2025-03-07T11:10:28-06:00 2024-12-31 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2024-01-01 364654202 MOBILE MAMMOGRAPHY SHARED SERVICES INC MOBI 5024949311 2650 EASTPOINT PARKWAY 300 LOUISVILLE KY 40223 DANA SHANTEL TAYLOR MEMBER 5024949311 2025-03-07 1 0 EMILIE M KNIERIEM CPA P01330194 5029923500 2025-03-07 2024 2025-03-06 01:10:19Z DANA SHANTEL TAYLOR 2650 EASTPOINT PARKWAY 300 LOUISVILLE KY 40223 299053 0 X NONE X 2009 KY TO OPERATE A MOBILE MAMMOGRAPHY IMAGING UNIT FOR NOT-FOR-PROFIT HOSPITALS. 2 2 0 3 0 0 0 0 300798 299053 0 0 0 0 300798 299053 0 0 0 0 0 0 0 0 0 300795 299053 300795 299053 3 0 195992 115204 171215 90427 24777 24777 TO OPERATE A MOBILE MAMMOGRAPHY IMAGING UNIT FOR FOUR NOT-FOR-PROFIT HOSPITALS WHICH ARE THE SOLE MEMBERS OF THE CORPORATION. THE COOPERATIVE SERVICE ORGANIZATION IS THEREFORE ORGANIZED UNDER SECTIONS 501(E) AND 501(C)(3) OF THE IRS CODE. 0 0 237353 299053 THE ORGANIZATION OPERATES TO PROVIDE THE NOT-FOR-PROFIT HOSPITALS WITH THE DIGITAL MAMMOGRAPHY IMAGING CAPABILITIES ON AN "AT-COST" BASIS ALLOWING THE HOSPITALS TO PROVIDE THESE MEDICAL SERVICES TO THEIR PATIENTS AND COMMUNITIES AT A LOWER COST THAN SINGLE MEMBER OWNERSHIP. SHARING OF THE PROGRAM EXPENSES ACROSS THE THREE MEMBER HOSPITALS ALLOWS THE SPREAD OF CAPITAL AND OPERATING COSTS OF THE MEDICAL EQUIPMENT. THE TOTAL PROCEDURES FOR 2024 WERE 2,350 PROCEDURES. 237353 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 2 2 0 1 0 0 1 1 0 1 0 0 0 1 1 1 1 0 0 0 0 0 KY X MARK STREATOR 3304911470 4197 FULTON RD STE C CANTON OH 44718 X KATHY BUNTING CHAIRMAN/MEMBER (END 2024) 1.00 X X 0 0 0 KEITH MILLER SECRETARY/TREASURER 1.00 X X 0 0 0 ROBY WILLIAMS MEMBER (END 2024) 1.00 X 0 0 0 DANA SHANTEL TAYLOR CHAIRMAN/MEMBER (BEG 2024) 1.00 X X 0 0 0 0 0 0 0 0 0 0 ASSOCIATES IN MEDICAL IMAGING LLC 4197 FULTON RD STE C CANTON OH 44718 MANAGEMENT SERVICES 121720 1 MAMMOGRAPHY REVENUE 621512 299053 299053 299053 299053 299053 0 0 X 60000 60000 1700 1700 97168 97168 228 228 14005 14005 5179 5179 73150 73150 20393 20393 REPAIRS AND MAINTENANCE 24389 24389 DUES AND SUBSCRIPTIONS 2657 2657 EQUIPMENT & RENTAL EXPE 184 184 299053 237353 61700 0 3850 12847 38488 21853 789056 708552 153654 80504 195992 115204 17563 9923 153652 80504 171215 90427 X 0 0 22500 22500 2277 2277 24777 24777 195992 115204 0 0 X 0 0 0 X SCHEDULE A, PART I, LINE 3, HOSPITAL: MOBILE MAMMOGRAPHY SHARED SERVICES, INC. HAS BEEN DETERMINED BY THE IRS TO BE A PUBLIC CHARITY UNDER IRS CODE SECTION 170(B)(1)(A)(III). THE ORGANIZATION OPERATES A MOBILE MAMMOGRAPHY IMAGING UNIT AND IS A COOPERATIVE SERVICE ORGANZATION ORGANIZED UNDER SECTIONS 501(E) AND 501(C)(3) OF THE IRS CODE. THE ORGANIZATION IS NOT REQUIRED TO BE LICENSED AS A HOSPITAL BY THE STATE. SCHEDULE H IS NOT REQUIRED AS ONLY ORGANIZATIONS THAT OPERATE AT LEAST ONE FACILITY THAT IS, OR IS REQUIRED TO BE, LICENSED, REGISTERED, OR SIMILARY RECOGNIZED BY THE STATE AS A HOSPITAL IS REQUIRED TO COMPLETE SCHEDULE H. 789056 708552 80504 80504 FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES ARE PERFORMED BY AN OUTSIDE MANAGEMENT COMPANY. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO SOLE MEMBERS OF WHICH ALL ARE NOT-FOR-PROFIT HOSPITALS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRS CODE. FORM 990, PART VI, SECTION A, LINE 7A EACH SOLE MEMBER SELECTS A DIRECTOR. FORM 990, PART VI, SECTION A, LINE 8B NOT APPLICABLE - THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS FOR REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTANT. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE BOARD OF DIRECTORS. THE SCOPE OF THIS POLICY INCLUDES ANY DIRECTOR WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. THE POLICY IS IN PLACE TO PROVIDE PROCEDURES FOR PREVENTION. A SELF DISCLOSURE FROM COVERED PERSONS TO THE BOARD OF DIRECTORS IS REQUIRED ON ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE MINUTES OF THE GOVERNING BODY WILL DISCLOSE THE NAME OF THE PERSON, THE NATURE OF THE INTEREST, DETERMINING FACTORS, AND CONCLUSION OF THE DECISION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 43,018. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,018. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 54,150. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,150.