HEARTLAND REGIONAL MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: HEARTLAND REGIONAL MEDICAL CENTER (EIN 44-0545289)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201411359349308186
Schema version: 2012v2.3
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T15:42:42-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	440545289	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HEARTLAND REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% JOHN P WILSON	InCareOfName
Name Control	HEAR	NameControl
Phone	8162716611	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	JOHN P WILSON	Name
Title	OFFICER	Title
Phone	8162716611	Phone
Date Signed	2014-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Michael J Engle	Name
Phone	8162216300	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOHN P WILSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	714890942	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.HEARTLAND-HEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1985	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE THE BEST HEALTH CARE AND TO IMPROVE THE LIVES OF THOSE IN THE COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	4180	TotalNbrEmployees
Total Nbr Volunteers	454	TotalNbrVolunteers
Total Gross UBI	1582323	TotalGrossUBI
Net Unrelated Business Txbl Income	-830570	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	440211	ContributionsGrantsPriorYear
Contributions Grants Current Year	390968	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	535301968	ProgramServiceRevenuePriorYear
Program Service Revenue CY	548726273	ProgramServiceRevenueCY
Investment Income Prior Year	7569764	InvestmentIncomePriorYear
Investment Income Current Year	18591991	InvestmentIncomeCurrentYear
Other Revenue Prior Year	24450689	OtherRevenuePriorYear
Other Revenue Current Year	37268409	OtherRevenueCurrentYear
Total Revenue Prior Year	567762632	TotalRevenuePriorYear
Total Revenue Current Year	604977641	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2225116	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1203243	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	277928007	SalariesEtcPriorYear
Salaries Etc Current Year	290835839	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	437469	TotalFundrsngExpCurrentYear
Other Expense Prior Year	246690846	OtherExpensePriorYear
Other Expenses Current Year	268127286	OtherExpensesCurrentYear
Total Expenses Prior Year	526843969	TotalExpensesPriorYear
Total Expenses Current Year	560166368	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	40918663	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	44811273	RevenuesLessExpensesCY
Total Assets BOY	671179321	TotalAssetsBOY
Total Assets EOY	756242652	TotalAssetsEOY
Total Liabilities BOY	323359830	TotalLiabilitiesBOY
Total Liabilities EOY	336261843	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	347819491	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	419980809	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	529976115	Expense
Grants	1203243	Grants
Revenue	585264951	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	529976115	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	248	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	4180	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MO	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JOHN P WILSON	NamePerson
Telephone Number	8162716611	TelephoneNumber

Address US AddressUS

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 Form990PartVIISectionA (39 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
MARK LANEY MD
DIRECTOR, OFFICER	54.0	6.0	X	X	1130006	0	138166
BRIAN BRADLEY
DIRECTOR	1.0	0.0	X		0	0	0
DR DAVID CATHCART
DIRECTOR, STAFF PHYSICIAN	59.0	1.0	X		281537	0	18620
DR DENNIS DOBYAN
DIRECTOR	1.0	0.0	X		0	0	0
JAMES GRAVES
DIRECTOR	1.0	0.0	X		0	0	0
DAN HEGEMAN
DIRECTOR	1.0	0.0	X		0	0	0
DAVE HOWERY
DIRECTOR	1.0	0.0	X		0	0	0
FRANK LEONE
DIRECTOR	1.0	0.0	X		0	0	0
DR CHRIS LOONEY
DIRECTOR	1.0	0.0	X		0	0	0
DR JOHN OLSON
DIRECTOR, STAFF PHYSICIAN	59.0	1.0	X		702145	0	30441
AL PURCELL
DIRECTOR	1.0	0.0	X		0	0	0
CAROL ROEVER
DIRECTOR	1.0	0.0	X		0	0	0
STEVE SCHRAM
DIRECTOR	1.0	0.0	X		0	0	0
BRENDA SHARPE
DIRECTOR	1.0	0.0	X		0	0	0
BARBARA WURTZLER
DIRECTOR	1.0	0.0	X		0	0	0
CURT KRETZINGER
OFFICER	52.0	8.0		X	720914	0	109587
JOHN P WILSON
OFFICER	50.0	10.0		X	667480	0	88988
DOUGLAS BRANDT
OFFICER	50.0	10.0		X	264270	0	79009
KAREN DITTEMORE
OFFICER	51.0	9.0		X	73403	0	10601
DIRCK CLARK
OFFICER	60.0	0.0		X	354135	0	65289
MICHAEL PULIDO
OFFICER	60.0	0.0		X	321862	0	79147
BARBIE SQUIRES
OFFICER	60.0	0.0		X	118711	0	12667
LYNN THUENTE
OFFICER	60.0	0.0		X	149478	0	12946
TAMA WAGNER
OFFICER	60.0	0.0		X	221319	0	68955
DR JOE BOYCE
OFFICER	59.0	1.0		X	405396	0	77761
LISA MICHAELIS
ADMINISTRATOR	60.0	0.0			397171	0	70195	X
SCOTT KOELLIKER
ADMINISTRATOR	60.0	0.0			298153	0	86157	X
DR REBECCA PRESTON
OFFICER	60.0	0.0			247101	0	59703	X
DR DAVIN TURNER
ADMINISTRATOR	60.0	0.0			423952	0	41194	X
DR ROBERT GRANT
STAFF PHYSICIAN	60.0	0.0			929074	0	35694		X
DR MOHAN HINDUPUR
STAFF PHYSICIAN	60.0	0.0			1009527	0	27331		X
DR FRANK LAMMOGLIA
STAFF PHYSICIAN	60.0	0.0			873923	0	30802		X
DR ARVIND SHARMA
STAFF PHYSICIAN	60.0	0.0			895728	0	34694		X
DR HEMANT SHETH
STAFF PHYSICIAN	60.0	0.0			1080700	0	33095		X
DR MAUREEN BOYLE MANGANARO
STAFF PHYSICIAN	60.0	0.0			502169	0	33694			X
DR ED KAMMERER
STAFF PHYSICIAN	60.0	0.0			433029	0	34694			X
DR MICHAEL NELLESTEIN
STAFF PHYSICIAN	60.0	0.0			503929	0	32694			X
DR PADMAVATHI VELIGATI
STAFF PHYSICIAN	60.0	0.0			495762	0	10000			X
HELEN THOMPSON
OFFICER	0.0	0.0			218945	0	10528			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	13719819	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1332652	TotalOtherCompensation
Number Individuals GT100 K	476	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
CERNER CORP
SOFTWARE SYSTEMS	7116606
ST JOSEPH ONCOLOGY INC
PHYSICIAN COVERAGE	5833390
KELLY CONST GROUP INC
CONSTRUCTION	6576070
EXCEL CONSTRUCTION INC
CONSTRUCTION	14657112
LEHR CONSTRUCTION CO INC
CONSTRUCTION	3277683

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	119	NumberOfContractorsGT100K
Government Grants	49403	GovernmentGrants
All Other Contributions	341565	AllOtherContributions
Noncash Contributions	53214	NoncashContributions
Total Contributions	390968	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REVENUE	Description
Business Code	621110	BusinessCode
Total Revenue Column	548726273	TotalRevenueColumn
Related Or Exempt Function Income	548726273	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	548726273	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7760510	TotalRevenueColumn
Exclusion	$7,760,510	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1931	TotalRevenueColumn
Exclusion	$1,931	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	729731	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	729731	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	729731	TotalRevenueColumn
Exclusion	$729,731	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	120396097	Securities
Other	111965	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	109588963	Securities
Other	89549	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	10807134	Securities
Other	22416	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	10829550	TotalRevenueColumn
Exclusion	$10,829,550	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	140877	GrossSalesOfInventory
Cost Of Goods Sold	234789	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-93912	TotalRevenueColumn
Unrelated Business Revenue	-93912	UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria	722210	2025881	2025881
Refferal Lab	111000	2555072	2423932	131140
MEDICAL RECORD COPYING REVENUE	541380	374018	374018

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	31677619	TotalRevenueColumn
Related Or Exempt Function Income	30132524	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1545095	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	36632590	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	604977641	TotalRevenueColumn
Related Or Exempt Function Income	583682628	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1582323	UnrelatedBusinessRevenue
Exclusion	$19,321,722	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1203243	Total
Program Services	1203243	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	10021419	Total
Program Services	8521699	ProgramServices
Management And General	1260817	ManagementAndGeneral
Fundraising	238903	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	625070	Total
Program Services	625070	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	226523557	Total
Program Services	216536309	ProgramServices
Management And General	9913884	ManagementAndGeneral
Fundraising	73364	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	10301891	Total
Program Services	9730137	ProgramServices
Management And General	570701	ManagementAndGeneral
Fundraising	1053	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	29788846	Total
Program Services	27381872	ProgramServices
Management And General	2382488	ManagementAndGeneral
Fundraising	24486	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	13575056	Total
Program Services	12760748	ProgramServices
Management And General	795728	ManagementAndGeneral
Fundraising	18580	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1033576	Total
Program Services	489018	ProgramServices
Management And General	544558	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	116333	Total
Management And General	116333	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	138496	Total
Management And General	138496	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	34425008	Total
Program Services	29376707	ProgramServices
Management And General	5048301	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3560114	Total
Program Services	3454872	ProgramServices
Management And General	100212	ManagementAndGeneral
Fundraising	5030	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	27278646	Total
Program Services	26513924	ProgramServices
Management And General	693931	ManagementAndGeneral
Fundraising	70791	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	473565	Total
Program Services	473565	ProgramServices
Management And General	0	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	12151840	Total
Program Services	11082788	ProgramServices
Management And General	1069052	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1239662	Total
Program Services	1214783	ProgramServices
Management And General	24398	ManagementAndGeneral
Fundraising	481	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2386527	Total
Program Services	1967255	ProgramServices
Management And General	415545	ManagementAndGeneral
Fundraising	3727	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	6204460	Total
Program Services	4482081	ProgramServices
Management And General	1722379	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	28438036	Total
Program Services	26814360	ProgramServices
Management And General	1623676	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1312148	Total
Program Services	1312006	ProgramServices
Management And General	142	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
REPAIRS AND MAINTENANCE	14581616	12825758	1755813	45
PROVISION FOR UNCOLLECTIBLE	40668519	40668519
FRA TAX	26434373	26434373
Medical Supplies	65318766	65318766

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2365601	Total
Program Services	788262	ProgramServices
Management And General	1576330	ManagementAndGeneral
Fundraising	1009	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	560166368	Total
Program Services	529976115	ProgramServices
Management And General	29752784	ManagementAndGeneral
Fundraising	437469	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	16812886	BOY
EOY	12461021	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	64676384	BOY
EOY	74213201	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	8730387	BOY
EOY	6851814	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5213554	BOY
EOY	5193649	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	578431757	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	310432852	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	231682674	BOY
EOY	267998905	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	282342788	BOY
EOY	328974227	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	38953298	BOY
EOY	41109574	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	3191976	BOY
EOY	2863231	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	19575374	BOY
EOY	16577030	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	671179321	BOY
EOY	756242652	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	116705273	BOY
EOY	90141179	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	53758	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	185700000	BOY
EOY	230431012	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3896839	BOY
EOY	3538361	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	17003960	BOY
EOY	12151291	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	323359830	BOY
EOY	336261843	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	347819491	BOY
EOY	419980809	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	347819491	BOY
EOY	419980809	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	671179321	BOY
EOY	756242652	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	44811273	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	16714294	ReconciliationUnrealizedInvest
Reconcilation Other Changes	10635751	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$151,735	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	151735	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19043491	OtherCostOrOtherBasis
Book Value	19043491	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	264908609	OtherCostOrOtherBasis
Depreciation	116659503	Depreciation
Book Value	148249106	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	33373221	OtherCostOrOtherBasis
Depreciation	15877262	Depreciation
Book Value	17495959	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	187006449	OtherCostOrOtherBasis
Depreciation	136862186	Depreciation
Book Value	50144263	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	74099987	OtherCostOrOtherBasis
Depreciation	41033901	Depreciation
Book Value	33066086	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	267998905	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN LLC'S	4663228	C
PRIVATE INVESTMENT FUNDS	36446346	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	41109574	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
DERIVATIVE INSTRUMENTS	$11,179,581
MINORITY INTEREST	$971,710

Field	Value	IRS element (for citing)
Total Of Amounts	12151291	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	UNCERTAIN TAX POSITIONS DISCLOSURE	Identifier
Return Reference	SCHEDULE D, PART X, LINE 2	ReturnReference
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	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Type Of Activities Conducted	Investments	TypeOfActivitiesConducted
Total Expenditures	27334760	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Amount Spent	27334760	SubtotalAmountSpent
Total Amount Spent	27334760	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	true	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14399796	TotalCommunityBenefitExpense
Net Community Benefit Expense	14399796	NetCommunityBenefitExpense
Percent Of Total Expense	0.02770	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	104710987	TotalCommunityBenefitExpense
Direct Offsetting Revenue	89048342	DirectOffsettingRevenue
Net Community Benefit Expense	15662645	NetCommunityBenefitExpense
Percent Of Total Expense	0.03010	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	119110783	TotalCommunityBenefitExpense
Direct Offsetting Revenue	89048342	DirectOffsettingRevenue
Net Community Benefit Expense	30062441	NetCommunityBenefitExpense
Percent Of Total Expense	0.05780	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8670240	TotalCommunityBenefitExpense
Net Community Benefit Expense	8670240	NetCommunityBenefitExpense
Percent Of Total Expense	0.01670	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1348141	TotalCommunityBenefitExpense
Net Community Benefit Expense	1348141	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1882547	TotalCommunityBenefitExpense
Direct Offsetting Revenue	518744	DirectOffsettingRevenue
Net Community Benefit Expense	1363803	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	456202	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50767	DirectOffsettingRevenue
Net Community Benefit Expense	405435	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1654973	TotalCommunityBenefitExpense
Net Community Benefit Expense	1654973	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14012103	TotalCommunityBenefitExpense
Direct Offsetting Revenue	569511	DirectOffsettingRevenue
Net Community Benefit Expense	13442592	NetCommunityBenefitExpense
Percent Of Total Expense	0.02590	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	133122886	TotalCommunityBenefitExpense
Direct Offsetting Revenue	89617853	DirectOffsettingRevenue
Net Community Benefit Expense	43505033	NetCommunityBenefitExpense
Percent Of Total Expense	0.08370	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	157084	TotalCommunityBuildingExpense
Net Community Building Expense	157084	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	498645	TotalCommunityBuildingExpense
Net Community Building Expense	498645	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	587368	TotalCommunityBuildingExpense
Net Community Building Expense	587368	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1017540	TotalCommunityBuildingExpense
Net Community Building Expense	1017540	NetCommunityBuildingExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	183024	TotalCommunityBuildingExpense
Net Community Building Expense	183024	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	783184	TotalCommunityBuildingExpense
Net Community Building Expense	783184	NetCommunityBuildingExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	31847	TotalCommunityBuildingExpense
Net Community Building Expense	31847	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	3258692	TotalCommunityBuildingExpense
Net Community Building Expense	3258692	NetCommunityBuildingExpense
Percent Of Total Expense	0.00640	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$16,823,363	BadDebtExpenseAmount
Amount Reimbursed By Medicare	141428112	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	153319505	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-11891393	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	NONE	BusinessNameLine1

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HEARTLAND REGIONAL MEDICAL CENTER	BusinessNameLine1

Address Address

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)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	PHARMICIST INTERN PROGRAM	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HEARTLAND REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	true	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	42	NumberOfOtherFacilities

Other Facilities OtherFacilities (42 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
HEARTLAND CLINIC
901 HEARTLAND ROAD	ST JOSEPH	MO	64506	SPECIALTY CLINIC
HEARTLAND CLINIC
902 RIVERSIDE ROAD	ST JOSEPH	MO	64507	SPECIALTY CLINIC
HEARTLAND CLINIC
802 N RIVERSIDE	ST JOSEPH	MO	64507	SPECIALTY CLINIC
HEARTLAND CLINIC
5514 CORPORATE DR	ST JOSEPH	MO	64507	SPECIALTY CLINIC
HEARTLAND CLINIC
5210 NORTH BELT HIGHWAY	ST JOSEPH	MO	64506	FAMILY PRACTICE
HEARTLAND CLINIC
5301 FARAON	ST JOSEPH	MO	64506	SPECIALTY CLINIC
HEARTLAND CLINIC
105 FAR WEST DRIVE	ST JOSEPH	MO	64506	SPECIALTY CLINIC
HEARTLAND CLINIC
5325 FARAON	ST JOSEPH	MO	64506	SPECIALTY CLINIC
HEARTLAND CLINIC
1115 N BELT HIGHWAY	ST JOSEPH	MO	64506	URGENT CARE
SPA AT BRIARCLIFF
4133 NORTH MULBERRY DRIVE	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 AVENUE	ST JOSEPH	MO	64506	IMAGING
HEARTLAND CLINIC
1314 N 36TH ST	ST JOSEPH	MO	64506	SPECIALTY
HEARTLAND CLINIC
400 N FULLERTON	PRINCETON	MO	64673	FAMILY PRACTICE
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
PATEE DENTAL CLINIC
904 SOUTH 10TH	ST JOSEPH	MO	64501	DENTAL SERVICES
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	SPECIALTY CLINIC
HEARTLAND CLINIC
1015 WEST FOURTH	CAMERON	MO	64429	SPECIALTY CLINIC
HEARTLAND CLINIC
2024 S MAIN	MARYVILLE	MO	64468	SPECIALTY CLINIC
HEARTLAND CLINIC
2600 MILLER	BETHANY	MO	64424	SPECIALTY CLINIC
HEARTLAND CLINIC
2812 ST JOSEPH AVENUE	ST JOSEPH	MO	64505	SPECIALTY 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 AVENUE	PARKVILLE	MO	64152	FAMILY PRACTICE
HEARTLAND CLINIC
6420 N PROSPECT AVENUE	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
6301 N LUCERNE	KANSAS CITY	MO	64151	FAMILY, SPECIALY, IMAGING AMBULATORY SURGERY

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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 $40,668,519 SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE.
SCHEDULE H, PART I, LINE 7G	PATEE DENTAL CLINIC $ 718,273 HEALTH EXPRESS VAN 318,799 COMMUNITY MOBILE CLINIC 705,342 HEARTLAND CLINIC UROLOGY 140,133 ------------ $ 1,882,547 ============
COMMUNITY BUILDING ACTIVITIES	FUNDING BY THE ORGANIZATION PROMOTES REVITALIZATION OF OLDER NEIGHBORHOODS BY FACILITATING ACCESS TO REAL ESTATE TAX CREDITS; PROMOTES EVENTS THAT PROVIDE RECREATION, HEALTHY ACTIVITIES AND ECONOMIC SUPPORT SUCH AS MUSTANG'S BASEBALL, TRAILS WEST!, JOSEPHINE EXPO, DIPLOMATS BREAKFAST, HEALTHTY COMMUNITIES SUMMIT, ROSECRANS AIR SHOW AND GIRLS NIGHT OUT; SUPPORTS THE SALARY OF A DISASTER COORDINATOR FOR COMMUNITY EMERGENCIES; PROVIDES MANANGEMENT SUPPORT FOR REGIONAL MEDICAL CLINICS; PROMOTES PERSONAL GROWTH THROUGH SUPPORT OF EDUCATION PROGRAMS; SUPPORTS LEGISLATIVE ACTIVITIES THAT CHAMPION THE IMPROVEMENT OF THE ECONOMIC AND HEALTH STATUS OF OUR COMMUNITY.	SCHEDULE H, PART II
BAD DEBT EXPENSE	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 2
BAD DEBT EXPENSE	PATIENT ACCOUNTS RECEIVABLE: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Medical Center analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Medical Center records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Medical Centers allowance for doubtful accounts for self-pay patients increased from 91% of self-pay accounts receivable at June 30, 2012, to 97% of self-pay accounts receivable at June 30, 2013. In addition, the Medical Centers write-offs decreased approximately $1,000,000 from approximately $68,000,000 for the year ended June 30, 2012, to approximately $67,000,000 for the year ended June 30, 2013. The increase in the self-pay allowance percentage of self-pay accounts receivable was the result of negative trends experienced in the collection of amounts from self-pay patients in fiscal year 2013.	SCHEDULE H, PART III, LINE 4
MEDICARE SHORTFALL	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 8
COLLECTION PRACTICES	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 III, LINE 9B
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	THROUGH THE SURVEYS CONDUCTED BY AMERICAN VIEWPOINT, RESPONDENTS WERE ASKED TO PICK THE TWO HIGHEST HEALTH ISSUES FROM THE FOLLOWING LIST: ADULT OBESITY, HEART DISEASE, ILLEGAL DRUG USE, CHILD OBESITY, SMOKING, DIABETES, MENTAL HEALTH, BREAST CANCER, LUNG CANCER, AND DENTAL CARE. THE SURVEY RESULTS INDICATED THAT ADULT OBESITY AND HEART DISEASE WERE THE TOP ISSUES. ILLEGAL DRUG USE, CHILD OBESITY WERE THIRD AND FOURTH. THE FOCUS GROUPS DETERMINED THAT MENTAL HEALTH, OBESITY AND LACK OF EDUCATION ON HEALTH AND HEALTH RESOURCES WERE TOP ISSUES. BY COMPARING THE RESULTS OF THE SURVEYS TO THE EXISTING DATA SOURCES, IT WAS DETERMINED THAT THE SPECIFIC FOCUS FOR IMPROVEMENT SHOULD BE ON MENTAL HEALTH SERVICES (INCLUDING REDUCING THE DEPENDENCY ON ILLEGAL DRUGS) , AND ADULT AND CHILD OBESITY ISSUES. HEARTLAND ALREADY OFFERS NEARLY FIFTY EDUCATIONAL PROGRAMS TO HELP MAINTAIN A HEALTHY LIFE STYLE. THESE PROGRAMS ADDRESS THE ISSUES OF BREAST CANCER, DENTAL CARE, LUNG CANCER, HEART DISEASE, DIABETES AND SMOKING. PUBLIC EDUCATION ABOUT THE EXISTENCE OF THESE PROGRAMS WILL BE ENHANCED.
SCHEDULE H, PART V, LINE 18E	AT ANY TIME DURING ADMISSION, THE PATIENT STAY OR DISCHARGE, IF THE A CLIENT INITIATES DISCUSSIONS ABOUT ASSISTANCE, THEN THE FAP IS EXPLAINED.
NEEDS ASSESSMENT	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 TRHREE 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/	SCHEDULE H, PART VI, LINE 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	AS PART OF THE PRE-REGISTRATION PROCESS, INSURANCE COVERAGE INFORMATION IS REQUESTED. IF A CLIENT INDICATES INABILITY TO PAY, THEN THE CLIENT IS SCREENED FOR MEDICAID ELIGIBILITY AND ASSISTED IN THE APPLICATION PROCESS. IF NO OTHER PAYMENT RESOURCES ARE AVAILABLE, THE CLIENT IS ADVISED OF THE FINANCIAL ASSISTANCE PROGRAM AND ENCOURAGED TO PROVIDE THE NECESSARY FINANCIAL DOCUMENTATION TO PROVE ELIGIBILITY. CLIENTS WHO WERE NOT SCREENED BY PRE-REGISTRATION AND THEREFORE MISSED THE SCREENING PROCESS, HAVE THE ABILITY TO LEARN OF THE MEDICAID ELIGIBILITY AND FINANCIAL ASSISTANCE SERVICES BY CONTACTING THE BILLING DEPARTMENT UPON RECEIPT OF AN ACCOUNT STATEMENT. FINANCIAL DOCUMENTATION IS STILL NECESSARY TO PROVE QUALIFICATION FOR THE FINANCIAL ASSISTANCE SERVICE.	SCHEDULE H, PART VI, LINE 3
COMMUNITY INFORMATION	THE ORGANIZATION'S SERVICE AREA IS A 21 COUNTY URBAN/RURAL AREA LOCATED NEAR THE INTERSECTION OF A FOUR-STATE AREA. THE POPULATION IS ELDERLY AND UNDER-INSURED. THE LOCAL ECONOMY CONSISTS OF AGRICULTURAL, SMALL MANUFACTURING AND SELF-EMPLOYED BUSINESSES, PRIMARILY BLUE COLLAR WORKERS. THE ORGANIZATION SUPPORTS A PAYOR MIX OF 62% MEDICARE AND MEDICAID, 31.5% COMMERCIAL AND 6.5% 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. OVER HALF OF THE ELEMENTARY AGE STUDENTS RECEIVE FREE OR REDUCED-COST LUNCHES.	SCHEDULE H, PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTH	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 eight years, the organization has sponsored the Pound Plunge, a three-month long event to encourage weight loss, exercise and healthy eating. More than 12,000 people have participated. 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. The program began it's seventh year in September, 2013. 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 5
AFFILIATED HEALTH CARE SYSTEM	THE ORGANIZATION IS AFFILIATED, THROUGH A PARENT BOARD, WITH A FOUNDATION, AN ACUTE LONG TERM CARE HOSPITAL, A MEDICAL TRANSPORT PROVIDER, A COMMUNITY HEALTH IMPROVEMENT SOLUTIONS SERVICE AND A HEALTH INFORMATION EXCHANGE, 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. THE HEALTH INFORMATION EXCHANGE IS AN EFFORT TO MAKE ALL MEDICAL RECORD INFORMATION FOR A PATIENT ACCESSIBLE BY ANY PROVIDER AT ANY LOCATION.	SCHEDULE H, PART VI, LINE 5

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
UNITED WAY OF ST JOSEPH
118 SOUTH 5TH STREET	ST JOESPH	MO	64501	440547802	501(c)(3)	185433	SUPPORT
HEARTLAND FOUNDATION
5325 FARAON	ST JOSEPH	MO	64506	431262768	501(C)(3)	1071554	SUPPORT
HEARTLAND FOUNDATION
5325 FARAON	ST JOSEPH	MO	64506	431262768	501(C)(3)	8515
COMMUNITY ALLIANCE
3033 FREDERICK	ST JOSEPH	MO	64506	440419460	501(C)(6)	16000	SUPPORT
BUCHANAN COUNTY AGRI BUSINESS EXPO
PO BOX 8384	ST JOSEPH	MO	64508	261352588	501(C)(3)	87500	SUPPORT
MISSOURI WESTERN STATE UNIVERISTY FOUNDATION
5425 DOWNS DRIVE	ST JOSEPH	MO	64507	237035423	501(C)(3)	29000	SUPPORT
MHA CENTER FOR EDUCATION
PO BOX 60	JEFFERSON CITY	MO	65102	430898947	501(C)(3)	67489	SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS	Identifier
Return Reference	SCHEDULE I, PART I, LINE 2	ReturnReference
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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARK LANEY MD
DIRECTOR, OFFICER	651444	0	456000	0	22562	0	118333	0	19833	0	1268172	0	0	0
DR DAVID CATHCART
DIRECTOR, STAFF PHYSICIAN	272378	0	6666	0	2493	0	7789	0	10831	0	300157	0	0	0
DR JOHN OLSON
DIRECTOR, STAFF PHYSICIAN	580273	0	119496	0	2376	0	10000	0	20441	0	732586	0	0	0
CURT KRETZINGER
OFFICER	544394	0	138570	0	37950	0	100786	0	8801	0	830501	0	0	0
JOHN P WILSON
OFFICER	521854	0	124620	0	21006	0	88988	0	0	0	756468	0	0	0
DOUGLAS BRANDT
OFFICER	234704	0	6283	0	23283	0	58315	0	20694	0	343279	0	0	0
DIRCK CLARK
OFFICER	276329	0	56880	0	20926	0	45409	0	19880	0	419424	0	0	0
MICHAEL PULIDO
OFFICER	257603	0	61380	0	2879	0	56653	0	22494	0	401009	0	0	0
LYNN THUENTE
OFFICER	135047	0	7763	0	6668	0	6073	0	6873	0	162424	0	0	0
TAMA WAGNER
OFFICER	177028	0	42480	0	1811	0	49402	0	19553	0	290274	0	0	0
LISA MICHAELIS
ADMINISTRATOR	321911	0	43750	0	31510	0	57331	0	12864	0	467366	0	0	0
SCOTT KOELLIKER
ADMINISTRATOR	245734	0	38511	0	13908	0	62463	0	23694	0	384310	0	0	0
DR REBECCA PRESTON
OFFICER	231613	0	15000	0	488	0	45395	0	14308	0	306804	0	0	0
DR ROBERT GRANT
STAFF PHYSICIAN	870564	0	56566	0	1944	0	10000	0	25694	0	964768	0	0	0
DR MOHAN HINDUPUR
STAFF PHYSICIAN	933057	0	55741	0	20729	0	10000	0	17331	0	1036858	0	0	0
DR FRANK LAMMOGLIA
STAFF PHYSICIAN	815806	0	55741	0	2376	0	10000	0	20802	0	904725	0	0	0
DR ARVIND SHARMA
STAFF PHYSICIAN	821043	0	55741	0	18944	0	10000	0	24694	0	930422	0	0	0
DR HEMANT SHETH
STAFF PHYSICIAN	931601	0	132449	0	16650	0	14264	0	18831	0	1113795	0	0	0
DR MAUREEN BOYLE MANGANARO
STAFF PHYSICIAN	419882	0	63343	0	18944	0	10000	0	23694	0	535863	0	0	0
DR ED KAMMERER
STAFF PHYSICIAN	236895	0	194460	0	1674	0	10000	0	24694	0	467723	0	0	0
DR MICHAEL NELLESTEIN
STAFF PHYSICIAN	478577	0	6666	0	18686	0	10000	0	22694	0	536623	0	0	0
DR PADMAVATHI VELIGATI
STAFF PHYSICIAN	413043	0	63343	0	19376	0	10000	0	0	0	505762	0	0	0
HELEN THOMPSON
OFFICER	89064	0	0	0	129881	0	4055	0	6473	0	229473	0	0	0
DR JOE BOYCE
OFFICER	314774	0	85833	0	4789	0	58930	0	18831	0	483157	0	0	0
DR DAVIN TURNER
ADMINISTRATOR	351681	0	70327	0	1944	0	20500	0	20694	0	465146	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
OTHER COMPENSATION	SCHEDULE J, PART I, LINE 1A	COUNTRY CLUB MEMBERSHIP IS A CORPORATE MEMBERSHIP. USE OF THE FACILITY IS AVAILABLE TO EXECUTIVE STAFF BUT THEY MUST PAY ANY PERSONAL COSTS INCURRED. NO VALUE IS ASSESSED ON W-2'S.
SEVERANCE PAYMENT	SCHEDULE J, PART I, LINE 4B	HELEN THOMPSON 129,881
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B	ACCRUED 6/30/2013 ---------- CURT KRETZINGER 90,786 JOHN P. WILSON 78,988 DOUGLAS BRANDT 48,459 MARK LANEY, M.D. 108,333 DIRCK CLARK 34,090 MICHAEL PULIDO 46,454 LISA MICHAELIS 47,051 TAMA WAGNER 40,785 JOE BOYCE, M.D. 48,487 SCOTT KOELLIKER 52,139 JAMES MCMILLEN, MD 28,924 REBECCA PRESTON, MD 37,532 BARBIE SQUIRES 7,290 DAVIN TURNER, DO 10,500 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 AGREEMENT NULL AND VOID.
COMPENSATION PAID BY HEARTLAND REGIONAL MEDICAL CENTER	SCHEDULE J, PART II	THE COMPENSATION PROVIDED BY HEARTLAND REGIONAL MEDICAL CENTER FOR CURT KRETZINGER, JOHN P. WILSON, DIRCK CLARK, DR. MARK LANEY, DOUGLAS BRANDT, KAREN DITTEMORE, JOE BOYCE, MD, MICHAEL PULIDO, TAMA WAGNER AND LISA MICHAELIS IS FOR SERVICES TO ALL HEARTLAND ENTITIES. INCLUDED IN THE DEFERRED COMPENSATION ARE EMPLOYER CONTRIBUTIONS INTO QUALIFIED PLANS AND NON-QUALIFIED DEFERRED COMPENSATION PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND SEVERANCE THAT IS PROVIDED WITHIN THE EXECUTIVE'S EMPLOYMENT AGREEMENT. THEREFORE, THESE AMOUNTS MAY NEVER BE PAID.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF ST JOE
A	431203910	79075LAA5	2003-05-17	32225000	REFUND THE SERIES 2001(C) BONDS	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF ST JOE
B	431203910	79075LA09	2011-09-30	25250000	SERIES 2011 FIXED RATE	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF ST JOE
C	431203910	79075LAB3	2009-02-13	70000000	SERIES 2009A VARIABLE RATE REV	false	false	false
HEALTH EDUCATIONAL FACILITIES
D	431178966	60637ACP5	2012-10-03	51489534	SERIES 2012 FIXED RATES	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	30825000	32225000	260005	0	0	2003	true	false	true	true
B	5190000	25250000	216452	0	0	2012	true	false	true	true
C	770000	70000000	1026303	64315602	4658095	2013	false	false	false	true
D	0	51489534	750000	45438167	5301367	2013	false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	false	false	false	false	false	true
B	false	false	false	false	false	false	false	true
C	false	false	false	false	false	false	false	true
D	false	false	false	false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Rebate Not Due YetRebateNotDueYet
WELLS FARGO
A	false	false	true	true	1.5	false	false	false	0	false	true
0
B	false		false	false				false	0	false	true	true
0
C	false		true	false				false	0	false	true	true
0
D	false		false	false				false	0	false	true	true

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true
C	true
D	true

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	THE INDUSTRIAL DEVELOPMENT AUTHORITY OF ST. JOE	Identifier
Return Reference	COLUMN A, PART IV, LINE 2C	ReturnReference
Explanation	The rebate calculation was made in 2008 and a payment was made. The rebate calculation occurred again in 2012 which determined that the earlier rebate calculation was in error. Form 8038-R was filed and a refund was received.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

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

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS WITH INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART IV	ReturnReference
Explanation	(A) DONNA WILSON (B) DONNA WILSON IS THE YOUTH HEALTH DIRECTOR FOR HEARTLAND REGIONAL MEDICAL CENTER AND IS THE WIFE OF JOHN WILSON, WHO IS THE CHIEF FINANCIAL OFFICER OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 106,038 (D) SALARY FOR YOUTH HEALTH DIRECTOR 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) $ 35,682 (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) $ 107,534 (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) $ 72,153 (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) $ 103,310 (D) SALARY FOR REGISTERED NURSE SERVICES (E) NO (A) PATRICK DILLON (B) PATRICK DILLON IS A RETAIL SALES MANAGER FOR HEARTLAND REGIONAL MEDICAL CENTER, AND IS THE BROTHER OF BARBIE SQUIRES, WHO IS AN OFFICER OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 171,792 (D) SALARY FOR RETAIL SALES MANAGER SERVICES (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) $ 28,661 (D) SALARY FOR THERAPY DEPARTMENT SERVICES (E) NO	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	MEDICAL EQUIPMENT	Description
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	53214	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990, PART III, LINE 1	THE MISSION OF THE HEARTLAND REGIONAL MEDICAL CENTER IS TO ESTABLISH AND OPERATE A DIVERSIFIED HEALTH CARE DELIVERY SYSTEM THAT PROVIDES THE RIGHT CARE, AT THE RIGHT TIME, IN THE RIGHT PLACE, AT THE RIGHT COST WITH OUTCOMES SECOND TO NONE FOR THE PEOPLE LIVING IN NORTHWEST MISSOURI AND ADJACENT AREAS IN KANSAS, IOWA, AND NEBRASKA, REGARDLESS OF ABILITY TO PAY, WHILE ALSO STRIVING TO IMPROVE THE LIVES OF THOSE INDIVIDUALS BY FOCUSING ON PREVENTIVE HEALTH INITIATIVES SUCH AS EDUCATION, WELLNESS PROGRAMS, HEALTH-RELATED ACTIVITIES AND COMMUNITY BENEFIT PROGRAMS.
PROGRAM SERVICE ACCOMPLISHMENTS	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 62% GOVERNMENTAL, 31.5% COMMERCIAL AND 6.5% 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, 16,792 PATIENTS WERE ADMITTED TO THE HOSPITAL RESULTING IN 72,057 PATIENT DAYS. A TOTAL OF 11,257 SURGERIES WERE PERFORMED, THE EMERGENCY ROOM SERVED 53,460 PATIENTS AND 171,750 VISITS WERE GENERATED BY OUTPATIENTS. THE HOSPITAL EMPLOYS 4,180 PEOPLE AND HAS A TOTAL OF 247 ACTIVE AND ASSOCIATE MEDICAL STAFF. THE EMPLOYED MEDICAL STAFF INCLUDES 157 PHYSICIANS, 1 DENTIST, 1 CHIROPRACTOR AND 65 NURSE PRACTITIONERS/PHYSICIAN EXTENDERS COVERING 64 FAMILY MEDICINE AND SPECIALTY CLINICS AT 42 LOCATIONS THROUGHOUT THE REGION RESULTING IN APPROXIMATELY 685,200 PATIENT VISITS DURING THE YEAR.
BUSINESS/FAMILY RELATIONSHIPS	FORM 990, PART VI, SECTION A, LINE 2	BRIAN BRADLEY, JOHN P. WILSON, JOE BOYCE, MD, DIRCK CLARK, DOUGLAS BRANDT HAVE A BUSINESS RELATIONSHIP. THEY ARE EITHER OFFICERS AND/OR DIRECTORS OF LEWIS AND CLARK INFORMATION EXCHANGE, A FORMERLY RELATED NOT-FOR-PROFIT CORPORATION. CAROL ROEVER, JOHN P. WILSON, CURT KRETZINGER, DOUGLAS BRANDT HAVE A BUSINESS RELATIONSHIP. THEY ARE EITHER OFFICERS AND/OR DIRECTORS OF REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY OR HEARTLAND FOUNDATION OR HEARTLAND HEALTH, ALL RELATED NOT-FOR-PROFIT CORPORATIONS. JOHN P. WILSON, CURT KRETZINGER, DIRCK CLARK, DOUGLAS BRANDT, 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, INC., COMMUNITY HEALTH PLAN INSURANCE COMPANY, HHS PROPERTIES, INC., UPTOWN HOUSING, INC., ALL RELATED FOR PROFIT CORPORATIONS.
MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, SECTION A, LINE 6	HEARTLAND HEALTH, A MISSOURI NONPROFIT CORPORATION, IS THE SOLE MEMBER OF HEARTLAND REGIONAL MEDICAL CENTER.
GOVERNING BOARD DECISIONS SUBJECT TO APPROVAL OF MEMBERS OR STOCKHOLDERS	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 REVIEW PROCESS	FORM 990, PART VI, SECTION A, LINE 11B	AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE TREASURER AND ASSISTANT TREASURER OF HEARTLAND REGIONAL MEDICAL CENTER REVIEW THE 990. THE 990 IS THEN POSTED TO A WEBSITE FOR ALL VOTING MEMBERS TO ACCESS BEFORE IT IS FILED.
MONITORING OF CONFLICT OF INTEREST POLICY	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.
COMPENSATION REVIEW	FORM 990, PART VI, SECTION B, LINES 15A & 15B	ANNUAL REVIEW--PERFORMED DURING FISCAL YEAR 2012 FOR THE FOLLOWING FISCAL YEAR. MARKET DATA IS PROVIDED BY INTEGRATED HEALTHCARE STRATEGIES (IHS). A COMPENSATION COMMITTEE COMPRISED OF THE HEARTLAND HEALTH BOARD CHAIR, HEARTLAND HEALTH BOARD VICE-CHAIR AND THREE ADDITIONAL HEARTLAND HEALTH BOARD MEMBERS AND INDEPENDENT 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--IHS) 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.
AVAILABILITY OF DOCUMENTS	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
RECONCILIATION OF NET ASSETS	FORM 990, PART XI, LINE 9	NET ASSET TRANSFER $ (6,819,835) CHANGE IN FAIR VALUE 4,024,668 CHANGE IN PENS. LIAB 14,479,052 DECONSOLIDATION OF AFFILIATES (1,048,134) ------------- $ 10,635,751 =============

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	NORTHLAND EXPANSION LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	5323 FARAON	AddressLine1
City	ST JOSEPH	City
State	MO	State
ZIP Code	64506	ZIPCode

Field	Value	IRS element (for citing)
Primary Activities	DEVELOPMENT	PrimaryActivities
Legal Domicile State	MO	LegalDomicileState
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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)	9	HH	true
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
5325 FARAON	ST JOSEPH	MO	64506	261972987	HEALTH	MO	501(C)(3)	3	HH	true
LEWIS AND CLARK INFORMATION EXCHANGE
5325 FARAON	ST JOSEPH	MO	64506	320290671	DATA SHARING	MO	501(C)(3)	9	HH	true
REGIONAL EMERGENCY MEDICAL SERVICES AUTH
5325 FARAON	ST JOSEPH	MO	64506	273923442	AMBULANCE SVC	MO	501(C)(3)	9	HH	true
HEARTLAND HEALTH CARE PLAN TRUST FUND
5325 FARAON STREET	ST JOSEPH	MO	64506	431286484	VEBA	MO	501(C)(9)		HH	true

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	VILLAGE AT BURLINGTON CREEK OFFICE LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6300 N REVERE	AddressLine1
City	KANSAS CITY	City
State	MO	State
ZIP Code	64151	ZIPCode

Field	Value	IRS element (for citing)
EIN	453336361	EIN
Primary Activity	DEVELOPMENT	PrimaryActivity
Legal Domicile State	MO	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	-291939	ShareOfTotalIncome
Share Of EOY Assets	400319	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.35236	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
MIDWESTERN HEALTH MANAGEMENT INC
5325 FARAON	ST JOSEPH	MO	64506	431264358	HEALTHCARE	MO	HH	C CORP	0	0	0.00000	true
COMMUNITY HEALTH PLAN INC
5325 FARAON	ST JOSEPH	MO	64506	431690582	INSURANCE	MO	HH	C CORP	0	0	0.00000	true
COMMUNITY HEALTH PLAN INSURANCE COMPANY
5325 FARAON	ST JOSEPH	MO	64506	431210152	INSURANCE	MO	HH	C CORP	0	0	0.00000	true
HHS PROPERTIES INC
5325 FARAON	ST JOSEPH	MO	64506	431593799	INVESTMENT	MO	HH	C CORP	0	0	0.00000	true
UPTOWN HOUSING INC
5325 FARAON	ST JOSEPH	MO	64506	261416252	REDEVELOPMENT	MO	HH	C CORP	0	0	0.00000	true
UPTOWN ST JOSEPH REDEVELOPMENT CORP
5325 FARAON	ST JOSEPH	MO	64506	201742813	REDEVELOPMENT	MO	HH	C CORP	0	0	0.00000	true
SHOAL CREEK FAMILY MEDICINE & ALLERGY
5325 FARAON	ST JOSEPH	MO	64506	010754265	HEALTHCARE	MO	HRMC	S CORP	0	32677	1.00000	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	true	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (32 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
COMMUNITY HEALTH PLAN
L	1513611	FMV
COMMUNITY HEALTH PLAN
Q	1482816	FMV
MIDWESTERN HEALTH MANAGEMENT INC
B	550000	FMV
MIDWESTERN HEALTH MANAGEMENT INC
D	832285	FMV
MIDWESTERN HEALTH MANAGEMENT INC
J	217900	FMV
MIDWESTERN HEALTH MANAGEMENT INC
L	13798666	FMV
MIDWESTERN HEALTH MANAGEMENT INC
M	8383099	FMV
MIDWESTERN HEALTH MANAGEMENT INC
Q	4133202	FMV
HHS PROPERTIES INC
B	200000	FMV
HHS PROPERTIES INC
K	165206	FMV
HHS PROPERTIES INC
L	459177	FMV
HHS PROPERTIES INC
Q	53618	FMV
LEWIS AND CLARK INFORMATION EXCHANGE
L	591282	FMV
LEWIS AND CLARK INFORMATION EXCHANGE
Q	170918	FMV
NORTHLAND EXPANSION LLC
H	1410720	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
B	6000000	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
D	201754	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
J	180066	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
L	5463418	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
M	82514	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
Q	3155555	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
D	9207537	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
J	519996	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
L	8872668	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
Q	9349155	FMV
HEARTLAND FOUNDATION
D	1386162	FMV
HEARTLAND FOUNDATION
L	892871	FMV
HEARTLAND FOUNDATION
Q	887171	FMV
HEARTLAND HEALTH BUSINESS PLAZA LLC
K	991042	FMV
SHOAL CREEK FAMILY MEDICINE AND ALLERGY INC
D	1045944	FMV
SHOAL CREEK FAMILY MEDICINE AND ALLERGY INC
L	1575841	FMV
SHOAL CREEK FAMILY MEDICINE AND ALLERGY INC
Q	529898	FMV