CAROL MILGARD BREAST CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CAROL MILGARD BREAST CENTER (EIN 26-2377858)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-06-13
- IRS object ID
- 201321649349300012
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-06-13T10:25:48-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262377858 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CAROL MILGARD BREAST CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CARO | NameControl |
| Phone | 2537592622 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACQUELYN OSTROM | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 2533831099 | Phone |
| Date Signed | 2013-06-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NANCY J SCHAUER | Name |
| PTIN | P01326437 | PTIN |
| Phone | 2535724100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JACQUELYN OSTROM | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 11897903 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CAROLMILGARDBREASTCENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2008 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE SUSTAINABLE BREAST HEALTH SERVICES TO ALL WOMEN IN OUR COMMUNITY, IN A CARING ENVIRONMENT THAT FOSTERS CONFIDENCE, COMFORT, PEACE AND DIGNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 26694 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 60187 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11812731 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11834935 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6281 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2781 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11845706 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11897903 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 29591 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 31645 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 1160358 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 14671 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 12164896 | OtherExpensePriorYear |
| Other Expenses Current Year | 11629143 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 13354845 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11660788 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1509139 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 237115 | RevenuesLessExpensesCY |
| Total Assets BOY | 12091449 | TotalAssetsBOY |
| Total Assets EOY | 12234824 | TotalAssetsEOY |
| Total Liabilities BOY | 955459 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 861719 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 11135990 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11373105 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE SUSTAINABLE BREAST HEALTH SERVICES TO ALL WOMEN IN OUR COMMUNITY, IN A CARING ENVIRONMENT THAT FOSTERS CONFIDENCE, COMFORT, PEACE AND DIGNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 82950 | Expense |
| Description | OUTREACH TO UNDERSERVED POPULATIONS -- THE CENTER HELD 8 MAMMOGRAPHY SCREENING EVENTS DURING 2012, SERVING 131 PATIENTS. ONE OF THESE EVENTS WAS LAMUJER, FOCUSED ON LATINA WOMEN. THIS WAS HELD IN COLLABORATION WITH THE SUSAN G KOMEN FOUNDATION, AND FUNDED BY YOPLAIT. DURING SCREENING EVENTS, THE CENTER PROVIDES FINANCIAL AID TO ATTENDEES WITH THE SUPPORT OF: ITS OWNER SYSTEMS AND THEIR FOUNDATIONS, INDIVIDUAL DONOR GIFTS AND WITH THE HELP OF PROGRAMS LIKE THE BREAST COLON AND CERVICAL HEALTH PROGRAM AND MEDICAID.BASED ON FINDINGS FROM THE NEEDS-BASED COMMUNITY ASSESSMENT REPORT, THE CENTER COMPLETED SEVEN LISTENING SESSIONS ENGAGING 79 WOMEN FROM THE AFRICAN AMERICAN COMMUNITY. THESE SESSIONS WERE HELD IN CHURCHES WITH PREDOMINANTLY AFRICAN AMERICAN CONGREGATIONS. THE QUALITATIVE INFORMATION GATHERED WILL BE USED TO DEVELOP A COMMUNITY-BASED BREAST HEALTH AWARENESS PILOT PROGRAM IN 2013.IN 2012, WITH GRANT FUNDING, THE CENTER TRANSLATED ITS PATIENT HISTORY FORMS AND FINANCIAL AID FORMS INTO FIVE LANGUAGES SPOKEN MOST OFTEN BY THE CENTER'S NON ENGLISH SPEAKING PATIENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 77171 | Expense |
| Grants | 31645 | Grants |
| Description | BREAST HEALTH EDUCATION -- THROUGH 2012, THE CENTER PARTICIPATED IN SEVERAL COMMUNITY-BASED BREAST HEALTH EDUCATION EVENTS. SPECIFICALLY, THE CENTER'S STAFF AND VOLUNTEERS WERE PART OF 13 HEALTH EVENTS, ENGAGING LANTINA, GLBTQ, AFRICAN AMERICAN, RUSSIAN, MILITARY, KOREAN AND VIETNAMESE COMMUNITY MEMBERS.CENTER RADIOLOGISTS AND PATIENTS SPOKE AT TWO LARGE COMMUNITY EVENTS, WHILE THE EXECUTIVE DIRECTOR WAS INTERVIEWED ON RADIO. THE CENTER LAUNCHED ITS NEW WEBSITE IN OCTOBER OF 2012; THE WEBSITE FEATURES EXTENSIVE INFORMATION ABOUT BREAST HEALTH AND OFFERS A VARIETY OF LINKS TO ITS OWNER SYSTEMS AND OTHER COMMUNITY RESOURCES SUCH AS THE AMERICAN CANCER SOCIETY, SUSAN G KOMEN FOUNDATION, ANGELCARE FOUNDATION AND OTHERS.THE CENTER WORKED WITH THE TACOMA-PIERCE COUNTY HEALTH DEPARTMENT, FRANCISCAN HEALTH SYSTEM AND MULTICARE HEALTH SYSTEM TO REVIEW AND WIDELY DISTRIBUTE A STUDY ABOUT MAMMOGRAPHY UTILIZATION AND BREAST CANCER IN PIERCE COUNTY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8759155 | Expense |
| Revenue | 11834935 | Revenue |
| Description | PATIENT CARE SERVICES -- IN 2012, THE CENTER SERVED 33,847 PATIENTS, PROVIDING 91,194 EXAMS AND PROCEDURES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 8919276 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENNIS CARTER CO TRA MEDICAL IMAGING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2537614200 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| 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 | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| CARI MILGARD-DEGOEDE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| PAULA SCHULZE MD | ||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X |
| SHARON SNUFFIN | ||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X |
| PETER NORMAN | ||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X |
| DIANE DIMMER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DIANE CECCHETTINI | ||||||
| EX-OFFICIO DIRECTOR | 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 | 146443 | 0 | 27531 | X |
| SHELLY MULLIN | ||||||
| OWNER REPRESENTATIVE | 2.00 | X | 0 | 0 | 0 | |
| MARY LAFALCE | ||||||
| OWNER REPRESENTATIVE | 2.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 146443 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 27531 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TACOMA RADIOLOGICAL ASSOCIATES | |||||
| 1304 FAWCETT AVE STE 200 | TACOMA | WA | 98402 | MANAGEMENT, BILLING, PROFESSIONAL SERVIC | 7260839 |
| HOLOGIC INC | |||||
| 24506 NETWORK PLACE | CHICAGO | IL | 60673 | EQUIPMENT MAINTENANCE | 406133 |
| RUSH PROPERTIES | |||||
| 6622 WOLLOCHET DR NW | GIG HARBOR | WA | 98335 | REPAIRS | 242215 |
| GE MEDICAL SYSTEMS | |||||
| PO BOX 843553 | DALLAS | TX | 75284 | EQUIPMENT MAINTENANCE | 176378 |
| MCKESSON | |||||
| PO BOX 98347 | CHICAGO | IL | 60693 | EQUIPMENT MAINTENANCE | 168536 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| All Other Contributions | 60187 | AllOtherContributions |
| Total Contributions | 60187 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 621300 | 11954613 | 11954613 |
| BAD DEBTS | 621300 | -119678 | -119678 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11834935 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2781 | TotalRevenueColumn |
| Exclusion | $2,781 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11897903 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11834935 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,781 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31645 | Total |
| Program Services | 31645 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179140 | Total |
| Management And General | 179140 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10439 | Total |
| Management And General | 10439 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50964 | Total |
| Management And General | 50964 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6875560 | Total |
| Program Services | 5833828 | ProgramServices |
| Management And General | 1027061 | ManagementAndGeneral |
| Fundraising | 14671 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44066 | Total |
| Management And General | 44066 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151671 | Total |
| Program Services | 26914 | ProgramServices |
| Management And General | 124757 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50668 | Total |
| Management And General | 50668 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 307146 | Total |
| Management And General | 307146 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1275736 | Total |
| Program Services | 1076721 | ProgramServices |
| Management And General | 199015 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42381 | Total |
| Management And General | 42381 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS & MAINTENANCE | 1100099 | 825774 | 274325 |
| MEDICAL SUPPLIES | 643083 | 643083 | |
| COMPASSIONATE CARE | 481311 | 481311 | |
| TAXES & LICENSES | 244255 | 244255 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172624 | Total |
| Management And General | 172624 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11660788 | Total |
| Program Services | 8919276 | ProgramServices |
| Management And General | 2726841 | ManagementAndGeneral |
| Fundraising | 14671 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 608416 | BOY |
| EOY | 347732 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3500177 | BOY |
| EOY | 5002035 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78148 | BOY |
| EOY | 138183 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1468305 | BOY |
| EOY | 1401059 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56915 | BOY |
| EOY | 100887 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 10341243 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5096315 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6379488 | BOY |
| EOY | 5244928 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12091449 | BOY |
| EOY | 12234824 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 473178 | BOY |
| EOY | 644190 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 482281 | BOY |
| EOY | 217529 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 955459 | BOY |
| EOY | 861719 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11135990 | BOY |
| EOY | 11373105 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11135990 | BOY |
| EOY | 11373105 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12091449 | BOY |
| EOY | 12234824 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 237115 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3844082 | OtherCostOrOtherBasis |
| Depreciation | 954064 | Depreciation |
| Book Value | 2890018 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6448456 | OtherCostOrOtherBasis |
| Depreciation | 4124761 | Depreciation |
| Book Value | 2323695 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 48705 | OtherCostOrOtherBasis |
| Depreciation | 17490 | Depreciation |
| Book Value | 31215 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5244928 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 11897903 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 11897903 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 11897903 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 11660788 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 11660788 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 11660788 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| 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, 2012 AND 2011. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY MAKING STRIDES FLAGSHIP SPONSOR | |||||||
| 1313 BROADWAY SUITE 100 | TACOMA | WA | 98402 | 131788491 | 501 (C) (3) | 10000 | SPONSORSHIP |
| SUSAN G KOMEN LUNCH FOR THE CURE - GOLD SPONSOR | |||||||
| 1900 N NORTHLAKE WAY SUITE 135 | SEATTLE | WA | 98103 | 751835298 | 501 (C) (3) | 10000 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GRANT AMOUNTS ARE APPROVED BY THE BOARD OF DIRECTORS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JACQUELYN OSTROM | NamePerson |
| Title | EXECUTIVE DIRECTOR, EX-OFF | Title |
| Base Compensation Filing Org | 146443 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 10479 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 17052 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 173974 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | DURING 2012, 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 LOANED 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO PUBLIC UPON WRITTEN REQUEST. | |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 5,833,828. MANAGEMENT AND GENERAL EXPENSES 1,027,061. FUNDRAISING EXPENSES 14,671. TOTAL EXPENSES 6,875,560. | OTHER FEES |
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