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← MOSAIC EMPLOYEE WELFARE BENEFIT PLAN TRUST

Form 990 for tax year 2022

Filed by MOSAIC EMPLOYEE WELFARE BENEFIT PLAN TRUST.

Totals

Total revenue
$18,432,880
Total expenses
$16,287,908
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$18,472,629
Investment income
-$39,749
Other revenue
$0
Total assets, end of year
$9,269,524
Total liabilities, end of year
$1,763,037
Net assets or fund balances, end of year
$7,506,487
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
not reported

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.

  • 2a · Program service revenue: EMPLOYER CONTRIBUTIONS

    total $10,528,619 · related or exempt $10,528,619

  • 2b · Program service revenue: EMPLOYEE CONTRIBUTIONS

    total $7,944,010 · related or exempt $7,944,010

  • 3 · Investment income

    total $122,134 · unrelated business $122,134

  • 7a · Gross sales of assets other than inventory

    securities $93,203

  • 7b · Less cost or other basis and sales expenses

    securities $255,086

  • 7c · Gain or loss

    securities -$161,883

  • 7d · Net gain or loss

    total -$161,883 · excluded -$161,883

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $14,726,212

  • 11a · Fees: management

    total $1,147,950

  • 11c · Fees: accounting

    total $2,500

  • 11f · Fees: investment management

    total $13,262

  • 11g · Fees: other

    total $167,035

  • 24a · Other expenses: WELLNESS

    total $153,850

  • 24b · Other expenses: LIFE INSURANCE PREMIUMS

    total $77,099

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,732,216 · end of year $953,082

  • 4 · Accounts receivable

    beginning of year $266,791 · end of year $1,265,322

  • 9 · Prepaid expenses and deferred charges

    beginning of year $228,681 · end of year $397,123

  • 11 · Investments: publicly traded securities

    beginning of year $5,143,952 · end of year $6,653,997

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,592,883 · end of year $1,763,037

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $5,778,757 · end of year $7,506,487

Mission and programs · 2022

Mission

TO PROVIDE SELF-FUNDED HEALTH CARE, DENTAL CARE AND EDUCATION COMPENSATION BENEFITS TO PARTICIPANTS WHO ARE ELIGIBLE EMPLOYEES OR TO A COVERED DEPENDENT OF AN ELIGIBLE EMPLOYEE OF MOSAIC AND ITS AFFILIATES.

  • COMPREHENSIVE MEDICAL AND DENTAL CARE, EMPLOYEE ASSISTANCE WITH MENTAL AND NERVOUS DISORDERS AND EDUCATION COMPENSATION BENEFITS FOR ELIGIBLE EMPLOYEES AND DEPENDENTS. THERE WERE 2,815 ELIGIBLE EMPLOYEES, OF WHICH 1,417 WERE PARTICIPATING IN THE PLAN DURING THIS CALENDAR YEAR.

As filed on the 2022 return.

Listed in Part VII

  • LINDA TIMMONS

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $803,092
    From this org
    $0
    From related orgs
    $648,851
    Other
    $154,241
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $496,193 related
    Bonus
    $0 + $148,468 related
    Other
    $0 + $4,190 related
    Deferred
    $0 + $112,628 related
    Nontaxable benefits
    $0 + $41,613 related
    Filer's total
    $0 + $803,092 related

  • SCOTT HOFFMAN

    CHIEF FINANCIAL OFFICER

    Total calculated
    $440,222
    From this org
    $0
    From related orgs
    $373,725
    Other
    $66,497
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $311,970 related
    Bonus
    $0 + $60,570 related
    Other
    $0 + $1,185 related
    Deferred
    $0 + $38,974 related
    Nontaxable benefits
    $0 + $27,523 related
    Filer's total
    $0 + $440,222 related

  • GREAT WESTERN BANK

    TRUSTEE THRU 08/22

    Total calculated
    $0
    Hours/week
    0.1

  • SECURITY NATIONAL BANK

    TRUSTEE AS OF 09/22

    Total calculated
    $0
    Hours/week
    0.1

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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement

The filer's explanations (Part III)

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

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
30 October 2023
IRS schema version
2022v5.0
Source object
202313049349301711

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