HEARTLAND REGIONAL MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HEARTLAND REGIONAL MEDICAL CENTER (EIN 44-0545289)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-09
- IRS object ID
- 202321299349300342
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-09T15:01:57+00:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4650 East 53rd Street | AddressLine1Txt |
| City | Davenport | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52807 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440545289 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Heartland Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAR | BusinessNameControlTxt |
| Phone | 8162717070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5325 Faraon Street | AddressLine1Txt |
| City | St Joseph | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64506 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Thomas Bieterman | PersonNm |
| Person Title | Officer | PersonTitleTxt |
| Phone | 8162717070 | PhoneNum |
| Signature | 2023-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Drew | PersonFirstNm |
| Person Last | Keesbury | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jenifer L Chase | PreparerPersonNm |
| PTIN | P01306883 | PTIN |
| Phone | 5638884000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mosaic Life Care | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Drew Keesbury | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5325 Faraon Street | AddressLine1Txt |
| City | St Joseph | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $710,497,093 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.mymlc.com/Main/Location/st-joseph-mo/mosaic-medical-center-st.-joseph/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE POPULATION HEALTH OUTCOMES IN OUR REGION BY PROVIDING THE RIGHT CARE, AT THE RIGHT TIME, PLACE AND COST. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 3752 | TotalEmployeeCnt |
| Total Volunteers | 151 | TotalVolunteersCnt |
| Total Gross UBI | $62,347 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,494,877 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,802,961 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $660,073,810 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $691,329,049 | CYProgramServiceRevenueAmt |
| PY Investment Income | $75,743 | PYInvestmentIncomeAmt |
| CY Investment Income | $179,998 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,432,990 | PYOtherRevenueAmt |
| CY Other Revenue | $13,048,847 | CYOtherRevenueAmt |
| PY Total Revenue | $686,077,420 | PYTotalRevenueAmt |
| CY Total Revenue | $710,360,855 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,078,475 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,338,498 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $293,491,590 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $313,457,121 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $343,701,233 | PYOtherExpensesAmt |
| CY Other Expenses | $379,572,911 | CYOtherExpensesAmt |
| PY Total Expenses | $638,271,298 | PYTotalExpensesAmt |
| CY Total Expenses | $694,368,530 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $47,806,122 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $15,992,325 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $510,328,294 | TotalAssetsBOYAmt |
| Total Assets EOY | $462,827,700 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $118,679,231 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $56,029,973 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $391,649,063 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $406,797,727 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE POPULATION HEALTH OUTCOMES IN OUR REGION BY PROVIDING THE RIGHT CARE, AT THE RIGHT TIME, PLACE AND COST. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $636,853,040 | ExpenseAmt |
| Grant | $1,338,498 | GrantAmt |
| Revenue | $704,061,263 | RevenueAmt |
| Desc | HEARTLAND REGIONAL MEDICAL CENTER (Mosaic-St. Joseph) IS A 352-BED MEDICAL SURGICAL HOSPITAL LOCATED IN ST. JOSEPH, MISSOURI. IT SERVES A COMMUNITY OF 85,000 RESIDENTS. BECAUSE ST. JOSEPH 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-ST. JOSEPH APPROXIMATELY 70.59% GOVERNMENTAL OR Self-PAY PATIENTS. 15.6% OF THE POPULATION HAVE INCOME THAT IS BELOW THE FEDERAL POVERTY LEVEL. MOSAIC-ST. JOSEPH PROVIDES A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING CARDIO-THORACIC, VASCULAR, ORTHOPEDIC AND GENERAL SURGERIES, MENTAL HEALTH SERVICES, ALONG WITH A FULL ARRAY OF DIAGNOSTIC AND THERAPEUTIC SERVICES. IT OPERATES A 24-HOUR EMERGENCY ROOM DESIGNATED AS A TRAUMA II CENTER BY THE STATE OF MISSOURI. MOSAIC-ST. JOSEPH'S OBSTETRICS DEPARTMENT PROVIDES 18 LABOR, DELIVERY, RECOVERY AND POST-PARTUM BEDS WHICH ARE ALSO DESIGNATED AS A LEVEL II CENTER. THE HOSPITAL PROVIDES RADIATION ONCOLOGY SERVICES, HOME HEALTH VISITS AND HOSPICE CARE. THE ORGANIZATION IS A MEMBER OF THE MAYO NETWORK FOR CLINICAL CONSULTATIONS. DURING THE YEAR, APPROXIMATELY 13,900 PATIENTS WERE ADMITTED TO THE HOSPITAL RESULTING IN APPROXIMATELY 70,400 PATIENT DAYS. A TOTAL OF APPROXIMATELY 9,500 SURGERIES WERE PERFORMED, THE EMERGENCY ROOM SERVED APPROXIMATELY 48,700 PATIENTS AND APPROXIMATELY 163,100 VISITS WERE GENERATED BY OUTPATIENTS. MOSAIC-ST. JOSEPH EMPLOYS APPROXIMATELY 3,800 FULL-TIME EQUIVALENT CARE GIVERS. THE MEDICAL STAFF INCLUDES APPROXIMATELY 289 PHYSICIANS COVERING PRIMARY CARE AND SPECIALTY CLINICS FOR APPROXIMATELY 25 LOCATIONS THROUGHOUT THE REGION. THERE WERE APPROXIMATELY 617,800 CLINIC PATIENT VISITS DURING THE YEAR. OTHER PROGRAM SERVICES: MOSAIC-ST. JOSEPH HAS A 340B DESIGNATION FROM HEALTH RESOURCES AND SERVICES ADMINISTRATION (FEDERAL GOVERNMENT). THIS ALLOWS THE MEDICAL CENTER 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. | Desc |
| Total Program Service Expenses | $636,853,040 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 167 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3752 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Drew Keesbury | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8162717070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5325 Faraon Street | AddressLine1Txt |
| City | St Joseph | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64506 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Mark Laney MD | |||||||||
| Former Director/President/CEO | 1.0 | 37.0 | Yes (X) | Yes (X) | $0 | $1,495,047 | $2,003,777 | ||
| Michael Poore | |||||||||
| Director/President/CEO | 1.0 | 37.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Adam Stein | |||||||||
| Director/Vice Chair | 1.0 | 1.0 | Yes (X) | $0 | $2,500 | $0 | |||
| Angelia Martin MD | |||||||||
| Director | 1.0 | 39.0 | Yes (X) | $0 | $258,441 | $35,385 | |||
| Chris Looney MD | |||||||||
| Former Director | 1.0 | 1.0 | Yes (X) | $31,533 | $2,600 | $0 | |||
| Daniel Heckman | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $2,500 | $0 | |||
| Emily Larson DO | |||||||||
| Director | 39.0 | 1.0 | Yes (X) | $380,318 | $2,500 | $42,311 | |||
| Gary Frazer | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $2,500 | $0 | |||
| Matt Baker | |||||||||
| Director | 1.0 | 3.0 | Yes (X) | $0 | $2,500 | $0 | |||
| Matt Lukens MD | |||||||||
| Director | 39.0 | 1.0 | Yes (X) | $782,029 | $2,500 | $39,763 | |||
| Melody Smith | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $2,500 | $0 | |||
| Ophelia Lavell Rucker | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $2,500 | $0 | |||
| Serena Naylor | |||||||||
| Director/Chair | 1.0 | 4.0 | Yes (X) | $0 | $2,500 | $0 | |||
| Sterett Schanze | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $2,500 | $0 | |||
| Thomas Richmond | |||||||||
| Director | 1.0 | 2.0 | Yes (X) | $0 | $2,500 | $0 | |||
| Dwain Stilson | |||||||||
| Former CFO/Treasurer | 1.0 | 36.0 | Yes (X) | $0 | $1,057,628 | $114,243 | |||
| Karen S Miller | |||||||||
| Former CFO/Treasurer | 1.0 | 37.0 | Yes (X) | $0 | $330,471 | $21,157 | |||
| Michael Pulido | |||||||||
| Former COO/Secretary | 1.0 | 36.0 | Yes (X) | $0 | $894,930 | $555,749 | |||
| Michael R Rinard | |||||||||
| Secretary | 1.0 | 38.0 | Yes (X) | $0 | $253,949 | $39,537 | |||
| Renea Schott | |||||||||
| Assistant Secretary | 1.0 | 39.0 | Yes (X) | $0 | $66,402 | $22,478 | |||
| Thomas Bieterman | |||||||||
| CFO/Treasurer | 1.0 | 39.0 | Yes (X) | $0 | $0 | $0 | |||
| Davin Turner DO | |||||||||
| Former Mosaic Medical Center President | 36.0 | 3.0 | $752,659 | $0 | $98,854 | Yes (X) | |||
| Arvind K Sharma | |||||||||
| Staff Physician | 40.0 | 0 | $1,005,257 | $0 | $31,595 | Yes (X) | |||
| Gopichand Pendurti MD | |||||||||
| Staff Physician | 40.0 | 0 | $1,000,360 | $0 | $44,178 | Yes (X) | |||
| Hemant K Sheth MD | |||||||||
| Staff Physician | 40.0 | 0.0 | $1,097,553 | $52,654 | $37,503 | Yes (X) | |||
| Jonathan Amspacher | |||||||||
| Staff Physician | 40.0 | 0 | $1,030,325 | $0 | $37,409 | Yes (X) | |||
| Rony M Abou-Jawde MD | |||||||||
| Staff Physician | 40.0 | 0 | $1,591,145 | $0 | $37,783 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,671,179 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,439,622 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,161,722 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 416 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Quest Diagnostics | ||||||
| PO Box 14730 | St Louis | MO | 63150 | Medical Services | $5,413,648 | |
| Capital Performance Management | ||||||
| 11709 Roe Ave D236 | Leawood | KS | 662112607 | Capital Management | $1,709,339 | |
| Floyd Lee Locums | ||||||
| 67 Moultrie Street | Charleston | SC | 29403 | Agency Services | $1,173,468 | Suite A |
| Hayes Locums LLC | ||||||
| PO Box 88122 | Chicago | IL | 606801122 | Agency services | $709,050 | |
| Radiology Specialists of St Joseph PC | ||||||
| 3906 Oakland Avenue | St Joseph | MO | 64508 | Medical Services | $644,850 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $29,432 | RelatedOrganizationsAmt |
| Government Grants | $5,473,944 | GovernmentGrantsAmt |
| All Other Contributions | $299,585 | AllOtherContributionsAmt |
| Noncash Contributions | $29,432 | NoncashContributionsAmt |
| Total Contributions | $5,802,961 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621110 | $654,641,371 | $654,641,371 |
| 340B Pharmacy Revenue | 621110 | $36,687,678 | $36,687,678 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $691,329,049 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,224 | TotalRevenueColumnAmt |
| Exclusion | $76,224 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $367,268 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $112,982 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $254,286 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $254,286 | TotalRevenueColumnAmt |
| Exclusion | $254,286 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $127,030 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $23,256 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $103,774 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,774 | TotalRevenueColumnAmt |
| Exclusion | $103,774 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Referral Lab | 621511 | $7,927,399 | $7,865,052 | $62,347 |
| Cafeteria | 722514 | $2,693,830 | $2,693,830 | |
| Copying Revenue | 561439 | $2,959 | $2,959 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,170,373 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,170,373 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,794,561 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $710,360,855 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $704,061,263 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $62,347 | UnrelatedBusinessRevenueAmt |
| Exclusion | $434,284 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,338,498 | TotalAmt |
| Program Services | $1,338,498 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,930,053 | TotalAmt |
| Program Services | $1,930,053 | ProgramServicesAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,411,528 | TotalAmt |
| Program Services | $257,434,653 | ProgramServicesAmt |
| Management And General | $2,976,875 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,822,513 | TotalAmt |
| Program Services | $5,759,984 | ProgramServicesAmt |
| Management And General | $62,529 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,622,186 | TotalAmt |
| Program Services | $29,147,167 | ProgramServicesAmt |
| Management And General | $475,019 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,670,841 | TotalAmt |
| Program Services | $15,467,676 | ProgramServicesAmt |
| Management And General | $203,165 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,289 | TotalAmt |
| Management And General | $32,289 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,666 | TotalAmt |
| Program Services | $107,150 | ProgramServicesAmt |
| Management And General | $31,516 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,075,545 | TotalAmt |
| Program Services | $55,994,143 | ProgramServicesAmt |
| Management And General | $81,402 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,783 | TotalAmt |
| Program Services | $107,783 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,426,586 | TotalAmt |
| Program Services | $18,713,412 | ProgramServicesAmt |
| Management And General | $713,174 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,213,749 | TotalAmt |
| Program Services | $6,199,791 | ProgramServicesAmt |
| Management And General | $13,958 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,998,270 | TotalAmt |
| Program Services | $4,625,149 | ProgramServicesAmt |
| Management And General | $373,121 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,831 | TotalAmt |
| Program Services | $320,010 | ProgramServicesAmt |
| Management And General | $2,821 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,409 | TotalAmt |
| Program Services | $247,971 | ProgramServicesAmt |
| Management And General | $3,438 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,200,428 | TotalAmt |
| Program Services | $2,200,428 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,589,979 | TotalAmt |
| Program Services | $23,492,271 | ProgramServicesAmt |
| Management And General | $1,097,708 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,403,349 | TotalAmt |
| Program Services | $6,403,349 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies/Includes 340B | $140,637,904 | $140,626,483 | $11,421 |
| Corporate Allocations From Mosaic Health System | $90,232,230 | $38,799,859 | $51,432,371 |
| FRA Taxes | $27,361,056 | $27,361,056 | |
| Dues & Subscriptions | $580,837 | $576,154 | $4,683 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $694,368,530 | TotalAmt |
| Program Services | $636,853,040 | ProgramServicesAmt |
| Management And General | $57,515,490 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,304 | BOYAmt |
| EOY | $284,763 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,976,209 | BOYAmt |
| EOY | $78,944,456 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,039,195 | BOYAmt |
| EOY | $6,892,735 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,739,091 | BOYAmt |
| EOY | $11,925,165 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,131,556 | BOYAmt |
| EOY | $8,754,108 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $619,822,878 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $388,419,810 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,573,867 | BOYAmt |
| EOY | $231,403,068 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $692,179 | BOYAmt |
| EOY | $975,027 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,933,637 | BOYAmt |
| EOY | $6,745,515 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,974,256 | BOYAmt |
| EOY | $116,902,863 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,328,294 | BOYAmt |
| EOY | $462,827,700 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,574,020 | BOYAmt |
| EOY | $43,208,046 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,105,211 | BOYAmt |
| EOY | $12,821,927 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,679,231 | BOYAmt |
| EOY | $56,029,973 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $391,316,943 | BOYAmt |
| EOY | $406,485,893 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $332,120 | BOYAmt |
| EOY | $311,834 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $391,649,063 | BOYAmt |
| EOY | $406,797,727 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,328,294 | BOYAmt |
| EOY | $462,827,700 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $15,992,325 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$843,661 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $138,666 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $138,666 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS THAT ARE USED FOR LOBBYING PURPOSES BY THE HOSPITAL ASSOCIATIONS. 22.50% of the membership dues paid to the Missouri Hospital Association are used for lobbying activities. 26.47% of the membership dues paid to the American Hospital Association are used for lobbying activities. In addition, Heartland Regional Medical Center (Mosaic St. Joseph) CONTRACTS WITH VARIOUS PARTIES FOR LEGISLATIVE LOBBYING IN SUPPORT OF HOSPITAL REIMBURSEMENT AND COMMUNITY SUPPORT. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,730,059 | OtherCostOrOtherBasisAmt |
| Book Value | $16,730,059 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $389,243,101 | OtherCostOrOtherBasisAmt |
| Depreciation | $219,821,639 | DepreciationAmt |
| Book Value | $169,421,462 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,007,363 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,898,917 | DepreciationAmt |
| Book Value | $2,108,446 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $186,341,655 | OtherCostOrOtherBasisAmt |
| Depreciation | $152,699,254 | DepreciationAmt |
| Book Value | $33,642,401 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,500,700 | OtherCostOrOtherBasisAmt |
| Book Value | $9,500,700 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $231,403,068 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Assets | Desc |
| Book Value | $116,902,863 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $116,902,863 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Liabilities | Desc |
| Amt | $12,821,927 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,821,927 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | Mosaic Health System, Heartland Regional Medical Center (Mosaic-St. Joseph), Mosaic Medical Center-Maryville (Mosaic-Maryville), Northwest Medical Center Association, Inc. (Mosaic-Albany), Heartland Long-Term Acute Care Hospital (HLTACH), Mosaic Life Care Foundation, and Northwest Medical Center Foundation (Mosaic-Albany are nonprofit corporations described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code. However, they are subject to federal income tax on any unrelated business taxable income. Midwestern and HHS Properties, Inc. are subject to income taxation. With a few exceptions, Mosaic is no longer subject to U.S. federal, state and local income tax examinations by tax authorities for years before 2018. At June 30, 2022, net operating loss carryforwards generated in fiscal years ending June 30, 2018 and prior are available to offset future taxable income for these entities aggregated approximately $11.1M and expire through 2038. Fornet operating loss carryforwards generated in fiscal year-ended June 30, 2019 and forward will be available to offset future taxable income for these entities in the amount of $1.4M and are carried forward indefinitely.Separate return limitation restrictions apply to a portion of these net operating loss carryforwards. Tax positions are not offset or aggregated with other positions. Tax positions that meet the more-likely-than-not recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for uncertain tax benefits in the accompanying balance sheet along with any associated interest and penalties that would be payable to the taxing authorities upon examination. As of June 30, 2022 and 2021, there were no uncertain tax positions identified and recorded as a liability. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,081,584 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,081,584 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0318 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $112,503,892 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $92,249,856 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,254,036 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0291 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $134,585,476 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $92,249,856 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,335,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0609 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,482,747 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $493,803 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,988,944 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0057 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $335,876 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $335,876 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,988,950 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,987,459 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,001,491 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0533 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $698,051 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $155,513 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $542,538 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0008 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,062,223 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,062,223 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0015 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $45,567,847 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,636,775 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,931,072 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0618 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $180,153,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $94,886,631 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $85,266,692 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1227 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,010 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37,010 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $113,825 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $113,825 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $150,835 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $150,835 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $23,614,137 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $156,725,462 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $204,026,774 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$47,301,312 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Heartland Regional Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5325 Faraon Street | AddressLine1Txt |
| City | St Joseph | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.mymlc.com/Main/Location/st-joseph-mo/mosaic-medical-center-st.-joseph/ | WebsiteAddressTxt |
| State License | 426-25 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Pharmacist Intern Program | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Heartland Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.mymlc.com/General/Community-Health-Needs-Assessment/St-Joseph-CHNA/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.mymlc.com/General/Community-Health-Needs-Assessment/St-Joseph-CHNA/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | FPGFamilyIncmLmtDscntCarePct |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SCHEDULE O | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SCHEDULE O | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SCHEDULE O | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | The significant health needs of the community are a prioritized description of various factors including: - Mental Health/Substance Abuse: - Access and Cost of Health Care; - Obesity: and - important health issues. These significant health needs are identified through The Community Health Needs Assessment (CHNA). |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - HEARTLAND REGIONAL MEDICAL CENTER (Mosaic-St. Joseph). The Community Health Needs Assessment (CHNA) was jointly prepared by Mosaic-St. Joseph and Heartland Long Term Acute Care Hospital. THE CHNA WAS CONDUCTED DURING TAX YEAR 2021 TO DETERMINE SERVICES NEEDED BY THE MEDICALLY UNDERSERVED. The following three needs were chosen to be addressed over the next three years: - Mental Health/Substance Abuse, - Access to and Cost of Health Care, - Obesity TO ENSURE INPUT WAS TAKEN INTO ACCOUNT FROM PERSONS WHO REPRESENT THE COMMUNITY, Mosaic-St. Joseph and HLTACH UTILIZED AN INDEPENDENT CONSULTING FIRM NAMED CROWE, LLP. THIS FIRM helped CONDUCT key stakeholder interviews and a community survey. Key Stakeholder Interviews: COMMUNITY INPUT WAS OBTAINED THROUGH KEY STAKEHOLDER INTERVIEWS PERFORMED WITH LEADERS FROM TWENTY-THREE COMMUNITY ORGANIZATIONS REPRESENTING PUBLIC HEALTH, PUBLIC SCHOOLS, SOCIAL SERVICE ORGANIZATIONS AND GOVERNMENT AGENCIES. TO ASSURE THE MEDICALLY UNDERSERVED WERE REPRESENTED IN THIS CHNA, INTERVIEWS WERE CONDUCTED WITH REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS; BIG BROTHERS BIG SISTERS, BUCHANAN COUNTY SHERIFF'S DEPARTMENT, COMMUNITY ACTION PARTNERSHIP, COMMUNITY MISSIONS CORPORATION, CATHOLIC CHARITIES, FAMILY GUIDANCE CENTER, INTERSERV, MIDLAND EMPIRE RESOURCES FOR INDEPENDENT LIVING, NORTHWEST HEALTH SERVICES, PIVOTAL POINT TRANSITIONAL HOUSING, PROGRESSIVE COMMUNITY SERVICES, SECOND HARVEST COMMUNITY FOOD BANK, SOCIAL WELFARE BOARD, ST. JOSEPH HABITAT FOR HUMANITY, ST. JOSEPH HEALTH DEPARTMENT, ST. JOSEPH POLICE DEPARTMENT, ST. JOSEPH SCHOOL DISTRICT, ST. JOSEPH UNITED WAY, ST. JOSEPH YOUTH ALLIANCE, ST. JOSEPH YMCA, ST. JOSEPH YWCA, UNTITED CEREBRAL PALSY, VOICES OF COURAGE CHILD ADVOCACY CENTER. These key stakeholder interviews were conducted between October 25th and 27th, 2021. To assure that medically underserved were included in this CHNA, interviews were conducted with agencies serving neighborhoods where median household incomes are very low or unemployed, as well as agencies providing services related to mental health, persons who are homeless, victims of domestic violence, elderly and persons with disabilities. Community Health Survey: In order to develop a broad understanding of community health needs, Mosaic-St. Joseph and HLTACH conducted a community survey in January 2022. A link to the survey was distributed via e-mail, social media and word of mouth to the community at-large. A total of 258 surveys were completed. The majority of respondents were White/Caucasian (96%), 1% of the respondents identified as Black or African American and 1% identified as Hispanic or Latino. The remaining 2% identified with other racial or ethnic identities. THE SAMPLE INCLUDED MEN AND WOMEN, 18 AND OVER. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - Heartland Long Term Acute Care Hospital (HLTACH). Heartland Regional Medical Center (Mosaic-St. Joseph) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND ADOPTED AN IMPLEMENTATION STRATEGY WITH Heartland Long Term Acute Care Hospital (HLTACH), A RELATED ORGANIZATION. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - HEARTLAND REGIONAL MEDICAL CENTER (Mosaic-St. Joseph):. FACILITY NAME: HEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST. JOSEPH): DESCRIPTION: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED AND AN IMPLEMENTATION PLAN FOR ADDRESSING THE IDENTIFIED NEEDS WAS ADOPTED IN THE 2021 TAX YEAR. THE TOP THREE SIGNIFICANT NEEDS IDENTIFIED WERE: 1) MENTAL HEATLTH/SUBSTANCE ABUSE; 2) ACCESS AND COST OF HEALTH CARE; AND 3) OBESITY. MOSAIC-ST. JOSEPH'S ROLE IS MUCH MORE THAN BEING A HOSPITAL. IT IS A FULLY ENGAGED COMMUNITY PARTNER STRIVING TO ADDRESS THE UNIQUE HEALTH AND SOCIAL ISSUES THAT CHALLENGE THE REGION. MANAGEMENT RECOGNIZES THAT THE COMMUNITY'S MAJOR HEALTH PROBLEMS STEM, IN LARGE PART, FROM SOCIAL DETERMINANTS OF HEALTH. SOCIAL DETERMINANTS THAT AFFECT ACCESS TO HEALTH CARE (HEALTHY PEOPLE 2020 FRAMEWORK) INCLUDE: ECONOMIC STABILITY, POVERTY, EMPLOYMENT, FOOD SECURITY, HOUSING STABILITY, EDUCATION, HIGH SCHOOL GRADUATION, ENROLLMENT IN HIGHER EDUCATION, LANGUAGE AND LITERACY, EARLY CHILDHOOD, NEIGHBORHOOD AND BUILT ENVIRONMENT, ACCESS TO HEALTHY FOOD, QUALITY OF HOUSING, CRIME AND VIOLENCE, ENVIRONMENTAL CONDITIONS, CIVIC PARTICIPATION, PERCEPTIONS OF DISCRIMINATION/EQUITY, AND INCARCERATION/INSTITUTIONALIZATION. TO FULLY MEET THE NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT, MOSAIC-ST. JOSEPH IMPLEMENTED A THREE-YEAR ACTION PLAN FOR THE TAX YEARS 2022, 2023, AND 2024 COMPRISED OF THE FOLLOWING COMPONENTS. SIGNIFICANT NEED #1: MENTAL HEALTH/SUBSTANCE ABUSE: A)CONTINUE WORK OF BEHAVIORAL HEALTH ALLIANCE. B)CONTINUE TO FINANCIALLY SUPPORT AGENCIES THAT PROVIDE MENTAL HEALTH SERVICES. C)CONTINUE AND EXPAND THE MOSAIC ART EXPERIENCE. D)PROVIDE THE 4TH GRADE CHALLENGE IN ELEMENTARY SCHOOLS WITH EMPHASIS ON MENTAL HEALTH. E) THE ORGANIZATION'S SPIRITUAL HEALTH DEPARTMENT WILL PROVIDE ONGOING EDUCATION ON TRAUMA TO THE COMMUNITY. THIS EVENT WILL BE PRESENTED YEARLY AND IS OPEN TO THE PUBLIC. MOSAIC CHAPLAINS ALSO PROVIDE ADVANCED DIRECTIVE AND DURABLE POWER OF ATTORNEY EDUCATION FOR ANYONE IN THE HOSPITAL, AND TO CHURCHES AN OTHER COMMUNITY GROUPS WHEN THEY REQUEST. IN ADDITION, SPIRITUAL HEALTH PROVIDES A PULPIT SUPPLY IN AREA CHURCHES WHEN NEEDED AND GIVE PRESENTATIONS ON THE ROLE OF THE CHAPLAIN IN HEALTH CARE. SIGNIFICANT NEED #2: ACCESS TO AND COST OF CARE: A) THE ORGANIZATION WILL PROVIDE FINANCIAL SUPPORT TO ORGANIZATIONS PROVIDING ACCESS SUPPORT TO THE COMMUNITY, SUCH AS FAITH IN ACTION TRANSPORTATION MINISTRY B) THE ORGANIZATION WILL CONTINUE TO SUPPORT SOCIAL WELFARE BOARD. SIGNIFICANT NEED #3: OBESITY: A) THE ORGANIZATION WILL AGAIN OFFER 4TH GRADE CHALLENGE IN ELEMENTARY SCHOOLS, PROVIDING PHYSICAL ACTIVITY AND EDUCATION ON HEALTHY EATING AND EXERCISE. B) THE ORGANIZATION WILL ONCE AGAIN PROVIDE KIDS IN THE KITCHEN HEALTHY COOKING CLASS. C) THE ORGANIZATION WILL PROVIDE AN ADULT HEALTHY LIFESYTLE PROGRAM. D) THE ORGANIZATION WILL ALSO SUPPORT SECOND HARVEST COMMUNITY FOOD BANK IN PROVIDING HEALTHY FOOD CHOICES. THE COMPLETE CHNA WITH IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://WWW.MYMLC.COM/GENERAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ST-JOSEPH-CHNA/ |
| Schedule H, Part V, Section B, Line 20 Facility , 1 | Facility , 1 - Heartland Regional Medical Center (Mosaic-St. Joseph):. FINANCIAL COUNSELORS ARE AVAILABLE ONSITE TO EXPLAIN AND HELP PATIENTS AND GUARANTORS WITH THE FINANCIAL ASSISTANCE POLICY. SEE FINANCIAL ASSISTANCE POLICY FOR A COMPLETE DESCRIPTION OF EFFORTS MADE BEFORE INITIATING COLLECTION ACTIONS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 25 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| Cameron Mosaic Life Care | |||||
| 923 North Walnut Street | Cameron | MO | 64429 | Family Care & Endocrinology | |
| Mosaic Life Care Clinics | |||||
| 902 North Riverside Road | St Joseph | MO | 64507 | Medical Oncology& Radiation Oncology | |
| Mosaic Life Care Clinics | |||||
| 2600 Miller Street | Bethany | MO | 64424 | Cardiology, Neurology & Endocrinology | |
| Mosaic Life Care Clinics | |||||
| 901 Heartland Road | St Joseph | MO | 64506 | Infectious, Endocrinology, Internal Medicine, Wound, Sleep Disorder & Women's Health | |
| Mosaic Life Care Clinics | |||||
| 5301 Faraon Street Suites XXX-XX-XXXX | St Joseph | MO | 64506 | Ears Nose & Throat and Pulmonary & Critical Care | 210B |
| Mosaic Life Care Clinics | |||||
| 711 North 36th Street Suite 100 Low | St Joseph | MO | 64506 | Family Care & Outpatient Therapy | er Level |
| Mosaic Life Care Clinics | |||||
| 5210 North Belt Highway Entrance B | St Joseph | MO | 64506 | Family Care | C |
| Mosaic Life Care Clinics | |||||
| 5514 Corporate Drive Suites 120 150 | St Joseph | MO | 64507 | Internal Medicine and Pediatrics | |
| Mosaic Life Care Clinics | |||||
| 105 Far West Drive Suites 100 201 2 | St Joseph | MO | 64506 | Internal Medicine, Pediatrics, Family Care, Neurology & Outpatient Behavior Health | 02 |
| Mosaic Life Care Clinics | |||||
| 802 North Riverside Road | St Joseph | MO | 64506 | Bariatric, Breast, CardioThoracic & General Surgery, Pain Management, Rheumatology, Vein Care & etc. | |
| Medical Oncology Mosaic Life Care | |||||
| 1610 East Evergreen Suite B | Cameron | MO | 64429 | Cancer Care | |
| Mosaic Life Care Clinics | |||||
| 2016 South Main | Maryville | MO | 64468 | Medical Oncology, Neuro Surgery, Maternity, Imaging, Cancer Care, Cardiology, Cardiopulmonary Rehab | |
| Mosaic Life Care Hospice at Stanberry | |||||
| 307 Pineview Pine View Manor Rm 507 | Stanberry | MO | 64489 | Hospice | |
| Mosaic Life Care Clinics | |||||
| 3620 Fredrick Avenue | St Joseph | MO | 64506 | Outpatient Imaging, Counseling Care, & Radiology | |
| Mosaic Life Care Clinics | |||||
| 3007 North Belt Highway | St Joseph | MO | 64506 | Outpatient Therapy & Chiropractic Care | |
| Plastic Surgery & Dermatology Mosaic | |||||
| 5204 North Belt Highway Suite A | St Joseph | MO | 64506 | Plastic Surgery & Dermatology | |
| Mosaic Life Care Clinics | |||||
| 1600 East Evergreen PO Box 557 | Cameron | MO | 64429 | Cancer Care, Pulmonary, Cardiology, Neurology, & Vascular | |
| Mosaic Life Care Clinics | |||||
| 1707 East 9th Street | Trenton | MO | 64683 | Family Care | |
| Urgent Care St Joseph Mosaic Life Care | |||||
| 1115 North Belt Highway | St Joseph | MO | 64506 | Urgent Care | |
| Mosaic Life Care Clinics | |||||
| 104 North 6th | Atchison | KS | 66002 | Cancer Care | |
| Troy Mosaic Life Care | |||||
| 207 South Main | Troy | KS | 66087 | Family Care | |
| Endocrinology Mosaic Life Care | |||||
| 820 Raven Hill Drive | Atchison | KS | 66002 | Endocrinology & Vascular | |
| Mosaic Life Care at St Joseph Nephrology | |||||
| 1009 West St Maarten Drive | St Joseph | MO | 64506 | Nephrology | |
Supplemental Information Detail SupplementalInformationDetail (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7f | Heartland Regional Medical Center (Mosaic-St. Joseph) did not report bad debt expense as part of operating expenses for health professions education for year ended 06/30/22. NO BAD DEBT EXPENSE IS REPORTED ON FORM 990, PART IX, LINE 25, AS IT IS REPORTED ON FORM 990, PART VIII, LINE 2A IN NET PATIENT SERVICE REVENUE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE (SCHEDULE H, PART I, LINE 7, COLUMN (C)) AS A PERCENTAGE OF TOTAL EXPENSES IS 25.93%, AND THE PERCENTAGE INCREASES TO 55.29% IF MEDICARE ALLOWABLE COSTS (SCHEDULE H, PART III, SECTION B, LINE 6) ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE. |
| Schedule H, Part I, Line 3c | Not Applicable |
| Schedule H, Part I, Line 6a | Not applicable |
| Schedule H, Part I, Line 7b | During the year-ended 06/30/2022, Heartland Regional Medical Center (Mosaic-St Joseph) increased the estimated Medicaid Federal Reimbursement Allowance program liability related to prior program years by approximately $1,500,000, thereby decreasing patient service revenue by the same amount. This change in estimate was the result of the state of Missouri providing Mosaic final settlement notifications during the year ended June 30, 2022. Due to the subjectivity involved in making these estimates due to the lack of historical precedence with respect to how the State administers the program, there is at least a reasonable possibility that recorded estimates will change by a material amount in the near term. |
| Schedule H, Part I, Line 7g | On March 11, 2020, the World Health Organization (WHO) declared the novel coronavirus disease (COVID-19) a pandemic. The Center for Disease Control (CDC) confirmed its spread to the United States and it was declared a national public health emergency, followed by state of emergency declarations (including by the Governor of Missouri), and the Centers for Medicare and Medicaid Services (CMS) issuing guidance regarding elective procedures. The COVID-19 pandemic has caused significant disruption to the national economy as well as Mosaic's operations. In 2022, the COVID-19 pandemic continued to impact Mosaic's business as well as patients, communities and employees. With the COVID-19 pandemic Mosaic-St Joseph has incurred significant increase in expenses related to the following items: 1. Personal Protective Equipment (PPE) 2. Pharmacy Expenses 3. Temporary Testing Sites 4. Temporary Vaccination Clinics 5. Labor Costs 6. Supplies and various other expenses Due to the significant increase in expenses from the Covid-19 pandemic, Mosaic-St Joseph temporarily scaled back community benefit programs. During FY22, Heartland Regional Medical Center (Mosaic-St Joseph) experienced a net expense of $36,759,000 in Covid-19 expenses, which is reflected in Part I, Line 7g. |
| Schedule H, Part III, Line 2 Adoption of Charity Care Assessment System | Heartland Regional Medical Center (Mosaic-St. Joseph) reported a slight decrease in bad debt expense, from $26,128,238 for fiscal year-ended June 30, 2021 to $23,614,137 for fiscal year-ended June 30, 2022. |
| Schedule H, Part I, Line 7g Subsidized Health Services | CERTAIN COVID-19 COSTS WERE SUBSIDIZED WITH PROVIDER RELIEF FUNDS AND OTHER GRANT FUNDING. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS THE COST TO CHARGE RATIO DERIVED FROM THE CALCULATIONS FROM WORKSHEET 2. FINANCIAL ASSISTANCE AT COST WAS $22,000,000 AND $29,500,000 FOR YEARS ENDED 6/30/22 AND 6/30/21. MEDICAID NET COMMUNITY BENEFIT SURPLUS WAS $20,254,000 FOR THE YEAR ENDED 6/30/22 WHILE MEDICAID NET COMMUNITY BENEFIT EXPENSE WAS $253,000 FOR YEAR ENDED 6/30/21, RESPECTIVELY. THE HEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST. JOSEPH) RECEIVES REIMBURSEMENT FROM THE MEDICAID PROGRAM IN RELATION TO THE PERCENTAGE OF MEDICAID AND INDIGENT POPULATION THEY SERVE. |
| Schedule H, Part II Community Building Activities | Heartland Regional Medical Center (Mosaic-St. Joseph) COMMUNITY BUILDING ACTIVITIES PROMOTED THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING ECONOMIC SUPPORT TO HELP RE-VITALIZE THE DOWNTOWN ST JOSEPH AREA AND FACILITATE JOB GROWTH THROUGHOUT THE GREATER ST JOSEPH AREA. AMONG OTHER COMMUNITY BUILDING ACTIVITIES, Mosaic-St. Joseph FUNDS AND MAINTAINS A TEAM FOCUSED ON DISASTER READINESS, COORDINATION AND RELIEF. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Heartland Regional Medical Center (Mosaic-St. Joseph) calculates bad debt expense at the established rate as reported in patient service revenue in the audited financial statements. Discounts provided by third-party payors on patient accounts are written off as contractual allowances. Payments received on an account previously written off to bad debt expense are credited to a bad debt recovery account. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | HEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST. JOSEPH) uses a third party to electronically review a patient or the patient's Guarantor information to assess financial need. This review utilizes a healthcare industry-recognized, predictive model that is based on public record databases and does not access the patient or guarantor's credit file. The model's rule set is designed to assess each patient based upon the same standards and is calibrated against historical Financial Assistance approvals by Mosaic-St. Joesph. This enables Mosaic-St. Joesph to assess whether a patient is characteristic of other patients who have historically qualified for Financial Assistance under the traditional application process. When the model is utilized, it will be deployed prior to bad debt assignment or after all other eligibility and payment sources have been exhausted. This allows Mosaic-St. Joesph to screen all patients for Financial Assistance prior to pursuing any extraordinary collection actions. AS A RESULT, MOSAIC-ST. JOSEPH REPORTED ZERO DOLLARS FOR THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S Financial Assistance Policy. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | PLEASE SEE THE ACCOUNTS RECEIVABLE FOOTNOTE ON PAGE 10 AND THE PATIENT SERVICE REVENUE FOOTNOTE REGARDING IMPLICIT PRICE CONCESSIONS ON PAGE 17 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SEE ALSO THE PARAGRAPH IN THE CHARITY CARE FOOTNOTE ON PAGE 18. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT WHICH RESULTS IN A SHORTFALL OF COVERING THE HOSPITAL'S COST OF TREATING MEDICARE PATIENTS. THIS SHORTFALL, IN ADDITION TO NON-PAYMENT BY MEDICARE RECIPIENTS FOR THEIR DEDUCTIBLE AND COINSURANCE AMOUNT INCREASES FINANCIAL ASSISTANCE AND BAD DEBT. Mosaic-St. Joseph PROVIDES SERVICES TO ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THE COST OF PROVIDING CARE TO THEM MAY EXCEED THE REIMBURSEMENT FROM MEDICARE FOR THE SERVICES PROVIDED. THE SHORTFALL OF COSTS, FINANCIAL ASSISTANCE AND BAD DEBT IS CONSIDERED TO BE A COMMUNITY BENEFIT BECAUSE THE HOSPITAL IS ABSORBING THE COST OF PROVIDING CARE TO THE ELDERLY AND DISABLED IN THE COMMUNITY. IN ADDITION, THIS COINCIDES WITH THE IRS REVENUE RULING 69-545, WHICH provides general requirements for tax exemption, along with section 501(c)(3). |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | Heartland Regional Medical Center's (Mosaic-St. Joseph) FINANCIAL ASSISTANCE POLICY CONTAINS PROVISIONS ON COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ONLY. ACCORDING TO THIS POLICY, FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA ARE BASED ON RESIDENCY, GROSS HOUSEHOLD INCOME & HOUSEHOLD SIZE. APPLYING FOR FINANCIAL ASSISTANCE Patients will be informed of the Mosaic-St. Joseph Financial Assistance Policy and the process for submitting an application to determine if the patient or guarantor is eligible for financial assistance, Mosaic-St. Joseph asks for the necessary information and documents to prove household size, income, and residency. A completed application for financial assistance should be submitted within 240 days from the date of the first post-discharge billing statement. Mosaic-St. Joseph will make reasonable efforts to explain the Medicaid benefits, the health insurance exchange and coverage, and other public and private coverage that may apply. Mosaic-St. Joseph will also provide the details of these programs and offer to help patients and guarantors apply for them as well as, private programs and COBRA coverage. Once the patient or guarantor is screened to be potentially eligible for any of these programs, public or private, Mosaic-St. Joseph expects him or her to apply. If a patient or guarantor chooses not to apply, he or she may be denied financial assistance. If the patient or guarantor is potentially eligible for any third-party coverage, he or she must provide documentation of approval or denial of that third-party coverage before a Mosaic-St. Joseph financial assistance application will be accepted. Information on the Mosaic-St. Joseph Financial Assistance Policy will be communicated to patients in a culturally appropriate language. Information about the policy will be translated in the most prevalent languages in the Mosaic-St. Joseph primary service area. COLLECTION ACTIONS TAKEN IN EVENT OF NON-PAYMENT No account will be subject to collection actions within 120 days of issuing the first post-discharge statement and without first making reasonable efforts to determine whether the patient is eligible for financial assistance. No extraordinary collection actions will be pursued against a patient if the patient or guarantor has provided documentation showing that an application has been submitted for Medicaid or other publicly sponsored health programs, and that an eligibility determination is still pending. If a statement is sent to a patient or guarantor, and mail is returned as undeliverable, Mosaic-St. Joseph will attempt to find a correct address. If the correct address cannot be found, Mosaic-St. Joseph will attempt to contact the patient or guarantor by telephone at the number listed by the patient or guarantor. If efforts to communicate with the patient or guarantor fail, accounts will be sent to a collection agency. Reasonable efforts to inform patient of financial assistance Prior to sending an account to a collection agency, the patient or guarantor will generally receive a minimum of four written statements (includes the first post-discharge statement and three subsequent statements). These statements will include a telephone number for information on paying patient balances and a notice about financial assistance. If an agreement has not been made to resolve the account, the fourth and final statement will be sent to the patient or guarantor. This statement acts as a notice to the account owner of the amount owed to Mosaic-St. Joseph and that the account will be placed with a third-party collection agency in 30 days. This statement will include a plain language summary and will outline any collection actions that may be taken if a plan is not put in place to settle the account. There are other times when accounts may be placed in collections including when: 1. The patient or guarantor has not made timely payments according to the agreed-upon payment plan 2. The patient or guarantor has received a financial assistance discount but is no longer working with Mosaic-St. Joseph in good faith to pay off the remaining amount owed. Extraordinary collection activities Once an account is with the collection agency, the following actions may be taken to make sure debt for services and care is paid. They are "Extraordinary Collection Activities:" 1. Seizing the patient's or guarantor's bank account 2. Civil actions 3. Property liens 4. Garnishing of wages 5. Reporting adverse information to credit bureaus Before "Extraordinary Collection Activities" can begin, the account must be reviewed, and approval must be given by Mosaic-St. Joseph Patient Billing Leadership. When one of these actions is to be taken against a patient or guarantor, the patient or guarantor will be given a 30-day written notice of the action to be taken. The patient or guarantor will also be informed of the Mosaic-St. Joseph Financial Assistance Policy and how to apply for it. A plain language summary of the Financial Assistance Policy will be included with the notice. ENFORCEMENT Mosaic-St. Joseph staff are expected to uphold the highest ethical standards. All business must be conducted in the name of the caller or Mosaic-St. Joseph. Everything a staff member says must be true and correct using a professional approach. The staff as well as, all third-party vendors working on behalf of Mosaic-St. Joseph, will uphold and adhere to the Fair Debt Collection Practices Act. |
| Schedule H, Part V, Section B, Line 16a FAP website | - Heartland Regional Medical Center: Line 16a URL: SEE SCHEDULE O; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Heartland Regional Medical Center: Line 16b URL: SEE SCHEDULE O; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - Heartland Regional Medical Center: Line 16c URL: SEE SCHEDULE O; |
| Schedule H, Part VI, Line 2 Needs assessment | Heartland Regional Medical Center (Mosaic-St. Joseph) HAS A ROBUST APPROACH FOR ASSESSING THE NEEDS OF THE COMMUNITIES IT SERVES. THIS ONGOING COMMITMENT INCLUDES COLLABORATING WITH LOCAL GROUPS, SCHOOL DISTRICTS AND CITY AND COUNTY AGENCIES TO IDENTIFY NEEDS, PROMOTE HEALTHY LIVING, ASSURE THAT AFFORDABLE MEDICAL SERVICES ARE AVAILABLE, DEVELOP STRATEGIES FOR IMPROVING EDUCATION AND ECONOMIC STRENGTH, AND PROVIDING ONGOING SUPPORT. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Heartland Regional Medical Center (Mosaic-St. Joseph) INFORMS AND EDUCATES PATIENTS AND GUARANTORS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEGINNING AT THE REGISTRATION DESK AND CONTINUING WITH FINANCIAL ASSISTANCE INFORMATION BEING INCLUDED ON EVERY BILLING STATEMENT A PATIENT OR GUARANTOR RECEIVES FROM Mosaic-St. Joseph. GUIDELINES FOR THE PROGRAM ARE AVAILABLE AT EACH REGISTRATION DESK AND ARE INCLUDED IN ALL ADMISSION PACKETS. PATIENTS ARE CONTACTED IF THE PATIENT IS EXPECTED TO HAVE A FINANCIAL RESPONSIBILITY FOR THE VISIT. A FINANCIAL COUNSELOR ATTEMPTS TO VISIT THE ROOM OF EVERY UNINSURED PATIENT THAT IS ADMITTED TO OUR FACILITY FOR OBSERVATION OR INPATIENT CARE. THE COUNSELOR DISCUSSES PAYMENT OPTIONS WITH THE PATIENT AND CAN ASSIST THEM WITH VARIOUS OPTIONS THAT INCLUDE, BUT ARE NOT LIMITED TO, MEDICAID APPLICATION, HEALTH CARE EXCHANGE ELIGIBILITY AND ELIGIBILITY UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. COUNSELORS ALSO WORK WITH OUR CARE MANAGEMENT STAFF TO SUPPORT THE DISCHARGE PROCESSES SO THAT FINANCIAL HARDSHIP DOES NOT KEEP THE PATIENT FROM RECEIVING THE APPROPRIATE FOLLOW-UP CARE. THIS ASSISTANCE INCLUDES INSTRUCTIONS FOR SCHEDULING AN APPOINTMENT WITH A FINANCIAL COUNSELOR WHO CAN ASSIST THEM IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. |
| Schedule H, Part VI, Line 4 Community information | THE ORGANIZATION'S PRIMARY AND SECONDARY SERVICE AREA IS AN 18 COUNTY URBAN/RURAL REGION LOCATED IN NORTHWEST MISSOURI AND NORTHEAST KANSAS. THE POPULATION IS ELDERLY AND UNDERINSURED. THE LOCAL ECONOMY CONSISTS OF AGRICULTURAL, SMALL MANUFACTURING AND SELFEMPLOYED BUSINESSES, PRIMARILY BLUE-COLLAR WORKERS. THE ORGANIZATION SUPPORTS A PAYOR MIX OF APPROXIMATELY 70.59% GOVERNMENTAL OR SELF-PAY PATIENTS. 17.2% OF THE POPULATION IS BELOW THE POVERTY LEVEL; 23.6% OF THE POPULATION SMOKES; AND 38.3% HAVE A BODY MASS INDEX GREATER THAN 30. MORE THAN 70% OF THE ELEMENTARY AGE STUDENTS RECEIVE FREE OR REDUCED-COST LUNCHES. |
| Schedule H, Part VI, Line 5 Promotion of community health | HEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST. JOSEPH) IS A NONPROFIT HOSPITAL OPERATING TO SERVE A PUBLIC RATHER THAN A PRIVATE INTEREST AND MEETING THE REQUIREMENTS OF REVENUE RULING 69-545. CONTROL OF MOSAIC-ST. JOSEPH RESTS WITH ITS BOARD, WHICH IS PRIMARILY COMPOSED OF MEMBERS OF THE COMMUNITY, IN ADDITION TO A FEW SELECT EMPLOYEES OF MOSAIC-ST. JOSEPH. MOSAIC-ST. JOSEPH ACCEPTS PATIENTS PAYING WITH MEDICAID AND MEDICARE AND OPERATES AN ACTIVE AND GENERALLY ACCESSIBLE EMERGENCY ROOM OPEN TO ALL PATIENTS WITHOUT REGARD TO ABILITY TO PAY. MOSAIC-ST. JOSEPH USES SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, MAINTAIN AND IMPROVE EQUIPMENT AND FACILITIES, EXTEND SERVICE OFFERINGS TO NEW AREAS AND PROVIDE SUPPORT TO THE COMMUNITIES IT SERVES. MOSAIC-ST. JOSEPH PROMOTES HEALTH IN THE ST. JOSEPH REGION IN NUMEROUS WAYS. HIGHLIGHTED BELOW ARE EXAMPLES IN WHICH MOSAIC-ST. JOSEPH PROVIDED DIRECT FUNDING SUPPORT TO THE COMMUNITY ORGANIZATIONS WITH LIKE MISSIONS. IN FY22, MOSAIC-ST. JOSEPH MAINTAINED A POST NATAL PROGRAM IN WHICH A NURSE WILL MAKE FOLLOW UP PHONE CALLS FOR EVERY PATIENT TO ARRANGE FOLLOW UP CARE FOR THE BABIES AND SETUP CAR SEAT CHECKS FOR EACH INFANT IF DESIRED. IN ADDITION, THIS DEPARTMENT PROVIDES TWO HOURS OF SUPPORT TO THE BREASTFEEDING GROUP TWICE A WEEK. THIS IS DONE AT NO EXPENSE TO THE PATIENT AND IS A NON-BILLABLE SERVICE THAT IS PROVIDED AS A COMMUNITY BENEFIT. IN FY22, DUE TO CONTINUED EFFECTS OF THE COVID 19 PANDEMIC MANY COMMUNITY HEALTH IMPROVEMENT PROGRAMS WERE NOT ABLE TO BE OFFERED. PROGRAMMING TYPICALLY HELD FOR THE COMMUNITY INCLUDED: 1. 4TH GRADE HEALTH CHALLENGE 2. POUND PLUNGE 3. FIT-TASTIC FAMILY FUN DAY 4. KIDS IN THE KITCHEN HEALTH COOKING CLASSES THE 340B DRUG PRICING PROGRAM ("340B PROGRAM") ENABLES SAFETY NET HEALTHCARE ORGANIZATIONS SERVING UNINSURED, VULNERABLE AND INDIGENT POPULATIONS TO PURCHASE OUTPATIENT PRESCRIPTION DRUGS AT A DISCOUNT. MOSAIC-ST. JOSEPH HAS PARTICIPATED IN THIS PROGRAM SINCE 2011. THIS PARTICIPATION HAS GENERATED REVENUE FROM THE CONTRACTED RETAIL PHARMACY RELATIONSHIPS AND HAS REDUCED DRUG PRICING FOR OUTPATIENT MEDICATIONS. THE PROGRAM IS CURRENTLY THREATENED BY LEGISLATIVE CHALLENGES. |
| Schedule H, Part VI, Line 6 Affiliated health care system | THE ORGANIZATION IS AFFILIATED, THROUGH A PARENT BOARD, WITH A REGIONAL Medical CENTER Hospital, A COMMUNITY FOUNDATION, A LONG-TERM ACUTE CARE HOSPITAL, A CRITICAL ACCESS RURAL HOSPITAL, A RURAL COMMUNITY FOUNDATION AND A GENERAL MEDICAL AND Surgical HOSPITAL. ALL OF WHICH COLLABORATE WITH EDUCATIONAL, GOVERNMENTAL AND LOCAL BUSINESS LEADERS TO IMPLEMENT PROGRAMS TO HELP IMPROVE HEALTH HABITS AND, IN THE LONG-TERM, THE HEALTH OF THE COMMUNITIES SERVED BY THE ORGANIZATION. These affiliations include the hospital reported on this tax return. THE PARENT BOARD IS COMPRISED OF COMMUNITY LEADERS WHO REPRESENT THE EDUCATIONAL, MEDICAL, GOVERNMENTAL AND BUSINESS SECTORS IN THE COMMUNITY. THE COMMUNITY FOUNDATION OVERSEES A NUMBER OF PROGRAMS WORKING TO IMPROVE HEALTH and Educational needs IN THE COMMUNITY. The Regional Medical center hospital provides general medical and surgical needs to patients and provides both primary and specialty physicians, in addition to providing emergent and outpatient clinic care for all. The Long-term acute care hospital IS A FACILITY DEDICATED TO THE CARE OF PATIENTS WHO HAVE CHRONIC CONDITIONS REQUIRING A LONGER LENGTH OF STAY THAN IS NORMALLY PROVIDED IN AN ACUTE CARE HOSPITAL. THE GENERAL MEDICAL and Surgical CARE HOSPITAL PROVIDES ACUTE, EMERGENT AND OUTPATIENT CLINIC CARE FOR ALL. THE CRITICAL ACCESS RURAL HOSPITAL PROVIDES ACUTE, EMERGENT AND OUTPATIENT CLINICS ARE FOR THOSE IN THE RURAL COMMUNITY AREA. THE RURAL COMMUNITY FOUNDATION SUPPORTS THE CRITICAL ACCESS RURAL HOSPITAL. ALL HOSPITAL FACILITIES PROVIDE CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ALL THE HOSPITAL Organizations MAINTAIN AN ONGOING COMMITMENT TO PROVIDE SUPPORT FOR THE BETTERMENT OF THE COMMUNITY. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| Heartland Foundation | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 431262768 | 501c3 | $358,750 | General Support | |||
| MWSU Foundation Inc | ||||||||||
| 5425 DOWNS DRIVE | St Joseph | MO | 64507 | 237035423 | 501c3 | $257,000 | Sponsorship | |||
| United Way of Greater St Joseph | ||||||||||
| 118 South 5TH STREET | St Joseph | MO | 64501 | 440547802 | 501C3 | $100,000 | Support | |||
| St Joseph Area Chamber of Commerce | ||||||||||
| 3003 Frederick Avenue | St Joseph | MO | 64506 | 440419460 | 501c6 | $97,015 | Sponsorship | |||
| Pivotal Point | ||||||||||
| 3000 Parkway A | St Joseph | MO | 64507 | 271481997 | 501C3 | $50,000 | General Support | |||
| Samaritan Counseling Center Inc | ||||||||||
| 902 Edmond Street | St Joseph | MO | 64501 | 431615018 | 501C3 | $50,000 | General Support | |||
| Northwest Foundation Inc | ||||||||||
| 800 University Drive | Maryville | MO | 64468 | 237165025 | 501C3 | $50,000 | Support | |||
| ST Kolbe-Puckett Center for Healing Inc | ||||||||||
| 210 North 7th Street | St Joseph | MO | 64501 | 822433712 | 501C3 | $30,000 | General Support | |||
| Community Alliance | ||||||||||
| 3003 Frederick Avenue | St Joseph | MO | 64506 | 050587096 | 501C3 | $25,000 | Support | |||
| Friends of St Joseph School District | ||||||||||
| PO Box 8511 | St Joseph | MO | 64506 | 833499451 | $20,000 | Support | ||||
| St Joseph Mustangs | ||||||||||
| 4707 College Blvd Suite 204 | Leawood | KS | 66211 | 261723796 | $15,000 | Support | ||||
| Second Harvest Community Food Bank | ||||||||||
| 915 DOUGLAS Street | St Joseph | MO | 64505 | 431268319 | 501C3 | $10,600 | Support | $11,404 | Other | Meals donated |
| Albrecht-Kemper Museum of Art Foundations | ||||||||||
| 2818 FREDERICK | St Joseph | MO | 64506 | 431855334 | 501C3 | $10,400 | General Support | |||
| YMCA of St Joseph Missouri | ||||||||||
| 315 South 6th Street | St Joseph | MO | 64501 | 440552491 | 501C3 | $10,100 | General Support | |||
| Faith in Action | ||||||||||
| 2711 Ashland Avenue | St Joseph | MO | 64506 | 440653008 | 501C3 | $10,000 | General Support | |||
| Missouri Physicians Health Program | ||||||||||
| 680 Craig Rd 308 | St Louis | MO | 63141 | 431572458 | 501C3 | $10,000 | Sponsorship | |||
| Big Brothers Big Sisters of Greater St Joseph | ||||||||||
| 1202 South 28th Street | St Joseph | MO | 64507 | 440666362 | 501C3 | $7,000 | Support | |||
| Northwest Missouri Childrens Advocacy Center | ||||||||||
| 1807 Woodbine Road | St Joseph | MO | 64506 | 431910148 | 501C3 | $6,100 | Support | |||
| Pony Express Baseball Inc | ||||||||||
| PO Box 1588 | St Joseph | MO | 64502 | 274437372 | 501C3 | $5,000 | Sponsorship | |||
| Ladies Union Benevolent Association dba Noyes Home for Children | ||||||||||
| 801 N Noyes Blvd | St Joseph | MO | 64506 | 440563788 | 501C3 | $5,000 | Support | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 17 | Total501c3OrgCnt |
| Total Other Org | 3 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule I, Part II Line 3 | Missouri Western State University Foundation |
| Schedule I, Part II Line 17 | Big Brothers Big Sisters of Greater St. Joseph |
| Schedule I, Part II Line 11 | St Joseph Mustangs |
| Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | The organization is committed to the development of a healthy community. Grants are provided to local groups that achieve these objectives. Generally Heartland Regional Medical Center (Mosaic-St. Joseph) officers, directors or employees are in a volunteer position or are a board member of the recipient organization. The recipients are required to submit quarterly reports to Heartland Regional Medical Center detailing the program's expenditures and progress toward the stated goals. Heartland Regional Medical Center's Advocacy department monitors the progress. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark Laney MD | ||||||||||||||
| Former Director/President/CEO | $0 | $1,003,344 | $0 | $483,693 | $0 | $8,010 | $0 | $1,985,399 | $0 | $18,378 | $0 | $3,498,824 | $0 | $0 |
| Emily Larson DO | ||||||||||||||
| Director | $289,474 | $2,500 | $55,200 | $0 | $35,644 | $0 | $9,145 | $0 | $33,166 | $0 | $422,629 | $2,500 | $0 | $0 |
| Matt Lukens MD | ||||||||||||||
| Director | $704,940 | $2,500 | $53,667 | $0 | $23,422 | $0 | $11,309 | $0 | $28,454 | $0 | $821,792 | $2,500 | $0 | $0 |
| Angelia Martin MD | ||||||||||||||
| Director | $0 | $255,994 | $0 | $0 | $0 | $2,447 | $0 | $5,119 | $0 | $30,266 | $0 | $293,826 | $0 | $0 |
| Karen S Miller | ||||||||||||||
| Former CFO/Treasurer | $0 | $256,204 | $0 | $72,690 | $0 | $1,577 | $0 | $11,600 | $0 | $9,557 | $0 | $351,628 | $0 | $0 |
| Michael Pulido | ||||||||||||||
| Former COO/Secretary | $0 | $605,952 | $0 | $183,872 | $0 | $105,106 | $0 | $524,233 | $0 | $31,516 | $0 | $1,450,679 | $0 | $99,718 |
| Michael R Rinard | ||||||||||||||
| Secretary | $0 | $204,284 | $0 | $49,327 | $0 | $338 | $0 | $8,583 | $0 | $30,954 | $0 | $293,486 | $0 | $0 |
| Dwain Stilson | ||||||||||||||
| Former CFO/Treasurer | $0 | $595,255 | $0 | $403,817 | $0 | $58,556 | $0 | $82,727 | $0 | $31,516 | $0 | $1,171,871 | $0 | $56,930 |
| Davin Turner DO | ||||||||||||||
| Former Mosaic Medical Center President | $506,179 | $0 | $170,148 | $0 | $76,332 | $0 | $70,401 | $0 | $28,453 | $0 | $851,513 | $0 | $70,848 | $0 |
| Hemant K Sheth MD | ||||||||||||||
| Staff Physician | $746,294 | $52,654 | $336,349 | $0 | $14,910 | $0 | $11,544 | $14 | $24,556 | $1,389 | $1,133,653 | $54,057 | $0 | $0 |
| Rony M Abou-Jawde MD | ||||||||||||||
| Staff Physician | $938,168 | $0 | $632,514 | $0 | $20,463 | $0 | $9,017 | $0 | $28,766 | $0 | $1,628,928 | $0 | $0 | $0 |
| Jonathan Amspacher | ||||||||||||||
| Staff Physician | $569,445 | $0 | $424,947 | $0 | $35,933 | $0 | $8,955 | $0 | $28,454 | $0 | $1,067,734 | $0 | $0 | $0 |
| Gopichand Pendurti MD | ||||||||||||||
| Staff Physician | $416,191 | $0 | $582,711 | $0 | $1,458 | $0 | $7,762 | $0 | $36,416 | $0 | $1,044,538 | $0 | $0 | $0 |
| Arvind K Sharma | ||||||||||||||
| Staff Physician | $894,917 | $0 | $38,674 | $0 | $71,666 | $0 | $11,600 | $0 | $19,995 | $0 | $1,036,852 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | COMPENSATION IS ESTABLISHED BY MOSAIC HEALTH SYSTEM, A RELATED ENTITY, USING THE FOLLOWING: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. COMPENSATION SURVEYS OR STUDIES 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | DAVIN TURNER - VESTED $70,848; ACCRUED $0 MICHAEL PULIDO - VESTED $99,718; ACCRUED $142,178 THOSE LISTED ABOVE HAVE SIGNED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHICH RECOGNIZES THE VALUE OF THE INDIVIDUAL AND THE MUTUAL BENEFIT OF CONTINUED EMPLOYMENT FOR AN EXTENDED PERIOD OF TIME BY ESTABLISHING A 457F PLAN. THE FOLLOWING ARE THE GENERAL STIPULATIONS OF THE AGREEMENT: 1. THE PLAN IS FUNDED YEARLY AS THE RESULT OF A CALCULATION DESCRIBED IN THE AGREEMENT, WHICH WILL REWARD THE INDIVIDUAL WITH 100% VESTING BASED ON A 5-YEAR CLIFF VESTING SCHEDULE. 2. DISTRIBUTION WILL OCCUR AT NORMAL RETIREMENT AGE OR UPON DEATH OR UPON SEPARATION FROM SERVICE DUE TO DISABILITY OR UPON INVOLUNTARY SEPARATION FROM SERVICE WITHOUT CAUSE. THEN A LUMP SUM PAYMENT WILL BE DISBURSED WITHIN 90 DAYS OF EACH SITUATION TAKING INTO CONSIDERATION A NON-COMPETE COVENANT. 3. SEPARATION WITH CAUSE MAKES THE SUPPLEMENTAL EXECUTIVE RETIREMENT AGREEMENT NULL AND VOID. |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 300 | ContributionCnt |
| Noncash Contributions Rpt F990 | $29,432 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Drugs and medical supplies - Heartland Regional Medical Center (Mosaic-St. Joseph) is reporting the number of items received. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Line 4 & Form 990, Part VI, Section A, Line 1B | THE FOLLOWING HEARTLAND REGIONAL MEDICAL CENTER DIRECTORS ARE NOT INDEPENDENT DUE TO TRANSACTIONS DISCLOSED ON THE MOSAIC HEALTH SYSTEM'S, a related organization, FORM 990, SCHEDULE L: THOMAS RICHMOND and Adam Stein. |
| Form 990, Part I, Line 13 | THE REPORTING ORGANIZATION DETERMINED IT WOULD REPORT NET ASSET TRANSFERS BETWEEN RELATED ORGANIZATIONS AS CONTRIBUTION REVENUE (OR GRANT EXPENSE). |
| Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS | MARK LANEY, M.D., MICHAEL PULIDO, AND DWAIN STILSON HAVE A BUSINESS RELATIONSHIP. MICHAEL RINARD, THOMAS BIETERMAN, AND MICHAEL POORE HAVE A BUSINESS RELATIONSHIP. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | MOSAIC HEALTH SYSTEM, A MISSOURI NONPROFIT CORPORATION, IS THE SOLE MEMBER OF HEARTLAND REGIONAL MEDICAL CENTER. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | Heartland Regional Medical Center Board members are identical to the Mosaic Health System board, and Mosaic Health System is the sole member of Heartland Regional Medical Center. This gives the board members the ability to select the board. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE SOLE MEMBER (MOSAIC HEALTH SYSTEM) SHALL HAVE THE FOLLOWING POWERS: OVERALL STRATEGIC DIRECTION (EXCLUDING MATTERS RELATED PRIMARILY TO THE ACCOUNTABLE CARE ORGANIZATION (ACO) OPERATED BY THE HOSPITAL, INCLUDING SPECIFICALLY ANY MEDICARE SHARED SAVINGS PROGRAM CREATED UNDER THE AFFORDABLE CARE ACT), APPOINTMENT OF AUDITORS AND LEGAL COUNSEL, ESTABLISHMENT OF BANKING RELATIONSHIPS AND MANAGEMENT OF CASH AND OTHER ASSETS (EXCLUDING ACO SHARED SAVINGS DISTRIBUTIONS AND REPAYMENT OF SHARED LOSSES), LONG-RANGE PLANNING, ADOPTION OF ANNUAL OPERATING PLANS AND APPLICATION FOR CERTIFICATES OF NEED. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE ACCOUNTING STAFF OF THE ORGANIZATION PREPARES THE FORM 990 AND SUBMITS A DRAFT TO AN INDEPENDENT ACCOUNTING FIRM. THE INDEPENDENT ACCOUNTING FIRM REVIEWS THE FORM 990 WITH INFORMATION PROVIDED FROM THE ORGANIZATION'S ACCOUNTING STAFF. THE DRAFT FORM 990 IS REVISED FOR ANY CORRECTIONS OR CLARIFICATIONS BASED ON THE REVIEW BY THE INDEPENDENT ACCOUNTING FIRM. THEN THE FORM 990 IS REVIEWED BY THE ORGANIZATIONS LEADERSHIP FOR ANY QUESTIONS AND CONCERNS. AFTER RESOLVING QUESTIONS AND CONCERNS WITH LEADERSHIP AND THE ACCOUNTING FIRM, THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PRESENTED TO BOARD FOR APPROVAL. ONCE APPROVED THEN THE 990 TAX RETURN IS ELECTRONICALLY FILED. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THIS CONFLICTS OF INTEREST AND DOCUMENTATION POLICY ("POLICY") APPLIES TO ALL DIRECTORS AND OFFICERS OF THE ORGANIZATION AND ANY OTHER PERSON WHO IS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE DECISIONS AND AFFAIRS OF THE ORGANIZATION (COLLECTIVELY, "COVERED PERSONS"). DUTY TO DISCLOSE IF AN INTERESTED PERSON HAS A POSITION OR FINANCIAL INTEREST IN ANY BUSINESS OR OTHER ENTITY WITH WHICH THE ORGANIZATION IS CONSIDERING ENTERING INTO AN ARRANGEMENT OR TRANSACTION, THE INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER POSITION OR FINANCIAL INTEREST AND ALL MATERIAL FACTS RELATED THERETO TO THE ORGANIZATION'S BOARD OF DIRECTORS (THE "BOARD") OR EXECUTIVE COMMITTEE AS SOON AS THE INTERESTED PERSON HAS KNOWLEDGE OF THE POTENTIAL ARRANGEMENT OR TRANSACTION, AND WHENEVER REQUESTED BY THE BOARD OR THE EXECUTIVE COMMITTEE. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS AFTER DISCLOSURE OF A POSITION OR A FINANCIAL INTEREST BY AN INTERESTED PERSON, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON (INCLUDING THOSE INTERESTED PERSONS WHO ARE MEMBERS OF THE BOARD OR EXECUTIVE COMMITTEE) WILL LEAVE THE BOARD MEETING WHILE THE DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS IN CONNECTION WITH THE PROPOSED TRANSACTION IS DISCUSSED BY THE BOARD OR THE EXECUTIVE COMMITTEE AND VOTED UPON. A POSITION OR A FINANCIAL INTEREST WILL BE CONSIDERED A CONFLICT OF INTEREST ONLY IF THE BOARD OR THE EXECUTIVE COMMITTEE MAKES SUCH DETERMINATION. AN INTERESTED PERSON IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH RESPECT TO HIS OR HER COMPENSATION IF THE PERSON RECEIVES COMPENSATION FROM THE ORGANIZATION AND THE PERSON'S COMPENSATION IS BEING DISCUSSED OR REVIEWED BY THE BOARD OR ANY COMMITTEE THEREOF. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST -BEFORE ANY DISCUSSION AND VOTE ON WHETHER A CONFLICT OF INTEREST EXISTS, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OR THE EXECUTIVE COMMITTEE REGARDING THE INTERESTED PERSON'S POSITION OR FINANCIAL INTEREST. AFTER SUCH PRESENTATION, THE INTERESTED PERSON WILL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE PROPOSED TRANSACTION. -THE BOARD OR THE EXECUTIVE COMMITTEE WILL UNDERTAKE APPROPRIATE DUE DILIGENCE AND INFORM ITSELF OF ALL MATERIAL INFORMATION REASONABLY AVAILABLE TO IT AND EXPLORE ALL REASONABLE ALTERNATIVES TO THE PROPOSED TRANSACTION THAT WOULD NOT INVOLVE THE CONFLICT OF INTEREST. -IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR THE EXECUTIVE COMMITTEE WILL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE PROPOSED TRANSACTION IS (I) IN THE ORGANIZATION'S BEST INTEREST, (II) FOR THE ORGANIZATION'S OWN BENEFIT, AND (III) FAIR AND REASONABLE TO THE ORGANIZATION. IN CONFORMITY WITH THIS DETERMINATION, THE BOARD WILL MAKE ITS DECISION AS TO WHETHER THE ORGANIZATION MAY ENTER INTO THE PROPOSED TRANSACTION. QUORUM FOR BOARD OR EXECUTIVE COMMITTEE ACTION FOR PURPOSES OF THE BOARD OR EXECUTIVE COMMITTEE ACTIONS TO BE TAKEN UNDER THESE PROCEDURES, INCLUDING THE DETERMINATION WHETHER A CONFLICT OF INTEREST EXISTS, A MAJORITY OF THE DISINTERESTED DIRECTORS ON THE BOARD OR THE EXECUTIVE COMMITTEE WILL CONSTITUTE A QUORUM. HOWEVER, IN NO CASE WILL A SINGLE DISINTERESTED DIRECTOR TAKE ANY SUCH ACTION. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY IF THE BOARD OR THE EXECUTIVE COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE A POSITION OR A FINANCIAL INTEREST, IT WILL INFORM THE COVERED PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE COVERED PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE COVERED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCES, THE BOARD OR THE EXECUTIVE COMMITTEE DETERMINES THAT THE COVERED PERSON HAS IN FACT FAILED TO DISCLOSE A POSITION OR A FINANCIAL INTEREST, THE BOARD OR THE EXECUTIVE COMMITTEE WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. DOCUMENTATION IN MINUTES THE MINUTES OF THE BOARD OR THE EXECUTIVE COMMITTEE WILL CONTAIN: -WITH RESPECT TO THE DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS, THE NAME OF THE INTERESTED PERSON WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE A POSITION OR FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST; THE NATURE OF THE POSITION OR FINANCIAL INTEREST; ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT; AND THE BOARD OR THE EXECUTIVE COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. -WITH RESPECT TO WHETHER OR NOT THE CONFLICT OF INTEREST TRANSACTION IS APPROVED, THE NAMES OF THE PERSONS PRESENT FOR THE DISCUSSIONS AND VOTE RELATED TO THE PROPOSED TRANSACTION; THE CONTENT OF THE DISCUSSION; WHETHER ALTERNATIVES WERE DISCUSSED THAT DID NOT INVOLVE A CONFLICT OF INTEREST; THE BASIS FOR THE DETERMINATION THAT THE PROPOSED TRANSACTION WAS (I) IN THE ORGANIZATION'S BEST INTEREST, (II) FOR THE ORGANIZATION'S OWN BENEFIT, AND (III) FAIR AND REASONABLE TO THE ORGANIZATION; AND THE RECORD OF THE VOTE TAKEN IN CONNECTION WITH THE PROCEEDINGS. ANNUAL STATEMENTS EACH COVERED PERSON WILL ANNUALLY SIGN A STATEMENT THAT AFFIRMS SUCH PERSON: -HAS RECEIVED A COPY OF THIS POLICY; -HAS READ AND UNDERSTANDS THE POLICY; -HAS AGREED TO COMPLY WITH THE POLICY; AND -UNDERSTANDS THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX AND TO MAINTAIN ITS FEDERAL TAX EXEMPTION THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION, EACH COVERED PERSON WILL ANNUALLY COMPLETE, SIGN AND PROMPTLY RETURN TO THE BOARD A QUESTIONNAIRE AND DISCLOSURE STATEMENT SUBSTANTIALLY IN THE FORM ATTACHED HERETO. A COVERED PERSON NEED NOT DISCLOSE COMPENSATION PAID TO THE COVERED PERSON BY ORGANIZATION PURSUANT TO A RESOLUTION OF THE BOARD. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ALL OF THESE DOCUMENTS ARE LOCATED IN ADMINISTRATION. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Other Revenue - Total Revenue: 2170373, Related or Exempt Function Revenue: 2170373, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | ASSET IMPAIRMENT/RESTRUCTURING - -818854; Net Assets released from Restrictions used for Operations - -20286; Other Misc - -4521; |
| Form 990, Part XII, Line 2c Financial Statements and Reporting | The results of the consolidated audit are reviewed by the Mosaic Health System Board, the parent corporation. |
| Schedule H, Part V, Section B, Line 16a FAP Website URL | https://www.mymlc.com/Main/Location/st-joseph-mo/mosaic-life-care-at-st.-joseph-medical-center/main-medical-center/medical-bills-made-easy/financial-assistance/ |
| Schedule H, Part V, Section B, Line 16b FAP Application Form | https://www.mymlc.com/Main/Location/st-joseph-mo/mosaic-life-care-at-st.-joseph-medical-center/main-medical-center/medical-bills-made-easy/financial-assistance/ |
| Schedule H, Part V, Section B, Line 16c FAP Plain Language Summary | https://www.mymlc.com/Main/Location/st-joseph-mo/mosaic-life-care-at-st.-joseph-medical-center/main-medical-center/medical-bills-made-easy/financial-assistance/ |
| Schedule H Part II Line 7h | Mosaic Life Care's Clinical Research Program provides alternative treatment options when standard of care has failed. These patients may not have access to other treatments. Clinical Research coordinators seamlessly provide care for patients outside of normal treatment options. Clinical research is an important part of any medical care because it helps advance the sciences developed to treat and ultimately lead to management, and a possible cure, for multiple diagnosis. The clinical research department at Mosaic Life Care provides education to the community on the types of clinical research we can provide which includes pharmaceuticals, medical devices, case studies, retrospective chart reviews, prospective trials, humanitarian device trials, compassionate use trials, emergency use trials and much more. The Research team will assist the patients in proper screening and determine eligibility. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | COMPENSATION IS ESTABLISHED BY MOSAIC HEALTH SYSTEM, A RELATED ENTITY. AN ANNUAL REVIEW WAS PERFORMED DURING THE PRIOR FISCAL YEAR. MARKET DATA WAS PROVIDED BY A THIRD PARTY COMPENSATION CONSULTANT THAT SPECIALIZES IN MARKET SALARY DATA. A COMPENSATION COMMITTEE COMPRISED OF MOSAIC HEALTH SYSTEM BOARD CHAIR, MOSAIC HEALTH SYSTEM BOARD VICE-CHAIR AND THREE ADDITIONAL MOSAIC HEALTH SYSTEM BOARD MEMBERS AND INDEPENDENT LEGAL COUNSEL, AS SCRIBE, OVERSAW AN ANNUAL SALARY REVIEW PROCESS FOR OFFICERS AND ADMINISTRATORS. FOR EACH POSITION TO BE REVIEWED, THE FULL SCOPE OF DUTIES AND RESPONSIBILITIES, NUMBERS OF STAFF MANAGED, PROCESSES MANAGED, APPROXIMATE REVENUE, EXPENSE, OR CAPITAL DOLLARS MANAGED WERE PROVIDED TO THE THIRD PARTY CONSULTANT. FACILITY SIZE, NOT-FOR-PROFIT STATUS AND THE SCOPE OF EACH JOB POSITION WERE COMPARED TO LIKE FACILITIES TO DETERMINE BASE COMPENSATION AND INCENTIVE COMPENSATION FOR EACH POSITION. THE DATA GATHERED BY THE THIRD PARTY CONSULTANT WAS REVIEWED BY THE COMPENSATION COMMITTEE, OUTLIER ISSUES WERE RESOLVED AND, BASED UPON PRESENT FINANCIAL INDICATORS, THE COMMITTEE MADE ITS DETERMINATION OF COMPENSATION LEVELS FOR THE NEXT PAY YEAR. |
| Form 990, Part X | Effective January 1, 2020, Mosaic Health System (the parent) was assigned and assumed certain assets and liabilities from its subsidiaries. As the system manager, the Parent's mission is to manage the exempt public charities in the health care system as a "supporting organization" within the meaning of Sections 501(c)(3) and 509(a)(3) of the Internal Revenue Code. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| Northland Expansion LLC | ||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | Development | MO | $0 | $0 | HRMC |
| Urgent Care Properties LLC | ||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | Development | MO | $0 | $0 | HRMC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Mosaic Health System (MHS) | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 431283316 | Healthcare | MO | 501(c)(3) | Type II | NA | false |
| Heartland Foundation (MOSAIC LIFE CARE FOUNDATION) | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 431262768 | Support | MO | 501(c)(3) | 7 | Mosaic Health System | Yes (true) |
| Heartland Long Term Acute Care Hospital (HLTACH) | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 261972987 | Healthcare | MO | 501(c)(3) | 3 | Mosaic Health System | Yes (true) |
| Northwest Medical Center Association Inc (MOSAIC-ALBANY) | ||||||||||
| 705 North College Street | Albany | MO | 64402 | 440580870 | Healthcare | MO | 501(c)(3) | 3 | Mosaic Health System | Yes (true) |
| Northwest Medical Center Foundation Inc (NMC FOUNDATION) | ||||||||||
| 705 North College Street | Albany | MO | 64402 | 473694893 | Support | MO | 501(c)(3) | Type I | Northwest Medical Center Association Inc | Yes (true) |
| Mosaic Medical Center-Maryville (MOSAIC-MARYVILLE) | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 832249459 | Healthcare | MO | 501(c)(3) | 3 | Mosaic Health System | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH DOWNTOWN DEVELOPMENT LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5325 FARAON STREET | AddressLine1Txt |
| City | ST JOSEPH | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 474317460 | EIN |
| Primary Activities | DEVELOPMENT OF DOWNTOWN ST. JOSEPH | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|
| Midwestern Health Management Inc | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 431264358 | Healthcare | MO | NA | C Corporation | Yes (true) | |
| HHS Properties Inc | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 431593799 | Investment | MO | NA | C Corporation | Yes (true) | |
| Uptown Housing Inc | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 261416252 | Redevelopment | MO | HRMC | C Corporation | Yes (true) | 1 |
| Uptown St Joseph Redevelopment Corp | ||||||||||
| 5325 Faraon Street | St Joseph | MO | 64506 | 201742813 | Redevelopment | MO | HRMC | C Corporation | Yes (true) | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Mosaic Health System (MHS) | ||
| M | $91,402,966 | FMV |
| Mosaic Health System (MHS) | ||
| P | $502,945,700 | FMV |
| Heartland Foundation (MLC Foundation) | ||
| B | $358,750 | FMV |
| HEARTLAND LONG TERM ACUTE CARE HOSPITAL (HLTACH) | ||
| J | $621,120 | FMV |
| HEARTLAND LONG TERM ACUTE CARE HOSPITAL (HLTACH) | ||
| L | $3,061,576 | FMV |
| Northwest Medical Center Association Inc (Mosaic-Albany) | ||
| P | $2,491,983 | FMV |
| Heartland Foundation (MLC Foundation) | ||
| Q | $860,986 | FMV |
| MOSAIC MEDICAL CENTER-MARYVILLE (MOSAIC-MARYVILLE) | ||
| Q | $7,140,088 | FMV |
| HHS Properties Inc | ||
| K | $271,432 | FMV |
| HEARTLAND LONG TERM ACUTE CARE HOSPITAL (HLTACH) | ||
| Q | $1,096,583 | FMV |
| MOSAIC HEALTH SYSTEM (MHS) | ||
| H | $9,604,041 | FMV |