Heartland Long Term Acute Care Hospital

“COMPENSATION 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 9/19/2023 as documented in the meeting minutes.”

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“MOSAIC HEALTH SYSTEM, A related tax-exempt organization, IS THE SOLE MEMBER OF HEARTLAND LONG TERM ACUTE CARE HOSPITAL (HLTACH).”

“As the sole member of Heartland Long Term Acute Care Hospital (HLTACH), Mosaic Health System, a related tax-exempt organization, has the right to elect all members of the board of directors.”

“The corporate bylaws of Heartland Long Term Acute Care Hospital (HLTACH) identify certain rights and powers which are reserved to Mosaic Health System, a related tax-exempt organization and HLTACH's sole member. In each instance, the rights and powers reserved to the sole member may be summarized as follows: 1. ANY FUNDAMENTAL CHANGE IN THE MISSION, PURPOSE OR PHILOSOPHY OF THE HOSPITAL 2. ANY CHANGE AFFECTING OR THREATENING HOST HOSPITAL'S COMPLIANCE AND REQUIRED QUALIFICATIONS AS A SOLE COMMUNITY PROVIDER, PARTICULARLY DURING THE FIRST SIX (6) MONTHS OF REQUISITE DATA COLLECTION UNDER CLASSIFICATION AS A SHORT TERM ACUTE CARE HOSPITAL, OR IN THE EVENT THE HOSPITAL REVERTS TO ITS INITIAL CMS CERTIFICATION AS A SHORT-TERM ACUTE CARE HOSPITAL 3. THE INCURRENCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OR LEASE OF REAL ESTATE, AND CAPITAL LEASES, IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000), MEASURED IN AN ANNUAL AGGREGATE 4. ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY. THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL 5. POLICIES PERTAINING TO CHARITY CARE 6. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $75,000 7. ANY CAPITAL EXPENDITURES WHICH IN THE AGGREGATE EXCEED $250,000 ANNUALLY 8. APPOINTMENT AND REMOVAL OF THE CORPORATE DIRECTOR 9. THE DEFENSE, SETTLEMENT OR RESOLUTION OF ANY DISPUTE INVOLVING THE HOSPITAL IN WHICH THE AMOUNT IN CONTROVERSY IS IN EXCESS OF $250,000 10. THE DEFENSE, SETTLEMENT OR RESOLUTION OF ANY REGULATORY CHALLENGES TO THE LEGAL STRUCTURE OF THE HOSPITAL, ALLEGED OVERPAYMENTS FROM ANY GOVERNMENTAL AGENCY OR ANY ALLEGATIONS FROM A GOVERNMENTAL AGENCY OF FRAUD AND ABUSE 11. APPROVE THE STRATEGIC PLAN OF THE HOSPITAL”

“The 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 with the internal revenue service.”

“This 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 fi”

“The 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.”

“The long term acute care hospital offers the community and service area of northwest missouri a specialized level of inpatient care for the medically complex patient who requires extended hospitalization. The 39-bed hospital-within-a-hospital is co-located within heartland regional medical center mosaic life care at st. Joseph. The filing organization provides care to the medically complex patient and also offers a close observation unit consisting of 8 beds for patients who require increased nursing-to-patient ratios and technical support for more critical care needs such as ventilator weaning and telemetric monitoring. Patients have an average length of stay of longer than 25 days. Patients require daily physician visits, round-the-clock nursing care as well as such multidisciplinary services as respiratory therapists, dietitians, dialysis technicians and physical, occupational, and speech pathologists due to their medical complications and needs. Care for patients is provided in a small, personalized environment that offers a large array of resources, private rooms and amenities for patient's families. Patients are typically referred to heartland long term acute care hospital after receiving care in a hospital-based intensive care unit or medical-surgical unit. Care was provided to 195 patients who generated 7,210 patient days. The organization supports a payor mix of approximately 94.60% governmental and no-pay patients. Financial assistance was provided at a cost of $74,200.”

“ANCILLARY MEDICAL - Total Expense: 2056894, Program Service Expense: 2056894, Management and General Expenses: , Fundraising Expenses: ; MEDICAL DIRECTOR FEES - Total Expense: 60225, Program Service Expense: 60225, Management and General Expenses: , Fundraising Expenses: ; PURCHASED AGENCY STAFF - Total Expense: 11143, Program Service Expense: 11143, Management and General Expenses: , Fundraising Expenses: ; PURCHASED DIALYSIS - Total Expense: 458197, Program Service Expense: 458197, Management and General Expenses: , Fundraising Expenses: ; CORPORATE SUPPORT SERVICES ALLOCATION - Total Expense: 1099585, Program Service Expense: 750988, Management and General Expenses: 348597, Fundraising Expenses: ; TECHNOLOGY SERVICES ALLOCATION - Total Expense: 322393, Program Service Expense: 322393, Management and General Expenses: , Fundraising Expenses: ;”

“The results of the consolidated audit are reviewed by the Mosaic Health System Board, a related tax-exempt organization and the sole member of Heartland Long Term Acute Care Hospital (HLTACH).”

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“https://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/”

“https://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/”