Heartland Regional Medical Center

EIN: 440545289 501(c)(3) Health Care

St Joseph, MO

Total Revenue
$883,407,770
Total Expenses
$825,585,917
Total Assets
$582,352,118
Net Assets
$487,456,390
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Financial Vulnerability Assessment (Tuckman-Chang)

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Financial Trends

Organization Details

Formation Year
1985
Legal Domicile
MO
Phone
8162717070
Tax Period
2024-07-01 to 2025-06-30

Heartland Regional Medical Center, founded in 1985, is a major nonprofit in the Health Care sector that reported $883.4M in total revenue in fiscal year 2024. Revenue grew 13% year-over-year, indicating healthy expansion. Expenses of $825.6M left a modest 7% surplus.

Mission

To put the needs of the patient first by empowering a culture where caregivers bring their best, ensuring a healthier future for generations to come.

Program Service Accomplishments

Program 1
Expenses: $718,348,700 Revenue: $881,249,206

HEARTLAND 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...

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HEARTLAND 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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $296,374
Program Service Revenue $865,537,952
Investment Income $1,502,857
Other Revenue $16,070,587
TOTAL REVENUE $883,407,770

Expense Breakdown

Grants Paid $2,773,892
Salaries & Benefits $372,936,753
Fundraising Expenses $0
Program Expenses $718,348,700
Other Expenses $449,875,272
TOTAL EXPENSES $825,585,917

Year-over-Year Comparison

2024 2023 Change
Revenue $883,407,770 $782,152,395 +0.1%
Expenses $825,585,917 $763,022,653 +0.1%
Net Income $57,821,853 $19,129,742 +2.0%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Governance

Voting Members
13
Independent Members
6
Employees
4157
Volunteers
89

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
5
$4,003,725
Total Directors
15
$3,227,541
Key Employees
1
$609,104
Highest Compensated
5
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
John M Poore Director/President/CEO 1.0
Officer Director
$0 $238,073 $1,634,941
Adam Stein Former Director/Vice Chair 1.0
Director
$0 $0 $2,500
Angelia Martin MD Director 1.0
Director
$0 $39,908 $319,124
Dennis Rosonke Director 1.0
Director
$0 $0 $0
Elizabeth Kennedy PHD Director 1.0
Director
$0 $0 $2,500
Emily Larson DO Director 39.0
Director
$447,639 $49,683 $499,822
Gary Frazer Director/Chair 1.0
Director
$0 $0 $2,500
Mary Anne Jackson MD Director 1.0
Director
$0 $0 $2,500
Matt Baker Director/Vice Chair 1.0
Director
$0 $0 $2,500
Matt Lukens MD Director 39.0
Director
$709,213 $39,441 $751,154
Melody Smith Director 1.0
Director
$0 $0 $2,500
Ophelia Lavell Rucker Former Director 1.0
Director
$0 $0 $2,500
Serena Naylor Director 1.0
Director
$0 $0 $2,500
Thomas Richmond Director 1.0
Director
$0 $0 $2,500
William Burns Director 1.0
Director
$0 $0 $0
Davin J Turner DO Chief Administrative Officer 1.0
Officer
$0 $130,671 $979,883
Drew M Keesbury CFO/Treasurer 1.0
Officer
$0 $97,485 $838,306
Michael R Rinard Secretary 1.0
Officer
$0 $81,231 $449,707
Renea Schott Assistant Secretary 1.0
Officer
$0 $26,905 $100,888
Gene A Claycomb President of Mosaic Medical Center 35.0
Key Emp
$512,714 $96,390 $609,104
Arvind K Sharma MD Staff Physician 40.0
Highest
$1,247,026 $39,691 $1,286,717
Jonathan Amspacher MD Staff Physician 40.0
Highest
$1,735,603 $46,968 $1,782,571
Michael Lunski Staff Physician 40.0
Highest
$1,273,903 $22,094 $1,295,997
Robert Grant MD Staff Physician 40.0
Highest
$1,269,868 $49,669 $1,319,537
Rony M Abou-Jawde MD Staff Physician 40.0
Highest
$2,184,385 $46,983 $2,231,368
Mark Laney MD Former Director/President/CEO 0.0
$0 $0 $220,393
Michael Pulido Former COO/Secretary 0.0
$0 $0 $268,884
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2025 $883,407,770 $825,585,917 $582,352,118 $57,821,853
2024 No data No data No data No data
2023 $727,817,821 $723,800,530 $462,032,495 $4,017,291
2022 $710,360,855 $694,368,530 $462,827,700 $15,992,325
2021 $686,077,420 $638,271,298 $510,328,294 $47,806,122
2020 $714,270,872 $630,011,719 $401,719,481 $84,259,153
2019 $668,832,137 $642,026,292 $1,073,189,130 $26,805,845
2018 $669,346,564 $644,155,711 $935,224,619 $25,190,853
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