SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY (EIN 27-3868479)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201903189349312885
- Schema version
- 2018v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-14T16:29:06-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273868479 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % KRISTA BERRY | InCareOfNm |
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 5733344822 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 LACEY ST | AddressLine1Txt |
| City | CAPE GIRARDEAU | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN J HAAS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5733344822 | PhoneNum |
| Signature | 2019-10-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brian D Todd | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 4178658701 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 43032920193185000020 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-11-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 8705656393E68C4A592E0CEA227AF158EB1E06AC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | DC217978BA4E90A39731850ED9CC10A93A8E606F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KENNETH W BATEMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 LACEY ST | AddressLine1Txt |
| City | CAPE GIRARDEAU | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,355,854 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | TOGETHER WE WILL EVOLVE HEALTHCARE THROUGH INNOVATION, COMPASSION AND PARTNERSHIPS. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 110 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $9,291 | PYContributionsGrantsAmt |
| CY Contributions Grants | $376,389 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,454,714 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,977,765 | CYProgramServiceRevenueAmt |
| PY Investment Income | $309,587 | PYInvestmentIncomeAmt |
| CY Investment Income | -$1,458,024 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $12,773,592 | PYTotalRevenueAmt |
| CY Total Revenue | $7,896,130 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,651,201 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,328,519 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,673,841 | PYOtherExpensesAmt |
| CY Other Expenses | $6,994,946 | CYOtherExpensesAmt |
| PY Total Expenses | $13,325,042 | PYTotalExpensesAmt |
| CY Total Expenses | $12,323,465 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$551,450 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,427,335 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,941,264 | TotalAssetsBOYAmt |
| Total Assets EOY | $768,686 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,470,883 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,459,700 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,470,381 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$691,014 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WITH OUR COLLECTIVE EXPERTISE, WE STRIVE TO BE THE BEST IN PATIENT EXPERIENCE AND OUTCOMES, INSTILLING CONFIDENCE WITHIN OUR COMMUNITY AND EMPOWERMENT AMONG OUR EMPLOYEES. EMPOWERMENT AMONG OUR EMPLOYEES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $10,370,391 | ExpenseAmt |
| Revenue | $8,977,765 | RevenueAmt |
| Desc | SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY (SEH) OPERATES A GENERAL MEDICAL HOSPITAL IN RURAL DONIPHAN, MO. THE FACILITY INCLUDES AN EMERGENCY ROOM, MEDICAL FLOOR LICENSED FOR 21 BEDS, A CLINICAL AND HOSPITAL LABORATORY, RADIOLOGY, REHABILITATION SERVICES, RESPIRATORY THERAPY, AND A PHARMACY. SEH ALSO PROVIDES INTERMITTENT HOME SERVICES TO HOMEBOUND PATIENTS. APPROXIMATELY 5,000 PATIENTS VISIT THE EMERGENCY ROOM EACH YEAR. THE NEXT CLOSEST HOSPITAL IS MORE THAN 25 MILES AWAY. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
| Total Program Service Expenses | $10,370,391 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 110 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KRISTA BERRY | PersonNm |
| Phone | 5733344822 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 LACEY ST | AddressLine1Txt |
| City | CAPE GIRARDEAU | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BRIAN ROBISON | |||||||||
| CHAIRMAN | 2.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE AYCOCK | |||||||||
| VICE CHAIRMAN | 2.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARK AVERY | |||||||||
| SECRETARY/TREASURER | 2.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KENNETH BATEMAN | |||||||||
| PRESIDENT/CEO, DIRECTOR | 2.0 | 41.0 | Yes (X) | Yes (X) | $0 | $692,467 | $145,133 | ||
| CLAY CROSSON | |||||||||
| DIRECTOR | 2.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| FREDDIE LEROUX | |||||||||
| DIRECTOR END 04/18 | 2.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| STEVE MCPHEETERS | |||||||||
| DIRECTOR END 09/18 | 2.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| GREG MATHIS | |||||||||
| DIRECTOR | 2.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| JOHN M THOMPSON | |||||||||
| DIRECTOR | 2.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN HAAS | |||||||||
| VP & CFO | 2.0 | 41.0 | Yes (X) | $0 | $317,617 | $34,302 | |||
| MEYYAPPAN PALANIAPPAN | |||||||||
| MEDICAL DIRECTOR | 40.0 | 0.0 | $207,912 | $0 | $35,418 | Yes (X) | |||
| GREGORY ZOLKOWSKI | |||||||||
| MEDICAL DIRECTOR | 40.0 | 0.0 | $603,104 | $0 | $37,649 | Yes (X) | |||
| GEORGE CHARLES | |||||||||
| TECHNOLOGIST RADIOLOGY | 40.0 | 0.0 | $115,878 | $0 | $6,111 | Yes (X) | |||
| CHERYL BARTON | |||||||||
| CEO | 40.0 | 0.0 | $151,350 | $0 | $19,965 | Yes (X) | |||
| KATHREEN FRIEND | |||||||||
| APRN | 40.0 | 0.0 | $170,443 | $0 | $10,118 | Yes (X) | |||
| GARY WARD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $201,363 | $0 | $27,918 | Yes (X) | |||
| BETH SJOBLOM | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $520,258 | $0 | $16,519 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,970,308 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,010,084 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $333,133 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BARTON ASSOCIATES | |||||
| PO BOX 417844 | BOSTON | MA | 02241 | PHYSICIAN COVERAGE | $382,836 |
| MEDICAL SOLUTIONS | |||||
| PO BOX 310737 | DES MOINES | IA | 50331 | NURSE COVERAGE | $308,051 |
| JACKSON AND COKER | |||||
| PO BOX 277638 | ATLANTA | GA | 30384 | PHYSICIAN COVERAGE | $246,878 |
| JOHN A EPPOLITO JR | |||||
| 378 GOLDEN LANE | POPLAR BLUFF | MO | 63901 | PHYSICIAN COVERAGE | $125,615 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,717 | GovernmentGrantsAmt |
| All Other Contributions | $367,672 | AllOtherContributionsAmt |
| Total Contributions | $376,389 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $8,275,903 | $8,275,903 |
| OTHER REVENUE | 900099 | $701,862 | $701,862 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,977,765 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,700 | TotalRevenueColumnAmt |
| Exclusion | $1,700 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,459,724 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,459,724 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,459,724 | TotalRevenueColumnAmt |
| Exclusion | -$1,459,724 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,896,130 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,977,765 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$1,458,024 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $884,083 | TotalAmt |
| Program Services | $884,083 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,415,665 | TotalAmt |
| Program Services | $2,629,645 | ProgramServicesAmt |
| Management And General | $786,020 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,980 | TotalAmt |
| Program Services | $125,714 | ProgramServicesAmt |
| Management And General | $34,266 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,416 | TotalAmt |
| Program Services | $420,746 | ProgramServicesAmt |
| Management And General | $76,670 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $371,375 | TotalAmt |
| Program Services | $309,385 | ProgramServicesAmt |
| Management And General | $61,990 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,282 | TotalAmt |
| Management And General | $20,282 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,149,580 | TotalAmt |
| Program Services | $1,899,567 | ProgramServicesAmt |
| Management And General | $250,013 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $912 | TotalAmt |
| Management And General | $912 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $368,908 | TotalAmt |
| Program Services | $159,998 | ProgramServicesAmt |
| Management And General | $208,910 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,407 | TotalAmt |
| Program Services | $123,219 | ProgramServicesAmt |
| Management And General | $29,188 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $883,506 | TotalAmt |
| Program Services | $672,759 | ProgramServicesAmt |
| Management And General | $210,747 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,121 | TotalAmt |
| Program Services | $20,318 | ProgramServicesAmt |
| Management And General | $5,803 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,790 | TotalAmt |
| Program Services | $8,355 | ProgramServicesAmt |
| Management And General | $435 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,200 | TotalAmt |
| Program Services | $4,159 | ProgramServicesAmt |
| Management And General | $1,041 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,501 | TotalAmt |
| Program Services | $127,189 | ProgramServicesAmt |
| Management And General | $37,312 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,027 | TotalAmt |
| Program Services | $10,256 | ProgramServicesAmt |
| Management And General | $176,771 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $2,279,159 | $2,279,159 | |
| MEDICAL SUPPLIES & DRUGS | $352,275 | $352,275 | |
| PROVIDER TAX | $334,451 | $334,451 | |
| MISCELLANEOUS | $61,827 | $9,113 | $52,714 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,323,465 | TotalAmt |
| Program Services | $10,370,391 | ProgramServicesAmt |
| Management And General | $1,953,074 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,363 | BOYAmt |
| EOY | $203,854 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,324,751 | BOYAmt |
| EOY | $30,853 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,055 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,333 | BOYAmt |
| EOY | $0 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,743,937 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,609,825 | BOYAmt |
| EOY | $533,979 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,941,264 | BOYAmt |
| EOY | $768,686 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,015,273 | BOYAmt |
| EOY | $1,287,097 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,273 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,298,337 | BOYAmt |
| EOY | $172,603 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,470,883 | BOYAmt |
| EOY | $1,459,700 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,470,381 | BOYAmt |
| EOY | -$691,014 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,470,381 | BOYAmt |
| EOY | -$691,014 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,941,264 | BOYAmt |
| EOY | $768,686 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,427,335 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1,265,940 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5,233 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,233 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | OTHER LOBBYING ACTIVITIES: THE ORGANIZATION IS A MEMBER OF THE MISSOURI HOSPITAL ASSOCIATION, OF WHICH THE FOLLOWING PORTION OF DUES PAID IS ATTRIBUTABLE TO LOBBYING: 24.2% OF $12,491 OR $3,023. THE ORGANIZATION IS A MEMBER OF THE AMERICAN HEART ASSOCIATION, OF WHICH THE FOLLOWING PORTION OF DUES PAID IS ATTRIBUTABLE TO LOBBYING: 22.73% OF $7,424 OR $1,657. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM 3RD PARTY | Desc |
| Book Value | $533,979 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $533,979 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO 3RD PARTY | Desc |
| Amt | $172,603 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $172,603 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,877 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,877 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,036,823 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,644,602 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$607,779 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,080,700 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,644,602 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$563,902 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $423,562 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $356,511 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00670 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $423,562 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $356,511 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00670 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,504,262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,001,113 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$496,851 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01110 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,279,159 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $544,719 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,512,510 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,235,923 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$723,413 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEASTHEALTH CENTER OF RIPLEY CTY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 109 PLUM STREET | AddressLine1Txt |
| City | DONIPHAN | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63935 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SEHEALTH.ORG | WebsiteAddressTxt |
| State License | 528 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEASTHEALTH CENTER OF RIPLEY CTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | COMMUNITY INPUT: SOUTHEASTHEALTH OBTAINED INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY DISTRIBUTING ONLINE QUESTIONNAIRES TO MEMBERS OF THE HEALTH COMMUNITIES COALITIONS IN THE AREA, CONDUCTING IN-PERSON FOCUS GROUPS WITH THE HEALTH COMMUNITIES COALITIONS IN CAPE GIRARDEAU AND RIPLEY COUNTY, AND OBTAINING PERSPECTIVES OF MEMBER OF THE SOUTHEASTHEALTH BOARD OF DIRECTORS. BOARD MEMBERS INCLUDE LEADERS IN BUSINESS AND GOVERNMENT, EDUCATORS, AND HEALTHCARE PROFESSIONALS WITH DEEP INVOLVEMENT IN THE COMMUNITY. |
| SCHEDULE H, PART V, SECTION B, LINE 6A | CHNA CONDUCTED WITH OTHER HOSPITALS: THE CHNA PROCESS WAS CONDUCTED WITH SOUTHEAST HEALTH, A RELATED ORGANIZATION, AND SOUTHEASTHEALTH'S REGIONAL HOSPITAL FACILITIES. |
| SCHEDULE H, PART V, SECTION B, LINE 7D | OTHER METHODS OF AVAILABILITY OF THE CHNA: IN COORDINATION WITH SOUTHEASTHEALTH, A RELATED ORGANIZATION, AND IN ADDITION TO THE HOSPITAL'S WEBSITE (SEHEALTH.ORG), THE RESULTS WERE SHARED WITH THE RIPLEY COUNTY COMMUNITY ADVISORY GROUP. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | ADDRESSING SIGNIFICANT NEEDS: MEMBERS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM ANALYZED SURVEY DATA, FOCUS GROUP DATA, AND SECONDARY DATA IN THE CHNA REPORT TO PRIORITIZE THE COMMUNITY HEALTH NEEDS FOR EACH COUNTY. THE PRIORITY NEEDS WERE FIRST IDENTIFIED BY THE PRIMARY RESEARCH OR WHAT THE COMMUNITY FINDS MOST IMPORTANT. THESE HIGH PRIORITY NEEDS WERE THEN VALIDATED BY THE SECONDARY RESEARCH LOOKING AT THE COMMUNITY STATISTICS AND TRENDS AGAINST THE STATE STATISTICS AND TRENDS. THE TEAM IDENTIFIED 6 HEALTH NEEDS AND DEVELOPED IMPROVEMENT STRATEGIES FOR EACH AREA: -CANCER (SMOKING, COLON CANCER) -OBESITY (DIET AND EXERCISE) -CHRONIC DISEASE *STROKE *HEART DISEASE *DIABETES (DIET AND EXERCISE) *CHRONIC RESPIRATORY DISEASE (SMOKING) -SUBSTANCE ABUSE/MENTAL HEALTH (DRUG AND ALCOHOL, ANXIETY AND DEPRESSION) -HEALTH CARE AFFORDABILITY (UNINSURED/UNDERINSURED) -PRE-CONCEPTUAL AND PERINATAL HEALTH |
| SCHEDULE H, PART V, SECTION B, LINE 13H | ADDITIONAL CRITERIA USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OTHER THAN INCOME AND ASSETS ALREADY SPECIFIED INCLUDE: - ELIGIBILITY FOR MEDICAID |
| SCHEDULE H, PART V, SECTION B, LINES 16A-16C | FAP AVAILABILITY: THE FULL WEBSITE ADDRESS FOR LINES 16A-16C IS AS FOLLOWS: HTTPS://WWW.SEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE |
| SCHEDULE H, PART V, LINE 16I | LEP TRANSLATIONS: THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER IRC SECTION 501(R). |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| RIPLEY COUNTY HOME HEALTH AGENCY | ||||
| 109 PLUM STREET | DONIPHAN | MO | 63935 | HOSPITAL BASED HHA |
| FAMILY MEDICINE OF DONIPHAN | ||||
| 1 HOSPITAL DRIVE | DONIPHAN | MO | 63935 | RURAL HEALTH CLINIC |
| RIPLEY COUNTY RURAL HEALTH CLINIC | ||||
| 109 LEROUX DRIVE | DONIPHAN | MO | 63935 | RURAL HEALTH CLINIC |
| THERAPY SERVICES OF DONIPHAN | ||||
| 208 N GRAND AVENUE | DONIPHAN | MO | 63935 | THERAPY SERVICES |
| SOUTHEAST HOME HEALTH | ||||
| 208 N GRAND AVENUE | DONIPHAN | MO | 63935 | HOSPITAL BASED HHA |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7, COLUMN F | TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $2,279,159. |
| SCHEDULE H, PART I, LINE 7G | SUBSIDIZED SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $67,501. SOUTHEASTHEALTH PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES AND CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. |
| SCHEDULE H, PART I, LINE 7 | COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1. IRS WORKSHEETS 3 AND 6 USED SPECIFIC COST TO CHARGE RATIO FOR EACH SERVICE. |
| SCHEDULE H, PART III, SECTION A, LINE 2 | BAD DEBT EXPENSE: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEMS ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANXIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31,2018. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY ESTIMATES THAT APPROXIMATELY 23.9% OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY USING POVERTY LEVELS FOR RIPLEY COUNTY FROM US CENSUS BUREAU DATA. THEREFORE, THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING 23.9% OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: THAT FOOTNOTE CAN BE FOUND ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | BILLING, CREDIT AND COLLECTION POLICY: SEH RIPLEY WILL ASSIST ALL PATIENTS IN THE BILLING OF INSURANCE CLAIMS TO GOVERNMENTAL AGENCIES, COMMERCIAL INSURANCE CARRIERS AND OTHER THIRD PARTY PAYERS. THIS POLICY OUTLINES THE PROCESS FOR MANAGING ALL PATIENT/GUARANTOR RESPONSIBLE BALANCES DUE TO SEH RIPLEY FOR SERVICES PROVIDED. SELF-PAY PATIENTS/GUARANTORS (PATIENTS WITHOUT HEALTH CARE INSURANCE) WILL BE COOPERATED WITH FULLY WHILE BEING ENCOURAGED TO SATISFY THEIR FINANCIAL OBLIGATIONS TO SEH RIPLEY ON A TIMELY BASIS. AN ATMOSPHERE OF MUTUAL UNDERSTANDING BETWEEN THE PATIENTS WE SERVE AND SEH RIPLEY WILL BE MAINTAINED AT ALL TIMES. SEH RIPLEY WILL ONLY BILL FOR SERVICES ACTUALLY PROVIDED TO PATIENTS AND WILL PROVIDE ASSISTANCE TO PATIENTS SEEKING TO UNDERSTAND THE COST OF THEIR CARE. STAFF WILL ALSO ATTEMPT TO RESOLVE QUESTIONS AND OBJECTIONS TO THE SATISFACTION OF THE PATIENT. SOUTHEAST HEALTH OF RIPLEY'S PROCEDURES ARE AS FOLLOWS: 1. ALL PATIENTS/GUARANTORS WILL BE PROVIDED A BILLING STATEMENT WITH A SUMMARY OF CHARGES, INSURANCE PAYMENTS / ADJUSTMENTS AND BALANCE DUE FROM THE PATIENT / GUARANTOR. 2. SEH RIPLEY WILL CONDUCT ACCOUNT FOLLOW-UP WITH PATIENTS/GUARANTORS AS FOLLOWS: A. BILLING STATEMENTS WILL BE SENT TO THE PATIENT/GUARANTOR ROUTINELY EVERY 30 DAYS WITH PAYMENT OPTIONS, INCLUDING INFORMATION REGARDING FINANCIAL ASSISTANCE / CHARITY CARE / UNINSURED DISCOUNT B. AT 90 DAYS FROM THE INITIAL BILLING STATEMENT, UNRESOLVED ACCOUNTS WILL RECEIVE A "FINAL DEMAND" FOR PAYMENT STATEMENT. AT THIS TIME THE ACCOUNT WILL QUALIFY FOR COLLECTION ACTION C. AT 120 DAYS FROM THE INITIAL BILLING STATEMENT, UNRESOLVED ACCOUNTS MAY BE PLACED WITH AN EXTERNAL COLLECTION AGENCY 3. SEH RIPLEY OFFERS SEVERAL DIFFERENT PAYMENT OPTIONS TO SETTLE ACCOUNTS: A. PAYMENT IN FULL: CASH, CHECK, MASTERCARD, VISA, DISCOVER B. THREE EQUAL INSTALLMENTS OVER 90 DAYS C. SHORT TERM MONTHLY PAYMENT ARRANGEMENTS MAY BE ESTABLISHED TO RESOLVE THE ACCOUNT BALANCE WITHIN 12 EQUAL MONTHLY INSTALLMENTS D. TERMS LONGER THAN TWELVE (12) MONTHS MAY BE CONSIDERED BASED UPON SPECIAL CIRCUMSTANCES AND APPROVED BY DIRECTOR REVENUE CYCLE E. FINANCIAL ASSISTANCE / CHARITY CARE / UNINSURED DISCOUNT IS AVAILABLE, REFER TO THE POLICY GUIDELINES 4. COLLECTION AGENCY: UNRESOLVED ACCOUNTS WILL BE ASSIGNED AT 120 DAYS FROM INITIAL BILLING AND WILL REMAIN WITH THE PRIMARY COLLECTION AGENCY FOR 120 DAYS FROM PLACEMENT. A. COLLECTIONS EFFORTS WILL BE CONDUCTED UTILIZING PATIENT/GUARANTOR BILLING STATEMENTS, COLLECTION LETTERS AND TELEPHONE CONTACT B. PAYMENT ARRANGEMENTS ARE AVAILABLE AS STATED ABOVE C. FINANCIAL ASSISTANCE / CHARITY CARE / UNINSURED DISCOUNTS ARE AVAILABLE AS STATED ABOVE D. UNRESOLVED ACCOUNTS ARE SUBJECT TO CREDIT BUREAU REPORTING AT 60 DAYS FROM PLACEMENT WITH THE COLLECTION AGENCY E. UNRESOLVED ACCOUNTS ARE SUBJECT TO LEGAL ACTION AT 120 DAYS FROM PLACEMENT WITH THE COLLECTION AGENCY. ANY COLLECTION COSTS INCURRED, SUCH AS ATTORNEY FEES AND/OR COURT COSTS WILL BECOME THE RESPONSIBILITY OF THE PATIENT /GUARANTOR AND WILL BE ADDED TO THE ACCOUNT BALANCE 5. BAD DEBT: UNRESOLVED ACCOUNTS THAT HAVE COMPLETED THE COLLECTION PROCESS WILL BE CONSIDERED "UNCOLLECTABLESUBJECT TO BAD DEBT WRITE-OFF. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: FOLLOWING ARE WAYS IN WHICH SOUTHEASTHEALTH CENTER OF RIPLEY COUNTY ASSESSED THE NEEDS OF ITS COMMUNITY BEFORE, DURING AND AFTER THE FORMAL CHNA WAS COMPLETED: - DEFINED "COMMUNITY" AS OUR PRIMARY SERVICE AREA BASED ON PATIENT ORIGIN DATA - MADE CONTACT AND DISCUSSED CHNA (COMMUNITY HEALTH NEEDS ASSESSMENT) WITH COUNTY HEALTH COALITION - COLLECTED SECONDARY DATA - HELD A FOCUS GROUP TO COLLECT PRIMARY DATA THAT INCLUDED PEOPLE WITH SPECIAL KNOWLEDGE OF HEALTH ISSUES - ASSESSED ALL PRIMARY AND SECONDARY DATA FOR THE SERVICE AREA - CREATED A COMPREHENSIVE LIST OF COMMUNITY HEALTH ISSUES, BEHAVIOR AND LIFESTYLE ISSUES CONTRIBUTING TO HEALTH, AND ENVIRONMENTAL AND SOCIAL ISSUES RELATED TO HEALTH FOR THE SERVICE AREA - PRIORITIZED THE LIST BASED ON INPUT FROM THE COALITIONS, CONSISTENCY BETWEEN SECONDARY AND PRIMARY DATA, OUR ABILITY TO ADDRESS, AND THE POTENTIAL TO EFFECT CHANGE - CREATED LIST OF PRIORITIZED HEALTH NEEDS AND BEHAVIORS IN COLLABORATION WITH RIPLEY COUNTY COMMUNITY HEALTH COALITION WE'VE ESTABLISHED IMPROVEMENT ACTION FRAMEWORK WITHIN WHICH RIPLEY COUNTY COALITION CONSTITUENTS' CAN TAKE A COMPREHENSIVE APPROACH TO MAINTAINING AND IMPROVING HEALTH BY: ASSESSING ITS HEALTH NEEDS, DETERMINING ITS RESOURCES AND ASSETS FOR PROMOTING HEALTH, DEVELOPING AND IMPLEMENTING A STRATEGY FOR ACTION, AND ESTABLISHING WHERE RESPONSIBILITY SHOULD LIE FOR SPECIFIC RESULTS. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: IN ADDITION TO THE CENTRALIZED BUSINESS OFFICE, THE HOSPITAL HAS DESIGNATED BUSINESS OFFICE STAFF ONSITE AT EACH FACILITY TO PROVIDE PATIENT EDUCATION AND ASSISTANCE. POLICIES AND PROCEDURES IN PLACE FOR CASH COLLECTION, INCLUDING PAYMENT AGREEMENTS PLUS CHARITY/INDIGENT CARE. A REVIEW IS COMPLETED WITH PATIENTS AND BUSINESS OFFICE STAFF IF A PATIENT IS DEEMED A POSSIBLE CANDIDATE FOR FINANCIAL ASSISTANCE. FINANCIAL EVALUATION FORMS ARE ALSO MADE AVAILABLE FOR PATIENTS. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: RIPLEY COUNTY IS LOCATED IN SOUTHEAST MISSOURI WITH A MOSTLY RURAL POPULATION OF 13,936. WHITES COMPRISE 96.6% OF THE TOTAL POPULATION AND THE COUNTY HAS A HIGHER PERCENTAGE OF THE OLDER POPULATION, AGES 60 - 84 THAN DOES THE STATE OF MISSOURI. 78% OF RIPLEY COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH 16.8% GOING ON TO RECEIVE A POST-SECONDARY DEGREE. THE UNEMPLOYMENT RATE WAS 5.7% IN 2017, WHICH IS HIGHER THAN MISSOURI'S 3.8%. RIPLEY COUNTY HAS 18.4% OF RESIDENTS IN POVERTY, WITH 11.7% ELIGIBLE FOR FOOD STAMPS, AND 15.8% UNINSURED. RIPLEY COUNTY DOES HAVE SOME HEALTH CARE PROVIDERS, INCLUDING A SMALL HOSPITAL, A COUNTY HEALTH DEPARTMENT, EMERGENCY SERVICES, RURAL HEALTH CLINICS, ASSISTED LIVING FACILITIES, AND A SKILLED NURSING FACILITY. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: PROMOTION OF COMMUNITY HEALTH IS BENEFICIAL IN THE FOLLOWING WAYS: - TO SHARE THE ASSESSMENT PROCESS AND FINDINGS WITH THE COUNTY RESIDENTS AND TO EDUCATE LOCAL RESIDENTS, HEALTH CARE PROVIDERS, AND STUDENTS REGARDING PRESSING HEALTH PROBLEMS - TO EMPOWER COMMUNITY MEMBERS - TO ACT ON ISSUES OF CONCERN - TO IDENTIFY EMERGING ISSUES - TO PROVIDE DATA FOR DECIDING PROGRAMMATIC/ORGANIZATIONAL DECISIONS, AND TO PLAN EFFECTIVE, COLLABORATIVE INTERVENTIONS - TO PROMOTE BETTER HEALTH TO ADVOCATE FOR COMMUNITY CHANGE WITH POLITICIANS AND OTHER LOCAL DECISION-MAKERS - TO PROMOTE COLLABORATION AND PARTNERSHIP AMONG COMMUNITY MEMBERS AND GROUPS - TO FURNISH A BASELINE BY WHICH TO MONITOR CHANGES - TO SERVE AS A REFERENCE POINT AND A HISTORICAL PERSPECTIVE FOR FUTURE ASSESSMENTS - TO PROVIDE A RESOURCE FOR ACTIVITIES SUCH AS WRITING GRANT APPLICATIONS - TO SERVE AS A MODEL FOR OTHER COUNTIES WHO ARE PLANNING AN ASSESSMENT |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: SOUTHEAST HOSPITAL, D/B/A SOUTHEASTHEALTH (THE "HEALTH SYSTEM"), PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE AND PHYSICIAN SERVICES TO PATIENTS IN THE CAPE GIRARDEAU AND THE SURROUNDING SOUTHEAST MISSOURI AREA. SOUTHEASTHEALTH HOSPITAL IS LOCATED IN CAPE GIRARDEAU, MISSOURI, AND HAS MULTIPLE CAMPUSES AND FACILITIES, SUCH AS HEALTHPOINT FITNESS, SOUTHEAST HOME HEALTH, SOUTHEAST HOSPICE, SOUTHEAST MEDICAL PLAZA, SOUTHEAST CANCER CENTER AND VARIOUS OUTPATIENT CLINICS. SOUTHEASTHEALTH OF RIPLEY COUNTY, D/B/A SOUTHEASTHEALTH CENTER OF RIPLEY COUNTY, AND SOUTHEASTHEALTH CENTERS OF REYNOLDS COUNTY AND STODDARD COUNTY ARE COLLECTIVELY REFERRED TO AS SOUTHEASTHEALTH REGIONAL SYSTEM. THE SOUTHEASTHEALTH REGIONAL SYSTEM EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE, PHYSICIAN SERVICES AND RETAIL PHARMACY OPERATIONS IN DEXTER, MISSOURI; DONIPHAN, MISSOURI; ELLINGTON, MISSOURI, AND THEIR SURROUNDING AREAS.SOUTHEASTHEALTH SERVIR, OPERATED BY SOUTHEASTHEALTH HOSPITAL, PROVIDES SOFTWARE SUPPORT FOR THE HOSPITAL'S REVENUE CYCLE. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: MISSOURI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH BATEMAN | ||||||||||||||
| PRESIDENT/CEO, DIRECTOR | $0 | $665,368 | $0 | $0 | $0 | $27,099 | $0 | $115,125 | $0 | $30,008 | $0 | $837,600 | $0 | $0 |
| CHERYL BARTON | ||||||||||||||
| CEO | $115,847 | $0 | $0 | $0 | $35,503 | $0 | $8,483 | $0 | $11,482 | $0 | $171,315 | $0 | $0 | $0 |
| KATHREEN FRIEND | ||||||||||||||
| APRN | $83,434 | $0 | $80,922 | $0 | $6,087 | $0 | $9,372 | $0 | $746 | $0 | $180,561 | $0 | $0 | $0 |
| GARY WARD | ||||||||||||||
| PHYSICIAN | $200,046 | $0 | $0 | $0 | $1,317 | $0 | $11,169 | $0 | $16,749 | $0 | $229,281 | $0 | $0 | $0 |
| BETH SJOBLOM | ||||||||||||||
| PHYSICIAN | $518,968 | $0 | $0 | $0 | $1,290 | $0 | $15,125 | $0 | $1,394 | $0 | $536,777 | $0 | $0 | $0 |
| MEYYAPPAN PALANIAPPAN | ||||||||||||||
| MEDICAL DIRECTOR | $195,187 | $0 | $12,725 | $0 | $0 | $0 | $10,560 | $0 | $24,858 | $0 | $243,330 | $0 | $0 | $0 |
| GREGORY ZOLKOWSKI | ||||||||||||||
| MEDICAL DIRECTOR | $480,075 | $0 | $0 | $0 | $123,029 | $0 | $15,125 | $0 | $22,524 | $0 | $640,753 | $0 | $0 | $0 |
| STEVEN HAAS | ||||||||||||||
| VP & CFO | $0 | $313,998 | $0 | $0 | $0 | $3,619 | $0 | $15,125 | $0 | $19,177 | $0 | $351,919 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | CEO COMPENSATION DETERMINATION: SOUTHEAST HOSPITAL, A RELATED ORGANIZATION, COMPLETES THE COMPENSATION REVIEW OF THE SYSTEM CEO USING THE FOLLOWING METHODS: - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD |
| SCHEDULE J, PART I, LINE 4A | SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: - GREGORY ZOLKOWSKI RECEIVED $120,000 - CHERYL BARTON RECEIVED $18,754 - KATHREEN FRIEND RECEIVED $3,504 |
| SCHEDULE J, PART I, LINE 4B | NONQUALIFIED RETIREMENT PLAN: SOUTHEAST HEALTH A RELATED ORGANIZATION CONTRIBUTED $100,000 TO A 457(F) PLAN ON BEHALF OF KENNETH BATEMAN. |
Schedule N IRS990ScheduleN
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liquidation Of Assets Table | LiquidationOfAssetsTableGrp |
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | BUILDING AND EQUIPMENT | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2018-12-21 | DistributionDt |
| Fair Market Value Of Asset | $1,135,627 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | BOOK VALUE | MethodOfFMVDeterminationTxt |
| EIN | 430991713 | EIN |
| Person | RIPLEY COUNTY MEMORIAL HOSPITAL | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 109 PLUM STREET | AddressLine1Txt |
| City | DONIPHAN | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63935 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | GOVT | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (true) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE N, PART II, LINE 2A | FormAndLineReferenceDesc |
| Explanation | BOARD MEMBER: BOARD MEMBER FREDDIE LEROUX WAS A BOARD MEMBER OF RIPLEY COUNTY MEMORIAL HOSPTIAL BEFORE THE SALE OF ASSETS AND REMAINED A MEMBER. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | SIGNIFICANT CHANGES: THE ORGANIZATION CEASED HOSPITAL OPERATIONS ON 10/15/18 AND CLINIC OPERATIONS ON 11/30/18. |
| FORM 990, PART III, LINE 4A | PROGRAM ACHIEVEMENTS: SEH ALSO CONDUCTS NUMEROUS EDUCATIONAL ACTIVITIES FOR THE BENEFIT OF THE PUBLIC AND OFFERS A WIDE RANGE OF HEALTH RELATED CLASSES. SEH UTILIZES SOUTHEAST HOSPITAL WHICH PROVIDES A REGIONAL SYSTEM OF HEALTHCARE SERVICES INCLUDING A FULL SERVICE HOSPITAL IN CAPE GIRARDEAU, MO. SEH IS A CRITICAL HEALTHCARE RESOURCE FOR THE RESIDENTS OF RURAL RIPLEY COUNTY. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS: THE SOLE MEMBER IS SOUTHEASTHEALTH HOSPITAL HOLDINGS, LLC, A DISREGARDED ENTITY OF SOUTHEAST HOSPITAL, A RELATED ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | POWERS OF MEMBERS OVER GOVERNING BODY: THE BOARD OF DIRECTORS OF SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY ARE ELECTED BY SOUTHEASTHEALTH SYSTEM (SYSTEM) AT THE ANNUAL MEETING OF THE SYSTEM IN ACCORDANCE WITH THE SYSTEM'S BYLAWS, WITH THE DIRECTORS TO BE ELECTED FROM THE SLATE OF CANDIDATES PREPARED BY THE SYSTEM'S GOVERNANCE AND NOMINATING COMMITTEE. THE SYSTEM BOARD OF DIRECTORS HAS THE POWER TO ELECT, EVALUATE, AND REMOVE THE DIRECTORS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO A TWO-THIRDS OR GREATER VOTE OF THE SYSTEM BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | MEMBER GOVERNANCE DECISIONS: THE MEMBER RESERVES ALL POWER, SUBJECT TO THE AUTHORITY OF SOUTHEASTHEALTH SYSTEM (SYSTEM) TO TAKE THE ACTIONS BELOW WITH RESPECT TO SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY: (1) ESTABLISH AND INTERPRET PHILOSOPHY, EXPECTATIONS, AND CORE VALUES OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (2) ESTABLISH ANNUAL PERFORMANCE OBJECTIVES AND COMPENSATION FOR THE PRESIDENT OF THE CORPORATION AND THE PRESIDENT/CEOS OF THE CORPORATION'S SUBSIDIARIES; (3) ESTABLISH THE DEBT LIMITS OF, AND DEBT GUIDELINES FOR, THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (4) SELECT THE AUDITOR FOR THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (5) ESTABLISH GUIDELINES FOR TRANSFERRING OR ENCUMBERING ASSETS OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES FINANCED USING TAX-EXEMPT BONDS; AND (6) ESTABLISH GUIDELINES FOR PROJECTS AND TRANSACTIONS WHICH MAY BE APPROVED BY THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; THE MEMBER FURTHER RESERVES THE POWER TO TAKE THE ACTIONS AS DESCRIBED BELOW WITH RESPECT TO SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY, PROVIDED, HOWEVER, THAT THE BOARD SHALL HAVE THE RIGHT TO MAKE RECOMMENDATIONS REGARDING SUCH ACTIONS WHICH THE MEMBER MAY TAKE INTO CONSIDERATION, BUT THE BOARD SHALL NOT HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS UNLESS DIRECTED TO DO SO BY THE MEMBER, AND FURTHER SUBJECT TO THE MEMBER'S AUTHORITY GRANTED BY THE SYSTEM: (1) ESTABLISH, MODIFY, AND INTERPRET MISSION AND VISION STATEMENTS FOR THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (2) APPROVE THE FORMATION OR ACQUISITION OF LEGAL ENTITIES BY THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (3) APPROVE THE SALE, TRANSFER, DISPOSITION OF, OR SUBSTANTIAL CHANGE TO THE USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (4) APPROVE A DIVESTITURE, MERGER, DISSOLUTION, REORGANIZATION, CLOSING, OR CONSOLIDATION INVOLVING THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (5) APPROVE A CHANGE TO THE CORPORATE MEMBERSHIP OR OWNERSHIP OF THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (6) ADOPT AND AMEND THE ARTICLES OF INCORPORATION, BYLAWS, ARTICLES OF ORGANIZATION, AND/OR OPERATING AGREEMENT AS APPLICABLE, OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (7) ESTABLISH CORE COMPETENCIES FOR THE DIRECTORS OR MANAGERS (AS APPLICABLE); (8) ELECT, EVALUATE, AND REMOVE THE DIRECTORS OR MANAGERS (AS APPLICABLE) OF THE CORPORATION'S SUBSIDIARIES; (9) TRANSFER ASSETS AND REALLOCATE DEBT OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; AND (10) ESTABLISH POLICIES AND PROCEDURES, INCLUDING POLICIES FOR PROVIDER CREDENTIALING, QUALITY, AND PATIENT SAFETY (AS APPLICABLE), FOR THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT AND MANAGEMENT. THE FORM 990 IS REVIEWED BY THE ACCOUNTING DEPARTMENT, LEGAL COUNSEL, AND MANAGEMENT AND IS THEN PROVIDED TO THE BOARD OF DIRECTORS ELECTRONICALLY BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL TRUSTEES AND KEY EMPLOYEES (ADMINISTRATIVE STAFF) ARE REQUIRED TO READ THE ORGANIZATIONAL ETHICS STATEMENT ANNUALLY AND COMPLETE A CERTIFICATION STATEMENT TO THAT EFFECT. DIRECTORS, OFFICERS, MANAGERS AND KEY EMPLOYEES MUST DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS. THE REMAINING DIRECTORS WILL DISCUSS AND VOTE UPON WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE CHAIRMAN SHALL APPOINT A DISINTERESTED DIRECTOR TO INVESTIGATE ALTERNATIVE OPTIONS FOR THE TRANSACTION/ARRANGEMENT IN QUESTION. IF A MORE ADVANTAGEOUS OPTION IS NOT AVAILABLE, A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WILL DETERMINE IF IT IS IN THE BEST INTEREST OF THE ORGANIZATION TO CONTINUE WITH THE TRANSACTION/ARRANGEMENT. IF A CONFLICT OF INTEREST HAS FAILED TO BEEN DISCLOSED, THE INTERESTED PARTY WILL BE NOTIFIED AND APPROPRIATE DISCIPLINARY ACTION WILL BE TAKEN AS NEEDED. |
| FORM 990, PART VI, SECTION B, LINE 15A | EXECUTIVE COMPENSATION REVIEW: DATA FROM TWO ORGANIZATIONS (MO HOSPITAL ASSOCIATION AND ANOTHER INDEPENDENT AGENCY) ARE USED FOR COMPARISON. RECOMMENDATIONS ARE MADE FROM THAT INFORMATION TO THE BOARD OF TRUSTEES, WHO THEN DETERMINE THE COMPENSATION FOR THE SYSTEM CEO. THE BOARD OF SOUTHEASTHEALTH COMPLETES THIS REVIEW ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15B | OTHER OFFICER AND KEY EMPLOYEE COMPENSATION REVIEW: THE SYSTEM CEO DETERMINES COMPENSATION FOR THE SYSTEM CFO. HUMAN RESOURCES COMPILES EXTERNAL DATA FOR COMPARABLE AMOUNTS TO CONFIRM RATES ARE ADEQUATE. |
| FORM 990, PART VI, SECTION C, LINE 19 | PUBLIC DISCLOSURE: COPIES OF THE 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 | OTHER CHANGES IN NET ASSETS: $ 1,265,940 TRANSFER TO/FROM AFFILIATES |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SPECIALIST FEES TOTAL FEES:778933 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:540814 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:499615 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MAINTENANCE CONTRACTS TOTAL FEES:256347 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION FEES TOTAL FEES:52575 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:21296 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHEAST HOSPITAL | ||||||||||
| 1701 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | 430654874 | HOSPITAL | MO | 501(C)(3) | 3 | SEH SYSTEM | false |
| SOUTHEASTHEALTH SYSTEM | ||||||||||
| 1701 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | 474890906 | PARENT | MO | 501(C)(3) | 12C III-FI | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |