2015-08-10T10:51:37-05:00 2014-12-31 910189318 MOSS ADAMS LLP 1301 A STREET SUITE 600 TACOMA WA 984024205 990 2014-01-01 262377858 THE CAROL MILGARD BREAST CENTER CARO 2537592622 4525 S 19TH ST TACOMA TACOMA WA 98405 JACQUELYN OSTROM EXECUTIVE DIRECTOR 2533831099 2015-08-10 1 NANCY SCHAUER P01326437 2535724100 2014 2016-02-25 16:41:14Z JACQUELYN OSTROM PO BOX 1535 TACOMA WA 98401 12959489 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. 8 8 0 60 0 0 2787140 57394 11666868 12899376 1955 2719 0 0 14455963 12959489 22625 22747 0 0 0 0 0 0 3898 11589801 12763486 11612426 12786233 2843537 173256 15081063 15520877 864420 1130976 14216643 14389901 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 52932 OUTREACH TO UNDERSERVED POPULATIONS - IN KEEPING WITH ITS MISSION, THE BREAST CENTER HELD 5 SCREENING EVENTS THIS YEAR, SERVING 94 WOMEN. OF THESE, 18 PATIENTS WERE SERVED AS PART OF THE WOMEN OF COLOR HEALTH AWARENESS FAIR. OUR OUTREACH PROGRAMS ALSO REACH PATIENTS IN LOW INCOME AREAS, AND STRIVE TO PROVIDE ACCESS TO ALL PATIENTS, REGARDLESS OF RACE OR FINANCIAL ABILITY.CHI FRANCISCAN PARTNERED WITH THE BREAST CENTER TO PROVIDE TRANSPORTATION FOR EVENT ATTENDEES TO COME TO THE BREAST CENTER FOR A SCREENING MAMMOGRAM. FOR ALL EVENTS, THE BREAST CENTER PROVIDES FINANCIAL AID TO ATTENDEES THROUGH THE SUPPORT OF DONOR FUNDS AND PUBLIC PROGRAMS LIKE THE BREAST, COLON, AND CERVICAL HEALTH PROGRAM. WITH THE EXPANSION OF MEDICAID, THE BREAST CENTER ENGAGED VOLUNTEERS, TRAINED BY THE TACOMA PIERCE COUNTY HEALTH DEPARTMENT, TO SIGN UP PATIENTS FOR WASHINGTON APPLE HEALTH (MEDICAID) ON EVENT DAYS. THE BREAST CENTER CONTINUED ITS COLLABORATION WITH THE LEADERS IN WOMEN'S HEALTH. THIS GROUP OF 25, MOSTLY AFRICAN AMERICAN WOMEN HAVE CONTINUED MEETING FOR 3 YEARS WITH THE GOAL OF REVERSING THE INCIDENCE AND MORTALITY RATES AMONG WOMEN OF COLOR IN OUR COUNTY. IN 2014, THE LEADERS DEVELOPED AND IMPLEMENTED A CURRICULUM ON BREAST HEALTH FOR MIDDLE SCHOOL GIRLS. THE LEADERS PARTNERED WITH TACOMA PUBLIC SCHOOLS AND WITH THE YMCA'S EAGLE CENTER TO SERVE THE 12 YOUNG LADIES WHO PARTICIPATED. AS PART OF THEIR FINAL PROJECT, THE GIRLS DEVELOPED SHORT VIDEOS ON WHAT THEY HAD LEARNED IN THEIR 7 SESSION, AFTER SCHOOL CURRICULUM. AT THE CLOSE OF THE YEAR, THE LEADERS WERE PLANNING FOR A MAJOR SUMMIT ON COMMUNITY ENGAGEMENT IN HEALTH CARE TO BE HELD IN 2015. THE BREAST CENTER EXTENDED ITS OUTREACH TO THE LATINA COMMUNITY BY SPONSORING A MUSICAL EVENT AT THE BROADWAY CENTER FOR THE PERFORMING ARTS. THIS EVENT, FIESTA, FAMILIA, FOLKLORICO! ENABLED THE CENTER TO REACH OUT TO EVENT ATTENDEES TO SHARE THE MESSAGE OF BREAST CANCER PREVENTION THROUGH SCREENING. 89274 10325 BREAST HEALTH EDUCATION - THROUGH 2014, THE BREAST CENTER PARTICIPATED IN MORE THAN 15 EVENTS, PROVIDING BREAST HEALTH EDUCATION TO GROUPS REPRESENTING LATINA, GLBTQ, AFRICAN AMERICAN, RUSSIAN, KOREAN, CAMBODIAN, NATIVE AMERICAN AND VIETNAMESE COMMUNITY MEMBERS. FOR THE FIRST TIME, THE CENTER PARTICIPATED IN FIVE EMPLOYEE HEALTH FAIRS FOR THE CITY OF TACOMA. ALL FIVE OF THE BREAST SCREENING EVENTS HELD AT THE BREAST CENTER FEATURES BREAST SELF EXAMINATION TUTORIALS, WITH CERTIFIED INSTRUCTORS.THE BREAST CENTERS 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 $10,000 FOR THE CENTERS PATIENT SUPPORT FUND.THE BREAST CENTER ALSO BEGAN REACHING OUT TO THE LATINA COMMUNITY, WITH THE HELP OF A BILINGUAL FACILITATOR FROM THE HEALTH DEPARTMENT AND LATINA VOLUNTEERS CONNECTED WITH THE TACOMA PUBLIC SCHOOLS. MORE THAN 20 LATINA WOMEN ATTENDED AN EDUCATION EVENT HELD AT A COMMUNITY CENTER IN TACOMA IN DECEMBER. ONE OF THE WOMEN IN THIS GROUP, WHO HEARD THE MESSAGE ABOUT SCREENING, RECEIVED A MAMMOGRAM AND WAS FOUND TO HAVE CANCER JUST AFTER THE EVENT.THE BREAST CENTER PRODUCED A VIDEO EXPLAINING TO PATIENTS WHAT TO EXPECT WHEN COMING INTO THE CLINIC. THIS REMAINS POSTED ON THE WEBSITE.FINALLY, CMBC TOOK ADVANTAGE OF SOCIAL MEDIA TO SPREAD THE WORD ABOUT DETECTION OF BREAST CANCER THROUGH SCREENING MAMMOGRAPHY. BETWEEN OCTOBER AND NOVEMBER, THE CENTER DOUBLED ITS FACEBOOK FOLLOWING. THE FIRST VIRAL MESSAGE ON FACEBOOK RESULTED IN A POST SHARED BY 71 PEOPLE AND REACHED 5,200 PEOPLE IN THE COMMUNITY. 9577080 22747 12889051 PATIENT CARE SERVICES - IN 2014, THE BREAST CENTER SERVED A TOTAL OF 34,111 TOTAL PATIENTS, PROVIDING SOME 69,059 EXAMS AND PROCEDURES. AS NOTED ABOVE, THE BREAST CENTER INTRODUCED 3D GUIDED BIOPSY. IN ADDITION, THE CENTER DEVELOPED A NEW PROGRAM CALLED BRIDGING CARE, TO BE IMPLEMENTED IN 2015, WHICH PROVIDES PATIENTS WITH THEIR DIAGNOSIS, THROUGH A PERSONAL MEETING WITH A NURSE PRACTITIONER, WITHIN 2 DAYS OF THEIR BIOPSY. 9719286 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 15 0 1 0 0 0 0 0 0 0 0 0 X 8 8 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 DIREC 1.00 X 0 0 0 CLYDE ADDISON MD DIRECTOR 1.00 X X 0 0 0 SHARON SNUFFIN CHAIR, BOARD OF DIRECTORS 1.00 X X 0 0 0 PETER NORMAN TREASURER, BOARD OF DIRECT 1.00 X X 0 0 0 DIANE DIMMER SECRETARY, BOARD OF DIRECT 1.00 X 0 0 0 DIANE CECCHETTINI EX-OFFICIO DIRECTOR (CEASED 4/21/14) 1.00 X 0 0 0 JOSEPH WILCZEK EX-OFFICIO DIRECTOR 1.00 X 0 0 0 JACQUELYN OSTROM EXECUTIVE DIRECTOR, EX-OFF 40.00 X 160133 0 30105 WILLIAM G ROBERTSON EX-OFFICIO DIRECTOR (EFF. 7/21/14) 1.00 X 0 0 0 160133 0 30105 1 1 1 1 TACOMA RADIOLOGICAL ASSOCIATES PS 1304 FAWCETT AVE STE 100 TACOMA WA 98402 MANAGEMENT, BILLING, PROFESSIONAL SERVIC 7858789 RUSH PROPERTIES INC 6622 WOLLOCHET DR NW GIG HARBOR WA 98335 FACILITY LESSOR 826906 HOLOGIC INC 24506 NETWORK PLACE CHICAGO IL 60673 EQUIPMENT MAINTENANCE 506318 MCKESSON CORP PO BOX 98347 CHICAGO IL 60693 EQUIPMENT MAINTENANCE 326487 GE MEDICAL SYSTEMS PO BOX 843553 DALLAS TX 75284 EQUIPMENT MAINTENANCE 176165 9 57394 57394 PATIENT SERVICES 621300 13064871 13064871 BAD DEBTS 621300 -165495 -165495 12899376 2719 2719 12959489 12899376 0 2719 X 22747 22747 1005114 1005114 166 166 29508 29508 6906229 6058665 847564 3836 3836 193285 71226 121997 62 105338 105338 543971 435177 108794 3726 3726 1154102 1131020 23082 59157 59157 REPAIRS & MAINTENANCE 974600 620920 353680 MEDICAL SUPPLIES 738720 738720 COMPASSIONATE CARE 637364 637364 TAXES & LICENSES 223654 223654 184716 3447 181269 12786233 9719286 3063049 3898 769563 465834 4178870 7216536 2153816 1181675 1498123 1348982 43477 3771 12085979 6781900 6437214 5304079 15081063 15520877 651994 940981 212426 189995 864420 1130976 X 12216643 13389901 2000000 1000000 14216643 14389901 15081063 15520877 173256 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3928900 1472158 2456742 8117072 5282676 2834396 40007 27066 12941 5304079 DEFERRED LEASE LIABILITY 189995 189995 X 13064489 105000 105000 12959489 0 12959489 12786233 0 12786233 0 12786233 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 QUALIFIED 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, 2014 AND 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 105,000. 1 AMERICAN CANCER SOCIETY MAKING STRIDES FLAGSHIP SPONSOR 1313 BROADWAY SUITE 100 TACOMA WA 98402 131788491 501 (C) (3) 11000 SPONSORSHIP SUSAN G KOMEN LUNCH FOR THE CURE - GOLD SPONSOR 1900 N NORTHLAKE WAY SUITE 135 SEATTLE WA 98103 751835298 501 (C) (3) 5000 SPONSORSHIP 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-OFF 160133 0 0 0 0 0 9500 0 20605 0 190238 0 0 0 FORM 990 PART VII, SECTION A, LINE 5 DURING 2014, TRA, AN UNRELATED ORGANIZATION, PROVIDED PAYROLL AND ADMINISTRATIVE SERVICES TO THE CAROL MILGARD BREAST CENTER WHICH WERE REIMBURSED ON A REGULAR BASIS. UNDER THE AGREEMENT, TRA ASSIGNED JACQUELYN OSTROM TO THE CAROL MILGARD BREAST CENTER AND PAID FOR HER SALARY TO SERVE AS CURRENT EXECUTIVE DIRECTOR OF THE CAROL MILGARD BREAST CENTER. 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 VARIOUS COMMITTEES AND THE BOARD FOR REVIEW AND COMMENT PRIOR TO BEING 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 2,388,906. MANAGEMENT AND GENERAL EXPENSES 670,254. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,059,160. FEES FOR SERVICES - PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,327,581. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,327,581. FEES FOR SERVICES - OTHER: PROGRAM SERVICE EXPENSES 342,178. MANAGEMENT AND GENERAL EXPENSES 177,310. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 519,488.