2016-08-04T10:15:35-05:00 2015-12-31 910189318 Moss Adams LLP 1301 A Street Suite 600 Tacoma WA 984024205 990 2015-01-01 262377858 The Carol Milgard Breast Center CARO 2537592622 4525 S 19th St Tacoma Tacoma WA 98405 Jacquelyn Ostrom Executive director 2533831099 2016-08-03 1 Angela M Fidler P01254538 2535724100 2016-08-03 2015 2016-12-15 16:53:06Z JACQUELYN OSTROM PO Box 1535 Tacoma WA 98401 14151347 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 60 0 0 57394 27187 12899376 14120133 2719 4027 0 0 12959489 14151347 22747 19971 0 0 0 0 0 0 6624 12763486 14040597 12786233 14060568 173256 90779 15520877 12647485 1130976 966805 14389901 11680680 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 65044 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. 64973 15231 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. 9725263 19971 14104902 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. 9855280 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 1 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 1 1 0 0 0 WA X DENNIS CARTER CO TRA MEDICAL IMAGING 2537614200 1304 Fawcett Ave Ste 100 Tacoma WA 98402 SUSAN PRATT Director 1.00 X 0 0 0 Sr Anne McNamara Director 1.00 X 0 0 0 Sally Leighton Director 1.00 X 0 0 0 Deedra Walkey Vice Chair, Board of Directors 1.00 X X 0 0 0 Clyde Addison MD Director 1.00 X 0 0 0 Sharon Snuffin Chair, Board of Directors 1.00 X X 0 0 0 Peter Norman Treasurer, Board of Directors 1.00 X X 0 0 0 Diane Dimmer Secretary, Board of Directors 1.00 X X 0 0 0 Shelly Mullin Director 1.00 X 0 0 0 Jacquelyn Ostrom Executive Director, ex-officio 40.00 X 173306 0 40500 173306 0 40500 2 0 1 1 TACOMA RADIOLOGICAL ASSOCIATES PS PO Box 1535 Tacoma WA 98401 management, billing, professional servic 8848227 Hologic Inc 24506 Network Place Chicago IL 60673 Equipment and maintenance supplier 1680698 Rush Properties Inc 6622 Wollochet Dr NW Gig Harbor WA 98336 Facility Lessor 872804 Mechanical & Control Service Inc 6426 18th St E Fife WA 98424 HVAC Contractor 239206 McKesson Corp PO Box 98347 Chicago IL 60693 Equipment and maintenance supplier 229466 10 27187 27187 PATIENT SERVICES 621300 14120133 14120133 14120133 4027 4027 14151347 14120133 0 4027 X 19971 19971 999970 999970 332 332 29124 29124 7491512 5546900 1944612 27140 20516 6624 218844 83706 135138 108144 108144 538140 430512 107628 5255 5255 1159011 1135831 23180 66930 66930 Repairs & Maintenance 1194585 877296 317289 Medical Supplies 768955 768955 Compassionate Care 762776 762776 Taxes & Licenses 243319 243319 426560 208817 217743 14060568 9855280 4198664 6624 465834 227026 7216536 5220563 1181675 100818 1348982 1529797 3771 101731 13476349 8008799 5304079 5467550 15520877 12647485 940981 817088 189995 149717 1130976 966805 X 13389901 11575680 1000000 105000 14389901 11680680 15520877 12647485 X 90779 -2800000 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4336615 1767392 2569223 8552564 5732316 2820248 587170 509091 78079 5467550 Deferred Lease Liability 149717 149717 X 13948248 0 13948248 203099 203099 14151347 13857469 0 13857469 203099 203099 14060568 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. 1 American Cancer Society Making Strides Flagship Sponsor 1313 Broadway Suite 100 Tacoma WA 98402 131788491 501 (c) (3) 11000 Sponsorship Komen Puget Sound Affiliate 112 5th Ave N Seattle WA 98419 751835298 501 (c) (3) 5000 Sponsorship 2 Part I, Line 2: GRANT AMOUNTS ARE AGREED TO BY THE MEMBERS AND REPORTED TO THE BOARD OF DIRECTORS. 0 0 0 0 0 0 0 0 0 Jacquelyn Ostrom Executive Director, ex-officio 173306 0 0 0 0 0 10500 0 30000 0 213806 0 0 0 Form 990, Part VII, Section A, Line 5 CMBC OUTSOURCES MANAGEMENT FUNCTIONS TO TACOMA RADIOLOGICAL ASSOCIATES WHICH INCLUDES THE PAYMENT OF CMBC'S EXECUTIVE DIRECTOR. 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.