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SAINT FRANCIS MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SAINT FRANCIS MEDICAL CENTER (EIN 23-7246265)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202431369349317523
Schema version
2022v5.0
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)
Return2024-05-15T18:05:05-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430831507PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDERS CPAS AND ADVISORSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 MARKET STREET STE 500AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237246265EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAINT FRANCIS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAINBusinessNameControlTxt
Phone5733313000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SAINT FRANCIS DRIVEAddressLine1Txt
CityCAPE GIRARDEAUCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63703ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMATTHEW BRANDTPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone5733313000PhoneNum
Signature2024-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMATTHEWPersonFirstNm
Person LastBRANDTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK G HINSENPreparerPersonNm
PTINP00047496PTIN
Phone3146555500PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATTHEW BRANDTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SAINT FRANCIS DRIVEAddressLine1Txt
CityCAPE GIRARDEAUCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63703ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$698,958,228GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SFMC.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTHE MISSION OF SAINT FRANCIS MEDICAL CENTER IS TO PROVIDE A MINISTRY OF HEALING, WELLNESS, QUALITY AND LOVE INSPIRED BY OUR FAITH IN JESUS CHRIST.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee9TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$846,984PYContributionsGrantsAmt
CY Contributions Grants$1,503,910CYContributionsGrantsAmt
PY Program Service Revenue$532,348,494PYProgramServiceRevenueAmt
CY Program Service Revenue$625,863,150CYProgramServiceRevenueAmt
PY Investment Income-$426,951PYInvestmentIncomeAmt
CY Investment Income$71,314,751CYInvestmentIncomeAmt
PY Other Revenue$13,673,373PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$546,441,900PYTotalRevenueAmt
CY Total Revenue$698,681,811CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$117,934,217PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,633,569CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$431,982,921PYOtherExpensesAmt
CY Other Expenses$604,937,089CYOtherExpensesAmt
PY Total Expenses$549,917,138PYTotalExpensesAmt
CY Total Expenses$609,570,658CYTotalExpensesAmt
PY Revenues Less Expenses-$3,475,238PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$89,111,153CYRevenuesLessExpensesAmt
Total Assets BOY$1,081,692,774TotalAssetsBOYAmt
Total Assets EOY$1,295,654,627TotalAssetsEOYAmt
Total Liabilities BOY$248,793,879TotalLiabilitiesBOYAmt
Total Liabilities EOY$573,824,703TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$832,898,895NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$721,829,924NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSAINT FRANCIS MEDICAL CENTER IS A 306 BED FACILITY SERVING MORE THAN 715,000 PEOPLE THROUGHOUT MISSOURI, ILLINOIS, KENTUCKY, TENNESSEE, AND ARKANSAS. THE MEDICAL CENTER PROVIDES COMPREHENSIVE INPATIENT ACUTE CARE SERVICES FOR MEDICAL AND SURGICAL PATIENTS SPECIALIZING IN ORTHOPEDICS, NEUROSURGERY, CARDIOVASCULAR SERVICES, ONCOLOGY, DISEASE MANAGEMENT, GASTROENTEROLOGY, MATERNAL CHILD HEALTH AND NEUROLOGY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$518,786,327ExpenseAmt
DescSINCE ITS FOUNDING IN 1875, SAINT FRANCIS MEDICAL CENTER'S (SFMC) MISSION HAS BEEN TO PROVIDE HEALTH CARE SERVICES TO EVERYONE, REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SFMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. IN FULFILLING OUR MISSION TO SERVE RESIDENTS OF CAPE GIRARDEAU AND THE SURROUNDING REGION, SFMC PROVIDES: -FREE AND/OR SUBSIDIZED CARE WHEN NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXIST. THIS PAST YEAR, SFMC PROVIDED OVER $46.6 MILLION IN FREE AND/OR SUBSIDIZED CARE. -CARE FOR PERSONS COVERED BY GOVERNMENTAL PROGRAMS THAT REIMBURSE BELOW ACTUAL COST. -HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS TO SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITY. SFMC PROVIDES A VARIETY OF WELLNESS PROGRAMS, COMMUNITY HEALTH EDUCATION ACTIVITIES, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED AND PARTICIPATES IN A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.SFMC SERVED 12,913 INPATIENTS, 39,791 EMERGENCY PATIENTS AND 674,799 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2023. DURING FY 2023, SFMC HAD A TOTAL OF 55,779 PATIENT DAYS IN ITS MEDICAL/SURGICAL, CRITICAL CARE, OBSTETRIC, AND REHABILITATION CARE UNITS. SFMC PROVIDESCARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, FOR WHICH IT IS REIMBURSED BELOW COST. RECOGNIZING ITS MISSION IN THE COMMUNITY, SFMC PROVIDES SERVICES TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS IN EXCESS OF$119.7 MILLION IN FY 2023. CHARITY CARE IS PROVIDED IN THE FORM OF MANY REDUCED PRICEAND FREE SERVICES OFFERED THROUGHOUT THE YEAR. SFMC STRONGLY BELIEVES THESE PROGRAMS AND SERVICES FILL A REAL NEED IN THE COMMUNITY. THESE PROGRAMS AND SERVICES INCLUDE THE FOLLOWING:-PARTICIPATION IN AND/OR SPONSORSHIP OF MANY COMMUNITY HEALTH FAIRS. THESE EVENTS RANGE FROM CHILDREN'S SPECIAL EVENTS TO SENIOR HEALTH FAIRS. THESE EVENTS DRAW SEVERAL THOUSAND ATTENDEES EACH YEAR. -SFMC SPONSORS THE REGIONAL ARTHRITIS CENTER, OFFERING INFORMATION AND ASSISTANCE TO PEOPLE THROUGHOUT SOUTHEAST MISSOURI. -FREE OR DISCOUNTED HEALTH SCREENINGS (CHOLESTEROL, BLOOD PRESSURE, GLAUCOMA, BLOOD SUGAR, ETC.) PROVIDED AT HEALTH FAIRS AND COMMUNITY HEALTH EDUCATION PROGRAMS, AS WELL AS OUR WEEKLY WEDNESDAY MORNING HEART HEALTH SCREENINGS.-COMMUNITY HEALTH FORUMS WERE OFFERED ON TOPICS SUCH AS ARTHRITIS, DIABETES, CARDIOVASCULAR FITNESS, CHILDREN'S HEALTH AND SAFETY, NUTRITION, BREAST CANCER AND OSTEOPOROSIS. OTHER WELLNESS PROGRAMS SUCH AS WEIGHT MANAGEMENT AND SMOKING CESSATION ARE SUBSIDIZED BY SFMC AND OFFERED FOR A NOMINAL FEE.-CHILDBIRTH, SIBLINGS, BREASTFEEDING AND INFANT CARE CLASSES ARE PROVIDED FREE OF CHARGE TO EXPECTANT MOTHERS AND YOUNG FAMILIES. SFMC SPONSORS HEALTHCARE SPEAKERS FOR COMMUNITY EVENTS AND CIVIC MEETINGS. SFMC STAFF PRESENTS FREE PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS TO VARIOUS COMMUNITY, SCHOOL AND CHURCH GROUPS THROUGHOUT THE YEAR. SEVERAL SFMC OUTPATIENT CLINICS ARE OFFERED AT REDUCED FEE OR NO COST TO PATIENTS AND THEIR FAMILIES. THE CLINICS ADDRESS DIABETIC FOOTCARE, GENETICS, ORTHOPEDICS AND SPORTS INJURIES. -SFMC PROVIDES FREE FIRST AID SERVICES AT THE WEEKLONG SEMO DISTRICT FAIR IN CAPE GIRARDEAU. MEDICAL CENTER PERSONNEL STAFF THE FIRST AID STATION AND PROVIDE MINOR MEDICAL SERVICES TO HUNDREDS OF PEOPLE DURING THE COURSE OF THE WEEK. SFMC ALSO PROVIDES STAFF AND FIRST AID MATERIALS FOR OTHER CIVIC FUNCTIONS DURING THE FISCAL YEAR. SFMC PROVIDES FREE MEETING ROOM SPACE AND RELATED ASSISTANCE TO MANY HEALTHCARE SUPPORT GROUPS. SEVERAL HUNDRED PEOPLE REGULARLY PARTICIPATE IN THESE SUPPORT GROUPS FOR DISEASES AND DISORDERS INCLUDING BREAST CANCER, MUSCULAR DYSTROPHY, SLEEP DISTURBANCE, HEAD INJURIES, LARYNGECTOMY, HEART SURGERY, DIGESTIVE DISEASES, PARKINSON'S, ARTHRITIS, MULTIPLE SCLEROSIS AND STROKES, AS WELL AS GRIEF SUPPORT FOR PEOPLE WHO HAVE LOST A LOVED ONE TO ILLNESS, INJURY OR DISEASE. -SFMC PROVIDES FINANCIAL AND INKIND SUPPORT FOR ACTIVITIES OF LOCAL CHARITIES SUCH AS THEAMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, THE AMERICAN ARTHRITIS ASSOCIATION, THE MARCH OF DIMES, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN LUNG ASSOCIATION. -SCHOLARSHIPS AND TUITION REIMBURSEMENT ARE AWARDED ANNUALLY BY SFMC TO UNDERGRADUATEAND GRADUATE STUDENTS ENROLLED IN VARIOUS HEALTHCARE CURRICULUMS. THE VALUE OF THIS INVESTMENT IN THE ADVANCEMENT OF EXISTING CARE PROVIDERS AND THE EDUCATION OF FUTURE CARE PROVIDERS WAS $154,809 IN FY 2023. -SFMC SPONSORS MEDICAL MINUTE. THESE WEEKLY EDUCATIONAL PROGRAMS, PRODUCED IN COOPERATION WITH MEMBERS OF THE MEDICAL COMMUNITY, PROVIDES INFORMATION ON NEW TECHNOLOGY AND PROCEDURES, TREATMENT FOR DISEASES AND DISORDERS, AND GENERAL MEDICAL EDUCATION TO AREA PATIENTS. -SFMC PROVIDES FREE INTERNET LIBRARY SEARCHES ON HEALTHCARE TOPICS TO AREA RESIDENTS WHO DO NOT HAVE OTHER ACCESS. HOSPITAL EDUCATION STAFF CONDUCTS THE SEARCH AND FAX OR EMAIL MATERIALS. -SFMC PROVIDES EMERGENCY CARE, CLOTHING AND PHARMACEUTICALS TO CHILDREN IN NEED THROUGH THE SAINT FRANCIS FOUNDATION CHILDREN HELPING CHILDREN FUND. -DURING FY 2023 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 18,638 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER $279,000 AND IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT CARE SERVICES AND WELLNESS PROGRAMS SUCH AS THOSE DESCRIBED ELSEWHERE IN THIS DOCUMENT. -DURING FY 2023 SFMC PROVIDED 998 FREE MAMMOGRAMS AND ULTRASOUNDS TO AREA WOMEN WHO COULD NOT AFFORD THIS POTENTIALLY LIFESAVING SCREENING. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT MORE THAN $95,900.Desc
Total Program Service Expenses$518,786,327TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document51IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee9EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MATTHEW BRANDTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5733313000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SAINT FRANCIS DRIVEAddressLine1Txt
CityCAPE GIRARDEAUCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63703ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEVE DIRNBERGER
CHAIR2.002.00Yes (X)$0$0$0
JAMES BOLLINGER JR
DIRECTOR2.002.00Yes (X)$0$0$0
KEVIN GOVERO
DIRECTOR2.004.00Yes (X)$0$0$0
MIKE HIMMELBERG
DIRECTOR2.002.00Yes (X)$0$0$0
ADAM KIDD
DIRECTOR2.004.00Yes (X)$1,472$0$0
JOSEPH MCLANE
DIRECTOR2.002.00Yes (X)$0$0$0
GINA RAFFETY
DIRECTOR2.002.00Yes (X)$0$0$0
KATHY SWAN
DIRECTOR2.002.00Yes (X)$0$0$0
JANET VARNON
DIRECTOR2.002.00Yes (X)$3,850$0$0
DENNIS VOLLINK
SECRETARY/TREASURER2.004.00Yes (X)$0$0$0
LAURA YOUNGHOUSE
VICE CHAIR2.002.00Yes (X)$3,358$0$0
JUSTIN DAVISON
PRESIDENT & CEO42.008.00Yes (X)$0$660,207$32,742Yes (X)
JEFFREY HOTOP
DIRECTOR2.004.00Yes (X)$0$0$0
MATTHEW BRANDT
CFO - VP-FINANCE40.00Yes (X)$0$6,962$0
STEVEN OGBURN
VP OF SFMP40.00$0$373,975$43,312Yes (X)
GERRY SALTER
VP - SPECIALTY PRACTICES40.00$0$318,949$42,756Yes (X)
JASON SNOW
VICE PRESIDENT - HUMAN RES40.00$0$266,681$18,247Yes (X)
JAMES WILFERTH
VICE PRESIDENT - FOUNDATIO40.002.00$0$267,070$37,959Yes (X)
ANDREW GODBEY MD
CMO & PRESIDENT - SFMP40.00$0$782,635$43,745Yes (X)
DEBBY SPRANDEL
CHIEF NURSING OFFICER40.00$0$244,476$15,074Yes (X)
JOEL SANDER
VP - NORTHEAST OPERATIONS40.00$0$239,171$30,517Yes (X)
LISA NEWCOMER
VP - REGIONAL OPERATIONS40.00$0$232,142$39,070Yes (X)
KAYWAN GAMADIA DO
NEUROSURGEON40.00$0$1,417,111$31,606Yes (X)
BRANDON SCOTT DO
NEUROSURGEON40.00$0$1,420,635$43,905Yes (X)
ANDREW TRUEBLOOD MD
ORTHOPEDIC SURGEON40.00$0$1,099,476$7,009Yes (X)
JUSTIN BAIN DO
NEPHROLOGIST40.00$0$1,116,505$43,894Yes (X)
JAMES MILLER MD
CARDIOTHORACIC SURGEON40.00$0$1,244,389$2,390Yes (X)
CHRISTY SHAWAN
VP - SOUTHWEST OPERATIONS (FORMER)40.00$0$235,222$32,141Yes (X)
MARYANN REESE
PRESIDENT & CEO (FORMER)42.008.00$0$994,743$5,579Yes (X)
LORI STURGILL
CHIEF INFORMATION OFFICER (FORMER)40.00$0$349,605$34,693Yes (X)
THOMAS DIEMER MD
CHIEF MEDICAL OFFICER (FOR40.00$0$582,844$32,907Yes (X)
JAMES BURKE
CAO & GENERAL COUNSEL (FOR40.00$0$695,588$2,505Yes (X)
STEPHANIE LA PIERRE
CHIEF NURSING OFFICER (FOR40.00$0$411,178$2,689Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,680TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,959,564TotReportableCompRltdOrgAmt
Total Other Compensation$542,740TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDEFIS INC
PO BOX 5068NEW YORKNY10087MEDEFIS INC$10,837,436
CAPE ANESTHESIA GROUP
BOX 1777CAPE GIRARDEAUMO63702CAPE ANESTHESIA GROUP$4,307,016
INTERNAL MED ASSOC OF SE MO
225 PHYSICIANS PARK DRIVE SUITE 40POPLAR BLUFFMO63901INTERNAL MED ASSOC$2,497,573
GREEN PAGES INC
PO BOX 844844BOSTONMA02284GREEN PAGES INC$1,726,728
MAYO COLLABORATIVE SERVICES DBA MAYO CLI
PO BOC 9146MINNEAPOLISMN55480MAYO CLINIC$1,296,349
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$1,503,910GovernmentGrantsAmt
Total Contributions$1,503,910TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621400$596,723,256$596,723,256
MISC PROGRAM SERVICE REVENUE621990$29,139,894$29,139,894
FieldValueIRS element (for citing)
Total Program Service Revenue$625,863,150TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,591,168TotalRevenueColumnAmt
Exclusion$71,591,168ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$276,417SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$276,417SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$276,417TotalRevenueColumnAmt
Related Or Exempt Func Income-$276,417RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$698,681,811TotalRevenueColumnAmt
Related Or Exempt Func Income$625,586,733RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$71,591,168ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,074,949TotalAmt
Program Services$2,317,141ProgramServicesAmt
Management And General-$242,192ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,558,620TotalAmt
Program Services$141,886ProgramServicesAmt
Management And General$2,416,734ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,699,243TotalAmt
Program Services$24,679,556ProgramServicesAmt
Management And General$19,687ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$26,033,616TotalAmt
Program Services$107,908ProgramServicesAmt
Management And General$25,925,708ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,575TotalAmt
Management And General$1,575ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,139,644TotalAmt
Program Services$7,243,119ProgramServicesAmt
Management And General$7,896,525ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,862,369TotalAmt
Management And General$3,862,369ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
LEASED EMPLOYEES$285,711,455$285,711,455
MEDICAL SUPPLIES$194,376,168$143,952,614$50,423,554
DRUGS$50,465,351$50,436,726$28,625
REPAIR & MAINTENANCE$3,320,086$3,293,570$26,516

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,327,582TotalAmt
Program Services$902,352ProgramServicesAmt
Management And General$425,230ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$609,570,658TotalAmt
Program Services$518,786,327ProgramServicesAmt
Management And General$90,784,331ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$49,075,527BOYAmt
EOY$50,760,515EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,355,714BOYAmt
EOY$18,292,255EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$47,906,910BOYAmt
EOY$61,210,401EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,810,257BOYAmt
EOY$11,162,839EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$16,281,197BOYAmt
EOY$17,848,143EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$232,962,533LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$177,966,279LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$267,441,807BOYAmt
EOY$54,996,254EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$655,995,887BOYAmt
EOY$679,450,240EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,374,634BOYAmt
EOY$9,476,929EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,450,841BOYAmt
EOY$392,457,051EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,081,692,774BOYAmt
EOY$1,295,654,627EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$81,517,608BOYAmt
EOY$60,081,675EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$147,305,404BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,970,867BOYAmt
EOY$513,743,028EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$248,793,879BOYAmt
EOY$573,824,703EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$832,898,895BOYAmt
EOY$721,829,924EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$832,898,895BOYAmt
EOY$721,829,924EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,081,692,774BOYAmt
EOY$1,295,654,627EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$89,111,153ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$200,180,123OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$795,381OtherCostOrOtherBasisAmt
Depreciation$116,910DepreciationAmt
Book Value$678,471BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$232,167,152OtherCostOrOtherBasisAmt
Depreciation$177,849,369DepreciationAmt
Book Value$54,317,783BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$54,996,254TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN SUB$1,000,000
RIGHT-OF-USE ASSET$53,642,741
DUE FROM RELATED PARTY$337,814,310
FieldValueIRS element (for citing)
Total Book Value Other Assets$392,457,051TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OPERATING LEASE OBLIGATIONS$53,642,741
DUE TO RELATED PARTY$460,100,287
FieldValueIRS element (for citing)
Total Liability$513,743,028TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$698,958,227TotalRevEtcAuditedFinclStmtAmt
Other Revenue$276,417OtherRevenueAmt
Revenue Not Reported$276,417RevenueNotReportedAmt
Revenue Subtotal$698,681,810RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$698,681,810TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$610,018,943TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$448,286OtherExpensesIncludedAmt
Expenses Not Reported$448,286ExpensesNotReportedAmt
Expenses Subtotal$609,570,657ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$609,570,657TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY AT JUNE 30, 2023 OR 2022.
PART XI, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL BAD DEBT

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,555,007TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,555,007NetCommunityBenefitExpnsAmt
Total Expense0.02880TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$114,751,724TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,540,303DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,211,421NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$132,306,731TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,540,303DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,766,428NetCommunityBenefitExpnsAmt
Total Expense0.03080TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$136,018TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$136,018NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,270,399TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,147,444DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,122,955NetCommunityBenefitExpnsAmt
Total Expense0.01330TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,792TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,792NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,444,209TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,147,444DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,296,765NetCommunityBenefitExpnsAmt
Total Expense0.01360TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$145,750,940TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$118,687,747DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,063,193NetCommunityBenefitExpnsAmt
Total Expense0.04440TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$136,018TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$136,018NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,792TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,792NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,122,955TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,122,955NetCommunityBenefitExpnsAmt
Total Expense0.01330TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,296,765TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,296,765NetCommunityBenefitExpnsAmt
Total Expense0.01360TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$171,869BadDebtExpenseAmt
Bad Debt Expense Attributable$42,967BadDebtExpenseAttributableAmt
Reimbursed By Medicare$196,649,272ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$255,812,873CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$59,163,601MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAINT FRANCIS MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SAINT FRANCIS DRIVEAddressLine1Txt
CityCAPE GIRARDEAUCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63703ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SAINT FRANCIS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
OtherYes (X)OtherInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.SFMC.NETOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.SFMC.NETStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.SFMC.NETFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.SFMC.NETFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.SFMC.NETFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SAINT FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 3J: THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE HOSPITAL FACILITY'S PRIOR CHNA.
SAINT FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 5: INDIVIDUALS REPRESENTING THE BOARD INTERESTSOF BOLLINGER, CAPE GIRARDEAU, SCOTT, AND STODDARD COUNTIES INCLUDED PEOPLEINVOLVED IN SOME OF THE FOLLOWING ORGANIZATIONS: PUBLIC HEALTH DEPARTMENTS RURAL HEALTH CLINICS LOCAL SCHOOL DISTRICTS SOCIAL SERVICE ORGANIZATIONS OTHER HOSPITALS MINORITY ADVOCACY GROUPSSIX FOCUS GROUPS WERE CONDUCTED VIA WEBEX WITH REPRESENTATIVES IN THE FOUR COUNTIES THIS RESEARCH TARGETS (CAPE GIRARDEAU, BUTLER, SCOTT AND STODDARD COUNTIES). THE QUESTIONS POSED TO PARTICIPANTS WERE:1. WHAT IS YOUR VISION FOR A HEALTH COMMUNITY AND COUNTY? WHAT IS CURRENTLY UNHEALTHY AND WHAT IS HEALTH ABOUT THIS REGION?2. WHAT IS YOUR PERCEPTION OF THE MOST SERIOUS HEALTH ISSUES FACING THIS COMMUNITY AND COUNTY? 3. WHAT ARE SOME OF THE CAUSES OF THESE PROBLEMS?4. WHAT COULD BE DONE TO SOLVE THESE PROBLEMS?5. WHAT IS YOUR PERCEPTION OF THE MOST BENEFICIAL HEALTH RESOURCES OR SERVICES IN THE COMMUNITY AND COUNTY? WHAT HEALTH ASSETS DO WE HAVE?6. WHAT ACTIONS, PROGRAMS AND HEALTH SERVICES CAN SAINT FRANCIS OFFER TO ADDRESS THE MOST CRITICAL HEALTH NEEDS OF THE COUNTY?MORE THAN 500 SURVEYS WERE COMPLETED BY RESIDENTS OF THE FOUR DESIGNATED COUNTIES.THE SURVEY DEMOGRAPHICS WERE REPRESENTATIVE OF THE AREA'S POPULATION:1. DEMOGRAPHICS: MULTIPLE-CHOICE QUESTIONS TO COLLECT INFORMATIONABOUT THE POPULATION OF THE COUNTY2. SOCIAL AND ECONOMIC FACTORS: MULTIPLE-CHOICE QUESTIONS TO COLLECTINFORMATION REGARDING THE POPULATION'S EDUCATION, EMPLOYMENT AND INCOMESTATUS.3. HEALTH BEHAVIORS: QUESTIONS TO COLLECT INFORMATION ON THE BEHAVIORSCORRELATED TO HEALTH OF ADULTS AND CHILDREN IN THE COUNTRY.4. MEDICAL CARE AND SERVICES: MULTIPLE-CHOICE, SHORT ANSWER AND RANKEDQUESTIONS TO COLLECT INFORMATION REGARDING HEALTHCARE ACCESS, HEALTHSTATUS, INSURANCE COVERAGE, AND OPINIONS ON HEALTH ISSUES.
SAINT FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 6A: SAINT FRANCIS HEALTHCARE SYSTEM CONDUCTED THE 2022 CHNA PRIMARY DATA GATHERING
SAINT FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT WASPLACED ON THE SAINT FRANCIS MEDICAL CENTER'S WEBSITE. THERE WERE NUMEROUSNEWS STORIES ON THE ASSESSMENT AND WHERE TO LOCATE THE INFORMATION. LOCALHEALTH AND HUMAN SERVICES AGENCIES WERE INFORMED WHEN THE ASSESSMENT WASCOMPLETED AT LOCAL MEETINGS.PRESENTATION OF THE CHNA FINDINGS WERE PRESENTED TO ALL BOARDS OF SAINTFRANCIS HEALTHCARE SYSTEM. THE CHNA WAS SHARED WITH MISSOURI DELTA MEDICALCENTER IN SIKESTON, MISSOURI AND THE HEALTH DEPARTMENTS IN EACH COUNTY.HTTPS://WWW.SFMC.NET/CHNA
SAINT FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 11: WHILE TREATMENT FOR SUBSTANCE ABUSE AND MENTAL HEALTH CONDITIONS ARE A SIGNIFICANT COMMUNITY HEALTH NEED IDENTIFIED BY THIS ASSESSMENT, SAINT FRANCIS HEALTHCARE SYSTEM WILL NOT FULLY ADDRESS THIS NEED AS PART OF ITS 2022-2025 CHNA IMPLEMENTATION PLAN FOR THE FOLLOWING REASONS:1. CONSIDERABLE SAINT FRANCIS RESOURCES HAVE BEEN ALLOCATED TO ADDRESSTHE OTHER TOP-PRIORITY HEALTH NEEDS IDENTIFIED BY THE 2022 CHNA.2. SOUTHEASTHEALTH, THE OTHER COMMUNITY HOSPITAL IN CAPE GIRARDEAU, IN PARTNERSHIP WITH UNIVERSAL HEALTH SERVICES, INC. RECENTLY OPENED A 102-BED FACILITY THAT OFFERS A WIDE RANGE OF MENTAL, EMOTIONAL AND BEHAVIORAL HEALTH SERVCIES FOR TEENS, ADULTS AND SENIORS EXPERIENCING MENTAL HEALTH ISSUES, SUCH AS DEPRESSION, ANXIETY AND CO-OCCURRING SUBSTANCE USE ISSUES. THE HOSPITAL OFFERS A FULL CONTINUUM OF INPATIENT AND OUTPATIENT SERVICES TO PEOPLE OF SOUTHEAST MISSOURI.3. SOUTHEASTHEALTH OFFERS A 15-BED, VOLUNTARY INPATIENT BEHAVIORAL HEALTH UNIT FOR ADULTS AT SOUTHEAST HEALTH CENTER OF STODDARD COUNTY IN DEXTER.4. MISSOURI DELTA MEDICAL CENTER IN SIKESTON PROVIDES SPECIALIZED INPATIENT CARE FOR ADOLESCENTS AND ADULTS IN A SAFE SETTING. DUPLICATION OF SUCH SERVICES IN THE SAME COMMUNITIES IS NOT THE BEST USE OF SAINT FRANCIS RESOURCES.5. JOHN J. PERSHING VETERANS' ADMINISTRATION MEDICAL CENTER IN POPLAR BLUFF OFFERS INPATIENT AND OUTPATIENT SPECIALIZED CARE FOR U.S. VETERANS (AND SOMETIMES THEIR FAMILIES AND CAREGIVERS) FOR A WIDE RANGE OF MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES.6. THE SIGNIFICANT RESOURCE REQUIREMENTS THAT WOULD BE NECESSARY FOR SAINT FRANCIS HEALTHCARESYSTEM TO DEVELOP ITS OWN OUTPATIENT SUBSTANCE ABUSE AND/OR BEHAVIORAL HEALTH TREATMENT PROGRAMS FROM THE GROUND UP IS NOT FEASIBLE IN THE SERVICE AREA. SAINT FRANCIS WILL INSTEAD CONTINUE TO WORK WITH OTHER COMMUNITY PARTNERS THAT OFFER SUCH SERVICES IN THE COMMUNITY BY MAKING APPROPRIATE PATIENT REFFERALS.7. SAINT FRANCIS HEALTHCARE SYSTEM OFFERS BEHAVIORAL HEALTH SERVICES IN CAPE GIRARDEAU, SCOTT, STODDARD AND BUTLER COUNTIES THROUGH SAINT FRANCIS MEDICAL PARTNER CLINICS. SAINT FRANCIS ALSO PROVIDES PSYCHIATRIC SERVICES IN POPLAR BLUFF AND SIKESTON. ALL OF THESE CLINICS SERVE A WIDE RANGE OF PATIENTS IN THE REGION.
SAINT FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 13H: ALL UNINSURED PATIENTS RECEIVING SERVICES ATSAINT FRANCIS MEDICAL CENTER WILL RECEIVE A 75% REDUCTION ON ALL GROSSCHARGES AT THE TIME OF BILLING (WITHOUT APPLICATION).ALL SELF-PAY ACCOUNTS WILL BE PROCESSED THROUGH A PRESUMPTIVE SCORINGPROGRAM TO DETERMINE IF THEY QUALIFY FOR ASSISTANCE. IF THE PATIENT MEETSTHE QUALIFICATIONS, THE PATIENT'S ACCOUNT WILL BE REDUCED TO ZERO. IF THEQUALIFICATIONS ARE NOT MET, COLLECTIONS WILL BE ESCALATED.
SAINT FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 16J: ALL PATIENTS ARE NOTIFIED OF THE FINANCIALASSISTANCE POLICY VIA THE CONSENT FORM UPON ADMISSION. UNINSURED PATIENTSARE CONTACTED AFTER ADMISSION AND INFORMED OF THE FINANCIAL ASSISTANCEAVAILABLE THROUGH THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY.
SAINT FRANCIS MEDICAL CENTERPART V, SECTION B, LINE 20E: IN-HOUSE AND THIRD PARTY REPRESENTATIVES WORKWITH UNINSURED PATIENTS TO HELP THEM QUALIFY FOR MEDICAID BENEFITS THROUGHTHEIR STATE OF RESIDENCE. FINANCIAL ASSISTANCE APPLICATIONS ARE OFFEREDFOR THOSE THAT DO NOT QUALIFY FOR MEDICAID AND EXPRESS THE INABILITY TOPAY FOR MEDICAL SERVICES.
FieldValueIRS element (for citing)
Facility29FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ADVANCED ORTHOPEDIC SPECIALISTS
48 DOCTORS PARKCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
2 - CAPE PHYSICIAN ASSOCIATES
3250 GORDONVILLE ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
3 - CAPE CARDIOLOGY GROUP
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
4 - SAINT FRANCIS MEDICAL CENTER POPLAR BLUF
225 PHYSICIANS PARK DRIVE SUITE 301POPLAR BLUFFMO63901PHYSICIAN PRACTICE
5 - CAPE CARE FOR WOMEN
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
6 - FERGUSON MEDICAL GROUP - SIKESTON
1012 NORTH MAIN STREETSIKESTONMO63801PHYSICIAN PRACTICE
7 - CAPE SPINE AND NEUROSURGERY
150 S MOUNT AUBURN ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
8 - CAPE GASTROENTEROLOGY SPECIALISTS
28 S MOUNT AUBURN ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
9 - SAINT FRANCIS CLINIC - FARMINGTON
515 MAPLE VALLEY DRIVEFARMINGTONMO63640PHYSICIAN PRACTICE
10 - CAPE ENT GROUP
150 S MOUNT AUBURN ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
11 - HOSPICE
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703HOSPICE
12 - PIEDMONT PHYSICIAN ASSOCIATES
RT 4 BOX 4515PIEDMONTMO63957PHYSICIAN PRACTICE
13 - CAPE MEDICAL ONCOLOGY
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
14 - CAPE THORACIC & CARDIOVASCULAR SURGER
3250 GORDONVILLE ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
15 - SAINT FRANCIS CLINIC - DEXTER
1212 SAINT FRANCIS DRIVEDEXTERMO63841PHYSICIAN PRACTICE
16 - CAPE PRIMARY CARE
1702 N KINGSHIGHWAYCAPE GIRARDEAUMO63701PHYSICIAN PRACTICE
17 - CAPE NEUROLOGY SPECIALISTS
3004 GORDONVILLE ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
18 - IMMEDIATE CONVENIENT CARE - CAPE
1702 N KINGSHIGHWAYCAPE GIRARDEAUMO63701PHYSICIAN PRACTICE
19 - FERGUSON MEDICAL GROUP - EAST PRAIRIE
320 NORTH LINCOLNEAST PRAIRIEMO63845PHYSICIAN PRACTICE
20 - SAINT FRANCIS HOME HEALTH
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703HOME HEALTH
21 - SAINT FRANCIS GENERAL SURGERY - POPLAR B
225 PHYSICIANS PARK DRIVE SUITE 301POPLAR BLUFFMO63901PHYSICIAN PRACTICE
22 - CAPE PULMONARY AND SLEEP MEDICINE
24 S MOUNT AUBURN ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
23 - CAPE NEUROSURGICAL ASSOCIATES
150 S MOUNT AUBURN ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
24 - FERGUSON MEDICAL GROUP - CHARLESTON
112 WEST COMMERCIALCHARLESTONMO63834PHYSICIAN PRACTICE
25 - CAPE DIABETES & ENDOCRINOLOGY
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
26 - FITNESS PLUS
150 S MOUNT AUBURN ROADCAPE GIRARDEAUMO63703FITNESS CENTER
27 - FERGUSON MEDICAL GROUP - SCOTT CITY
100 EAST OUTER ROADSCOTT CITYMO63780PHYSICIAN PRACTICE
28 - SAINT FRANCIS CLINIC - JACKSON
2130 E JACKSON BLVDJACKSONMO63755PHYSICIAN PRACTICE
29 - FITNESS PLUS - DEXTER
1212 SAINT FRANCIS DRIVEDEXTERMO63841FITNESS CENTER

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:ALL UNINSURED PATIENTS RECEIVING SERVICES AT SAINT FRANCIS MEDICAL CENTER WILL RECEIVE A 75% REDUCTION ON ALL GROSS CHARGES AT THE TIME OF BILLING (WITHOUT APPLICATION). ALL SELF-PAY ACCOUNTS WILL BE PROCESSED THROUGH A PRESUMPTIVE SCORING PROGRAM TO DETERMINE IF THEY QUALIFY FOR ASSISTANCE. IF THE PATIENT MEETS THE QUALIFICATIONS, THE PATIENT'S ACCOUNT WILL BE REDUCED TO ZERO. IF THE QUALIFICATIONS ARE NOT MET, COLLECTIONS WILL BE ESCALATED.
PART I, LINE 7:A COST-TO-CHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION IN WORKSHEET 2, "RATIO OF PATIENT CARE COST TO CHARGES."
PART I, LINE 7G:COSTS FOR SUBSIDIZED HEALTH SERVICES INCLUDE COSTS ASSOCIATED WITH PROVIDED NEONATOLOGY, TRAUMA, AND HOSPITALIST PHYSICIAN CLINICAL SERVICES WHERE OPERATIONS RESULT IN LOSSES.
PART II, COMMUNITY BUILDING ACTIVITIES:SAINT FRANCIS MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES ARE TARGETEDTO KEEP GOOD HEALTH IN THE FOREFRONT THROUGH NON-TRADITIONAL CHANNELS.THESE ACTIVITIES ARE USED TO DELIVER HEALTHCARE INFORMATION AND EDUCATIONDIRECTLY TO CITIZENS OF THE COMMUNITY. COMMUNITY FORUMS OR MEETINGS ALLOWREPRESENTATIVES OF THE MEDICAL CENTER TO PRESENT POTENTIALLY LIFE-SAVINGINFORMATION TO AN AUDIENCE NOT TYPICALLY REACHED BY COMMUNITY HEALTHAGENCIES OR SCREENINGS.
PART III, LINE 2:A COST-TO-CHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION INWORKSHEET 2, "RATIO OF PATIENT CARE COST TO CHARGES" TO DEVELOP COSTSASSOCIATED WITH BAD DEBT EXPENSE. PATIENT PAYMENTS AND DISCOUNTS AREAPPLIED TO THE PATIENT'S ACCOUNT BEFORE BAD DEBT DETERMINATION IS MADE.
PART III, LINE 3:AN ESTIMATE OF BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED BASED ON A STUDY OF POVERTY RATES IN THE UNITED STATES BY THE UNITED STATES CENSUS BUREAU. THE PERCENTAGE OF THE POPULATION WITH INCOME LEVELS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES WAS OBTAINED AND THAT PERCENTAGE WAS THEN APPLIED TO THE ESTIMATED BAD DEBT EXPENSE TO OBTAIN THE ESTIMATED AMOUNT IN BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSITANCE POLICY. THE COST-TO-CHARGE RATIO WAS THEN APPLIED TO CONVERT TO COST.
PART III, LINE 4:THE FOLLOWING IS FROM FOOTNOTE B OF THE AUDITED FINANCIAL STATEMENTS FORSAINT FRANCIS MEDICAL CENTER FOR THE YEAR ENDED JUNE 30, 2023:THE MEDICAL CENTER ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FORPATIENTS WHICH IS NOT INCLUDED ABOVE, BUT IS REPORTED IN NET PATIENT SERVICE REVENUE ONTHE STATEMENT OF ACTIVITIES AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANY OF THOSEPATIENTS ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE.DURING THE YEARS ENDED JUNE 30, 2023 AND 2022, THE MEDICAL CENTER REPORTED BAD DEBTEXPENSE OF $171,868.96 AND $12,435,579, RESPECTIVELY.
PART III, LINE 8:THE COSTING METHODOLOGY USED FOR PART III, LINE 6, IS A COST-TO-CHARGERATIO DERIVED FROM THE PRIOR YEAR'S MEDICARE COST REPORT WHICH USES ONLYMEDICARE ALLOWABLE COSTS.IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FORNONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITHGOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATIONTHAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THISIMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT.**FOR-PROFIT SPECIALTY HOSPITALS HAVE BEEN CARVING OUT CERTAIN HIGH-MARGINSERVICES (SUCH AS CARDIAC, ORTHOPEDICS, AND ONCOLOGY), LEAVING GENERALACUTE CARE HOSPITALS WITH LOWER-MARGIN MEDICARE SERVICES. THIS INDICATESTHAT MEDICARE LOSSES CAN BE A RESULT OF RENDERING THESE LOWER-MARGINSERVICES (WHICH BENEFIT THE COMMUNITY) RATHER THAN INEFFICIENT OPERATIONS.**IN SOME COMMUNITIES, MEDICARE IS THE LARGEST PAYER, AND HOSPITALS MUSTACCEPT THESE PATIENTS REGARDLESS OF WHETHER THEY MAKE A SURPLUS OR DEFICITFROM PROVIDING SUCH SERVICES. IF THE MEDICARE PARTICIPATION IS PREMISED ONTHIS FACT, THEN PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARESERVICES WHICH IS A COMMUNITY BENEFIT.**THERE ARE A NUMBER OF LOW-INCOME CONSUMERS RECEIVING MEDICARE BENEFITS.**THE ELDERLY ARE OFTEN AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUESWITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDINGMEDICARE SERVICES, CMS WOULD BEAR THE BURDEN OF DIRECTLY PROVIDINGSERVICES TO THE ELDERLY.**MEDICARE PAYMENT ANOMALIES MAY BE PRESENT IN SOME STATES SO EVEN VERYEFFICIENT HOSPITALS ARE UNABLE TO AVOID LOSSES. THUS, LOSSES MAY NOT BEINDICATIVE OF INEFFICIENCY BUT RATHER PROVISION OF A COMMUNITY BENEFIT.
PART III, LINE 9B:IF A PATIENT EXPRESSES FINANCIAL INABILITY TO PAY, THE REPRESENTATIVE OFTHE MEDICAL CENTER WILL OFFER A FINANCIAL ASSISTANCE APPLICATION TO THEPATIENT. THE PATIENT THEN RETURNS THE APPLICATION TO THE BUSINESS OFFICEFOR REVIEW. AFTER REVIEW, THE BUSINESS OFFICE WILL NOTIFY THE PATIENT INWRITING OF THE DECISION. IF APPROVED, THE BUSINESS OFFICE WILL WRITE OFFTHE REMAINING BALANCES. IF DENIED, THE BUSINESS OFFICE WILL CONTACT THEPATIENT TO MAKE PAYMENT ARRANGEMENTS.
PART VI, LINE 2:SAINT FRANCIS IS PROACTIVE IN ASSESSING THE HEALTHCARE NEEDS OF ITSSERVICE AREA THROUGH GATHERING INFORMATION OR STUDIES FROM COMMUNITYHEALTHCARE AGENCIES, DEVELOPING AND SUPPORTING COMMUNITY HEALTH EDUCATORS,AND FOLLOWING UP ON INFORMATION FROM PATIENTS AND FAMILIES. SAINT FRANCISIS REACTIVE IN ASSESSING THE HEALTHCARE NEEDS OF ITS SERVICE AREA BYPROVIDING SUPPORT AND ASSISTANCE THROUGH LOCAL AND NATIONAL AGENCIES, WHICH PROVIDE DIRECT HEALTHCARE SERVICES TO THE MEDICAL CENTER'S SERVICE AREA.
PART VI, LINE 3:HOSPITAL PERSONNEL, INCLUDING NURSES, PHYSICIANS, SOCIAL WORKERS ANDOTHERS, MAY IDENTIFY AND REQUEST AN APPLICATION FOR A PATIENT WHEN DEEMEDAPPROPRIATE. PATIENTS AND PERSONS WHO MAY BE BILLED RECEIVE AN APPLICATIONFOR ASSISTANCE WHEN A NEED IS EXPRESSED. REQUEST FOR ASSISTANCE IS USUALLYMADE WHEN THE PATIENT RECEIVES THE BILL, OR WHEN THE CUSTOMER SERVICEREPRESENTATIVE CONTACTS THE PATIENT FOR PAYMENT OF ACCOUNT. AT THE TIMENEED IS EXPRESSED, THE APPLICATION IS GIVEN PERSONALLY OR MAILED TO THEPATIENT. CUSTOMER SERVICE REPRESENTATIVES THEN WORK WITH THE PATIENT TOCOMPLETE ASSISTANCE REQUEST AND FORWARD APPLICATION FOR APPROVAL. ANYPATIENTS WHO RETURN TO THE MEDICAL CENTER TO PAY A BILL HAVE ACCESS TOASSISTANCE EDUCATION DOCUMENTATION AT THE BILLING OFFICE.
PART VI, LINE 4:SAINT FRANCIS MEDICAL CENTER IS A LEADING TERTIARY CARE PROVIDER SERVINGPORTIONS OF A FIVE-STATE REGION - MISSOURI, ARKANSAS, TENNESSEE, KENTUCKYAND ILLINOIS. THE SYSTEM PROVIDES TO A POPULATION OF MORE THAN 740,000PEOPLE. THE PRIMARY SERVICE AREA CONSISTS OF CAPE GIRARDEAU COUNTY THATHAS AN ESTIMATED POPULATION OF 82,899 AS OF 2022. ACCORDING TO THEMISSOURI OFFICE OF ADMINISTRATION, BUDGET AND PLANNING, CAPE GIRARDEAUCOUNTY'S POPULATION IS EXPECTED TO INCREASE TO 84,612 BY 2030. THESECONDARY SERVICE AREA HAS A POPULATION OF NEARLY 150,000 AND INCLUDES THECOUNTIES OF ALEXANDER (4,858), PULASKI (4,991) AND UNION (16,767) INILLINOIS; AND BOLLINGER (10,518), MISSISSIPPI (11,688), NEW MADRID(15,695), PERRY (18,858), SCOTT (37,840), AND STODDARD (28,377) INMISSOURI. THE TERTIARY SERVICES AREA HAS A POPULATION OF MORE THAN 480,000AND INCLUDES THE COUNTIES OF BUTLER (42,179), CARTER (5,268), DUNKLIN(27,406), IRON (9,414), MADISON (12,753), PEMISCOT (14,841), REYNOLDS(6,006), RIPLEY (10,703), ST. FRANCOIS (66,969), STE. GENEVIEVE (18,644)AND WAYNE (10,792) IN MISSOURI; JACKSON (52,617), JOHNSON (13,381),RANDOLPH (30,068) AND WILLIAMSON (66,695) IN ILLINOIS; CLAY (14,265) ANDRANDOLPH (18,857) IN ARKANSAS; LAKE (6,507) AND OBION (30,394) INTENNESSEE; AND BALLARD (7,650), CARLISLE (4,720), FULTON(6,382) AND HICKMAN (4,422) IN KENTUCKY.THE SOUTHEAST REGION OF MISSOURI IS DECLINING IN POPULATION AND EVERYCOUNTY HAS A HIGHER THAN AVERAGE PERCENTAGE OF RETIREE-AGED PEOPLE ASCOMPARED WITH THE U.S. THIS REGION IS 85.4 PERCENT CAUCASIAN, 8.1 PERCENTAFRICAN-AMERICAN AND 3.0 PERCENT HISPANIC. PER CAPITA INCOME FOR CAPEGIRARDEAU COUNTY WAS $29,087. OF THE ENTIRE SOUTHEAST MISSOURI REGIONPOPULATION AGED 25 OR OLDER, 8 PERCENT DID NOT OBTAIN A HIGH SCHOOLDIPLOMA. APPROXIMATELY 92 PERCENT GRADUATED FROM HIGH SCHOOL OR HIGHER, 33PERCENT EARNED A COLLEGE DEGREE OR HIGHER AND 6 PERCENT COMPLETED AGRADUATE OR PROFESSIONAL DEGREE.ACCORDING TO EMPLOYMENT STATISTICS IN APRIL 2023, THE SOUTHEAST REGIONHAD AN UNEMPLOYMENT RATE OF 2.2 PERCENT. STATISTICS ARE FROM THE MISSOURIECONOMIC RESEARCH AND INFORMATION CENTER AND THE U.S. CENSUS BUREAU.
PART VI, LINE 5:SAINT FRANCIS MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE BY PROVIDING FORAN OPEN MEDICAL STAFF COMPRISED OF PHYSICIANS IN ITS PRIMARY SERVICE AREA.THE BOARD OF DIRECTORS IS COMPRISED OF LOCAL COMMUNITY MEMBERS WITH AVESTED INTEREST IN PROMOTING AND IMPROVING THE HEALTH OF THE POPULATIONSERVED BY SAINT FRANCIS MEDICAL CENTER. IN ADDITION, SURPLUS FUNDSGENERATED BY THE OPERATINS OF THE MEDICAL CENTER ARE REINVESTED IN EQUIPMENT AND FACILITIES SO THAT SAINT FRANCIS MEDICAL CENTER CAN PROVIDECUTTING EDGE HEALTHCARE TO THE RESIDENTS OF ITS COMMUNITY.
PART VI, LINE 6:SAINT FRANCIS HEALTHCARE SYSTEM IS A HOLDING COMPANY WHICH IS THE SOLEMEMBER OF SAINT FRANCIS MEDICAL CENTER. SAINT FRANCIS MEDICAL CENTEROPERATES A 306-BED ACUTE CARE HOSPITAL LOCATED IN CAPE GIRARDEAU,MISSOURI. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCALAREA. SAINT FRANCIS HEALTH DEVELOPMENT SERVICES, INC. WAS ORGANIZED BYSAINT FRANCIS HEALTHCARE SYSTEM. SAINT FRANCIS HEALTH DEVELOPMENTSERVICES, INC. FORMED IN 2002, OWNS A 100% INTEREST IN PHYSICIANS ALLIANCE,LC, A 100% INTEREST IN BLACK RIVER REAL ESTATE, LLC, A 30% INTEREST INLANDMARK HOSPITAL OF CAPE GIRARDEAU, LLC, A 100% INTEREST IN SAINT FRANCISHEALTH DEVELOPMENT REAL ESTATE, LLC, A 100% INTEREST IN BLACK RIVERAMBULATORY SURGERY CENTER, LLC AND A 30% INTEREST IN UC CLINIC 001, LLC,WHICH OPERATES AFC URGENT CARE CENTER.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRANDON SCOTT DO
NEUROSURGEON$0$717,712$0$692,627$0$10,296$0$18,300$0$25,605$0$1,464,540$0$0
KAYWAN GAMADIA DO
NEUROSURGEON$0$730,667$0$679,884$0$6,560$0$6,100$0$25,506$0$1,448,717$0$0
JAMES MILLER MD
CARDIOTHORACIC SURGEON$0$848,091$0$0$0$396,298$0$1,308$0$1,082$0$1,246,779$0$0
JUSTIN BAIN DO
NEPHROLOGIST$0$820,412$0$258,830$0$37,263$0$18,300$0$25,594$0$1,160,399$0$0
ANDREW TRUEBLOOD MD
ORTHOPEDIC SURGEON$0$1,001,645$0$73,481$0$24,350$0$6,100$0$909$0$1,106,485$0$0
MARYANN REESE
PRESIDENT & CEO (FORMER)$0$849,505$0$126,000$0$19,238$0$3,310$0$2,269$0$1,000,322$0$0
ANDREW GODBEY MD
CMO & PRESIDENT - SFMP$0$503,993$0$236,254$0$42,388$0$18,300$0$25,445$0$826,380$0$0
JAMES BURKE
CAO & GENERAL COUNSEL (FOR$0$443,652$0$247,394$0$4,542$0$408$0$2,097$0$698,093$0$0
JUSTIN DAVISON
PRESIDENT & CEO$0$554,675$0$95,928$0$9,604$0$7,157$0$25,585$0$692,949$0$0
THOMAS DIEMER MD
CHIEF MEDICAL OFFICER (FOR$0$316,711$0$152,297$0$113,836$0$17,900$0$15,007$0$615,751$0$0
STEVEN OGBURN
VP OF SFMP$0$307,673$0$61,692$0$4,610$0$18,300$0$25,012$0$417,287$0$0
STEPHANIE LA PIERRE
CHIEF NURSING OFFICER (FOR$0$315,354$0$95,088$0$736$0$1,214$0$1,475$0$413,867$0$0
LORI STURGILL
CHIEF INFORMATION OFFICER (FORMER)$0$314,335$0$30,273$0$4,997$0$15,920$0$18,773$0$384,298$0$0
GERRY SALTER
VP - SPECIALTY PRACTICES$0$248,099$0$65,318$0$5,532$0$17,590$0$25,166$0$361,705$0$0
JAMES WILFERTH
VICE PRESIDENT - FOUNDATIO$0$240,674$0$22,379$0$4,017$0$14,389$0$23,570$0$305,029$0$0
JASON SNOW
VICE PRESIDENT - HUMAN RES$0$242,379$0$20,684$0$3,618$0$2,112$0$16,136$0$284,929$0$0
LISA NEWCOMER
VP - REGIONAL OPERATIONS$0$210,471$0$17,843$0$3,828$0$14,140$0$24,929$0$271,211$0$0
JOEL SANDER
VP - NORTHEAST OPERATIONS$0$219,447$0$16,425$0$3,299$0$14,466$0$16,051$0$269,688$0$0
CHRISTY SHAWAN
VP - SOUTHWEST OPERATIONS (FORMER)$0$210,250$0$19,156$0$5,816$0$14,119$0$18,022$0$267,363$0$0
DEBBY SPRANDEL
CHIEF NURSING OFFICER$0$229,334$0$9,368$0$5,774$0$7,725$0$7,349$0$259,550$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AEXECUTIVE MEMBERS RECEIVE TRAVEL FOR THEIR SPOUSES. SPOUSAL TRAVEL IS ADDED TO W-2'S FOR EXECUTIVES.
PART I, LINE 6ALL EXECUTIVE BONUSES ARE BASED ON ATTAINMENT OF STRATEGIC GOALS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2A BUSINESS RELATIONSHIP IS CONSIDERED TO EXIST AMONGST OFFICERS AND/OR DIRECTORS OF SAINT FRANCIS MEDICAL CENTER (SFMC) WHO ALSO SERVE AS OFFICERS AND/OR DIRECTORS OF SAINT FRANCIS HEALTH DEVELOPMENT SERVICES, INC., WHICH IS A RELATED TAXABLE ENTITY OF SAINT FRANCIS MEDICAL CENTER. THE FOLLOWING OFFICERS AND/OR DIRECTORS SERVE ON BOTH THE SAINT FRANCIS MEDICAL CENTER AND SAINT FRANCIS HEALTH DEVELPMENT SERVICES, INC. BOARD OF DIRECTORS: MARYANN REESE - PRESIDENT AND CEO AT SFMC DON KAVERMAN - MEMBER OF SFMC BOARD OF DIRECTORS LAURA YOUNGHOUSE - MEMBER OF SFMC BOARD OF DIRECTORS KEVIN GOVERO - CHAIRMAN OF SFMC BOARD OF DIRECTORS ADAM KIDD - MEMBER OF SFMC BOARD OF DIRECTORS
FORM 990, PART VI, SECTION A, LINE 6SAINT FRANCIS HEALTHCARE SYSTEM IS THE SOLE MEMBER OF THE SAINT FRANCIS MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7ASAINT FRANCIS HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SAINT FRANCIS MEDICAL CENTER HAS THE POWER TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS, THE CHAIRMAN OF THE BOARD, THE VICE CHAIRMAN OF THE BOARD AND THE SECRETARY/TREASURER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS ARE SUBJECT TO THE BISHOP'S APPROVAL.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 IS PROVIDED TO ALL THE MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CTHE MEDICAL CENTER REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST STATEMENT EACH YEAR. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE EDUCATED EACH YEAR ON THE DEFINITION OF A CONFLICT OF INTEREST AND HOW TO AVOID THEM.
FORM 990, PART VI, SECTION B, LINE 15AN OUTSIDE CONSULTANT IS ENGAGED TO PROVIDE BENCHMARK DATA FOR COMPARABLE POSITIONS IN COMPARABLY SIZED MEDICAL CENTERS. BASED ON THE DATA, THE CONSULTANT MAKES A RECOMMENDATION TO THE COMPENSATION COMMITTEE OF THE BOARD. THE BOARD DISCUSSES THE RECOMMENDATIONS AND MAKES A DECISION AS TO WHAT WILL BE PROVIDED FOR THE YEAR. THE PRESIDENT OF THE BOARD PROVIDES THE INFORMATION TO THE CHIEF FINANCIAL OFFICER TO IMPLEMENT. BASED ON DATA PROVIDED BY CONSULTANTS, THE BOARD OF DIRECTORS ESTABLISH PAY TARGETS FOR THE EXECUTIVE TEAM. THE PRESIDENT GRANTS THE VICE PRESIDENTS THEIR PAY INCREASES BASED ON PERFORMANCE IN THE PRECEEDING YEAR.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF THE MEDICAL CENTERS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE AT THE ADMINISTRATIVE OFFICE UPON REQUEST.
FORM 990, PART XI, LINE 9:SFMC DISTRIBUTIONS -200,008,255. BAD DEBT EXPENSE -171,868.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION FOR OPIOID PRESCRIBING EDUCATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SAINT FRANCIS DRIVEAddressLine1Txt
CityCAPE GIRARDEAUCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63703ZIPCd
FieldValueIRS element (for citing)
EIN872081470EIN
Primary ActivitiesPHYS. PRACTICEPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SFMCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
SAINT FRANCIS HEALTHCARE SYSTEM
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703430662499HOLDING COMPANYMO501(C)(3)LINE 12B, IIN/A0
SAINT FRANCIS FOUNDATION
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703431111276FUND. DEV.MO501(C)(3)LINE 12B, IIN/A0
SAINT FRANCIS HEALTHCARE REAL ESTATE
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703861891046REAL ESTATEMO501(C)(3)LINE 12B, IIN/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SAINT FRANCIS HEALTH DEVELOP SRVS
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703470849798HOLDING COMPANYMOC0
SAINT FRANCIS HEALTH PLANS
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703830526145HOLDING COMPANYMOC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd