MO patient trust fund bonds.
From $100. 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 — pricing starts from $100. The application collects no credit information. Enter your required amount and your exact price appears at the application.

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
1% of your bond amount, $100 minimum — enter your required bond amount and your exact price appears at the application
1% of amount$100 minimumNo SSNin the applicationFastinstant underwriting for most
Trusted by industry leaders
NYCEDC
BDG
Capital
McKinney
Terra
JLL
Triple Five
Georgetown
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 · ONLINE

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

The application collects no credit information, and most applicants are approved instantly the moment they 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.

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

One application, 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 →
FAQ

Common questions.

How much is the Missouri patient trust fund bond?Pricing is 1% of your bond amount, $100 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 at the application to see your exact price.
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?The application collects no credit information, and most applications approve instantly. If a check ever runs — typically only for larger bond amounts — it’s a soft pull that 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 a small premium rather than tying up the full amount.
Related bonds

Other Missouri bonds.

Patient trust fund bond, issued today.

Pricing from $100. Enter your required amount and see your exact price instantly.

Your premiumfrom $100
Apply now →