X		0	0	0
JOYCE TUCKER
Secretary	1.00	X	X	0	0	0
FREDERICK BOEHM
PHYSICIAN	40.00			139273	0	4134	X
DIVYA SHARMA
PHYSICIAN	40.00			142620	0	4134	X
BILL WINNENBERG
BOARD MEMBER	1.00	X		0	0	0
AMY MIX
BOARD MEMBER	1.00	X		0	0	0
ALISHA FEHRENBACHER
President	1.00	X	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	896233	TotalReportableCompFromOrg
Total Other Compensation	24804	TotalOtherCompensation
Number Individuals GT100 K	6	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
VALLEY TRANSCRIPTION SERVICES
PO BOX 1961	ALBANY	OR	97321	TRANSCRIPTION	163892
OCHIN
707 SW WASHINGTION ST STE 1200	PORTLAND	OR	97205	PAYMENT MANAGEMENT	189557
COMMUNITY LINK CONSULTING
PO BOX 726	NEWMAN LAKE	WA	99025	FINANCIAL CONSULTING	116850

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	3	NumberOfContractorsGT100K
Government Grants	2381060	GovernmentGrants
All Other Contributions	325511	AllOtherContributions
Total Contributions	2706571	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HEALTH SERVICE FEES	621400	882882	882882
GOV'T AGENCY LEASES	621300	84778	84778
Fees & Contracts Gov Agencies	624100	5460929	5460929

Field	Value	IRS element (for citing)
Total Program Service Revenue	6428589	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2505	TotalRevenueColumn
Related Or Exempt Function Income	2505	RelatedOrExemptFunctionIncome

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	113500	TotalRevenueColumn
Related Or Exempt Function Income	113500	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	113500	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9251165	TotalRevenueColumn
Related Or Exempt Function Income	6544594	RelatedOrExemptFunctionIncome

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	157460	Total
Management And General	157460	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	4387997	Total
Program Services	3714695	ProgramServices
Management And General	673302	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	386007	Total
Program Services	315457	ProgramServices
Management And General	70550	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	399278	Total
Program Services	326303	ProgramServices
Management And General	72975	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	10312	Total
Management And General	10312	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	164357	Total
Management And General	164357	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	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	36633	Total
Management And General	36633	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	186002	Total
Program Services	183002	ProgramServices
Management And General	3000	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	505460	Total
Program Services	413078	ProgramServices
Management And General	92382	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	41026	Total
Program Services	19093	ProgramServices
Management And General	21933	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	20380	Total
Program Services	16494	ProgramServices
Management And General	3886	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	86987	Total
Program Services	70067	ProgramServices
Management And General	16920	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	231396	Total
Program Services	208515	ProgramServices
Management And General	22881	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	32505	Total
Program Services	22671	ProgramServices
Management And General	9834	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
TELEPHONE	65256	53329	11927
SUPPLIES	211179	200900	10279
REPAIRS & MAINTENANCE	111800	92966	18834
DUES, PUBLICATIONS AND POSTAGE	59185	37639	21546
CONTRACTUAL SERVICES	475128	465684	9444

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	71321	Total
Program Services	47456	ProgramServices
Management And General	23865	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	7639669	Total
Program Services	6187349	ProgramServices
Management And General	1452320	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	217543	BOY
EOY	3069	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	1779393	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	1949001	BOY
EOY	2399115	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)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	69771	BOY
EOY	33224	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4630627	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1181482	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3565389	BOY
EOY	3449145	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)
EOY	26357	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5801704	BOY
EOY	7690303	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	556216	BOY
EOY	559928	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2113219	BOY
EOY	2386610	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2669435	BOY
EOY	2946538	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3132269	BOY
EOY	4574605	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	169160	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3132269	BOY
EOY	4743765	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5801704	BOY
EOY	7690303	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	1611496	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	2752694	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2017791	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1970736	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2592482	CurrentTaxYearMinus1Year
Current Tax Year	2706571	CurrentTaxYear
Total	12040274	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	2752694	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2017791	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1970736	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2592482	CurrentTaxYearMinus1Year
Current Tax Year	2706571	CurrentTaxYear
Total	12040274	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	0	AmountsSubstContributorsTotal
Public Support Total170	12040274	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12237	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	342	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	11	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	203	CurrentTaxYearMinus1Year
Current Tax Year	2505	CurrentTaxYear
Total	15298	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	2506	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	9711	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8529	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	79720	CurrentTaxYearMinus1Year
Current Tax Year	113500	CurrentTaxYear
Total	213966	Total

Field	Value	IRS element (for citing)
Total Support	12269538	TotalSupport
Gross Receipts From Admissions Etc	19622313	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.98130	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.98970	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
Facts And Circumstances Test	Part II, Line 10--$115,083 Insurance adjustments and reimbursements$ -1,583 Medical records copying-------$113,500	FactsAndCircumstancesTest

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	223096	Depreciation
Book Value	2349446	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	277865	OtherCostOrOtherBasis
Depreciation	94728	Depreciation
Book Value	183137	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	877099	OtherCostOrOtherBasis
Depreciation	646668	Depreciation
Book Value	230431	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	328121	OtherCostOrOtherBasis
Depreciation	216990	Depreciation
Book Value	111131	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3449145	TotalOfBookValueLandBuildings
Total Revenue	9251165	TotalRevenue
Total Expenses	7639669	TotalExpenses
Excess Or Deficit For Year	1611496	ExcessOrDeficitForYear
Excess Or Deficit Per FS	1611496	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	9251165	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	9251165	RevenueSubtotal
Total Revenue Per Form990	9251165	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	7639669	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	7639669	ExpensesSubtotal
Total Expenses Per Form990	7639669	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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, 2007 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, 2011 and 2010.	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 (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
MEGAN HAASE
156583	4134	160717
MARTIN SMART
168313	4134	172447
KRISTI NIX
161475	4134	165609

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 (4 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 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 11	Form 990, Part VI, Line 11: Form 990 Review Process	Finance committee review and then presented in finance report to the board.