HEARTLAND REGIONAL MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- HEARTLAND REGIONAL MEDICAL CENTER (EIN 44-0545289)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201221369349301947
- Schema version
- 2010v3.7
- 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 | 2012-05-15T09:23:53-04:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | 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 | 2010-07-01 | 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) |
|---|---|---|
| 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 |
| Phone | 8162716611 | Phone |
| Date Signed | 2012-05-15 | 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 | 2010 | 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 | 538985576 | 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 | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3917 | TotalNbrEmployees |
| Total Nbr Volunteers | 385 | TotalNbrVolunteers |
| Total Gross UBI | 131748 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -5398 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 424326 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 194597 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 467437540 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 497961978 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7699008 | InvestmentIncomePriorYear |
| Investment Income Current Year | 14660677 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 11371111 | OtherRevenuePriorYear |
| Other Revenue Current Year | 12470717 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 486931985 | TotalRevenuePriorYear |
| Total Revenue Current Year | 525287969 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4414466 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3399946 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 234241319 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 253054219 | 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 | 208720432 | OtherExpensePriorYear |
| Other Expenses Current Year | 223099240 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 447376217 | TotalExpensesPriorYear |
| Total Expenses Current Year | 479553405 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 39555768 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 45734564 | RevenuesLessExpensesCY |
| Total Assets BOY | 560744999 | TotalAssetsBOY |
| Total Assets EOY | 623105290 | TotalAssetsEOY |
| Total Liabilities BOY | 296638840 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 286772368 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 264106159 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 336332922 | 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 | 440529665 | Expense |
| Grants | 3399946 | Grants |
| Revenue | 510061547 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 440529665 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| 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 | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 230 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3917 | 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 | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | 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 (34 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 | |||||||||
| PRESIDENT,CEO | 55.0 | X | X | 717428 | 0 | 142690 | |||
| BRIAN BRADLEY | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| KAREN BAKER | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| DR DENNIS DOBYAN | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 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 | 437052 | 0 | 34595 | ||||
| MICHAEL NELLESTEIN MD | |||||||||
| DIRECTOR, STAFF PHYSICIAN | 60.0 | X | 726572 | 0 | 29363 | ||||
| JOHN P WILSON | |||||||||
| OFFICER | 50.0 | X | 483767 | 0 | 82278 | ||||
| CURT KRETZINGER | |||||||||
| OFFICER | 52.0 | X | 534676 | 0 | 101600 | ||||
| HELEN THOMPSON | |||||||||
| OFFICER | 59.0 | X | 305864 | 0 | 74011 | ||||
| DIRCK CLARK | |||||||||
| OFFICER | 58.0 | X | 288475 | 0 | 59033 | ||||
| DOUGLAS BRANDT | |||||||||
| OFFICER | 50.0 | X | 242551 | 0 | 73289 | ||||
| KAREN DITTEMORE | |||||||||
| OFFICER | 50.0 | X | 51189 | 0 | 17744 | ||||
| ROBERT PERMUT MD | |||||||||
| OFFICER | 60.0 | X | 348636 | 0 | 7350 | ||||
| MICHAEL PULIDO | |||||||||
| OFFICER | 60.0 | X | 260710 | 0 | 73578 | ||||
| TAMA WAGNER | |||||||||
| OFFICER | 60.0 | X | 126801 | 0 | 39550 | ||||
| LYNN THUENTE | |||||||||
| OFFICER | 60.0 | X | 105555 | 0 | 12726 | ||||
| JOE BOYCE MD | |||||||||
| OFFICER | 60.0 | X | 305598 | 0 | 73771 | ||||
| SCOTT KOELLIKER | |||||||||
| KEY EMPLOYEE | 60.0 | 239194 | 0 | 65707 | X | ||||
| LISA MICHAELIS | |||||||||
| KEY EMPLOYEE | 60.0 | 334389 | 0 | 65003 | X | ||||
| MOHAN HINDUPUR MD | |||||||||
| STAFF PHYSICIAN | 60.0 | 1113328 | 0 | 24384 | X | ||||
| ROBERT GRANT MD | |||||||||
| STAFF PHYSICIAN | 60.0 | 975793 | 0 | 34668 | X | ||||
| ARVIND SHARMA MD | |||||||||
| STAFF PHYSICIAN | 60.0 | 938238 | 0 | 31668 | X | ||||
| FRANCISCO LAMMOGLIA MD | |||||||||
| STAFF PHYSICIAN | 60.0 | 930386 | 0 | 29095 | X | ||||
| JANE SCHWABE MD | |||||||||
| STAFF PHYSICIAN | 60.0 | 841696 | 0 | 32436 | X | ||||
| LOWELL KRUSE | |||||||||
| FORMER OFFICER, DIRECTOR | 60.0 | 14587743 | 0 | 2579 | X | ||||
| PADMAVATHI VELIGATI MD | |||||||||
| FORMER DIRECTOR, STAFF PHYSICI | 60.0 | 431834 | 0 | 9800 | X | ||||
| EDWARD KAMMERER MD | |||||||||
| FORMER DIRECTOR, STAFF PHYSICI | 60.0 | 341282 | 0 | 27722 | X | ||||
| RUDY WACKER | |||||||||
| FORMER OFFICER | 60.0 | 471705 | 0 | 3592 | X | ||||
| BRUCE TRAHAN | |||||||||
| KEY EMPLOYEE | 60.0 | 209153 | 0 | 24107 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 26349615 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1172339 | 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 | 6700789 |
| LEHR CONSTRUCTION COMPANY INC | |
| CONSTRUCTION | 2046432 |
| IHP INDUSTRIAL INC | |
| CONSTRUCTION | 1364281 |
| E L CRAWFORD CONSTRUCTION | |
| CONSTRUCTION | 1262084 |
| LAWHON CONSTRUCTION CO | |
| CONSTRUCTION | 1178553 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 54 | NumberOfContractorsGT100K |
| Related Organizations | 11000 | RelatedOrganizations |
| Government Grants | 170185 | GovernmentGrants |
| All Other Contributions | 13412 | AllOtherContributions |
| Total Contributions | 194597 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 497961978 | TotalRevenueColumn |
| Related Or Exempt Function Income | 497961978 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 497961978 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6381285 | TotalRevenueColumn |
| Exclusion | $6,381,285 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 810842 | TotalRevenueColumn |
| Exclusion | $810,842 | 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 | 371148 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 371148 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 371148 | TotalRevenueColumn |
| Exclusion | $371,148 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 21136207 | Securities |
| Other | 29950 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 13660448 | Securities |
| Other | 37159 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7475759 | Securities |
| Other | -7209 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7468550 | TotalRevenueColumn |
| Exclusion | $7,468,550 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Cafeteria | 722210 | 2035188 | 2035188 | |
| Refferal Lab | 111000 | 1257373 | 1127605 | 129768 |
| Copying Revenue | 541380 | 243591 | 243591 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8563417 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8561437 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1980 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 12099569 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 525287969 | TotalRevenueColumn |
| Related Or Exempt Function Income | 509929799 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 131748 | UnrelatedBusinessRevenue |
| Exclusion | $15,031,825 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3399946 | Total |
| Program Services | 3399946 | 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 | 6819253 | Total |
| Program Services | 3134619 | ProgramServices |
| Management And General | 3684634 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 769507 | Total |
| Program Services | 769507 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200197049 | Total |
| Program Services | 189085362 | ProgramServices |
| Management And General | 11111687 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8627563 | Total |
| Program Services | 8461818 | ProgramServices |
| Management And General | 165745 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25201411 | Total |
| Program Services | 22880892 | ProgramServices |
| Management And General | 2320519 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11439436 | Total |
| Program Services | 10476737 | ProgramServices |
| Management And General | 962699 | 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 | 1281246 | Total |
| Program Services | 590524 | ProgramServices |
| Management And General | 690722 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 265906 | Total |
| Management And General | 265906 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77437 | Total |
| Management And General | 77437 | 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 | 579516 | Total |
| Management And General | 579516 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23969370 | Total |
| Program Services | 18190602 | ProgramServices |
| Management And General | 5778768 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2476707 | Total |
| Program Services | 2474712 | ProgramServices |
| Management And General | 1995 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75330417 | Total |
| Program Services | 72885091 | ProgramServices |
| Management And General | 2445326 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175335 | Total |
| Program Services | 172426 | ProgramServices |
| Management And General | 2909 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10322417 | Total |
| Program Services | 8581398 | ProgramServices |
| Management And General | 1741019 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 772988 | Total |
| Program Services | 750450 | ProgramServices |
| Management And General | 22538 | 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 | 2222756 | Total |
| Program Services | 1478651 | ProgramServices |
| Management And General | 744105 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4867782 | Total |
| Program Services | 4867782 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25046599 | Total |
| Program Services | 22723984 | ProgramServices |
| Management And General | 2322615 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 542359 | Total |
| Program Services | 542359 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | 13890307 | 9181965 | 4708343 |
| PROVISION FOR UNCOLLECTIBLE | 37812674 | 37806349 | 6325 |
| FRA TAX | 21342085 | 21342085 | |
| RECRUITMENT | 1006045 | 1006045 | |
| MEMBERSHIPS & DUES | 657081 | 329265 | 327816 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 460213 | Total |
| Program Services | 403141 | ProgramServices |
| Management And General | 57071 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 479553405 | Total |
| Program Services | 440529665 | ProgramServices |
| Management And General | 39023740 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4782752 | BOY |
| EOY | 11208512 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53876982 | BOY |
| EOY | 48844760 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 669374 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7432442 | BOY |
| EOY | 6916808 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5889719 | BOY |
| EOY | 6179267 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 466726118 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 256156325 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 205208466 | BOY |
| EOY | 210569793 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 245417935 | BOY |
| EOY | 282618583 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22817256 | BOY |
| EOY | 36506458 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3379445 | BOY |
| EOY | 3064298 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11270628 | BOY |
| EOY | 17196811 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 560744999 | BOY |
| EOY | 623105290 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79203417 | BOY |
| EOY | 76538064 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 27151 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 196500000 | BOY |
| EOY | 192630000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5511177 | BOY |
| EOY | 4690042 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15424246 | BOY |
| EOY | 12887111 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 296638840 | BOY |
| EOY | 286772368 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 264106159 | BOY |
| EOY | 336332922 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 264106159 | BOY |
| EOY | 336332922 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 560744999 | BOY |
| EOY | 623105290 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 45734564 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 26492199 | 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 | $115,717 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 115717 | 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 |
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 | 221258759 | OtherCostOrOtherBasis |
| Depreciation | 97651467 | Depreciation |
| Book Value | 123607292 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20952497 | OtherCostOrOtherBasis |
| Depreciation | 12497555 | Depreciation |
| Book Value | 8454942 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 156991132 | OtherCostOrOtherBasis |
| Depreciation | 110077887 | Depreciation |
| Book Value | 46913245 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 52206562 | OtherCostOrOtherBasis |
| Depreciation | 35929416 | Depreciation |
| Book Value | 16277146 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 210569793 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN LLC'S | 2931474 | C |
| PRIVATE INVESTMENT FUNDS | 33574984 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 36506458 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DERIVATIVE INSTRUMENTS | $10,869,776 |
| MINORITY INTEREST | $2,017,335 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12887111 | 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 | 33574984 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 33574984 | SubtotalAmountSpent |
| Total Amount Spent | 33574984 | TotalAmountSpent |
| Transfer To Foreign Corp | true | 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 | 13045892 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13045892 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02720 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 82223677 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 73219794 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9003883 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01880 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 95269569 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 73219794 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22049775 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04600 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7901809 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7901809 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01650 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1490522 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1490522 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 985717 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 394101 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 591616 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 339102 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 53220 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 285882 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3399946 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3399946 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00710 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14117096 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 447321 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13669775 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02850 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 109386665 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 73667115 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35719550 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07450 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 204506 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 204506 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1189516 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1189516 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 504035 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 504035 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 537109 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 537109 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 277383 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 277383 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 734051 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 734051 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 39706 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 39706 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3486306 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 3486306 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00720 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $15,726,602 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 162738603 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 169597502 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -6858899 | 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| SCHEDULE H, PART I, LINE 7G | PHYSICIAN CLINIC COST $ 985,717 | |
| SCHEDULE H, PART I, LINE 7, COLUMN F | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED FOR PURPOSE OF THE CALCULATING THE PERCENTAGE IS $ 37,812,674. | |
| SCHEDULE H, PART I, LINE 7 | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2. | |
| 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: THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. COST TO PROVIDE BAD DEBT CARE IS BASED UPON THE SCHEDULE H COST TO CHARGE CALCULATION OF 45.09%. 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 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 RECIPIENT'S 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% | SCHEDULE H, PART IV |
| NEEDS ASSESSMENT | ASSESSMENTS WERE CONDUCTED THROUGH SURVEYS OF INDIVIDUALS AND GROUPS. ADDITIONAL INFORMATION WAS PROVIDED THROUGH THE FOLLOWING INDEPENDENT PUBLISHED SURVEYS, REPORTS AND WEBSITES: UNNATURAL CAUSES, 2008; OVERCOMING OBSTACLES TO HEALTH, 2010; AN EXCELLENT EDUCATION FOR AMERICA'S CHILDREN; 2008 REPORT CARD ON THE ETHICS OF AMERICAN YOUTH; E3 CIVIC SURVEY(KANSAS STATE UNIVERSITY); HF YOUTH SURVEY; SEARCH INSTITUTE'S 40 DEVELOPMENTAL ASSETS NATIONAL ASSET PROFILE; PROJECT FIT AMERICA; CITY-DATA.COM; STJOEHEALTHINFO.ORG; SCORECARD/ASSESSMENT TOOL--SAFETY INSTITUTE OF PREMIER,INC; QUICKFACTS.COM; U.S. DEPT. OF LABOR; SAINTJOSEPH.COM; QUICKFACTS.ORG; BIS.GOV; INDEPENDENTSECTOR.COM; THE CONFERENCE BOARD, WAGNER 2008; THE AMERICA'S PROMISE ALLIANCE, 2008; ROBERT WOOD JOHNSON FOUNDATION, 2008; THE SURGEON GENERAL; THOMSON MEDSTAT (USA TODAY, 2006); ROLAND STURM: THE EFFECTS OF OBESITY, SMOKING AND DRINKING ON MEDICAL PROGRAMS AND COSTS (HEALTH AFFAIRS, MARCH/APRIL 2002); JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH, AND SAFETY INSTITUTE OF PREMIER, INC; GAO REPORT, 2007; 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 2 |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | AS PART OF THE PRE-REGISTRATION PROCESS, INSURANCE COVERAGE INFORMATION IS REQUESTED. IF CLIENT INDICATES INABILITY TO PAY THEN CLIENT IS SCREENED FOR MEDICAID ELIGIBILITY AND ASSISTED IN APPLICATION PROCESS. IF NO OTHER PAYMENT RESOURCES ARE AVAILABLE, THE CLIENT IS ADVISED OF THE FINANCIAL ASSISTANCE PROGRAM AND ENCOURAGED TO PROVIDE THE NECESSARY FINANCIAL DOCUMENTATION TO PROVE ELIGIBILITY. CLIENTS WHO WERE NOT SCREENED BY PRE-REGISTRATION AND THEREFORE MISSED THE SCREENING PROCESS, HAVE THE ABILITY TO LEARN OF THE MEDICAID ELIGIBILITY AND FINANCIAL ASSISTANCE SERVICES BY CONTACTING THE BILLING DEPARTMENT UPON RECEIPT OF AN ACCOUNT STATEMENT. FINANCIAL DOCUMENTATION IS STILL NECESSARY TO PROVE QUALIFICATION FOR THE FINANCIAL ASSISTANCE SERVICE. | SCHEDULE H, PART VI, LINE 3 |
| COMMUNITY INFORMATION | THE ORGANIZATION'S SERVICE AREA IS A 21 COUNTY URBAN/RURAL AREA LOCATED NEAR THE INTERSECTION OF A FOUR-STATE AREA. THE POPULATION IS ELDERLY AND UNDER-INSURED. THE LOCAL ECONOMY 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 4 |
| 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 5 |
| AFFILIATED HEALTH CARE SYSTEM | THE ORGANIZATION IS AFFILIATED, THROUGH A PARENT BOARD, WITH A FOUNDATION, AN ACUTE LONG TERM CARE HOSPITAL, A MEDICAL TRANSPORT PROVIDER, A COMMUNITY HEALTH IMPROVEMENT SOLUTIONS SERVICE AND A HEALTH INFORMATION EXCHANGE, ALL OF WHICH COLLABORATE WITH EDUCATIONAL, GOVERNMENTAL AND LOCAL BUSINESS LEADERS TO IMPLEMENT PROGRAMS THAT WILL HELP TO ALLEVIATE THOSE ISSUES WHICH LEAD TO POOR HEALTH HABITS AND THE ULTIMATE NEED FOR MEDICAL CARE. THE PARENT BOARD IS 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 6 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (4 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) | 106984 | SUPPORT |
| HEARTLAND FOUNDATION | |||||||
| 5325 FARAON | ST JOSEPH | MO | 64506 | 431262768 | 501(C)(3) | 3205944 | SUPPORT |
| MISSOURI WESTERN STATE UNIVERSITY FOUNDATION | |||||||
| 4525 DOWNS DRIVE | ST JOSEPH | MO | 64507 | 237035423 | 501(C)(3) | 22500 | SUPPORT |
| PONY EXPRESS MUSEUM INC | |||||||
| 914 PENN ST | ST JOSEPH | MO | 64503 | 431567246 | 501(C)(3) | 10000 | SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | 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 (24 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 | |||||||||||||
| 513816 | 0 | 200000 | 0 | 3612 | 0 | 125395 | 0 | 17295 | 0 | 860118 | 0 | 0 | 0 |
| MAUREEN BOYLE MD | |||||||||||||
| 401431 | 0 | 33947 | 0 | 1674 | 0 | 9800 | 0 | 24795 | 0 | 471647 | 0 | 0 | 0 |
| MICHAEL NELLESTEIN MD | |||||||||||||
| 715863 | 0 | 8333 | 0 | 2376 | 0 | 9800 | 0 | 19563 | 0 | 755935 | 0 | 0 | 0 |
| JOHN P WILSON | |||||||||||||
| 353173 | 0 | 110545 | 0 | 20049 | 0 | 81445 | 0 | 833 | 0 | 566045 | 0 | 0 | 0 |
| CURT KRETZINGER | |||||||||||||
| 386619 | 0 | 127741 | 0 | 20316 | 0 | 92145 | 0 | 9455 | 0 | 636276 | 0 | 0 | 0 |
| HELEN THOMPSON | |||||||||||||
| 229850 | 0 | 72469 | 0 | 3545 | 0 | 60918 | 0 | 13093 | 0 | 379875 | 0 | 0 | 0 |
| DIRCK CLARK | |||||||||||||
| 207688 | 0 | 69090 | 0 | 11697 | 0 | 39165 | 0 | 19868 | 0 | 347508 | 0 | 0 | 0 |
| DOUGLAS BRANDT | |||||||||||||
| 180679 | 0 | 56000 | 0 | 5872 | 0 | 54276 | 0 | 19013 | 0 | 315840 | 0 | 0 | 0 |
| ROBERT PERMUT MD | |||||||||||||
| 167133 | 0 | 0 | 0 | 181503 | 0 | 7350 | 0 | 0 | 0 | 355986 | 0 | 0 | 0 |
| MICHAEL PULIDO | |||||||||||||
| 197388 | 0 | 60633 | 0 | 2689 | 0 | 52110 | 0 | 21468 | 0 | 334288 | 0 | 0 | 0 |
| TAMA WAGNER | |||||||||||||
| 106832 | 0 | 14040 | 0 | 5929 | 0 | 23148 | 0 | 16402 | 0 | 166351 | 0 | 0 | 0 |
| JOE BOYCE MD | |||||||||||||
| 268235 | 0 | 35698 | 0 | 1665 | 0 | 53178 | 0 | 20593 | 0 | 379369 | 0 | 0 | 0 |
| SCOTT KOELLIKER | |||||||||||||
| 179611 | 0 | 49450 | 0 | 10133 | 0 | 46412 | 0 | 19295 | 0 | 304901 | 0 | 0 | 0 |
| LISA MICHAELIS | |||||||||||||
| 244460 | 0 | 75998 | 0 | 13931 | 0 | 51704 | 0 | 13299 | 0 | 399392 | 0 | 0 | 0 |
| MOHAN HINDUPUR MD | |||||||||||||
| 970544 | 0 | 138086 | 0 | 4698 | 0 | 9800 | 0 | 14584 | 0 | 1137712 | 0 | 0 | 0 |
| ROBERT GRANT MD | |||||||||||||
| 912434 | 0 | 61415 | 0 | 1944 | 0 | 9800 | 0 | 24868 | 0 | 1010461 | 0 | 0 | 0 |
| ARVIND SHARMA MD | |||||||||||||
| 799041 | 0 | 137253 | 0 | 1944 | 0 | 9800 | 0 | 21868 | 0 | 969906 | 0 | 0 | 0 |
| FRANCISCO LAMMOGLIA MD | |||||||||||||
| 789924 | 0 | 138086 | 0 | 2376 | 0 | 9800 | 0 | 19295 | 0 | 959481 | 0 | 0 | 0 |
| JANE SCHWABE MD | |||||||||||||
| 831419 | 0 | 8333 | 0 | 1944 | 0 | 9800 | 0 | 22636 | 0 | 874132 | 0 | 0 | 0 |
| LOWELL KRUSE | |||||||||||||
| 9187 | 0 | 0 | 0 | 14578556 | 0 | 2579 | 0 | 0 | 0 | 14590322 | 0 | 9142269 | 0 |
| RUDY WACKER | |||||||||||||
| 204309 | 0 | 0 | 0 | 267396 | 0 | 0 | 0 | 3592 | 0 | 475297 | 0 | 0 | 0 |
| PADMAVATHI VELIGATI MD | |||||||||||||
| 395943 | 0 | 33947 | 0 | 1944 | 0 | 9800 | 0 | 0 | 0 | 441634 | 0 | 0 | 0 |
| EDWARD KAMMERER MD | |||||||||||||
| 242402 | 0 | 97206 | 0 | 1674 | 0 | 9927 | 0 | 17795 | 0 | 369004 | 0 | 0 | 0 |
| BRUCE TRAHAN | |||||||||||||
| 49954 | 0 | 0 | 0 | 159199 | 0 | 6812 | 0 | 17295 | 0 | 233260 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 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. TAX GROSS UP PAYMENTS WERE PAID TO ROBERT PERMUT, M.D. AND RUDY WACKER. THESE AMOUNTS WERE INCLUDED IN THEIR W-2 AS TAXABLE COMPENSATION. |
| SEVERANCE PAYMENT | SCHEDULE J, PART I, LINE 4A | ROBERT PERMUT $ 104,615 BRUCE TRAHAN $ 157,498 |
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B | ACCRUED 6/30/2011 --------- CURT KRETZINGER 82,345 JOHN WILSON 71,645 DOUGLAS BRANDT 43,954 HELEN THOMPSON 52,815 MARK LANEY, M.D. 111,080 DIRCK CLARK 30,920 MICHAEL PULIDO 42,135 LISA MICHAELIS 42,677 JANE SCHWABE, M.D. 100,000 TAMA WAGNER 18,085 JOE BOYCE, M.D. 43,979 SCOTT KOLLIKER 37,571 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 LOWELL C. KRUSE, CURT KRETZINGER, JOHN P. WILSON, RUDY WACKER, DIRCK CLARK, HELEN THOMPSON, DR. MARK LANEY, DOUGLAS BRANDT, KAREN DITTEMORE, JOE BOYCE, MD, AND MICHAEL PULIDO 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. |
| COMPENSATION REPORTED IN PRIOR FORM 990 | SCHEDULE J, PART II, COLUMN F | COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FOREFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL. IN THE EVENT OF RETIREMENT, ALL PREVIOUSLY ACCUMULATED BENEFITS ARE RECORDED IN THIS COLUMN, IN THE RETIREMENT YEAR AND REPRESENT ACCUMULATIONS DURING THE PERSON'S CAREER AT HEARTLAND. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| THE INSDUSTRIAL DEVELOPMENT AUTHORITY OF ST JOE | |||||||
| 431203910 | 79075LAA5 | 2003-05-17 | 32225000 | REFUND THE SERIES 2001(C) BOND | false | false | false |
| THE INSDUSTRIAL DEVELOPMENT AUTHORITY OF ST JOE | |||||||
| 431203910 | 79075LAB3 | 2009-02-13 | 70000000 | SEE SCHEDULE O | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 32225000 | 1922143 | 0 | 0 | 260055 | 0 | 0 | 0 | 0 | 0 | 2003 | true | false | true | true |
| 0 | 0 | 70000000 | 0 | 0 | 0 | 1026303 | 0 | 0 | 38165778 | 0 | 30807819 | 2013 | false | false | false | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Form8038 T FiledForm8038TFiled |
|---|---|---|---|---|---|---|
| CITIGROUP INC | ||||||
| true | true | 3.5 | false | false | false | |
| (no name) | ||||||
| true | false | false | false | false | false | |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BOND ISSUES | Identifier |
| Return Reference | SCHEDULE K, PART I | ReturnReference |
| Explanation | B: (I) FINANCE THE COSTS OF THE CONSTRUCTION AND EQUIPPING OF CERTAIN HEALTHCARE FACILITIES (II)PAY CERTAIN COSTS OF THE ISSUANCE OF THE BONDS | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SEE PART IV | NamePerson |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS WITH INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | (A) DONNA WILSON (B) DONNA WILSON IS THE YOUTH HEALTH DIRECTOR FOR HEARTLAND REGIONAL MEDICAL CENTER AND IS THE WIFE OF JOHN WILSON, WHO IS THE CHIEF FINANCIAL OFFICER OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 82,634 (D) SALARY FOR YOUTH HEALTH DIRECTOR SERVICES (E) NO (A) BARBARA THOMPSON (B) BARBARA THOMPSON IS AN ACCESS REPRESENTATIVE FOR HEARTLAND REGIONAL MEDICAL CENTER AND IS THE DAUGHTER OF HELEN THOMPSON, WHO IS THE CHIEF INFORMATION OFFICER OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 45,951 (D) SALARY FOR ACCESS REPRESENTATIVE SERVICES (E) NO (A) CORINNE KOELLIKER (B) CORINNE KOELLIKER IS A LASER TECHNICIAN FOR HEARTLAND REGIONAL MEDICAL CENTER, AND IS THE SISTER OF SCOTT KOELLIKER, WHO IS A KEY EMPLOYEE OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 29,095 (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) $ 101,747 (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) $ 77,024 (D) SALARY FOR REGISTERED NURSE SERVICES (E) NO (A) LAXMI N. VELIGATI, MD (B) LAXMI N. VELIGATI, MD IS A STAFF PHYSICIAIN FOR HEARTLAND REGIONAL MEDICAL CENTER, AND IS THE HUSBAND OF PADMAVATH VELIGATI, WHO IS A FORMER DIRECTOR OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 387,932 (D) SALARY FOR STAFF PHYSICIAN 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) $ 45,124 (D) SALARY FOR REGISTERED NURSE SERVICES (E) NO (A) MIDWESTERN HEALTH MANAGMENT, INC. (B) MIDWESTERN HEALTH MANAGMENT, INC. IS A RELATED FOR-PROFIT COMPANY THAT HAS COMMON OFFICERS AND/OR DIRECTORS WITH HEARTLAND REGIONAL MEDICAL CENTER. (C) 1. $ 165,379 2. $ 1,155,116 3. $ 2,736,862 4. $ 6,634,595 (D) 1. LEASE OF FACILITIES, EQUIPMENT, OR OTHER ASSESTS TO MIDWESTERN HEALTH MANAGMENT, INC. 2. PERFORMANCE OF SERVICES FOR MIDWESTERN HEALTH MANAGMENT, INC. 3. PERFORMANCE OF SERVICES BY MIDWESTERN HEALTH MANAGMENT, INC. 4. REIMBURSMENT PAID BY MIDWESTERN HEALTH MANAGMENT, INC. FOR EXPENSES (E) NO (A) HHS PROPERTIES, INC. (B) HHS PROPERTIES, INC. IS A RELATED FOR-PROFIT COMPANY THAT HAS COMMON OFFICERS AND/OR DIRECTORS WITH HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 176,197 (D) REIMBURSMENT PAID BY HHS PROPERTIES, INC. FOR EXPENSES (E) NO (A) COMMUNITY HEALTH PLAN INSURANCE COMPANY (B) COMMUNITY HEALTH PLAN INSURANCE COMPANY IS A RELATED FOR-PROFIT COMPANY THAT HAS COMMON OFFICERS AND/OR DIRECTORS WITH HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 130,262 (D) REIMBURSMENT PAID BY COMMUNITY HEALTH PLAN INSURANCE COMPANY FOR EXPENSES (E) NO (A) COMMUNITY HEALTH PLAN (B) COMMUNITY HEALTH PLAN IS A RELATED FOR-PROFIT COMPANY THAT HAS COMMON OFFICERS AND/OR DIRECTORS WITH HEARTLAND REGIONAL MEDICAL CENTER. (C) 1. $ 163,101 2. $ 1,056,022 (D) 1. PERFORMANCE OF SERVICES FOR COMMUNITY HEALTH PLAN 2. REIMBURSMENT PAID BY COMMUNITY HEALTH PLAN (E) NO | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (18 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 BUSINESS 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 ALSO DESIGNATED AS A LEVEL II CENTER. THE HOSPITAL PROVIDES RADIATION ONCOLOGY SERVICES, HOME HEALTH VISITS AND HOSPICE CARE. DURING THE YEAR, 18,260 PATIENTS WERE ADMITTED TO THE HOSPITAL RESULTING IN 78,208 PATIENT DAYS. 10,136 SURGERIES WERE PERFORMED, 54,251 PATIENTS WERE SEEN IN THE EMERGENCY ROOM, 210,825 VISITS WERE GENERATED BY OUTPATIENTS. THE HOSPITAL EMPLOYS 3,234 PEOPLE AND HAS A TOTAL OF 219 PHYSICIANS CREDENTIALED TO CARE FOR PATIENTS. THE EMPLOYED STAFF INCLUDES 126 PHYSICIANS, 8 CONTRACTED PHYSICIANS AND ONE DENTIST WORKING IN 36 CLINICS AND NUMEROUS SATELLITE CLINICS THROUGHOUT THE REGION RESULTING IN APPROXIMATELY 409,000 PATIENTS DURING THE YEAR. |
| BUSINESS/FAMILY RELATIONSHIPS | FORM 990, PART VI, SECTION A, LINE 2 | BRIAN BRADLEY, JOHN P. WILSON, HELEN THOMPSON, DIRCK CLARK, DOUGLAS BRANDT, KAREN DITTEMORE, JOE BOYCE, M.D. 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, 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 CORPORATION IN THE PROCESS OF FILING FOR NOT-FOR-PROFIT STATUS. JOHN P. WILSON, CURT KRETZINGER, DIRCK CLARK, DOUGLAS BRANDT, KAREN DITTEMORE, MARK LANEY, M.D., RUDY WACKER, ROBERT PERMUT, 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. |
| 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. HEARTLAND HEALTH HAS THE RIGHT TO ELECT THE BOARD OF TRUSTEES OF HEARTLAND REGIONAL MEDICAL CENTER. HEARTLAND HEALTH IS NOT ENTITLED TO RECEIVE A SHARE OF HEARTLAND REGIONAL MEDICAL CENTER'S PROFITS, EXCESS DUES, OR ASSETS UPON DISSOLUTION. |
| MEMBERS OR STOCKHOLDERS MAY ELECT GOVERNING BODY | FORM 990, PART VI, SECTION A, LINE 7A | HEARTLAND HEALTH BEING THE SOLE MEMBER OF HEARTLAND REGIONAL MEDICAL CENTER HAS THE RIGHT TO ELECT ALL THE BOARD OF TRUSTEES. |
| GOVERNING BOARD DECISIONS SUBJECT TO APPROVAL OF MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, SECTION A, LINE 7B | THE CORPORATE BYLAWS OF HEARTLAND REGIONAL MEDICAL CENTER IDENTIFY CERTAIN RIGHTS AND POWERS WHICH ARE RESERVED TO HEARTLAND HEALTH, THE SOLE MEMBER. IN EACH INSTANCE, THE RIGHTS AND POWERS RESERVED TO THE SOLE MEMBER MAY BE SUMMARIZED AS FOLLOWS: A. OVERALL STRATEGIC DIRECTION B. ELECTION OF TRUSTEES C. APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER, OTHER SENIOR OFFICERS, AUDITORS, AND LEGAL COUNSEL D. ESTABLISHMENT OF BANKING RELATIONSHIPS E. MANAGEMENT OF CASH AND OTHER ASSETS F. APPROVAL OF CHANGES TO THE ARTICLES OF INCORPORATION AND BYLAWS G. LONG-RANGE PLANNING H. ADOPTION OF ANNUAL OPERATING BUDGETS I. 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 CHIEF OPERATING OFFICER, THE TREASURER, THE ASSISTANT TREASURER, AND THE TAX SPECIALIST 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. MARKET DATA IS PROVIDED BY INTEGRATED HEALTH STRATEGIES (IHS). A COMPENSATION COMMITTEE COMPRISED OF THE HEARTLAND HEALTH BOARD CHAIRMAN, HEARTLAND HEALTH BOARD VICE-CHAIRMAN 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. OUR FACILITY SIZE, OUR 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 | NET UNREALIZED GAINS(LOSSES) ON INVESTMENTS $ 24,052,832 NET ASSET TRANSFER $ (3,810,325) CHANGE IN FAIR VALUE OF CASH FLOW HEDGING DERIVATIVES $ 1,718,168 CHANGE IN MINIMUM PENSION LIABILITY ADJUSTMENT $ 4,558,523 ------------- $ 26,492,198 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARK LANEY, MD TITLE:PRESIDENT,CEO HOURS:5 |
| 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:CURT KRETZINGER TITLE:OFFICER HOURS:8 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HELEN THOMPSON TITLE:OFFICER HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DIRCK CLARK TITLE:OFFICER HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DOUGLAS BRANDT TITLE:OFFICER HOURS:10 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KAREN DITTEMORE TITLE:OFFICER HOURS:10 |
Schedule R IRS990ScheduleR
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 |
|---|---|---|---|---|---|---|---|---|---|
| HEARTLAND HEALTH | |||||||||
| 5325 FARAON | ST JOSEPH | MO | 64506 | 431283316 | HEALTHCARE | MO | 501(C)(3) | 11A | NA |
| HEARTLAND FOUNDATION | |||||||||
| 5325 FARAON | ST JOSEPH | MO | 64506 | 431262768 | SUPPORT | MO | 501(C)(3) | 9 | HH |
| HEARTLAND LONG TERM ACUTE CARE HOSPITAL | |||||||||
| 5325 FARAON | ST JOSEPH | MO | 64506 | 261972987 | HEALTH` | MO | 501(C)(3) | 3 | HH |
| LEWIS AND CLARK INFORMATION EXCHANGE | |||||||||
| 5325 FARAON | ST JOSEPH | MO | 64506 | 320290671 | DATA SHARING | MO | 501(C)(3) | 9 | HH |
| REGIONAL EMERGENCY MEDICAL SERVICES AUTH | |||||||||
| 5325 FARAON | ST JOSEPH | MO | 64506 | 273923442 | AMBULANCE SVC | MO | 501(C)(3) | PENDING | HH |
Form990 Schedule R Part IV Form990ScheduleRPartIV (6 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 |
| 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 | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | 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 (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| COMMUNITY HEALTH PLAN INSURANCE COMPANY | |
| P | 130262 |
| COMMUNITY HEALTH PLAN | |
| L | 163101 |
| COMUNITY HEALTH PLAN | |
| P | 1056022 |
| MIDWESTERN HEALTH MANAGEMENT INC | |
| B | 1500000 |
| MIDWESTERN HEALTH MANAGEMENT INC | |
| I | 165379 |
| MIDWESTERN HEALTH MANAGEMENT INC | |
| K | 1155116 |
| MIDWESTERN HEALTH MANAGEMENT INC | |
| L | 2736862 |
| MIDWESTERN HEALTH MANAGEMENT INC | |
| P | 6634595 |
| HHS PROPERTIES INC | |
| B | 325000 |
| HHS PROPERTIES INC | |
| J | 176197 |
| UPTOWN ST JOSEPH REDEVELOPMENT CORPORATION | |
| B | 144425 |