HEARTLAND REGIONAL MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: HEARTLAND REGIONAL MEDICAL CENTER (EIN 44-0545289)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201341359349307514
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-15T15:09:18-05:00	Timestamp
Tax Period End Date	2012-06-30	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	2011-07-01	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
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	CHIEF FINANCIAL OFFICER	Title
Date Signed	2013-05-15	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	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	601745811	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	3956	TotalNbrEmployees
Total Nbr Volunteers	632	TotalNbrVolunteers
Total Gross UBI	1106067	TotalGrossUBI
Net Unrelated Business Txbl Income	-1452272	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	194597	ContributionsGrantsPriorYear
Contributions Grants Current Year	440211	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	497961978	ProgramServiceRevenuePriorYear
Program Service Revenue CY	535301968	ProgramServiceRevenueCY
Investment Income Prior Year	14660677	InvestmentIncomePriorYear
Investment Income Current Year	7569764	InvestmentIncomeCurrentYear
Other Revenue Prior Year	12470717	OtherRevenuePriorYear
Other Revenue Current Year	24450689	OtherRevenueCurrentYear
Total Revenue Prior Year	525287969	TotalRevenuePriorYear
Total Revenue Current Year	567762632	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3399946	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2225116	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	253054219	SalariesEtcPriorYear
Salaries Etc Current Year	277928007	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	223099240	OtherExpensePriorYear
Other Expenses Current Year	246690846	OtherExpensesCurrentYear
Total Expenses Prior Year	479553405	TotalExpensesPriorYear
Total Expenses Current Year	526843969	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	45734564	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	40918663	RevenuesLessExpensesCY
Total Assets BOY	623105290	TotalAssetsBOY
Total Assets EOY	671179321	TotalAssetsEOY
Total Liabilities BOY	286772368	TotalLiabilitiesBOY
Total Liabilities EOY	323359830	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	336332922	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	347819491	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	484253539	Expense
Grants	1645345	Grants
Revenue	559264023	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	484253539	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	true	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	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	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	3956	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
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	true	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (41 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	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	X	X	833954	0	144469
FRANK LEONE
DIRECTOR	1.0	X		0	0	0
AL PURCELL
DIRECTOR	1.0	X		0	0	0
CAROL ROEVER
DIRECTOR	1.0	X		0	0	0
STEVE SCHRAM
DIRECTOR	1.0	X		0	0	0
BARBARA WURTZLER
DIRECTOR	1.0	X		0	0	0
DAVID CATHCART DO
DIRECTOR, STAFF PHYSICIAN	59.0	X		267654	0	14785
JOHN OLSON MD
DIRECTOR, STAFF PHYSICIAN	59.0	X		785379	0	28739
KAREN BAKER
DIRECTOR	1.0	X		0	0	0
BRIAN BRADLEY
DIRECTOR	1.0	X		0	0	0
DENNIS DOBYAN MD
DIRECTOR	1.0	X		0	50417	0
JAMES GRAVES
DIRECTOR	1.0	X		0	0	0
DAN HEGEMAN
DIRECTOR	1.0	X		0	0	0
DAVE HOWERY
DIRECTOR	1.0	X		0	0	0
JOHN JARRETT
DIRECTOR	1.0	X		0	0	0
ANDREW MCCREA
DIRECTOR	1.0	X		0	0	0
MAUREEN BOYLE MD
DIRECTOR, STAFF PHYSICIAN	60.0	X		453213	0	35335
MICHAEL NELLESTEIN MD
DIRECTOR, STAFF PHYSICIAN	60.0	X		744122	0	33052
CURT KRETZINGER
OFFICER	52.0		X	594407	0	104619
JOHN P WILSON
OFFICER	50.0		X	540435	0	85973
DOUGLAS BRANDT
OFFICER, CONTROLLER	50.0		X	274400	0	74175
KAREN DITTEMORE
OFFICER, ADMIN ASST	50.0		X	64942	0	12228
JOE BOYCE MD
OFFICER	59.0		X	372016	0	71142
DIRCK CLARK
OFFICER	57.0		X	299137	0	60215
MICHAEL PULIDO
OFFICER	60.0		X	304305	0	75201
LYNN THUENTE
OFFICER	60.0		X	139769	0	12421
BARBIE SQUIRES
OFFICER	60.0		X	80971	0	4110
TAMA WAGNER
OFFICER	60.0		X	196712	0	64757
LISA MICHAELIS
MEDICAL CENTER ADMINISTRATOR	59.0			371640	0	67124	X
SCOTT KOELLIKER
HEARTLAND CLINIC ADMINISTRATOR	59.0			284014	0	81295	X
REBECCA PRESTON MD
PHYSICIAN ADMINISTRATOR	60.0			0	0	0	X
MOHAN HINDUPUR MD
STAFF PHYSICIAN	60.0			1041073	0	24852		X
ROBERT GRANT MD
STAFF PHYSICIAN	60.0			935846	0	32739		X
ARVIND SHARMA MD
STAFF PHYSICIAN	60.0			901077	0	30835		X
FRANCISCO LAMMOGLIA MD
STAFF PHYSICIAN	60.0			882728	0	32239		X
ALA ABABNEH MD
STAFF PHYSICIAN	60.0			797652	0	29231		X
ED KAMMERER MD
DIRECTOR, STAFF PHYSICIAN	60.0			359973	0	29835			X
PADMAVATHI VELIGATI MD
DIRECTOR, STAFF PHYSICIAN	60.0			448878	0	9800			X
HELEN THOMPSON
OFFICER	0.0			244558	0	20325			X
RUDY WACKER
OFFICER	0.0			592270	0	0			X
ROBERT PERMUT MD
OFFICER	0.0			171567	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	12982692	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	50417	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1179496	TotalOtherCompensation
Number Individuals GT100 K	318	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	6867895
ST JOSEPH ONCOLOGY INC
PHYSICIAN COVERAGE	4835542
KELLY CONST GROUP INC
CONSTRUCTION	5577189
LAWHON CONSTRUCTION CO
CONSTRUCTION	2157653
LEHR CONSTRUCTION CO INC
CONSTRUCTION	3606448

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	106	NumberOfContractorsGT100K
Related Organizations	15301	RelatedOrganizations
Government Grants	170185	GovernmentGrants
All Other Contributions	254725	AllOtherContributions
Total Contributions	440211	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REVENUE	Description
Business Code	621110	BusinessCode
Total Revenue Column	535301968	TotalRevenueColumn
Related Or Exempt Function Income	535301968	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	535301968	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5577279	TotalRevenueColumn
Exclusion	$5,577,279	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	720647	TotalRevenueColumn
Exclusion	$720,647	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	488634	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	488634	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	488634	TotalRevenueColumn
Exclusion	$488,634	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	35103018	Securities
Other	8167	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	33829575	Securities
Other	9772	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1273443	Securities
Other	-1605	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1271838	TotalRevenueColumn
Exclusion	$1,271,838	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	171009	GrossSalesOfInventory
Cost Of Goods Sold	143832	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	27177	TotalRevenueColumn
Unrelated Business Revenue	27177	UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria	722210	2096953	2096953
Refferal Lab	111000	1637335	1518754	118581
MEDICAL RECORD COPYING REVENUE	541380	400932	400932

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	19799658	TotalRevenueColumn
Related Or Exempt Function Income	18839349	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	960309	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	23934878	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	567762632	TotalRevenueColumn
Related Or Exempt Function Income	558157956	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1106067	UnrelatedBusinessRevenue
Exclusion	$8,058,398	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2225116	Total
Program Services	2225116	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	8326393	Total
Program Services	4416615	ProgramServices
Management And General	3909778	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	386825	Total
Program Services	386825	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	218151598	Total
Program Services	204878768	ProgramServices
Management And General	13272830	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7997178	Total
Program Services	7721093	ProgramServices
Management And General	276085	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	30314602	Total
Program Services	27631822	ProgramServices
Management And General	2682780	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12751411	Total
Program Services	11720237	ProgramServices
Management And General	1031174	ManagementAndGeneral

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	1324840	Total
Program Services	623322	ProgramServices
Management And General	701518	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	139500	Total
Management And General	139500	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	145358	Total
Management And General	145358	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	624299	Total
Management And General	624299	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	31796250	Total
Program Services	24558025	ProgramServices
Management And General	7238225	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3342825	Total
Program Services	3337718	ProgramServices
Management And General	5107	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	25944561	Total
Program Services	23824863	ProgramServices
Management And General	2119698	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	452452	Total
Program Services	452452	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10852531	Total
Program Services	9792407	ProgramServices
Management And General	1060124	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	905964	Total
Program Services	869972	ProgramServices
Management And General	35992	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2277467	Total
Program Services	1727820	ProgramServices
Management And General	549647	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2484040	Total
Program Services	2442754	ProgramServices
Management And General	41286	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	26580753	Total
Program Services	23731022	ProgramServices
Management And General	2849731	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	6805598	Total
Program Services	6805472	ProgramServices
Management And General	126	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
REPAIRS AND MAINTENANCE	14606892	9923436	4683456
PROVISION FOR UNCOLLECTIBLE	42112706	42083155	29551
FRA TAX	15363718	15363718
MEDICAL SUPPLIES	59132798	59132798

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1798294	Total
Program Services	604129	ProgramServices
Management And General	1194165	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	526843969	Total
Program Services	484253539	ProgramServices
Management And General	42590430	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	11208512	BOY
EOY	16812886	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	48844760	BOY
EOY	64676384	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	6916808	BOY
EOY	8730387	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6179267	BOY
EOY	5213554	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	514008246	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	282325572	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	210569793	BOY
EOY	231682674	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	282618583	BOY
EOY	282342788	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	36506458	BOY
EOY	38953298	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	3064298	BOY
EOY	3191976	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	17196811	BOY
EOY	19575374	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	623105290	BOY
EOY	671179321	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	76538064	BOY
EOY	116705273	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	27151	BOY
EOY	53758	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	192630000	BOY
EOY	185700000	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	4690042	BOY
EOY	3896839	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	12887111	BOY
EOY	17003960	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	286772368	BOY
EOY	323359830	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	336332922	BOY
EOY	347819491	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	336332922	BOY
EOY	347819491	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	623105290	BOY
EOY	671179321	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	40918663	ReconcilationRevenueExpenses
Reconcilation Other Changes	-29432094	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$145,358	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	145358	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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15317168	OtherCostOrOtherBasis
Book Value	15317168	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	233998983	OtherCostOrOtherBasis
Depreciation	106696843	Depreciation
Book Value	127302140	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	24170163	OtherCostOrOtherBasis
Depreciation	13953010	Depreciation
Book Value	10217153	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	169747104	OtherCostOrOtherBasis
Depreciation	122831384	Depreciation
Book Value	46915720	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	70774828	OtherCostOrOtherBasis
Depreciation	38844335	Depreciation
Book Value	31930493	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	231682674	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN LLC'S	4970440	C
PRIVATE INVESTMENT FUNDS	33982858	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	38953298	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
DERIVATIVE INSTRUMENTS	$16,032,250
MINORITY INTEREST	$971,710

Field	Value	IRS element (for citing)
Total Of Amounts	17038200	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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	33982858	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Amount Spent	33982858	SubtotalAmountSpent
Total Amount Spent	33982858	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	false	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14445419	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	14445419	NetCommunityBenefitExpense
Percent Of Total Expense	0.02740	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	85837550	TotalCommunityBenefitExpense
Direct Offsetting Revenue	72734564	DirectOffsettingRevenue
Net Community Benefit Expense	13102986	NetCommunityBenefitExpense
Percent Of Total Expense	0.02490	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	100282969	TotalCommunityBenefitExpense
Direct Offsetting Revenue	72734564	DirectOffsettingRevenue
Net Community Benefit Expense	27548405	NetCommunityBenefitExpense
Percent Of Total Expense	0.05230	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7377477	TotalCommunityBenefitExpense
Net Community Benefit Expense	7377477	NetCommunityBenefitExpense
Percent Of Total Expense	0.01400	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1190483	TotalCommunityBenefitExpense
Net Community Benefit Expense	1190483	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1068065	TotalCommunityBenefitExpense
Direct Offsetting Revenue	249524	DirectOffsettingRevenue
Net Community Benefit Expense	818541	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	402531	TotalCommunityBenefitExpense
Net Community Benefit Expense	365463	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2225116	TotalCommunityBenefitExpense
Net Community Benefit Expense	2225116	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12263672	TotalCommunityBenefitExpense
Direct Offsetting Revenue	249524	DirectOffsettingRevenue
Net Community Benefit Expense	11977080	NetCommunityBenefitExpense
Percent Of Total Expense	0.02220	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	112546641	TotalCommunityBenefitExpense
Direct Offsetting Revenue	72984088	DirectOffsettingRevenue
Net Community Benefit Expense	39525485	NetCommunityBenefitExpense
Percent Of Total Expense	0.07450	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	250981	TotalCommunityBuildingExpense
Net Community Building Expense	250981	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	528191	TotalCommunityBuildingExpense
Net Community Building Expense	528191	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	466669	TotalCommunityBuildingExpense
Net Community Building Expense	466669	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	734071	TotalCommunityBuildingExpense
Net Community Building Expense	734071	NetCommunityBuildingExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	349175	TotalCommunityBuildingExpense
Net Community Building Expense	349175	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	766571	TotalCommunityBuildingExpense
Net Community Building Expense	766571	NetCommunityBuildingExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	16715	TotalCommunityBuildingExpense
Net Community Building Expense	16715	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	3112373	TotalCommunityBuildingExpense
Net Community Building Expense	3112373	NetCommunityBuildingExpense
Percent Of Total Expense	0.00600	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$20,073,665	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	155227738	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	179877934	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-24650196	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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	SEE PART VI	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
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
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
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	34	NumberOfOtherFacilities

Other Facilities OtherFacilities (34 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
HEARTLAND CLINIC
1236 N JESSE JAMES RD	EXCELSIOR SPRINGS	MO	64024	FAMILY PRACTICE
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
HEARTLANC CLINIC
2812 ST JOSEPH AVENUE	ST JOSEPH	MO	64505	SPECIALTY CLINIC
HEARTLAND SPORTS ACCELERATION
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
HANDS OF HOPE HOSPICE
307 PINEVIEW ST	STANBERRY	MO	64489	HOSPICE SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 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 $42,112,706 SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE.
SCHEDULE H, PART I, LINE 7G	PHYSICIAN CLINIC COST $1,068,065
COMMUNITY BUILDING ACTIVITIES	FUNDING BY THE ORGANIZATION MAKES THE FOLLOWING COUNCILS AND PROGRAMS POSSIBLE: HEALTHY COMMUNITIES INVESTOR COUNCIL; P-20 BUSINESS AND EDUCATION COUNCIL; THE EMPOWER PLANT; THE REGIONAL TECHNOLOGY INFRASTRUCTURE TEAM; POUND PLUNGE, YOUTH HEALTH PARTNERSHIP, SENIOR HEALTH, PROJECT FIT, WOMEN'S WELLNESS INITIATIVE, HEART WALK, DIABETES EXPO, PROJECT YOUTH!, 4TH GRADE CHALLENGE, PATEE DENTAL CLINIC, HEALTH EXPRESS, CORPORATE CHALLENGE, HEALTH RISK ASSESSMENTS FOR LOCAL BUSINESSES, WELLNESS AMBASSADORS; ENVIRONMENTAL ASSESSMENTS; INCREASED AWARENESS OF THE NEED FOR PHILANTHROPIC EFFORTS AND VOLUNTEERISM TO SUPPORT PROGRAMS SUCH AS SUCCESS BY SIX, SOCIAL WELFARE BOARD, INTERFAITH COMMUNITY SERVICES, NATURE CENTER, NURSING SCHOLARSHIP PROGRAMS, SUPPORT OF AMERICAN RED CROSS PROGRAMS, SUPPORT OF LOCAL ARTS AND CULTURAL ACTIVITIES.	SCHEDULE H, PART II
BAD DEBT EXPENSE	PATIENT ACCOUNTS RECEIVABLE: 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 CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 80% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2011, TO 91% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2012. IN ADDITION, THE MEDICAL CENTER'S WRITE-OFFS INCREASED APPROXIMATELY $6,300,000 FROM APPROXIMATELY $61,700,000 FOR THE YEAR ENDED JUNE 30, 2011, TO APPROXIMATELY $68,000,000 FOR THE YEAR ENDED JUNE 30, 2012. BOTH INCREASES WERE THE RESULT OF NEGATIVE TRENDS EXPERIENCED IN THE COLLECTION OF AMOUNTS FROM SELF-PAY PATIENTS IN FISCAL YEAR 2012. COST TO PROVIDE BAD DEBT CARE IS BASED UPON THE SCHEDULE H COST TO CHARGE CALCULATION OF 47.63%. SERVICES WERE PROVIDED IN GOOD FAITH BY THE ORGANIZATION. THOSE WHO CHOOSE NOT TO PAY, WHO ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE, CAUSE A DECREASE IN ASSETS OF THE ORGANIZATION, WHICH DECREASES THE ORGANIZATION'S ABILITY TO OFFER COMPENSATION THAT ATTRACTS HIGHLY-TRAINED STAFF OR DECREASES THE ORGANIZATION'S ABILITY TO INVEST IN MEDICAL TECHNOLOGY. THOSE COSTS ARE A NECESSITY IF THE ORGANIZATION IS TO SURVIVE. THOSE WHO CHOOSE NOT TO PAY PUSH THE BURDEN TO THOSE WHO WILL PAY. IN THE END, IT IS THE COMMUNITY THAT PAYS FOR THOSE WHO WILL NOT PAY.	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
MANAGEMENT COMPANIES & JOINT VENTURES	1. (A) MERCURY SURGERY CENTER (B) INVESTMENT IN SURGERY CENTER (C) 15% (D) 0% (E) 85% 2. (A) ST. JOSEPH BUSINESS PARK LENDERS, LLC (B) DEVELOPMENT (C) 26% (D) 0% (E) 0% 3. (A) PREMIER PURCHASING PARTNERS, LP (B) GROUP BUYING POWER (C) .34% (D) 0% (E) 0% 4. (A) HEARTLAND HEALTH BUSINESS PLAZA, LLC (B) BUILDING LEASE (C) 21% (D) 0% (E) 79% 5. (A) BRIARCLIFF TUILERIES, LLC (B) BUILDING LEASE (C) 58.7% (D) 0% (E) 0%	SCHEDULE H, PART IV
CHARGES FOR MEDICAL CARE	IF AN INDIVIDUAL MEETS THE GUIDELINES FOR 100% WRITEOFF, THEN THEY ARE NOT CHARGED ANY AMOUNT. IF THEY ARE ELIGIBLE FOR A 50% WRITEOFF, THEN THEY ARE ONLY CHARGED FOR 50% OF THE CHARGES, WHICH IS LOWER THAN THE AVERAGE OF THE 3 LOWEST NEGOTIATED COMMERICAL INSURANCE RATES.	SCHEDULE H, PART V, LINE 19
NEEDS ASSESSMENT	ASSESSMENTS WERE CONDUCTED THROUGH SURVEYS OF INDIVIDUALS AND GROUPS. ADDITIONAL INFORMATION WAS PROVIDED THROUGH COMMUNITY GROUPS AND GOVERNMENT AGENCIES IN THE VICINITY. A COLLABORATIVE THINK TANK OF LOCAL EDUCATION HEADS, STATE, COUNTY AND CITY GOVERNMENT LEADERS, LOCAL BUSINESS LEADERS AND AFFILIATED HOSPITAL AND FOUNDATION LEADERSHIP HAVE TARGETED SEVERAL CRITICAL AREAS: PREPARING TODAY'S STUDENTS TO BE TOMORROW'S WORKFORCE; OBESITY IN BOTH CHILDREN AND ADULTS; ENVIRONMENTAL PROTECTION; BUILDING PHILANTHROPY AND VOLUNTEERISM; REINFORCING THE MORAL OBLIGATION THAT COMPANIES AND INDIVIDUALS HAVE TO IMPROVE THEIR COMMUNITY.	SCHEDULE H, PART VI, LINE 1
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 2
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 IS MADE UP OF AGRICULTURAL, SMALL MANUFACTURING AND SELF-EMPLOYED BUSINESSES, PRIMARILY BLUE COLLAR WORKERS. THE ORGANIZATION SUPPORTS A PAYOR MIX OF 49% MEDICARE, 14% MEDICAID, 31% COMMERCIAL AND 6% SELF PAY. 17.8% OF RESIDENTS LIVE BELOW THE NATIONAL POVERTY LEVEL AND 14.8% ARE UNINSURED. 27.9% ARE SMOKERS, 10% HAVE DIABETES AND 23.6% HAVE A BODY MASS INDEX GREATER THAN 30. ONLY 21% OF THE RESIDENTS HAVE A COLLEGE DEGREE AND NEARLY 61% OF STUDENTS RECEIVE FREE OR REDUCED-COST LUNCH.	SCHEDULE H, PART VI, LINE 3
PROMOTION OF COMMUNITY HEALTH	THE ORGANIZATION RECOGNIZES THAT THE MAJOR HEALTH PROBLEMS OF OUR COMMUNITY ARE BASED IN HUMAN BEHAVIORS, WHICH IN TURN HAVE THEIR ROOT IN BASIC HUMAN CONDITIONS. OUR EFFORTS ADDRESS ALL LEVELS OF WHAT WE CALL THE HEALTH PYRAMID, THE ACTUAL PHYSICAL CONDITIONS FORMING ONLY THE TIP. WE HAVE PROGRAMS IN PLACE TO ADDRESS A WIDE VARIETY OF HUMAN BEHAVIORS THAT INFLUENCE HEALTH. COMMUNITY OUTREACH HEALTH IMPROVEMENT INITIATIVES HELP THOSE IN OUR COMMUNITY CHANGE THE HUMAN BEHAVIORS THAT PUT THEIR HEALTH AT RISK. TO REACH THE ROOT CAUSES, OUR AFFILIATED FOUNDATION ASSUMES A ROLE TO ADDRESS THE HUMAN CONDITIONS THAT AFFECT HEALTH. FUNDING BY THE ORGANIZATION MAKES THE FOLLOWING COUNCILS AND PROGRAMS POSSIBLE: HEALTHY COMMUNITIES INVESTOR COUNCIL P-20 BUSINESS AND EDUCATION COUNCIL; THE EMPOWER PLANT; THE REGIONAL TECHNOLOGY INFRASTRUCTURE TEAM; POUND PLUNGE, YOUTH HEALTH PARTNERSHIP, SENIOR HEALTH, PROJECT FIT, WOMEN'S WELLNESS INITIATIVE, HEART WALK, DIABETES EXPO, PROJECT YOUTH!, 4TH GRADE CHALLENGE, PATEE DENTAL CLINIC, HEALTH EXPRESS, CORPORATE CHALLENGE, HEALTH RISK ASSESSMENTS FOR LOCAL BUSINESSES, WELLNESS AMBASSADORS; ENVIRONMENTAL ASSESSMENTS; INCREASED AWARENESS OF THE NEED FOR PHILANTHROPIC EFFORTS AND VOLUNTEERISM TO SUPPORT PROGRAMS SUCH AS SUCCESS BY SIX, SOCIAL WELFARE BOARD, INTERFAITH COMMUNITY SERVICES, NATURE CENTER, NURSING SCHOLARSHIP PROGRAMS, SUPPORT OF AMERICAN RED CROSS PROGRAMS, SUPPORT OF LOCAL ARTS AND CULTURAL ACTIVITIES.	SCHEDULE H, PART VI, LINE 4
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 FILLED WITH LEADERS FROM THE COMMUNITY 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 MEDICARE 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)	192375	SUPPORT
HEARTLAND FOUNDATION
5325 FARAON	ST JOSEPH	MO	64506	431262768	501(C)(3)	1778857	SUPPORT
ST JOSEPH MUSEUMS INC
PO BOX 8096	ST JOSEPH	MO	64508	436038202	501(C)(3)	6000	SUPPORT
CITY OF ST JOSEPH
1920 GRAND AVE	ST JOSEPH	MO	64505		GOVERNMENT	5540	SUPPORT
YWCA OF ST JOSEPH
304 N 8TH	ST JOSEPH	MO	64501	440552219	501(C)(3)	7750	SUPPORT
INTER-SERVE
1412 N 3RD	ST JOSEPH	MO	64505	753197631	501(C)(3)	17610	SUPPORT
MISSOURI WESTERN STATE
5425 DOWNS DRIVE	ST JOSEPH	MO	64507	237035423	GOVERNMENT	23700	SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	7	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	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)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
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)

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
581821	0	232000	0	20133	0	126434	0	18035	0	978423	0	0	0
DAVID CATHCART DO
256730	0	7500	0	3424	0	8009	0	6776	0	282439	0	0	0
JOHN OLSON MD
589188	0	193815	0	2376	0	9800	0	18939	0	814118	0	0	0
MAUREEN BOYLE MD
411417	0	23352	0	18444	0	9800	0	25535	0	488548	0	0	0
MICHAEL NELLESTEIN MD
716913	0	8333	0	18876	0	9800	0	23252	0	777174	0	0	0
ED KAMMERER MD
238580	0	119719	0	1674	0	9800	0	20035	0	389808	0	0	0
PADMAVATHI VELIGATI MD
406650	0	23352	0	18876	0	9800	0	0	0	458678	0	0	0
CURT KRETZINGER
424258	0	132900	0	37249	0	96263	0	8356	0	699026	0	0	0
JOHN P WILSON
399934	0	120101	0	20400	0	85027	0	946	0	626408	0	0	0
DOUGLAS BRANDT
203433	0	47154	0	23813	0	56140	0	18035	0	348575	0	0	0
JOE BOYCE MD
295178	0	73813	0	3025	0	56558	0	14584	0	443158	0	0	0
DIRCK CLARK
228305	0	50639	0	20193	0	42276	0	17939	0	359352	0	0	0
MICHAEL PULIDO
241071	0	60500	0	2734	0	54966	0	20235	0	379506	0	0	0
LYNN THUENTE
123308	0	10444	0	6017	0	5545	0	6876	0	152190	0	0	0
TAMA WAGNER
157729	0	34320	0	4663	0	46168	0	18589	0	261469	0	0	0
HELEN THOMPSON
86846	0		0	157712	0	9219	0	11106	0	264883	0	0	0
RUDY WACKER
592270	0	0	0	0	0	0	0	0	0	592270	0	0	0
ROBERT PERMUT MD
171567	0	0	0	0	0	0	0	0	0	171567	0	0	0
LISA MICHAELIS
278261	0	62456	0	30923	0	55104	0	12020	0	438764	0	0	0
SCOTT KOELLIKER
224043	0	47475	0	12496	0	60260	0	21035	0	365309	0	0	0
MOHAN HINDUPUR MD
949622	0	70253	0	21198	0	9800	0	15052	0	1065925	0	0	0
ROBERT GRANT MD
863649	0	70253	0	1944	0	9800	0	22939	0	968585	0	0	0
ARVIND SHARMA MD
812380	0	70253	0	18444	0	9800	0	21035	0	931912	0	0	0
FRANCISCO LAMMOGLIA MD
811349	0	69003	0	2376	0	9800	0	22439	0	914967	0	0	0
ALA ABABNEH MD
627631	0	168077	0	1944	0	7350	0	21881	0	826883	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
OTHER COMPENSATION	SCHEDULE J, PART I, LINE 1A	MARK LANEY, M.D., DIRCK CLARK, SCOTT KOELLIKER HAVE SOCIAL CLUB MEMBERSHIPS THAT ARE 100% BUSINESS. ANY FACILITY USAGE CHARGES ABOVE THE MEMBERSHIP FEES, PERTAINING TO PERSONAL USE, ARE PAID DIRECTLY TO THE CLUB BY THE EMPLOYEE, THEREFORE THE AMOUNTS WERE NOT INCLUDED IN THEIR W-2.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B	ACCRUED 6/30/2012 --------- CURT KRETZINGER 86,463 JOHN P. WILSON 75,227 DOUGLAS BRANDT 46,152 MARK LANEY, M.D. 116,634 DIRCK CLARK 32,467 MICHAEL PULIDO 44,242 LISA MICHAELIS 44,811 TAMA WAGNER 38,843 JOE BOYCE, M.D. 46,178 SCOTT KOELLIKER 49,656 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 (3 entries)

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
431203910	79075LAA5	2003-05-17	32225000	REFUND THE SERIES 2001(C) BONDS	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF ST JOE
431203910	79075la09	2011-09-30	25250000	SERIES 2011 FIXED RATE	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF ST JOE
431203910	79075LAB3	2009-02-13	70000000	SERIES 2009A VARIABLE RATE REV	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

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
32225000	260055	0	0	2003	true	false	true	true
25250000	216452	0	0	2012	true	false	true	true
70000000	1026303	49139726	19833971	2013	false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true
false	false	false	false	true
false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Form8038 T FiledForm8038TFiled
CITIGROUP INC
true	true	2.5	false	0	false	false
0
false	false		false	0	false	false	false
0
true	false		false	0	false	false	false

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference
B: (I) FINANCE THE COSTS OF THE CONSTRUCTION AND EQUIPPING OF CERTAIN	0
HEALTHCARE FACILITIES	0
(II)PAY CERTAIN COSTS OF THE ISSUANCE OF BONDS	0
(III)REFUND REVENUE BONDS	0

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) $ 98,182 (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) $ 31,544 (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) $ 104,814 (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) $ 89,644 (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) $ 30,679 (D) SALARY FOR REGISTERED NURSE SERVICES (E) NO (A) JAMUNA HINDUPUR (B) JAMUNA HINDUPUR IS A CLINICAL TECHNICIAN FOR HEARTLAND REGIONAL MEDICAL CENTER, AND IS THE WIFE OF MOHAN HINDUPUR, WHO IS A HIGHLY COMPENSATED EMPLOYEE OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 30,679 (D) SALARY FOR CLINICAL TECHNICIAN SERVICES (E) NO	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (23 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 63% GOVERNMENTAL, 31% COMMERCIAL AND 6% UNINSURED. THE HOSPITAL PROVIDES A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING CARDIO-THORACIC, VASCULAR, ORTHOPEDIC AND GENERAL SURGERIES, MENTAL HEALTH SERVICES, ALONG WITH A FULL ARRAY OF DIAGNOSTIC AND THERAPEUTIC SERVICES. IT OPERATES A 24-HOUR EMERGENCY ROOM DESIGNATED AS A TRAUMA II CENTER BY THE STATE OF MISSOURI. THE HOSPITAL'S OBSTETRICS DEPARTMENT PROVIDES 18 LABOR/DELIVERY/RECOVERY/POST-PARTUM BEDS WHICH ARE ALSO DESIGNATED AS A LEVEL II CENTER. THE HOSPITAL PROVIDES RADIATION ONCOLOGY SERVICES, HOME HEALTH VISITS AND HOSPICE CARE. DURING THE YEAR, 17,718 PATIENTS WERE ADMITTED TO THE HOSPITAL RESULTING IN 76,207 PATIENT DAYS. A TOTAL OF 10,800 SURGERIES WERE PERFORMED, THE EMERGENCY ROOM SERVED 58,047 PATIENTS AND 233,254 VISITS WERE GENERATED BY OUTPATIENTS. THE HOSPITAL EMPLOYS 4,232 PEOPLE AND HAS A TOTAL OF 239 ACTIVE AND ASSOCIATE MEDICAL STAFF. THE EMPLOYED MEDICAL STAFF INCLUDES 213 PHYSICIANS, 2 DENTISTS, 1 CHIROPRACTOR AND 88 NURSE PRACTITIONERS/PHYSICIAN EXTENDERS COVERING 42 FAMILY MEDICINE AND SPECIALTY CLINICS IN ADDITION TO NUMEROUS SATELLITE CLINICS THROUGHOUT THE REGION RESULTING IN APPROXIMATELY 600,850 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, KAREN DITTEMORE HAVE A BUSINESS RELATIONSHIP. THEY ARE EITHER OFFICERS AND/OR DIRECTORS OF LEWIS AND CLARK INFORMATION EXCHANGE, A RELATED NOT-FOR-PROFIT CORPORATION. KAREN BAKER, CAROL ROEVER, JOHN P. WILSON, CURT KRETZINGER, DOUGLAS BRANDT, KAREN DITTEMORE HAVE A BUSINESS RELATIONSHIP. THEY ARE EITHER OFFICERS AND/OR DIRECTORS OF REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY, A RELATED NOT-FOR-PROFIT CORPORATION. JOHN P. WILSON, CURT KRETZINGER, DIRCK CLARK, DOUGLAS BRANDT, KAREN DITTEMORE, 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., UPTOWN ST. JOSEPH REDEVELOPMENT CORPORATION WHICH ARE RELATED FOR PROFIT CORPORATIONS.
CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PART VI, SECTION A, LINE 4	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. IN ADDITION TO EXISTING POWERS, THE BOARD OF DIRECTORS SHALL HAVE THE FOLLOWING POWERS AND AUTHORITY RELATED TO THE OVERSIGHT AND OPERATION OF THE ACO: RECEIVING AND DISTRIBUTING SHARED SAVINGS; REPAYING SHARED LOSSES, IF APPLICABLE; ESTABLISHING, REPORTING, AND ENSURING ACO PARTICIPANT AND ACO PROVIDERS/SUPPLIERS COMPLIANCE WITH ACO PROGRAM REQUIREMENTS, INCLUDING THE QUALITY PERFORMANCE STANDARDS; FULFILLING ANY OTHER ACO FUNCTIONS AS REQUIRED UNDER APPLICABLE ACO REGULATIONS, STATUTES, OR CONTRACT TERMS; OVERSIGHT AND STRATEGIC DIRECTION OF THE ACO; HOLDING ACO MANAGEMENT (HOSPITAL PRESIDENT AND OTHER OFFICERS) ACCOUNTABLE FOR THE ACO'S ACTIVITIES. THE CHIEF EXECUTIVE OFFICER OF THE HOSPITAL SHALL BE A DIRECTOR BY VIRTUE OF HIS OFFICE. THE REMAINDER OF THE BOARD OF DIRECTORS SHALL BE A SELF-PERPETUATING BOARD, AND ANY VACANCIES OCCURIING THERIN MAY BE FILLED AT ANY REGULAR OR SPECIAL MEETING OF THE BOARD OF DIRECTORS BY AN AFFIRMATIVE VOTE OF A MAJORITY OF THE REMAINING DIRECTORS. WITH THE EXCEPTION OF DIRECTORS WHO ARE DIRECTORS BY VIRTUE OF THEIR OFFICE, A DIRECTOR MAY BE REMOVED, WITH OR WITHOUT CAUSE, BY A VOTE OF TWO-THIRDS OF THE ENTIRE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS SHALL FILL ANY VACANCY IN THE BOARD OF DIRECTORS. DIRECTORS MAY PARTICIPATE IN A REGULAR OR SPECIAL MEETING OF THE BOARD OF DIRECTORS BY ANY MEANS OF COMMUNICATION BY WHICH DIRECTORS PARTICIPATING MAY SIMULTANEOUSLY HEAR EACH OTHER DURING THE MEETING, OR BY ANY OTHER MEANS RECOGNIZED UNDER MISSOURI LAW. A DIRECTOR PARTICIPATING IN A MEETING BY THIS MEANS IS DEEMED TO BE PRESENT IN PERSON AT THE MEETING. THE CHAIRMAN OF THE BOARD OF DIRECTORS AND THE PRESIDENT SHALL SERVE AS MEMBERS OF THE EXECUTIVE COMMITTEE BY VIRTUE OF THEIR OFFICES. THE REMAINING MEMBERS OF THE EXECUTIVE COMMITTE SHALL BE ELECTED BY A MAJORITY VOTE OF THE BOARD OF DIRECTORS. AN ADDED DUTY OF THE FINANCE COMMITTEE IS TO REVIEW AND MAKE RECOMMENDATIONS ON THE RECEIPT AND DISTRIBUTION OF ANY ACO SHARED SAVINGS AND THE REPAYMENT OF ANY ACO SHARED LOSSES. AN ADDED DUTY OF THE SERVICE/QUALITY COMMITTEE IS TO REVIEW AND MAKE RECOMMENDATIONS REGARDING THE ACO'S QUALITY ASSURANCE AND IMPROVEMENT PROGRAM. COMMITTEE MEMBERS MAY PARTICIPATE IN A COMMITTEE MEETING BY ANY MEANS OF COMMUNICATION BY WHICH ALL MEMBERS PARTICIPATING MAY SIMULTANEOUSLY HEAR EACH OTHER DURING THE MEETING, OR BY ANY OTHER MEANS RECOGNIZED UNDER MISSOURI LAW. A COMMITTEE MEMBER PARTICIPATING IN A MEETING BY THIS MEANS IS DEEMED TO BE PRESENT IN PERSON AT THE MEETING. THE OFFICERS OF THE CORPORATION SHALL BE THE PRESIDENT (CHIEF EXECUTIVE OFFICER), A CHIEF OPERATING OFFICER, A SECRETARY AND A CHIEF FINANCIAL OFFICER (TREASURER), AND SUCH OTHER OFFICERS AND ASSISTANT OFFICERS AS MAY BE DEEMED NECESSARY BY THE BOARD OF DIRECTORS OR THE PRESIDENT. THE PRESIDENT, SECRETARY AND CHIEF FINANCIAL OFFICER SHALL BE ELECTED BY THE BOARD OF DIRECTORS AND SHALL HOLD OFFICE FOR A TERM OF ONE YEAR, OR UNTIL HIS SUCCESSOR IS DULY ELECTED AND QUALIFIED, UNLESS SOONER REMOVED BY THE BOARD OF DIRECTORS. THE CHIEF OPERATING OFFICER AND OTHER OFFICERS SHALL BE SELECTED BY THE PRESIDENT AND SHALL HOLD OFFICE UNTIL REMOVED BY THE PRESIDENT OR THE BOARD OF DIRECTORS. ANY OFFICER MAY BE REMOVED OR DISCHARGED BY THE BOARD OF DIRECTORS. VACANCIES IN THE OFFICE OF PRESIDENT, SECRETARY AND CHIEF FINANCIAL OFFICER SHALL BE FILLED BY THE BOARD OF DIRECTORS. THE PRESIDENT SHALL BE THE CHIEF EXECUTIVE OFFICER OF THE HOSPITAL AND SHALL HAVE THE AUTHORITY TO DIRECT AND ADMINISTER ALL THE ACTIVITIES AND DEPARTMENTS OF THE HOSPITAL, SUBJECT TO SUCH POLICIES AS MAY BE ADOPTED BY THE BOARD OF DIRECTORS, OR ANY COMMITTEES TO WHICH THE BOARD OF DIRECTORS HAS DELEGATED POWER FOR SUCH ACTION. IN ADDITION TO OTHER DUTIES, THE PRESIDENT SHALL BE RESPONSIBLE FOR THE IMPLEMENTATION OF ALL POLICIES ESTABLISHED BY THE BOARD OF DIRECTORS. ADDITIONALLY, THE PRESIDENT SHALL MANAGE THE OPERATIONS OF THE ACO. THE MEDICAL STAFF SHALL DEVELOP AND ADOPT THE MEDICAL STAFF BYLAWS AND STANDARDS, WHICH SHALL BECOME EFFECTIVE WHEN APPROVED BY THE BOARD OF DIRECTORS. NEITHER THE BOARD OF DIRECTORS NOR THE MEDCAL STAFF MAY UNILATERALLY AMEND THE MEDICAL STAFF BYLAWS OR STANDARDS, EXCEPT AS SET FORTH BELOW. THE BOARD OF DIRECTORS SHALL MAINTAIN COMPLETE AND ULTIMATE RESPONSIBILITY AND AUTHORITY OVER THE HOSPITAL AND THE MEDICAL STAFF. ACCORDINGLY, IF AN AMENDMENT TO THE MEDICAL STAFF BYLAWS OR STANDARDS IS URGENTLY NEEDED IN ORDER TO ADDRESS AN ISSUE OF QUALITY, PATIENT SAFETY, LIABILITY, REGULATORY COMPLIANCE, LEGAL COMPLIANCE, OR OTHER CRITICAL OBLIGATIONS OF THE HOSPITAL, AND THE MEDICAL STAFF AND THE MEDICAL STAFF EXECUTIVE COMMITTEE ARE INCAPABLE OF, OR REFUSE TO MAKE THE NECESSARY AMENDMENT TO THE MEDICAL STAFF BYLAWS OR STANDARDS, THE BOARD OF DIRECTORS MAY EXERCISE ITS AUTHORITY TO UNILATERALLY AMEND THE MEDICAL STAFF BYLAWS OR STANDARDS AS NECESSARY. IN SUCH A SITUATION, THE BOARD OF DIRECTORS' AMENDMENT SHALL BE FINAL, AND ALL VOTING MEMBERS OF THE MEDICAL STAFF SHALL BE NOTIFIED OF THE AMENDMENT WITHIN TEN (10) DAYS OF THE AMENDMENT BECOMING FINAL. ALL ASPECTS OF MEMBERSHIP STATUS AND SPECIFIC CLINICAL PRIVILEGES SHALL BE GRANTED OR WITHHELD TO A PRACTITIONER ON THE BASIS OF CRITERA RELATED TO GOOD PATIENT CARE AT THE HOSPITAL, TO PROFESSIONAL ABILITY AND JUDGMENT, OR TO COMMUNITY OR HOSPITAL NEEDS, AND NOT ON THE BASIS OF SEX, RACE, AGE, SEXUAL ORIENTATION, HANDICAP OR DISABLED, CREED, COLOR, NATIONAL ORIGIN, RELIGION, ANCESTRY, GENETIC HISTORY, MARITAL STATUS OR MILITARY/VETERAN STATUS. IN THE EVENT OF A CONFLICT BETWEEN THE MEDICAL STAFF EXECUTIVE COMMITTEE AND THE MEDICAL STAFF, A PROCESS IS OUTLINED IN THE BYLAWS FOR CONFLICT MANAGEMENT. THE BOARD OF DIRECTORS SHALL, AFTER CONSIDERING THE RECOMMENDATIONS OF THE MEDICAL STAFF, THE HEARTLAND CLINIC AND OTHER INDEPENDENT HEALTH PRACTITIONERS PROVIDING PATIENT CARE SERVICES, SPECIFY REVIEW AND EVALUATION ACTIVITIES TO ASSESS, PRESERVE AND IMPROVE THE OVERALL QUALITY AND EFFICIENCY OF PATIENT CARE. ACKNOWLEDGING ITS RESPONSIBILTY FOR CARE WHICH IS TO BE PROVIDED TO PATIENTS, THE BOARD OF DIRECTORS SHALL REQUIRE THAT THE MEDICAL STAFF, THE HEARTLAND CLINIC AND OTHER HEALTH CARE PROFESSIONALS PROVIDING PATIENT CARE SERVICES CONDUCT ACTIVITIES THAT CONTRIBUTE TO THE PRESERVATION AND IMPROVEMENT OF THE QUALITY AND EFFICIENCY OF PATIENT CARE. ADDITIONALLY INCLUDED IS ON-GOING MONITORING AND EVALUATION OF PATIENT CARE PRACTICE THROUGH DEFINED FUNCTIONS OF THE MEDICAL STAFF, THE HEARTLAND CLINIC, OTHER PROFESSIONAL SERVICES AND THE HOSPITAL ADMINISTRATION; MANAGMENT OF CLINICAL AFFAIRS, INCLUDING ENFORCEMENT OF MEDICAL STAFF STANDARDS AND CLINICAL POLICIES AND CONSULTATION REQUIREMENTS, INITIATION OF DISCILPLINARY ACTIONS, SURVEILLANCE OVER REQUIREMENTS FOR MONITORING THE EXERCISE OF CLINICAL PRIVILEGES; SUCH OTHER MEASURES AS THE BOARD OF DIRECTORS MAY, AFTER RECEIVING AND CONSIDERING THE ADVICE OF THE MEDICAL STAFF, THE OTHER PROFESSIONAL SERVICE, THE HEARTLAND CLINIC AND/OR THE HOSPITAL ADMINISTRATION, DEEM NECESSARY FOR THE PRESERVATION AND IMPROVEMENT OF THE QUALITY AND EFFICIENCY OF PATIENT CARE. THE BOARD OF DIRECTORS SHALL, UPON RECOMMENDATION OF THE SERVICE/QUALITY COMMITTEE, ADOPT AND IMPLEMENT A QUALITY ASSURANCE AND IMPROVEMENT PROGRAM FOR THE THE ACO. SUCH PROGRAM SHALL PROMOTE EVIDENCE-BASED MEDICINE AND PROMOTE PATIENT ENGAGEMENT, INCLUDING COMPLIANCE WITH PATIENT EXPERIENCE OF CARE SURVEY REQUIREMENTS, COMPLIANCE WITH BENEFICIARY REPRESENTATIVE REQUIREMENTS, PROCESS FOR EVALUATING THE HEALTH NEEDS OF ACO'S POPULATION, COMMUNICAITON OF CLINICAL KNOWLEDGE/EVIDENCE-BASED MEDICINE TO BENEFICIARIES IN A WAY THAT IS UNDERSTANDABLE TO THEM, BENEFICIARY ENGAGEMENT AND SHARED DECISION-MAKING THAT TAKES INTO ACCOUNT THE BENEFICIARIES' UNIQUE NEEDS, PREFEREENCES, VALUES, AND PRIORITIES, WRITTEN STANDARDS IN PLACE FOR BENEFICIARY ACCESS AND COMMUNICATION, AND A PROCESS IN PLACE FOR BENEFICIARIES TO ACCESS THEIR MEDICAL RECORD. THE REFERENCE TO VOLUNTEERS IS NOW TERMED AS VOLUNTEER AMBASSADORS. THE BYLAWS MAY BE AMENDED, ALTERED, ABRIDGED, ADDED TO OR REPEALED AT ANY MEETING OF THE BOARD OF DIRECTORS BY AN AFFIRMATIVE VOTE OF TWO-THIRDS OF THE ENTIRE BOARD OF DIRECTORS.
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 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 2011 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 5	UNREALIZED GAINS(LOSSES) ON INVESTMENTS $ (1,324,588) NET ASSET TRANSFER $ (1,520,000) CHANGE IN FAIR VALUE $ (5,014,930) CHANGES IN MIN PENS. LIAB. $(21,572,578) ------------- $(29,432,096)
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARK LANEY, MD TITLE:DIRECTOR, OFFICER HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID CATHCART, DO TITLE:DIRECTOR, STAFF PHYSICIAN HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN OLSON, MD TITLE:DIRECTOR, STAFF PHYSICIAN HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DENNIS DOBYAN, MD TITLE:DIRECTOR HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CURT KRETZINGER TITLE:OFFICER HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN P WILSON TITLE:OFFICER HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DOUGLAS BRANDT TITLE:OFFICER, CONTROLLER HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KAREN DITTEMORE TITLE:OFFICER, ADMIN ASST HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOE BOYCE, MD TITLE:OFFICER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DIRCK CLARK TITLE:OFFICER HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LISA MICHAELIS TITLE:MEDICAL CENTER ADMINISTRATOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SCOTT KOELLIKER TITLE:HEARTLAND CLINIC ADMINISTRATOR HOURS:1

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
Total Income	0	TotalIncome
EOY Assets	4000	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (5 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

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	BRIARCLIFF TUILERIES OFFICE LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6300 N REVERE SUITE 225	AddressLine1
City	KANSAS CITY	City
State	MO	State
ZIP Code	64151	ZIPCode

Field	Value	IRS element (for citing)
EIN	453338381	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	RENTAL INCOME	PredominantIncomeType
Share Of Total Income	-25091	ShareOfTotalIncome
Share Of EOY Assets	794254	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.58727	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
MIDWESTERN HEALTH MANAGEMENT INC
5325 FARAON	ST JOSEPH	MO	64506	431264358	HEALTHCARE	MO	HH	C CORP	0	0	0.00000
COMMUNITY HEALTH PLAN INC
5325 FARAON	ST JOSEPH	MO	64506	431690582	INSURANCE	MO	HH	C CORP	0	0	0.00000
COMMUNITY HEALTH PLAN INSURANCE COMPANY
5325 FARAON	ST JOSEPH	MO	64506	431210152	INSURANCE	MO	HH	C CORP	0	0	0.00000
HHS PROPERTIES INC
5325 FARAON	ST JOSEPH	MO	64506	431593799	INVESTMENT	MO	HH	C CORP	0	0	0.00000
UPTOWN HOUSING INC
5325 FARAON	ST JOSEPH	MO	64506	261416252	REDEVELOPMENT	MO	HH	C CORP	0	0	0.00000
UPTOWN ST JOSEPH REDEVELOPMENT CORP
5325 FARAON	ST JOSEPH	MO	64506	201742813	REDEVELOPMENT	MO	HH	C CORP	0	0	0.00000
HEALTH CARE BENEFIT TRUST
5325 FARAON	ST JOSEPH	MO	64506	431286484	HEALTH CARE	MO	HH	TRUST	0	0	0.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	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	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	true	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	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	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (26 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
COMMUNITY HEALTH PLAN INSURANCE COMPANY
P	112666	FMV
COMMUNITY HEALTH PLAN
P	403787	FMV
MIDWESTERN HEALTH MANAGEMENT INC
B	700000	FMV
MIDWESTERN HEALTH MANAGEMENT INC
E	117979	FMV
MIDWESTERN HEALTH MANAGEMENT INC
I	237470	FMV
MIDWESTERN HEALTH MANAGEMENT INC
K	1281789	FMV
MIDWESTERN HEALTH MANAGEMENT INC
L	906433	FMV
MIDWESTERN HEALTH MANAGEMENT INC
P	11914774	FMV
HHS PROPERTIES INC
B	300000	FMV
HHS PROPERTIES INC
J	176197	FMV
LEWIS AND CLARK INFORMATION EXCHANGE
D	604085	FMV
LEWIS AND CLARK INFORMATION EXCHANGE
K	87557	FMV
LEWIS AND CLARK INFORMATION EXCHANGE
P	737924	FMV
NORTHLAND EXPANSION LLC
D	1420555	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
D	3934597	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
F	839405	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
K	805722	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
L	100139	FMV
REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
P	3639147	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
D	8860365	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
I	520000	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
K	4129353	FMV
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
P	6458337	FMV
HEARTLAND FOUNDATION
D	68751	FMV
HEARTLAND FOUNDATION
P	1267124	FMV
HEARTLAND FOUNDATION
B	1778857	FMV