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Nonprofiteer
← MOSAIC HEALTH INC

Form 990 for tax year 2022

Filed by MOSAIC HEALTH INC.

Totals

Total revenue
$41,005,188
Total expenses
$40,005,358
Contributions and grants received
$16,774,922
Grants paid
$8,078,232
Program service revenue
$24,040,745
Investment income
$13,287
Other revenue
$176,234
Total assets, end of year
$26,037,639
Total liabilities, end of year
$13,015,852
Net assets or fund balances, end of year
$13,021,787
Program services expenses (Part IX)
$35,193,283
Management and general expenses
$4,812,075
Fundraising expenses
$0
Program service expenses (Part III)
$35,193,283

Program services were 88.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JACK GLEASON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • LYDIA RIVERA-WARR

    CHAIR ELECT

    Total calculated
    $0
    Hours/week
    2

  • JAMES WATERS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    3

  • FREDDIE CALDWELL

    CHAIR

    Total calculated
    $0
    Hours/week
    2

  • DOMINIC GALANTE MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    4

  • GEORGE HAZLIP

    SECRETARY

    Total calculated
    $0
    Hours/week
    4

  • JERRY GIUDICI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • KEVIN LOUGHRAN

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • DONALD GINSBERG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    4

  • SUSAN HUSTLEBY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    3

  • SHANA DAHLIN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • MICHAEL J LEARY

    CEO/PRESIDENT

    Total calculated
    $211,762
    From this org
    $186,971
    From related orgs
    $0
    Other
    $24,791
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $176,971
    Bonus
    $10,000
    Other
    $0
    Deferred
    $7,205
    Nontaxable benefits
    $17,586
    Filer's total
    $211,762

  • DENISE BURGEN

    COO

    Total calculated
    $130,990
    From this org
    $126,000
    From related orgs
    $0
    Other
    $4,990
    Hours/week
    40

  • LISA M OLSCAMP

    CFO

    Total calculated
    $134,400
    From this org
    $121,993
    From related orgs
    $0
    Other
    $12,407
    Hours/week
    40

  • LIDA REIDLINGER

    CCO

    Total calculated
    $52,995
    From this org
    $49,025
    From related orgs
    $0
    Other
    $3,970
    Hours/week
    40

  • G MARTIN HOTALING

    CIO

    Total calculated
    $122,441
    From this org
    $108,001
    From related orgs
    $0
    Other
    $14,440
    Hours/week
    40

  • HANNAH MONK

    CHIEF BEHAVIORIAL HEALTH OFFICER

    Total calculated
    $139,431
    From this org
    $127,467
    From related orgs
    $0
    Other
    $11,964
    Hours/week
    40

  • MELISSA S COPELLA DDS

    DENTAL DIRECTOR

    Total calculated
    $191,362
    From this org
    $173,807
    From related orgs
    $0
    Other
    $17,555
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $173,807
    Bonus
    $0
    Other
    $0
    Deferred
    $4,390
    Nontaxable benefits
    $13,165
    Filer's total
    $191,362

  • CYNTHIA L JONES MD

    MEDICAL DIRECTOR

    Total calculated
    $309,673
    From this org
    $281,090
    From related orgs
    $0
    Other
    $28,583
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $281,090
    Bonus
    $0
    Other
    $0
    Deferred
    $11,449
    Nontaxable benefits
    $17,134
    Filer's total
    $309,673

  • SAMANTHA M GLARNER

    FAMILY NURSE PRACTITIONER

    Total calculated
    $150,170
    From this org
    $130,930
    From related orgs
    $0
    Other
    $19,240
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $127,930
    Bonus
    $3,000
    Other
    $0
    Deferred
    $4,233
    Nontaxable benefits
    $15,007
    Filer's total
    $150,170

  • ERIC M HOLMES DDS

    DENTIST

    Total calculated
    $196,971
    From this org
    $180,918
    From related orgs
    $0
    Other
    $16,053
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $180,918
    Bonus
    $0
    Other
    $0
    Deferred
    $6,694
    Nontaxable benefits
    $9,359
    Filer's total
    $196,971

  • MICHELLE WINSIEWSKI DDS

    DENTIST

    Total calculated
    $156,062
    From this org
    $143,092
    From related orgs
    $0
    Other
    $12,970
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,092
    Bonus
    $0
    Other
    $0
    Deferred
    $5,658
    Nontaxable benefits
    $7,312
    Filer's total
    $156,062

  • APRIL CHAMPEN DDS

    DENTIST

    Total calculated
    $183,763
    From this org
    $170,585
    From related orgs
    $0
    Other
    $13,178
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $170,585
    Bonus
    $0
    Other
    $0
    Deferred
    $6,347
    Nontaxable benefits
    $6,831
    Filer's total
    $183,763

  • SHAH DDS PARTH D

    DENTIST

    Total calculated
    $200,250
    From this org
    $181,467
    From related orgs
    $0
    Other
    $18,783
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,467
    Bonus
    $19,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $18,783
    Filer's total
    $200,250

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

  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

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

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

  • ROCHESTER GENERAL HOSPITAL

    $0

    FUNDS FOR THE HEALTH CONNECTS PROGRAM

  • ROCHESTER GENERAL HOSPITAL

    $0

    FOR USE AS PERMISSIBLE BY THE GRANTS EXCLUDING CAPITAL OUTLAYS.

  • UNITY HEALTH SYSTEM

    $0

    FOR USE AS PERMISSIBLE BY THE GRANTS EXCLUDING CAPITAL OUTLAYS.

Provenance

Return type
form_990
Tax year
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202333189349315073

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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