MOSAIC COMMUNITY HEALTH: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MOSAIC COMMUNITY HEALTH (EIN 93-1329158)
- Tax period
- 2015-06-01 to 2016-05-31
- Filed
- 2016-12-22
- IRS object ID
- 201623579349301057
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-12-22T16:14:44-08:00 | ReturnTs |
| Tax Period End | 2016-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 931235599 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KUENZI & COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 HAWTHORNE AVE SE STE 110 | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931329158 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSAIC MEDICAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOSA | BusinessNameControlTxt |
| Phone | 5414470707 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 NW BEAVER ST STE 101 | AddressLine1Txt |
| City | PRINEVILLE | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97754 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN MCLAUGHLIN | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 5414470707 | PhoneNum |
| Signature | 2016-12-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRENCE L KUENZI | PreparerPersonNm |
| PTIN | P00009441 | PTIN |
| Phone | 5033997306 | PhoneNum |
| Preparation | 2016-12-22 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MEGAN HAASE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SW COLUMBIA ST STE 6210 | AddressLine1Txt |
| City | BEND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,812,005 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MOSAICMEDICAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | MOSAIC MEDICAL IS A COMMUNITY HEALTH CENTER SYSTEM WITH CLINICS THROUGHOUT CENTRAL OREGON. WE PROUDLY SERVE INDIVIDUALS AND FAMILIES REGARDLESS OF INCOME OR INSURANCE. OUR COMPREHENSIVE SERVICES KEEP CENTRAL OREGONIANS AT WORK, IN SCHOOL, AND OUT OF THE EMERGENCY ROOM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 332 | TotalEmployeeCnt |
| Total Volunteers | 34 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,795,461 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,127,511 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,039,328 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,613,597 | CYProgramServiceRevenueAmt |
| PY Investment Income | $708 | PYInvestmentIncomeAmt |
| CY Investment Income | $23,852 | CYInvestmentIncomeAmt |
| PY Other Revenue | $50,243 | PYOtherRevenueAmt |
| CY Other Revenue | $47,045 | CYOtherRevenueAmt |
| PY Total Revenue | $22,885,740 | PYTotalRevenueAmt |
| CY Total Revenue | $26,812,005 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,677,286 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,232,152 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,853,553 | PYOtherExpensesAmt |
| CY Other Expenses | $5,898,529 | CYOtherExpensesAmt |
| PY Total Expenses | $21,530,839 | PYTotalExpensesAmt |
| CY Total Expenses | $24,130,681 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,354,901 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,681,324 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,641,665 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,109,037 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,368,984 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,345,211 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,272,681 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,763,826 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF MOSAIC MEDICAL IS TO IMPROVE THE HEALTH AND WELL BEING OF THE INDIVIDUALS, FAMILIES, AND COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,720,923 | ExpenseAmt |
| Revenue | $8,656,538 | RevenueAmt |
| Desc | THE BEND CLINIC PROVIDED 26,481 PRIMARY CARE VISITS IN FISCAL 2015-2016, AS WELL AS THOUSANDS OF ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE AND CASE MANAGEMENT SERVICES. IN FISCAL 2015-2016, OUR BEND CLINIC MAINTAINED THE STATE'S HIGHEST DESIGNATION FOR PATIENT-CENTERED PRIMARY CARE HOMES. ON BEHALF OF THE BEND, PRINEVILLE, AND REDMOND CLINICS MOSAIC MEDICAL RECEIVED 58,548 IN DONATED USE OF FACILITIES TO EXPAND INTO SCHOOL BASED HEALTH CENTERS AND SATELITE SITES. SEE OTHER ACCOMPLISHMENTS DESCRIPTIONS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,669,736 | ExpenseAmt |
| Revenue | $3,093,588 | RevenueAmt |
| Desc | OUR COMPLEX CARE CENTER PROVIDED 12,020 VISITS IN FISCAL 2015-2016, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, HOSPITAL OBSTETRICS (OB) AND CALL SERVICES AND CASE MANAGEMENT SERVICES. IN ORDER TO MEET THE NEEDS OF THE COMMUNITY THE COMPLEX CARE CENTER UTILIZED DISCOUNTED USE OF THE FACILITIES VALUED AT 176,079 DURING THE FISCAL YEAR ENDED MAY 31, 2016. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,055,848 | ExpenseAmt |
| Revenue | $3,138,165 | RevenueAmt |
| Desc | THE PRINEVILLE CLINIC, THE FIRST CLINIC OPENED BY MOSAIC, PROVIDED 10,726 PRIMARY CARE VISITS TO ITS COMMUNITY IN FISCAL 2015-2016, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, HOSPITAL CALL SERVICES AND CASE MANAGEMENT SERVICES. IN FISCAL 2015-2016, OUR PRINEVILLE CLINIC MAINTAINED THE STATE'S HIGHEST DESIGNATION FOR PATIENT- CENTERED PRIMARY CARE HOMES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,414,709 | ExpenseAmt |
| Revenue | $7,725,306 | RevenueAmt |
| Desc | THE REDMOND CLINIC PROVIDED 9,228 VISITS IN FISCAL 2014-2015, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, HOSPITAL OB AND CALL SERVICES AND CASE MANAGEMENT SERVICES. THE MADRAS CLINIC PROVIDED 8,659 VISITS IN FISCAL 2015-2016, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, HOSPITAL OB AND CALL SERVICES AND CASE MANAGEMENT SERVICES. IN FISCAL 2015-2016, OUR MADRAS CLINIC MAINTAINED THE STATE'S HIGHEST DESIGNATION FOR PATIENT- CENTERED PRIMARY CARE HOMES. OUR SCHOOL-BASED HEALTH CENTERS PROVIDED 6,014 VISITS IN OUR FISCAL YEAR 2015-2016, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, AND CASE MANAGEMENT SERVICES. MOSAIC MEDICAL PROVIDED THE BALANCE OF OUR PRIMARY CARE VISITS THROUGH OUR TWO SATELITE SITES, HARRIMAN HEALTH AND ARIELS COMMUNITY CLINIC, AND OUR MOBILE MEDICAL VAN WHICH BRINGS PRIMARY CARE TO HOMELESS PATIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,414,709 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $7,725,306 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $18,861,216 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 332 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVE STRANG CFO | PersonNm |
| Phone | 5414470707 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 SW COLUMBIA ST SUITE 6000 | AddressLine1Txt |
| Address Line2 | 600 SW COLUMBIA ST SUITE 6000 | AddressLine2Txt |
| City | BEND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97702 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| SCOTT JOHNSON | |||||||
| BOARD CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN MAPES | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOYCE TUCKER | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SCOTT COOPER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANA SANDY GIRARDINI | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MIGUEL HERRADA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MIKE TEMPLETON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LISA SEVERA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR MICHEL BOILEAU | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FRED HOSILLOS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN MCLAUGHLIN | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MEGAN HAASE | |||||||
| CEO | 40.00 | Yes (X) | $198,148 | $0 | $4,418 | ||
| CHRISTINE PIERSON | |||||||
| CMO | 40.00 | Yes (X) | $192,023 | $0 | $12,897 | ||
| HEATHER HOLMES | |||||||
| PHYSICIAN | 40.00 | $218,685 | $0 | $10,147 | Yes (X) | ||
| DARIN VAUGHAN | |||||||
| PHYSICIAN | 40.00 | $197,296 | $0 | $13,894 | Yes (X) | ||
| DIVYA SHARMA | |||||||
| PHYSICIAN | 40.00 | $193,042 | $0 | $8,135 | Yes (X) | ||
| JEREMIAH DAVIS | |||||||
| PHYSICIAN | 40.00 | $180,019 | $0 | $4,418 | Yes (X) | ||
| MARTIN SMART | |||||||
| PHYSICIAN | 40.00 | $175,260 | $0 | $13,894 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,354,473 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $67,803 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 20 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Business Name Line2ContractorName/BusinessName/BusinessNameLine2Txt | Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|---|
| OCHIN | |||||||
| OCHIN | 707 SW WASHINGTON ST ST | 707 SW WASHINGTON ST ST | PORTLAND | OR | 97205 | EMR SERVICES | $484,581 |
| KIM WARD | |||||||
| KIM WARD | 23160 HWY 20 E | 23160 HWY 20 E | BEND | OR | 97701 | SITE LEASE | $344,513 |
| DESCHUTES PROPERTIES LLC | |||||||
| DESCHUTES PROPERTY LLC | 600 SW COLUMBIA ST SUITE 6100A | 600 SW COLUMBIA ST SUITE 6100A | BEND | OR | 97702 | SITE LEASE | $184,168 |
| FRATZKE PROPERTY MANAGEMENT | |||||||
| FRATZKE PROPERTY MANAGEMENT | 963 SW SIMPSON AVE 220 | 963 SW SIMPSON AVE 220 | BEND | OR | 97702 | SITE LEASE | $105,711 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,774,169 | GovernmentGrantsAmt |
| All Other Contributions | $353,342 | AllOtherContributionsAmt |
| Noncash Contributions | $1,000 | NoncashContributionsAmt |
| Total Contributions | $4,127,511 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID - MEDICARE | 624100 | $15,901,148 | $15,901,148 |
| OTHER PROGRAM REVENUE | 621400 | $2,991,706 | $2,991,706 |
| HEALTH SERVICE FEES | 621400 | $2,352,982 | $2,352,982 |
| PHARMACY | 621400 | $1,245,286 | $1,245,286 |
| GOV'T AGENCY LEASES | 621300 | $96,375 | $96,375 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,100 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,100 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,613,597 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,852 | TotalRevenueColumnAmt |
| Exclusion | $23,852 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC INCOME | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $47,045 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,045 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $47,045 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,812,005 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,660,642 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $23,852 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $713,201 | TotalAmt |
| Management And General | $713,201 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,141,199 | TotalAmt |
| Program Services | $11,312,959 | ProgramServicesAmt |
| Management And General | $2,828,240 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $439,777 | TotalAmt |
| Program Services | $351,822 | ProgramServicesAmt |
| Management And General | $87,955 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,668,113 | TotalAmt |
| Program Services | $1,335,543 | ProgramServicesAmt |
| Management And General | $332,570 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,269,862 | TotalAmt |
| Program Services | $1,015,889 | ProgramServicesAmt |
| Management And General | $253,973 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,332 | TotalAmt |
| Management And General | $67,332 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,525 | TotalAmt |
| Management And General | $51,525 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,318 | TotalAmt |
| Management And General | $6,318 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,651 | TotalAmt |
| Program Services | $47,558 | ProgramServicesAmt |
| Management And General | $1,093 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,040 | TotalAmt |
| Program Services | $2,352 | ProgramServicesAmt |
| Management And General | $44,688 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,865 | TotalAmt |
| Program Services | $30,674 | ProgramServicesAmt |
| Management And General | $23,191 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $644,709 | TotalAmt |
| Program Services | $580,238 | ProgramServicesAmt |
| Management And General | $64,471 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,276,620 | TotalAmt |
| Program Services | $1,056,976 | ProgramServicesAmt |
| Management And General | $219,644 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,088 | TotalAmt |
| Program Services | $101,779 | ProgramServicesAmt |
| Management And General | $11,309 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,683 | TotalAmt |
| Program Services | $61,291 | ProgramServicesAmt |
| Management And General | $27,392 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,963 | TotalAmt |
| Program Services | $507,265 | ProgramServicesAmt |
| Management And General | $26,698 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,520 | TotalAmt |
| Program Services | $37,800 | ProgramServicesAmt |
| Management And General | $11,720 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $923,565 | $912,067 | $11,498 |
| CONTRACTUAL SERVICES | $814,619 | $480,258 | $334,361 |
| BAD DEBT | $432,324 | $389,092 | $43,232 |
| DUES PUBLICATIONS POSTAGE | $155,851 | $117,938 | $37,913 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $590,856 | TotalAmt |
| Program Services | $519,715 | ProgramServicesAmt |
| Management And General | $71,141 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,130,681 | TotalAmt |
| Program Services | $18,861,216 | ProgramServicesAmt |
| Management And General | $5,269,465 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,750 | BOYAmt |
| EOY | $5,350 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,731,467 | BOYAmt |
| EOY | $6,988,913 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $603,792 | BOYAmt |
| EOY | $439,413 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,627,846 | BOYAmt |
| EOY | $1,805,318 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,099 | BOYAmt |
| EOY | $219,445 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,105 | BOYAmt |
| EOY | $161,233 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,437,375 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,711,860 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,061,364 | BOYAmt |
| EOY | $3,725,515 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $685,393 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,242 | BOYAmt |
| EOY | $78,457 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,641,665 | BOYAmt |
| EOY | $14,109,037 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,008,756 | BOYAmt |
| EOY | $2,345,211 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,228 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,368,984 | BOYAmt |
| EOY | $2,345,211 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,667,904 | BOYAmt |
| EOY | $11,165,021 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $604,777 | BOYAmt |
| EOY | $598,805 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,272,681 | BOYAmt |
| EOY | $11,763,826 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,641,665 | BOYAmt |
| EOY | $14,109,037 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,681,324 | ReconcilationRevenueExpnssAmt |
| Donated Services And Use Fclts | -$190,179 | DonatedServicesAndUseFcltsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,758,945 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,018,315 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,121,809 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,795,461 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,127,511 | CurrentTaxYearAmt |
| Total | $18,822,041 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,758,945 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,018,315 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,121,809 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,795,461 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,127,511 | CurrentTaxYearAmt |
| Total | $18,822,041 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $18,822,041 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,902 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,126 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $232 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $708 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,852 | CurrentTaxYearAmt |
| Total | $28,820 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $152,101 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $100,432 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $166 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,242 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,045 | CurrentTaxYearAmt |
| Total | $349,986 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $19,200,847 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $72,317,665 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98030 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97620 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | INS. ADJUSTMENTS, AND REIMBURSEMENTS 348,788 MEDICAL RECORDS COPYING 1,198 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $575,000 | OtherCostOrOtherBasisAmt |
| Book Value | $575,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,579,590 | OtherCostOrOtherBasisAmt |
| Depreciation | $481,759 | DepreciationAmt |
| Book Value | $2,097,831 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $702,906 | OtherCostOrOtherBasisAmt |
| Depreciation | $194,211 | DepreciationAmt |
| Book Value | $508,695 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,180,989 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,793,004 | DepreciationAmt |
| Book Value | $387,985 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $398,890 | OtherCostOrOtherBasisAmt |
| Depreciation | $242,886 | DepreciationAmt |
| Book Value | $156,004 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,725,515 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,870,553 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $58,548 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $58,548 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,812,005 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $26,812,005 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $24,379,408 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $248,727 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $248,727 | ExpensesNotReportedAmt |
| Expenses Subtotal | $24,130,681 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $24,130,681 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | 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 CONSOLIDATED 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, 2012 AND PRIOR, ARE CONSIDERED CLOSED. IN THE EVENT PENALTIES AND INTEREST ARE ASSESSED BY INCOME TAXING AUTHORITIES, IT IS THE ORGANIZATION'S POLICY TO INCLUDE THESE IN OPERATING EXPENSES. NO PENALTIES OR INTEREST WERE ASSESSED FOR THE YEARS ENDED MAY 31, 2016 AND 2016. |
| SCHEDULE D, PAGE 4, PART XIII | FORM 990 PART X LINE 27-23: NET ASSETS CONSISTS OF THE FOLLOWING AS OF MAY, 31: 2016 2015 UNRESTRICTED EQUITY IN PROPERTY AND EQUIPMENT 3,768,960 4,201,354 AVAILABLE FOR GENERAL ACTIVITIES 7,396,061 4,466,550 ----------- ----------- TOTAL UNRESTRICTED NET ASSETS 11,165,021 8,667,904 TEMPORARILY RESTRICTED PROMISE TO GIVE - USE OF FACILITIES 407,313 603,792 HTN PACIFIC SOURCE GRANT 160,000 - VARIOUS PROGRAMS 31,492 985 ----------- ----------- TOTAL TEMPORARILY RESTRICTED 598,805 604,777 ----------- ----------- 11,763,826 9,272,681 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| MEGAN HAASE | |||
| CEO | $198,148 | $4,418 | $202,566 |
| CHRISTINE PIERSON | |||
| CMO | $192,023 | $12,897 | $204,920 |
| HEATHER HOLMES | |||
| PHYSICIAN | $218,685 | $10,147 | $228,832 |
| DARIN VAUGHAN | |||
| PHYSICIAN | $197,296 | $13,894 | $211,190 |
| DIVYA SHARMA | |||
| PHYSICIAN | $193,042 | $8,135 | $201,177 |
| JEREMIAH DAVIS | |||
| PHYSICIAN | $180,019 | $4,418 | $184,437 |
| MARTIN SMART | |||
| PHYSICIAN | $175,260 | $13,894 | $189,154 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | THE REDMOND CLINIC PROVIDED 9,228 VISITS IN FISCAL 2014-2015, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, HOSPITAL OB AND CALL SERVICES AND CASE MANAGEMENT SERVICES. THE MADRAS CLINIC PROVIDED 8,659 VISITS IN FISCAL 2015-2016, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, HOSPITAL OB AND CALL SERVICES AND CASE MANAGEMENT SERVICES. IN FISCAL 2015-2016, OUR MADRAS CLINIC MAINTAINED THE STATE'S HIGHEST DESIGNATION FOR PATIENT- CENTERED PRIMARY CARE HOMES. OUR SCHOOL-BASED HEALTH CENTERS PROVIDED 6,014 VISITS IN OUR FISCAL YEAR 2015-2016, AS WELL AS ADDITIONAL CONNECTIONS TO DENTAL, MEDICATION ASSISTANCE, AND CASE MANAGEMENT SERVICES. MOSAIC MEDICAL PROVIDED THE BALANCE OF OUR PRIMARY CARE VISITS THROUGH OUR TWO SATELITE SITES, HARRIMAN HEALTH AND ARIELS COMMUNITY CLINIC, AND OUR MOBILE MEDICAL VAN WHICH BRINGS PRIMARY CARE TO HOMELESS PATIENTS. |
| FORM 990, PART VI | ONE BOARD MEMBER IS EMPLOYED AT AN ORGANIZATION WHERE ANOTHER |
| FORM 990, PAGE 6, PART VI, LINE 11B | FINANCE COMMITTEE REVIEW AND THEN PRESENTED IN FINANCE REPORT TO THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 12C | 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, PAGE 6, PART VI, LINE 15A | CHIEF EXECUTIVE OFFICER (CEO)COMPENSATION IS APPROVED BY THE BOARD. THE CEO APPROVES SALARY AND PAY RATES FOR EMPLOYEES AND PROVIDERS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE CEO APPROVES SALARY AND PAY RATES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST |
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