HEARTLAND REGIONAL MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: HEARTLAND REGIONAL MEDICAL CENTER (EIN 44-0545289)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-15
IRS object ID: 201541359349303884
Schema version: 2013v4.0
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	2015-05-15T13:53:20-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Walnut Suite 1700	AddressLine1
City	Kansas City	City
State	MO	State
ZIP Code	641062246	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	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	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% JOHN P WILSON	InCareOfNm
Business Name Control	HEAR	BusinessNameControlTxt
Phone	8162716611	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5325 FARAON	AddressLine1
Address Line2	Suite	AddressLine2
City	ST JOSEPH	City
State	MO	State
ZIP Code	64506	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN P WILSON	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	8162716611	PhoneNum
Signature	2015-05-15	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	8162716611	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MOSAIC LIFE CARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Principal Officer	JOHN P WILSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5325 FARAON	AddressLine1
City	ST JOSEPH	City
State	MO	State
ZIP Code	64506	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$651,903,899	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 & 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	7	VotingMembersIndependentCnt
Total Employee	4192	TotalEmployeeCnt
Total Volunteers	472	TotalVolunteersCnt
Total Gross UBI	$1,358,930	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$385,043	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$390,968	PYContributionsGrantsAmt
CY Contributions Grants	$665,559	CYContributionsGrantsAmt
PY Program Service Revenue	$548,726,273	PYProgramServiceRevenueAmt
CY Program Service Revenue	$570,328,832	CYProgramServiceRevenueAmt
PY Investment Income	$18,591,991	PYInvestmentIncomeAmt
CY Investment Income	$32,652,613	CYInvestmentIncomeAmt
PY Other Revenue	$37,268,409	PYOtherRevenueAmt
CY Other Revenue	$22,852,423	CYOtherRevenueAmt
PY Total Revenue	$604,977,641	PYTotalRevenueAmt
CY Total Revenue	$626,499,427	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,203,243	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$889,395	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$290,835,839	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$304,153,644	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$452,608	CYTotalFundraisingExpenseAmt
PY Other Expenses	$268,127,286	PYOtherExpensesAmt
CY Other Expenses	$276,254,901	CYOtherExpensesAmt
PY Total Expenses	$560,166,368	PYTotalExpensesAmt
CY Total Expenses	$581,297,940	CYTotalExpensesAmt
PY Revenues Less Expenses	$44,811,273	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$45,201,487	CYRevenuesLessExpensesAmt
Total Assets BOY	$756,242,652	TotalAssetsBOYAmt
Total Assets EOY	$802,370,520	TotalAssetsEOYAmt
Total Liabilities BOY	$336,261,843	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$316,398,245	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$419,980,809	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$485,972,275	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	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$526,995,598	ExpenseAmt
Grant	$889,395	GrantAmt
Revenue	$592,386,348	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$526,995,598	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	232	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4192	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	7	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	IL	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	JOHN P WILSON	PersonNm
Phone	8162716611	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5325 FARAON	AddressLine1
City	ST JOSEPH	City
State	MO	State
ZIP Code	64506	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARK LANEY MD
DIRECTOR,CEO	34.0	6.0	Yes (X)	Yes (X)	$1,122,239	$0	$33,050
BRIAN BRADLEY
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
DAN HECKMAN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
DR DENNIS DOBYAN
DIRECTOR	1.0	39.0	Yes (X)		$0	$74,730	$0
JAMES GRAVES
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
DAN HEGEMAN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
DAVE HOWERY
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
FRANK LEONE
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
DR CHRIS LOONEY
DIRECTOR	1.0	1.0	Yes (X)		$0	$51,127	$0
DR JOHN OLSON
DIRECTOR/STAFF PHYSICIAN	39.0	1.0	Yes (X)		$668,575	$0	$33,962
CAROL ROEVER
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
STEVE SCHRAM
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
BRENDA SHARPE
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
BARBARA WURTZLER
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
CURT KRETZINGER
OFFICER	31.0	9.0		Yes (X)	$606,182	$0	$77,850
JOHN P WILSON
OFFICER	30.0	10.0		Yes (X)	$556,202	$0	$53,615
MICHAEL PULIDO
OFFICER	39.0	1.0		Yes (X)	$354,074	$0	$86,883
DR JOE BOYCE
OFFICER	40.0			Yes (X)	$425,369	$0	$78,407
LISA MICHAELIS
OFFICER	39.0	1.0		Yes (X)	$366,754	$0	$56,114
SCOTT KOELLIKER
ADMINISTRATOR	39.0	1.0			$336,942	$0	$96,371	Yes (X)
CAROLYN PADEN
ASSIST ADMINISTRATOR, SURGICAL	40.0				$219,600	$0	$16,309	Yes (X)
DR DAVIN TURNER
ADMINISTRATOR,STAFF PHYSICIAN	40.0				$443,437	$0	$75,174	Yes (X)
DR ROBERT GRANT
STAFF PHYSICIAN	40.0				$871,862	$0	$35,567		Yes (X)
DR MOHAN HINDUPUR
STAFF PHYSICIAN	40.0				$965,168	$0	$27,320		Yes (X)
DR ROBERT JOHNSON
STAFF PHYSICIAN	39.0	1.0			$925,245	$0	$25,407		Yes (X)
DR JOHN BARCLAY
STAFF PHYSICIAN	40.0				$865,138	$0	$20,164		Yes (X)
DR HEMANT SHETH
STAFF PHYSICIAN	40.0				$1,056,148	$0	$27,320		Yes (X)
DR MAUREEN BOYLE MANGANARO
STAFF PHYSICIAN	40.0				$494,634	$0	$33,367			Yes (X)
DR ED KAMMERER
STAFF PHYSICIAN	40.0				$450,186	$0	$35,242			Yes (X)
DR MICHAEL NELLESTEIN
STAFF PHYSICIAN	40.0				$453,444	$0	$35,067			Yes (X)
DR DAVID CATHCART
STAFF PHYSICIAN	40.0				$98,515	$0	$7,976			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,279,714	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$125,857	TotReportableCompRltdOrgAmt
Total Other Compensation	$855,165	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	358	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	$5,732,569
ST JOSEPH ONCOLOGY INC
PHYSICIAN COVERAGE	$6,699,061
LAWHON CONSTRUCTIONS
CONSTRUCTION	$2,583,620
EXCEL CONSTRUCTION INC
CONSTRUCTION	$3,494,034
PHYSICIANS REFERENCE
LAB SVC & MED DIRECT	$2,317,949

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	108	CntrctRcvdGreaterThan100KCnt
Related Organizations	$36,742	RelatedOrganizationsAmt
Government Grants	$70,048	GovernmentGrantsAmt
All Other Contributions	$558,769	AllOtherContributionsAmt
Total Contributions	$665,559	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$546,883,370	$546,883,370
340B PHARMACY REVENUE	621110	$21,399,454	$21,399,454
MEDICAID MEANINGFUL USE	621110	$2,046,008	$2,046,008

Field	Value	IRS element (for citing)
Total Program Service Revenue	$570,328,832	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,658,293	TotalRevenueColumnAmt
Exclusion	$6,658,293	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,765	TotalRevenueColumnAmt
Exclusion	$46,765	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$794,907	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$794,907	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$794,907	TotalRevenueColumnAmt
Exclusion	$794,907	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$51,220,623	SecuritiesAmt
Other	$80,011	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$25,131,203	SecuritiesAmt
Other	$221,876	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$26,089,420	SecuritiesAmt
Other	-$141,865	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,947,555	TotalRevenueColumnAmt
Exclusion	$25,947,555	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	$68,035	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$51,393	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,642	TotalRevenueColumnAmt
Unrelated Business Revenue	$16,642	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria	722210	$1,998,778	$1,998,778
Refferal Lab	111000	$2,823,607	$2,736,204	$87,403
Copying Revenue	541380	$152,433	$152,433

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,066,056	TotalRevenueColumnAmt
Related Or Exempt Func Income	$15,811,171	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,254,885	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$22,040,874	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$626,499,427	TotalRevenueColumnAmt
Related Or Exempt Func Income	$591,027,418	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,358,930	UnrelatedBusinessRevenueAmt
Exclusion	$33,447,520	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$889,395	TotalAmt
Program Services	$889,395	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	$5,964,363	TotalAmt
Management And General	$5,964,363	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$497,018	TotalAmt
Program Services	$497,018	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$242,199,586	TotalAmt
Program Services	$217,720,866	ProgramServicesAmt
Management And General	$24,191,207	ManagementAndGeneralAmt
Fundraising	$287,513	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,434,908	TotalAmt
Program Services	$8,476,942	ProgramServicesAmt
Management And General	$943,491	ManagementAndGeneralAmt
Fundraising	$14,475	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$31,812,689	TotalAmt
Program Services	$28,583,323	ProgramServicesAmt
Management And General	$3,181,269	ManagementAndGeneralAmt
Fundraising	$48,097	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,245,080	TotalAmt
Program Services	$12,801,447	ProgramServicesAmt
Management And General	$1,424,508	ManagementAndGeneralAmt
Fundraising	$19,125	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	$1,394,194	TotalAmt
Management And General	$1,394,194	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$133,450	TotalAmt
Management And General	$133,450	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$133,748	TotalAmt
Management And General	$133,748	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	$29,386,430	TotalAmt
Program Services	$29,053,812	ProgramServicesAmt
Management And General	$293,864	ManagementAndGeneralAmt
Fundraising	$38,754	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,879,647	TotalAmt
Program Services	$1,939,785	ProgramServicesAmt
Management And General	$1,939,785	ManagementAndGeneralAmt
Fundraising	$77	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,837,889	TotalAmt
Program Services	$24,558,004	ProgramServicesAmt
Management And General	$248,379	ManagementAndGeneralAmt
Fundraising	$31,506	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$451,746	TotalAmt
Program Services	$447,229	ProgramServicesAmt
Management And General	$4,517	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,979,949	TotalAmt
Program Services	$12,850,150	ProgramServicesAmt
Management And General	$129,799	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,256,317	TotalAmt
Program Services	$1,242,557	ProgramServicesAmt
Management And General	$12,563	ManagementAndGeneralAmt
Fundraising	$1,197	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	$2,436,831	TotalAmt
Program Services	$1,847,398	ProgramServicesAmt
Management And General	$587,815	ManagementAndGeneralAmt
Fundraising	$1,618	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,288,203	TotalAmt
Program Services	$4,716,152	ProgramServicesAmt
Management And General	$1,572,051	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$30,843,438	TotalAmt
Program Services	$23,132,578	ProgramServicesAmt
Management And General	$7,710,860	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,995,167	TotalAmt
Program Services	$3,746,375	ProgramServicesAmt
Management And General	$1,248,792	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE	$16,569,490	$15,058,026	$1,511,464
PROVISION FOR UNCOLLECTIBLE	$48,616,311	$48,616,311
FRA TAX	$24,831,923	$24,831,923
Medical Supplies	$65,663,415	$65,662,506	$909

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,556,753	TotalAmt
Program Services	$323,801	ProgramServicesAmt
Management And General	$1,222,706	ManagementAndGeneralAmt
Fundraising	$10,246	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$581,297,940	TotalAmt
Program Services	$526,995,598	ProgramServicesAmt
Management And General	$53,849,734	ManagementAndGeneralAmt
Fundraising	$452,608	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,461,021	BOYAmt
EOY	$25,906,464	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	$74,213,201	BOYAmt
EOY	$79,021,627	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	$6,851,814	BOYAmt
EOY	$7,070,983	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,193,649	BOYAmt
EOY	$5,214,067	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$598,662,261	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$341,312,003	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$267,998,905	BOYAmt
EOY	$257,350,258	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$328,974,227	BOYAmt
EOY	$375,628,988	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$41,109,574	BOYAmt
EOY	$35,282,752	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,863,231	BOYAmt
EOY	$2,412,529	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	$16,577,030	BOYAmt
EOY	$14,482,852	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$756,242,652	BOYAmt
EOY	$802,370,520	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$90,141,179	BOYAmt
EOY	$76,549,982	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	$230,431,012	BOYAmt
EOY	$225,227,168	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	$3,538,361	BOYAmt
EOY	$3,494,996	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	$12,151,291	BOYAmt
EOY	$11,126,099	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$336,261,843	BOYAmt
EOY	$316,398,245	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$419,980,809	BOYAmt
EOY	$485,972,275	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$419,980,809	BOYAmt
EOY	$485,972,275	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$756,242,652	BOYAmt
EOY	$802,370,520	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$45,201,487	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$17,533,084	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,256,895	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	$40,248	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$93,500	OtherActivitiesAmt
Total Lobbying Expenditures	$133,748	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	Contracted with Cardinal Point Partners, McDermott Will & Emery and Brent Hemphill & Associates for legislative lobbying in support of hospital reimbursement and community supporT.	ExplanationTxt

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	$289,895,937	OtherCostOrOtherBasisAmt
Depreciation	$127,514,319	DepreciationAmt
Book Value	$162,381,618	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,699,058	OtherCostOrOtherBasisAmt
Depreciation	$18,188,196	DepreciationAmt
Book Value	$16,510,862	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$200,775,171	OtherCostOrOtherBasisAmt
Depreciation	$151,663,441	DepreciationAmt
Book Value	$49,111,730	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,248,604	OtherCostOrOtherBasisAmt
Depreciation	$43,946,047	DepreciationAmt
Book Value	$10,302,557	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$257,350,258	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DERIVATIVE INSTRUMENTS	$10,154,389
MINORITY INTEREST	$971,710

Field	Value	IRS element (for citing)
Total Liability	$11,126,099	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	$29,600,528	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$29,600,528	SubtotalSpentAmt
Total Spent	$29,600,528	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	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

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
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	$17,062,925	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,062,925	NetCommunityBenefitExpnsAmt
Total Expense	0.03200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,944,169	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,778,968	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,165,201	NetCommunityBenefitExpnsAmt
Total Expense	0.02660	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,007,094	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,778,968	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,228,126	NetCommunityBenefitExpnsAmt
Total Expense	0.05860	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,699,292	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,699,292	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$175,463	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$175,463	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$987,032	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,759	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$919,273	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$328,422	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$292,471	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,045,990	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,045,990	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,236,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,710	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,132,489	NetCommunityBenefitExpnsAmt
Total Expense	0.02270	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$129,243,293	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,882,678	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,360,615	NetCommunityBenefitExpnsAmt
Total Expense	0.08130	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$130,367	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$130,367	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$313,281	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,580	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,925	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$247,925	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$133,748	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$133,748	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,037	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,037	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$850,358	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$544,657	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$24,906,135	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,356,355	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$140,409,375	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$147,253,162	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,843,787	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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	BusinessNameLine1

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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5325 FARAON	AddressLine1
City	ST JOSEPH	City
State	MO	State
ZIP Code	64506	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.MYMOSAICLIFECARE.ORG	WebsiteAddressTxt
State License	426-18	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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 Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MYMOSAICLIFECARE.ORG	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Residency	Yes (X)	ResidencyInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, LINE 3	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), SUCCES SIX/UNITED WAY, AND HEAD START.
SCHEDULE H, PART V, LINE 7	IN CONDUCTING THE SURVEY, RESPONDENTS WERE PRESENTED WITH A LIST OF TEN HEALTH ISSUES AND ASKED TO CHOOSE THE TWO BIGGEST HEALTH CHALLENGES IN THE COMMUNITY. OF THE RESPONSES, INTER-RELATED ISSUES OF MENTAL HEALTH/ILLEGAL DRUG USE AND ADULT/CHILD OBESITY/DIABETES MADE UP 64% OF THE RESPONSES. WHILE THE IMPROVEMENT PLAN FOCUSES ON THESE ISSUES, A THIRD NEED IDENTIFIED WILL FOCUS ON EDUCATION ON HEALTH AND HEALTH RESOURCES IN AN EFFORT TO EFFECT CHANGE IN THE REMAINING CHALLENGES OF HEART DISEASE, SMOKING, BREAST CANCER, LUNG CANCER AND DENTAL CARE. THE HOSPITAL IS A FULLY ENGAGED COMMUNITY PARTNER IN ADDRESSING THE HEALTH AND SOCIAL ISSUES IN OUR REGION. IT BELIEVES THAT MAJOR HEALTH PROBLEMS ARE BASED IN HUMAN BEHAVIORS, WHICH IN TURN HAVE THEIR ROOT IN BASIC HUMAN CONDITIONS. THROUGH EDUCATION, THE HOSPITAL BELIEVES THAT IT CAN BEGIN TO RESOLVE SOME OF THE REMAINING ISSUES.
SCHEDULE H, PART V, LINE 14G	FINANCIAL COUNSELORS CONSULT WITH PATIENTS PRIOR TO DISCHARGE.
SCHEDULE H, PART V, LINE 18E	FINANCIAL COUNSELORS ARE AVAILABLE ONSITE TO EXPLAIN THE FAP PROCESS AT ANY TIME DURING THE PATIENT'S VISIT.

Field	Value	IRS element (for citing)
Facility	82	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (82 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
Heartland Clinic
901 Heartland Road Ste 4840	St Joseph	MO	64506	Specialty Clinic
Heartland Clinic
902 Riverside Road	St Joseph	MO	64507	Specialty Clinic
Heartland Clinic
802 N Riverside Ste 100	St Joseph	MO	64507	Specialty Clinic
Heartland Clinic
5514 Corporate Dr Ste 150	St Joseph	MO	64507	Specialty Clinic
Heartland Clinic
5210 North Belt Highway	St Joseph	MO	64506	Specialty Clinic
Heartland Clinic
5301 Faraon Ste 210	St Joseph	MO	64506	Specialty Clinic
Heartland Clinic
105 Far West Drive Ste 100	St Joseph	MO	64506	Specialty Clinic
Heartland Clinic
5514 Corporate Dr Ste 120	St Joseph	MO	64506	Specialty Clinic
Heartland Clinic
1115 N Belt Highway	St Joseph	MO	64506	Urgent Care
Spa at Briarcliff
4133 North Mulberry Dr	Kansas City	MO	64116	Spa
Heartland Clinic
2703 Running Horse Rd	Platte City	MO	64079	Specialty Clinic
Heartland Clinic
3715 Beck Road	St Joseph	MO	64506	Internal Medicine
Heartland Clinic
401 Illinois	St Joseph	MO	64504	Occupational Medicine
Advanced Diagnostic Imaging
3620 Frederick Ave	St Joseph	MO	64506	Imaging
Heartland Clinic
1314 N 36th St	St Joseph	MO	64506	Specialty
Heartland Clinic
105 Far West Drive Ste 201	St Joseph	MO	64506	Specialty
Heartland Clinic
4201 North Belt Highway	St Joseph	MO	64506	Specialty Clinic
Heartland Clinic
215 S Walnut St	Cameron	MO	64429	Family Practice
Heartland Clinic
207 So Main	Troy	KS	66087	Family Practice
Heartland Outpatient Therapy-Midwest
3107 Frederick	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	Specialty
Heartland Clinic
300 Utah	Hiawatha	KS	66434	Family Practice
Hands of Hope Hospice
307 Pineview Street	Stanberry	MO	64489	Hospice Services
Heartland Clinic
711 N 36th St	St Joseph	MO	64506	Specialy Clinic
Heartland Clinic
1015 West Fourth	Cameron	MO	64429	Specialy Clinic
Heartland Clinic
2024 S Main	Maryville	MO	64424	Specialy Clinic
Heartland Clinic
2600 Miller	Bethany	MO	64424	Specialy Clinic
Heartland Clinic
2812 St Joseph Ave	St Joseph	MO	64505	Specialy Clinic
Heartland Clinic
3007 N Belt Highway	St Joseph	MO	64506	Outpatient Therapy
Heartland Clinic
5302 Faraon	St Joseph	MO	64506	Specialty Clinic
Heartland Clinic
705 N College	Albany	MO	64402	Specialty Clinic
Heartland Clinic
100 Central St	Chillicothe	MO	64601	Specialty Clinic
Heartland Clinic
5204 North Belt Highway	St Joseph	MO	64506	Specialty Clinic
Heartland Clinic
8860 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
Heartland Clinic
137 N Belt Highway	St Joseph	MO	64506	Specialty CAH AMBULATORY SURGERY
Heartland Clinic
1600 East Evergreen	Cameron	MO	64429	Specialty
Heartland Clinic
1600 East Evergreen Ste B	Cameron	MO	64429	Specialty
Heartland Clinic
2016 S Main Street	Maryville	MO	64468	Specialty
Heartland Clinic
2703 Running Horse Rd	Platte City	MO	64079	Specialty
Heartland Outpatient Therapy-Platte
2703 Running Horse Rd SteB	Platte City	MO	64079	Outpatient Therapy
Heartland Clinic
3007 N Belt Highway	St Joseph	MO	64506	Specialty
Heartland Hearing Services
3620 Frederick Ave	St Joseph	MO	64506	Hearing Services
Heartland Clinic
5301 Faraon Ste 210B	St Joseph	MO	64506	Specialty Clinic
Heartland Wound Center
5301 Faraon Ste 250	St Joseph	MO	64506	Wound Care
Heartland Clinic
5301 Faraon Ste 160	St Joseph	MO	64506	Specialty
Heartland Clinic
5301 Faraon Ste 220	St Joseph	MO	64506	Specialty
Heartland Clinic
711 N 36th St Ste A	St Joseph	MO	64506	Specialty
Heartland Clinic
802 N Riverside Ste 130	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste 150	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste 150	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste 150	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste 160	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste 190	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste 200	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste 210	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste 220	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste 225	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste G50	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste G60	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Ste G70	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Suite 100	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Suite 140	St Joseph	MO	64507	Specialty
Heartland Clinic
802 N Riverside Suite 220	St Joseph	MO	64507	Specialty
Diabetes Center
901 Heartland Road	St Joseph	MO	64506	Outpatient Services
Heartland Clinic
901 Heartland Road Ste 4810	St Joseph	MO	64506	Specialty
Heartland Clinic
901 Heartland Road Ste 2800	St Joseph	MO	64506	Specialty
Weight Management Center
901 Heartland Road Suite 1810	St Joseph	MO	64506	Weight Management Center
Heartland Clinic
902 N Riverside Ste 200	St Joseph	MO	64506	Specialty
Heartland Clinic
901 Heartland Road Suite 3800	St Joseph	MO	64506	Specialty
Cancer Center
902 N Riverside	St Joseph	MO	64507	Cancer Center
Heartland Clinic
902 N Riverside Rd Lower Level	St Joseph	MO	64507	Specialty
Heartland Clinic
8020 Raven Hill Drive Ste 103	Atchison	KS	66002	Specialty
Heartland Clinic
8020 Raven Hill Drive Ste 109	Atchison	KS	66002	Specialty
Heartland Clinic
9784 N Ash Avenue	Kansas City	MO	64157	Specialty
Heartland Clinic
6301 N Lucerne	Kansas City	MO	64151	Family, Specialty, Imaging, Ambulatory Surgery

Supplemental Information Detail SupplementalInformationDetail (13 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 $48,616,311 SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE.
SCHEDULE H, PART I, LINE 7G	DENTAL CLINIC $ 2,740 UROLOGY CLINIC 101,451 ------------ $ 104,191 ============
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 8 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	THE ORGANIZATION HAS ESTABLISHED STANDARDS LD6014 (PFS-COLLECTION GUIDELINES FOR MEDICAL CENTER), LD6503 (PFS OFFICE-PAYMENT ARRANGEMENTS: AFM AND PFM) AND LD6465 (MEDICAL CENTER, HEARTLAND PARAMEDICS, HEARTLAND CLINIC AND LONG TERM ACUTE CARE HOSPITAL FINANCIAL ASSISTANCE) WHICH GOVERN COLLECTION PRACTICES FOR ALL TYPES OF PAYERS FROM THE CREATION OF THE PATIENT'S ACCOUNT DURING REGISTRATION TO THE FINAL ARRANGEMENTS NECESSARY TO BRING THE BALANCE TO ZERO.
SCHEDULE H, PART VI, LINE 2	A COMMUNITY SURVEY WAS CONDUCTED TO DETERMINE THE HEALTH NEED PRIORITIES, ACCORDING TO THE OPINION OF INDIVIDUALS IN THE ORGANIZATION'S SERVICE AREA. THE 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. BY COMBINING THE DATA FROM THE COMMUNITY SURVEY, ADDING EXTERNAL DATA FROM PRE-ESTABLISHED REPUTABLE SOURCES AND THE RESULTS FROM THE SIX COMMUNITY FOCUS GROUPS, THE TOP THREE COMMUNITY HEALTH NEEDS WERE DETERMINED: MENTAL HEALTH SERVICES; ADULT AND CHILDHOOD OBESITY; AND, EDUCATION ON HEALTH AND HEALTH RESOURCES. THE ORGANIZATION HAS DEVELOPED A THREE-YEAR ACTION PLAN TO ADDRESS THESE ISSUES. THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: https://www.mymosaiclifecare.org/General/Community-Health-Needs-Assessment /St-Joseph-CHNA/ OUR PROGRESS WITHIN THE FIRST YEAR OF THE PROCESS IS TO BETTER ALIGN OUR CHARITABLE GIVING WITH PROGRAMS THAT SUPPORT COMMUNITY HEALTH SERVICES, COMMUNITY HEALTH NEEDS AND COMMUNITY BUILDING. WE HAVE MET WITH COMMUNITY AGENCIES WHO ARE INVOLVED WITH MENTAL HEALTH SERVICES, TO DISCUSS COLLABORATION. WE HAVE CONTINUED THE POUND PLUNGE ADULT WEIGHT LOSS PROGRAM AND THE 4TH GRADE CHALLENGE CHILD FITNESS PROGRAM AND HAVE PLANS TO EXPAND THE 4TH GRADE CHALLENGE TO PRIVATE SCHOOLS AND OTHER REGIONAL AREA SCHOOLS. WE HAVE ENCOURAGED MOSAIC CAREGIVERS TO REGISTER WITH THE LIVE WELL CREW IN ORDER TO VOLUNTEER THEIR TIME TO ASSIST WITH THE 4TH GRADE CHALLENGE AND THE POUND PLUNGE ACTIVITIES. WE HAVE BEGUN PLANS FOR A COMMUNITY COALITION TO ADDRESS THE ISSUE OF CHILDHOOD OBESITY. WE HAVE COMPILED A COMPREHENSIVE WEB-BASED INFORMATION CALENDAR FOR EASY REFERENCE AND PLANNING OF ALL HEALTH EDUCATION OPPORTUNITIES IN OUR AREA.
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 61.2% MEDICARE AND MEDICAID, 32.2% COMMERCIAL AND 6.6% 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 NINE YEARS, THE ORGANIZATION HAS SPONSORED THE POUND PLUNGE, A THREE-MONTH LONG EVENT TO ENCOURAGE WEIGHT LOSS, EXERCISE AND HEALTHY EATING. MORE THAN 15,000 PEOPLE HAVE PARTICIPATED AND OVER 103,000 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, THE PROGRAM HAS BEEN EXPANDED TO 10 ADDITIONAL SCHOOLS, AND NOW INCLUDES SCHOOL GARDENS AND HEALTHY COOKING CLASSES AT SIX TITLE ONE SCHOOLS. THE PROGRAM COMPLETED ITS SIXTH YEAR IN APRIL, 2014. 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, A MEDICAL TRANSPORT PROVIDER, 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 MEDICAL TRANSPORT PROVIDER IS THE SOLE AMBULANCE PROVIDER IN THE COUNTY, NOT SUPPORTED BY ANY ALTERNATIVE GOVERNMENT FUNDING. 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 (16 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
UNITED WAY OF ST JOE
118 S 5TH STREET	ST JOSEPH	MO	64501	440547802	501(C)(3)	$242,000	SUPPORT
HEARTLAND FOUNDATION
5325 FARAON	ST JOSEPH	MO	64506	431262768	501(C)(3)	$543,260	SUPPORT
COMMUNITY ALLIANCE
3033 FREDERICK	ST JOSEPH	MO	64506	440419460	501(C)(6)	$35,100	SUPPORT
MO W STATE UNIV FOUNDATI
5425 DOWNS DRIVE	ST JOSEPH	MO	64507	237035423	501(C)(3)	$23,696	SUPPORT
MHA CENTER FOR EDUCATION
PO BOX 60	JEFFERSON CITY	MO	65102	430898947	501(C)(3)	$78,110	SUPPORT
AMERICAN HEART ASSOCIATION
6800 W 93RD STREET	OVERLAND PARK	KS	66212	135613797	501(C)(3)	$20,000	SUPPORT
ALLIED ARTS COUNCIL
118 S EIGHTH	ST JOSEPH	MO	64501	430810827	501(C)(3)	$8,500	SUPPORT
PONY EXPRESS BASEBALL INC
PO BOX 1588	ST JOSEPH	MO	64502	274437372	501(C)(3)	$9,000	SUPPORT
ROBIDOUX RESIDENT THEATER
124 S 8TH	ST JOSEPH	MO	64501	431257970	501(C)(3)	$11,000	SUPPORT
SECOND HARVEST COMMUNITY FOOD BANK
915 DOUGLAS	ST JOSEPH	MO	64505	431268319	501(C)(3)	$65,500	SUPPORT
SMITHVILLE SCHOOL DISTRICT
655 S COMMERCIAL AVE	SMITHVILLE	MO	64089	431906203	GOVERNMENT	$5,300	SUPPORT
ST JOSEPH AREA CHAMBER OF COMMERCE
3003 FREDERICK AVENUE	ST JOSEPH	MO	64506	440419460	501(C)(6)	$34,925	SUPPORT
FRIENDS OF THE PARK
1920 GRAND AVE	ST JOSEPH	MO	64505	208175921	501(C)(3)	$5,888	SUPPORT
YOUNG WOMEN'S CHRISTIAN ASSOCIATION
3014 NORTH 8TH STREET	ST JOSEPH	MO	64501	440552219	501(C)(3)	$5,850	SUPPORT
NORTHLAND REGIONAL CHAMBER OF COMMERCE
634 NW ENGLEWOOD ROAD	ST JOSEPH	MO	64118	431279100	501(C)(6)	$7,100	SUPPORT
PLATTE COUNTY ECONOMIC DEVELOPMENT COUNCIL
11724 NW PLAZA CIRCLE STE 400	KANSAS CITY	MO	64153	431484127	501(C)(3)	$6,000	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt
Total Other Org	3	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 (19 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
MARK LANEY MD
DIRECTOR,CEO	$693,111	$0	$380,000	$0	$49,128	$0	$10,200	$0	$22,850	$0	$1,155,289	$0	$0	$0
DR JOHN OLSON
DIRECTOR/STAFF PHYSICIAN	$569,248	$0	$95,081	$0	$4,246	$0	$10,200	$0	$23,762	$0	$702,537	$0	$0	$0
CURT KRETZINGER
OFFICER	$431,424	$0	$135,078	$0	$39,680	$0	$67,580	$0	$10,270	$0	$684,032	$0	$0	$0
JOHN P WILSON
OFFICER	$412,989	$0	$122,778	$0	$20,435	$0	$53,615	$0	$0	$0	$609,817	$0	$0	$0
MICHAEL PULIDO
OFFICER	$277,066	$0	$69,328	$0	$7,680	$0	$61,841	$0	$25,042	$0	$440,957	$0	$0	$0
DR JOE BOYCE
OFFICER	$330,676	$0	$89,988	$0	$4,705	$0	$61,287	$0	$17,120	$0	$503,776	$0	$0	$0
LISA MICHAELIS
OFFICER	$280,485	$0	$60,000	$0	$26,269	$0	$41,505	$0	$14,609	$0	$422,868	$0	$0	$0
SCOTT KOELLIKER
ADMINISTRATOR	$273,803	$0	$60,116	$0	$3,023	$0	$71,004	$0	$25,367	$0	$433,313	$0	$0	$0
CAROLYN PADEN
ASSIST ADMINISTRATOR, SURGICAL	$191,807	$0	$21,344	$0	$6,449	$0	$0	$0	$16,309	$0	$235,909	$0	$0	$0
DR DAVIN TURNER
ADMINISTRATOR,STAFF PHYSICIAN	$324,400	$0	$117,067	$0	$1,970	$0	$52,632	$0	$22,542	$0	$518,611	$0	$0	$0
DR ROBERT GRANT
STAFF PHYSICIAN	$850,933	$0	$18,959	$0	$1,970	$0	$10,200	$0	$25,367	$0	$907,429	$0	$0	$0
DR MOHAN HINDUPUR
STAFF PHYSICIAN	$934,444	$0	$7,033	$0	$23,691	$0	$10,200	$0	$17,120	$0	$992,488	$0	$0	$0
DR ROBERT JOHNSON
STAFF PHYSICIAN	$751,431	$0	$153,698	$0	$20,116	$0	$10,200	$0	$15,207	$0	$950,652	$0	$0	$0
DR JOHN BARCLAY
STAFF PHYSICIAN	$400,054	$0	$463,693	$0	$1,391	$0	$12,758	$0	$7,406	$0	$885,302	$0	$0	$0
DR HEMANT SHETH
STAFF PHYSICIAN	$924,793	$0	$109,567	$0	$21,788	$0	$10,200	$0	$17,120	$0	$1,083,468	$0	$0	$0
DR MAUREEN BOYLE MANGANARO
STAFF PHYSICIAN	$411,494	$0	$63,670	$0	$19,470	$0	$10,200	$0	$23,167	$0	$528,001	$0	$0	$0
DR ED KAMMERER
STAFF PHYSICIAN	$238,601	$0	$210,072	$0	$1,513	$0	$10,200	$0	$25,042	$0	$485,428	$0	$0	$0
DR MICHAEL NELLESTEIN
STAFF PHYSICIAN	$432,102	$0	$3,325	$0	$18,017	$0	$10,200	$0	$24,867	$0	$488,511	$0	$0	$0
DR DAVID CATHCART
STAFF PHYSICIAN	$97,091	$0	$0	$0	$1,424	$0	$4,059	$0	$3,917	$0	$106,491	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 1A

Travel for companions may be paid initially but is then reimbursed after the event.

SCHEDULE J, PART I, LINE 4B

ACCRUED 6/30/2014 ---------- CURT KRETZINGER 57,380 JOHN P. WILSON 43,415 JOE BOYCE, M.D. 51,034 SCOTT KOELLIKER 60,232 DAVIN TURNER, DO 42,432 MICHAEL PULIDO 51,180 LISA MICHAELIS 31,790 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 (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
SEE PART VI
A	431203910	79075LAA5	2003-05-22	$32,225,000	REFUND 2001C BONDS ISSUED 11/29/01	false	false	false
SEE PART VI
B	431203910	79075LAB3	2009-02-26	$70,000,000	SEE PART VI	false	false	false
SEE PART VI
C	431203910	79075LAD9	2011-09-30	$25,250,000	SEE PART VI	false	false	false
SEE PART VI
D	431178966	60637ACP5	2012-10-03	$51,489,534	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 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	$30,825,000	$0	$32,225,000	$0	$0	$0	$0	$0	$0	$0	$32,225,000	$0	1993	Yes (true)	false	Yes (true)	Yes (true)
B	$770,000	$0	$70,956,418	$0	$0	$0	$0	$0	$0	$70,956,418	$0	$0	2014	false	false	Yes (true)	Yes (true)
C	$5,190,000	$0	$25,250,000	$0	$0	$0	$0	$0	$0	$0	$25,250,000	$0	2005	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$51,535,780	$0	$0	$0	$708,053	$0	$0	$50,827,727	$1	$0	2014	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	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
A	Yes (true)
B	Yes (true)	false	false	false	false	false	false	false
C	Yes (true)
D	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
SEE PART VI
A	false	Yes (true)	false	Yes (true)	11.5	Yes (true)	false	false	0	false	Yes (true)
0
B	false	Yes (true)	Yes (true)	false				false	0	false	Yes (true)
0
C	false		false	false				false	0	false	Yes (true)	Yes (true)
0
D	false		false	false				false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN A, LINE A, LINE B, AND LINE C	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF ST. JOSEPH, MISSOURI
SCHEDULE K, PART I, COLUMN A, LINE D	HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI
SCHEDULE K, PART I, COLUMN F, LINE B	Finance the construction and equipping of certain healthcare facilities.
SCHEDULE K, PART I, COLUMN F, LINE C	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 D	To acquire, construct, remodel, renovate and equip certain healthcare facilities.
SCHEDULE K, PART II, COLUMN B, LINE 3	Amount does not equal to issue price listed in Part I, Column (e) due to investment earnings.
SCHEDULE K, PART II, COLUMN D, LINE 3	Amount does not equal to issue price listed in Part I, Column (e) due to investment earnings.
SCHEDULE K, PART II, COLUMN D, LINE 16	The organization is currently in the process of preparing a final written allocation for the 2012 Bonds.
SCHEDULE K, PART III, COLUMN D	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 prepared as of 5/22/2008 and Form 8038-T was filed in connection. The most recent Arbitrage Rebate Analysis was prepared as of 3/1/2012 and Form 8038-R was filed.
SCHEDULE K, PART IV, COLUMN A, LINE 4B	Salomon Brothers Holding Company Inc./Wells Fargo
SCHEDULE K, PART IV, COLUMN B, LINE 2C	The Arbitrage Rebate Analysis was performed as of 2/1/2014.
SCHEDULE K, PART IV, COLUMN B, 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) $ 122,349 (D) SALARY 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) $ 29,649 (D) SALARY 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) $ 107,571 (D) SALARY 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) $ 70,741 (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) $ 120,369 (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) $ 18,690 (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) $ 27,649 (D) SALARY FOR THERAPY DEPARTMENT SERVICES (E) NO (A) RADIOLOGY SPECIALISTS OF ST. JOSEPH, PC (B) DR. CHRIS LOONEY IS THE VICE PRESIDENT OF RADIOLOGY SPECIALISTS OF ST. JOSEPH, PC AND A DIRECTOR OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $180,729 (D) RADIOLOGY INTERPRETATION SERVICES (E) NO (A) US BANK (B) DAN HECKMAN IS AN OFFICER OF US BANK AND A DIRECTOR OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $452,763 (D) INVESTMENT MANAGEMENT FEES FOR US BANK (E) NO (A) MIDWESTERN HEALTH MANAGEMENT, INC. (B) DR. MARK LANEY, CURT KRETZINGER, AND JOHN WILSON ARE OFFICERS AND/OR DIRECTORS OF MIDWESTERN HEALTH MANAGMENT, INC. AND ARE OFFICERS OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $15,804, $312,000, $1,000,000 (D) PURCHASE OF ASSETS, PERFORMANCE OF SERVICES, REIMBURSEMENT OF EXPENSES (E) NO (A) HHS PROPERTIES, INC. (B) DR. MARK LANEY, CURT KRETZINGER, AND JOHN WILSON ARE OFFICERS AND/OR DIRECTORS OF HHS PROPERTIES, INC. AND ARE OFFICERS OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $249,709 (D) LEASE OF FACILITIES (E) NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	ACO: Mosaic Life Care recently became 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. By providing exceptional health care at lower costs Mosaic believes that entering into the ACO model furthers it's tax exempt mission. The ACO's that Mosaic is a part of have certain quality metrics as well as expense reduction targets that must be met. Mosaic has agreed to participate in a Medicare Shared Savings ACO and work closely with the other doctors and health-care providers to coordinate care for Medicare beneficiaries who have traditional Medicare. Beneficiaries benefit because their doctors will be part of a team that focuses on the coordination and quality of their medical care. Mosaic has recently agreed to participate in an ACO with Blue Cross Blue Shield of Kansas City (BCBSKC). Partnering with BCBSKC is bringing the coordination care to commercial beneficiaries to lower costs and improve the quality of their medical care. Mosaic has received reporting from both ACO's for the first program year with positive trending in both lower costs and higher quality. Other Program Services: Mosaic recently received 340b designation from HRSA (Federal government). This allows the hospital 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 III, LINE 4A	HEARTLAND REGIONAL MEDICAL CENTER IS 352-BED MEDICAL SURGICAL HOSPITAL LOCATED IN ST JOSEPH, MISSOURI. IT SERVES A COMMUNITY OF 70,000 RESIDENTS. BECAUSE ST JOSEPH IS A BORDER TOWN, 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 HOSPITAL OF 61.2% GOVERNMENTAL, 32.2% COMMERCIAL AND 6.6% 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 17,000 PATIENTS WERE ADMITTED TO THE HOSPITAL RESULTING IN APPROXIMATELY 72,000 PATIENT DAYS. A TOTAL OF APPROXIMATELY 11,000 SURGERIES WERE PERFORMED, THE EMERGENCY ROOM SERVED APPROXIMATELY 55,000 PATIENTS AND APPROXIMATELY 160,000 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 160 PHYSICIANS 75 NURSE PRACTITIONERS/PHYSICIAN EXTENDERS COVERING APPROXIMATELY 80 FAMILY MEDICINE AND SPECIALTY CLINICS AT 50 LOCATIONS THROUGHOUT THE REGION RESULTING IN APPROXIMATELY 740,000 PATIENT VISITS DURING THE YEAR.
FORM 990, PART VI, SECTION A, LINE 2	ALL BOARD MEMBERS ALSO SERVE ON THE BOARD OF THE SOLE MEMBER, HEARTLAND HEALTH. CAROL ROEVER, JOHN P. WILSON, CURT KRETZINGER, HAVE A BUSINESS RELATIONSHIP. THEY ARE EITHER OFFICERS AND/OR DIRECTORS OF REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY, A RELATED NOT-FOR-PROFIT CORPORATION. CURT KRETZINGER AND JOHN P. WILSON HAVE A BUSINESS RELATIONSHIP. THEY ARE EITHER A DIRECTOR OR OFFICER OF HEARTLAND LONG TERM ACUTE CARE HOSPITAL, A RELATED NOT-FOR-PROFIT CORPORATION. JOHN P. WILSON, CURT KRETZINGER, MARK LANEY, M.D., SCOTT KOELLIKER, LISA MICHAELIS HAVE A BUSINESS RELATIONSHIP. THEY ARE EITHER OFFICERS AND/OR DIRECTORS OF MIDWESTERN HEALTH MANAGMENT, INC., COMMUNITY HEALTH PLAN INSURANCE COMPANY, HHS PROPERTIES, INC., UPTOWN HOUSING, 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 A, LINE 11B	AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990 WITH INFORMATION PROVIDED FROM THE ORGANIZATIONS ACCOUNTING STAFF. THE INDEPENDENT ACCOUNTING FIRM REVIEWS A DRAFT OF THE FORM 990 WITH THE INTERNAL TAX DEPARTMENT AND CONTROLLER OF HEARTLAND REGIONAL MEDICAL CENTER. THE DRAFT FORM 990 IS REVISED FOR ANY CORRECTIONS OR CLARIFICATIONS BASED ON THE REVIEW WITH THE TAX DEPARTMENT AND THE CONTROLLER. 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 BOARD VIA EMAIL 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 THEIR POSITION ON THE BOARD. IN THIS DOCUMENT, THEY AGREE THAT THEY WILL DISCLOSE ANY ACTIVITIES IN WHICH THEY MAY NOT BE INDEPENDENT IN REGARDS TO A TRANSACTION. THIS DOCUMENT IS DISTRIBUTED AND HELD BY LEGAL COUNSEL. THE MEMBER ALSO SIGNS HEARTLAND'S CODE OF CONDUCT DOCUMENT IN WHICH THEY AGREE TO ETHICAL BEHAVIOR AND ADHERING TO 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, THE OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CODE OF CONDUCT DOCUMENT IN WHICH THEY AGREE TO ETHICAL BEHAVIOR AND ADHERING TO CONFIDENTIALITY POLICIES. THEY ALSO RECIEVE A QUESTIONNAIRE WHICH FACILITATES THE DISCLOSURE OF ANY 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 IS CURRENTLY BEING DRAFTED 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 $ (1,162,788) CHANGE IN FAIR VALUE OF CASH FLOW HEDGING DERIVATES 1,032,965 CHANGE IN PENS. LIAB 4,903,722 DECONSOLIDATION OF AFFILIATES (1,517,004) ----------- $ 3,256,895 ============

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
NORTHLAND EXPANSION LLC
5325 FARAON	ST JOSEPH	MO	64506	DEVELOPMENT	MO	$0	HRMC
URGENT CARE PROPERTIES LLC
5325 FARAON	ST JOSEPH	MO	64506	DEVELOPMENT	MO	$0	HRMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
HEARTLAND HEALTH
5325 FARAON	ST JOSEPH	MO	64506	431283316	HEALTHCARE	MO	501(C)(3)	11A	NA	false
HEARTLAND FOUNDATION
5325 FARAON	ST JOSEPH	MO	64506	431262768	SUPPORT	MO	501(C)(3)	7	HH	Yes (true)
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
5325 FARAON	ST JOSEPH	MO	64506	261972987	HEALTH	MO	501(C)(3)	3	HH	Yes (true)
REGIONAL EMERGENCY MEDICAL SERVICES AUTH
5325 FARAON	ST JOSEPH	MO	64506	273923442	AMBULANCE SVC	MO	501(C)(3)	9	HH	Yes (true)
HEARTLAND HEALTH CARE PLAN TRUST FUND
5325 FARAON STREET	ST JOSEPH	MO	64506	431286484	VEBA	MO	501(C)(9)		HH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	OwnershipOwnershipPct
MIDWESTERN HEALTH MANAGEMENT INC
5325 FARAON	ST JOSEPH	MO	64506	431264358	HEALTHCARE	MO	HH	C CORP	$0	$0	Yes (true)
COMMUNITY HEALTH PLAN INSURANCE COMPANY
5325 FARAON	ST JOSEPH	MO	64506	431210152	INSURANCE	MO	HH	C CORP	$0	$0	Yes (true)
HHS PROPERTIES INC
5325 FARAON	ST JOSEPH	MO	64506	431593799	INVESTMENT	MO	HH	C CORP	$0	$0	Yes (true)
UPTOWN HOUSING INC
5325 FARAON	ST JOSEPH	MO	64506	261416252	REDEVELOPMENT	MO	HH	C CORP	$0	$0	Yes (true)
UPTOWN ST JOSEPH REDEVELOPMENT CORP
5325 FARAON	ST JOSEPH	MO	64506	201742813	REDEVELOPMENT	MO	HH	C CORP	$0	$0	Yes (true)	0.00000
SHOAL CREEK FAMILY MEDICINE & ALLERGY
5325 FARAON	ST JOSEPH	MO	64506	010754265	HEALTHCARE	MO	HRMC	S CORP	$0	$48,525	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	Yes (true)	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	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (25 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MIDWESTERN HEALTH MANAGEMENT INC
B	$200,000	FMV
MIDWESTERN HEALTH MANAGEMENT INC
D	$379,650	FMV
MIDWESTERN HEALTH MANAGEMENT INC
L	$765,810	FMV
MIDWESTERN HEALTH MANAGEMENT INC
M	$312,000	FMV
MIDWESTERN HEALTH MANAGEMENT INC
Q	$4,100,000	FMV
MIDWESTERN HEALTH MANAGEMENT INC
P	$1,000,000	FMV
HHS PROPERTIES INC
D	$201,182	FMV
HHS PROPERTIES INC
K	$249,709	FMV
HEARTLAND HEALTH BUSINESS PLAZA LLC
S	$92,117	FMV
HEARTLAND HEALTH BUSINESS PLAZA LLC
K	$991,042	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
B	$2,082,278	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
J	$77,500	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
L	$809,954	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
M	$54,781	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
Q	$3,326,811	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
D	$8,379,028	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
J	$555,815	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
L	$4,096,498	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
Q	$7,320,669	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
A	$342,862	FMV
HEARTLAND FOUNDATION
B	$362,788	FMV
HEARTLAND FOUNDATION
Q	$484,477	FMV
HEARTLAND FOUNDATION
D	$1,359,308	FMV
SHOAL CREEK FAMILY MEDICINE AND ALLERGY INC
D	$566,211	FMV
SHOAL CREEK FAMILY MEDICINE AND ALLERGY INC
Q	$1,004,709	FMV