CAROL MILGARD BREAST CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CAROL MILGARD BREAST CENTER (EIN 26-2377858)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-08-04
- IRS object ID
- 201632179349300438
- 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 | 2016-08-04T10:15:35-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Moss Adams LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 A Street Suite 600 | AddressLine1Txt |
| City | Tacoma | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 984024205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262377858 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Carol Milgard Breast Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARO | BusinessNameControlTxt |
| Phone | 2537592622 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4525 S 19th St Tacoma | AddressLine1Txt |
| City | Tacoma | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98405 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jacquelyn Ostrom | PersonNm |
| Person Title | Executive director | PersonTitleTxt |
| Phone | 2533831099 | PhoneNum |
| Signature | 2016-08-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Angela M Fidler | PreparerPersonNm |
| PTIN | P01254538 | PTIN |
| Phone | 2535724100 | PhoneNum |
| Preparation | 2016-08-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JACQUELYN OSTROM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1535 | AddressLine1Txt |
| City | Tacoma | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,151,347 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CAROLMILGARDBREASTCENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $57,394 | PYContributionsGrantsAmt |
| CY Contributions Grants | $27,187 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,899,376 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,120,133 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,719 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,027 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $12,959,489 | PYTotalRevenueAmt |
| CY Total Revenue | $14,151,347 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $22,747 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $19,971 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $6,624 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,763,486 | PYOtherExpensesAmt |
| CY Other Expenses | $14,040,597 | CYOtherExpensesAmt |
| PY Total Expenses | $12,786,233 | PYTotalExpensesAmt |
| CY Total Expenses | $14,060,568 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $173,256 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $90,779 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,520,877 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,647,485 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,130,976 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $966,805 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,389,901 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,680,680 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $65,044 | ExpenseAmt |
| Desc | OUTREACH TO UNDERSERVED POPULATIONS - IN KEEPING WITH ITS MISSION, THE BREAST CENTER HELD 4 SCREENING EVENTS THIS YEAR SERVING 128 WOMEN. A NEW SCREENING EVENT WAS ADDED FOR INSURANCE COMPANY COORDINATED CARE, FOCUSED ON NEWLY ELIGIBLE MEDICAID PATIENTS. THIS REACHED 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. THE BREAST CENTER ALSO ADMINISTERS A VOUCHER PROGRAM FOR MEN OF ANY AGE OR WOMEN UNDER AGE 35 EXPERIENCING BREAST SYMPTOMS.WITH THE EXPANSION OF MEDICAID, THE BREAST CENTER RECEIVED APPROVAL FOR A NEW POSITION, FINANCIAL AID COORDINATOR, TO ASSIST PATIENTS WITH GETTING ON THE RIGHT PROGRAM PRIOR TO ANY DIAGNOSTIC WORK.THE BREAST CENTER CONTINUED ITS COLLABORATION WITH THE LEADERS IN WOMEN'S HEALTH. THIS GROUP OF 35, MOSTLY AFRICAN AMERICAN WOMEN HAS CONTINUED MEETING AND WORKING TOGETHER FOR 4 YEARS WITH THE GOAL OF REVERSING THE INCIDENCE AND MORTALITY RATES OF BREAST CANCER AMONG WOMEN OF COLOR IN OUR COUNTY. IN MAY OF 2015, THE LEADERS HELD A WELL-ATTENDED SUMMIT ON HEALTH EQUITY AND COMMUNITY ENGAGEMENT IN HEALTH CARE, FEATURING THE NATIONAL CONSULTING TEAM WHO DESIGNED THE MEMPHIS MODEL WHICH SIGNIFICANTLY DECREASED THE INCIDENCE AND MORTALITY FROM BREAST CANCER IN MEMPHIS, TN. AS AN EXTENSION OF THE SUMMIT, THE LEADERS ALSO SUCCESSFULLY ACHIEVED FUNDING FROM BOTH HOSPITAL SYSTEMS TO CONDUCT HEALTH ASSET MAPPING IN THE THREE POOREST NEIGHBORHOODS IN TACOMA. IN DECEMBER OF 2015, THE LEADERS HELD THE FIRST SERIES OF HEALTH ASSET MAPPINGS ON THE HILLTOP. THIS WILL BE FOLLOWED BY COMMUNITY MAPPING ON THE EASTSIDE AND NEAR THE TACOMA MALL AREA IN 2016 AND BY PILOT PROJECTS IDENTIFIED BY AND FOR COMMUNITY MEMBERS. THE BREAST CENTER EXTENDED ITS OUTREACH TO THE LATINA COMMUNITY BY HOSTING A SCREENING EVENT ON JUNE 5, 2015. WITH THE HELP OF A BILINGUAL OUTREACH PERSON AND A STRONG SOCIAL MEDIA STRATEGY, 31 PATIENTS WERE BROUGHT TO CMBC FOR THEIR MAMMOGRAMS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $64,973 | ExpenseAmt |
| Revenue | $15,231 | RevenueAmt |
| Desc | BREAST HEALTH EDUCATION - THROUGH 2015, THE BREAST CENTER PARTICIPATED IN MORE THAN 15 EVENTS, PROVIDING BREAST HEALTH EDUCATION TO GROUPS REPRESENTING LATINA, LGBTQ, AFRICAN AMERICAN, RUSSIAN, KOREAN, CAMBODIAN, NATIVE AMERICAN AND VIETNAMESE COMMUNITY MEMBERS. ALL OF THE BREAST SCREENING EVENTS HELD AT THE BREAST CENTER FEATURED BREAST SELF EXAMINATION TUTORIALS, EITHER THROUGH A VIDEO PRESENTATION OR WITH CERTIFIED INSTRUCTORS.THE BREAST CENTER'S 4TH ANNUAL PINK AT THE PARK EVENT ENGAGED MORE THAN 6,000 ATTENDEES, GENERATED AWARENESS OF BREAST HEALTH, HONORED BREAST CANCER SURVIVORS, AND RAISED MORE THAN $11,300 FOR THE CENTER'S PATIENT SUPPORT FUND. THE CENTER UPDATED ITS PIERCE COUNTY EPIDEMIOLOGY REPORT ON BREAST CANCER AND MAMMOGRAPHY UTILIZATION, which IS THE TOUCHSTONE FOR EDUCATION AND OUTREACH.CMBC CONTINUES ITS SOCIAL MEDIA STRATEGY TO SPREAD THE WORD ABOUT DETECTION OF BREAST CANCER AND HOW SCREENING MAMMOGRAPHY SAVES LIVES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,725,263 | ExpenseAmt |
| Grant | $19,971 | GrantAmt |
| Revenue | $14,104,902 | RevenueAmt |
| Desc | PATIENT CARE SERVICES - IN 2015, THE BREAST CENTER SERVED A TOTAL OF 43,074 TOTAL PATIENTS, PROVIDING SOME 57,543 EXAMS AND PROCEDURES.THE BREAST CENTER INTRODUCED TWO ADDITIONAL 3D MAMMOGRAPHY UNITS TO ACCOMMODATE PATIENT DEMAND. THIS ADDITION ASSISTS IN PROVIDING MORE APPOINTMENT TIMES FOR PATIENTS NEEDING PROCEDURES.IN ADDITION, THE CENTER'S NEW PROGRAM, BRIDGING CARE, WAS FULLY IMPLEMENTED IN 2015, AND SERVED A TOTAL OF 447 PATIENTS. THIS NEW PROGRAM, WHICH PROVIDES PATIENTS WITH THEIR DIAGNOSIS WITHIN 2 DAYS OF THEIR BIOPSY, HAS BEEN APPROVED BY MORE THAN 89% OF COMMUNITY PHYSICIANS.AS PART OF INTEGRATING WHOLE-PERSON HEALTH, THE BREAST CENTER IS NOW OFFERING QUARTERLY EMOTIONAL SUPPORT GROUPS FOR CANCER SURVIVORS AND THEIR CAREGIVERS OR LOVED ONES. FACILITATED BY THE BREAST CENTER CHAPLAIN AND A LEAD INSTRUCTOR AT HARMONY HILL RETREAT CENTER, THE SESSIONS ARE CALLED TEA FOR THE SOUL AND HELP SUPPORT THE POST-DIAGNOSTIC JOURNEY OF PATIENTS WHO ARE TRYING TO FIND MEANING IN THEIR EXPERIENCE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $9,855,280 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENNIS CARTER CO TRA MEDICAL IMAGING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2537614200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1304 Fawcett Ave Ste 100 | AddressLine1Txt |
| City | Tacoma | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98402 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| SUSAN PRATT | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Sr Anne McNamara | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Sally Leighton | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Deedra Walkey | ||||||
| Vice Chair, Board of Directors | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Clyde Addison MD | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Sharon Snuffin | ||||||
| Chair, Board of Directors | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Peter Norman | ||||||
| Treasurer, Board of Directors | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Diane Dimmer | ||||||
| Secretary, Board of Directors | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Shelly Mullin | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Jacquelyn Ostrom | ||||||
| Executive Director, ex-officio | 40.00 | $173,306 | $0 | $40,500 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $173,306 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $40,500 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TACOMA RADIOLOGICAL ASSOCIATES PS | |||||
| PO Box 1535 | Tacoma | WA | 98401 | management, billing, professional servic | $8,848,227 |
| Hologic Inc | |||||
| 24506 Network Place | Chicago | IL | 60673 | Equipment and maintenance supplier | $1,680,698 |
| Rush Properties Inc | |||||
| 6622 Wollochet Dr NW | Gig Harbor | WA | 98336 | Facility Lessor | $872,804 |
| Mechanical & Control Service Inc | |||||
| 6426 18th St E | Fife | WA | 98424 | HVAC Contractor | $239,206 |
| McKesson Corp | |||||
| PO Box 98347 | Chicago | IL | 60693 | Equipment and maintenance supplier | $229,466 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $27,187 | AllOtherContributionsAmt |
| Total Contributions | $27,187 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $14,120,133 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,120,133 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,120,133 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,027 | TotalRevenueColumnAmt |
| Exclusion | $4,027 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,151,347 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,120,133 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,027 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,971 | TotalAmt |
| Program Services | $19,971 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $999,970 | TotalAmt |
| Management And General | $999,970 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332 | TotalAmt |
| Management And General | $332 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,124 | TotalAmt |
| Management And General | $29,124 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,491,512 | TotalAmt |
| Program Services | $5,546,900 | ProgramServicesAmt |
| Management And General | $1,944,612 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,140 | TotalAmt |
| Program Services | $20,516 | ProgramServicesAmt |
| Fundraising | $6,624 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,844 | TotalAmt |
| Program Services | $83,706 | ProgramServicesAmt |
| Management And General | $135,138 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,144 | TotalAmt |
| Management And General | $108,144 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $538,140 | TotalAmt |
| Program Services | $430,512 | ProgramServicesAmt |
| Management And General | $107,628 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,255 | TotalAmt |
| Management And General | $5,255 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,159,011 | TotalAmt |
| Program Services | $1,135,831 | ProgramServicesAmt |
| Management And General | $23,180 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,930 | TotalAmt |
| Management And General | $66,930 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Repairs & Maintenance | $1,194,585 | $877,296 | $317,289 |
| Medical Supplies | $768,955 | $768,955 | |
| Compassionate Care | $762,776 | $762,776 | |
| Taxes & Licenses | $243,319 | $243,319 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $426,560 | TotalAmt |
| Program Services | $208,817 | ProgramServicesAmt |
| Management And General | $217,743 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,060,568 | TotalAmt |
| Program Services | $9,855,280 | ProgramServicesAmt |
| Management And General | $4,198,664 | ManagementAndGeneralAmt |
| Fundraising | $6,624 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $465,834 | BOYAmt |
| EOY | $227,026 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,216,536 | BOYAmt |
| EOY | $5,220,563 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,181,675 | BOYAmt |
| EOY | $100,818 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,348,982 | BOYAmt |
| EOY | $1,529,797 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,771 | BOYAmt |
| EOY | $101,731 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,476,349 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,008,799 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,304,079 | BOYAmt |
| EOY | $5,467,550 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,520,877 | BOYAmt |
| EOY | $12,647,485 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $940,981 | BOYAmt |
| EOY | $817,088 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,995 | BOYAmt |
| EOY | $149,717 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,130,976 | BOYAmt |
| EOY | $966,805 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,389,901 | BOYAmt |
| EOY | $11,575,680 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,000 | BOYAmt |
| EOY | $105,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,389,901 | BOYAmt |
| EOY | $11,680,680 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,520,877 | BOYAmt |
| EOY | $12,647,485 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $90,779 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,800,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,336,615 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,767,392 | DepreciationAmt |
| Book Value | $2,569,223 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,552,564 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,732,316 | DepreciationAmt |
| Book Value | $2,820,248 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $587,170 | OtherCostOrOtherBasisAmt |
| Depreciation | $509,091 | DepreciationAmt |
| Book Value | $78,079 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,467,550 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Deferred Lease Liability | Desc |
| Amt | $149,717 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $149,717 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,948,248 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,948,248 | RevenueSubtotalAmt |
| Other Revenues Not Included | $203,099 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $203,099 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,151,347 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,857,469 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,857,469 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $203,099 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $203,099 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,060,568 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2015 and 2014. |
| Part XI, Line 4b - Other Adjustments: | Bad Debts 203,099. |
| Part XII, Line 4b - Other Adjustments: | Bad Debts 203,099. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| American Cancer Society Making Strides Flagship Sponsor | |||||||
| 1313 Broadway Suite 100 | Tacoma | WA | 98402 | 131788491 | 501 (c) (3) | $11,000 | Sponsorship |
| Komen Puget Sound Affiliate | |||||||
| 112 5th Ave N | Seattle | WA | 98419 | 751835298 | 501 (c) (3) | $5,000 | Sponsorship |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | GRANT AMOUNTS ARE AGREED TO BY THE MEMBERS AND REPORTED TO THE BOARD OF DIRECTORS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jacquelyn Ostrom | PersonNm |
| Title | Executive Director, ex-officio | TitleTxt |
| Base Compensation Filing Org | $173,306 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $10,500 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $30,000 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $213,806 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Part VII, Section A, Line 5 | FormAndLineReferenceDesc |
| Explanation | CMBC OUTSOURCES MANAGEMENT FUNCTIONS TO TACOMA RADIOLOGICAL ASSOCIATES WHICH INCLUDES THE PAYMENT OF CMBC'S EXECUTIVE DIRECTOR. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 3 | The organization has a management agreement with Tacoma Radiological Associates, PS ("TRA" dba TRA Medical Imaging). The organization uses TRA's employees to manage and run the organization, and pays for these services. |
| Form 990, Part VI, Section A, line 6 | The organization has two members: Chi Franciscan Health System 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 11 | The organization provides a copy of Form 990 TO THE GOVERNING BODY BEFORE IT IS FILED. |
| Form 990, Part VI, Section B, line 11 | MEETING MINUTES ARE KEPT FOR ALL BOARD AND COMMITTEE MEETINGS. MINUTES ARE APPROVED BY THE BOARD AND EACH COMMITTEE AT ITS NEXT MEETING. |
| 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. |
| Form 990, Part VI, Section C, line 18 | Governing documents, conflict of interest policy, and financial statements are available to public 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 1,438,169. Management and general expenses 1,654,668. Fundraising expenses 0. Total expenses 3,092,837. Fees for services - professional fees: Program service expenses 3,813,972. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,813,972. Fees for services - other: Program service expenses 294,759. Management and general expenses 289,944. Fundraising expenses 0. Total expenses 584,703. |
| Form 990, Part XI, Line 9 | IN ACCORDANCE WITH THE JOINT VENTURE UNDERSTANDING BETWEEN THE CAROL MILGARD BREAST CENTER AND ITS MEMBERS (MULTICARE HEALTH SYSTEM AND CHI FRANCISCAN HEALTH), CMBC DISTRIBUTED $1,400,000 TO EACH MEMBER DURING THE REPORTING PERIOD, AMOUNTING TO $2,800,000 TOTAL. THE OWNER'S COMMITTEE OF CMBC FORMALLY APPROVED THIS DISTRIBUTION TO MEMBERS. THE DISTRIBUTION CONSISTED OF EXCESS UNRESTRICTED OPERATING FUNDS. |
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