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MOSAIC SENIOR SERVICES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MOSAIC SENIOR SERVICES INC (EIN 83-1746407)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-17
IRS object ID
202121379349304497
Schema version
2019v5.2
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

FieldValueIRS element (for citing)
Return2021-05-17T12:43:11-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN476097913PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SEIM JOHNSON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT STREET SUITE 200AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP680224722ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN831746407EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSAIC SENIOR SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOSABusinessNameControlTxt
Phone4028963884PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 S 118TH ST LIND CENTER NO AAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68137ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT HOFFMANPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone4028963884PhoneNum
Signature2021-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY R COOLEYPreparerPersonNm
PTINP01523804PTIN
Phone4023302660PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSCOTT HOFFMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 S 118TH ST LIND CENTER NO AAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68137ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,572,941GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SOREO.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2018FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionMOSAIC SENIOR SERVICES IS PRIMARILY FUNDED THROUGH MEDICAID AND PROVIDES DIRECT CARE SERVICES TO INDIVIDUALS WITH VARYING NEEDS. SERVICES ARE INDIVIDUALIZED TO MEET THE NEEDS OF THE INDIVIDUAL, ALLOWING THEM TO REMAIN AT HOME AND TO WORK AND PARTICIPATE IN ACTIVITIES IN THEIR COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$496,642CYContributionsGrantsAmt
PY Program Service Revenue$9,009,381PYProgramServiceRevenueAmt
CY Program Service Revenue$16,076,299CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$12,669PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$9,022,050PYTotalRevenueAmt
CY Total Revenue$16,572,941CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$932,153PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,457,549CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,226,439PYOtherExpensesAmt
CY Other Expenses$13,609,823CYOtherExpensesAmt
PY Total Expenses$8,158,592PYTotalExpensesAmt
CY Total Expenses$15,067,372CYTotalExpensesAmt
PY Revenues Less Expenses$863,458PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,505,569CYRevenuesLessExpensesAmt
Total Assets BOY$12,706,471TotalAssetsBOYAmt
Total Assets EOY$12,128,188TotalAssetsEOYAmt
Total Liabilities BOY$11,843,013TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,376,604TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$863,458NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,751,584NetAssetsOrFundBalancesEOYAmt
MissionNONEMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,771,048ExpenseAmt
Revenue$16,076,299RevenueAmt
DescMOSAIC SENIOR SERVICES IS PRIMARILY FUNDED THROUGH MEDICAID AND PROVIDES DIRECT CARE SERVICES TO INDIVIDUALS WITH VARYING NEEDS. SERVICES ARE INDIVIDUALIZED TO MEET THE NEEDS OF THE INDIVIDUAL, ALLOWING THEM TO REMAIN AT HOME AND TO WORK AND PARTICIPATE IN ACTIVITIES IN THEIR COMMUNITY.Desc
Total Program Service Expenses$13,771,048TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCOTT HOFFMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4028963884PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 SOUTH 118TH STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68137ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LINDA TIMMONS
PRESIDENT0.1039.90Yes (X)Yes (X)$0$616,682$160,451
SCOTT HOFFMAN
TREASURER0.1039.90Yes (X)Yes (X)$0$314,488$62,501
MARLIN WILKERSON
DIRECTOR0.1039.90Yes (X)$0$256,430$47,270
MIKE LYONS
SECRETARY0.1039.90Yes (X)Yes (X)$0$261,853$29,051
JEN ZAJICEK
DIRECTOR0.1039.90Yes (X)$0$128,066$21,602
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,577,519TotReportableCompRltdOrgAmt
Total Other Compensation$320,875TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$496,642GovernmentGrantsAmt
Total Contributions$496,642TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUEDesc
Business624100BusinessCd
Total Revenue Column$15,977,695TotalRevenueColumnAmt
Related Or Exempt Func Income$15,977,695RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$98,604TotalRevenueColumnAmt
Related Or Exempt Func Income$98,604RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$16,076,299TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,572,941TotalRevenueColumnAmt
Related Or Exempt Func Income$16,076,299RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,243,292TotalAmt
Program Services$1,243,292ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,387TotalAmt
Program Services$4,387ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$94,102TotalAmt
Program Services$94,102ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$115,768TotalAmt
Program Services$115,768ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,133,410TotalAmt
Management And General$1,133,410ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,360,358TotalAmt
Program Services$10,197,444ProgramServicesAmt
Management And General$162,914ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$23,215TotalAmt
Program Services$23,215ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$301,206TotalAmt
Program Services$301,206ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$132,455TotalAmt
Program Services$132,455ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,033TotalAmt
Program Services$13,033ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$328,620TotalAmt
Program Services$328,620ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$975,733TotalAmt
Program Services$975,733ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$81,669TotalAmt
Program Services$81,669ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
BAD DEBT EXPENSE$238,662$238,662
MISCELLANEOUS EXPENSE$10,746$10,746
DUES, SUBSCRIPTIONS, LI$10,716$10,716

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,067,372TotalAmt
Program Services$13,771,048ProgramServicesAmt
Management And General$1,296,324ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,706BOYAmt
EOY$176,818EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,396,250BOYAmt
EOY$211,715EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,088,400BOYAmt
EOY$2,907,310EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,114BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$59,946LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$28,840LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$47,371BOYAmt
EOY$31,106EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$9,161,600BOYAmt
EOY$8,800,440EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,030BOYAmt
EOY$799EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,706,471BOYAmt
EOY$12,128,188EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,743,667BOYAmt
EOY$697,845EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,099,346BOYAmt
EOY$8,678,759EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,843,013BOYAmt
EOY$9,376,604EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$863,458BOYAmt
EOY$2,751,584EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$863,458BOYAmt
EOY$2,751,584EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,706,471BOYAmt
EOY$12,128,188EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,505,569ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$382,557OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MOSAICBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN113669999EIN
Organization Type10OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,664OtherCostOrOtherBasisAmt
Depreciation$28,840DepreciationAmt
Book Value$20,824BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,282OtherCostOrOtherBasisAmt
Book Value$10,282BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$31,106TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO MOSAIC$1,730,806
LOAN PAYABLE TO AFFILIATE$6,947,953
FieldValueIRS element (for citing)
Total Liability$8,678,759TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationALL CONSOLIDATED AFFILIATED ENTITIES, EXCEPT FOR MOSAIC HOUSING CORP V, INC., EASE-E MEDICAL, INC. AND BICO, LTD. ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OR 501(C)(2) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN MOSAIC'S TAX EXEMPT STATUS. MOSAIC RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. SUCH TAX POSITIONS, WHICH ARE MORE THAN 50% LIKELY OF BEING REALIZED, ARE MEASURED AT THEIR HIGHEST VALUE. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. DURING 2020 AND 2019, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS OTHER THAN DESCRIBED PREVIOUSLY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LINDA TIMMONS
PRESIDENT$0$487,403$0$125,000$0$4,279$0$124,663$0$35,788$0$777,133$0$0
SCOTT HOFFMAN
TREASURER$0$273,299$0$40,000$0$1,189$0$38,213$0$24,288$0$376,989$0$0
MARLIN WILKERSON
DIRECTOR$0$235,505$0$20,000$0$925$0$13,252$0$34,018$0$303,700$0$0
MIKE LYONS
SECRETARY$0$241,018$0$20,000$0$835$0$17,387$0$11,664$0$290,904$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3:THE SALARIES OF LINDA TIMMONS AND SCOTT HOFFMAN ARE PAID FROM A RELATED ORGANIZATION, MOSAIC. MS. TIMMONS SERVES AS CEO OF MOSAIC. MR. HOFFMAN SERVES AS CFO OF MOSAIC. THE SALARY FOR MS. TIMMONS IS SET BY THE MOSAIC EXECUTIVE COMMITTEE AND MOSAIC BOARD OF DIRECTORS. MR. HOFFMAN'S SALARY IS SET BY THE CEO OF MOSAIC WORKING WITHIN THE SALARY RANGES ESTABLISHED BY THE EXECUTIVE COMMITTEE. MOSAIC'S BOARD AND EXECUTIVE COMMITTEE USE AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, AND A COMPENSATION SURVEY IN ESTABLISHING THE COMPENSATION OF THE PRESIDENT AND CEO OF MOSAIC AND GUIDELINES FOR OTHER KEY STAFF.
SCHEDULE J, PART II, COLUMN C:MOSAIC EVALUATES THE LIABILITY RELATED TO THEIR POSTRETIREMENT BENEFITS (SALARY AND HEALTH INSURANCE CONTINUATION) THROUGH AN ACTUARIAL REVIEW. THE ADJUSTMENT IS INCLUDED IN RETIREMENT AND OTHER DEFERRED COMPENSATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION SHALL HAVE ONE MEMBER, MOSAIC, A NEBRASKA NON-PROFIT PUBLIC BENEFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE MOSAIC BOARD OF DIRECTORS APPOINTS OR ELECTS MOSAIC SENIOR SERVICES' BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BANY AMENDMENTS TO THE ARTICLES OF INCORPORATION REQUIRE APPROVAL BY A MAJORITY OF THE MOSAIC BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS PREPARED BY MOSAIC SENIOR SERVICE'S OUTSIDE INDEPENDENT AUDIT FIRM. THE RETURN IS REVIEWED BY MOSAIC SENIOR SERVICE'S TREASURER AND THE OUTSIDE INDEPENDENT AUDIT FIRM. A COPY IS SHARED WITH THE BOARD OF DIRECTORS PRIOR TO FILING FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CON AN ANNUAL BASIS, EACH BOARD DIRECTOR COMPLETES A CONFLICT OF INTEREST FORM AND SUBMITS IT TO THE CHAIRPERSON OF THE MOSAIC BOARD INTEGRITY COMMITTEE. ANY FINANCIAL CONFLICTS OF INTEREST ARE REPORTED TO THE CHIEF FINANCIAL OFFICER/TREASURER FOR REPORTING ON THE FORM 990, IF APPROPRIATE. ANY NEW CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR ARE REQUIRED TO BE REPORTED AT THAT TIME.
FORM 990, PART VI, SECTION B, LINE 15MOSAIC SENIOR SERVICES DOES NOT HAVE ANY EMPLOYEES, AND THEREFORE, THERE IS NOT AN ESTABLISHED PROCESS FOR DETERMINING COMPENSATION OF OFFICERS OR OTHER EMPLOYEES. THE FOLLOWING IS THE PROCEDURE USED BY MOSAIC, MOSAIC SENIOR SERVICES' SOLE MEMBER: THE BOARD OF DIRECTORS ESTABLISHED AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR: CONTRACTING WITH AN INDEPENDENT CONSULTANT TO DOCUMENT COMPARABLE COMPENSATION LEVELS PAID TO EXECUTIVES WITH SIMILAR POSITIONS AND RESPONSIBILITIES IN SIMILAR ORGANIZATIONS, HELPING THE COMMITTEE APPLY MOSAIC'S COMPENSATION PHILOSOPHY TO THE MARKET SURVEY DATA TO IDENTIFY SUPPORTABLE COMPENSATION LEVELS AND COMPENSATION RANGES, AND OPINING IN ADVANCE THAT RESULTING COMPENSATION RANGES ARE REASONABLE COMPENSATION. THE COMPENSATION CONSULTANT WILL ALSO ADVISE AND OPINE ON BENEFIT DESIGN, BENEFIT OPTIONS, AND REASONABLENESS OF BENEFIT AMOUNTS AS ELEMENTS OF COMPENSATION. THE EXECUTIVE COMMITTEE WILL ADOPT A COMPENSATION PHILOSOPHY FOR OFFICERS AND KEY EMPLOYEES GUIDED BY THE CONSULTANT'S INFORMATION AND USE THE COMPENSATION PHILOSOPHY TO APPROVE THE COMPENSATION OF THE CEO, APPROVE THE COMPENSATION RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES, AND REPORT ITS ACTIONS TO THE FULL BOARD. THE CEO, WORKING WITHIN SALARY RANGES APPROVED BY THE EXECUTIVE COMMITTEE, SETS THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. MINUTES, DOCUMENTATION OF INDEPENDENT CONSULTANT COMPARABILITY DATA AND RECOMMENDATIONS ARE MAINTAINED AS PART OF THE RECORD OF THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19MOSAIC SENIOR SERVICES DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GCONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 162,914. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 162,914. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 72,913. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,913. CONTRACTED INDIVIDUAL CARE SERVICES: PROGRAM SERVICE EXPENSES 9,855,143. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,855,143. SUPPORTED, RESPITE, AND OTHER PROVIDER: PROGRAM SERVICE EXPENSES 269,388. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 269,388.
FORM 990, PART XI, LINE 9:OTHER TRANSFER OF LIABILITIES 382,557.
FORM 990, PART XII, LINE 2C:THE MOSAIC FINANCE AND AUDIT COMMITEE OVERSEES THE AUDIT & SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MOSAIC
4980 S 118 STREETOMAHANE68137113669999SERVICES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIESNE501(C)(3)LINE 10N/A0
MOSAIC FOUNDATION
4980 S 118 STREETOMAHANE68137363837360FUNDRAISING & INVESTMENT ASSET MANAGEMENTNE501(C)(3)LINE 12A, IYes (1)MOSAIC
OAKS OF DUNN COUNTY INC
4980 S 118 STREETOMAHANE68137391913323SENIOR LIVING SERVICESWI501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP I
4980 S 118 STREETOMAHANE68137363756911LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP II
4980 S 118 STREETOMAHANE68137470773689LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP IV
4980 S 118 STREETOMAHANE68137911823422LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP VII
4980 S 118 STREETOMAHANE68137470828015LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP VIII
4980 S 118 STREETOMAHANE68137470828012LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP IX
4980 S 118 STREETOMAHANE68137742838413LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP X
4980 S 118 STREETOMAHANE68137742908789LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XI
4980 S 118 STREETOMAHANE68137311706640LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XII
4980 S 118 STREETOMAHANE68137481297244LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XIII
4980 S 118 STREETOMAHANE68137421626679LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XIV - ROCKFORD
4980 S 118 STREETOMAHANE68137204417891LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XV - COUNCIL BLUFFS
4980 S 118 STREETOMAHANE68137205765691LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XVI - FARMINGTON
4980 S 118 STREETOMAHANE68137205765731LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XVII - BEATRICE
4980 S 118 STREETOMAHANE68137261710013LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XVIII - OSCEOLA-WAUKON
4980 S 118 STREETOMAHANE68137261710184LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XIX - WINFIELD
4980 S 118 STREETOMAHANE68137261710259LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XX - GARDEN CITY
4980 S 118 STREETOMAHANE68137264555206LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XXI - MEMPHIS
4980 S 118 STREETOMAHANE68137264555313LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORP XXII - LOGAN
4980 S 118 STREETOMAHANE68137273483415LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC HOUSING CORPORATION XXIII - AUSTIN
4980 S 118 STREETOMAHANE68137710875364LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC ILLINOIS HOUSING I
4980 S 118 STREETOMAHANE68137202997161LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC ILLINOIS HOUSING II
4980 S 118 STREETOMAHANE68137204417645LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC ILLINOIS HOUSING AT MACOMB I
4980 S 118 STREETOMAHANE68137204841909LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC ILLINOIS HOUSING OF ROCKFORD I
4980 S 118 STREETOMAHANE68137204841856LOW INCOME HOUSINGNE501(C)(3)LINE 10Yes (1)MOSAIC
MOSAIC EMPLOYEE WELFARE BENEFIT PLAN
4980 S 118 STREETOMAHANE68137383831874EMPLOYEE WELFARE BENEFIT PLANNE501(C)(9)N/AYes (1)MOSAIC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MOSAIC RESIDENTIAL SERVICES OF NEBRASKA LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14980 S 118 STAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68137ZIPCd
FieldValueIRS element (for citing)
EIN271695051EIN
Primary ActivitiesLOW INCOME HOUSINGPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
EASE-E MEDICAL INC
731 SOUTH 8TH STREETCANON CITYCO81212470842353SALE OF MEDICAL EQUIPMENT AND SUPPLIESNEN/ACYes (1)
MOSAIC HOUSING CORPORATION V
4980 S 118 STOMAHANE68137470805545LOW INCOME HOUSINGNEN/ACYes (1)
BICO
4980 S 118 STOMAHANE68137CAPTIVE INSURANCEN/ACYes (1)BD
CHARITABLE REMAINDER TRUSTS (3)
INVESTMENT MANAGEMENTNEN/ATYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd