2026-04-30T12:20:45-05:00 2025-06-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2024-07-01 113669999 MOSAIC MOSA 4028963884 4980 S 118TH ST A OMAHA NE 68137 SCOTT HOFFMAN CHIEF FINANCIAL OFFICER 4028963884 2026-04-29 1 1 WENDY R COOLEY CPA P01523804 4023302660 2026-04-29 2024 2025-03-06 01:10:19Z SCOTT HOFFMAN 4980 S 118TH ST A OMAHA NE 68137 401790324 0 X WWW.MOSAICINFO.ORG X 2003 NE EMBRACING GOD'S CALL, MOSAIC RELENTLESSLY PURSUES OPPORTUNITIES THAT EMPOWER PEOPLE. 17 17 4236 177 30689 0 10367471 11509716 355080200 380855491 4776664 5285335 3993594 3896448 374217929 401546990 519042 657672 0 0 187239891 185637532 116894 126116 2672309 171576156 190255734 359451983 376677054 14765946 24869936 227075430 261292789 68430980 76926022 158644450 184366767 X EMBRACING GOD'S CALL, MOSAIC RELENTLESSLY PURSUES OPPORTUNITIES THAT EMPOWER PEOPLE. 0 0 152400924 657672 166000682 MOSAIC AT HOME - REFERRED TO IN VARIOUS STATES AS HOST HOMES OR SHARED LIVING, MOSAIC AT HOME OFFERS AN ALTERNATIVE TO GROUP SETTINGS FOR THOSE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDD) WHO ARE LOOKING FOR A MORE PERSONALIZED 24/7 RESIDENTIAL SERVICE UNDER MEDICAID HOME- AND COMMUNITY-BASED SERVICES (HCBS) WAIVER SERVICES. A MOSAIC AT HOME PROVIDER WELCOMES A PERSON WITH DISABILITIES INTO THEIR HOME, WHERE THEY PROVIDE SUPPORT DESIGNED AROUND THE SPECIFIC NEEDS AND DESIRES OF THE INDIVIDUAL. IT IS A REWARDING EXPERIENCE FOR THE PROVIDER AND THE PERSON WHO RECEIVES SUPPORTS. MOSAIC SERVED APPROXIMATELY 2,080 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY.MOSAIC IS THE RECOGNIZED LEADER IN MAKING A POSITIVE DIFFERENCE IN PEOPLE'S LIVES. WE ARE PASSIONATE ABOUT SERVICES AND PARTNERSHIPS THAT CREATE MEANINGFUL LIVES IN CARING COMMUNITIES. INSPIRED BY FAITH, WE GIVE VOICE TO ISSUES THAT AFFECT PEOPLE'S LIVES. 114144024 124329862 HOME AND COMMUNITY BASED SERVICES (HCBS) WAIVER SERVICES PROVIDED TO PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ARE SERVICES THAT CAN EITHER BE 24 HOUR OR INTERMITTENT SUCH AS RESPITE, FAMILY SUPPORT, PHYSICAL THERAPIES, TRANSPORTATION AND SUPPORTED EMPLOYMENT. MOSAIC SERVES 1,000 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 39588846 43121625 INTERMEDIATE CARE FACILITIES (ICF) - ICF SERVICES PROVIDE 24/7 SUPPORT FOR VERY MEDICALLY FRAGILE INDIVIDUALS WITH INTELLECTUAL OR DEVELOPMENTAL DISABILITIES. MOSAIC SERVES APPROXIMATELY 230 INDIVIDUALS ACROSS THE UNITED STATES UNDER THIS SERVICE CATEGORY. 16092894 51109873 MISCELLANEOUS SERVICES PROVIDED TO INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. 16092894 51109873 322226688 1 1 0 1 0 0 1 0 1 1 1 1 0 1 1 1 0 1 0 0 1 1 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 512 0 1 4236 1 1 1 1 BD 0 0 0 0 0 0 0 0 0 0 X 17 17 1 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X X SCOTT HOFFMAN 4028963884 4980 SOUTH 118TH STREET OMAHA NE 68137 LINDA TIMMONS CHIEF EXECUTIVE OFFICER 39.70 0.30 X 980676 0 177178 SCOTT HOFFMAN CHIEF FINANCIAL OFFICER 39.70 0.30 X 662258 0 13272 JOSEPH LYONS CHIEF LEGAL OFFICER 39.90 0.10 X 483472 0 18682 RENEE COUGHLIN CHIEF ADVANCEMENT OFFICER 39.90 0.10 X 439190 0 27518 JENNIFER LEDOUX CHIEF OPERATING OFFICER 39.90 0.10 X 364739 0 16931 PARKER MCKENNA CHIEF PEOPLE OFFICER 40.00 0.00 X 360577 0 16859 HEATHER GUNN SVP STRATEGIC INITIATIVES 39.90 0.10 X 306381 0 13605 MOLLY KENNIS VP OF OPERATIONS 40.00 0.00 X 285237 0 15913 ANDREA FERRUCCI VP OF OPERATIONS 40.00 0.00 X 282282 0 16856 ANGELA WEIS SVP MISSION SUPPORT 40.00 0.00 X 274414 0 20499 RAYMOND WALLACE ASSOCIATE VP FINANCE 40.00 0.00 X 284126 0 4042 KRISTIN ROSSOW VP OF ACCOUNTING 35.40 4.60 X 271590 0 15891 KATIE KELLY CHIEF INFORMATION OFFICER 40.00 0.00 X 267873 0 8897 STACY MORTON VP OF FINANCIAL PLANNING AND ANALYSIS 39.90 0.10 X 243359 0 15892 JENNIFER ZAJICEK VP OF OPERATIONAL EXCELLENCE 40.00 0.00 X 239236 0 14713 LISA PARTEH VP OF OPERATIONS 40.00 0.00 X 227291 0 19470 JULIE ZITTERGRUEN VP OF REVENUE CYCLE 35.40 4.60 X 230981 0 15033 PATRICK COSTIGAN VP OF OPERATIONS 40.00 0.00 X 229276 0 15463 ROBIN WESTFALL VP OF TALENT MANAGEMENT 40.00 0.00 X 217129 0 15193 NANCY POTTER DIR OF CLIN MNTL HEALTH 40.00 0.00 X 212728 0 14976 ERICA GIBSON VP OF HR SERVICES 40.00 0.00 X 219765 0 5819 PAULA BURTON VP OF HR OPERATIONS 40.00 0.00 X 215961 0 4951 HASSAN SHALLA AVP OF INFO TECHNOLOGY 40.00 0.00 X 216722 0 3472 TRACI GRUENBERGER STATE OPERATIONS DIRECTOR 40.00 0.00 X 204411 0 7884 AMBROSIA BELCHIC VP OF COMPLIANCE 40.00 0.00 X 197858 0 14065 ELENA FORBES SERVICE COORDINATOR 40.00 0.00 X 205812 0 0 CHERYL WICKS VP OF GOVERNMENT RELATIONS 40.00 0.00 X 195511 0 4333 REV KEITH HOHLY CHAIRPERSON 1.50 0.00 X X 0 0 0 PETER ENKO VICE CHAIRPERSON 1.50 0.00 X X 0 0 0 MONICA HOLLE SECOND VICE CHAIRPERSON 1.50 0.00 X X 0 0 0 SARAH MEEK SECRETARY 1.50 0.00 X X 0 0 0 PATRICIA NIMTZ DIRECTOR 1.50 0.00 X 0 0 0 JODI BENJAMIN DIRECTOR 1.50 0.00 X 0 0 0 ROBERT GRAULICH DIRECTOR 1.50 0.00 X 0 0 0 KAREN PEPPMULLER DIRECTOR 1.50 0.00 X 0 0 0 DR MICAH PROCHASKA DIRECTOR 1.50 0.00 X 0 0 0 DR JOE N SAVAGE JR DIRECTOR 1.50 0.00 X 0 0 0 DR ADAM D WELLS DIRECTOR 1.50 0.00 X 0 0 0 ELIZABETH WILLIS DIRECTOR 1.50 0.00 X 0 0 0 YING KATHY SHENG DIRECTOR 1.50 0.00 X 0 0 0 MERCY NDOSI-SHOO DIRECTOR 1.50 0.00 X 0 0 0 THE REV RACHEL MITHELMAN DIRECTOR 1.50 0.00 X 0 0 0 WEADE JAMES DIRECTOR 1.50 0.00 X 0 0 0 LAKELYN EICHENBERGER DIRECTOR 1.50 0.00 X 0 0 0 MARK NICHOLSON DIRECTOR THRU 10/2024 1.50 0.00 X 0 0 0 MICHELLE THOMPSON DIRECTOR THRU 10/2024 1.50 0.00 X 0 0 0 8318855 0 517407 124 0 1 0 GRAPETREE MEDICAL STAFFING PO BOX 5340 SIOUX FALLS SD 57117 TEMP STAFFING 2505171 EPIC CONSTRUCTION 16404 HWY 75 S BELLEVUE NE 68123 CONSTRUCTION AND REPAIRS 1694778 MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK NY 100875068 TEMP STAFFING 1167889 DDN CONSULTING SERVICES LLC PO BOX 185010 HAMDEN CT 06518 NURSING SERVICES 1040285 ASPIRE CONSULTING LLC 12935 N OUTER FORTY RD STE 201 ST LOUIS MO 63141 IT CONSULTING 731025 58 9181051 2317945 10720 2975 11509716 PROGRAM SERVICE REVENU 624100 372596485 372596485 MANAGEMENT FEES 541610 7290551 7290551 RENTAL INCOME 532000 968455 968455 380855491 4610221 30689 4579532 3782 3782 214259 28144 186115 186115 186115 890247 215133 675114 675114 675114 171 57 114 114 INSURANCE PROCEEDS 900099 617953 617953 PURCHASING CARD REBATE 900099 96564 96564 2991920 2991920 3706437 401546990 384562042 30689 5444543 X 455274 455274 202398 202398 7346025 7346025 148364996 127035922 19950279 1378795 1408936 1308922 91363 8651 17115939 14246092 2770187 99660 11401636 9539347 1766857 95432 492878 53130 319748 120000 181816 181816 32588 32588 126116 126116 138127543 135233972 2799206 94365 6216501 5931968 276048 8485 13579404 12465297 1109164 4943 4758452 4628319 117463 12670 1968085 559447 1244330 164308 1660376 333690 1326686 9241519 3200284 6041235 3822505 3753835 68602 68 DUES & MEMBERSHIPS 4176822 513239 3639512 24071 BAD DEBT EXPENSE 505268 463105 42163 CFR EXPENSE 100064 15644 18084 66336 5391913 2254215 2669289 468409 376677054 322226688 51778057 2672309 48678095 59206065 56429955 61082203 31787590 30617323 0 3412 2351107 6694582 121387761 84390335 37215322 36997426 30506773 31056356 12463317 18370107 7643271 17265315 227075430 261292789 24194749 23031117 1484370 2238332 12406904 24858302 10318878 8277510 20026079 18520761 68430980 76926022 X 157596979 183275845 1047471 1090922 158644450 184366767 227075430 261292789 X 24869936 490578 361803 X X 0 1 X 1 1 1 X 10560753 19390548 11184083 10367471 11509716 63012571 269513083 320706511 337971446 355087337 380855491 1664133868 280073836 340097059 349155529 365454808 392365207 1727146439 226 3020 1465 3626 4018 12355 0 226 3020 1465 3626 4018 12355 1727134084 532787 454511 2158244 4043681 4797573 11986796 53623 25302 50106 42641 30689 202361 586410 479813 2208350 4086322 4828262 12189157 712373 397120 983906 3785821 3706437 9585657 281372619 340973992 352347785 373326951 400899906 1748921253 0.98750 0.99080 0.00700 0.00510 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 1 0 1 1 1 32588 32588 0 PART II-B, LINE 1: DURING THE PAST YEAR, MOSAIC ENGAGED IN VARIOUS NON-PARTISAN ACTIVITIES TO INFLUENCE SPECIFIC LEGISLATION IMPACTING THE PEOPLE THE ORGANIZATION SUPPORTS. MOSAIC ENGAGED ADVOCATES ON SOCIAL MEDIA ABOUT ISSUES IMPACTING THE PEOPLE MOSAIC SUPPORTS, INCLUDING PROVIDING A LINK FOR ADVOCATES TO CONTACT THEIR MEMBERS OF CONGRESS. MOSAIC ADVERTISED ON SOCIAL MEDIA. MOSAIC ALSO SENT CORRESPONDENCE TO PEOPLE AFFILIATED WITH THE ORGANIZATION INFORMING THEM ABOUT PREVAILING PUBLIC POLICY ISSUES IMPACTING THE PEOPLE MOSAIC SUPPORTS AND PROVIDING CONTACT INFORMATION FOR MEMBERS OF CONGRESS. MOSAIC AS AN ORGANIZATION ENGAGED ITS MEMBERS OF CONGRESS THROUGH LETTERS, EMAILS, AND OFFICE VISITS. MOSAIC ALSO SENT A VARIETY OF ACTION ALERTS TO ITS ADVOCACY NETWORK. X X X 1 80.00 1 0 1 1802914 21787370 21826063 1764221 0 51961081 3835790 5511462 6651710 54656623 49559857 1585088 5093667 4277531 51961081 45918481 2333615 3616595 2308834 49559857 50067707 1732294 -3358135 2523385 45918481 40344859 4139307 7685646 2102105 50067707 0.84066 0.14726 0.01208 0 1 1 4289292 4289292 87845512 61512682 26332830 1074604 931240 143364 11890998 10952886 938112 16287355 10993527 5293828 36997426 110000 C INVESTMENT IN BICO 24020244 C INVESTMENT IN SALES TYPE LEASE 6926112 C 31056356 AFFILIATE RECEIVABLES 1250232 MISCELLANEOUS RECEIVABLES 3703451 INTERUNIT RECEIVABLE 1049800 INVESTMENT IN PROPERTY 905000 RECEIVABLE FROM SOREO 10356832 17265315 REFUNDABLE FEES 21208 CRATS PAYABLE 478119 LIABILITY FOR PENSION BENEFITS 6626592 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 4575817 LEASE LIABILITY 6819025 18520761 X PART II, LINE 9: THE FINANCIAL STATEMENTS FOR MOSAIC AND ITS AFFILIATES DO NOT CONTAIN ANY INFORMATION REGARDING THE CONSERVATION EASEMENT. PART IV, LINE 1B: MOSAIC IS THE REPRESENTATIVE-PAYEE FOR THE PERSONAL FUNDS OF A NUMBER OF INDIVIDUALS IN SERVICE. MOSAIC DOES NOT OWN THE ACCOUNTS. IN PREVIOUS YEARS, THE ACCOUNTING FOR SUCH ACTIVITIES OCCURRED AT THE AGENCY LEVEL AND AN AGGREGATE ACCOUNTING OF SUCH SERVICES WAS NOT POSSIBLE. MOSAIC TRACKS ALL ACCOUNT ACTIVITIES, AND THE NUMBERS LISTED ON PART IV, LINES 1C - 1F ACCURATELY REFLECT THE AGGREGATE BALANCE OF THESE ACCOUNTS. PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED FOR SUPPORT OF MOSAIC'S LONG TERM COMMITMENT TO ITS MISSION AND FOR CAPITAL IMPROVEMENTS AND GENERAL OPERATIONS. THE ENDOWMENT FUNDS ARE HELD BY THE MOSAIC FOUNDATION. PART X, LINE 2: MOSAIC BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. MOSAIC WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 SUB-SAHARAN AFRICA GRANTS TO NONPROFIT ORGANIZATIONS FOR PROGRAM SERVICES THAT SUPPORT MOSAIC'S MISSION. GRANTS PAID TO SUPPORT THE DEVELOPMENT OF SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND PROVIDE CENTER-BASED AND IN-HOME SUPPORT FOR CHILDREN WITH DISABILITIES AND THEIR CAREGIVERS. 202398 0 0 0 0 0 0 202398 0 202398 SUB-SAHARAN AFRICA SUPPORT DEVELOPMENT OF SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. CENTER-BASED AND IN-HOME SUPPORT FOR CHILDREN WITH DISABILITIES AND THEIR CAREGIVERS. 202398 WIRE TRANSFER 0 1 0 0 0 1 0 0 0 PART I, LINE 2: WE HAVE SEVERAL METHODS TO TRACK THE USE OF FUNDS GIVEN EXCLUSIVELY BY DONORS TO MOSAIC INTERNATIONAL FOR USE BY THE EVANGELICAL LUTHERAN CHURCH IN TANZANIA (ELCT). MOSAIC INTERNATIONAL AND THE ELCT HAVE A MEMORANDUM OF UNDERSTANDING (MOU) THAT OUTLINES THE RESPONSIBILITIES OF EACH PARTY ALONG WITH FINANCIAL REPORTING REQUIREMENTS. THIS MOU IS RENEGOTIATED AND SIGNED EVERY TWO YEARS. FUNDS SENT INTERNATIONALLY TO THE ELCT ARE FOR THE EXCLUSIVE USE OF BUILDING A CARING COMMUNITY (BCC), AN ORGANIZATION OPERATING UNDER THE ELCT. CURRENTLY, BCC NEEDS TO SUBMIT TWO FINANCIAL REPORTS PER YEAR SHOWING PROGRAM EXPENDITURES. ADDITIONAL MONITORING IS DONE THROUGH THE CARMAN INTERNATIONAL FELLOWSHIP. A FELLOW ON A 13-MONTH CONTRACT WITH MOSAIC IS DEPLOYED TO MOSHI, TANZANIA TO WORK IN PARTNERSHIP WITH BCC. ONE PART OF THE FELLOW'S DUTIES IS TO ASSIST WITH AND MONITOR FUNDS SENT BY MOSAIC. REPRESENTATIVES FROM MOSAIC ALSO TRAVEL TO VISIT THE ELCT AND BCC TWO TO THREE TIMES PER YEAR WHICH ALLOWS US TO FURTHER MONITOR USE OF DONOR FUNDS. FINALLY, MONTHLY CALLS ARE HELD WITH THE DIRECTOR OF BCC WHICH PROVIDES A COMMUNICATION AVENUE TO COMMUNICATE HOW FUNDS ARE TO BE USED. X X 1 ZACHARIAS ADVANCEMENT 2206 N MAIN ST WHEATON IL 60187 CONSULTING 0 0 126116 0 126116 1 MOSAIC HOUSING CORP I 4980 S 118TH STREET OMAHA NE 68137 363756911 501(C)(3) 9000 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP II 4980 S 118TH STREET OMAHA NE 68137 470773689 501(C)(3) 96700 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP VII 4980 S 118TH STREET OMAHA NE 68137 470828015 501(C)(3) 12500 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP VIII 4980 S 118TH STREET OMAHA NE 68137 470828012 501(C)(3) 13963 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XVII - BEATRICE 4980 S 118TH STREET OMAHA NE 68137 261710013 501(C)(3) 43390 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XVIII - OSCEOLA-WAUKON 4980 S 118TH STREET OMAHA NE 68137 261710184 501(C)(3) 58900 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XXII - LOGAN 4980 S 118TH STREET OMAHA NE 68137 273483415 501(C)(3) 21890 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XV - COUNCIL BLUFFS 4980 S 118TH STREET OMAHA NE 68137 205765691 501(C)(3) 45808 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP IX 4980 S 118TH STREET OMAHA NE 68137 742838413 501(C)(3) 19900 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP X 4980 S 118TH STREET OMAHA NE 68137 742908789 501(C)(3) 17660 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XI 4980 S 118TH STREET OMAHA NE 68137 311706640 501(C)(3) 9080 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XII 4980 S 118TH STREET OMAHA NE 68137 481297244 501(C)(3) 31983 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XIII 4980 S 118TH STREET OMAHA NE 68137 421626679 501(C)(3) 8000 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP XIX - WINFIELD 4980 S 118TH STREET OMAHA NE 68137 261710259 501(C)(3) 28500 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC ILLINOIS HOUSING CORP I 4980 S 118TH STREET OMAHA NE 68137 202997161 501(C)(3) 7000 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC ILLINOIS HOUSING CORP II 4980 S 118TH STREET OMAHA NE 68137 204417645 501(C)(3) 7000 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC HOUSING CORP IV 4980 S 118TH STREET OMAHA NE 68137 911823422 501(C)(3) 8000 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. MOSAIC ILLINOIS HOUSING OF ROCKFORD I 4980 S 118TH STREET OMAHA NE 68137 204841856 501(C)(3) 11000 0 THE GRANT PROVIDED IS TO THE RELATED ORGANIZATION TO FURTHER ITS TAX EXEMPT FUNCTION. 19 0 PART I, LINE 2: GRANTS ARE PROVIDED TO RELATED ORGANIZATIONS TO FURTHER THEIR TAX EXEMPT FUNCTIONS. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 LINDA TIMMONS CHIEF EXECUTIVE OFFICER 805318 0 175358 0 0 0 167014 0 10164 0 1157854 0 0 0 SCOTT HOFFMAN CHIEF FINANCIAL OFFICER 501652 0 160606 0 0 0 3108 0 10164 0 675530 0 0 0 JOSEPH LYONS CHIEF LEGAL OFFICER 336132 0 147340 0 0 0 18682 0 0 0 502154 0 0 0 RENEE COUGHLIN CHIEF ADVANCEMENT OFFICER 293514 0 145676 0 0 0 17354 0 10164 0 466708 0 0 0 JENNIFER LEDOUX CHIEF OPERATING OFFICER 301429 0 63310 0 0 0 16931 0 0 0 381670 0 0 0 PARKER MCKENNA CHIEF PEOPLE OFFICER 298906 0 61671 0 0 0 16859 0 0 0 377436 0 0 0 HEATHER GUNN SVP STRATEGIC INITIATIVES 253516 0 52865 0 0 0 13605 0 0 0 319986 0 0 0 MOLLY KENNIS VP OF OPERATIONS 226849 0 58388 0 0 0 6271 0 9643 0 301151 0 0 0 ANDREA FERRUCCI VP OF OPERATIONS 227800 0 54482 0 0 0 6692 0 10164 0 299138 0 0 0 ANGELA WEIS SVP MISSION SUPPORT 233000 0 41414 0 0 0 10335 0 10164 0 294913 0 0 0 RAYMOND WALLACE ASSOCIATE VP FINANCE 216534 0 67592 0 0 0 4042 0 0 0 288168 0 0 0 KRISTIN ROSSOW VP OF ACCOUNTING 237177 0 34413 0 0 0 5727 0 10164 0 287481 0 0 0 KATIE KELLY CHIEF INFORMATION OFFICER 224504 0 43369 0 0 0 8897 0 0 0 276770 0 0 0 STACY MORTON VP OF FINANCIAL PLANNING AND ANALYSIS 203253 0 40106 0 0 0 5728 0 10164 0 259251 0 0 0 JENNIFER ZAJICEK VP OF OPERATIONAL EXCELLENCE 201483 0 37753 0 0 0 4549 0 10164 0 253949 0 0 0 LISA PARTEH VP OF OPERATIONS 194341 0 32950 0 0 0 5358 0 14112 0 246761 0 0 0 JULIE ZITTERGRUEN VP OF REVENUE CYCLE 199973 0 31008 0 0 0 4869 0 10164 0 246014 0 0 0 PATRICK COSTIGAN VP OF OPERATIONS 188107 0 41169 0 0 0 5299 0 10164 0 244739 0 0 0 ROBIN WESTFALL VP OF TALENT MANAGEMENT 180493 0 36636 0 0 0 5029 0 10164 0 232322 0 0 0 NANCY POTTER DIR OF CLIN MNTL HEALTH 192727 0 20001 0 0 0 0 0 14976 0 227704 0 0 0 ERICA GIBSON VP OF HR SERVICES 183515 0 36250 0 0 0 4951 0 868 0 225584 0 0 0 PAULA BURTON VP OF HR OPERATIONS 179711 0 36250 0 0 0 4951 0 0 0 220912 0 0 0 HASSAN SHALLA AVP OF INFO TECHNOLOGY 178463 0 38259 0 0 0 0 0 3472 0 220194 0 0 0 TRACI GRUENBERGER STATE OPERATIONS DIRECTOR 168047 0 36364 0 0 0 0 0 7884 0 212295 0 0 0 AMBROSIA BELCHIC VP OF COMPLIANCE 162835 0 35023 0 0 0 4531 0 9534 0 211923 0 0 0 ELENA FORBES SERVICE COORDINATOR 74953 0 130859 0 0 0 0 0 0 0 205812 0 0 0 CHERYL WICKS VP OF GOVERNMENT RELATIONS 160896 0 34615 0 0 0 4333 0 0 0 199844 0 0 0 PART I, LINE 1A EVERY EMPLOYEE ENROLLED IN A HEALTH PLAN CAN BE REIMBURSED UP TO $25 PER MONTH FOR GYM MEMBERSHIPS OR INITIATION FEES. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. PART I, LINE 4B LINDA TIMMONS PARTICIPATES IN A SALARY CONTINUATION PLAN CLASSIFIED AS A NONQUALIFIED RETIREMENT PLAN PLAN. LINDA TIMMONS AND SCOTT HOFFMAN PARTICIPATE IN A BENEFITS CONTINUATION PLAN. THE CHANGE IN THE ANNUAL ACTUARIAL VALUE IS REPORTED IN COLUMN (C). SCHEDULE J, PART II, COLUMN B: DURING CALENDAR YEAR 2024, MIKE LYONS, RENEE COUGHLIN, AND SCOTT HOFFMAN RECEIVED A PAYOUT AS PART OF A RETENTION AGREEMENT, AND IS REFLECTED IN THEIR COMPENSATION. DURING CALENDAR YEAR 2024, MOSAIC TRANSITIONED TO A FLEXIBLE TIME OFF PLAN. EMPLOYEES IMPACTED BY THE TRANSITION RECEIVED A ONE TIME PAYOUT OF THEIR ACCRUED PTO, AND IS REFLECTED IN THEIR COMPENSATION. 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. A ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY 813526584 000000000 2024-09-26 12212142 SEE PART VI 0 0 0 B ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY 813526584 000000000 2024-11-01 16535362 REFUND TAXABLE BOND (9/26/2004) 0 0 0 A 2729754 12212142 12212142 1 0 1 1 B 777576 16535362 16646444 2024 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 1 B 1 PART IV, COLUMN A, LINE 2C: ISSUER NAME: ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE WAS PERFORMED: 03/26/2025 PART IV, COLUMN B, LINE 2C: ISSUER NAME: ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE WAS PERFORMED: 05/01/2025 PART IV, LINE 2C: NOTE REGARDING THE REBATE COMPUTATIONS ON 3/26/2025 AND 5/1/2025: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. PART I, COLUMN A, (F): REFUND PRIOR ISSUES (6/29/2017, 11/1/2017, 10/31/2018, 12/2/2019) PART II, COLUMN B, LINE 11 THE ISSUE PRICE ON LINE 3 IS DIFFERENT THAN LINE 11, DUE TO THE BORROWER USING OTHER CASH IN THE AMOUNT OF $111,082 TO PAY THE PRINCIPAL OF THE TAXABLE BOND IMMEDIATELY PRIOR TO THE REISSUANCE OF THE REMAINING TAXABLE BONDS. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, DURING THE INTERIM BETWEEN REGULAR OR SPECIAL MEETINGS OF THE BOARD, SHALL HAVE AUTHORITY TO DO ALL THINGS NECESSARY FOR THE CONDUCT OF THE CORPORATE AFFAIRS WHICH THE BOARD OF DIRECTORS COULD UNDERTAKE EXCEPT AS MAY BE PROHIBITED BY LAW, BY THE BYLAWS, OR BY RESOLUTION OF THE BOARD OF DIRECTORS, PROVIDED HOWEVER, THAT THE EXECUTIVE COMMITTEE SHALL EXERCISE ITS AUTHORITY TO ACT ON BEHALF OF THE FULL BOARD ONLY WHEN A DECISION MUST BE MADE AND THERE IS INSUFFICIENT TIME TO ASSEMBLE A MEETING OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 SCOTT HOFFMAN AND LINDA TIMMONS HAVE A BUSINESS RELATIONSHIP AS THE CHIEF FINANCIAL OFFICER OF MOSAIC AND CHIEF EXECUTIVE OFFICER OF MOSAIC. IN THESE ROLES THEY MANAGE MOSAIC. FORM 990, PART VI, SECTION A, LINE 7A THE EVANGELICAL LUTHERAN CHURCH IN AMERICA APPOINTS THREE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MOSAIC BOARD OF DIRECTORS MAY MAKE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION WITHOUT OTHER APPROVAL WITH THE EXCEPTION OF SECTIONS 8 AND 10. AMENDMENTS TO SECTIONS 8 AND 10 OF THE ARTICLES OF INCORPORATION REQUIRE PRIOR WRITTEN CONSENT OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. SECTION 8 OF THE ARTICLES OF INCORPORATION SPECIFIES WHERE ASSETS WOULD BE TRANSFERRED UPON THE LIQUIDATION OF MOSAIC, AND SECTION 10 COVERS MOSAIC'S AFFILIATION WITH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY THE ORGANIZATION'S OUTSIDE ACCOUNTING FIRM. THE CHIEF FINANCIAL OFFICER, THE ORGANIZATION'S OUTSIDE ACCOUNTING FIRM, AND THE CHIEF EXECUTIVE OFFICER REVIEW THE RETURN. THE FINANCE AND AUDIT COMMITTEE AND THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE RETURN PRIOR TO FILING FORM 990. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, EACH BOARD DIRECTOR COMPLETES A CONFLICT OF INTEREST FORM AND SUBMITS IT TO THE CHAIRPERSON OF THE BOARD INTEGRITY COMMITTEE. ANY FINANCIAL CONFLICTS OF INTEREST ARE REPORTED TO THE CHIEF FINANCIAL OFFICER FOR REPORTING ON THE FORM 990. WITHIN 90 DAYS OF THEIR HIRE DATE, ALL STAFF COMPLETE A CONFLICT OF INTEREST FORM. STAFF ARE NOTIFIED ANNUALLY THEY MUST COMPLETE A NEW CONFLICT OF INTEREST FORM IF THERE HAVE BEEN ANY CHANGES SINCE THEY LAST SUBMITTED THE FORM. ALL REPORTED CONFLICTS OF INTEREST ARE REVIEWED BY HUMAN RESOURCES, OPERATIONS AND COMPLIANCE DEPARTMENTS. ANY CONFLICTS OF INTEREST OF THE CHIEF EXECUTIVE OFFICER ARE REPORTED TO THE BOARD OF DIRECTORS. CONFLICTS OF INTEREST OF SENIOR STAFF ARE REVIEWED BY THE CHIEF PEOPLE OFFICER AND VICE PRESIDENT OF COMPLIANCE AND REPORTED TO THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER FOR REPORTING ON THE FORM 990. ANY NEW CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR ARE REQUIRED TO BE REPORTED AT THAT TIME. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS ESTABLISHED AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE WILL BE GUIDED BY THE CONSULTANT'S ANALYSIS AND EXPERTISE, APPROVE THE COMPENSATION OF THE CEO, AND REPORT ITS ACTIONS TO THE FULL BOARD. THE CEO, WORKING WITHIN SALARY RANGES BASED UPON MARKET DATA GATHERED BY THE CONSULTANT, SETS THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. MINUTES, DOCUMENTATION OF THE INDEPENDENT CONSULTANT'S ANALYSIS, REPORT AND RECOMMENDATIONS ARE MAINTAINED AS PART OF THE RECORD OF THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 INDIVIDUALS MAY REQUEST MOSAIC'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS THROUGH AN EMAIL REQUEST FORM AVAILABLE ON MOSAIC'S PUBLIC WEBSITE (WWW.MOSAICINFO.ORG). FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 547,352. MANAGEMENT AND GENERAL EXPENSES 467,135. FUNDRAISING EXPENSES 61,974. TOTAL EXPENSES 1,076,461. DAY/HOST SERVICES: PROGRAM SERVICE EXPENSES 134,551,505. MANAGEMENT AND GENERAL EXPENSES 216,858. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 134,768,363. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 135,115. MANAGEMENT AND GENERAL EXPENSES 2,115,213. FUNDRAISING EXPENSES 32,391. TOTAL EXPENSES 2,282,719. FORM 990, PART XI, LINE 9: POSTRETIREMENT BENEFIT RELATED CHANGES OTHER THAN NET PERIODIC COST -30,323. OTHER TRANSFER OF LIABILITIES -1,581,038. CASH TRANSFER FROM THE OAKS OF DUNN COUNTY DISSOLUTION 1,973,164. FORM 990, PART XII, LINE 2C: THE FINANCE AND AUDIT COMMITEE OVERSEES THE AUDIT & SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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