exv3w142

Judith Dawson

Thompson Dent

(Secretary or Asst. Secretary)

(President or Vice President)

Judith Dawson, Asst. Secretary

Thompson Dent, President


		Exhibit 3.142


		State of Missouri . . . Office of Secretary of State JAMES C. KIRKPATRICK, Secretary of State

Articles of Incorporation

(To be submitted in duplicate by an attorney or an incorporator)

HONORABLE JAMES C. KIRKPATRICK
SECRETARY OF STATE
STATE OF MISSOURI
JEFFERSON CITY, MO. 65102

The undersigned natural person (s) of the age of eighteen years or more for the purpose of forming a corporation under The General and Business Corporation Law of Missouri adopt the following Articles of Incorporation:

ARTICLE ONE

The name of the corporation is: Research Business Group, Inc.

ARTICLE TWO

The address, including street and number, if any, of the corporation’s initial registered office in this state is: 2300 E. Meyer Blvd., Kansas City, Mo. 64132 and the name of its initial agent at such address is: A. Alan Transue

ARTICLE THREE

The aggregate number, class and par value, if any, of shares which the corporation shall have authority to issue shall be:

$30,000 authorized capital
30,000 shares at $1.00 par value

The preferences, qualifications, limitations, restrictions, and the special or relative rights, including convertible rights, if any, in respect of the shares of each class are as follows:
None


		FILED AND CERTIFICATE OF INCORPORATION ISSUED

		SEP 12 1983

		James C. Kirkpatrick

ARTICLE FOUR

The extent, if any, to which the preemptive right of a shareholder to acquire additional shares is limited or denied.

None

ARTICLE FIVE

The name and place of residence of each incorporator is as follows:


Name		Street		City


Larry J. Bingham		2800 Commerce Tower		Kansas City, Mo. 64105

ARTICLE SIX
(Designate which and complete the applicable paragraph)

o The number of directors to constitute the first board of directors is . Thereafter the number of directors shall be fixed by, or in the manner provided in the bylaws. Any changes in the number will be reported to the Secretary of State within thirty calendar days of such change.

þ The number of directors to constitute the board of directors is twelve. (The number of directors to constitute the board of directors must be stated herein if there are to be less than three directors. The persons to constitute the first board of directors may, but need not, be named).


Kenneth L. Brown		A. T. Hancock
Peter C. Barnes		Tom D. Harmon
James A. Breteell		Stephen A. Melcher
Martin L. Crow, M.D.		Henry Nottberg, Jr.
Thompson S. Dent		Harry B. Overesch, M.D.
E. Wynn Presson		Doyle Patterson

ARTICLE SEVEN

The duration of the corporation is Perpetual


STATE OF MISSOURI		ss.
COUNTY OF JACKSON

I, the undersigned, a notary public, do hereby certify that on the 31st day of August, 1983, personally appeared before me, Larry J. Bingham , who being by me first duly sworn, (severally) declared that he is (they are) the person (s) who signed the foregoing document as incorporator(s), and that the statements therein contained are true.


		/s/ Paula A. [ILLEGIBLE]
		Notary Public

My commission expires 7-15-84, 19 .


		PAULA A. [ILLEGIBLE]
		Notary Public — State of Missouri
		Commissioned in Jackson County
		My Commission Expires July 15, 1984


		FILED AND CERTIFICATE OF
		INCORPORATION ISSUED

		SEP 12 1983

		James C. Kirkpatrick

Corp No. 41

ARTICLE EIGHT

The corporation is formed for the following purposes:

Primarily, to purchase, own, and hold the stock of other corporations engaged in the businesses related to health care, and to do every act and thing covered generally by the denomination “holding company,” and especially to direct the operations of other corporations through the ownership of stock therein; and to conduct any other and all business for which corporations may be organized under the laws of the State of Missouri.

IN WITNESS WHEREOF, these Articles of Incorporation have been signed this 31^st day of August, 1983.


		/s/ Larry J. Bingham
		Larry J. Bingham

No. 00255963


		STATE of MISSOURI JAMES C. KIRKPATRICK, Secretary of State

		Corporation Division

Certificate of Amendment

WHEREAS, RESEARCH VENTURES GROUP, INC. (FORMERLY: RESEARCH BUSINESS GROUP, INC.) corporation organized under The General and Business Corporation Law has delivered to me a Certificate of Amendment of its Articles of Incorporation and has in all respects complied with the requirements of law governing the amendment of Articles of Incorporation under The General and Business Corporation Law,

NOW, THEREFORE, I, JAMES C. KIRKPATRICK, Secretary of State of the State of Missouri, do hereby certify that I have filed said Certificate of Amendment as provided by law, and that the Articles of Incorporation of said corporation are amended in accordance therewith.

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the GREAT SEAL of the State of Missouri, at the City of Jefferson, this 19th day of December, 1983


		James C. Kirkpatrick Secretary of State

RECEIVED OF: RESEARCH VENTURES GROUP, INC. FIFTEEN DOLLARS Dollars, $15.00 For Credit of General Revenue Fund, on Account of Incorporation Tax and Fee.


No. 00255963		James C. Kirkpatrick Secretary of State

CORP. 20 1/82


		State of Missouri . . . Office of Secretary of State JAMES C. KIRKPATRICK, Secretary of State

Amendment of Articles of Incorporation

(To be submitted in duplicate by an attorney)

HONORABLE JAMES C. KIRKPATRICK
SECRETARY OF STATE
STATE OF MISSOURI
JEFFERSON CITY, MO. 65101

Pursuant to the provisions of The General and Business Corporation Law of Missouri, the undersigned Corporation certifies the following:

(1) The present name of the Corporation is Research Business Group, Inc.

The name under which it was originally organized was Research Business Group, Inc.

(2) An amendment to the Corporation’s Articles of Incorporation was adopted by the shareholders on December 6,1983.

(3) Article # One is amended to read as follows:

The name of the corporation is Research Ventures Group, Inc.

(If more than one article is to be amended or more space is needed attach fly sheet)

(4) Of the 500 shares outstanding, 500 of such shares were entitled to vote on such amendment..

The number of outstanding shares of any class entitled to vote thereon as a class were as follows:


		Number of
Class		Outstanding Shares

Common		500

(5) The number of shares voted for and against the amendment was as follows:


Class	No. Voted For	No. Voted Against

Common	500	-0-

(6) If the amendment changed the number or par value of authorized shares having a par value the amount in dollars of authorized shares having a par value as changed is:

N/A

If the amendment changed the number of authorized shares without par value, the authorized number of shares without par value as changed and the consideration proposed to be received for such increased authorized shares without par value as are to be presently issued are:

N/A

(7) If the amendment provides for an exchange, reclassification, or cancellation of issued shares, or a reduction of the number of authorized shares of any class below the number of issued shares of that class, the following is a statement of the manner in which such reduction shall be effected:

N/A


IN WITNESS WHEREOF, the undersigned,		Thompson Dent

		President or


		has executed this instrument and its


Judith Dawson		has affixed its corporate seal hereto and attested said seal on the 12^th day of
Assistant Secretary		December, 1983.


PLACE
CORPORATE SEAL
HERE
(IF NO SEAL, STATE “NONE”)


		RESEARCH BUSINESS GROUP, INC.
		(Name of Corporation)

ATTEST:


STATE OF MISSOURI	}
		ss.
COUNTY OF JACKSON

I, the undersigned , a notary public, do hereby certify that on this 12^thday of December, 1983, personally appeared before me Thompson S. Dent, who, being by me first duly sworn, declared that he is the President of Research Business Group, Inc. that he signed the foregoing document as President of the corporation, and that the statements therein contained are true.


		[ILLEGIBLE]
		Notary Public


(NOTARIAL
SEAL)

My commission expires August 5, 1985.


		FILED AND CERTIFICATE
		ISSUED

		DEC 19 1983

		/s/ James C. Kirkpatrick Corporation Dept. SECRETARY OF STATE

Corp. 44


No. 00255963		STATE OF MISSOURI ROY D. BLUNT, Secretary of State CORPORATION DIVISION

Certificate of Amendment

WHEREAS, RESEARCH VENTURES GROUP, INC. a corporation organized under The General and Business Corporation Law has delivered to me a Certificate of Amendment of its Articles of Incorporation and has in all respects complied with the requirements of law governing the amendment of Articles of Incorporation under The General and Business Corporation Law.

NOW, THEREFORE, I, ROY D. BLUNT, Secretary of State of the State of Missouri, do hereby certify that I have filed said Certificate of Amendment as provided by law, and that the Articles of Incorporation of said corporation are amended in accordance therewith.

IN TESTIMONY WHEREOF, I hereunto set my hand and affix the GREAT SEAL of the State of Missouri. Done at the City of Jefferson, this 9th day of April, 1985.


		Roy D. Blunt Secretary of State

RECEIVED OF: RESEARCH VENTURES GROUP, INC. FIFTEEN DOLLARS, $15.00 For Credit of General Revenue Fund, on Account of Incorporation Tax and Fee.

No. 00255963

Corp. #20(1-85)


		STATE OF MISSOURI . . . Office of Secretary of State JAMES C. KIRKPATRICK, Secretary of State Amendment of Articles of Incorporation (To be submitted in duplicate by an attorney)

HONORABLE JAMES C. KIRKPATRICK
SECRETARY OF STATE
STATE OF MISSOURI
JEFFERSON CITY, MO 65102

Pursuant to the provisions of The General and Business Corporation Law of Missouri, the undersigned Corporation certifies the following:

1. The present name of the Corporation is Research Ventures Group, Inc.

The name under which it was originally organized was Research Business Group, Inc.

2. An amendment to the Corporation’s Articles of Incorporation was adopted by the shareholders on March 22, 1985, 19 .

Article Number Six is amended to read as follows:

The number of directors to constitute the board of directors is three.

(If more than one article is to be amended or more space is needed attach fly sheet.)

Corp. 44 (3-82)

Of the 501 shares outstanding, 501 of such shares were entitled to vote on such amendment.

The number of outstanding shares of any class entitled to vote thereon as a class were as follows:


Class		Number of Outstanding Shares

Common		501

The number of shares voted for and against the amendment was as follows:


Class	No. Voted For	No. Voted Against

Common	501	-0-

If the amendment changed the number or par value of authorized shares having a par value, the amount in dollars of authorized shares having a par value as changed is:

N/A

If the amendment provides for an exchange, reclassification, or cancellation of issued shares, or a reduction of the number of authorized shares of any class below the number of issued shares of that class, the following is a statement of the manner in which such reduction shall be effected:

N/A

Corp. 44 (Page 2)


IN WITNESS WHEREOF, the undersigned,		Richard W. Brown, President

		President or


		has executed this instrument and its
Vice-President


Judith A. Vogelsmeier, Assistant Secretary		has affixed its corporate seal hereto and attested said seal on the 27^th day of
Secretary or Assistant Secretary		MARCH, 1985.


PLACE
CORPORATE SEAL
HERE.
(IF NO SEAL, STATE “NONE.”)


		RESEARCH VENTURES GROUP, INC.
		Name of Corporation

ATTEST:


State of Missouri	}
		ss
County of Jackson

I, the undersigned, a Notary Public, do hereby certify that on this 27th day of March, 1985, personally appeared before me Richard W. Brown who, being by me first duly sworn, declared that he is the President of Research Ventures Group, Inc. that he signed the foregoing document as President of the corporation, and that the statements therein contained are true.


NOTARIAL SEAL		/s/ Annette D. Hardesty
		Notary Public


		My commission expires
		ANNETTE D. HARDESTY
		Notary Public — State of Missouri
		Commissioned in Jackson County
		My Commission Expires July 29, 1986


		FILED AND CERTIFICATE
		ISSUED

		APR 9 1985

		Roy D. Blunt
		Corporation Dept. SECRETARY OF STATE

Corp. 44 (Page 3)

No. 00255963


		STATE OF MISSOURI ROY D. BLUNT, Secretary of State CORPORATION DIVISION

Certificate of Amendment

WHEREAS, RESEARCH VENTURES GROUP, INC. a corporation organized under The General and Business Corporation Law has delivered to me a Certificate of amendment of its Articles of Incorporation and has in all respects complied with the requirements of law governing the amendment of Articles of Incorporation under The General and Business Corporation Law.

IN TESTIMONY WHEREOF, I hereunto set my hand and affix the GREAT SEAL of the State of Missouri. Done at the City of Jefferson, this 26th day of March, 1987.


		/s/ Roy D. Blunt Secretary of State

RECEIVED OF: RESEARCH VENTURES GROUP, INC. TWENTY DOLLARS, $20.00 For Credit of General Revenue Fund, on Account of Incorporation Tax and Fee.

No. 00255963

Corp. #20 (1-85)


		STATE OF MISSOURI . . . Office of Secretary of State ROY D. BLUNT, Secretary of State Amendment of Articles of Incorporation (To be submitted in duplicate by an attorney)

HONORABLE ROY D. BLUNT
SECRETARY OF STATE
STATE OF MISSOURI
P.O. BOX 778
JEFFERSON CITY, MO 65102

Pursuant to the provisions of The General and Business Corporation Law of Missouri, the undersigned Corporation certifies the following:

1. The present name of the Corporation is Research Ventures Group, Inc. The name under which it was originally organized was Research Business Group, Inc.

2. An amendment to the Corporation’s Articles of Incorporation was adopted by the shareholders on March 3, 1987.

3. Article Number Six is amended to read as follows:

“The number of directors to constitute the Board of Directors is nine (9).”

(If more than one article is to be amended or more space is needed attach fly sheet.)

Corp. 44 (1-85)

Of the 502 shares outstanding, 502 of such shares were entitled to vote on such amendment.

The number of outstanding shares of any class entitled to vote thereon as a class were as follows:


Class		Number of Outstanding Shares

Common		502

The number of shares voted for and against the amendment was as follows:


Class	No. Voted For	No. Voted Against

Common	502	-0-

If the amendment changed the number or par value of authorized shares having a par value, the amount in dollars of authorized shares having a par value as changed is:

N/A

Corp. 44 (Page 2)


IN WITNESS WHEREOF, the undersigned,		Robert S. Bonney

		President or


		has executed this instrument and its
Vice-President


Judith A. Vogelsmeier		has affixed its corporate seal hereto and
Assistant Secretary

attested said seal on the 23^rd day of March, 1987.


PLACE
CORPORATE SEAL
HERE.
(IF NO SEAL, STATE “NONE.”)


		RESEARCH VENTURES GROUP, INC.
		Name of Corporation

ATTEST:


State of Missouri	}
		ss
County of Jackson

I, the undersigned, a Notary Public, do hereby certify that on this 23^rd day of March, 1987, personally appeared before me Robert S. Bonney who, being by me first duly sworn, declared that he is the President of Research Ventures Group, Inc. that he signed the foregoing document as President of the corporation, and that the statements therein contained are true.


		/s/ Paula A. Lindemood

NOTARIAL SEAL		Notary Public

		My commission expires 6-15-88
		PAULA A. LINDEMOOD
		Notary Public - State of Missouri
		Commissioned in Jackson County
		My Commission Expires June 15, 1988.

		FILED AND CERTIFICATE
		ISSUED

		MAR 26 1987

		/s/ Roy D. Blunt
		corporation Dept. SECRETARY OF STATE

Corp. 44 (Page 3)

No. 00255963


		STATE OF MISSOURI ROY D. BLUNT, Secretary of State CORPORATION DIVISION

Certificate of Amendment

IN TESTIMONY WHEREOF, I hereunto set my hand and affix the GREAT SEAL of the State of Missouri. Done at the City of Jefferson, this 9th day of August, 1988.



		/s/ Roy D. Blunt

		Secretary of State

Fee $20.00

Corp. #20 (3-87)


		STATE OF MISSOURI . . . Office of Secretary of State ROY D. BLUNT, Secretary of State Amendment of Articles of Incorporation (To be submitted in duplicate by an attorney)

HONORABLE ROY D. BLUNT
SECRETARY OF STATE
STATE OF MISSOURI
P.O. BOX 778
JEFFERSON CITY, MO 65102

Pursuant to the provisions of The General and Business Corporation Law of Missouri, the undersigned Corporation certifies the following:

1. The present name of the Corporation is Research Ventures Group, Inc. The name under which it was originally organized was Research Business Group, Inc.

2. An amendment to the Corporation’s Articles of Incorporation was adopted by the shareholders on July 26, 1988.

3. Article Number Six is amended to read as follows:

The number of directors to constitute the Board of Directors is five (5).

(If more than one article is to be amended or more space is needed, attach fly sheet.)

Corp. 44 (1-85)

Of the 502 shares outstanding, 502 of such shares were entitled to vote on such amendment.

The number of outstanding shares of any class entitled to vote thereon as a class were as follows:


Class		Number of Outstanding Shares

Common		502

The number of shares voted for and against the amendment was as follows:


Class	No. Voted For	No. Voted Against

Common	502	-0-

If the amendment changed the number or par value of authorized shares having a par value, the amount in dollars of authorized shares having a par value as changed is:

N/A

Corp. 44 (Page 2)


IN WITNESS WHEREOF, the undersigned,		Richard W. Brown


		President has executed this instrument and its

Judith A. Vogelsmeier Assistant Secretary		has affixed its corporate seal hereto and attested said seal on the 2^nd day of August, 1988.


PLACE CORPORATE SEAL HERE. (IF NO SEAL, STATE “NONE.”)



		RESEARCH VENTURES GROUP, INC.

		Name of Corporation

ATTEST:


Judith A. Vogelsmeier	By	Richard W. Brown

Assistant Secretary		President
Judith A. Vogelsmeier		Richard W. Brown


State of Missouri	}
		ss
County of Jackson

I, the undersigned, a Notary Public, do hereby certify that on this 2^nd day of August, 1988, personally appeared before me Richard W. Brown who, being by me first duly sworn, declared that he is the President of Research Ventures Group, Inc. that he signed the foregoing document as President of the corporation, and that the statements therein contained are true.


NOTARIAL SEAL		/s/ Beverly D. Brown

		Notary Public


		My commission expires
		BEVERLY D. BROWN
		Notary Public — State of Missouri
		Commissioned in Jackson County
		My Commission Expires September [ILLEGIBLE] 1989

		FILED AND CERTIFICATE
		ISSUED
		AUG 09 1988
		/s/ Roy D. Blunt
		Corporation Dept. SECRETARY OF STATE

Corp. 44 (Page 3)

No. 00255963


		STATE OF MISSOURI ROY D. BLUNT, Secretary of State
		CORPORATION DIVISION

Certificate of Amendment

WHEREAS, HEALTH MIDWEST VENTURES GROUP, INC. (FORMERLY: RESEARCH VENTURES GROUP, INC.)
a corporation organized under The General and Business Corporation Law has delivered to me a Certificate of Amendment of its Articles of Incorporation and has in all respects complied with the requirements of law governing amendment of Articles of Incorporation under The General and Business Corporation Law.

IN TESTIMONY WHEREOF, I hereunto set my hand and affix the GREAT SEAL of the State of Missouri. Done at the City of Jefferson, this 21^st day of June, 1991.


		Roy D. Blunt

		Secretary of State

Fee $

20.00

Corp. #20 (3-87)

STATE OF MISSOURI . . . Office of Secretary of State
ROY D. BLUNT, Secretary of State

AMENDMENT OF ARTICLES OF INCORPORATION
(To be submitted in duplicate by an attorney)

HONORABLE ROY D. BLUNT
SECRETARY OF STATE
STATE OF MISSOURI
P. O. BOX 778
JEFFERSON CITY, MO 65102

Pursuant to the provisions of The General and Business Corporation Law of Missouri, the undersigned Corporation certifies the following:

	1.		The present name of the Corporation is Research Ventures Group, Inc.

			The name under which it was originally organized was Research Business Group, Inc.

	2.		An amendment to the Corporation’s Articles of Incorporation was adopted by the shareholders on April 12, 1991.

	3.		Article Number One is amended to read as follows:

			ARTICLE NUMBER ONE shall henceforth read in its entirety, The name of the corporation shall be:

“HEALTH MIDWEST VENTURES GROUP, INC.”

	4.		Of the 502 shares outstanding, 502 of such shares were entitled to vote on such amendment.

			The number of outstanding shares of any class entitled to vote thereon as a class were as follows:


Class		Number of Outstanding Shares

Common		502

The number of shares voted for and against the amendment was as follows:


Class	No. Voted For	No. Voted Against

Common	502	-0-

If the amendment changed the number of par value of authorized shares having a par value, the amount in dollars of authorized shares having a par value as changed is:

N/A

IN WITNESS WHEREOF, the undersigned, Richard W. Brown, President, has executed this instrument and Judith A. Vogelsmeier, its Assistant Secretary has affixed its corporate seal hereto and attested said seal on the 18^th day of June, 1991.

PLACE CORPORATE
SEAL HERE


By:		/s/ Judith A. Vogelsmeier Judith A. Vogelsmeier, Assistant Secretary

1646


STATE OF MISSOURI	)
	)	ss
COUNTY OF JACKSON	)

I, the undersigned, a Notary Public, do hereby certify that on this 18^th day of June, 1991, Richard W. Brown personally appeared before me who, being by me first duly sworn, declared that he is the President of Research Ventures Group, Inc., that he signed the foregoing document as President of the corporation, and that the statements therein contained are true.


NOTARIAL SEAL		Beverly D. brown Notary Public


My commission expires		Beverly D. Brown Notary Public — State of Missouri
		Commissioned in Jackson County
		My Commission Expires September 3, 1993

FILED AND CERTIFICATE
ISSUED
JUN 21, 1991
Roy D. Blunt
Corporation Dept. SECRETARY OF STATE

1646

Judith K. Moriarty SECRETARY OF STATE CORPORATION DIVISION CERTIFICATE OF AMENDMENT WHEREAS, HEALTH MIDWEST VENTURES GROUP, INC. A CORPORATION ORGANIZED UNDER THE GENERAL AND BUSINESS CORPORATION Law has delivered to me a Certificate of Amendment of its Articles of Incorporation and has in all respects complied with the requirements of law governing the amendment of Articles of Incorporation under The General Business Corporation Law, and that the Articles of Incorporation of said corporation are amended in accordance therewith. IN TESTIMONY WHEREOF, I HAVE SET MY hand and imprinted the GREAT SEAL of the State of Missouri, on this, the 4th day of AUGUST, 1994. Secretary of state $20-00

Rebecca McDowell Cook Secretary of State CORPORATION DIVISION CERTIFICATE OF CORPORATE RECORDS HEALTH MIDWEST VENTURES GROUP, INC. I, REBECCA McDOWELL COOK, Secretary of State of the State of Missouri and Keeper of the Great Seal thereof, do hereby certify that the annexed pages contain a full, true and complete copy of the original documents on file and of record in this office. IN TESTIMONY WHEREOF, I have set my hand and imprinted the GREAT SEAL of the State of Missouri, on this, the 5th day of JANUARY, 2000. Secretary of State

STATE OF MISSOURI . . . Office of Secretary of State
JUDITH K. MORIARTY, Secretary of State

AMENDMENT OF ARTICLES OF INCORPORATION
(To be submitted in duplicate by an attorney)

HONORABLE JUDITH K. MORIARTY
SECRETARY OF STATE
STATE OF MISSOURI
P. O. BOX 778
JEFFERSON CITY, MO 65102

Pursuant to the provisions of The General and Business Corporation Law of Missouri, the undersigned Corporation certifies the following:

	1.		The present name of the Corporation is Health Midwest Ventures Group, Inc.

			The name under which it was originally organized was Research Ventures Group, Inc.

	2.		An amendment to the Corporation’s Articles of Incorporation was adopted by the shareholders on July 18, 1994.

	3.		Article Number Six is amended to henceforth read as follows:

“Article VI

The number of directors to constitute the Board of Directors shall be seven (7). Thereafter, the number of directors shall be fixed by, or in the manner provided in the bylaws. Any changes in the number shall be reported to the Secretary of State within thirty (30) calendar days after such change.”

	4.		Of the 502 shares outstanding, 502 of such shares were entitled to vote on such amendment.

			The number of outstanding shares of any class entitled to vote thereon as a class were as follows:


Class	Number of Outstanding Shares
Common		502

62590

The number of shares voted for and against the amendment was as follows:


Class	No. Voted For	No. Voted Against
Common	502	-0-

	6.		If the amendment changed the number of par value of authorized shares having a par value, the amount in dollars of authorized shares having a par value as changed is:

			N/A

			If the amendment changed the number of authorized shares without par value, the authorized number of shares without par value as changed and the consideration proposed to be received for such increased authorized shares without par value as are to be presently issued are:

			N/A

	7.		If the amendment provides for an exchange, reclassification, or cancellation of issued shares, or a reduction of the number of authorized shares of any class below the number of issued shares of that class, the following is a statement of the manner in which such reduction shall be effected:

			N/A


PLACE CORPORATE
SEAL HERE
		HEALTH MIDWEST VENTURES GROUP, INC.

ATTEST:



	By:	/s/ Richard W. Brown
		Richard W. Brown, President


By:		/s/ Judith A. Vogelsmeier Judith A. Vogelsmeier, Assistant Secretary


		FILED AND CERTIFICATE
		ISSUED
		AUG 04 1994

		/s/ Judith K. Moriarty
		SECRETARY OF STATE

62590


STATE OF MISSOURI		)
		) ss
COUNTY OF JACKSON		)

I, the undersigned, a Notary Public, do hereby certify that on this 3rd day of August, 1994, Richard W. Brown personally appeared before me who, being by me first duly sworn, declared that he is the President of Health Midwest Ventures Group, Inc., that he signed the foregoing document as President of the corporation, and that the statements therein contained are true.


NOTARIAL SEAL		/s/ Karen J. Montgomery

		Notary Public


		KAREN J. MONTGOMERY
My commission expires 8/6/1997		Notary Public-State of Missouri
		Commissioned In Jackson County
		My Commission Expires Aug. 6,1997

62590