Mosaic Life Care
Legal name: Northwest Medical Center Association Inc
Nonprofit profile at a glance
- EIN
- 440580870
- IRS 990 coverage
- 2011–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Albany, MO, US
- Phone
- (660) 726-3941
- Rating
- 69
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
Reported finances
- Revenue
- $28,038,978
- Expenses
- $27,234,807
- Assets
- $21,952,080
- Liabilities
- $10,902,115
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
15 people listed
Executive titles in this filing
- John M Poore (Director/CEO)
- Katie Dias DO (President - Mosaic Life Care Albany)
- Mark Laney MD (Former Director/CEO)
Highest reported compensation
- John M Poore (Director/CEO): $1,634,941 total reported compensation
- Davin J Turner DO (Director): $979,883 total reported compensation
- Drew M Keesbury (CFO/Treasurer): $838,306 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To put the needs of the patient first by empowering a culture where caregivers bring their best, ensuring a healthier future for generations to come.
What it reported doing in 2024
Northwest Medical Center Association (Mosaic-Albany) is a critical access hospital located in Albany, Missouri, and operates clinics in Albany, Grant City, New Hampton, and Stanberry. Its primary service area is predominantly rural and includes Gentry and Worth counties located in northwest Missouri. According to the 2024 U.S. census estimates, the population in the two-county service area is approximately 8,170, which includes a high percentage of low-income families. The economy of the region is based on agriculture, minor manufacturing and small businesses resulting in a payor mix for Mosaic-Albany approximately 70.46% governmental or self-pay patients. 13.95% of the population have an income that is below the federal poverty level. Mosaic-Albany offers both inpatient and outpatient services including emergency care, plus convenient clinics, and specialty care services. During the year, approximately 378 patients were admitted to the hospital resulting in approximately 1,934 patient days. The emergency room served approximately 2,337 patients and approximately 15,171 clinic visits were generated. In FY2025, the outpatient visits methodology was revised to only include clinic provider visits within a specified CPT range. We seek to improve the health of area individuals and communities. The Organization is a member of the Mayo Network for clinical consultations.
Operating model
- Revenue model
- Other-operating. 97% of the money available for current operations came from other operating revenue.
- 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. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.
Rating breakdown
- Financial Efficiency: 74
- Transparency & Controls: 71
- Accountability: 56
- Sustainability: 37
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 82.4%; rating input score 82
- Program expense ratio: 84.7%; rating input score 85
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd 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; 7th 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: 2.9%; rating input score 46; 46th percentile among comparable filings
- Total-asset coverage ratio: 0.81; rating input score 29; 29th percentile among comparable filings
- Liabilities to assets ratio: 0.5; rating input score 29; 29th percentile among comparable filings
- Officer compensation ratio: 7.9%; rating input score 30; 30th percentile among comparable filings
Growth
- Program expense growth: 2.8% per year; rating input score 100; 24th percentile among comparable filings
- Revenue growth: 4.5% per year; rating input score 100; 39th percentile among comparable filings
- Asset growth: 2.2% per year; rating input score 100; 19th percentile among comparable filings
Details
- What they do: 2 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 82.4% of revenue deployed · 84.7% of spending went to programs
- Governance: 2 of 5 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $23.1M in reported program spending
- Leadership: top reported pay $1.6M · 15 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 2 contractors listed · $244K reported
- Consistency: 33 of 33 current checks pass
- Schedules: 8 filed schedules · includes major donors, executive pay, and related organizations
- Filing history: 12 filing years from 2011 to 2024
- Contacts: How to reach this organization
- Money network: 6 filed money-flow records
- Related organizations: 10 filed related-organization links
- 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.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Moderate — Accountability: Independent voting board scored 40/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- Moderate — Sustainability: Operating margin scored 46/100.
- High — Sustainability: Total-asset coverage ratio scored 29/100.
- High — Sustainability: Liabilities to assets ratio scored 29/100.
- Moderate — Sustainability: Officer compensation ratio scored 30/100.