MOSAIC HEALTH SYSTEM: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- MOSAIC HEALTH SYSTEM (EIN 43-1283316)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-11
- IRS object ID
- 202631319349303918
- Schema version
- 2024v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-11T13:13:40+00:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4650 East 53rd Street | AddressLine1Txt |
| City | Davenport | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52807 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431283316 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mosaic Health System | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOSA | BusinessNameControlTxt |
| Phone | 8162717070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5325 Faraon Street | AddressLine1Txt |
| City | St Joseph | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64506 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Drew Keesbury | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Signature | 2026-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jenifer L Chase | PreparerPersonNm |
| PTIN | P01306883 | PTIN |
| Phone | 5638884000 | PhoneNum |
| Preparation | 2026-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Drew Keesbury | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5325 Faraon Street | AddressLine1Txt |
| City | St Joseph | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $160,543,090 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.mymlc.com/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | To put the needs of the patient first by empowering a culture where caregivers bring their best, ensuring a healthier future for generations to come. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 731 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $21,355 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $40,894,165 | PYInvestmentIncomeAmt |
| CY Investment Income | $54,625,220 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,795,082 | PYOtherRevenueAmt |
| CY Other Revenue | $4,808,497 | CYOtherRevenueAmt |
| PY Total Revenue | $45,689,247 | PYTotalRevenueAmt |
| CY Total Revenue | $59,455,072 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,793,069 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $8,174,141 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $70,411,901 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $84,069,305 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $257,581 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | -$66,076,780 | PYOtherExpensesAmt |
| CY Other Expenses | -$80,264,065 | CYOtherExpensesAmt |
| PY Total Expenses | $7,128,190 | PYTotalExpensesAmt |
| CY Total Expenses | $11,979,381 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $38,561,057 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $47,475,691 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $993,867,564 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,163,096,386 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $465,715,866 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $550,385,997 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $528,151,698 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $612,710,389 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To put the needs of the patient first by empowering a culture where caregivers bring their best, ensuring a healthier future for generations to come. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $11,550,703 | ExpenseAmt |
| Grant | $8,174,141 | GrantAmt |
| Revenue | $4,822,601 | RevenueAmt |
| Desc | To put the needs of the patient first by empowering a culture where caregivers bring their best, ensuring a healthier future for generations to come. | Desc |
| Total Program Service Expenses | $11,550,703 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 118 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 731 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Drew Keesbury | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8162717070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5325 Faraon Street | AddressLine1Txt |
| City | St Joseph | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64506 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| John M Poore | ||||||||||
| Director/President/CEO | 34.0 | 4.0 | Yes (X) | Yes (X) | $1,396,868 | $0 | $238,073 | |||
| Adam Stein | ||||||||||
| Former Director/Chair | 1.0 | 1.0 | Yes (X) | $2,500 | $0 | $0 | ||||
| Angelia Martin MD | ||||||||||
| Director | 1.0 | 39.0 | Yes (X) | $2,500 | $276,716 | $39,908 | ||||
| Dennis Rosonke | ||||||||||
| Director | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Elizabeth Kennedy PHD | ||||||||||
| Director | 1.0 | 2.0 | Yes (X) | $2,500 | $0 | $0 | ||||
| Emily Larson DO | ||||||||||
| Director | 1.0 | 39.0 | Yes (X) | $2,500 | $447,639 | $49,683 | ||||
| Gary Frazer | ||||||||||
| Director/Chair | 1.0 | 1.0 | Yes (X) | $2,500 | $0 | $0 | ||||
| Mary Anne Jackson MD | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $2,500 | $0 | $0 | ||||
| Matt Baker | ||||||||||
| Director/Vice Chair | 1.0 | 3.0 | Yes (X) | $2,500 | $0 | $0 | ||||
| Matt Lukens MD | ||||||||||
| Director | 1.0 | 39.0 | Yes (X) | $2,500 | $709,213 | $39,441 | ||||
| Melody Smith | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $2,500 | $0 | $0 | ||||
| Ophelia Lavell Rucker | ||||||||||
| Former Director | 1.0 | 1.0 | Yes (X) | $2,500 | $0 | $0 | ||||
| Serena Naylor | ||||||||||
| Director | 1.0 | 4.0 | Yes (X) | $2,500 | $0 | $0 | ||||
| Thomas Richmond | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $2,500 | $0 | $0 | ||||
| William Burns | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Davin J Turner DO | ||||||||||
| Chief Administrative Officer | 34.0 | 4.0 | Yes (X) | $849,212 | $0 | $130,671 | ||||
| Drew M Keesbury | ||||||||||
| CFO/Treasurer | 32.0 | 5.0 | Yes (X) | $740,821 | $0 | $97,485 | ||||
| Michael R Rinard | ||||||||||
| Secretary | 33.0 | 4.0 | Yes (X) | $368,476 | $0 | $81,231 | ||||
| Renea Schott | ||||||||||
| Assistant Secretary | 39.0 | 1.0 | Yes (X) | $73,983 | $0 | $26,905 | ||||
| Paul J Ebmeier | ||||||||||
| President Mosaic Clinics | 40.0 | 0 | $518,129 | $0 | $41,091 | Yes (X) | ||||
| Carolyn M Abel | ||||||||||
| Vice President Revenue Cycle | 40.0 | 0 | $375,475 | $0 | $29,367 | Yes (X) | ||||
| Crystal Macaluso | ||||||||||
| CMIO | 40.0 | 0 | $681,334 | $0 | $98,046 | Yes (X) | ||||
| Karan Mohan MD | ||||||||||
| Chief Quality Officer | 40.0 | 0 | $643,694 | $0 | $21,867 | Yes (X) | ||||
| Sarah L Spinharney | ||||||||||
| Chief Human Resource Officer | 40.0 | 0 | $510,404 | $0 | $66,394 | Yes (X) | ||||
| Tanya R Arthur | ||||||||||
| Chief Information Officer | 40.0 | 0 | $591,685 | $0 | $88,794 | Yes (X) | ||||
| Jaren C Johnson-Pippitt | ||||||||||
| Former CSO | 0.0 | 0 | $126,128 | $0 | $0 | Yes (X) | ||||
| Mark Laney MD | ||||||||||
| Former Director/President/CEO | 0.0 | 0.0 | $220,393 | $0 | $0 | Yes (X) | ||||
| Michael Pulido | ||||||||||
| Former COO/Secretary | 0.0 | 0.0 | $268,884 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,395,486 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,433,568 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,048,956 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 137 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Founders Series of Lockton | ||||||
| 444 W 47th St | Kansas City | MO | 64112 | Insurance | $2,425,392 | |
| Bird Law Firm PC | ||||||
| 12 Westwoods Drive Unit 12b | Liberty | MO | 64068 | Legal Services | $1,637,167 | |
| Vintage Health Resources Inc | ||||||
| 2032 Exeter Road | Germantown | TN | 38138 | Agency Services | $1,576,162 | Suite 2 |
| Dynamos Anesthesia Services | ||||||
| 29800 W 127th St | Olathe | KS | 660618636 | Agency Services | $1,225,532 | |
| Impact Advisors LLC | ||||||
| PO Box 735842 | Chicago | IL | 60673 | Agency Services | $1,011,520 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $21,355 | AllOtherContributionsAmt |
| Total Contributions | $21,355 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,437,882 | TotalRevenueColumnAmt |
| Exclusion | $33,437,882 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $34,647 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $48,751 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$14,104 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$14,104 | TotalRevenueColumnAmt |
| Exclusion | -$14,104 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $122,226,605 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $101,039,119 | SecuritiesAmt |
| Other | $148 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,187,486 | SecuritiesAmt |
| Other | -$148 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,187,338 | TotalRevenueColumnAmt |
| Exclusion | $21,187,338 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medical Supply Rebates | 900099 | $3,230,705 | $3,230,705 |
| Other Misc Revenue | 900099 | $1,261,599 | $1,261,599 |
| Copying Revenue | 561439 | $330,297 | $330,297 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,822,601 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,455,072 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,822,601 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $54,611,116 | 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 | $8,174,141 | TotalAmt |
| Program Services | $8,174,141 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,362,107 | TotalAmt |
| Program Services | $878,098 | ProgramServicesAmt |
| Management And General | $3,484,009 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,498 | TotalAmt |
| Program Services | $19,498 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,596,326 | TotalAmt |
| Program Services | $729,176 | ProgramServicesAmt |
| Management And General | $53,662,981 | ManagementAndGeneralAmt |
| Fundraising | $204,169 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,156,841 | TotalAmt |
| Program Services | $115,313 | ProgramServicesAmt |
| Management And General | $2,041,528 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,972,029 | TotalAmt |
| Program Services | $196,643 | ProgramServicesAmt |
| Management And General | $18,765,980 | ManagementAndGeneralAmt |
| Fundraising | $9,406 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,962,504 | TotalAmt |
| Program Services | $148,141 | ProgramServicesAmt |
| Management And General | $3,798,929 | ManagementAndGeneralAmt |
| Fundraising | $15,434 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,967,227 | TotalAmt |
| Management And General | $2,967,227 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,489 | TotalAmt |
| Management And General | $290,489 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,635,162 | TotalAmt |
| Program Services | $388,430 | ProgramServicesAmt |
| Management And General | $19,233,073 | ManagementAndGeneralAmt |
| Fundraising | $13,659 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,960,819 | TotalAmt |
| Management And General | $1,960,819 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,294,064 | TotalAmt |
| Program Services | $168,463 | ProgramServicesAmt |
| Management And General | $6,110,887 | ManagementAndGeneralAmt |
| Fundraising | $14,714 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,624,345 | TotalAmt |
| Program Services | $693,379 | ProgramServicesAmt |
| Management And General | $9,930,966 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,663 | TotalAmt |
| Management And General | $464,663 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,076 | TotalAmt |
| Program Services | $39,421 | ProgramServicesAmt |
| Management And General | $53,456 | ManagementAndGeneralAmt |
| Fundraising | $199 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,952 | TotalAmt |
| Management And General | $259,952 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,394,280 | TotalAmt |
| Management And General | $9,394,280 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,832,620 | TotalAmt |
| Management And General | $9,832,620 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,035,312 | TotalAmt |
| Management And General | $1,035,312 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| Dues & Subscriptions | $11,867,003 | $11,867,003 |
| Medical Supplies/Includes 340B | $421,165 | $421,165 |
| Corporate Allocations to Related Entities | -$155,404,242 | -$155,404,242 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,979,381 | TotalAmt |
| Program Services | $11,550,703 | ProgramServicesAmt |
| Management And General | $171,097 | ManagementAndGeneralAmt |
| Fundraising | $257,581 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,332,372 | BOYAmt |
| EOY | $100,804,442 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $75,000,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,619,589 | BOYAmt |
| EOY | $19,147,513 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $82,763,504 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $45,935,007 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,203,762 | BOYAmt |
| EOY | $36,828,497 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,795,725 | BOYAmt |
| EOY | $862,846,941 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,462,406 | BOYAmt |
| EOY | $40,077,102 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,453,710 | BOYAmt |
| EOY | $28,391,891 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $993,867,564 | BOYAmt |
| EOY | $1,163,096,386 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,046,738 | BOYAmt |
| EOY | $82,138,945 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $266,386,727 | BOYAmt |
| EOY | $260,703,144 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,282,401 | BOYAmt |
| EOY | $207,543,908 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $465,715,866 | BOYAmt |
| EOY | $550,385,997 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $528,151,698 | BOYAmt |
| EOY | $612,710,389 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $528,151,698 | BOYAmt |
| EOY | $612,710,389 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $993,867,564 | BOYAmt |
| EOY | $1,163,096,386 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $47,475,691 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $37,083,000 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 5 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (5 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| Heartland Regional Medical Center | ||||
| 440545289 | 3 | Yes (true) | $0 | $0 |
| Heartland Long Term Acute Care Hospital | ||||
| 261972987 | 3 | Yes (true) | $8,000,000 | $0 |
| Northwest Medical Center Association Inc | ||||
| 440580870 | 3 | Yes (true) | $0 | $0 |
| Heartland Foundation | ||||
| 431262768 | 7 | Yes (true) | $174,141 | $0 |
| Mosaic Medical Center-Maryville | ||||
| 832249459 | 3 | Yes (true) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 5 | SupportedOrganizationsTotalCnt |
| Support Sum | $8,174,141 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (true) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (true) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | false | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (true) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (true) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule A, Part IV, Section D, Line 1 | During the 2024 tax year, Mosaic Health System provided a timely notice by 11/30/2025 with required information including a written notice describing the type and amount of support provided during the prior tax year, a copy of the Form 990 that was most recently filed as of the date of notification, and copies of the organization's governing documents in effect on the date of notification to the supported organizations. |
| Schedule A, Part IV, Section E, Line 3a Organization have the power to regularly appoint or elect a | Mosaic Health System (MHS), the supporting organization and sole member, has the power to regularly appoint or elect a majority of the directors of its supported organizations. |
| Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities | Mosaic Health System (MHS), the supporting organization and sole member, has the control to provide overall strategic direction, election of Board members, appointment of the Chief Executive Officer, other senior officers, auditors, and legal counsel, establishment of banking relationships and management of cash and other assets, approval of changes to the Articles of Incorporation and Bylaws, long-range planning, adoption of annual operating plans and application of certificates of need of its supported organizations. |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,000 | OtherCostOrOtherBasisAmt |
| Book Value | $12,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,667,017 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,245,686 | DepreciationAmt |
| Book Value | $19,421,331 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,670,272 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,537,315 | DepreciationAmt |
| Book Value | $1,132,957 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,079,664 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,568,160 | DepreciationAmt |
| Book Value | $7,511,504 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,334,551 | OtherCostOrOtherBasisAmt |
| Depreciation | $583,846 | DepreciationAmt |
| Book Value | $8,750,705 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $36,828,497 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| Leases and Other Less Current Portion | $1,729,005 |
| Due to Affiliates | $179,044,432 |
| Profession Liability and Worker's Comp | $26,192,401 |
| Pension less Current Portion | $577,885 |
| Accounts Receivable Refunds | $185 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $207,543,908 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $0 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $0 | TotalRevenuePerForm990Amt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $0 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | MOSAIC HEALTH SYSTEM, HEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST. JOSEPH), MOSAIC MEDICAL CENTER-MARYVILLE (MOSAIC-MARYVILLE), NORTHWEST MEDICAL CENTER ASSOCIATION, INC. (MOSAIC-ALBANY), HEARTLAND LONG-TERM ACUTE CARE HOSPITAL (HLTACH), MOSAIC LIFE CARE FOUNDATION, AND NORTHWEST MEDICAL CENTER FOUNDATION (ALBANY Foundation) ARE NONPROFIT CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. HOWEVER, THEY ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. MIDWESTERN AND HHS PROPERTIES, INC. ARE SUBJECT TO INCOME TAXATION. WITH A FEW EXCEPTIONS, Mosaic's tax returns are generally subject to U.S. federal examinations by tax authorities for a period up to three years from the extended due date of return. AT JUNE 30, 2025, NET OPERATING LOSS CARRYFORWARDS GENERATED IN FISCAL YEARS ENDING JUNE 30, 2018 AND PRIOR ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME FOR THESE ENTITIES AGGREGATED APPROXIMATELY $6.3M AND EXPIRE THROUGH 2038. FOR NET OPERATING LOSS CARRYFORWARDS GENERATED IN FISCAL YEAR-ENDED JUNE 30, 2019 AND FORWARD WILL BE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME FOR THESE ENTITIES IN THE AMOUNT OF $1.9M AND ARE CARRIED FORWARD INDEFINITELY. SEPARATE RETURN LIMITATION RESTRICTIONS APPLY TO A PORTION OF THESE NET OPERATING LOSS CARRYFORWARDS. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF JUNE 30, 2025 AND 2024, THERE WERE NO UNCERTAIN TAX POSITIONS IDENTIFIED AND RECORDED AS A LIABILITY. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Heartland Long Term Acute Care Hospital | |||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 261972987 | 501c3 | $8,000,000 | General Support |
| Heartland Foundation | |||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 431262768 | 501c3 | $174,141 | General Support |
| 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 | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds | FormAndLineReferenceDesc |
| Explanation | Mosaic Health System provides funds to its supported organizations to support each organization's not for profit mission. Each supported organization may use the funds received at its discretion. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John M Poore | ||||||||||||||
| Director/President/CEO | $1,039,449 | $0 | $352,085 | $0 | $5,334 | $0 | $213,800 | $0 | $24,273 | $0 | $1,634,941 | $0 | $0 | $0 |
| Matt Lukens MD | ||||||||||||||
| Director | $2,500 | $686,337 | $0 | $0 | $0 | $22,876 | $0 | $13,800 | $0 | $25,641 | $2,500 | $748,654 | $0 | $0 |
| Emily Larson DO | ||||||||||||||
| Director | $2,500 | $345,606 | $0 | $65,800 | $0 | $36,233 | $0 | $11,500 | $0 | $38,183 | $2,500 | $497,322 | $0 | $0 |
| Angelia Martin MD | ||||||||||||||
| Director | $2,500 | $266,285 | $0 | $7,860 | $0 | $2,571 | $0 | $5,725 | $0 | $34,183 | $2,500 | $316,624 | $0 | $0 |
| Michael Pulido | ||||||||||||||
| Former COO/Secretary | $0 | $0 | $0 | $0 | $268,884 | $0 | $0 | $0 | $0 | $0 | $268,884 | $0 | $0 | $0 |
| Mark Laney MD | ||||||||||||||
| Former Director/President/CEO | $0 | $0 | $0 | $0 | $220,393 | $0 | $0 | $0 | $0 | $0 | $220,393 | $0 | $0 | $0 |
| Davin J Turner DO | ||||||||||||||
| Chief Administrative Officer | $681,882 | $0 | $161,996 | $0 | $5,334 | $0 | $97,800 | $0 | $32,871 | $0 | $979,883 | $0 | $0 | $0 |
| Drew M Keesbury | ||||||||||||||
| CFO/Treasurer | $585,390 | $0 | $153,973 | $0 | $1,458 | $0 | $65,167 | $0 | $32,318 | $0 | $838,306 | $0 | $0 | $0 |
| Michael R Rinard | ||||||||||||||
| Secretary | $296,959 | $0 | $69,131 | $0 | $2,386 | $0 | $45,160 | $0 | $36,071 | $0 | $449,707 | $0 | $0 | $0 |
| Paul J Ebmeier | ||||||||||||||
| President Mosaic Clinics | $437,531 | $0 | $75,264 | $0 | $5,334 | $0 | $6,908 | $0 | $34,183 | $0 | $559,220 | $0 | $0 | $0 |
| Jaren C Johnson-Pippitt | ||||||||||||||
| Former CSO | $126,128 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $126,128 | $0 | $0 | $0 |
| Crystal Macaluso | ||||||||||||||
| CMIO | $586,612 | $0 | $81,395 | $0 | $13,327 | $0 | $57,125 | $0 | $40,921 | $0 | $779,380 | $0 | $0 | $0 |
| Tanya R Arthur | ||||||||||||||
| Chief Information Officer | $474,449 | $0 | $109,280 | $0 | $7,956 | $0 | $78,200 | $0 | $10,594 | $0 | $680,479 | $0 | $0 | $0 |
| Karan Mohan MD | ||||||||||||||
| Chief Quality Officer | $465,773 | $0 | $123,314 | $0 | $54,607 | $0 | $11,500 | $0 | $10,367 | $0 | $665,561 | $0 | $0 | $0 |
| Sarah L Spinharney | ||||||||||||||
| Chief Human Resource Officer | $409,596 | $0 | $92,670 | $0 | $8,138 | $0 | $55,800 | $0 | $10,594 | $0 | $576,798 | $0 | $0 | $0 |
| Carolyn M Abel | ||||||||||||||
| Vice President Revenue Cycle | $311,218 | $0 | $60,015 | $0 | $4,242 | $0 | $8,392 | $0 | $20,975 | $0 | $404,842 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Travel for companions | TRAVEL FOR COMPANIONS IS PAID BY MOSAIC HEALTH SYSTEM (MHS) BUT IS REIMBURSED TO MHS THROUGH A DEDUCTION FROM THE BOARD MEMBERS STIPENDS EACH YEAR. THE TOTAL AMOUNT OF THE STIPEND IS REFLECTED ON THE BOARD MEMBERS 1099 THAT THEY RECEIVE FOR EACH CALENDAR YEAR. |
| Schedule J, Part I, Line 1a Health or social club dues or initiation fees | SOCIAL CLUB DUES were PAID BY Mosaic Health System for two officers. The full benefit was treated as taxable compensation. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | Mosaic Health System paid Samuel Mark Laney, CEO, severance payments during calendar year 2024. This is reported on Form 990, Part VII and Schedule J, Part II as other reportable compensation. Michael Pulido, COO, severance payments during calendar year 2024. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | CRYSTAL MACALUSO - VESTED $0; ACCRUED $45,625 JOHN M POORE - VESTED $0; ACCRUED $200,000 MICHAEL R RINARD - VESTED $0; ACCRUED $31,360 DAVIN TURNER, DO - VESTED $0; ACCRUED $84,000 DREW KEESBURY - VESTED $0; ACCRUED $53,667 SARAH SPINHARNEY - VESTED $0; ACRUED $42,000 TANYA ARTHUR - VESTED $0; ACRUED $64,400 Those listed above have signed a supplemental executive retirement plan which recognizes the value of the individual and the mutual benefit of continued employment for an extended period of time by establishing a 457f plan. The following are the general stipulations of the agreement: 1. The plan is funded yearly as the result of a calculation described in the agreement, which will reward the individual with 100% vesting based on a 5-year cliff vesting schedule. Full vesting in all amounts accrued under the Plan will occur upon attainment of age 65 while employed by Mosaic Health System, death or disability while employed by Mosaic Health System, or involuntary termination of employment with Mosaic Health System without cause. 2. For SERP participants prior to 2019, distribution will occur upon death or upon separation from service due to disability or upon involuntary separation from service without cause. Then a lump sum payment will be disbursed within 90 days of each situation taking into consideration a non-compete covenant. 3. For SERP participants after 2019, distribution will occur upon death or upon separation from service due to disability or upon involuntary separation from service without cause. Then a lump sum payment distributes within 60 days and doesn't take into account non-compete covenant. 4. Separation with cause makes the supplemental executive retirement agreement null and void. 5. If the SERP Participant terminates employment prior to completing the required service period, and such termination occurs before death or disability, the SERP Participant shall forfeit all rights to any portion of the Account that is not vested. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI | ||||||||
| A | 431178966 | 60637APX4 | 2019-05-30 | $251,996,936 | See Part VI | false | false | false |
| HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI | ||||||||
| B | 431178966 | 000000000 | 2023-04-14 | $50,000,000 | See Part VI | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $25,060,000 | $0 | $253,759,618 | $0 | $0 | $0 | $2,176,364 | $0 | $0 | $101,814,325 | $149,768,930 | $0 | 2023 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $455,000 | $0 | $50,000,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $50,000,000 | $0 | 2020 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | Yes (true) | false | false | 0.0 | 0.0 | 0.0 | false | false | 0 | false | Yes (true) |
| B | false | false | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | 0 | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | Yes (true) | false | false | 0 | false | false | false | 0 | false | false | Yes (true) |
| B | false | Yes (true) | false | false | false | false | 0 | false | false | false | 0 | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I, Column (a) Lines A and B | Health and Educational Facilities Authority of the State of Missouri |
| Schedule K, Part I, Column (f) Line A, Column (f) | Acquire, construct, remodel, renovate and equip certain healthcare facilities and refund 2009A Bonds issued 2/26/2009, 2011 Bonds issued 9/30/2011 and 2015AB Bonds issued 11/18/2015. |
| Schedule K, Part I, Column (f) Line B, Column (f) | To refund the 2012 Bonds issued 10/3/2012. |
| Schedule K, Part II, Line 3 Column A | Amount not equal to issue price listed in Part I, Column (e), Row A due to investment earnings during the construction period. |
| Schedule K, Part IV, Line 2c COLUMN A | Issuer name: HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI The calculation for computing no rebate due was performed on 07/01/2023 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATHRYN RICHMOND | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | KATHRYN RICHMOND IS THE DAUGHTER-IN-LAW OF THOMAS RICHMOND | RelationshipDescriptionTxt |
| Transaction | $19,498 | TransactionAmt |
| Transaction | KATHRYN RICHMOND IS THE PATIENT EXPERIENCE COORDINATOR AT MOSAIC HEALTH SYSTEM, AND IS THE DAUGHTER-IN-LAW OF THOMAS RICHMOND, WHO IS A BOARD MEMBER FOR MOSAIC HEALTH SYSTEM. COMPENSATION IS WITHIN FAIR MARKET VALUE RANGE. THIS AMOUNT INCLUDES SALARY AND OTHER COMPENSATION FOR A PATIENT EXPERIENCE COORDINATOR. | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Line 4 & Form 990, Part VI, Section A, Line 1B | THE FOLLOWING MOSAIC HEALTH SYSTEM DIRECTORS ARE NOT INDEPENDENT DUE TO TRANSACTIONS DISCLOSED ON HEARTLAND REGIONAL MEDICAL CENTER's, a related organization, FORM 990, SCHEDULE L: GARY FRAZER and Melody Smith |
| Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS | MICHAEL R RINARD, DREW KEESBURY, DAVIN TURNER, DO, AND JOHN M. POORE HAVE A BUSINESS RELATIONSHIP. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE ACCOUNTING STAFF OF THE ORGANIZATION PREPARES THE FORM 990 AND SUBMITS A DRAFT TO AN INDEPENDENT ACCOUNTING FIRM. THE INDEPENDENT ACCOUNTING FIRM REVIEWS THE FORM 990 WITH INFORMATION PROVIDED FROM THE ORGANIZATION'S ACCOUNTING STAFF. THE DRAFT FORM 990 IS REVISED FOR ANY CORRECTIONS OR CLARIFICATIONS BASED ON THE REVIEW BY THE INDEPENDENT ACCOUNTING FIRM. THEN THE FORM 990 IS REVIEWED BY THE ORGANIZATIONS LEADERSHIP FOR ANY QUESTIONS AND CONCERNS. AFTER RESOLVING QUESTIONS AND CONCERNS WITH LEADERSHIP AND THE ACCOUNTING FIRM, THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PRESENTED TO BOARD FOR APPROVAL. ONCE APPROVED THEN THE 990 TAX RETURN IS ELECTRONICALLY FILED. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THIS CONFLICTS OF INTEREST AND DOCUMENTATION POLICY ("POLICY") APPLIES TO ALL DIRECTORS AND OFFICERS OF THE ORGANIZATION AND ANY OTHER PERSON WHO IS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE DECISIONS AND AFFAIRS OF THE ORGANIZATION (COLLECTIVELY, "COVERED PERSONS"). DUTY TO DISCLOSE IF AN INTERESTED PERSON HAS A POSITION OR FINANCIAL INTEREST IN ANY BUSINESS OR OTHER ENTITY WITH WHICH THE ORGANIZATION IS CONSIDERING ENTERING INTO AN ARRANGEMENT OR TRANSACTION, THE INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER POSITION OR FINANCIAL INTEREST AND ALL MATERIAL FACTS RELATED THERETO TO THE ORGANIZATION'S BOARD OF DIRECTORS (THE "BOARD") OR EXECUTIVE COMMITTEE AS SOON AS THE INTERESTED PERSON HAS KNOWLEDGE OF THE POTENTIAL ARRANGEMENT OR TRANSACTION, AND WHENEVER REQUESTED BY THE BOARD OR THE EXECUTIVE COMMITTEE. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS AFTER DISCLOSURE OF A POSITION OR A FINANCIAL INTEREST BY AN INTERESTED PERSON, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON (INCLUDING THOSE INTERESTED PERSONS WHO ARE MEMBERS OF THE BOARD OR EXECUTIVE COMMITTEE) WILL LEAVE THE BOARD MEETING WHILE THE DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS IN CONNECTION WITH THE PROPOSED TRANSACTION IS DISCUSSED BY THE BOARD OR THE EXECUTIVE COMMITTEE AND VOTED UPON. A POSITION OR A FINANCIAL INTEREST WILL BE CONSIDERED A CONFLICT OF INTEREST ONLY IF THE BOARD OR THE EXECUTIVE COMMITTEE MAKES SUCH DETERMINATION. AN INTERESTED PERSON IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH RESPECT TO HIS OR HER COMPENSATION IF THE PERSON RECEIVES COMPENSATION FROM THE ORGANIZATION AND THE PERSON'S COMPENSATION IS BEING DISCUSSED OR REVIEWED BY THE BOARD OR ANY COMMITTEE THEREOF. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST *BEFORE ANY DISCUSSION AND VOTE ON WHETHER A CONFLICT OF INTEREST EXISTS, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OR THE EXECUTIVE COMMITTEE REGARDING THE INTERESTED PERSON'S POSITION OR FINANCIAL INTEREST. AFTER SUCH PRESENTATION, THE INTERESTED PERSON WILL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE PROPOSED TRANSACTION. *THE BOARD OR THE EXECUTIVE COMMITTEE WILL UNDERTAKE APPROPRIATE DUE DILIGENCE AND INFORM ITSELF OF ALL MATERIAL INFORMATION REASONABLY AVAILABLE TO IT AND EXPLORE ALL REASONABLE ALTERNATIVES TO THE PROPOSED TRANSACTION THAT WOULD NOT INVOLVE THE CONFLICT OF INTEREST. *IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR THE EXECUTIVE COMMITTEE WILL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE PROPOSED TRANSACTION IS (I) IN THE ORGANIZATION'S BEST INTEREST, (II) FOR THE ORGANIZATION'S OWN BENEFIT, AND (III) FAIR AND REASONABLE TO THE ORGANIZATION. IN CONFORMITY WITH THIS DETERMINATION, THE BOARD WILL MAKE ITS DECISION AS TO WHETHER THE ORGANIZATION MAY ENTER INTO THE PROPOSED TRANSACTION. QUORUM FOR BOARD OR EXECUTIVE COMMITTEE ACTION FOR PURPOSES OF THE BOARD OR EXECUTIVE COMMITTEE ACTIONS TO BE TAKEN UNDER THESE PROCEDURES, INCLUDING THE DETERMINATION WHETHER A CONFLICT OF INTEREST EXISTS, A MAJORITY OF THE DISINTERESTED DIRECTORS ON THE BOARD OR THE EXECUTIVE COMMITTEE WILL CONSTITUTE A QUORUM. HOWEVER, IN NO CASE WILL A SINGLE DISINTERESTED DIRECTOR TAKE ANY SUCH ACTION. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY IF THE BOARD OR THE EXECUTIVE COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE A POSITION OR A FINANCIAL INTEREST, IT WILL INFORM THE COVERED PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE COVERED PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE COVERED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCES, THE BOARD OR THE EXECUTIVE COMMITTEE DETERMINES THAT THE COVERED PERSON HAS IN FACT FAILED TO DISCLOSE A POSITION OR A FINANCIAL INTEREST, THE BOARD OR THE EXECUTIVE COMMITTEE WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. DOCUMENTATION IN MINUTES THE MINUTES OF THE BOARD OR THE EXECUTIVE COMMITTEE WILL CONTAIN: *WITH RESPECT TO THE DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS, THE NAME OF THE INTERESTED PERSON WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE A POSITION OR FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST; THE NATURE OF THE POSITION OR FINANCIAL INTEREST; ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT; AND THE BOARD OR THE EXECUTIVE COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. *WITH RESPECT TO WHETHER OR NOT THE CONFLICT OF INTEREST TRANSACTION IS APPROVED, THE NAMES OF THE PERSONS PRESENT FOR THE DISCUSSIONS AND VOTE RELATED TO THE PROPOSED TRANSACTION; THE CONTENT OF THE DISCUSSION; WHETHER ALTERNATIVES WERE DISCUSSED THAT DID NOT INVOLVE A CONFLICT OF INTEREST; THE BASIS FOR THE DETERMINATION THAT THE PROPOSED TRANSACTION WAS (I) IN THE ORGANIZATION'S BEST INTEREST, (II) FOR THE ORGANIZATION'S OWN BENEFIT, AND (III) FAIR AND REASONABLE TO THE ORGANIZATION; AND THE RECORD OF THE VOTE TAKEN IN CONNECTION WITH THE PROCEEDINGS. ANNUAL STATEMENTS EACH COVERED PERSON WILL ANNUALLY SIGN A STATEMENT THAT AFFIRMS SUCH PERSON: *HAS RECEIVED A COPY OF THIS POLICY; *HAS READ AND UNDERSTANDS THE POLICY; *HAS AGREED TO COMPLY WITH THE POLICY; AND *UNDERSTANDS THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX AND TO MAINTAIN ITS FEDERAL TAX EXEMPTION THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION, EACH COVERED PERSON WILL ANNUALLY COMPLETE, SIGN AND PROMPTLY RETURN TO THE BOARD A QUESTIONNAIRE AND DISCLOSURE STATEMENT SUBSTANTIALLY IN THE FORM ATTACHED HERETO. A COVERED PERSON NEED NOT DISCLOSE COMPENSATION PAID TO THE COVERED PERSON BY ORGANIZATION PURSUANT TO A RESOLUTION OF THE BOARD. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ALL OF THESE DOCUMENTS ARE LOCATED IN ADMINISTRATION. |
| Form 990, Part VII, Section A, Line 1a | Mosaic Health System, Heartland Regional Medical Center (Mosaic-St. Joseph), Mosaic Medical Center-Maryville (Mosaic-Maryville), Northwest Medical Center Association, Inc. (Mosaic-Albany), Heartland Long-Term Acute Care Hospital (HLTACH), Mosaic Life Care Foundation, and Northwest Medical Center Foundation (Mosaic-Albany) ARE RELATED ENTITIES. AS A RESULT, BOARD OVERLAP EXISTS AMONG THESE ENTITIES, AND IT WOULD BE ADMINISTRATIVELY IMPRACTICAL FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR HOURS DEVOTED AND REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. THE AMOUNTS REPORTED AS REPORTABLE COMPENSATION FOR OFFICERS, UNLESS OTHERWISE NOTED ELSEWHERE IN PART VII, ARE FOR SERVICES RENDERED ON BEHALF OF Mosaic Health System, Heartland Regional Medical Center (Mosaic-St. Joseph), Mosaic Medical Center-Maryville (Mosaic-Maryville), Northwest Medical Center Association, Inc. (Mosaic-Albany), Heartland Long-Term Acute Care Hospital (HLTACH), Mosaic Life Care Foundation, and Northwest Medical Center Foundation (Mosaic-Albany). ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY MOSAIC HEALTH SYSTEM. |
| Form 990, Part IX, Line 24 | Mosaic Health System incurs all corporate expenses. Majority of these expenses are then allocated to its following nonprofit supported organizations, HEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST. JOSEPH), MOSAIC MEDICAL CENTER-MARYVILLE (MOSAIC-MARYVILLE), and NORTHWEST MEDICAL CENTER ASSOCIATION, INC. (MOSAIC-ALBANY). These allocated expenses are reflected on Part IX, Line 24 as "corporate allocations to related entities" per the example in the IRS 990 instructions on page 43 for Part IX Statement of Functional Expenses for allocating indirect expenses. This allocation of expense then will show on the nonprofit supported organization on its functional expense schedule in line 24 and referred to as "corporate allocations from Mosaic Health System". |
| Form 990, Part IX, Line 11g Other Fees | Professional Fees - Total Expense: 7022442, Program Service Expense: 372786, Management and General Expenses: 6646506, Fundraising Expenses: 3150; Purchased Services - Total Expense: 12394523, Program Service Expense: 15644, Management and General Expenses: 12368370, Fundraising Expenses: 10509; Agency Provider Salaries - Total Expense: 208059, Program Service Expense: , Management and General Expenses: 208059, Fundraising Expenses: ; Trash/Sanitation Disposal - Total Expense: 10138, Program Service Expense: , Management and General Expenses: 10138, Fundraising Expenses: ; |
| Form 990, Part XII, Line 2c | THE RESULTS OF THE CONSOLIDATED AUDIT ARE REVIEWED BY THE MOSAIC HEALTH SYSTEM BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15A & LINE 15B | COMPENSATION IS ESTABLISHED BY MOSAIC HEALTH SYSTEM, A RELATED tax-exempt organization. AN ANNUAL REVIEW WAS PERFORMED DURING THE PRIOR FISCAL YEAR. MARKET DATA WAS PROVIDED BY A THIRD PARTY COMPENSATION CONSULTANT THAT SPECIALIZES IN MARKET SALARY DATA. A COMPENSATION COMMITTEE COMPRISED OF MOSAIC HEALTH SYSTEM BOARD CHAIR, MOSAIC HEALTH SYSTEM BOARD VICE-CHAIR AND THREE ADDITIONAL MOSAIC HEALTH SYSTEM BOARD MEMBERS AND INDEPENDENT LEGAL COUNSEL, AS SCRIBE, OVERSAW AN ANNUAL SALARY REVIEW PROCESS FOR OFFICERS AND Presidents. For each position to be reviewed, the full scope of duties and responsibilities, processes managed, approximate revenue, expense, or capital dollars managed were provided to the third-party consultant. Facility size, not-for- profit status and the scope of each job position were compared to like facilities to determine base compensation and incentive compensation for each position. The data gathered by the third-party consultant was reviewed by the compensation committee, outlier issues were resolved and based upon present financial indicators, the committee made its determination of compensation levels for the next pay year on 10/2/2024 as documented in the meeting minutes. |
| Part V, Line 2a | Mosaic Health System (MHS) is the paymaster for the following nonprofit organizations, Heartland Regional Medical Center (Mosaic-St. Joseph), Mosaic Medical Center-Maryville (Mosaic-Maryville), Northwest Medical Center Association, Inc. (Mosaic-Albany), Heartland Long-Term Acute Care Hospital (HLTACH), Mosaic Life Care Foundation, and Northwest Medical Center Foundation (Mosaic-Albany). MHS issued 5700 W-2 Forms for calendar year 2023 as a common paymaster. Each related organization reports the number of Forms W-2 associated with the employees compensated by that organization on Part V, Line 2a and reports the related compensation expenses on its Part XI functional expense schedule on its Form 990. For calendar year 2023, MHS had a total of 728 employees to be reported on Part V, Line 2a of the Form 990. In addition, all salary expenses were allocated out through the corporate allocations during FY24. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Heartland Regional Medical Center (MOSAIC-ST JOSEPH) | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 440545289 | Healthcare | MO | 501(c)(3) | 3 | Mosaic Health System | Yes (true) |
| Heartland Foundation (MOSAIC LIFE CARE FOUNDATION) | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 431262768 | Support | MO | 501(c)(3) | 7 | Mosaic Health System | Yes (true) |
| Heartland Long Term Acute Care Hospital (HLTACH) | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 261972987 | Healthcare | MO | 501(c)(3) | 3 | Mosaic Health System | Yes (true) |
| Northwest Medical Center Association Inc (MOSAIC-ALBANY) | ||||||||||
| 705 North College Street | Albany | MO | 64402 | 440580870 | Healthcare | MO | 501(c)(3) | 3 | Mosaic Health System | Yes (true) |
| Northwest Medical Center Foundation Inc (NMC FOUNDATION) | ||||||||||
| 705 North College Street | Albany | MO | 64402 | 473694893 | Support | MO | 501(c)(3) | Type I | Northwest Medical Center Association Inc | Yes (true) |
| Mosaic Medical Center-Maryville (MOSAIC-MARYVILLE) | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 832249459 | Healthcare | MO | 501(c)(3) | 3 | Mosaic Health System | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Midwestern Health Management Inc | |||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 431264358 | Property Mgmt Svcs | MO | NA | C Corporation | Yes (true) |
| HHS Properties Inc | |||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 431593799 | Investment | MO | NA | C Corporation | Yes (true) |
| Uptown Housing Inc | |||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 261416252 | Redevelopment | MO | NA | C Corporation | Yes (true) |
| Uptown St Joseph Redevelopment Corp | |||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 201742813 | Redevelopment | MO | NA | C Corporation | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (14 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Heartland Foundation (MLC Foundation) | ||
| B | $174,141 | FMV |
| Heartland Foundation (MLC Foundation) | ||
| P | $664,823 | FMV |
| HEARTLAND LONG TERM ACUTE CARE HOSPITAL (HLTACH) | ||
| L | $618,144 | FMV |
| HEARTLAND LONG TERM ACUTE CARE HOSPITAL (HLTACH) | ||
| Q | $4,869,043 | FMV |
| HEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST JOSEPH) | ||
| L | $127,074,518 | FMV |
| HEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST JOSEPH) | ||
| Q | $399,222,237 | FMV |
| Midwestern Health Management Inc (Midwestern) | ||
| L | $323,987 | FMV |
| MOSAIC MEDICAL CENTER-MARYVILLE (MOSAIC-MARYVILLE) | ||
| L | $16,445,882 | FMV |
| MOSAIC MEDICAL CENTER-MARYVILLE (MOSAIC-MARYVILLE) | ||
| Q | $5,889,794 | FMV |
| MOSAIC MEDICAL CENTER-MARYVILLE (MOSAIC-MARYVILLE) | ||
| S | $742,745 | FMV |
| Northwest Medical Center Association Inc (Mosaic-Albany) | ||
| L | $4,223,395 | FMV |
| Northwest Medical Center Association Inc (Mosaic-Albany) | ||
| Q | $8,283,294 | FMV |
| HEARTLAND LONG TERM ACUTE CARE HOSPITAL (HLTACH) | ||
| B | $8,000,000 | FMV |
| HHS Properties Inc | ||
| L | $52,843 | FMV |