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← NORTHWEST MEDICAL CENTER ASSOCIATION INC

Form 990 for tax year 2024

Filed by NORTHWEST MEDICAL CENTER ASSOCIATION INC.

Totals

Total revenue
$28,038,978
Total expenses
$27,234,807
Contributions and grants received
$378,005
Grants paid
$10,187
Program service revenue
$27,155,664
Investment income
$331,661
Other revenue
$173,648
Total assets, end of year
$21,952,080
Total liabilities, end of year
$10,902,115
Net assets or fund balances, end of year
$11,049,965
Program services expenses (Part IX)
$23,058,202
Management and general expenses
$4,176,605
Fundraising expenses
$0
Program service expenses (Part III)
$23,058,202

Program services were 84.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $292,292

  • 1e · Government grants (contributions)

    $11,151

  • 1f · All other contributions, gifts and grants

    $74,562

  • 2a · Program service revenue: Net Patient Service Revenue

    total $25,933,635 · related or exempt $25,933,635

  • 2b · Program service revenue: 340B Pharmacy Revenue

    total $1,222,029 · related or exempt $1,222,029

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $331,661 · excluded $331,661

  • 6a · Gross rents

    real property $1,200

  • 6c · Rental income or loss

    real property $1,200 · personal property $0

  • 6d · Net rental income or loss

    total $1,200 · related or exempt $1,200

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: Cafeteria

    total $107,851 · related or exempt $107,851

  • 11b · Other revenue: Other Misc Revenue

    total $57,946 · related or exempt $57,946

  • 11c · Other revenue: Referral Lab Revenue

    total $6,651 · related or exempt $437 · unrelated business $6,214

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $172,448

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $10,187 · program services $10,187

  • 5 · Compensation of officers, directors and key employees

    total $370,269 · program services $124,966 · management and general $245,303 · fundraising $0

  • 7 · Other salaries and wages

    total $10,990,351 · program services $10,824,390 · management and general $165,961

  • 8 · Pension plan contributions

    total $285,402 · program services $279,721 · management and general $5,681

  • 9 · Other employee benefits

    total $1,968,573 · program services $1,837,094 · management and general $131,479

  • 10 · Payroll taxes

    total $753,145 · program services $731,135 · management and general $22,010

  • 11c · Fees: accounting

    total $1,685 · management and general $1,685

  • 11d · Fees: lobbying

    total $8,425 · management and general $8,425

  • 11g · Fees: other

    total $1,278,363 · program services $1,199,333 · management and general $79,030 · fundraising $0

  • 12 · Advertising and promotion

    total $999 · program services $529 · management and general $470

  • 13 · Office expenses

    total $1,052,178 · program services $1,015,658 · management and general $36,520

  • 14 · Information technology

    total $369,623 · program services $350,214 · management and general $19,409

  • 16 · Occupancy

    total $279,382 · program services $250,254 · management and general $29,128

  • 17 · Travel

    total $67,842 · program services $63,961 · management and general $3,881

  • 19 · Conferences, conventions and meetings

    total $10,292 · program services $5,067 · management and general $5,225

  • 20 · Interest

    total $120,809 · management and general $120,809

  • 22 · Depreciation, depletion and amortization

    total $1,447,609 · program services $1,066,311 · management and general $381,298

  • 23 · Insurance

    total $265,797 · program services $265,797

  • 24a · Other expenses: Corporate Allocations From Mosaic Health System

    total $4,403,531 · program services $1,526,095 · management and general $2,877,436

  • 24b · Other expenses: Medical Supplies/Includes 340B

    total $2,840,347 · program services $2,840,347

  • 24c · Other expenses: FRA Tax

    total $620,304 · program services $620,304

  • 24d · Other expenses: Dues & Subscriptions

    total $89,694 · program services $46,839 · management and general $42,855

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $12,940 · end of year $9,562

  • 4 · Accounts receivable

    beginning of year $3,435,588 · end of year $2,881,267

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $316,594 · end of year $313,650

  • 9 · Prepaid expenses and deferred charges

    beginning of year $220,910 · end of year $281,549

  • 10a · Land, buildings and equipment: cost or other basis

    $19,949,140

  • 10b · Land, buildings and equipment: accumulated depreciation

    $7,942,062

  • 10c · Land, buildings and equipment, net

    beginning of year $10,394,894 · end of year $12,007,078

  • 11 · Investments: publicly traded securities

    beginning of year $5,091,474 · end of year $5,200,792

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $239,746 · end of year $167,185

  • 15 · Other assets

    beginning of year $1,555,201 · end of year $1,090,997

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,607,906 · end of year $4,586,767

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $6,571,179 · end of year $6,315,348

  • 27 · Net assets without donor restrictions

    beginning of year $9,111,735 · end of year $9,944,363

  • 28 · Net assets with donor restrictions

    beginning of year $976,527 · end of year $1,105,603

Mission and programs · 2024

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.

  • Northwest Medical Center Association (Mosaic-Albany) is a critical access hospital located in Albany, Missouri, and operates clinics in Albany, Grant City, New Hampton, and Stanberry. Its primary service area is predominantly rural and includes Gentry and Worth counties located in northwest Missouri. According to the 2024 U.S. census estimates, the population in the two-county service area is approximately 8,170, which includes a high percentage of low-income families. The economy of the region is based on agriculture, minor manufacturing and small businesses resulting in a payor mix for Mosaic-Albany approximately 70.46% governmental or self-pay patients. 13.95% of the population have an income that is below the federal poverty level. Mosaic-Albany offers both inpatient and outpatient services including emergency care, plus convenient clinics, and specialty care services. During the year, approximately 378 patients were admitted to the hospital resulting in approximately 1,934 patient days. The emergency room served approximately 2,337 patients and approximately 15,171 clinic visits were generated. In FY2025, the outpatient visits methodology was revised to only include clinic provider visits within a specified CPT range. We seek to improve the health of area individuals and communities. The Organization is a member of the Mayo Network for clinical consultations.

    Expenses $23,058,202 · Grants $10,187 · Revenue $27,323,098

As filed on the 2024 return.

Listed in Part VII

  • John M Poore

    Director/CEO

    Total calculated
    $1,634,941
    From this org
    $0
    From related orgs
    $1,396,868
    Other
    $238,073
    Hours/week
    1 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,039,449 related
    Bonus
    $0 + $352,085 related
    Other
    $0 + $5,334 related
    Deferred
    $0 + $213,800 related
    Nontaxable benefits
    $0 + $24,273 related
    Filer's total
    $0 + $1,634,941 related

  • Davin J Turner DO

    Director

    Total calculated
    $979,883
    From this org
    $0
    From related orgs
    $849,212
    Other
    $130,671
    Hours/week
    1 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $681,882 related
    Bonus
    $0 + $161,996 related
    Other
    $0 + $5,334 related
    Deferred
    $0 + $97,800 related
    Nontaxable benefits
    $0 + $32,871 related
    Filer's total
    $0 + $979,883 related

  • Gene A Claycomb

    Director

    Total calculated
    $609,104
    From this org
    $0
    From related orgs
    $512,714
    Other
    $96,390
    Hours/week
    1 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $399,971 related
    Bonus
    $0 + $105,921 related
    Other
    $0 + $6,822 related
    Deferred
    $0 + $60,107 related
    Nontaxable benefits
    $0 + $36,283 related
    Filer's total
    $0 + $609,104 related

  • Matt Baker

    Director/Vice Chair

    Total calculated
    $2,500
    From this org
    $0
    From related orgs
    $2,500
    Other
    $0
    Hours/week
    1 + 3 related

  • Serena Naylor

    Director/Chair

    Total calculated
    $2,500
    From this org
    $0
    From related orgs
    $2,500
    Other
    $0
    Hours/week
    1 + 4 related

  • Drew M Keesbury

    CFO/Treasurer

    Total calculated
    $838,306
    From this org
    $0
    From related orgs
    $740,821
    Other
    $97,485
    Hours/week
    1 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $585,390 related
    Bonus
    $0 + $153,973 related
    Other
    $0 + $1,458 related
    Deferred
    $0 + $65,167 related
    Nontaxable benefits
    $0 + $32,318 related
    Filer's total
    $0 + $838,306 related

  • Katie Dias DO

    President - Mosaic Life Care Albany

    Total calculated
    $384,970
    From this org
    $333,026
    From related orgs
    $0
    Other
    $51,944
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $267,175
    Bonus
    $64,191
    Other
    $1,660
    Deferred
    $31,585
    Nontaxable benefits
    $20,359
    Filer's total
    $384,970

  • Michael R Rinard

    Secretary

    Total calculated
    $449,707
    From this org
    $0
    From related orgs
    $368,476
    Other
    $81,231
    Hours/week
    1 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $296,959 related
    Bonus
    $0 + $69,131 related
    Other
    $0 + $2,386 related
    Deferred
    $0 + $45,160 related
    Nontaxable benefits
    $0 + $36,071 related
    Filer's total
    $0 + $449,707 related

  • Angelia Martin MD

    Staff Physician

    Total calculated
    $319,124
    From this org
    $276,716
    From related orgs
    $2,500
    Other
    $39,908
    Hours/week
    37 + 3 related

    Schedule J breakdown matched by us

    Base
    $266,285 + $2,500 related
    Bonus
    $7,860
    Other
    $2,571
    Deferred
    $5,725
    Nontaxable benefits
    $34,183
    Filer's total
    $316,624 + $2,500 related

  • James Bartley DO

    Staff Physician

    Total calculated
    $326,119
    From this org
    $283,168
    From related orgs
    $0
    Other
    $42,951
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $280,503
    Bonus
    $0
    Other
    $2,665
    Deferred
    $8,780
    Nontaxable benefits
    $34,171
    Filer's total
    $326,119

  • Jessica Simpson

    Clinical Pharmacist - Albany Lead

    Total calculated
    $191,370
    From this org
    $143,780
    From related orgs
    $0
    Other
    $47,590
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,780
    Bonus
    $0
    Other
    $0
    Deferred
    $6,404
    Nontaxable benefits
    $41,186
    Filer's total
    $191,370

  • Katie Redig

    House Supervisor - Albany

    Total calculated
    $137,886
    From this org
    $122,358
    From related orgs
    $0
    Other
    $15,528
    Hours/week
    40

  • Lori L Bishop

    Director - Nursing Services - Albany

    Total calculated
    $157,057
    From this org
    $133,069
    From related orgs
    $0
    Other
    $23,988
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $117,651
    Bonus
    $14,236
    Other
    $1,182
    Deferred
    $2,765
    Nontaxable benefits
    $21,223
    Filer's total
    $157,057

  • Mark Laney MD

    Former Director/CEO

    Total calculated
    $220,393
    From this org
    $0
    From related orgs
    $220,393
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $220,393 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $220,393 related

  • Michael Pulido

    Former Secretary/Chair

    Total calculated
    $268,884
    From this org
    $0
    From related orgs
    $268,884
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $268,884 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $268,884 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
COMPENSATION IS ESTABLISHED BY MOSAIC HEALTH SYSTEM, a related tax-exempt organization, USING THE FOLLOWING: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. COMPENSATION SURVEYS OR STUDIES 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4a Severance or change-of-control payment
Mosaic Health System, a related tax-exempt organization, 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.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
JOHN M POORE - VESTED $0; ACCRUED $200,000 GENE A CLAYCOMB - VESTED $0; ACCRUED $54,431 DAVIN TURNER, DO - VESTED $0; ACCRUED $84,000 MICHAEL R RINARD - VESTED $0; ACCRUED $31,360 DREW KEESBURY - VESTED $0; ACCRUED $53,667 KATIE DIAS, DO - VESTED $0; ACCRUED $20,085 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Midwestern Health Management Inc

    C Corporation · Property Mgmt Svcs · MO · controlled entity

    Directly controlled by NA

  • HHS Properties Inc

    C Corporation · Investment · MO · controlled entity

    Directly controlled by NA

  • Uptown Housing Inc

    C Corporation · Redevelopment · MO · controlled entity

    Directly controlled by NA

  • Uptown St Joseph Redevelopment Corp

    C Corporation · Redevelopment · MO · controlled entity

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2024
Filed
11 May 2026
IRS schema version
2024v5.1
Source object
202601319349304550

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