Mosaic Health Inc

Nonprofit profile at a glance

EIN
161293681
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Rochester, NY, USA
Phone
5853252280
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Official website

Reported finances

Revenue
$23,527,921
Expenses
$23,877,175
Assets
$21,725,990
Liabilities
$8,412,107

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

24 people listed

Executive titles in this filing

  • MICHAEL J LEARY (CEO/PRESIDENT)

Highest reported compensation

  • CYNTHIA L JONES MD (CHIEF MEDICAL OFFICER): $364,028 total reported compensation
  • MICHAEL J LEARY (CEO/PRESIDENT): $235,781 total reported compensation
  • MELISSA S COPELLA DDS (CHIEF DENTAL OFFIDER): $208,614 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Improve the health status of those who experience financial and other barriers to accessing health care through direct patient care, collaboration, advocacy, and direct funding.

What it reported doing in 2024

Mosaic health is a federally qualified health center that takes a proactive approach to ensure positive results for the most vulnerable, underserved and uninsured populations by providing primary care services and engaging in outreach, disease prevention, patient education and self-care management activities in urban and rural communities. Mosaic health accomplishes this through six owned health centers located in rushville, utica, lyons, mt. Morris and ilion, ny, a community dentistry program, and contractually through mosaic health's subrecipients at eleven additional public locations around the rochester area and at five school-based health centers located within schools in the rochester city school district. Assistance provided at the health centers in 2024 was for 80,097 patients.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 70
  • Transparency & Controls: 74
  • Accountability: 100
  • Sustainability: 29
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 79%; rating input score 79
  • Program expense ratio: 77.7%; rating input score 78
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -1.5%; rating input score 25; 25th percentile among comparable filings
  • Total-asset coverage ratio: 0.91; rating input score 33; 33rd percentile among comparable filings
  • Liabilities to assets ratio: 0.39; rating input score 38; 38th percentile among comparable filings
  • Officer compensation ratio: 9%; rating input score 25; 25th percentile among comparable filings

Growth

  • Program expense growth: 10.8% per year; rating input score 100; 73rd percentile among comparable filings
  • Revenue growth: 10.7% per year; rating input score 100; 77th percentile among comparable filings
  • Asset growth: 12.2% per year; rating input score 100; 73rd percentile among comparable filings

Details

  • Where the money goes: 79% of revenue deployed · 77.7% of spending went to programs
  • Governance: 13 of 13 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $18.6M in reported program spending
  • Leadership: top reported pay $364K · 24 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $1.2M reported
  • Consistency: 34 of 34 current checks pass
  • Schedules: 5 filed schedules · includes major donors and executive pay
  • Filing history: 13 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 11 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Operating margin scored 25/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 33/100.
  • High — Sustainability: Officer compensation ratio scored 25/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 38/100.