The Mosaic Foundation

What The Mosaic Foundation does

The Mosaic Foundation, operating through its affiliated entity Mosaic, is a 501(c)(3) nonprofit healthcare organization headquartered in Omaha, Nebraska, that delivers person-centered services to nearly 5,000 people with intellectual and developmental disabilities (IDD), autism and behavioral health needs, and aging adults across 12 U.S. states. Founded in 1913 as the Bethphage Mission and consolidated under the Mosaic name in 2003 through a merger with the Martin Luther Home (founded 1925), the organization traces its governance to the Evangelical Lutheran Church in America and operates as an affiliated social ministry. Service delivery is structured around three core lines — Intellectual and Developmental Disabilities Services (including 24/7 residential supports and as-needed home and community supports), Behavioral Health and Autism Services (with IBCCES-certified caregiver training), and Senior Care delivered through the Soreo sub-brand — supplemented by the Mosaic at Home host home/shared living model, the Rejoicing Spirits inclusive ministry program, and Mosaic International partnerships in Tanzania, Latvia, and Romania.

The underlying service model is labor-intensive, supported by a workforce of more than 3,000 employees and nearly 2,700 independent contractors, with technology integration limited to consumer-grade smart home devices (Alexa, smart sensors, connected appliances) used to enable independent living in Connecticut apartment settings and remote staff monitoring. Mosaic is HIPAA-compliant, holds Platinum Transparency status from Candid (formerly GuideStar), and has been granted Special Consultative Status from the United Nations — placing it among only 47 organizations worldwide with this designation in the disability, development, and rights domain.

Mosaic's revenue model is hybrid: primary service revenue flows from State and Federal Medicaid reimbursements, supplemented by donor contributions (including stocks, mutual funds, IRA distributions, planned gifts, and grain donations) that close the gap between government funding and the full cost of services. The Mosaic Foundation, a separate 501(c)(3) entity (EIN 36-3837360), manages charitable gifts and investment income disbursement on behalf of Mosaic. Total Mosaic and Affiliates revenue for the fiscal year ended June 30, 2025 was $431,097,000, with net assets increasing 12% during Fiscal Year 2025. Go-to-market is direct-to-consumer, with services delivered through Mosaic-employed staff and contracted host home providers across 12 states, and donor acquisition supported by a multi-channel content and advocacy program including the Mosaic Possible blog, Promise Magazine, the Mosaic Allied Voices advocacy network, planned giving programs, and faith community partnerships.

Name

The Mosaic Foundation

Legal name

Mosaic

Website

https://mosaicinfo.org

Company type

Private

Founded year

1913

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

The Mosaic Foundation operates a 501(c)(3) nonprofit healthcare network delivering person-centered residential, behavioral health, autism, and senior in-home services to nearly 5,000 people with intellectual and developmental disabilities across 12 U.S. states.

Ownership category

akta.pro rank

Product category

Disability and Human Services

NAICS

Residential Intellectual and Developmental Disability Facilities (62321), Services for the Elderly and Persons with Disabilities (624120), Grantmaking and Giving Services (81321), Other Individual and Family Services (624190)

SIC

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

akta.pro primary industry

Disability Services & Independent Living Support (BPAGACAG)

akta.pro secondary industries

Disability Services & Independent Living Support (BPAGAEAG), Community Foundations (BPAGAKAB), Special Education, Disability Support & Inclusive Education Nonprofits (BPAGADAH)

Keywords

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

Headquarters

HQ city

Omaha

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Others

Revenue model

1. Medicaid and Government Funding: Mosaic's primary service revenue comes from State and Federal Medicaid funds, which provide for basic needs of people served. Funding covers core service delivery including residential supports, in-home services, and community-based programs.
2. Donor Contributions and Charitable Gifts: Mosaic relies on donors, volunteers, and partnerships to close the funding gap between government funding and the full cost of empowering people to live the lives they desire. Includes stocks, mutual funds, IRA distributions, planned gifts, and grain donations.
3. The Mosaic Foundation: The Mosaic Foundation receives gifts on behalf of Mosaic and oversees disbursement of charitable gifts and investment income. The foundation board is responsible for prudent investment and management of funds.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels8 records

Core offering

The Mosaic Foundation supports Mosaic, a 501(c)(3) nonprofit healthcare organization delivering person-centered residential, vocational, in-home, behavioral health, autism, and senior care services to nearly 5,000 people with intellectual and developmental disabilities, autism, mental and behavioral health needs, and aging adults across 12 states. The Foundation itself receives and manages charitable gifts, investments, and disbursements on behalf of Mosaic.

Product overview

Mosaic is a whole-person healthcare organization providing a comprehensive suite of services to nearly 5,000 people across 12 states. The organization operates through distinct service lines: Intellectual and Developmental Disabilities Services (including 24/7 residential supports and as-needed community supports), Behavioral Health and Autism Services (with IBCCES-certified caregiver training), and Senior Care delivered through the Soreo sub-brand. Mosaic at Home provides shared living/host home arrangements. The Mosaic at Home program enables providers to share their homes with individuals needing support. Rejoicing Spirits is a faith-based ministry focused on including people with disabilities in worship communities. Services span from children's programs through adult residential care and aging support, all delivered through a person-centered planning approach.

Differentiator

Problem solved

Functional benefit

Brands

• Soreo: Senior services division of Mosaic that helps aging adults maintain independence through in-home support services including bathing, companionship, housekeeping, meal preparation, medication reminders, transportation, and respite services.
• Mosaic International
• Rejoicing Spirits
• Living Innovations

Products and services

• Intellectual and Developmental Disabilities Services

Quantifiable outcome

• Nearly 5,000 people served across 12 states
• +3 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

Feature2 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• Building a Caring Community (BCC)coreStrategic or Co-development Partner · 1 January 1994Mosaic partners 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 to deliver disability services in Tanzania, providing health monitoring, nutrition support, caregiver guidance, and referrals for specialized services.
• United Nations (ECOSOC)coreOthersOne of only 47 organizations worldwide with Special Consultative Status from the UN for expertise in Disability, Development and Rights.
• International Board of Credentialing and Continuing Education Standards (IBCCES)coreTechnology or IntegrationPartnership providing autism spectrum disorder credentials for professionals who work with people with intellectual and developmental disabilities. More than 150 Mosaic employees have earned autism certificates.
• Carman International Fellowship ProgramminorStrategic or Co-development PartnerHand-selected fellows provide expert advice and support to Mosaic's international ministry partners in Latvia, Romania, and Tanzania as they grow and develop their organizations.
• United Lutheran Seminary / Kindling FaithminorStrategic or Co-development PartnerEducational partnership offering a five-month online series for church leaders of all denominations, exploring ministry areas such as worship, advocacy, and grief through perspectives of individuals with intellectual and developmental disabilities.
• International Board of Credentialing and Continuing Education Standards (IBCCES)coreTechnology or IntegrationProvides credentialing options for professionals working with people with intellectual and developmental disabilities. Mosaic offers a unique training experience for direct support professionals around autism spectrum disorders.
• The Rev. Mark and Kathy Helge Joyful Spirits Endowment FundminorOthersEndowment established in 2019 specifically dedicated to Mosaic's church relations and spiritual life work, including Rejoicing Spirits worship and seminary training program.
• Rejoicing SpiritsminorStrategic or Co-development PartnerInnovative ministry helping congregations start new worship services that allow people with disabilities to be themselves, with Mosaic providing resources, support, and coaching.

Scale indicators7 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Sevita Health (formerly The MENTOR Network): Largest US provider of home and community-based services for people with intellectual and developmental disabilities, autism, and aging adults. Directly comparable to Mosaic across IDD residential, host home/shared living, autism, and senior care service lines; operates at national scale with similar Medicaid-dependent revenue model.
• BrightSpring Health Services: Public company providing home and community-based services, pharmacy solutions, and behavioral health to complex populations including IDD and aging adults. Directly comparable to Mosaic across IDD services and senior care; ResCare is a BrightSpring subsidiary serving IDD. Operates nationally and offers Mosaic's full-service analog plus behavioral health.
• Easterseals: National nonprofit providing disability and community services including residential supports, autism services, and senior programs. Comparable to Mosaic's nonprofit model with similar service breadth and Medicaid funding reliance; serves a similar population of people with disabilities and aging adults.
• The Arc: National nonprofit federation serving people with intellectual and developmental disabilities through advocacy, residential supports, and community-based services. Comparable to Mosaic's IDD mission and service model; similarly Medicaid-funded with chapter-based delivery.
• Dungarvin: National provider of residential, day, and supported living services for people with intellectual and developmental disabilities, including host home/shared living models. Directly comparable to Mosaic's IDD residential and Mosaic at Home service lines; operates across multiple states with Medicaid funding.
• RHA Health Services: Provider of community-based services for people with intellectual and developmental disabilities, behavioral health needs, and substance use disorders. Comparable to Mosaic across IDD and behavioral health service lines, with similar host home and supported living offerings across multiple states.
• Merakey: Nonprofit provider of behavioral health, intellectual and developmental disability, and autism services across multiple states. Directly comparable to Mosaic's behavioral health and IDD portfolio; operates residential, community, and autism services with similar Medicaid dependency.

Broad incumbents

• Volunteers of America: Large national nonprofit providing housing, health, and human services including disability services and senior care. Comparable to Mosaic in scale and nonprofit multi-service model; broader portfolio includes housing and behavioral health beyond Mosaic's core focus areas.

Regional players

• Addus HomeCare: Public for-profit home care provider delivering personal care and hospice services. Comparable to Mosaic's Soreo senior in-home support services; focuses on aging adults and Medicaid-funded home and community-based services, though operates as a for-profit with different capital structure.

Emerging players

• Centria Healthcare: National provider of applied behavior analysis therapy and autism services to children and families. Comparable to Mosaic's behavioral health and autism service line and IBCCES-certified caregiver training; focuses specifically on autism rather than full IDD spectrum, making it a narrower but adjacent peer.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

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

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

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 The Mosaic Foundation