MOSAIC COMMUNITY HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: MOSAIC COMMUNITY HEALTH (EIN 93-1329158)
Tax period: 2009-06-01 to 2010-05-31
Filed: 2011-04-16
IRS object ID: 201141069349300504
Schema version: 2009v1.7
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 L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-04-16T11:22:02-07:00	Timestamp
Tax Period End Date	2010-05-31	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	2009-06-01	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	2011-04-16	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	2009	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	7626168	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c	X	Organization501c
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	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	114	TotalNbrEmployees
Total Nbr Volunteers	1	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1970736	ContributionsGrantsPriorYear
Contributions Grants Current Year	2592482	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3392990	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4953763	ProgramServiceRevenueCY
Investment Income Prior Year	11	InvestmentIncomePriorYear
Investment Income Current Year	203	InvestmentIncomeCurrentYear
Other Revenue Prior Year	8529	OtherRevenuePriorYear
Other Revenue Current Year	79720	OtherRevenueCurrentYear
Total Revenue Prior Year	5372266	TotalRevenuePriorYear
Total Revenue Current Year	7626168	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	3390945	SalariesEtcPriorYear
Salaries Etc Current Year	4426695	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1875034	OtherExpensePriorYear
Other Expenses Current Year	2190874	OtherExpensesCurrentYear
Total Expenses Prior Year	5265979	TotalExpensesPriorYear
Total Expenses Current Year	6617569	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	106287	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1008599	RevenuesLessExpensesCY
Total Assets BOY	4714346	TotalAssetsBOY
Total Assets EOY	5801704	TotalAssetsEOY
Total Liabilities BOY	2590676	TotalLiabilitiesBOY
Total Liabilities EOY	2669435	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2123670	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3132269	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	5395247	Expense
Revenue	5033686	Revenue
Description	MEDICAL, DENTAL AND MENTAL HEALTH CARE SERVICES: THE ORGANIZATION PROVIDED 43,360 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	5395247	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
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
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	true	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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	13	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	114	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
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	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
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	false	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	MEGAN HAASE	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 (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
WENDY PERRIN
Vice President	1.00	X	X	0	0	0
SCOTT COOPER
Treasurer	1.00	X	X	0	0	0
MIKE TEMPLETON
Board Member	1.00	X		0	0	0
MIKE MCGROWAN
BOARD MEMBER	1.00	X		0	0	0
MEGAN HAASE
CEO	40.00			154163	0	0	X
MARTIN SMART
PHYSICIAN	40.00			175177	0	0		X
KATE MOORE
Board Member	1.00	X		0	0	0
JOYCE TUCKER
Secretary	1.00	X	X	0	0	0
FREDERICK BOEHAM
PHYSICIAN	40.00			120445	0	0		X
CHARLA DEHATE
Former Exec Dir	40.00			100461	0	0	X
BILL WINNENBERG
BOARD MEMBER	1.00	X		0	0	0
ALISHA HOPPER
President	1.00	X	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	550246	TotalReportableCompFromOrg
Number Individuals GT100 K	4	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
VALLEY TRANSCRIPTION SERVICES
2220 9TH AVENUE SE	ALBANY	OR	97322	TRANSCRIPTION	113980
SunWest Builders
PO box 489	Redmond	OR	97756	Contractors	279429
OCHIN
707 SW WASHINGTION ST	PORTLAND	OR	97205	PM SYSTEM	100119
CASCADE TELEPHONE
345 NE CLAY AVE	BEND	OR	97701	COMMUNICATIONS	143725

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Government Grants	2588509	GovernmentGrants
All Other Contributions	3973	AllOtherContributions
Total Contributions	2592482	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HEALTH SERVICE FEES	621400	798360	798360
GOV'T AGENCY LEASES	621300	87314	87314
Fees & Contracts Gov Agencies	624100	4068089	4068089

Field	Value	IRS element (for citing)
Total Program Service Revenue	4953763	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	203	TotalRevenueColumn
Exclusion	$203	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 (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISC INCOME	561000	74232	74232
MEDICAL RECORDS COPYING	561000	5488	5488

Field	Value	IRS element (for citing)
Total Other Revenue	79720	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	7626168	TotalRevenueColumn
Related Or Exempt Function Income	5033483	RelatedOrExemptFunctionIncome
Exclusion	$203	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	254624	Total
Program Services	190968	ProgramServices
Management And General	63656	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	3531242	Total
Program Services	2960211	ProgramServices
Management And General	571031	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	18933	Total
Program Services	18933	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	282132	Total
Program Services	270505	ProgramServices
Management And General	11627	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	339764	Total
Program Services	288166	ProgramServices
Management And General	51598	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	6437	Total
Management And General	6437	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	144379	Total
Program Services	34557	ProgramServices
Management And General	109822	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	50295	Total
Management And General	50295	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	77608	Total
Program Services	62086	ProgramServices
Management And General	15522	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	501750	Total
Program Services	401400	ProgramServices
Management And General	100350	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	50997	Total
Program Services	23516	ProgramServices
Management And General	27481	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	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	88698	Total
Program Services	69462	ProgramServices
Management And General	19236	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	219614	Total
Program Services	175691	ProgramServices
Management And General	43923	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	30714	Total
Program Services	22259	ProgramServices
Management And General	8455	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	262755	202746	60009
REPAIRS & MAINTENANCE	86453	62642	23811
OCHIN DATA MANAGEMENT	120834	96667	24167
DUES, PUBLICATIONS AND POSTAGE	65279	54782	10497
CONTRACTUAL SERVICES	408025	402007	6018

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	77036	Total
Program Services	58649	ProgramServices
Management And General	18387	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6617569	Total
Program Services	5395247	ProgramServices
Management And General	1222322	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	136146	BOY
EOY	217543	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	0	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	1165387	BOY
EOY	1949001	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	46039	BOY
EOY	69771	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4515475	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	950086	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3366774	BOY
EOY	3565389	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	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4714346	BOY
EOY	5801704	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	453143	BOY
EOY	556216	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2137533	BOY
EOY	2113219	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2590676	BOY
EOY	2669435	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2123670	BOY
EOY	3132269	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2123670	BOY
EOY	3132269	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4714346	BOY
EOY	5801704	EOY

Field	Value	IRS element (for citing)
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	1945817	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2752694	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2017791	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1970736	CurrentTaxYearMinus1Year
Current Tax Year	2592482	CurrentTaxYear
Total	11279520	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	1945817	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2752694	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2017791	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1970736	CurrentTaxYearMinus1Year
Current Tax Year	2592482	CurrentTaxYear
Total	11279520	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	0	AmountsSubstContributorsTotal
Public Support Total170	11279520	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3195	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12237	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	342	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11	CurrentTaxYearMinus1Year
Current Tax Year	203	CurrentTaxYear
Total	15988	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	851	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2506	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9711	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8529	CurrentTaxYearMinus1Year
Current Tax Year	79720	CurrentTaxYear
Total	101317	Total

Field	Value	IRS element (for citing)
Total Support	11396825	TotalSupport
Gross Receipts From Admissions Etc	14826168	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.98970	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.97410	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
Facts And Circumstances Test	Part II, Line 10--$74,232 Insurance adjustments and reimbursements$ 5,488 Medical records copying-------$79,720	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	171645	Depreciation
Book Value	2400897	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	264965	OtherCostOrOtherBasis
Depreciation	58603	Depreciation
Book Value	206362	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1102968	OtherCostOrOtherBasis
Depreciation	719838	Depreciation
Book Value	383130	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3565389	TotalOfBookValueLandBuildings
Total Revenue	7626168	TotalRevenue
Total Expenses	6617569	TotalExpenses
Excess Or Deficit For Year	1008599	ExcessOrDeficitForYear
Excess Or Deficit Per FS	1008599	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	7626168	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	7626168	RevenueSubtotal
Total Revenue Per Form990	7626168	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6617569	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	6617569	ExpensesSubtotal
Total Expenses Per Form990	6617569	TotalExpensesPerForm990

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 (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
MEGAN HAASE
154163	154163
MARTIN SMART
175177	175177

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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues	Amount Of TransactionAmountOfTransaction
SEE SCHEDULE O
MEMBER	TO MOSAICMEDICAL	false
PARTNERSHIP TO END POVERTY
COMMON BOARD	SHORT-TERM LOAN	false	150000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 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.
Form 990, Part VI, Line 2	Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	THE TREASURER SCOTT COOPER IS THE DIRECTOR OF PUBLIC POLICY AT PARTNERSHIP TO END POVERTY, ANOTHER 501(C)(3) ORGANIZATION. PARTNERSHIP TO END PROVERTY PROVIDED MOSAICMEDICAL WITH A SHORT-TERM $150,000 LOAN AT THE CLOSE OF THE FISCAL YEAR 5-31-2009. THE LOAN WAS REPAID IN FULL WITH INTEREST DURING THE FISCAL YEAR ENDED 5-31-2010. NO ADDITIONAL LOANS OR TRANSACTIONS WERE MADE.