CAROL MILGARD BREAST CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CAROL MILGARD BREAST CENTER (EIN 26-2377858)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-06-23
- IRS object ID
- 201441749349300419
- Schema version
- 2013v3.0
- 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 | 2014-06-23T11:38:38-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 A STREET SUITE 600 | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 984024205 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 98405 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACQUELYN OSTROM | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2533831099 | PhoneNum |
| Signature | 2014-06-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NANCY J SCHAUER | PreparerPersonNm |
| PTIN | P01326437 | PTIN |
| Phone | 2535724100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | 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 | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 98401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,455,963 | 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 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 | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $60,187 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,787,140 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,834,935 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,666,868 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,781 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,955 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $11,897,903 | PYTotalRevenueAmt |
| CY Total Revenue | $14,455,963 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $31,645 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $22,625 | 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 | $6,442 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,629,143 | PYOtherExpensesAmt |
| CY Other Expenses | $11,589,801 | CYOtherExpensesAmt |
| PY Total Expenses | $11,660,788 | PYTotalExpensesAmt |
| CY Total Expenses | $11,612,426 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $237,115 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,843,537 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,234,824 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,081,063 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $861,719 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $864,420 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,373,105 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,216,643 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE SUSTAINABLE BREAST HEALTH SERVICES TO ALL WOMEN 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 | $75,852 | ExpenseAmt |
| Desc | OUTREACH TO UNDERSERVED POPULATIONS -- THE BREAST CENTER HELD FIVE SCREENING EVENTS, SERVING MORE THAN 125 PATIENTS. ONE WAS HELD SEPTEMBER 7, 2013 IN CONJUNCTION WITH THE WOMEN OF COLOR HEALTH AWARENESS HEALTH FAIR. THE CENTER SCREENED 23 AFRICAN AMERICAN WOMEN ON THAT DAY ALONE. DURING SCREENING EVENTS, THE CENTER PROVIDES FINANCIAL AID TO ATTENDEES WITH THE SUPPORT OF: OWNERS SYSTEMS AND THEIR FOUNDATIONS, INDIVIDUAL GIFTS FROM DONORS, AND THE HELP OF PUBLIC PROGRAMS LIKE THE BREAST COLON AND CERVICAL HEALTH PROGRAM (BCCHP).THE BREAST CENTER CONTINUED ITS WORK WITH THE LEADERS IN WOMENS HEALTH, WHICH IS THE COMMUNITY-BASED GROUP OF AFRICAN AMERICAN LEADERS WHO ARE COMMITTED TO ALTERING THE COURSE OF BREAST DISEASE IN THEIR COMMUNITY. THROUGH CMBC SUPPORT, FUNDING, AND HOSTING, 25 WOMEN HAVE DEVELOPED PLANS TO EDUCATE YOUNG AFRICAN AMERICAN WOMEN ABOUT BREAST DISEASE AND TO PROVIDE TOOLS FOR PROVIDERS TO WORK MORE EFFECTIVELY WITH PEOPLE OF COLOR.THE BREAST CENTER PARTNERED WITH CATHERINE PLACE, A LOCAL RESOURCE FOR WOMEN IN TRANSITION, AND GOODWILL, TO HAVE A SPECIAL ONE DAY GIVE AWAY IN WHICH BREAST CANCER SURVIVORS COULD RECEIVE FREE CAMISOLES, BREAST PROSTHESES AND SPECIALTY ITEMS LIKE SWIMSUITS. MORE THAN 40 WOMEN WERE FITTED WITH BREAST PROSTHESES ON THIS DAY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $73,367 | ExpenseAmt |
| Desc | BREAST HEALTH EDUCATION -- THROUGH 2013, THE BREAST CENTER PARTICIPATED IN SEVERAL COMMUNITY BASED BREAST HEALTH EDUCATION EVENTS. SPECIFICALLY, THE CENTERS STAFF AND VOLUNTEERS WERE PART OF 25 HEALTH EVENTS, ENGAGING LATINA, GLBTQ, AFRICAN AMERICAN, RUSSIAN, KOREAN, CAMBODIAN, NATIVE AMERICAN, AND VIETNAMESE COMMUNITY MEMBERS.BREAST CENTER STAFF AND RADIOLOGISTS SPOKE AT SIX COMMUNITY EVENTS,TOUCHING MORE THAN 11,000 PEOPLE. IN ADDITION, WITH THE INTRODUCTION OF 3D MAMMOGRAPHY, THE BREAST CENTER CONDUCTED A WIDE RANGING COMMUNICATION EFFORT TO ACQUAINT PROVIDERS, PATIENTS AND THE GENERAL COMMUNITY WITH THE BENEFITS OF 3D MAMMOGRAPHY. THE CENTER HELD A DONOR EVENT AND A REFERRING PROVIDER OPEN HOUSE TO INTRODUCE THIS IMPORTANT NEW TECHNOLOGY WHICH IS FINDING MORE CANCERS, EARLIER. THE CMBC WEBSITE CONTINUES TO BE AN IMPORTANT PORTAL FOR PATIENTS, FAMILIES AND PROVIDERS TO ACCESS BREAST HEALTH INFORMATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,932,189 | ExpenseAmt |
| Grant | $22,625 | GrantAmt |
| Revenue | $11,666,868 | RevenueAmt |
| Desc | PATIENT CARE SERVICES - IN 2013, THE BREAST CENTER SERVED MORE THAN 34,000 PATIENTS, PROVIDING 119,000 PROCEDURES AND EXAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $9,081,408 | 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 | 17 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 98402 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 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 | |
| CARI MILGARD-DEGOEDE | ||||||
| DIRECTOR - THRU 7/15/13 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CLYDE ADDISON MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| 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 | |
| DIANE CECCHETTINI | ||||||
| EX-OFFICIO DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH WILCZEK | ||||||
| EX-OFFICIO DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JACQUELYN OSTROM | ||||||
| EXECUTIVE DIRECTOR, EX-OFF | 40.00 | Yes (X) | $149,240 | $0 | $28,057 | Yes (X) |
| SHELLY MULLIN | ||||||
| OWNER REPRESENTATIVE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MARY LAFALCE | ||||||
| OWNER REPRESENTATIVE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $149,240 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $28,057 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TACOMA RADIOLOGICAL ASSOCIATES | |||||
| 1304 FAWCETT AVE STE 100 | TACOMA | WA | 98402 | MANAGEMENT, BILLING, PROFESSIONAL SERVIC | $7,520,913 |
| HOLOGIC INC | |||||
| 24506 NETWORK PLACE | CHICAGO | IL | 60673 | EQUIPMENT MAINTENANCE | $3,067,072 |
| RUSH PROPERTIES | |||||
| 6622 WOLLOCHET DR NW | GIG HARBOR | WA | 98335 | FACILITY LESSOR | $818,129 |
| MCKESSON | |||||
| PO BOX 98347 | CHICAGO | IL | 60693 | EQUIPMENT MAINTENANCE | $211,856 |
| GE MEDICAL SYSTEMS | |||||
| PO BOX 843553 | DALLAS | TX | 75284 | EQUIPMENT MAINTENANCE | $178,554 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $2,787,140 | AllOtherContributionsAmt |
| Total Contributions | $2,787,140 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 621300 | $12,100,087 | $12,100,087 |
| BAD DEBTS | 621300 | -$433,219 | -$433,219 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,666,868 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,955 | TotalRevenueColumnAmt |
| Exclusion | $1,955 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,455,963 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,666,868 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,955 | 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 | $22,625 | TotalAmt |
| Program Services | $22,625 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,047 | TotalAmt |
| Management And General | $319,047 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,022 | TotalAmt |
| Management And General | $2,022 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,419 | TotalAmt |
| Management And General | $43,419 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,603,196 | TotalAmt |
| Program Services | $5,531,201 | ProgramServicesAmt |
| Management And General | $1,071,995 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,367 | TotalAmt |
| Fundraising | $6,367 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,126 | TotalAmt |
| Program Services | $104,342 | ProgramServicesAmt |
| Management And General | $98,709 | ManagementAndGeneralAmt |
| Fundraising | $75 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,359 | TotalAmt |
| Management And General | $44,359 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $547,023 | TotalAmt |
| Program Services | $437,618 | ProgramServicesAmt |
| Management And General | $109,405 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,817 | TotalAmt |
| Management And General | $3,817 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,301,988 | TotalAmt |
| Program Services | $1,275,948 | ProgramServicesAmt |
| Management And General | $26,040 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,999 | TotalAmt |
| Management And General | $78,999 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS & MAINTENANCE | $913,428 | $479,705 | $433,723 |
| MEDICAL SUPPLIES | $714,007 | $714,007 | |
| COMPASSIONATE CARE | $510,191 | $510,191 | |
| ALL OTHER EXPENSES | $202,899 | $5,771 | $197,128 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,913 | TotalAmt |
| Management And General | $95,913 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,612,426 | TotalAmt |
| Program Services | $9,081,408 | ProgramServicesAmt |
| Management And General | $2,524,576 | ManagementAndGeneralAmt |
| Fundraising | $6,442 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,732 | BOYAmt |
| EOY | $769,563 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,002,035 | BOYAmt |
| EOY | $4,178,870 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,183 | BOYAmt |
| EOY | $2,153,816 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,401,059 | BOYAmt |
| EOY | $1,498,123 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,887 | BOYAmt |
| EOY | $43,477 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,004,466 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,567,252 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,244,928 | BOYAmt |
| EOY | $6,437,214 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,234,824 | BOYAmt |
| EOY | $15,081,063 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $644,190 | BOYAmt |
| EOY | $651,994 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,529 | BOYAmt |
| EOY | $212,426 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $861,719 | BOYAmt |
| EOY | $864,420 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,373,105 | BOYAmt |
| EOY | $12,216,643 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,000,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,373,105 | BOYAmt |
| EOY | $14,216,643 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,234,824 | BOYAmt |
| EOY | $15,081,063 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,843,537 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1 | 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 | $3,851,644 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,211,691 | DepreciationAmt |
| Book Value | $2,639,953 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,029,213 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,333,283 | DepreciationAmt |
| Book Value | $3,695,930 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $123,609 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,278 | DepreciationAmt |
| Book Value | $101,331 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,437,214 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED LEASE LIABILITY | Desc |
| Amt | $212,426 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $212,426 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $14,455,963 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,455,963 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,455,963 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,612,426 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,612,426 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,612,426 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 2013 AND 2012. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 |
| SUSAN G KOMEN LUNCH FOR THE CURE - GOLD SPONSOR | |||||||
| 1900 N NORTHLAKE WAY SUITE 135 | SEATTLE | WA | 98103 | 751835298 | 501 (C) (3) | $10,000 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
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-OFF | TitleTxt |
| Base Compensation Filing Org | $149,240 | 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 | $10,842 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $17,215 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $177,297 | 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 | DURING 2013, 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. | 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: 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 2,615,041. MANAGEMENT AND GENERAL EXPENSES 535,611. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,150,652. FEES FOR SERVICES - PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,725,439. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,725,439. FEES FOR SERVICES - OTHER: PROGRAM SERVICE EXPENSES 190,721. MANAGEMENT AND GENERAL EXPENSES 536,384. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 727,105. |
| FORM 990, PART XI, LINE 9: | ROUNDING 1. |
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