2025-05-12T09:53:49+00:00 2024-06-30 420714325 RSM US LLP 4650 East 53rd Street Davenport IA 52807 990 2023-07-01 431262768 Heartland Foundation HEAR 8162717070 5325 Faraon Street St Joseph MO 64506 Drew Keesbury Officer 8162717070 2025-05-12 true true Jenifer L Chase P01306883 5638884000 2025-05-12 2023 2025-03-06 01:10:19Z Mosaic Life Care Foundation Drew Keesbury 15351765 false X https://www.mlcfoundation.com/ X 1982 MO MOSAIC LIFE CARE FOUNDATION UPLIFTS LIFELONG LEARNING, COMMUNITY INVOLVEMENT AS THE KEY INDICATORS TO HEALTHY AND PROSPEROUS INDIVIDUALS, FAMILIES, ORGANIZATIONS, AND COMMUNITIES. 21 20 28 52 0 0 8678178 5168980 0 0 880095 2436307 92247 86529 9650520 7691816 2534933 706460 0 0 1443769 1254252 0 0 441711 1497890 1644910 5476592 3605622 4173928 4086194 39752970 45411105 1586500 2177324 38166470 43233781 CHAMPION EDUCATION AND EMPOWER PEOPLE. false false 2782727 706460 Mosaic Life Care Foundation has a vision to inspire people world-wide to build healthy and thriving communities. The Organization's mission is to champion education and empower people. 2782727 true true false false false false false false true true false false false true true true true false false false false false false true false false true true true false false false false false false false false true false false false false true true true false false true 24 0 true 28 true false false false false false true true false false false false false X 21 20 true false false false true true true true true false false true true true true true true false false false X Drew Keesbury 8162717070 5325 Faraon Street St Joseph MO 64506 John M Poore Trustee/CEO 1.0 37.0 X X 0 1136919 39911 Andrea Robinson Trustee 1.0 0 X 0 0 0 David Richmond Trustee 1.0 0 X 0 0 0 Elizabeth Kennedy PHD Trustee 1.0 2.0 X 0 2500 0 Emily Hilsabeck Trustee 1.0 0 X 0 0 0 Fiona Sansone Trustee 1.0 0 X 0 0 0 Jeanne Daffron PHD Trustee 1.0 0 X 0 0 0 Jeni Doolittle Trustee 1.0 0 X 0 0 0 Jerry McMillen Trustee 1.0 0 X 0 0 0 Jody Carlson Trustee 1.0 0 X 0 0 0 Julie Korell Trustee 1.0 0 X 0 0 0 Kailey Smith Trustee 1.0 0 X 0 0 0 Kate Tucker Trustee 1.0 0 X 0 0 0 Lee Tieman Trustee 1.0 0 X 0 0 0 Lenny Klaver ED D Trustee 1.0 0 X 0 0 0 Linda Smith PHD Trustee 1.0 0 X 0 0 0 Matt Staley Trustee 1.0 0 X 0 0 0 Michelle Clark Trustee 1.0 0 X 0 0 0 Randy Roth Trustee 1.0 0 X 0 0 0 Rocky Massin Trustee 1.0 1.0 X 0 0 0 Todd Joe Trustee 1.0 0 X 0 0 0 Davin Turner DO Secretary 1.0 37.0 X 0 645499 43162 Drew Keesbury CFO/Treasurer 1.0 36.0 X 0 459172 17432 Hannah O'Byrne Assistant Secretary 40.0 0 X 47129 0 31831 Julie Gaddie PHD President 40.0 0 X 277514 0 54965 Christina Lund Director of Foundation Regional Relations 40.0 0 X 134010 0 14015 Devran R Brower Director of Program Operations Foundation 40.0 0 X 102015 0 35107 Mark Laney MD Former Trustee/CEO 0.0 0.0 X 0 1061154 0 Michael Pulido Former Secretary 0.0 0.0 X 0 590338 20738 Thomas Bieterman Former CFO/Treasurer 0.0 0.0 X 0 185860 12817 560668 4081442 269978 3 true true false M Catton & Co LLC 115 Central Ave SW Le Mars IA 51031 Construction 1663110 1 0 0 244004 942332 2061145 1921499 162598 5168980 0 0 0 0 0 767401 767401 44073 44073 0 44073 44073 9248009 7579103 1668906 0 1668906 1668906 55497 244004 80846 -25349 -25349 Other Revenue 900099 67805 67805 0 0 0 0 67805 7691816 0 0 2522836 X 554860 554860 151600 151600 409654 81931 127790 199933 663690 492346 46353 124991 13402 6381 4305 2716 94777 61160 18397 15220 72729 41839 11326 19564 48475 48475 21100 21100 766552 758006 0 8546 6556 5820 441 295 406860 263059 73590 70211 39164 39164 65477 65477 1284 673 376 235 15474 15474 212988 212988 Dues & Subscriptions 29631 600 29031 Repairs & Maintenance 17639 17639 Medical Supplies 13710 13710 0 0 0 0 3605622 2782727 381184 441711 893460 757615 0 0 5957456 1139781 0 0 0 0 0 0 0 0 0 0 24450 31796 20194890 6004152 4061548 14190738 28665856 29137173 0 0 150200 154002 39752970 45411105 1438514 2096925 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147986 80399 1586500 2177324 X 12292165 11712320 25874305 31521461 0 0 0 0 0 0 38166470 43233781 39752970 45411105 4086194 981117 0 0 0 0 X false true X true false X 3848228 2691668 2090981 8678178 5168980 22478035 0 0 3848228 2691668 2090981 8678178 5168980 22478035 11609235 10868800 685051 530907 608214 836581 811474 3472227 0 0 0 0 0 0 16292 6855 80299 54427 67806 225679 26175941 225679 0.4152 0.3167 X Schedule A, Part II Capital Gains Mosaic Life Care Foundation restated Schedule A, Part II for tax years 2019-2022 to remove capital gains from the sale of securities that were inadvertently included in investment income on Line 8. The 2022 public support percentage as reported on Line 15 was also restated from 24.46% to 31.67% to reflect the adjustment noted above. Schedule A, Part II, Line 10 Other Income DESCRIPTION - , COLUMN A - 16292.0, COLUMN B - 6855.0, COLUMN C - 80299.0, COLUMN D - 54427.0, COLUMN E - 67806.0, COLUMN F - 225679.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17148730 265477 3013676 0 1375840 121586 18930457 15402864 205302 2946699 0 1173463 232672 17148730 20650737 127018 -3693492 0 1454197 227202 15402864 16136842 44501 5875571 0 1208941 197236 20650737 15461657 1026537 1335047 0 1564872 121527 16136842 0.3252 0.5664 0.1084 false false 153750 153750 18910957 4906024 14004933 14795 14795 0 1060190 1028135 32055 55198 55198 0 14190738 DUE TO AFFILIATES 80399 80399 X 8672933 981117 0 981117 7691816 0 0 7691816 3605622 0 0 3605622 0 0 3605622 Schedule D, Part V, Line 4 Intended uses of endowment funds Mosaic Life Care Foundation'S INTENDED USE OF THE ENDOWMENT FUNDS IS TO PROMOTE PROGRAMS DEDICATED TO EMPOWERING CHILDREN AND ADULTS TO BUILD HEALTHIER, MORE LIVABLE COMMUNITIES. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MOSAIC HEALTH SYSTEM, HEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST. JOSEPH), MOSAIC MEDICAL CENTER-MARYVILLE (MOSAIC-MARYVILLE), NORTHWEST MEDICAL CENTER ASSOCIATION, INC., HEARTLAND LONG-TERM ACUTE CARE HOSPITAL (HLTACH), MOSAIC LIFE CARE FOUNDATION, AND NORTHWEST MEDICAL CENTER FOUNDATION (ALBANY Foundation) ARE NONPROFIT CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. HOWEVER, THEY ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. MIDWESTERN AND HHS PROPERTIES, INC. ARE SUBJECT TO INCOME TAXATION. WITH A FEW EXCEPTIONS, MOSAIC'S TAX RETURNS ARE GENERALLY SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR A PERIOD UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF RETURN. AT JUNE 30, 2024, NET OPERATING LOSS CARRYFORWARDS GENERATED IN FISCAL YEARS ENDING JUNE 30, 2018 AND PRIOR ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME FOR THESE ENTITIES AGGREGATED APPROXIMATELY $7.2M AND EXPIRE THROUGH 2038. FOR NET OPERATING LOSS CARRYFORWARDS GENERATED IN FISCAL YEAR-ENDED JUNE 30, 2019 AND FORWARD WILL BE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME FOR THESE ENTITIES IN THE AMOUNT OF $1.8M AND ARE CARRIED FORWARD INDEFINITELY. SEPARATE RETURN LIMITATION RESTRICTIONS APPLY TO A PORTION OF THESE NET OPERATING LOSS CARRYFORWARDS. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF JUNE 30, 2024 AND 2023, THERE WERE NO UNCERTAIN TAX POSITIONS IDENTIFIED AND RECORDED AS A LIABILITY. NMC Golf Tournament 54353 48504 5849 0 258 1000 3999 0 7736 Rooftop Party 245148 195500 49648 0 0 0 28687 5000 34166 0 299501 244004 55497 0 258 1000 32686 5000 41902 80846 -25349 true Heartland Regional Medical Center 5325 Faraon Street St Joseph MO 64506 440545289 501(C)3 436460 Cancer Center Contribution and Golf Benefit Northwest Medical Center Foundation Inc (Mosaic Foundation - Albany) 705 North College Street Albany MO 64402 473694893 501(C)3 10519 Gift Shop Missouri Physicians Health Program 1023 Executive Parkway 16 Creve Coeur MO 63141 431572458 501(C)3 10000 Annual Contribution 3 0 Scholarships 109 151600 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Mosaic Life Care Foundation IS COMMITTED TO THE DEVELOPMENT OF A HEALTHY COMMUNITY WHICH INCLUDES THE HEALTH OF INDIVIDUALS, AN ADEQUATE NUMBER OF JOBS FOR THE WORKFORCE AND SUCCESSFUL BUSINESSES TO BOOST THE LOCAL ECONOMY. GRANTS ARE PROVIDED TO LOCAL GROUPS THAT ACHIEVE THESE OBJECTIVES GENERALLY, RECIPIENT ORGANIZATIONS REPORT BACK TO MOSAIC LIFE CARE FOUNDATION HOW THE GRANT FUNDS WERE USED. Scholarship recipients are required to provide proof of acceptance to the institution, proof of full-time status as a student, a certified college transcript and two letters of recommendation. This helps to provide support the funds are used for the purpose it was awarded. true true false false false false false false John M Poore Trustee/CEO 0 995932 0 135653 0 5334 0 13200 0 26711 0 1176830 0 0 Mark Laney MD Former Trustee/CEO 0 0 0 0 0 1061154 0 0 0 0 0 1061154 0 0 Michael Pulido Former Secretary 0 0 0 0 0 590338 0 0 0 20738 0 611076 0 0 Thomas Bieterman Former CFO/Treasurer 0 185573 0 287 0 0 0 2890 0 9927 0 198677 0 0 Davin Turner DO Secretary 0 594549 0 45616 0 5334 0 12413 0 30749 0 688661 0 0 Drew Keesbury CFO/Treasurer 0 445072 0 13200 0 900 0 0 0 17432 0 476604 0 0 Julie Gaddie PHD President 230995 0 43531 0 2988 0 34703 0 20262 0 332479 0 0 0 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 SURVEY OR STUDY 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 2023. This is reported on Form 990, Part VII and Schedule J, Part II as other reportable compensation. Mosaic Health System, a related tax-exempt organization, paid Michael Pulido, COO, severance payments during calendar year 2023. 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 JULIE GADDIE - VESTED $25,525; ACCRUED $23,689 JOHN M POORE - VESTED $0; ACCRUED $200,000 MICHAEL RINARD - VESTED $0; ACCRUED $31,360 DAVIN TURNER - VESTED $0; ACCRUED $84,000 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 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. X 3 119942 Market value X Signage and Granite Slabs - 2 42656 Market value false true true Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions It is preferred that donors electronically transfer marketable securities directly to one of the Mosaic Life Care Foundation (Foundation) local brokerage accounts. Transfers made directly to the brokerage account can be liquidated almost immediately and with little additional paperwork required from donors. Alternatively, marketable securities may be delivered physically to the Foundation office with the donor's/transferor's stock power attached. Those securities which are determined to be restricted by applicable securities laws will be reviewed by the General Counsel of the Foundation. If the restrictions are deemed to be unreasonable or excessive, acceptance will be referred to the Foundation Board. The value of the gift will be calculated using the mean share price between the high and low selling prices quoted on the day the stock is transferred to the Foundation. Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - Mosaic Life Care Foundation, Inc. is reporting the number of contributors Other - Signage and Granite Slabs - Mosaic Life Care Foundation, Inc. is reporting the number of contributors Form 990, Part VI, Line 6 Classes of members or stockholders MOSAIC HEALTH SYSTEM, a related tax-exempt organization, IS THE SOLE MEMBER OF MOSAIC LIFE CARE FOUNDATION. MOSAIC HEALTH SYSTEM HAS THE RIGHT TO ELECT THE BOARD OF TRUSTEES OF MOSAIC LIFE CARE FOUNDATION. MOSAIC HEALTH SYSTEM IS NOT ENTITLED TO RECEIVE A SHARE OF MOSAIC LIFE CARE FOUNDATION'S PROFITS OR EXCESS DUES. MOSAIC HEALTH SYSTEM IS ENTITLED TO MOSAIC LIFE CARE FOUNDATION'S NET ASSETS UPON DISSOLUTION AS LONG AS MOSAIC HEALTH SYSTEM IS EXEMPT UNDER SECTION 501(A) OR 501(C)(3) OF THE INTERNAL REVENUE CODE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body As the sole member of Mosaic Life Care Foundation (MLC Foundation), Mosaic Health System, a related tax-exempt organization, has the right to elect all members of the board of directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The corporate bylaws of Mosaic Life Care Foundation identify certain rights and powers which are reserved to Mosaic Health System, a related tax-exempt organization and the sole member. IN EACH INSTANCE, THE RIGHTS AND POWERS RESERVED TO THE SOLE MEMBER MAY BE SUMMARIZED AS FOLLOWS: 1. OVERALL STRATEGIC DIRECTION 2. ELECTION OF TRUSTEES 3. APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER, OTHER SENIOR OFFICERS, AUDITORS, AND LEGAL COUNSEL 4. ESTABLISHMENT OF BANKING RELATIONSHIPS 5. MANAGEMENT OF CASH AND OTHER ASSETS 6. APPROVAL OF CHANGES TO THE ARTICLES OF INCORPORATION AND BYLAWS 7. LONG-RANGE PLANNING 8. ADOPTION OF ANNUAL OPERATING BUDGETS 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 FINANCIAL INTEREST, THE BOARD OR THE EXECUTIVE COMMITTEE WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. DOCUMENTATION IN MINUTES THE MINUTES OF THE BOARD OR THE EXECUTIVE COMMITTEE WILL CONTAIN: *WITH RESPECT TO THE DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS, THE NAME OF THE INTERESTED PERSON WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE A POSITION OR FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST; THE NATURE OF THE POSITION OR FINANCIAL INTEREST; ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT; AND THE BOARD OR THE EXECUTIVE COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. *WITH RESPECT TO WHETHER OR NOT THE CONFLICT OF INTEREST TRANSACTION IS APPROVED, THE NAMES OF THE PERSONS PRESENT FOR THE DISCUSSIONS AND VOTE RELATED TO THE PROPOSED TRANSACTION; THE CONTENT OF THE DISCUSSION; WHETHER ALTERNATIVES WERE DISCUSSED THAT DID NOT INVOLVE A CONFLICT OF INTEREST; THE BASIS FOR THE DETERMINATION THAT THE PROPOSED TRANSACTION WAS (I) IN THE ORGANIZATION'S BEST INTEREST, (II) FOR THE ORGANIZATION'S OWN BENEFIT, AND (III) FAIR AND REASONABLE TO THE ORGANIZATION; AND THE RECORD OF THE VOTE TAKEN IN CONNECTION WITH THE PROCEEDINGS. ANNUAL STATEMENTS EACH COVERED PERSON WILL ANNUALLY SIGN A STATEMENT THAT AFFIRMS SUCH PERSON: *HAS RECEIVED A COPY OF THIS POLICY; *HAS READ AND UNDERSTANDS THE POLICY; *HAS AGREED TO COMPLY WITH THE POLICY; AND *UNDERSTANDS THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX AND TO MAINTAIN ITS FEDERAL TAX EXEMPTION THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION, EACH COVERED PERSON WILL ANNUALLY COMPLETE, SIGN AND PROMPTLY RETURN TO THE BOARD A QUESTIONNAIRE AND DISCLOSURE STATEMENT SUBSTANTIALLY IN THE FORM ATTACHED HERETO. A COVERED PERSON NEED NOT DISCLOSE COMPENSATION PAID TO THE COVERED PERSON BY ORGANIZATION PURSUANT TO A RESOLUTION OF THE BOARD. 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 IX, Line 11g Other Fees Consulting Fees - Total Expense: 152943, Program Service Expense: 152943, Management and General Expenses: 0, Fundraising Expenses: 0; Corporate Allocations - Total Expense: 326857, Program Service Expense: 326857, Management and General Expenses: 0, Fundraising Expenses: 0; Professional Fees - Total Expense: 164903, Program Service Expense: 156357, Management and General Expenses: 0, Fundraising Expenses: 8546; Other Office Expenses - Total Expense: 121849, Program Service Expense: 121849, Management and General Expenses: 0, Fundraising Expenses: 0; 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 and sole member of Mosaic Life Care Foundation. Form 990, Part VI, Line 2 - Family Business Relationships Amongst Interested Persons John M. Poore, Davin Turner, D.O., and Drew Keesbury have a business relationship. Mosaic Health System (MHS) 5325 Faraon Street Saint Joseph MO 64506 431283316 Healthcare MO 501(c)(3) Type II NA false Heartland Long Term Acute Care Hospital (HLTACH) 5325 Faraon Street Saint Joseph MO 64506 261972987 Healthcare MO 501(c)(3) 3 Mosaic Health System true Heartland Regional Medical Center (Mosaic - St Joseph) 5325 Faraon Street St Joseph MO 64506 440545289 Healthcare MO 501(c)(3) 3 Mosaic Health System true Northwest Medical Center Association Inc (Mosaic - Albany) 5325 Faraon Street Saint Joseph MO 64506 440580870 Healthcare MO 501(c)(3) 3 Mosaic Health System true Northwest Medical Center Foundation Inc (NMC Foundation) 705 North College Street Albany MO 64402 473694893 Support MO 501(c)(3) Type I Northwest Medical Center Association Inc true Mosaic Medical Center - Maryville (Mosaic - Maryville) 5325 Faraon Street Saint Joseph MO 64506 832249459 Healthcare MO Mosaic Health System true Midwestern Health Management Inc (Midwestern) 5325 Faraon Street Saint Joseph MO 64506 431264358 Healthcare MO NA C Corporation true HHS Properties Inc 5325 Faraon Street Saint Joseph MO 64506 431593799 Investment MO NA C Corporation true Uptown Housing Inc 5325 Faraon Street Saint Joseph MO 64506 261416252 Redevelopment MO NA C Corporation true Uptown St Joseph Redevelopment Corp 5325 Faraon Street Saint Joseph MO 64506 201742813 Redevelopment MO NA C Corporation true false true true false false false false false false true true true true true true true true true true Heartland Regional Medical Center (Mosaic-St Joseph) C 464349 FMV Heartland Regional Medical Center (Mosaic-St Joseph) Q 386360 FMV Mosaic Health System (MHS) Q 657525 FMV Mosaic Health System (MHS) C 477983 FMV Heartland Regional Medical Center (Mosaic-St Joseph) B 436460 FMV