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Nonprofiteer
← MOSAIC HEALTH SYSTEM

Form 990 for tax year 2022

Filed by MOSAIC HEALTH SYSTEM.

Totals

Total revenue
$33,182,952
Total expenses
$21,026,419
Contributions and grants received
$0
Grants paid
$15,879,947
Program service revenue
$0
Investment income
$28,370,186
Other revenue
$4,812,766
Total assets, end of year
$891,595,063
Total liabilities, end of year
$439,194,781
Net assets or fund balances, end of year
$452,400,282
Program services expenses (Part IX)
$19,119,060
Management and general expenses
$1,892,035
Fundraising expenses
$15,324
Program service expenses (Part III)
$19,119,060

Program services were 90.9% 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.

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $23,480,635 · excluded $23,480,635

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $163,882,710

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

    securities $158,993,159

  • 7c · Gain or loss

    securities $4,889,551 · other assets $0

  • 7d · Net gain or loss

    total $4,889,551 · excluded $4,889,551

  • 11a · Other revenue: Medical Supply Rebates

    total $2,801,441 · related or exempt $2,801,441

  • 11b · Other revenue: Copying Revenue

    total $457,272 · related or exempt $457,272

  • 11c · Other revenue: Other Misc Revenue

    total $1,554,053 · related or exempt $1,554,053

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $4,812,766

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $15,879,947 · program services $15,879,947

  • 5 · Compensation of officers, directors and key employees

    total $2,474,134 · program services $494,725 · management and general $1,979,409 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $113,265 · program services $113,265

  • 7 · Other salaries and wages

    total $43,653,734 · program services $208,975 · management and general $43,444,759

  • 8 · Pension plan contributions

    total $1,545,181 · program services $7,682 · management and general $1,537,499

  • 9 · Other employee benefits

    total $5,895,663 · program services $167,347 · management and general $5,728,316

  • 10 · Payroll taxes

    total $3,156,433 · program services $58,357 · management and general $3,098,076

  • 11b · Fees: legal

    total $2,374,119 · management and general $2,374,119

  • 11c · Fees: accounting

    total $297,550 · management and general $297,550

  • 11g · Fees: other

    total $26,990,270 · program services $1,553,177 · management and general $25,437,093 · fundraising $0

  • 12 · Advertising and promotion

    total $1,832,823 · management and general $1,832,823

  • 13 · Office expenses

    total $13,500,634 · program services $30,338 · management and general $13,463,313 · fundraising $6,983

  • 14 · Information technology

    total $6,954,567 · program services $551,311 · management and general $6,403,256

  • 16 · Occupancy

    total $868,839 · management and general $868,839

  • 17 · Travel

    total $94,066 · program services $53,936 · management and general $40,130

  • 19 · Conferences, conventions and meetings

    total $677,011 · management and general $675,793 · fundraising $1,218

  • 20 · Interest

    total $7,055,794 · management and general $7,055,794

  • 22 · Depreciation, depletion and amortization

    total $5,023,947 · management and general $5,016,824 · fundraising $7,123

  • 23 · Insurance

    total $863,330 · management and general $863,330

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

    total $179,721 · management and general $179,721

  • 24b · Other expenses: Dues & Subscriptions

    total $9,192,546 · management and general $9,192,546

  • 24c · Other expenses: Corporate Allocations to Related Entities

    total -$127,597,155 · management and general -$127,597,155

  • 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 $60,676,782 · end of year $42,116,170

  • 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

  • 9 · Prepaid expenses and deferred charges

    beginning of year $15,258,689 · end of year $18,857,420

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

    $73,357,207

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

    $45,154,854

  • 10c · Land, buildings and equipment, net

    beginning of year $11,804,733 · end of year $28,202,353

  • 11 · Investments: publicly traded securities

    beginning of year $709,082,552 · end of year $698,322,506

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $31,621,609 · end of year $49,760,722

  • 15 · Other assets

    beginning of year $51,056,929 · end of year $54,335,892

  • 17 · Accounts payable and accrued expenses

    beginning of year $75,538,425 · end of year $70,861,695

  • 20 · Tax-exempt bond liabilities

    beginning of year $278,493,748 · end of year $271,950,969

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $121,207,842 · end of year $96,382,117

  • 27 · Net assets without donor restrictions

    beginning of year $404,261,279 · end of year $452,400,282

Mission and programs · 2022

Mission

TO IMPROVE POPULATION HEALTH OUTCOMES IN OUR REGION BY PROVIDING THE RIGHT CARE, AT THE RIGHT TIME, PLACE, AND COST.

  • TO IMPROVE POPULATION HEALTH OUTCOMES IN OUR REGION BY PROVIDING THE RIGHT CARE, AT THE RIGHT TIME, PLACE, AND COST.

    Expenses $19,119,060 · Grants $15,879,947 · Revenue $4,812,766

As filed on the 2022 return.

Listed in Part VII

  • John M Poore

    Director/President/CEO

    Total calculated
    $661,497
    From this org
    $646,385
    From related orgs
    $0
    Other
    $15,112
    Hours/week
    34 + 4 related

    Schedule J breakdown matched by us

    Base
    $630,107
    Bonus
    $13,827
    Other
    $2,451
    Deferred
    $0
    Nontaxable benefits
    $15,112
    Filer's total
    $661,497

  • Adam Stein

    Director/Chair

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

  • Angelia Martin MD

    Director

    Total calculated
    $311,907
    From this org
    $2,500
    From related orgs
    $271,556
    Other
    $37,851
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $2,500 + $268,953 related
    Bonus
    $0 + $36 related
    Other
    $0 + $2,567 related
    Deferred
    $0 + $5,627 related
    Nontaxable benefits
    $0 + $32,224 related
    Filer's total
    $2,500 + $309,407 related

  • Daniel Heckman

    Director

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

  • Elizabeth Kennedy PHD

    Director

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

  • Emily Larson DO

    Director

    Total calculated
    $426,261
    From this org
    $2,500
    From related orgs
    $378,887
    Other
    $44,874
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $2,500 + $290,435 related
    Bonus
    $0 + $60,000 related
    Other
    $0 + $28,452 related
    Deferred
    $0 + $10,250 related
    Nontaxable benefits
    $0 + $34,624 related
    Filer's total
    $2,500 + $423,761 related

  • Gary Frazer

    Director/Vice Chair

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

  • Matt Baker

    Director

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

  • Matt Lukens MD

    Director

    Total calculated
    $680,027
    From this org
    $2,500
    From related orgs
    $641,633
    Other
    $35,894
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $2,500 + $621,444 related
    Bonus
    $0
    Other
    $0 + $20,189 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $23,694 related
    Filer's total
    $2,500 + $677,527 related

  • Melody Smith

    Director

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

  • Ophelia Lavell Rucker

    Director

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

  • Serena Naylor

    Director

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

  • Thomas Richmond

    Director

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

  • Davin Turner DO

    Chief Administrative Officer

    Total calculated
    $414,592
    From this org
    $161,034
    From related orgs
    $232,604
    Other
    $20,954
    Hours/week
    34 + 4 related

    Schedule J breakdown matched by us

    Base
    $160,388 + $194,479 related
    Bonus
    $0 + $35,973 related
    Other
    $646 + $2,152 related
    Deferred
    $2,433 + $5,866 related
    Nontaxable benefits
    $4,602 + $8,053 related
    Filer's total
    $168,069 + $246,523 related

  • Drew Keesbury

    CFO/Treasurer

    Total calculated
    $0
    Hours/week
    32 + 5 related

  • Michael R Rinard

    Secretary

    Total calculated
    $315,515
    From this org
    $273,849
    From related orgs
    $0
    Other
    $41,666
    Hours/week
    33 + 5 related

    Schedule J breakdown matched by us

    Base
    $213,676
    Bonus
    $58,812
    Other
    $1,361
    Deferred
    $9,254
    Nontaxable benefits
    $32,412
    Filer's total
    $315,515

  • Renea Schott

    Assistant Secretary

    Total calculated
    $92,608
    From this org
    $68,687
    From related orgs
    $0
    Other
    $23,921
    Hours/week
    39 + 1 related

  • Thomas Bieterman

    Former CFO/Treasurer

    Total calculated
    $169,989
    From this org
    $167,017
    From related orgs
    $0
    Other
    $2,972
    Hours/week
    32 + 5 related

    Schedule J breakdown matched by us

    Base
    $166,756
    Bonus
    $261
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $2,972
    Filer's total
    $169,989

  • Crystal Macaluso

    CMIO

    Total calculated
    $651,234
    From this org
    $603,010
    From related orgs
    $0
    Other
    $48,224
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $493,289
    Bonus
    $99,297
    Other
    $10,424
    Deferred
    $10,250
    Nontaxable benefits
    $37,974
    Filer's total
    $651,234

  • Edward P Kammerer MD

    Former PRESIDENT OF MOSAIC CLINICS

    Total calculated
    $758,975
    From this org
    $700,576
    From related orgs
    $0
    Other
    $58,399
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $531,076
    Bonus
    $149,392
    Other
    $20,108
    Deferred
    $26,975
    Nontaxable benefits
    $31,424
    Filer's total
    $758,975

  • Jaren C Johnson-Pippitt

    Former CSO

    Total calculated
    $662,624
    From this org
    $632,750
    From related orgs
    $0
    Other
    $29,874
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $533,385
    Bonus
    $97,249
    Other
    $2,116
    Deferred
    $7,524
    Nontaxable benefits
    $22,350
    Filer's total
    $662,624

  • Karan Mohan MD

    Chief Quality Officer

    Total calculated
    $572,400
    From this org
    $552,716
    From related orgs
    $0
    Other
    $19,684
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $403,164
    Bonus
    $115,871
    Other
    $33,681
    Deferred
    $10,250
    Nontaxable benefits
    $9,434
    Filer's total
    $572,400

  • Valorie Comley

    Vice President - Revenue Cycle

    Total calculated
    $295,139
    From this org
    $272,753
    From related orgs
    $0
    Other
    $22,386
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $221,459
    Bonus
    $50,217
    Other
    $1,077
    Deferred
    $11,055
    Nontaxable benefits
    $11,331
    Filer's total
    $295,139

  • Dwain Stilson

    Former CFO/Treasurer

    Total calculated
    $163,042
    From this org
    $157,969
    From related orgs
    $0
    Other
    $5,073
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $157,169
    Bonus
    $550
    Other
    $250
    Deferred
    $0
    Nontaxable benefits
    $5,073
    Filer's total
    $163,042

  • Karen S Miller

    Former CFO/Treasurer

    Total calculated
    $191,840
    From this org
    $179,091
    From related orgs
    $0
    Other
    $12,749
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $178,284
    Bonus
    $0
    Other
    $807
    Deferred
    $7,236
    Nontaxable benefits
    $5,513
    Filer's total
    $191,840

  • Mark Laney MD

    Former Director/President/CEO

    Total calculated
    $3,059,649
    From this org
    $3,032,113
    From related orgs
    $0
    Other
    $27,536
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $3,027,894
    Bonus
    $228
    Other
    $3,991
    Deferred
    $8,220
    Nontaxable benefits
    $19,316
    Filer's total
    $3,059,649

  • Michael Pulido

    Former COO/Secretary

    Total calculated
    $1,292,933
    From this org
    $1,258,302
    From related orgs
    $0
    Other
    $34,631
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $1,255,487
    Bonus
    $0
    Other
    $2,815
    Deferred
    $8,102
    Nontaxable benefits
    $26,529
    Filer's total
    $1,292,933

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

  • 1a · Travel for companions
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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 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 THE Mosaic Health System for four 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 2022. This is reported on Form 990, Part VII and Schedule J, Part II as other reportable compensation. Mosaic Health System paid Michael Pulido, COO, severance payments during calendar year 2022. 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
EDWARD KAMMERER - VESTED $17,105; ACCRUED $77,000 CRYSTAL MACALUSO - VESTED $0; ACCRUED $5,280 JOHN M POORE - VESTED $0; ACCRUED $116,667 MICHAEL RINARD - VESTED $0; ACCRUED $31,360 DAVIN TURNER - VESTED $0; ACCRUED $21,000 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. 2. FOR SERP PARTICIPANTS PRIOR TO 2019, DISTRIBUTION WILL OCCUR UPON DEATH OR UPON SEPARATIONFROM 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 PARTICIPANTES 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.

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

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
8 May 2024
IRS schema version
2022v5.0
Source object
202401299349303930

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