2012-05-15T09:23:53-04:00 2011-06-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2010-07-01 440545289 Heartland Regional Medical Center HEAR 8162716611 5325 FARAON ST JOSEPH MO 64506 JOHN P WILSON 8162716611 2012-05-15 true Michael J Engle 8162216300 2010 2016-02-24 21:20:13Z JOHN P WILSON 5325 FARAON ST JOSEPH MO 64506 538985576 false X WWW.HEARTLAND-HEALTH.COM X 1985 MO TO PROVIDE THE BEST HEALTH CARE AND TO IMPROVE THE LIVES OF THOSE IN THE COMMUNITY. 11 7 3917 385 131748 -5398 424326 194597 467437540 497961978 7699008 14660677 11371111 12470717 486931985 525287969 4414466 3399946 0 0 234241319 253054219 0 0 0 208720432 223099240 447376217 479553405 39555768 45734564 560744999 623105290 296638840 286772368 264106159 336332922 X SEE SCHEDULE O false false 440529665 3399946 510061547 SEE SCHEDULE O 440529665 true true false true false false false false false true true false false true true false true false false true false false false false false true true true false true true false false false false false false false false true true false false false false false true false false false false true 230 0 true 3917 true true true true CJ false false false false false false false false X 11 7 true false false false true true true true true false false true true true true true true true true true true CA IL MO NC X JOHN P WILSON 8162716611 5325 FARAON ST JOSEPH MO 64506 X MARK LANEY MD 55.0 X X 717428 0 142690 BRIAN BRADLEY 1.0 X 0 0 0 KAREN BAKER 1.0 X 0 0 0 DR DENNIS DOBYAN 1.0 X 0 0 0 JAMES GRAVES 1.0 X 0 0 0 DAN HEGEMAN 1.0 X 0 0 0 DAVE HOWERY 1.0 X 0 0 0 JOHN JARRETT 1.0 X 0 0 0 ANDREW MCCREA 1.0 X 0 0 0 MAUREEN BOYLE MD 60.0 X 437052 0 34595 MICHAEL NELLESTEIN MD 60.0 X 726572 0 29363 JOHN P WILSON 50.0 X 483767 0 82278 CURT KRETZINGER 52.0 X 534676 0 101600 HELEN THOMPSON 59.0 X 305864 0 74011 DIRCK CLARK 58.0 X 288475 0 59033 DOUGLAS BRANDT 50.0 X 242551 0 73289 KAREN DITTEMORE 50.0 X 51189 0 17744 ROBERT PERMUT MD 60.0 X 348636 0 7350 MICHAEL PULIDO 60.0 X 260710 0 73578 TAMA WAGNER 60.0 X 126801 0 39550 LYNN THUENTE 60.0 X 105555 0 12726 JOE BOYCE MD 60.0 X 305598 0 73771 SCOTT KOELLIKER 60.0 X 239194 0 65707 LISA MICHAELIS 60.0 X 334389 0 65003 MOHAN HINDUPUR MD 60.0 X 1113328 0 24384 ROBERT GRANT MD 60.0 X 975793 0 34668 ARVIND SHARMA MD 60.0 X 938238 0 31668 FRANCISCO LAMMOGLIA MD 60.0 X 930386 0 29095 JANE SCHWABE MD 60.0 X 841696 0 32436 LOWELL KRUSE 60.0 X 14587743 0 2579 PADMAVATHI VELIGATI MD 60.0 X 431834 0 9800 EDWARD KAMMERER MD 60.0 X 341282 0 27722 RUDY WACKER 60.0 X 471705 0 3592 BRUCE TRAHAN 60.0 X 209153 0 24107 26349615 0 1172339 318 true true false 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 54 11000 170185 13412 194597 NET PATIENT SERVICE REVENUE 621110 497961978 497961978 497961978 6381285 6381285 810842 810842 0 371148 371148 371148 371148 21136207 29950 13660448 37159 7475759 -7209 7468550 7468550 0 0 0 Cafeteria 722210 2035188 2035188 Refferal Lab 111000 1257373 1127605 129768 Copying Revenue 541380 243591 243591 8563417 8561437 1980 12099569 525287969 509929799 131748 15031825 3399946 3399946 0 0 0 6819253 3134619 3684634 769507 769507 200197049 189085362 11111687 8627563 8461818 165745 25201411 22880892 2320519 11439436 10476737 962699 0 1281246 590524 690722 265906 265906 77437 77437 0 579516 579516 23969370 18190602 5778768 2476707 2474712 1995 75330417 72885091 2445326 175335 172426 2909 0 10322417 8581398 1741019 772988 750450 22538 0 2222756 1478651 744105 4867782 4867782 0 25046599 22723984 2322615 542359 542359 REPAIRS AND MAINTENANCE 13890307 9181965 4708343 PROVISION FOR UNCOLLECTIBLE 37812674 37806349 6325 FRA TAX 21342085 21342085 RECRUITMENT 1006045 1006045 MEMBERSHIPS & DUES 657081 329265 327816 460213 403141 57071 479553405 440529665 39023740 0 4782752 11208512 53876982 48844760 669374 0 7432442 6916808 5889719 6179267 466726118 256156325 205208466 210569793 245417935 282618583 22817256 36506458 3379445 3064298 11270628 17196811 560744999 623105290 79203417 76538064 27151 196500000 192630000 5511177 4690042 15424246 12887111 296638840 286772368 X 264106159 336332922 264106159 336332922 560744999 623105290 X 45734564 26492199 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 115717 false false false 115717 false 15317168 15317168 221258759 97651467 123607292 20952497 12497555 8454942 156991132 110077887 46913245 52206562 35929416 16277146 210569793 INVESTMENT IN LLC'S 2931474 C PRIVATE INVESTMENT FUNDS 33574984 F 36506458 0 DERIVATIVE INSTRUMENTS 10869776 MINORITY INTEREST 2017335 12887111 UNCERTAIN TAX POSITIONS DISCLOSURE SCHEDULE D, PART X, LINE 2 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 Central America and the Caribbean Investments 33574984 33574984 33574984 true false true true false false true true true X true X true true true false true false 13045892 0 13045892 0.02720 82223677 73219794 9003883 0.01880 0 0 0 95269569 73219794 22049775 0.04600 7901809 0 7901809 0.01650 1490522 0 1490522 0.00310 985717 394101 591616 0.00120 339102 53220 285882 0.00060 3399946 0 3399946 0.00710 14117096 447321 13669775 0.02850 109386665 73667115 35719550 0.07450 204506 0 204506 0.00040 1189516 0 1189516 0.00250 504035 0 504035 0.00100 0 0 0 0.00000 537109 0 537109 0.00110 277383 0 277383 0.00060 734051 0 734051 0.00150 39706 0 39706 0.00010 0 0 0 0.00000 3486306 0 3486306 0.00720 false 15726602 0 162738603 169597502 -6858899 X true true SEE PART VI 1 1 HEARTLAND REGIONAL MEDICAL CENTER

5325 FARAON ST JOSEPH MO 64506

X X X PHARMICIST INTERN PROGRAM HEARTLAND REGIONAL MEDICAL CENTER 1 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 SCHEDULE H, PART II 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. BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4 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. MEDICARE SHORTFALL SCHEDULE H, PART III, LINE 8 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. COLLECTION PRACTICES SCHEDULE H, PART III, LINE 9B THE ORGANIZATION HAS ESTABLISHED STANDARDS LD6014 PFS-COLLECTION GUIDELINES FOR MEDICAL CENTER), LD6503 (PFS OFFICE-PAYMENT ARRANGEMENTS: AFM AND PFM) AND LD6465 (MEDICAL CENTER, HEARTLAND PARAMEDICS, HEARTLAND CLINIC AND LONG TERM ACUTE CARE HOSPITAL FINANCIAL ASSISTANCE) WHICH GOVERN COLLECTION PRACTICES FOR ALL TYPES OF PAYERS FROM THE CREATION OF THE PATIENT'S ACCOUNT DURING REGISTRATION TO THE FINAL ARRANGEMENTS NECESSARY TO BRING THE BALANCE TO ZERO. MANAGEMENT COMPANIES & JOINT VENTURES SCHEDULE H, PART IV 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% NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 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. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 AS PART OF THE PRE-REGISTRATION PROCESS, INSURANCE COVERAGE INFORMATION IS REQUESTED. IF 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. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 THE ORGANIZATION'S SERVICE AREA IS A 21 COUNTY URBAN/RURAL AREA LOCATED NEAR THE INTERSECTION OF A FOUR-STATE AREA. THE POPULATION IS ELDERLY AND UNDER-INSURED. THE LOCAL ECONOMY 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. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 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. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 THE ORGANIZATION IS AFFILIATED, THROUGH A PARENT BOARD, WITH A FOUNDATION, AN ACUTE LONG TERM CARE HOSPITAL, A MEDICAL TRANSPORT PROVIDER, 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. true 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 4 0 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 THE ORGANIZATION IS COMMITTED TO THE DEVELOPMENT OF A HEALTHY COMMUNITY WHICH INCLUDES THE HEALTH OF INDIVIDUALS, AN ADEQUATE NUMBER OF JOBS FOR THE WORKFORCE AND SUCCESSFUL BUSINESSES TO BOOST THE LOCAL ECONOMY. GRANTS ARE PROVIDED TO LOCAL GROUPS THAT ACHIEVE THESE OBJECTIVES. GENERALLY OUR OFFICERS, DIRECTORS OR EMPLOYEES ARE IN A VOLUNTEER POSITION OR ARE A BOARD MEMBER OF THE RECIPIENT ORGANIZATION. X X true true X X X X X true true false false false false false false false 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 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. 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 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 false false false false false 0.00000 0.00000 0.00000 true false false false false false 0.00000 0.00000 0.00000 true true true CITIGROUP INC 3.5 false false false false true false false false false BOND ISSUES SCHEDULE K, PART I B: (I) FINANCE THE COSTS OF THE CONSTRUCTION AND EQUIPPING OF CERTAIN HEALTHCARE FACILITIES (II)PAY CERTAIN COSTS OF THE ISSUANCE OF THE BONDS SEE PART IV BUSINESS TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV (A) DONNA WILSON (B) DONNA WILSON IS THE YOUTH HEALTH DIRECTOR FOR HEARTLAND REGIONAL MEDICAL CENTER AND IS THE WIFE OF JOHN WILSON, WHO IS THE CHIEF FINANCIAL OFFICER OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 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 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 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 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 false true false true false false false false true true true true false false false true false true 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