Mosaic Life Care

What it reported doing in 2024

Mosaic medical center-maryville (mosaic-maryville) is a 35-bed medical surgical hospital located in maryville, Missouri. It serves a community of 10,200 residents. Because maryville is a border city, it also provides services to those living in the adjacent states of Kansas, Nebraska and Iowa. The economy of the region is based on agriculture, minor manufacturing and small businesses resulting in a payor mix for mosaic-maryville of approximately 64.80% governmental or no-pay patients. Mosaic-maryville provides a wide range of inpatient and outpatient services including vascular, orthopedic and general surgeries, and mental health services. It operates a 24-hour emergency room, and an obstetrics department provides 4 labor/delivery/recovery/post-partum beds. Mosaic-maryville reduced the bed count due to obtaining a critical access hospital designation in fy2025. During fy25, approximately 1,433 patients were admitted to mosaic-maryville resulting in approximately 7,122 patient days. A total of approximately 2,221 surgeries were performed; the emergency room served approximately 8,177 patients and approximately 96,453 visits were generated by outpatients. In fy2025, the outpatient visits methodology was revised to only include clinic provider visits within a specified cpt range. There were approximately 108,200 patient visits during the year. Other program services: the mosaic medical center-maryville has a 340b designation from health resources and services administration (federal government). This allows mosaic-maryville to receive outpatient drugs at reduced prices from the drug manufacturers. The 340b program enables covered entities to stretch scarce federal resources as far as possible, reaching more eligible patients and providing more comprehensive services. The program is available to hospitals that provide care for a disproportionate number of patients that range from no income to low income.

Financial Efficiency

• Mission deployment rate: 80.2%; rating input score 80
• Program expense ratio: 81.3%; rating input score 81
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 40%; rating input score 40; 11th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 1.4%; rating input score 40; 40th percentile among comparable filings
• Total-asset coverage ratio: 0.6; rating input score 23; 23rd percentile among comparable filings
• Liabilities to assets ratio: 0.6; rating input score 28; 28th percentile among comparable filings
• Officer compensation ratio: 4.5%; rating input score 20; 20th percentile among comparable filings

Growth

• Program expense growth: 12.2% per year; rating input score 100; 82nd percentile among comparable filings
• Revenue growth: 9.4% per year; rating input score 100; 74th percentile among comparable filings
• Asset growth: 9.9% per year; rating input score 100; 70th percentile among comparable filings