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X X X PHARMICIST INTERN PROGRAM HEARTLAND REGIONAL MEDICAL CENTER 1 true X X X X X X X X X 12 true false true X X X X X X X X X true false true true 200. true 300. true X true true X true false X X X true X false false 42 HEARTLAND CLINIC

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802 N RIVERSIDE ST JOSEPH MO 64507

SPECIALTY CLINIC HEARTLAND CLINIC

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SPECIALTY CLINIC HEARTLAND CLINIC

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FAMILY PRACTICE HEARTLAND CLINIC

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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

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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

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OCCUPATIONAL MEDICINE ADVANCED DIAGNOSTIC IMAGING

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IMAGING HEARTLAND CLINIC

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SPECIALTY HEARTLAND CLINIC

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FAMILY PRACTICE HEARTLAND CLINIC

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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

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FAMILY PRACTICE HANDS OF HOPE HOSPICE

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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

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OUTPATIENT THERAPY HEARTLAND CLINIC

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SPECIALTY CLINIC HEARTLAND CLINIC

705 N COLLEGE ALBANY MO 64402

SPECIALTY CLINIC HEARTLAND CLINIC

100 CENTRAL ST CHILLICOTHE MO 64601

SPECIALTY CLINIC HEARTLAND CLINIC

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SPECIALTY CLINIC HEARTLAND CLINIC

8860 NE 82ND TERRACE KANSAS CITY MO 64158

FAMILY, SPECIALTY, IMAGING HEARTLAND CLINIC

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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

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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 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 SCHEDULE H, PART II 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. BAD DEBT EXPENSE 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. BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4 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. MEDICARE SHORTFALL 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. COLLECTION PRACTICES 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 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 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 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/ PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 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. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 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. PROMOTION OF COMMUNITY HEALTH 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 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. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 5 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. true 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 5 1 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 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. X true true X X X X X true true false false false false false false false MARK LANEY MD 651444 0 456000 0 22562 0 118333 0 19833 0 1268172 0 0 0 DR DAVID CATHCART 272378 0 6666 0 2493 0 7789 0 10831 0 300157 0 0 0 DR JOHN OLSON 580273 0 119496 0 2376 0 10000 0 20441 0 732586 0 0 0 CURT KRETZINGER 544394 0 138570 0 37950 0 100786 0 8801 0 830501 0 0 0 JOHN P WILSON 521854 0 124620 0 21006 0 88988 0 0 0 756468 0 0 0 DOUGLAS BRANDT 234704 0 6283 0 23283 0 58315 0 20694 0 343279 0 0 0 DIRCK CLARK 276329 0 56880 0 20926 0 45409 0 19880 0 419424 0 0 0 MICHAEL PULIDO 257603 0 61380 0 2879 0 56653 0 22494 0 401009 0 0 0 LYNN THUENTE 135047 0 7763 0 6668 0 6073 0 6873 0 162424 0 0 0 TAMA WAGNER 177028 0 42480 0 1811 0 49402 0 19553 0 290274 0 0 0 LISA MICHAELIS 321911 0 43750 0 31510 0 57331 0 12864 0 467366 0 0 0 SCOTT KOELLIKER 245734 0 38511 0 13908 0 62463 0 23694 0 384310 0 0 0 DR REBECCA PRESTON 231613 0 15000 0 488 0 45395 0 14308 0 306804 0 0 0 DR ROBERT GRANT 870564 0 56566 0 1944 0 10000 0 25694 0 964768 0 0 0 DR MOHAN HINDUPUR 933057 0 55741 0 20729 0 10000 0 17331 0 1036858 0 0 0 DR FRANK LAMMOGLIA 815806 0 55741 0 2376 0 10000 0 20802 0 904725 0 0 0 DR ARVIND SHARMA 821043 0 55741 0 18944 0 10000 0 24694 0 930422 0 0 0 DR HEMANT SHETH 931601 0 132449 0 16650 0 14264 0 18831 0 1113795 0 0 0 DR MAUREEN BOYLE MANGANARO 419882 0 63343 0 18944 0 10000 0 23694 0 535863 0 0 0 DR ED KAMMERER 236895 0 194460 0 1674 0 10000 0 24694 0 467723 0 0 0 DR MICHAEL NELLESTEIN 478577 0 6666 0 18686 0 10000 0 22694 0 536623 0 0 0 DR PADMAVATHI VELIGATI 413043 0 63343 0 19376 0 10000 0 0 0 505762 0 0 0 HELEN THOMPSON 89064 0 0 0 129881 0 4055 0 6473 0 229473 0 0 0 DR JOE BOYCE 314774 0 85833 0 4789 0 58930 0 18831 0 483157 0 0 0 DR DAVIN TURNER 351681 0 70327 0 1944 0 20500 0 20694 0 465146 0 0 0 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. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF ST JOE 431203910 79075LAA5 2003-05-17 32225000 REFUND THE SERIES 2001(C) BONDS false false false B THE INDUSTRIAL DEVELOPMENT AUTHORITY OF ST JOE 431203910 79075LA09 2011-09-30 25250000 SERIES 2011 FIXED RATE false false false C THE INDUSTRIAL DEVELOPMENT AUTHORITY OF ST JOE 431203910 79075LAB3 2009-02-13 70000000 SERIES 2009A VARIABLE RATE REV false false false D HEALTH EDUCATIONAL FACILITIES 431178966 60637ACP5 2012-10-03 51489534 SERIES 2012 FIXED RATES false false false A 30825000 0 32225000 0 0 0 260005 0 0 0 0 0 2003 true false true true B 5190000 0 25250000 0 0 0 216452 0 0 0 0 0 2012 true false true true C 770000 0 70000000 0 0 0 1026303 0 0 64315602 0 4658095 2013 false false false true D 0 0 51489534 0 0 0 750000 0 0 45438167 0 5301367 2013 false false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false true true WELLS FARGO 1.5 false false false 0 false true B false true false false 0 false 0 false true C false true true false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true THE INDUSTRIAL DEVELOPMENT AUTHORITY OF ST. JOE COLUMN A, PART IV, LINE 2C 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. SEE PART IV BUSINESS TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV (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 X MEDICAL EQUIPMENT 1 53214 COST false false false 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 ============= NORTHLAND EXPANSION LLC 5323 FARAON ST JOSEPH MO 64506 DEVELOPMENT MO 0 HRMC 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 VILLAGE AT BURLINGTON CREEK OFFICE LLC 6300 N REVERE KANSAS CITY MO 64151 453336361 DEVELOPMENT MO HRMC RELATED -291939 400319 false 0 false 0.35236 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 true true false true false false false true false true true true true false false false true false false 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