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HEARTLAND REGIONAL MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
HEARTLAND REGIONAL MEDICAL CENTER (EIN 44-0545289)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-11
IRS object ID
202601319349303920
Schema version
2024v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2026-05-11T13:12:32+00:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14650 East 53rd StreetAddressLine1Txt
CityDavenportCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52807ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN440545289EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Heartland Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEARBusinessNameControlTxt
Phone8162717070PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15325 Faraon StreetAddressLine1Txt
CitySt JosephCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64506ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDrew KeesburyPersonNm
Person TitleOfficerPersonTitleTxt
Phone8162717070PhoneNum
Signature2026-05-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJenifer L ChasePreparerPersonNm
PTINP01306883PTIN
Phone5638884000PhoneNum
Preparation2026-05-11PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Mosaic Life CareBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Drew KeesburyBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15325 Faraon StreetAddressLine1Txt
CitySt JosephCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64506ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$883,842,748GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://www.mymlc.com/Main/Location/st-joseph-mo/mosaic-life-care-at-st.-joseph-medical-centerWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTo put the needs of the patient first by empowering a culture where caregivers bring their best, ensuring a healthier future for generations to come.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee4157TotalEmployeeCnt
Total Volunteers89TotalVolunteersCnt
Total Gross UBI$148,598TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$935,062PYContributionsGrantsAmt
CY Contributions Grants$296,374CYContributionsGrantsAmt
PY Program Service Revenue$764,924,060PYProgramServiceRevenueAmt
CY Program Service Revenue$865,537,952CYProgramServiceRevenueAmt
PY Investment Income$276,943PYInvestmentIncomeAmt
CY Investment Income$1,502,857CYInvestmentIncomeAmt
PY Other Revenue$16,016,330PYOtherRevenueAmt
CY Other Revenue$16,070,587CYOtherRevenueAmt
PY Total Revenue$782,152,395PYTotalRevenueAmt
CY Total Revenue$883,407,770CYTotalRevenueAmt
PY Grants And Similar Paid$1,686,663PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,773,892CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$353,033,798PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$372,936,753CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$408,302,192PYOtherExpensesAmt
CY Other Expenses$449,875,272CYOtherExpensesAmt
PY Total Expenses$763,022,653PYTotalExpensesAmt
CY Total Expenses$825,585,917CYTotalExpensesAmt
PY Revenues Less Expenses$19,129,742PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$57,821,853CYRevenuesLessExpensesAmt
Total Assets BOY$495,357,037TotalAssetsBOYAmt
Total Assets EOY$582,352,118TotalAssetsEOYAmt
Total Liabilities BOY$65,724,024TotalLiabilitiesBOYAmt
Total Liabilities EOY$94,895,728TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$429,633,013NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$487,456,390NetAssetsOrFundBalancesEOYAmt
MissionTo put the needs of the patient first by empowering a culture where caregivers bring their best, ensuring a healthier future for generations to come.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$718,348,700ExpenseAmt
Grant$2,773,892GrantAmt
Revenue$881,249,206RevenueAmt
DescHEARTLAND REGIONAL MEDICAL CENTER (Mosaic-St. Joseph) IS A 348-BED MEDICAL SURGICAL HOSPITAL LOCATED IN ST. JOSEPH, MISSOURI. IT SERVES A COMMUNITY OF 105,000 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 71.45% GOVERNMENTAL OR Self-PAY PATIENTS. 10.9% 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 15,000 PATIENTS WERE ADMITTED TO THE HOSPITAL RESULTING IN APPROXIMATELY 68,900 PATIENT DAYS. A TOTAL OF APPROXIMATELY 10,000 SURGERIES WERE PERFORMED, THE EMERGENCY ROOM SERVED APPROXIMATELY 53,300 PATIENTS AND APPROXIMATELY 192,300 VISITS WERE GENERATED BY OUTPATIENTS. In FY2025, the outpatient visits methodology was revised to only include clinic provider visits within a specified CPT range. MOSAIC-ST. JOSEPH EMPLOYS APPROXIMATELY 4,200 FULL-TIME EQUIVALENT CARE GIVERS. THE MEDICAL STAFF INCLUDES APPROXIMATELY 334 PROVIDERS COVERING PRIMARY CARE AND SPECIALTY CLINICS FOR APPROXIMATELY 23 LOCATIONS THROUGHOUT THE REGION. THERE WERE APPROXIMATELY 389,000 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$718,348,700TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document134IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4157EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Drew KeesburyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8162717070PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15325 Faraon StreetAddressLine1Txt
CitySt JosephCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64506ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John M Poore
Director/President/CEO1.037.0Yes (X)Yes (X)$0$1,396,868$238,073
Adam Stein
Former Director/Vice Chair1.01.0Yes (X)$0$2,500$0
Angelia Martin MD
Director1.039.0Yes (X)$0$279,216$39,908
Dennis Rosonke
Director1.02.0Yes (X)$0$0$0
Elizabeth Kennedy PHD
Director1.02.0Yes (X)$0$2,500$0
Emily Larson DO
Director39.01.0Yes (X)$447,639$2,500$49,683
Gary Frazer
Director/Chair1.01.0Yes (X)$0$2,500$0
Mary Anne Jackson MD
Director1.01.0Yes (X)$0$2,500$0
Matt Baker
Director/Vice Chair1.03.0Yes (X)$0$2,500$0
Matt Lukens MD
Director39.01.0Yes (X)$709,213$2,500$39,441
Melody Smith
Director1.01.0Yes (X)$0$2,500$0
Ophelia Lavell Rucker
Former Director1.01.0Yes (X)$0$2,500$0
Serena Naylor
Director1.04.0Yes (X)$0$2,500$0
Thomas Richmond
Director1.01.0Yes (X)$0$2,500$0
William Burns
Director1.01.0Yes (X)$0$0$0
Davin J Turner DO
Chief Administrative Officer1.037.0Yes (X)$0$849,212$130,671
Drew M Keesbury
CFO/Treasurer1.036.0Yes (X)$0$740,821$97,485
Michael R Rinard
Secretary1.036.0Yes (X)$0$368,476$81,231
Renea Schott
Assistant Secretary1.039.0Yes (X)$0$73,983$26,905
Gene A Claycomb
President of Mosaic Medical Center35.03.0$512,714$0$96,390Yes (X)
Arvind K Sharma MD
Staff Physician40.00$1,247,026$0$39,691Yes (X)
Jonathan Amspacher MD
Staff Physician40.00$1,735,603$0$46,968Yes (X)
Michael Lunski
Staff Physician40.00$1,273,903$0$22,094Yes (X)
Robert Grant MD
Staff Physician40.00$1,269,868$0$49,669Yes (X)
Rony M Abou-Jawde MD
Staff Physician40.00$2,184,385$0$46,983Yes (X)
Mark Laney MD
Former Director/President/CEO0.00.0$0$220,393$0Yes (X)
Michael Pulido
Former COO/Secretary0.00.0$0$268,884$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,380,351TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,225,353TotReportableCompRltdOrgAmt
Total Other Compensation$1,005,192TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K577IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Quest Diagnostics
PO Box 14730St LouisMO63150Medical Services$2,406,166
Montee Law Firm PC
PO Box 127St JosephMO64502Legal Services$1,450,000
Hayes Locums LLC
PO Box 844543DallasTX752844543Agency Services$1,386,976
Capital Performance Management
11709 Roe Ave D236LeawoodKS662112607Capital Management$1,199,771
Radiology Specialists of St Joseph PC
3906 Oakland AvenueSt JosephMO64508Medical Services$1,089,258
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K27CntrctRcvdGreaterThan100KCnt
All Other Contributions$296,374AllOtherContributionsAmt
Total Contributions$296,374TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621110$804,903,334$804,903,334
340B Pharmacy Revenue621110$60,634,618$60,634,618

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$865,537,952TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$305,666TotalRevenueColumnAmt
Exclusion$305,666ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$412,742RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$202,007RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$210,735RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$210,735TotalRevenueColumnAmt
Exclusion$210,735ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,430,162OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$232,971OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$1,197,191OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,197,191TotalRevenueColumnAmt
Exclusion$1,197,191ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
All Other Revenue900099$11,879,275$11,879,275
Cafeteria722514$4,201,317$4,201,317
Referral Lab621511-$220,740-$369,338$148,598

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,859,852OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$883,407,770TotalRevenueColumnAmt
Related Or Exempt Func Income$881,249,206RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$148,598UnrelatedBusinessRevenueAmt
Exclusion$1,713,592ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,773,892TotalAmt
Program Services$2,773,892ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,925,944TotalAmt
Program Services$1,305,472ProgramServicesAmt
Management And General$620,472ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$78,365TotalAmt
Program Services$78,365ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$311,488,360TotalAmt
Program Services$308,926,612ProgramServicesAmt
Management And General$2,561,748ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,956,395TotalAmt
Program Services$6,893,482ProgramServicesAmt
Management And General$62,913ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$33,810,387TotalAmt
Program Services$33,281,848ProgramServicesAmt
Management And General$528,539ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,677,302TotalAmt
Program Services$18,476,586ProgramServicesAmt
Management And General$200,716ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$43,786TotalAmt
Management And General$43,786ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$145,238TotalAmt
Program Services$99,000ProgramServicesAmt
Management And General$46,238ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$47,411,825TotalAmt
Program Services$46,988,304ProgramServicesAmt
Management And General$423,521ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,233TotalAmt
Program Services$7,233ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,686,054TotalAmt
Program Services$19,390,596ProgramServicesAmt
Management And General$1,295,458ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,857,348TotalAmt
Program Services$6,846,487ProgramServicesAmt
Management And General$10,861ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,429,728TotalAmt
Program Services$4,768,274ProgramServicesAmt
Management And General$661,454ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$413,270TotalAmt
Program Services$411,715ProgramServicesAmt
Management And General$1,555ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$157,038TotalAmt
Program Services$151,501ProgramServicesAmt
Management And General$5,537ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$66,969TotalAmt
Program Services$66,969ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,574,603TotalAmt
Program Services$26,502,150ProgramServicesAmt
Management And General$1,072,453ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,972,005TotalAmt
Program Services$6,935,556ProgramServicesAmt
Management And General$1,036,449ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies/Includes 340B$175,830,042$175,830,042
Corporate Allocations From Mosaic Health System$133,208,231$34,634,140$98,574,091
FRA Taxes$22,697,688$22,697,688
Dues & Subscriptions$1,374,214$1,282,788$91,426

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$825,585,917TotalAmt
Program Services$718,348,700ProgramServicesAmt
Management And General$107,237,217ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$24,354BOYAmt
EOY$44,303EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$101,340,402BOYAmt
EOY$96,753,325EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$225,000BOYAmt
EOY$200,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,259,959BOYAmt
EOY$14,082,157EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,108,118BOYAmt
EOY$15,915,664EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$685,147,759LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$437,939,268LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$237,897,003BOYAmt
EOY$247,208,491EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,891,469BOYAmt
EOY$4,113,749EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$129,610,732BOYAmt
EOY$204,034,429EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$495,357,037BOYAmt
EOY$582,352,118EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$53,525,439BOYAmt
EOY$78,634,026EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,198,585BOYAmt
EOY$16,261,702EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$65,724,024BOYAmt
EOY$94,895,728EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$429,633,013BOYAmt
EOY$487,446,390EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$10,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$429,633,013BOYAmt
EOY$487,456,390EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$495,357,037BOYAmt
EOY$582,352,118EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$57,821,853ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,524OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$145,238OtherActivitiesAmt
Total Lobbying Expenditures$145,238TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationPORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS THAT ARE USED FOR LOBBYING PURPOSES BY THE HOSPITAL ASSOCIATIONS. 28.80% of the membership dues paid to the Missouri Hospital Association are used for lobbying activities. 39.00% 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,321,803OtherCostOrOtherBasisAmt
Book Value$17,321,803BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$418,509,076OtherCostOrOtherBasisAmt
Depreciation$251,175,247DepreciationAmt
Book Value$167,333,829BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,651,939OtherCostOrOtherBasisAmt
Depreciation$17,189,994DepreciationAmt
Book Value$1,461,945BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$213,880,405OtherCostOrOtherBasisAmt
Depreciation$169,574,027DepreciationAmt
Book Value$44,306,378BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,784,536OtherCostOrOtherBasisAmt
Book Value$16,784,536BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$247,208,491TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Due from Affiliates$178,344,345
Long Term Investments$25,690,084
FieldValueIRS element (for citing)
Total Book Value Other Assets$204,034,429TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Federal Income Taxes
Leases & Other Less Current Portion$7,555,613
Due to Affiliates$6,594,548
Current Portion - Long Term Debt$2,107,702
Interest Payable$3,839
FieldValueIRS element (for citing)
Total Liability$16,261,702TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationMOSAIC 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 (ALBANY Foundation) 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's tax returns are generally subject to U.S. federal examinations by tax authorities for a period up to three years from the extended due date of return. AT JUNE 30, 2025, 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 $6.3M AND EXPIRE THROUGH 2038. FOR NET 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 $1.9M 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, 2025 AND 2024, THERE WERE NO UNCERTAIN TAX POSITIONS IDENTIFIED AND RECORDED AS A LIABILITY.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,624,978TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,624,978NetCommunityBenefitExpnsAmt
Total Expense0.01650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$120,137,727TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$101,286,859DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,850,868NetCommunityBenefitExpnsAmt
Total Expense0.02283TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$133,762,705TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$101,286,859DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,475,846NetCommunityBenefitExpnsAmt
Total Expense0.03934TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,847,376TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,089,743DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,757,633NetCommunityBenefitExpnsAmt
Total Expense0.00940TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$393,248TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$875DirectOffsettingRevenueAmt
Net Community Benefit Expns$392,373NetCommunityBenefitExpnsAmt
Total Expense0.00048TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,082,958TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,447,124DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,635,834NetCommunityBenefitExpnsAmt
Total Expense0.01046TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$705,444TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$69,212DirectOffsettingRevenueAmt
Net Community Benefit Expns$636,232NetCommunityBenefitExpnsAmt
Total Expense0.00077TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,856,933TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,856,933NetCommunityBenefitExpnsAmt
Total Expense0.00225TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$56,885,959TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,606,954DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,279,005NetCommunityBenefitExpnsAmt
Total Expense0.02335TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$190,648,664TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$138,893,813DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,754,851NetCommunityBenefitExpnsAmt
Total Expense0.06269TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,748TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$36,748NetCommunityBenefitExpnsAmt
Total Expense0.00004TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$115,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$115,000NetCommunityBenefitExpnsAmt
Total Expense0.00014TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$151,748TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$151,748NetCommunityBenefitExpnsAmt
Total Expense0.00018TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$31,345,979BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$178,299,440ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$219,891,563CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$41,592,123MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Heartland Regional Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15325 Faraon StreetAddressLine1Txt
CitySt JosephCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64506ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.mymlc.com/Main/Location/st-joseph-mo/mosaic-medical-center-st.-joseph/WebsiteAddressTxt
State License426-28StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherPharmacist Intern ProgramOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Heartland Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.mymlc.com/General/Community-Health-Needs-Assessment/St-Joseph-CHNA/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.mymlc.com/General/Community-Health-Needs-Assessment/St-Joseph-CHNA/StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SCHEDULE OFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SCHEDULE OFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SCHEDULE OFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ETHE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE A PRIORITIZED DESCRIPTION OF VARIOUS FACTORS INCLUDING: - MENTAL HEALTH; - POVERTY/SOCIAL DETERMINANTS OF HEALTH; - DISEASE PREVENTION EDUCATION THESE SIGNIFICANT HEALTH NEEDS ARE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - HEARTLAND REGIONAL MEDICAL CENTER (Mosaic-St. Joseph). THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS JOINTLY PREPARED BY HEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST. JOSEPH) AND Heartland Long-Term Acute Care Hospital (HLTACH). THE CHNA WAS CONDUCTED DURING TAX YEAR 2024 TO DETERMINE SERVICES NEEDED BY THE MEDICALLY UNDERSERVED, LOW INCOME OR MINORITY POPULATIONS. THE FOLLOWING THREE NEEDS WERE CHOSEN TO BE ADDRESSED OVER THE NEXT THREE YEARS: - MENTAL HEALTH - POVERTY/SOCIAL DETERMINANTS OF HEALTH - DISEASE PREVENTION EDUCATION MOSAIC-ST. JOSEPH AND HLTACH UTILIZED AN INDEPENDENT CONSULTING FIRM NAMED CROWE, LLP TO GATHER INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY CONDUCTING KEY STAKEHOLDER INTERVIEWS AND A COMMUNITY SURVEY. KEY STAKEHOLDER INTERVIEWS: MOSAIC-ST, JOSEPH AND HLTACH OBTAINED INPUT FROM COMMUNITY LEADERS REPRESENTING TWENTY-FIVE ORGANIZATIONS INCLUDING PUBLIC HEALTH, PUBLIC SCHOOLS, LOCAL GOVERNMENT OFFICIALS, SOCIAL SERVICES AND VARIOUS NON-PROFIT ORGANIZATIONS THROUGH KEY STAKEHOLDER INTERVIEWS. IN ADDITION, 72 PARTICIPANTS REPRESENTING MOSAIC-ST, JOSEPH'S HEALTH CARE PROVIDERS AND SENIOR LEADERS PARTICIPATED IN TWO FOCUS GROUPS. INTERVIEWS WERE CONDUCTED WITH REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: AFL CIO, BARTLETT CENTER, BIG BROTHERS BIG SISTERS, BUCHANAN COUNTY SHERIFF'S DEPARTMENT, CATHOLIC CHARITIES, COMMUNITY ACTION PARTNERSHIP, COMMUNITY MISSIONS CORPORATION, FAMILY GUIDANCE CENTER, GIRL SCOUTS OF NORTHEAST KANSAS AND NORTHWEST MISSOURI, INTERSERV, MERIL, MIDCITY EXCELLENCE CENTER, NORTHWEST HEALTH SERVICES, SECOND HARVEST COMMUNITY FOOD BANK, SOCIAL WELFARE BOARD, ST. JOSEPH HABITAT FOR HUMANITY, ST. JOSEPH HEALTH DEPARTMENT, ST. JOSEPH SCHOOL DISTRICT, ST. JOSEPH TRANSIT, ST. JOSEPH UNITED WAY, ST. JOSEPH YMCA, ST. JOSEPH YOUTH ALLIANCE, ST. JOSEPH YWCA, UNITED CEREBRAL PALSY, VOICES OF COURAGE-CHILD ADVOCACY CENTER. THE KEY STAKEHOLDER INTERVIEWS WERE CONDUCTED THROUGHOUT OCTOBER OF 2024 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 DURING FEBRUARY AND MARCH OF 2025. A LINK TO THE SURVEY WAS DISTRIBUTED VIA E-MAIL, SOCIAL MEDIA AND WORD OF MOUTH TO THE COMMUNITY AT-LARGE. A TOTAL OF 78 SURVEYS WERE COMPLETED. THE MAJORITY OF RESPONDENTS WERE WHITE/CAUCASIAN 85.4%, HISPANIC OR LATINO 6.0%, NONHISPANIC BLACK 5.0%, NON-HISPANIC MULTIPLE RACES 5.7% AND 2.8% NON-HISPANIC SOME OTHER RACE. THE SAMPLE INCLUDED MEN AND WOMEN, 18 AND OVER.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 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 TAX-EXEMPT ORGANIZATION.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - HEARTLAND REGIONAL MEDICAL CENTER (Mosaic-St. Joseph):. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED AND AN IMPLEMENTATION PLAN FOR ADDRESSING THE IDENTIFIED NEEDS WAS ADOPTED IN THE 2024 TAX YEAR. THE TOP THREE SIGNIFICANT NEEDS IDENTIFIED WERE: 1) Mental Health; 2) Poverty/Social Determinants of Health; AND 3) Disease Prevention Education. Mosaic-St. Joseph is a fully engaged community partner striving to address the unique health and social issues that challenge the region. The primary barriers to improving health and quality of life in the community include economic instability and high poverty rates, which affect access to healthcare, housing, and nutritious food. The community struggles with a lack of affordable and reliable transportation, making it difficult for residents to access healthcare services and other essential resources. There is a significant uninsured population, and many individuals face challenges navigating the healthcare system, particularly in obtaining insurance and accessing Medicaid. The shortage of primary care providers and pediatricians further limits healthcare access. Cultural and language barriers, especially among the immigrant population, contribute to distrust in the healthcare system. Education and literacy issues hinder individuals' ability to access and utilize available resources effectively. Mental health and drug addiction are prevalent, with many using substances to self-medicate due to inadequate mental health services. The community also faces challenges related to housing, with a lack of affordable, clean housing options and no 24/7 shelter available. There is also a lack of motivation and engagement among residents to participate in health-promoting activities. TO FULLY MEET THE NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT, Mosaic-St. Joseph and HLTACH IMPLEMENTED A THREE-YEAR ACTION PLAN FOR TAX YEARS 2025, 2026 AND 2027 COMPRISED OF THE FOLLOWING COMPONENTS. SIGNIFICANT NEED #1: Mental Health: A) Continue work of Community Behavioral Health Alliance. B) Continue to financially support agencies that provide services. C) Collaboration with ACES, Youth Alliance, Big Brothers/Big Sisters. D) Continue to have mental health workers in Mosaic's Emergency Department from Family Guidance Center. E) Physical expansion of mental health service areas. F) Continue to recruit mental health providers. G) Continue to focus on mental health education in the 4th Grade Challenge. H) MOSAIC-ST, JOSEPH's Spiritual Health Department will provide ongoing education on trauma. SIGNIFICANT NEED #2: Poverty/Social Determinants of Health: A) Continue to financially support organizations that provide services to those in poverty. B) Provide financial support for the development of a 24/7 year-round homeless shelter. C) Continue to provide Medicaid enrollment assistance. SIGNIFICANT NEED #3: Disease Prevention Education: A) Continue to provide the 4th Grade Challenge healthy habits program to all public and private elementary schools. B) Continue to offer Kids in the Kitchen healthy cooking classes to elementary school students. C) Develop a healthy cooking class for adults. D) Continue Healthy Lifestyles program pilot for cancer survivors. E) Continue to be involved in the Opioid Task Force. F) Continue to support organizations that provide healthy lifestyle education, such as St. Joseph Youth Alliance and Mid-City Excellence. G) Financial support for the building of an aquatic center that our arthritis patients can use. 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 , 1Facility , 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.
FieldValueIRS element (for citing)
Facility24FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
Cameron Mosaic Life Care
923 North Walnut StreetCameronMO64429Family Care, Neurology, and Endocrinology
Mosaic Life Care Clinics
902 North Riverside RoadSt JosephMO64507Medical and Radiation Oncology, Outpatient Infusion, Cardiovascular and Continued Care
Mosaic Life Care Clinics
2600 Miller StreetBethanyMO64424Cardiology and Endocrinology
Mosaic Life Care Clinics
901 Heartland RoadSt JosephMO64506Infectious, Endocrinology, Internal Medicine, Wound, Sleep Disorder, Women's Health and Menopause
Mosaic Life Care Clinics
5301 Faraon Street Suites XXX-XX-XXXXSt JosephMO64506Ears Nose and Throat, Pulmonary and Critical Care, Physical Medicine and Rehabilitation, Sports Med210B
Mosaic Life Care Clinics
711 North 36th Street Suite 100 LowSt JosephMO64506Family Care & Outpatient Therapyer Level
Mosaic Life Care Clinics
5210 North Belt Highway Entrance BSt JosephMO64506Family CareC
Mosaic Life Care Clinics
5514 Corporate Drive Suites 120 150St JosephMO64507Internal Medicine and Pediatrics
Mosaic Life Care Clinics
105 Far West Drive Suites 100 201 2St JosephMO64506Internal Medicine, Pediatrics, Family Care, Neurology, Outpat Infusion, & Outpatient Behavior Health02
Mosaic Life Care Clinics
802 North Riverside RoadSt JosephMO64506Bariatric, Breast, Cardio Thoracic & General Surgery, Pain Mgmt, Rheumatology, Vein Care & etc.
Medical Oncology Mosaic Life Care
1610 East Evergreen Suite BCameronMO64429Cancer Care
Mosaic Life Care Clinics
2016 South MainMaryvilleMO64468Medical Oncology, Neuro Surgery, Maternity, Imaging, Cancer Care, Cardiology, Cardiopulmonary Rehab
Mosaic Life Care Hospice at Stanberry
307 Pineview Pine View Manor Rm 507StanberryMO64489Hospice
Mosaic Life Care Clinics
3620 Fredrick AvenueSt JosephMO64506Outpatient Imaging, Counseling Care, & Radiology
Mosaic Life Care Clinics
3007 North Belt HighwaySt JosephMO64506Outpatient Therapy & Chiropractic Care
Plastic Surgery & Dermatology Mosaic
5204 North Belt Highway Suite ASt JosephMO64506Plastic Surgery & Dermatology
Mosaic Life Care Clinics
1600 East Evergreen PO Box 557CameronMO64429Pulmonary, Cardiology, & Vascular
Mosaic Life Care Clinics
1707 East 9th StreetTrentonMO64683Family Care, Cardiology
Urgent Care St Joseph Mosaic Life Care
1115 North Belt HighwaySt JosephMO64506Urgent Care
Mosaic Life Care Clinics
104 North 6thAtchisonKS66002Cancer Care
Troy Mosaic Life Care
207 South MainTroyKS66087Family Care
Endocrinology Mosaic Life Care
820 Raven Hill DriveAtchisonKS66002Endocrinology, Nephrology, & Vascular
Mosaic Life Care at St Joseph Nephrology
1009 West St Maarten DriveSt JosephMO64506Nephrology
Mosaic Life Care
5506 Corporate DriveSt JosephMO64507Home Health, Hospice, Care at Home

Supplemental Information Detail SupplementalInformationDetail (23 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7 Column FNO 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.
Schedule H, Part I, Line 3cIn FY2024, Heartland Regional Medical Center (Mosaic-St. Joseph) modified the Financial Assistance Policy (FAP) eligibility criteria to include an asset test. Includable assets, which are assets identified in the FAP, are combined with gross household income and compared to the Federal Poverty Guidelines threshold previously established by Mosaic-St. Joseph for free or discounted care.
Schedule H, Part I, Line 6aNot applicable
Schedule H, Part I, Line 7bDURING THE YEAR-ENDED 06/30/2025, Heartland Regional Medical Center (Mosaic-St Joseph) reduced the estimated FEDERAL REIMBURSEMENT ALLOWANCE program liability related to prior program years by approximately $9,442,000, thereby increasing patient service revenue by the same amount. This change in estimate was the result of the state of Missouri providing Mosaic-St Joseph final settlement notifications during the year ended June 30, 2025. RECORDED ESTIMATES MAY CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM AS THEY ARE INHERENTLY SUBJECTIVE DUE TO THE LACK OF HISTORICAL PRECEDENCE WITH RESPECT TO HOW THE STATE ADMINISTERS THE PROGRAM.
Schedule H, Part VI, Line 7NOT APPLICABLE
Schedule H, Part I, Line 7hHEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST. JOSEPH) 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-ST. JOSEPH 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.
Schedule H, Part I, Line 7a Column eDuring fiscal year 2025 (tax year 2024), Heartland Regional Medical Center (Mosaic-St. Joseph) experienced changes in presumptive charity and operations that temporarily reduced reported charity care expenses. To continue meeting community needs, Mosaic-St. Joseph provided additional sponsorships near the end of the fiscal year. In fiscal year 2026, Mosaic-St. Joseph implemented targeted process improvements to strengthen eligibility screening and financial assistance workflows, ensuring patients receive appropriate support. These efforts include enhanced initiatives to proactively identify and assist patients who may qualify for Medicaid.
Schedule H, Part I, Line 7g Subsidized Health ServicesNOT APPLICABLE
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS THE COST TO CHARGE RATIO DERIVED FROM THE CALCULATIONS FROM WORKSHEET 2. FOR THE YEAR ENDED 6/30/2025, THE CALCULATION IN WORKSHEET 2 WAS MODIFIED TO BETTER ALIGN WITH IRS INSTRUCTIONS SPECIFICALLY RELATED TO THE COST OF NONPATIENT CARE ACTIVITIES, REFLECTING A MORE ACCURATE ALLOCATION OF PATIENT CARE COSTS AT COST.
Schedule H, Part II Community Building ActivitiesHEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST. JOSEPH) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY PROVIDING SEVERAL EDUCATIONAL PROGRAMS TO HELP MAINTAIN A HEALTHY LIFESTYLE. THE PROGRAMS ARE WELL-ADVERTISED, AND MOST OF THEM ARE FREE OF CHARGE. FOR EXAMPLE, MOSAIC-ST. JOSEPH'S ADULT HEALTHY LIFESTYLES AND KIDS IN THE KITCHEN HEALTHY COOKING CLASSES HELP REDUCE ADULT AND CHILDHOOD OBESITY. THE 4TH GRADE HEALTH CHALLENGE, WHICH MOSAIC-ST. JOSEPH COORDINATES WITH LOCAL ELEMENTARY SCHOOLS, TARGETS REDUCING OBESITY WITH AN EMPHASIS ON MENTAL HEALTH. MOSAIC-ST. JOSEPH COMMUNITY BUILDING ACTIVITIES PROVIDE THE COMMUNITY WITH MENTAL HEALTH SUPPORT BY COLLABORATING WITH THE COMMUNITY BEHAVIORAL HEALTH ALLIANCE AND MOSAIC-ST. JOSEPH SPIRITUAL HEALTH DEPARTMENT. MOSAIC-ST. JOSEPH ALSO CONTINUES TO PROVIDE FINANCIAL SUPPORT TO AGENCIES THAT PROVIDE MENTAL HEALTH SERVICES. MOSAIC-ST. JOSEPH PROVIDES ECONOMIC SUPPORT TO RE-VITALIZE THE DOWNTOWN ST. JOSEPH AREA AND FACILITATE JOB GROWTH THROUGHOUT THE GREATER ST. JOSEPH AREA.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountHeartland 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. The presumptive charity and operational changes experienced in FY25 not only reduced charity care expense but also contributed to an increase in bad debt expense during the same period. As process improvements were implemented in FY26, earlier intervention helped ensure that eligible patients were reviewed for charity care or Medicaid coverage, reducing bad debt expense.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyHEARTLAND REGIONAL MEDICAL CENTER (MOSAIC-ST. JOSEPH) uses a third party to electronically review a patient's or the Guarantor's 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's 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. Joseph. This enables Mosaic-St. Joseph 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. Joseph 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 ITS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS Financial Assistance Policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnotePlease see THE ACCOUNTS RECEIVABLE FOOTNOTE ON PAGE 10 and 11 and the Patient Service revenue Footnote regarding implicit price concessions on page 18 and 19 OF The ATTACHED AUDITED FINANCIAL STATEMENTS. SEE ALSO THE PARAGRAPH IN THE CHARITY CARE FOOTNOTE ON PAGE 19.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT WHICH RESULTS IN A SHORTFALL OF COVERING Heartland Regional Medical Center's (Mosaic-St. Joseph) 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. Mosaic-St. Joseph's net community benefit expense (Schedule H, Part i, line 7, column (e)) as a percentage is 6.27%, and the percentage increases to 11.31% if Medicare shortfalls (SCHEDULE H, PART III, SECTION B, LINE 7) are included in net community benefit expense. IN ADDITION, THIS COINCIDES WITH THE IRS REVENUE RULING 69-545, WHICH provides general requirements for tax exemption, along with section 501(c)(3) AND 501(r).
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceHEARTLAND REGIONAL MEDICAL CENTER (HRMC) FINANCIAL ASSISTANCE POLICY CONTAINS THE ACTIONS HRMC MAY TAKE IN THE EVENT OF A PATIENT'S NON-PAYMENT, INCLUDING COLLECTION ACTIONS AND REPORTING TO CREDIT AGENCIES. THESE ACTIONS APPLY BROADLY TO HRMC PATIENTS, INCLUDING THOSE PATIENTS HRMC KNOWS QUALIFY FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY (FAP). UNDER HRMC'S FAP, PATIENTS MAY RECEIVE FREE OR DISCOUNTED CARE, DEPENDING ON THEIR FINANCIAL QUALIFICATIONS. FOR FAP-ELIGIBLE PATIENTS WITH BALANCES REMAINING AFTER DISCOUNTS, COLLECTION ACTIONS WILL NOT BE TAKEN WITHIN 120 DAYS OF ISSUING THE FIRST POST-DISCHARGE STATEMENT(S). DURING THIS 120-DAY PERIOD, PATIENTS WILL RECEIVE FOUR WRITTEN STATEMENTS. IF FOR SOME REASON A MONTHLY STATEMENT IS RETURNED AS UNDELIVERABLE, HRMC WILL ATTEMPT TO OBTAIN A CORRECT ADDRESS OR REACH THE PATIENT BY TELEPHONE. IF, AFTER 120 DAYS, THE PATIENT HAS NOT REMITTED PAYMENT OR AGREED TO A PAYMENT PLAN WITH HRMC, THE PATIENT ACCOUNT WILL BE TURNED OVER TO A THIRD-PARTY COLLECTION AGENCY.
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 assessmentHeartland 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 assistanceHeartland 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 informationHeartland Regional Medical Center's (Mosaic-St. Joseph) 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. Mosaic-St Joseph SUPPORTS A PAYOR MIX OF APPROXIMATELY 71.45% GOVERNMENTAL OR SELF-PAY PATIENTS. 14.7% OF THE POPULATION IS BELOW THE POVERTY LEVEL; 19.2% OF THE POPULATION SMOKES; AND 33.5% HAVE A BODY MASS INDEX GREATER THAN 30. MORE THAN 59.2% OF THE ELEMENTARY AGE STUDENTS RECEIVE FREE OR REDUCED-COST LUNCHES.
Schedule H, Part VI, Line 5 Promotion of community healthHEARTLAND 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. Mosaic-St. Joseph extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties. HIGHLIGHTED BELOW ARE EXAMPLES IN WHICH MOSAIC-ST. JOSEPH PROVIDED DIRECT FUNDING SUPPORT TO THE COMMUNITY ORGANIZATIONS WITH LIKE MISSIONS. IN FY25, 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 FY25, THESE COMMUNITY HEALTH IMPROVEMENT PROGRAMS WERE ALSO OFFERED: 1. 4TH GRADE HEALTH CHALLENGE IN ELEMENTARY SCHOOLS 2. ADULT HEALTHY LIFESTYLE PROGRAM (REPLACED POUND PLUNGE) PILOTED WITH CANCER SURVIVORS 3. KIDS IN THE KITCHEN HEALTHY COOKING CLASSES IN ELEMENTARY SCHOOLS 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. In FY25, Mosaic-St. Joseph announced the development of Plaza 4, a new three-story, 90,000-square-foot medical office facility adjacent to its main campus in St. Joseph, Missouri. Scheduled to open in spring 2026, this project represents a significant investment in improving access to care and enhancing the patient experience for the region. The Plaza 4 medical office building is designed to consolidate and expand outpatient services, creating a convenient and efficient environment for patients and visitors. The new facility will feature: * Outpatient Imaging and Laboratory Services - Providing advanced diagnostic capabilities in a streamlined setting. * Retail and Specialty Pharmacy - Offering on-site medication access and specialty pharmaceutical support. * Eight Outpatient Clinic Service Lines - Including primary care and specialty practices to meet diverse health needs. Beyond clinical services, the building incorporates modern design principles focused on energy efficiency and accessibility. Mosaic-St. Joseph partnered with a national team of architects and engineers to ensure the facility supports a high standard of care and operational excellence. This investment underscores Mosaic- St Joseph's commitment to expanding health care services, improving community health outcomes, and supporting economic growth in the region. During FY25, Mosaic-St. Joseph expanded its clinical capabilities by adding new providers across multiple specialties. This strategic growth initiative was designed to enhance patient access, broaden the range of available services, and support the hospital's long term commitment to meeting community healthcare needs. The addition of these providers strengthened service lines, increased capacity, and positioned the organization to better serve patients throughout the region. Mosaic-St. Joseph advanced community health by developing a new interventional neurology and neuroendovascular program designed to elevate the region's stroke care to a top-tier level. As part of this initiative, experienced staff participated in specialized training at nationally recognized medical centers. This training improved readiness to deliver advanced stroke interventions locally. This program allows community members to receive time sensitive, life saving treatments such as thrombectomies, cerebral and spinal angiography, aneurysm and AVM procedures, and vascular stenting without needing to travel outside the region. Early implementation includes support for rural patients, who will increasingly be transferred to the hospital for high level stroke interventions, thereby improving equitable access to specialized neurological care. These advancements directly contribute to improving community health outcomes, reducing disability from stroke, increasing local access to cutting edge medical procedures, and supporting the hospital's mission to enhance the well being of the population it serves. Mosaic-St. Joseph plays a vital role in expanding access to quality health care in St. Joseph and the surrounding rural communities. Through its partnership with the UMKC School of Medicine, Mosaic-St. Joseph helps create a direct pipeline of future physicians who are specifically trained in and committed to serving rural populations. This collaboration ensures that local residents benefit from more consistent, community based medical care and helps address long standing provider shortages in northwest Missouri. By offering hands on clinical training, innovation, and real world rural health experience, Mosaic-St. Joseph strengthens the region's health care workforce and supports a sustainable model for delivering care to underserved communities.
Schedule H, Part VI, Line 6 Affiliated health care systemMosaic Health System (Parent) is a Missouri nonprofit corporation located in St. Joseph, Missouri, that provides, through its various subsidiaries and affiliates, an integrated health care delivery system, including inpatient and outpatient care and physician services to residents of Northwest Missouri and adjacent areas in Iowa, Kansas and Nebraska. As the system manager, the Parent's mission is to manage the exempt public charities in its health care system as a "supporting organization" within the meaning of Sections 501(c)(3) and 509(a)(3) of the Internal Revenue Code (IRC). The Parent has ownership interest in the following related organizations: Heartland Regional Medical Center dba Mosaic Life Care (Mosaic-St. Joseph) is a Missouri nonprofit corporation located in St. Joseph, Missouri, that operates a general medical and surgical hospital with 348 licensed beds and employs both primary and specialty physicians. The Parent is the sole corporate member of Mosaic-St. Joseph. Mosaic Medical Center-Maryville (Mosaic-Maryville) is a Missouri nonprofit corporation located in Maryville, Missouri, that provides inpatient, outpatient and emergency care services as a critical access hospital with 35 licensed beds and employees both primary and specialty physicians. Mosaic-Maryville licenses decreased from 81 to 35 beds as a result of converting to a critical access hospital during fiscal year 2025. The Parent is the sole corporate member of Mosaic-Maryville. The Parent also has ownership interest in the following related organizations: Northwest Medical Center Association, Inc. dba Mosaic Medical Center-Albany (Mosaic-Albany) is a Missouri nonprofit corporation located in Albany, Missouri, that provides inpatient, outpatient and emergency care services as a critical access hospital with 21 licensed beds. The Parent is the sole corporate member of Mosaic-Albany. Heartland Long-Term Acute Care Hospital (LTACH) is a Missouri nonprofit corporation that operates a long-term acute care hospital with 30 licensed beds in space leased from Mosaic-St. Joseph. The Parent is the sole corporate member of LTACH. Heartland Foundation dba Mosaic Life Care Foundation is a Missouri nonprofit corporation whose mission and principal activities are to empower children and adults to build healthier, more livable communities, primarily in northwest Missouri and neighboring counties in Iowa, Kansas and Nebraska. The Parent is the sole corporate member of Mosaic Life Care Foundation. Northwest Medical Center Foundation (Albany Foundation) is a Missouri nonprofit corporation that operates to perform the functions of, and/or to carry out the purposes of Mosaic-Albany and other charitable health care organizations located in Mosaic-Albany's service area. Albany Foundation's purposes shall include, but not be limited to, owning property, fundraising and making grants from its funds for the benefit of the Mosaic-Albany and the other organizations it supports. Mosaic-Albany is the sole corporate member of Albany Foundation.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (36 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescAddress Line2USAddress/AddressLine2Txt
Heartland Foundation
5325 Faraon StreetSt JosephMO64506431262768501c3$421,116General Support
YMCA of St Joseph Missouri
315 South 6th StreetSt JosephMO64501440552491501C3$255,000General Support
Samaritan Counseling Center Inc
902 Edmond StreetSt JosephMO64501431615018501C3$210,000General Support
United Way of Greater St Joseph
118 South 5TH STREETSt JosephMO64501440547802501C3$152,380General Support
Second Harvest Community Food Bank
915 DOUGLAS StreetSt JosephMO64505431268319501C3$150,500General Support$5,134OtherMeals donated
Social Welfare Board
904 South 10th StreetSt JosephMO64503133412408$150,000General SupportSuite A
YWCA of St Joseph Missouri
304 N 8th StreetSt JosephMO64501440552219501C3$102,400General Support
North Central Missouri College Foundation
1301 Main StreetTrentonMO646831824431423040501C3$100,000General Support
St Joseph Area Chamber of Commerce
3003 Frederick AvenueSt JosephMO64506440419460501c6$97,075Sponsorship
Community Missions Corporation
700 Olive StreetSt JosephMO64501900180479501C3$61,715General Support
Albrecht-Kemper Museum of Art Foundations
2818 FREDERICKSt JosephMO64506431855334501C3$60,500General Support
Ashland United Methodist Church
2211 Ashland AveSt JosephMO64506440653008501C3$58,300General Support
Northwest Missouri Childrens Advocacy Center
1807 Woodbine RoadSt JosephMO64506431910148501C3$56,500General Support
Habitat for Humanity
3131 Frederick AveSt JosephMO64506431733608501C3$53,000General Support
Pivotal Point
3000 Parkway ASt JosephMO64507271481997501C3$50,000General Support
St Joseph Housing Corp
2902 S36th Street PlSt JosephMO64503994689938501C3$50,000General Support
St Joseph Mustangs
4707 College Blvd Suite 204LeawoodKS66211261723796$40,000General Support
Ladies Union Benevolent Association dba Noyes Home for Children
801 N Noyes BlvdSt JosephMO64506440563788501C3$35,000General Support
Community Foundation of Northwest Missouri
1010 W St Maartens Dr Suite CSt JosephMO64506270436182501C3$30,500General Support
Main Street St Joseph
224 N 7th StreetSt JosephMO64501871903139501C3$25,300General Support
Community Alliance
3003 Frederick AvenueSt JosephMO64506050587096501C3$24,286General Support
MidCity Excellence
1802A Union StreetSt JosephMO64501431934077501C3$20,000General Support
Northwest Foundation Inc
800 University DriveMaryvilleMO64468446000301501C3$18,150Sponsorship
Sisters of Solace
3024 Frederick AveSt JosephMO64506831624357501C3$16,350General Support
MWSU Foundation Inc
5425 DOWNS DRIVESt JosephMO64507237035423501C3$15,100General Support
Faith in Action
2711 Ashland AvenueSt JosephMO64506440653008501C3$10,000General Support
Friends of St Joseph School District
PO Box 8511St JosephMO64506833499451$10,000General Support
City of St Joseph Health Department
904 S 10th StSt JosephMO64503446000256CITY OF ST JOSEPH$7,800General SupportSuite E
Outside 45
3907 Seneca StreetSt JosephMO64507993612907501C3$6,000General Support
The Crossing Outreach
701 South 8th StreetSt JosephMO64501464195177501C3$5,000General Support
Northwest Missouri Law Enforcement Foundation
5005 Frederick BlvdSt JosephMO64506883303443501C3$5,000General Support
St Joseph School District
1415 N 26th StreetSt JosephMO64506386000681City of St Joseph$5,000General Support
Project Cure
8800 NE Underground DriveKansas CityMO64161841568566501C3$5,000General SupportPillar 373
Pony Express Baseball
PO Bos 1588St JosephMO64502274437372501C3$5,000General Support
Big Brothers Big Sisters
625 Francis StreetSt JosephMO64501440666362501C3$5,000General Support
Youth Alliance
5223 Mitchell AvenueSt JosephMO64507431680758501C3General Support$56,721OtherMeals donated
FieldValueIRS element (for citing)
Total501c3 Org32Total501c3OrgCnt
Total Other Org4TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant fundsFormAndLineReferenceDesc
ExplanationHeartland Regional Medical Center (Mosaic-St. Joseph) officers, directors or employees are in a volunteer position or are a board member of the recipient organization. Mosaic-St. Joseph is committed to the development of a healthy community. Grants are provided to local groups that achieve these objectives. The recipients are required to submit quarterly reports to Mosaic-St. Joseph detailing the program's expenditures and progress toward the stated goals. Mosaic-St. Joseph 's Advocacy department monitors the progress.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John M Poore
Director/President/CEO$0$1,039,449$0$352,085$0$5,334$0$213,800$0$24,273$0$1,634,941$0$0
Matt Lukens MD
Director$686,337$2,500$0$0$22,876$0$13,800$0$25,641$0$748,654$2,500$0$0
Emily Larson DO
Director$345,606$2,500$65,800$0$36,233$0$11,500$0$38,183$0$497,322$2,500$0$0
Angelia Martin MD
Director$0$268,785$0$7,860$0$2,571$0$5,725$0$34,183$0$319,124$0$0
Michael Pulido
Former COO/Secretary$0$0$0$0$0$268,884$0$0$0$0$0$268,884$0$0
Mark Laney MD
Former Director/President/CEO$0$0$0$0$0$220,393$0$0$0$0$0$220,393$0$0
Davin J Turner DO
Chief Administrative Officer$0$681,882$0$161,996$0$5,334$0$97,800$0$32,871$0$979,883$0$0
Drew M Keesbury
CFO/Treasurer$0$585,390$0$153,973$0$1,458$0$65,167$0$32,318$0$838,306$0$0
Michael R Rinard
Secretary$0$296,959$0$69,131$0$2,386$0$45,160$0$36,071$0$449,707$0$0
Gene A Claycomb
President of Mosaic Medical Center$399,971$0$105,921$0$6,822$0$60,107$0$36,283$0$609,104$0$0$0
Rony M Abou-Jawde MD
Staff Physician$946,808$0$1,213,710$0$23,867$0$13,800$0$33,183$0$2,231,368$0$0$0
Jonathan Amspacher MD
Staff Physician$1,069,953$0$641,172$0$24,478$0$13,800$0$33,168$0$1,782,571$0$0$0
Robert Grant MD
Staff Physician$984,904$0$200,000$0$84,964$0$13,736$0$35,933$0$1,319,537$0$0$0
Michael Lunski
Staff Physician$754,105$0$518,340$0$1,458$0$11,500$0$10,594$0$1,295,997$0$0$0
Arvind K Sharma MD
Staff Physician$985,905$0$200,000$0$61,121$0$13,800$0$25,891$0$1,286,717$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationCOMPENSATION IS ESTABLISHED BY MOSAIC HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION, 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 4a Severance or change-of-control paymentMosaic Health System, A RELATED TAX-EXEMPT ORGANIZATION, paid Samuel Mark Laney, CEO, severance payments during calendar year 2024. This is reported on Form 990, Part VII and Schedule J, Part II as other reportable compensation.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planJOHN M POORE - VESTED $0; ACCRUED $200,000 MICHAEL R RINARD - VESTED $0; ACCRUED $31,360 DAVIN TURNER, DO - VESTED $0; ACCRUED $84,000 GENE A CLAYCOMB - VESTED $0; ACCRUED $54,431 DREW KEESBURY - VESTED $0; ACCRUED $53,667 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. Full vesting in all amounts accrued under the Plan will occur upon attainment of age 65 while employed by Mosaic Health System, death or disability while employed by Mosaic Health System, or involuntary termination of employment with Mosaic Health System without cause. 2. For SERP participants prior to 2019, distribution will occur 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. For SERP participants after 2019, distribution will occur upon death or upon separation from service due to disability or upon involuntary separation from service without cause. Then a lump sum payment distributes within 60 days and doesn't take into account non-compete covenant. 4. Separation with cause makes the supplemental executive retirement agreement null and void. 5. If the SERP Participant terminates employment prior to completing the required service period, and such termination occurs before death or disability, the SERP Participant shall forfeit all rights to any portion of the Account that is not vested.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
RYAN FRAZER
RYAN FRAZER IS THE SON OF GARY FRAZER$52,936RYAN FRAZER IS AN ATHLETIC TRAINER AT HEARTLAND REGIONAL MEDICAL CENTER AND IS THE SON OF GARY FRAZER, WHO IS A BOARD MEMBER FOR THE HEARTLAND REGIONAL MEDICAL CENTER. COMPENSATION IS WITHIN FAIR MARKET VALUE RANGE. THIS AMOUNT INCLUDES SALARY AND OTHER COMPENSATION FOR AN Athletic Trainerfalse
Elizabeth Hale
Elizabeth Hale IS THE Granddaughter OF Melody Smith$25,429Elizabeth Hale IS AN Inpatient RN in the UCI department AT HEARTLAND REGIONAL MEDICAL CENTER AND IS THE Granddaughter OF Melody Smith, WHO IS A BOARD MEMBER FOR THE HEARTLAND REGIONAL MEDICAL CENTER. COMPENSATION IS WITHIN FAIR MARKET VALUE RANGE. THIS AMOUNT INCLUDES SALARY AND OTHER COMPENSATION FOR AN Inpatient RN.false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 4 & Form 990, Part VI, Section A, Line 1BTHE FOLLOWING HEARTLAND REGIONAL MEDICAL CENTER DIRECTORS ARE NOT INDEPENDENT DUE TO TRANSACTIONS DISCLOSED ON THE FORM 990, SCHEDULE L: GARY FRAZER and Melody Smith. THE FOLLOWING HEARTLAND REGIONAL MEDICAL CENTER DIRECTORS ARE NOT INDEPENDENT DUE TO TRANSACTIONS DISCLOSED ON THE MOSAIC HEALTH SYSTEM'S, A RELATED TAX-EXEMPT ORGANIZATION, FORM 990, SCHEDULE L: THOMAS RICHMOND.
Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONSMICHAEL R RINARD, DREW KEESBURY, DAVIN TURNER, DO, AND JOHN M. POORE HAVE A BUSINESS RELATIONSHIP.
Form 990, Part VI, Line 6 Classes of members or stockholdersMOSAIC HEALTH SYSTEM, A RELATED TAX-EXEMPT CORPORATION, IS THE SOLE MEMBER OF HEARTLAND REGIONAL MEDICAL CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyAs the sole member of Heartland Regional Medical Center (Mosaic-St. Joseph), Mosaic Health System, a related tax-exempt organization, has the right to elect all members of the board of directors.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersMosaic Health System, a related tax-exempt organization and the sole member, 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 bodyTHE 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 policyTHIS 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 publicTHE 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 XI, Line 9 Other changes in net assets or fund balancesOther changes in unrestricted net assets - 1524; Total - 1524;
Form 990, Part XII, Line 2c Financial Statements and ReportingThe results of the consolidated audit are reviewed by the Mosaic Health System Board, a related tax-exempt organization.
Schedule H, Part V, Section B, Line 16a FAP Website URLhttps://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 Formhttps://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 Summaryhttps://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/
FORM 990, PART VI, SECTION B, LINE 15A & 15BCOMPENSATION IS ESTABLISHED BY MOSAIC HEALTH SYSTEM, A RELATED tax-exempt organization. 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 Presidents. For each position to be reviewed, the full scope of duties and responsibilities, 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 on 10/2/2024 as documented in the meeting minutes.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Northland Expansion LLC
5325 Faraon StreetSt JosephMO64506DevelopmentMO$0$0Heartland Regional Medical Center
Urgent Care Properties LLC
5325 Faraon StreetSt JosephMO64506DevelopmentMO$0$0Heartland Regional Medical Center

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Mosaic Health System (MHS)
5325 Faraon StreetSt JosephMO64506431283316HealthcareMO501(c)(3)Type III-FINAfalse
Heartland Foundation (MOSAIC LIFE CARE FOUNDATION)
5325 Faraon StreetSt JosephMO64506431262768SupportMO501(c)(3)7Mosaic Health SystemYes (true)
Heartland Long Term Acute Care Hospital (HLTACH)
5325 Faraon StreetSt JosephMO64506261972987HealthcareMO501(c)(3)3Mosaic Health SystemYes (true)
Northwest Medical Center Association Inc (MOSAIC-ALBANY)
705 North College StreetAlbanyMO64402440580870HealthcareMO501(c)(3)3Mosaic Health SystemYes (true)
Northwest Medical Center Foundation Inc (NMC FOUNDATION)
705 North College StreetAlbanyMO64402473694893SupportMO501(c)(3)Type INorthwest Medical Center Association IncYes (true)
Mosaic Medical Center-Maryville (MOSAIC-MARYVILLE)
5325 Faraon StreetSt JosephMO64506832249459HealthcareMO501(c)(3)3Mosaic Health SystemYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
Midwestern Health Management Inc
5325 Faraon StreetSt JosephMO64506431264358Property Mgmt SvcsMONAC CorporationYes (true)
HHS Properties Inc
5325 Faraon StreetSt JosephMO64506431593799InvestmentMONAC CorporationYes (true)
Uptown Housing Inc
5325 Faraon StreetSt JosephMO64506261416252RedevelopmentMOHeartland Regional Medical CenterC CorporationYes (true)$0$01
Uptown St Joseph Redevelopment Corp
5325 Faraon StreetSt JosephMO64506201742813RedevelopmentMOHeartland Regional Medical CenterC CorporationYes (true)$0$01
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MOSAIC HEALTH SYSTEM (MHS)
M$127,074,518FMV
MOSAIC HEALTH SYSTEM (MHS)
P$399,222,237FMV
HEARTLAND FOUNDATION (MLC FOUNDATION)
B$421,116FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL (HLTACH)
J$638,337FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL (HLTACH)
Q$54,519FMV
NORTHWEST MEDICAL CENTER ASSOCIATION INC (MOSAIC-ALBANY)
P$3,193,930FMV
HEARTLAND FOUNDATION (MLC FOUNDATION)
P$273,803FMV
MOSAIC MEDICAL CENTER-MARYVILLE (MOSAIC-MARYVILLE)
Q$5,087,368FMV
HHS PROPERTIES INC
K$285,004FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL (HLTACH)
L$2,557,370FMV
MOSAIC MEDICAL CENTER-MARYVILLE (MOSAIC-MARYVILLE)
S$86,875FMV
NORTHWEST MEDICAL CENTER ASSOCIATION INC (MOSAIC-ALBANY)
S$84,256FMV