2021-09-07T13:31:21-05:00 2020-12-31 910189318 MOSS ADAMS LLP 1301 A STREET SUITE 600 TACOMA WA 984024205 990 2020-01-01 262377858 THE CAROL MILGARD BREAST CENTER CARO 2537592622 4525 S 19TH ST TACOMA TACOMA WA 98405 LEANNE NOREN EXECUTIVE DIRECTOR 2533831099 2021-09-02 1 LEANNE NOREN XXX-XX-XXXX COLLEEN RAMIRES P01251320 2535724100 2021-09-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z LEANNE NOREN PO BOX 1535 TACOMA WA 98401 14614519 0 X WWW.CAROLMILGARDBREASTCENTER.ORG X 2008 WA TO PROVIDE SUSTAINABLE BREAST HEALTH SERVICES TO ALL WOMEN AND MEN IN OUR COMMUNITY, IN A CARING ENVIRONMENT THAT FOSTERS CONFIDENCE, COMFORT, PEACE, AND DIGNITY. 9 9 0 14 0 0 141800 1001189 16196500 13587273 3547 5552 -9712 0 16332135 14594014 15693 0 0 0 0 0 0 0 42943 16676112 15054550 16691805 15054550 -359670 -460536 8491537 8655041 1218645 1842685 7272892 6812356 X TO PROVIDE SUSTAINABLE BREAST HEALTH SERVICES TO ALL WOMEN AND MEN IN OUR COMMUNITY, IN A CARING ENVIRONMENT THAT FOSTERS CONFIDENCE, COMFORT, PEACE, AND DIGNITY. 0 0 12049791 13587273 PATIENT CARE SERVICES SCREENING AND PREVENTATIVE SERVICES WERE STOPPED FOR SEVERAL WEEKS IN 2020 DUE TO CDC GUIDELINES RESTRICTING NON-ESSENTIAL CARE. AS A RESULT, THE BREAST CENTER SERVED FEWER PATIENTS AND HAD REDUCED EXAM VOLUMES. THE BREAST CENTER SERVED A TOTAL OF 32,374 TOTAL PATIENTS, PROVIDING SOME 52,451 EXAMS AND PROCEDURES. TO ENHANCE THE PATIENT EXPERIENCE, STAFF CONTINUED TO BE ENGAGED IN A MINDFULNESS PROGRAM. STAFF WHO PRACTICE SELF CARE ARE BETTER ABLE TO SUPPORT AND CARE FOR PATIENTS. 4549 OUTREACH TO UNDERSERVED POPULATIONS IN A TYPICAL YEAR, THE BREAST CENTER HOLDS 7-9 SCREENING EVENTS, HOWEVER, DUE TO THE PANDEMIC, WE CANCELED THE MAJORITY OF EVENTS IN 2020. AS A RESULT OF THE RESTRICTIONS IN PLACE, WE SAW A DRAMATIC REDUCTION IN SERVICES WE WERE ABLE TO PROVIDE AND THUS, OUR PROGRAM EXPENSES WERE LESS THAN PREVIOUS YEARS. FOR EXAMPLE, OUTREACH PROGRAM EXPENSES IN 2019 WERE MORE THAN $123,000. THE BREAST CENTER HELD 2 SCREENING EVENTS THIS YEAR SERVING 98 WOMEN, WITH A CONTINUED PARTNERSHIP WITH THE PUYALLUP TRIBAL HEALTH AUTHORITY AND PIERCE COUNTY PROJECT ACCESS. PROJECT ACCESS REACHES PATIENTS WHOSE INCOME IS AT OR NEAR THE FEDERAL POVERTY LEVEL. FOR ALL SCREENING EVENTS AND DURING ITS REGULAR OPERATING SCHEDULE, THE BREAST CENTER PROVIDES FINANCIAL AID TO ALL ELIGIBLE PATIENTS THROUGH THE SUPPORT OF DONOR FUNDS AND PUBLIC PROGRAMS LIKE THE BREAST, COLON, AND CERVICAL HEALTH PROGRAM. APPROXIMATELY 435 PATIENTS RECEIVED FINANCIAL AID IN 2020. THE BREAST CENTER ALSO ADMINISTERS A VOUCHER PROGRAM FOR MEN OF ANY AGE OR WOMEN UNDER AGE 35 EXPERIENCING BREAST SYMPTOMS. THE BREAST CENTER CONTINUED A PROGRAM TITLED FAITHHEALTH IN ACTION WHICH SUPPORTS AND INFORMS CONGREGATIONS OF PREDOMINANTLY PEOPLE OF COLOR. THE PROGRAM FEATURES TRAINING AND SCREENING OPPORTUNITIES RELATED TO BREAST AND PROSTATE HEALTH. MULTICARE AND CHI FRANCISCAN PROVIDERS HELP SUPPORT THE PROSTATE HEALTH COMPONENT, ALONG WITH THE AMERICAN CANCER SOCIETY. THE BREAST CENTER ALSO CONTINUED ITS COLLABORATION WITH THE LEADERS IN WOMEN'S HEALTH. THIS GROUP OF 75 + MOSTLY AFRICAN AMERICAN WOMEN HAS CONTINUED MEETING AND WORKING TOGETHER FOR 7 YEARS WITH THE GOAL OF REVERSING THE INCIDENCE AND MORTALITY RATES OF BREAST CANCER AMONG WOMEN OF COLOR IN OUR COUNTY. CMBC ALSO COLLABORATES WITH PACIFIC ISLANDER HEALTH ALLIANCE AND LATINOS UNIDOS OF SOUTH SOUND TO CONTINUE STRENGTHENING THE PARTNERSHIPS IN COMMUNITIES OF COLOR. DUE TO THE COVID-19 PANDEMIC, MOST COMMUNITY HEALTH EVENTS WERE CANCELED OR HELD VIRTUALLY. THE BREAST CENTER PARTICIPATED IN 3 BREAST HEALTH RELATED EVENTS, PROVIDING BREAST HEALTH EDUCATION CMBC CONTINUES ITS SOCIAL MEDIA STRATEGY TO SPREAD THE WORD ABOUT DETECTION OF BREAST CANCER AND HOW SCREENING MAMMOGRAPHY SAVES LIVES. 12054340 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 0 0 0 X CHRIS COATES CO TRA-MINW PS 2537614200 1304 FAWCETT AVE STE 301 TACOMA WA 98402 LEANNE NOREN EXECUTIVE DIRECTOR, EX OFFICIO DIRECTOR 40.00 X X 188400 0 36000 DEEDRA WALKEY CHAIR, BOARD OF DIRECTORS 1.00 X X 0 0 0 DIANE DIMMER UNTIL 420 VICE CHAIR, BOARD OF DIRECTORS 1.00 X X 0 0 0 CLYDE ADDISON MD VICE CHAIR, BOARD OF DIRECTORS 1.00 X X 0 0 0 SALLY LEIGHTON SECRETARY, BOARD OF DIRECTORS 1.00 X X 0 0 0 PETER NORMAN TREASURER, BOARD OF DIRECTORS 1.00 X X 0 0 0 GWENDOLYN HAYNES DIRECTOR 1.00 X 0 0 0 SR ANNE MCNAMARA DIRECTOR 1.00 X 0 0 0 SHARON SNUFFIN DIRECTOR 1.00 X 0 0 0 CLEMENCIA CASTRO WOOLERY DIRECTOR 1.00 X 0 0 0 ROMAN DURAN DIRECTOR 1.00 X 0 0 0 KETUL PATEL EX OFFICIO DIRECTOR 1.00 X 0 0 0 WILLIAM ROBERTSON EX OFFICIO DIRECTOR 1.00 X 0 0 0 188400 0 36000 1 0 1 1 TRA-MINW PS PO BOX 1535 TACOMA WA 98401 MANAGEMENT AND PROFESSIONAL SERVICES 9607627 HOLOGIC INC 24506 NETWORK PLACE CHICAGO IL 60673 SERVICE CONTRACTS 975720 MULTICARE HEALTH SYSTEM PO BOX 5299 MS 820-2-OM TACOMA WA 98415 IT HOSTING AND SUPPORT 353961 CHANGE HEALTHCARE LLC PO BOX 98347 CHICAGO IL 60693 SERVICE CONTRACTS 234391 GE PRECISION HEALTHCARE LLC 191 ROSA PARKS ST CINCINNATI OH 45202 SERVICE CONTRACTS 212984 7 892294 108895 1001189 PATIENT SERVICES 621300 13466621 13466621 APM INCENTIVE PAYMENTS 621300 120652 120652 13587273 547 547 25510 20505 5005 5005 5005 14594014 13587273 0 5552 X 802873 802873 51355 51355 7001 7001 8280180 7575735 661995 42450 223336 23193 200143 380209 297769 82440 643887 399239 244648 8066 8066 1190544 738191 452353 67831 67831 REPAIRS & MAINTENANCE 1331182 1161237 169945 COMPASSIONATE CARE 984867 984867 MEDICAL SUPPLIES 733456 733456 TAXES & LICENSES 191737 191737 158026 140653 16880 493 15054550 12054340 2957267 42943 2554499 3978560 536506 645294 1637223 1411027 173343 130042 16226365 13736247 3589966 2490118 8491537 8655041 1218645 1842685 1218645 1842685 X 7163368 6699707 109524 112649 7272892 6812356 8491537 8655041 -460536 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4673029 3593256 1079773 11089026 9763544 1325482 464310 379447 84863 2490118 X 14457450 -131559 -131559 14589009 5005 5005 14594014 14917986 -5005 -5005 14922991 131559 131559 15054550 PART X, LINE 2: THE CENTER IS A TAX-EXEMPT ORGANIZATION AND IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES, EXCEPT FOR UNRELATED BUSINESS INCOME, IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE CENTER QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. UNRELATED BUSINESS INCOME TAX, IF ANY, IS INSIGNIFICANT AND NO TAX PROVISION HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE CENTER HAS NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2020 AND 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBTS RECLASSIFIED TO STATEMENT OF FUNCTIONAL EXPENSES -131,559. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN ON SALE OF FIXED ASSETS 5,005. PART XII, LINE 2D - OTHER ADJUSTMENTS: GAIN ON SALE OF FIXED ASSETS -5,005. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBTS RECLASSIFIED TO STATEMENT OF FUNCTIONAL EXPENSES 131,559. 0 0 0 0 0 0 0 0 0 LEANNE NOREN EXECUTIVE DIRECTOR, EX OFFICIO DIREC 186000 0 2400 0 0 0 14000 0 22000 0 224400 0 0 0 PART I, LINE 3 TRA-MINW, P.S. ENGAGES A THIRD PARTY COMPANY THAT BENCHMARKS SALARY RANGES BASED ON ROLE AND REGION TO ENSURE CMBC'S EXECUTIVE DIRECTOR, LEANNE NOREN, IS COMPENSATED WITHIN MARKET RANGE. PART II, LINE 1 CMBC OUTSOURCES MANAGEMENT FUNCTIONS TO TRA-MINW, P.S. WHICH INCLUDES THE PAYMENT OF CMBC'S EXECUTIVE DIRECTOR, LEANNE NOREN. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A MANAGEMENT AGREEMENT WITH TRA-MINW, P.S. ("TRA" DBA TRA MEDICAL IMAGING). THE ORGANIZATION USES TRA'S EMPLOYEES TO MANAGE AND RUN THE ORGANIZATION, AND PAYS FOR THESE SERVICES. LEANNE NOREN LISTED IN PART VII WAS COMPENSATED $224,400 BY TRA FOR SERVICES AS EXECUTIVE DIRECTOR OF THE ORGANIZATION. COMPENSATION WAS INITIALLY APPROVED BY THE BOARD OF DIRECTORS AT HIRE. COMPENSATION REVIEWS ARE PERFORMED ANNUALLY BY TRA EXECUTIVE MANAGEMENT USING INDUSTRY BENCHMARKING DATA. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO MEMBERS: CHI FRANCISCAN AND MULTICARE HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS HAVE THE RIGHT TO APPOINT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDES A COPY OF FORM 990, INCLUDING SCHEDULE B, TO THE GOVERNING BODY FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM TO IDENTIFY POSSIBLE CONFLICTS OF INTEREST. IN ANY CIRCUMSTANCE IN WHICH A DIRECTOR IS DETERMINED TO HAVE A CONFLICT OF INTEREST, THE BOARD WILL ACT UPON SUCH DISCLOSURE IN A MANNER CONSISTENT WITH THE BEST INTERESTS OF THE ORGANIZATION, AND THE DIRECTOR SUBJECT TO SUCH CONFLICT WILL TAKE SUCH ACTION, INCLUDING ABSTENTION FROM VOTING AND/OR PARTICIPATION IN BOARD DISCUSSIONS AS MAY BE NECESSARY TO ENSURE THAT THE DECISIONS OF THE BOARD ARE FREE FROM UNDUE INFLUENCE OR CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 18 FORMS ARE AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO PUBLIC UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 11G FEES FOR SERVICES - OUTSIDE LABOR FEES: PROGRAM SERVICE EXPENSES 3,120,087. MANAGEMENT AND GENERAL EXPENSES 374,976. FUNDRAISING EXPENSES 42,450. TOTAL EXPENSES 3,537,513. FEES FOR SERVICES - PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,062,089. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,062,089. FEES FOR SERVICES - OTHER: PROGRAM SERVICE EXPENSES 393,559. MANAGEMENT AND GENERAL EXPENSES 287,019. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 680,578.