2013-04-15T17:19:48-07:00 2012-05-31 Kuenzi & Company LLC 650 Hawthorne Avenue SE Suite 110 Salem OR 97301 990 2011-06-01 931329158 MOSAIC MEDICAL MOSA 5414470707 375 NW BEAVER ST STE 101 PRINEVILLE OR 97754 MEGAN HAASE 2013-04-15 true ADEN L KUENZI 5033997306 2011 2016-03-07 17:11:31Z MEGAN HAASE 375 NW BEAVER ST STE 101 PRINEVILLE OR 97754 10406869 false false X WWW.MOSAICMEDICAL.ORG X 2002 OR The mission of Mosaic Medical is to improve the lives and health of individuals and families in the communities we serve. 10 10 137 1 0 2706571 2758945 6428589 7492921 2505 2902 113500 152101 9251165 10406869 0 0 5330742 6792869 0 0 2308927 2416981 7639669 9209850 1611496 1197019 7690303 8694609 2946538 2753825 4743765 5940784 The mission of Mosaic Medical is to improve the lives and health of individuals and families in the communities we serve. false false 7305652 7492921 Mosaic Medical is an innovative safety net provider of medical and behavioral health care services for Central Oregon. The organization provided 53,872 primary care visits fiscal 2011-2012 as well as thousands of additional connections to dental, medication assistance and case management services. In fiscal 2011-2012, Mosaic's clinics in Prineville, Bend and Madras were some of the first primary care clinics in the region to attain the state's highest designation for Patient-Centered Primary Care Homes. Additionally, Mosaic was awarded a competitive federal grant to open a Redmond clinic within the next year. 7305652 true false false false false false false false false false true false false false false true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false false false true 11 0 true 137 true false false false false false false false false false false false 0 false false false false false false false false false false false X 10 10 true false false false false false false true true false false false true true true true true true true true false false OR X DIANE KAYSER 5414470707 375 NW BEAVER ST STE 101 PRINEVILLE OR 97754 BILL WINNENBERG 1.00 X X 0 0 0 MIKE TEMPLETON 1.00 X 0 0 0 KATE MOORE 1.00 X 0 0 0 MIKE MCGOWAN 1.00 X 0 0 0 JOYCE TUCKER 1.00 X X 0 0 0 SCOTT COOPER 1.00 X X 0 0 0 JULIETA FAVELA 1.00 X 0 0 0 MIKE BONETTO 1.00 X 0 0 0 AMY MIX 1.00 X 0 0 0 ALISHA FEHRENBACHER 1.00 X X 0 0 0 MEGAN HAASE 40.00 X 174135 0 4140 MARTIN SMART 40.00 X 179702 0 4140 PETER BOEHM 40.00 X 149935 0 446 KRISTI NIX 40.00 X 196910 0 4140 DIVYA SHARMA 40.00 X 162296 0 4140 Mary Rogers 40.00 X 194848 0 4140 1057826 21146 7 false true false OCHIN 707 SW WASHINGTON ST STE 1200 PORTLAND OR 97205 PAYMENT MANAGEMENT 382348 1 2315590 443355 2758945 HEALTH SERVICE FEES 621400 951073 951073 GOV'T AGENCY LEASES 621300 74021 74021 Fees & Contracts Gov Agencies 624100 6467827 6467827 7492921 2902 2902 0 0 0 0 0 0 0 MISC INCOME 561000 152101 152101 152101 10406869 7647924 0 0 0 0 178695 134021 44674 0 5560703 4536346 1024357 0 516317 426518 89799 537154 442680 94474 0 7991 1496 6495 57569 7292 50277 0 0 0 70085 70085 61798 61798 0 189779 183995 5784 0 524710 427221 97489 47528 15438 32090 0 37084 25846 11238 92151 92151 0 308518 262149 46369 30771 19880 10891 Printing and Publications 95472 46537 48935 REPAIRS & MAINTENANCE 109372 88369 21003 SUPPLIES 203674 201401 2273 CONTRACTUAL SERVICES 409659 376717 32942 170820 109746 61074 9209850 7305652 1904198 0 3069 3119 1779393 1705339 0 2399115 3202494 0 0 244869 25000 33224 93191 4884240 1490000 3449145 3394240 0 0 0 0 26357 26357 7690303 8694609 559928 694308 2386610 2059517 2946538 2753825 X 4574605 5940784 169160 4743765 5940784 7690303 8694609 1197019 X false true true X true true X 2017791 1970736 2592482 2706571 2758945 12046525 0 0 2017791 1970736 2592482 2706571 2758945 12046525 0 12046525 342 11 203 2505 2902 5963 0 9711 8529 79720 113500 152101 363561 12416049 25280583 0.97020 0.98130 X Part II, Line 10--$151,902 Insurance adjustments and reimbursements$ 199 Medical records copying--------$152,101 575000 575000 2572542 274547 2297995 277865 132696 145169 941866 769740 172126 516967 313017 203950 3394240 10406869 9209850 1197019 1197019 10406869 10406869 10406869 9209850 9209850 9209850 Part X Part X : FIN48 Footnote The Organization is exempt from taxation under Section 501(c)(3) of the Internal Revenue Code and has been classified as an organization that is not a private foundation under Section 509(a)(2). No provision for income taxes is made in the accompanying financial statements, as the Organization has no activities subject to unrelated business income tax.The Organization files income tax returns in the U.S. federal jurisdiction as well as the state of Oregon jurisdiction. Generally, income tax filings are subject to federal and state examination for three years after they are filed. Tax returns filed for periods ended May 31, 2008 and prior are considered closed. In the event penalties and interest are assessed by income taxing authorities, it is the Organizations policy to include these in operating expenses. No penalties and interest were assessed for the years ended May 31, 2012 and 2011. X true true X X X false false false false false false false false false false PETER BOEHM 149935 446 150381 MEGAN HAASE 159135 15000 4140 178275 Mary Rogers 193848 1000 4140 198988 MARTIN SMART 168702 11000 4140 183842 KRISTI NIX 194910 2000 4140 201050 DIVYA SHARMA 158896 3400 4140 166436 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available UPON REQUEST Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees THE EXECUTIVE DIRECTOR APPROVES SALARY AND PAY RATES. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts BOARD POLICY DICTATES THAT TRANSACTIONS INVOLVING BOARD MEMBERS WITH CONFLICTS OF INTEREST ARE TO BE FULLY DISCLOSED AND SUBJECT TO BOARD APPROVAL.CONFLICTS OF INTEREST INQUIRIES ARE MADE AT EMPLOYEE ORIENTATION AND REGULARLY EACH YEAR. BOTH MANAGEMENT AND EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process Finance committee review and then presented in finance report to the board. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et 0NE BOARD MEMBER IS EMPLOYED AT AN ORGANIZATION AT WHICH ANOTHER BOARD MEMBER SERVES AS AN OFFICER.