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Nonprofit · EIN 44-0545289

HEARTLAND REGIONAL MEDICAL CENTER

Tax-exempt · SAINT JOSEPH, MO 64506

Financials

$727.8M$723.8M2022$782.2M$763M2023$883.4M$825.6M2024
Revenue Expenses · by fiscal year end
Financials of HEARTLAND REGIONAL MEDICAL CENTER by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
June 30, 2025990$883,407,770$825,585,917$57,821,853$582,352,118$94,895,728$487,456,390
June 30, 2024990$782,152,395$763,022,653$19,129,742$495,357,037$65,724,024$429,633,013
June 30, 2023990$727,817,821$723,800,530$4,017,291$462,032,495$51,217,477$410,815,018
Financial details: 990 for the year ended June 30, 2025

Revenue

Contributions, gifts and grants
$296,374
Program service revenue
$865,537,952
Investment income
$1,502,857
Net rental income
$210,735
Net gain from sales of assets
$1,197,191
Other revenue
$16,070,587

Expenses

Grants and similar amounts paid
$2,773,892
Compensation of officers, directors and key employees
$1,925,944
Other salaries and wages
$311,488,360
Salaries, compensation and benefits (total)
$372,936,753
Professional fundraising fees
$0
Accounting fees
$43,786
Occupancy
$5,429,728
Travel
$413,270
Depreciation
$27,574,603
Program services (functional)
$718,348,700
Management and general (functional)
$107,237,217

Balance sheet and other

Total assets, start of year
$495,357,037
Total assets, end of year
$582,352,118
Total liabilities, end of year
$94,895,728
Net assets, end of year
$487,456,390
Land, buildings and equipment
$247,208,491
Net assets without donor restrictions
$487,446,390
Net assets with donor restrictions
$10,000
Gross unrelated business income
$148,598
Gross receipts
$883,842,748
Employees
4,157
Volunteers
89
Year formed
1985
State of legal domicile
MO

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended June 30, 2025, highest compensation first.

NameTitleHours / weekCompensationFrom related orgsOther / benefits
Rony M Abou-Jawde MDStaff Physician
Highest-paid employee
40$2,184,385$0$46,983
Jonathan Amspacher MDStaff Physician
Highest-paid employee
40$1,735,603$0$46,968
John M PooreDirector/President/CEO
Trustee or director, Officer
1$0$1,396,868$238,073
Robert Grant MDStaff Physician
Highest-paid employee
40$1,269,868$0$49,669
Michael LunskiStaff Physician
Highest-paid employee
40$1,273,903$0$22,094
Arvind K Sharma MDStaff Physician
Highest-paid employee
40$1,247,026$0$39,691
Davin J Turner DOChief Administrative Officer
Officer
1$0$849,212$130,671
Drew M KeesburyCFO/Treasurer
Officer
1$0$740,821$97,485
Matt Lukens MDDirector
Trustee or director
39$709,213$2,500$39,441
Gene A ClaycombPresident of Mosaic Medical Center
Key employee
35$512,714$0$96,390
Emily Larson DODirector
Trustee or director
39$447,639$2,500$49,683
Michael R RinardSecretary
Officer
1$0$368,476$81,231
Angelia Martin MDDirector
Trustee or director
1$0$279,216$39,908
Michael PulidoFormer COO/Secretary
Former
0$0$268,884$0
Mark Laney MDFormer Director/President/CEO
Former
0$0$220,393$0
12 more people on this return
NameTitleHours / weekCompensationFrom related orgsOther / benefits
Renea SchottAssistant Secretary
Officer
1$0$73,983$26,905
Adam SteinFormer Director/Vice Chair
Trustee or director
1$0$2,500$0
Elizabeth Kennedy PHDDirector
Trustee or director
1$0$2,500$0
Gary FrazerDirector/Chair
Trustee or director
1$0$2,500$0
Mary Anne Jackson MDDirector
Trustee or director
1$0$2,500$0
Matt BakerDirector/Vice Chair
Trustee or director
1$0$2,500$0
Melody SmithDirector
Trustee or director
1$0$2,500$0
Ophelia Lavell RuckerFormer Director
Trustee or director
1$0$2,500$0
Serena NaylorDirector
Trustee or director
1$0$2,500$0
Thomas RichmondDirector
Trustee or director
1$0$2,500$0
Dennis RosonkeDirector
Trustee or director
1$0$0$0
William BurnsDirector
Trustee or director
1$0$0$0
990 for the year ended June 30, 2024: 27 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
Rony M Abou-Jawde MDStaff Physician
Highest-paid employee
40$1,830,191$0$42,311
Robert Grant MDStaff Physician
Highest-paid employee
40$1,141,372$0$47,011
Arvind K Sharma MDStaff Physician
Highest-paid employee
40$1,142,908$0$34,671
John M PooreDirector/President/CEO
Trustee or director, Officer
1$0$1,136,919$39,911
Jonathan Amspacher MDStaff Physician
Highest-paid employee
40$1,124,769$0$43,651
Mohan R Hindupur MDStaff Physician
Highest-paid employee
40$1,090,901$0$35,647
Mark Laney MDFormer Director/President/CEO
Former
0$0$1,061,154$0
Matt Lukens MDDirector
Trustee or director
39$815,358$2,500$32,871
Davin Turner DOChief Administrative Officer
Officer
1$0$645,499$43,162
Edward P Kammerer MDHeartland Clinic Medical Director
Key employee
40$554,125$0$93,914
Emily Larson DODirector
Trustee or director
39$565,208$2,500$46,711
Michael PulidoFormer COO/Secretary
Former
0$0$590,338$20,738
Drew KeesburyCFO/Treasurer
Officer
1$0$459,172$17,432
Gene A ClaycombPresident of Mosaic Medical Center
Key employee
36$418,503$0$44,902
Michael R RinardSecretary
Officer
1$0$281,508$44,915
Angelia Martin MDDirector
Trustee or director
1$0$275,921$37,656
Thomas BietermanFormer CFO/Treasurer
Former
0$0$185,860$12,817
Renea SchottAssistant Secretary
Officer
1$0$71,529$25,062
Adam SteinDirector/Vice Chair
Trustee or director
1$0$2,500$0
Elizabeth Kennedy PHDDirector
Trustee or director
1$0$2,500$0
Gary FrazerDirector/Chair
Trustee or director
1$0$2,500$0
Mary Anne JacksonDirector
Trustee or director
1$0$2,500$0
Matt BakerDirector
Trustee or director
1$0$2,500$0
Melody SmithDirector
Trustee or director
1$0$2,500$0
Ophelia Lavell RuckerDirector
Trustee or director
1$0$2,500$0
Serena NaylorDirector
Trustee or director
1$0$2,500$0
Thomas RichmondDirector
Trustee or director
1$0$2,500$0
990 for the year ended June 30, 2023: 28 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
Mark Laney MDFormer Director/President/CEO
Former
0$0$3,032,113$27,536
Rony M Abou-Jawde MDStaff Physician
Highest-paid employee
40$1,850,182$0$40,474
Michael PulidoFormer COO/Secretary
Former
0$0$1,258,302$34,631
Mohan R Hindupur MDStaff Physician
Highest-paid employee
40$1,228,304$0$33,786
Jonathan Amspacher MDStaff Physician
Highest-paid employee
40$1,116,111$0$40,162
Gopichand Pendurti MDStaff Physician
Highest-paid employee
40$1,102,045$0$47,632
Andrew Walker MDStaff Physician
Highest-paid employee
40$1,068,264$0$39,770
Matt Lukens MDDirector
Trustee or director
39$641,633$2,500$35,894
John M PooreDirector/President/CEO
Trustee or director, Officer
1$0$646,385$15,112
Gene A ClaycombPresident of Mosaic Medical Center
Key employee
35$443,355$0$46,562
Emily Larson DODirector
Trustee or director
39$378,887$2,500$44,874
Davin Turner DOChief Administrative Officer
Officer
1$232,604$161,034$20,954
Michael R RinardSecretary
Officer
1$0$273,849$41,666
Angelia Martin MDDirector
Trustee or director
1$0$274,056$37,851
Karen S MillerFormer CFO/Treasurer
Former
0$0$179,091$12,749
Thomas BietermanFormer CFO/Treasurer
Officer
1$0$167,017$2,972
Dwain StilsonFormer CFO/Treasurer
Former
0$0$157,969$5,073
Renea SchottAssistant Secretary
Officer
1$0$68,687$23,921
Adam SteinDirector/Chair
Trustee or director
1$0$2,500$0
Daniel HeckmanDirector
Trustee or director
1$0$2,500$0
Elizabeth Kennedy PHDDirector
Trustee or director
1$0$2,500$0
Gary FrazerDirector/Vice Chair
Trustee or director
1$0$2,500$0
Matt BakerDirector
Trustee or director
1$0$2,500$0
Melody SmithDirector
Trustee or director
1$0$2,500$0
Ophelia Lavell RuckerDirector
Trustee or director
1$0$2,500$0
Serena NaylorDirector
Trustee or director
1$0$2,500$0
Thomas RichmondDirector
Trustee or director
1$0$2,500$0
Drew KeesburyCFO/Treasurer
Officer
1$0$0$0

Address and contacts

Address (IRS master file)
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
In care of
% DREW M KEESBURY
Principal officer (990 for 2024)
Drew Keesbury, 5325 Faraon Street, St Joseph, MO 64506
Signed the 990
Drew Keesbury, Officer
Phone
(816) 271-7070
Return prepared by
RSM US LLP

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.

990 for the year ended June 30, 2025

Program accomplishments

  • 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.
    Expenses $718,348,700 · grants $2,773,892 · revenue $881,249,206

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025June 30, 2026November 16, 2026Not due yet
2024June 30, 2025November 17, 2025990 on file
2023June 30, 2024November 15, 2024990 on file

IRS record

EIN
44-0545289
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Hospital or medical research organization
Donations deductible (Pub 78)
Public charity, 50% deduction limit
Exempt since
1937
Accounting year ends
June
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E220)
Assets (IRS master file)
$582,352,118
Income (IRS master file)
$883,842,748

Filing history

FormYear endedRevenueExpensesAssetsReturn
990June 2025$883,407,770$825,585,917$582,352,118IRS
990-TJune 2025–––IRS
990June 2024$782,152,395$763,022,653$495,357,037IRS
990-TJune 2024–––IRS
990June 2023$727,817,821$723,800,530$462,032,495XML
990-TJune 2023–––IRS
990June 2022$710,360,855$694,368,530$462,827,700IRS
990-TJune 2022–––IRS
990June 2021–––IRS
990-TJune 2021–––IRS
990June 2020–––IRS
990June 2019–––IRS
990June 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 44-0545289).

Questions about HEARTLAND REGIONAL MEDICAL CENTER

What is the EIN of HEARTLAND REGIONAL MEDICAL CENTER?
The employer identification number (EIN) of HEARTLAND REGIONAL MEDICAL CENTER is 44-0545289.
Is HEARTLAND REGIONAL MEDICAL CENTER tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1937.
Are donations to HEARTLAND REGIONAL MEDICAL CENTER tax-deductible?
Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
Which annual return does HEARTLAND REGIONAL MEDICAL CENTER file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of HEARTLAND REGIONAL MEDICAL CENTER due?
The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did HEARTLAND REGIONAL MEDICAL CENTER last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended June 2025.
Who is the principal officer of HEARTLAND REGIONAL MEDICAL CENTER?
The 990 for the year ended June 30, 2025 names Drew Keesbury.
Who are the officers and directors of HEARTLAND REGIONAL MEDICAL CENTER?
The 990 for the year ended June 30, 2025 lists 27 people; 8 received compensation from the organization, the highest $2,184,385 (Rony M Abou-Jawde MD, Staff Physician).
How much revenue does HEARTLAND REGIONAL MEDICAL CENTER have?
On its 990 for the year ended June 30, 2025 it reported revenue of $883,407,770, expenses of $825,585,917 and total assets of $582,352,118 at year end.

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