FURP.ORG / PUBLIC DATA EXPLORER

HEARTLAND REGIONAL MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HEARTLAND REGIONAL MEDICAL CENTER (EIN 44-0545289)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201111369349306371
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-16T16:22:51-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1
CityKansas CityCity
StateMOState
ZIP Code641062246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN440545289EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Heartland Regional Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEARNameControl
Phone8162716611Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15325 FARAONAddressLine1
CityST JOSEPHCity
StateMOState
ZIP Code64506ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN P WILSONName
TitleCHIEF FINANCIAL OFFICERTitle
Phone8162716611Phone
Date Signed2011-05-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMichael J EngleName
Phone8162216300Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN P WILSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15325 FARAON ST JOSEPH MO 645AddressLine1
CityST JOSEPHCity
StateMOState
ZIP Code64506ZIPCode
FieldValueIRS element (for citing)
Gross Receipts539819991GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.HEARTLAND-HEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE THE BEST HEALTH CARE AND TO IMPROVE THE LIVES OF THOSE IN THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees3528TotalNbrEmployees
Total Nbr Volunteers61TotalNbrVolunteers
Total Gross UBI157066TotalGrossUBI
Contributions Grants Prior Year451852ContributionsGrantsPriorYear
Contributions Grants Current Year424326ContributionsGrantsCurrentYear
Program Service Revenue Prior Year463674065ProgramServiceRevenuePriorYear
Program Service Revenue CY467437540ProgramServiceRevenueCY
Investment Income Prior Year-17828834InvestmentIncomePriorYear
Investment Income Current Year7699008InvestmentIncomeCurrentYear
Other Revenue Prior Year7729680OtherRevenuePriorYear
Other Revenue Current Year11371111OtherRevenueCurrentYear
Total Revenue Prior Year454026763TotalRevenuePriorYear
Total Revenue Current Year486931985TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1972207GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4414466GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year229387035SalariesEtcPriorYear
Salaries Etc Current Year234241319SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year208569900OtherExpensePriorYear
Other Expenses Current Year208720432OtherExpensesCurrentYear
Total Expenses Prior Year439929142TotalExpensesPriorYear
Total Expenses Current Year447376217TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14097621RevenuesLessExpensesPriorYear
Revenues Less Expenses CY39555768RevenuesLessExpensesCY
Total Assets BOY533598793TotalAssetsBOY
Total Assets EOY560744999TotalAssetsEOY
Total Liabilities BOY319823172TotalLiabilitiesBOY
Total Liabilities EOY296638840TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY213775621NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY264106159NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense409802444Expense
Grants4414466Grants
Revenue478331934Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense409802444TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096265NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3528NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMOStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN P WILSONNamePerson
Telephone Number8162716611TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15325 FARAONAddressLine1
CityST JOSEPHCity
StateMOState
ZIP Code64506ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
LOWELL C KRUSE
PRESIDENT,CEO73.0XX84609504165845
DR MARK LANEY
PRESIDENT,CEO72.0XX211834046865
DR MAUREEN BOYLE
DIRECTOR, STAFF PHYSICIAN60.0X439977025706
DR MICHAEL NELLESTEIN
DIRECTOR, STAFF PHYSICIAN40.0X732330027238
KAREN BAKER
DIRECTOR1.0X000
JOHN JARRETT
DIRECTOR1.0X000
DAVE HOWERY
DIRECTOR1.0X000
STEVE SCHRAM
DIRECTOR1.0X000
JAMES GRAVES
DIRECTOR1.0X000
ANDREW MCCREA
DIRECTOR1.0X000
DAN HEGEMAN
DIRECTOR1.0X000
DR DENNIS DOBYAN
DIRECTOR1.0X000
BRIAN BRADLEY
DIRECTOR1.0X000
CURT KRETZINGER
CHIEF OPERATING OFFICER73.0X875107084184
JOHN P WILSON
SECRETARY/TREASURER, CFO70.0X827866049092
DOUGLAS BRANDT
OFFICER, CONTROLLER70.0X237687041762
MICHAEL PULIDO
CHIEF HUMAN RESOURCES OFFICER75.0X210908034625
SENATOR CHARLIE SHIELDS
CHIEF MARKETING/COMMUNICATIONS75.0X143660020583
DIRCK CLARK
CHIEF BUS. DEVELOPMENT OFFICER74.0X407004050865
HELEN THOMPSON
CHIEF INFORMATION OFFICER75.0X368831054775
DR ROBERT PERMUT
CHIEF MEDICAL OFFICER75.0X501936022513
RUDY WACKER
CHIEF ADMINISTRATIVE OFFICER75.0X80156108052
LYNN THUENTE
COMPLIANCE OFFICER75.0X106897010181
KAREN DITTEMORE
ASSISTANT SECRETARY70.0X57635014552
LISA MICHAELIS
ADMINISTRATOR75.0443753045618X
SCOTT KOELLIKER
ADMINISTRATOR75.0164699024289X
BRUCE TRAHAN
ADMINISTRATOR75.0165874019822X
DR MOHAN HINDUPUR
STAFF PHYSICIAN60.0994780021938X
DR ROBERT GRANT
STAFF PHYSICIAN60.0845021031813X
DR FRANCISCO LAMMOGLIA
STAFF PHYSICIAN60.0834863028599X
DR JANE SCHWABE
STAFF PHYSICIAN40.0684715081813X
CHARISSE SPARKS
STAFF PHYSICIAN60.01291904015631X
DR PADMAVATHI VELIGATI
FORMER DIRECTOR, STAFF PHYSICI60.041176209800X
DR ED KAMMERER
FORMER DIRECTOR, STAFF PHYSICI60.0435295025329X
FieldValueIRS element (for citing)
Total Reportable Comp From Org13041994TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation4961490TotalOtherCompensation
Number Individuals GT100 K304NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
CERNER CORP
SOFTWARE SYSTEMS6350745
IHP INDUSTRIAL INC
CONSTRUCTION3243657
SIEMENS MEDICAL SOLUTIONS USA
IMAGING SALES&SVC2605711
SE EMERGENCY PHYSICIANS
EMRGNCY PHYS1947712
LEHR CONSTRUCTION CO INC
CONSTRUCTION1912180
FieldValueIRS element (for citing)
Number Of Contractors GT100 K107NumberOfContractorsGT100K
Federated Campaigns8566FederatedCampaigns
Related Organizations36038RelatedOrganizations
Government Grants109365GovernmentGrants
All Other Contributions270357AllOtherContributions
Noncash Contributions124435NoncashContributions
Total Contributions424326TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column467437540TotalRevenueColumn
Related Or Exempt Function Income467437540RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue467437540TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5214727TotalRevenueColumn
Exclusion$5,214,727ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column430691TotalRevenueColumn
Exclusion$430,691ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real476717Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real476717Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column476717TotalRevenueColumn
Exclusion$476,717ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities55865842Securities
Other120558Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities52648221Securities
Other239785Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3217621Securities
Other-119227Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2053590TotalRevenueColumn
Exclusion$2,053,590ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria72221019347861934786
Refferal Lab1110001072948964315108633
Copying Revenue541380211964211964

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column7674696TotalRevenueColumn
Related Or Exempt Function Income7626263RelatedOrExemptFunctionIncome
Unrelated Business Revenue48433UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue10894394TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column486931985TotalRevenueColumn
Related Or Exempt Function Income478174868RelatedOrExemptFunctionIncome
Unrelated Business Revenue157066UnrelatedBusinessRevenue
Exclusion$8,175,725ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4414466Total
Program Services4414466ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total10790231Total
Program Services7502528ProgramServices
Management And General3287703ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total960730Total
Program Services960730ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total176518051Total
Program Services163871413ProgramServices
Management And General12646638ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10217944Total
Program Services8912649ProgramServices
Management And General1305295ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total24596903Total
Program Services23127523ProgramServices
Management And General1469380ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11157460Total
Program Services10522395ProgramServices
Management And General635065ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total781006Total
Program Services140639ProgramServices
Management And General640367ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total169494Total
Management And General169494ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total98711Total
Management And General98711ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9241474Total
Program Services6571589ProgramServices
Management And General2669885ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1827096Total
Program Services1714511ProgramServices
Management And General112585ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total65136830Total
Program Services62899685ProgramServices
Management And General2237145ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3081262Total
Program Services2497170ProgramServices
Management And General584092ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10244312Total
Program Services8091541ProgramServices
Management And General2152771ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total722898Total
Program Services592611ProgramServices
Management And General130287ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1959368Total
Program Services1595459ProgramServices
Management And General363909ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4923480Total
Program Services4875072ProgramServices
Management And General48408ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total23804175Total
Program Services18256852ProgramServices
Management And General5547323ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2690084Total
Program Services2360204ProgramServices
Management And General329880ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIRS AND MAINTENANCE1211187311238376873497
PROVISION FOR UNCOLLECTIBLE3354646733298406248061
PURCHASED SERVICES13868743121276791741064
FRA TAX2387937523879375
MEMBERSHIPS & DUES633784351571282213

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total447376217Total
Program Services409802444ProgramServices
Management And General37573773ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY22502335BOY
EOY4782752EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY52248345BOY
EOY54546356EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7326875BOY
EOY7432442EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3803734BOY
EOY5889719EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis436886085LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec231677619LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY202998597BOY
EOY205208466EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY217189581BOY
EOY245417935EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY14487399BOY
EOY22817256EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3020856BOY
EOY3379445EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10021071BOY
EOY11270628EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY533598793BOY
EOY560744999EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY100813906BOY
EOY79203417EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY200000000BOY
EOY196500000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6327621BOY
EOY5511177EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12681645BOY
EOY15424246EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY319823172BOY
EOY296638840EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY213775621BOY
EOY264106159EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY213775621BOY
EOY264106159EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY533598793BOY
EOY560744999EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$121,053GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB121053TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis15317168OtherCostOrOtherBasis
Book Value15317168BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis212045824OtherCostOrOtherBasis
Depreciation89159777Depreciation
Book Value122886047BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis20321459OtherCostOrOtherBasis
Depreciation11239525Depreciation
Book Value9081934BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis138788609OtherCostOrOtherBasis
Depreciation98906629Depreciation
Book Value39881980BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis50413025OtherCostOrOtherBasis
Depreciation32371688Depreciation
Book Value18041337BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings205208466TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DERIVATIVE INSTRUMENTS$13,406,911
MINORITY INTEREST$2,017,335
FieldValueIRS element (for citing)
Total Of Amounts15424246TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierUNCERTAIN TAX POSITIONS DISCLOSUREIdentifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationMANAGEMENT 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 STATEMENTSExplanation

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted

Form990 Schedule F Part IV Form990ScheduleFPartIV

FieldValueIRS element (for citing)
IdentifierACTIVITIES PER REGIONIdentifier
Return ReferenceSCHEDULE F, PART I, LINE 3ReturnReference
Explanation(A) CENTRAL AMERICA AND CARIBBEAN (B) N/A (C) N/A (D) INVESTMENTS (E) N/A (F) N/A NOTHING IS DISCLOSED UNDER COLUMNS B, C, E, & F BECAUSE THE INSTRUCTIONS ONLY REQUIRE REPORTING FOR COLUMNS A & D. THE INVESTMENT ACTIVITY REFERRED TO ABOVE IS INCLUDED IN FORM 990, PART X, LINE 12.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense9759820TotalCommunityBenefitExpense
Direct Offsetting Revenue173868DirectOffsettingRevenue
Net Community Benefit Expense9585952NetCommunityBenefitExpense
Percent Of Total Expense0.02450PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense80212644TotalCommunityBenefitExpense
Direct Offsetting Revenue78245410DirectOffsettingRevenue
Net Community Benefit Expense1967234NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense89972464TotalCommunityBenefitExpense
Direct Offsetting Revenue78419278DirectOffsettingRevenue
Net Community Benefit Expense11553186NetCommunityBenefitExpense
Percent Of Total Expense0.02950PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3398041TotalCommunityBenefitExpense
Net Community Benefit Expense3398041NetCommunityBenefitExpense
Percent Of Total Expense0.00870PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense836303TotalCommunityBenefitExpense
Net Community Benefit Expense836303NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense601598TotalCommunityBenefitExpense
Net Community Benefit Expense601598NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense250424TotalCommunityBenefitExpense
Net Community Benefit Expense250424NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense4414466TotalCommunityBenefitExpense
Net Community Benefit Expense4414466NetCommunityBenefitExpense
Percent Of Total Expense0.01130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense9500832TotalCommunityBenefitExpense
Net Community Benefit Expense9500832NetCommunityBenefitExpense
Percent Of Total Expense0.02390PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense99473296TotalCommunityBenefitExpense
Direct Offsetting Revenue78419278DirectOffsettingRevenue
Net Community Benefit Expense21054018NetCommunityBenefitExpense
Percent Of Total Expense0.05340PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense43360TotalCommunityBuildingExpense
Net Community Building Expense43360NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense375829TotalCommunityBuildingExpense
Net Community Building Expense375829NetCommunityBuildingExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense875503TotalCommunityBuildingExpense
Net Community Building Expense875503NetCommunityBuildingExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1294692TotalCommunityBuildingExpense
Net Community Building Expense1294692NetCommunityBuildingExpense
Percent Of Total Expense0.00290PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$15,490,418BadDebtExpenseAmount
Amount Reimbursed By Medicare168912549AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare186109380CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-17196831MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEARTLAND REGIONAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line15325 FARAONAddressLine1
CityST JOSEPHCity
StateMOState
ZIP Code64506ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPHYSICIAN CLINIC COST $ 601,598IncomeBasedCriteria
Costing Method UsedTHE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2.CostingMethodUsed
Percent Of Total Expense ExplnTHE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED FOR PURPOSE OF CALCULATING THE PERCENTAGE IS $ 33,502,146.PercentOfTotalExpenseExpln
Bad Debt FootnoteNOTE 1: 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. BAD DEBT EXPENSE OF 33,298,406 TIMES COST/CHARGE RATIO ADJUSTED FOR COMMUNITY BENEFIT EXPENSES: SERVICES WERE PROVIDED IN GOOD FAITH BY THE ORGANIZATION. THOSE WHO CHOOSE NOT TO PAY, WHO ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE, CREATE A FINANCIAL BURDEN FOR THE ORGANIZATION BY NOT PAYING WHICH DECREASES ASSETS OF THE ORGANIZATION RESULTING IN LIMITED ABILITY TO OFFER MARKETABLE COMPENSATION TO TRAINED STAFF OR TO INVEST IN TECHNOLOGY FOR BETTER QUALITY CARE. IN THE END, THE COMMUNITY PAYS FOR THOSE WHO WILL NOT PAY.BadDebtFootnote
Shortfall As Community BenefitCHARGE RATES ARE CONSISTENT WITH MARKET RATES. THE ORGANIZATION IS THE AREA'S ONLY FULL SERVICE HOSPITAL PROVIDING TWENTY-FOUR HOUR EMERGENCY DEPARTMENT COVERAGE, URGENT CARE SERVICES AND BOTH INPATIENT AND OUTPATIENT CARE. COSTS ARE BASED UPON A COST TO CHARGE RATIO ADJUSTED FOR COMMUNITY BENEFIT EXPENSES. SINCE THE ORGANIZATION IS CONTRACTED WITH CMS TO PROVIDE COVERAGE TO ITS BENEFICIARIES AND IS REQUIRED TO ACCEPT WHAT IS ALLOWED AND THE ALLOWABLE DOESN'T COVER COST, THE ORGANIZATION'S FINANCIAL STABILITY IS AT RISK. LIMITED REIMBURSEMENT THREATENS THE ORGANIZATION'S ABILITY TO ATTRACT QUALIFIED MEDICAL AND TECHNICAL STAFF AND LIMIT THE PURCHASE OF NEW TECHNOLOGY WHICH CAN HELP TO INCREASE THE QUALITY OF CARE AND SHORTEN LENGTHS OF STAY. THE COMMUNITY HOSPITAL IS VITAL TO THE ECONOMY OF THE COMMUNITY BECAUSE OF THE JOBS IT BRINGS, THE LOCAL VENDORS IT UTILIZES, IT'S SUPPORT OF COMMUNITY PROGRAMS AND THE OVERALL DOWN-STREAM EFFECT OF ALL OF THIS ACTIVITY. THE ORGANIZATION IS A PROUD PROMOTER OF THE ST. JOSEPH COMMUNITY AND HOLDS THE BELIEF THAT IT HAS A MORAL OBLIGATION TO SUPPORT THE COMMUNITY, EDUCATE THE COMMUNITY, HEAL THE COMMUNITY, IMPROVE THE COMMUNITY. WHEN A SEGMENT OF THE ORGANIZATION'S PATIENTS DON'T PAY FOR THEIR FULL COST OF SERVICES, THEN IT BECOMES THE BURDEN OF THE COMMUNITY TO PICK UP THE SHORTFALL WHETHER THAT BE THROUGH LESS SERVICES OR HIGHER CHARGES.ShortfallAsCommunityBenefit
Debt Collection PolicyTHE 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.DebtCollectionPolicy
Needs AssessmentUSING DATA GATHERED BY INDIVIDUALS AND GROUPS SUCH AS UNNATURAL CAUSES, 2008, 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 ALONG WITH A COLLABORATIVE THINK TANK OF LOCAL EDUCATION HEADS, STATE, COUNTY AND CITY GOVERNMENT LEADERS, LOCAL BUSINESS LEADERS AND AFFILIATED HOSPITAL AND FOUNDATION LEADERSHIP SEVERAL CRITICAL AREAS HAVE BEEN TARGETED: 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.NeedsAssessment
Patient Education AssistanceAS 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.PatientEducationAssistance
Community InformationTHE 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. THE COMMUNITY HAS A HIGH INCIDENCE OF DIABETES, OBESITY AND SMOKING AND ALCOHOL HABITS.CommunityInformation
Community Building ActivitiesTHE ORGANIZATION PROVIDES FUNDING TO AN AFFILIATED FOUNDATION WHICH COLLABORATES WITH EDUCATION, GOVERNMENT AND LOCAL BUSINESS LEADERS TO FORM THE HEALTHY COMMUNITIES INVESTOR COUNCIL TO BRING NON-TRADITIONAL PARTNERS TO THE TABLE TO SHARE RESOURCES, DIFFERENT PERSPECTIVES, AND NEW POSSIBILITIES FOR BUILDING HEALTHIER, MORE LIVABLE COMMUNITIES. EXAMPLES ARE THE P-20 BUSINESS AND EDUCATION COUNCIL; THE EMPOWER PLANT; THE REGIONAL TECHNOLOGY INFRASTRUCTURE TEAM; PROGRAMS SUCH AS: POUND PLUNGE, YOUTH HEALTH PARTNERSHIP, SENIOR HEALTH, PROJECT FIT, WOMEN'S WELLNESS INITIATIVE, HEART WALK, CORPORATE CHALLENGE, HEALTH RISK ASSESSMENTS FOR LOCAL BUSINESSES, WELLNESS AMBASSADORS; ASSESSMENT OF COMMUNITY ENVIRONMENTAL ISSUES SUCH AS POLLUTION PREVENTION, ENVIRONMENTALLY-FRIENDLY MATERIAL PURCHASES AND WASTE MANAGEMENT/REDUCTION POLICIES; 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.CommunityBuildingActivities
Other InformationTHE ORGANIZATION IS BUILDING RELATIONSHIPS WITH MEDICAL PRACTITIONERS IN SURROUNDING COMMUNITIES IN ORDER TO ASSIST WITH THE CONTINUED AVAILABILITY OF MEDICAL COVERAGE IN THOSE AREAS.OtherInformation
Affiliated Health Care SystemTHE ORGANIZATION IS AFFILIATED, THROUGH A PARENT BOARD, WITH A FOUNDATION WHICH COLLABORATES WITH EDUCATION, GOVERNMENT 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 ORGANIZATION IS CONTROLLED BY A CORPORATION WHICH ALSO CONTROLS A LONGTERM ACUTE CARE HOSPITAL, WHERE PATIENTS WITH EXTENSIVE ILLNESSES CAN BE TREATED IN A MORE COMPREHENSIVE LONG-TERM ACUTE CARE TREATMENT FACILITY. THE FILING ORGANIZATION IS ALSO RELATED TO AN AMBULANCE PROVIDER THAT IS THE SOLE MEDICAL TRANSPORT PROVIDER IN THE COUNTY WITHOUT ANY ALTERNATIVE GOVERNMENT FUNDING.AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
UNITED WAY OF ST JOSEPH
118 SOUTH 5TH STREETST JOESPHMO64501440547802501(c)(3)510921SUPPORT
UNIVERSITY OF MINNESOTA
NW 5960 PO BOX 1450MINNEAPOLISMN55485416027707501(C)(6)500000COMMUNITY DEVELOPMENT
HEARTLAND FOUNDATION
5325 FARAONST JOSEPHMO64506431262768501(C)(3)2109444SUPPORT
ONE5 FOUNDATION
11221 ROE AVELEAWOODKS66211446001444501(C)(3)HAITIAN RELIEF1157752BOOKORTHO SUPPLIES
HEARTLAND FOUNDATION
5325 FARAONST JOSEPHMO64506431262768501(C)(3)FUTURE EXPANSION67750APPRAISALLAND
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE 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. ALSO, BEING A SMALL COMMUNITY IT IS NOT THAT DIFFICULT TO BE ALERTED TO ANY WRONG-DOINGS ON THE PART OF A RECIPIENT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LOWELL C KRUSE
812004032456016350415000001584505011940000
CURT KRETZINGER
3783140101473039532007631207872095929103940280
JOHN P WILSON
33940008783404006320482820810087695803993380
DR MARK LANEY
2030000337905455040187066780258699000
DR MAUREEN BOYLE
4294150888801674098000159060465683000
DR MICHAEL NELLESTEIN
7214730848102376098000174380759568000
LISA MICHAELIS
23468206082601482450326780129400489371000
DOUGLAS BRANDT
191363044740015840251180166440279449000
SCOTT KOELLIKER
14291802038301398054900187990188988000
MICHAEL PULIDO
170502039098013080164120182130245533000
SENATOR CHARLIE SHIELDS
10946103289401305044780161050164243000
DIRCK CLARK
206604052798014760203153301933204578690455550
HELEN THOMPSON
21768705309209805204020501457004236060963240
DR ROBERT PERMUT
2990620672000135674098000127130524449000
RUDY WACKER
40102701326903872650245005602080961303858270
DR MOHAN HINDUPUR
964141025941046980980001213801016718000
DR ROBERT GRANT
81911402423301674098000220130876834000
DR FRANCISCO LAMMOGLIA
80971002277702376098000187990863462000
DR JANE SCHWABE
624289058482019440598000220130766528000
DR PADMAVATHI VELIGATI
401112084820216809800000421562000
DR ED KAMMERER
217659021596201674096730156560460624000
CHARISSE SPARKS
464887082514801869098000583101307535000
BRUCE TRAHAN
14558401120309087056690141530185696000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER COMPENSATIONSCHEDULE J, PART I, LINE 1ABRUCE TRAHAN RECEIVED A HOUSING ALLOWANCE WHICH WAS INCLUDED IN HIS W-2. DR. MARK LANEY, BRUCE TRAHAN, DIRCK CLARK, SCOTT KOELLIKER, AND LOWELL KRUSE RECEIVED SOCIAL CLUB MEMBERSHIPS THAT ARE 100% BUSINESS, ANY FACILITY USAGE CHARGES ABOVE THE MEMBERSHIP FEES, PERTAINING TO PERSONAL USE, ARE PAID DIRECTLY TO THE CLUB BY THE EMPLOYEE, THEREFORE THE AMOUNTS WERE NOT INCLUDED IN THEIR W-2.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BVESTED ACCRUED TOTAL FY 06/30/2010 FY 06/30/2010 FY 06/30/2010 ---------- ---------- --------- LOWELL KRUSE - 4,150,000 4,150,000 CURT KRETZINGER 394,028 63,121 457,149 JOHN WILSON 399,338 36,653 435,991 DOUGLAS BRANDT - 18,030 18,030 HELEN THOMPSON 96,324 30,405 126,729 MARK LANEY - 38,322 38,322 DIRCK CLARK 146,358 21,733 168,091 ROBERT PERMUT 134,112 - 134,112 RUDY WACKER 385,827 - 385,827 MICHAEL PULIDO - 10,293 10,293 LISA MICHAELIS 147,002 22,878 169,880 JANE SCHWABE 50,000 - 50,000
COMPENSATION PAID BY HEARTLAND REGIONAL MEDICAL CENTERSCHEDULE J, PART IITHE 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, AND KAREN DITTEMORE, 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 990SCHEDULE J, PART II, COLUMN FCOMPENSATION 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
THE INSDUSTRIAL DEVELEOPMENT AUTHORITY OF ST JOE
43120391079075LAA52003-05-1732225000REFUND THE SERIES 2001(C) BONDS(11falsefalse
THE INSDUSTRIAL DEVELEOPMENT AUTHORITY OF ST JOE
43120391079075LAB32009-02-1370000000SEE SCHEDULE Ofalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
32225000196072500260055002003truefalsetruetrue
7000000000388755517113030307058542013falsefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalsetrue
falsefalsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
CITIGROUP INC
falsetruetrue3.5falsefalsefalse
(no name)
falsetruefalsefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSEE SCHEDULE ONamePerson

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99035459NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XMEDICAL EQUIPMENT177650FMV
XEQUIPMENT1113260
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1THE 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 ACCOMPLISHMENTSFORM 990, PART III, LINE 4AHEARTLAND 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 RELATIONSHIPSFORM 990, PART VI, SECTION A, LINE 2JOHN P. WILSON, LOWELL C. KRUSE, CURT KRETZINGER, DIRCK CLARK, DOUGLAS BRANDT, DR. MARK LANEY, RUDY WACKER, AND DR. MARK PERMUT 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 STOCKHOLDERSFORM 990, PART VI, SECTION A, LINE 6HEARTLAND 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 BODYFORM 990, PART VI, SECTION A, LINE 7AHEARTLAND 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 STOCKHOLDERSFORM 990, PART VI, SECTION A, LINE 7BTHE 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 PROCESSFORM 990, PART VI, SECTION A, LINE 10AN 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 POLICYFORM 990, PART VI, SECTION B, LINE 12CUPON 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 BEHAVIOUR AND ADHERING TO CONFIDENTIALITY POLICIES. THEY ALSO RECIEVE A QUESTIONNAIRE WHICH FACILITATES THE DISCLOSURE OF ANY REPORTABLE ACTIVITIES TO THE CORPORATE COMPLIANCE OFFICER.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINES 15A & 15BANNUAL REVIEW--PERFORMED IN 2008 FOR 2009 CALENDAR YEAR AND AGAIN IN 2009 FOR CALENDAR YEAR 2010. 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 OUR 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 DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
BOND ISSUESSCHEDULE K, PART IB: (I) FINANCE THE COSTS OF THE CONSTRUCTION AND EQUIPPING OF CERTAIN HEALTHCARE FACILITIES (II)PAY CERTAIN COSTS OF THE ISSUANCE OF THE BONDS
BUSINESS TRANSACTIONS WITH INTERESTED PERSONSSCHEDULE 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) $ 91,144 (D) SALARY FOR YOUTH HEALTH DIRECTOR SERVICES (E) NO (A) BARBARA THOMPSON (B) BARBARA THOMPSON IS A CLINIC STAFF FOR HEARTLAND REGIONAL MEDICAL CENTER AND IS THE DAUGHTER OF HELEN THOMPSON, WHO IS THE CHIEF INFORMATION OFFICER OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 30,233 (D) SALARY FOR OCCUPATIONAL THERAPIST 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) $ 28,366 (D) SALARY FOR LASER TECHNICIAN SERVICES (E) NO (A) JON KOELLIKER (B) JON KOELLIKER IS A TS APPLICATIONS ANALYST FOR HEARTLAN REGIONAL MEDICAL CENTER, AND IS THE BROTHER OF SCOTT KOELLIKER, WHO IS A KEY EMPLOYEE OF HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 97,766 (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) $ 68,902 (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. $ 16,029,052 2. $ 1,352,814 3. $ 13,157,059 (D) 1. PERFORMANCE OF SERVICES FOR MIDWESTERN HEALTH MANAGMENT, INC. 2. PERFORMANCE OF SERVICES BY MIDWESTERN HEALTH MANAGMENT, INC. 3. 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) 1. $ 188,197 2. $ 1,557,495 3. $ 679,003 (D) 1. LEASE OF FACILITIES FROM HHS PROPERTIES, INC. 2. PERFORMANCE OF SERVICES FOR HHS PROPERTIES, INC. 3. 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) 1. $ 1,650,742 2. $ 270,000 3. $ 1,545,162 (D) 1. PERFORMANCE OF SERVICES FOR COMMUNITY HEALTH PLAN INSURANCE COMPANY 2. PERFORMANCE OF SERVICES BY COMMUNITY HEALTH PLAN INSURANCE COMPANY 3. 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. $ 139,825 2. $ 8,506,380 3. $ 730,000 4. $ 7,662,313 (D) 1. LEASE OF FACILITES, EQUIP, OR OTHER ASSETS TO COMMUNITY HEALTH PLAN 2. PERFORMANCE OF SERVICES FOR COMMUNITY HEALTH PLAN 3. PERFORMANCE OF SERVICES BY COMMUNITY HEALTH PLAN 4. REIMBURSMENT PAID BY COMMUNITY HEALTH PLAN FOR EXPENSES (E) NO (A) UPTOWN ST JOSEPH REDEVELOPMENT CORPORATION (B) UPTOWN ST JOSEPH REDEVELOPMENT CORPORATION IS A RELATED FOR-PROFIT COMPANY THAT HAS COMMON OFFICERS AND/OR DIRECTORS WITH HEARTLAND REGIONAL MEDICAL CENTER. (C) $ 159,587 (D) PERFORMANCE OF SERVICES FOR UPTOWN ST JOSEPH REDEVELOPMENT CORPORATION (E) NO
COMPENSATION FROM RELATED ORGANIZATIONSFORM 990, PART VIIHOURS WORKED FOR RELATED ORGANIZATIONS --------------------------------------- LOWELL C KRUSE 2 JOHN P WILSON 5 DR MARK LANEY 3 DOUGLAS BRANDT 5 KAREN DITTEMORE 5 CURT KRETZINGER 2 HELEN THOMPSON 1 DIRCK CLARK 1

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HEARTLAND HEALTH
5325 FARAONST JOSEPHMO64506431283316HEALTHCAREMO501(C)(3)11ANA
HEARTLAND FOUNDATION
5325 FARAONST JOSEPHMO64506431262768SUPPORTMO501(C)(3)9HH
HEARTLAND LONG TERM ACUTE CARE HOSPITAL
5325 FARAONST JOSEPHMO64506261972987HEALTH`MO501(C)(3)3HH
LEWIS AND CLARK INFORMATION EXCHANGE
5325 FARAONST JOSEPHMO64506320290671DATA SHARINGMO501(C)(3)9HH

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
MIDWESTERN HEALTH MANAGEMENT INC
5325 FARAONST JOSEPHMO64506431264358HEALTHCAREMOHHC CORP000.00000
COMMUNITY HEALTH PLAN INC
5325 FARAONST JOSEPHMO64506431690582INSURANCEMOHHC CORP000.00000
COMMUNITY HEALTH PLAN INSURANCE COMPANY
5325 FARAONST JOSEPHMO64506431210152INSURANCEMOHHC CORP000.00000
HHS PROPERTIES INC
5325 FARAONST JOSEPHMO64506431593799INVESTMENTMOHHC CORP000.00000
UPTOWN HOUSING INC
5325 FARAONST JOSEPHMO64506261416252REDEVELOPMENTMOHHC CORP000.00000
UPTOWN ST JOSEPH REDEVELOPMENT CORP
5325 FARAONST JOSEPHMO64506201742813REDEVELOPMENTMOHHC CORP000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MIDWESTERN HEALTH MANAGEMENT
B1500000
MIDWESTERN HEALTH MANAGEMENT
E395699
MIDWESTERN HEALTH MANAGEMENT
K16029052
MIDWESTERN HEALTH MANAGEMENT
L1352814
MIDWESTERN HEALTH MANAGEMENT
P13157058
HHS PROPERTIES INC
B750000
HHS PROPERTIES INC
E11525
HHS PROPERTIES INC
J188197
HHS PROPERTIES INC
K1557495
HHS PROPERTIES INC
P679003
COMMUNITY HEALTH PLAN INSURANCE COMPANY
E262464
COMMUNITY HEALTH PLAN INSURANCE COMPANY
K1650742
COMMUNITY HEALTH PLAN INSURANCE COMPANY
L270000
COMMUNITY HEALTH PLAN INSURANCE COMPANY
P1545162
COMMUNITY HEALTH PLAN
E705251
COMMUNITY HEALTH PLAN
I139825
COMMUNITY HEALTH PLAN
K8506380
COMMUNITY HEALTH PLAN
L730000
COMMUNITY HEALTH PLAN
P7662313
UPTOWN ST JOSEPH REDEVELOPMENT CORPORATION
K159587