Heartland Long Term Acute Care Hospital

“Curt kretzinger and john p. Wilson have a business relationship.”

“Heartland health, a missouri nonprofit corporation, is the sole member of heartland long term acute care hospital (heartland ltach). Heartland health has the right to elect the first board of directors of heartland ltach. Heartland health is not entitled to receive a share of heartland ltach's profits or excess dues. Upon dissolution of heartland ltach, they shall dispose of all of the assets of the corporation exclusively to heartland health, heartland regional medical center, or their successors, or assigns, assuming that as of the date of dissolution, such entities remain qualified as exempt organizations under section 501(c)(3) of the internal revenue code of 1986.”

“Heartland health, being the sole member of heartland ltach, has the right to elect all of the board of directors.”

“The corporate bylaws of heartland ltach 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. Any fundamental change in the mission, purpose or philosophy of the hopsital b. Any change affecting or threatening host hospital's compliance and required qualifications as a sole community provider, particularly during the first six (6) months of requisite data collection under classification as a short term acute care hospital, or in the event the hospital reverts to its initial cms certification as a short-term acute care hospital c. The incurrence of debt, including without limitation, borrowings, guarantees, loans, encumbrances, operating leases, purchase or lease of real estate, and capital leases, in excess of five hundred thousand dollars ($500,000), measured in an annual aggregate d. Any merger or consolidation to which the hospital is a party. The sale or disposition of all or substantially all of the assets of the hospital e. Policies pertaining to charity care f. Any release or cancellation of individual claims in excess of $75,000 g. Any capital expenditures which in the aggregate exceed $250,000 annually h. Appointment and removal of the corporate director i. The defense, settlement or resolution of any dispute involving the hospital in which the amount in controversy is in excess of $250,000 j. The defense, settlement or resolution of any regulatory challenges to the legal structure of the hospital, alleged overpayments from any governmental agency or any allegations from a governmental agency of fraud and abuse k. Approve the strategic plan of the hospital”

“An independent accounting firm prepares and reviews the 990. The tax department, controller and treasurer, all review the return. The complete 990 is then emailed to all members of the board for review before filing.”

“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. All dismissals and abstentions are recorded in the minutes of the board meeting. Annually, the officers and key employees are required to sign a code of conduct document in which they agree to ethical behavior and adhering to confidentiality policies. They also receive a questionnaire which facilitates the disclosure of any reportable activities to the corporate compliance officer.”

“An annual review was performed during the fiscal year. Market data is provided by a third party compensation consultant that specializes in market salary data. A compensation committee comprised of the heartland health board chair, heartland health board vice-chair and three additional heartland health board members and independent legal counsel, as scribe, oversee an annual salary review process for officers and administrators. 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 the third party consultant. Facility size, not-for-profit status and the scope of each job position is compared to like facilities to determine base compensation and incentive compensation for each position. The data gathered by the third party consultant 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.”

“The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon written request.”

“The long term acute care hospital offers the community and service area of northwest missouri a new specialized level of inpatient care for the medically complex patient who requires extended hospitalization. The 41-bed hospital-within-a-hospital is co-located within mosaic life care st joseph medical center (heartland regional medical center (hrmc)) in st. Joseph, missouri. It provides care to the medically complex patient and also offers a close observation unit consisting of 8 beds for patients who require increased nursing-to-patient ratios and technical support for more critical care needs such as ventilator weaning and telemetric monitoring. Patients have an average length of stay of longer than 25 days. Patients require daily physician visits, round-the-clock nursing care as well as such multidisciplinary services as respiratory therapists, dietitians, dialysis technicians and physical, occupational, and speech pathologists due to their medical complications and needs. Care for patients is provided in a small, personalized environment that offers a large array of resources, private rooms and amenities for patient's families. Patients are typically referred to heartland long term acute care hospital after receiving care in a hospital-based intensive care unit or medical-surgical unit. Care was provided to 250 patients who generated 8,400 patient days. Medicare and medicaid patients generated 93% of the revenue. A total of $199,000 of coinsurances and deductibles were deemed uncollectible and financial assistance was provided in the amount of $334,000.”

“Description:clinical services from hrmc total fees:2704401”

“Description:support services from hrmc total fees:721793”

“Description:admin. Services from hrmc total fees:236682”

“Description:other contracted services total fees:514187”