MO patient trust fund bonds.
Flat 3%. Enter your amount.

A Missouri long-term care facility that holds residents’ personal funds in trust must file a bond with the Department of Health and Senior Services under RSMo 198.096. The amount is one and one-half times the average monthly balance of those trust accounts — we issue it at a flat 3% with no credit check. Enter your required amount and the premium updates.

Required when a facility holds residents’ personal funds in trust under RSMo 198.090 and 198.096
Amount is 1.5× the average monthly balance of the residents’ personal-funds accounts, rounded to the nearest $1,000
Flat 3%, no credit pull — enter your required bond amount and the premium updates
Flat 3%of your bond amount$275minimum premiumNo creditcheck to issue
Trusted by industry leaders
NYCEDC
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NYCEDC
BDG
Capital
McKinney
Terra
JLL
Triple Five
Georgetown
How it works

Apply to filed in one sitting.

No underwriting queue for the standard patient trust fund bond — enter your amount, pay, and file. Here is the whole thing:

TODAY · 5 MINUTES

Apply online

Your facility details, the bond amount the statute requires, and the effective date — that is the entire application.

INSTANTLY

Issued on the spot

No credit check and no waiting — the executed bond is generated as soon as you pay. Larger amounts may get a quick review.

SAME DAY

File with Health & Senior Services

Submit the executed bond to the Department of Health and Senior Services. Wet-ink originals mailed whenever the department insists on them.

The whole pricing page.

Bond amount × 3% = your premium, one-time, $275 minimum. The amount is 1.5× the average monthly trust balance — enter it and the premium updates.

$5,000 bond
$275
$10,000 bond
$300
$25,000 bond
$750
About this bond

What it is and who needs it.

What the patient trust fund bond actually covers

Missouri long-term care facilities are regulated under Chapter 198, RSMo by the Department of Health and Senior Services. When a facility holds residents’ personal funds in trust under RSMo 198.090, RSMo 198.096 requires it to obtain and file a bond protecting that money.

The bond is conditioned that the operator will comply with the trust-fund rules and not wrongfully deprive a resident, former resident, or a former resident’s estate of money held in trust. If a facility mishandles or wrongfully withholds residents’ personal funds, those residents can recover against the bond.

The amount is one and one-half times the average monthly balance (or average of the monthly balances) of the residents’ personal-funds accounts for the preceding twelve months, rounded to the nearest $1,000. For a new facility, the department sets the amount based on size, type, and resident count. A facility may post a cash deposit under an approved escrow agreement instead of a bond.

RSMo 198.096 (Department of Health and Senior Services)Section 198.096, RSMo requires an operator who holds residents’ personal funds in trust (per RSMo 198.090) to file a bond equal to one and one-half times the average monthly balance of the residents’ personal-funds accounts for the preceding twelve months, rounded to the nearest $1,000. For a new facility, the Department of Health and Senior Services determines the amount. In lieu of a bond, the operator may place an equal cash deposit under a noncancelable escrow agreement approved by the department.

You need this bond if you are

A nursing home or residential care facility that holds residents’ personal funds in trust
An assisted living facility managing residents’ spending accounts
A new long-term care operator the department is sizing a bond for
Renewing a trust-fund bond and re-sizing it to your current average balances

Five minutes, issued on the spot.

Submit the application with the bond amount the statute requires — the executed bond is generated instantly, ready to file with Health & Senior Services.

Start the application →
FAQs

Common questions.

If yours isn't here, the bond team can usually answer within the hour.

How much is the Missouri patient trust fund bond? +
The premium is a flat 3% of the bond amount, with a $275 minimum. The amount itself is 1.5× the average monthly balance of your residents’ personal-funds accounts over the prior twelve months, rounded to the nearest $1,000. Enter that figure and the quote updates.
How do I figure out the bond amount? +
Take the average monthly balance (or average of the monthly balances) of the residents’ personal-funds accounts for the preceding twelve months, multiply by 1.5, and round to the nearest $1,000. For a new facility, the Department of Health and Senior Services sets the amount.
Why does Missouri require it? +
When a facility holds residents’ personal money in trust, RSMo 198.096 requires the bond so residents are protected if the facility mishandles or wrongfully withholds those funds.
Is there a credit check? +
No — this bond is issued with no credit pull. Larger bond amounts may get a quick soft-pull review, which never affects your credit score.
Can I use a cash deposit instead? +
Yes — the statute lets an operator place an equal cash deposit under a noncancelable escrow agreement approved by the department, in lieu of a bond. A surety bond is usually cheaper, since you pay the 3% premium rather than tying up the full amount.
Related bonds

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Patient trust fund bond, issued today.

Five-minute application, flat 3%, $275 minimum. Enter your required amount and file the same day.

Your premium @ 3%$300
Apply now →