2011-05-16T16:22:51-05:00 2010-06-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2009-07-01 440545289 Heartland Regional Medical Center HEAR 8162716611 5325 FARAON ST JOSEPH MO 64506 JOHN P WILSON 8162716611 2011-05-16 true Michael J Engle 8162216300 2009 2016-02-24 21:20:13Z JOHN P WILSON 5325 FARAON ST JOSEPH MO 645 ST JOSEPH MO 64506 539819991 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 8 3528 61 157066 451852 424326 463674065 467437540 -17828834 7699008 7729680 11371111 454026763 486931985 1972207 4414466 0 0 229387035 234241319 0 0 0 208569900 208720432 439929142 447376217 14097621 39555768 533598793 560744999 319823172 296638840 213775621 264106159 SEE SCHEDULE O false false 409802444 4414466 478331934 SEE SCHEDULE O 409802444 true true false true false false false false false true false true false false true false false false false false true true false true true false false false false false false false false true true true false false false false true false false false true 265 0 true 3528 true true true true CJ false false false false false false false 11 8 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 LOWELL C KRUSE 73.0 X X 846095 0 4165845 DR MARK LANEY 72.0 X X 211834 0 46865 DR MAUREEN BOYLE 60.0 X 439977 0 25706 DR MICHAEL NELLESTEIN 40.0 X 732330 0 27238 KAREN BAKER 1.0 X 0 0 0 JOHN JARRETT 1.0 X 0 0 0 DAVE HOWERY 1.0 X 0 0 0 STEVE SCHRAM 1.0 X 0 0 0 JAMES GRAVES 1.0 X 0 0 0 ANDREW MCCREA 1.0 X 0 0 0 DAN HEGEMAN 1.0 X 0 0 0 DR DENNIS DOBYAN 1.0 X 0 0 0 BRIAN BRADLEY 1.0 X 0 0 0 CURT KRETZINGER 73.0 X 875107 0 84184 JOHN P WILSON 70.0 X 827866 0 49092 DOUGLAS BRANDT 70.0 X 237687 0 41762 MICHAEL PULIDO 75.0 X 210908 0 34625 SENATOR CHARLIE SHIELDS 75.0 X 143660 0 20583 DIRCK CLARK 74.0 X 407004 0 50865 HELEN THOMPSON 75.0 X 368831 0 54775 DR ROBERT PERMUT 75.0 X 501936 0 22513 RUDY WACKER 75.0 X 801561 0 8052 LYNN THUENTE 75.0 X 106897 0 10181 KAREN DITTEMORE 70.0 X 57635 0 14552 LISA MICHAELIS 75.0 X 443753 0 45618 SCOTT KOELLIKER 75.0 X 164699 0 24289 BRUCE TRAHAN 75.0 X 165874 0 19822 DR MOHAN HINDUPUR 60.0 X 994780 0 21938 DR ROBERT GRANT 60.0 X 845021 0 31813 DR FRANCISCO LAMMOGLIA 60.0 X 834863 0 28599 DR JANE SCHWABE 40.0 X 684715 0 81813 CHARISSE SPARKS 60.0 X 1291904 0 15631 DR PADMAVATHI VELIGATI 60.0 X 411762 0 9800 DR ED KAMMERER 60.0 X 435295 0 25329 13041994 0 4961490 304 true true false CERNER CORP SOFTWARE SYSTEMS 6350745 IHP INDUSTRIAL INC CONSTRUCTION 3243657 SIEMENS MEDICAL SOLUTIONS USA IMAGING SALES&SVC 2605711 SE EMERGENCY PHYSICIANS EMRGNCY PHYS 1947712 LEHR CONSTRUCTION CO INC CONSTRUCTION 1912180 107 8566 36038 109365 270357 124435 424326 NET PATIENT SERVICE REVENUE 621110 467437540 467437540 467437540 5214727 5214727 430691 430691 0 476717 476717 476717 476717 55865842 120558 52648221 239785 3217621 -119227 2053590 2053590 0 0 0 Cafeteria 722210 1934786 1934786 Refferal Lab 111000 1072948 964315 108633 Copying Revenue 541380 211964 211964 7674696 7626263 48433 10894394 486931985 478174868 157066 8175725 4414466 4414466 0 0 0 10790231 7502528 3287703 960730 960730 176518051 163871413 12646638 10217944 8912649 1305295 24596903 23127523 1469380 11157460 10522395 635065 0 781006 140639 640367 169494 169494 98711 98711 0 0 9241474 6571589 2669885 1827096 1714511 112585 65136830 62899685 2237145 3081262 2497170 584092 0 10244312 8091541 2152771 722898 592611 130287 0 1959368 1595459 363909 4923480 4875072 48408 0 23804175 18256852 5547323 2690084 2360204 329880 REPAIRS AND MAINTENANCE 12111873 11238376 873497 PROVISION FOR UNCOLLECTIBLE 33546467 33298406 248061 PURCHASED SERVICES 13868743 12127679 1741064 FRA TAX 23879375 23879375 MEMBERSHIPS & DUES 633784 351571 282213 447376217 409802444 37573773 0 22502335 4782752 52248345 54546356 7326875 7432442 3803734 5889719 436886085 231677619 202998597 205208466 217189581 245417935 14487399 22817256 3020856 3379445 10021071 11270628 533598793 560744999 100813906 79203417 200000000 196500000 6327621 5511177 12681645 15424246 319823172 296638840 X 213775621 264106159 213775621 264106159 533598793 560744999 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 121053 false false false 121053 false 15317168 15317168 212045824 89159777 122886047 20321459 11239525 9081934 138788609 98906629 39881980 50413025 32371688 18041337 205208466 0 DERIVATIVE INSTRUMENTS 13406911 MINORITY INTEREST 2017335 15424246 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 false Central America and the Caribbean Investments ACTIVITIES PER REGION SCHEDULE F, PART I, LINE 3 (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. true true true X true X true true true false true false 9759820 173868 9585952 0.02450 80212644 78245410 1967234 0.00500 89972464 78419278 11553186 0.02950 3398041 3398041 0.00870 836303 836303 0.00210 601598 601598 0.00120 250424 250424 0.00060 4414466 4414466 0.01130 9500832 9500832 0.02390 99473296 78419278 21054018 0.05340 43360 43360 0.00010 375829 375829 0.00080 875503 875503 0.00200 1294692 1294692 0.00290 false 15490418 168912549 186109380 -17196831 X true true HEARTLAND REGIONAL MEDICAL CENTER

5325 FARAON ST JOSEPH MO 64506

X X X PHYSICIAN CLINIC COST $ 601,598 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2. THE 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. NOTE 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. CHARGE 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. 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. USING 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. 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. 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. THE COMMUNITY HAS A HIGH INCIDENCE OF DIABETES, OBESITY AND SMOKING AND ALCOHOL HABITS. THE 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. THE ORGANIZATION IS BUILDING RELATIONSHIPS WITH MEDICAL PRACTITIONERS IN SURROUNDING COMMUNITIES IN ORDER TO ASSIST WITH THE CONTINUED AVAILABILITY OF MEDICAL COVERAGE IN THOSE AREAS. THE 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. true UNITED WAY OF ST JOSEPH 118 SOUTH 5TH STREET ST JOESPH MO 64501 440547802 501(c)(3) 510921 SUPPORT UNIVERSITY OF MINNESOTA NW 5960 PO BOX 1450 MINNEAPOLIS MN 55485 416027707 501(C)(6) 500000 COMMUNITY DEVELOPMENT HEARTLAND FOUNDATION 5325 FARAON ST JOSEPH MO 64506 431262768 501(C)(3) 2109444 SUPPORT ONE5 FOUNDATION 11221 ROE AVE LEAWOOD KS 66211 446001444 501(C)(3) 1157752 BOOK ORTHO SUPPLIES HAITIAN RELIEF HEARTLAND FOUNDATION 5325 FARAON ST JOSEPH MO 64506 431262768 501(C)(3) 67750 APPRAISAL LAND FUTURE EXPANSION 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. ALSO, BEING A SMALL COMMUNITY IT IS NOT THAT DIFFICULT TO BE ALERTED TO ANY WRONG-DOINGS ON THE PART OF A RECIPIENT. X X true true X X X X X false true false false false false false false false LOWELL C KRUSE 812004 0 32456 0 1635 0 4150000 0 15845 0 5011940 0 0 0 CURT KRETZINGER 378314 0 101473 0 395320 0 76312 0 7872 0 959291 0 394028 0 JOHN P WILSON 339400 0 87834 0 400632 0 48282 0 810 0 876958 0 399338 0 DR MARK LANEY 203000 0 3379 0 5455 0 40187 0 6678 0 258699 0 0 0 DR MAUREEN BOYLE 429415 0 8888 0 1674 0 9800 0 15906 0 465683 0 0 0 DR MICHAEL NELLESTEIN 721473 0 8481 0 2376 0 9800 0 17438 0 759568 0 0 0 LISA MICHAELIS 234682 0 60826 0 148245 0 32678 0 12940 0 489371 0 0 0 DOUGLAS BRANDT 191363 0 44740 0 1584 0 25118 0 16644 0 279449 0 0 0 SCOTT KOELLIKER 142918 0 20383 0 1398 0 5490 0 18799 0 188988 0 0 0 MICHAEL PULIDO 170502 0 39098 0 1308 0 16412 0 18213 0 245533 0 0 0 SENATOR CHARLIE SHIELDS 109461 0 32894 0 1305 0 4478 0 16105 0 164243 0 0 0 DIRCK CLARK 206604 0 52798 0 147602 0 31533 0 19332 0 457869 0 45555 0 HELEN THOMPSON 217687 0 53092 0 98052 0 40205 0 14570 0 423606 0 96324 0 DR ROBERT PERMUT 299062 0 67200 0 135674 0 9800 0 12713 0 524449 0 0 0 RUDY WACKER 401027 0 13269 0 387265 0 2450 0 5602 0 809613 0 385827 0 DR MOHAN HINDUPUR 964141 0 25941 0 4698 0 9800 0 12138 0 1016718 0 0 0 DR ROBERT GRANT 819114 0 24233 0 1674 0 9800 0 22013 0 876834 0 0 0 DR FRANCISCO LAMMOGLIA 809710 0 22777 0 2376 0 9800 0 18799 0 863462 0 0 0 DR JANE SCHWABE 624289 0 58482 0 1944 0 59800 0 22013 0 766528 0 0 0 DR PADMAVATHI VELIGATI 401112 0 8482 0 2168 0 9800 0 0 0 421562 0 0 0 DR ED KAMMERER 217659 0 215962 0 1674 0 9673 0 15656 0 460624 0 0 0 CHARISSE SPARKS 464887 0 825148 0 1869 0 9800 0 5831 0 1307535 0 0 0 BRUCE TRAHAN 145584 0 11203 0 9087 0 5669 0 14153 0 185696 0 0 0 OTHER COMPENSATION SCHEDULE J, PART I, LINE 1A BRUCE 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 PLAN SCHEDULE J, PART I, LINE 4B VESTED 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 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, 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 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. THE INSDUSTRIAL DEVELEOPMENT AUTHORITY OF ST JOE 431203910 79075LAA5 2003-05-17 32225000 REFUND THE SERIES 2001(C) BONDS(11 false false THE INSDUSTRIAL DEVELEOPMENT AUTHORITY OF ST JOE 431203910 79075LAB3 2009-02-13 70000000 SEE SCHEDULE O false false 32225000 1960725 0 0 260055 0 0 2003 true false true true 70000000 0 0 38875551 711303 0 30705854 2013 false false false true false false false false false true false false false false false true false true true CITIGROUP INC 3.5 false false false false true false false false false SEE SCHEDULE O X 1 35459 FMV X MEDICAL EQUIPMENT 1 77650 FMV X EQUIPMENT 1 11326 0 false true false ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 THE MISSION OF THE HEARTLAND REGIONAL MEDICAL CENTER IS TO ESTABLISH AND OPERATE A DIVERSIFIED HEALTH CARE DELIVERY SYSTEM THAT PROVIDES THE RIGHT CARE, AT THE RIGHT TIME, IN THE RIGHT PLACE, AT THE RIGHT COST WITH OUTCOMES SECOND TO NONE FOR THE PEOPLE LIVING IN NORTHWEST MISSOURI AND ADJACENT AREAS IN KANSAS, IOWA, AND NEBRASKA, REGARDLESS OF ABILITY TO PAY, WHILE ALSO STRIVING TO IMPROVE THE LIVES OF THOSE INDIVIDUALS BY FOCUSING ON PREVENTIVE HEALTH INITIATIVES SUCH AS EDUCATION, WELLNESS PROGRAMS, HEALTH-RELATED ACTIVITIES AND COMMUNITY BENEFIT PROGRAMS. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A HEARTLAND REGIONAL MEDICAL CENTER IS 352-BED MEDICAL SURGICAL HOSPITAL LOCATED IN ST JOSEPH, MISSOURI. IT SERVES A COMMUNITY OF 70,000 RESIDENTS. BECAUSE ST JOSEPH IS A BORDER TOWN, IT ALSO PROVIDES SERVICES TO THOSE LIVING IN THE ADJACENT STATES OF KANSAS, NEBRASKA AND IOWA. THE ECONOMY OF THE REGION IS BASED ON AGRICULTURE, MINOR MANUFACTURING AND SMALL 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 JOHN 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 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 10 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 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 REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B ANNUAL 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 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. 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 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) $ 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 ORGANIZATIONS FORM 990, PART VII HOURS 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 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 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 MIDWESTERN HEALTH MANAGEMENT B 1500000 MIDWESTERN HEALTH MANAGEMENT E 395699 MIDWESTERN HEALTH MANAGEMENT K 16029052 MIDWESTERN HEALTH MANAGEMENT L 1352814 MIDWESTERN HEALTH MANAGEMENT P 13157058 HHS PROPERTIES INC B 750000 HHS PROPERTIES INC E 11525 HHS PROPERTIES INC J 188197 HHS PROPERTIES INC K 1557495 HHS PROPERTIES INC P 679003 COMMUNITY HEALTH PLAN INSURANCE COMPANY E 262464 COMMUNITY HEALTH PLAN INSURANCE COMPANY K 1650742 COMMUNITY HEALTH PLAN INSURANCE COMPANY L 270000 COMMUNITY HEALTH PLAN INSURANCE COMPANY P 1545162 COMMUNITY HEALTH PLAN E 705251 COMMUNITY HEALTH PLAN I 139825 COMMUNITY HEALTH PLAN K 8506380 COMMUNITY HEALTH PLAN L 730000 COMMUNITY HEALTH PLAN P 7662313 UPTOWN ST JOSEPH REDEVELOPMENT CORPORATION K 159587