HEARTLAND REGIONAL MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: HEARTLAND REGIONAL MEDICAL CENTER (EIN 44-0545289)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-16
IRS object ID: 201631379349309083
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-16T15:51:11-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Walnut Suite 1700	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440545289	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HEARTLAND REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% DWAIN STILSON	InCareOfNm
Business Name Control	HEAR	BusinessNameControlTxt
Phone	8162717070	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5325 FARAON ST	AddressLine1Txt
City	ST JOSEPH	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64506	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN P WILSON	PersonNm
Person Title	CHIEF TREASURY OFFICER	PersonTitleTxt
Phone	8162716611	PhoneNum
Signature	2016-05-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Michael J Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MOSAIC LIFE CARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	DWAIN STILSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5325 FARAON ST	AddressLine1Txt
City	ST JOSEPH	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64506	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$713,757,474	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MYMOSAICLIFECARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF THE COMMUNITIES LOCATED IN THE REGION AND PROVIDE THE RIGHT CARE, AT THE RIGHT TIME, IN THE RIGHT PLACE, AT THE RIGHT COST WITH OUTCOMES SECOND TO NONE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	4416	TotalEmployeeCnt
Total Volunteers	485	TotalVolunteersCnt
Total Gross UBI	$1,461,312	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$325,571	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$665,559	PYContributionsGrantsAmt
CY Contributions Grants	$1,684,519	CYContributionsGrantsAmt
PY Program Service Revenue	$570,328,832	PYProgramServiceRevenueAmt
CY Program Service Revenue	$591,360,504	CYProgramServiceRevenueAmt
PY Investment Income	$32,652,613	PYInvestmentIncomeAmt
CY Investment Income	$26,654,887	CYInvestmentIncomeAmt
PY Other Revenue	$22,852,423	PYOtherRevenueAmt
CY Other Revenue	$29,329,312	CYOtherRevenueAmt
PY Total Revenue	$626,499,427	PYTotalRevenueAmt
CY Total Revenue	$649,029,222	CYTotalRevenueAmt
PY Grants And Similar Paid	$889,395	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,181,013	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$304,153,644	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$311,994,292	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$174,939	CYTotalFundraisingExpenseAmt
PY Other Expenses	$276,254,901	PYOtherExpensesAmt
CY Other Expenses	$292,940,427	CYOtherExpensesAmt
PY Total Expenses	$581,297,940	PYTotalExpensesAmt
CY Total Expenses	$607,115,732	CYTotalExpensesAmt
PY Revenues Less Expenses	$45,201,487	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$41,913,490	CYRevenuesLessExpensesAmt
Total Assets BOY	$802,370,520	TotalAssetsBOYAmt
Total Assets EOY	$830,946,761	TotalAssetsEOYAmt
Total Liabilities BOY	$316,398,245	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$324,267,134	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$485,972,275	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$506,679,627	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH OF INDIVIDUALS AND COMMUNITIES LOCATED IN THE MOSAIC LIFE CARE REGION AND PROVIDE THE RIGHT CARE, AT THE RIGHT TIME, IN THE RIGHT PLACE, AT THE RIGHT COST WITH OUTCOMES SECOND TO NONE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$556,076,647	ExpenseAmt
Grant	$2,181,013	GrantAmt
Revenue	$620,288,313	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$556,076,647	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	240	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4416	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DWAIN STILSON	PersonNm
Phone	8162717070	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5325 FARAON ST	AddressLine1Txt
City	ST JOSEPH	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64506	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CAROL ROEVER
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
BRIAN BRADLEY
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
DR DENNIS DOBYAN
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$70,369	$0
DAN HECKMAN
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
DAN HEGEMAN
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
DAVE HOWERY
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
FRANK LEONE
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
DR CHRIS LOONEY
BOARD MEMBER	1.0	1.0	Yes (X)	$50,544	$0	$0
BRAD MCANALLY
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
ADAM STEIN
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
SERENA NAYLOR
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
STEVE SCHRAM
BOARD CHAIR	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
BRENDA SHARPE
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
BARBARA WURTZLER
VICE CHAIR	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
DR JOHN OLSON
STAFF PHYSICIAN/BOARD	39.0	1.0	Yes (X)	$693,996	$0	$33,932
MARK LANEY MD
PRESIDENT/CEO	34.0	6.0	Yes (X)	$1,083,762	$0	$34,032	Yes (X)
CURT KRETZINGER
CHIEF OPERATING OFFICER	33.0	7.0		$697,482	$0	$78,576	Yes (X)
JOHN P WILSON
SECRETARY/TREASURER/CFO	32.0	8.0		$615,593	$0	$55,886	Yes (X)
DWAIN STILSON
ASSISTANT TREASURER/CONTROLLER	35.0	5.0		$127,970	$0	$18,566	Yes (X)
KAREN E DITTEMORE
SECRETARY	38.0	2.0		$71,419	$0	$10,537	Yes (X)
CAROLYN S PADEN
ADMINISTRATOR	40.0	0.0		$232,676	$0	$15,304		Yes (X)
DR DAVIN TURNER
ADMINISTRATOR	40.0	0.0		$430,342	$0	$78,255		Yes (X)
R S KOELLIKER
ADMINISTRATOR	39.0	1.0		$357,002	$0	$96,928		Yes (X)
MICHAEL C PULIDO
CHIEF ADMINISTRATIVE OFFICER	38.0	2.0		$398,043	$0	$87,832		Yes (X)
DR HEMANT SHETH
STAFF PHYSICIAN	40.0	0.0		$986,981	$0	$22,911			Yes (X)
DR BONNIE GOINS
STAFF PHYSICIAN	40.0	0.0		$964,742	$0	$25,704			Yes (X)
DR MOHAN HINDUPUR
STAFF PHYSICIAN	40.0	0.0		$950,092	$0	$25,511			Yes (X)
DR ROBERT GRANT
STAFF PHYSICIAN	40.0	0.0		$884,577	$0	$34,032			Yes (X)
DR ARVIND SHARMA
STAFF PHYSICIAN	40.0	0.0		$857,907	$0	$33,701			Yes (X)
DR MAUREEN MANGANARO
STAFF PHYSICIAN	40.0	0.0		$467,757	$0	$34,032				Yes (X)
DR MICHAEL NELLESTEIN
STAFF PHYSICIAN	38.0	2.0		$259,609	$0	$20,594				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,130,494	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$70,369	TotReportableCompRltdOrgAmt
Total Other Compensation	$706,333	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	399	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

ServicesServicesDesc	CompensationCompensationAmt
CERNER CORP
SOFTWARE SYSTEMS	$6,978,184
LEHR CONSTRUCTION COMPANY
CONSTRUCTION	$3,460,140
SIEMENS MEDICAL SOLUTIONS
EQUIPMENT & SERVICES	$2,805,941
INQUEST MARKETING LLC
ADVERTISING	$2,748,091
PHYSICIANS REFERENCE LAB
LAB SVC & MED DIRECT	$1,911,608

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	107	CntrctRcvdGreaterThan100KCnt
Related Organizations	$21,882	RelatedOrganizationsAmt
Government Grants	$650,343	GovernmentGrantsAmt
All Other Contributions	$1,012,294	AllOtherContributionsAmt
Total Contributions	$1,684,519	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$567,620,990	$567,620,990
340B PHARMACY REVENUE	621110	$22,428,601	$22,428,601
MEDICAID MEANINGFUL USE	621110	$1,310,913	$1,310,913

Field	Value	IRS element (for citing)
Total Program Service Revenue	$591,360,504	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,661,007	TotalRevenueColumnAmt
Exclusion	$7,661,007	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$401,503	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$401,503	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$401,503	TotalRevenueColumnAmt
Exclusion	$401,503	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$83,286,308	SecuritiesAmt
Other	$305,295	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$64,240,163	SecuritiesAmt
Other	$357,560	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$19,046,145	SecuritiesAmt
Other	-$52,265	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,993,880	TotalRevenueColumnAmt
Exclusion	$18,993,880	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$91,261	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$130,529	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$39,268	TotalRevenueColumnAmt
Unrelated Business Revenue	-$39,268	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria	722514	$2,080,132	$2,080,132
Refferal Lab	111000	$3,076,884	$3,008,142	$68,742
Copying Revenue	541380	$223,388	$223,388

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,586,673	TotalRevenueColumnAmt
Related Or Exempt Func Income	$22,154,835	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,431,838	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$28,967,077	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$649,029,222	TotalRevenueColumnAmt
Related Or Exempt Func Income	$618,827,001	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,461,312	UnrelatedBusinessRevenueAmt
Exclusion	$27,056,390	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,181,013	TotalAmt
Program Services	$2,181,013	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,908,599	TotalAmt
Program Services	$2,483,284	ProgramServicesAmt
Management And General	$3,425,315	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$559,625	TotalAmt
Program Services	$559,625	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$249,426,198	TotalAmt
Program Services	$224,400,967	ProgramServicesAmt
Management And General	$24,933,442	ManagementAndGeneralAmt
Fundraising	$91,789	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,178,674	TotalAmt
Program Services	$6,457,867	ProgramServicesAmt
Management And General	$717,867	ManagementAndGeneralAmt
Fundraising	$2,940	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$34,531,603	TotalAmt
Program Services	$31,063,136	ProgramServicesAmt
Management And General	$3,453,160	ManagementAndGeneralAmt
Fundraising	$15,307	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,389,593	TotalAmt
Program Services	$12,943,001	ProgramServicesAmt
Management And General	$1,438,959	ManagementAndGeneralAmt
Fundraising	$7,633	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,126,493	TotalAmt
Management And General	$1,126,493	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$67,158	TotalAmt
Management And General	$67,158	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$83,167	TotalAmt
Management And General	$83,167	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,758,109	TotalAmt
Program Services	$28,434,995	ProgramServicesAmt
Management And General	$287,581	ManagementAndGeneralAmt
Fundraising	$35,533	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,852,694	TotalAmt
Program Services	$1,426,347	ProgramServicesAmt
Management And General	$1,426,347	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,254,037	TotalAmt
Program Services	$26,963,152	ProgramServicesAmt
Management And General	$272,540	ManagementAndGeneralAmt
Fundraising	$18,345	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$309,951	TotalAmt
Program Services	$306,851	ProgramServicesAmt
Management And General	$3,100	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,738,031	TotalAmt
Program Services	$13,600,651	ProgramServicesAmt
Management And General	$137,380	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,180,103	TotalAmt
Program Services	$1,166,946	ProgramServicesAmt
Management And General	$11,801	ManagementAndGeneralAmt
Fundraising	$1,356	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,755,892	TotalAmt
Program Services	$1,421,190	ProgramServicesAmt
Management And General	$334,057	ManagementAndGeneralAmt
Fundraising	$645	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,939,645	TotalAmt
Program Services	$4,454,734	ProgramServicesAmt
Management And General	$1,484,911	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$31,011,396	TotalAmt
Program Services	$23,258,547	ProgramServicesAmt
Management And General	$7,752,849	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,579,219	TotalAmt
Program Services	$4,934,414	ProgramServicesAmt
Management And General	$1,644,805	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PROVISION FOR UNCOLLECTIBLE	$59,926,027	$59,926,027
FRA TAX	$24,534,832	$24,534,832
Medical Supplies	$70,192,939	$70,072,585	$120,354
Dues & Subscriptions	$1,257,770	$934,213	$322,166	$1,391

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,372,964	TotalAmt
Program Services	$14,552,270	ProgramServicesAmt
Management And General	$1,820,694	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$607,115,732	TotalAmt
Program Services	$556,076,647	ProgramServicesAmt
Management And General	$50,864,146	ManagementAndGeneralAmt
Fundraising	$174,939	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$25,906,464	BOYAmt
EOY	$30,537,646	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$79,021,627	BOYAmt
EOY	$63,765,326	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,070,983	BOYAmt
EOY	$7,226,668	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,214,067	BOYAmt
EOY	$6,718,945	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$616,945,506	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$371,538,093	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$257,350,258	BOYAmt
EOY	$245,407,413	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$375,628,988	BOYAmt
EOY	$448,837,797	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$35,282,752	BOYAmt
EOY	$7,722,147	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,412,529	BOYAmt
EOY	$1,230,219	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,482,852	BOYAmt
EOY	$19,500,600	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$802,370,520	BOYAmt
EOY	$830,946,761	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$76,549,982	BOYAmt
EOY	$91,228,402	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$225,227,168	BOYAmt
EOY	$220,393,323	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,494,996	BOYAmt
EOY	$2,895,501	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,126,099	BOYAmt
EOY	$9,749,908	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$316,398,245	BOYAmt
EOY	$324,267,134	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$485,972,275	BOYAmt
EOY	$506,288,328	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$391,299	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$485,972,275	BOYAmt
EOY	$506,679,627	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$802,370,520	BOYAmt
EOY	$830,946,761	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$41,913,490	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$11,097,685	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$10,108,453	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$56,856	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$83,167	OtherActivitiesAmt
Total Lobbying Expenditures	$140,023	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE C, PART II-B, LINE 1F	PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS THAT ARE USED FOR LOBBYING PURPOSES BY THE HOSPITAL ASSOCIATIONS.
SCHEDULE C, PART II-B, LINE 1I	CONTRACTED WITH VARIOUS PARTIES FOR LEGISLATIVE LOBBYING IN SUPPORT OF HOSPITAL REIMBURSEMENT AND COMMUNITY SUPPORT.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,043,491	OtherCostOrOtherBasisAmt
Book Value	$19,043,491	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$295,917,560	OtherCostOrOtherBasisAmt
Depreciation	$138,741,873	DepreciationAmt
Book Value	$157,175,687	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,240,891	OtherCostOrOtherBasisAmt
Depreciation	$20,505,150	DepreciationAmt
Book Value	$15,735,741	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$207,034,622	OtherCostOrOtherBasisAmt
Depreciation	$165,659,934	DepreciationAmt
Book Value	$41,374,688	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,708,942	OtherCostOrOtherBasisAmt
Depreciation	$46,631,136	DepreciationAmt
Book Value	$12,077,806	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$245,407,413	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DERIVATIVE INSTRUMENTS	$8,664,501
MINORITY INTEREST	$1,085,407

Field	Value	IRS element (for citing)
Total Liability	$9,749,908	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$0	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$0	SubtotalSpentAmt
Total Spent	$0	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, LINE 1	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION DISPOSED OF ALL THE FOREIGN INVESTMENTS THAT IT HELD DURING THE YEAR ENDING JUNE 30, 2015.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,498,242	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,498,242	NetCommunityBenefitExpnsAmt
Total Expense	0.02830	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,275,172	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,457,082	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,818,090	NetCommunityBenefitExpnsAmt
Total Expense	0.03260	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$122,773,414	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,457,082	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,316,332	NetCommunityBenefitExpnsAmt
Total Expense	0.06090	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,487,962	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$384,910	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,103,052	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$359,872	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,600	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$320,272	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,804,995	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,804,995	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,652,829	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$424,510	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,228,319	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$129,426,243	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,881,592	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,544,651	NetCommunityBenefitExpnsAmt
Total Expense	0.07230	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,147	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$118,147	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,809	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$121,809	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$134,908	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$134,908	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$140,053	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$140,053	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$514,917	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$514,917	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$30,737,257	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,298,132	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$149,070,158	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$156,336,086	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,265,928	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	NONE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HEARTLAND REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5325 FARAON ST	AddressLine1Txt
City	ST JOSEPH	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64506	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MYMOSAICLIFECARE.ORG	WebsiteAddressTxt
State License	426-19	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	PHARMICIST INTERN PROGRAM	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HEARTLAND REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MYMOSAICLIFECARE.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.MYMOSAICLIFECARE.ORG	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.MYMOSAICLIFECARE.ORG	FAPAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MYMOSAICLIFECARE.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHDULE H, PART V, LINE 5	A COMMUNITY SURVEY WAS CONDUCTED BY AMERICAN VIEWPOINT, ONE OF THE MOST WIDELY-RESPECTED PUBLIC OPINION RESEARCH AND STRATEGIC MESSAGE CONSULTING FIRMS IN THE UNITED STATES. INTERVIEWS WERE CONDUCTED WITH 500 RESIDENTS ACROSS THE SERVICE AREA. APPROXIMATELY 25 PERCENT OF INTERVIEWS WERE CONDUCTED WITH CELL PHONE ONLY HOUSEHOLDS. THE SAMPLE INCLUDED MEN AND WOMEN BETWEEN THE AGES OF 18 TO MORE THAN 65 WITH HOUSEHOLD INCOMES RANGING FROM BELOW $20K TO ABOVE $50k. AMONG THE RESPONDENTS WERE THOSE WHO HAD LIVED IN ST. JOSEPH FOR LESS THAN FIVE YEARS TO THOSE WHO HAD LIVED IN THE COMMUNITY ALL THEIR LIVES. THE COMMUNITY SURVEY WAS ALSO INTRODUCED TO SIX FOCUS GROUPS COMPRISED OF COMMUNITY MEMBERS, INCLUDING THOSE WITH BROAD INTERESTS AND THOSE WITH SPECIAL KNOWLEDGE OF THE SUBJECT. THE GROUPS REPRESENTED PHYSICIANS, COMMUNITY MEMBERS, CLINICAL STAFF (REGISTERED NURSES AND CARE MANAGERS), HOSPITAL LEADERSHIP AND COMMUNITY HEALTH LEADERS. ADDITIONALLY, OTHER HEALTH DATA ALREADY GATHERED THROUGH OUR OWN POPULATION HEALTH DATABASE, ALONG WITH HEALTH DATA FROM LOCAL, STATE AND NATIONAL SOURCES WAS INCORPORATED INTO A SCORECARD TO MONITOR THE OUR SUCCESS IN IMPROVING THE HEALTH OF OUR COMMUNITY. THOSE OUTSIDE RESOURCES WERE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) PQI (PREVENT QUALITY INDICATORS), MISSOURI DEPARTMENT OF HEALTH, LOCAL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) (STJOEHEALTHINFOR.ORG), STATE BRFSS, MISSOURI HOSPITAL ASSOCIATION (MHA) REPORT: ASSESSING THE HEALTH OF OUR COMMUNITIES, COUNTY HEALTH RANKINGS, UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, ST. JOSEPH HEALTH DEPARTMENT, AMERICAN COMMUNITY SURVEY (ACS), MISSOURI ECONOMIC RESEARCH AND INFORMATION CENTER (MERIC), SUCCESS BY SIX/UNITED WAY, AND HEAD START.
SCHEDULE H, PART V, LINE 11	THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN THE 2012 TAX YEAR AND AN IMPLEMENTATION PLAN FOR ADDRESSING THE IDENTIFIED NEEDS ADOPTED FOR THE 2013 TAX YEAR. THE TOP THREE ISSUES DETERMINED FROM THE ASSESSMENT WERE: AVAILABILITY OF MENTAL HEALTH SERVICES; ADULT AND CHILDHOOD OBESITY; AND, EDUCATION ON HEALTH AND HEALTH RESOURCES. IN THE FIRST YEAR OF IMPLEMENTATION, CHARITABLE GIVING WAS BETTER ALIGNED WITH PROGRAMS THAT SUPPORTED COMMUNITY HEALTH SERVICES, COMMUNITY HEALTH NEEDS AND COMMUNITY BUILDING. COLLABORATIVE DISCUSSIONS WITH COMMUNITY AGENCIES INVOLVED WITH MENTAL HEALTH SERVICES HAD BEEN HELD TO DETERMINE BEST SOLUTIONS FOR INCREASING THE AVAILABILITY IN THE CORRECT SETTING. THE TAXPAYER HAD CONTINUED ITS SUPPORT OF PROGRAMS LIKE THE POUND PLUNGE AND THE 4TH GRADE CHALLENGE. A COMPREHENSIVE WEB-BASED INFORMATION CALENDAR OF HEALTH EDUCATION OPPORTUNITIES WAS MADE AVAILABLE TO THE PUBLIC. IN THE SECOND YEAR OF THE THREE-YEAR CYCLE, THE TAXPAYER HAS FURTHER ADDRESSED MENTAL HEALTH ISSUES BY PLACING BEHAVIORAL HEALTH MANAGERS IN ALL PRIMARY CARE CLINICS TO HELP PATIENTS WITH NAVIGATION TO THE MENTAL HEALTH RESOURCES THAT THEY NEED, PROVIDED FINANCIAL SUPPORT TO ORGANIZATIONS PROVIDING MENTAL HEALTH SUPPORT TO THE COMMUNITY AND PARTNERING WITH A COMMUNITY GROUP TO ADDRESS THE MENTAL HEALTH NEEDS OF CHILDREN AND ADOLESCENTS. THE OBESITY ISSUE HAS BEEN ADDRESSED BY CONTINUING SUPPORT OF THE POUND PLUNGE AND THE 4TH GRADE CHALLENGE, DEVELOPED A FIT-TASTIC PROGAM TO PREVENT OBESITY AND LIVE A HEALTHIER LIFESTYLE, DEVELOPED INTERNAL CLINICAL PROTOCOLS TO ADDRESS CHILDHOOD OBESITY, SUPPORTED SCHOOL AND COMMUNITY GARDEN PROJECTS, EXPANDED THE PROGRAM OF HEALTHY COOKING CLASSES FOR KIDS, AGAIN SUPPORTED THE SECOND HARVEST COMMUNITY FOOD BANK AND FURTHER ALIGNED SPONSORSHIPS AND CHARITABLE GIVING WITH THE ESTABLISHED PRIORITIES OF THE CHNA. THE WEB-BASED COMMUNITY CALENDAR CONTINUES TO BE A CENTRALIZED CLEARINGHOUSE TO PROVIDE HEALTH EDUCATION INCLUDING EXERCISE, SCREENINGS, HEALTH FAIRS, MENTAL HEALTH EVENTS, PROVIDER PRESENTATIONS. IMPLEMENTATION STRATEGY CAN BE FOUND AT: https://www.mymosaiclifecare.org/General/Community-Health-Needs-Assessment /St-Joseph-CHNA/
SCHEDULE H, PART V, LINE 20E	FINANCIAL COUNSELORS ARE AVAILABLE ONSITE TO EXPLAIN THE FINANCIAL ASSISTANCE POLICY PROCESS AT ANY TIME DURING THE PATIENT'S VISIT.

Field	Value	IRS element (for citing)
Facility	68	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (68 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Heartland Clinic
901 Heartland Road Ste 4840	St Joseph	MO	64506	Infectious Disease
Heartland Clinic
902 Riverside Road Ste 201	St Joseph	MO	64507	Rad Oncology
Heartland Clinic
902 North Riverside Road	St Joseph	MO	64507	Specialty Pediatrics
Heartland Clinic
5514 Corporate Dr Ste 150	St Joseph	MO	64507	Cardiovascular
Heartland Clinic
5210 North Belt Highway Ste B	St Joseph	MO	64506	Family Practice
Heartland Clinic
5301 Faraon ST Ste 210A	St Joseph	MO	64506	Pulmonology
Heartland Clinic
105 Far West Drive Ste 100	St Joseph	MO	64506	Internal, Peds, Family
Heartland Clinic
5514 Corporate Dr Ste 120	St Joseph	MO	64506	Internal
Heartland Clinic
1115 N Belt Highway	St Joseph	MO	64506	Urgent Care
Spa at Briarcliff
4133 North Mulberry Dr	Kansas City	MO	64116	MEDICAL SPA
Heartland Clinic
9784 N Ash Avenue	Kansas City	MO	64157	Family/Specialty
Heartland Clinic
3715 Beck Road Bldg F	St Joseph	MO	64506	Internal Medicine
Heartland Clinic
5301 Faraon ST Ste 200	St Joseph	MO	64506	Occupational Medicine
Outpatient Imaging
3620 Frederick Ave	St Joseph	MO	64506	Imaging
Heartland Clinic
711 North 36th Street	St Joseph	MO	64506	Family
Heartland Clinic
105 Far West Drive Ste 201	St Joseph	MO	64506	NEUROLOGY
Heartland Clinic
902 N Riverside Ste 200	St Joseph	MO	64506	Specialty Med Oncology
Heartland Clinic
215 S Walnut St	Cameron	MO	64429	Family Practice
Heartland Clinic
207 So Main	Troy	KS	66087	Family Practice
Heartland Outpatient
3107 Frederick Lower Level	St Joseph	MO	64506	Outpatient Therapy
Heartland Counseling
137 N Belt Highway	St Joseph	MO	64506	Counseling
Heartland Clinic
105 Far West Drive Ste 202	St Joseph	MO	64506	Psychiatry
Heartland Clinic
300 Utah	Hiawatha	KS	66434	Specialty
Heartland Clinic
5210 North Belt Highway Ste C	St Joseph	MO	64506	Family Practice
Heartland Outpatient
902 N Riverside	St Joseph	MO	64507	Cancer Center
Heartland Clinic
901 Heartland Road Suite 3800	St Joseph	MO	64506	Specialty
Heartland Clinic
2024 S Main	Maryville	MO	64424	Specialty
Heartland Clinic
2600 Miller	Bethany	MO	64424	Specialty
Heartland Clinic
810 Ravenhill Drive Ste 103	Atchison	KS	66002	Specialty
Heartland Outpatient
3007 N Belt Highway Suite L	St Joseph	MO	64506	Outpatient Therapy
Heartland Clinic
5202 Faraon ST Ste A	St Joseph	MO	64506	Podiatry
Heartland Clinic
705 N College	Albany	MO	64402	Specialty Clinic
Heartland Clinic
104 N 6th Street Ste 15	Atchison	KS	66002	Medical Oncology
Heartland Clinic
5210 North Belt Highway Ste C	St Joseph	MO	64506	Specialty Womens
Heartland Clinic
8880 NE 82nd Terrace	Kansas City	MO	64158	Family, Specialty, Imaging
Heartland Clinic
8860 NE 82nd Terrace	Kansas City	MO	64158	Ambulatory Surgery
Heartland Clinic
425 W Washington Street	Kearney	MO	64060	Family Practice
Heartland Clinic
6185 Jefferson Ave	Parkville	MO	64152	Family Practice
Heartland Clinic
6420 N Prospect Ave	Gladstone	MO	64119	Family Practice
Heartland Clinic
1103 S US Highway 169	Smithville	MO	64089	Family Practice
Heartland Clinic
2370 Vintage Court	Excelsior Springs	MO	64024	Family Practice
Outpatient Services
901 Heartland Road Ste 4870	St Joseph	MO	64506	Sleep Disorders AMBULATORY SURGERY
Heartland Clinic
1600 East Evergreen	Cameron	MO	64429	Specialty
Heartland Clinic
1610 East Evergreen Ste B	Cameron	MO	64429	Medical Oncology
Heartland Clinic
2016 S Main Street	Maryville	MO	64468	Medical Oncology
Heartland Clinic
2703 Running Horse Rd	Platte City	MO	64079	Family, Specialty
Heartland Outpatient
2703 Running Horse Rd SteB	Platte City	MO	64079	Outpatient Therapy
Heartland Clinic
3007 N Belt Highway	St Joseph	MO	64506	Specialty
Heartland Clinic
6301 N Lucerne	Kansas City	MO	64151	Family, Specialty, Imaging
Heartland Clinic
5301 Faraon ST Ste 210B	St Joseph	MO	64506	Pulmonology
Heartland Outpatient
901 Heartland Road Ste 1810	St Joseph	MO	64506	Wound Care
Heartland Clinic
5301 Faraon ST Ste 160	St Joseph	MO	64506	ENT
Heartland Clinic
901 Heartland Road Ste 4860	St Joseph	MO	64506	Caregiver Quick Clinic
Heartland Clinic
1701 East 9th Street	Trenton	MO	64683	Family
Heartland Clinic
802 N Riverside Ste 130	St Joseph	MO	64507	Rehab
Heartland Clinic
802 N Riverside Ste 150	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste 150	St Joseph	MO	64507	Spine
Heartland Clinic
802 N Riverside Suite 100	St Joseph	MO	64507	Pain Mgmt
Heartland Clinic
802 N Riverside Suite 140	St Joseph	MO	64507	Arthritis
Heartland Clinic
802 N Riverside Ste G60	St Joseph	MO	64507	Breast Care
Heartland Clinic
802 N Riverside Ste 200	St Joseph	MO	64507	Vascular
Heartland Clinic
802 N Riverside Ste 210	St Joseph	MO	64507	Cardiothoracic
Heartland Clinic
802 N Riverside Ste 220	St Joseph	MO	64507	Bariatric Care
Heartland Clinic
802 N Riverside Ste 225	St Joseph	MO	64507	Vein Care
Heartland Clinic
802 N Riverside Ste G50	St Joseph	MO	64507	General Surgery
Heartland Clinic
5204 North Belt Highway Ste A	St Joseph	MO	64506	Plastic, Dermatology
Heartland Clinic
901 Heartland Road Ste 4810	St Joseph	MO	64506	Endocrinology
Heartland Clinic
901 Heartland Road Ste 2800	St Joseph	MO	64506	Womens

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7	THE COSTING METHODOLOGY USED TO CALCULATED THE AMOUNTS REPORTED IN THE TABLE WAS THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2.
SCHEDULE H, PART I, LINE 7, COLUMN F	COST IS FROM FORM 990, PART IX, LINE 25 COLUMN (A) WITH BAD DEBT OF $59,926,027 SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE.
SCHEDULE H, PART II	FUNDING BY THE ORGANIZATION PROVIDES ECONOMIC SUPPORT TO THE DOWNTOWN COMMUNITY AS WELL AS COMMUNITY SUPPORT OF DISASTER READINESS, COORDINATION, AND RELIEF AMONGST OTHER COMMUNITY BUILDING ACTIVITIES.
SCHEDULE H, PART III, LINE 2	BAD DEBT WRITEOFFS OF SELF PAY PORTIONS OF ACCOUNTS RECEIVABLE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE ARE USED TO DETERMINE HISTORICAL PERCENTAGES WHICH ARE THEN APPLIED TO CURRENT SELF PAY ACCOUNTS RECEIVABLE TO DETERMINE THE AMOUNT OF BAD DEBT RESERVE NEEDED FOR FUTURE BAD DEBT WRITEOFFS. ANY ADJUSTMENTS TO THE RESERVE ARE BOOKED AS BAD DEBT EXPENSE. FOR THE CALCULATION IN #2, THOSE ADJUSTMENTS ARE MULTIPLIED BY THE COST TO CHARGE PERCENTAGE DETERMINED BY THESE SCHEDULE H WORKSHEETS.
SCHEDULE H, PART III, LINE 4	THE BAD DEBT EXPENSE FOOTNOTE IS ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8	THE MEDICARE ALLOWABLE FAILS TO COVER COST. NON-PAYMENT BY MEDICARE RECIPIENTS FOR THEIR DEDUCTIBLE AND COINSURANCE AMOUNTS INCREASES FINANCIAL ASSISTANCE AND BAD DEBT. THESE SHORTFALLS DECREASE THE ORGANIZATION'S POOL OF ASSETS AND IT'S ABILITY TO SUCCESSFULLY ATTRACT HIGHLY-TRAINED STAFF AND INVEST IN MEDICAL TECHNOLOGY. IF SERVICES ARE TO BE MAINTAINED, THEN THE COSTS WILL HAVE TO BE COVERED BY THOSE WHO PAY. THE BURDEN FALLS ON THE COMMUNITY.
SCHEDULE H, PART III, LINE 9B	HEARTLAND'S STANDARD LD6465 (MEDICAL CENTER, CLINIC, AND LONG-TERM ACUTE CARE HOSPITAL FINANCIAL ASSISTANCE) CONTAINS PROVISIONS ON COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. ACCORDING TO THIS POLICY, ENTERPRISE FINANCIAL COUNSELORS AND PRE ACCESS SERVICES REPRESENTATIVES ARE RESPONSIBLE FOR DETERMINING IF A PATIENT IS ELIGIBLE FOR DISCOUNTED MEDICAL SERVICES. THE GUIDELINES ARE BASED ON RESIDENCY, GROSS INCOME AND FAMILY SIZE. FREE CARE IS GIVEN TO PATIENTS WHOSE INCOME IS LESS THAN 200% OF FEDERAL POVERTY GUIDELINES. A 50% DISCOUNT IS GIVEN TO PATIENTS WHOSE INCOME IS BETWEEN 201% AND 300% OF FEDERAL POVERTY GUIDELINES. CERTAIN PRESUMPTIVE GUIDELINES MAY QUALIFY A PATIENT FOR THE FINANCIAL ASSISTANCE POLICY. IT IS THE PATIENT'S RESPONSIBILITY TO PRESENT REQUIRED DOCUMENTATION TO SUBSTANTIATE A DISCOUNT. FOR CLINIC, A 100% DISCOUNT IS APPLIED AFTER COPAY FOR ELIGIBLE PATIENTS BASED ON 100% OF THE FEDERAL POVERTY GUIDELINES. DEPENDING ON THE PATIENT'S INSURANCE COVERAGE A COPAYMENT OF UP TO $80 WILL BE DUE FROM THE PATIENT FOR A CLINIC VISIT, WHICH IS EXCLUDED FROM FINANCIAL ASSISTANCE. THE ORGANIZATION MAKES ITS FINANCIAL ASSISTANCE POLICY AND OTHER RELATED DOCUMENTS AVAILABLE TO PATIENTS ON ITS WEBSITE AT: HTTPS://MYMOSAICLIFECARE.ORG/FINANCIAL-AND-INSURANCE-INFORMATION. THE FOLLOWING DOCUMENTS ARE AVAILABLE. I. FINANCIAL ASSISTANCE POLICY - PROVIDES AN IN-DEPTH EXPLANATION OF THE FINANCIAL ASSISTANCE PROGRAM INCLUDING DETAILS ABOUT INCOME, RESIDENCE, AND ELIGIBILITY GUIDELINES. THE PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE AND MOSAIC LIFE CARE'S BILLING PRACTICES ARE ALSO EXPLAINED IN THIS DOCUMENT. II. FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY - A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY THAT IS ALSO AVAILABLE THROUGHOUT THE ORGANIZATION TO BE PROVIDED TO THE PATIENT UPON REQUEST. THIS DOCUMENT CONTAINS THE INCOME CATEGORIES IN DETAIL BASED ON. THE FEDERAL POVERTY GUIDELINES. THE FEDERAL POVERTY GUIDELINES ARE UPDATED ANNUALLY IN CONJUNCTION WITH THE UPDATES FROM THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. III. FINANCIAL ASSISTANCE APPLICATION - THE APPLICATION IS AVAILABLE ONLINE IN ORDER TO ALLOW AN APPLICANT TO VIEW THE CRITERIA AND ALSO COMPLETE THE APPLICATION PRIOR TO MEETING WITH A FINANCIAL COUNSELOR. THE MEDICAL CENTER ADOPTED THE FOLLOWING COLLECTION POLICY PROCEDURES EFFECTIVE OCTOBER 1, 2015. NO PATIENT ACCOUNT WILL BE SUBJECT TO COLLECTION ACTIONS WITHIN 240 DAYS OF ISSUING THE FIRST POST-DISCHARGE STATEMENT AND WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. NO EXTRAORDINARY COLLECTION ACTIONS WILL BE PURSUED AGAINST A PATIENT IF THE PATIENT OR GUARANTOR HAS PROVIDED DOCUMENTATION SHOWING THAT AN APPLICATION HAS BEEN SUBMITTED FOR MEDICAID OR OTHER PUBLICLY SPONSORED HEALTH PROGRAMS, AND THAT AN ELIGIBILITY DETERMINATION IS STILL PENDING. THIS 240-DAY TIMEFRAME MAY BE SHORTENED IF A DECISION HAS BEEN MADE ON FINANCIAL ASSISTANCE, OR WHEN A PAYMENT PLAN HAS BEEN ESTABLISHED AND AGREED TO, BUT THE PATIENT OR GUARANTOR IS NO LONGER MAKING THE REQUIRED PAYMENTS. IF A STATEMENT IS SENT TO A PATIENT OR GUARANTOR, AND MAIL IS RETURNED AS UNDELIVERABLE, THE MEDICAL CENTER WILL ATTEMPT TO FIND A CORRECT ADDRESS. IF THE CORRECT ADDRESS CANNOT BE FOUND, THE MEDICAL CENTER WILL ATTEMPT TO CONTACT THE PATIENT OR GUARANTOR BY TELEPHONE AT THE NUMBER LISTED BY THE PATIENT OR GUARANTOR. IF EFFORTS TO COMMUNICATE WITH THE PATIENT OR GUARANTOR FAIL, ACCOUNTS WILL BE SENT TO A COLLECTION AGENCY. REASONABLE EFFORTS TO INFORM PATIENT OF FINANCIAL ASSISTANCE: AS OF JULY 1, 2015, PRIOR TO SENDING AN ACCOUNT TO A COLLECTION AGENCY, THE PATIENT OR GUARANTOR WILL GENERALLY RECEIVE A MINIMUM OF SEVEN WRITTEN STATEMENTS INCLUDING THE FIRST POST-DISCHARGE STATEMENT AND SIX SUBSEQUENT STATEMENTS. THESE STATEMENTS WILL INCLUDE A TELEPHONE NUMBER FOR INFORMATION ON PAYING PATIENT BALANCES AND A CONSPICUOUS NOTICE ABOUT FINANCIAL ASSISTANCE. IF THE PATIENT DOES NOT CALL AND SETUP A FORMAL PAYMENT PLAN, BUT DOES MAKE ACCEPTABLE PAYMENTS, STATEMENTS WILL CONTINUE UNTIL BALANCE IS PAID IN FULL. WHEN A PATIENT CALLS THE MEDICAL CENTER'S FINANCIAL SERVICES AREA STATING HE OR SHE IS UNABLE TO PAY THE BALANCE, THE FOLLOWING STEPS PROCEED. 1) FINANCIAL COUNSELING IS PROVIDED TO DETERMINE IF PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. 2) A FORMAL PAYMENT PLAN IS DISCUSSED. PRIOR TO OCTOBER 2015, THE FORMAL PAYMENT PLANS COULD ONLY BE FOR A MAXIMUM OF 18 MONTHS. AS OF OCTOBER 2015, PAYMENT PLANS MAY BE FOR A MAXIMUM OF 36 MONTHS. 3) PRIOR TO OCTOBER 2015, SPECIAL CONTRACTS WERE USED IF THE PATIENT COULD NOT PAY BALANCE WITHIN 18 MONTHS AND WERE REVIEWED TO BE WITH OR WITHOUT INTEREST. AS OF OCTOBER 2015, SPECIAL CONTRACTS ARE WITHOUT INTEREST AND ARE ONLY USED IF PATIENT CANNOT PAY BALANCE WITHIN 36 MONTHS. IF AN AGREEMENT HAS NOT BEEN MADE TO RESOLVE THE ACCOUNT, AN EIGHTH AND FINAL STATEMENT WILL BE SENT TO THE PATIENT OR GUARANTOR. THIS STATEMENT ACTS AS A NOTICE TO THE ACCOUNT OWNER OF THE AMOUNT OWED TO THE MEDICAL CENTER AND THAT THE ACCOUNT WILL BE PLACED WITH A THIRD-PARTY COLLECTION AGENCY IN 30 DAYS. THIS STATEMENT WILL INCLUDE A PLAIN LANGUAGE SUMMARY AND WILL OUTLINE ANY COLLECTION ACTIONS THAT MAY BE TAKEN IF A PLAN IS NOT PUT IN PLACE TO SETTLE THE ACCOUNT. ORAL NOTIFICATION WILL BE ATTEMPTED AT THIS TIME AS WELL TO ENSURE THE PATIENT OR GUARANTOR IS AWARE OF MOSAIC LIFE CARE'S FINANCIAL ASSISTANCE POLICY AND THE DEBT THEY OWE. THERE ARE OTHER TIMES WHEN ACCOUNTS MAY BE PLACED IN COLLECTIONS INCLUDING WHEN: 1. THE PATIENT OR GUARANTOR HAS NOT MADE TIMELY PAYMENTS ACCORDING TO THE AGREED-UPON PAYMENT PLAN. 2. THE PATIENT OR GUARANTOR HAS RECEIVED A FINANCIAL ASSISTANCE DISCOUNT, BUT IS NO LONGER WORKING WITH HEARTLAND IN GOOD FAITH TO PAY OFF THE REMAINING AMOUNT OWED.
SCHEDULE H, PART VI, LINE 2	HEARTLAND REGIONAL MEDICAL CENTER HAS A ROBUST APPROACH FOR ASSESSING THE NEEDS OF THE COMMUNITIES IT SERVES. THIS ONGOING COMMITMENT INCLUDES COLLABORATING WITH LOCAL GROUPS, SCHOOL DISTRICTS AND CITY AND COUNTY AGENCIES TO IDENTIFY NEEDS, PROMOTE HEALTHY LIVING, ASSURE THAT AFFORDABLE MEDICAL SERVICES ARE AVAILABLE, DEVELOP STRATEGIES FOR IMPROVING EDUCATION AND ECONOMIC STRENGTH, AND PROVIDING ONGOING SUPPORT.
SCHEDULE H, PART VI, LINE 3	THIS COMPREHENSIVE EXPOSURE BEGINS WITH INFORMATION AT THE REGISTRATION DESK AND CONCLUDES WITH FINANCIAL ASSISTANCE INFORMATION BEING INCLUDED ON EVERY BILLING STATEMENT A PATIENT RECEIVES FROM MOSAIC LIFE CARE. GUIDELINES FOR THE PROGRAM ARE AVAILABLE AT EACH REGISTRATION DESK AND INCLUDED IN ALL ADMISSION PACKETS FOR UNINSURED PATIENTS. PATIENTS ARE CONTACTED IF THE PATIENT IS EXPECTED TO HAVE A FINANCIAL RESPONSIBILITY FOR THE VISIT. A FINANCIAL COUNSELOR ATTEMPTS TO VISIT THE ROOM OF EVERY UNINSURED PATIENT THAT IS ADMITTED TO OUR FACILITY FOR OBSERVATION OR INPATIENT CARE. THE COUNSELOR DISCUSSES PAYMENT OPTIONS WITH THE PATIENT AND CAN ASSIST THEM WITH VARIOUS OPTIONS THAT INCLUDE, BUT ARE NOT LIMITED TO, MEDICAID APPLICATION, HEALTH CARE EXCHANGE ELIGIBILITY AND CHARITY CARE. COUNSELORS ALSO WORK WITH OUR CARE MANAGEMENT STAFF TO SUPPORT THE DISCHARGE PROCESSES SO THAT FINANCIAL HARDSHIP DOES NOT KEEP THE PATIENT FROM RECEIVING THE APPROPRIATE FOLLOW-UP CARE. THIS ASSISTANCE INCLUDES INSTRUCTIONS FOR SCHEDULING AND APPOINTMENT WITH A FINANCIAL COUNSELOR WHO CAN ASSIST THEM IN COMPLETING THE APPLICATION FOR FREE OR DISCOUNTED CARE.
SCHEDULE H, PART VI, LINE 4	THE ORGANIZATION'S SERVICE AREA IS A 23 COUNTY URBAN/RURAL AREA LOCATED NEAR THE INTERSECTION OF A FOUR-STATE AREA. THE POPULATION IS ELDERLY AND UNDER-INSURED. THE LOCAL ECONOMY CONSISTS OF AGRICULTURAL, SMALL MANUFACTURING AND SELF-EMPLOYED BUSINESSES, PRIMARILY BLUE COLLAR WORKERS. THE ORGANIZATION SUPPORTS A PAYOR MIX OF 62% MEDICARE AND MEDICAID, 32% COMMERCIAL AND 6% SELF PAY. A LARGE PERCENT OF THE REGION'S POPULATION ARE BELOW THE NATIONAL POVERTY LEVEL AND ARE UNINSURED OR UNDER-INSURED. NEARLY A QUARTER OF THE POPULATION SMOKE, HAVE DIABETES OR HAVE A BODY MASS INDEX GREATER THAN 30. MORE THAN 60 PERCENT OF THE ELEMENTARY AGE STUDENTS RECEIVE FREE OR REDUCED-COST LUNCHES.
SCHEDULE H, PART VI, LINE 5	THE ORGANIZATION OFFERS NEARLY 50 EDUCATIONAL PROGRAMS THROUGHOUT THE YEAR TO HELP MAINTAIN A HEALTHY LIFESTYLE. THESE ARE WELL-ADVERTISED AND MOST OF THEM ARE FREE OF CHARGE. FOR THE PAST TEN YEARS, THE ORGANIZATION HAS SPONSORED THE POUND PLUNGE, A THREE-MONTH LONG EVENT TO ENCOURAGE WEIGHT LOSS, EXERCISE AND HEALTHY EATING. MORE THAN 18,000 PEOPLE HAVE PARTICIPATED AND OVER 115,000 POUNDS HAVE BEEN LOST. THE 4TH GRADE CHALLENGE IS A PROGRAM CREATED FOR CHILDREN WHO ARE AT THE AGE WHEN THEY CAN BEGIN TO MAKE CHOICES FOR THEMSELVES. THE OBJECTIVE OF THE PROGRAM IS TO IMPROVE THESE STUDENTS' HEALTH BY PROVIDING AN EIGHT WEEK CURRICULUM WITH FUN, HANDS-ON ACTIVITIES DESIGNED TO ENCOURAGE HEALTHY EATING HABITS, EXERCISE AND MAKING WISE LIFESTYLE CHOICES. DURING THE CHNA PROCESS, TWENTY SIX SCHOOLS PARTICIPATE IN THE PROGRAM, WHICH ALSO INCLUDES SCHOOL GARDENS AND HEALTHY COOKING CLASSES AT SIX TITLE ONE SCHOOLS. THE PROGRAM COMPLETED ITS SEVENTH YEAR IN APRIL, 2015. THE ORGANIZATION HAS ADOPTED THE 1-2-3-4-5 FITTASTIC MESSAGING, WHICH WAS DEVELOPED BY CHILDRENS MERCY HOSPITAL, TO BE THE EVIDENCED BASED GUIDELINES FOR ALL THE CHILD OBESITY PREVENTION PROGRAMS. THE ORGANIZATION HAS ALSO DEVELOPED UNIFORM PROVIDER PROTOCOLS FOR DIAGNOSING AND TREATING CHILDHOOD OBESITY. THE ORGANIZATION HAS CONTRIBUTED SIGNIFICANT FINANCIAL SUPPORT TO ORGANIZATIONS DEDICATED TO MENTAL HEALTH SERVICES, POVERTY AND HOMELESSNESS. tHE ORGANIZATION, IN RESPONSE TO COMMUNITY REQUEST, HAS DEVELOPED A COMPREHENSIVE COMMUNITY CALENDAR FOR HEALTH EVENTS AND HEALTH EDUCATION. THIS IS LOCATED ON THE ORGANIZATIONAL WEBSITE. THE ORGANIZATION IS A FUNDING PARTNER OF A COMMUNITY ALLIANCE PROJECT GEARED TO SHARE AND COORDINATE THE EXISTENCE OF COMMUNITY HEALTH AND WELFARE PROJECTS.
SCHEDULE H, PART VI, LINE 6	THE ORGANIZATION IS AFFILIATED, THROUGH A PARENT BOARD, WITH A FOUNDATION, AN ACUTE LONG TERM CARE HOSPITAL, AND A COMMUNITY HEALTH IMPROVEMENT SOLUTIONS SERVICE, ALL OF WHICH COLLABORATE WITH EDUCATIONAL, GOVERNMENTAL AND LOCAL BUSINESS LEADERS TO IMPLEMENT PROGRAMS THAT WILL HELP TO ALLEVIATE THOSE ISSUES WHICH LEAD TO POOR HEALTH HABITS AND THE ULTIMATE NEED FOR MEDICAL CARE. THE PARENT BOARD IS COMPRISED OF COMMUNITY LEADERS WHO REPRESENT THE EDUCATIONAL, MEDICAL, GOVERNMENTAL AND BUSINESS SECTORS IN THE COMMUNITY. THE FOUNDATION HAS DIRECT OVERSIGHT FOR MANY OF THE PROGRAMS AND COUNCILS THAT ARE WORKING TO ELIMINATE THE FACTORS THAT LEAD TO THE NEED FOR MEDICAL CARE. THE ACUTE LONG TERM CARE HOSPITAL IS A FACILITY DEDICATED TO THE CARE OF THOSE PATIENTS WHOSE CHRONIC ILLNESS REQUIRES A GREATER LENGTH OF STAY THAN THE NORM FOR ROUTINE ACUTE PATIENTS. THE COMMUNITY HEALTH IMPROVEMENT SOLUTIONS SERVICE WORKS WITH OTHER EMPLOYERS IN THE COMMUNITY TO EFFECT HEALTHY CHANGES IN THEIR WORKFORCES.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Address Line2USAddress/AddressLine2Txt
UNITED WAY OF ST JOE
118 S 5TH STREET	ST JOSEPH	MO	64501	440547802	501(C)(3)	$175,089	SUPPORT
HEARTLAND FOUNDATION
5325 FARAON ST	ST JOSEPH	MO	64506	431262768	501(C)(3)	$708,676	SUPPORT
MO W STATE UNIV FOUNDATI
5425 DOWNS DRIVE	ST JOSEPH	MO	64507	237035423	501(C)(3)	$335,580	SUPPORT
ALLIED ARTS COUNCIL
118 S EIGHTH	ST JOSEPH	MO	64501	430810827	501(C)(3)	$10,000	SUPPORT
SECOND HARVEST COMMUNITY FOOD BANK
915 DOUGLAS	ST JOSEPH	MO	64505	431268319	501(C)(3)	$65,000	SUPPORT
SMITHVILLE SCHOOL DISTRICT
655 S COMMERCIAL AVE	SMITHVILLE	MO	64089	431906203	GOVERNMENT	$6,340	SUPPORT
ST JOSEPH AREA CHAMBER OF COMMERCE
3003 FREDERICK AVENUE	ST JOSEPH	MO	64506	440419460	501(C)(6)	$22,025	SUPPORT
YOUNG WOMEN'S CHRISTIAN ASSOCIATION
3014 NORTH 8TH STREET	ST JOSEPH	MO	64501	440552219	501(C)(3)	$9,500	SUPPORT
NORTHLAND REGIONAL CHAMBER OF COMMERCE
634 NW ENGLEWOOD ROAD	ST JOSEPH	MO	64118	431279100	501(C)(6)	$15,345	SUPPORT
MO W STATE UNIV FOUNDATION
5425 DOWNS DRIVE	ST JOSEPH	MO	64506	237035423	501(C)(3)		SUPPORT	$7,500	FMV
AMERICAN CANCER SOCIETY INC
1100 PENNSYLVANIA AVE	KANSAS CITY	MO	64102	131788491	501(C)(3)	$7,000	SUPPORT
INSTITUTE FOR INDUSTRIAL & APPLIED LIFE SCIENCES
4221 MITCHELL AVENUE	ST JOSEPH	MO	64507	201215246	501(C)(3)	$20,000	SUPPORT
UNLIMITED PLAY INC
4140 OLD MILL PARKWAY	ST PETERS	MO	63376	134252421	501(C)(3)	$35,000	SUPPORT
FAMILY GUIDANCE CENTER FOR BEHAVIORAL HEALTHCARE
724 N 22ND ST	ST JOSEPH	MO	64506	440666362	501(C)(3)	$41,000	SUPPORT
SAMARITAN COUNSELING CENTER
902 EDMOND	ST JOSEPH	MO	64501	431615018	501(C)(3)	$58,000	SUPPORT
THE INTERSERV FOUNDATION
200 CHEROKEE STREET	ST JOSEPH	MO	64504	753197631	501(C)(3)	$60,000	SUPPORT
BUCHANAN COUNTY AGRI-BUSINESS EXP CENTER INC
224 N 7TH ST	ST JOSEPH	MO	64501	261352588	501(C)(3)	$87,500	SUPPORT			PO BOX 8384
LADIES UNION BENEVOLENT ASSOCATION
801 N NOYES BLVD	ST JOSEPH	MO	64506	440563788	501(C)(3)	$125,000	SUPPORT
NORTHWEST HEALTH SERVICES INC
2303 VILLAGE DRIVE	ST JOSEPH	MO	64506	431323669	501(C)(3)	$234,184	SUPPORT
ST JOSEPH PARKS REC AND CIVIC FACILITIES DEPT
1920 GRAND AVE	ST JOSEPH	MO	64505	446000256	MUNICIPAL GOV'T	$6,490	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	17	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS COMMITTED TO THE DEVELOPMENT OF A HEALTHY COMMUNITY WHICH INCLUDES THE HEALTH OF INDIVIDUALS, AN ADEQUATE NUMBER OF JOBS FOR THE WORKFORCE AND SUCCESSFUL BUSINESSES TO BOOST THE LOCAL ECONOMY. GRANTS ARE PROVIDED TO LOCAL GROUPS THAT ACHIEVE THESE OBJECTIVES. GENERALLY OUR OFFICERS, DIRECTORS OR EMPLOYEES ARE IN A VOLUNTEER POSITION OR ARE A BOARD MEMBER OF THE RECIPIENT ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR JOHN OLSON
STAFF PHYSICIAN/BOARD	$569,935	$0	$108,133	$0	$15,928	$0	$10,400	$0	$23,532	$0	$727,928	$0	$0	$0
DR MAUREEN MANGANARO
STAFF PHYSICIAN	$447,882	$0	$17,810	$0	$2,065	$0	$10,400	$0	$23,632	$0	$501,789	$0	$0	$0
DR MICHAEL NELLESTEIN
STAFF PHYSICIAN	$257,105	$0	$0	$0	$2,504	$0	$7,800	$0	$12,794	$0	$280,203	$0	$0	$0
DR HEMANT SHETH
STAFF PHYSICIAN	$930,810	$0	$1,663	$0	$54,508	$0	$7,800	$0	$15,111	$0	$1,009,892	$0	$0	$0
DR BONNIE GOINS
STAFF PHYSICIAN	$550,991	$0	$367,908	$0	$45,843	$0	$10,400	$0	$15,304	$0	$990,446	$0	$0	$0
DR MOHAN HINDUPUR
STAFF PHYSICIAN	$930,703	$0	$0	$0	$19,388	$0	$10,400	$0	$15,111	$0	$975,603	$0	$0	$0
DR ROBERT GRANT
STAFF PHYSICIAN	$825,920	$0	$14,028	$0	$44,628	$0	$10,400	$0	$23,632	$0	$918,609	$0	$0	$0
DR ARVIND SHARMA
STAFF PHYSICIAN	$826,251	$0	$4,428	$0	$27,227	$0	$10,400	$0	$23,301	$0	$891,608	$0	$0	$0
CAROLYN S PADEN
ADMINISTRATOR	$208,015	$0	$15,475	$0	$9,186	$0	$0	$0	$15,304	$0	$247,980	$0	$0	$0
DR DAVIN TURNER
ADMINISTRATOR	$343,380	$0	$84,519	$0	$2,444	$0	$54,954	$0	$23,301	$0	$508,597	$0	$0	$0
R S KOELLIKER
ADMINISTRATOR	$293,403	$0	$49,292	$0	$14,307	$0	$73,703	$0	$23,225	$0	$453,930	$0	$0	$0
MICHAEL C PULIDO
CHIEF ADMINISTRATIVE OFFICER	$309,778	$0	$58,800	$0	$29,465	$0	$64,531	$0	$23,301	$0	$485,875	$0	$15,252	$0
CURT KRETZINGER
CHIEF OPERATING OFFICER	$478,592	$0	$94,710	$0	$124,180	$0	$70,649	$0	$7,927	$0	$776,058	$0	$101,255	$0
JOHN P WILSON
SECRETARY/TREASURER/CFO	$448,500	$0	$82,797	$0	$84,296	$0	$55,886	$0	$0	$0	$671,479	$0	$62,660	$0
MARK LANEY MD
PRESIDENT/CEO	$753,327	$0	$316,825	$0	$13,609	$0	$10,400	$0	$23,632	$0	$1,117,794	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 1A

Travel for companions was not included as taxable compensation as it was 100% for business purposes.

SCHEDULE J, PART I, LINE 4B

ACCRUED VESTED 6/30/2015 6/30/2015 ---------- ----------- CURT KRETZINGER 60,249 101,255 JOHN P. WILSON 45,486 62,660 SCOTT KOELLIKER 63,243 0 DAVIN TURNER, DO 44,554 0 MICHAEL PULIDO 53,739 15,252 THOSE LISTED ABOVE HAVE SIGNED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS WHICH RECOGNIZE THE VALUE OF THE INDIVIDUAL AND THE MUTUAL BENEFIT OF CONTINUED EMPLOYMENT FOR AN EXTENDED PERIOD OF TIME BY ESTABLISHING A 457f PLAN. THE PLAN IS FUNDED YEARLY AS THE RESULT OF A CALCULATION DESCRIBED IN THE AGREEMENT WHICH WILL REWARD THE INDIVIDUALS WITH 100% VESTING AT NORMAL RETIREMENT AGE OR UPON DEATH OR UPON SEPARATION FROM SERVICE DUE TO DISABILITY OR UPON INVOLUNTARY SEPARATION FROM SERVICE WITHOUT CAUSE, WITH LUMP SUM PAYMENT WITHIN 90 DAYS OF EACH SITUATION TAKING INTO CONSIDERATION A NON-COMPETE COVENANT. SEPARATION WITH CAUSE MAKES SUPPLEMENTAL EXECUTIVE RETIREMENT AGREEMENTS NULL AND VOID.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
SEE PART VI
A	431203910	79075LAB3	2009-02-26	$70,000,000	SEE PART VI	false	false	false
SEE PART VI
B	431203910	79075LAD9	2011-09-30	$25,250,000	SEE PART VI	false	false	false
SEE PART VI
C	431178966	60637ACP5	2012-10-03	$51,489,534	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$980,000	$0	$70,956,418	$0	$0	$0	$0	$0	$0	$70,956,418	$0	$0	2014	false	false	Yes (true)	Yes (true)
B	$8,335,000	$0	$25,250,000	$0	$0	$0	$0	$0	$0	$0	$25,250,000	$0	2005	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$51,535,780	$0	$0	$0	$708,053	$0	$0	$50,827,727	$0	$0	2014	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	Yes (true)
B								Yes (true)
C	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
0
A	false	Yes (true)	Yes (true)	false	false	0	Yes (true)	Yes (true)
0
B	false		false	false	false	0	false	Yes (true)	Yes (true)
0
C	false		false	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN A, LINE A AND LINE B	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF ST. JOSEPH, MISSOURI
SCHEDULE K, PART I, COLUMN A, LINE C	HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI
SCHEDULE K, PART I, COLUMN F, LINE A	Finance the construction and equipping of certain healthcare facilities.
SCHEDULE K, PART I, COLUMN F, LINE B	Refund 2001AB Bonds issued on 11/29/2001, 2001D Bonds issued on 11/29/2001 and 2003E Bonds issued on 5/22/2003.
SCHEDULE K, PART I, COLUMN F, LINE C	To acquire, construct, remodel, renovate and equip certain healthcare facilities.
SCHEDULE K, PART II, COLUMN A, LINE 3	Amount does not equal to issue price listed in Part I, Column (e) due to investment earnings.
SCHEDULE K, PART II, COLUMN C, LINE 3	Amount does not equal to issue price listed in Part I, Column (e) due to investment earnings.
SCHEDULE K, PART II, COLUMN C, LINE 16	The organization is currently in the process of preparing a final written allocation for the 2012 Bonds.
SCHEDULE K, PART III, COLUMN C	The organization is currently in the process of preparing a final written allocation for the 2012 Bonds.
SCHEDULE K, PART IV, COLUMN A, LINE 2C	The Arbitrage Rebate Analysis was performed as of 2/1/2014.
SCHEDULE K, PART IV, COLUMN A, LINE 6	The project fund was invested beyond the three year temporary period but no excess yield liability was generated.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SEE PART IV	PersonNm

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	(A) DONNA WILSON (B) DONNA WILSON IS THE SERVICE LEADER FOR YOUTH AND ADULT PARTNERSHIPS FOR HEARTLAND REGIONAL MEDICAL CENTER AND IS THE WIFE OF JOHN WILSON, WHO IS THE CHIEF FINANCIAL OFFICER OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 124,304 (D) SALARY AND OTHER COMPENSATION FOR SERVICE LEADER SERVICES (E) NO (A) CORINNE KOELLIKER (B) CORINNE KOELLIKER IS A LASER TECHNICIAN FOR HEARTLAND REGIONAL MEDICAL CENTER, AND IS THE SISTER OF SCOTT KOELLIKER, WHO IS A KEY EMPLOYEE OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 34,273 (D) SALARY AND OTHER COMPENSATION FOR LASER TECHNICIAN SERVICES (E) NO (A) JON KOELLIKER (B) JON KOELLIKER IS A TS APPLICATIONS ANALYST FOR HEARTLAND REGIONAL MEDICAL CENTER, AND IS THE BROTHER OF SCOTT KOELLIKER, WHO IS A KEY EMPLOYEE OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 108,891 (D) SALARY AND OTHER COMPENSATION FOR TS APPLICATIONS ANALYST SERVICES (E) NO (A) MARINA KOELLIKER (B) MARINA KOELLIKER IS A REGISTERED NURSE FOR HEARTLAND REGIONAL MEDICAL CENTER, AND IS THE WIFE OF SCOTT KOELLIKER, WHO IS A KEY EMPLOYEE OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 72,587 (D) SALARY FOR REGISTERED NURSE SERVICES (E) NO (A) TRACY HOWERY (B) TRACY HOWERY IS AN ADVANCED PRACTICE REGISTERED NURSE FOR HEARTLAND REGIONAL MEDICAL CENTER, AND IS THE DAUGHTER-IN-LAW OF DAVE HOWERY, WHO IS A DIRECTOR OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 122,244 (D) SALARY FOR ADVANCED PRACTICE REGISTERED NURSE SERVICES (E) NO (A) JILLIAN KOELLIKER (B) JILLIAN KOELLIKER IS A STAFF NURSE FOR HEARTLAND REGIONAL MEDICAL CENTER, AND IS THE DAUGHTER OF SCOTT KOELLIKER, WHO IS A KEY EMPLOYEE OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 58,816 (D) SALARY FOR STAFF NURSE (E) NO (A) MARY KOELLIKER (B) MARY KOELLIKER IS A THERAPY DEPARTMENT EMPLOYEE FOR HEARTLAND REGIONAL MEDICAL CENTER, AND IS THE SISTER-IN-LAW OF SCOTT KOELLIKER, WHO IS A KEY EMPLOYEE OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 30,262 (D) SALARY FOR THERAPY DEPARTMENT SERVICES (E) NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	HEARTLAND REGIONAL MEDICAL CENTER IS 352-BED MEDICAL SURGICAL HOSPITAL LOCATED IN ST JOSEPH, MISSOURI. IT SERVES A COMMUNITY OF 77,000 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 THE MEDICAL CENTER OF 62% GOVERNMENTAL, 32% COMMERCIAL AND 6% UNINSURED. THE HOSPITAL 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. THE HOSPITAL'S OBSTETRICS DEPARTMENT PROVIDES 18 LABOR/DELIVERY/RECOVERY/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 16,000 PATIENTS WERE ADMITTED TO THE HOSPITAL RESULTING IN APPROXIMATELY 68,000 PATIENT DAYS. A TOTAL OF APPROXIMATELY 10,000 SURGERIES WERE PERFORMED, THE EMERGENCY ROOM SERVED APPROXIMATELY 62,000 PATIENTS AND APPROXIMATELY 183,000 VISITS WERE GENERATED BY OUTPATIENTS. THE HOSPITAL EMPLOYS APPROXIMATELY 4,200 PEOPLE AND HAS A TOTAL OF 250 ACTIVE AND ASSOCIATE MEDICAL STAFF. THE EMPLOYED MEDICAL STAFF INCLUDES APPROXIMATELY 173 PHYSICIANS AND 79 NURSE PRACTITIONERS/PHYSICIAN EXTENDERS COVERING APPROXIMATELY 78 FAMILY MEDICINE AND SPECIALTY CLINICS AT 52 LOCATIONS THROUGHOUT THE REGION. THERE WERE APPROXIMATELY 786,000 PATIENT VISITS DURING THE YEAR. ACO: 2015 IS THE THIRD YEAR THAT MOSAIC LIFE CARE HAS BEEN AN ACCOUNTABLE CARE ORGANIZATION (ACO). AN ACO IS A GROUP OF DOCTORS AND OTHER HEALTH-CARE PROVIDERS WHO AGREE TO VOLUNTARILY WORK TOGETHER WITH MEDICARE TO PROVIDE HIGH-QUALITY MEDICAL CARE AND SERVICE AT THE RIGHT TIME AND IN THE RIGHT SETTING. THE ACO PROGRAM ENCOMPASSES QUALITY METRICS. PROVIDING EXCEPTIONAL HEALTH CARE AT LOWER COSTS THROUGH THE ACO MODEL FURTHERS MOSAIC'S TAX EXEMPT MISSION. MOSAIC PARTICIPATES IN THE MEDICARE SHARED SAVINGS ACO PROGRAM AND WORKS CLOSELY WITH NON-MOSAIC DOCTORS AND OTHER HEALTH-CARE PROVIDERS TO PROVIDE CARE FOR BENEFICIARIES WHO HAVE TRADITIONAL MEDICARE. BENEFICIARIES BENEFIT BECAUSE THEIR DOCTORS ARE PART OF A TEAM THAT FOCUSES ON THE COORDINATION AND QUALITY OF THEIR MEDICAL CARE.FOR CALENDAR YEAR 2014, MOSAIC SAW A 2.8% SAVINGS FROM CMS TARGETS WHILE ACHIEVING A 95.11% QUALITY SCORE WHICH WAS THE SECOND HIGHEST SCORE AMONG ACO ORGANIZATIONS. MOSAIC ALSO PARTICIPATES IN AN ACO WITH BLUE CROSS BLUE SHIELD OF KANSAS CITY (BCBSKC). FOR CALENDAR YEAR 2014, MOSAIC REALIZED A 1.8% SAVINGS RELATIVE TO BCBSKC TARGETS. QUALITY MEASURES WERE NOT AVAILABLE FROM BSBCKC. OTHER PROGRAM SERVICES: MOSAIC HAS A 340B DESIGNATION FROM HRSA (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.
FORM 990, PART VI, SECTION A, LINE 2	ALL BOARD MEMBERS ALSO SERVE ON THE BOARD OF THE SOLE MEMBER, HEARTLAND HEALTH. CURT KRETZINGER AND JOHN P. WILSON HAVE A BUSINESS RELATIONSHIP WITH HEARTLAND LONG-TERM ACUTE CARE HOSPITAL, A RELATED NOT-FOR-PROFIT CORPORATION. THEY SERVE AS EITHER A DIRECTOR OR OFFICER OF HEARTLAND LONG TERM ACUTE CARE HOSPITAL. JOHN P. WILSON, CURT KRETZINGER, MARK LANEY, M.D., DWAIN STILSON, SERENA NAYLOR AND MICHAEL PULIDO HAVE A BUSINESS RELATIONSHIP WITH NORTHWEST MEDICAL CENTER ASSOCIATION, INC. THEY SERVE AS EITHER OFFICERS AND/OR DIRECTORS FOR NORTHWEST MEDICAL CENTER ASSOCIATION, INC., WHICH IS A RELATED NOT-FOR-PROFIT CORPORATION. JOHN P. WILSON, CURT KRETZINGER, MARK LANEY, M.D., AND DWAIN STILSON HAVE A BUSINESS RELATIONSHIP WITH MIDWESTERN HEALTH MANAGEMENT, INC. AND HHS PROPERTIES, INC. THEY SERVE AS EITHER OFFICERS AND/OR DIRECTORS OF MIDWESTERN HEALTH MANAGMENT, INC. AND HHS PROPERTIES, INC., WHICH ARE RELATED FOR-PROFIT CORPORATIONS. JOHN P. WILSON, CURT KRETZINGER, MARK LANEY, M.D., DWAIN STILSON, DAVID TURNER, D.O., SCOTT KOELLIKER, LISA MICHAELIS, JAREN PIPPITT, AND MICHAEL PULIDO HAVE A BUSINESS RELATIONSHIP WITH COMMUNITY HEALTH PLAN INSURANCE COMPANY. THEY SERVE AS EITHER OFFICERS AND/OR DIRECTORS FOR COMMUNITY HEALTH PLAN INSURANCE COMPANY, WHICH IS A RELATED FOR-PROFIT CORPORATION. JOHN P. WILSON, CURT KRETZINGER, AND DWAIN STILSON HAVE A BUSINESS RELATIONSHIP WITH UPTOWN HOUSING, INC., AND SHOAL CREEK FAMILY MEDICINE & ALLERGY, INC. THEY SERVE AS EITHER OFFICERS AND/OR DIRECTORS OF UPTOWN HOUSING, INC. AND SHOAL CREEK FAMILY MEDICINE & ALLERGY, INC., WHICH ARE RELATED FOR-PROFIT CORPORATIONS.
FORM 990, PART VI, SECTION A, LINE 6	HEARTLAND HEALTH, A MISSOURI NONPROFIT CORPORATION, IS THE SOLE MEMBER OF HEARTLAND REGIONAL MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE MEMBER (HEARTLAND HEALTH) SHALL HAVE THE FOLLOWING POWERS: OVERALL STRATEGIC DIRECTION (EXCLUDING MATTERS RELATED PRIMARILY TO THE ACCOUNTABLE CARE ORGANIZATION (ACO) OPERATED BY THE HOSPITAL, INCLUDING SPECIFICALLY ANY MEDICARE SHARED SAVINGS PROGRAM CREATED UNDER THE AFFORDABLE CARE ACT), APPOINTMENT OF AUDITORS AND LEGAL COUNSEL, ESTABLISHMENT OF BANKING RELATIONSHIPS AND MANAGEMENT OF CASH AND OTHER ASSETS (EXCLUDING ACO SHARED SAVINGS DISTRIBUTIONS AND REPAYMENT OF SHARED LOSSES), LONG-RANGE PLANNING, ADOPTION OF ANNUAL OPERATING PLANS AND APPLICATION FOR CERTIFICATES OF NEED.
FORM 990, PART VI, SECTION B, LINE 11B	AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990 WITH INFORMATION PROVIDED FROM HEARTLAND REGIONAL MEDICAL CENTER'S ACCOUNTING STAFF. THE INDEPENDENT ACCOUNTING FIRM REVIEWS A DRAFT OF THE FORM 990 WITH THE INTERNAL TAX DEPARTMENT, DIRECTOR OF ACCOUNTING, AND CONTROLLER OF HEARTLAND REGIONAL MEDICAL CENTER. THE DRAFT FORM 990 IS REVISED FOR ANY CORRECTIONS OR CLARIFICATIONS BASED ON THE REVIEW. THE INDEPENDENT ACCOUNTING FIRM THEN CONDUCTS A REVIEW OF THE FORM 990 WITH THE CHIEF FINANCIAL OFFICER OF HEARTLAND REGIONAL MEDICAL CENTER. AFTER ANY NECESSARY CORRECTIONS OR CLARIFICATIONS ARE MADE TO THE FORM 990, A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE HEARTLAND REGIONAL MEDICAL CENTER BOARD OF DIRECTORS PRIOR TO ELECTRONICALLY FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12C	UPON AGREEING TO FILL A BOARD POSITION, THE PROSPECTIVE MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST DOCUMENT WHICH DISCLOSES FAMILY AND BUSINESS RELATIONSHIPS THAT COULD BE CONSIDERED IN CONFLICT WITH HIS/HER POSITION ON THE BOARD. IN THIS DOCUMENT, THE MEMBER AGREES TO DISCLOSE ANY ACTIVITIES IN WHICH HE/SHE MAY NOT BE INDEPENDENT IN REGARDS TO A TRANSACTION. THIS DOCUMENT IS DISTRIBUTED AND HELD BY LEGAL COUNSEL. THE NEW MEMBER ALSO SIGNS HEARTLAND'S CODE OF CONDUCT DOCUMENT IN WHICH THE MEMBER AGREES TO COMPLY WITH THE ORGANIZATION'S ETHICAL STANDARDS AND CONFIDENTIALITY POLICIES. THIS DOCUMENT IS HELD BY THE CORPORATE COMPLIANCE OFFICE. ANNUALLY, THE CORPORATE COMPLIANCE OFFICER DISTRIBUTES A SURVEY TO EACH BOARD MEMBER TO FACILITATE DISCLOSURE OF ANY REPORTABLE ACTIVITIES. DURING THE COURSE OF BOARD MEETINGS, BOARD MEMBERS WILL DISMISS THEMSELVES FROM MEETINGS AND/OR ABSTAIN FROM VOTING DURING DISCUSSIONS OF ISSUES THAT RELATE TO THOSE SPECIFIC MEMBERS OR THE COMPANIES THAT THEY REPRESENT. FOR EXAMPLE, PHYSICIAN BOARD MEMBERS ABSTAIN FROM VOTING ON THEIR OWN RE-CREDENTIALING, UNIVERSITY BOARD MEMBERS ARE DISMISSED DURING DISCUSSIONS OF UNIVERSITY-RELATED ACTIVITIES AND LEGAL COUNSEL IS DISMISSED DURING DISCUSSION AND VOTING ON LEGAL COUNSEL REVIEW AND SELECTION. ALL DISMISSALS AND ABSTENTIONS ARE RECORDED IN THE MINUTES OF THE BOARD MEETING. ANNUALLY, THE BOARD MEMBERS ALONG WITH OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CODE OF CONDUCT DOCUMENT IN WHICH THEY AGREE TO COMPLY WITH HEARTLAND'S ETHICAL STANDARDS AND CONFIDENTIALITY POLICIES. THEY ALSO RECEIVE A QUESTIONNAIRE WHICH FACILITATES THE DISCLOSURE OF ANY REPORTABLE ACTIVITIES TO THE CORPORATE COMPLIANCE OFFICER. REPORTABLE ACTIVITIES TO THE CORPORATE COMPLIANCE OFFICER.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	AN ANNUAL REVIEW WAS PERFORMED DURING THE PRIOR FISCAL YEAR FOR THE CURRENT YEAR'S COMPENSATION. MARKET DATA IS PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. A COMPENSATION COMMITTEE COMPRISED OF THE HEARTLAND HEALTH BOARD CHAIR, HEARTLAND HEALTH BOARD VICE-CHAIR AND THREE ADDITIONAL HEARTLAND HEALTH BOARD MEMBERS AND LEGAL COUNSEL, AS SCRIBE, OVERSEE AN ANNUAL SALARY REVIEW PROCESS FOR OFFICERS, ADMINISTRATORS AND KEY EMPLOYEES. FOR EACH POSITION TO BE REVIEWED, THE FULL SCOPE OF DUTIES AND RESPONSIBILITIES, NUMBERS OF STAFF MANAGED, PROCESSES MANAGED, APPROXIMATE REVENUE, EXPENSE, OR CAPITAL DOLLARS MANAGED ARE PROVIDED TO A THIRD PARTY CONSULTANT (FOR THIS PERIOD) THAT SPECIALIZES IN RESEARCH MARKET SALARY DATA. FACILITY SIZE, NOT-FOR-PROFIT STATUS AND THE SCOPE OF EACH JOB POSITION IS COMPARED TO LIKE FACILITIES TO DETERMINE BASE COMPENSATION AND INCENTIVE COMPENSATION FOR EACH POSITION. THE DATA GATHERED BY THE MARKET RESEARCH FIRM IS REVIEWED BY THE COMPENSATION COMMITTEE, OUTLIER ISSUES ARE RESOLVED AND BASED UPON PRESENT FINANCIAL INDICATORS, THE COMMITTEE MAKES THEIR DETERMINATION OF COMPENSATION LEVELS FOR THE NEXT PAY YEAR.
FORM 990, PART VI, SECTION B, LINE 16B	A JOINT VENTURE POLICY WAS DRAFTED DURING THE FISCAL YEAR. THE POLICY IS BEING SUBMITTED FOR FORMAL BOARD APPROVAL AND WILL BE ADOPTED BY NEXT FISCAL YEAR.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART XI, LINE 9	NET ASSET TRANSFER $ (655,000) CHANGE IN FAIR VALUE OF CASH FLOW HEDGING DERIVATES 1,027,068 CHANGE IN DEFINED BENEFIT PENSION PLAN LIABILITY 13,717,892 LOSS ON PARTIAL SETTLEMENT OF DEFINED BENEFIT PENSION PLAN (24,198,413) ------------- $(10,108,453) =============

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NORTHLAND EXPANSION LLC
5325 FARAON ST	ST JOSEPH	MO	64506	DEVELOPMENT	MO	$0	HRMC
URGENT CARE PROPERTIES LLC
5325 FARAON ST	ST JOSEPH	MO	64506	DEVELOPMENT	MO	$0	HRMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HEARTLAND HEALTH
5325 FARAON ST	ST JOSEPH	MO	64506	431283316	HEALTHCARE	MO	501(C)(3)	11B	NA	false
HEARTLAND FOUNDATION
5325 FARAON ST	ST JOSEPH	MO	64506	431262768	SUPPORT	MO	501(C)(3)	7	HH	Yes (true)
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
5325 FARAON ST	ST JOSEPH	MO	64506	261972987	HEALTHCARE	MO	501(C)(3)	3	HH	Yes (true)
HEARTLAND HEALTH CARE PLAN TRUST FUND
5325 FARAON ST	ST JOSEPH	MO	64506	431286484	VEBA	MO	501(C)(9)		HH	Yes (true)
NORTHWEST MEDICAL CENTER ASSOCATION INC
705 N COLLEGE ST	ALBANY	MO	64402	440580870	HEALTHCARE	MO	501(C)(3)	3	HH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	OwnershipOwnershipPct
MIDWESTERN HEALTH MANAGEMENT INC
5325 FARAON ST	ST JOSEPH	MO	64506	431264358	HEALTHCARE	MO	HH	C CORP	$0	$0	Yes (true)
COMMUNITY HEALTH PLAN INSURANCE COMPANY
5325 FARAON ST	ST JOSEPH	MO	64506	431210152	INSURANCE	MO	HH	C CORP	$0	$0	Yes (true)
HHS PROPERTIES INC
5325 FARAON ST	ST JOSEPH	MO	64506	431593799	INVESTMENT	MO	HH	C CORP	$0	$0	Yes (true)
UPTOWN HOUSING INC
5325 FARAON ST	ST JOSEPH	MO	64506	261416252	REDEVELOPMENT	MO	HH	C CORP	$0	$0	Yes (true)
UPTOWN ST JOSEPH REDEVELOPMENT CORP
5325 FARAON ST	ST JOSEPH	MO	64506	201742813	REDEVELOPMENT	MO	HH	C CORP	$0	$0	Yes (true)
SHOAL CREEK FAMILY MEDICINE & ALLERGY
5325 FARAON ST	ST JOSEPH	MO	64506	010754265	HEALTHCARE	MO	HRMC	S CORP	$57,726	$35,928	Yes (true)	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MIDWESTERN HEALTH MANAGEMENT INC
D	$1,882,105	FMV
MIDWESTERN HEALTH MANAGEMENT INC
L	$771,778	FMV
MIDWESTERN HEALTH MANAGEMENT INC
M	$156,000	FMV
MIDWESTERN HEALTH MANAGEMENT INC
Q	$4,613,707	FMV
MIDWESTERN HEALTH MANAGEMENT INC
S	$200,000	FMV
HHS PROPERTIES INC
R	$340,000	FMV
HHS PROPERTIES INC
K	$258,507	FMV
HHS PROPERTIES INC
Q	$53,566	FMV
HHS PROPERTIES INC
D	$297,917	FMV
HEARTLAND HEALTH BUSINESS PLAZA LLC
K	$1,045,153	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
D	$10,031,347	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
L	$5,334,164	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
Q	$4,676,502	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
A	$1,202,829	FMV
HEARTLAND FOUNDATION
B	$708,676	FMV
HEARTLAND FOUNDATION
Q	$733,866	FMV
HEARTLAND FOUNDATION
D	$1,311,710	FMV
NORTHWEST MEDICAL CENTER ASSOCIATION INC
D	$1,967,253	FMV
NORTHWEST MEDICAL CENTER ASSOCIATION INC
Q	$5,700,000	FMV
SHOAL CREEK FAMILY MEDICINE AND ALLERGY INC
D	$570,420	FMV