Heartland Regional Medical Center
Also known as Mosaic Life Care
Heartland Regional Medical Center reported $883.4 million in revenue and $825.6 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $87.01 went to program services, $12.99 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 98.0% of the total. The highest compensation it reported for one person was $2,231,368 (Staff Physician). 577 people received more than $100,000 in reportable compensation. Revenue rose 24% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $826MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $883MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 87.0% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 13.0% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.0% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 98.0% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $2,231,368 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.27% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 577 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 7.1 | 6.6 |
| Independent voting board members Part VI 1a–1b | 6 of 13 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseHEARTLAND 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…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| Staff Physician Highest compensated employee, 40.0 hrs/week | $2,184,385 | $0 | $46,983 | $2,231,368 |
| Staff Physician Highest compensated employee, 40.0 hrs/week | $1,735,603 | $0 | $46,968 | $1,782,571 |
| Director/President/CEO Director/trustee, officer, 1.0 hrs/week | $0 | $1,396,868 | $238,073 | $1,634,941 |
| Staff Physician Highest compensated employee, 40.0 hrs/week | $1,269,868 | $0 | $49,669 | $1,319,537 |
| Staff Physician Highest compensated employee, 40.0 hrs/week | $1,273,903 | $0 | $22,094 | $1,295,997 |
| Staff Physician Highest compensated employee, 40.0 hrs/week | $1,247,026 | $0 | $39,691 | $1,286,717 |
| Chief Administrative Officer Officer, 1.0 hrs/week | $0 | $849,212 | $130,671 | $979,883 |
| CFO/Treasurer Officer, 1.0 hrs/week | $0 | $740,821 | $97,485 | $838,306 |
577 people received more than $100,000 in reportable compensation from Heartland Regional Medical Center (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.9M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b13 · 6 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aNo
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2Yes
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 54,157
- Volunteers Part I, line 689
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| Quest Diagnostics Medical Services | $2,406,166 |
| Montee Law Firm PC Legal Services | $1,450,000 |
| Hayes Locums LLC Agency Services | $1,386,976 |
| Capital Performance Management Capital Management | $1,199,771 |
| Radiology Specialists of St Joseph PC Medical Services | $1,089,258 |
Individuals listed as contractors are left out. 27 contractors were paid more than $100,000 in all.
Private foundation grants it received
2 private foundations reported grants to Heartland Regional Medical Center totaling $1,040 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Heartland Regional Medical Center's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Heartland Regional Medical Center, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Heartland Regional Medical Center spent in FY2025, $87.01 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- St Peter's HospitalAlbany, NY · revenue $882M · programs 91.7% · FY2025
- Inova Health System FoundationFairfax, VA · revenue $886M · programs 76.9% · 2024
- Baptist Health Medical GroupCoral Gables, FL · revenue $878M · programs 83.5% · FY2025
- Beth Israel Lahey HealthCharlestown, MA · revenue $888M · programs 99.9% · FY2025
- Northwell Health LaboratoriesWestbury, NY · revenue $872M · programs 88.4% · 2024
Questions people ask
How much of Heartland Regional Medical Center's spending goes to programs?
In the fiscal year ending June 30, 2025, Heartland Regional Medical Center reported that 87.0% of its $825.6 million in expenses went to program services, 13.0% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Heartland Regional Medical Center pay its top executive?
The largest total compensation Heartland Regional Medical Center reported for one person in the fiscal year ending June 30, 2025 was $2,231,368, for the role of Staff Physician (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Heartland Regional Medical Center get its money?
Of $883.4 million in revenue in the fiscal year ending June 30, 2025, 0.0% came from contributions and grants and 98.0% from program service revenue (Form 990, Part VIII).
Is Heartland Regional Medical Center a registered charity?
The IRS lists EIN 44-0545289 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202601319349303920 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541329349302574 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202431299349303283 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321299349300342 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202221319349302382 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202111329349302121 · read the filing
All filings for EIN 44-0545289: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.