Civic Intelligence

Northwest Medical Center Foundation Inc

EIN 47-3694893 • 501(c)3 • Albany, MO

Profile

Through acquisition and wise stewardship of assets, the Northwest Medical Center Foundation will ensure that quality medical services are a hallmark of the Northwest Medical Center service area. The Foundation will support the facility and program needs of Northwest Medical Center, seek to improve the health and wellness of area citizens and ensure a perpetually strong organizational foundation for the provision of care.

705 North College StreetAlbany, MO 64402

www.mlcfoundation.com/albany

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

7th percentile

0.00x

Higher debt load relative to assets than 7% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

15th percentile

0.03x

Higher debt load relative to revenue than 15% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

2nd percentile

-136%

Higher net margin than 2% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

79th percentile

$319,629

Higher top officer pay than 79% of similar nonprofits.

Top officer pay equals 173.2% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

27th percentile

-1.9%

Faster asset growth than 27% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

8th percentile

-34%

Faster revenue growth than 8% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$10,335,822

Down $202,485 (-1.9%) from 2023

Liabilities

Down

$4,811

Down $9,999 (-68%) from 2023

Net Assets

Down

$10,331,011

Down $192,486 (-1.8%) from 2023

Revenue

Down

$184,532

Down $96,263 (-34%) from 2023

Expenses

Down

$435,623

Down $90,666 (-17%) from 2023

Net Income

Down

-$251,091

Down $5,597 (-2.3%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2015: $10,846,267Liabilities 2015: $0Net Assets 2015: $10,846,2672015Assets 2016: $11,193,728Liabilities 2016: $0Net Assets 2016: $11,193,7282016Assets 2017: $11,233,574Liabilities 2017: $0Net Assets 2017: $11,233,5742017Assets 2018: $11,328,386Liabilities 2018: $0Net Assets 2018: $11,328,3862018Assets 2019: $11,282,454Liabilities 2019: $0Net Assets 2019: $11,282,4542019Assets 2020: $11,247,770Liabilities 2020: $0Net Assets 2020: $11,247,7702020Assets 2021: $11,399,961Liabilities 2021: $0Net Assets 2021: $11,399,9612021Assets 2022: $10,777,136Liabilities 2022: $15,361Net Assets 2022: $10,761,7752022Assets 2023: $10,538,307Liabilities 2023: $14,810Net Assets 2023: $10,523,4972023Assets 2024: $10,335,822Liabilities 2024: $4,811Net Assets 2024: $10,331,0112024

Highlighted filing

2024

Assets$10,335,822
Liabilities$4,811
Net Assets$10,331,011

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2015: $10,846,284Expenses 2015: $17Net Income 2015: $10,846,2672015Revenue 2016: $493,506Expenses 2016: $195,590Net Income 2016: $297,9162016Revenue 2017: $134,624Expenses 2017: $94,778Net Income 2017: $39,8462017Revenue 2018: $235,446Expenses 2018: $140,634Net Income 2018: $94,8122018Revenue 2019: $198,602Expenses 2019: $118,498Net Income 2019: $80,1042019Revenue 2020: $193,355Expenses 2020: $150,593Net Income 2020: $42,7622020Revenue 2021: $189,353Expenses 2021: $208,713Net Income 2021: -$19,3602021Revenue 2022: $230,779Expenses 2022: $771,383Net Income 2022: -$540,6042022Revenue 2023: $280,795Expenses 2023: $526,289Net Income 2023: -$245,4942023Revenue 2024: $184,532Expenses 2024: $435,623Net Income 2024: -$251,0912024

Highlighted filing

2024

Revenue$184,532
Expenses$435,623
Net Income-$251,091

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 12, 2025
Return Version
2023v6.0
Gross Receipts
$184,532
Mission and Program Overview

Mission

Through acquisition and wise stewardship of assets, the Northwest Medical Center Foundation will ensure that quality medical services are a hallmark of the Northwest Medical Center service area. The Foundation will support the facility and program needs of Northwest Medical Center, seek to improve the health and wellness of area citizens and ensure a perpetually strong organizational foundation for the provision of care.

Northwest medical center foundation's mission is to attract and provide excellent people, programs, services, and facilities to promote health, wellness and superior quality of life.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,036,624$2,928,334▼ $108,290
Other Notes and Loans Receivable, Net$2,732,467$2,561,304▼ $171,163
Investments in Publicly Traded Securities$872,212$974,242▲ $102,030
Cash and Non-Interest-Bearing Accounts$30,963$5,901▼ $25,062
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$10,538,307$10,335,822▼ $202,485
Other Assets Total$3,866,041$3,866,041→ $0
Liabilities
Accounts Payable and Accrued Expenses$14,810$4,811▼ $9,999
Other Liabilities$0$0→ $0
Total Liabilities$14,810$4,811▼ $9,999
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$6,544,532$6,332,205▼ $212,327
Net Assets With Donor Restrictions$3,978,965$3,998,806▲ $19,841
Total Net Assets Fund Balance$10,523,497$10,331,011▼ $192,486
Total Liabilities and Net Assets / Fund Balance$10,538,307$10,335,822▼ $202,485

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,752,245$844,343$3,596,588
Equipment$63,776$110,160$173,936
Other Land Buildings$68,346$35,743$104,089
Land$43,967-$43,967
Other Assets Org$21,041--
Compensation and Service Providers

Employees

NameTitleOtherTotal
Jill ClairFormer Secretary$88,646$88,646
Kaitlyn WatsonSecretary$7,108$7,108
Serena NaylorDirector/Chair$2,500$2,500

Board Members and Trustees

NameTitle
Katie Dias DOPresident/CEO
Kimberly Findley DCDirector/Vice Chair
Alisa RidgeDirector
Angelia Martin MDDirector
Craig ThompsonDirector
Kent PetersonDirector
Joann GibbanyDirector/Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$11,019
Program Service Revenue
$0
Investment Income
$173,513
Other Revenue
$0
All Other Contributions
$500
Change in Net Assets
$-251,091
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$314,768
Other Expenses$120,855
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$314,768--$314,768
Depreciation Depletion$108,290--$108,290
Office Expenses$12,565--$12,565
Total Functional Expenses$435,623$0$0$435,623
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Northwest Medical Center Association IncSt Joseph, MO501(c)3Forgiveness of loan principal and interest related to the renovation of Northwest Medical Center Association, Inc.$310,057
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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 with the internal revenue service.

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 fi

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 VI, Section B, Line 15

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 9/19/2023 as documented in the meeting minutes.

Form 990, Part VI, Line 2 Family/business Relationships Amongst Interest Persons

Katie dias, d.o., angelia martin, m.d., and serena naylor have a business relationship.

Filing and Contact Details

Filer

Filer Name
Northwest Medical Center Foundation Inc
EIN
47-3694893
Phone
6607263941
Address
705 North College Street, Albany, MO 64402
Doing Business As
Mosaic Foundation - Albany

Signing Officer

Name
Katie Dias DO
Title
Officer
Signed
2025-05-12
Discuss with paid preparer
Yes

Organization Details

Formed
2014
Legal Domicile
Mo
Voting Board Members
7
Independent Board Members
6
Employees
0
Volunteers
17

Preparer

Firm
Rsm US Llp
Address
4650 East 53rd Street, Davenport, IA 52807
Preparer
Jenifer L Chase
Phone
5638884000
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2C Financial Statements and Reporting

The results of the consolidated audit are reviewed by the MOSAIC HEALTH SYSTEM Board, A RELATED TAX-EXEMPT ORGANIZATION.

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IRS990/MissionDesc0Through acquisition and wise stewardship of assets, the Northwest Medical Center Foundation will ensure that quality medical services are a hallmark of the Northwest Medical Center service area. The Foundation will support the facility and program needs of Northwest Medical Center, seek to improve the health and wellness of area citizens and ensure a perpetually strong organizational foundation for the provision of care.
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IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt0Katie Dias DO
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0Northwest Medical Center Foundation donated $1,500 to sponsor the St. Francis Foundation Gala, $1,500 to sponsor the MLCF Ignite event, $500 to sponsor the SFF golf tournament, and $1,211 in various small contributions.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part IV, Section A, Line 6 Support to other supported orgs
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IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0Forgiveness of loan principal and interest related to the renovation of Northwest Medical Center Association, Inc.
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0Northwest Medical Center Association Inc
IRS990ScheduleI/RecipientTable/RecipientEIN0440580870
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt05325 Faraon Street
IRS990ScheduleI/RecipientTable/USAddress/CityNm0St Joseph
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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0Northwest Medical Center Foundation, Inc. is committed to the development of a healthy community. Grants are provided to local groups that achieve these objectives. Generally Northwest Medical Center Foundation officers, directors or employees are in a volunteer position or are a board member of the recipient organization. Recipient organizations are required to submit all requests to Northwest Medical Center Foundation, Inc. with a detailed list of the program's expenditures and progress toward the stated goals of developing a healthier community. This request will then be presented to the Northwest Medical Center Foundation, Inc. board for approval prior to the grants being provided to Northwest Medical Center Association, Inc..
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Angelia Martin MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Katie Dias DO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Director
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1President/CEO
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0COMPENSATION 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
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1KATIE DIAS, D.O. - 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. 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 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 NONCOMPETE COVENANT. 4. SEPARATION WITH CAUSE MAKES THE SUPPLEMENTAL EXECUTIVE RETIREMENT AGREEMENT NULL AND VOID.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE 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 WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THIS 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 FI
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3COMPENSATION 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 9/19/2023 as documented in the meeting minutes.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The results of the consolidated audit are reviewed by the MOSAIC HEALTH SYSTEM Board, A RELATED TAX-EXEMPT ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5KATIE DIAS, D.O., ANGELIA MARTIN, M.D., AND SERENA NAYLOR HAVE A BUSINESS RELATIONSHIP.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 11b Review of form 990 by governing body
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 12c Conflict of interest policy
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 19 Required documents available to the public
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15

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