Mosaic of Central Iowa

What Mosaic of Central Iowa does

Mosaic of Central Iowa is the Urbandale/Des Moines regional operation of Mosaic, a 501(c)(3) nonprofit healthcare organization that provides person-centered services to people with intellectual and developmental disabilities, autism, mental and behavioral health needs, and aging adults. The organization traces to Bethphage Mission (founded 1913 in Axtell, Nebraska) and Martin Luther Home (founded 1925 in Sterling, Nebraska), which merged in 2003 to form Mosaic. As of FY2025 (year ended June 30, 2025), Mosaic and Affiliates reported total revenue of $431,097,000, served nearly 5,000 people across 825+ communities in 12 states, and employed 3,000+ professionals plus nearly 2,700 independent contractors.

Central Iowa services include 24/7 residential supports, as-needed home and community supports, children's services, behavioral health and autism services, and senior care delivered through the Soreo sub-brand. The portfolio also covers Mosaic at Home shared living/host homes, Rejoicing Spirits faith ministry, day services, employment-skills training, medical and nursing services, personal care, targeted case management, and transition services. Operationally, Mosaic has deployed smart-home assistive technology — Amazon Alexa integration for voice-activated staff contact, smart toothbrushes, scales, thermometers, doorbells, smoke detectors, stove knobs, and wall plugs — to enable greater independence for the people it serves. More than 150 employees have earned autism certifications through the IBCCES partnership.

The business model is funded predominantly by State and Federal Medicaid service revenue, supplemented by donor contributions (one-time gifts, monthly giving, pledges, stocks, mutual funds, donor-advised funds, IRA distributions, and planned gifts). Mosaic is affiliated with the Evangelical Lutheran Church in America (ELCA) as a Social Ministry Organization and holds United Nations Special Consultative Status on disability, development, and rights. Pricing for services is not publicly disclosed because reimbursement is administered through state Medicaid programs and donor channels.

Name

Mosaic of Central Iowa

Legal name

Mosaic

Website

https://mosaicinfo.org

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Mosaic is a 501(c)(3) nonprofit healthcare organization providing residential, home- and community-based, behavioral health, autism, and senior care services to nearly 5,000 people with intellectual and developmental disabilities across 12 states, funded primarily through Medicaid and donor contributions.

Ownership category

akta.pro rank

Product category

Disability and Behavioral Health Services

NAICS

Residential Intellectual and Developmental Disability Facilities (62321), Services for the Elderly and Persons with Disabilities (624120), Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331), Child Care Services (6244)

SIC

Services-Social Services (8300), Services-Nursing & Personal Care Facilities (8050), Services-Home Health Care Services (8082)

akta.pro primary industry

Specialized Assisted Living for Developmental/Intellectual Disabilities (Adult) (HLADABAJ)

akta.pro secondary industries

Specialized Residential Special Education Programs (EDAKAAAH), Special Needs Adult Day Programs (Developmental/Physical Disabilities, Seniors) (HLADAIAI), Autism Classroom & School Program Support (Inclusion/Resource) (EDAKAKAC), Autism (ASD) Support Childcare (HSAAAIAA)

Keywords

• Disability support services
• Developmental disabilities care
• Behavioral health services
• Senior in-home care
• Autism support services

Headquarters

HQ city

Urbandale

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Medicaid Service Revenue: Mosaic's primary service revenue comes from State and Federal Medicaid funds. This funding provides for people's basic needs but is not sufficient to empower people to live the life they desire.
2. Donor Contributions: Mosaic relies on donor generosity to make a life of possibilities a reality when government funding is insufficient. Accepts one-time gifts, monthly giving, pledges, stocks, mutual funds, donor advised funds, IRA distributions, and planned gifts.
3. Total Revenue: Mosaic and Affiliates Total Revenue for year ended June 30, 2025 was $431,097,000.

Go-to-market motion2 records

Distribution channels6 records

Marketing channels8 records

Core offering

Mosaic of Central Iowa provides person-centered residential and community support services for people with intellectual and developmental disabilities, mental and behavioral health needs, autism, and aging adults across Central Iowa. Core offerings include 24/7 residential supports, as-needed home and community supports, group homes, host houses (Mosaic at Home shared living model), behavioral health and autism services, and senior in-home care through the Soreo sub-brand. Services are funded primarily through Medicaid and supplemented by donor contributions.

Product overview

Mosaic is a nonprofit healthcare organization providing a comprehensive portfolio of whole-person services across 12 states. The organization operates as a unified platform offering intellectual and developmental disabilities services (including 24/7 Residential Supports, as-needed home and community supports, and children's services), Behavioral Health and Autism Services (with dual diagnosis support and IBCCES-certified caregiver training), and senior care through its Soreo sub-brand. Core programs include Mosaic at Home shared living, Rejoicing Spirits faith ministry, and various community-based supports including day services, employment skills training, medical/nursing care, personal care, targeted case management, and transition services. The portfolio enables personalized care from 24/7 residential to hourly supports, serving nearly 5,000 people with disabilities, autism, mental health needs, and aging adults.

Differentiator

Problem solved

Functional benefit

Brands

• Soreo: Senior services brand providing in-home support to aging adults including bathing, grooming, companionship, housekeeping, meal preparation, medication reminders, transportation, and respite services.
• Living Innovations
• Building a Caring Community (BCC)

Products and services

• Intellectual and Developmental Disabilities Services Person-centered services empowering people with intellectual and developmental disabilities to live full and meaningful lives. Includes 24/7 Residential Supports, as-needed home and community supports, group homes, children's services, day services, employment skills, supported living, personal care, medical/nursing services, targeted case management, and transition services.
• Behavioral Health and Autism Services Whole-person healthcare partnering with families, schools and providers to build support plans promoting individual success. Includes dual diagnosis support, board-certified behavior analysts, and autism caregiver training through the IBCCES partnership, with more than 150 employees certified.
• Soreo Senior Care In-home support services helping aging adults maintain independence. Services include bathing, grooming, companionship, housekeeping, meal preparation, medication reminders, transportation, and respite services. Customized care plans matched with compatible direct care workers.
• Mosaic at Home Shared living/host home program where contracted providers share their home with individuals with intellectual or developmental disabilities, offering 24-hour supervision and support to help them become active community members.

Quantifiable outcome

• Net assets increased 12% in Fiscal Year 2025
• +2 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature5 records

Partnerships

Ten partnerships are on record, tiered minor, core, major and flagship.

• UnitedHealthcareminorOthers · 30 August 2024UnitedHealthcare awarded $114,500 in grants to seven organizations in Iowa including Mosaic to improve health outcomes by addressing social drivers of health such as food insecurity, mental health, homelessness, and supportive services.
• Building a Caring Community (BCC)coreStrategic or Co-development Partner · 1 January 1994Partnership with BCC and the Evangelical Lutheran Church in Tanzania (ELCT) to provide services to more than 300 children and young adults in the Moshi and Hai regions of Tanzania through day centers and outreach workers.
• Evangelical Lutheran Church in Tanzania (ELCT)coreStrategic or Co-development Partner · 1 January 1994Partnership with Building a Caring Community (BCC) to provide services to more than 300 children and young adults in Tanzania through day centers and outreach workers.
• Evangelical Lutheran Church in America (ELCA)coreStrategic or Co-development PartnerMosaic is an affiliated Social Ministry Organization of the ELCA. Through affiliation, the ELCA acknowledges that Mosaic's ministry of service and love is an essential expression of the church's call to meet human needs, advocate for dignity and justice, and work for peace and reconciliation.
• Lutheran Services in AmericacoreStrategic or Co-development PartnerLSA is a network of more than 300 Lutheran social ministry organizations who together provide a wide variety of care and services to people in need regardless of age, race, culture or religious affiliation. LSA touches 1 in 50 Americans every year. Mosaic is recognized as one of LSA's Frontline Heroes.
• The Council on Quality and Leadership (CQL)majorStrategic or Co-development PartnerCQL works with human service organizations and systems to define, measure, and improve quality of life and quality of services for people with intellectual and developmental disabilities, psychiatric disabilities, older adults, and children and youth.
• The American Network of Community Options and Resources (ANCOR)majorStrategic or Co-development PartnerANCOR is a national nonprofit trade association representing more than 1,400 private community providers of services to people with disabilities. Combined, the organizations support more than 1 million individuals with disabilities.
• United NationsflagshipStrategic or Co-development PartnerMosaic is one of only 47 organizations worldwide recognized with Special Consultative Status from the United Nations for expertise in 'Disability, Development and Rights.'
• The International Board of Credentialing and Continuing Education Standards (IBCCES)majorStrategic or Co-development PartnerMosaic partners with IBCCES which provides credentialing options for professionals who work with people with intellectual and developmental disabilities. Since the program's inception, more than 150 Mosaic employees have earned their autism certificate.
• United Lutheran SeminarymajorStrategic or Co-development PartnerMosaic partnered with Kindling Faith at United Lutheran Seminary to offer a five-month online educational series for church leaders on ministry areas such as worship, advocacy, and grief through the perspectives of individuals with intellectual and developmental disabilities.

Scale indicators8 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• Sevita Health: Sevita (formerly The MENTOR Network) is one of the largest U.S. providers of home and community-based services for people with intellectual and developmental disabilities (IDD), autism, and complex medical needs — directly comparable to Mosaic's core IDD residential and host-home model across multiple states.
• BrightSpring Health Services: BrightSpring operates a large IDD/home health platform serving individuals with intellectual and developmental disabilities and aging adults across the U.S., directly overlapping Mosaic's IDD residential, home and community, and pharmacy-supported service lines.
• Penn-Mar Human Services: Penn-Mar is a nonprofit provider of residential, day, and community-based supports for people with intellectual and developmental disabilities and autism, closely mirroring Mosaic's IDD service portfolio and faith-rooted mission model.
• Help at Home: Help at Home is a large Medicaid-funded personal care services provider serving individuals with intellectual, developmental, and physical disabilities and aging adults — comparable to Mosaic's as-needed home and community supports and Soreo senior services.
• RHA Health Services: RHA Health Services operates residential, behavioral health, and community-based supports for people with intellectual and developmental disabilities and behavioral health needs across multiple states — directly comparable to Mosaic's IDD and behavioral health offerings.

Broad incumbents

• Bayada Home Health Care: Bayada is one of the largest U.S. nonprofit home health and personal care providers, with overlapping adult and pediatric in-home services and Medicaid/private duty nursing — comparable to Mosaic's Soreo and nursing/personal care service lines at broader scale.
• Volunteers of America: Volunteers of America is a large faith-affiliated nonprofit providing housing, senior living, behavioral health, and disability services across the U.S. — broadly comparable to Mosaic's faith-based, multi-segment social services platform.

Others

• Lutheran Services in America: Lutheran Services in America is a network of more than 300 Lutheran social ministry organizations (including Mosaic) that together serve 1 in 50 Americans — thematically comparable as Mosaic's peer network and advocacy counterpart rather than a direct service competitor.

Emerging players

• Aveanna Healthcare: Aveanna provides private duty nursing, adult home care, and pediatric services including for children with intellectual and developmental disabilities — overlapping Mosaic's pediatric and personal care service lines.

Regional players

• Easterseals: Easterseals is a national nonprofit disability services network offering autism, behavioral health, and adult/senior day services; comparable in mission and service mix to Mosaic, though more distributed across independent affiliates rather than a single unified operator.

Market position

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/mosaicpossible
• Facebookfacebook.com/mosaicpossible
• LinkedInlinkedin.com/company/mosaic
• Instagraminstagram.com/mosaicpossible

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries2 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Mosaic of Central Iowa