Mosaic Life Care

What it reported doing in 2024

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.

Financial Efficiency

• Mission deployment rate: 81.4%; rating input score 81
• Program expense ratio: 87%; rating input score 87
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 85.8%; rating input score 86; 20th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 46.2%; rating input score 46; 12th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 6.5%; rating input score 62; 62nd percentile among comparable filings
• Total-asset coverage ratio: 0.71; rating input score 28; 28th percentile among comparable filings
• Liabilities to assets ratio: 0.16; rating input score 74; 74th percentile among comparable filings
• Officer compensation ratio: 1.3%; rating input score 69; 69th percentile among comparable filings

Growth

• Program expense growth: 2.4% per year; rating input score 100; 18th percentile among comparable filings
• Revenue growth: 2.8% per year; rating input score 100; 21st percentile among comparable filings
• Asset growth: -2.1% per year; rating input score 0; 4th percentile among comparable filings